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CN203376916U - Simulation training apparatus for Budd-chiari syndrome interventional treatment - Google Patents

Simulation training apparatus for Budd-chiari syndrome interventional treatment Download PDF

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CN203376916U
CN203376916U CN201320291247.4U CN201320291247U CN203376916U CN 203376916 U CN203376916 U CN 203376916U CN 201320291247 U CN201320291247 U CN 201320291247U CN 203376916 U CN203376916 U CN 203376916U
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artificial
budd
liquid valve
chiari syndrome
veins
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庄银苹
华浅近
祖茂衡
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Xuzhou Medical College
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Abstract

本实用新型公开了一种布-加综合征介入治疗模拟训练装置,属于医学用模拟装置技术领域,包括人工静脉血管、半剖面人形固定槽,还设置了人工隔膜、固定鞘、液体阀门和蓝色液体,其中,人工隔膜安装在人工血管模型的下腔静脉肝后段、左、中、右肝静脉的近心端,液体阀门设置在半剖面人形固定槽中肝脏下缘,固定鞘设置在两侧股静脉血管远心端,本实用新型在模拟训练时,首先打开液体阀门,使蓝色液体流于血管模型内,然后在固定鞘内插入导管在血管内缓慢前进至触及人工隔膜后停止,用钢针探查人工隔膜的薄弱区并从中穿过,用球囊对人工隔膜进行反复扩张后,置入支架,操作简单,有效的模拟了布-加综合征手术的过程,提高初学者的手术技能。

Figure 201320291247

The utility model discloses a simulation training device for interventional treatment of Budd-Chiari syndrome, which belongs to the technical field of medical simulation devices, and comprises artificial veins, a half-section humanoid fixing groove, and is also provided with an artificial diaphragm, a fixing sheath, a liquid valve and a blue The artificial diaphragm is installed in the posterior segment of the inferior vena cava, the proximal end of the left, middle and right hepatic veins of the artificial blood vessel model, the liquid valve is set at the lower edge of the liver in the half-section human-shaped fixing groove, and the fixing sheath is set on the At the distal end of femoral veins on both sides, the utility model first opens the liquid valve during simulation training to make the blue liquid flow in the blood vessel model, and then inserts the catheter into the fixed sheath and advances slowly in the blood vessel until it touches the artificial diaphragm. , use a steel needle to probe the weak area of the artificial septum and pass through it, use the balloon to expand the artificial septum repeatedly, and then insert the stent, the operation is simple, and the process of Budd-Chiari syndrome surgery is effectively simulated, improving the beginner's surgical skills.

Figure 201320291247

Description

布-加综合征介入治疗模拟训练装置Budd-Chiari syndrome interventional therapy simulation training device

技术领域technical field

本实用新型涉及一种布-加综合征介入治疗模拟训练装置,属于医学用模拟装置技术领域。The utility model relates to a simulated training device for interventional treatment of Budd-Chiari syndrome, which belongs to the technical field of medical simulation devices.

背景技术Background technique

布-加综合征(Budd-Chiari syndrome,BCS)是由于各种原因所导致的肝静脉流出道梗阻和(或)其开口上段的下腔静脉阻塞型病变引起,常伴下腔静脉高压症状的肝后性门静脉高压症。我国的布-加综合征以下腔静脉或肝静脉隔膜阻塞型为主,其病理特征是下腔静脉或肝静脉内出现一隔膜将静脉血管完全或部分阻塞导致血流无法或缓慢通过。介入治疗以其创伤小、操作简单、并发症少及可重复操作等优点已经成为布-加综合征主要的治疗方式。目前,介入治疗通过钢针破膜、球囊扩张来撕裂隔膜使血管开通而达到治疗效果。但初学者很难把握钢针破膜、球囊扩张的力度,给患者带来不当治疗及手术风险,目前急需一种可以有效模拟手术过程,提高初学者的手术技能的布-加综合征模拟训练设备。Budd-Chiari syndrome (BCS) is caused by hepatic venous outflow tract obstruction and/or inferior vena cava obstructive lesions in the upper part of its opening caused by various reasons, often accompanied by symptoms of inferior vena cava hypertension Posthepatic portal hypertension. Budd-Chiari syndrome in my country is mainly of the inferior vena cava or hepatic vein septum obstruction type, and its pathological feature is that a septum in the inferior vena cava or hepatic vein completely or partially blocks the venous vessel, resulting in the inability or slow passage of blood flow. Interventional therapy has become the main treatment for Budd-Chiari syndrome due to its advantages of small trauma, simple operation, few complications and repeatable operation. At present, interventional therapy uses a steel needle to rupture the membrane and expand the balloon to tear the diaphragm and open the blood vessel to achieve the therapeutic effect. However, it is difficult for beginners to grasp the strength of steel needle rupture and balloon expansion, which brings improper treatment and surgical risks to patients. At present, there is an urgent need for a Budd-Chiari syndrome simulation that can effectively simulate the surgical process and improve beginners' surgical skills. training equipment.

实用新型内容Utility model content

针对上述现有技术存在的问题,本实用新型提供一种布-加综合征介入治疗模拟训练装置,有效模拟手术过程,提高初学者的手术技能。Aiming at the above-mentioned problems in the prior art, the utility model provides a simulated training device for interventional treatment of Budd-Chiari syndrome, which can effectively simulate the operation process and improve the surgical skills of beginners.

为了实现上述目的,本实用新型提出一种布-加综合征介入治疗模拟训练装置,包括人工静脉血管、半剖面人形固定槽,人工静脉血管安装在半剖面人形固定槽中,包括下腔静脉血管、左肝静脉血管、中肝静脉血管、右肝静脉血管、两侧股静脉血管,在上述结构的基础上,还设置了人工隔膜、固定鞘和液体阀门,其中,人工隔膜设置四个,分别安装在人工静脉血管中下腔静脉的肝静脉开口上方及左、中、右肝静脉的近心端,液体阀门设置在人工静脉血管中下腔静脉远心端,控制其以下静脉血管设置的蓝色液体的流动。固定鞘设置两个,固定于两侧股静脉血管远心端,用于模拟介入治疗时插入导管。In order to achieve the above object, the utility model proposes a simulated training device for Budd-Chiari syndrome interventional treatment, including artificial veins, half-section human-shaped fixing grooves, artificial veins installed in the half-section human-shaped fixing grooves, including inferior vena cava blood vessels , the left hepatic vein, the middle hepatic vein, the right hepatic vein, and the femoral veins on both sides. On the basis of the above structure, artificial diaphragms, fixed sheaths and liquid valves are also set up. Among them, four artificial diaphragms are set, respectively It is installed above the hepatic vein opening of the inferior vena cava in the artificial vein and at the proximal end of the left, middle and right hepatic veins, and the liquid valve is set at the distal end of the inferior vena cava in the artificial vein to control the blueness of the inferior vena cava. flow of colored liquid. There are two fixed sheaths, which are fixed at the distal ends of the femoral veins on both sides, and are used to insert catheters during simulated interventional treatments.

进一步,人工静脉血管材料为透明弹性软胶管。Further, the material of the artificial venous vessel is a transparent elastic soft rubber tube.

进一步,半剖面人形固定槽材料为橡胶。Further, the material of the half-section human-shaped fixing groove is rubber.

进一步,液体阀门设置有快速接头和螺纹卡口。Further, the liquid valve is provided with a quick connector and a threaded bayonet.

本实用新型通过设置半剖面人形固定槽和人工静脉血管,并在人工静脉血管增加人工隔膜,来模拟布-加综合征患者血管情况;同时,增加了液体阀门和固定鞘,在模拟训练时,首先打开液体阀门,使蓝色液体流入上方的血管内,然后在固定鞘内插入导管在血管内缓慢前进至触及人工隔膜后停止,用钢针探查人工隔膜的薄弱区并从中穿过,用球囊对人工隔膜进行反复扩张后,置入支架;操作简单,有效的模拟了布-加综合征手术的过程,提高初学者的手术技能。The utility model simulates the blood vessel conditions of patients with Budd-Chiari syndrome by setting a half-section human-shaped fixing groove and artificial vein blood vessels, and adding artificial diaphragms to the artificial vein blood vessels; at the same time, adding a liquid valve and a fixed sheath, during simulation training, First open the liquid valve to let the blue liquid flow into the upper blood vessel, then insert the catheter into the fixed sheath and slowly advance in the blood vessel until it touches the artificial septum and stop, use a steel needle to explore the weak area of the artificial septum and pass through it, use a ball After repeated expansion of the artificial diaphragm, the stent is placed; the operation is simple, and the process of Budd-Chiari syndrome operation is effectively simulated, improving the surgical skills of beginners.

附图说明Description of drawings

图1是本实用新型结构示意图。Fig. 1 is the structural representation of the utility model.

图中:1、人工静脉血管,2、半剖面人形固定槽,3、人工隔膜,4、固定鞘,5、液体阀门,6、快速接头,7、螺纹卡口,8、蓝色液体。In the figure: 1. Artificial venous vessel, 2. Half-section human-shaped fixing groove, 3. Artificial diaphragm, 4. Fixing sheath, 5. Liquid valve, 6. Quick connector, 7. Thread bayonet, 8. Blue liquid.

具体实施方式Detailed ways

下面结合附图对本实用新型作进一步说明。Below in conjunction with accompanying drawing, the utility model is further described.

如图1所示,一种布-加综合征介入治疗模拟训练装置,包括人工静脉血管1、半剖面人形固定槽2,人工静脉血管1安装在半剖面人形固定槽2中,包括包括下腔静脉血管、左肝静脉血管、中肝静脉血管、右肝静脉血管、两侧股静脉血管,还包括人工隔膜3、固定鞘4、液体阀门5和蓝色液体8,其中,人工隔膜3设置四个,分别安装在人工静脉血管1中下腔静脉的肝静脉开口上方及左、中、右肝静脉的近心端,液体阀门5设置在人工静脉血管1中下腔静脉远心端,液体阀门5下方的人工静脉血管1中设置有蓝色液体8,固定鞘4设置两个,固定于两侧股静脉血管远心端。As shown in Figure 1, a simulation training device for interventional treatment of Budd-Chiari syndrome includes an artificial venous vessel 1 and a half-section humanoid fixing groove 2, and the artificial venous blood vessel 1 is installed in the half-section humanoid fixing groove 2, including the lower chamber Venous blood vessels, left hepatic vein blood vessels, middle hepatic vein blood vessels, right hepatic vein blood vessels, femoral vein blood vessels on both sides, and artificial diaphragm 3, fixed sheath 4, liquid valve 5 and blue liquid 8, wherein artificial diaphragm 3 is set in four one, installed respectively above the opening of the hepatic vein of the inferior vena cava in the artificial vein 1 and at the proximal end of the left, middle and right hepatic veins, the liquid valve 5 is arranged at the distal end of the inferior vena cava in the artificial vein 1, and the liquid valve The artificial vein 1 below the 5 is provided with a blue liquid 8, and two fixed sheaths 4 are provided, which are fixed at the distal ends of the femoral veins on both sides.

为了模拟真实的人体和静脉血管,人工静脉血管1材料使用透明弹性软胶管为材质,半剖面人形固定槽2材料使用橡胶为材质。In order to simulate the real human body and veins, the material of artificial veins 1 is made of transparent elastic soft rubber tube, and the material of half-section human-shaped fixing groove 2 is made of rubber.

为了更快捷的更换和清洗,液体阀门5设置有快速接头6和螺纹卡口7,便于液体阀门5上方的血管进行快速更换。For faster replacement and cleaning, the liquid valve 5 is provided with a quick connector 6 and a threaded bayonet 7, which facilitates quick replacement of the blood vessels above the liquid valve 5 .

模拟训练时,首先打开液体阀门5,使蓝色液体8流于人工静脉血管1内;然后在固定鞘4内插入导管在血管内缓慢前进至触及人工隔膜3后停止,用钢针探查人工隔膜3的薄弱区并从中穿过,用球囊对人工隔膜3进行反复扩张,置入支架,可分别进行下腔静脉、肝静脉的破膜、球囊扩张练习。人工隔膜3穿孔后,可模拟膜性带孔阻塞型布-加综合征的手术,用导管探查孔的位置,进行破膜,球囊扩张,支架置入。手术结束后将模型立起,使蓝色液体8积于液体阀门5以下,关闭液体阀门5,对其上方的血管进行整体更换,开始新一轮的破膜、球囊、支架置入扩张练习。During the simulation training, first open the liquid valve 5, so that the blue liquid 8 flows into the artificial vein 1; then insert the catheter into the fixed sheath 4 and slowly advance in the blood vessel until it touches the artificial septum 3, then probe the artificial septum with a steel needle 3 and pass through the weak area, the artificial diaphragm 3 is repeatedly expanded with a balloon, and the stent is inserted to perform membrane rupture and balloon expansion exercises of the inferior vena cava and hepatic vein respectively. After the artificial septum 3 is perforated, the operation of the membrane-like Budd-Chiari syndrome obstructed by a hole can be simulated, the position of the hole is probed with a catheter, the membrane is ruptured, the balloon is expanded, and the stent is placed. After the operation, the model is erected so that the blue liquid 8 accumulates below the liquid valve 5, the liquid valve 5 is closed, the blood vessels above it are replaced as a whole, and a new round of membrane rupture, balloon, and stent implantation and expansion is started. .

综上所述,本实用新型通过设置半剖面人形固定槽2和人工静脉血管1,并在人工静脉血管1增加人工隔膜3,来模拟布-加综合征患者血管情况;同时,增加了液体阀门5和固定鞘4,在模拟训练时,首先打开液体阀门5,使蓝色液体8流入上方的人工静脉血管1内;然后在固定鞘4内插入导管在血管内缓慢前进至触及人工隔膜3后停止,用钢针探查人工隔膜3的薄弱区并从中穿过,用球囊对人工隔膜3进行反复扩张后,置入支架;操作简单,有效的模拟了布-加综合征手术的过程,提高初学者的手术技能,进而避免了初学者因很难把握钢针破膜、球囊扩张的力度,给患者带来不当治疗和手术风险。In summary, the utility model simulates the vascular situation of patients with Budd-Chiari syndrome by setting a half-section human-shaped fixing groove 2 and an artificial venous vessel 1, and adding an artificial diaphragm 3 to the artificial venous vessel 1; at the same time, a liquid valve is added 5 and the fixed sheath 4, during simulation training, first open the liquid valve 5, so that the blue liquid 8 flows into the upper artificial vein 1; then insert the catheter into the fixed sheath 4 and slowly advance in the blood vessel until it touches the artificial diaphragm 3 Stop, use a steel needle to probe the weak area of the artificial septum 3 and pass through it, use a balloon to repeatedly expand the artificial septum 3, and then insert a stent; the operation is simple and effectively simulates the process of Budd-Chiari syndrome surgery, improving Beginners' surgical skills, thereby avoiding the difficulty of beginners in grasping the strength of steel needle rupture and balloon expansion, which may bring improper treatment and surgical risks to patients.

Claims (4)

1.一种布-加综合征介入治疗模拟训练装置,包括人工静脉血管(1)、半剖面人形固定槽(2),所述的人工静脉血管(1)安装在半剖面人形固定槽(2)中,包括下腔静脉血管、左肝静脉血管、中肝静脉血管、右肝静脉血管和两侧股静脉血管,其特征在于,还包括人工隔膜(3)、固定鞘(4)、液体阀门(5)和蓝色液体(8),所述的人工隔膜(3)设置四个,分别安装在人工静脉血管(1)中下腔静脉的肝静脉开口上方及左、中、右肝静脉的近心端,所述的液体阀门(5)设置在人工静脉血管(1)中下腔静脉远心端,液体阀门(5)下方的人工静脉血管(1)中设置有蓝色液体(8),所述的固定鞘(4)设置两个,固定在两侧股静脉血管远心端。1. A simulated training device for interventional treatment of Budd-Chiari syndrome, comprising an artificial venous vessel (1), a half-section humanoid fixing slot (2), and the artificial venous vessel (1) is installed in a half-section humanoid fixing slot (2) ), including the inferior vena cava, the left hepatic vein, the middle hepatic vein, the right hepatic vein and both femoral veins, characterized in that it also includes an artificial diaphragm (3), a fixed sheath (4), and a liquid valve (5) and blue liquid (8), four artificial diaphragms (3) are installed above the opening of the hepatic vein in the inferior vena cava of the artificial vein (1) and at the openings of the left, middle and right hepatic veins At the proximal end, the liquid valve (5) is set at the distal end of the inferior vena cava in the artificial venous vessel (1), and the artificial venous vessel (1) below the liquid valve (5) is provided with a blue liquid (8) , two fixing sheaths (4) are provided, and are fixed on the distal ends of the femoral veins on both sides. 2.根据权利要求1所述的一种布-加综合征介入治疗模拟训练装置,其特征在于,所述的人工静脉血管(1)材料为透明弹性软胶管。2. A simulated training device for interventional treatment of Budd-Chiari syndrome according to claim 1, characterized in that the material of the artificial venous blood vessel (1) is a transparent elastic soft rubber tube. 3.根据权利要求1所述的一种布-加综合征介入治疗模拟训练装置,其特征在于,所述的半剖面人形固定槽(2)材料为橡胶。3. A simulated training device for interventional treatment of Budd-Chiari syndrome according to claim 1, characterized in that the material of the half-section human-shaped fixing groove (2) is rubber. 4.根据权利要求1所述的一种布-加综合征介入治疗模拟训练装置,其特征在于,所述的液体阀门(5)上方设置有快速接头(6)和螺纹卡口(7)。4. A simulated training device for interventional treatment of Budd-Chiari syndrome according to claim 1, characterized in that a quick connector (6) and a threaded bayonet (7) are arranged above the liquid valve (5).
CN201320291247.4U 2013-05-24 2013-05-24 Simulation training apparatus for Budd-chiari syndrome interventional treatment Expired - Fee Related CN203376916U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107610571A (en) * 2016-07-11 2018-01-19 苏州迈迪威检测技术有限公司 Simulate blood pathway system
CN111772867A (en) * 2020-08-12 2020-10-16 西安交通大学医学院第一附属医院 Artificial blood vessel
CN113393743A (en) * 2021-03-03 2021-09-14 南京市儿童医院 Venous indwelling needle puncture tube sealing training device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107610571A (en) * 2016-07-11 2018-01-19 苏州迈迪威检测技术有限公司 Simulate blood pathway system
CN111772867A (en) * 2020-08-12 2020-10-16 西安交通大学医学院第一附属医院 Artificial blood vessel
CN113393743A (en) * 2021-03-03 2021-09-14 南京市儿童医院 Venous indwelling needle puncture tube sealing training device

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