CN219267132U - A laparoscopic purse-string suture practice mold for medical teaching - Google Patents
A laparoscopic purse-string suture practice mold for medical teaching Download PDFInfo
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Abstract
一种医学教学用腔镜下荷包缝合练习模具,属于医学教具技术领域,包括软管和设于所述软管上的若干凸柱,所述凸柱沿所述软管轴向间隔分布,所述软管包括依次连接的管外壁、管中间层和管内壁,所述管外壁、所述管中间层和所述管内壁的表面积相同且完全重叠,所述凸柱设于所述管外壁上,所述软管的材质为硅凝胶,所述管外壁、所述管中间层和所述管内壁的硬度依次减小。本实用新型解决了现有医学教学模型种类单一、质地很硬或太软,缺少适于荷包缝合练习用具等技术问题。
A laparoscopic purse-string suture practice mold for medical teaching, which belongs to the technical field of medical teaching aids, includes a hose and several convex posts arranged on the flexible pipe, and the convex posts are distributed at intervals along the axial direction of the flexible pipe. The flexible pipe includes a tube outer wall, a tube middle layer and a tube inner wall connected in sequence, the surface areas of the tube outer wall, the tube middle layer and the tube inner wall are the same and completely overlapped, and the convex post is arranged on the tube outer wall , the material of the hose is silicone gel, and the hardness of the outer wall of the tube, the middle layer of the tube and the inner wall of the tube decrease in order. The utility model solves the technical problems of the existing medical teaching models such as single type, very hard or too soft texture, lack of tools suitable for purse suture practice, and the like.
Description
技术领域technical field
本实用新型涉及医学教具技术领域,具体是一种医学教学用腔镜下荷包缝合练习模具。The utility model relates to the technical field of medical teaching aids, in particular to a laparoscopic purse suture practice mold for medical teaching.
背景技术Background technique
随着医学技术的发展,腔镜技术已经成为绝大部为外科手术的首选的治疗方式。荷包缝合可应用于阑尾残端包埋、胃大部切除残端包埋、前列腺切除膀胱颈处缝合、痔上黏膜环切等。荷包缝合需要将针围绕中心点环形缝合一周,在打结的同时包住中心残端,边打结边包埋。这项缝合技术临床应用广泛,缝合过程中需要变换持针器方向,有一定的训练难度,需要若干次临床训练方能熟练操作。With the development of medical technology, laparoscopic technology has become the preferred treatment method for most surgical operations. Purse string suture can be applied to embedding of appendix stump, subtotal gastrectomy stump embedding, prostatectomy bladder neck suture, hemorrhoid mucosa circumcision, etc. The purse string suture requires the needle to be sutured circularly around the central point, wrapping the central stump while tying the knot, and embedding while tying the knot. This suture technique is widely used clinically. During the suture process, the direction of the needle holder needs to be changed, which is difficult to train and requires several clinical trainings to be able to operate proficiently.
临床医生从医学生逐渐过渡到精通手术的外科大夫需要长时间的日积月累。以往,由于缺乏合适的手术模型,外科医生的学习曲线极为漫长,但传统的医学教学模型种类单一,通常质地很硬或太软,不适合用作实际操作练习。鉴于这种情况,本设计针对腔镜培训技术课程专门研究出一种结构简单又实用的荷包缝合练习模型,缝合效果接近实际人体组织,在模具上练习可达到类似真实人体荷包缝合的效果。It takes a long time for clinicians to gradually transition from medical students to surgeons who are proficient in surgery. In the past, due to the lack of suitable surgical models, the learning curve for surgeons was extremely long. However, the traditional medical teaching models are of a single type and are usually too hard or too soft to be used as practical exercises. In view of this situation, this design specially researches a simple and practical purse-string suture practice model for laparoscopic training courses. The suture effect is close to the actual human tissue, and the practice on the mold can achieve the effect similar to the real human purse-string suture.
实用新型内容Utility model content
本实用新型目的在于提供一种医学教学用腔镜下荷包缝合练习模具,以解决现有医学教学模型种类单一、质地很硬或太软,缺少适于荷包缝合练习用具等技术问题。The purpose of the utility model is to provide a laparoscopic purse suture practice mold for medical teaching to solve the technical problems of the existing medical teaching models such as single type, very hard or too soft texture, and lack of tools suitable for purse suture practice.
为实现上述目的,本实用新型提供如下技术方案:In order to achieve the above object, the utility model provides the following technical solutions:
一种医学教学用腔镜下荷包缝合练习模具,包括软管和设于所述软管上的若干凸柱,所述凸柱沿所述软管轴向间隔分布,所述软管包括依次连接的管外壁、管中间层和管内壁,所述管外壁、所述管中间层和所述管内壁相邻表面的面积相同且完全重叠,所述凸柱设于所述管外壁上,所述软管的材质为硅凝胶,所述管外壁、所述管中间层和所述管内壁的硬度依次减小。A laparoscopic purse string suture practice mold for medical teaching, comprising a flexible tube and a number of protruding posts arranged on the flexible tube, the protruding posts are distributed at intervals along the axial direction of the flexible tube, and the flexible tube includes sequentially connected The outer wall of the tube, the middle layer of the tube, and the inner wall of the tube, the outer wall of the tube, the middle layer of the tube, and the adjacent surfaces of the inner wall of the tube have the same area and completely overlap, the boss is arranged on the outer wall of the tube, the The hose is made of silicone gel, and the hardness of the outer wall of the tube, the middle layer of the tube and the inner wall of the tube decrease in order.
可选地,所述管外壁、所述管中间层和所述管内壁的密度依次减小,且密度均大于1g/cm3。Optionally, the densities of the outer wall of the tube, the middle layer of the tube and the inner wall of the tube decrease in sequence, and the densities are all greater than 1 g/cm 3 .
可选地,所述软管的材质为不透明硅凝胶,所述管外壁、所述管中间层和所述管内壁的颜色相同或不同。Optionally, the hose is made of opaque silicone gel, and the outer wall of the tube, the middle layer of the tube, and the inner wall of the tube have the same or different colors.
可选地,相邻所述凸柱之间的间隔距离大于或等于12cm。Optionally, the distance between adjacent protrusions is greater than or equal to 12 cm.
可选地,所述凸柱为圆柱形,所述凸柱的材质与所述管外壁材质相同。Optionally, the protrusion is cylindrical, and the material of the protrusion is the same as that of the outer wall of the tube.
可选地,所述管外壁表面平滑,所述凸柱的长度大于5mm。Optionally, the outer wall of the tube has a smooth surface, and the length of the protrusion is greater than 5 mm.
可选地,所述管外壁、所述管中间层和所述管内壁依次结合在一起形成一体结构,且相互之间没有间隙。Optionally, the outer wall of the tube, the middle layer of the tube and the inner wall of the tube are sequentially combined to form an integrated structure without gaps between them.
可选地,所述管外壁的部分表面涂覆有粘胶层,所述粘胶层上覆盖有离型纸。Optionally, part of the surface of the outer wall of the tube is coated with an adhesive layer, and the adhesive layer is covered with release paper.
可选地,所述管外壁的厚度和所述管内壁的厚度均大于或等于所述管中间层的厚度。Optionally, both the thickness of the outer wall of the tube and the thickness of the inner wall of the tube are greater than or equal to the thickness of the middle layer of the tube.
可选地,相邻所述凸柱之间的管外壁上设有标记点。Optionally, marking points are provided on the outer wall of the tube between adjacent bosses.
与现有技术相比,本实用新型的有益效果是:通过设置管外壁、管中间层和管内壁的材料硬度不同,练习模具外观、颜色、韧性、活动度等都高度模拟了人体组织的物理性状,是理想的医用教学模型,不仅对于外科住院医师专科化培训课程的开展有重大意义,而且对于临床医生缩短外科手术学习曲线起到促进和推动作用;制作简单,形状与实际人体组织大致相符,适用于学生模拟练习腔镜下荷包缝合,有助于临床手术的积累学习。可以剪取一段进行练习,软管外表面设有粘胶层,容易固定,方便练习,管外壁、管中间层和管内壁依次结合在一起形成一体结构,整体性更好,剪取一段软管即可进行两次练习。Compared with the prior art, the beneficial effect of the utility model is: by setting the material hardness of the outer wall of the tube, the middle layer of the tube, and the inner wall of the tube to be different, the appearance, color, toughness, and activity of the practice mold highly simulate the physical properties of human tissue. The trait is an ideal medical teaching model, which is not only of great significance to the development of specialized training courses for surgical residents, but also plays a role in promoting and promoting the shortening of the surgical learning curve for clinicians; it is simple to make, and its shape roughly conforms to the actual human tissue It is suitable for students to simulate laparoscopic purse string suture, which is helpful for the accumulation and learning of clinical operations. You can cut a section for practice. There is an adhesive layer on the outer surface of the hose, which is easy to fix and convenient for practice. The outer wall of the tube, the middle layer of the tube and the inner wall of the tube are sequentially combined to form an integrated structure, which has better integrity. Cut a section of hose You can do two exercises.
附图说明Description of drawings
图1是本实用新型实施例的一种医学教学用腔镜下荷包缝合练习模具的结构示意图;Fig. 1 is a schematic structural view of a purse-string suture practice mold under a laparoscope for medical teaching according to an embodiment of the present invention;
图2是本实用新型实施例的一种医学教学用腔镜下荷包缝合练习模具的缝合效果图。Fig. 2 is a suture effect diagram of a laparoscopic purse-string suture practice mold for medical teaching according to an embodiment of the present invention.
附图标记:1、管外壁;2、管中间层;3、管内壁;5、凸柱。Reference signs: 1. Outer wall of the tube; 2. Middle layer of the tube; 3. Inner wall of the tube; 5. Protruding post.
具体实施方式Detailed ways
下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. example. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the scope of protection of the present utility model.
为了更好地了解本实用新型的目的、结构及功能,下面结合附图,对本实用新型做进一步详细的描述。In order to better understand the purpose, structure and function of the utility model, the utility model will be further described in detail below in conjunction with the accompanying drawings.
如图1和2所示,本实用新型的一种医学教学用腔镜下荷包缝合练习模具,包括两端开放且中空的软管和设于该软管上的若干凸柱,凸柱用于模拟人体组织残端,凸柱的数量根据软管的长度而定,软管越长则凸柱越多,凸柱沿软管轴向间隔分布,呈直线排列的凸柱之间间隔一定距离,相邻凸柱之间的间隔距离大于或等于12cm,为剪取软管管段和后续缝合练习留有一定操作空间,软管包括依次连接的管外壁、管中间层和管内壁,管外壁、管中间层和管内壁的表面积相同且完全重叠,凸柱设于管外壁上,软管的材质优选为硅凝胶,管外壁、管中间层和管内壁的硬度依次减小。管外壁、管中间层和管内壁的密度依次减小,且密度均大于1g/cm3,例如,管外壁密度为1.12g/cm3,管中间层密度为1.07g/cm3,管内壁密度为1.02g/cm3。As shown in Figures 1 and 2, a purse-string suture practice mold for medical teaching under the endoscope of the present utility model includes a hollow hose with open ends and a number of bosses arranged on the hose, and the bosses are used for Simulate the stump of human tissue, the number of convex columns depends on the length of the hose, the longer the hose, the more convex columns, the convex columns are distributed along the axial direction of the hose, and there is a certain distance between the convex columns arranged in a straight line. The distance between adjacent convex columns is greater than or equal to 12cm, leaving a certain space for cutting the hose section and subsequent suturing practice. The hose includes the outer wall of the tube, the middle layer of the tube and the inner wall of the tube connected in sequence. The surface area of the middle layer and the inner wall of the tube are the same and completely overlapped, the convex column is arranged on the outer wall of the tube, the material of the hose is preferably silicone gel, and the hardness of the outer wall of the tube, the middle layer of the tube and the inner wall of the tube decrease in order. The density of the outer wall of the tube, the middle layer of the tube and the inner wall of the tube decrease in turn, and the density is greater than 1g/cm 3 . For example, the density of the outer wall of the tube is 1.12g/cm 3 , the density of the middle layer of the tube is 1.07g/cm 3 It is 1.02g/cm 3 .
软管的材质为不透明硅凝胶,管外壁、管中间层和管内壁的颜色相同或不同,优选为不同颜色的三层结构,管外壁颜色接近于人体肤色,管中间层为白色,管内壁的颜色为淡粉色。The material of the hose is opaque silicone gel. The outer wall of the tube, the middle layer of the tube and the inner wall of the tube are the same or different in color, preferably a three-layer structure of different colors. The color of the outer wall of the tube is close to the skin color of the human body, the middle layer of the tube is white, and the inner wall of the tube The color is pale pink.
凸柱为圆柱形,优选地,圆柱形凸柱垂直于管外壁,凸柱的材质与管外壁材质相同,该练习模具的软管和凸柱均可采用3D打印制作,还可以采用注塑成型工艺或挤压成型工艺制作。The convex column is cylindrical. Preferably, the cylindrical convex column is perpendicular to the outer wall of the tube. The material of the convex column is the same as that of the outer wall of the tube. Both the hose and the convex column of the practice mold can be made by 3D printing, and injection molding can also be used. Or extrusion molding process.
软管的管外壁表面平滑,凸柱的长度大于5mm,圆柱形凸柱的直径为3mm,凸柱长度优选为10mm。The surface of the outer wall of the hose is smooth, the length of the boss is greater than 5mm, the diameter of the cylindrical boss is 3mm, and the length of the boss is preferably 10mm.
软管的外径优选为5cm,软管管壁的厚度优选约为2.5mm,管外壁的厚度和管内壁的厚度均大于或等于管中间层的厚度,例如,其中管外壁厚度为1.0mm,管中间层厚度为0.5mm,管内壁厚度为1.0mm。管外壁、管中间层和管内壁依次结合在一起形成一体结构,且相互之间没有间隙。The outer diameter of the flexible pipe is preferably 5cm, the thickness of the flexible pipe wall is preferably about 2.5mm, the thickness of the outer wall of the pipe and the thickness of the inner wall of the pipe are greater than or equal to the thickness of the middle layer of the pipe, for example, wherein the thickness of the outer wall of the pipe is 1.0mm, The thickness of the middle layer of the tube is 0.5 mm, and the thickness of the inner wall of the tube is 1.0 mm. The outer wall of the tube, the middle layer of the tube and the inner wall of the tube are sequentially combined to form an integrated structure without gaps between them.
管外壁的部分表面涂覆有粘胶层,未设置凸柱的管外壁表面可以有粘胶层,粘胶层上覆盖有离型纸,当剪取一段软管后,即可在操作时粘贴固定该练习模具,以便于进行荷包缝合练习。Part of the surface of the outer wall of the tube is coated with an adhesive layer. The surface of the outer wall of the tube without convex posts can have an adhesive layer. The adhesive layer is covered with a release paper. After cutting a section of hose, it can be pasted during operation. Secure this practice mold for easy purse-string suture practice.
为了在剪取软管管段时便于指示合适的剪切位置,相邻凸柱之间的管外壁上设有标记点,标记点的颜色不同于管外壁的颜色,标记点可以是一段有颜色的直线段,标记点优选为设于相邻凸柱之间的中间点位置。In order to indicate the appropriate cutting position when cutting the hose section, there are marking points on the outer wall of the pipe between adjacent convex posts. The color of the marking point is different from the color of the outer wall of the pipe. The marking point can be a section of colored For the straight line segment, the marking point is preferably set at the middle point between adjacent protrusions.
本实用新型提供的一种医学教学用腔镜下荷包缝合练习模具的使用方法为,对于未设置粘胶层的练习模具,首先从练习模具上按照合适的长度剪取一段软管管段,例如是12cm长的软管管段,然后用夹子固定软管管段的边缘和底部(有粘胶层的练习模具只需去除离型纸),置入现有已知的腹腔镜模拟训练装置中,在凸柱上距离管外壁表面大约5mm 的位置将凸柱剪切掉一部分,剩余凸柱高度以不超过5mm为宜;在现有已知的模拟腔镜机器引导下,持针器钳夹3-0 可吸收线或普通医用缝合线在距凸柱1cm周围的软管管壁实施浆肌层缝合,大约5~6针左右,完成荷包缝合,将荷包缝线打结收至半紧,用持针器提起丝线两端,将分离钳按压剩余凸柱到荷包中,完全收紧荷包缝线,完成打结包埋。The utility model provides a method for using the purse suture practice mold under the endoscope for medical teaching. For the practice mold without the viscose layer, first cut a section of hose from the practice mold according to a suitable length, such as 12cm long hose section, then fix the edge and bottom of the hose section with clips (the practice mold with adhesive layer only needs to remove the release paper), put it into the existing known laparoscopic simulation training device, Cut off a part of the convex column at a position about 5mm away from the outer wall surface of the tube, and the height of the remaining convex column should not exceed 5mm; under the guidance of the existing known analog endoscopic machine, the needle holder clamps 3-0 Suture the seromuscular layer on the tube wall around 1cm away from the convex post with absorbable suture or common medical suture, about 5~6 stitches to complete the purse string suture, tie the purse string suture to half tight, and use a needle holder Lift the two ends of the silk thread with the tool, press the separating forceps into the purse with the remaining boss, completely tighten the purse suture, and complete the knotting and embedding.
以上示意性地对本实用新型及其实施方式进行了描述,该描述没有限制性,附图中所示的也只是本实用新型的实施方式之一,实际的结构并不局限于此。所以,如果本领域的普通技术人员受其启示,在不脱离本实用新型创造宗旨的情况下,不经创造性地设计出与该技术方案相似的结构方式及实施例,均应属于本实用新型的保护范围。The above has schematically described the utility model and its implementation, which is not restrictive, and what is shown in the drawings is only one of the implementation of the utility model, and the actual structure is not limited thereto. Therefore, if a person of ordinary skill in the art is inspired by it, without departing from the purpose of the utility model, without creatively designing a structural method and embodiment similar to the technical solution, all should belong to the utility model protected range.
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