CN210804937U - A surgical suture trainer - Google Patents
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Abstract
本实用新型属医疗训练器械技术领域,涉及一种手术缝合训练器,包括至少一个训练单元,所述训练单元包括针道、底座和连接座,针道固定于底座上,连接座设置于底座下方,在连接座上设置有连接构件;不同的训练单元,其针道的走形和内径均不相同。本实用新型结构简单,使用方便,通过针道和底座的配合设计,模拟人体器官形态和术中不同的缝合条件,有效保证训练单元可在二维空间或三维空间内任意调整位置和角度,达到高度模拟术中的缝合要求,最大限度保护组织,提升缝合效果,从而有效提升训练效果,缩短学习曲线,降低手术并发症,提升手术完成质量。
The utility model belongs to the technical field of medical training equipment, and relates to a surgical suture trainer, comprising at least one training unit, wherein the training unit comprises a needle track, a base and a connecting seat, the needle track is fixed on the base, and the connecting seat is arranged below the base , a connecting member is arranged on the connecting seat; for different training units, the shape and inner diameter of the needle track are different. The utility model has the advantages of simple structure and convenient use. Through the coordinated design of the needle track and the base, the shape of human organs and different suturing conditions in the operation are simulated, and the training unit can be arbitrarily adjusted in position and angle in two-dimensional space or three-dimensional space, so as to achieve It highly simulates the suture requirements in surgery, maximizes the protection of tissues, and improves the suture effect, thereby effectively improving the training effect, shortening the learning curve, reducing surgical complications, and improving the quality of surgical completion.
Description
技术领域technical field
本实用新型属医疗训练器械技术领域,涉及一种外科手术的训练器材,具体是一种模拟不同角度、位置和运针轨迹等手术条件下进行缝合的训练器。The utility model belongs to the technical field of medical training equipment, and relates to a training equipment for surgical operations, in particular to a training device for suturing under surgical conditions such as simulating different angles, positions and needle trajectories.
背景技术Background technique
缝合是手术技巧的四个基本功之一,而且是最难掌握的技巧。通常把手术分为单纯切除的破坏性手术、解剖重建类手术和功能重建类手术,难度和要求逐渐递增。其中后两者都要求高超的缝合技巧,缝合技术的完成质量,直接影响该类手术的效果。而在第一类切除类手术中,最大的难点是止血,而止血当中最困难的,也是需要通过缝合来完成。因此,缝合是手术中最重要的技巧。另外一面,缝合也是手术中最难学习的一个环节,特别在暴露不足深部组织的缝合和微创手术中腔镜下的缝合。Stitching is one of the four fundamentals of surgical technique, and it is the most difficult to master. Surgery is usually divided into destructive surgery of simple excision, anatomical reconstruction surgery and functional reconstruction surgery, and the difficulty and requirements gradually increase. The latter two require superb suturing skills, and the quality of the suturing technique directly affects the effect of this type of surgery. In the first type of excision surgery, the biggest difficulty is hemostasis, and the most difficult part of hemostasis is suture. Therefore, suturing is the most important skill in surgery. On the other hand, suturing is also the most difficult part to learn in surgery, especially in the suturing of insufficiently exposed deep tissue and endoscopic suturing in minimally invasive surgery.
究其根本,缝合的难点在于要运用不同弧度的针,使其在组织内的运行轨迹需要符合组织的解剖生理特点,也就是用固定弧度的针,缝合出特定的轨迹,比如直线,不规则弧线或其它走形,同时出针也需要顺弧度,以符合组织的需求和术中的实际。当这些组织显露良好,且位于和操作中心线平行的中心位置,缝合轨迹为最规则的弧形时,缝合是最容易完成的,这也是通常的缝合训练器设置的场景。当目标缝合的组织的空间位置变化,并且和操作器械之间受到各种器官组织阻碍时,难度不同程度加大。Fundamentally, the difficulty of suturing lies in the use of needles with different radians, so that the running trajectory in the tissue needs to conform to the anatomical and physiological characteristics of the tissue, that is, a needle with a fixed radian is used to suture a specific trajectory, such as straight lines and irregularities. Arcs or other shapes, and needles also need to follow the arc, in order to meet the needs of the organization and the actual operation. Suture is easiest to complete when these tissues are well exposed and located in a central position parallel to the operating centerline, and the suture trajectory is the most regular arc, which is also the setting of the usual suture trainer. When the spatial position of the tissue to be sutured changes, and it is obstructed by various organs and tissues between the target and the operating instrument, the difficulty increases to varying degrees.
腹腔镜手术下的缝合难度更近一步加大。因为操作孔位固定,使得缝合时持针器械固定于一点,只能以该点为中心进行操作,运针受到更严格的限制,缝合难度极度加大。早期的腹腔镜手术中,每一针缝合大约需要半小时,并且需要特殊器械辅助。即便是当今最高级的机器人辅助腹腔镜,虽然机器本身可以进行三维空间的运针,可以实现微创条件下的类似于开放手术的运针模式,但机器仍然需要人进行操作,因此同样需要进行训练,才能很好的掌握。The difficulty of suturing under laparoscopic surgery is further increased. Because the operation hole is fixed, the needle-holding device is fixed at one point during suturing, and the operation can only be performed with this point as the center. The needle movement is more strictly restricted, and the difficulty of suturing is extremely increased. In early laparoscopic surgery, each suture took about half an hour and required special instruments. Even today's most advanced robot-assisted laparoscopy, although the machine itself can perform needle movement in three-dimensional space and can achieve a needle movement mode similar to open surgery under minimally invasive conditions, the machine still requires human operation, so it also needs to be carried out. Training to master it well.
由在,手术的完成质量往往受限于缝合的完成质量,特别是在重建类手术,尤其是腔镜下的重建类手术。比如肾部分切除术的缝合、前列腺癌根治术的尿道重建、输尿管膀胱再植、肾盂成型、胆管肠管吻合、胰管吻合等。完成不良的缝合将造成组织撕裂、管道狭窄、漏尿、肠瘘、胰瘘等严重后果。尤其,通常人们只关注手术是否完成,而完成质量则通常比较隐蔽,因为缝合通常总是可以完成的,可缝合的完成质量却有巨大差别,但又对手术、患者又极为重要。Therefore, the completion quality of surgery is often limited by the completion quality of suture, especially in reconstructive surgery, especially endoscopic reconstructive surgery. For example, suture in partial nephrectomy, urethral reconstruction in radical prostatectomy, ureteral bladder reimplantation, renal pelvis, bile duct intestinal anastomosis, pancreatic duct anastomosis, etc. Poorly completed sutures will cause serious consequences such as tissue tearing, duct stenosis, urine leakage, intestinal fistula, and pancreatic fistula. In particular, people usually only pay attention to whether the operation is completed, and the quality of completion is usually relatively hidden, because sutures can always be completed, but the quality of sutured completion varies greatly, but it is extremely important to the operation and the patient.
由此,对外科医师而言,其缝合的学习曲线是手术学习曲线的重要一环,其施行的手术的效果和患者的愈后受缝合技术的直接影响。现有的缝合训练体系中,有缝合的环节,但没有专门设计的缝合训练器。正如前述,通常是采用纱布、乳胶体等,摆成直线或斜线,进行缝合。其模拟度为最简单条件下的缝合,和术中实际需求相差巨大。Therefore, for the surgeon, the learning curve of suturing is an important part of the learning curve of the operation, and the effect of the operation and the prognosis of the patient are directly affected by the suturing technique. In the existing suture training system, there is a suture link, but there is no specially designed suture trainer. As mentioned above, gauze, latex, etc. are usually used, which are arranged in a straight line or oblique line for sewing. The simulation degree is the suture under the simplest conditions, which is quite different from the actual demand during the operation.
具体来说,目前的训练方法缺乏复杂的夹针调针,对术中情况模拟严重不足,缺乏持针器的三维空间运行、各种角度夹针、调针的精细控制等方面的训练,导致训练者缺乏手臂、手腕对持针器运行的掌握和缺乏训练缝合针各种角度夹针、调针以及运针、出针的精细控制,使得缝合训练效果难以符合术中的复杂要求。Specifically, the current training method lacks complex needle clipping and adjusting needles, the simulation of the intraoperative situation is seriously insufficient, and there is a lack of training in the three-dimensional space operation of the needle holder, needle clipping at various angles, and fine control of needle adjustment. The trainer lacks the arm and wrist to master the operation of the needle holder, and lacks the precise control of the various angles of the suture needle to clamp, adjust, and move the needle, making it difficult for the suture training effect to meet the complex requirements of the operation.
实用新型内容Utility model content
本实用新型的目的是针对现有技术的不足而提供一种手术缝合训练器,结构简单,使用方便,针对外科手术缝合的难点和要点,设计了不同走形和内径的针道,并可模拟出不同角度、位置下的运针轨迹,不同的难度适用于不同的训练阶段,有效帮助不同阶段的外科医师进行针对性的训练。The purpose of the utility model is to provide a surgical suture trainer in view of the deficiencies of the prior art, which has a simple structure and is easy to use. Aiming at the difficulties and points of surgical suture, needle paths with different shapes and inner diameters are designed, which can simulate the The needle trajectory at different angles and positions is obtained, and different difficulties are suitable for different training stages, effectively helping surgeons at different stages to carry out targeted training.
本实用新型所采用的技术方案:The technical scheme adopted by the utility model:
一种手术缝合训练器,包括至少一个训练单元,所述训练单元包括针道、底座和连接座,针道用于对训练者进行夹针、进针、运针、出针等缝合环节的训练,针道固定于底座上,连接座设置于底座下方,在连接座上设置有连接构件,连接座用于将训练单元(底座)连接并固定到训练平台上(如固定平台或训练体系中的调节平台),不同的连接方式或连接部位均可使训练单元呈现出不同的方向、位置和角度,使训练单元可在三维空间里任意调整位置和角度,从而模拟人体器官形态和术中不同的缝合条件,有利于提升外科医师的缝合训练质量,连接构件是用于将连接座连接到训练平台上的连接件,其结构形式多种多样,如在连接座上开设特定形状的固定孔(如齿轮状固定孔),相应地,在训练平台上设置有相应形状的凸台(如齿轮状固定棒),将凸台嵌入固定孔中即可实现底座与训练平台的连接和固定,训练平台上不同凸台、不同的连接方向均可使训练单元处于不同的位置和角度,等等,无论如何,连接构件均属机械领域常规技术,在这里就不一一论述;不同的训练单元,其针道的走形和内径均不相同,针道的走形有多种形式,比如规则弧形、不规则弧形,甚至为“L”形。A surgical suture trainer includes at least one training unit, the training unit includes a needle track, a base and a connecting seat, and the needle track is used for training a trainer in stitching links such as needle clamping, needle insertion, needle movement, and needle extraction. , the needle track is fixed on the base, the connecting seat is arranged under the base, and a connecting member is arranged on the connecting seat, and the connecting seat is used to connect and fix the training unit (base) to the training platform (such as a fixed platform or a training system in the training system). Adjustment platform), different connection methods or connection parts can make the training unit show different directions, positions and angles, so that the training unit can arbitrarily adjust the position and angle in three-dimensional space, so as to simulate the shape of human organs and different intraoperative conditions. The suture condition is conducive to improving the quality of the surgeon's suture training. The connecting member is a connecting piece used to connect the connecting seat to the training platform. gear-shaped fixing hole), correspondingly, a correspondingly shaped boss (such as a gear-shaped fixing rod) is provided on the training platform, and the connection and fixing of the base and the training platform can be realized by inserting the boss into the fixing hole. Different bosses and different connection directions can make the training unit in different positions and angles, etc. In any case, the connection components are all conventional technologies in the mechanical field, and will not be discussed here one by one; The running shape and inner diameter of the track are different, and the running shape of the needle track has various forms, such as regular arc, irregular arc, and even "L" shape.
较佳地,所述底座上设置的针道的数量为一个或多个,针道的走形相同或不相同,底座上设置一个针道时,可模拟术中简单的缝合条件进行训练,底座上设置多个针道时,底座的形状应进行相应调整,以模拟不同组织器官的形态,比如类似肠管的圆形,或者其他类似人体各种部位或器官的形态,使多个针道按一定形状进行组合,形成组合式训练单元,其中多个针道的走形可以相同或不同。Preferably, the number of needle tracks set on the base is one or more, and the needle tracks are the same or different. When multiple needle tracks are set on the upper body, the shape of the base should be adjusted accordingly to simulate the shape of different tissues and organs, such as a round shape similar to the intestine, or other shapes similar to various parts or organs of the human body, so that the multiple needle tracks can be arranged according to a certain Shapes are combined to form a combined training unit, where multiple needle tracks can run the same or different.
较佳地,所述针道为软质体或网状结构,采用软质材料或网状材料制作,利于缝合针的反复穿刺。Preferably, the needle track is a soft body or a mesh structure, and is made of a soft material or a mesh material, which facilitates repeated puncturing of the suture needle.
较佳地,所述针道外包绕有硬质轨道,即可限制缝合针的运行,避免穿透针道,影响训练,也可对针道起到承托的作用。Preferably, the needle track is surrounded by a hard track, which can limit the running of the suture needle, avoid penetrating the needle track, and affect training, and can also play a supporting role for the needle track.
较佳地,所述针道和硬质轨道为透明体,采用透明材料制成,利于观察针的运行。Preferably, the needle track and the hard track are transparent bodies and are made of transparent materials, which is convenient for observing the operation of the needle.
较佳地,底座为半硬质结构,采用半硬质材料制成,使得训练单元有一定弹性和活动度,可在缝合训练时被拉动,模拟术中缝合时缝合部位附近组织被拉动的状态,有利于提高训练效果。Preferably, the base is a semi-rigid structure, made of semi-rigid material, so that the training unit has a certain elasticity and mobility, and can be pulled during suturing training, simulating the state in which the tissue near the suturing site is pulled during suturing during surgery. , which is beneficial to improve the training effect.
较佳地,所述连接座为硬质结构,有利于将训练单元连接并固定在其他平台上。Preferably, the connecting seat is a rigid structure, which is beneficial to connect and fix the training unit on other platforms.
与现有技术相比,本实用新型的有益效果是:Compared with the prior art, the beneficial effects of the present utility model are:
1、本实用新型结构简单,使用方便,针道走形可变、内径可变,可高度模拟术中需缝合组织的形态特点及缝合要求,而在现有的训练体系中不具备这种设计。1. The utility model is simple in structure, easy to use, variable in shape of the needle track and variable in inner diameter, and can highly simulate the morphological characteristics and suture requirements of the tissue to be sutured during surgery, which is not available in the existing training system. .
2、结合底座、连接座,配合训练体系的调节装置,可使训练器在二维、三维空间里调整位置,因而可充分模拟术中的缝合角度,特别是困难角度的缝合训练,解决了现有训练体系只是模拟简单条件下的缝合环境、难以模拟复杂条件下进行高难度(不同角度、位置、运针轨迹)缝合训练的难题,可以有效提升训练效果,缩短学习曲线,降低手术并发症,提升手术完成质量。2. Combined with the base, the connecting seat, and the adjustment device of the training system, the position of the trainer can be adjusted in two-dimensional and three-dimensional space, so it can fully simulate the suture angle in surgery, especially the suture training of difficult angles, which solves the problem of the current situation. There is a training system that only simulates the suture environment under simple conditions, and it is difficult to simulate the difficult problem of suture training under complex conditions (different angles, positions, needle movements), which can effectively improve the training effect, shorten the learning curve, and reduce surgical complications. Improve the quality of surgical completion.
附图说明Description of drawings
图1为本实施例一结构示意图;1 is a schematic structural diagram of the first embodiment;
图2为本实施例一俯视结构示意图;FIG. 2 is a schematic top view structure diagram of the first embodiment;
图3为本实施例一仰视结构示意图;3 is a schematic view of the bottom view of the first embodiment;
图4为本实施例一侧视结构示意图;4 is a schematic structural diagram of a side view of this embodiment;
图5为本实施例二组合底座俯视结构示意图;FIG. 5 is a schematic top-view structure diagram of the second combined base of the present embodiment;
图6为本实施例二多个针道圆形组合侧视结构示意图。FIG. 6 is a schematic side view of the structure of the circular combination of multiple needle tracks according to the second embodiment.
图中:1、针道;2、硬质轨道;3、底座;4、连接座;5、固定孔;6、组合底座;7、组合连接座。In the figure: 1. Needle track; 2. Hard track; 3. Base; 4. Connecting seat; 5. Fixing hole; 6. Combined base; 7. Combined connecting seat.
具体实施方式Detailed ways
下面通过实施例并结合附图对本实用新型作进一步说明,但不作为对本实用新型的限定。The present utility model will be further described below through examples and in conjunction with the accompanying drawings, but it is not intended to limit the present utility model.
实施例一Example 1
如图1、图2、图3、图4所示,本实用新型所提供的手术缝合训练器,包括至少一个训练单元,所述训练单元包括针道1、底座3和连接座4,针道1设计为弯弧状结构并固定于底座3上,连接座4设置于底座3下方,在连接座4上开设齿轮状固定孔5(连接构件);不同的训练单元,其针道1的走形和内径可变,比如走形可从规则的弧形到不规则的弧形,甚至L形,由此可进行各种难度的运针和出针的训练。As shown in Figure 1, Figure 2, Figure 3, Figure 4, the surgical suture trainer provided by the present invention includes at least one training unit, the training unit includes a needle track 1, a base 3 and a
在训练平台(如固定平台或训练体系中的调节平台)上设置有相应形状的齿轮状固定棒,将固定棒嵌入固定孔5中即可实现连接座4与训练平台的连接和固定并呈现出其形态。通过调整固定孔5的孔位和在固定棒上的位置,可实现在二维空间调整位置,当固定棒与训练体系的固定位置和角度调整时,可使训练单元处于不同的位置和角度,即可实现三维空间的调整。针道1走形的变化,配合其空间位置的调整,可高度模拟术中的缝合难度。A gear-shaped fixing rod of a corresponding shape is arranged on the training platform (such as a fixed platform or an adjustment platform in a training system), and the connection and fixation of the connecting
在实施本实用新型时,可采用相应的透明材料制作成针道1和硬质轨道2,有利于观察训练缝合针的运动轨迹和进行及时的调整与体会。When the utility model is implemented, the corresponding transparent material can be used to make the needle track 1 and the
实施例二
本实用新型所提供的手术缝合训练器,其训练单元的针道1可以由多个按一定形状进行组合,以模拟各种组织结构的形态,比如以圆形模拟肠管为例,如图5、图6所示,手术缝合训练器包括组合底座6和组合连接座7,组合连接座7设置在组合底座6底部,组合底座6依据肠管形态设计为圆形结构,在圆周向上安装数个针道1,针道1包绕在硬质轨道2中,由此,由多个针道1组合成圆形结构,可用以模拟肠管。其针道1的走形和内径可相同或不同,其组合底座6也采用半硬质材料,外形依组合的形状而定,向下续于组合连接座7。组合连接座7完全同实施例一所述的连接座4,组合连接座7为硬质材料。In the surgical suture trainer provided by the present invention, the needle tracks 1 of the training unit can be combined in a certain shape to simulate the shape of various tissue structures, such as a circular simulated intestinal tube as an example, as shown in Figure 5, As shown in FIG. 6 , the surgical suture trainer includes a combined
组合连接座7、固定孔5的连接和调节方式同实施例一,可实现三维空间的位置和角度调整。由此,可进一步模仿术中的手术场景,以及缝合难度,有效提高缝合的训练效果,缩短学习曲线,有利于提升外科医师的缝合训练质量。The connection and adjustment methods of the combined connection base 7 and the fixing hole 5 are the same as those of the first embodiment, and the position and angle adjustment in the three-dimensional space can be realized. In this way, the intraoperative surgical scene and the difficulty of suture can be further imitated, the training effect of suture can be effectively improved, the learning curve can be shortened, and the quality of suture training of surgeons can be improved.
以上所述仅是本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型技术原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本实用新型的保护范围。The above are only the preferred embodiments of the present invention. It should be pointed out that for those skilled in the art, without departing from the technical principles of the present invention, several improvements and modifications can be made. These improvements and retouching should also be regarded as the protection scope of the present invention.
Claims (7)
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| WO2021077955A1 (en) * | 2019-10-21 | 2021-04-29 | 海口市人民医院 | Surgical suture training device |
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