JP2021170098A - Laparoscopic surgery training apparatus - Google Patents

Abstract

[Problem] To provide a cheap, lightweight, portable surgical training device. [Solution] A training device for laparoscopic surgery, comprising an outer shell made of either cardboard or thick paper, a surgical instrument 41 provided on the outer shell, and a gasket-equipped hole for inserting a camera, the outer shell being characterized in that it is made up of a first plate 3 and a second plate with first and second rising pieces attached, a base plate with first to fourth rising pieces attached, and a front plate with a fourth rising piece attached. A lightweight, low-cost, easy-to-use training device for laparoscopic surgery can be provided. [Selected drawing] Figure 7

Description

The present invention relates to a training device for laparoscopic surgery.

Among the training devices for laparoscopic surgery of this type, as a kit that can be easily used and practiced, a commercially available "personal dry box" or the laparoscopic surgery described in JP-A-2019-207304 is used. Training equipment and so on. Hereinafter, it will be referred to as a training kit.

These inventions seem to have the same idea as the present invention. For example, in Non-Patent Document (1), a simple housing presumed to be made of resin is provided with a human body model, and a camera and a plurality of surgical instruments provided on a side plate are used. For example, surgical training or remodeling. Further, in Patent Document (1), for example, as described in [0004], "Since the abdominal wall is simulated with a flexible material that can be perforated by a needle-shaped member or incised by a blade, ... ………, Because it is possible to create an environment closer to actual surgery than before, it has the excellent effect of enabling better surgical training. ”

JP-A-2019-207304

Fujimori Sangyo Co., Ltd. Personal Dry Box Catalog [online], [Search on March 18, 2nd year of Reiwa], Internet <URL: https://www.fujimori.co.jp/wp/wp-content/uploads/2016/ 10 / 2019.07_% E3% 83% 91% E3% 83% BC% E3% 82% BD% E3% 83% 8A% E3% 83% AB% E3% 83% 89% E3% 83% A9% E3% 82 % A4% E3% 83% 9C% E3% 83% 83% E3% 82% AF% E3% 82% B9_A4_% E3% 83% 81% E3% 83% A9% E3% 82% B7-2-1.pdf ＞

However, the training kits of the prior art such as Non-Patent Document (1) are inexpensive and lightweight devices intended by the present invention, and cannot be said to be portable surgical training devices, and there is room for improvement. be.

Further, in the present invention, by using an outer shell material made of either cardboard or thick paper for the main body of the device, there is no problem in facilitating the treatment after use or causing any adverse effects on the treatment. , Has the advantage of being disposable.

Claims 1 to 9 described later are proposed with the intention of achieving the above-mentioned object of the present invention.

In the invention of claim 1,
A training device for laparoscopic surgery
Training equipment
With an outer shell made of either cardboard or cardboard,
Surgical equipment such as surgical forceps, scissors, or needle holder provided for the outer shell, or a hole for inserting a camera.
The packing that fits the hole and
Including
The outer shell material is a training device for laparoscopic surgery characterized by having a storage space.
Further, in the invention of claim 2,
A training device for laparoscopic surgery
Training equipment
With an outer shell made of either cardboard or cardboard,
Surgical equipment such as surgical forceps, scissors, or needle holder provided in the outer shell material (housing), holes for inserting cameras, and
The packing that fits the hole and
Including
The outer shell material shall consist of the first and second plates with the first and second rising pieces, the base plate with the first to fourth rising pieces, and the front plate with the fourth rising pieces. It is a training device for laparoscopic surgery characterized by.

As a result, in claims 1 and 2, 1) the training device becomes an inexpensive and lightweight device and can be carried. 2) By using an outer shell material made of either cardboard or cardboard for the main body of the device, it is possible to purchase and / or dispose of it without hesitation because it facilitates processing after use and does not cause any adverse effects on processing.

The invention of claim 3 is
The outer shell material is composed of the first and second plates with the first and second rising pieces, the base plate with the first to fourth rising pieces, and the front plate with the fourth rising pieces. When in use, the anterior plate is placed anteriorly and has an appropriate angle as a training device for laparoscopic surgery, and the base plate can support the first and second plates, and the first and second plates are also available. It is a training device for laparoscopic surgery, which is characterized by having a support plate to support the laparoscopic surgery.

As a result, the object of claim 2 can be achieved, and at the same time, the optimum outer shell material for achieving this object can be provided.

The invention of claim 4 is
In the unfolded state, the outer shell material has a first plate on the first rising piece of the base plate, a second plate on the second rising piece, a support plate on the third rising piece, and a front plate on the fourth rising piece. It is a training device for laparoscopic surgery, which is characterized by being provided.

Thereby, the object of claim 2 can be achieved, and at the same time, the structure of the outer shell material optimal for achieving this object can be provided.

The invention of claim 5 is
The first and second notches are formed in the portions of the first and second rising pieces that are biased toward the first and second plates, and when the first and second plates are folded toward the base, the first and second plates are formed. -The first and second insertion pieces of the front plate are inserted into the first and second holes formed by the second notch, and the third and fourth notches are the first and second plates. The third is formed in the first and second gusset pieces extending outward from the inclined side of the above, and is formed by the third and fourth notches when the first and second plates are erected together with the front plate. -A training device for laparoscopic surgery characterized in that the first and second insertion pieces of the anterior plate are inserted into the fourth hole.

Thereby, the object of claim 2 can be achieved, and at the same time, the structure of the first to fourth notches optimal for achieving the object can be provided.

The invention of claim 6 is
The fifth notch provided in the outer shell material is formed at a portion biased toward the support plate side of the third rising piece, and the fifth hole formed by the fifth notch when the support plate is folded toward the base. Is a training device for laparoscopic surgery, characterized in that a third insertion piece of the anterior plate is inserted.

As a result, the object of claim 2 can be achieved, and at the same time, the structure of the fifth notch that is optimal for achieving the object can be provided.

The invention of claim 7 is
The first to fourth rising pieces are characterized in that they function as space constituents when the first and second plates, the anterior plate, and the support plate are erected with reference to the base plate. It is a training device.

Thereby, the object of claim 2 can be achieved, and at the same time, the structure of the space constituent material optimal for achieving this object can be provided.

The invention of claim 8 is
The anterior plate is a training device for laparoscopic surgery characterized in that it is composed of an outer shell material that cannot be seen through.

Thereby, it is possible to provide a structure of a front plate capable of achieving the object of claim 1 or 2, and a front plate capable of achieving the result of training.

The invention of claim 9 is
The anterior plate is a training device for laparoscopic surgery characterized in that one end is supported in the longitudinal direction of the outer shell material and the opening of the outer shell material can be closed, and a storage space is formed at the time of closure. ..

Thereby, the structure of the front plate capable of achieving the object of claim 1 or 2 can be provided.

A perspective view of the training equipment (outer body) that is partially missing. A perspective view showing a state in which a part of the outer body (main parts such as the front plate, the first plate and the support plate) is being developed. A perspective view of a partially missing part of the outer body in a folded state. Left side view of the assembled outer body (used state) Enlarged perspective view of the second plate in a horizontal state (folded), viewed in a plane, and clearly showing the notch and the hole for insertion. Enlarged perspective view of the rising state of the first plate viewed from the inside Frontal schematic view of the state of assembling the outer body and training for surgery Schematic diagram of the back of FIG. Perspective view showing another embodiment of the outer body Perspective view showing another embodiment of the outer body Perspective view showing another embodiment of the outer body Perspective view showing another embodiment of the outer body Perspective view showing another embodiment of the outer body Perspective view showing another embodiment of the outer body Perspective view showing another embodiment of the outer body

Hereinafter, a preferred embodiment of the present invention will be described.

In FIGS. 1 to 3 and the like, as a general rule, the training device is a cube outer shell 1 made of corrugated cardboard, cardboard, wood, or, if necessary, resin. .. For example, it is a housing, is foldable, and has a storage space H.

The outer shell 1 is, for example, a square base plate to which the first to fourth rising pieces 3a, 5a, 6a, and 7a described later are attached in four directions so that it can be understood in the deployed state shown in FIG. With 2 as a base point, in the drawing, a first plate 3 having a first rising piece 3a attached to the right side and a second plate 5 having a second rising piece 5a attached to the left side are provided, and the first plate 3 and the first plate 3 are provided. A front plate 6 having a fourth rising piece 7a located on the front side of the second plate 5 (upper side in the drawing in FIG. 1), and a rear side of the first plate 3 and the second plate 5 (in FIG. 1 in FIG. 1). It is provided with a support plate 7 having a third rising piece 6a located on the front side in the drawing).

In the present invention, with reference to FIG. 1, the direction X will be described as the front (the position where the front plate 6 is provided), and the direction Y will be described as the rear (the position where the support plate 7 is provided). Further, the direction Z1 will be described as the right side (the position where the first plate 3 is provided), and the direction Z2 will be described as the left side (the position where the second plate 5 is provided).

The base plate 2, the first and second plates 3, 5 and the front plate 6 and the support plate 7 form an outer shell 1 and form the cube shown in FIG. The front plate 6 is configured so that it cannot be seen through, with the intention of achieving the results of training quickly and reliably. That is, the practitioner cannot visually recognize the target body installed on the base plate 2 located behind the front plate Y. Further, in this example, the first and second plates 3 and 5 can conceal both side surfaces (one side is also possible), and are effective in preventing the occurrence of obstacles such as light and reflection, but are not limited (not specified). However, the other boards and bodies are the same).

The front X of the first plate 3 has an upright side 3-1 and the rear Y has a recessed side 3-2. The upright side 3-1 has a key-shaped third notch capable of forming a third hole 3c. The first gusset piece 3d provided with 3b is formed. Then, as a general rule, the first gusset piece 3d is formed to bulge toward the same surface as the second gusset piece 5d (see FIG. 2). Further, when the first gusset piece 3d is bent on the surface of the first plate 3, the third notch 3b rises, and the third hole 3c is formed along the third notch 3b. It is formed (see FIG. 6). Further, at the upper end of the first rising piece 3a rising from the base plate 2, a first end side 3e rising in the vertical direction is provided, and the first notch 3f is provided close to the first end side 3e. By forming the first hole 3g, the first insertion piece 8 described later is formed in the first hole 3g by bulging to the right Z1 of the front plate 6 when the first plate 3 is folded. It is plugged in and supported (see FIGS. 2 and 3).

The front X of the second plate 5 has an upright side 5-1 and the rear Y has a recessed side 5-2. The upright side 5-1 has a key-shaped fourth notch capable of forming a fourth hole 5c. A second gusset piece 5d provided with 5b is formed. Then, as a general rule, the second gusset piece 5d is formed to bulge toward the same surface as the first gusset piece 3d (see FIG. 2). Further, when the second gusset piece 5d is bent on the surface of the second plate 5, the fourth notch 5b rises, and the fourth hole 5c is formed along the fourth notch 5b. It is formed (see FIG. 6). Further, a second end side 5e that rises in the vertical direction is provided at the upper end of the second rising piece 5a that rises from the base plate 2, and a second notch 5f is provided close to the second end side 5e. By forming the second hole 5g, the second hole 5g is formed to bulge on the left Z2 of the front plate 6 when the second plate 5 is folded (when superimposed on the base plate 2). The second insertion piece 9 described later is inserted and supported (see FIGS. 2 and 3).

As described above, the first insertion piece 8 is formed on the end side of the right Z1 of the front plate 6, and the second insertion piece 9 is formed on the end side of the left Z2 of the front plate 6.

A support plate 7 is provided on the third rising piece 6a of the rear Y of the base plate 2, and a key-shaped fifth notch 10 is formed at the connecting portion between the support plate 7 and the third rising piece 6a. The fifth hole 11 is formed in the fifth notch 10 when the support plate 7 is bent in parallel with the base plate 2 (see FIG. 2). Then, in the fifth hole 11, a third insertion piece 12 bulging from the front X of the front plate 6 is inserted and supported when the front plate 6 is folded (see FIG. 3).

Bending lines 15 are formed at the joints of the plate materials.

In FIGS. 1, 3, 6 and the like, as typical examples, the combination of the first gusset piece 3d, the third notch 3b and the third hole 3c provided here, and the usage example thereof will be described. As shown in 6, the first gusset piece 3d is bent in the plane direction of the left Z2, stands up from the third notch 3b, and stands up, so that the notch remaining piece 3h remains and the third hole 3c is formed. As a result, the first insertion piece 8 is inserted into the third hole 3c, and the front plate 6 stands up (see FIG. 7 and the like). Further, the combination of the second gusset piece 5d, the fourth notch 5b and the fourth hole 5c provided here, and the usage example thereof are the same as the above-mentioned examples, and the description thereof will be omitted. Further, the usage example of the second plate 5 conforms to the usage example of the first plate 3 described above.

Explaining the relationship between the first notch 3f and the first hole 3g formed in the first plate 3 in FIGS. 1 and 3, the first end of the first rising piece 3a is provided by providing the first notch 3f. The side 3e is formed in an upright state, and the first end side 3e fits into the first hole 3g when the first plate 3 is folded toward the base plate 2. Further, as shown in FIGS. 1, 2 and 5, the description of the relationship between the second notch 5f and the second hole 5g formed in the second plate 5 and the usage example thereof are the same as those described above. I will omit it. Further, the notch remaining piece 5h of the second gusset piece 5d of the second plate, which corresponds to the notch remaining piece 3h of the first gusset piece 3d shown in the first plate 3, is shown in FIG. It is also shown in FIG. Further, other than the second plate 5, the same applies to the first plate 3 described above.

Explaining the relationship between the support plate 7, the third rising piece 6a, the fifth notch 10, and the fifth hole 11 in FIGS. 1, 2, 5, and the like, the fifth notch 10 and the fifth The holes 11 are provided at the joint between the third rising piece 6a and the support plate 7, and the fifth hole 11 is formed and the fifth hole 11 is formed in a state where the support plate 7 is folded into the base plate 2. The notch 10 is located inside the third rising piece 6a (see FIG. 2). The third insertion piece 12 is inserted and supported in the fifth hole 11 in a state where the front plate 6 is folded above the base plate 2 (superposed on the base plate 2). Further, in this state and in the state where the first plate 3 and the second plate 5 are folded, a storage space H is formed in the outer body 1 as shown in FIG. The video device 40, the camera 42, the cord 43, and the like are accommodated in the accommodation space H. When carrying the machine, it is better to put it in a rigid container such as a plastic bag, a bag, or a bag.

Next, to explain an example of how to use the laparoscopic surgery as a training device shown in FIGS. 7 and 8, the first plate 3 and the second plate 5 are raised, and the third notch 3b and the fourth cut are formed. The notch 5b is bent at a substantially right angle in the surface direction of the first plate 3 and the second plate 5. By this bending, the third hole 3c and the fourth hole 5c are formed. Therefore, the first insertion piece 8 and the fourth insertion piece 9 of the front plate 6 are inserted and supported toward the third hole 3c and the fourth hole 5c while being bent at a substantially right angle. The first and second plates 3 and 5 stand up, the front plate 6 stands up, the base plate 2 is concealed, and the screen of the video equipment 40 displays the data of the installed human body model and the operation. The situation is projected as an image. In principle, the support plate 7 at this time may stand up against the upper surface of the base plate 2 or be laid (folded) on the upper surface. Based on this video, at least two surgical instruments 41 will be used to simulate the surgery and to learn the methods and precautions. Typical examples of the surgical instrument 41 include surgical forceps, scissors, a needle holder, and the like, but it goes without saying that any instrument or device used for laparoscopic surgery other than these may be used. The video device 40 in the figure is a personal computer, a tablet, other devices, and the like.

In the figure, B shows a simulated abdominal cavity. Further, the hole 44 is a hole into which one or a plurality of surgical instruments 41 provided in the front plate 6 are inserted, and a packing 45 that can be used as a guard, a guide, a slip, or the like is attached to the hole 44. Further, 46 is an anti-slip material, and a plurality of 46 are provided on the back surface of the base plate 2.

Folding after use is free, and can be easily done by, for example, the reverse operation of the above-mentioned assembly. For example, the methods of FIGS. 2 and 5 can be referred to.

9-1 to 9-7 are different assembly examples of the outer body 1, and FIG. 9-1 has, for example, a structure in which the front plate 6 provided at the front X in the longitudinal direction Q can be folded. The front plate 6 can be raised and supported by the support portion 100 provided at the rear Y. However, the structure is such that the accommodation space H can be formed. The configuration in which the accommodation space H is completely closed by the front plate 6 is not always necessary. 9-2 and 9-3 show a structure in which the front plate 6 is raised by using the legs 101 (bars, accoudoirs, etc.), and the others are in accordance with FIG. 9-1. The leg 101 is a separate body from the outer shell 1 (components of the outer shell 1, for example, the front plate 6, the base plate 2, the first plate 3, etc.), and as an example, a rod Materials, paper materials, rulers, various sticks, wood, etc. can be considered. The same applies to the following example. Further, FIG. 9-4 shows a structure in which the front plate 6 is raised by using the support piece 102, and the other parts are the same as those in FIG. 9-1. FIG. 9-5 shows that the front plate 6 is not limited as long as it is a folding type and a winding type as a whole and forms an accommodation space H. Others are in accordance with FIG. 9-1. In FIG. 9-6, the hinge 6b of the front plate 6 can be moved by a pin 51 and fixed to the bottom portion (consisting of the base plate 2 and the first to fourth rising pieces 3a to 7a, etc.), if necessary. The accommodation space H is formed by closing the bottom portion with the front plate 6. FIG. 9-7 has a structure in which the front plate 6 (cover portion) is fitted (covered) on the bottom portion, which is a feeling of a housing or a case. In this example, the lid is used upright on the bottom. For the start-up, for example, the legs 101 are used. Other structures and the like are the same as those in the above-described embodiment.

The present invention is not limited to the embodiments, and various modifications can be made within the scope shown in each claim. That is, an embodiment obtained by combining technical means appropriately modified within the scope shown in each claim is also included in the technical scope of the present invention.

1 Outer body 2 Base plate 3 1st plate 3-1 Upright side 3-2 Depressed side 3a 1st rising piece 3b 3rd notch 3c 3rd hole 3d 1st town piece 3e 1st end side 3f 1st notch 3g 1st hole 3h Notch remaining piece 5 2nd plate 5-1 Upright side 5-2 Depressed side 5a 2nd rising piece 5b 4th notch 5c 4th hole 5d 2nd gusset piece 5e 2nd end side 5f 2nd cut Notch 5g 2nd hole 5h Notch remaining piece 6 Front plate 6a 3rd rising piece 6b Hinge 7 Support plate 7a 4th rising piece 8 1st insertion piece 9 2nd insertion piece 10 5th notch 11 5th hole 12 3rd Insert 15 Folding line 40 Imaging equipment 41 Surgical instrument 42 Camera 43 Cord 44 Hole 45 Packing 46 Anti-slip material 51 Pin 100 Support 101 Leg 102 Support piece B Simulated abdominal H Containment space X Front Y Rear Z1 Right Z2 Left Q Longitudinal

Claims (9)

A training device for laparoscopic surgery
This training equipment
With an outer shell made of either cardboard or cardboard,
Surgical equipment such as surgical forceps, scissors, or needle holder, or a hole for inserting a camera, provided for this outer material.
The packing that fits this hole and
Including
The outer shell material is a training device for laparoscopic surgery characterized by having a storage space.
A training device for laparoscopic surgery
This training equipment
With an outer shell made of either cardboard or cardboard,
Surgical equipment such as surgical forceps, scissors, or needle holder, or a hole for inserting a camera, provided for this outer material.
The packing that fits this hole and
Including
The outer shell material is composed of first and second plates to which the first and second rising pieces are attached, a base plate to which the first to fourth rising pieces are attached, and a front plate to which the fourth rising piece is attached. A training device for laparoscopic surgery characterized by this.
The outer shell material was provided with the first and second plates to which the first and second rising pieces were attached, the base plate to which the first to fourth rising pieces were attached, and the fourth rising piece. It is composed of the anterior plate, and when used, the anterior plate is arranged anteriorly and has an appropriate angle as a training device for laparoscopic surgery, and the base plate can support the first and second plates. The training device for laparoscopic surgery according to claim 2, further comprising a support plate for supporting the first and second plates.
In the unfolded state, the outer shell material has the first plate on the first rising piece of the base plate, the second plate on the second rising piece, and the support plate on the third rising piece. 4. The training device for laparoscopic surgery according to claim 2, wherein the anterior plate is provided on each of the rising pieces.
The first and second notches are formed in the portions of the first and second rising pieces that are biased toward the first and second plates, and when the first and second plates are folded toward the base, the first and second plates are folded. The first and second insertion pieces of the front plate are inserted into the first and second holes formed by the first and second notches, and the third and fourth notches are the same. It is formed in the first and second gusset portions extending outward from the inclined side of the first and second plates, and when the first and second plates are erected together with the front plate, the third and third plates are said. The training device for laparoscopic surgery according to claim 2, wherein the first and second insertion pieces of the anterior plate are inserted into the third and fourth holes formed by the four notches.
The fifth notch provided in the outer shell material is formed at a portion of the third rising piece that is biased toward the support plate side, and is formed by the fifth notch when the support plate is folded toward the base. The training device for laparoscopic surgery according to claim 2, wherein the third insertion piece of the anterior plate is inserted into the fifth hole.
The first to fourth rising pieces are characterized in that they function as a storage space when the first and second plates, the front plate, and the support plate are erected with reference to the base plate. The training device for laparoscopic surgery according to claim 2.
The training device for laparoscopic surgery according to claim 1 or 2, wherein the anterior plate is composed of an outer shell material that cannot be seen through.
1. Alternatively, the training device for laparoscopic surgery according to claim 2.

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