JP6516218B2 - Tubular organ setting device for endoscopic surgery and inspection training - Google Patents

Description

  The present invention relates to a tubular organ placement device for endoscopic surgery and examination training.

The conventional endoscope operation training apparatus helps to improve endoscopic surgery and examination procedures.
The training apparatus is disclosed in the following Patent Documents 1, 2, and 3.
There is a significant difference between the placement of a tubular organ using conventional endoscopic training devices and the environment of the actual tubular organ.
In the method of supporting at both ends in the endoscope operation training device of Patent No. 4502757, the form of a curved tubular organ can not be reproduced. In addition, the main body made of acrylic is heavy and easily broken, so it is difficult to handle.
Placement of the tubular organ form using the net is difficult in Utility Model Registration No. 3162161 and Utility model registration No. 3177527, and the placement of the tubular organ is deformed by the deflection of the net, so the placement requires skill It also takes time.
The material Styrofoam is light in weight and easy to handle, but the light weight makes it easy for the body to move at the time of operation of the endoscope, which causes problems in training, and the strength is also poor, so it is easily damaged.
In any endoscope operation training device, the water in the tubular organ is lost due to natural evaporation with the passage of training time, and the conductivity of the electrosurgical knife is significantly reduced, and the affected area is accurately maintained and reproduced. Can not.
In addition, since any endoscopic operation training device is performed under the condition that the tubular organ is released into the air, the training environment is exposed to the fluid of the tubular organ for a long time, and there is a risk of environmental pollution. In order to avoid it, training is being set up, during training, management after training, cleaning and disposal require much effort and time.

  Patent No. 4502757   Utility model registration No. 3162161   Utility model registration 3177527 gazette

  Anyone can easily arrange the curved form of the tubular organ, maintain the stable state, maintain and reproduce the environment of surgery and examination without loss of water in the tubular organ due to natural evaporation and loss of conductivity of the electric scalpel, It is easy to handle, has a body that combines moderate weight and robustness, and eliminates the risk of environmental contamination caused by the diffusion of fluid by exposing the tubular organ to the air, allowing convenient placement and safe disposal of the tubular organ. .

The device of the present invention is the contents of the following (1) to (5) described in the claims.
(1)
A body formed with a side opening;
An annular groove for encasing the overtube at the side opening,
A tubular organ-former having a groove in the shape of a tubular organ mounted within said body to define the morphology of the tubular organ;
An overtube for inserting the tip into the opening of the tubular organ;
A tubular organ which defines and arranges a form in the body, a bag for containing saline and a return electrode, and a clamp for fixing the overtube and the tubular organ;
A strap for tying the overtube and a bag containing a tubular organ, saline, and a return electrode;
A removable lid which covers the upper surface of the main body and which prevents the tubular organ, the counter electrode, and the overtube from falling off, which are placed in a bag disposed in the tubular organizer placed thereon;
The tubular organ placement device for endoscopic surgery / inspection training made of the present invention allows anyone to easily place the form of a curved tubular organ that is curved.
Prevent environmental pollution by eliminating the scattering of fluid from the tubular organ by putting the tubular organ, saline and return electrode in the bag.
After the training is complete, the tubular organ, saline, return electrode, clamp, and overtube are simply put into a bag and discarded, and after that, management, cleaning and disposal of the tubular organ setting device for endoscopic surgery and inspection training Can be mitigated and improved.
(2)
Since the annular portion is disposed at the tip of the overtube, the annular portion can be disposed simply by being inserted into the annular groove, so that the overtube can be freely rotated after the placement.
(3)
By providing an annular groove for supporting the annular portion of the overtube at the side opening of the main body, the overtube can be improved to be arranged without using a conventional fastener.
(4)
The main body is difficult to be damaged by being made of light metal, is not too light like foam polystyrene, and is not too heavy like acrylic, so the main body moves or is heavy even if the force by the endoscope operation of training is applied Will be improved.
(5)
By coating and coloring the surface of the tubular organ-former, the color of the tubular organ, which has become white because blood has been withdrawn, is improved so that the color of the tubular organ becomes yellowish orange in the state of blood flow.

The body is made of a light metal with a small mass, so it is pushed by the force to operate the endoscope during training, so that the body does not move and the body is less likely to break.
By placing the tubular organ in the tubular organ-former, the configuration of the curved tubular organ can be easily deployed to anyone.
By providing the annular portion on the overtube, it can be arranged simply by inserting it into the annular groove of the main body opening without using a conventional fixing tool.
By injecting saline, it was prevented that the conductivity of the electric scalpel decreased and it became difficult to continue the training due to the natural evaporation of the body fluid of the annular organ drying out.
The risk of environmental contamination due to splashing of fluid in annular organs was improved so that tubular organs could be prevented by using them in a bag between placement and disposal.

  The main body (1) of the tubular organ setting device for endoscopic surgery and inspection training according to the present invention, the removable lid (5) to be supported on the top surface of the main body, the tubular organ formation device (2) and the main body side opening It is a reproduction outline figure of (3) and a ring entry slot (4).   It is an outline block diagram of the overtube (6-11) and clamp (12) of the tubular organ installation apparatus for endoscopic surgery * test training which concern on this invention.   It is a general view of the bag (13) of the organ installation apparatus for endoscopic surgery * test training which concerns on this invention.   It is the general view which arrange | positioned the bag (13) of the tubular organ installation apparatus for endoscopic surgery * test training which concerns on this invention to the main body (1).   It is a general view which arrange | positions a tubular organ (14) in a tubular organ formation device (2) using the bag (13) arrange | positioned at the tubular organ installation apparatus for endoscopic surgery * test training which concerns on this invention.   It is a general view which restrains the tubular organ one end opening part (15) of a tubular organ (14) by the clamp (12) to the overtube (6) of the tubular organ installation apparatus for endoscopic surgery * test training which concerns on this invention.   Overview of injecting saline (17) into a bag (13) containing a tubular organ (14) and a return electrode (16) placed on a tubular organ placement device for endoscopic surgery and examination training according to the present invention FIG.   It is a general view which ties the bag (13) and the overtube (6) arrange | positioned in the tubular organ installation apparatus for endoscopic surgery and inspection training which concern on this invention with a strap (18).   FIG. 10 is a schematic view in which an annular portion (7) disposed in the overtube (6) of the tubular organ installation device for endoscopic surgery / inspection training according to the present invention is encircled into the annular groove (4) of the main body.   FIG. 2 is a schematic view in which a tubular organ setting device for endoscopic surgery and inspection training according to the present invention has been arranged.   It is a general view which removes the tubular organ-former detachment | desorption part (19) of the tubular organ-former (2) based on this invention.   It is a general view which fixed the removable lid (5) to the main body (1) of the tubular organ installation apparatus for endoscopic surgery * test training which concerns on this invention.   It is a general view which rotates the removable lid (5) fixed to the main body (1) and the main body of the tubular organ placement device for endoscopic surgery and inspection training concerning the present invention.   When the affected area (22) of the patient (20) lying on the operating table (24) is buried with the body fluid (23) during training with the tubular organ placement device for endoscopic surgery and examination training according to the present invention, surgery and examination Because the patient (20) on the back is placed on the lower side (25), it is possible to change the upper and lower positions of the affected area and take the affected area out of the body fluid (23). Furthermore, it is an outline view in which the affected part (26) hangs down due to the action of gravity.   The tubular organ (14), the physiological saline (17), the return electrode (16), the clamp (12) and the overtube (6) mounted after using the tubular organ installation device for endoscopic surgery and examination training according to the present invention ) In a bag (13) for disposal.

  The tubular organ setting device main body (1) for endoscopic surgery and inspection training according to the present invention is, as shown in FIG. 1, a body side opening (3), an annular groove (4), and a tubular organ forming device (2 ) Is provided.

  As shown in FIGS. 5 and 6, the tubular organ setting device for endoscopic surgery and inspection training according to the present invention is a tubular organ in which the tubular organ (14) removed from the living body is placed on the main body (1). It can be placed in the actual state simply by placing it on the former (2).

Since the overtube (6) of the present invention has an annular portion as shown in FIG. 2 and does not use a conventional fixing part, as shown in FIGS. 9 and 10, the annular portion (7) More stable arrangement and free rotation can be achieved simply by inserting it into the ring groove (4).

  The main body (1) of the tubular organ setting device for endoscopic surgery and inspection training according to the present invention is lighter than conventional acrylics and more robust and easier to handle than conventional acrylics by using light metal and urethane foam extensively. It became hard to break.

  Aluminum, titanium, and magnesium can also be substituted for the light metal of the tubular organ placement device main body (1) of the present invention for endoscopic surgery and examination training.

The light emitted from the endoscope is reflected on the surface in a warm-colored color and reflected to the colored tubular organ-former (2) to extract the blood and turn the white-colored tubular organ into an actual warm-colored color Can be
As a warm color, yellow orange which is close to the color of a tubular organ having an actual blood flow is preferable.

  The tubular organ shaper of the present invention is made of urethane foam, but as an alternative, silicone rubber, synthetic rubber, raw rubber, balloons, water-filled bags are also possible.

  By coating and coloring the surface of the urethane foam of the tubular organ-former (2), the air bubbles on the surface were embedded to improve the water repellency and the water resistance.

  As shown in FIGS. 3, 4 and 8 to 11, by using the bag (13) of the present invention, the tubular organ (14), the saline (17) and the return electrode (16) are arranged. It is possible to prevent the risk of environmental pollution due to splashing of the body fluid of the tubular organ (14).

  As shown in FIG. 7, the bag (13) of the tubular organ setting device for endoscopic surgery and inspection training according to the present invention loses water of the tubular organ (14) by natural evaporation with the passage of training time and The saline solution (17) is injected into the bag (13) so that the water in the tubular organ (14) can not be reproduced accurately, so that the environment of the examination or treatment of the diseased part can not be accurately reproduced due to the decrease in conductivity. Maintenance and training of endoscopic surgery and examination in the actual tubular organ environment can be continued.

The electric scalpel used in the present invention means a high frequency current flowing to the human body, Joule heat is generated due to the load or contact resistance at this time, and this heat instantaneously heats the cells and causes the dissection action by explosion and transpiration. By evaporating the water of the cells and coagulating the protein, a coagulation action is produced respectively.
The power supply device that generates high frequency, the part that corresponds to the electric scalpel that the doctor holds by hand called the female tip electrode, active electrode, needle electrode, etc., metal attached to the human body called return electrode plate that is the outlet of high frequency current The board is composed of three.

  The material of the bag (13) of the present invention is adjusted to the size of the main body by using a transparent soft polyethylene having a thickness of 0.02 mm or less, so the reproduction of the tubular organ (14) in the actual environment is not affected.

  Since the tubular organ-former (2) of the present invention is made of urethane foam and has flexibility, it can reproduce the actual environment where other adjacent organs and the tubular organ (14) interfere with each other.

As shown in FIG. 11, the degree of difficulty in acquiring training can be raised by removing the tubular organ-former-desorbing portion (19) of the tubular organ-former (2) of the present invention.
It is inserted into the endoscope from the overtube insertion valve (8), and in the process to reach the deepest part of the arranged tubular organ, the tubular organ-forming device (19) must be removed before the tubular organ-former (2 Of the tubular organ-former (2) by removing the tubular organ-former attachment / detachment part (19) and partially softening it, since the endoscope is easy to move along the curved part, By reducing the repulsive force and making the operation at the time of entry into the curved part difficult, more advanced operation training can be performed.

  As shown in FIG. 15, by using the bag (13) of the present invention, the tubular organ (14), saline (17), return electrode (16), overtube (6) and clamp (12) after use are used. And the possibility of environmental pollution due to the scattering of fluid from tubular organs has been greatly reduced.

  The endoscopic surgery / examination according to the present invention is to insert an endoscope from an anus of a human body through an overtube, and perform surgery / examination on a polyp / tumor formed on a tubular organ.

  As shown in FIG. 2, the overtube of the present invention is an insertion port of an endoscope to avoid tearing the insertion portion by an endoscope operation when the tubular organ of the human body is operated and inspected with an endoscope. It means the equipment to be used.

The physiological saline of the present invention refers to an aqueous solution (saline solution) containing sodium chloride (0.9 w / v%) substantially isotonic with human body fluid.

As shown in FIG. 12 to FIG. 14, the effect of the rotation in the tubular organ setting device for endoscopic surgery / inspection training according to the present invention is that body fluid of the patient facing up at the time of surgery / examination When the affected area is buried due to the deposition of exudate and surgery and examination become difficult, the fluid of the tubular organ remains on the lower surface by reversing the positional relationship between the lower surface and the upper surface by putting the patient face down from the back and the affected area is the upper surface. It is possible to eliminate the burial by body fluid because
Furthermore, because the affected area is expanded by the influence of gravity, it is possible to reproduce the same environment as the actual operation and examination becomes easy.

  As shown in FIG. 2, the endoscope insertion valve installed in the overtube in the tubular organ installation device for endoscopic surgery / inspection training according to the present invention guides the insertion of the endoscope as a fulcrum at the time of endoscopic operation work. It corresponds to the anus in the human body.

  As shown in FIG. 2, the air leakage prevention valve for the overtube in the tubular organ setting device for endoscopic surgery / inspection training according to the present invention is a device for expanding the large intestine to facilitate surgery / inspection of the large intestine. Air can be prevented from leaking when the mirror is removed.

  The training in the tubular organ placement device for endoscopic surgery and examination training according to the present invention refers to practicing surgery to examine whether polyps and tumors are formed in the large intestine or to remove it.

  The lid (5) in the tubular organ setting device for endoscopic surgery and inspection training according to the present invention is detachable as shown in FIGS. 12 and 13 and can be removed when the tubular organ is placed and not rotated. .

DESCRIPTION OF SYMBOLS 1 main body 2 tubular organ formation device 3 main body side opening 4 ring entry groove 5 detachable lid 6 overtube 7 overtube annular portion 8 endoscope insertion valve 9 air leak prevention valve 10 tube 11 clamp stop 12 clamp 13 clamp 14 bag 14 tubular Organ 15 Tubular organ one end opening portion 16 Counter electrode plate 17 Saline 18 Strap 19 Tubular organ former detaching portion 20 Patient on supine 21 Cross section of tubular organ 22 Affected part buried in body fluid 23 Body fluid 24 Operating table 25 Patient with prone surface 26 Patient fluid Going out, gravity-expanded affected area

Claims (5)

A body formed with a side opening;
An annular groove for inserting an overtube into the side opening;
A tubular organ-former having a groove in the shape of a tubular organ mounted within said body to define the morphology of the tubular organ;
An overtube for inserting the tip into the opening of the tubular organ;
A bag for placing and arranging the tubular organ, the saline and the return electrode in the tubular organ-former mounted on the main body; a clamp for fixing the overtube and the tubular organ;
A strap that ties the overtube, the tubular organ, the saline solution, and the bag containing the return electrode plate;
A removable lid covering an upper surface of the body;
A tubular organ placement device for endoscopic surgery and examination training characterized by comprising: The tubular organ setting device for endoscopic surgery / examination training according to claim 1, wherein an annular portion which is inserted into the annular groove is disposed in the overtube. The tubular organ setting device for endoscopic surgery / examination training according to claim 2, characterized in that the annular groove for supporting the annular portion of the overtube is installed at the side opening of the main body. The tubular organ setting device for endoscopic surgery and inspection training according to claim 1, wherein the main body is made of a light metal. The tubular organ placement device for endoscopic surgery and inspection training according to claim 1, wherein the surface is coated and colored on the surface of the tubular organ formation device.

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