TW202426080A - Artificial blood vessel surgery teaching aid including a human body simulator, a replaceable operating platform, and an artificial skin layer - Google Patents
Artificial blood vessel surgery teaching aid including a human body simulator, a replaceable operating platform, and an artificial skin layer Download PDFInfo
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- 210000004204 blood vessel Anatomy 0.000 title claims abstract description 117
- 239000002473 artificial blood Substances 0.000 title claims abstract description 116
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 26
- 229920001296 polysiloxane Polymers 0.000 claims abstract description 40
- 230000008878 coupling Effects 0.000 claims abstract description 21
- 238000010168 coupling process Methods 0.000 claims abstract description 21
- 238000005859 coupling reaction Methods 0.000 claims abstract description 21
- 238000002347 injection Methods 0.000 claims description 34
- 239000007924 injection Substances 0.000 claims description 34
- 239000007788 liquid Substances 0.000 claims description 32
- 238000012545 processing Methods 0.000 claims description 10
- 208000015181 infectious disease Diseases 0.000 abstract description 4
- 206010028980 Neoplasm Diseases 0.000 description 13
- 201000011510 cancer Diseases 0.000 description 13
- 210000000038 chest Anatomy 0.000 description 8
- 238000000034 method Methods 0.000 description 7
- 238000010146 3D printing Methods 0.000 description 6
- 238000005516 engineering process Methods 0.000 description 6
- 210000000779 thoracic wall Anatomy 0.000 description 6
- 229940044683 chemotherapy drug Drugs 0.000 description 5
- 238000010586 diagram Methods 0.000 description 5
- 230000008569 process Effects 0.000 description 4
- 238000007631 vascular surgery Methods 0.000 description 4
- 230000004308 accommodation Effects 0.000 description 3
- 238000012549 training Methods 0.000 description 3
- 238000002512 chemotherapy Methods 0.000 description 2
- 230000036039 immunity Effects 0.000 description 2
- 230000009471 action Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 210000003109 clavicle Anatomy 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000000465 moulding Methods 0.000 description 1
- 210000002445 nipple Anatomy 0.000 description 1
- 230000000474 nursing effect Effects 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 244000052769 pathogen Species 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
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Abstract
Description
本發明有關於醫學臨床模擬操作之教具,特別是指讓臨床護理人員易於了解與熟悉人工血管構造,進而熟練彎針置放技術之人工血管手術教具。The present invention relates to a teaching aid for medical clinical simulation operation, and in particular to a teaching aid for artificial blood vessel surgery that allows clinical nursing personnel to easily understand and become familiar with the structure of artificial blood vessels and further become proficient in the curved needle placement technique.
按,設置人工血管是癌症病人接受化學治療必經的途徑之一,就其設計理念而言,主要是讓人工血管可長時間置放於病人的體內,讓醫護人員可以直接透過人工血管來提供化學治療藥品給病人,而這類的人工血管設置讓癌症病人不需像一般留置軟針頭或其他管路方式者,也就是設置人工血管的病人不需要定期更換留置軟針與相關之管路。According to the information, the placement of artificial blood vessels is one of the necessary ways for cancer patients to receive chemotherapy. In terms of its design concept, it is mainly to allow artificial blood vessels to be placed in the patient's body for a long time, so that medical staff can directly provide chemotherapy drugs to the patient through the artificial blood vessels. This type of artificial blood vessel placement allows cancer patients to avoid the need for indwelling soft needles or other tubes like general patients. In other words, patients with artificial blood vessels do not need to regularly replace indwelling soft needles and related tubes.
惟,癌症病人設置人工血管進行化學治療時,醫護人員主要是利用彎針置放入人工血管,再將化學治療藥品經由彎針再注入人工血管內,再使化學治療藥品由人工血管流入所連接的人體血管,讓流入癌症病人其人體血管中之化學治療藥品對癌症病人進行治療,但癌症病人在治療過程中因為化學治療藥品也會殺害好的細胞,因此,癌症病人容易因為免疫力下降進而有較高機率會受到其他病菌的感染,其中,造成感染的原因中,醫護人員其彎針置放或彎針操作不當是主要的原因。However, when cancer patients have artificial blood vessels installed for chemotherapy, medical staff mainly use curved needles to insert them into the artificial blood vessels, and then inject chemotherapy drugs into the artificial blood vessels through the curved needles, and then allow the chemotherapy drugs to flow from the artificial blood vessels into the connected human blood vessels, so that the chemotherapy drugs flowing into the cancer patient's blood vessels can treat the cancer patient. However, during the treatment process, cancer patients will also be killed by chemotherapy drugs because their immunity is reduced. Therefore, cancer patients are more likely to be infected by other pathogens due to decreased immunity. Among the causes of infection, improper placement or operation of curved needles by medical staff is the main cause.
再者,3D列印技術係逐漸地普及的使用,因此,如何透過3D列印技術列印類似病人的胸頸部,並將人工血管植入所列印之胸頸部,讓新進醫護人員了解如何正確地操作彎針,使彎針易於置放於人工血管並對人工血體注射,是以,先前技術實有改善之必要。Furthermore, 3D printing technology is gradually becoming more popular. Therefore, how to use 3D printing technology to print a chest and neck similar to the patient and implant an artificial blood vessel into the printed chest and neck, so that new medical personnel can understand how to correctly operate the curved needle so that the curved needle can be easily placed in the artificial blood vessel and artificial blood can be injected, so the previous technology really needs to be improved.
本發明之目的在於提出一種將人工血管植入一由3D列印出所模擬之胸頸部的人體模擬器,該人體模擬器組具有一結合孔來容設具有一人工血管模組之一可替換操作平台,該可替換操作平台選定所需練習厚度之人工皮膚覆蓋於人工血管處,讓醫護人員透過該可替換操作平台所設不同角度狀態的人工血管模組而可以熟悉在不同角度下將彎針置入人工血管內之人工血管手術教具。The purpose of the present invention is to provide a human body simulator for implanting an artificial blood vessel into a chest and neck simulated by 3D printing. The human body simulator assembly has a coupling hole to accommodate a replaceable operating platform with an artificial blood vessel module. The replaceable operating platform is provided with artificial skin of a desired training thickness to cover the artificial blood vessel, so that medical personnel can be familiar with the artificial blood vessel surgery teaching aid of inserting a curved needle into an artificial blood vessel at different angles through the artificial blood vessel module in different angles set on the replaceable operating platform.
為達上述目的,本發明提供一種人工血管手術教具,該人工血管手術教具係包含有一人體模擬器、一可替換操作平台及一人工皮膚層,其中,該人體模擬器係包含有一本體單元、一容置空間、一結合孔及一第一卡扣單元,其中,該本體單元設有該容置空間並於週側貫設有一結合孔而與該容置空間相連通,且該本體單元於設置該結合孔之側壁並設置該第一卡扣單元;該可替換操作平台係包含有一人工血管模組、一第二卡扣單元與一矽膠層,該矽膠層並具有一第一表面與相對於該第一表面設置之一第二表面,其中,該人工血管模組係組設於該矽膠層,而該矽膠層外環側係組設有該第二卡扣單元,使該可替換操作平台藉由該第二卡扣單元組設對應之該第一卡扣單元,進而使該可替換操作平台組設於該人體模擬器之該結合孔上,而該人工血管模組並連接一連接管,而該連接管一端連通該人工血管模組,其另端並連通一儲液單元;以及該人工皮膚層,係覆蓋於該本體單元的外側表面與組設於該本體單元之該可替換操作平台之該第一表面,其中,該人工皮膚層鄰接該人工血管模組,而該第一表面位於該人工皮膚層與該人工血管模組之間,且該矽膠層位於該人工血管模組與該第二表面間之厚度大於該矽膠層位於該人工血管模組與該第一表面間之厚度。To achieve the above-mentioned object, the present invention provides an artificial blood vessel surgery teaching aid, which includes a human body simulator, a replaceable operating platform and an artificial skin layer, wherein the human body simulator includes a body unit, a containing space, a coupling hole and a first buckle unit, wherein the body unit is provided with the containing space and a coupling hole is provided on the periphery thereof to be coupled with the containing space. The space is connected, and the main body unit is provided with the first buckle unit on the side wall where the coupling hole is provided; the replaceable operation platform includes an artificial blood vessel module, a second buckle unit and a silicone layer, the silicone layer has a first surface and a second surface provided opposite to the first surface, wherein the artificial blood vessel module is assembled on the silicone layer, and the outer ring side of the silicone layer is assembled The second buckle unit is provided, so that the replaceable operation platform is assembled with the corresponding first buckle unit through the second buckle unit, and the replaceable operation platform is assembled on the coupling hole of the human body simulator, and the artificial blood vessel module is connected to a connecting tube, and one end of the connecting tube is connected to the artificial blood vessel module, and the other end is connected to a liquid storage unit; and the artificial skin layer is covered on the artificial blood vessel module. The outer surface of the body unit and the first surface of the replaceable operating platform assembled on the body unit, wherein the artificial skin layer is adjacent to the artificial blood vessel module, and the first surface is located between the artificial skin layer and the artificial blood vessel module, and the thickness of the silicone layer between the artificial blood vessel module and the second surface is greater than the thickness of the silicone layer between the artificial blood vessel module and the first surface.
進一步地,該連接管並組設有一感測單元,而該本體單元上並設有一警示單元,且該感測單元與該警示單元並分別電性連接一處理單元,該處理單元係容置於該容置空間。Furthermore, the connecting tube is provided with a sensing unit, and the main body unit is provided with a warning unit, and the sensing unit and the warning unit are electrically connected to a processing unit respectively, and the processing unit is accommodated in the accommodation space.
進一步地,該可替換操作平台並設有一萬向轉動單元及組設於該容置空間內之一底板單元,該萬向轉動單元一端係樞接於該人工血管模組,而其另端組設於該人體模擬器內之該底板單元。Furthermore, the replaceable operating platform is provided with a universal rotating unit and a bottom plate unit assembled in the accommodating space. One end of the universal rotating unit is pivotally connected to the artificial blood vessel module, and the other end thereof is assembled in the bottom plate unit in the human body simulator.
進一步地,該本體單元的外側表面並設有複數第一連接單元,而該人工皮膚層相對該等第一連接單元的位置係設有複數第二連接單元。Furthermore, a plurality of first connection units are disposed on the outer surface of the main body unit, and a plurality of second connection units are disposed at positions of the artificial skin layer opposite to the first connection units.
進一步地,該人工皮膚層係為透明之矽膠單元。Furthermore, the artificial skin layer is a transparent silicone unit.
進一步地,該人工皮膚層係為非透明之矽膠單元。Furthermore, the artificial skin layer is a non-transparent silicone unit.
進一步地,該警示單元包含複數指示燈。Furthermore, the warning unit includes a plurality of indicator lights.
進一步地,該萬向轉動單元包含有一固定器與一樞接桿,該固定器一端係組設於該底板單元,而該樞接桿一端樞接該固定器,該樞接桿另端則樞接該人工血管模組。Furthermore, the universal rotation unit includes a fixer and a pivot rod, one end of the fixer is assembled on the base unit, one end of the pivot rod is pivotally connected to the fixer, and the other end of the pivot rod is pivotally connected to the artificial blood vessel module.
進一步地,該人工血管手術教具包含有一注射單元,該注射單元具有一注射管徑與一注射容積,而該儲液單元具有一儲液管徑與一儲液容積,該注射管徑係大於該儲液管徑,且該注射容積大於該儲液容積。Furthermore, the artificial blood vessel surgery teaching aid includes an injection unit having an injection tube diameter and an injection volume, and the liquid storage unit having a liquid storage tube diameter and a liquid storage volume, the injection tube diameter is larger than the liquid storage tube diameter, and the injection volume is larger than the liquid storage volume.
是以,本發明之人工血管手術教具較先前技術有以下有益功效:Therefore, the artificial blood vessel surgery teaching aid of the present invention has the following beneficial effects compared with the prior art:
本發明之該人工血管手術教具,其係利用3D列印技術列印癌症病人的胸頸部模型來做為該人體模擬器,並將該人體模擬器之該本體單元設有該結合孔,藉由該結合孔來設置組設有該人工血管模組的該可替換操作平台,且該本體單元與所組設之該可替換操作平台之外側面並可覆蓋所模擬練習的癌症病人的狀況而選擇對應的顏色與厚度之該人工皮膚層,並讓人工皮膚層完全覆蓋在該人工血管模組,使得該人工血管模組鄰接該人工皮膚層,且該矽膠層位於該人工血管模組與該第二表面間之該第一厚度大於該矽膠層位於該人工血管模組與該第一表面間之該第二厚度,再者,練習的醫護人員也可以透過更換該可替換操作平台,使該可替換操作平台可以模擬該人工血管模組位於不同位置的狀態,進一步地,讓醫護人員可以練習該人工血管模組與該第一表面的距離不同或者具不同傾斜角度時,醫護人員如何將彎針置入該人工血管模組內,如此,該人工血管手術教具不僅讓相關醫護人員有相關教具可以進行練習,還可以使真實操作過程中,降低操作不當對病患可能產生的各種感染狀況的機率,進而提升病人照護品質。The artificial blood vessel surgery teaching aid of the present invention utilizes 3D printing technology to print a chest and neck model of a cancer patient as the human body simulator, and the main body unit of the human body simulator is provided with the coupling hole, and the replaceable operating platform provided with the artificial blood vessel module is provided through the coupling hole, and the outer side of the main body unit and the replaceable operating platform provided can cover the artificial skin layer of the color and thickness corresponding to the condition of the simulated cancer patient, and the artificial skin layer is completely covered on the artificial blood vessel module, so that the artificial blood vessel module is adjacent to the artificial skin layer, and the first thickness of the silicone layer between the artificial blood vessel module and the second surface is greater than the thickness of the silicone layer. The gel layer is located at the second thickness between the artificial blood vessel module and the first surface. Furthermore, the practicing medical staff can also replace the replaceable operating platform so that the replaceable operating platform can simulate the state of the artificial blood vessel module being located in different positions. Further, the medical staff can practice how to insert the curved needle into the artificial blood vessel module when the artificial blood vessel module is at different distances from the first surface or has different inclination angles. In this way, the artificial blood vessel surgery teaching aid not only allows the relevant medical staff to have relevant teaching aids for practice, but also reduces the probability of various infections that may be caused to patients due to improper operation during the real operation process, thereby improving the quality of patient care.
茲就本申請案的技術特徵暨操作方式舉數個較佳實施態樣,並配合圖示說明謹述於后,俾提供審查參閱。再者,本發明中之圖式,為便於說明其比例未必按實際比例繪製,圖式中之比例並不用以限制本發明所欲請求保護之範圍。Several preferred implementation modes of the technical features and operation methods of this application are listed below with illustrations for your reference. Furthermore, the proportions of the drawings in this invention may not be drawn according to the actual proportions for the convenience of explanation, and the proportions in the drawings shall not limit the scope of protection sought by this invention.
關於本發明之技術,請參照第1圖至第5圖所示,其係為本發明所提供之一種人工血管手術教具100,該人工血管手術教具100用以提供可進行模擬注射之一注射單元200設置一彎針210來進行注射,而該注射單元200並具有一注射管徑R1與一注射容積W1,請先參閱第1圖至第3圖所示,而該人工血管手術教具100係包含有一人體模擬器10、一可替換操作平台20、一人工皮膚層30及一處理單元40,其中:Regarding the technology of the present invention, please refer to FIGS. 1 to 5, which are an artificial blood vessel surgery teaching aid 100 provided by the present invention. The artificial blood vessel surgery teaching aid 100 is used to provide an injection unit 200 for simulated injection, which is provided with a curved needle 210 for injection, and the injection unit 200 has an injection diameter R1 and an injection volume W1. Please refer to FIGS. 1 to 3, and the artificial blood vessel surgery teaching aid 100 includes a human body simulator 10, a replaceable operating platform 20, an artificial skin layer 30 and a processing unit 40, wherein:
該人體模擬器10,係包含有一本體單元11、一容置空間12、一結合孔13及一第一卡扣單元14,請參閱第1圖至第4圖所示,其中,該本體單元11設有該容置空間12並於週側貫設有一結合孔13,該結合孔13與該容置空間12相連通,且該本體單元11於設置該結合孔13之側壁並設置該第一卡扣單元14,該本體單元11的外側表面並設有複數第一連接單元15,於本實施例中,該本體單元11可以採3D列印方式或其他翻模製造等方式形成一般要練習之人體的胸頸部形狀或所要模擬練習之病患的胸頸部形狀,該胸頸部的範圍大致上是左側胸壁、鎖骨以下、乳頭以上及外側腋下為界,但不以此為限;The human body simulator 10 includes a body unit 11, a receiving space 12, a coupling hole 13 and a first buckle unit 14. Please refer to FIGS. 1 to 4. The body unit 11 is provided with the receiving space 12 and a coupling hole 13 is provided on the periphery thereof. The coupling hole 13 is connected to the receiving space 12. The body unit 11 is provided with the first buckle unit 14 on the side wall where the coupling hole 13 is provided. The buckle unit 14 is provided on the outer surface of the main body unit 11 and a plurality of first connecting units 15 are provided. In this embodiment, the main body unit 11 can be formed into the chest and neck shape of a general human body to be trained or the chest and neck shape of a patient to be simulated for training by 3D printing or other methods such as re-molding. The chest and neck range is generally bounded by the left chest wall, below the clavicle, above the nipple and the outer armpit, but is not limited thereto;
該可替換操作平台20,係包含有一人工血管模組21、一第二卡扣單元22與一矽膠層23,該矽膠層23並具有一第一表面231與相對於該第一表面231設置之一第二表面232,其中,該人工血管模組21係組設於該矽膠層23,而該矽膠層23外環側係組設有該第二卡扣單元22,該可替換操作平台20藉由該第二卡扣單元22組設對應之該第一卡扣單元14,進而使該可替換操作平台20組設於該人體模擬器10之該結合孔13上,而該人工血管模組21並連接一連接管211,而該連接管211一端連通該人工血管模組21,其另端並連通一儲液單元212,且該連接管211並組設有一感測單元213用以感測該連接管211所連接之該人工血管模組21之壓力變化,而該本體單元11上並設有一警示單元16,本實施例之該警示單元16包含複數指示燈161所組成,但不以此為限,而該儲液單元212具有一儲液管徑R2與一儲液容積W2,於本實施中所使用之該人工血管模組21的型號為Port-A型號,但不以此為限;The replaceable operation platform 20 includes an artificial blood vessel module 21, a second buckle unit 22 and a silicone layer 23. The silicone layer 23 has a first surface 231 and a second surface 232 arranged opposite to the first surface 231. The artificial blood vessel module 21 is assembled on the silicone layer 23, and the second buckle unit 22 is assembled on the outer ring side of the silicone layer 23. The replaceable operation platform 20 is assembled on the coupling hole 13 of the human body simulator 10 by assembling the corresponding first buckle unit 14 through the second buckle unit 22. The artificial blood vessel module 21 is connected to the second buckle unit 22. A connecting tube 211, one end of which is connected to the artificial blood vessel module 21, and the other end of which is connected to a liquid storage unit 212, and the connecting tube 211 is also provided with a sensing unit 213 for sensing the pressure change of the artificial blood vessel module 21 connected to the connecting tube 211, and the main body unit 11 is also provided with a warning unit 16, the warning unit 16 of this embodiment includes a plurality of indicator lights 161, but not limited thereto, and the liquid storage unit 212 has a liquid storage pipe diameter R2 and a liquid storage volume W2, and the model of the artificial blood vessel module 21 used in this embodiment is a Port-A model, but not limited thereto;
該人工皮膚層30,請再參閱第3圖與第4圖所示,該人工皮膚層30係覆蓋於該本體單元11的外側表面與組設於該本體單元11之該可替換操作平台20之該第一表面231,而該人工皮膚層30相對該等第一連接單元15的位置設有複數第二連接單元31,該等第二連接單元31係可分別組合於對應之該等第一連接單元15其中之一者,其中,該人工皮膚層30可以依需求而為透明之矽膠單元、或者是非透明之矽膠單元,或者是具有不同厚度之矽膠單元形成,用以使該人工皮膚層30可以模擬真實的人體皮膚之皮下組織;The artificial skin layer 30, please refer to FIG. 3 and FIG. 4 again. The artificial skin layer 30 covers the outer surface of the main body unit 11 and the first surface 231 of the replaceable operating platform 20 assembled on the main body unit 11, and the artificial skin layer 30 is provided with a plurality of second connection units 31 at positions relative to the first connection units 15. The second connection units 31 can be respectively assembled with one of the corresponding first connection units 15. The artificial skin layer 30 can be a transparent silicone unit, a non-transparent silicone unit, or a silicone unit with different thicknesses according to needs, so that the artificial skin layer 30 can simulate the subcutaneous tissue of real human skin;
該處理單元40,係容置於該容置空間12,並分別電性連接該感測單元213與該警示單元16,藉以接收與處理其電性連接之該感測單元213所傳輸之訊號,並控制電性連接之該警示單元16產生警示燈號,本實施例之該處理單元40會控制該警示單元16之該等指示燈161產生警示燈號;The processing unit 40 is accommodated in the accommodation space 12 and is electrically connected to the sensing unit 213 and the warning unit 16, respectively, so as to receive and process the signal transmitted by the sensing unit 213 electrically connected thereto, and control the warning unit 16 electrically connected thereto to generate a warning light signal. The processing unit 40 of this embodiment controls the indicator lights 161 of the warning unit 16 to generate a warning light signal;
其中,該人工皮膚層30鄰接該人工血管模組21,而該第一表面231位於該人工皮膚層30與該人工血管模組21之間,且該矽膠層23位於該人工血管模組21與該第二表面232間之一第一厚度D1大於該矽膠層23位於該人工血管模組21與該第一表面231間之一第二厚度D2,並使該注射管徑R1係大於該儲液管徑R2,且該注射容積W1大於該儲液容積W2。In which, the artificial skin layer 30 is adjacent to the artificial blood vessel module 21, and the first surface 231 is located between the artificial skin layer 30 and the artificial blood vessel module 21, and a first thickness D1 of the silicone layer 23 between the artificial blood vessel module 21 and the second surface 232 is greater than a second thickness D2 of the silicone layer 23 between the artificial blood vessel module 21 and the first surface 231, and the injection tube diameter R1 is greater than the liquid storage tube diameter R2, and the injection volume W1 is greater than the liquid storage volume W2.
其中,該人工皮膚層30係覆蓋該人工血管模組21上,因此,當要讓臨床醫護人員可以觀察到彎針210如何進入到該人工血管模組21時,則可以選擇該人工皮膚層30係為透明之矽膠單元,待熟悉操作後再改為非透明之矽膠單元的該人工皮膚層30;The artificial skin layer 30 covers the artificial blood vessel module 21. Therefore, when clinical medical staff need to observe how the curved needle 210 enters the artificial blood vessel module 21, the artificial skin layer 30 can be selected to be a transparent silicone unit. After becoming familiar with the operation, the artificial skin layer 30 can be changed to a non-transparent silicone unit.
請再參閱第5圖所示,其係為本創作另一實施例之該人工血管手術教具100,其主要結構與上述實施例大致相同部份並不再贅述,而其主要差異係於該可替換操作平台20設有一萬向轉動單元50及組設於該容置空間12內之一底板單元60,而該萬向轉動單元50包含有一固定器51與一樞接桿52,該固定器51一端係組設於該底板單元60,而該樞接桿52一端樞接該固定器51,該樞接桿52另端則樞接該人工血管模組21。Please refer to Figure 5 again, which is the artificial blood vessel surgery teaching aid 100 of another embodiment of the present invention. Its main structure is roughly the same as the above-mentioned embodiment and will not be repeated here. The main difference is that the replaceable operating platform 20 is provided with a universal rotation unit 50 and a base unit 60 assembled in the accommodating space 12, and the universal rotation unit 50 includes a fixer 51 and a pivot rod 52, one end of the fixer 51 is assembled on the base unit 60, and one end of the pivot rod 52 is pivotally connected to the fixer 51, and the other end of the pivot rod 52 is pivotally connected to the artificial blood vessel module 21.
請先參閱第1圖至第4圖所示,該人體模擬器10依需求選擇好適合的該可替換操作平台20後,並使該第二卡扣單元22組設於該第一卡扣單元14,如此該可替換操作平台20可被容置於該結合孔13,此時,再將該人工皮膚層30之該等第二連接單元31貼覆在對應的該等第一連接單元15,而本實施例之該等第一連接單元15與該等第二連接單元31係為魔鬼氈的公件與母件,但不以此為限,並將該連接管211結合至該人工血管模組21與該儲液單元212,如此,使用者就可以透過該注射單元200與該彎針210來進行模擬練習,再者,為貼近臨床操作的真實性,該人工血管手術教具100可以提供多組的該可替換操作平台20進行更換,請再參閱第4圖所示,而上述的該可替換操作平台20會使該人工血管模組21設於該矽膠層23的不同位置,並使該第一厚度D1與該第二厚度D2不同,藉此,可以模擬該人工血管模組21植入於不同癌症病人胸壁時,在胸壁處可能設置的各種位置或可能設置的傾斜度,又,請再參閱第5圖所示,該可替換操作平台20另一實施例係設有該萬向轉動單元50,如此醫護人員操作該萬向轉動單元50之該樞接桿52之傾斜度,使得該人工血管模組21也可用以模擬該人工血管模組21植入於不同癌症病人胸壁時,在不同胸壁位置所可能的傾斜度,再者,該人工血管模組21雖被該矽膠層23所包覆,但該人工血管模組21鄰接該人工皮膚層30,而不會與覆蓋於該矽膠層23外側面的該人工皮膚層30直接接觸,所以位於非人工血管模組21處之該人工皮膚層30和位於人工血管模組21處之該人工皮膚層30之間的該矽膠層23厚度不同,所以醫護人員藉此可以先判斷出該人工血管模組21位於該矽膠層23的所在位置,並將彎針210穿過該人工皮膚層30而置入到該人工血管模組21中進行注射動作,而該人工血管模組21所連接的該感測單元213會感測彎針210是否有正確置入該人工血管模組21中進行注射,若該感測單元213感測彎針210置入不正確時,該感測單元213會回傳訊號至該處理單元40,該處理單元40會透過該警示單元16的該等指示燈161產生警示燈號或警示聲音等其中一種警示訊號來提醒操作的醫護人員。Please refer to FIG. 1 to FIG. 4. After the human body simulator 10 selects the appropriate replaceable operation platform 20 according to the needs, the second buckle unit 22 is assembled on the first buckle unit 14, so that the replaceable operation platform 20 can be accommodated in the coupling hole 13. At this time, the second connecting units 31 of the artificial skin layer 30 are attached to the corresponding first connecting units 15. The first connecting units 15 and the second connecting units 31 of this embodiment are the male and female parts of Velcro, but not limited to this. The connecting tube 211 is combined with the artificial blood vessel module 21 and the liquid storage unit 212. In this way, the user can inject the liquid through the injection unit. The artificial blood vessel module 21 can be placed at different positions of the silicone layer 23 and the first thickness D1 can be different from the second thickness D2. In this way, the artificial blood vessel module 21 can be placed at various positions or at various inclinations at the chest wall when implanted in the chest wall of different cancer patients. Please refer to FIG. 5 for another embodiment of the replaceable operating platform 20. The artificial blood vessel module 21 can be used to simulate the possible inclination of the artificial blood vessel module 21 at different chest wall positions when the artificial blood vessel module 21 is implanted in the chest wall of different cancer patients. Furthermore, although the artificial blood vessel module 21 is covered by the silicone layer 23, the artificial blood vessel module 21 is adjacent to the artificial skin layer 30, and does not directly contact the artificial skin layer 30 covering the outer side of the silicone layer 23. Therefore, the thickness of the silicone layer 23 between the artificial skin layer 30 located at the non-artificial blood vessel module 21 and the artificial skin layer 30 located at the artificial blood vessel module 21 is different, so the medical staff can adjust the inclination of the artificial blood vessel module 21 at different chest wall positions. The personnel can thereby first determine the location of the artificial blood vessel module 21 at the silicone layer 23, and insert the curved needle 210 through the artificial skin layer 30 into the artificial blood vessel module 21 for injection. The sensing unit 213 connected to the artificial blood vessel module 21 will sense whether the curved needle 210 is correctly inserted into the artificial blood vessel module 21 for injection. If the sensing unit 213 senses that the curved needle 210 is not correctly inserted, the sensing unit 213 will send a signal back to the processing unit 40, and the processing unit 40 will generate one of the warning signals such as a warning light or a warning sound through the indicator lights 161 of the warning unit 16 to remind the operating medical staff.
又,請參閱第2圖至第3圖所示,該注射單元200藉由該彎針210對該人工血管模組21進行注射時,由於該人工血管模組21係組設有該連接管211與該儲液單元212,如此,在進行模擬注射時,該儲液單元212可以儲存該注射單元200注射至該人工血管模組21的液體;再者,該注射單元200的該注射管徑R1與該注射容積W1係大於該儲液單元212的該儲液管徑R2與該儲液容積W2,所以待模擬注射後,還可以透過該注射單元200將儲存於該儲液單元212中的液體抽回至該注射單元200。In addition, please refer to Figures 2 to 3. When the injection unit 200 injects the artificial blood vessel module 21 through the curved needle 210, since the artificial blood vessel module 21 is composed of the connecting tube 211 and the liquid storage unit 212, the liquid storage unit 212 can store the liquid injected into the artificial blood vessel module 21 by the injection unit 200 during the simulated injection. Furthermore, the injection tube diameter R1 and the injection volume W1 of the injection unit 200 are larger than the liquid storage tube diameter R2 and the liquid storage volume W2 of the liquid storage unit 212. Therefore, after the simulated injection, the liquid stored in the liquid storage unit 212 can be drawn back to the injection unit 200 through the injection unit 200.
綜上所述,本發明之該人工血管手術教具100,其係利用3D列印技術列印癌症病人的胸頸部模型來做為該人體模擬器10,並將該人體模擬器10之該本體單元11設有該結合孔13,藉由該結合孔13來設置組設有該人工血管模組21的該可替換操作平台20,且該本體單元11與所組設之該可替換操作平台20之外側面並可覆蓋所模擬練習的癌症病人的狀況而選擇所對應之適當顏色與厚度之該人工皮膚層30,並讓人工皮膚層30完全覆蓋在該人工血管模組21,使得該人工血管模組21鄰接該人工皮膚層30,且該矽膠層23位於該人工血管模組21與該第二表面232間之該第一厚度D1大於該矽膠層23位於該人工血管模組21與該第一表面231間之該第二厚度D2,再者,練習的醫護人員也可以透過更換該可替換操作平台20,使該可替換操作平台20可以模擬該人工血管模組21位於該矽膠層23不同位置的狀態,進一步地,讓醫護人員可以練習該人工血管模組21與該第一表面231的距離不同或者具不同傾斜角度時,醫護人員如何將彎針210置入該人工血管模組21內,如此,該人工血管手術教具100不僅讓相關醫護人員有相關教具可以進行練習,還可以使真實操作過程中,降低操作不當對病患可能產生的各種感染狀況的機率,進而提升病人照護品質。In summary, the artificial blood vessel surgery teaching aid 100 of the present invention uses 3D printing technology to print a chest and neck model of a cancer patient as the human body simulator 10, and the main body unit 11 of the human body simulator 10 is provided with the coupling hole 13, and the replaceable operating platform 20 equipped with the artificial blood vessel module 21 is set through the coupling hole 13, and the main body unit 11 and the assembled The outer side of the replaceable operation platform 20 can be covered with the artificial skin layer 30 of appropriate color and thickness corresponding to the condition of the simulated cancer patient, and the artificial skin layer 30 is completely covered on the artificial blood vessel module 21, so that the artificial blood vessel module 21 is adjacent to the artificial skin layer 30, and the silicone layer 23 is located between the artificial blood vessel module 21 and the second surface 232. The thickness D1 is greater than the second thickness D2 of the silicone layer 23 between the artificial blood vessel module 21 and the first surface 231. Furthermore, the medical staff in training can also replace the replaceable operating platform 20 so that the replaceable operating platform 20 can simulate the state of the artificial blood vessel module 21 being located at different positions of the silicone layer 23. Further, the medical staff can practice the artificial blood vessel module 21. When the distance from the first surface 231 is different or the inclination angle is different, how the medical staff inserts the curved needle 210 into the artificial blood vessel module 21, so that the artificial blood vessel surgery teaching aid 100 not only allows the relevant medical staff to have relevant teaching aids for practice, but also can reduce the probability of various infections that may be caused to patients by improper operation during the real operation process, thereby improving the quality of patient care.
以上已詳細說明本發明之內容,惟以上所述者,僅為本發明之較佳實施例而已,當不能以此限定本發明實施之範圍,即凡依本發明申請專利範圍所作之均等變化與修飾,皆應仍屬本發明之專利涵蓋範圍內。The contents of the present invention have been described in detail above. However, what has been described above is only a preferred embodiment of the present invention and should not be used to limit the scope of implementation of the present invention. That is, all equivalent changes and modifications made according to the scope of the patent application of the present invention should still fall within the scope of the patent of the present invention.
100:人工血管手術教具 10:人體模擬器 11:本體單元 12:容置空間 13:結合孔 14:第一卡扣單元 15:第一連接單元 16:警示單元 161:指示燈 20:可替換操作平台 21:人工血管模組 211:連接管 212:儲液單元 213:感測單元 22:第二卡扣單元 23:矽膠層 231:第一表面 232:第二表面 30:人工皮膚層 31:第二連接單元 40:處理單元 50:萬向轉動單元 51:固定器 52:樞接桿 60:底板單元 R1:注射管徑 W1:注射容積 R2:儲液管徑 W2:儲液容積 D1:第一厚度 D2:第二厚度 200:注射單元 210:彎針 100: Artificial blood vessel surgery teaching aid 10: Human body simulator 11: Main unit 12: Accommodation space 13: Combination hole 14: First buckle unit 15: First connection unit 16: Warning unit 161: Indicator light 20: Interchangeable operation platform 21: Artificial blood vessel module 211: Connecting tube 212: Liquid storage unit 213: Sensing unit 22: Second buckle unit 23: Silicone layer 231: First surface 232: Second surface 30: Artificial skin layer 31: Second connection unit 40: Processing unit 50: Universal rotation unit 51: Fixer 52: Artificial rod 60: Base unit R1: Injection tube diameter W1: Injection volume R2: Liquid storage tube diameter W2: Liquid storage volume D1: First thickness D2: Second thickness 200: Injection unit 210: Bend needle
第1圖:為本發明之人工血管手術教具之立體組合示意圖。 第2圖:為第1圖沿A-A剖線之剖面示意圖。 第3圖:為本發明之人工血管手術教具其操作使用時該警示單元產生警示之動作示意圖。 第4圖:為本發明之人工血管手術教具組設不同之可替換操作平台之操作示意圖。 第5圖:為本發明另一實施例之人工血管手術教具之剖面示意圖。 Figure 1: A schematic diagram of a three-dimensional assembly of the artificial vascular surgery teaching aid of the present invention. Figure 2: A schematic diagram of a cross-section along the A-A section line of Figure 1. Figure 3: A schematic diagram of the action of the warning unit generating a warning when the artificial vascular surgery teaching aid of the present invention is used. Figure 4: A schematic diagram of the operation of the artificial vascular surgery teaching aid of the present invention with different replaceable operating platforms. Figure 5: A schematic diagram of a cross-section of an artificial vascular surgery teaching aid of another embodiment of the present invention.
100:人工血管手術教具 100: Artificial blood vessel surgery teaching aids
10:人體模擬器 10: Human simulator
11:本體單元 11: Main unit
13:結合孔 13: Binding hole
16:警示單元 16: Warning unit
161:指示燈 161: indicator light
20:可替換操作平台 20: Interchangeable operating platform
21:人工血管模組 21: Artificial blood vessel module
211:連接管 211:Connecting pipe
212:儲液單元 212: Liquid storage unit
213:感測單元 213:Sensing unit
30:人工皮膚層 30: Artificial skin layer
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| US11328625B2 (en) * | 2017-08-30 | 2022-05-10 | SurgiReal Products, Inc. | Vessel cutdown simulant |
| GB2577097B (en) * | 2018-09-13 | 2022-04-06 | Trauma Simulations Ltd | A simulated blood vessel for use in a trauma simulator |
| TWM593631U (en) * | 2019-12-10 | 2020-04-11 | 臺中榮民總醫院 | Teaching aids for difficult vascular puncture |
| TWM597958U (en) * | 2020-03-20 | 2020-07-01 | 臺北醫學大學 | Artificial blood vessel injection simulator |
| CN215814736U (en) * | 2021-07-21 | 2022-02-11 | 广西医科大学第二附属医院(广西医科大学第二临床医学院) | Artificial blood vessel internal fistula puncture mould |
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2022
- 2022-12-29 TW TW111150604A patent/TWI813524B/en active
Also Published As
| Publication number | Publication date |
|---|---|
| TWI813524B (en) | 2023-08-21 |
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