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TWI679963B - Minimally invasive surgery simulation training device - Google Patents

Minimally invasive surgery simulation training device Download PDF

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Publication number
TWI679963B
TWI679963B TW107135829A TW107135829A TWI679963B TW I679963 B TWI679963 B TW I679963B TW 107135829 A TW107135829 A TW 107135829A TW 107135829 A TW107135829 A TW 107135829A TW I679963 B TWI679963 B TW I679963B
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minimally invasive
invasive surgery
perforation
training device
simulation training
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TW107135829A
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Chinese (zh)
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TW202014157A (en
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謝慶隆
劉益瑞
廖子瓏
楊佳叡
洪濬宸
陳韋樵
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逢甲大學
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Publication of TW202014157A publication Critical patent/TW202014157A/en

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Abstract

本發明提供一種微創手術模擬訓練裝置,其係利用主槽體之二側各別設置至少一穿孔,一管件穿設於該主槽體之一內側,並利用該管件模擬血管,將該管件設置一開口模擬血管傷口,以流體流動於該管件中,以模擬血液,本發明再以感測元件感測管件中之流體,偵測流體流出開口之流量,再樞接二側板及至少一操作面板於主槽體之一上方,利用至少一操作面板上之複數前操作穿孔及至少一觀測孔使手術器具可伸至主槽體中,進行模擬手術訓練。The invention provides a minimally invasive surgery simulation training device, which uses at least one perforation on two sides of a main groove body, a tube is penetrated inside one of the main groove body, and the tube is used to simulate a blood vessel, and the tube is An opening simulates a vascular wound, and fluid flows in the tube to simulate blood. In the present invention, the sensing element senses the fluid in the tube, detects the flow of the fluid out of the opening, and pivots the two side plates and at least one operation. The panel is above one of the main grooves, and a plurality of front operation perforations and at least one observation hole on at least one operation panel are used to allow the surgical instrument to extend into the main groove for simulated surgery training.

Description

微創手術模擬訓練裝置Minimally invasive surgery simulation training device

本發明是關於一種微創手術模擬訓練裝置,尤其係模擬血管出血,並可依出血量發出警訊之手術模擬訓練裝置。 The invention relates to a minimally invasive surgery simulation training device, in particular to a surgery simulation training device that simulates blood vessel bleeding and can issue a warning signal according to the amount of bleeding.

早期的微創手術專指腹腔鏡手術,因為傳統的開腹手術因為傷口較大,已逐漸被腹腔鏡手術所取代。隨著微創手術技術的普及,才擴展至其他部位的手術裡。微創手術的優點是手術切開的傷口相較於一般傳統手術小,使病患康復的時間得以大幅減少。 Early minimally invasive surgery specifically refers to laparoscopic surgery, because traditional open surgery has been gradually replaced by laparoscopic surgery because of the larger wound. With the popularity of minimally invasive surgery technology, it has been extended to other areas of surgery. The advantage of minimally invasive surgery is that the wound that is opened by surgery is smaller than that of traditional surgery, so that the patient's recovery time can be greatly reduced.

現今微創手術在的醫療體系中有著重要的地位,其因患者對於外表美觀或是對於術後傷口的復原的需求,微創手術都有著良好的效果。其中,達文西微創手術系統更是科學與醫學知識的技術結晶,讓醫生透過複數的機械手臂達成人體手臂無法做到的精密操作,使微創手術更加穩定與順利。 Today, minimally invasive surgery has an important position in the medical system. Because of the patient's beautiful appearance or the need for postoperative wound recovery, minimally invasive surgery has a good effect. Among them, the Da Vinci minimally invasive surgery system is the technical crystallization of scientific and medical knowledge, allowing doctors to achieve precise operations that cannot be performed by the human arm through a plurality of mechanical arms, making the minimally invasive surgery more stable and smooth.

一般醫生在審視患者之病況後,會評估有沒有進行達文西手術的必要,若無必要則通常會進行腹腔鏡手術來完成,而腹腔鏡手術的經驗對於醫生在評估是否進行達文西手術是一個很重要的依據基礎。因此腹腔鏡手術的訓練是必不可少的,也因為如此,醫學相關業界相繼發展出各式各樣,用於腹腔鏡手術的模擬裝置,而其經常出現在手術相關人員的訓練課程中。 Generally, after examining the patient's condition, doctors will evaluate the need for Da Vinci surgery. If not necessary, they will usually perform laparoscopic surgery. The experience of laparoscopic surgery is a great way for doctors to evaluate whether to perform Da Vinci surgery. Very important basis. Therefore, the training of laparoscopic surgery is indispensable. Because of this, the medical related industries have successively developed a variety of simulation devices for laparoscopic surgery, which often appear in the training courses of surgical related personnel.

近年來腹腔鏡手術模擬裝置的發展十分發達。從簡易模擬裝置到虛擬實境(VR)模擬等模擬裝置都有。其中雖然虛擬實境(VR)模擬的模擬裝置可以做出擬真的環境提供給訓練人員,但跟實際操作的手感仍有一定差距。因此本發明設計出一個仿真的模擬裝置模擬手術時的真實感。 In recent years, the development of laparoscopic surgery simulation devices has been very developed. There are simulation devices ranging from simple simulation devices to virtual reality (VR) simulations. Among them, although the simulation device simulated by virtual reality (VR) can provide a realistic environment for training personnel, there is still a certain gap with the feel of actual operation. Therefore, the invention designs a simulation device to simulate the realism during the operation.

在本發明的模擬裝置於模擬中,訓練人員的目標是操作手術器械,試著去縫合模擬裝置中的模擬血管。模擬裝置其係利用流體循環系統,透過水壓及流速的調控,本發明可以控制模擬血管的出血量來模擬各種出血情形。同時利用回收之流體流量感測裝置,可以得知訓練人員在模擬手術中使病患流失多少血量。並可針對不同部位的病灶調整模擬裝置內部之元件構造來模擬該病況。本發明以各種要病況的模擬中,讓訓練人員獲得真實的手術體驗的同時,增加對於腹腔鏡手術的經驗。 In the simulation device of the present invention in the simulation, the goal of the trainer is to operate a surgical instrument and try to sew the simulated blood vessel in the simulation device. The simulation device uses a fluid circulation system, and through the regulation of water pressure and flow rate, the present invention can control the amount of bleeding in a simulated blood vessel to simulate various bleeding situations. At the same time, by using the recovered fluid flow sensing device, it is possible to know how much blood the trainee has lost during the simulated operation. The component structure inside the simulation device can be adjusted for the lesions in different parts to simulate the condition. In the simulation of various required conditions, the present invention allows trainers to obtain a real surgical experience while increasing the experience of laparoscopic surgery.

接續上述,因此本發明提供一種微創手術模擬訓練裝置,其係利用主槽體之二側各別設置至少一穿設孔,再穿設一管件於該主槽體內,並利用該管件模擬血管,將該管件設置一開口模擬血管傷口,以流體流動於該管件中,以模擬血液,本發明再以感測元件感測管件中之流體,偵測流體流出開口之流量,以模擬出血量,再樞接二側板及至少一操作面板於主槽體之一上方,利用至少一操作面板上之複數前操作穿孔及至少一觀測孔使手術器具可伸至主槽體中,進行模擬手術訓練。 Following the above, the present invention provides a minimally invasive surgery simulation training device, which uses at least one perforation hole on each side of the main groove body, and then inserts a pipe into the main groove body, and uses the pipe piece to simulate blood vessels An opening is set to simulate the blood vessel wound in the tube, and fluid flows in the tube to simulate blood. The present invention further senses the fluid in the tube with a sensing element, and detects the flow of the fluid out of the opening to simulate the amount of bleeding. The two side plates and at least one operation panel are pivotally connected above one of the main grooves, and a plurality of pre-operational perforations and at least one observation hole on the at least one operation panel are used to extend the surgical instruments into the main groove for simulated surgery training.

本發明之一目的在於提供一種微創手術模擬訓練裝置,其係利用主槽體上方樞接至少一操作面板,且該操作面板呈一斜度,並使該主槽體上方呈一可封閉之封頂面板組構成,以利微創手術模擬訓練之進行。 One object of the present invention is to provide a minimally invasive surgery simulation training device, which uses at least one operation panel to be pivotally connected above the main tank body, and the operation panel has an inclination, so that the top of the main tank body can be closed. The capping panel group is formed to facilitate the simulation training of minimally invasive surgery.

本發明之一目的在於提供一種微創手術模擬訓練裝置,其係利用主槽體穿設一管件,並設置開口於管件之一上方,再輸送流體於該管件使其漏出,以模擬血管出血量之微創手術掌控訓練。 One object of the present invention is to provide a minimally invasive surgery simulation training device, which uses a main groove body to perforate a tube, and an opening is arranged above one of the tubes, and then a fluid is delivered to the tube to leak out to simulate the amount of blood vessel bleeding. Minimally invasive surgery controls training.

為達到上述之各目的與功效,本發明揭露一種微創手術模擬訓練裝置,其包含:一主槽體,其內側設置一容置空間,該主槽體之一側設置至少一第一穿設孔,另一側設置至少一第二穿設孔;一封頂面板組,該封頂面板組係設於該主槽體上方,使形成一封閉之架構,該封頂面板組至少包括有二側面板及一操作面板,該側面板、該操作面板之底端分別樞接於該主槽體上方,該操作面板係呈一斜度抵接於該側面板上,該操作面板設置複數個前操作穿孔。 In order to achieve the above-mentioned objects and effects, the present invention discloses a minimally invasive surgery simulation training device, which includes: a main groove body, an accommodation space is provided on the inner side, and at least one first penetrating device is provided on one side of the main groove body. Hole, the other side is provided with at least one second penetrating hole; a top panel group, the top panel group is arranged above the main groove body to form a closed structure, the top panel group includes at least two side panels and An operation panel, the side panel, and the bottom end of the operation panel are respectively pivoted above the main groove body. The operation panel abuts on the side panel at an inclination. The operation panel is provided with a plurality of front operation holes.

本發明之一實施例中,其中該容置空間設置一斜面,該斜面連接一溝槽。 In an embodiment of the present invention, the accommodation space is provided with an inclined surface, and the inclined surface is connected to a groove.

本發明之一實施例中,其中該主槽體之一側設置一排水穿孔。 In one embodiment of the present invention, a drainage perforation is provided on one side of the main groove body.

本發明之一實施例中,其中該排水穿孔穿設一管件,該管件之一端插設於該溝槽,該管件並連通一抽水馬達。 In an embodiment of the present invention, the drainage perforation passes through a pipe piece, one end of the pipe piece is inserted into the groove, and the pipe piece communicates with a pumping motor.

本發明之一實施例中,其中該管件連通一感測元件,該感測元件偵測流量達到一預設流量時,該感測元件發出一警報。 In one embodiment of the present invention, the tube is connected to a sensing element, and the sensing element issues an alarm when the sensing element reaches a preset flow rate.

本發明之一實施例中,其中該側面板上係設有一操作穿孔。 In one embodiment of the present invention, an operation hole is provided on the side plate.

本發明之一實施例中,其中該操作面板設置有一觀測穿孔,該觀測穿孔外側底緣設有一拖架件,該觀測穿孔內側底緣設有一導集板。 In an embodiment of the present invention, the operation panel is provided with an observation perforation, a trailer member is provided on the outer bottom edge of the observation perforation, and a guide plate is provided on the inner bottom edge of the observation perforation.

本發明之一實施例中,其中該觀測穿孔設置一擋水板,該擋水板位於該拖架件上而遮住該觀測穿孔。 In one embodiment of the present invention, the observation perforation is provided with a water blocking plate, and the water blocking plate is located on the trailer member to cover the observation perforation.

本發明之一實施例中,其中該主槽體內設有一隔板,該隔板連接於該二側面板之間。 In one embodiment of the present invention, a partition plate is disposed in the main groove body, and the partition plate is connected between the two side panels.

10‧‧‧微創手術模擬設備之血量收集裝置 10‧‧‧ Blood volume collection device for minimally invasive surgery simulation equipment

100‧‧‧主槽體 100‧‧‧ main tank

102‧‧‧封頂面板組 102‧‧‧Ceiling panel group

110‧‧‧排水穿孔 110‧‧‧ drainage perforation

120‧‧‧容置空間 120‧‧‧accommodation space

122‧‧‧聚集導流件 122‧‧‧Gathering guide

123‧‧‧斜面 123‧‧‧ bevel

124‧‧‧供水槽 124‧‧‧ water tank

126‧‧‧隔板 126‧‧‧ partition

128‧‧‧收集槽 128‧‧‧ collection tank

129‧‧‧底撐件 129‧‧‧ bottom support

130‧‧‧前穿設孔 130‧‧‧Front through hole

131‧‧‧底撐斜部 131‧‧‧ bottom support ramp

132‧‧‧掛架 132‧‧‧ rack

133‧‧‧抵腳 133‧‧‧ arrived

140‧‧‧第一穿設孔 140‧‧‧First through hole

160‧‧‧第二穿設孔 160‧‧‧Second through hole

170‧‧‧排水穿孔 170‧‧‧ drainage perforation

180‧‧‧第一管件 180‧‧‧The first pipe fitting

182‧‧‧開口 182‧‧‧ opening

190‧‧‧第二管件 190‧‧‧Second pipe fitting

192‧‧‧抽水口 192‧‧‧pump

20‧‧‧行動裝置 20‧‧‧ mobile device

200‧‧‧側面板 200‧‧‧ side panel

220‧‧‧側操作穿孔 220‧‧‧ side operation perforation

30‧‧‧流體 30‧‧‧ fluid

300‧‧‧操作面板 300‧‧‧ operation panel

302‧‧‧斜度 302‧‧‧ slope

320‧‧‧前操作穿孔 320‧‧‧ before operation perforation

340‧‧‧觀測穿孔 340‧‧‧ observe perforation

360‧‧‧拖架件 360‧‧‧ Trailer

370‧‧‧導集板 370‧‧‧Guide plate

380‧‧‧擋水板 380‧‧‧Flap

400‧‧‧抽水馬達 400‧‧‧pump motor

500‧‧‧感測元件 500‧‧‧ sensing element

600‧‧‧泵浦 600‧‧‧Pump

700‧‧‧模擬元件 700‧‧‧ Analog

800‧‧‧水箱 800‧‧‧ water tank

900‧‧‧收集箱 900‧‧‧ collection box

第1圖:其為本發明之第一實施例之結構示意圖;第2圖:其為本發明之第一實施例之作動示意圖;第3圖:其為本發明之第一實施例之局部放大示意圖;第4圖:其為本發明之第一實施例之循環示意圖;第5圖:其為本發明之第二實施例之結構示意圖;第6圖:其為本發明之第二實施例之作動示意圖;第7圖:其為本發明之第二實施例之循環示意圖;以及第8圖:其為本發明之雙側應用實施示意圖。 Fig. 1: It is a schematic structural diagram of the first embodiment of the present invention; Fig. 2: It is a schematic diagram of the operation of the first embodiment of the present invention; Fig. 3: It is a partial enlargement of the first embodiment of the present invention Schematic diagram; FIG. 4: It is a cycle diagram of the first embodiment of the invention; FIG. 5: It is a structure diagram of the second embodiment of the invention; FIG. 6: It is a diagram of the second embodiment of the invention Schematic diagram of operation; FIG. 7 is a schematic diagram of the cycle of the second embodiment of the present invention; and FIG. 8 is a schematic diagram of the implementation of the two-sided application of the present invention.

為使 貴審查委員對本發明之特徵及所達成之功效有更進一步之瞭解與認識,謹佐以實施例及配合說明,說明如後: In order for your review members to have a better understanding and understanding of the features of the present invention and the effects achieved, I would like to provide examples and cooperative descriptions, as described below:

本發明提供一種微創手術模擬訓練裝置,其係利用主槽體之二側各別設置至少一穿設孔,一管件穿設於該主槽體內,並利用該管件模擬血管,將該管件設置一開口模擬血管傷口,以流體流動於該管件中,以模擬血液流動,再以抽取由該開口漏出之流體,以感測元件感測漏出之流體之流量,當出血超過實際手術的標準值時,給予警報,主槽體上方再樞接一封頂面板組,其包括有至少二側板及至少一操作面板於主槽體之上方,利用至少一操作面板上之複數前操作穿孔及至少一觀測孔使手術器具可伸至主槽體中,進行模擬手術訓練,以增加臨床經驗。 The invention provides a minimally invasive surgery simulation training device, which is provided with at least one perforation hole on each side of the main groove body, a tube is penetrated in the main groove body, and the tube is used to simulate a blood vessel to set the tube piece. An opening simulates a vascular wound, and fluid flows through the tube to simulate blood flow. Then, the fluid leaking from the opening is extracted, and the flow rate of the leaking fluid is sensed by the sensing element. When the bleeding exceeds the standard value of the actual operation An alarm is given, and a top panel group is pivotally connected above the main tank. The top panel group includes at least two side panels and at least one operation panel above the main tank. A plurality of front operation perforations and at least one observation hole on the at least one operation panel are used. The surgical instrument can be extended into the main groove body, and simulated surgery training is performed to increase clinical experience.

請參閱第1圖,其為本發明之第一實施例之結構示意圖,如圖所示,本實施例之一種微創手術模擬訓練裝置10,其包含一主槽體100及一封頂面板組102,用以形成可封閉之微創手術模擬訓練設備。 Please refer to FIG. 1, which is a schematic structural diagram of a first embodiment of the present invention. As shown in the figure, a minimally invasive surgery simulation training device 10 of this embodiment includes a main groove body 100 and a top panel group 102. To form a closable minimally invasive surgery simulation training device.

如第1圖.所示,該主槽體100略呈一方形盒體,但不為所限,該主槽體100之.內側具有一容置空間120,用以提供相關管件、物件設置空間及器械操作空間。主槽體100之一側設置至少一第一穿設孔140,另一側設置至少一第二穿設孔160,再將一第一管件180穿設於該第一穿設孔140而進入容置空間120內,第一管件180再穿過該第二穿設孔160,使第一管件180橫跨於主槽體100;其中第一管件180之材料係選自橡膠、樹脂及矽膠之其中之一或該些材料之組合,並將第一管件180連接一泵浦600用於輸送第一管件180中之流體且可控制流體之流速或壓力,以模擬血液流動,同時藉由其材料性質(如氣球材質等)可模擬血管之韌性與彈性。另該主槽體100之前側設置至少一前穿設孔130,該前穿設孔130可提供模擬器材之架設(參第5圖);而前述該前穿設孔130及第一穿設孔140、第二穿設孔160係可為長形槽孔或其他形狀之穿孔,但不為所限。 As shown in Figure 1., the main tank 100 is a square box, but it is not limited. The main tank 100 has a receiving space 120 on the inner side to provide space for installing related pipes and objects. And equipment operating space. At least one first through-hole 140 is provided on one side of the main tank body 100, and at least one second through-hole 160 is provided on the other side, and a first pipe member 180 is passed through the first through-hole 140 to enter the container. In the space 120, the first pipe member 180 passes through the second through hole 160, so that the first pipe member 180 crosses the main groove body 100. The material of the first pipe member 180 is selected from rubber, resin and silicone. One or a combination of these materials, and the first tube 180 is connected to a pump 600 for conveying the fluid in the first tube 180 and can control the flow rate or pressure of the fluid to simulate blood flow, and at the same time, by its material properties (Such as balloon material) can simulate the toughness and elasticity of blood vessels. In addition, at least one front through-hole 130 is provided on the front side of the main tank body 100. The front through-hole 130 can provide erection of simulated equipment (see FIG. 5); and the aforementioned front through-hole 130 and the first through-hole 140. The second through hole 160 may be an elongated slot hole or other shapes of perforations, but it is not limited.

主槽體100之上方係為一封頂面板組102,該封頂面板組102係由若干板體組架接合而成一可封閉之架構,亦即,該封頂面板組102對主槽體100之上方形成一可封閉的空間構成,該封頂面板組102至少包括有二側面板200及一操作面板300,二側面板200之底端各別樞接於主槽體100左右兩側上方,使側面板200可於主槽體100上進行翻轉擺動,當側面板200由外向內翻轉而至豎立時,即已到其定位位置,並可用來承靠抵接操作面板300;該操作面板300底端樞接於主槽體100前側上方,該操作面板300於定位時係相對具一斜度302(參第3圖)而呈一斜 板,其並抵接於二側面板200上,該操作面板300同樣可利用其與主槽體100之樞接而進行翻轉操作,其於需要時可從該操作面板300(或包括二側面板200)打開主槽體100,從而便利設置或更換容置空間120內之設備內容;該操作面板300設置複數個前操作穿孔320以及至少一觀測穿孔340;同樣地,該二側面板200上亦可設置複數個側操作穿孔220。 Above the main tank body 100 is a top panel group 102. The top panel panel group 102 is formed by a plurality of panel body frames joined to form a closable structure. That is, the top panel panel group 102 is formed above the main tank body 100. A closable space structure. The capping panel group 102 includes at least two side panels 200 and an operation panel 300. The bottom ends of the two side panels 200 are respectively pivotally connected above the left and right sides of the main tank 100, so that the side panel 200 It can be tilted on the main tank 100. When the side panel 200 is turned upside down from the outside to the upright position, it has reached its positioning position and can be used to bear against the abutting operation panel 300; the bottom end of the operation panel 300 is pivotally connected Above the front side of the main tank body 100, the operation panel 300 is relatively inclined at an angle of 302 (see FIG. 3) and is inclined at the time of positioning. Plate, which abuts on the two-side panel 200. The operation panel 300 can also be pivoted by using its pivot connection with the main tank 100. When needed, it can be operated from the operation panel 300 (or including the two-side panel). 200) Open the main slot 100 to facilitate the setting or replacement of the equipment contents in the accommodation space 120; the operation panel 300 is provided with a plurality of front operation holes 320 and at least one observation hole 340; similarly, the two side panels 200 are also A plurality of side operation perforations 220 may be provided.

請參閱第2圖,其為本發明之第一實施例之作動示意圖,如圖所示,本實施例之第一管件180連通泵浦600,並以泵浦600將一流體30於第一管件180之內部輸送,模擬血液流動,本實施例將第一管件180剪切一開口182;流體30藉由泵浦600從第一管件180對應第一穿設孔140之一端流至開口182,從而使流體30之一部分流出或噴出至該容置空間120,而另一部分之流體30繼續流至第一管件180對應第二穿設孔160之一端,利用開口182使流體30流出或噴出,模擬血管因傷口而出血,而使用人可將腹腔鏡手術器械,穿過該些個前操作穿孔320伸至容置空間120對第一管件180之開口182進行腹腔鏡手術模擬,而該側操作穿孔220則可提供助手之模擬操作訓練。 Please refer to FIG. 2, which is a schematic diagram of the operation of the first embodiment of the present invention. As shown in the figure, the first pipe member 180 of this embodiment is connected to the pump 600, and a fluid 30 is connected to the first pipe member by the pump 600. The internal transportation of 180 simulates the blood flow. In this embodiment, the first tube 180 is cut by an opening 182; the fluid 30 flows from one end of the first tube 180 to the opening 182 by the pump 600, so that One part of the fluid 30 is allowed to flow out or spray out to the accommodating space 120, and the other part of the fluid 30 continues to flow to one end of the first pipe fitting 180 corresponding to the second through hole 160, and the fluid 30 is allowed to flow out or spray out through the opening 182 to simulate a blood vessel Bleeding due to a wound, the user can extend the laparoscopic surgical instrument through the front operation perforations 320 to the accommodation space 120 to perform a laparoscopic surgery simulation on the opening 182 of the first tube 180, and the side operation perforation 220 Can provide simulation operation training for assistants.

再次參閱第2圖與參閱第3圖,第3圖為其為本發明之第一實施例之局部放大示意圖,如圖所示,本實施例中,該操作面板300成一斜度302之設置,並於操作面板300之觀測穿孔340外側底部設置一拖架件360,用以提供一行動裝置20(如手機、平板或攝影機等)置放之空間,其可使用行動裝置20之照相或錄影功能模擬腹腔鏡之鏡頭;另,該操作面板300內側於該觀測穿孔340下方處係設有一導集板370,該導集板370的寬度寬於該觀測穿孔340之寬度,或亦可與該操作面板300之寬度相當,但不為所限;該觀測穿孔340通常先設置蓋覆一擋水板380,該擋水板380係位於該拖架件360上而遮住該觀測穿孔340,該擋水板380可 為透明板體(如壓克力板),藉該擋水板380遮擋或防止容置空間120內之流體噴濺至行動裝置20,且該擋水板380之設置亦便利其後續或隨時之清潔操作處理,並使噴濺於該擋水板380的流體即可藉由該導集板370之導引再流入容置空間120內之適當位置,以便利收集、回收之操作。 Referring to FIG. 2 and FIG. 3 again, FIG. 3 is a partially enlarged schematic diagram of the first embodiment of the present invention. As shown in the figure, in this embodiment, the operation panel 300 is arranged at an inclination 302. A bracket 360 is provided at the bottom of the outer side of the observation perforation 340 of the operation panel 300 to provide a space for placing a mobile device 20 (such as a mobile phone, tablet, or video camera, etc.), which can use the camera or video function of the mobile device 20 A laparoscopic lens; in addition, a guide plate 370 is provided inside the operation panel 300 below the observation perforation 340, and the width of the guide plate 370 is wider than the width of the observation perforation 340, or it can also be operated with the operation The width of the panel 300 is equivalent, but not limited; the observation perforation 340 is usually provided with a cover plate 380 first, and the water prevention plate 380 is located on the trailer 360 to cover the observation perforation 340. Water board 380 can It is a transparent plate (such as an acrylic plate). The water blocking plate 380 is used to block or prevent the fluid in the accommodating space 120 from splashing to the mobile device 20, and the setting of the water blocking plate 380 also facilitates its subsequent or at any time. The cleaning operation is processed, and the fluid splashed on the water blocking plate 380 can be guided by the guide plate 370 and then flowed into an appropriate position in the accommodating space 120 to facilitate collection and recovery operations.

請參閱第4圖,其為本發明之第一實施例之循環示意圖,如圖所示,第一管件180穿過第一穿設孔140連通泵浦600,再穿過第二穿設孔160以連通一水箱800,該泵浦600再將水箱800中之流體從新送至第一管件180中。 Please refer to FIG. 4, which is a schematic diagram of the cycle of the first embodiment of the present invention. As shown in the figure, the first pipe 180 passes through the first through-hole 140 to communicate with the pump 600, and then passes through the second through-hole 160. In order to communicate with a water tank 800, the pump 600 sends the fluid in the water tank 800 to the first pipe 180 again.

接續上述,本實施例除了模擬腹腔鏡手術(Laparoscopic surgery)外,也可模擬達文西外科手術系統(Da Vinci Surgical System),其也可利用觀測穿孔340提供進行手術之空間。 Continuing from the above, in addition to simulating laparoscopic surgery, this embodiment can also simulate the Da Vinci Surgical System, which can also use the observation perforation 340 to provide space for surgery.

如此,本實施例提供一種微創手術模擬設備之血量收集裝置,其係利用主槽體之二側各別設置穿設孔,一管件穿設於該主槽體內,並利用該管件模擬血管,將該管件設置一開口模擬血管傷口,以流體流動於該管件中,以模擬血液流動,主槽體再樞接二側板及至少一操作面板於主槽體之一上方,利用操作面板上之複數操作穿孔使手術器具可伸至主槽體中,進行模擬手術訓練,以增加臨床經驗,且本實施例之二側板及操作面板因樞接於主槽體之一上方,而可向外開啟方便更換主槽體內之設施。 In this way, this embodiment provides a blood volume collection device for a minimally invasive surgery simulation device, which uses two holes on each side of the main tank body, a tube is passed through the main tank body, and the tube is used to simulate a blood vessel An opening is simulated on the tube to simulate a vascular wound, and fluid flows in the tube to simulate blood flow. The main groove is pivotally connected to two side plates and at least one operation panel above one of the main grooves. The multiple operation perforation allows the surgical instrument to be extended into the main tank for simulated surgical training to increase clinical experience, and the side plate and the operation panel of this embodiment can be opened outwards because they are pivoted above one of the main tanks. Convenient to replace the facilities in the main tank.

請參閱第5圖,其為本發明之第二實施例之結構示意圖,用以說明本發明之一收集裝置,如圖所示,本實施例之一種微創手術模擬設備之血量收集裝置10係基於第一實施例之結構基礎上加以設置,亦即其同樣包含第一實施例中該主槽體100、封頂面板組102等相關構件,不再贅述。 Please refer to FIG. 5, which is a schematic structural diagram of a second embodiment of the present invention to illustrate a collection device of the present invention. As shown in the figure, a blood volume collection device 10 of a minimally invasive surgery simulation device of this embodiment is shown. It is set based on the structure of the first embodiment, that is, it also includes the main groove body 100, the roof panel group 102 and other related components in the first embodiment, which will not be described again.

如第5圖所示,主槽體100之容置空間120底部設有一收集裝置,該收集裝置係包括有一聚集導流件122,該聚集導流件122至少包括有一斜面部123,該斜面部123之傾斜度是往遠離操作面板300的方向傾斜,該斜面部123係連接一收集槽128,用以收集經由該斜面部123流下之流體。在適當之實施方式中,該聚集導流件122相對該斜面部123(或收集槽128)之另側係連接有一供水槽124,亦即,該供水槽124係由該聚集導流件122與主槽體100相對設置間所形成,使該供水槽124設於該聚集導流件122與主槽體100之間,並使得該聚集導流件122之兩側則形成該收集槽128與供水槽124。 As shown in FIG. 5, a collection device is provided at the bottom of the accommodating space 120 of the main tank body 100. The collection device includes a gathering guide 122, and the gathering guide 122 includes at least an inclined surface portion 123. The inclination of 123 is inclined away from the operation panel 300. The inclined surface 123 is connected to a collecting groove 128 for collecting the fluid flowing down through the inclined surface 123. In a suitable embodiment, a water supply tank 124 is connected to the other side of the gathering guide 122 with respect to the inclined surface portion 123 (or a collection tank 128), that is, the water supply tank 124 is connected by the gathering guide 122 and The main groove body 100 is formed between the opposite installation spaces, so that the water supply groove 124 is provided between the gathering guide 122 and the main groove 100, and the collecting groove 128 and the supply groove 122 are formed on both sides of the gathering guide 122. Sink 124.

而在較佳之實施方式中,該收集裝置係進一步包括有一底撐件129(請一併參閱第8圖),該底撐件129係可如一板體而設置於該主槽體100上,且該底撐件129係設於該聚集導流件122下方,用以抵接該聚集導流件122,該底撐件129之一側相對該收集槽128處係設有一底撐斜部131,該底撐斜部131係抵接於該主槽體100之底面,另該底撐件129底面之適當位置亦設有若干抵腳133,藉該等抵腳133抵接置於主槽體100上,並撐高該底撐件129,使得該底撐件129之下方空間係連通該供水槽124,而該底撐件129之下方空間與該收集槽128間係被該底撐斜部131所阻隔。如此,該供水槽124更連通延伸至至該底撐件129之下方,而具有較大之儲存空間。 In a preferred embodiment, the collecting device further includes a bottom support member 129 (refer to FIG. 8 together). The bottom support member 129 can be disposed on the main groove 100 as a plate, and The bottom support member 129 is disposed below the gathering guide member 122 to abut the gathering guide member 122. A bottom support inclined portion 131 is provided on one side of the bottom support member 129 opposite to the collection groove 128. The bottom support inclined portion 131 is abutted against the bottom surface of the main groove body 100. In addition, a plurality of abutment legs 133 are also provided at appropriate positions on the bottom surface of the bottom support member 129. Up and support the bottom support member 129 so that the space below the bottom support member 129 communicates with the water supply tank 124, and the space below the bottom support member 129 and the collection groove 128 are connected by the bottom support slope 131 Blocked by. In this way, the water supply tank 124 extends to the bottom supporting member 129 in a more connected manner, and has a larger storage space.

再者,本實施例中,主槽體100之前側(或任一側)再設置一排水穿孔110,排水穿孔110再穿設該第一管件180,第一管件180之一端插設於容置空間120內之該供水槽124(參第4圖),以抽取供水槽124內之流體,換言之,前述第4圖所示之水箱800亦可以該供水槽124進行取代。又,本實施例中,主槽體100之後側(或任一側)另設置一排水穿孔 170,排水穿孔170再穿設一第二管件190,第二管件190之一端插設於容置空間120內之該收集槽128,另一端連通一抽水馬達400(參第7圖)以抽取收集槽128所收集之流體。如第5圖所示,使用人於該操作面板300進行手術模擬時,另一使用人亦可利用該些側操作穿孔220進行輔助或用以模擬助手訓練;又,圖示中該主槽體100之容置空間120內,通過該前穿設孔130可藉掛架132掛設一模擬元件700(如內臟等),其搭配第一管件180以模擬人體內部之器官與環境,如肝臟之血管等等。 Furthermore, in this embodiment, a drainage perforation 110 is further provided on the front side (or any side) of the main tank body 100, and the drainage perforation 110 passes through the first pipe member 180. One end of the first pipe member 180 is inserted in the container. The water supply tank 124 (see FIG. 4) in the space 120 is used to extract the fluid in the water supply tank 124. In other words, the water tank 800 shown in the aforementioned FIG. 4 can also be replaced by the water supply tank 124. In addition, in this embodiment, another drainage perforation is provided at the rear side (or any side) of the main tank body 100. 170, the drainage perforation 170 is further provided with a second pipe piece 190. One end of the second pipe piece 190 is inserted into the collection tank 128 in the accommodation space 120, and the other end is connected to a pumping motor 400 (see FIG. 7) to extract and collect The fluid collected in the tank 128. As shown in FIG. 5, when a user performs a surgical simulation on the operation panel 300, another user may also use the side operation perforations 220 to assist or simulate assistant training; and, the main groove body in the illustration In the accommodation space 120 of 100, through the front through hole 130, an analog component 700 (such as internal organs) can be hung by the hanger 132, which is matched with the first tube 180 to simulate the organs and environment inside the human body, such as the liver. Blood vessels and so on.

請參閱第4、6圖及第7圖,第6圖為本發明之第二實施例之作動示意圖,第7圖其為本發明之第二實施例之循環示意圖。如圖所示,本實施例之第一管件180連通泵浦600,並以泵浦600將一流體30於第一管件180之內部輸送,模擬血液流動,本實施例將第一管件180剪切一開口182;流體30藉由泵浦600從第一管件180對應第一穿設孔140之一端流至開口182,從而使流體30之一部分流出或噴出至該容置空間120;開口182流出或噴出或經由該導集板370導流下之流體30流經該聚集導流件122之斜面部123,流體30因重力向下流動至收集槽128進行收集,再由第二管件190連通之抽水馬達400(如第7圖所示)流至收集箱900,其中經過感測元件500,感測元件500偵測流體30之流量,達到一預設流量時,感測元件500發出一警報(聲響或燈光),以模擬出血過多之狀況;或該感測元件500亦可設於該收集箱900內用以偵測流體30之流量;另在其他實施例中,該收集槽128亦可設置感測元件,且無需有該收集箱900之設置。本實施例其他元件之作動關係及功能皆與第一實施例相同,故不再贅述。 Please refer to FIGS. 4, 6 and 7. FIG. 6 is a schematic diagram of the operation of the second embodiment of the present invention, and FIG. 7 is a schematic diagram of the cycle of the second embodiment of the present invention. As shown in the figure, the first pipe member 180 of this embodiment communicates with the pump 600, and a fluid 30 is transported inside the first pipe member 180 by the pump 600 to simulate blood flow. This embodiment cuts the first pipe member 180 An opening 182; the fluid 30 flows from one end of the first pipe member 180 corresponding to the first through hole 140 to the opening 182 by the pump 600, so that a part of the fluid 30 flows out or sprays out to the accommodation space 120; the opening 182 flows out or The fluid 30 ejected or guided by the guide plate 370 flows through the inclined surface portion 123 of the gathering guide 122, and the fluid 30 flows down to the collection tank 128 for collection due to gravity, and is then pumped by the second pipe 190. The motor 400 (as shown in FIG. 7) flows to the collection box 900, where it passes through the sensing element 500, and the sensing element 500 detects the flow rate of the fluid 30. When the preset flow rate is reached, the sensing element 500 issues an alarm (sound Or light) to simulate the situation of excessive bleeding; or the sensing element 500 can also be located in the collection box 900 to detect the flow of fluid 30; in other embodiments, the collection tank 128 can also be provided with a sense It does not need to set the collection box 900. The operation relationships and functions of other components in this embodiment are the same as those in the first embodiment, so they will not be described again.

在前述構成中,該主槽體100之上方係連結設置該封頂面板組102,使得該主槽體100及封頂面板組102可形成一封閉式箱體,且藉該 封頂面板組102之可掀轉構成,可將該操作面板300、側面板200進行開啟操作,以便利該容置空間120之佈設或相關運作處理。再者,由於使用者係面對該操作面板300進行相關模擬訓練,且相關操作器械亦係通過該操作面板300之操作穿孔320進入容置空間120內進行操作,因此,若該封頂面板組102包含兩對應側之操作面板300時,即可同時提供二人之同時使用操作,例如,該主槽體100之前、後側皆設有相同構成及連接關係之操作面板300,則可增加本發明微創手術模擬設備之血量收集裝置的使用效率。此時較佳地,該容置空間120內係設有一隔板126(參第8圖),該隔板126係位於該主槽體100(容置空間120)之中央部位且連接於主槽體100二側,通常,較佳之實施方式,係在該主槽體100二側面中央部位分別設有一嵌導槽(未圖示),該隔板126沿該嵌導槽插入即可將該主槽體100分隔成前後兩區域;或者該主槽體100底面中央部位亦可設置一對應之嵌導槽(未圖示),該主槽體100底面之嵌導槽可具有較高之高度,用以便利分隔;或者該隔板係一體成形於該收集槽上。該隔板126之高度係略高於該主槽體100之高度,使得前後兩側之操作面板300同時使用時,於該主槽體100(容置空間120)內形成各自獨立區域而不會相互干擾。 In the foregoing configuration, the roof panel group 102 is connected to the main tank body 100 so that the main tank body 100 and the roof panel group 102 can form a closed box. The capping panel group 102 can be tilted, and the operation panel 300 and the side panel 200 can be opened to facilitate the arrangement of the accommodating space 120 or related operation processing. Furthermore, since the user performs related simulation training on the operation panel 300, and the related operation instruments are also operated in the accommodation space 120 through the operation hole 320 of the operation panel 300, therefore, if the capping panel group 102 When two operation panels 300 on the opposite sides are included, two persons can be provided for simultaneous use. For example, if the front and rear sides of the main tank 100 are provided with the operation panels 300 having the same structure and connection relationship, the present invention can be added. Use efficiency of blood volume collection device of minimally invasive surgery simulation equipment. At this time, preferably, a partition 126 (refer to FIG. 8) is provided in the accommodation space 120, and the partition 126 is located at the center of the main tank body 100 (accommodation space 120) and connected to the main tank. Two sides of the body 100. Generally, a preferred embodiment is provided with an embedded guide groove (not shown) at the central part of the two sides of the main groove body 100. The partition plate 126 can be inserted along the embedded guide groove to insert the main body. The trough body 100 is divided into two areas in front and back; or the central part of the bottom surface of the main trough body 100 can also be provided with a corresponding embedded guide groove (not shown). The bottom guide groove of the main trough body 100 can have a higher height. To facilitate separation; or the partition is integrally formed on the collection tank. The height of the partition plate 126 is slightly higher than the height of the main tank body 100, so that when the operation panels 300 on the front and back sides are used at the same time, separate areas are formed in the main tank body 100 (accommodating space 120) without Interfere with each other.

又如第8圖所示,當本發明微創手術模擬設備之血量收集裝置具有前後二個操作面板300時,該主槽體100之容置空間120則藉該隔板126進行組隔,並使該主槽體100底部之收集裝置形成兩個獨立區域的對應設置。該聚集導流件122之斜面部123之傾斜度是往該隔板126(中央部位)方向傾斜,或該斜面部123之傾斜度是往遠離所在操作區域其操作面板300的方向傾斜,由於該斜面部123係連接該收集槽128,該收集槽128也可以具有較該斜面部123較低的深度,亦即,主槽體100內係包括 有二呈反向對應設置之聚集導流件122,該二聚集導流件122連接同一收集槽128,用以收集經由該斜面部123流下之流體,而在此實施方式中,該隔板126係設於該收集槽128上,或者該隔板126係設於該主槽體100其收集槽128區域之中央部位,並也可一體成形設置。 As shown in FIG. 8, when the blood volume collection device of the minimally invasive surgery simulation device of the present invention has two front and rear operation panels 300, the storage space 120 of the main tank 100 is divided by the partition plate 126. The collection device at the bottom of the main tank 100 is formed to correspond to two independent regions. The inclination of the inclined surface 123 of the gathering guide 122 is inclined toward the partition plate 126 (central portion), or the inclination of the inclined surface 123 is inclined away from the operation panel 300 of the operating area where it is located. The inclined surface portion 123 is connected to the collection groove 128. The collection groove 128 may also have a lower depth than the inclined surface portion 123, that is, the main groove body 100 includes There are two gathering guides 122 arranged in the opposite direction, and the two gathering guides 122 are connected to the same collection groove 128 for collecting the fluid flowing down through the inclined surface 123. In this embodiment, the partition plate 126 It is set on the collection tank 128, or the partition plate 126 is set on the central part of the area of the collection tank 128 of the main tank 100, and can also be integrally formed.

綜上所述,本發明為一種微創手術模擬訓練裝置,其係讓訓練人員操作手術器械,穿過至少一操作面板上之複數個操作穿孔,試著去縫合主槽體中的模擬血管也就是第一管件,而二側面板及操作面板可向外開啟,以更換第一管件或其他元件。利用第一管件、第二管件、泵浦及抽水馬達組成之流體循環系統,且透過泵浦調控流體水壓及流速,以控制第一管件之開口的流出量來模擬各種出血情形。同時利用感測元件感測回收之流體流量,可以得知訓練人員在模擬手術中使病患流失多少血量,如超過預設流量將發出警報。本發明可針對不同部位的病灶調整模擬裝置內部之元件構造來模擬該病況,更可便利模擬呼吸、心臟跳動等狀態,以完成主刀訓練、噴血訓練等相關操作。本發明以各種要病況的模擬中,讓訓練人員獲得真實的手術體驗的同時,增加對於腹腔鏡手術的經驗。 In summary, the present invention is a minimally invasive surgery simulation training device, which allows a trainer to operate a surgical instrument, pass through a plurality of operation perforations on at least one operation panel, and try to suture the simulated blood vessels in the main groove. It is the first pipe fitting, and the two side panels and the operation panel can be opened outward to replace the first pipe fitting or other components. The fluid circulation system composed of the first pipe fitting, the second pipe fitting, the pump and the pumping motor is used to regulate the hydraulic pressure and flow rate of the fluid through the pump to control the outflow of the opening of the first pipe fitting to simulate various bleeding situations. At the same time, using the sensing element to sense the recovered fluid flow rate, it can be known how much blood the training staff caused the patient to lose during the simulated operation. If the preset flow rate is exceeded, an alarm will be issued. The invention can adjust the component structure inside the simulation device to simulate the condition for the lesions in different parts, and it can also facilitate the simulation of breathing, heartbeat and other states to complete the related operations such as main knife training and blood spray training. In the simulation of various required conditions, the present invention allows trainers to obtain a real surgical experience while increasing the experience of laparoscopic surgery.

故本發明實為一具有新穎性、進步性及可供產業上利用者,應符合我國專利法專利申請要件無疑,爰依法提出發明專利申請,祈 鈞局早日賜准專利,至感為禱。 Therefore, the present invention is truly novel, progressive, and available for industrial use. It should comply with the patent application requirements of China's patent law. No doubt, the invention patent application was filed in accordance with the law.

惟以上所述者,僅為本發明一實施例而已,並非用來限定本發明實施之範圍,故舉凡依本發明申請專利範圍所述之形狀、構造、特徵及精神所為之均等變化與修飾,均應包括於本發明之申請專利範圍內。 However, the above is only an embodiment of the present invention, and is not intended to limit the scope of implementation of the present invention. Therefore, for example, all changes and modifications of the shape, structure, characteristics, and spirit according to the scope of the patent application for the present invention are equally changed and modified. All should be included in the patent application scope of the present invention.

Claims (9)

一種微創手術模擬訓練裝置,其包含:一主槽體,其內側設置一容置空間,該主槽體之一側設置至少一第一穿設孔,另一相對側設置至少一第二穿設孔,該容置空間設置一斜面,該斜面連接一溝槽;一封頂面板組,該封頂面板組係設於該主槽體上方,使形成一封閉之架構,該封頂面板組至少包括有二側面板及一操作面板,該側面板、該操作面板之底端分別樞接於該主槽體上方,該操作面板係呈一斜度抵接於該側面板上,該操作面板設置複數個前操作穿孔。A minimally invasive surgery simulation training device includes: a main groove body provided with an accommodation space on the inner side, at least one first through hole is provided on one side of the main groove body, and at least one second through hole is provided on the opposite side. A hole is provided, and an inclined surface is provided in the accommodation space, and the inclined surface is connected to a groove. A top panel group is disposed above the main groove body to form a closed structure. The top panel group includes at least Two side panels and an operation panel, the side panel and the bottom end of the operation panel are respectively pivoted above the main groove body, the operation panel is abutted on the side panel at an incline, and the operation panel is provided with a plurality of Before operating the perforation. 如請求項1所述之微創手術模擬訓練裝置,其中該主槽體之一側設置一排水穿孔。The minimally invasive surgery simulation training device according to claim 1, wherein a drainage perforation is provided on one side of the main groove body. 如請求項2所述之微創手術模擬訓練裝置,其中該排水穿孔穿設一管件,該管件之一端插設於該溝槽,該管件並連通一抽水馬達。The minimally invasive surgery simulation training device according to claim 2, wherein the drainage perforation passes through a pipe, one end of the pipe is inserted in the groove, and the pipe is connected to a pumping motor. 如請求項3所述之微創手術模擬訓練裝置,其中該管件連通一感測元件,該感測元件偵測流量達到一預設流量時,該感測元件發出一警報。The minimally invasive surgery simulation training device according to claim 3, wherein the tube is connected to a sensing element, and when the sensing element reaches a preset flow rate, the sensing element issues an alarm. 如請求項1所述之微創手術模擬訓練裝置,其中該側面板設置有至少一操作穿孔。The minimally invasive surgery simulation training device according to claim 1, wherein the side panel is provided with at least one operation perforation. 如請求項1所述之微創手術模擬訓練裝置,其中該操作面板設置有一觀測穿孔。The minimally invasive surgery simulation training device according to claim 1, wherein the operation panel is provided with an observation perforation. 如請求項6所述之微創手術模擬訓練裝置,其中該觀測穿孔外側底緣設有一拖架件,該觀測穿孔內側底緣設有一導集板。The minimally invasive surgery simulation training device according to claim 6, wherein a trailing member is provided on the outer bottom edge of the observation perforation, and a guide plate is provided on the inner bottom edge of the observation perforation. 如請求項7所述之微創手術模擬訓練裝置,其中該觀測穿孔設置一擋水板,該擋水板位於該拖架件上而遮住該觀測穿孔。The minimally invasive surgery simulation training device according to claim 7, wherein the observation perforation is provided with a water blocking plate, and the water blocking plate is located on the carriage member to cover the observation perforation. 如請求項1所述之微創手術模擬訓練裝置,其中該主槽體內設有一隔板,該隔板連接於該主槽體二側之間。The minimally invasive surgery simulation training device according to claim 1, wherein a partition plate is provided in the main groove body, and the partition plate is connected between two sides of the main groove body.
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TWM388709U (en) * 2010-03-05 2010-09-11 Ho Hong Jung Automation Co Ltd Minimally invasive surgery training device
CN202976650U (en) * 2012-12-28 2013-06-05 北京医模科技有限公司 Wound hemostatic suture model
CN205073034U (en) * 2015-10-28 2016-03-09 徐新华 High -efficient peritoneoscope analog operation case
CN205862635U (en) * 2016-04-18 2017-01-04 曹传奇 Peritoneoscope training aids

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* Cited by examiner, † Cited by third party
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TWM388709U (en) * 2010-03-05 2010-09-11 Ho Hong Jung Automation Co Ltd Minimally invasive surgery training device
CN202976650U (en) * 2012-12-28 2013-06-05 北京医模科技有限公司 Wound hemostatic suture model
CN205073034U (en) * 2015-10-28 2016-03-09 徐新华 High -efficient peritoneoscope analog operation case
CN205862635U (en) * 2016-04-18 2017-01-04 曹传奇 Peritoneoscope training aids

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