TWI851151B - Teaching phantom for ultrasound-assisted calcification aspiration and its manufacturing method - Google Patents
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- TWI851151B TWI851151B TW112114235A TW112114235A TWI851151B TW I851151 B TWI851151 B TW I851151B TW 112114235 A TW112114235 A TW 112114235A TW 112114235 A TW112114235 A TW 112114235A TW I851151 B TWI851151 B TW I851151B
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Abstract
一種超音波輔助鈣化抽吸術的教學用仿體,包含一雞蛋,及一包覆於該雞蛋外側並含有纖維質,且含水量為70~98%的組織體。該雞蛋包括一熟化而呈粉狀以用於模擬鈣化結晶的蛋黃部、一包覆該蛋黃部的蛋白部,及一包覆於該蛋黃部及該蛋白部以外,且具有一適用於供一超音波探頭照射之處理區的蛋殼。該組織體則用於模擬肌肉組織,得以配合超音波顯像的使用,真實模擬在肌肉組織之負壓環境中形成鈣化結晶的環境,藉以提供鈣化抽吸術的仿真練習使用。另外,本發明亦提供製造本發明超音波輔助鈣化抽吸術的教學用仿體之製造方法。A teaching phantom for ultrasound-assisted calcification aspiration includes an egg and a tissue that covers the outer side of the egg and contains fiber and has a water content of 70-98%. The egg includes a cooked and powdered yolk part for simulating calcification crystallization, a protein part covering the yolk part, and an eggshell covering the yolk part and the protein part and having a treatment area suitable for irradiation by an ultrasound probe. The tissue is used to simulate muscle tissue and can be used in conjunction with ultrasound imaging to truly simulate the environment in which calcification crystallization is formed in the negative pressure environment of muscle tissue, thereby providing simulation training for calcification aspiration. In addition, the present invention also provides a method for manufacturing a teaching phantom for ultrasound-assisted calcification aspiration of the present invention.
Description
本發明是有關於一種教學用的仿體及製成方法,特別是指一種超音波輔助鈣化抽吸術的教學用仿體及其製造方法。 The present invention relates to a teaching phantom and a manufacturing method, and in particular to a teaching phantom for ultrasound-assisted calcification aspiration and a manufacturing method thereof.
鈣化抽吸術主要因應鈣化性肌腱炎的處置,通常會配合超音波顯像而執行,在確認鈣化結晶堆積的患部後,將針筒的針頭插入患部,藉由針筒反覆執行推擠注射及拉動抽吸的動作,使得所述鈣化結晶因壓力不斷改變而逐漸被抽出,以期在不開刀的情況下達成治療目的。 Calcification aspiration is mainly used to treat calcific tendinitis. It is usually performed in conjunction with ultrasound imaging. After confirming the affected area where calcification crystals accumulate, the needle of the syringe is inserted into the affected area. The syringe is repeatedly pushed, injected, and pulled to aspirate, so that the calcification crystals are gradually extracted due to the constant change in pressure, in order to achieve the treatment goal without surgery.
就鈣化抽吸術需要配合超音波顯像的特徵而言,目前雖然可取得專門配合超音波顯像的仿體,以因應練習的需求,但若考量到執行時需要反覆推擠注射及拉動抽吸的動作,則較難以由外而內完整模擬出肌肉、患部組織,乃至於鈣化結晶,並且形成與實際患部相同之密閉且有負壓的空間。在無法有效練習的情況下,許多醫師也僅能在實際操作中累積經驗,故實際對患者施行鈣化抽吸術時,自然也有可能因手感與練習的落差,或者是經驗與技巧的差異, 導致療效不佳甚至副作用的產生。 As for the feature that calcification aspiration needs to be performed with ultrasound imaging, although phantoms that are specially designed for ultrasound imaging are available to meet the needs of practice, it is difficult to completely simulate the muscles, affected tissues, and even calcification crystals from the outside to the inside, and to form a closed and negative pressure space that is the same as the actual affected area, considering that the procedure requires repeated pushing, injection, and pulling during the procedure. In the absence of effective practice, many doctors can only accumulate experience in actual operations. Therefore, when performing calcification aspiration on patients, it is natural that the difference between the feel and practice, or the difference in experience and skills, may lead to poor treatment results or even side effects.
因此,本發明之目的,即在提供一種能簡便製成而提供高仿真度模擬練習之超音波輔助鈣化抽吸術的教學用仿體及其製造方法。 Therefore, the purpose of the present invention is to provide a teaching phantom and its manufacturing method for ultrasound-assisted calcification aspiration that can be easily manufactured and provide high-fidelity simulation training.
於是,本發明超音波輔助鈣化抽吸術的教學用仿體,包含一雞蛋,及一包覆於該雞蛋外側並含有纖維質,且含水量為70~98%的組織體。 Therefore, the teaching phantom of the ultrasound-assisted calcification aspiration of the present invention includes an egg and a tissue covering the outer side of the egg and containing fibers and having a water content of 70-98%.
該雞蛋包括一熟化而呈粉狀以用於模擬鈣化結晶的蛋黃部、一包覆該蛋黃部的蛋白部,及一包覆於該蛋黃部及該蛋白部以外,且具有一適用於供一超音波探頭照射之處理區的蛋殼。 The egg includes a cooked and powdered yolk for simulating calcification crystals, an egg white covering the yolk, and an egg shell covering the yolk and the egg white and having a treatment area suitable for irradiation by an ultrasonic probe.
該組織體用於模擬肌肉組織。 This tissue is used to simulate muscle tissue.
另外,本發明超音波輔助鈣化抽吸術的教學用仿體之製造方法,包含一預備步驟、一第一處理步驟、一第二處理步驟,及一成型步驟。 In addition, the manufacturing method of the teaching phantom of ultrasound-assisted calcification aspiration of the present invention includes a preparation step, a first processing step, a second processing step, and a molding step.
該預備步驟是預備一雞蛋,及一用以加入水而調製為一組織體的擬料粉。 The preparatory step is to prepare an egg and a simulated powder for adding water to prepare a texture.
該第一處理步驟是使該雞蛋之一蛋黃部熟化,且將該雞蛋之一蛋殼的一部分利用一酸性溶液進行薄化處理,形成一適用於 供一超音波探頭照射之處理區。 The first treatment step is to ripen a yolk portion of the egg and thin a portion of an eggshell of the egg using an acidic solution to form a treatment area suitable for irradiation by an ultrasonic probe.
該第二處理步驟是是使所述擬料粉溶解於55~65倍重量之水中,形成一膠體溶液。 The second processing step is to dissolve the simulated powder in 55-65 times the weight of water to form a colloidal solution.
該成型步驟包括一將該雞蛋置入一模室中的定位子步驟、一將該膠體溶液倒入該模室的填料子步驟,及一待該膠體溶液凝固而形成一包覆於該雞蛋外的組織體,並將製成之該教學用仿體自該模室中取出的製成子步驟。 The molding step includes a positioning sub-step of placing the egg in a mold, a filling sub-step of pouring the colloid solution into the mold, and a manufacturing sub-step of waiting for the colloid solution to solidify to form a tissue body covering the egg, and taking the manufactured teaching phantom out of the mold.
本發明之功效在於:透過本發明超音波輔助鈣化抽吸術的教學用仿體之製造方法所製成的該教學用仿體,除了材料易於取得且能以簡單步驟製作以外,就擬真的程度而言,能利用該組織體模擬肌肉,並藉由該雞蛋的該蛋白部與該組織體之間的質地差異,模擬接近患部的觸感差異,再藉由該蛋黃部確實模擬鈣化組織,不僅能簡單營造與實際情境相同的負壓環境,也能順利透過該蛋殼之該處理區來配合該超音波探頭的使用,於是確實可藉此因應高仿真度模擬練習的需求。 The effect of the present invention is that the teaching phantom made by the manufacturing method of the teaching phantom for ultrasound-assisted calcification aspiration of the present invention is not only easy to obtain materials and can be manufactured in simple steps, but also can simulate muscles by using the tissue body, and simulate the difference in touch close to the affected part by using the texture difference between the egg white part and the tissue body, and then simulate the calcified tissue by using the yolk part, not only can a negative pressure environment similar to the actual situation be simply created, but also the use of the ultrasound probe can be smoothly coordinated through the treatment area of the egg shell, so that the demand for high-simulation simulation training can be met.
1:雞蛋 1:Eggs
10:蛋黃部 10: Yolk part
11:蛋白部 11: Protein section
12:蛋殼 12: Eggshell
120:處理區 120: Processing area
2:組織體 2: Organization
2’:膠體溶液 2’: Colloidal solution
20:擬料粉 20: Simulated powder
40:預備步驟 40: Preparatory steps
41:第一處理步驟 41: First processing step
42:第二處理步驟 42: Second processing step
421:添加子步驟 421: Add substeps
422:調料子步驟 422: Seasoning sub-step
43:成型步驟 43: Molding step
431:定位子步驟 431: Positioning sub-step
432:填料子步驟 432: Filling sub-step
433:除氣子步驟 433: Degassing sub-step
434:製成子步驟 434: Create sub-steps
50:模室 50:Mold room
51:超音波探頭 51: Ultrasonic probe
52:針筒 52: Syringe
521:針頭 521: Needle
本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中:圖1是一剖視圖,說明本發明超音波輔助鈣化抽吸術的教學用 仿體之一物品實施例;圖2是一方塊流程圖,說明本發明超音波輔助鈣化抽吸術的教學用仿體之製造方法的一方法實施例;圖3是一流程示意圖,配合圖2說明該方法實施例的各個步驟;及圖4是一示意圖,說明使用該物品實施例進行超音波輔助鈣化抽吸術之練習的情況。 Other features and effects of the present invention will be clearly presented in the embodiments with reference to the drawings, wherein: FIG. 1 is a cross-sectional view illustrating an embodiment of an article of a teaching phantom for ultrasound-assisted calcification aspiration of the present invention; FIG. 2 is a block flow chart illustrating an embodiment of a method of manufacturing a teaching phantom for ultrasound-assisted calcification aspiration of the present invention; FIG. 3 is a flow chart illustrating each step of the method embodiment in conjunction with FIG. 2; and FIG. 4 is a schematic diagram illustrating the use of the article embodiment for practicing ultrasound-assisted calcification aspiration.
參閱圖1,為本發明超音波輔助鈣化抽吸術的教學用仿體之一物品實施例,是透過如圖2所呈現之本發明超音波輔助鈣化抽吸術的教學用仿體之製造方法的一方法實施例製成。該方法實施例包含一預備步驟40、一第一處理步驟41、一第二處理步驟42,及一成型步驟43。
Referring to FIG. 1 , an embodiment of an object of the teaching phantom of the ultrasonic assisted calcification aspiration of the present invention is made by a method embodiment of the manufacturing method of the teaching phantom of the ultrasonic assisted calcification aspiration of the present invention as shown in FIG. 2 . The method embodiment includes a
同時參閱圖2與圖3並配合圖1,該預備步驟40是預備一雞蛋1,及一用以加入水而調製為一組織體2的擬料粉20。具體而言,所述擬料粉20為洋菜粉或高吸水性樹脂粉,以求可在調製完成後,形成因含有纖維素而可模擬肌纖維,並因可大量吸水之特性而能含有接近真實肌肉之含水比例的膠體結構。其中,所述擬料粉20較佳是選用可簡單溶於水中調整,並且只需靜置硬化後即可形成洋
菜凍的洋菜粉。
Referring to FIG. 2 and FIG. 3 together with FIG. 1, the
該第一處理步驟41是使該雞蛋1之一蛋黃部10熟化,使該蛋黃部10形成物理質地類似於患部中之鈣化組織的粉狀結構,且將該雞蛋1之一蛋殼12的一部分利用一酸性溶液進行薄化處理,形成一適用於供一超音波探頭51(見圖4)照射之處理區120。具體而言,該酸性溶液是選用鹽酸,只要使該蛋殼12的一部分接觸鹽酸,主要構成該蛋殼12之碳酸鈣成分即會受到侵蝕而薄化為該處理區120。在該蛋殼12之厚度較薄的該處理區120,可讓該超音波探頭51所發出之超音波順利通過,以利於透過超音波成像機制觀察該蛋黃部10的位置。
The
該第二處理步驟42包括一將所述擬料粉20加入水中而形成一半成品溶液的添加子步驟421,及一加熱該半成品溶液並持續攪拌,使所述擬料粉20完全溶解於水中而形成該膠體溶液2’的調料子步驟422。具體而言,在該添加子步驟421中,是將10克的所述擬料粉20溶解於55~65倍重量之水中,特別較佳是60倍,也就是600克的常溫純水中,以形成一膠體溶液2’。而在該調料子步驟422中,主要透過加熱、攪拌的動作幫助所述擬料粉20確實溶解在水中,且藉由持續攪拌的動作,避免因有未完全溶解之所述擬料粉20沉澱於底部而可能產生之過度加熱的焦化情況。
The
該成型步驟43包括一將該雞蛋1置入一模室50中的定位
子步驟431、一將該膠體溶液2’倒入該模室50直到完全沒過該雞蛋1的填料子步驟432、一去除該膠體溶液2’中的多個氣泡的除氣子步驟433,及一待該膠體溶液2’凝固而形成一包覆於該雞蛋1外的組織體2,並將製成之該教學用仿體自該模室50中取出的製成子步驟434。其中,在該定位子步驟431中,主要是配合該模室50的型態,以該處理區120與操作時預期以一針筒52(見圖4)操作之位置為相對參考,藉此使得該處理區120能相對於後續欲執行操作的位置,對應該超音波探頭51的位置。而在該除氣子步驟433中,主要是在該膠體溶液2’凝固前,去除其中難免產生的氣泡,避免在該膠體溶液2’凝固而形成該組織體2後形成氣孔,除了確實營造出所需的負壓環境,也確保該組織體2之整體結構一致化的品質。
The
藉由本方法實施例製成的該教學用仿體,即為本發明超音波輔助鈣化抽吸術的教學用仿體之該物品實施例。該物品實施例包含該雞蛋1,及包覆於該雞蛋1外側並含有纖維質,且含水量為70~98%的該組織體2。其中,該雞蛋1包括熟化後而呈粉狀以用於模擬鈣化結晶的該蛋黃部10、一包覆該蛋黃部10的蛋白部11,及包覆於該蛋黃部10及該蛋白部11以外,且具有適用於供該超音波探頭51照射之該處理區120的該蛋殼12。另外,在本物品實施例中,該組織體2的含水量較佳是與真實肌肉組織相仿的73%,故得以用於模擬肌肉組織。
The teaching phantom made by the embodiment of the method is the article embodiment of the teaching phantom of the ultrasound-assisted calcification aspiration of the present invention. The article embodiment comprises the
參閱圖4,使用該物品實施例時,該超音波探頭51能透過該蛋殼12之該處理區120的位置照射該雞蛋1,藉由該雞蛋1之該蛋黃部10的超音波顯像,使用者即可確認用以模擬鈣化組織之該蛋黃部10的位置。接著,使用者即可操作該針筒52,使該針筒52之一針頭521自該組織體2朝向該蛋黃部10穿刺。透過該組織體2含有纖維素且含水量與肌肉組織相近的特色,即可藉此模擬穿刺至肌肉組織的手感。最後,當使用者根據超音波顯像確認該針頭521已穿刺至該蛋黃部10,即可反覆執行該針筒52之反覆推擠注射及拉動抽吸的動作,藉此使模擬出負壓環境之該蛋黃部10的壓力不斷變化,直到模擬鈣化結晶之該蛋黃部10被該針筒52抽出,即完成當次之超音波輔助鈣化抽吸術的模擬操作。
Referring to FIG. 4 , when the article is used in this embodiment, the
綜上所述,本發明超音波輔助鈣化抽吸術的教學用仿體及其製造方法,能透過易於取得的材料簡單完成製作,以利用該物品實施例之該組織體2模擬肌肉,並藉由該雞蛋1的該蛋白部11與該組織體2之間的質地差異,模擬接近患部的觸感差異,再藉由該蛋黃部10確實模擬鈣化組織,除了簡單營造與實際情境相同的負壓環境,也能順利配合該超音波探頭51的使用,藉此因應高仿真度模擬練習的需求。因此,確實能達成本發明之目的。
In summary, the teaching phantom and its manufacturing method of ultrasound-assisted calcification aspiration of the present invention can be simply manufactured by using easily available materials, so as to use the
惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書 內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。 However, the above is only an example of the implementation of the present invention, and it cannot be used to limit the scope of the implementation of the present invention. All simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the content of the patent specification are still within the scope of the patent of the present invention.
1:雞蛋 1:Eggs
10:蛋黃部 10: Yolk part
11:蛋白部 11: Protein section
12:蛋殼 12: Eggshell
120:處理區 120: Processing area
2:組織體 2: Organization
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| CN204581535U (en) * | 2015-03-11 | 2015-08-26 | 四川省人民医院 | A kind of Ultrasound intervention puncture bag |
| US20210219955A1 (en) * | 2018-06-01 | 2021-07-22 | Universite Grenoble Alpes | Endoscopic Ultrasound Probe And Sheath For Such A Probe |
| CN215191762U (en) * | 2020-09-01 | 2021-12-17 | 华中科技大学同济医学院附属协和医院 | A Fiber Optic Ultrasound Probe for Arthroscopic Rotator Cuff Calcification Detection |
| CN217640464U (en) * | 2022-06-14 | 2022-10-21 | 南京欣科医疗器械有限公司 | In-vitro simulation device for quantifying energy intensity of intravascular crushed stone |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN204581535U (en) * | 2015-03-11 | 2015-08-26 | 四川省人民医院 | A kind of Ultrasound intervention puncture bag |
| US20210219955A1 (en) * | 2018-06-01 | 2021-07-22 | Universite Grenoble Alpes | Endoscopic Ultrasound Probe And Sheath For Such A Probe |
| CN215191762U (en) * | 2020-09-01 | 2021-12-17 | 华中科技大学同济医学院附属协和医院 | A Fiber Optic Ultrasound Probe for Arthroscopic Rotator Cuff Calcification Detection |
| CN217640464U (en) * | 2022-06-14 | 2022-10-21 | 南京欣科医疗器械有限公司 | In-vitro simulation device for quantifying energy intensity of intravascular crushed stone |
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