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WO2005037111A2 - Modele de reparation de defaut cardiaque congenital pediatrique - Google Patents

Modele de reparation de defaut cardiaque congenital pediatrique Download PDF

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Publication number
WO2005037111A2
WO2005037111A2 PCT/US2004/034435 US2004034435W WO2005037111A2 WO 2005037111 A2 WO2005037111 A2 WO 2005037111A2 US 2004034435 W US2004034435 W US 2004034435W WO 2005037111 A2 WO2005037111 A2 WO 2005037111A2
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WO
WIPO (PCT)
Prior art keywords
model
components
heart
surgical
structured
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2004/034435
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English (en)
Other versions
WO2005037111A3 (fr
Inventor
Mary Baldauf
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
BALBY BY DESIGN LLC
Original Assignee
BALBY BY DESIGN LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US10/686,692 external-priority patent/US7083418B2/en
Application filed by BALBY BY DESIGN LLC filed Critical BALBY BY DESIGN LLC
Publication of WO2005037111A2 publication Critical patent/WO2005037111A2/fr
Publication of WO2005037111A3 publication Critical patent/WO2005037111A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G09B23/30—Anatomical models
    • G09B23/34—Anatomical models with removable parts

Definitions

  • the present invention is directed to a model for teaching medical and surgical
  • the present invention provides a model for effectively
  • ventricle in addition to other cardiac defects such as a defective aortic valve.
  • a teaching aid constituted by a doll containing realistic replaceable heart
  • heart models can be attached to a pump unit to provide realistic flow of sonographic
  • components structured and arranged to be couplable to and detachable from the base component and/or to one another, to illustrate different positions of the components with respect to one another representing different phases in the surgical
  • the components constituting the model can be formed
  • couplings being formed at respective ends thereof to allow coupling, detaching and
  • the base component of such teaching model represents the
  • heart syndrome although other surgical techniques, e.g., on the heart, can be illustrated and taught with the inventive model.
  • the inventive model greatly facilitates understanding of surgical procedure
  • Fig. 1 is an exploded left anterior oblique view of a teaching model for a heart
  • FIG. 2 is a left anterior oblique view of the assembled heart model shown in Fig. 1 ;
  • Fig. 3 is a right anterior oblique view of the heart model shown in Figs. 1 and
  • Fig. 4 is a posterior view of the heart model shown in Fig 3;
  • Fig. 5 is an exploded, left anterior oblique view of a teaching model
  • Fig. 6 is a right anterior oblique view of the heart model shown in Fig. 5 and
  • Fig. 7 is an exploded left anterior oblique view of a heart model similar to 5
  • FIG. 8 is an exploded left anterior oblique view of a heart model
  • Fig. 9 is a posterior view of the heart model shown in Fig. 8.
  • Fig. 10 is a posterior view of a heart model illustrating a third surgery or
  • FIG. 11 is an exploded, left anterior oblique view of the heart model shown in
  • Fig. 10; Fig. 12 is an exploded, left anterior oblique view similar to Fig. 11 and
  • Fig. 13 is a right anterior oblique view of the heart model shown in Fig. 12;
  • Fig. 14 schematically illustrates coupling of two components by tongue-in-
  • Fig. 15 schematically illustrates concentric coupling of two components
  • Fig. 16 illustrates the inner concentric sliding member shown in Fig. 15;
  • Fig. 17 illustrates part of the outer concentric member of Fig. 15 with the inner
  • Fig. 18 illustrates a posterior plastic member forming the outer concentric
  • Fig. 19 illustrates the inner sliding member of Fig. 16
  • Fig. 20 illustrates an anterior plastic member forming the outer concentric member of Fig. 15;
  • Fig. 21 illustrates a male pin member for coupling a component in accordance
  • Fig. 22 illustrates a hollow female pin member for receiving the male pin
  • FIG. 23 schematically illustrates coupling of tubular components forming, e.g.,
  • Figs. 24 and 25 respectively illustrate a tubular component forming a blood
  • Fig. 26 schematically illustrates coupling of two adjacent tubular components
  • Fig. 27 illustrates components representing valve leaflets and chordea in the inventive model
  • Fig. 28 illustrates components representing valve rings in the inventive model.
  • Fig. 29 illustrates an anterior view of a teaching model in accordance with the present invention of a normally-developing embryological heart
  • Fig. 30 illustrates a right anterior oblique view of a teaching model in accordance with the present invention and showing a further pediatric congenital heart defect;
  • Fig. 31 illustrates a right anterior oblique view of a teaching model in
  • Fig. 32 illustrates a posterior view of the teaching model shown in Fig. 31 ;
  • Fig. 33 illustrates a right anterior oblique view similar to Fig. 31 and showing repair of the pediatric congenital heart defect illustrated in Figs. 31 and 32;
  • Fig. 34 illustrates an anterior view of an exterior of the heart model shown in Fig. 31 and showing one alternative in the repair of the pediatric congenital heart
  • Fig. 35 illustrates an anterior view of the exterior of the heart model similar to
  • Fig. 36 illustrates an anterior view of a teaching model in accordance with the
  • Fig. 37 illustrates a right anterior oblique view of the teaching model shown in
  • Fig. 38 schematically illustrates coupling of components representing arteries in the teaching model in accordance with the present invention.
  • Fig. 39 is a view, similar to Fig. 36 and illustrating repair of the pediatric congenital heart defect illustrated in Fig. 36.
  • the teaching model 1 illustrated in Figs. 1 and 2 illustrates a human heart
  • hypoplastic left heart syndrome having a congenital preoperative defect, namely hypoplastic left heart syndrome.
  • the left ventricle 2 of the heart is insufficiently formed or expanded
  • reference numeral 3 denotes the anterior portion of
  • numeral 5 the right atrium
  • reference numeral 6 the left atrium
  • numeral 2 the defective left ventricle. Additionally, reference numerals 7-10
  • valves are respective denoted by reference numerals 11 and 12. Additionally,
  • reference numerals 13-15 respectively denote the ascending aorta, descending
  • defect 27 is present between the right and left atria as best seen in the model of Fig.
  • Figs. 5-7 show a heart model 1' representing completion of a first or Stage I
  • Atrial septectomy is performed to enlarge the atrial septal defect 27 between the the
  • FIG. 7 illustrates a completed first
  • a separate artificial Gortex tube 28' is implanted and sutured to interconnect the periductial aortic arch 18 and the
  • Figs. 8 and 9 constitute a heart model illustrating completion of Stage II
  • shunt is created using several large vessels around the heart. More particularly, the
  • Blalock-Taussig shunt 30 is removed, and the superior vena cava 16 surgically
  • Reference numeral 32 denotes the inferior vena
  • FIGs. 10-13 illustrate the third surgical stage usually occurring 5 to 7 years after birth, with Figs. 10 and 11 illustrating cardiac repair by extracardiac Fontan procedure, and Figs. 12 and 13 illustrating repair by intracardiac Fontan procedure. More particularly, the extracardiac Fontan procedure shown in Figs. 10 and 11 has a baffle 33, manufactured, e.g., by synthetic Gortex, interconnecting the inferior vena cava 32 and right pulmonary artery 20.
  • Reference numeral 32' denotes
  • a fenestration 34 is placed in the Fontan as it passes the
  • FIGs. 12 and 13 illustrate a variant of the third surgery
  • the fenestration 34 in the baffle 33' is also provided into the right atria 5, the difference being the native inferior vena cava is not surgically
  • vena cava stump 16' may have already been sutured to the right pulmonary artery
  • the illustrated heart models can be manufactured from any suitable material
  • materials e.g., synthetic plastic such as polyethylene terephthalate, polyvinyl
  • An especially preferred material includes the plastic manufactured under the
  • FIG. 1-13 illustrate the various stages of surgeries as shown, e.g., in Figs. 1-13 for repair of
  • hypoplastic left heat syndrome In one type of engagement or coupling as shown,
  • a recessed groove 35 can be provided in one member with a
  • the groove 35 accepts the single-thickness rim such that the
  • plastic layer 37 will have a protruding handle 38 to permit sliding back and forth.
  • double thickness wall 39 representing the wall of heart muscle can be provided with
  • a hole 40 is provided through one
  • Figs. 18-20 schematically illustrate manufacturing the sliding doors with Fig. 18 denoting posterior plastic 39', Fig. 19 the middle sliding door 37 and Fig. 20 the
  • anterior plastic 39 The outer walls 39', 39" can be assembled by simple shape-
  • FIG. 21 shown in Fig. 21 comprises a notch 43 and a magnet 44 embedded in a top portion
  • the pin 42 shown in Fig. 22 is hollow, designed to receive the respective pin
  • Figs. 24 and 25 respectively illustrate assembly of a tube 46 constituting one
  • Fig. 24 illustrates a perspective view of a tube
  • Fig. 25 illustrates the same tube after opening or filleting to illustrate connection or disconnection during
  • Pliable material e.g., a metal
  • Fig. 26 is a schematic posterior view illustrating sliding coupling of parts
  • plastic or metal pegs 47 contains plastic or metal pegs 47,
  • Valve leaflets and chordea can be constituted by white-colored paper-like
  • valve rings 50 themselves can be constituted by thin metallic rings as illustrated in Fig. 28.
  • models in accordance with the claimed invention can be prepared to teach cardio-surgical technique for repairing any number of cardiac abnormalities, such as transposition of the great arteries, atrio-
  • removable components e.g., just a detachable cover 3 representing the anterior portion of the myocardium.
  • Such models can also be manufactured from plastic, or
  • the components forming the inventive heart model can be any suitable material.
  • the components forming the inventive heart model can be any suitable material.
  • the inventive model can also be utilized for teaching surgical repair of other
  • Fig. 29 is an anterior view
  • artery 102 truncus arteriosus 103, bulbus cordis (right ventricle) 104, left ventricle 105, atrium 106 and sinus venosus 107, with arrows A and B illustrating the direction
  • Fig. 30 illustrates the condition 100' of both atrial and ventricular septal
  • the atrial septal defect involves a hole 108 occurring in the wall of the
  • Atrial and ventricular septal defects need not both occur at
  • ventricular septal defects can occur at different locations within the atrium or
  • Figs. 31 and 32 illustrate the condition of tetrology of fallot which includes the
  • Pulmonary veins 118, 119 and the pulmonary artery 120 are illustrated in Fig. 32.
  • Fig. 32 Pulmonary veins 118, 119 and the pulmonary artery 120 are illustrated in Fig. 32.
  • Fig. 33 illustrates two aspects of repair of tetrology of fallot, namely (1 )
  • one option for repair is cutting the ring (annulus) of the
  • FIG. 34 Another option for repair involves opening the pulmonary artery and reaching down through the annulus of the pulmonary valve to resect the tnick
  • FIGs. 36 and 37 illustrate the pediatric congenital condition of D-transposition
  • a moderator band 131 and papillary muscle 132 are illustrated in Fig. 36
  • Fig. 39 illustrates
  • the pulmonary artery 139 is transplanted onto the native aortic root 137,
  • pulmonary artery 128 or 136 is moved anteriorly when transplanted onto the native
  • the coronary arteries 134, 135 are transplanted to the native pulmonary artery
  • Fig. 39 which also shows the native pulmonary artery
  • artery root 133 originating from the left ventricle 138 and the superior vena cava 139.

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  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Mathematical Analysis (AREA)
  • Mathematical Physics (AREA)
  • Medicinal Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Algebra (AREA)
  • Computational Mathematics (AREA)
  • Chemical & Material Sciences (AREA)
  • Health & Medical Sciences (AREA)
  • Mathematical Optimization (AREA)
  • Medical Informatics (AREA)
  • Pure & Applied Mathematics (AREA)
  • Business, Economics & Management (AREA)
  • Educational Administration (AREA)
  • Educational Technology (AREA)
  • Theoretical Computer Science (AREA)
  • Instructional Devices (AREA)
  • Prostheses (AREA)

Abstract

La présente invention concerne un modèle destiné à l'enseignement ou à l'illustration d'une technique chirurgicale et/ou médicale, présentant une partie constituante de base représentant un tissu ou un organe et plusieurs parties constituantes structurées et conçues pour pouvoir être accouplées à et détachées de la partie constituante de base et/ou les unes par rapport aux autres, afin d'illustrer différentes positions des parties constituantes les unes par rapport aux autres représentant différentes phases dans des techniques chirurgicales et/ou médicales.
PCT/US2004/034435 2003-10-16 2004-10-18 Modele de reparation de defaut cardiaque congenital pediatrique Ceased WO2005037111A2 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US10/686,692 2003-10-16
US10/686,692 US7083418B2 (en) 2003-10-16 2003-10-16 Pediatric congenital heart defect repair model
US60464404P 2004-08-26 2004-08-26
US60/604,644 2004-08-26

Publications (2)

Publication Number Publication Date
WO2005037111A2 true WO2005037111A2 (fr) 2005-04-28
WO2005037111A3 WO2005037111A3 (fr) 2005-06-09

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Country Status (1)

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007178832A (ja) * 2005-12-28 2007-07-12 Yamaguchi Univ 超音波検査用心臓模型
WO2012168371A1 (fr) * 2011-06-08 2012-12-13 Association Marie Lannelongue Dispositif reproduisant un coeur foetal en trois dimensions
CN103860291A (zh) * 2014-03-19 2014-06-18 武汉亚洲心脏病医院 法洛氏四联症室间隔缺损补片的制作方法
CN107625533A (zh) * 2016-07-19 2018-01-26 东芝医疗系统株式会社 医用处理装置以及医用处理方法
EP3534356A4 (fr) * 2016-10-28 2020-03-04 Osaka University Modèle d'organe pour cathéter et/ou simulateur
RU228429U1 (ru) * 2024-05-31 2024-08-28 Вильнур Винерович Газизов Тренажёр для отработки навыков коррекции полного дефекта атриовентрикулярной перегородки

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5634797A (en) * 1995-05-05 1997-06-03 Montgomery; Mary B. Heart defect teaching aid
GB9716413D0 (en) * 1997-08-04 1997-10-08 Browne Wilkinson Oliver Ultra sound soft organ model
CA2362867A1 (fr) * 1999-03-02 2000-09-08 Peter Yong Modele thoracique d'entrainement pour la chirurgie cardiaque endoscopique

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2007178832A (ja) * 2005-12-28 2007-07-12 Yamaguchi Univ 超音波検査用心臓模型
WO2012168371A1 (fr) * 2011-06-08 2012-12-13 Association Marie Lannelongue Dispositif reproduisant un coeur foetal en trois dimensions
FR2976392A1 (fr) * 2011-06-08 2012-12-14 Ass Marie Lannelongue Dispositif reproduisant un coeur foetal en trois dimension.
CN103860291A (zh) * 2014-03-19 2014-06-18 武汉亚洲心脏病医院 法洛氏四联症室间隔缺损补片的制作方法
CN107625533A (zh) * 2016-07-19 2018-01-26 东芝医疗系统株式会社 医用处理装置以及医用处理方法
EP3534356A4 (fr) * 2016-10-28 2020-03-04 Osaka University Modèle d'organe pour cathéter et/ou simulateur
US11195436B2 (en) 2016-10-28 2021-12-07 Osaka University Organ model for catheter simulator
RU228429U1 (ru) * 2024-05-31 2024-08-28 Вильнур Винерович Газизов Тренажёр для отработки навыков коррекции полного дефекта атриовентрикулярной перегородки

Also Published As

Publication number Publication date
WO2005037111A3 (fr) 2005-06-09

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