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WO2009116123A1 - Dispositif auxiliaire pour entraînement à la chirurgie - Google Patents

Dispositif auxiliaire pour entraînement à la chirurgie Download PDF

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Publication number
WO2009116123A1
WO2009116123A1 PCT/JP2008/054869 JP2008054869W WO2009116123A1 WO 2009116123 A1 WO2009116123 A1 WO 2009116123A1 JP 2008054869 W JP2008054869 W JP 2008054869W WO 2009116123 A1 WO2009116123 A1 WO 2009116123A1
Authority
WO
WIPO (PCT)
Prior art keywords
surgical
holding
frame
suction
suction port
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/JP2008/054869
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English (en)
Japanese (ja)
Inventor
正一 中村
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.)
ACP Japan Co Ltd
Original Assignee
ACP Japan Co Ltd
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
Application filed by ACP Japan Co Ltd filed Critical ACP Japan Co Ltd
Priority to PCT/JP2008/054869 priority Critical patent/WO2009116123A1/fr
Publication of WO2009116123A1 publication Critical patent/WO2009116123A1/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

Definitions

  • the present invention relates to a surgical training aid used for various surgical trainings.
  • a coronary artery bypass operation performed on a patient having ischemic heart disease such as myocardial infarction.
  • This method is recognized as a method that can maintain the revascularization effect over a long period of time.
  • aortic valve replacement surgery performed on a patient having aortic valve disease such as aortic valve stenosis, the heart is similarly exposed, the valve leaflet of the affected part is removed, and a substitute artificial valve is sutured.
  • the object of suturing is a cloth, which lacks a sense of reality and realism, and is a practical simulation training for a highly difficult surgical operation. There was a problem of not getting.
  • the present invention has been made paying attention to the circumstances of the medical education field as described above, and the purpose thereof is to efficiently and effectively before gaining clinical experience in a highly difficult surgical operation.
  • An object of the present invention is to provide a surgical training aid that can improve the skill of a procedure.
  • the present invention provides a first holding means having a suction port for holding a first surgical object with a suction force, and applying a suction force to the suction port of the first holding means. And a suction member that allows the first holding unit to be installed at a predetermined position, a frame member that forms a substantially rectangular parallelepiped frame, and a bottom plate that is disposed below the substantially rectangular parallelepiped frame made of the frame member; A surgical training aid is provided.
  • the surgical training aid may further include second holding means for holding a second surgical object to be anastomosed or sutured to the first surgical object.
  • the second holding means can be installed at a predetermined position of the substantially rectangular parallelepiped frame.
  • the surgical training assisting tool further includes a mounting means for mounting the first surgical object.
  • This mounting means can be installed at a predetermined position of the substantially rectangular parallelepiped frame.
  • the first holding means sucks and holds the first surgical object from above.
  • the first surgical object may be sucked and held from the lower part or the side part.
  • the first holding means is composed of an arm means for holding the suction port and a support column for supporting the arm means.
  • the arm means is formed of one or a plurality of rod-shaped members that hold the suction port at an arbitrary position.
  • the arm means is formed by a flexible member that holds the suction port at an arbitrary position.
  • the second holding means is formed of a flexible member that holds the second surgical object at an arbitrary position.
  • FIG. 1 is a perspective view of a surgical training aid according to a first embodiment of the present invention. It is a principal part enlarged view at the time of use of the surgical training auxiliary tool which concerns on the 1st Embodiment of this invention.
  • FIG. 3 is a perspective view showing an example of a structure of a first holding body in the surgical training aid according to the first embodiment of the present invention.
  • FIG. 5 is a perspective view showing an example of a structure of a second holding body in the surgical training aid according to the first embodiment of the present invention. It is a perspective view which shows an example of the structure of a baseplate and a frame in the surgical training auxiliary tool which concerns on the 1st Embodiment of this invention.
  • FIG. 1 It is a figure which shows an example of a slide board and the screw for attachment in the surgical training assistance tool which concerns on the 1st Embodiment of this invention.
  • the surgical training auxiliary tool which concerns on the 1st Embodiment of this invention, it is a figure which shows an example of each structural member of a mounting base. It is a figure which shows a mode that vascular anastomosis training is performed using the auxiliary tool for surgical training which concerns on the 1st Embodiment of this invention.
  • FIG. 1 is a perspective view of the surgical training aid according to the first embodiment of the present invention
  • FIG. 2 is an enlarged view of a main part when the surgical training aid is used.
  • the surgical training aid 10 of the present embodiment sucks the first surgical object (artificial pseudo site or experimental animal site: here, the heart of the experimental animal as an example) 31.
  • a first holding body 11 that is held by force and a second operation object 32 that is anastomosed or sutured to the first operation object 31 (artificial operation object site: an artificial blood vessel as an example here) 32 is held.
  • a plurality of frames 13 in which the first holding body 11 and the second holding body 12 are arranged at arbitrary positions.
  • the suction device 15 connected to the first holding body 11 and applying a suction force to the first holding body
  • the mounting table 16 is configured.
  • the first holding body 11 is configured as shown in FIG. 3, for example. That is, the first holding body 11 includes a support column 111 and an arm portion 112.
  • the column 111 is fixed to the rail of the frame 13 through the mounting base 17.
  • An attachment portion (screw) 113 is engraved on the outer periphery of the lower portion of the column 111, and this attachment portion 113 is screwed into a screw hole 171 formed in the attachment base 17, so that the column 111 is attached to the attachment base 17. It is attached.
  • an arm portion 112 is disposed on the support column 111 so as to be movable along the axial direction of the support column 111 by a clamp unit 114.
  • the arm portion 112 is provided with a suction port support portion 115 at one end and a suction device connection portion 117 at the other end.
  • the suction port support part 115 supports the suction port 116 for holding the first surgical object 31 with a suction force so as to be swingable.
  • a tube 155 led out from the suction device 15 is connected to the suction device connection portion 117.
  • a connection tube 118 that continues to the suction port 116 is connected to the suction device connection portion 117, and the inside communicates so that the suction force of the suction device 15 acts on the suction port 116 from the tube 155 through the connection tube 118. Yes.
  • the clamp part 114 fixes the arm part 112 to the arbitrary position of the support
  • the clamp portion 114 is also provided with a horizontal position adjusting portion 119B, and the horizontal position adjusting portion 119B holds the arm portion 112 so as to be slidable along the axial direction. Then, similarly to the vertical position adjustment unit 119A, the arm unit 112 is slid to an arbitrary position along the axial direction with the clamp lever 119b loosened. After positioning, the clamp lever 119b is tightened to move the arm unit 112. Fix it.
  • the first holding body 11 includes the clamp portion 114 having the position adjustment portions 119A and 119B and the suction port support portion 115 that supports the suction port 116 so as to be swingable.
  • the position, orientation, and angle can be set freely. That is, during surgical training, the first surgical object 31 held by the suction port 116 is set to a position, orientation, and angle at which the user can easily perform training, or a position, orientation, and angle that are close to actual surgery. Is possible.
  • the 1st holding body 11 in this embodiment is suitable especially when it is necessary to hold
  • both the support column 111 and the arm portion 112 are composed of rod-shaped members, and the support member 111 supports the one arm portion 112.
  • the first holding body 11 of the present embodiment is
  • the arm portion 112 may be composed of a plurality of rod-shaped members, and may be composed of a flexible member having a material or a structure that can be deformed and can maintain a deformed state, instead of the rod-shaped member. May be.
  • the second holding body 12 is configured as shown in FIG. 4, for example. That is, the second holding body 12 includes a flexible arm part 121 as a support and a holding part 122 for holding the second surgical object 32. Similarly to the first holding body 11, the second holding body 12 is fixed to the rail of the frame 13 via the mounting base 17. An attachment portion (screw) 123 is provided on the outer periphery of the lower portion of the flexible arm portion 121. The attachment portion 123 is screwed into a screw hole 171 formed in the attachment base 17, so that the second holding body 12 is It is attached to the mounting base 17.
  • the flexible arm 121 is formed of a material or a structure that can be deformed and can maintain the deformed state.
  • a material or a structure that can be deformed and can maintain the deformed state As an example, as shown in FIG. 4, it is assumed to have a structure in which ball joints are continuously provided.
  • the holding unit 122 is composed of a shaft member that holds the second surgical object 32 by being inserted into the lumen of the second surgical object (here, an artificial blood vessel) 32.
  • the holding unit 122 further includes a clip 124 for fixing the second surgical object 32 to the shaft member at a predetermined insertion position.
  • the second holding body 12 can reliably hold the second surgical object 32 at a free position, orientation, and angle.
  • the shape of the holding portion 122 is configured to include a shaft member in order to hold the artificial blood vessel.
  • the shape of the holding portion 122 is not limited to this and is configured according to the object to be held. Can be modified in various ways.
  • the frame 13 and the bottom plate 14 are configured as shown in FIG. 5, for example. That is, the frame 13 includes a base frame 131 that is fixed along each side of the bottom plate 14, a column frame 132 that is fixed perpendicularly to the base frame 131, and a beam frame 133 that connects the tops of the column frames 132. Consists of Each frame 13 is formed with rails 134 on the four sides of the column.
  • the mounting base 17 can be installed on the rail 134, and a slide plate 135 (see FIG. 6A) which can be inserted into the rail 134 and can be provided with a screw hole 135A at an arbitrary position, and the slide
  • a mounting screw 136 see FIG. 6B
  • the suction device 15 and a mounting plate fixing member to be described later can be freely attached to the frame 13. It is possible to install.
  • the base frame 131 and the beam frame 133 are provided with joints 131A and 133A for attaching the column frame 132 at predetermined positions.
  • a joint plate 132A that is locked to the joints 131A and 133A is attached to the column frame 132.
  • the frame 13 can be easily assembled into a substantially rectangular parallelepiped frame shape by merely locking the joints 131A and 133A and the joint plate 132A.
  • the width and height of the substantially rectangular parallelepiped formed by the frame 13 are set to the average width and height of the human thorax in order to simulate a surgical operation in an actual human body. As a result, it is possible to carry out training that is very close to the actual situation, such as posture, position sense, and force input.
  • the suction device 15 uses the vacuum cylinder 151 in this embodiment, but is not limited to this, and any device that can suck and hold the first surgical object with a predetermined pressure may be used.
  • the suction device 15 is attached to an arbitrary position of the frame 13 by the suction device fixing plate 18, the slide plate 135 and the mounting screw 136 described above.
  • the suction device 15 includes a piston drive unit 152 for extracting air from the vacuum cylinder 151, a pressure gauge 153 for confirming leakage, a check valve for preventing a backflow of air, a filter, a leak valve, and the like. Yes.
  • the piston drive unit 152 when the piston drive unit 152 is operated to evacuate the vacuum cylinder 151, the first surgical object 31 passes through the suction device connection unit 117 and the connection tube 118 from the tube 155 through the suction port 116 due to the generated negative pressure. Can be sucked and held.
  • the first surgical object 31 may be held only by the first holding body 11 described above, but a mounting table 16 for the first surgical object 31 may be further provided to assist this. .
  • FIG. 7 shows an example of each constituent member of the mounting table 16. 7A shows a mounting plate fixing member, FIG. 7B shows a first mounting plate, and FIG. 7C shows a second mounting plate.
  • the mounting plate fixing member 161 shown in FIG. 7A is composed of a flat plate provided with a frame mounting opening 162A, a frame mounting notch 162B, and a long hole 163.
  • the frame mounting opening 162A and the frame mounting notch 162B are for locking to the mounting screw 136 previously installed at an arbitrary position of the frame 13 using the slide plate 135 described above.
  • the mounting plate fixing member 161 is disposed at an arbitrary position of the frame 13.
  • the first mounting plate 164 shown in FIG. 7B is composed of a substantially L-shaped flat plate provided with a fixing member mounting hole 165 and an opening 166.
  • the fixing member mounting hole 165 is a hole for mounting the first mounting plate 164 to the mounting plate fixing member 161, and is aligned with the elongated hole 163 of the mounting plate fixing member 161 and then bolts and nuts. Fixed with etc.
  • the flat plate side provided with the opening 166 is fixed so as to be substantially horizontal with the bottom plate 14.
  • the long hole 163 provided in the mounting plate fixing member 161 side has a long shape in the height direction, the mounting height of the first mounting plate 164 can be freely set.
  • the opening 166 will be described in detail in a second embodiment described later.
  • the second mounting plate 167 shown in FIG. 7C is formed of a flat plate, and is used by being mounted on the first mounting plate 164 when necessary.
  • the second mounting plate 167 is only configured to be mounted on the first mounting plate 164.
  • the second mounting plate 167 is used by being fixed on the first mounting plate 164 with, for example, bolts and nuts. It is good also as a structure.
  • the first surgical object 31 is held from above by the first holding body 11 as in the present embodiment, the first surgical object is placed on the second placement plate 167 having a large area as shown in FIG. It is desirable to mount 31.
  • the first holding body 11, the second holding body 12, the suction device 15, and the mounting table 16 are respectively installed on the frame 13 at optimal positions.
  • the first surgical object 31 is placed on the mounting table 16 and set at an appropriate position for training, it is brought into contact with the first holding body 11 and the suction device 15 is operated to perform the first surgery.
  • the object 31 is held by a suction force.
  • the second surgical object 32 (here, an artificial blood vessel) to be anastomosed with the first surgical object 31 is inserted into the holding part 122 of the second holding body 12.
  • the second surgical object 32 is fixed by being sandwiched by the clip 124 together with the holding part 122 in a state where the second surgical object 32 protrudes from the tip of the holding part 122 by a predetermined length.
  • the 2nd operation object 32 is moved to the optimal position for anastomosis with the flexible arm part 121 of the 2nd holding body 12 which deform
  • the first surgical object 31 and the second surgical object 32 are anastomosed using the suture thread 41 and the suture needle 42.
  • the present embodiment is suitable for a case where training is performed while holding the upper part of the first surgical target, such as training for coronary artery bypass surgery.
  • FIG. 9 is a perspective view of a surgical training aid according to the second embodiment of the present invention
  • FIG. 10 is an enlarged view of a main part when the surgical training aid is used.
  • the surgical training aid 20 of this embodiment includes a holder having a funnel-shaped suction port 211 as the first holder 21.
  • the first surgical object 33 is stably held by supporting the first holding body 21 with the opening 166 of the first placement plate 164.
  • the 1st holding body 21 is comprised from the funnel-shaped suction opening 211 by which the suction device connection part 212 was provided in the lower end, as shown in FIG.
  • a tube 155 led out from the suction device 15 is connected to the suction device connection portion 212.
  • the suction device connecting portion 212 communicates with the inside so that the suction force of the suction device 15 acts on the suction port 211 via the tube 155.
  • the first holding body 21 is in a state where the first mounting plate 164 is set on the frame by the mounting plate fixing member 161 (a state where the second mounting plate 167 of FIG. 1 is removed). It is installed by inserting a funnel-shaped suction port 211 into the opening 166 of the mounting plate 164.
  • the diameter of the opening 166 of the first mounting plate 164 is appropriately set so as to be smaller than the maximum diameter of the suction port 211 and to stabilize the first holding body 21.
  • the first holding body 21, the suction device 15, and the mounting table 16 are installed on the frame 13 at optimal positions.
  • the first holding body 21 is set so that the suction port 211 fits into the opening 166 of the mounting table 16.
  • the first surgical object 33 is placed at an appropriate position for training on the suction port 211, the suction device 15 is operated, and the first surgical object 33 is held by the suction force.
  • the suture object 43 and the suture needle 44 are used at the stitching position 331 of the first surgical object (here, the heart of the experimental animal) 33 to use the second surgical object (here, the artificial valve). ) 34 is sutured.
  • 45 is a suture holder placed on the frame 13
  • 46 is a valve holder for holding the artificial valve 34
  • 47 is forceps.
  • the second holding body 12 in the first embodiment is not used.
  • the holding portion 122 at the tip of the second holding body 12 is replaced with a valve holder for holding the artificial valve 34.
  • the artificial valve 34 may be held at the time of suturing.
  • this configuration it is possible to reproduce an environment closer to a clinical experience with a simple configuration, and the technique can be efficiently and effectively performed before gaining clinical experience in a highly difficult surgical operation.
  • the skill can be improved.
  • this embodiment is suitable for a case where training is performed while holding the lower part of the first surgical target, such as training for aortic valve replacement surgery.
  • the present invention relates to a surgical training aid used for various surgical training and has industrial applicability.

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  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
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Abstract

L'invention concerne un dispositif auxiliaire pour entraînement à la chirurgie qui permet un perfectionnement réel et efficace d'une aptitude manuelle avant l'accumulation d'une expérience clinique dans une opération chirurgicale très difficile. Le dispositif auxiliaire (10) pour entraînement à la chirurgie se caractérise en ce qu'il possède un premier moyen de rétention (11) équipé d'un orifice d'aspiration (116) pour retenir un premier sujet de chirurgie par une force d'aspiration ; un moyen d'aspiration (15) pour appliquer une force d'aspiration à l'orifice d'aspiration (116) du premier moyen de rétention (11) ; un élément de cadre(13) constituant un cadre parallélépipède approximativement rectangulaire, disposé de façon à permettre la mise en place du premier moyen de rétention (11) en un endroit donné ; une plaque inférieure (14) disposée au niveau d'une partie inférieure du cadre parallélépipède approximativement rectangulaire de l'élément de cadre (13).
PCT/JP2008/054869 2008-03-17 2008-03-17 Dispositif auxiliaire pour entraînement à la chirurgie Ceased WO2009116123A1 (fr)

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Application Number Priority Date Filing Date Title
PCT/JP2008/054869 WO2009116123A1 (fr) 2008-03-17 2008-03-17 Dispositif auxiliaire pour entraînement à la chirurgie

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/JP2008/054869 WO2009116123A1 (fr) 2008-03-17 2008-03-17 Dispositif auxiliaire pour entraînement à la chirurgie

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WO2009116123A1 true WO2009116123A1 (fr) 2009-09-24

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018185513A (ja) * 2017-04-26 2018-11-22 イービーエム株式会社 外科手術手技訓練用生体組織
JPWO2022215365A1 (fr) * 2021-04-09 2022-10-13

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS58140769U (ja) * 1982-03-17 1983-09-21 橋本　泰典 図面等のスタンド
JP2001013869A (ja) * 1999-06-30 2001-01-19 Shimadzu Corp 外科手術ナビゲーション装置用ファントムおよびその製造方法
JP2004167214A (ja) * 2002-10-30 2004-06-17 Nipro Corp 血管把持具
JP2005241883A (ja) * 2004-02-25 2005-09-08 Hirona Gi カテーテル検査シミュレーションシステム
JP2006122354A (ja) * 2004-10-29 2006-05-18 Univ Waseda 血流シミュレータ及び流れ変換装置
JP2006267565A (ja) * 2005-03-24 2006-10-05 Univ Nagoya 人体モデル
JP2007500871A (ja) * 2003-05-16 2007-01-18 ベーリンガー インゲルハイム インターナショナル ゲゼルシャフト ミット ベシュレンクテル ハフツング 肺、肺の容積及び呼吸特性の提示装置並びにその使用

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS58140769U (ja) * 1982-03-17 1983-09-21 橋本　泰典 図面等のスタンド
JP2001013869A (ja) * 1999-06-30 2001-01-19 Shimadzu Corp 外科手術ナビゲーション装置用ファントムおよびその製造方法
JP2004167214A (ja) * 2002-10-30 2004-06-17 Nipro Corp 血管把持具
JP2007500871A (ja) * 2003-05-16 2007-01-18 ベーリンガー インゲルハイム インターナショナル ゲゼルシャフト ミット ベシュレンクテル ハフツング 肺、肺の容積及び呼吸特性の提示装置並びにその使用
JP2005241883A (ja) * 2004-02-25 2005-09-08 Hirona Gi カテーテル検査シミュレーションシステム
JP2006122354A (ja) * 2004-10-29 2006-05-18 Univ Waseda 血流シミュレータ及び流れ変換装置
JP2006267565A (ja) * 2005-03-24 2006-10-05 Univ Nagoya 人体モデル

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2018185513A (ja) * 2017-04-26 2018-11-22 イービーエム株式会社 外科手術手技訓練用生体組織
JPWO2022215365A1 (fr) * 2021-04-09 2022-10-13
WO2022215365A1 (fr) * 2021-04-09 2022-10-13 公益財団法人がん研究会 Modèle trachéobronchial 3d et procédé de formation à la reconstruction des voies respiratoires l'utilisant
JP7280446B2 (ja) 2021-04-09 2023-05-23 公益財団法人がん研究会 ３ｄ気管・気管支モデル、及びこれを用いた気道再建トレーニング方法

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