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WO2022045466A1 - Module de rein artificiel et système de simulateur d'endoscopie rénale le comprenant - Google Patents

Module de rein artificiel et système de simulateur d'endoscopie rénale le comprenant Download PDF

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Publication number
WO2022045466A1
WO2022045466A1 PCT/KR2020/017249 KR2020017249W WO2022045466A1 WO 2022045466 A1 WO2022045466 A1 WO 2022045466A1 KR 2020017249 W KR2020017249 W KR 2020017249W WO 2022045466 A1 WO2022045466 A1 WO 2022045466A1
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Prior art keywords
renal
artificial
channel
inner space
kidney
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Ceased
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PCT/KR2020/017249
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English (en)
Korean (ko)
Inventor
천병식
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Roen Surgical Inc
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Easyendo Surgical Inc
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Publication date
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Publication of WO2022045466A1 publication Critical patent/WO2022045466A1/fr
Anticipated expiration legal-status Critical
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    • 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
    • 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
    • G09B9/00—Simulators for teaching or training purposes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00681—Aspects not otherwise provided for
    • A61B2017/00707—Dummies, phantoms; Devices simulating patient or parts of patient
    • A61B2017/00716—Dummies, phantoms; Devices simulating patient or parts of patient simulating physical properties

Definitions

  • the following description relates to an artificial kidney module and a renal endoscope simulator system including the same.
  • Stones are stones that are formed by solidifying organic or inorganic substances with biological components, and can cause problems by blocking the bile duct or ureter. Therefore, if stones of a critical size are found, they must be removed.
  • An object of one embodiment is to provide an artificial kidney module and a renal endoscopy simulator system including the same.
  • the artificial extension module includes: a case having an inner space and a connection part communicating with the outside of the inner space; a branching part having an inlet pipe installed in the inner space and communicating with the connecting part, and a branch pipe branching from the inlet pipe in at least two or more paths; and a multi-channel part capable of being inserted into or detached from the internal space and having an internal path communicating with the branch pipe when inserted into the internal space.
  • the multi-channel unit the entrance to the sinbae communicating with the branch pipe; And it includes a plurality of renal cerebellum channels connected from the inlet to branching into a plurality of paths, and when the multi-channel part is installed in the inner space, the branching part and the inlet of the sacrum may be aligned to face each other.
  • the shape of the passage branching from the introduction tube through the branch pipe and the renal glia inlet to the plurality of renal glia channels and communicating is, from the renal pelvis of the actual kidney through the major calyx to the minor calyx. ) may have a three-dimensional passage shape that is branched and communicated.
  • the branching part and the multi-channel part have the same color as the actual kidney, and may be formed of a polymer material having a transmissiveness so that the inside can be observed.
  • the case may further include a plurality of supply ports for introducing water into the inner space, and when the multi-channel unit is installed in the inner space, the plurality of supply ports may be connected to each of the plurality of new distribution channels.
  • the renal distribution channel may have a structure that is inclined downward along the direction of gravity toward the end connected to the supply port.
  • the branch portion further comprising a coupling end to which the branch pipe is exposed, the multi-channel portion, the renal inlet is exposed, further comprising a separation end coupled to the coupling end, the separation end and the coupling end Contact surfaces with each other may be matched.
  • the coupling end has a protruding shape along an arc shape
  • the separating end has a shape recessed inward along the arc shape
  • the plurality of supply ports are located radially spaced apart from each other based on the arc shape. can be formed.
  • the plurality of supply ports may be formed to protrude in a direction perpendicular to a radial plane based on the arc shape, and the multi-channel part may be detachably detached along the direction perpendicular to the inner space.
  • the multi-channel part further includes a separating outer surface that fits into the inner wall of the inner space, and when the multi-channel part is installed in the inner space, the separating end and the separating outer surface of the multi-channel part are respectively the branching part and the inner Fitted into the space between the inner walls of the space, the renal inlet may face the branch pipe and the plurality of renal distribution channels may face the plurality of supply ports, respectively.
  • the case may further include a cover part capable of shielding the internal space, and after the cover part is separated from the internal space, the multi-channel part may be detachably installed in the internal space.
  • a renal endoscopy simulator system includes (i) an internal space, a case having a connection part communicating with the outside of the internal space, (ii) an introduction tube installed in the internal space and communicating with the connection part, , a branching portion having a branch pipe branching from the introduction pipe in at least two or more paths, and (iii) an internal path that is insertable or detachable into the internal space and communicates with the branch pipe when inserted into the internal space
  • Artificial extension module including a multi-channel unit having a; an artificial ureter connected to the artificial kidney module; and a water supply unit for supplying water to a plurality of new distribution channels of the multi-channel unit.
  • the water supplied to the artificial kidney module through the water supply unit may flow along the artificial ureter and may be a circulation method in which the water is recovered to the water supply unit.
  • the renal endoscopy simulator system further comprises a control unit for individually controlling the flow of water supplied to each of the plurality of renal and distribution channels through the water supply unit, wherein the control unit includes the multi-channel through the water supply unit. It is possible to control the flow of water so that the stones disposed in the unit have a rocking motion by the flow of water.
  • the renal endoscopy simulator system further includes a plurality of supply lines for supplying water to the plurality of renal and distribution channels, respectively, and the multi-channel unit is a passage for interconnecting the internal path and the plurality of supply lines with each other. may further include.
  • the renal endoscopy simulator system may further include a plurality of valves capable of adjusting the opening amount of each of the plurality of supply lines.
  • kidney stone removal surgery environment it is possible to create a practice environment closer to the actual kidney stone removal surgery environment.
  • FIG. 1 is a diagram showing the configuration of a renal endoscopy simulator system according to an embodiment.
  • FIG. 2 is a perspective view of an artificial kidney module according to an embodiment.
  • FIG 3 is a cross-sectional view of an artificial elongation module according to an embodiment.
  • FIG. 4 is an exploded perspective view of an artificial kidney module according to an embodiment.
  • FIG. 5 is a diagram illustrating the configuration of a renal endoscopy simulator system according to an embodiment.
  • FIG. 1 is a view showing the configuration of a renal endoscopy simulator system according to an embodiment
  • FIG. 2 is a perspective view of an artificial kidney module according to an embodiment
  • FIG. 3 is a cross-sectional view of an artificial kidney module according to an embodiment
  • FIG. 4 is an exploded perspective view of an artificial kidney module according to an embodiment.
  • the renal endoscope simulator system 1 may practice kidney stone removal surgery through a ureteroscope.
  • the renal endoscopy simulator system 1 includes a base 11, an artificial bladder 12, an artificial ureter 13, a kidney model 14, a water supply unit 15, a control unit 16, and an artificial kidney module. (2) may be included.
  • the base 11 may support the artificial bladder 12 , the artificial ureter 13 , the kidney model 14 , and the artificial kidney module 2 to be practiced through the ureteroscope.
  • the base 11 drains water to the lower side of the artificial bladder 12 so that water supplied from the artificial kidney module 2 and flowing to the artificial bladder 12 can be circulated to the water supply unit 15 .
  • It may include a drainage unit 111 that can be.
  • the drain unit 111 may be a hole formed in the base 11 to communicate with the water supply unit 15 , or a housing that temporarily accommodates water such as a water tank and communicates with the water supply unit 15 . .
  • the artificial bladder 12 may be a member in the form of a bladder having an internal space simulating the shape of a human bladder.
  • the artificial bladder 12 may be connected to the artificial ureter 13 on one side, and may be exposed to the outside on the other side of the opposite direction and an opening through which the ureteroscope can be introduced may be formed.
  • the water supplied through the artificial kidney module 2 may be connected to the artificial ureter 13 and delivered to the artificial bladder 12, and the water discharged through the opening of the artificial bladder 12 is located on the lower side according to gravity. It may be discharged to the drain unit 111 .
  • a long tube-shaped member simulating the urethra of the human body may be additionally installed in addition to the opening of the artificial bladder 12 .
  • the artificial bladder 12 may be formed of a polymer material having permeability so that the movement of the insertion tube of the ureteroscope passing through the interior can be observed from the outside.
  • the artificial bladder 12 is not necessarily provided, and in this case, the ureteroscope can be directly inserted through the discharge side of the artificial ureter 13 .
  • the artificial ureter 13 may be a member in the form of a tube that mimics the ureter of a human body.
  • the artificial ureter 13 may have a pair of configurations connected from the artificial bladder 12 .
  • one ureter 13 may be referred to as a first ureter 13a, and the other ureter 13 may be referred to as a second ureter 13b.
  • first ureter 13a the distinction between the first ureter 13a and the second ureter 13b is only for mutual distinction according to the structure of a pair of ureters that are actually connected to each of the pair of kidneys, and contains a specific directionality. make it clear that it is not
  • the first ureter 13a is connected to the kidney model 14 and the second ureter 13b is shown to be connected to the artificial kidney module 2 , but this is in one example. It should be noted that only the artificial ureters (13a, 13b) may be connected to any configuration.
  • the kidney model 14 is a member simulating the height of the human body, and may include an internal channel 141 communicating with the artificial ureter 13 therein.
  • the inner channel 141 may be formed as a passage that branches into a plurality from the artificial ureter 13 so that the endoscope inserted through the artificial ureter 13 can be accessed.
  • the inner channel 141 may have a shape simulating the structure of the renal pelvis and the renal calyces connected therefrom within the actual kidney.
  • the artificial bladder 12, the kidney model 14, and the artificial ureter 13 may be formed of a polymer material having permeability so that the movement of the insertion tube of the ureteroscope can be observed from the outside.
  • the kidney model 14 is formed of a transparent or translucent material, so that the point at which the endoscope is inserted can be visually confirmed even from the outside. Therefore, in the case of an unskilled person unfamiliar with endoscopic manipulation, by first training to insert the endoscope through the first ureter 13a, it is possible to more easily get used to endoscopic surgery.
  • the artificial bladder 12 , the kidney model 14 , and the artificial ureter 13 may have the same color as the actual human bladder, kidney, and ureter colors, respectively.
  • the water supply unit 15 may supply water to the artificial kidney module 2 to simulate the movement of stones flowing in the actual kidney.
  • the artificial kidney module 2 can be cooled using the water supplied from the water supply unit 15 without additional cooling means, it is possible to create a laser use environment that can be used for simulating stone crushing and the like.
  • the water supply unit 15 may implement the movement of the stone (S) accommodated in the artificial kidney module (2) by supplying water to the artificial kidney module (2) through a supply pump or the like. Water used to move the stone (S) may be discharged through the artificial ureter 13 into which the endoscope is inserted, without a separate discharge means. Through this structure, while continuously supplying water from the water supply unit 15 to the artificial kidney module 2, it is possible to implement the movement of the stone (S). For example, water discharged through the drain unit 111 may be supplied back to the water supply unit 15 . According to this structure, without the need to additionally supply water, by recovering the water discharged from the artificial bladder 12 back to the water supply unit 15, through the circulation process, it is possible to implement the movement of the stone (S).
  • the water supply unit 15 may include a pump structure capable of accommodating water and supplying it to the outside.
  • the water supply unit 15 may include a plurality of supply lines 151 that are connected to a plurality of new distribution channels 234 of the multi-channel unit 23 and supply water to each new distribution channel 234 .
  • each of the plurality of supply lines 151 may be provided with a valve capable of opening and closing the corresponding supply line 151 .
  • the above-described valve may be, for example, a valve capable of adjusting the opening degree. According to such a valve, it is possible to individually control the degree of movement of the stone (S) for each of the plurality of renal distribution channels (234).
  • the supply line 151 is connected to the inner channel 141 of the kidney model 14, it should be noted that water may be supplied to the inner channel 141.
  • the control unit 16 may control the water supply unit 15 to adjust the flow rate and flow rate of water supplied to the artificial expansion module 2 .
  • control unit 16 may individually control the flow of water flowing in each of the plurality of supply lines 151 , and as a result, the flow of water flowing into the plurality of new distribution channels 234 may be individually controlled.
  • control unit 16 can control the opening degree of each of the above-described valves.
  • the artificial kidney module 2 creates an environment in which stones are formed in the structure of the actual kidney, so that an actual endoscopic operation to remove stones can be practiced.
  • the artificial kidney module 2 may communicate with the artificial ureter 13 which is connected from the artificial bladder 12 .
  • the artificial kidney module 2 is illustrated as having a structure and a direction corresponding to a left kidney among a pair of kidneys in the human body, but this is only an example, and vice versa It should be noted that a configuration having a structure and a direction corresponding to a symmetrical elongation of the direction is also possible.
  • the artificial kidney module 2 may include a case 21 , a branch portion 22 , a multi-channel portion 23 , and a stone (S).
  • the case 21 may be a housing-type member accommodating the branch portion 22 and the multi-channel portion 23 therein.
  • the case 21 has an internal space 211 , a connection part 213 through which the artificial ureter 13 is introduced into the internal space 211 , and a cover part 214 capable of shielding the internal space 211 from the outside.
  • a plurality of supply ports 215 into which a plurality of supply lines 151 are introduced into the inner space 211 may be included.
  • the branch part 22 and the multi-channel part 23 may be accommodated in the inner space 211 .
  • the internal space 211 may support the branching part 22 and the multi-channel part 23 in a state in which they are aligned with each other.
  • the inner space 211 may have a semi-circular column shape corresponding to a shape in which the branch part 22 and the multi-channel part 23 are combined.
  • the branch portion 22 and multiple The channel part 23 may be fixedly supported by being fitted to the inner wall of the inner space 211 , while the branching part 22 and the multi-channel part 23 may be connected to be in close contact with each other.
  • the cross section of the inner space 211 may include a circular shape including an arc.
  • the connecting portion 213 is a port communicating with the inner space 211 through the inner wall of the case 21 from the outside, and the end of the artificial ureter 13 may be connected.
  • the connection part 213 may be connected to the introduction pipe 221 of the branch part 22 installed in the inner space 211 .
  • the cover part 214 may be detachably separated to shield the internal space 211 from the outside.
  • the cover part 214 may prevent the water supplied to the inner space 211 from flowing out to the outside of the case 21 . Since a sealing member is provided between the cover part 214 and the inner space 211 , the water supplied to the inner space 211 may be discharged through the artificial ureter 13 without leaking to the outside.
  • the cover part 214 may serve to shield the internal space 211 while pressing the multi-channel part 23 accommodated in the internal space 211 to firmly fix it.
  • the cover part 214 may be formed of a member with a part of which is permeable so that the cover part 214 can observe the shielded internal space 211 from the outside.
  • the plurality of supply ports 215 may be installed in a portion of the inner space 211 where the multi-channel unit 23 is installed. Each of the plurality of supply ports 215 may be connected to one side of each of the plurality of new distribution channels 234 formed inside the multi-channel unit 23 .
  • the multi-channel part 23 may have a columnar shape having an arc-shaped cross-section, and thus, a plurality of supply ports 215 may also be formed in an arc-shaped region. In other words, the plurality of supply ports 215 may be radially arranged around the branch 22 . For example, the plurality of supply ports 215 may be connected from the lower side of the inner space 211 along the direction of gravity.
  • a plurality of supply ports 215 may be connected to one side of each of the plurality of new distribution channels 234 . can be connected to precisely engage with the
  • the multi-channel unit 23 includes a passage for interconnecting the renal distribution channel 234 and the supply port 215 , and the water supplied to the supply port 215 is transmitted through the above-described passage through the renal distribution channel 234 . ) can be introduced.
  • the water supplied from the water supply unit 15 to the artificial kidney module 2 is individually supplied to each of the plurality of renal grail channels 234 so that the stones flow in the renal calyces of the actual kidney. can imitate
  • the branching part 22 is installed in a portion connected to the connection part 213 of the internal space 211 , and may form an internal path communicating from the artificial ureter 13 to the multi-channel part 23 .
  • the introduction tube 221 of the branch 22 may communicate with the artificial ureter 13 .
  • the branch portion 22 may have a columnar shape having a cross-section of a semicircle or a sector shape.
  • the branch 22 includes an introduction tube 221 that communicates with the artificial ureter 13 through the connecting portion 213, and a branch pipe that branches from the introduction tube 221 and communicates with the internal space 211 ( 222 , and a coupling end 223 connected to the multi-channel part 23 and exposed to the branch pipe 222 .
  • the introduction tube 221 is a portion communicating with the artificial ureter 13 and may have a tube shape simulating the renal pelvis portion of the kidney that is actually connected to the ureter.
  • the branch pipe 222 may have a pipe shape that is connected from the introduction pipe 221 and is branched and opened in plurality toward the coupling end 223 .
  • the branch tube may have a tubular shape simulating a portion branching into two or three major calyx in the renal pelvis of the actual kidney.
  • the coupling end 223 is a portion in which an opening through which the branch pipe 222 is exposed is formed, and may be coupled to the separation end 231 of the multi-channel unit 23 .
  • the opening of the branch pipe 222 exposed at the coupling end 223 may be communicated with the renal inlet 233 exposed at the separation end 231 . there is.
  • the coupling end 223 and the separation end 231 may have a structure in which their respective contact surfaces fit each other so that they can be in close contact with each other at the correct coupling position.
  • the coupling end 223 may have a protruding shape along an arc shape, and thus the separating end 231 is inwardly aligned along the same arc shape. It may have a recessed shape.
  • the multi-channel unit 23 is installed in a portion of the internal space 211 connected to the branch unit 22 .
  • the multi-channel part 23 may form an internal path communicating from the internal path of the branch part 22 , and may be connected to the branch pipe 222 on one side and a plurality of supply ports 215 on the other side.
  • the multi-channel part 23 may be detachably installed in the inner space 211 .
  • the multi-channel portion 23 includes a separation end 231 coupled to the coupling end 223 of the branch 22, a separation outer surface 232 in close contact with the inner wall of the interior space 211, It may include a renal glia inlet 233 which is recessed inwardly from the separation end 231 and a plurality of renal glia channels 234 that are connected from the renal glia inlet 233 and are branched into a plurality of paths.
  • the separation end 231 is a portion where the inlet 233 is exposed to the outside, and may be coupled to the coupling end 223 of the branch 22 .
  • the separating end 231 may have a recessed shape corresponding to the protruding shape of the coupling end 223 .
  • the separation end 231 may form an arc-shaped contact surface recessed inward.
  • the coupling end 223 and the separating end 231 having shapes corresponding to each other, when the multi-channel portion 23 is coupled to the branch portion 22, it can be guided to have an accurate coupling position with each other, and also Each branch pipe 222 and the renal grail inlet 233 can be aligned to precisely engage.
  • the coupling end 223 and the separating end 231 are in surface contact with each other in close contact with each other in portions except for the branch pipe 222 and the sinbae inlet 233 to prevent the water flowing from the inside from leaking out. can do.
  • each of the coupling end 223 and the separation end 231 may include any other shape having a structure that can be molded and closely adhered to each other.
  • the separation outer surface 232 may be an outer portion that is in close contact with the inner wall of the inner space 211 .
  • the separation outer surface 232 may have an outer cross-sectional shape that matches the cross-sectional shape of the inner wall of the inner space 211 so as to be in close contact with the inner wall of the inner space 211 .
  • the separation outer surface 232 when a portion of the inner wall of the inner space 211 has a cylindrical shape, the separation outer surface 232 also has an outer structure of a cylindrical shape, so that the separation outer surface 232 is the inner space It may be arranged to be in close contact along the inner wall of the 211 .
  • the multi-channel part 23 can be arranged to have an accurate coupling position within the internal space 211 , and through this, the new gyeongbae inlet 233 of the multi-channel part 23 is connected to the branching part 22 .
  • the ends of the plurality of exhalation channels 234 of the multi-channel part 23 may also be aligned so that they can communicate while being accurately engaged with each of the plurality of supply ports 215 .
  • the multi-channel portion 23 when the multi-channel portion 23 is installed in the inner space 211, it is stably and fixedly supported from both sides of the separation end 231 and the separation outer surface 232, so that the multi-channel portion 23 is formed in the interior space. It can be prevented from being separated from the correct coupling position within the 211 .
  • a structure may be formed in which the renal cerebellum inlet 233 connected to the branch pipe 222 on one side and at least one renal diaphragm channel 234 on the other side is exposed to the outside.
  • the renal inlet 233 may include an opening portion exposed to the separating end 231 .
  • Sinbae inlet 233 may have a tube shape simulating a portion that is branched and connected to a plurality of minor calyx from the major calyx of the actual kidney.
  • the number of inlets 233 equal to the number of branch pipes 222 may be formed at points spaced apart from each other along the separation end 231 .
  • the plurality of renal channels 234 may be passages that are branched and connected to have at least one path from the renal inlet 233, and are connected to each of the plurality of supply ports 215 at the end of each passage to supply water. can receive
  • the plurality of kidney channels 234 may have a tube shape simulating the structure of a minor calyx that is branched and connected in plurality from the major calyx of the actual kidney.
  • the shape of the passage branching from the introductory tube 221 through the branch pipe 222 and the renal girdle inlet 233 to the plurality of renal glia channels 234 and communicating is, from the renal pelvis of the actual kidney. It can have a three-dimensional passage shape that branches and communicates through the (major calyx) to the minor calyx.
  • the artificial kidney module 2 even if the heights of the plurality of renal and glia channels 234 have different three-dimensional structures, in a state in which the multi-channel part 23 is separated, the renal glia inlet 233 exposed to the outside. It is possible to insert the stones (S) into each of the plurality of renal channels 234 through. Therefore, compared to a general artificial kidney module that positions the stone (S) on the same plane in two dimensions, it has the advantage of being able to perform much more realistic training.
  • each new channel 234 is engaged while engaging with each of the plurality of supply ports 215.
  • water can be individually supplied to each of the plurality of new distribution channels 234 .
  • the renal grail channel 234 may include a structure that slopes downward along the direction of gravity as it goes from the renal glia inlet 233 to the supply port 215 .
  • the stone (S) when the stone (S) is placed in the renal glia channel (234) or the renal glia inlet (233) portion, the stone (S) receives a force to move toward the end of the renal glia channel 234 by gravity at the same time , is supplied through each supply port 215 and receives a force in a direction away from the end of the renal glia channel 234 by the back-flowing water, and as a result, the stone (S) is the renal glia inlet 233 or renal glia channel It can be created to have the movement of the stone in the kidney by making it have irregularly oscillating motion in the state of being moored at (234).
  • the portion in which the plurality of supply ports 215 are installed in the inner space 211 may be installed at points radially spaced apart from each other based on the arc shape of the separation end 231 .
  • the plurality of supply ports 215 may have different radial angles each formed based on the arc shape.
  • the plurality of new and distributed channels 234 of the multi-channel unit 23 may also be radially distributed based on a corresponding arc shape within a structurally possible orientation range.
  • the plurality of supply ports 215 may protrude in a direction perpendicular to a radial plane with respect to the arc shape of the separation end 231 and be connected to each of the plurality of renal distribution channels 234 .
  • the vertical direction may be in the opposite direction to the direction of gravity, and the flow of water supplied to the renal grail channel 234 through the countercurrent to the upper side is advantageous in forming a turbulence to effectively moor the stone (S).
  • the structure may form a three-dimensional passage structure that is bent and branched along a three-dimensional direction like the internal structure of an actual kidney.
  • the branch portion 22 and the multi-channel portion 23 may have the same color as the actual kidney.
  • the branch portion 22 and the multi-channel portion 23 may be formed of a polymer material having permeability so that the movement of the insertion tube of the ureteroscope passing through the interior can be observed from the outside.
  • it may be formed of an opaque or translucent red material.
  • the stone (S) is a member corresponding to the stone formed inside the actual kidney, and may be inserted into the renal glia inlet 233 or the plurality of renal glia channels 234 of the multi-channel part 23 .
  • the stone S may have a shape and size similar to that of an actual kidney stone, and may have a similar mass and stiffness.
  • the stone S may be a kidney stone removed from an actual kidney.
  • the multi-channel part 23 is separated. It is possible to easily insert the stone (S) in the state in which the inlet 233 formed in the end 231 is exposed to the outside.
  • FIG. 5 is a diagram illustrating the configuration of a renal endoscopy simulator system according to an embodiment.
  • the renal endoscopy simulator system 3 includes an artificial bladder 12 , an artificial ureter 13 , a kidney model 14 , a water supply unit 15 , an artificial kidney module 2 , It may include a control unit 17 , a ureteroscope 31 , a display unit 32 , and an operation unit 33 .
  • the ureteroscope 31 may enter the opening of the artificial bladder 12 and enter the artificial kidney module 2 through the artificial ureter 13 .
  • the display unit 32 may display an image captured by a camera installed at the distal end of the ureteroscope 31 in real time.
  • the manipulation unit 33 may control the driving of the ureteroscope 31 inserted into the artificial kidney module 2 through the artificial ureter 13 .
  • the user manipulates the ureteroscope 31 through the operation unit 33 and enters the ureteroscope 31 into the artificial kidney module 2 through the artificial ureter 13 .
  • ) can be introduced, and then, surgery to remove the stone (S) disposed inside the artificial kidney module (2) can be practiced, and the process can be observed through the display unit (32) at the same time.
  • the stone (S) installed inside the multi-channel part 23 through the image taken from the camera of the ureteroscope 31 is the renal inlet 233 or the renal vessel.
  • the operation of the water supply unit 15 may be controlled through the control unit 17 so as to have a oscillating movement within the channel 234 so as to simulate the movement formed by the stone in the actual kidney.
  • control unit 17 can adjust the flow rate and flow rate of water supplied through the supply line 151 connected to the renal distribution channel 234 through which the stones S are disposed through the water supply unit 15, so that the user can display It may be possible to adjust the appropriate water supply flow rate and flow rate in real time while checking the image of the stone S taken by the ureteroscope 31 through the unit 32 .

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Abstract

Un module de rein artificiel selon un mode de réalisation peut comprendre : un boîtier ayant un espace interne et une partie de raccordement communiquant avec l'extérieur de l'espace interne ; une partie de ramification ayant un tube d'introduction installé dans l'espace intérieur et communiquant avec la partie de raccordement, et un tube ramifié qui se ramifie du tube d'introduction en au moins deux voies ou plus ; et une partie à canaux multiples qui peut être insérée dans l'espace interne ou séparée de ce dernier, et a un trajet interne qui communique avec le tube ramifié lorsqu'il est inséré dans l'espace interne.
PCT/KR2020/017249 2020-08-24 2020-11-30 Module de rein artificiel et système de simulateur d'endoscopie rénale le comprenant Ceased WO2022045466A1 (fr)

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