CN114446107B - A microsurgical bionic anastomosis training device - Google Patents
A microsurgical bionic anastomosis training device Download PDFInfo
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- 230000004087 circulation Effects 0.000 claims abstract description 42
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- 238000002406 microsurgery Methods 0.000 claims abstract description 10
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- 241001465754 Metazoa Species 0.000 claims description 5
- 230000017531 blood circulation Effects 0.000 claims description 3
- 238000005086 pumping Methods 0.000 claims description 3
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- 206010006187 Breast cancer Diseases 0.000 description 5
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Abstract
本发明公开了一种显微外科仿生血管吻合培训装置,包括仿生血管、模拟肌肉底座以及设置在模拟肌肉底座内的循环连通管、微电泵、储液囊、第一转换接头和第二转换接头、锥形血管固定夹,第一转换接头和第二转换接头与循环连通管连通,仿生血管两端分别通过锥形血管固定夹与第一转换接头和第二转换接头连通;本发明专利通过在模拟显微手术操作的实战场景,显微操作培训培训人员可通过对仿生血管进行多次重复吻合训练,并同时借助微电泵循环系统,检验吻合成功与否,从而达到提升显微外科血管吻合技术水平的目的,同时,仿生血管的可拆卸性及口径大小的选择设置方式,进一步提高了显微外科培训人员训练的效率和可选择性的技术难度。
The invention discloses a training device for bionic blood vessel anastomosis in microsurgery, which comprises a bionic blood vessel, a simulated muscle base, a circulation communication tube arranged in the simulated muscle base, a microelectric pump, a liquid storage bag, a first conversion joint and a second conversion Connector, tapered blood vessel fixing clip, the first conversion joint and the second conversion joint are connected with the circulation connecting pipe, and the two ends of the bionic blood vessel are respectively connected with the first conversion joint and the second conversion joint through the tapered blood vessel fixing clip; the patent of the present invention is passed In the actual scene of simulating microsurgical operations, micromanipulation training personnel can conduct repeated anastomosis training on bionic blood vessels, and at the same time use the micro-electric pump circulation system to check whether the anastomosis is successful or not, so as to improve the microsurgical blood vessel. In line with the purpose of the technical level, at the same time, the detachability of the bionic blood vessel and the selection and setting of the caliber size further improve the training efficiency and optional technical difficulty of the microsurgery trainers.
Description
技术领域technical field
本发明涉及显微外科手术培训装置技术领域,特别是涉及一种显微外科仿生血管吻合培训装置。The invention relates to the technical field of microsurgery training devices, in particular to a microsurgery bionic blood vessel anastomosis training device.
背景技术Background technique
显微外科的理论与技术既是一门独立学科又为多学科所利用。整形外科在接受了显微外科理论与技术后如虎添翼,使整形外科有了更广阔的发展空间。几年来,显微外科游离组织瓣修复更拓展了其各专业的应用范围,显微血管吻合技术作为显微外科的基础,更为彰显其重要地位。The theory and technology of microsurgery are not only an independent subject but also used by multiple disciplines. After accepting the theory and technology of microsurgery, plastic surgery is even more powerful, which makes plastic surgery have a broader space for development. Over the past few years, microsurgical free tissue flap repair has expanded its scope of application in various specialties, and microvascular anastomosis technology, as the basis of microsurgery, has further demonstrated its important position.
随着2020年最新全球癌症数据的更新,乳腺癌取代肺癌,发病率全球最高。乳腺癌的外科治疗模式也逐渐由“可耐受的最大治疗”向“最小有效治疗”转变,促使患者群体的要求也不仅仅满足乳腺癌的治愈,对于乳腺癌术后的美容修复要求日益增加。显微血管吻合技术作为乳腺癌术后的肿瘤学相关整形技术,即自体乳房修复重建的基础技术之一,越来越受到各级医疗机构乳腺专业及整形专业医生的青睐。因此,显微血管吻合技术的推广与培训成为目前各大医院攻克技术难点的必经之路,也为显微技术甚至超显微技术铺设一条完美的学习曲线之路。With the update of the latest global cancer data in 2020, breast cancer has replaced lung cancer with the highest incidence in the world. The surgical treatment mode of breast cancer is also gradually changing from "maximum tolerable treatment" to "minimum effective treatment", which prompts the requirements of the patient group not only to meet the cure of breast cancer, but also to meet the increasing requirements for cosmetic repair after breast cancer surgery . Microvascular anastomosis technology, as an oncology-related plastic surgery technology after breast cancer surgery, is one of the basic technologies for autologous breast repair and reconstruction, and is increasingly favored by breast and plastic surgery doctors in medical institutions at all levels. Therefore, the promotion and training of microvascular anastomosis technology has become the only way for major hospitals to overcome technical difficulties, and it also paves a perfect learning curve for microscopic technology and even ultramicroscopic technology.
目前,市面上针对显微血管的培训装置还未发现,仅仅存在一些手术上常用的血管吻合装置,如公开号为CN112294381A的一种用于显微外科的血管及淋巴管吻合套管装置以及公开号为CN213249406U的血管吻合辅助装置均为结构复杂的手术用具,不便于培训人员进行操作,且造价高昂,无法满足培训需要。At present, there is no training device for microvascular on the market, and there are only some commonly used vascular anastomosis devices in surgery, such as a kind of vascular and lymphatic anastomosis sleeve device for microsurgery with the publication number CN112294381A and the published No. CN213249406U vascular anastomosis assisting device is a surgical tool with complex structure, which is not convenient for trainers to operate, and the cost is high, so it cannot meet the training needs.
因此,为了解决上述问题,本发明提供一种显微外科仿生血管吻合培训装置,来解决培训成本高昂,且培训效率低下的问题。Therefore, in order to solve the above problems, the present invention provides a microsurgical bionic blood vessel anastomosis training device to solve the problems of high training cost and low training efficiency.
发明内容Contents of the invention
本发明的目的是提供一种显微外科仿生血管吻合培训装置,来达到降低培训成本,提高培训效率的目的。The purpose of the present invention is to provide a microsurgical bionic blood vessel anastomosis training device to achieve the purpose of reducing training cost and improving training efficiency.
为实现上述目的,本发明提供了如下方案:To achieve the above object, the present invention provides the following scheme:
一种显微外科仿生血管吻合培训装置,包括仿生血管、模拟肌肉底座以及设置在所述模拟肌肉底座内的循环连通管、微电泵、第一转换接头和第二转换接头,所述循环连通管固定在所述模拟肌肉底座上并使所述循环连通管的两端延伸出所述模拟肌肉底座,所述第一转换接头和第二转换接头分别设置在所述循环连通管两端并与所述循环连通管连通,所述仿生血管两端分别与所述第一转换接头和所述第二转换接头连通,所述微电泵用于控制循环连通管内血液的流动。A microsurgical bionic blood vessel anastomosis training device, including bionic blood vessels, a simulated muscle base, a circulation communication tube arranged in the simulated muscle base, a microelectric pump, a first conversion joint and a second conversion joint, the circulation communication The tube is fixed on the simulated muscle base and the two ends of the circulation communication tube extend out of the simulated muscle base, and the first conversion joint and the second conversion joint are respectively arranged at both ends of the circulation communication tube and connected with The circulation communication tube is in communication, the two ends of the bionic blood vessel are in communication with the first conversion joint and the second conversion joint respectively, and the microelectric pump is used to control the flow of blood in the circulation communication tube.
优选地,还包括储液囊,所述储液囊设置在靠近所述第一转换头的所述循环连通管上并与所述循环连通管连通,所述储液囊与所述第一转换头的连接处设置有用于控制所述循环连通管开闭的开关。Preferably, it also includes a liquid storage bag, the liquid storage bag is arranged on the circulation communication pipe close to the first switching head and communicates with the circulation communication pipe, the liquid storage bag is connected to the first switching head The connection of the head is provided with a switch for controlling the opening and closing of the circulation communication pipe.
优选地,所述储液囊为椭圆形,且为透明硅胶材质。Preferably, the liquid storage bag is oval and made of transparent silicone material.
优选地,所述仿生血管包括动物的动脉仿生血管和静脉仿生血管。Preferably, the bionic blood vessels include bionic arterial blood vessels and bionic venous blood vessels of animals.
优选地,所述第一转换接头和第二转换接头均包括锥形针芯和锥形血管固定夹,所述锥形针芯的扩大端外表面设置有与所述循环连通管连接的第一外螺纹,所述锥形针芯的缩小端外表面设置有与所述锥形血管固定夹相匹配的第二外螺纹,所述仿生血管与所述锥形针芯连通,并卡接在所述锥形血管固定夹与所述第二外螺纹之间。Preferably, both the first conversion joint and the second conversion joint include a tapered needle core and a tapered blood vessel fixing clip, and the outer surface of the enlarged end of the tapered needle core is provided with a first External thread, the outer surface of the narrowing end of the tapered needle core is provided with a second external thread that matches the tapered blood vessel fixing clip, the bionic blood vessel communicates with the tapered needle core, and is clamped on the tapered needle core Between the tapered blood vessel fixing clip and the second external thread.
优选地,所述锥形血管固定夹和所述第一转换接头之间还设置有调节弹簧。Preferably, an adjustment spring is further arranged between the tapered blood vessel fixing clip and the first conversion joint.
优选地,所述微电泵的泵送压力为15kpa至18kpa。Preferably, the pumping pressure of the micro electric pump is 15kpa to 18kpa.
优选地,所述锥形针芯与所述循环连通管之间设置有伸缩套管,所述伸缩套管一端与所述锥形针芯的扩大端连接,另外一端与所述循环连通管连通。Preferably, a telescopic sleeve is provided between the tapered needle core and the circulation communication pipe, one end of the telescopic sleeve is connected to the enlarged end of the tapered needle core, and the other end is communicated with the circulation communication pipe .
优选地,还包括用于存放所述模拟肌肉底座的开合罩。Preferably, it also includes a closable cover for storing the simulated muscle base.
优选地,所述模拟肌肉底座上的血液循环系统至少设置一条。Preferably, at least one blood circulation system is provided on the simulated muscle base.
本发明相对于现有技术取得了以下技术效果:Compared with the prior art, the present invention has achieved the following technical effects:
1.本发明在使用时,培训人员在进行操作之前,先将仿生血管通过转换接头与循环连通管连通,然后打开微电泵并模拟人体血压,使得循环连通管内的压力与人体的血压保持一致,并检测安装仿生血管后接头密封完好;关闭微电泵后培训人员对仿生血管分段离断并行显微外科吻合操作即可,完成多节段血管吻合后,打开微电泵开关,检测吻合效果,观察是否渗漏,并针对性予以吻合修正;不断的进行学习曲线内的仿生血管吻合训练,从而达到渐进性提升显微外科血管吻合技术水平的目的,同时,仿生血管的可拆卸设置方式,不仅降低了培训成本,也提高了培训人员训练的效率。1. When the present invention is in use, before the operation, the trainer connects the bionic blood vessel with the circulation communication pipe through the conversion joint, then turns on the micro electric pump and simulates the blood pressure of the human body, so that the pressure in the circulation communication pipe is consistent with the blood pressure of the human body , and check that the seal of the joint is intact after installing the bionic blood vessel; after turning off the microelectric pump, the trainer can segment the bionic blood vessel and perform microsurgical anastomosis. Effect, observe whether there is leakage, and make targeted anastomosis corrections; continue to carry out bionic vascular anastomosis training within the learning curve, so as to achieve the purpose of gradually improving the technical level of microsurgical vascular anastomosis. At the same time, the detachable setting method of bionic blood vessels , not only reduces the training cost, but also improves the training efficiency of the trainers.
2.本发明中还包括储液囊,储液囊设置在靠近第一转换头的循环连通管上并与循环连通管连通,储液囊与第一转换头的连接处设置有用于控制循环连通管开闭的开关;使得循环连通管中的血液在进入仿生血管之前达到缓冲的目的,减弱微电泵产生的冲击,进而保证进入到仿生血管内的血液均匀稳定的目的,此外,开关的设置用于控制循环连通管开闭。2. The present invention also includes a liquid storage bag. The liquid storage bag is arranged on the circulation communication pipe close to the first conversion head and communicates with the circulation communication pipe. The switch of the tube opening and closing; make the blood in the circulating communication tube achieve the purpose of buffering before entering the bionic blood vessel, weaken the impact generated by the micro-electric pump, and then ensure the uniform and stable blood entering the bionic blood vessel. In addition, the setting of the switch It is used to control the opening and closing of the circulation connecting pipe.
3.本发明中仿生血管包括可替换的动脉仿生血管和静脉仿生血管或者替代以解剖动物的动静脉血管,进而完成动脉仿生血管和静脉仿生血管吻合手术的双重培训。3. The bionic blood vessels in the present invention include replaceable arterial bionic blood vessels and venous bionic blood vessels or replace the arteriovenous blood vessels of dissected animals, so as to complete the dual training of arterial bionic blood vessels and venous bionic blood vessel anastomosis.
4.本发明中还包括用于存放模拟肌肉底座的开合罩,便于显微外科仿生血管吻合培训装置的移动和存放。4. The present invention also includes an opening and closing cover for storing the simulated muscle base, which facilitates the movement and storage of the microsurgical bionic blood vessel anastomosis training device.
附图说明Description of drawings
为了更清楚地说明本发明或现有技术中的技术方案,下面将对实施例中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动性的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the present invention or the technical solutions in the prior art, the accompanying drawings that need to be used in the embodiments will be briefly introduced below. Obviously, the accompanying drawings in the following description are only some embodiments of the present invention , for those skilled in the art, other drawings can also be obtained according to these drawings without paying creative labor.
附图1为显微外科仿生血管吻合培训装置的结构示意图;
附图2为显微外科仿生血管吻合培训装置的主视图;Accompanying
附图3为锥形针芯与循环通管连接处的结构示意图;Accompanying
附图4为锥形针芯的结构示意图;Accompanying
附图5为锥形血管固定夹的结构示意图;Accompanying
其中,1、循环连通管;2、储液囊;3、微电泵;4、锥形针芯;5、锥形血管固定夹;6、电源开关;7、扩大端;8、缩小端;9、第一外螺纹;10、第二外螺纹;11、开关;12、伸缩套管;13、调节弹簧。Among them, 1. Circulation connecting tube; 2. Liquid storage bag; 3. Micro electric pump; 4. Conical needle core; 5. Conical blood vessel fixing clip; 6. Power switch; 7. Expanding end; 9. First external thread; 10. Second external thread; 11. Switch; 12. Telescopic sleeve; 13. Adjusting spring.
具体实施方式detailed description
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some of the embodiments of the present invention, not all of them. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
本发明的目的是提供一种显微外科仿生血管吻合培训装置,来达到降低培训成本,提高培训效率的目的。The purpose of the present invention is to provide a microsurgical bionic blood vessel anastomosis training device to achieve the purpose of reducing training cost and improving training efficiency.
为使本发明的上述目的、特征和优点能够更加明显易懂,下面结合附图和具体实施方式对本发明作进一步详细的说明。In order to make the above objects, features and advantages of the present invention more comprehensible, the present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.
参考图1至5,一种显微外科仿生血管吻合培训装置,包括仿生血管、模拟肌肉底座以及设置在模拟肌肉底座内的循环连通管1、微电泵3、第一转换接头和第二转换接头,循环连通管1固定在模拟肌肉底座上并使循环连通管1的两端延伸出所述模拟肌肉底座,第一转换接头和第二转换接头分别设置在所述循环连通管1两端并与循环连通管1连通,仿生血管两端分别与第一转换接头和所述第二转换接头连通,微电泵3用于控制循环连通管1内血液的流动;培训人员在进行操作之前,先将仿生血管通过转换接头与循环连通管1连通,然后打开微电泵3并模拟人体血压,使得循环连通管1内的压力与人体的血压保持一致,关闭微电泵3后培训人员对仿生血管分段离断并行显微外科吻合操作即可,完成多节段血管吻合后,打开微电泵3开关11,检测吻合效果,观察是否渗漏,并针对性予以吻合修正。不断的进行学习曲线内的仿生血管吻合训练,从而达到渐进性提升显微外科血管吻合技术水平的目的,同时,仿生血管的可拆卸设置方式,不仅降低了培训成本,也提高了培训人员训练的效率。Referring to Figures 1 to 5, a microsurgical bionic blood vessel anastomosis training device includes a bionic blood vessel, a simulated muscle base, and a
参考图1至2,还包括储液囊2,储液囊2设置在靠近第一转换头的循环连通管1上并与循环连通管1连通,储液囊2与第一转换头的连接处设置有用于控制循环连通管1开闭的开关11;使得循环连通管1中的血液在进入仿生血管之前达到缓冲的目的,减弱微电泵3产生的冲击,进而保证进入到仿生血管内的血液均匀稳定的目的,此外,开关11的设置用于控制循环连通管1开闭。Referring to Figures 1 to 2, it also includes a
进一步的,储液囊2为椭圆形,便于储液囊2内液体的积聚,同时透明硅胶材质也方便培训人员观测储液囊2内部的液体情况。Further, the
进一步的,仿生血管包括动物的动脉仿生血管和静脉仿生血管,或者以解剖动物各种口径的动静脉血管替代之,进而完成动脉仿生血管和静脉仿生血管吻合手术的双重培训。Further, bionic blood vessels include animal arterial bionic blood vessels and venous bionic blood vessels, or replace them with arteriovenous blood vessels of various calibers in dissected animals, so as to complete the dual training of arterial bionic blood vessels and venous bionic blood vessel anastomosis.
参考图1至5,第一转换接头和第二转换接头均包括锥形针芯4和锥形血管固定夹5,锥形针芯4的扩大端7外表面设置有与循环连通管1连接的第一外螺纹9,锥形针芯4的缩小端8外表面设置有与锥形血管固定夹5相匹配的第二外螺纹10,仿生血管与锥形针芯4连通,并卡接在锥形血管固定夹5与第二外螺纹10之间,进一步的,第一外螺纹9的牙距大于第二外螺纹10的牙距,第一外螺纹9的牙距为2mm至2.5mm,第二外螺纹10的牙距为0.2至0.5mm,使得仿生血管与锥形针芯4的固定更加的牢靠紧密。Referring to Figures 1 to 5, both the first conversion joint and the second conversion joint include a tapered
参考图1至3,锥形血管固定夹5和所述第一转换接头之间还设置有调节弹簧13。Referring to FIGS. 1 to 3 , an
进一步的,微电泵3的泵送压力为15kpa至18kpa;使得模拟培训过程更加的贴合实际情况。Furthermore, the pumping pressure of the
参考图1至2,锥形针芯4与循环连通管1之间设置有伸缩套管12,伸缩套管12一端与锥形针芯4的扩大端7连接,另外一端与循环连通管1连通;便于调整两个锥形之间的距离以适应不同长度的仿生血管。Referring to Figures 1 to 2, a
进一步的,还包括用于存放所述模拟肌肉底座的开合罩;便于显微外科仿生血管吻合培训装置的移动和存放。Further, it also includes an opening and closing cover for storing the simulated muscle base; it is convenient for the movement and storage of the bionic blood vessel anastomosis training device for microsurgery.
参考图1,所述模拟肌肉底座上的血液循环系统设置两条,可分别模拟静脉和动脉的血管吻合培训。Referring to FIG. 1 , two blood circulation systems are set on the simulated muscle base, which can respectively simulate the vascular anastomosis training of veins and arteries.
进一步的,仿生血管的管径包括小于等于0.8mm的微血管在内的各种口径的血管,其目的同样是为了使模拟培训过程更加的贴合实际情况下的血管管径。Furthermore, the diameter of the bionic blood vessel includes blood vessels of various diameters including microvessels less than or equal to 0.8mm. The purpose is also to make the simulated training process more suitable for the diameter of the blood vessel in the actual situation.
根据实际需求而进行的适应性改变均在本发明的保护范围内。Adaptive changes made according to actual needs are within the protection scope of the present invention.
需要说明的是,对于本领域技术人员而言,显然本发明不限于上述示范性实施例的细节,而且在不背离本发明的精神或基本特征的情况下,能够以其他的具体形式实现本发明。因此,无论从哪一点来看,均应将实施例看作是示范性的,而且是非限制性的,本发明的范围由所附权利要求而不是上述说明限定,因此旨在将落在权利要求的等同要件的含义和范围内的所有变化囊括在发明内。不应将权利要求中的任何附图标记视为限制所涉及的权利要求。It should be noted that, for those skilled in the art, it is obvious that the present invention is not limited to the details of the above-mentioned exemplary embodiments, and the present invention can be implemented in other specific forms without departing from the spirit or essential characteristics of the present invention. . Accordingly, the embodiments should be regarded in all points of view as exemplary and not restrictive, the scope of the invention being defined by the appended claims rather than the foregoing description, and it is therefore intended that the scope of the invention be defined by the appended claims rather than by the foregoing description. All changes within the meaning and range of equivalents of the elements are embraced in the invention. Any reference sign in a claim should not be construed as limiting the claim concerned.
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