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TWM679442U - Gallbladder stone removal simulation surgery training device - Google Patents

Gallbladder stone removal simulation surgery training device

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Publication number
TWM679442U
TWM679442U TW114210548U TW114210548U TWM679442U TW M679442 U TWM679442 U TW M679442U TW 114210548 U TW114210548 U TW 114210548U TW 114210548 U TW114210548 U TW 114210548U TW M679442 U TWM679442 U TW M679442U
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TW
Taiwan
Prior art keywords
unit
bile duct
module
stone removal
processing unit
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Application number
TW114210548U
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Chinese (zh)
Inventor
黃鈞瑋
黃崧峰
許桓源
游明晋
Original Assignee
新北市立土城醫院(委託長庚醫療財團法人興建經營)
Filing date
Publication date
Application filed by 新北市立土城醫院(委託長庚醫療財團法人興建經營) filed Critical 新北市立土城醫院(委託長庚醫療財團法人興建經營)
Publication of TWM679442U publication Critical patent/TWM679442U/en

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Abstract

本創作提供一種膽道取石模擬手術訓練器,其主要包含有一腹腔模組、一膽道模組、一循環模組與一控制模組,該膽道模組係容置於該腹腔模組之一容置空間,且其包含之一第一連接管單元與一第二連接管單元係分別凸設於該腹控模組所成之二貫孔,而該第一連接管單元與該第二連接管單元間並組設有一膽管單元,形成該膽管單元之該等膽管體內各設有一第一感測單元將內側壁面之物理量變化傳輸至電性連接之該處理單元,當該處理單元處理與運算該等第一感測單元所回傳之物理量變化超過設定之壓力閥值時,則該處理單元控制一警示單元產生警示訊號,因此,該膽道取石模擬手術訓練器係具可重複使用性之教學展示平台。This invention provides a simulated surgical training device for bile duct stone removal, which mainly includes an abdominal cavity module, a bile duct module, a circulation module, and a control module. The bile duct module is housed within a receiving space of the abdominal cavity module, and includes a first connecting tube unit and a second connecting tube unit that respectively protrude from two through holes formed by the abdominal control module. A bile duct unit is arranged in parallel between the first connecting tube unit and the second connecting tube unit. Each of the bile ducts forming the bile duct unit is equipped with a first sensing unit that transmits the physical quantity changes of the inner wall to the electrically connected processing unit. When the processing unit processes and calculates the physical quantity changes returned by the first sensing units and exceeds the set pressure valve value, the processing unit controls an alarm unit to generate an alarm signal. Therefore, the bile duct stone removal simulation surgery training device is a reusable teaching and demonstration platform.

Description

膽道取石模擬手術訓練器Gallbladder stone removal simulation surgery training device

本創作有關於一種訓練教具,尤指一種提供醫護人員透過設有一膽道模型於腹部模組來進行膽道取石手術模擬之膽道取石模擬手術訓練器。This invention relates to a training tool, particularly a bile duct stone removal simulation surgery training device that provides medical personnel with a bile duct model on an abdominal module to simulate bile duct stone removal surgery.

內視鏡技術因為具有傷口小與出血量少之優點,因此,內視鏡技術已廣泛地運用於外科的各種手術;然而膽道鏡是一種專門運用於觀察與處理膽總管疾病之技術,並且操作膽道鏡需要極高的操作技巧,是以,傳統上對於膽道鏡的實際操作大多要依賴觀摩別人操作、自己實際操作或於動物本體上進行操作,但這些方法存在有倫理疑慮、資源限制與學習品質不一之問題。Endoscopic techniques are widely used in various surgical procedures due to their advantages of small incisions and minimal bleeding. However, cholangioscopy is a technique specifically used to observe and treat diseases of the common bile duct, and its operation requires extremely high skill. Therefore, traditionally, the actual operation of cholangioscopy has mostly relied on observing others' operations, performing the operation oneself, or performing the operation on animals. However, these methods have problems such as ethical concerns, resource limitations, and inconsistent learning quality.

另,近年來將內視鏡放入口腔並經食道、胃而到達十二指腸第二部份,再找到患者的膽胰管的出口後,再經導管注射顯影劑到膽胰管,藉以評估膽道及胰管是否有病變,或者是判斷是否有結石、狹窄或其他病變,可同時進行診斷疾病與治療之案例越來越多,但相對上述技術而言,一般醫師在經驗累積上會比資深醫師少很多;惟,因為不是每位患者都可以接受上述透過內視鏡進行膽胰攝影取石之手術方式,例如:因其他疾病做過腸胃道切除及重建手術的患者就無法採用上述方式,或者生命徵象不穩定又需要處理膽道結石及相對併發症的病人等;In recent years, an endoscope has been inserted into the mouth, through the esophagus and stomach, to reach the second part of the duodenum. After locating the exit of the bile and pancreatic ducts, a contrast agent is injected into the bile and pancreatic ducts through a catheter to assess whether there are lesions in the bile ducts and pancreatic ducts, or to determine whether there are stones, stenosis, or other lesions. There are more and more cases where diseases can be diagnosed and treated simultaneously. However, compared to the above techniques, general practitioners have much less experience than senior physicians. However, not every patient can accept the above surgical method of bile and pancreatic stone removal through endoscopy. For example, patients who have undergone gastrointestinal resection and reconstruction surgery for other diseases cannot use the above method, or patients with unstable vital signs who need to manage bile duct stones and related complications.

再者,反觀現今3D列印技術的成熟與進步,使得醫護人員可以透過膽道結石患者的電腦斷層影像資料,再經3D重組與細部調整後,再採3D列印技術來完成包含膽總管、肝內外膽管及部份十二指腸之模型,是以,如何提供一種逼真的膽道材質與解剖定位來進行膽道鏡作之教具,用以克服習知之缺失係有其必要。Furthermore, considering the maturity and advancement of 3D printing technology today, medical staff can use CT images of patients with gallstones, then reconstruct and finely adjust them in 3D, and finally use 3D printing technology to create models including the common bile duct, intrahepatic and extrahepatic bile ducts, and part of the duodenum. Therefore, it is necessary to provide a teaching tool with realistic bile duct materials and anatomical locations for cholangioscopy to overcome the lack of prior knowledge.

本創作之目的,在於提供一種模擬患者膽道結構來提供醫護人員透過膽道鏡進行膽道取石手術訓練之膽道取石模擬手術訓練器。The purpose of this invention is to provide a biliary stone removal simulation surgery training device that simulates the patient's biliary tract structure to provide medical staff with training in biliary stone removal surgery via choledochoscopy.

為達上述目的,本創作所提供之膽道取石模擬手術訓練器,用以提供醫護人員針對患者其膽道內之結石位置進行膽道取石之手術訓練,該膽道取石模擬手術訓練器其主要包含有:一腹腔模組係設有一容置空間與至少一貫孔,而該等貫孔係貫設於腹腔模組之周側壁且與該容置空間相連通;一膽道模組係組設於該腹腔模組之該容置空間,而該膽道模組係包含有一第一連接管單元與一膽管單元,而該第一連接管單元一端連接該膽管單元且彼此相連通,而該第一連接管單元另端則組設於該腹腔模組之一該貫孔;以及一控制模組係組設於該腹腔模組之該容置空間,而該控制模組係包含有一處理單元、一警示單元與至少一第一感測單元,該處理單元電性連接該警示單元與該等第一感測單元,而該等第一感測單元係分別組設於該膽道模組之該膽管單元之內側壁面,其中,該等第一感測單元係感測該膽管單元其壁面之物理量變化;其中,該處理單元處理與運算該等第一感測單元感測該膽管單元其壁面所回傳之物理量變化超過設定之壓力閥值時,則該處理單元控制該警示單元產生警示訊號。To achieve the above objectives, the present invention provides a bile duct stone removal simulation surgery training device for medical personnel to perform bile duct stone removal surgery training based on the location of stones in the patient's bile duct. The bile duct stone removal simulation surgery training device mainly comprises: an abdominal cavity module having a receiving space and at least one through-hole, the through-hole being located through the peripheral wall of the abdominal cavity module and communicating with the receiving space; and a bile duct module assembled within the receiving space of the abdominal cavity module, the bile duct module including a first connecting tube unit and a bile duct unit, one end of the first connecting tube unit being connected to and communicating with the bile duct unit, and the other end of the first connecting tube unit being assembled into the abdominal cavity module. One of the through holes; and a control module is disposed in the accommodating space of the abdominal cavity module, the control module comprising a processing unit, an alarm unit and at least one first sensing unit, the processing unit being electrically connected to the alarm unit and the first sensing units, the first sensing units being respectively disposed on the inner wall of the bile duct unit of the bile duct module, wherein the first sensing units are for sensing changes in physical quantities of the wall of the bile duct unit; wherein, when the processing unit processes and calculates that the changes in physical quantities returned by the wall of the bile duct unit sensed by the first sensing units exceed a set pressure valve value, the processing unit controls the alarm unit to generate an alarm signal.

進一步地,該膽管單元係具有複數膽管體組設而成,而每一該膽管體具有至少一連接部,該連接部與相鄰之另一該膽管體之另一該連接部相組設。Furthermore, the bile duct unit is composed of a plurality of bile duct bodies, and each bile duct body has at least one connecting portion, which is connected to another connecting portion of another adjacent bile duct body.

進一步地,該膽道模組包含有一第二連接管單元,該第二連接管單元一端連接該膽管單元,另一端連接一循環模組,其中,該第二連接管單元係穿設另一該貫孔。Furthermore, the bile duct module includes a second connecting pipe unit, one end of which is connected to the bile duct unit and the other end of which is connected to a circulation module, wherein the second connecting pipe unit is provided with another through hole.

進一步地,該循環模組係包含有一儲液單元與一泵浦單元,而該泵浦單元一端連接該儲液單元另端則連接該第二連接管單元,用以將該儲液單元所儲存之液體由連接之該第二連接管單元輸送至該膽管單元,或將該膽管單元內之液體經該第二連接管單元而回收至該儲液單元。Furthermore, the circulation module includes a liquid storage unit and a pump unit, with one end of the pump unit connected to the liquid storage unit and the other end connected to the second connecting pipe unit, for transporting the liquid stored in the liquid storage unit to the bile duct unit through the connected second connecting pipe unit, or for recovering the liquid in the bile duct unit to the liquid storage unit through the second connecting pipe unit.

進一步地,該泵浦單元電性連接該處理單元。Furthermore, the pump unit is electrically connected to the processing unit.

進一步地,一結石單元係可容置於該膽管單元,該結石單元之外周側並設有一第二感測單元,該第二感測單元用以感測接觸面積變化量,並將接觸面積變化量傳輸至該處理單元,當該處理單元接收與處理該第二感測單元回傳之接觸面積變化量大於一接觸面積變化量閥值,該處理單元控制該警示單元產生警示訊號。Furthermore, a stone unit can be housed within the bile duct unit, and a second sensing unit is provided on the outer periphery of the stone unit. The second sensing unit is used to sense the change in contact area and transmit the change in contact area to the processing unit. When the processing unit receives and processes the change in contact area returned by the second sensing unit, which is greater than a contact area change threshold, the processing unit controls the warning unit to generate a warning signal.

進一步地,該等第一感測單元係分別設於該等膽管體之內側壁面。Furthermore, these first sensing units are respectively disposed on the inner wall surface of the bile duct body.

進一步地,該等膽管體於其中之一該連接部並凹設形成一環凹槽。Furthermore, the bile duct body has a recessed groove formed in one of the connecting portions.

本創作之該膽道取石模擬手術訓練器主要透過3D列印技術依患者其膽道之電腦斷層影像資料而製造該膽道模組,並依患者欲取出之結石位置,而將該結石單元設置於該膽管單元所對應之位置,也就是讓結石單元自凸設於該貫孔之該第一連接管單元處置入,並將該結石單元調整至該膽管單元所對應之該膽管體,再將膽道鏡自該第一連接管單元置入進行膽道取石手術之模擬,其中,當膽道鏡接觸到該等膽管體內側壁面之該等第一感測單元,則該處理單元會處理與運算其回傳之物理量變化是否超過設定之壓力閥值,來決定是否要控制該警示單元發出警示訊號,或該結石單元之接觸面積變化量是否超過該接觸面積變化量閥值,來決定是否取石成功與發出警示訊號來提醒,且可透過該循環模組來提供該膽管單元所需之液體量與內側壁面之壓力值,是以,本創作之該膽道取石模擬手術訓練器係具可重複使用性且符合相關倫理規範之教學展示平台。This bile duct stone removal simulation surgery training device primarily utilizes 3D printing technology to manufacture the bile duct module based on the patient's CT scan data. The stone unit is positioned according to the location of the stone to be removed, corresponding to the bile duct unit. Specifically, the stone unit is inserted through the first connecting tube unit protruding from the through-hole. The stone unit is then adjusted to align with the corresponding bile duct body. A choledochoscope is then inserted through the first connecting tube unit to simulate bile duct stone removal surgery. When the choledochoscope contacts the inner wall of the bile duct body... Once the first sensing unit detects the stone, the processing unit will process and calculate whether the change in the physical quantity it sends back exceeds the set pressure valve value to determine whether to control the alarm unit to issue an alarm signal, or whether the change in the contact area of the stone unit exceeds the contact area change valve value to determine whether the stone removal is successful and to issue an alarm signal to remind the user. Furthermore, the circulation module can provide the required amount of fluid and the pressure value of the inner wall of the bile duct unit. Therefore, the bile duct stone removal simulation surgery training device of this invention is a reusable teaching and demonstration platform that complies with relevant ethical standards.

茲就本申請案的技術特徵暨操作方式舉數個較佳實施態樣,並配合圖示說明謹述於后,俾提供審查參閱。再者,本創作中之圖式,為便於說明其比例未必按實際比例繪製,圖式中之比例並不用以限制本創作所欲請求保護之範圍。Several preferred embodiments of the technical features and operation of this application are described below with accompanying illustrations for examination purposes. Furthermore, the figures in this work are not necessarily drawn to actual scale for illustrative purposes, and the scale in the figures is not intended to limit the scope of protection sought for this work.

關於本創作之技術,請參照第1圖至第5圖所示,本創作提供一種膽道取石模擬手術訓練器100,用以提供醫護人員針對患者其膽道內之結石位置進行膽道取石之手術訓練,該膽道取石模擬手術訓練器100其主要包含有:Regarding the technology of this invention, please refer to Figures 1 to 5. This invention provides a bile duct stone removal simulation surgery training device 100, used to provide medical personnel with surgical training for bile duct stone removal surgery based on the location of stones in the patient's bile duct. The bile duct stone removal simulation surgery training device 100 mainly includes:

一腹腔模組10,係設有一容置空間11與複數貫孔12,而該等貫孔12係貫設於腹腔模組10之周側壁且與該容置空間11相連通;An abdominal cavity module 10 is provided with a receiving space 11 and a plurality of through holes 12, wherein the through holes 12 are provided through the peripheral wall of the abdominal cavity module 10 and are connected to the receiving space 11;

一膽道模組20,係組設於該腹腔模組10之該容置空間11,請再參閱第1圖至第4圖所示,而該膽道模組20係包含有一第一連接管單元21、一第二連接管單元22與一膽管單元23,而該第一連接管單元21一端連接該膽管單元23且彼此相連通,且該第一連接管單元21另端則組設於該腹腔模組10其中之一該貫孔12,而該第二連接管單元22一端係連接該膽管單元23且彼此相連通,且該第二連接管單元22另端則組設於該腹腔模組10之另一該貫孔12,其中,該膽管單元23可以為一體成形,或者進一步地係可由複數膽管體231組設而成,而每一該膽管體231具有至少一連接部232,該連接部232與相鄰之另一該膽管體231之另一該連接部232相組設,且進一步地,該等膽管體231於其中之一該連接部232並凹設形成一環凹槽233,該環凹槽233係可卡止另一組設之該膽管體231,另,再參閱第4圖所示,該膽管體231之壁面可以組設於另一該膽管體231,並使一該膽管體231其壁面之該環凹槽233可以卡止另一該膽管體231,但不以此為限;A bile duct module 20 is assembled within the accommodating space 11 of the abdominal cavity module 10 (see Figures 1 to 4). The bile duct module 20 includes a first connecting pipe unit 21, a second connecting pipe unit 22, and a bile duct unit 23. One end of the first connecting pipe unit 21 is connected to and communicates with the bile duct unit 23, and the other end of the first connecting pipe unit 21 is assembled into one of the through holes 12 of the abdominal cavity module 10. One end of the second connecting pipe unit 22 is connected to and communicates with the bile duct unit 23, and the other end of the second connecting pipe unit 22 is assembled into another through hole 12 of the abdominal cavity module 10. The bile duct unit 23 can be... The bile duct body 231 can be integrally formed, or further, it can be composed of a plurality of bile duct bodies 231. Each bile duct body 231 has at least one connecting portion 232, which is connected to another connecting portion 232 of another adjacent bile duct body 231. Furthermore, the bile duct body 231 has a recessed annular groove 233 in one of its connecting portions 232. The annular groove 233 can lock another bile duct body 231. Also, referring to Figure 4, the wall of the bile duct body 231 can be assembled to another bile duct body 231, so that the annular groove 233 on the wall of one bile duct body 231 can lock the other bile duct body 231, but this is not a limitation.

一循環模組30,其一端連接該第二連接管單元22之另端,請再參閱第1圖至第5圖所示,而該循環模組30係包含有一儲液單元31與一泵浦單元32,而該泵浦單元32一端連接該儲液單元31,而其另端則連接該第二連接管單元22,用以將該儲液單元31所儲存之液體200由連接之該第二連接管單元22輸送至該膽管單元23,或將該膽管單元23內之液體200經該第二連接管單元22而回收至該儲液單元31;A circulation module 30, one end of which is connected to the other end of the second connecting pipe unit 22 (see Figures 1 to 5), includes a liquid storage unit 31 and a pump unit 32. One end of the pump unit 32 is connected to the liquid storage unit 31, and the other end is connected to the second connecting pipe unit 22. The pump unit 32 is used to transport the liquid 200 stored in the liquid storage unit 31 to the bile duct unit 23 through the connected second connecting pipe unit 22, or to return the liquid 200 in the bile duct unit 23 to the liquid storage unit 31 through the second connecting pipe unit 22.

一結石單元40,係可容置於該膽管單元23,用以模擬患者其結石位於膽管單元23之位置,而該結石單元40之外周側並設有一第二感測單元41,該第二感測單元41用以感測接觸面積變化量;以及A stone unit 40 is accommodated within the bile duct unit 23 to simulate the location of a patient's gallstones within the bile duct unit 23. A second sensing unit 41 is located on the periphery of the stone unit 40, and this second sensing unit 41 is used to sense changes in the contact area.

一控制模組50,係組設於該腹腔模組10之該容置空間11,而該控制模組50係包含有一處理單元51、一警示單元52與複數第一感測單元53,該處理單元51電性連接該警示單元52與該等第一感測單元53,而該等第一感測單元53係分別組設於該膽道模組20之該膽管單元23之內側壁面,也就是該等膽管體231之內側壁面,其中,該等第一感測單元53係感測該膽管單元23其壁面之物理量變化,而該處理單元51係可電性連接該泵浦單元32,但不以此為限;A control module 50 is disposed in the accommodating space 11 of the abdominal cavity module 10. The control module 50 includes a processing unit 51, an alarm unit 52, and a plurality of first sensing units 53. The processing unit 51 is electrically connected to the alarm unit 52 and the first sensing units 53. The first sensing units 53 are respectively disposed on the inner wall of the bile duct unit 23 of the bile duct module 20, that is, the inner wall of the bile duct body 231. The first sensing units 53 sense the physical quantity changes of the wall of the bile duct unit 23. The processing unit 51 may be electrically connected to the pump unit 32, but is not limited thereto.

其中,該處理單元51處理與運算該等第一感測單元53感測該膽管單元23其壁面所回傳之物理量變化超過設定之壓力閥值時,則該處理單元51控制該警示單元52產生警示訊號,且該處理單元51處理與運算而該第二感測單元41所回傳其接觸面積變化量時,當該處理單元51接收與處理該第二感測單元41回傳之接觸面積變化量大於一接觸面積變化量閥值時,該處理單元51控制該警示單元52產生警示訊號;Specifically, when the processing unit 51 processes and calculates the physical quantity change returned by the wall of the bile duct unit 23 by the first sensing unit 53, which exceeds the set pressure valve value, the processing unit 51 controls the warning unit 52 to generate a warning signal. When the processing unit 51 processes and calculates the change in contact area returned by the second sensing unit 41, if the change in contact area returned by the second sensing unit 41 is greater than a contact area change valve value, the processing unit 51 controls the warning unit 52 to generate a warning signal.

首先,請再參閱第1圖至第4圖所示,本創作之該膽道取石模擬手術訓練器100主要透過3D列印技術與患者其膽道之電腦斷層影像資料,而透過3D列印技術而製造與患者膽道結構相似之該膽道模組20,請先參閱第2圖至第4圖所示,而該膽道模組20係可依需求而為分段組設而成,因此,相鄰接該等膽管體231可以透過該等連接部232進行組合而形成該膽管單元23,並可藉由該等環凹槽233而卡止於另一該膽管體231之該連接部232,並使該第一連接管單元21與該第二連接管單元22分別組設於對應之該膽管體231後再凸設於對應之該貫孔12,請再參閱第5圖所示,該膽道模組20亦可為一體成型而成,而該第一連接管單元21與該第二連接管單元22亦分別連接對應之該膽管單元23之該連接部232,請參閱第1圖所示,該膽管單元23之該等膽管體231的內側壁面係設有該等第一感測單元53,而該結石單元40的外週面則設有該第二感測單元41,因此,醫護人員將該膽道模組20容置於該腹腔模組10之該容置空間11後,再將該結石單元40自一端凸出於該貫孔12之該第一連接單元21置入,再調整該結石單元40至患者其結石於該膽管單元23所對應之該膽管體231的位置,並使該循環模組30將該儲液單元31內之液體200依需求而由該泵浦單元32輸液至該膽管單元23,或自該膽管單元23處回收液體200,該處理單元51並依該等第一感測單元53回傳之壓力值來進行處理與運算;First, please refer to Figures 1 through 4. The bile duct stone removal simulation surgery trainer 100 of this invention primarily utilizes 3D printing technology and the patient's CT scan data of the bile duct to create a bile duct module 20 that resembles the patient's bile duct structure. Please refer to Figures 2 through 4. This bile duct module 20 can be assembled in segments as needed; therefore, adjacent bile duct bodies 231 can be connected via these segments. The bile duct unit 23 is formed by assembling parts 232, and can be locked onto the connecting part 232 of another bile duct body 231 by means of the annular grooves 233. The first connecting pipe unit 21 and the second connecting pipe unit 22 are respectively assembled on the corresponding bile duct body 231 and then protrude from the corresponding through hole 12. Please refer to Figure 5. The bile duct module 20 can also be integrally formed, and the first connecting pipe unit 21 and the second connecting pipe unit 22 are also integrally formed. The element 22 is also connected to the corresponding connecting part 232 of the bile duct unit 23. Please refer to Figure 1. The inner wall surface of the bile duct body 231 of the bile duct unit 23 is provided with the first sensing unit 53, while the outer peripheral surface of the stone unit 40 is provided with the second sensing unit 41. Therefore, after the medical staff places the bile duct module 20 into the receiving space 11 of the abdominal cavity module 10, the stone unit 40 protrudes from one end into the through hole 12. The first connecting unit 21 is inserted, and the stone unit 40 is adjusted to the position of the patient's stone in the bile duct body 231 corresponding to the bile duct unit 23. The circulation module 30 delivers the liquid 200 in the storage unit 31 to the bile duct unit 23 as needed through the pump unit 32, or recovers the liquid 200 from the bile duct unit 23. The processing unit 51 processes and calculates according to the pressure value returned by the first sensing units 53.

再者,當醫護人員開始進行膽道取石手術之模擬時,膽道鏡會自該第一連接管單元21置入,因此,當膽道鏡接觸到該等膽管體231內側壁面之該等第一感測單元53,則該等第一感測單元53係會感測其壁面之物理量變化,並將此物理量變化提供給該處理單元51,該處理單元51會處理與運算其回傳之物理量變化是否超過設定之壓力閥值,進而決定是否要控制該警示單元52發出警示訊號,或者是當膽道鏡成功抓取結石時,該結石單元40之該第二感測單元41會提供接觸面積變化量至該處理單元51,該處理單元51會處理與運算其回傳之接觸面積變化量是否超過設定之該接觸面積變化量閥值,來決定是否為取石成功與發出警示訊號來提醒,是以,本創作之該膽道取石模擬手術訓練器100具可重複使用性且符合相關倫理規範之教學展示平台。Furthermore, when medical staff begin the simulation of choledochotomy, the choledochoscope is inserted through the first connecting unit 21. Therefore, when the choledochoscope contacts the first sensing units 53 on the inner wall of the bile duct body 231, the first sensing units 53 will sense the physical changes in the wall surface and provide these changes to the processing unit 51. The processing unit 51 will process and calculate whether the returned physical change exceeds the set pressure valve value, and then decide whether to control the alarm unit 5. 2. When the cholangioscopy successfully removes the stone, the second sensing unit 41 of the stone unit 40 will provide the change in contact area to the processing unit 51. The processing unit 51 will process and calculate whether the change in contact area exceeds the set threshold value to determine whether the stone removal is successful and issue an alert signal. Therefore, the bile duct stone removal simulation surgery training device 100 of this invention is a reusable teaching and demonstration platform that complies with relevant ethical standards.

綜上所述,本創作之該膽道取石模擬手術訓練器100主要透過3D列印技術依患者其膽道之電腦斷層影像資料而製造該膽道模組20,並依患者欲取出之結石位置,而將該結石單元40設置於該膽管單元23所對應之位置,也就是讓結石單元40自凸設於該貫孔12之該第一連接管單元21處置入,並將該結石單元40調整至該膽管單元23所對應之該膽管體231,再將膽道鏡自該第一連接管單元21置入進行膽道取石手術之模擬,其中,當膽道鏡接觸到該等膽管體231內側壁面之該等第一感測單元53,則該處理單元51會處理與運算其回傳之物理量變化是否超過設定之壓力閥值,來決定是否要控制該警示單元52發出警示訊號,或該結石單元40之接觸面積變化量是否超過該接觸面積變化量閥值,來決定是否為取石成功與發出警示訊號來提醒,且可透過該循環模組30自該第二連接管單元22端來提供該膽管單元23所需之液體200之容量與提供該膽管體231其內側壁面所需之壓力值,是以,本創作之該膽道取石模擬手術訓練器100係具可重複使用性且符合相關倫理規範之教學展示平台。In summary, the bile duct stone removal simulation surgery trainer 100 of this invention mainly uses 3D printing technology to manufacture the bile duct module 20 based on the patient's CT image data of the bile duct. The stone unit 40 is positioned at the corresponding location of the bile duct unit 23 according to the location of the stone to be removed, that is, the stone unit 40 is self-protruding. A choledochoscope is inserted into the first connecting tube unit 21 of the through-hole 12, and the stone unit 40 is adjusted to correspond to the bile duct body 231 of the bile duct unit 23. A simulation of bile duct stone removal surgery is then performed by inserting the choledochoscope through the first connecting tube unit 21. Specifically, when the choledochoscope contacts the first sensing units on the inner wall of the bile duct body 231... 53. The processing unit 51 will process and calculate whether the change in the physical quantity it sends back exceeds the set pressure valve value to determine whether to control the warning unit 52 to issue a warning signal, or whether the change in the contact area of the stone unit 40 exceeds the contact area change valve value to determine whether to issue a warning signal to remind that the stone removal was successful. Moreover, the circulation module 30 can provide the required volume of liquid 200 to the bile duct unit 23 and the required pressure value to the inner wall of the bile duct body 231 from the second connecting pipe unit 22. Therefore, the bile duct stone removal simulation surgery training device 100 of this invention is a reusable teaching and demonstration platform that complies with relevant ethical standards.

以上已詳細說明本創作之內容,惟以上所述者,僅為本創作之較佳實施例而已,當不能以此限定本創作實施之範圍,即凡依本創作申請專利範圍所作之均等變化與修飾,皆應仍屬本創作之專利涵蓋範圍內。The content of this invention has been explained in detail above. However, the above description is only a preferred embodiment of this invention and should not be used to limit the scope of this invention. All equivalent changes and modifications made within the scope of the patent application for this invention should still fall within the scope of the patent application for this invention.

100:膽道取石模擬手術訓練器 10:腹腔模組 11:容置空間 12:貫孔 20:膽道模組 21:第一連接管單元 22:第二連接管單元 23:膽管單元 231:膽管體 232:連接部 233:環凹槽 30:循環模組 31:儲液單元 32:泵浦單元 40:結石單元 41:第二感測單元 50:控制模組 51:處理單元 52:警示單元 53:第一感測單元 200:液體100: Biliary stone removal simulation surgery trainer; 10: Abdominal cavity module; 11: Accommodation space; 12: Through-hole; 20: Bile duct module; 21: First connecting pipe unit; 22: Second connecting pipe unit; 23: Bile duct unit; 231: Bile duct body; 232: Connecting part; 233: Circulatory groove; 30: Circulation module; 31: Liquid storage unit; 32: Pump unit; 40: Stone unit; 41: Second sensing unit; 50: Control module; 51: Processing unit; 52: Alarm unit; 53: First sensing unit; 200: Liquid.

第1圖:為本創作之膽道取石模擬手術訓練器之立體組合示意圖。 第2圖:為本創作之膽道取石模擬手術訓練器之膽道模組立體分解示意圖。 第3圖:為本創作之膽道取石模擬手術訓練器之膽道模組另一視角之立體分解示意圖。 第4圖:為本創作之膽道取石模擬手術訓練器之膽道模組其結合處之剖面示意圖。 第5圖:為本創作之膽道取石模擬手術訓練器之膽道模組為一體成型之組合示意圖。Figure 1: A three-dimensional assembly diagram of the bile duct stone removal simulation surgery trainer of this invention. Figure 2: An exploded three-dimensional diagram of the bile duct module of the bile duct stone removal simulation surgery trainer of this invention. Figure 3: Another exploded three-dimensional diagram of the bile duct module of the bile duct stone removal simulation surgery trainer of this invention. Figure 4: A cross-sectional diagram of the joint of the bile duct module of the bile duct stone removal simulation surgery trainer of this invention. Figure 5: An assembly diagram of the bile duct module of the bile duct stone removal simulation surgery trainer of this invention as a single, integral piece.

100:膽道取石模擬手術訓練器 100: Cholecystectomy Simulation Training Device

10:腹腔模組 10: Abdominal cavity module

11:容置空間 11: Storage space

12:貫孔 12: Piercing Hole

20:膽道模組 20: Bile Duct Module

21:第一連接管單元 21: First Connecting Unit

22:第二連接管單元 22: Second Connecting Unit

23:膽管單元 23: Bile Duct Unit

231:膽管體 231: Bile Duct Body

30:循環模組 30: Loop Module

31:儲液單元 31: Liquid Storage Unit

32:泵浦單元 32: Pump Unit

40:結石單元 40: Stone Unit

50:控制模組 50: Control Module

51:處理單元 51: Processing Unit

52:警示單元 52: Warning Unit

200:液體 200: Liquid

Claims (8)

一種膽道取石模擬手術訓練器,用以提供醫護人員針對患者其膽道內之結石位置進行膽道取石之手術訓練,該膽道取石模擬手術訓練器其主要包含有: 一腹腔模組,係設有一容置空間與至少一貫孔,而該等貫孔係貫設於腹腔模組之周側壁且與該容置空間相連通; 一膽道模組,係組設於該腹腔模組之該容置空間,而該膽道模組係包含有一第一連接管單元與一膽管單元,而該第一連接管單元一端連接該膽管單元且彼此相連通,而該第一連接管單元另端則組設於該腹腔模組之一該貫孔;以及 一控制模組,係組設於該腹腔模組之該容置空間,而該控制模組係包含有一處理單元、一警示單元與至少一第一感測單元,該處理單元電性連接該警示單元與該等第一感測單元,而該等第一感測單元係分別組設於該膽道模組之該膽管單元之內側壁面,其中,該等第一感測單元係感測該膽管單元其壁面之物理量變化; 其中,該處理單元處理與運算該等第一感測單元感測該膽管單元其壁面所回傳之物理量變化超過設定之壓力閥值時,則該處理單元控制該警示單元產生警示訊號。A bile duct stone removal simulation surgery training device is used to provide medical staff with surgical training for bile duct stone removal surgery targeting the location of stones in a patient's bile duct. The bile duct stone removal simulation surgery training device mainly comprises: an abdominal cavity module having a receiving space and at least one through-hole, the through-hole being disposed through the peripheral wall of the abdominal cavity module and communicating with the receiving space; a bile duct module assembled in the receiving space of the abdominal cavity module, the bile duct module including a first connecting tube unit and a bile duct unit, one end of the first connecting tube unit being connected to the bile duct unit and communicating with it, and the other end of the first connecting tube unit being assembled in one of the through-holes of the abdominal cavity module; and A control module is installed in the accommodating space of the abdominal cavity module. The control module includes a processing unit, an alarm unit, and at least one first sensing unit. The processing unit is electrically connected to the alarm unit and the first sensing units. The first sensing units are respectively installed on the inner wall of the bile duct unit of the bile duct module. The first sensing units sense changes in physical quantities on the wall of the bile duct unit. When the processing unit processes and calculates that the changes in physical quantities returned by the wall of the bile duct unit sensed by the first sensing units exceed a set pressure valve value, the processing unit controls the alarm unit to generate an alarm signal. 如請求項1所述之膽道取石模擬手術訓練器,進一步地,該膽管單元係具有複數膽管體組設而成,而每一該膽管體具有至少一連接部,該連接部與相鄰之另一該膽管體之另一該連接部相組設。As described in claim 1, the bile duct unit is further composed of a plurality of bile duct bodies, each of which has at least one connecting portion that is connected to another connecting portion of another adjacent bile duct body. 如請求項1所述之膽道取石模擬手術訓練器,進一步地,該膽道模組包含有一第二連接管單元,該第二連接管單元一端連接該膽管單元,另一端連接一循環模組,其中,該第二連接管單元係穿設另一該貫孔。As described in claim 1, the bile duct stone removal simulation surgery trainer further includes a second connecting pipe unit, one end of which is connected to the bile duct unit and the other end of which is connected to a circulation module, wherein the second connecting pipe unit is provided with another through hole. 如請求項3所述之膽道取石模擬手術訓練器,進一步地,該循環模組係包含有一儲液單元與一泵浦單元,而該泵浦單元一端連接該儲液單元另端則連接該第二連接管單元,用以將該儲液單元所儲存之液體由連接之該第二連接管單元輸送至該膽管單元,或將該膽管單元內之液體經該第二連接管單元而回收至該儲液單元。As described in claim 3, the bile duct stone removal simulation surgery trainer further includes a circulation module comprising a liquid storage unit and a pump unit, wherein one end of the pump unit is connected to the liquid storage unit and the other end is connected to the second connecting pipe unit, for transporting the liquid stored in the liquid storage unit to the bile duct unit through the connected second connecting pipe unit, or for recovering the liquid in the bile duct unit to the liquid storage unit through the second connecting pipe unit. 如請求項4所述之膽道取石模擬手術訓練器,進一步地,該泵浦單元電性連接該處理單元。As described in claim 4, the bile duct stone removal simulation surgery trainer further includes a pump unit electrically connected to the processing unit. 如請求項1所述之膽道取石模擬手術訓練器,進一步地,一結石單元係可容置於該膽管單元,該結石單元之外周側並設有一第二感測單元,該第二感測單元用以感測接觸面積變化量,並將接觸面積變化量傳輸至該處理單元,當該處理單元接收與處理該第二感測單元回傳之接觸面積變化量大於一接觸面積變化量閥值,該處理單元控制該警示單元產生警示訊號。As described in claim 1, the bile duct stone removal simulation surgery trainer further includes a stone unit that can be housed within the bile duct unit. A second sensing unit is provided on the outer periphery of the stone unit. The second sensing unit is used to sense the change in contact area and transmit the change in contact area to the processing unit. When the processing unit receives and processes the change in contact area transmitted back from the second sensing unit, which is greater than a contact area change threshold, the processing unit controls the warning unit to generate a warning signal. 如請求項2所述之膽道取石模擬手術訓練器,進一步地,該等第一感測單元係分別設於該等膽管體之內側壁面。As described in claim 2, the bile duct stone removal simulation surgery trainer further comprises, wherein the first sensing units are respectively disposed on the inner wall surface of the bile duct body. 如請求項2所述之膽道取石模擬手術訓練器,進一步地,該等膽管體於其中之一該連接部並凹設形成一環凹槽。As described in claim 2, the bile duct stone removal simulation surgery trainer further includes a circumferential groove recessed in one of the connecting portions of the bile duct body.
TW114210548U 2025-10-03 Gallbladder stone removal simulation surgery training device TWM679442U (en)

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