CN101877192A - Spinal puncture training stimulation standard patient - Google Patents
Spinal puncture training stimulation standard patient Download PDFInfo
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- CN101877192A CN101877192A CN2009100113437A CN200910011343A CN101877192A CN 101877192 A CN101877192 A CN 101877192A CN 2009100113437 A CN2009100113437 A CN 2009100113437A CN 200910011343 A CN200910011343 A CN 200910011343A CN 101877192 A CN101877192 A CN 101877192A
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Abstract
The invention relates to the technical teaching of clinical puncture, in particular to a stimulation standard patient for lumbar puncture operation training of doctors and students in hospitals and medical schools. The invention relates to techniques of human anatomy, stimulation materials, moulds and the like in medicine. The lumbar puncture standard patient stimulation adult male mould is made of PVC (Polyvinyl Chloride), is stimulated in appearance. The body of the stimulation standard patient lies on a bed, the back is perpendicular to a bed surface, the head bends forward, double knees bend towards the belly, the trunk forms an arc shape, and the waist can move. An operator draws the head part of the stimulation standard patient with one hand and draws the double lower fossa with the other hand so that the spine is backward protruded as far as possible to increase the intervertenral space, and then the lumbar puncture can be carried out. During the process of carrying out the lumbar puncture, needle feed is blocked and the needle touches nothing when reaching the target part, and man-made cerebrospinal fluid can flow out. The standard patient can be used for stimulating cerebrospinal fluid drawing, intravaginal medicine injection, epidural anesthesia and lumbar anesthesia in the operation of lumbar puncture.
Description
Technical field
The present invention relates to clinical puncture technique teaching, the doctor, the student that can be hospital, medical colleges and schools provide the simulation standard patient of lumbar puncture art operation training.Invention relates to technology such as medical anatomy, artificial material, mold.
Background technology
Puncture technique is the emphasis of medical teaching; because the development of society; competing of patient's human rights protection consciousness; simple dependence patient implements the development that traditional Practice Teaching has seriously hindered medical education; must make full use of high-tech means and set up " medical science simulation and training chamber ", purpose is to set up real training base for the medico.The emulation patient who in the clinical medicine teaching, does not still have this type of spinal puncture training at present, the operator is difficult to study, grasps the main points of lumbar puncture technology, in order to allow this puncture technical ability of grasp that the student of medical speciality can system, the student can be studied in order to practise, must be according to China's medical science present situation, develop the lumbar puncture training simulation standard patient who meets Chinese's feature, for China turns out high-caliber medical personnel.
Summary of the invention
In order to solve the main points that the student is difficult to learn, grasp the lumbar puncture technology, foundation meets China's medical education " medical science simulation and training chamber ", fill up the blank of China medical education field, the invention provides a kind of lumbar puncture training simulation standard patient who addresses the above problem about the lumbar puncture model.
The technical solution adopted for the present invention to solve the technical problems is: lumbar puncture simulation standard patient simulation adult male reverse mould, adopt the PVC material, and sense of touch is true, image appearance emulation; Simulation standard patient's position is for lying on one's side on bed, and the back is vertical with bed surface, and head is thoracocyrtosis forward, two knee ventrad flexings, and it is arciform that trunk is, and waist can be movable; Operator's one handle emulation fiducial mark patient head, also firmly hold tightly at the two limb popliteal nest places down of another handle, and the back is protruding in the broadening intervertenral space as far as possible to make backbone, can implement the lumbar puncture art; When implementing the training of lumbar puncture art, should be undertaken by the clinical practice working specification; Implement in the lumbar puncture process, inserting needle has the retardance sense, when the target approach position, the sense that obviously falls through is arranged, and has artificial csf flow simultaneously and goes out.But utilize standard patient simulated operation lumbar puncture art to extract cerebrospinal fluid, intrathecal injection medicine, caudal anaesthesia, lumbar anesthesia.
The invention has the beneficial effects as follows:
1. body surface symbol obviously (as posterior superior iliac spine, crista iliaca, spinous process of thoracic vertebra, spinous process of lumbar vertebra, rumpbone), sense of touch is true, image appearance emulation utilizes the simulation standard patient can operate the lumbar puncture art and extracts cerebrospinal fluid, intrathecal injection medicine, caudal anaesthesia, lumbar anesthesia.
2. the standard patient anatomical position is accurate, the simulation skin of back waist can be dismantled, can be complete observe 1-5 lumbar vertebrae (centrum, lamina, spinous process), rumpbone, sacral hiatus, sacrum angle, supraspinal ligament, ligamentum flavum, endorchis and Intraventricular membrane, and the cavum subarachnoidale, epidural space, the canalis sacralis that form by above-mentioned tissue; Posterior superior iliac spine, crista iliaca, spinous process of thoracic vertebra, spinous process of lumbar vertebra, each consumable accessory is changed convenient, and standard patient can reuse.
3. the simulation standard patient can simulate the position confession student operation training of real patient.The clinical puncture plot of the omnidistance simulation of operation.
Description of drawings
Below in conjunction with drawings and Examples the utility model is further specified.
Fig. 1: lumbar puncture training simulation standard patient schematic appearance.
Fig. 2: lumbar puncture training simulation standard patient lumbar vertebrae, linked groups's scheme of installation.
Fig. 3: simulation lumbar vertebrae synoptic diagram.
Fig. 4: simulation ligamentum flavum, spinal epidural cavity, Intraventricular membrane, cavum subarachnoidale synoptic diagram.
The removable simulation skin of 1. standard patient waists among the figure, 2. the hand ball that connects spinal epidural cavity, 3. silicone tube, 4. the silicone tube that connects cavum subarachnoidale, 5. simulation standard patient lumbar spine is prominent, 6. simulation standard patient lumbar spine gap, 7. simulation standard patient simulation ligamentum flavum, Intraventricular membrane, 8. spinal epidural cavity, 9. cavum subarachnoidale.
Embodiment
Simulation adult male stature standard reverse mould, adopt the PVC material to make the simulation standard patient model, make according to anatomic characteristic that simulation standard patient sense of touch is true, body surface symbol is obvious, as: posterior superior iliac spine, crista iliaca, spinous process of thoracic vertebra, spinous process of lumbar vertebra, rumpbone, the handled easily person seeks the site of puncture; Simulation standard patient's position is for lying on one's side on bed, and the back is vertical with bed surface, and head is thoracocyrtosis forward, two knee ventrad flexings, and it is arciform that trunk is, and waist can be movable; The simulation skin of back waist is that the soft material of PVC is made, and feel simulates real application on human skin can be dismantled, change according to damaged condition; Musculature under the waist simulation skin adopts PU foaming simulation, the model that takes off simulation skin, emulation musculature can be observed supraspinal ligament, ligamentum flavum, endorchis and the Intraventricular membrane that 1-5 lumbar vertebrae (centrum, lamina, spinous process), rumpbone, sacral hiatus, sacrum angle and the import silica gel material reverse mould made by PVC material reverse mould are made complete, accurately, and the cavum subarachnoidale, epidural space, the canalis sacralis that are formed by above-mentioned tissue; Posterior superior iliac spine, crista iliaca, spinous process of thoracic vertebra, spinous process of lumbar vertebra, each consumable accessory should be changed conveniently, and purpose is that standard patient can be reused; Operator's one handle emulation fiducial mark patient head, also firmly hold tightly at the two limb popliteal nest places down of another handle, makes the backbone protruding intervertenral space with the broadening lumbar vertebrae in back as far as possible, and puncture is thrust smoothly along intervertenral space; Before implementing the training of lumbar puncture art, should be undertaken by the clinical practice working specification; Implement in the lumbar puncture process, when arriving at the simulation ligamentum flavum, puncture needle under the effect that silica gel stops, make resistance increase the flexible sense, after breaking through ligamentum flavum, enter spinal epidural cavity the sense that significantly falls through is arranged, the hand ball of extruding link model spinal epidural cavity can be realized the spinal epidural cavity negative pressure, can inject the anesthesia soup this moment, is peridural anesthesia; Inserting needle punctures the simulation endorchis and the sense that falls through for the second time appears in Intraventricular membrane if continue, and promptly entering cavum subarachnoidale will have simulation cerebrospinal fluid to flow out, and the silicone tube of link model cavum subarachnoidale can inject, replenish cerebrospinal fluid in advance.Above-mentioned embodiment should be followed the lumbar puncture working rule, to reach the effect of the clinical real patient of operation.
Claims (4)
1. thecal puncture simulation standard patient, comprise the simulation standard patient, it is characterized in that: the simulation standard patient gets lateral position, and the back is vertical with bed surface, head is thoracocyrtosis forward, two knee ventrad flexings, it is arciform that trunk is, and waist can be simulated real human body and be adjusted angle of bend, the operator needs a handle emulation patient head, hold tightly at another handle Shuan Xia Zhi popliteal nest place, makes the backbone protruding broadening intervertenral space in back as far as possible, can finish puncture.Simulation standard patient simulation real human body is installed the emulation vertebra, utilizes the simulation standard patient can carry out multinomial clinical thecal puncture operation, and comprising: the lumbar puncture art extracts cerebrospinal fluid, intrathecal injection medicine, caudal anaesthesia, lumbar anesthesia.
2. according to the described thecal puncture simulation standard of claim 1 patient, it is characterized in that: the simulation skin of electronic standard patient back waist can be dismantled, change, can be complete observe 1-5 lumbar vertebrae (centrum, lamina, spinous process), rumpbone, sacral hiatus, sacrum angle, supraspinal ligament, ligamentum flavum, endorchis and Intraventricular membrane, and the cavum subarachnoidale, epidural space, the canalis sacralis that form by above-mentioned tissue; Posterior superior iliac spine, crista iliaca, spinous process of thoracic vertebra, spinous process of lumbar vertebra.
3. according to the described thecal puncture simulation standard of claim 1 patient, it is characterized in that: utilize the simulation standard patient to implement the endorchis anesthesia procedure, when puncture needle arrives at the simulation ligamentum flavum, resistance increases the flexible sense; Break through ligamentum flavum the sense that significantly falls through is arranged; Entering spinal epidural cavity has negative pressure to present, and can inject the anesthesia soup.The clinical endorchis anesthesia of the omnidistance simulation of operation plot.
4. according to the described thecal puncture simulation standard of claim 1 patient, it is characterized in that: utilize simulation standard patient lumbar puncture operation, with the sense that occurs falling through of spike pierces endorchis and Intraventricular membrane, promptly enter cavum subarachnoidale, to there be simulation cerebrospinal fluid to flow out, the clinical lumbar puncture plot of the omnidistance simulation of operation.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009100113437A CN101877192A (en) | 2009-04-29 | 2009-04-29 | Spinal puncture training stimulation standard patient |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009100113437A CN101877192A (en) | 2009-04-29 | 2009-04-29 | Spinal puncture training stimulation standard patient |
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| CN101877192A true CN101877192A (en) | 2010-11-03 |
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Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102682652A (en) * | 2011-03-09 | 2012-09-19 | 天津市天堰医教科技开发有限公司 | Mechanism for simulating human tissue force feedback |
| CN104392652A (en) * | 2014-12-15 | 2015-03-04 | 常实 | Ventriculopuncture drainage simulation training model |
| CN105047056A (en) * | 2015-07-24 | 2015-11-11 | 殷琴 | Airway simulation, organ and nerve block puncture simulation human body training model |
| CN108682254A (en) * | 2018-06-29 | 2018-10-19 | 上海弘联医学科技集团有限公司 | Can adjust automatically lumbar puncture manikin |
| CN109414220A (en) * | 2016-05-03 | 2019-03-01 | 德克萨斯医疗中心 | Touch sensing device for lumbar puncture |
| CN111281368A (en) * | 2018-12-10 | 2020-06-16 | 上海市第五人民医院 | Detection method for rabbit lumbar spinal segment epidural cerebrospinal fluid pulsation mechanical parameters |
| CN112466174A (en) * | 2020-07-21 | 2021-03-09 | 北京人卫智数科技有限公司 | Lumbar puncture surgery training system based on virtual reality platform |
| US11000311B2 (en) | 2017-10-27 | 2021-05-11 | Intuitap Medical, Inc. | Tactile sensing and needle guidance device |
-
2009
- 2009-04-29 CN CN2009100113437A patent/CN101877192A/en active Pending
Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102682652A (en) * | 2011-03-09 | 2012-09-19 | 天津市天堰医教科技开发有限公司 | Mechanism for simulating human tissue force feedback |
| CN104392652A (en) * | 2014-12-15 | 2015-03-04 | 常实 | Ventriculopuncture drainage simulation training model |
| CN105047056A (en) * | 2015-07-24 | 2015-11-11 | 殷琴 | Airway simulation, organ and nerve block puncture simulation human body training model |
| CN109414220A (en) * | 2016-05-03 | 2019-03-01 | 德克萨斯医疗中心 | Touch sensing device for lumbar puncture |
| US11179097B2 (en) | 2016-05-03 | 2021-11-23 | Texas Medical Center | Tactile sensing device for lumbar punctures |
| CN109414220B (en) * | 2016-05-03 | 2021-12-14 | 德克萨斯医疗中心 | Tactile sensing device for lumbar puncture |
| US11000311B2 (en) | 2017-10-27 | 2021-05-11 | Intuitap Medical, Inc. | Tactile sensing and needle guidance device |
| CN108682254A (en) * | 2018-06-29 | 2018-10-19 | 上海弘联医学科技集团有限公司 | Can adjust automatically lumbar puncture manikin |
| CN111281368A (en) * | 2018-12-10 | 2020-06-16 | 上海市第五人民医院 | Detection method for rabbit lumbar spinal segment epidural cerebrospinal fluid pulsation mechanical parameters |
| CN112466174A (en) * | 2020-07-21 | 2021-03-09 | 北京人卫智数科技有限公司 | Lumbar puncture surgery training system based on virtual reality platform |
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Open date: 20101103 |