CN215417205U - High-simulation electronic monitoring anal fistula examination and string therapy training model - Google Patents

Abstract

The utility model is provided with a high-simulation human lower body model and a microcomputer monitoring alarm, wherein the hip part of the model is provided with an anal fistula examination and thread-hanging operation training module, the simulation anal deep part of the module is provided with a simulation rectum, the wall of the rectum is provided with a dentate line, the periphery of the rectum is provided with an anal sphincter, different modules are respectively provided with a straight anal fistula inner opening, a bent anal fistula inner opening, a straight anal fistula outer opening and a bent anal fistula outer opening, an anal fistula is arranged between the anal fistula inner opening and the anal fistula outer opening, conductive metal wires are distributed on the tissues around the anal fistula for connecting signal lines, silver probes are connected with detection lines, and are connected with a microcomputer sound-light monitoring circuit board, a loudspeaker and a warning red light which are all connected with the microcomputer monitoring alarm, and the model is used for the hospital anorectal department to carry out the anal fistula examination and the thread-hanging therapy training and the examination on the students, the inpatient and the inpatient doctors, and can repeatedly carry out the exercise, when the probe is used for detecting errors, the microcomputer monitoring alarm can automatically give an audible-visual alarm, so that the training effect is obviously improved.

Description

High-simulation electronic monitoring anal fistula examination and string therapy training model

Technical Field

The utility model relates to a medical education equipment is exactly a high emulation electronic monitoring anal fistula inspection and string line therapy training model.

Background

In medical education and clinical medicine, anal fistula is the most common disease of anorectal diseases, the anal fistula thread-hanging operation is usually performed by adopting a treatment method, the thread-hanging operation mainly utilizes elastic tension of silk threads or rubber bands to play a role of slowly separating anal sphincter muscle tissues, the integrity of the anal sphincter muscle function is protected to the maximum extent, incontinence of the anal function caused by sphincter muscle deficiency is avoided, anal fistula examination and anal fistula thread-hanging operation are important and difficult teaching points of anorectal departments, the traditional training and teaching method of anorectal fistula and thread-hanging technology generally adopts theoretical teaching and explanation as a main part, meanwhile, the operation is mainly combined with the clinical observation and study, the operation pictures are often displayed, the operation videos are played, the pictures are hung, the video teaching is not visual enough, the space sense is lacked, the blackboard planting teaching method cannot achieve a good teaching effect for most mathematics students; however, the skill training of the anal fistula examination and operation treatment method can only be realized by 'pass, help and carry' experienced superior doctors in the process of performing operations on patients in hospitals, and the patients are inevitably painful and even aggravated by young doctors without operation experience using probes to perform anal fistula examination and teaching on-line operation skill training on the patients, so that medical disputes are very easy to cause; therefore, the simple, convenient, effective and cheap Chinese medicine suitable operation technology cannot be well mastered; medical students and young physicians have difficulty in mastering this skill due to significant shortage of resources for patients in clinical surgery; at present, high-simulation teaching equipment for anal fistula examination and operation skill training of thread-hanging therapy is not available in world medical education, so that the culture and teaching quality of anorectal examination and operation talents is seriously influenced.

Disclosure of Invention

The utility model aims to provide a training model for high-simulation electronic monitoring anal fistula examination and seton therapy, which fills the blank of medical education equipment, better promotes the excellent anal fistula seton technology of traditional Chinese medicine, enables more medical staff to quickly master the technology and build a good training platform, reduces the medical cost for many patients to remotely seek medical advice, and facilitates the patients to easily solve physical and mental injuries and unnecessary economic losses caused by common diseases of anal fistula locally.

The utility model solves the problem that the training and the examination of the anal fistula examination and the operation skill of the thread-hanging therapy cannot be carried out on the practical skill of various personnel at all levels such as medical students, inpatients, professional major, graduates and the like due to the lack of teaching equipment, so that the trained personnel can quickly and skillfully master the anal fistula thread-hanging technology.

A training model for high-simulation anal fistula examination and seton therapy comprises: high emulation human lower body model, emulation rectum, emulation anus, anal fistula, microcomputer monitoring alarm, its characterized in that: the high-simulation human lower body model (1) is a human umbilical region (2), a hip (3) to an upper thigh half (4), the model is provided with soft and elastic simulation skin (5), subcutaneous tissues (6), a training module (7-1) for anal fistula examination and string operation, which is convenient to replace, is arranged at the hip of the model and is embedded in a corresponding groove (7-2), a simulation rectum (9) is arranged at the deep part of a simulation anus (8) of the module, a dentate line (10-1) is arranged on the rectal wall, anal sphincters (10-2) are arranged around the rectum, anal fistulas arranged by different modules are not completely the same, 1 straight anal fistula inner openings (11, 12) are respectively arranged at the left side or the right side of the inner wall of the simulation rectum (9) of the module, a bent anal fistula inner opening (13) is respectively arranged at the left side or the right side of the inner wall of some module simulation rectum (9), set up respectively near the emulation anus (8) of different modules 2 straight anal fistula external orifices (14, 15), 2 curved anal fistula external orifices of emulation (16, 17), set up anal fistula (18, 19) between straight anal fistula internal orifice (11, 12) and straight anal fistula external orifice (14, 15), set up curved anal fistula (20, 21) between curved anal fistula internal orifice (13) and curved anal fistula external orifice (16, 17), this model is equipped with two bulb silver rod-shaped probes (22), the non-absorbable operation silk thread (23) that the string therapy used, rubber band (24). The micro-computer monitoring alarm is characterized in that conductive metal wires (25) serving as micro-computer monitoring sensors are fully distributed around the anal fistula (18/19), and connected with a micro-computer acousto-optic monitoring circuit board (28) powered by a rectification power supply (DC) in a micro-computer monitoring controller case (27) through a signal wire (26), wherein the circuit board is provided with an alarm voice module (29) and a power amplification module (30) and is connected with a loudspeaker (33) and an alarm red lamp (34) which are arranged on a panel (32) of the case (27); the microcomputer monitoring alarm panel (32) is also provided with a power switch (K) and a power indicator lamp (L), and the tail bulb of the double-bulb silver rod-shaped probe (22) is connected with a probing electrode wire (35) and a microcomputer acousto-optic monitoring circuit board (28).

The utility model has the advantages that the model is highly simulated, easy to manufacture and simple to operate, can be repeatedly exercised on the model, has vivid simulation effect, can automatically give an alarm by sound and light when in operation error, has physical sense for the skill training of the anal fistula seton operation of various personnel at all levels, and can achieve good training effect in vision and touch sense; the model can be used for well popularizing the suitable technology of the traditional Chinese medicine anorectal suture hanging technology, avoids the problem that the students cannot effectively grasp the technology in teaching activities such as cavity teaching, operation band teaching and the like, has important significance for anorectal practice teaching, and can remarkably improve the anal fistula examination and suture hanging operation treatment training and examination effects.

Description of the drawings:

the utility model will be further explained with reference to the drawings

FIG. 1-1 is a schematic view of the overall appearance structure of the present invention

Fig. 1-2 are schematic views of the groove structure of the anal fistula module of the utility model

Fig. 1-3 are schematic structural views of anal fistula module of the utility model

FIG. 2 is a partial longitudinal section anatomical schematic diagram of anal fistula according to the utility model

FIG. 3 is a schematic view showing the relationship among the external anal fistula orifice, fistula and internal anal fistula orifice of the present invention

FIG. 4 is a schematic diagram of an insertion probe for anal fistula examination training of the present invention

FIG. 5 is a schematic view of the utility model showing the probe being drawn out by hand

FIG. 6 is a schematic diagram of skill training of anal fistula seton surgery of the present invention

In this schematic view

6-1 is a schematic view of a silk thread and a rubber band at the tail end of the probe

6-2 is a schematic view of drawing out silk threads and rubber bands from the anus

6-3 is a schematic diagram of cutting the surface skin and subcutaneous tissues of the fistula

6-4 is a schematic drawing of embedding a rubber band in an incision for ligation

FIG. 7 is a schematic diagram of a microcomputer monitor controller according to the present invention

In this schematic view

7-1 is the appearance structure diagram of the microcomputer monitoring controller of the utility model

7-2 is the internal structure schematic diagram of the microcomputer monitoring alarm of the utility model

FIG. 8 is a schematic diagram of the circuit control principle of the present invention

The specific implementation mode is as follows:

the utility model relates to a high-simulation human body lower body model 1, wherein the simulation skin 2 is molded and manufactured in a mould by using a soft PVC or silicon rubber mould, the simulation subcutaneous tissue 3 and the simulation muscle 4 are molded and manufactured by using a foaming PU mould, the simulation skeleton is molded and manufactured by using hard plastics or unprotected resin moulds to manufacture a simulation anus 8, a simulation rectum 9, simulation anal fistula inner openings 11-13 and anal fistula outer openings 14-17 which are all molded and manufactured by using high-quality silicon rubber moulds, other parts are sold in the market, various parts are manufactured and assembled and refitted for use, when in use, a high-simulation anal fistula examination and thread-hanging therapy operation skill training and examining model and a microcomputer monitoring alarm are placed on an experiment table or an operating table, a power switch K of the alarm is turned on, a power indicator lamp L is turned on to indicate that the alarm is in a working state, and the anal fistula examination and thread-hanging operation are operated according to the operation convention, the anal fistula exploration skill training process is as follows: placing the model in a lateral decubitus position, holding the head of the silver ball probe 22 by a right hand, tying a probe electrode wire 35 on the tail of the probe, inserting the probe from an external anal fistula opening, guiding the left index finger in the simulated anus 8 to be an internal anal fistula opening 11/12/13, slowly inserting the probe from the external anal fistula opening 14/15/16/17 by a right hand in the direction of the left index finger, gradually inserting the silver ball probe 22 into the fistula 18/19/20/21, moving the finger backwards after the left index finger touches the head of the probe, allowing the probe to protrude out of the internal anal fistula opening 11/12/13, pressing the head of the probe towards the direction of the anus 9 by the left index finger after the probe penetrates the internal anal fistula opening by about 1cm, properly bending the probe, pulling the head of the silver ball probe 22 protruding out of the internal anal fistula opening out of the simulated anus 8 by the simulated anus 8, observing the trend of the probe, the probe must be gently and slowly inserted in the process of probing the anal fistula 18/19/20/21 by the probe, if the probe is inserted violently, the head of the silver probe 22 can break the anal fistula 18/19, the surrounding tissues of the contact conductive metal wire are fully distributed with the conductive metal wire 25 used as an electronic monitoring sensor, the sound-light alarm circuit of the microcomputer sound-light monitoring circuit board 28 in the microcomputer monitoring controller case 27 is connected through a signal wire 26, the circuit board is provided with an audio current of an alarm voice module 29, and the audio current passes through a power amplifier module 30 to drive a loudspeaker 33 arranged on the panel 32 of the case 27 to send out a voice alarm: probe error! The fistula is punctured! Please pull out to re-probe! Meanwhile, the alarm red light 34 emits red light to realize the simultaneous alarm of sound and light, the training of operation skill of the thread-hanging operation adopts a proper anesthesia mode to perform anesthesia, local infiltration anesthesia or epidural anesthesia can be selected, the model is placed in a proper operation position such as a lateral lying position, the operation position is disinfected and a sterile towel is laid, one end of the silver ball probe 22 is taken as the tail part, the silk thread 23 is tied on the tail part, the rubber band 24 is tied on the end of the silk thread, the simulation assistant assists in exposing the operation position of the anus, the simulation operator holds the probe by the right hand and probes in from the external opening 14/15/16/17 of the anal fistula, the left index finger is inserted into the anus 8 to be guided in the simulated rectum 9, the probe is slowly inserted by the right hand from the direction of the external opening 14/15/16/17 of the anal fistula by slow force, the ball silver probe 22 is gradually inserted, the left index finger probe touches the head and then moves backwards, the probe is extended out of the internal opening of the anal fistula, after the probe is extended out of the internal opening of the anal fistula by about 1cm, the head part of the probe is pressed towards the direction of the simulated anus 8 opening by the index finger of the left hand to be properly bent, the head part of the probe extended out of the internal opening of the anal fistula is pulled out of the anus 8 opening from the anus 8 opening, and the trend of the probe is observed; pulling out the probe head from the fistula, taking out the head end of the thread tied and hung on the ball head at the tail end of the probe, and replacing the elastic band at the tail end of the thread (which can be replaced by the thick part at the edge of the glove special for operation); the head is led out of the anus under the traction of silk threads, the two ends of the rubber band are tensioned, the silk threads are tied transversely, and the wound is wrapped in a simulated mode. Similarly, other different training modules 7-1 for anal fistula examination and thread-hanging therapy can be replaced to carry out thread-hanging operation training one by one; the replacement method is that the used module 7-1 is taken out from the groove 7-2, the signal wire 26 is pulled out at the JX position of the wiring piece, the signal wire 26 of another different training module groove 7-2 is butted, and then the training module 7-1 is embedded in the groove. Because the model is highly simulated, the training and checking effects of the simulated surgical skills are very vivid, like the operation on a real patient, the training module is very convenient to replace, the automatic sound-light alarm is realized when the operation is wrong, and the trainees can practice repeatedly, so the training and checking effects of the anal fistula examination and the thread-hanging surgical skills can be obviously improved, and the training and checking effects are favorable for quickly culturing the talents for the anorectal surgery.

Claims (2)

1. A training model for high-simulation anal fistula examination and seton therapy comprises: high emulation human lower body model, emulation rectum, emulation anus, anal fistula, microcomputer monitoring alarm, its characterized in that: the high-simulation human lower body model (1) is a human umbilical region (2), a hip (3) to an upper thigh half (4), the model is provided with soft and elastic simulation skin (5), subcutaneous tissues (6), a training module (7-1) for anal fistula examination and string operation, which is convenient to replace, is arranged at the hip of the model and is embedded in a corresponding groove (7-2), a simulation rectum (9) is arranged at the deep part of a simulation anus (8) of the module, a dentate line (10-1) is arranged on the wall of the rectum, anal sphincters (10-2) are arranged around the rectum, anal fistulas arranged by different modules are not completely the same, 1 straight anal fistula inner openings (11, 12) are respectively arranged at the left side or the right side of the inner wall of the simulation rectum (9) of the module, a bent anal fistula inner opening (13) is respectively arranged at the left side or the right side of the inner wall of the simulation rectum (9) of some modules, set up respectively near the emulation anus (8) of different modules 2 straight anal fistula external orifices (14, 15), 2 curved anal fistula external orifices of emulation (16, 17), set up anal fistula (18, 19) between straight anal fistula internal orifice (11, 12) and straight anal fistula external orifice (14, 15), set up curved anal fistula (20, 21) between curved anal fistula internal orifice (13) and curved anal fistula external orifice (16, 17), this model is equipped with two bulb silver rod-shaped probes (22), the non-absorbable operation silk thread (23) that the string therapy used, rubber band (24).

2. The training model of anal fistula examination and seton therapy with high simulation of claim 1, wherein: the micro-computer monitoring alarm is characterized in that conductive metal wires (25) serving as micro-computer monitoring sensors are fully distributed around the anal fistula (18/19), and connected with a micro-computer acousto-optic monitoring circuit board (28) powered by a rectification power supply (DC) in a micro-computer monitoring controller case (27) through a signal wire (26), wherein the circuit board is provided with an alarm voice module (29) and a power amplification module (30) and is connected with a loudspeaker (33) and an alarm red lamp (34) which are arranged on a panel (32) of the case (27); the microcomputer monitoring alarm panel (32) is also provided with a power switch (K) and a power indicator lamp (L), and the tail bulb of the double-bulb silver rod-shaped probe (22) is connected with a probing electrode wire (35) and a microcomputer acousto-optic monitoring circuit board (28).

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