Vaginal closure training model

By designing a training device that includes a female pelvic cavity, vaginal closure surgery, and a simulated abdominal wall model, the problem that existing models cannot realistically simulate vaginal closure surgery has been solved, achieving efficient training results and safety, while reducing maintenance costs.

CN120913485APending Publication Date: 2025-11-07THE OBSTETRICS & GYNECOLOGY HOSPITAL OF FUDAN UNIV
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Patent Information

Application Number
CN202511231470.3
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-08-31
Publication Date
2025-11-07

AI Technical Summary

Technical Problem

Existing training models for vaginal closure are rudimentary, unable to accurately reproduce the surgical procedure, lack integration with the structure of human pelvic organs, and cannot effectively train the separation and suturing of the vaginal bladder/rectum space, posing a risk of damage to the bladder or rectum.

Method used

A training device was designed that includes a female pelvic model, a vaginal closure surgery model, and a simulated abdominal wall model. The device includes bladder and rectal models, which are fixed by Velcro or glue to simulate the real situation of vaginal closure surgery. It is divided into two models: one with a uterus and one without a uterus, to simulate different degrees of prolapse. The device uses 3D printing and flexible silicone material to simulate the multi-layered structure of the vaginal wall.

Benefits of technology

It enables realistic simulation training of vaginal closure surgery, reduces the risks in surgical procedures, improves training effectiveness and safety, reduces model maintenance costs, and facilitates cleaning and replacement.

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Abstract

The invention discloses a vaginal closure training model which comprises a female pelvic cavity model, a vaginal closure model and a simulated abdominal wall model. A pelvic cavity is arranged in the female pelvic cavity model, a bladder model and a rectum model are arranged in the pelvic cavity, a simulation abdominal wall model is detachably arranged on the female pelvic cavity model through a bonding device, and a vaginal closure operation model is detachably arranged in the female pelvic cavity model. The upper end and the lower end of the vaginal closure model are respectively connected with the bladder model and the rectum model, and the vaginal closure model is divided into a uterus vaginal closure model or a non-uterus vaginal closure model; the two vagina closing models are arranged to be four-degree prolapse. After training, the training model does not need to be integrally replaced, a trainer on the same model only needs to replace the uterus and vagina closed model or the uterus and vagina closed model to obtain real simulation training of two operation modes, the cost is low, and disassembly and assembly are convenient.
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Description

TECHNICAL FIELD

[0001] The present application belongs to the technical field of medical training apparatus models, and particularly relates to a colposynchlipsis training model. BACKGROUND

[0002] Colposynchlipsis is a safe and effective surgical procedure for the treatment of severe pelvic organ prolapse, with a history of more than a hundred years. It is mainly suitable for female patients who are old, have no sexual life needs, and have many complications. Colposynchlipsis achieves reliable anatomical reduction with minimal trauma, and has irreplaceable value for patients who are old and have many complications. The postoperative prolapse symptom relief rate is greater than 90%, and the social and economic cost-effectiveness is high.

[0003] The vagina is one of the important organs in the female pelvis, and the anterior wall is connected with the urethra and bladder, and the posterior wall is connected with the rectum. Due to the similar anatomy, the bladder or rectum is easily damaged during separation. Therefore, it is an urgent problem to avoid the risks caused by surgical operation to the greatest extent. Through an effective training model, medical practitioners not only familiarize themselves with the surgical steps (vaginal bladder / rectum interstitial mucosa separation, folding and suturing, etc.), reducing errors in actual operation; and through a large amount of training and simulation operation training, the risk of bladder and / or rectal injury can be reduced, and the safety of patients can be improved.

[0004] At present, the training models for colposynchlipsis at home and abroad mainly have the following deficiencies: 1) the training model is simple and only used for simple simulation of surgical steps; 2) during the training process, the model based on the training cannot truly reproduce the real situation that may occur during colposynchlipsis, such as the need to separate the vaginal bladder interstitial space before incision of the vaginal mucosa; 3) the model is not combined with the internal pelvic organ structure of the real human body, and the vaginal prolapse model is trained separately, and important surgical operations such as vaginal bladder / rectum interstitial separation and folding and suturing of the anterior and posterior walls of the vagina cannot be trained. SUMMARY

[0005] The purpose of the present application is to provide a colposynchlipsis training model to solve the problem of lack of training for colposynchlipsis in the prior art. The training operation model maximally reproduces the real situation of colposynchlipsis.

[0006] The present application realizes the above-mentioned purpose through the following technical scheme: a vaginal closure training model, comprising: a female pelvic cavity model, a colpocleisis model, and a simulated abdominal wall model; the female pelvic cavity model is internally provided with a pelvic cavity, the pelvic cavity is internally provided with a bladder model and a rectum model, the female pelvic cavity model is detachably provided with the simulated abdominal wall model through an adhesive device, the female pelvic cavity model is detachably provided with the colpocleisis model, upper and lower ends of the colpocleisis model are respectively connected with the bladder model and the rectum model, the colpocleisis model is divided into a colpocleisis model with a uterus and a colpocleisis model without a uterus; the colpocleisis model with the uterus and the colpocleisis model without the uterus are both provided as a fourth degree prolapse.

[0007] The fourth degree prolapse refers to a serious pelvic organ prolapse, such as uterine prolapse and complete prolapse of the anterior and posterior vaginal walls out of the vaginal orifice, i.e., out of the body.

[0008] Preferably, the female pelvic cavity model is in a bladder lithotomy position, and the female pelvic cavity model further comprises a urethral model, a vaginal model and an anal model; the female pelvic cavity model is a model in a lithotomy position, extending from the upper segment of the thigh to the lower part of the navel.

[0009] Preferably, the outer parts of the bladder model and the rectum model are respectively provided with elastic meshes, the inner side wall of the pelvic cavity is provided with a Velcro sticking surface, the Velcro sticking surface can be sutured to the inner side wall of the pelvic cavity by a thread or can be glued to the inner side wall of the pelvic cavity by glue, the bladder model and the rectum model are detachably installed on the Velcro sticking surface in the pelvic cavity through the elastic meshes, the upper and lower end parts of the colpocleisis model with the uterus or the colpocleisis model without the uterus are respectively provided with Velcro sticking surfaces, and the colpocleisis model with the uterus or the colpocleisis model without the uterus is connected and fixed with the bladder model and the rectum model through the upper and lower Velcro sticking surfaces and the elastic meshes.

[0010] Preferably, the outer parts of the bladder model and the rectum model are respectively provided with elastic meshes, the bladder model and the rectum model are connected and fixed to the inner side wall of the pelvic cavity by glue, the upper and lower end parts of the colpocleisis model with the uterus or the colpocleisis model without the uterus are respectively provided with Velcro sticking surfaces, and the colpocleisis model with the uterus or the colpocleisis model without the uterus is connected and fixed with the bladder model and the rectum model through the upper and lower Velcro sticking surfaces and the elastic meshes.

[0011] Preferably, the adhesive device is double-sided adhesive tape or Velcro; the simulated abdominal wall model can be conveniently detached and installed on the female pelvic cavity model, facilitating the installation of the bladder model and the rectum model and the cleaning of the inside of the pelvic cavity.

[0012] Preferably, the bladder model and the rectum model are made of silicone, the hysterovaginal closure model or the non-hysterovaginal closure model is made of flexible soft silicone, and the bladder model, the rectum model, the hysterovaginal closure model and the non-hysterovaginal closure model are all 3D printed.

[0013] Preferably, the hysterovaginal closure model comprises, from outside to inside, a light red vaginal mucosa layer model, a red vaginal muscle layer model and a white fibrous outer membrane layer model, the white fibrous outer membrane layer model is connected with the simulated cervix, the hysterovaginal closure model is provided with a connection simulation mark line at the cervix vaginal mucosa connection position, and the internal cavity of the hysterovaginal closure model is a simulated uterine body model.

[0014] Preferably, the non-hysterovaginal closure model comprises, from outside to inside, a light red vaginal mucosa layer model, a red vaginal muscle layer model and a white fibrous outer membrane layer model to form a simulated vaginal cavity model.

[0015] Preferably, the female pelvic cavity model is made of silicone.

[0016] The beneficial effects of the present application are as follows: 1. The vaginal closure training model provided by the present application is designed according to the actual clinical situation, and two vaginal closure models, i.e., a hysterovaginal closure model and a non-hysterovaginal closure model, are provided, and the in-situ model truly simulates the in-situ situation, such as the peeling level of the vaginal wall, including the mucosa layer, the muscle layer and the fibrous outer membrane layer, so as to avoid damaging the bladder and the rectum; the trainee only needs to replace the hysterovaginal closure model and the non-hysterovaginal closure model on the same model to obtain the real simulation training of the two surgical procedures; and the trainee can practice the suture and knotting operation.

[0017] 2. The bladder model and the rectum model of the training model are convenient to install and disassemble, the vaginal closure model can be individually replaced and disassembled, is convenient to install, is convenient to clean in the pelvic cavity, and the female pelvic cavity model body and the bladder model and the rectum model can be repeatedly used.

[0018] 3. The vaginal closure model can be disassembled from the bladder model and the rectum model after the surgical training each time, and a new vaginal closure model is installed to replace, so that the problem of incomplete training caused by the destruction of the structure of the vaginal mucosa layer and the red vaginal muscle layer model is avoided, the whole training model does not need to be replaced, only the vaginal closure model, such as the hysterovaginal closure model or the non-hysterovaginal closure model, needs to be replaced, and the maintenance and replacement cost is reduced. BRIEF DESCRIPTION OF DRAWINGS

[0019] Figure 1This is a front view of the overall structure of the present invention; Figure 2 This is a side view of the overall structure of the present invention. Figure 1 ; Figure 3 This is a side perspective view of the overall structure of the present invention; Figure 4 This is a schematic diagram of the structure of the uterine-vaginal closure model of the present invention; Figure 5 This is a schematic diagram of the structure of the vaginal closure model without a uterus according to the present invention.

[0020] Figure 6 This is a schematic diagram of surgical resection using the uterine-vaginal closure model operation simulation module of the present invention. Figure 1 ; Figure 7 This is a schematic diagram of the surgical resection after the procedure using the uterine-vaginal closure model operation simulation module of the present invention. Figure 2 ; Figure 8 This is a suturing diagram of the operation simulation module of the vaginal closure model with a uterus according to the present invention. Figure 1 ; Figure 9 This is a schematic diagram of the sutured part of the simulation module for vaginal closure surgery with a uterus according to the present invention. Figure 2 ; Figure 10 This is a side view of the overall structure of the present invention. Figure 2 .

[0021] Figure labels: 1. Female pelvic cavity model; 101. Urethral model; 102. Vaginal model; 103. Anal model; 104. Bladder model; 105. Rectal model; 1001. Elastic mesh; 1002. Velcro piercing surface; 2. Vaginal closure model with uterus; 201. Light red vaginal mucosa model; 202. Red vaginal muscle layer model; 203. White fibrous outer membrane model; 204. Simulated cervix; 205. Simulated uterine body model; 206. Cervical-vaginal mucosa junction; 3. Vaginal closure model without uterus; 301. Simulated vaginal cavity model; 302. Marking the resection area; 303. Suture; 4. Simulated abdominal wall model; 10. Pelvic and abdominal cavity. Detailed Implementation

[0022] To make the objectives, technical solutions, and advantages of this invention clearer, the invention will be further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative and not intended to limit the invention.

[0023] like Figure 1 - Figure 10As shown in the figure, a vaginal closure training model comprises: a female pelvic model 1 made of silicone material, a vaginal closure model, and a simulated abdominal wall model 4; the female pelvic model 1 is internally provided with a pelvic cavity 10, the pelvic cavity 10 is internally provided with a bladder model 104 and a rectum model 105, the female pelvic model 1 is detachably provided with the simulated abdominal wall model 4 through an adhesive device, the female pelvic model 1 is detachably provided with the vaginal closure model, the upper and lower ends of the vaginal closure model are respectively connected with the bladder model 104 and the rectum model 105, the vaginal closure model is divided into a uterine vaginal closure model 2 and a non-uterine vaginal closure model 3; the uterine vaginal closure model 2 and the non-uterine vaginal closure model 3 are both set to four degrees of prolapse; the adhesive device is double-sided adhesive tape or magic tape.

[0024] As shown in the figure, Figure 1 The female pelvic model 1 is in a bladder lithotomy position, and the female pelvic model 1 further comprises a urethral model 101, a vaginal model 102, and an anal model 103. Embodiment one

[0025] As shown in the figure, Figure 3 The outer parts of the bladder model 104 and the rectum model 105 are respectively provided with elastic meshes 1001, and the inner side walls of the pelvic cavity 10 are provided with magic tape pricking surfaces 1002, the elastic meshes 1001 can be tightly connected with the magic tape pricking surfaces 1002, the bladder model 104 and the rectum model 105 are detachably installed in the pelvic cavity 10 through the elastic meshes 1001, the upper and lower ends of the uterine vaginal closure model are respectively provided with magic tape pricking surfaces 1002, the magic tape pricking surfaces 1002 are fixed on the uterine vaginal closure model 2 through gluing or sewing, the uterine vaginal closure model 2 or the non-uterine vaginal closure model 3 is respectively connected and fixed with the bladder model 104 and the rectum model 105 through the upper and lower magic tape pricking surfaces 1002 and the elastic meshes 1001; the connection mode of the non-uterine vaginal closure model 3 is the same as that of the uterine vaginal closure model 2 and will not be described herein. Embodiment two

[0026] The outer part of the bladder model 104 and the rectum model 105 is respectively sleeved with an elastic mesh 1001, the bladder model 104 and the rectum model 105 are fixed to the inner side wall of the pelvic cavity 10 through glue connection, the bladder model 104 and the rectum model 105 are not detachable, the rear upper and lower ends of the uterovaginal closure model 2 are respectively provided with a magic tape thorn surface 1002, the magic tape thorn surface 1002 is fixed on the uterovaginal closure model 2 through glue fixing or sewing fixing, and the uterovaginal closure model 2 or the non-uterovaginal closure model 3 is connected and fixed with the bladder model 104 and the rectum model 105 through the elastic mesh 1001 through the magic tape thorn surfaces 1002 at the upper and lower ends; the connection mode of the non-uterovaginal closure model 3 is the same as that of the uterovaginal closure model 2 and will not be described herein.

[0027] As shown in Figures 1-5 The bladder model 104 and the rectum model 105 are made of silicone, the uterovaginal closure model 2 or the non-uterovaginal closure model 3 is made of flexible soft silicone, and the bladder model 104, the rectum model 105, the uterovaginal closure model 2 and the non-uterovaginal closure model 3 are all 3D printed, which is convenient to make, does not need to open a mold and has low cost. Example three

[0028] As shown in Figures 1-4 , 6-9, the uterovaginal closure model 2 is sequentially provided with a light red vaginal mucosa layer model 201, a red vaginal muscle layer model 202 and a white fibrous outer membrane layer model 203 from outside to inside, the white fibrous outer membrane layer model 203 is connected with a simulated cervix 204, a connection simulation mark line is arranged at a cervix vaginal mucosa connection position 206 of the uterovaginal closure model 2, and an internal cavity of the uterovaginal closure model 2 is a simulated uterine body model 205.

[0029] The vaginal tissue is anatomically layered according to the actual human vaginal tissue, so as to facilitate identification of incision levels and avoid damage.

[0030] The uterovaginal closure model 2 is placed in the female pelvic model 1 through the detachable simulated abdominal wall model 4, the structure of the human vaginal wall tissue in the actual vaginal closure operation process is simulated, the vaginal wall levels and area are resected, the resection range 302 is marked, so as to meet the simulation needs of medical practitioners in the process of practicing vaginal wall dissection and suture in the vaginal closure, and the operation simulation module is arranged in the female pelvic cavity and can be replaced and detached alone, so that the installation is convenient, the operation simulation module can be repeatedly used and the replacement cost is low. Example four

[0031] As shown in Figures 5-10As shown, the uterus-free vaginal closure model 3 is formed by the light red vaginal mucosa layer model 201, the red vaginal muscle layer model 202, and the white fibrous outer membrane layer model 203 from outside to inside, to form a simulated vaginal cavity model 301.

[0032] As an optional uterus-free vaginal closure model 3, the uterus-free vaginal closure model 3 is placed into the female pelvic cavity model 1 through the detachable simulated abdominal wall model 4.

[0033] The uterus-free vaginal closure model 3 simulates the human tissue from outside to inside by the light red vaginal mucosa layer model 201, the red vaginal muscle layer model 202, and the white fibrous outer membrane layer model 203, to truly restore the human vaginal wall tissue structure. The operation simulation module is arranged in the female pelvic cavity and can be separately replaced and detached, is convenient to install, can be repeatedly used, and has low replacement cost.

[0034] Reference Figures 6-9 As shown, the present application provides a training method of the vaginal closure training model, which comprises the following steps: Step one, preparation work before the operation training of the vaginal closure, cooperate with other tools prepared for the operation, such as a marker pen, mouse forceps, a needle holder, a scalpel, a suture, scissors, etc. Step two, select the uterus-containing vaginal closure model 2 or the uterus-free vaginal closure model 3 according to the need, clamp the most distal end (the cervical outer opening or the vaginal stump).

[0035] Step three, use the marker pen to mark the resection range of the anterior vaginal wall: 1cm below the outer opening of the urethral model 101 to the anterior lip of the cervix (or the top of the vagina), and about 1cm away from the lateral wall of the vagina on both sides (retain the lateral hole channel); mark the resection range of the posterior vaginal wall: from the vaginal opening to the posterior lip of the cervix (or the top of the vagina), and symmetrically mark with the anterior wall; the marked resected vaginal wall part is usually rectangular, such as Figure 6 The dashed line part marks the resection range 302.

[0036] Step four, according to the marking line, first cut the light red vaginal mucosa layer model 201 and the red vaginal muscle layer model 202 of the anterior and posterior walls of the vagina with a scalpel, and the cutting depth is appropriate to the white fibrous outer membrane layer model 203, otherwise there is a risk of damaging the organs (the bladder model 104 or the rectal model 105); then peel off the vaginal wall; Figure 7 It is a picture of the resected part of the vaginal wall.

[0037] Step five, use the suture 303 to lock the edge or intermittently suture the anterior and posterior vaginal wall tissues, such as Figure 8 、 9 The suture 303 gradually closes the vaginal cavity.

[0038] Step six, retain the lateral holes on both sides and suture the external incision.

[0039] The training model bladder model and rectum model are easy to install and disassemble, the vaginal sealing model can be individually replaced and disassembled, is easy to install, the pelvic cavity is easy to clean, and the female pelvic cavity model body and the bladder model and rectum model can be repeatedly used.

[0040] Each vaginal sealing model can be disassembled from the bladder model and rectum model after the operation training, and a new vaginal sealing model is installed, so that the problem of incomplete training caused by the destruction of the structure of the vaginal mucosa layer and the red vaginal muscle layer model is avoided, and the training model does not need to be replaced as a whole, only a vaginal sealing model needs to be replaced, such as a uterine vaginal sealing model or a non-uterine vaginal sealing model, so that the cost of maintenance and replacement is reduced.

[0041] The above disclosed preferred embodiments of the present application are only used to help explain the present application. The preferred embodiments do not describe all the details and limit the present application to the specific embodiments described. Obviously, many modifications and changes can be made according to the content of the present application. The present application selects and specifically describes these embodiments in order to better explain the principles and practical applications of the present application, so that those skilled in the art can well understand and utilize the present application; the present application is limited by the claims and their entire scope and equivalents.

Claims

1. A vaginal closure training model, comprising: The application relates to a female pelvic cavity model (1), a vaginal closure model, and a simulated abdominal wall model (4); the female pelvic cavity model (1) is internally provided with a pelvic cavity (10), the pelvic cavity (10) is internally provided with a bladder model (104) and a rectum model (105), the female pelvic cavity model (1) is detachably provided with the simulated abdominal wall model (4) through bonding devices, the female pelvic cavity model (1) is detachably provided with the vaginal closure model, the upper end and the lower end of the vaginal closure model are connected with the bladder model (104) and the rectum model (105) respectively, the vaginal closure model is divided into a uterine-vaginal closure model (2) and a non-uterine-vaginal closure model (3); the uterine-vaginal closure model (2) and the non-uterine-vaginal closure model (3) are all set as four-degree prolapse. The female pelvic cavity model (1) is in a bladder lithotomy position, and the female pelvic cavity model (1) further comprises a urethral model (101), a vaginal model (102) and an anal model (103).

2. The vaginal closure training phantom of claim 1, wherein, The outer parts of the bladder model (104) and the rectum model (105) are respectively provided with elastic meshes (1001), the inner side wall of the pelvic cavity (10) is provided with magic tape pricking faces (1002), the bladder model (104) and the rectum model (105) are detachably installed on the magic tape pricking faces (1002) in the pelvic cavity (10) through the elastic meshes (1001), the rear upper end and the rear lower end of the uterine-vaginal closure model (2) or the non-uterine-vaginal closure model (3) are respectively provided with magic tape pricking faces (1002), and the uterine-vaginal closure model (2) or the non-uterine-vaginal closure model (3) is connected and fixed with the bladder model (104) and the rectum model (105) through the elastic meshes (1001) through the magic tape pricking faces (1002) at the upper end and the lower end.

3. The vaginal closure training phantom of claim 1, wherein, The outer parts of the bladder model (104) and the rectum model (105) are respectively provided with elastic meshes (1001), the bladder model (104) and the rectum model (105) are connected and fixed on the inner side wall of the pelvic cavity (10) through gluing, the rear upper end and the rear lower end of the uterine-vaginal closure model (2) or the non-uterine-vaginal closure model (3) are respectively provided with magic tape pricking faces (1002), and the uterine-vaginal closure model (2) or the non-uterine-vaginal closure model (3) is connected and fixed with the bladder model (104) and the rectum model (105) through the elastic meshes (1001) through the magic tape pricking faces (1002) at the upper end and the lower end.

4. The vaginal closure training phantom of claim 1, wherein, The bonding devices are double-sided adhesive tapes or magic tapes.

5. The vaginal closure training phantom of claim 1, wherein, The bladder model (104), the rectum model (105), the uterine-vaginal closure model (2) and the non-uterine-vaginal closure model (3) are all made of 3D printing.

6. The vaginal closure training phantom of claim 1, wherein, ​ 7. The vaginal closure training phantom of claim 6, wherein, The uterus-vagina sealing model (2) is sequentially provided from outside to inside with a light red vaginal mucosa layer model (201), a red vaginal muscle layer model (202), and a white fibrous outer membrane layer model (203), the white fibrous outer membrane layer model (203) is connected with a simulated cervix (204), a connection simulation mark line is arranged at a cervix-vagina mucosa connection position 206 of the uterus-vagina sealing model (2), and an internal cavity of the uterus-vagina sealing model (2) is a simulated uterus body model (205).

8. The vaginal closure training phantom of claim 6, wherein, The uterus-vagina sealing model (2) is sequentially provided from outside to inside with a light red vaginal mucosa layer model (201), a red vaginal muscle layer model (202), and a white fibrous outer membrane layer model (203), the white fibrous outer membrane layer model (203) is connected with a simulated cervix (204), a connection simulation mark line is arranged at a cervix-vagina mucosa connection position 206 of the uterus-vagina sealing model (2), and an internal cavity of the uterus-vagina sealing model (2) is a simulated uterus body model (205).

9. The vaginal closure training phantom of claim 6, wherein, The female pelvic cavity model (1) is made of silica gel.