The present disclosure relates to a vascular model and an organ simulator.
Medical devices such as catheters are used for low invasive treatments or examinations of living-body lumens such as the circulatory system and the digestive system. For example, Japanese Patent Application Laid-Open No. 2012-68505, Japanese Patent Application Laid-Open No. 2014-228803, Japanese Patent Application Laid-Open No. 2017-40812, and Japanese Translation of PCT International Application Publication No. 2004-508589 disclose simulators (a simulated human body or a simulated blood vessel) with which an operator such as a medical practitioner can simulate procedures using these medical devices. Further, Japanese Patent Application Laid-Open No. 2011-8213 discloses a vascular model with which an operator such as a medical practitioner can simulate procedures using medical devices. Japanese Patent Application Laid-Open No. 2006-334278 discloses an artificial blood vessel which can be used as a vascular graft for replacing a pathologically deteriorated blood vessel.
The present Application provides a vascular model, including: a flow path forming portion; and a diffusion portion formed with a porous body fluidly connected to the fluid flow path.
The present Application provides a vascular model, comprising: a flow path forming portion; and a diffusion portion formed with a porous body fluidly connected to the fluid flow path.
When treatment or examination is performed using a catheter and the like, angiography may be used in order to determine hemodynamics such as blood flow velocity and blood viscosity or an occluded state of a blood vessel. In angiography, a contrast agent with low radiolucency is injected through a catheter inserted into a blood vessel to perform radiography. An operator can determine hemodynamics and vascular conditions by investigating changed contrast in the resulting X-ray images (still pictures or video images, which may also be referred to as “cineradiographic images”) to elucidate how the contrast agent flows.
For this reason, the flow of a contrast agent in a simulator (a simulated human body or a simulated blood vessel) needs to be as similar as possible to the actual flow in the living body. With regard to this, in a simulated human body described in Japanese Patent Application Laid-Open No. 2012-68505 where a simulated left coronary artery and a simulated right coronary artery are connected to a reservoir space inside a heart model, a contrast agent is diluted in the reservoir space. However, the technology described in Japanese Patent Application Laid-Open No. 2012-68505, in which a contrast agent is diluted in the reservoir space inside the heart model, has a problem in that the course of dense-staining of the myocardium which can be observed in X-ray images of the actual human body can not be reproduced. Further, the technology described in Japanese Patent Application Laid-Open No. 2012-68505 has a problem in that dilution of a highly concentrated contrast agent is time-consuming. Moreover, in a simulator described in Japanese Patent Application Laid-Open No. 2014-228803, a contrast agent is directed to a flow path formed to have a shape which simulates a vein. However, the technology described in Japanese Patent Application Laid-Open No. 2014-228803 has a problem in that a highly concentrated contrast agent may flow into a flow path without being diluted, resulting in images which do not reflect actual conditions depending on observation angles. Further, technologies described in Japanese Patent Application Laid-Open No. 2017-40812, Japanese Translation of PCT International Application Publication No. 2004-508589, Japanese Patent Application Laid-Open No. 2011-8213, and Japanese Patent Application Laid-Open No. 2006-334278 do not even consider use of a contrast agent.
The present disclosure is made in order to solve at least partially the aforementioned problems. An object of the present disclosure is to provide a vascular model and an organ simulator in which X-ray images to be obtained during use of a contrast agent can be similar to those to be observed in the actual living body.
The present disclosure is made in order to solve at least partially the above problems, and can be implemented according to the following aspects.
(1) According to one aspect of the present disclosure, provided is a vascular model. This vascular model includes a flow path forming portion for forming a fluid flow path extending in an extension direction of the vascular model; and a diffusion portion formed with a porous body and disposed so as to face the fluid flow path, the diffusion portion being for excreting a fluid flowing through the fluid flow path from pores of the porous body to the outside in a diffused manner.
According to this configuration, the vascular model includes the diffusion portion formed with the porous body and disposed so as to face the fluid flow path extending in the extension direction of the vascular model, the diffusion portion being for excreting the fluid flowing through the fluid flow path from the pores of the porous body to the outside in a diffused manner. In other words, the diffusion portion formed with the porous body can function as a diffusive flow path (a buffering flow path) for dispersing the pressure and flow rate of a contrast agent flowing into the fluid flow path. In the vascular model of this configuration, the course of dense-staining which can be observed in X-ray images of the actual human body (specifically, a way in which a contrast agent spreads along arterioles, and then diffuses over arterioles to disappear) can therefore be simulated in X-ray images to be obtained during use of a contrast agent. This can provide a vascular model in which X-ray images to be obtained during use of a contrast agent can simulate the actual living body.
(2) In the vascular model according to the above aspect, the pores of the porous body in the diffusion portion may be filled with an elastic body. According to this configuration where the pores of the porous body in the diffusion portion are filled with the elastic body, each of the pores of the porous body can be blocked while the pressure inside the fluid flow path is low, and each of the pores of the porous body can be opened when the pressure inside the fluid flow path is increased due to inflow of a contrast agent. This enables a contrast agent to be diffused and excreted more finely, and also enables the course of dense-staining in X-ray images to be obtained during use of the contrast agent (diffusing and disappearing images) to simulate the actual human body more closely. Further, this can prevent backflow of a fluid present outside the vascular model into the fluid flow path through each of the pores of the porous body when the vascular model is used under a wet condition where the vascular model is immersed into a fluid (water, physiological saline, and the like).
(3) In the vascular model according to any one of the above aspects, the flow path forming portion may be a tubular body extending in the extension direction of the vascular model, and the diffusion portion may be disposed at a distal end portion of the tubular body. According to this configuration where the diffusion portion is disposed at the distal end portion of the flow path forming portion (the tubular body), the course of dense-staining in X-ray images to be obtained during use of a contrast agent can be simulated by the distal end of the fluid flow path.
(4) In the vascular model according to any one of the above aspects, the flow path forming portion may be a tubular body extending in the extension direction of the vascular model, and the diffusion portion may be disposed at a branched portion where the tubular body is branched. According to this configuration where the diffusion portion is disposed at the branched portion where the flow path forming portion (the tubular body) is branched, the course of dense staining in X-ray images to be obtained during use of a contrast agent can be simulated by the branched portion of the fluid flow path.
(5) In the vascular model according to any one of the above aspects, the flow path forming portion may be a groove body extending in the extension direction of the vascular model and having an opening formed in at least a portion of a circumferential direction, and the diffusion portion may be disposed so as to face the opening of the groove body. According to this configuration where the diffusion portion is disposed so as to face the opening of the flow path forming portion (the groove body), the course of dense-staining in X-ray images to be obtained during use of a contrast agent can be simulated by the entire region of the fluid flow path.
(6) In the vascular model according to any one of the above aspects, the flow path forming portion may be formed with a porous body, and may function as a diffusion portion for excreting a fluid flowing through the fluid flow path from pores of the porous body to the outside in a diffused manner. According to this configuration where the flow path forming portion is formed with the porous body, the flow path forming portion can function as a diffusion portion for excreting a fluid flowing through the fluid flow path from the pores of the porous body to the outside in a diffused manner.
(7) In the vascular model according to any one of the above aspects, at least a portion of the fluid flow path in the flow path forming portion may be coated. According to this configuration, at least a portion of the fluid flow path extending in the extension direction of the vascular model is coated in the flow path forming portion. This enables the sliding resistance in the fluid flow path to simulate the actual living body (a blood vessel) more closely, and enables a medical device to smoothly move forward through the fluid flow path.
(8) According to one aspect of the present disclosure, provided is an organ simulator. This organ simulator includes an organ model simulating an organ, and the vascular model according to any one of the above aspects arranged on a surface of the organ model. According to this configuration, an organ simulator can be obtained in which the vascular model according to any one of the above aspects as described above is included as a blood vessel arranged around on the surface of the organ model. Further, the vascular model according to any one of the above aspects as described above is to be arranged on the surface of the organ model. This can improve the degree of freedom for designing the organ model. For example, the inner cavity of the organ model may be used for a different purpose other than the purpose for diffusing a contrast agent, or the organ model may be configured to be solid.
(9) In the organ simulator according to any one of the above aspects, the organ model may include a surface layer formed with a porous body, and the diffusion portion of the vascular model is arranged so as to be adjacent to the surface layer of the organ model. According to this configuration where the diffusion portion of the vascular model is arranged so as to be adjacent to the surface layer of the organ model, a contrast agent excreted to the outside through the diffusion portion can be directed to the surface layer of the organ model. Further, the surface layer of the organ model, which is formed with the porous body, can function as a diffusive flow path (a buffering flow path) for further dispersing the pressure and flow rate of a contrast agent flowing into the surface layer. According to the organ simulator of this configuration in which a contrast agent is diffused and excreted by both the diffusion portion of the vascular model and the surface layer of the organ model as described above, the contrast agent can be diffused and excreted more finely. This enables the course of dense-staining in X-ray images to be obtained during use of the contrast agent to simulate the actual living body more closely.
(10) In the organ simulator according to any one of the above aspects, a fixing member fixing the vascular model to the surface of the organ model may be included. According to this configuration where the vascular model can be fixed to the surface of the organ model with the fixing member, the organ model and the vascular model can be maintained in a desired relative portion.
(11) In the organ simulator according to any one of the above aspects, the organ model may be a heart model having an inner cavity and simulating a heart, and may further include a pulsating unit for causing the heart model to pulsate by discharging and withdrawing an expansion medium to and from the inner cavity of the heart model. According to this configuration, the organ model can be configured as a heart model, and the vascular model can be configured as a coronary artery model arranged around on the surface of the heart model. Further, according to this configuration, the heart model can pulsate as in the actual human body by virtue of the pulsating unit for discharging and withdrawing an expansion medium to and from the inner cavity of the heart model. This enables the course of dense-staining in X-ray images to be obtained during use of the contrast agent (diffusing and disappearing images) to simulate the actual living body more closely, and can also improve user's feeling of operations of the organ simulator.
(12) In the organ simulator according to any one of the above aspects, a pericardium portion with a film-like shape covering the surface of the heart model may be further included, and the vascular model may be housed in a space between an inner surface of the pericardium portion and the surface of the heart model. This configuration enables the pericardium portion with a film-like shape covering the surface of the heart model to simulate the lateral pericardium and fibrous pericardium in the actual living body, and also enables the space between the inner surface of the pericardium portion and the surface of the heart model to simulate the pericardial cavity in the actual living body.
It is noted that the present disclosure can be implemented according to various aspects. For example, it can be implemented according to the following aspects: a vascular model simulating a cardiac blood vessel, a liver blood vessel, a cerebral blood vessel, or the like; an organ model simulating an organ such as heart, liver, and brain; an organ simulator including the vascular model and the organ model; a human body simulating apparatus including at least a part thereof; and a method of controlling the human body simulating apparatus; and the like.
As shown in
The housing 20 includes a tank 21 and a cover 22. The tank 21 is a substantially rectangular parallelepiped tank having an opening at the top. As shown in
The cover 22 is a plate-shaped member for covering the opening of the tank 21. The cover 22 can function as a wave-cancelling plate by placing the cover 22 so that one surface of the cover 22 is brought into contact with the fluid while the other is exposed to the air. This can prevent decreased visibility due to waving of the fluid inside the tank 21. The tank 21 and the cover 22 according to the present embodiment, which are formed with a radiolucent and highly transparent synthetic resin (for example, acrylic resin), can improve the visibility of the model 10 from the outside. It is noted that the tank 21 and the cover 22 may be formed with another synthetic resin, or may be formed with different materials.
The control unit 40 includes CPU, ROM, RAM, and a storage unit, e.g., a memory, and can control operations of the pulsing unit 50, the pulsating unit 60, and the respiratory movement unit 70 by deploying and running a computer program stored in the ROM in the RAM. The input unit 45 may be an interface of any kind used for a user to input information into the human body simulating apparatus 1. The input unit 45 may be, for example, a touch screen, a keyboard, an operation button, an operation dial, a microphone, or the like. Hereinafter, a touch screen is used as an illustrative example of the input unit 45.
The pulsing unit 50 is a “fluid supplying unit” which can discharge a pulsed fluid to the aortic model 160. Specifically, the pulsing unit 50 can circulate and pass a fluid in the tank 21 through the aortic model 160 of the model 10 as indicated by the open arrow in
The pulsing pump 57 may be, for example, a positive-displacement reciprocating pump, and can add a pulse to the fluid discharged from the circulation pump 56. The pulsing pump 57 is connected to the aortic model 160 of the model 10 through a tubular body 51 (
The pulsating unit 60 can cause the heart model 110 to pulsate. Specifically, the pulsating unit 60 can expand the heart model 110 by discharging a fluid into the inner cavity of the heart model 110, and can contract the heart model 110 by withdrawing the fluid from the inner cavity of the heart model 110 as indicated by the hatched arrow in
The respiratory movement unit 70 enables the lung model 120 and the diaphragm model 170 to simulate respiratory movements. Specifically, the respiratory movement unit 70 can discharge a fluid to an inner cavity of the lung model 120 and the diaphragm model 170 as indicated by the dot-hatched arrow in
The aortic model 160 includes a second connection portion 161J for connection with the heart model 110 at an end portion of the ascending aorta portion 161. Similarly, it includes a first connection portion 162J for connection with the brain model 130 in the vicinity of the aortic arch portion 162, a third connection portion 163Ja for connection with the liver model 140 in the vicinity of the abdominal aorta portion 163, and a pair of fourth connection portions 164J for connection with the right and left lower-limb models 150, respectively, at an end portion of the common iliac aorta portion 164. It is noted that the second connection portion 161J may be arranged at the ascending aorta portion 161 or in the vicinity thereof, and the fourth connection portions 164J may be arranged at the common iliac aorta part 164 or in the vicinity thereof. Hereinafter, the first to fourth connection portions 161J to 164J may also be collectively called a “biological-model connection portion.” Further, the aortic model 160 includes a fluid supplying unit connection portion 163Jb for connection with the pulsing unit 50 in the vicinity of the abdominal aorta portion 163. It is noted that the fluid supplying unit connection portion 163Jb may be arranged at any location including in the vicinity of the ascending aorta portion 161, in the vicinity of the cerebral vascular model 131 (for example, the common carotid artery), and the like, but not limited to the abdominal aorta portion 163. Further, the aortic model 160 may include a plurality of fluid supplying unit connection portions 163Jb arranged at different locations.
Further, an inner cavity 160L is formed inside the aortic model 160. The inner cavity 160L has an opening for each of the aforementioned biological-model connection portions and fluid supplying unit connection portion (the first connection portion 162J, the second connection portion 161J, the third connection portion 163Ja, the pair of fourth connection portions 164J, and the fluid supplying unit connection portion 163Jb). The inner cavity 160L can function as a flow path for transporting a blood simulate (a fluid) passed from the pulsing unit 50 to the heart model 110, the brain model 130, the liver model 140, and the lower-limb models 150.
The aortic model 160 according to the present embodiment may be formed with a synthetic resin (for example, polyvinyl alcohol (PVA), silicone, and the like) of a radiolucent soft material. In particular, the hydrophilicity of PVA enables a user to feel the aortic model 160 immersed under a liquid as if it were the actual human aorta in the body.
The aortic model 160 may be produced, for example, as follows. First, a mold is prepared which simulates the shape of the human aorta. The mold may be produced by, for example, 3D-printing using data of the aorta in the human model data generated by analyzing images from CT (Computed Tomography) or MRI (Magnetic Resonance Imaging) of a human body. The model may be of gypsum, metal, or resin. Next, a liquefied synthetic resin material may be applied on the inner surface the model prepared. After cooled and cured, the synthetic resin material is demolded. In this way, the aortic model 160 having the inner cavity 160L can easily be produced.
The lung models 120 each have a shape which simulate either the right or left lung, and have one inner cavity 120L formed thereinside which is in communication with the right lung and the left lung. The lung models 120 are arranged so as to cover the right and left sides of the heart model 110. The lung models 120 may be produced using a similar material and method as in the heart model 110. The lung models 120 may be made of the same material as the heart model 110, or may be made of different materials. Further, the lung model 120 is connected to a tracheal model 121 which is tubular, and simulates a part of the trachea. The tracheal model 121 may be produced using a similar material as the tubular body 115 of the heart model 110. The tracheal model 121 may be made of the same material as the tubular body 115, or may be made of a different material. The tracheal model 121 is connected so that a distal end 121D is in communication with the inner cavity 120L of the lung model 120, and a proximal end 121P is in communication with the tubular body 71 leading to the respiratory movement unit 70.
The diaphragm model 170 has a shape which simulates the diaphragm, and has an inner cavity 170L formed thereinside. The diaphragm model 170 is arranged below the heart model 110 (in other words, arranged at the opposite side of the brain model 130 across the heart model 110). The diaphragm model 170 may be produced using a similar material and method as in the heart model 110. The diaphragm model 170 may be made of the same material as the heart model 110, or may be made of a different material. Further, the tubular body 72 leading to the respiratory movement unit 70 is connected to the diaphragm model 170 so that the inner cavity 170L of the diaphragm model 170 is in communication with an inner cavity of the tubular body 72.
The brain model 130 has a shape which simulates the brain, and is configured to be solid without having an inner cavity. The brain model 130 is arranged above the heart model 110 (in other words, arranged at the opposite side of the diaphragm model 170 across the heart model 110). The brain model 130 may be produced using a similar material and method as in the heart model 110. The brain model 130 may be made of the same material as the heart model 110, or may be made of a different material. Further, the brain model 130 is connected to the cerebral vascular model 131 which is a tubular vascular model simulating at least a part of the main arteries including a pair of the right and left vertebral arteries from a pair of the right and left common carotid arteries. The cerebral vascular model 131 may be produced using a similar material as the cardiovascular model 111 of the heart model 110. The cerebral vascular model 131 may be made of the same material as the cardiovascular model 111, or may be made of a different material. Further, although not shown, the cerebral vascular model 131 may simulate not only an artery but also a major vein including the superior cerebral vein and the straight sinus.
It is noted that the brain model 130 may be a complex further including a bone model which simulates the human cranium and cervical vertebrae. For example, a cranium model may have a hard resin case simulating the parietal bone, temporal bone, occipital bone, and sphenoid bone; and a lid simulating the frontal bone. A cervical vertebrae model may have a plurality of rectangular resin bodies each having a through-hole thereinside through which a vascular model can pass. When included, the bone model may be produced with a resin having a hardness different from an organ model such as a vascular model and a brain model. For example, the cranium model may be produced with acrylic resin while a cervical vertebrae model may be produced with PVA.
The cerebral vascular model 131 is configured such that a distal end 131D is connected to the brain model 130, and a proximal end 131P is connected to the first connection portion 162J of the aortic model 160 (which corresponds to, for example, the brachiocephalic artery, the subclavian artery, or the vicinity thereof in the human body). The distal end 131D of the cerebral vascular model 131 may simulate a vertebral artery passing through the vertebrae and a different blood vessel arranged on the surface and/or in the inside of the brain model 130 (for example, the posterior cerebral artery, the middle cerebral artery), or may further simulate the posterior communicating artery, and be connected to a peripheral portion of the common carotid artery. Further, the proximal end 131P of the cerebral vascular model 131 is connected to the first connection portion 162J so that an inner cavity of the cerebral vascular model 131 is in communication with the inner cavity 160L of the aortic model 160.
The liver model 140 has a shape which simulates the liver, and is configured to be solid without having an inner cavity. The liver model 140 is arranged below the diaphragm model 170. The liver model 140 may be produced using a similar material and method as in the heart model 110. The liver model 140 may be made of the same material as the heart model 110, or may be made of a different material. Further, the liver model 140 is connected to a hepatic vascular model 141 which is a tubular vascular model simulating a part of the hepatic blood vessel. The hepatic vascular model 141 may be produced using a similar material as the cardiovascular model 111 of the heart model 110. The hepatic vascular model 141 may be made of the same material as the cardiovascular model 111, or may be made of a different material.
The hepatic vascular model 141 is configured so that a distal end 141D is connected to the liver model 140, and a proximal end 141P is connected to the third connection portion 163Ja of the aortic model 160. The distal end 141D of the hepatic vascular model 141 may simulate a different blood vessel arranged on the surface and/or the inside of the liver model 140 (for example, the hepatic artery). Further, the proximal end 141P of the hepatic vascular model 141 is connected to the third connection portion 163Ja so that an inner cavity of the hepatic vascular model 141 is in communication with the inner cavity 160L of the aortic model 160.
As shown in
The lower-limb vascular model 151 is arranged so as to extend through the inside of the lower-limb model 150 in the extending direction from the thigh toward the side of the crus. The lower-limb vascular model 151 is configured such that a distal end 151D is exposed at a lower end (which corresponds to a portion from the tarsal portion to the acrotarsium portion) of the lower-limb model 150, and a proximal end 151P is connected to the fourth connection portion 164J of the aortic model 160. Here, the proximal end 151P is connected to the fourth connection portion 164J so that an inner cavity of the lower-limb vascular model 151 is in communication with the inner cavity 160L of the aortic model 160.
It is noted that the cardiovascular model 111, the cerebral vascular model 131, the hepatic vascular model 141, and the lower-limb vascular model 151 as described above may also be collectively called a “vascular model.” Further, these vascular models and the aortic model 160 may also be collectively called a “systemic vascular model.” These configurations enable a vascular model arranged on the surface of each biological model to simulate, for example, the posterior cerebral artery on the brain, the left and right coronary arteries on the heart, and the like. Further, these enable a vascular model arranged in the inside of each biological model to simulate, for example, the middle cerebral artery in the brain, the hepatic artery in the liver, the femoral artery in the lower limb, and the like.
In the human body simulating apparatus 1 according to the present embodiment, at least one or more biological models (the heart model 110, the lung model 120, the diaphragm model 170, the brain model 130, the liver model 140, the lower-limb model 150) can be detachably attached to the aortic model 160 to configure the model 10 according to various aspects. A combination of the biological models (the heart model 110, the lung model 120, the diaphragm model 170, the brain model 130, the liver model 140, the lower-limb model 150) to be attached to the aortic model 160 can be appropriately selected or changed depending on an organ required for a procedure. For example, the model 10 having the heart model 110 and the lower-limb model 150 attached can be used for simulating a procedure of the TFI (Trans-Femoral Intervention) approach of PCI with the human body simulating apparatus 1. In addition to these, all of the biological models except for the lower-limb model 150, for example, may be attached, or the heart model 110 and the lung model 120 may be attached, or the lung model 120 and the diaphragm model 170 may be attached, or the liver model 140 alone may be attached, or the lower-limb model 150 alone may be attached.
As described above, in the human body simulating apparatus 1 according to the present embodiment, a biological model (the heart model 110, the brain model 130, the liver model 140, the lower-limb model 150) which simulates a part of the inside of the human body may be connected to a biological model connection portion (the first connection portions 162J, the second connection portion 161J, the third connection portion 163Ja, the fourth connection portion 164J) to simulate various procedures using a medical device such as a catheter and a guide wire for a living-body lumen of an organ such as the circulatory system and the digestive system depending on the connected biological model(s). Further, biological models can be detachably attached to the biological model connection portions 161J to 164J, and thus a biological model which is not used for a procedure may also be removed and stored separately. This can improve convenience.
The organ simulator 100 according to the present embodiment includes the heart model 110, the cardiovascular model 111, and a fixing member 191. It is noted that the XYZ axes orthogonally intersecting to each other are shown in
With reference to
With reference to
The coronary artery model 180 has a main branch portion 181, a side branch portion 182, a connection portion 183, and a branched portion 184. The main branch portion 181 simulates a main blood vessel among the coronary arteries, and the side branch portion 182 simulates a thin blood vessel extending from the main branch portion 181. As shown in
As indicated by the arrows in
With reference to
As shown in
The fixing member 191 is a member for fixing various portions of the cardiovascular model 111, i.e., the main branch portion 181, the side branch portion 182, and the diffusion portion 186, to the surface 110S (the surface layer 118) of the heart model 110. As shown in
When treatment or examination using a catheter is simulated with the human body simulating apparatus 1 according to the present embodiment, angiography may be used in order to determine hemodynamics such as blood flow velocity and blood viscosity or an occluded state of a blood vessel. Angiography may be performed as follows: a catheter is inserted into a blood vessel, for example, from the common iliac aorta portion 164 (
Here in the organ simulator 100 according to the present embodiment, the cardiovascular model 111 (a vascular model) includes the diffusion portion 186 formed with the porous body 187 and disposed so as to face a fluid flow path (the inner cavity 181L of the main branch portion 181) extending in the extension direction of the cardiovascular model 111, the diffusion portion 186 being for excreting a fluid (a blood simulate or a contrast agent) flowing through the fluid flow path from the pores of the porous body 187 to the outside in a diffused manner. In other words, the diffusion portion 186 formed with the porous body 187 can function as a diffusive flow path (a buffering flow path) for dispersing the pressure and flow rate of a contrast agent flowing into the fluid flow path. In the cardiovascular model 111 according to the present embodiment, the course of dense-staining to be observed in X-ray images of the actual human body (specifically, a way in which a contrast agent spreads along arterioles, and then diffuses over arterioles to disappear) can therefore be simulated in X-ray images to be obtained during use of a contrast agent.
When the pressure inside the cardiovascular model 111 (the inner cavity 181L of the main branch portion 181) is increased by injecting the contrast agent CA into the cardiovascular model 111, then the elastic body 188 can be compressed in the directions indicated by the arrows in the figure, and undergo deformation to create fine gaps between the pores of the porous body 187, thereby opening each of the pores of the porous body 187 as shown in
After the injection of the contrast agent CA is completed, the pressure inside the cardiovascular model 111 (the inner cavity 181L of the main branch portion 181) again becomes low, and the elastic body 188 then blocks each of the pores of the porous body 187 as shown in
Further, in the organ simulator 100 according to the present embodiment where the diffusion portion 186 is disposed at the distal end portion of the flow path forming portion (the main branch portion 181 of a tubular body), the course of dense-staining in X-ray images to be obtained during use of a contrast agent can be simulated by the distal end portion of the fluid flow path (the inner cavity 181L of the main branch portion 181). Further, according to the organ simulator 100, the cardiovascular model 111 (a vascular model) can be fixed to the surface 110S of the heart model 110 (an organ model) through the fixing member 191. Therefore, the heart model 110 and the cardiovascular model 111 can be maintained in a desired relative position.
Moreover, the organ simulator 100 according to the present embodiment can provide an organ simulator in which the cardiovascular model 111 (a vascular model) is configured as a blood vessel arranged around on the surface of the heart model 110 (an organ model). The cardiovascular model 111 is to be arranged on the surface 110S of the heart model 110. This can improve the degree of freedom for designing the heart model 110. For example, the inner cavity 110L of the heart model 110 may be used for a different purpose other than the purpose for diffusing a contrast agent, or the heart model 110 may be configured to be solid. Further, the heart model 110 can pulsate as in the actual human body by virtue of the pulsating unit 60 for discharging and withdrawing an expansion medium to and from the inner cavity 110L of the heart model 110 in the organ simulator 100 according to the present embodiment. This enables the course of dense-staining in X-ray images to be obtained during use of a contrast agent to simulate the actual living body much more closely, and also improve user's feeling of operations of the organ simulator 110.
As shown in
The organ simulator 100b according to the third embodiment further includes a coat layer 189. As shown in
According to the above configuration, at least a portion of the fluid flow path extending in the extension direction of the cardiovascular model 111 (a vascular model) is coated with the coat layer 189 at the flow path forming portion (the diffusion portion 186b, the main branch portion 181b). This enables the sliding resistance in the fluid flow path to simulate the actual living body (a blood vessel) more closely, and enables a medical device to smoothly move forward through the fluid flow path.
The organ simulator 100c according to the fourth embodiment further includes a coat layer 189c. As shown in
The organ simulator 100d according to the fifth embodiment further includes a coat layer 189d. As shown in
As described above, the organ simulator 100e may further include the diffusion portion 186e disposed at the branched portion 184 of the main branch portion 181 in addition to the diffusion portion 186 disposed at the distal end portion of the main branch portion 181. Further, the organ simulator 100e may include a diffusion portion 186e1 disposed at a portion (an extension portion without having a branch) which corresponds to neither the distal end portion nor a branched portion of the main branch portion 181. The diffusion portion 186e1 has a similar configuration as the diffusion portion 186e. Further, the organ simulator 100e does not need to include at least any one of the diffusion portions 186, the diffusion portion 186e, and the diffusion portion 186e1. The organ simulator 100e according to the sixth embodiment as described above can also show similar effects as the first embodiment. Moreover, in the organ simulator 100e according to the sixth embodiment where the diffusion portion 186e is disposed at the branched portion 184 in which a flow path forming portion (the main branch portion 181 of a tubular body) is branched, the course of dense-staining in X-ray images to be obtained during use of a contrast agent can be simulated by the branched portion of the fluid flow path.
The organ simulator 100f as described above has a cross-sectional view along the F1-F1 line which is similar to a cross-sectional view of the first embodiment described with reference to
As described above, the shape and fixing coverage of the fixing member 191g may be altered appropriately. For example, the left coronary artery model 180L and the right coronary artery model 180R may be fixed through a single fixing member 191g. Further, the fixing member 191g may fix the entire of the diffusion portion 186, or does not need to fix the entire of the diffusion portion 186 to enable exposure. The organ simulator 100g according to the eighth embodiment as described above can also show similar effects as the first embodiment.
As described above, the configuration of the heart model 110j (an organ model) may be altered appropriately. At least a part of the layers may be omitted, or an additional member not described above may be included. For example, the heart model 110 may have a single-layer structure of the simulated myocardium 117. In that case, the inner cavity 110L may be omitted, or the inner cavity 110L may be formed at the inner side of the simulated myocardium 117. For example, the heart model 110 may have a two-layer structure of the simulated myocardium 117 and the surface layer 118. Again, in that case, the inner cavity 110L may be omitted, or the inner cavity 110L may be formed in the inner side of the simulated myocardium 117. The organ simulator 100j according to the tenth embodiment as described above can also show similar effects as the first embodiment.
As described above, the organ simulator 100m may further include various structures not described above. The organ simulator 100m according to the twelfth embodiment as described above can also show similar effects as the first embodiments. Further, the organ simulator 100m according the twelfth embodiment enables the pericardium portion 119 with a film-like shape covering the surface 110S of the heart model 110 to simulate the lateral pericardium and fibrous pericardium in the actual living body, and also enables the space between the inner surface of the pericardium portion 119 and the surface 110S of the heart model 110 to simulate the pericardial cavity in the actual living body.
In the above embodiments, a part of hardware-implemented configurations may be implemented by software, and vice versa. Further, the present disclosure shall not be limited to the above embodiments, but can be practiced according to various aspects without departing from the scope and spirit of the present disclosure. For example, the following variations may also be possible.
The aforementioned first to twelfth embodiments show examples of the configuration of the human body simulating apparatus 1. However, various modifications may be made to the configuration of the human body simulating apparatus. For example, the human body simulating apparatus does not need to include at least one of the tanks and the cover for covering the tank. For example, the human body simulating apparatus may include an input unit by a means other than a touch screen (for example, sound, an operation dial, a button, and the like).
The aforementioned first to twelfth embodiments show examples of the configuration of the model 10. However, various modifications may be made to the configuration of the model. For example, the aortic model does not need to include at least a part of the first to the fourth connection portions. For example, the arrangement of the first to fourth connection portions in the aortic model may be altered appropriately. The first connection portion does not need to be arranged at the aortic arch or in the vicinity thereof. Similarly, the second connection portion does not need to be arranged at the ascending aorta or in the vicinity thereof. The third connection portion does not need to be arranged at the abdominal aorta or in the vicinity thereof. The fourth connection portion does not need to be arranged at the common iliac aorta or in the vicinity thereof. For example, any number of biological-model connection portions may be used in the aortic model. A new biological-model connection portion for connecting a biological model not mentioned above (for example, a stomach model, a pancreas model, a kidney model, and the like) may be included.
For example, the model does not need to include at least a part of the heart model, the lung model, the brain model, the liver model, the lower-limb model, and the diaphragm model. When the lung model and the diaphragm model are omitted, the respiratory movement unit can also be omitted. For example, the model may be configured as a complex further including a bone model simulating at least a portion of a human bone such as rib, sternum, thoracic vertebra, lumbar vertebra, femur, and neckbone. For example, the configurations of the aforementioned heart model, lung model, brain model, liver model, lower-limb model, and diaphragm model may be altered appropriately. For example, the inner cavity of the heart model and the pulsating unit for discharging a fluid to the inner cavity of the heart model may be omitted (
The aforementioned first to twelfth embodiments show examples of the configurations of the organ simulators 100, 100a to 100m. However, various alternations may be made to the configurations of the organ simulators. For example, at least one of an organ model (the heart model, the brain model, the liver model, the lower-limb model) and a vascular model (the cardiovascular model, the cerebral vascular models, the hepatic vascular model, the lower limb vascular model) may have a model simulating a healthy organ or blood vessel and a model simulating an organ or blood vessel having a lesion site, which may be interchangeably attached.
For example, a vascular model (the cardiovascular model, the cerebral vascular model, the hepatic vascular model, the lower limb vascular model) may include a vein-simulating model in addition to an artery-simulating model. For example, a vascular model is configured to include the main branch portion, the side branch portion, the connection portion, and the branched portion. However, these portions other than the main branch portion may be omitted. For example, the side branch portion may be omitted to obtain a flow path forming portion which consists only of the main branch portion. For example, a configuration may be used where the connection portion is omitted, and the main branch portion is integrally formed, and thus the main branch portion can not be detached for replacement. For example, the branched portion may be omitted to obtain a coronary artery model having a main branch portion without a branch.
The aforementioned first to twelfth embodiments show examples of the configurations of the diffusion portions 186, 186a, 186b, 186c, 186e, and 186h. However, various modifications may be made to the configurations of the diffusion portions. For example, the density of the pores in the porous body included in the diffusion portion may be varied. It may be for example higher at the distal end side (the −Y axis direction in
The configurations of the human body simulating apparatuses and the organ simulators according to the first to twelfth embodiments and the configurations of the human body simulating apparatuses and the organ simulators according to the variations 1 to 4 may be appropriately combined. For example, the organ simulator may include both the diffusion portion disposed at the distal end portion of the main branch portion according to the first embodiment and the diffusion portion disposed so as to face the opening according to any one of the third, fourth, and fifth embodiments. For example, the organ simulator may include both the diffusion portion disposed at the branched portion of the main branch portion according to the second embodiment and the diffusion portion disposed so as to face the opening according to any one of the third, fourth, and fifth embodiments.
In the above, the present aspects are described based on embodiments and variations. However, the embodiments of the aforementioned aspects are provided merely for clear understanding of the present aspects, and should not be construed as limiting to the present aspects. The present aspects can be altered or modified without departing from the spirit thereof and the claims. The present aspects include any equivalents thereto. Further, the technical features thereof, if not indicated as essential in the present specification, may be appropriately deleted.
Number | Date | Country | Kind |
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2018-226406 | Dec 2018 | JP | national |
This application is a continuation application of International Application No. PCT/JP2019/046358, filed Nov. 27, 2019, which claims the priority of Japanese Patent Application No. 2018-226406 filed on Dec. 3, 2018, the entire disclosure of both of which are incorporated herein by reference.
Number | Date | Country | |
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Parent | PCT/JP2019/046358 | Nov 2019 | US |
Child | 17321509 | US |