CN110738888A - Intelligent training method and system for catheterization - Google Patents
Intelligent training method and system for catheterization Download PDFInfo
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Abstract
Intelligent training method and system for catheterization includes logging in, mode selection, case selection, preoperative preparation, first disinfection, second disinfection, catheter insertion, catheter extraction, postoperative treatment and performance submission, wherein the urinary catheter insertion comprises the steps of receiving an instruction of clamping a lubricating cotton ball by tweezers and dragging the lubricating cotton ball to the front end of the urinary catheter, lubricating the urinary catheter, detecting whether a simulated urinary collection bag is connected with the simulated urinary catheter, detecting whether the simulated urinary catheter is inserted into a set position, detecting whether the simulated urinary catheter is connected with a simulated injector, detecting whether the simulated injector injects a set amount of air, simulating the air injection of an air bag of the urinary catheter, detecting the pull-back of the simulated urinary catheter, fixing and recording operation.
Description
Technical Field
The invention relates to a medical teaching training system, in particular to an urinary catheterization intelligent training method and system.
Background
Catheterization is the insertion of a urinary catheter into the bladder via the urethra to draw urine. Aims to relieve the urine retention, take uncontaminated urine samples for examination, measure residual urine, measure the cold and heat feeling, the volume and the pressure of the bladder, inject contrast agents or medicaments to help diagnosis or treatment and the like. The operator stands on the right side of the patient, wears sterile gloves, uses sterile water or benzalkonium bromide to sterilize perineum and urethral orifice, sticks sterile lubricating oil to the front end of the catheter, holds penis with the left hand (if the patient is a female, the operator separates the labia minora with the thumb and the index finger to expose the urethral orifice), inserts the ureter into the bladder until the catheter has urine flowing out. Catheterization is an operation with high use frequency and great operation difficulty in clinical work. Students have few opportunities to train clinically; the traditional dummy has incomplete training process and part of training modes which are not in accordance with the reality; the student operation process is not monitored and error feedback is avoided; the existing model has incomplete training steps, only has an intubation link, and lacks steps of preoperative communication preparation, explanation and evaluation and the like; the method for determining the position of the catheter in the operation is to directly observe the naked bladder structure and is not in accordance with the actual diagnosis method; the traditional model person is dead, and corresponding feedback can not be given to students according to different operations of the students; the teacher has to teach the skill teaching in a classroom, and the daily training is difficult to develop; the traditional way of training is only skilled practice and lacks the cultivation of clinical thinking.
Disclosure of Invention
Based on this, it is necessary to provide methods for intelligent training of catheterization to guide an operator through a catheterization simulation procedure to improve the ability of the operator to perform the catheterization procedure.
Meanwhile, kinds of intelligent training systems for catheterization are provided for guiding the operator to perform the catheterization simulation operation so as to improve the operation capability of the operator for the catheterization.
kinds of intelligent training method for catheterization, comprising the following steps:
logging in: receiving a user name, a password and a login instruction, and entering an operating system if the user name is registered or registered and the user name is matched with the password;
mode selection: receiving a training mode selection instruction to enter a training mode;
case selection: receiving a case selection instruction, displaying the selected case, and entering a scene if the selected case is a case without contraindications and receiving a confirmation instruction;
preoperative preparation: prompting preoperative operation, prompting clicking of a medical advice list, preparing a required article according to the medical advice list, receiving an article selection instruction to select the article, prompting by mistake if the article is selected wrongly or the article is selected too much or too little, and recording the operation;
preparation before operation: prompting preparation operation before intubation, checking patient information, evaluating and explaining, preparing environment, adjusting the body position of a patient, washing hands, opening a urethral catheterization package, paving a treatment towel, and recording operation;
the first disinfection comprises prompting to place a urethral catheterization bag, wear gloves, disinfect, move a bent disc, receiving a cotton ball and a disinfectant click command, controlling to dip the disinfectant, receiving a disinfected cotton ball dragging command, disinfecting according to an instruction, and giving an error prompt if the disinfection is not carried out according to the instruction;
the step of secondary disinfection, which is to prompt the urinary catheterization package to be put, the glove to be worn, the hole towel to be paved, the catheter to be lubricated and the disinfection to be carried out, receive instructions to put the urinary catheterization package, the glove to be worn, the hole towel to be paved and the disinfection to be disinfected, detect whether the single disinfection cotton ball is used for times, and if the single disinfection cotton ball is used repeatedly, the operation is recorded by an error prompt or a repeated use prompt;
inserting a catheter: receiving an instruction that a forceps clamps a lubricating cotton ball and drags the lubricating cotton ball to the front end of a urinary catheter, lubricating the urinary catheter, detecting whether a simulated urine collecting bag is connected with a simulated urinary catheter, detecting whether the simulated urinary catheter is inserted into a set position, detecting whether the simulated urinary catheter is connected with a simulated injector, detecting whether the simulated injector injects a set amount of air, simulating to inject gas into a urinary catheter air bag, detecting to pull back the simulated urinary catheter, fixing, and recording;
tube drawing: prompting evaluation before tube drawing, checking and explaining before tube drawing, detecting whether a simulation injector is connected to an injector interface of a simulation catheter, detecting the back-drawing of the simulation injector, simulating and extracting air in a urinary catheter air bag, releasing fixation, detecting and simulating the drawing of the catheter, and recording operation;
and (3) postoperative treatment: prompting post-operation material treatment, hand washing, information checking, explanation, recording and operation recording;
submitting the achievement: and receiving a result submitting instruction, scoring according to the operation, and prompting point scores and point losses.
In a preferred embodiment, the pre-operative preparation further comprises: receiving a click command of the medical advice to check, evaluate and explain the patient information, and receiving an adjusting command of an air conditioner adjusting panel to adjust the temperature to prepare the environment; and receiving a hand sanitizer clicking instruction to control hand washing, clicking a urethral catheterization package according to the prompt, receiving the urethral catheterization package instruction to open the urethral package, receiving a therapeutic towel clicking instruction to lay therapeutic towels, and recording the operation.
In a preferred embodiment, the body position adjustment displays multiple body positions, body position selection is received, whether the body position selection is correct or not is judged, if the body position selection is correct, a determination instruction is received, the next step is carried out, and if the body position selection is wrong, an error prompt is carried out;
when the catheter is inserted, the labia are prompted and detected to be separated, and whether the simulated catheter is inserted or not is detected;
the case selection further comprises: if the selected case is a case with contraindications, prompting and indicating a contraindications part; if a case without contraindications is received, a confirmation instruction is received to enter preoperative preparation;
after logging in, the method also comprises module selection: the male catheterization procedure and the female catheterization procedure are displayed, and the selection of the cases is carried out according to the selection.
In a preferred embodiment, in the first disinfection, a urethral catheterization package clicking instruction is received to place a urethral catheterization package, and a glove clicking instruction is received to wear gloves;
receiving the instruction of the urethral catheterization package according to the instruction and putting the urethral catheterization package, receiving the instruction of clicking the gloves and wearing the gloves, receiving the instruction of clicking the tissue of the hole and spreading the tissue of the hole, receiving the instruction of clamping the lubricated catheter of lubricated cotton ball by tweezers and carrying out lubricated catheter, receiving the instruction of dragging the cotton ball by the tweezers clamp and disinfecting according to the instruction, disinfecting according to instructing from outside to inside, from top to bottom, detecting whether disinfection mode, direction and instruction match, if not match then carry out the wrong suggestion.
In a preferred embodiment, the vulva is scrubbed according to the indication when the first disinfection is carried out;
the second disinfection, receiving an instruction of dragging the urethral catheterization package to the position between the legs of the patient, receiving an instruction of the urethral catheterization package according to the instruction, opening the urethral package, detecting whether the labia majora is separated or not, scrubbing the labia minora and the urethral orifice according to the instruction, and scrubbing the labia majora to the anus according to the instruction;
if the sterilized cotton balls are used times and dragged to the medical trash can, the cotton balls are judged to be thrown into the medical trash can, times of disposable use is judged, and if the sterilized cotton balls are not detected and scrubbed, the sterilized cotton balls are judged to be repeatedly used, and error prompt is given.
In preferred embodiment, detect simulation catheter inserted position and judge according to inserted position and reach the control of settlement position and show the urine flow through detecting the module when inserting the catheter, whether detect simulation catheter and connect emulation syringe, whether detect emulation syringe and inject into the air of setting for the volume, simulate to the ureter gasbag injection gas, detect the pull-back simulation catheter, rotate to block simulation catheter and fix through the control cam.
In a preferred embodiment, after the simulated urinary catheter is fixed in the urine insertion tube, whether the simulated injector is taken down or not is detected, a determination instruction is received after the insertion is completed, the marking on the urine tube and the urine collection bag is prompted, and the marking is performed after the instruction is received; prompting to arrange the post-operation objects, checking the patient information, evaluating and explaining, recording, receiving instructions to arrange the post-operation objects, checking the patient information, evaluating and explaining, and recording the operation.
In a preferred embodiment, the position of a model person passing through the model person in the process of inserting the catheter is detected and judged by a detection module, and the detection module detects the inserting or pulling-out position and the inserting or pulling-out speed of the simulated catheter;
the clamping and pressing assembly comprises: the power assembly, the clamping and pressing gear set which is connected with the power assembly and driven by the power assembly, and the cam which is coupled with the clamping and pressing gear set, communicated with the urethra of the model human and controlled by the power assembly to rotate so as to generate different pressures on the simulated urinary catheter;
the positioning component comprises a detection sensor for sensing the placement position of the analog urinary catheter to be inserted, a friction wheel which is arranged corresponding to the detection sensor and matched with the detection sensor to be driven by the placement analog urinary catheter to rotate, a gear component in shaft connection with the friction wheel, and a encoder in shaft connection with the gear component to detect the entry depth and the entry and exit speed of the analog urinary catheter to be inserted.
Intelligent training system for catheterization comprises a main control device, an operation panel in communication connection with the main control device, a model person in communication connection with the main control device, a display device in communication connection with the main control device for displaying and receiving operation instructions, a simulation catheter in communication connection with the main control device, a simulation injector, and a simulation urine collection bag in communication connection with the simulation catheter, wherein the simulation catheter comprises a urine collection bag main body, a communication line pipe, a communication head arranged at the end of the communication line pipe , a urine collection bag interface in communication connection with the communication line pipe, an injector connecting part in communication connection with the communication line pipe, and a urine collection bag connecting part in communication connection with the communication line pipe, the injector connecting part is provided with an injector interface in communication connection with the communication line pipe and sensing the injection or extraction of the simulation injector, the urine collection bag connecting part is provided with the communication line pipe and sensing the injection or extraction of the injection injector, the simulation urine collection bag connecting part is provided with a urine collection bag main body and a urine collection catheter connected with the urine collection bag main body, the simulation catheter is connected with the urine collection bag through a simulation catheter module, the urine collection bag connecting part is provided with the urine collection bag connecting device, the injector is provided with the urine collection bag, the detection device is provided with the urine collection bag, the injector is provided with the urine collection bag connector or the injector, and the injector, the detection device is provided with the urine collection bag, and the detection device, and the simulation catheter connector, the detection device is provided with the urine collection bag, the detection device is provided with the urine collection bag, and;
the master control device includes:
a login module: receiving a user name, a password and a login instruction, and entering an operating system if the user name is registered or registered and the user name is matched with the password;
a mode selection module: receiving a training mode selection instruction to enter a training mode;
a case selection module: receiving a case selection instruction, displaying the selected case, and entering a scene if the selected case is a case without contraindications and receiving a confirmation instruction;
preoperative preparation module: prompting preoperative operation, prompting clicking of a medical advice list, preparing a required article according to the medical advice list, receiving an article selection instruction to select the article, prompting by mistake if the article is selected wrongly or the article is selected too much or too little, and recording the operation;
a pre-operation preparation module: prompting preparation operation before intubation, checking patient information, evaluating and explaining, preparing environment, adjusting the body position of a patient, washing hands, opening a urethral catheterization package, paving a treatment towel, and recording operation;
the first disinfection module is used for prompting to place a urethral catheterization bag, wear gloves, disinfect and move a bent disc, receiving click instructions of cotton balls and disinfectants, controlling to dip the disinfectants, receiving dragging instructions of the disinfected cotton balls, disinfecting according to instructions, and giving an error prompt if the disinfected cotton balls are not disinfected according to the instructions;
the secondary disinfection module is used for prompting to put the urethral catheterization package, wear gloves, pave a hole towel, lubricate the urethral catheter and disinfect, receiving instructions to put the urethral package, wear the gloves, pave the hole towel and disinfect, detecting whether a single disinfection cotton ball is used for times, and if the single disinfection cotton ball is used repeatedly, prompting by mistake or repeated use and recording operation;
inserting a catheter module: receiving an instruction that a forceps clamps a lubricating cotton ball and drags the lubricating cotton ball to the front end of a urinary catheter, lubricating the urinary catheter, detecting whether a simulated urine collecting bag is connected with a simulated urinary catheter, detecting whether the simulated urinary catheter is inserted into a set position, detecting whether the simulated urinary catheter is connected with a simulated injector, detecting whether the simulated injector injects a set amount of air, simulating to inject gas into a urinary catheter air bag, detecting to pull back the simulated urinary catheter, fixing, and recording;
tube drawing module: prompting evaluation before tube drawing, checking and explaining before tube drawing, detecting whether a simulation injector is connected to an injector interface of a simulation catheter, detecting the back-drawing of the simulation injector, simulating and extracting air in a urinary catheter air bag, releasing fixation, detecting and simulating the drawing of the catheter, and recording operation;
a post-operative treatment module: prompting post-operation material treatment, hand washing, information checking, explanation, recording and operation recording;
and a score submitting module: and receiving a result submitting instruction, scoring according to the operation, and prompting point scores and point losses.
In a preferred embodiment, the preparation before operation comprises the steps of receiving a click command of a medical advice to check patient information, evaluating and explaining, receiving an adjustment command of an air conditioner adjustment panel to adjust temperature to prepare environment, receiving a click command of a hand sanitizer to control washing, clicking a urethral catheterization package according to a prompt, receiving a directive of the urethral package to open the urethral package, receiving a click command of a treatment towel to lay the treatment towel, adjusting and displaying various body positions, receiving a body position selection and a determination command, judging whether the body position selection is correct, if the determination command is correctly received, conducting , if the body position selection is wrong, conducting error prompt, and recording operation;
when the catheter is inserted, whether the labia are separated or not is detected by the sensing device arranged at the corresponding position of the labia, the catheterization package is arranged by receiving the instruction of clicking the catheterization package in the primary disinfection module, the glove is worn by receiving the instruction of clicking the glove, and the vulva is scrubbed according to the instruction;
the re-disinfection module receives a command of dragging the urethral catheterization package to a position between two legs of a patient, receives a command of dragging the urethral package to open the urethral package according to the command, receives a command of clicking a glove to wear the glove, receives a command of clicking the hole towel to pave the hole towel, receives a command of clamping a lubricating cotton ball by tweezers to lubricate the urinary catheter, receives a command of clamping the disinfecting cotton ball by the tweezers to disinfect according to the command, detects whether to separate labia majora and urethral orifice, cleans the labia majora and urethral orifice according to the command, cleans the labia majora and the anal according to the command, sterilizes from outside to inside and from top to bottom according to the command, detects whether the disinfection mode and direction are matched with the command, if not matched, carries out error prompt, if the disinfection ball is detected after times of usage of the disinfecting cotton ball, then judges that the cotton ball is dropped into a medical garbage can, then times of sexual use is carried out, if not detected;
the detection module comprises a clamping and pressing component and an th positioning component which are correspondingly arranged in sequence;
the clamping and pressing assembly comprises: the power assembly, the clamping and pressing gear set which is connected with the power assembly and driven by the power assembly, and the cam which is coupled with the clamping and pressing gear set, communicated with the urethra of the model human and controlled by the power assembly to rotate so as to generate different pressures on the simulated urinary catheter;
the positioning component comprises a detection sensor for sensing the placement position of the analog urinary catheter to be inserted, a friction wheel which is arranged corresponding to the detection sensor and matched with the detection sensor to be driven by the placement analog urinary catheter to rotate, a gear component in shaft connection with the friction wheel, and a encoder in shaft connection with the gear component to detect the entry depth and the entry and exit speed of the analog urinary catheter to be inserted.
According to the intelligent catheterization training method and the intelligent catheterization training system, an operator is guided to perform simulated catheterization operation through prompting and timely feedback, the operation is timely judged and judged, the operation is timely fed back to the operator, the operator is guided to perform operation, and guidance is timely given, a training method flow is designed according to the operation process of the actual catheterization, preoperative communication is designed to perform the steps of checking patient information, evaluating, explaining, estimating and the like, the inserting position of the simulated catheter is detected according to a detection module during intubation, the outflow of urine is controlled and displayed, the simulation is used for injecting gas or normal saline into a catheter air bag to simulate and fix the catheter, and a clamping and pressing component of the detection module is controlled to drive a cam to rotate to clamp and fix the simulated catheter; when the catheter is pulled out, the drawing position of the simulation injector simulates to draw the air or the normal saline filled in the catheter air bag, the fixation is released, and the cam is driven to rotate to loosen the simulation catheter. And the sensor and the sensing device are arranged at the proper position of the model person to timely feed back and manage the operation process of the operator, and meanwhile, the sense of reality of simulated training is increased, clinical thinking is cultivated, and the operation capacity of the operator in catheterization is improved according to the steps of the actual operation design flow.
Drawings
FIG. 1 is a schematic flow chart of a method for intelligent training of catheterization in accordance with an embodiment of the present invention;
FIG. 2 is a functional block diagram of an intelligent training system for catheterization in accordance with an embodiment of the present invention;
FIG. 3 is a schematic diagram of a detecting module according to an embodiment of the present invention ;
FIG. 4 is a cross-sectional view taken along line A-A of FIG. 3;
FIG. 5 is a cross-sectional view of an alternative orientation of the detection module of embodiment of the present invention;
FIG. 6 is a cross-sectional view in the further direction of the detection module of embodiment of the present invention;
FIG. 7 is an exploded view of an embodiment of a detection module of the present invention;
FIG. 8 is a schematic diagram of a simulated injector according to an embodiment of the invention;
FIG. 9 is an exploded view of an exemplary injector according to an embodiment of the present invention;
FIG. 10 is a partial cross-sectional structural view of a simulated injector according to an embodiment of the invention;
fig. 11 is a schematic view of a portion of a simulated urinary catheter according to an embodiment of the invention.
Detailed Description
As shown in fig. 1, the intelligent training method for catheterization of embodiment of the present invention includes the following steps:
step S101, registering: receiving a user name, a password and a login instruction, and entering an operating system if the user name is registered or registered and the user name is matched with the password;
step S103, mode selection: receiving a training mode selection instruction to enter a training mode;
step S105, case selection: receiving a case selection instruction, displaying the selected case, and entering a scene if the selected case is a case without contraindications and receiving a confirmation instruction;
step S107, preoperative preparation: prompting preoperative operation, prompting clicking of a medical advice list, preparing a required article according to the medical advice list, receiving an article selection instruction to select the article, prompting by mistake if the article is selected wrongly or the article is selected too much or too little, and recording the operation;
step S109, preparation before operation: prompting to carry out preparation operation before intubation, prompting to carry out patient information checking, evaluation and interpretation, environment preparation, patient position adjustment, hand washing, urethral catheterization package opening, therapeutic towel laying, receiving instructions to carry out patient information checking, evaluation and interpretation, environment preparation, patient position adjustment, hand washing, urethral package opening, therapeutic towel laying and recording operation;
step S111, carrying out first disinfection, namely prompting to place a urethral catheterization bag, wear gloves, disinfect, move a bent disc, receiving a click command of a cotton ball and a disinfectant, controlling to dip the disinfectant, receiving a dragging command of the cotton ball, disinfecting according to an instruction, and carrying out error prompt if no disinfection according to the instruction is detected;
step S113, secondary disinfection, namely prompting to put a urethral catheterization package, wear gloves, lay a hole towel, lubricate the urethral catheter, disinfect, receiving an instruction to put the urethral package, wear the gloves, lay the hole towel, disinfect, detecting whether a single disinfection cotton ball is used for times, and if the single disinfection cotton ball is used repeatedly, prompting by mistake or repeated use and recording the operation;
step S115, inserting a catheter: receiving an instruction that a forceps clamps a lubricating cotton ball and drags the lubricating cotton ball to the front end of a urinary catheter, lubricating the urinary catheter, detecting whether a simulated urine collecting bag is connected with a simulated urinary catheter, detecting whether the simulated urinary catheter is inserted into a set position, detecting whether the simulated urinary catheter is connected with a simulated injector, detecting whether the simulated injector injects a set amount of air, simulating to inject gas into a urinary catheter air bag, detecting to pull back the simulated urinary catheter, fixing, and recording;
step S117, tube drawing: prompting evaluation before tube drawing, checking and explaining before tube drawing, detecting whether a simulation injector is connected to an injector interface of a simulation catheter, detecting the back-drawing of the simulation injector, simulating and extracting air in a urinary catheter air bag, releasing fixation, detecting and simulating the drawing of the catheter, and recording operation;
step S119, post-operative treatment: prompting post-operation material treatment, hand washing, information checking, explanation, recording and operation recording;
treatment of postoperative articles: waste after treatment, cleaning of instruments after operation, etc. Such as clicking or dragging the drape, and opening the drape.
Washing hands: and clicking the hand sanitizer to wash hands, and controlling and displaying the hand washing process.
And (4) checking: and checking patient information, such as checking patient name, bed number and the like.
Explanation: explain the possible situation after operation and the attention of the operation.
Recording: recording all operation processes as scoring basis, and giving a record of error operation or improper operation or less-than-normal operation and prompting a point of failure.
Step S121, submit score: and receiving a result submitting instruction, scoring according to the operation, and prompting point scores and point losses.
After training items are selected by clicking, the operation time, total score, score of each operation step and point of losing score of each operation step can be inquired.
, the method further includes connecting a handheld terminal, prompting whether the handheld terminal needs to be used for docking after logging in, prompting to carry out communication docking pairing between the handheld terminal and the system if yes, and entering mode selection if no.
, step S101, after logging in, it also includes module selection, which displays the male catheterization operation and the female catheterization operation, and enters the respective case selection according to the selection.
, step S105, the case selection further includes prompting and indicating contraindication part if the selected case is a contraindication case, and receiving confirmation instruction to enter preoperative preparation if no contraindication case is received.
, step S109, the preparation before operation includes receiving a click command of a doctor' S advice to check and evaluate patient information, receiving an adjustment command of an air conditioner adjustment panel to adjust temperature to prepare environment, receiving a click command of a liquid soap to control washing of hands, clicking a urethral catheterization package according to the prompt, receiving a command of opening the urethral package, receiving a click command of a treatment towel to lay treatment towels, adjusting and displaying various body positions, receiving a body position selection command, receiving a body position adjustment selection command to adjust the body positions of the patient, selecting the body position of the patient to take a supine position, bending the knees at hips, slightly extending the legs outwards, taking off the opposite trouser legs, covering the opposite trouser legs on the near legs, covering the opposite thighs to expose the perineum, judging whether the determination command is correctly received to carry out the next steps, if the selection is wrong, carrying out error prompt, and recording the operation.
Step , step S111, in the first disinfection, a urinary catheterization package clicking instruction is received to place a urinary catheterization package, a glove clicking instruction is received to wear gloves, vulva is scrubbed according to an instruction, whether disinfection is performed according to the instruction is detected, disinfection is performed from outside to inside and from top to bottom according to the instruction, whether a disinfection mode and direction are matched with the instruction is detected, if the disinfection mode and direction are not matched, an error prompt is performed, if the disinfection cotton ball is used times and dragged to a medical garbage can, it is judged that the cotton ball is thrown into the medical garbage can, it is judged to be used times, if the disinfection cotton ball is not detected, it is judged to be used repeatedly, and an error prompt is performed.
, step S113, during secondary disinfection, receiving a urinary catheterization package instruction according to the instruction, placing the urinary catheterization package, receiving a click glove instruction, wearing gloves, receiving a hole towel click instruction, paving hole towels, receiving a forceps clamping lubricating cotton ball lubricating catheter instruction, lubricating the catheter, receiving a forceps clamping cotton ball dragging instruction, disinfecting according to the instruction, disinfecting from outside to inside and from top to bottom according to the instruction, detecting whether the disinfection mode, the direction and the instruction are matched, and if not, giving an error prompt.
, step S113, disinfecting again, receiving a command of dragging the urethral catheterization package to the position between the legs of the patient, opening the urethral package according to the command of receiving the instruction of the urethral package, detecting whether the labia majora are separated, scrubbing the labia minora and the urethral orifice according to the instruction, scrubbing the labia majora and the urethral orifice according to the instruction, , judging that the tampon is thrown into the medical garbage can if the tampon is dragged to the medical garbage can after times of use, judging that the tampon is used for times, and judging that the tampon is used repeatedly and giving an error prompt if the tampon is not detected and is scrubbed again.
, step S115, inserting a catheter to prompt and detect labia separation, detecting whether the simulated catheter is inserted, detecting the insertion position of the simulated catheter by a detection module when the catheter is inserted, judging whether the insertion position reaches a set position according to the judgment of the insertion position, controlling and displaying urine outflow, detecting whether the simulated catheter is connected with a simulated injector, detecting whether the simulated injector injects a set amount of air, simulating to inject gas into a urinary catheter air bag, detecting to pull back the simulated catheter, clamping the simulated catheter to fix by controlling a cam to rotate, detecting whether the simulated injector is taken down after the simulated catheter is fixed, receiving a determination instruction after the insertion is completed, prompting to mark on a urinary catheter and a urine collection bag, receiving the instruction to mark, prompting to arrange postoperative articles, check patient information, evaluate and explain, recording, and receiving the instruction to arrange the postoperative articles, check the patient information, evaluate and explain, and record.
The simulation catheter 59 of this embodiment is provided with syringe interface, collection urine bag interface, and the syringe interface matches with the joint of emulation syringe, and syringe interface, collection urine bag interface respectively with communication spool communication connection to upload the detected signal to the host computer. The simulation urine collection bag includes: a urine collecting bag body and a urine collecting pipeline connected with the urine collecting bag.
The simulation urine collection bag is connected with the simulation catheter through the urine collection bag interface, and the simulation is connected with the ureter main part of simulation catheter. The simulation urine collection bag is connected with the simulation connector arranged on the urine collection pipeline and connected with the urine collection bag connector, and the connection or disconnection signal is transmitted to the upper computer.
Step , a signal clamp for detecting whether the urine collection bag is clamped is arranged on the simulated urine collection bag, and whether the simulated urine collection bag is clamped is detected.
Step S117, tube drawing: prompting the evaluation before tube drawing, and clamping and closing the urine collection bag after confirming that the tube can be drawn. And (5) checking and explaining before drawing the pipe according to the prompt. The detection simulation injector is connected to the simulation catheter through the injector interface, and whether the simulation injector simulates air in an air bag of the evacuated urinary catheter or not is detected, so that fixation is released.
, the mode selection of the intelligent catheterization training system further comprises the step of entering a teaching mode if a teaching mode instruction is received, the step of entering the teaching mode is to sequentially display the operation steps of case selection, preoperative preparation, primary disinfection, secondary disinfection, catheter insertion, catheter extraction, postoperative treatment and score submission, provide active voice error correction and knowledge point reminding, and in the teaching mode, each operation is provided with detailed operation prompts and error descriptions, so that large-step jumping can be realized, and repeated guidance can be carried out on a single step.
If receiving an examination mode instruction, entering an examination mode; the examination mode has no any reminding, the operation condition is recorded in the background, the grade and the error point are given after the operation is finished, and the specific error is indicated according to the case. And in the examination mode, no operation prompt is given, and the error operation of the operator is recorded. In the mode, the operation must be strictly carried out according to the flow, and if serious errors occur, the examination is ended and the result is unqualified. And recording the score into a system and archiving.
As shown in figures 3 and 7, step , the position of the simulated urinary catheter entering the body through the vagina of the model person is detected by the detection module 100, and the entering depth, entering or pulling-out speed of the simulated urinary catheter are detected, the detection module 100 comprises a th sensing component for setting the simulated urethral canal of the model person, a second sensing component for setting the simulated vaginal canal of the model person, a clamping and pressing component 40 and a th positioning component 60, and when the clamping and pressing component 40 is set at a preset position or fixed, the force feedback is given to the simulated urinary catheter to clamp and press the simulated urinary catheter.
The th positioning component 60 detects the depth and speed of the simulated catheter entering the model person, thereby determining the position of the simulated catheter and the speed of intubation or extubation, the th positioning component 60 comprises a th detection sensor 62 for sensing the position of the simulated catheter to be inserted, a friction wheel 642 arranged corresponding to the th detection sensor and matched with the th detection sensor to be driven by the inserted simulated catheter to rotate, a gear component 64 coupled with the friction wheel 642 in a shaft mode, and a th encoder 66 coupled with the gear component 64 to detect the depth and speed of the inserted simulated catheter.
, the th detecting sensor 62 of the present embodiment is a micro switch communicating with the simulated urethral canal 90 of the dummy, the micro switch senses that the simulated urinary catheter to be inserted reaches the positioning position and elastically presses the simulated urinary catheter to be inserted, the entering length of the simulated urinary catheter to be inserted is the distance from the simulated urethral inlet to the micro switch, the pipe to be inserted continues to go deep to drive the friction wheel 642 to rotate, the th encoder 66 calculates the distance and the position of the pipe to be inserted by calculating the distance of the rotation of the friction wheel 642, the micro switch comprises a main body 622, an elastic part 624 connected with the main body 622, and a pulley sensing part 626 mounted at the end of the elastic part 624 .
, positioning assembly 60 of this embodiment further includes a positioning mount 68 for mounting friction wheel assembly 64. positioning mount 68 is mounted to bore assembly 20.
, the gear assembly 64 of this embodiment further includes a gear 644 coaxially disposed with the friction wheel 642 and a second gear 646 meshed with the gear 644. the second gear 646 is coaxially disposed with the encoder 66. preferably, the encoder 66 of this embodiment is mounted on the positioning mount 68.
, the friction wheel 642 of this embodiment is preferably made of TPU resin to obtain a good coefficient of friction.
, preferably, the micro switch is disposed opposite to the friction wheel 642, and the micro switch can provide positive pressures of the to-be-placed simulated urinary catheter besides the detection signal, so as to ensure that the to-be-placed simulated urinary catheter always presses the friction wheel 642 during the forward or backward movement (the to-be-placed simulated urinary catheter and the friction wheel 642 maintain a pressed state), thereby transmitting the rotation motion to the encoder 66 through the gear 644 and the second gear 646 meshed with the gear 644, and converting the rotation angle into a straight distance through an algorithm.
In the embodiment, the hose (to be inserted into the simulated urinary catheter) is pressed on the friction wheel 642 by the elastic body (the elastic part 624 of the microswitch), so that the friction wheel 642 is driven to rotate, and the length of the to-be-inserted catheter is detected by the friction wheel 642.
The chucking assembly 40 includes: the urethral simulator comprises a power assembly, a clamping and pressing gear set 44 connected with and driven by the power assembly, and a cam 46 which is in shaft connection with the clamping and pressing gear set 44, is communicated with the simulated urethra of the model person and is controlled by the power assembly to rotate so as to generate different pressures on the simulated urinary catheter.
, the power component of the present embodiment is preferably a steering engine 42.
, the clamping and pressing gear set 44 of the present embodiment includes a fifth gear 442 coupled to the steering gear 42 and a sixth gear 444 engaged with the fifth gear 442. the sixth gear 444 is coupled to the cam 46. the steering gear is mounted on the bore assembly 20. the rotation angle can be precisely controlled by the steering gear 42, and the cam 46 is rotated by the fifth gear 442 and the sixth gear 444 engaged with the fifth gear 442, so that different angles generate different positive pressures on the hose, thereby generating adjustable friction force.
When the hose (to be placed into the urinary catheter body simulating the urinary catheter) needs to be compressed, the steering engine 42 is controlled to drive the fifth gear 442 and the sixth gear 444 meshed with the fifth gear 442 to rotate, so that the cam 46 coaxially arranged with the sixth gear 444 is driven to rotate, and the hose is compressed. Steering gear 42 controls rotation of cam 46 to control the degree and state of compression of the hose. The cam 46 is arranged at the urethra of the model person, gives force feedback to the simulated urethral catheter during intubation, clamps and presses the urethral catheter main body of the simulated urethral catheter, and controls the compression degree of the simulated urethral catheter through the steering engine.
, the detecting module 100 of this embodiment further includes a guiding connection cover 30 for guiding the tube to be inserted into or out of the detecting module.
Step , the dummy is provided with a lumen assembly 20 step , the lumen assembly 20 of this embodiment includes a lumen portion 22 provided with a simulated urethral passage or a simulated vaginal passage.
The detecting module 100 further includes a mounting frame 24 disposed at the cavity opening 222 of the simulated urethral canal or the simulated vaginal canal and mounted with the clamping and pressing component 40 and the -th positioning component 60. step , preferably, the -th sensing component and the second sensing component are photoelectric sensor components mounted on the mounting frame 24. in this embodiment, the -th sensing component is the -th photoelectric sensor component 262, and the second sensing component is the second photoelectric sensor component 264.
If the operator inserts from the urethral meatus, the simulated catheter insertion is detected through the th photoelectric sensor assembly 262 simulating the urethral canal 222. if the hose is inserted into the vagina 224 from the simulated vaginal meatus, the second photoelectric sensor assembly 264 is used for detecting whether the hose is inserted, if the simulated catheter is detected to be inserted into the vagina, the judgment is wrong, and signals are transmitted to the upper computer, so that the synchronization of the actual operation and the virtual picture is realized.
As shown in fig. 2 to 11, the intelligent training system 102 for catheterization according to the embodiment of the present invention includes a main control device 50, an operation panel 54 communicatively connected to the main control device 50, a dummy 56 communicatively connected to the main control device 50, a display device 58 communicatively connected to the main control device 50 for displaying and receiving operation instructions, a simulated urinary catheter 59 communicatively connected to the main control device 50, a simulated syringe 70, and a simulated urine collection bag 55 connected to the simulated urinary catheter.
As shown in fig. 11, the analog urinary catheter 59 includes a urinary catheter main body 592, a communication tube 594 connected to the urinary catheter main body 592, a communication head provided at an end of the communication tube 594 , a syringe connecting part 593 communicatively connected to the communication tube, and a urine collection bag connecting part 595 communicatively connected to the communication tube.
The injector connecting part 593 is provided with an injector interface 5932 which is in communication connection with the communication conduit 594 and inducts and simulates the connection or extraction of an injector.
The urine collection bag connecting part 595 is provided with a urine collection bag interface 5952 which is in communication connection with the communication line tube 594 and senses the connection or disconnection of the urine collection bag.
The operation panel is provided with a communication interface which is in communication connection with the simulation catheter. The dummy is provided with a detection module 100 for detecting the insertion or extraction speed of the simulated urinary catheter. The corresponding position of the model human labia is provided with a sensing device.
The simulation urine collection bag includes: a urine collection bag body and a urine collection conduit connected with the urine collection bag body. The simulated urine collection bag is connected with the simulated urinary catheter through a urine collection catheter. The urine collection bag catheter is provided with a urine collection bag connector which is matched and communicated with the urine collection bag connector.
The main control device 50 includes: a login module 502, a mode selection module 504, a case selection module 506, a pre-operative preparation module 508, a pre-operative preparation module 510, a first disinfection module 512, a second disinfection module 514, a catheter insertion module 516, an intubation module 518, a post-operative treatment module 520, and a performance submission module 522.
The login module 502: and receiving a user name, a password and a login instruction, and entering an operating system if the user name is registered or registered and the user name is matched with the password.
The mode selection module 504: displaying a teaching mode, a training mode and an examination mode, and receiving a training mode selection instruction to enter the training mode.
Case selection module 506: and receiving a case selection instruction, displaying the selected case, and entering a scene if the selected case is a case without contraindications and the determined instruction is received.
Preoperative preparation module 508: prompting preoperative operation, prompting clicking of a medical advice list, preparing a required article according to the medical advice list, receiving an article selection instruction to select the article, prompting by mistake if selection is wrong or the article is selected too much or too little, and recording the operation. And clicking the article for selection, and giving an error prompt if the selection is wrong or the article is selected too much or too little.
Pre-operation preparation module 510: prompting to perform preparation operation before intubation, performing patient information checking, evaluation and explanation, environment preparation, adjusting the body position of a patient, washing hands, opening a urethral catheterization package, paving a treatment towel, and recording operation.
, a pre-operation preparation module 510 receives a click command of the medical advice to check and evaluate patient information, receives an adjustment command of an air conditioner adjustment panel to adjust temperature to prepare environment, receives a click command of a liquid soap to control washing, receives a click command of the liquid soap to control washing, receives a command of clicking a urethral catheterization package to open the urethral package, receives a click command of a treatment towel to lay the treatment towel, adjusts and displays various body positions, receives a body position selection and a determination command to judge whether the body position selection is correct, receives the determination command correctly to carry out the next steps, carries out error prompt if the body position selection is wrong, and records the operation.
Clicking the medical advice book, controlling to check patient information, such as checking information of a patient name, a bed number and the like, evaluating and explaining, inquiring and evaluating the condition of the patient, replacing the precautionary notice and explaining the condition met by the operation, operating an air conditioner adjusting panel, adjusting by touching and clicking, adjusting the temperature to prepare the environment, clicking a liquid soap, controlling to wash hands, clicking a treatment towel and dragging to the patient, controlling to lay the treatment towel, adjusting and displaying various body positions by the body position, clicking the selected body position, judging whether the body position is correct or not, if the body position is correctly received and determined, carrying out steps, if the body position is incorrectly selected, carrying out error prompt, selecting a supine position for the patient with the body position, bending hips and bending knees, slightly unfolding the two legs, taking off the opposite trouser legs, covering the near legs, covering the opposite thighs, exposing the perineum, judging that the determined instruction is correctly received and carrying out steps, if the selection is incorrectly carried out error prompt, and recording the operation.
The first disinfection module 512 is used for prompting to place a urethral catheterization bag, wear gloves, disinfect, move a bent disc, receiving a click command of a cotton ball and a disinfectant, controlling to dip the disinfectant, receiving a dragging command of the disinfected cotton ball, disinfecting according to an instruction, carrying out error prompt if the disinfection is not carried out according to the instruction, detecting whether the single disinfected cotton ball is used for times, carrying out error prompt or repeated use prompt if the single disinfected cotton ball is used repeatedly, and recording operation.
, in the first disinfection module, receiving a catheterization package click command to place a catheterization package, receiving a click glove command to wear gloves, scrubbing vulva according to the indication, detecting whether to disinfect from outside to inside and from top to bottom according to the indication, detecting whether the disinfection mode, direction and indication are matched, and if not, performing error prompt.
And a secondary disinfection module 514 for prompting to put the urethral catheterization package, wear gloves, pave the hole towel, lubricate the urethral catheter, disinfect, receiving instructions to put the urethral package, wear gloves, pave the hole towel, disinfect, detecting whether the single disinfection cotton ball is used for times, and if the single disinfection cotton ball is used repeatedly, prompting by mistake or repeated use and recording the operation.
, a re-disinfection module 514 receives a command of dragging the urinary catheterization package to the space between the legs of the patient, receives a command of dragging the urinary catheterization package to open the urinary package according to the command, receives a command of clicking gloves to wear gloves, receives a command of clicking the hole towel to spread the hole towel, receives a command of clamping the lubricated cotton ball by tweezers to lubricate the urinary catheter, receives a command of clamping the sterilized cotton ball by tweezers to disinfect according to the command, detects whether the labia majora is separated or not, cleans the labia majora and the urethral orifice according to the command, cleans the labia majora and the urethral orifice to the anus according to the command, sterilizes from the outside to the inside and from the top to the bottom according to the command, detects whether the disinfection mode, the direction and the command are matched or not, if not matched, carries out error prompt, if it detects that the cotton ball is dragged to the medical garbage can after times, judges that the cotton ball is thrown into the medical garbage can, it is used times.
The catheterization module 516: receive tweezers and press from both sides lubricated cotton ball and drag to the ureter front end instruction, lubricate the ureter, detect simulation urine collection bag and be connected with the simulation catheter, whether detect the simulation catheter and insert, insert and set for the position, whether detect the simulation catheter and connect the emulation syringe, whether detect the emulation syringe and inject into and set for the volume air, the simulation is gaseous to catheter gasbag injection, detects the pull-back simulation catheter, fixes, the record operation.
Tube drawing module 518: the method comprises the steps of prompting evaluation before tube drawing, checking and explaining before tube drawing, detecting whether a simulation injector is connected to an injector interface of a simulation catheter, detecting the drawing back of the simulation injector, simulating and extracting air in a urinary catheter air bag, releasing fixation, detecting and simulating the drawing out of the catheter, and recording operation.
Step , when the catheter is inserted, the labia are separated by a sensing device positioned in a position corresponding to the labia.
Post-operative processing module 520: prompting the treatment of post-operation articles, washing hands, checking information, explaining, recording and recording operation.
, post-operation treatment module 520, post-operation treatment, treatment of post-operation waste, cleaning of post-operation appliances, washing hands, clicking of a hand sanitizer, washing hands, control and display of a washing process, checking of patient information, such as the name and the bed number of a patient, explanation of conditions which may occur after an operation, post-operation caution, recording of all operation processes, scoring, recording of faulty or improper or inadequate operation, and prompting of points of failure.
Submission results module 522: and receiving a result submitting instruction, scoring according to the operation, and prompting point scores and point losses.
After training items are selected by clicking, the operation time, total score, score of each operation step and point of losing score of each operation step can be inquired.
, the intelligent training system for catheterization of the present embodiment further includes a handheld terminal connection module, the handheld terminal connection module prompts whether the handheld terminal needs to be docked after logging in, if yes, prompts the handheld terminal to be paired with the system for communication docking, and if not, enters a mode selection.
, the mode selection module of the intelligent catheterization training system further comprises a teaching unit, the teaching unit enters a teaching mode if receiving a teaching mode instruction, and the teaching unit enters the teaching mode, wherein the teaching unit sequentially displays operation steps of case selection, preoperative preparation, preparation before catheterization, three-cavity two-sac tube examination, intubation tube insertion, catheter position confirmation, hemostasis by compression, tube drawing and postoperative treatment, provides active voice error correction and knowledge point reminding, and in the teaching mode, each step of operation is provided with detailed operation prompts and error descriptions, so that large-step jumping can be realized, and repeated guidance can be performed on a single step.
The mode selection module of the intelligent training system for catheterization of the embodiment further comprises: an examination unit. An examination unit: if receiving an examination mode instruction, entering an examination mode; the examination mode has no any reminding, the operation condition is recorded in the background, the grade and the error point are given after the operation is finished, and the specific error is indicated according to the case. And in the examination mode, no operation prompt is given, and the error operation of the operator is recorded. In the mode, the operation must be strictly carried out according to the flow, and if serious errors occur, the examination is ended and the result is unqualified. And recording the score into a system and archiving.
As shown in figures 3 and 7, , the position of the simulated urinary catheter entering the body through the nasal cavity of the model person is detected by the detection module 100, and the entering depth, entering or pulling-out speed of the simulated urinary catheter are detected, the detection module 100 comprises a th sensing component for setting the simulated urethral canal of the model person, a second sensing component for setting the simulated urethral canal of the model person, a clamping and pressing component 40 correspondingly arranged according to the position of the simulated urethral canal of the model person and a th positioning component 60, wherein the clamping and pressing component 40 is arranged at the urethral canal and gives force feedback to the simulated urinary catheter when the catheter is inserted, and the clamping and pressing simulate urinary catheter.
The positioning component 60 detects the depth and the speed of the simulated urinary catheter entering a model person, and the main control equipment judges the entering position according to the entering depth of the simulated urinary catheter.A positioning component 60 comprises a detection sensor 62 sensing the entering position of the simulated urinary catheter to be inserted, a friction wheel 642 arranged corresponding to the detection sensor and matched with the detection sensor to be driven by the inserted simulated urinary catheter to rotate, a gear component 64 in shaft connection with the friction wheel 642, and a encoder 66 in shaft connection with the gear component 64 to detect the entering depth and the speed of the inserted simulated urinary catheter.
, the th detecting sensor 62 of the present embodiment is a micro switch for the model person to communicate with the urinary canal channel 90. the micro switch senses that the simulated urinary catheter to be inserted reaches the positioning position and elastically presses the simulated urinary catheter to be inserted, the length of the simulated urinary catheter to be inserted is the distance from the inlet of the simulated urinary canal to the micro switch, the pipe to be inserted continues to go deep to drive the friction wheel 642 to rotate, the th encoder 66 calculates the distance and the position of the pipe to be inserted by calculating the distance of the rotation of the friction wheel 642. the micro switch comprises a main body 622, an elastic part 624 connected with the main body 622, and a pulley sensing part 626 mounted at the end of the elastic part 624 .
, positioning assembly 60 of this embodiment further includes a positioning mount 68 for mounting friction wheel assembly 64. positioning mount 68 is mounted to bore assembly 20.
, the gear assembly 64 of this embodiment further includes a gear 644 coaxially disposed with the friction wheel 642 and a second gear 646 meshed with the gear 644. the second gear 646 is coaxially disposed with the encoder 66. preferably, the encoder 66 of this embodiment is mounted on the positioning mount 68.
, the friction wheel 642 of this embodiment is preferably made of TPU resin to obtain a good coefficient of friction.
, preferably, the micro switch is disposed opposite to the friction wheel 642, and the micro switch can provide positive pressures of the to-be-placed simulated urinary catheter besides the detection signal, so as to ensure that the to-be-placed simulated urinary catheter always presses the friction wheel 642 during the forward or backward movement (the to-be-placed simulated urinary catheter and the friction wheel 642 maintain a pressed state), thereby transmitting the rotation motion to the encoder 66 through the gear 644 and the second gear 646 meshed with the gear 644, and converting the rotation angle into a straight distance through an algorithm.
In the embodiment, the hose (to be inserted into the simulated urinary catheter) is pressed on the friction wheel 642 by the elastic body (the elastic part 624 of the microswitch), so that the friction wheel 642 is driven to rotate, and the length of the to-be-inserted catheter is detected by the friction wheel 642.
the positioning component 60 is provided with a clamping and pressing component 40 near the nasal cavity , which comprises a power component, a clamping and pressing gear set 44 connected with and driven by the power component, and a cam 46 which is connected with the clamping and pressing gear set 44 in a shaft and communicated with the urethra of the model person and is controlled by the power component to rotate so as to generate different pressures on the simulated urinary catheter.
, the power component of the present embodiment is preferably a steering engine 42.
, the clamping and pressing gear set 44 of the present embodiment includes a fifth gear 442 coupled to the steering gear 42 and a sixth gear 444 engaged with the fifth gear 442. the sixth gear 444 is coupled to the cam 46. the steering gear is mounted on the bore assembly 20. the rotation angle can be precisely controlled by the steering gear 42, and the cam 46 is rotated by the fifth gear 442 and the sixth gear 444 engaged with the fifth gear 442, so that different angles generate different positive pressures on the hose, thereby generating adjustable friction force.
When the hose (to be placed into the urinary catheter body simulating the urinary catheter) needs to be compressed, the steering engine 42 is controlled to drive the fifth gear 442 and the sixth gear 444 meshed with the fifth gear 442 to rotate, so that the cam 46 coaxially arranged with the sixth gear 444 is driven to rotate, and the hose is compressed. Steering gear 42 controls rotation of cam 46 to control the degree and state of compression of the hose. The cam 46 is arranged at the position of a model human urethra, gives force feedback to the simulated urinary catheter during intubation, clamps and presses the urinary catheter main body of the simulated urinary catheter, and controls the compression degree of the simulated urinary catheter through the steering engine.
, the detecting module 100 of this embodiment further includes a guiding connection cover 30 for guiding the tube to be inserted into or out of the detecting module.
, the detecting module 100 further includes a mounting bracket 24 connected to the cavity 22 and mounting the clamping and pressing assembly 40 and the positioning assembly 60.
The th sensing component and the second sensing component are photoelectric sensors which are respectively arranged in the simulated vaginal channel and sense the insertion of the tube to be inserted.
The th sensing element is the th photosensor element 262 disposed in the simulated urethral canal 222 the second sensing element is the second photosensor element 264 disposed in the simulated vaginal canal 224.
If the operator inserts the vaginal opening and detects the insertion of the simulated urinary catheter through the second photosensor assembly 264 simulating the vaginal canal 224, an operation error is determined.
The hose is inserted into the urinary canal channel from the simulated urethra channel 222, the photoelectric sensor assembly 262 is used for detecting whether the hose is inserted or not at the channel, and signals are transmitted to the upper computer, so that the synchronization of actual operation and virtual pictures is realized.
As shown in fig. 8 to 10, the artificial injector 70 includes a cylinder 72, an artificial piston rod 74, a displacement sensor 76 disposed in the cylinder 72 and disposed on the piston rod 74 to sense the displacement of the piston rod 74, an artificial needle 78 mounted at the end of the cylinder 72 to transmit an insertion signal, a circuit board 79 electrically connected to the artificial needle 78, and a syringe cap 73.
, the circuit board 79 of the present embodiment is disposed in the cylinder 72, connected to the displacement sensor 76 and the analog needle 78, and detects the displacement signal of the transmission piston rod 40 and the insertion or extraction signal of the transmission analog needle 80. the displacement sensor 76 can sense the displacement or position of the analog piston rod 74 by a variable resistor or a variable capacitor.
, the syringe cover of the present embodiment is positioned at the other end of the barrel 72 with respect to the dummy needle 78 and positions the fixed displacement sensor 76.
, even if the simulation injector or the liquid extractor is used for simulating injection or liquid extraction, the operation is convenient, the insertion or the extraction is convenient, preferably, the simulation needle 78 of the embodiment is an audio plug.
, barrel 72 of this embodiment includes a body 722, a tip 724 formed by a narrow extension of body 722 , and a cap 726 formed by an extension of body 722 at another .
, the simulated injector 70 of the present embodiment further includes a simulated needle attachment 75 for mounting a simulated needle 78.
, the simulated needle connector 75 of this embodiment includes a positioning mount 752 provided in the body portion 722 and a needle mount 754.
, the needle mount 754 of this embodiment is formed by extending the alignment mount 752, is juxtaposed to the needle section 724, and is connected to the dummy needle 78.
, the simulated needle attachment 75 of this embodiment is preferably an audio head attachment.
, the syringe cover 73 of this embodiment has a hollow structure with a hollow hole 730, , the hollow hole 730 of the syringe cover 73 of this embodiment is step-shaped for positioning and installation.
The cylinder cover 73 of the present embodiment includes: a cover mounting body portion 732 fitted to the cylinder 73, and a stepped mounting stopper portion 734 formed by expanding and extending the cover mounting body portion 732.
, a silicone ring 77 is disposed between the syringe cap 73 and the analog piston rod 74, and the silicone ring 77 and the analog piston rod 74 form an interference fit.
, the end of the dummy piston rod 74 of this embodiment is also provided with a syringe push plate 71.
, a top thread 723 is provided between the barrel 72 and the syringe cap 73 for connection and fixation.
, the screws 723 are symmetrically arranged in pairs on the sidewall of the barrel 72.
The invention checks the medical records, selects the cases, reads the cases and judges whether contraindications exist. After reading is completed, click the 'confirm' button to enter the scene. Provides multiple normal cases, relative contraindication cases and absolute contraindication cases.
Preparation before insertion of the catheter of the invention: reading 'case' and then entering preoperative and preoperative preparations, preparing before operation, clicking a medical advice list to check patient information, inquiring the condition of a patient, carrying out preoperative evaluation and explanation, explaining the condition possibly encountered during catheterization and comforting the patient. And prompting the student to check the patient information according to the requirement and performing preoperative evaluation and explanation.
The intelligent catheterization training method and the intelligent catheterization training system judge the user behavior according to the parameters, display animation, voice, video and characters, and finally collect user operation and play back the video. The voice and video files are prepared in advance. And if scoring is carried out, the information is sent to an information platform, and the information server sends a webpage to display the student score.
The intelligent catheterization training system is advanced, virtual-real combined interactive oral or nasal catheter intubation training systems, can simulate real clinical operating environment and accurately simulate the operation steps of clinical real catheter intubation, and can be operated on a simulation model like a traditional simulation model , give real-time guidance in the operating process, help improve the operating skills of students and lay a solid foundation for the students to enter the real clinical operation.
All the operation cases come from the line clinically, some cases have contraindications, and students need to make judgments before operation.
And the simulation instrument interacts with the real model, the operation effect is displayed in the virtual scene, and the error correction and the prompt are actually and intelligently performed. The system comprises three modes of teaching, training and examination, students can independently learn, train and evaluate, the system is built through a networked platform, and teachers can remotely guide the system.
The system provides 3 teaching modes:
training mode: and functions of active voice error correction, knowledge point reminding and the like are provided. Students can learn catheterization procedures without teachers. And gives a score after the operation is finished.
A teaching mode: and functions of active voice error correction, knowledge point reminding and the like are provided.
An examination mode comprises the following steps: and (4) without any reminding, recording the operation condition of the student in the background, and giving a score and an error point after the operation is finished. And indicate the student's specific mistakes by case.
The invention checks the medical records, selects the cases, reads the cases and judges whether contraindications exist. After reading is completed, click the 'confirm' button to enter the scene. Provides multiple normal cases, relative contraindication cases and absolute contraindication cases.
Informed consent and preoperative evaluation of the invention: and after reading the case, the patient information is checked, evaluated and explained, and the system plays the animation. The student is prompted to check the patient information as required, and to evaluate the interpretation.
And (3) scoring: the student operation scores can be checked by clicking the submission scores in the training mode and the examination mode.
The intelligent catheterization training method and the intelligent catheterization training system judge the user behavior according to the parameters, display animation, voice, video and characters, and finally collect user operation and play back the video. The voice and video files are prepared in advance. And if scoring is carried out, the information is sent to an information platform, and the information server sends a webpage to display the student score.
The intelligent catheterization training system is advanced virtual-real combined interactive catheter intubation training systems, accurately simulates the operation steps of clinical real catheter intubation, such as preoperative preparation, preparation before operation, primary disinfection, secondary disinfection, the process of inserting the catheter, catheter pulling and the like, and has the disinfection and catheter fixing methods which are consistent with clinical treatment, so that operation environments with reality and immersion are provided for operators, the defects of an entity model in the existing teaching and training are overcome, and the teaching, training and examination are really integrated into a body by adopting a mode of combining a virtual software platform and physical hardware simulation.
And (3) scoring: the student operation scores can be checked by clicking the submission scores in the training mode and the examination mode.
The intelligent catheterization training method and the intelligent catheterization training system judge the user behavior according to the parameters, display animation and voice video characters, and finally collect user operation and play back video. The voice and video files are prepared in advance. And if scoring is carried out, the information is sent to an information platform, and the information server sends a webpage to display the student score.
The above-mentioned embodiments only express several embodiments of the present invention, and the description thereof is more specific and detailed, but not construed as limiting the scope of the present invention. It should be noted that, for a person skilled in the art, several variations and modifications can be made without departing from the inventive concept, which falls within the scope of the present invention. Therefore, the protection scope of the present patent shall be subject to the appended claims.
Claims (10)
1, kinds of intelligent training method for catheterization, characterized by comprising the following steps:
logging in: receiving a user name, a password and a login instruction, and entering an operating system if the user name is registered or registered and the user name is matched with the password;
mode selection: receiving a training mode selection instruction to enter a training mode;
case selection: receiving a case selection instruction, displaying the selected case, and entering a scene if the selected case is a case without contraindications and receiving a confirmation instruction;
preoperative preparation: prompting preoperative operation, prompting clicking of a medical advice list, preparing a required article according to the medical advice list, receiving an article selection instruction to select the article, prompting by mistake if the article is selected wrongly or the article is selected too much or too little, and recording the operation;
preparation before operation: prompting preparation operation before intubation, checking patient information, evaluating and explaining, preparing environment, adjusting the body position of a patient, washing hands, opening a urethral catheterization package, paving a treatment towel, and recording operation;
the first disinfection comprises prompting to place a urethral catheterization bag, wear gloves, disinfect, move a bent disc, receiving a cotton ball and a disinfectant click command, controlling to dip the disinfectant, receiving a disinfected cotton ball dragging command, disinfecting according to an instruction, and giving an error prompt if the disinfection is not carried out according to the instruction;
the step of secondary disinfection, which is to prompt the urinary catheterization package to be put, the glove to be worn, the hole towel to be paved, the catheter to be lubricated and the disinfection to be carried out, receive instructions to put the urinary catheterization package, the glove to be worn, the hole towel to be paved and the disinfection to be disinfected, detect whether the single disinfection cotton ball is used for times, and if the single disinfection cotton ball is used repeatedly, the operation is recorded by an error prompt or a repeated use prompt;
inserting a catheter: receiving an instruction that a forceps clamps a lubricating cotton ball and drags the lubricating cotton ball to the front end of a urinary catheter, lubricating the urinary catheter, detecting whether a simulated urine collecting bag is connected with a simulated urinary catheter, detecting whether the simulated urinary catheter is inserted into a set position, detecting whether the simulated urinary catheter is connected with a simulated injector, detecting whether the simulated injector injects a set amount of air, simulating to inject gas into a urinary catheter air bag, detecting to pull back the simulated urinary catheter, fixing, and recording;
tube drawing: prompting evaluation before tube drawing, checking and explaining before tube drawing, detecting whether a simulation injector is connected to an injector interface of a simulation catheter, detecting the back-drawing of the simulation injector, simulating and extracting air in a urinary catheter air bag, releasing fixation, detecting and simulating the drawing of the catheter, and recording operation;
and (3) postoperative treatment: prompting post-operation material treatment, hand washing, information checking, explanation, recording and operation recording;
submitting the achievement: and receiving a result submitting instruction, scoring according to the operation, and prompting point scores and point losses.
2. The intelligent training method of catheterization of claim 1, wherein the pre-operative preparation further comprises: receiving a click command of the medical advice to check, evaluate and explain the patient information, and receiving an adjusting command of an air conditioner adjusting panel to adjust the temperature to prepare the environment; and receiving a hand sanitizer clicking instruction to control hand washing, clicking a urethral catheterization package according to the prompt, receiving the urethral catheterization package instruction to open the urethral package, receiving a therapeutic towel clicking instruction to lay therapeutic towels, and recording the operation.
3. The intelligent catheterization training method of claim 1, wherein the body position adjustment displays a plurality of body positions, a body position selection is received, whether the body position selection is correct or not is judged, if the body position selection is correctly received, a determination instruction is received, the step is performed, and if the body position selection is wrong, an error prompt is performed;
when the catheter is inserted, the labia are prompted and detected to be separated, and whether the simulated catheter is inserted or not is detected;
the case selection further comprises: if the selected case is a case with contraindications, prompting and indicating a contraindications part; if a case without contraindications is received, a confirmation instruction is received to enter preoperative preparation;
after logging in, the method also comprises module selection: the male catheterization procedure and the female catheterization procedure are displayed, and the selection of the cases is carried out according to the selection.
4. The intelligent training method for catheterization according to claim 1, wherein in the first disinfection, a catheterization package clicking instruction is received to place a catheterization package, and a glove clicking instruction is received to wear gloves;
receiving the instruction of the urethral catheterization package according to the instruction and putting the urethral catheterization package, receiving the instruction of clicking the gloves and wearing the gloves, receiving the instruction of clicking the tissue of the hole and spreading the tissue of the hole, receiving the instruction of clamping the lubricated catheter of lubricated cotton ball by tweezers and carrying out lubricated catheter, receiving the instruction of dragging the cotton ball by the tweezers clamp and disinfecting according to the instruction, disinfecting according to instructing from outside to inside, from top to bottom, detecting whether disinfection mode, direction and instruction match, if not match then carry out the wrong suggestion.
5. The intelligent training method for catheterization of claim 1, wherein the first disinfection, the vulva is scrubbed according to the instructions;
the second disinfection, receiving an instruction of dragging the urethral catheterization package to the position between the legs of the patient, receiving an instruction of the urethral catheterization package according to the instruction, opening the urethral package, detecting whether the labia majora is separated or not, scrubbing the labia minora and the urethral orifice according to the instruction, and scrubbing the labia majora to the anus according to the instruction;
if the sterilized cotton balls are used times and dragged to the medical trash can, the cotton balls are judged to be thrown into the medical trash can, times of disposable use is judged, and if the sterilized cotton balls are not detected and scrubbed, the sterilized cotton balls are judged to be repeatedly used, and error prompt is given.
6. The intelligent training method for catheterization of any of claims 1 to 5, wherein the detection module detects the insertion position of the simulated urinary catheter when the urinary catheter is inserted, judges the insertion position to reach a set position according to the insertion position, controls to display urine outflow, detects whether the simulated urinary catheter is connected with the simulated injector, detects whether the simulated injector injects a set amount of air, simulates to inject air into the urinary catheter balloon, detects to pull back the simulated urinary catheter, and controls the cam to rotate to clamp the simulated urinary catheter for fixation.
7. The intelligent training method for catheterization of any of claims 1-5, wherein the urinary catheter is inserted, after the simulated urinary catheter is fixed, whether the simulated syringe is removed is detected, after the insertion is completed, a determination command is received, the urinary catheter and the urine collection bag are prompted to be marked, the command is received for marking, post-operation articles are prompted to be tidied, patient information is verified, evaluation and explanation are performed, and the command is received, so that post-operation articles are tidied, patient information is verified, evaluation and explanation are performed, and operation is recorded.
8. The intelligent training method for catheterization of any of claims 1 to 5, wherein the position of a person passing through a model during the process of inserting the simulated catheter is detected by a detection module, and the detection module detects the insertion or extraction position and the insertion or extraction speed of the simulated catheter, wherein the detection module comprises a clamping and pressing component and a positioning component which are arranged in sequence;
the clamping and pressing assembly comprises: the power assembly, the clamping and pressing gear set which is connected with the power assembly and driven by the power assembly, and the cam which is coupled with the clamping and pressing gear set, communicated with the urethra of the model human and controlled by the power assembly to rotate so as to generate different pressures on the simulated urinary catheter;
the positioning component comprises a detection sensor for sensing the placement position of the analog urinary catheter to be inserted, a friction wheel which is arranged corresponding to the detection sensor and matched with the detection sensor to be driven by the placement analog urinary catheter to rotate, a gear component in shaft connection with the friction wheel, and a encoder in shaft connection with the gear component to detect the entry depth and the entry and exit speed of the analog urinary catheter to be inserted.
The intelligent training system for the catheterization is characterized by comprising a main control device, an operation panel in communication connection with the main control device, a model person in communication connection with the main control device, a display device in communication with the main control device for displaying and receiving operation instructions, a simulation catheter in communication connection with the main control device, a simulation injector and a simulation urine collection bag in communication connection with the simulation catheter, wherein the simulation catheter comprises a urine tube main body, a communication line tube, a communication head arranged at the end of the communication line tube , a urine collection bag interface in communication connection with the communication line tube, an injector connecting part in communication connection with the communication line tube and an urine collection bag connecting part in communication connection with the communication line tube, an injector interface in communication connection with the communication line tube and used for inducing the simulation injector to be connected or pulled out, the urine collection bag connecting part is provided with the urine collection bag interface which is connected with the communication line tube and used for inducing the connection or the removal of the urine collection bag, the simulation urine collection bag comprises a urine collection bag main body and a urine collection catheter connected with the urine collection bag main body, the simulation catheter is connected with the urine collection bag through the urine collection bag, the simulation catheter connecting part, the detection device is provided with the urine collection bag connector, the urine collection bag is provided with the urine collection bag, the simulation catheter connector is provided on the urine collection bag, the simulation catheter connector is provided with the urine collection bag, the operation panel, the urine collection bag connector is provided with the urine collection bag connector, the simulation catheter connected with the urine collection bag connector, the simulation catheter connector, the urine collection bag, the operation panel is provided with the urine collection bag connector, the simulation catheter connector is provided with the simulation catheter connector, the urine collection bag connector, the simulation catheter connected with the urine collection bag;
the master control device includes:
a login module: receiving a user name, a password and a login instruction, and entering an operating system if the user name is registered or registered and the user name is matched with the password;
a mode selection module: receiving a training mode selection instruction to enter a training mode;
a case selection module: receiving a case selection instruction, displaying the selected case, and entering a scene if the selected case is a case without contraindications and receiving a confirmation instruction;
preoperative preparation module: prompting preoperative operation, prompting clicking of a medical advice list, preparing a required article according to the medical advice list, receiving an article selection instruction to select the article, prompting by mistake if the article is selected wrongly or the article is selected too much or too little, and recording the operation;
a pre-operation preparation module: prompting preparation operation before intubation, checking patient information, evaluating and explaining, preparing environment, adjusting the body position of a patient, washing hands, opening a urethral catheterization package, paving a treatment towel, and recording operation;
the first disinfection module is used for prompting to place a urethral catheterization bag, wear gloves, disinfect and move a bent disc, receiving click instructions of cotton balls and disinfectants, controlling to dip the disinfectants, receiving dragging instructions of the disinfected cotton balls, disinfecting according to instructions, and giving an error prompt if the disinfected cotton balls are not disinfected according to the instructions;
the secondary disinfection module is used for prompting to put the urethral catheterization package, wear gloves, pave a hole towel, lubricate the urethral catheter and disinfect, receiving instructions to put the urethral package, wear the gloves, pave the hole towel and disinfect, detecting whether a single disinfection cotton ball is used for times, and if the single disinfection cotton ball is used repeatedly, prompting by mistake or repeated use and recording operation;
inserting a catheter module: receiving an instruction that a forceps clamps a lubricating cotton ball and drags the lubricating cotton ball to the front end of a urinary catheter, lubricating the urinary catheter, detecting whether a simulated urine collecting bag is connected with a simulated urinary catheter, detecting whether the simulated urinary catheter is inserted into a set position, detecting whether the simulated urinary catheter is connected with a simulated injector, detecting whether the simulated injector injects a set amount of air, simulating to inject gas into a urinary catheter air bag, detecting to pull back the simulated urinary catheter, fixing, and recording;
tube drawing module: prompting evaluation before tube drawing, checking and explaining before tube drawing, detecting whether a simulation injector is connected to an injector interface of a simulation catheter, detecting the back-drawing of the simulation injector, simulating and extracting air in a urinary catheter air bag, releasing fixation, detecting and simulating the drawing of the catheter, and recording operation;
a post-operative treatment module: prompting post-operation material treatment, hand washing, information checking, explanation, recording and operation recording;
and a score submitting module: and receiving a result submitting instruction, scoring according to the operation, and prompting point scores and point losses.
10. The intelligent catheterization training system of claim 9, wherein the preparation before operation comprises receiving a click command of a doctor's advice to check and evaluate patient information, receiving an adjustment command of an air conditioning adjustment panel to adjust temperature to prepare environment, receiving a click command of a hand sanitizer to control washing, clicking a catheterization package according to a prompt, receiving a command of the catheterization package to open the catheterization package, receiving a click command of a treatment towel to lay the treatment towel, performing body position adjustment to display a plurality of body positions, receiving a body position selection and a determination command, judging whether the body position selection is correct, performing steps if the body position selection is correct, performing error prompt if the body position selection is wrong, and recording operation;
when the catheter is inserted, whether the labia are separated or not is detected by the sensing device arranged at the corresponding position of the labia, the catheterization package is arranged by receiving the instruction of clicking the catheterization package in the primary disinfection module, the glove is worn by receiving the instruction of clicking the glove, and the vulva is scrubbed according to the instruction;
the re-disinfection module receives a command of dragging the urethral catheterization package to a position between two legs of a patient, receives a command of dragging the urethral package to open the urethral package according to the command, receives a command of clicking a glove to wear the glove, receives a command of clicking the hole towel to pave the hole towel, receives a command of clamping a lubricating cotton ball by tweezers to lubricate the urinary catheter, receives a command of clamping the disinfecting cotton ball by the tweezers to disinfect according to the command, detects whether to separate labia majora and urethral orifice, cleans the labia majora and urethral orifice according to the command, cleans the labia majora and the anal according to the command, sterilizes from outside to inside and from top to bottom according to the command, detects whether the disinfection mode and direction are matched with the command, if not matched, carries out error prompt, if the disinfection ball is detected after times of usage of the disinfecting cotton ball, then judges that the cotton ball is dropped into a medical garbage can, then times of sexual use is carried out, if not detected;
the detection module comprises a clamping and pressing component and an th positioning component which are correspondingly arranged in sequence;
the clamping and pressing assembly comprises: the power assembly, the clamping and pressing gear set which is connected with the power assembly and driven by the power assembly, and the cam which is coupled with the clamping and pressing gear set, communicated with the urethra of the model human and controlled by the power assembly to rotate so as to generate different pressures on the simulated urinary catheter;
the positioning component comprises a detection sensor for sensing the placement position of the analog urinary catheter to be inserted, a friction wheel which is arranged corresponding to the detection sensor and matched with the detection sensor to be driven by the placement analog urinary catheter to rotate, a gear component in shaft connection with the friction wheel, and a encoder in shaft connection with the gear component to detect the entry depth and the entry and exit speed of the analog urinary catheter to be inserted.
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113539039A (en) * | 2021-09-01 | 2021-10-22 | 山东柏新医疗制品有限公司 | Training device and method for drug application operation of male dilatation catheter |
CN115346411A (en) * | 2022-07-09 | 2022-11-15 | 北京众绘虚拟现实技术研究院有限公司 | Trachea cannula simulation training method and system |
TWI832763B (en) * | 2023-05-16 | 2024-02-11 | 南開科技大學 | Female perineum wash teaching tool |
TWI840225B (en) * | 2023-05-16 | 2024-04-21 | 南開科技大學 | Male perineum wash teaching tool |
Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104732834A (en) * | 2013-12-20 | 2015-06-24 | 大连通科应用技术有限公司 | Common nursing technique simulative training software |
CN107564390A (en) * | 2017-10-31 | 2018-01-09 | 成都大学 | A kind of urethral catheterization care test model of mind |
CN107862960A (en) * | 2017-09-08 | 2018-03-30 | 营口巨成教学科技开发有限公司 | Puncture/intubation medical teaching simulated training method and puncture used/intubation training system |
KR101848627B1 (en) * | 2016-12-19 | 2018-04-13 | 주식회사 비티 | Catheterization Training Model |
-
2018
- 2018-07-19 CN CN201810793355.9A patent/CN110738888A/en active Pending
Patent Citations (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104732834A (en) * | 2013-12-20 | 2015-06-24 | 大连通科应用技术有限公司 | Common nursing technique simulative training software |
KR101848627B1 (en) * | 2016-12-19 | 2018-04-13 | 주식회사 비티 | Catheterization Training Model |
CN107862960A (en) * | 2017-09-08 | 2018-03-30 | 营口巨成教学科技开发有限公司 | Puncture/intubation medical teaching simulated training method and puncture used/intubation training system |
CN107564390A (en) * | 2017-10-31 | 2018-01-09 | 成都大学 | A kind of urethral catheterization care test model of mind |
Non-Patent Citations (2)
Title |
---|
邵英杰: ""护理技术模拟教学***"在实训教学中的应用", 《卫生职业教育》 * |
高焕云: "《基本护理技能实训教程》", 30 April 2011, 山东人民出版社 * |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN113539039A (en) * | 2021-09-01 | 2021-10-22 | 山东柏新医疗制品有限公司 | Training device and method for drug application operation of male dilatation catheter |
CN115346411A (en) * | 2022-07-09 | 2022-11-15 | 北京众绘虚拟现实技术研究院有限公司 | Trachea cannula simulation training method and system |
TWI832763B (en) * | 2023-05-16 | 2024-02-11 | 南開科技大學 | Female perineum wash teaching tool |
TWI840225B (en) * | 2023-05-16 | 2024-04-21 | 南開科技大學 | Male perineum wash teaching tool |
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