WO2020047761A1 - Medical simulator, and medical training system and method - Google Patents

Medical simulator, and medical training system and method Download PDF

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Publication number
WO2020047761A1
WO2020047761A1 PCT/CN2018/104058 CN2018104058W WO2020047761A1 WO 2020047761 A1 WO2020047761 A1 WO 2020047761A1 CN 2018104058 W CN2018104058 W CN 2018104058W WO 2020047761 A1 WO2020047761 A1 WO 2020047761A1
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WO
WIPO (PCT)
Prior art keywords
training
course
medical
simulator
review
Prior art date
Application number
PCT/CN2018/104058
Other languages
French (fr)
Chinese (zh)
Inventor
刘雁飞
刘朝群
陆君
王滨
•大卫 •N. 布鲁萨尔
•查尔斯 • G. 米勒
•杰里 伍兹
•克利福德 • D. 奥姆斯特德
Original Assignee
天津天堰科技股份有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 天津天堰科技股份有限公司 filed Critical 天津天堰科技股份有限公司
Priority to PCT/CN2018/104058 priority Critical patent/WO2020047761A1/en
Priority to CN201880095938.2A priority patent/CN112534491A/en
Publication of WO2020047761A1 publication Critical patent/WO2020047761A1/en

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Classifications

    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06T—IMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T19/00—Manipulating 3D models or images for computer graphics
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28—Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • G—PHYSICS
    • G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B9/00—Simulators for teaching or training purposes

Definitions

  • the invention relates to the field of education, in particular to a medical simulator, a medical training system and a training method thereof.
  • the simulated human body model can be used as a simulated patient to help and guide medical staff to use various instruments correctly.
  • This simulated human body model provides "practical" medical training for healthcare professionals.
  • These simulated human models usually have some important functions, including but not limited to spontaneous breathing, pulse, heart and breathing sounds, and monitoring such as ECG, pulse oximetry, and breath by connecting commercial (COTS) medical devices to simulated human models Capability of vital signs of carbon dioxide.
  • Using a medical simulator as a training aid can help medical staff improve manual skills and skills in correct placement of leads, tubes, etc., which can reduce patient risk.
  • the realism of medical simulators can play an important role in training, but the realism aspect is only part of the entire education training. Usually (for example, via audio and / or video) to monitor or even record simulated events of training courses for review by students or teachers, this review and feedback of training courses can be a valuable teaching tool.
  • Traditional medical simulator operating systems and training systems are limited because they do not provide adequate feedback and analysis.
  • traditional medical simulator operating systems and training systems can only provide feedback by playing a video recording of a training course, which requires a separate recording unit, additional steps to make a copy of the recording, and additional equipment to play back the recording.
  • video recordings must be replayed through dedicated displays in the classroom without the ability to disseminate the recordings on a large scale or the ability to present feedback to many trainees in multiple locations simultaneously.
  • Traditional medical simulator operating systems and training systems are limited because they do not provide adequate feedback and analysis.
  • traditional medical simulator operating systems and training systems can only provide feedback by playing a video recording of a training course, which requires a separate recording unit, additional steps to make a copy of the recording, and additional equipment to play back the recording.
  • video recordings must be replayed through dedicated displays in the classroom without the ability to disseminate the recordings on a large scale or the ability to present feedback to many trainees in multiple locations simultaneously.
  • a medical simulator including:
  • a simulator controller for executing, controlling, and editing at least one of training scenarios
  • a data acquisition device for acquiring, generating, and transmitting at least one of the recorded analog data
  • the invention discloses a medical training system, which can generate a medical training system for a training scene.
  • a training course including at least one training scenario may be provided to train medical staff.
  • Some embodiments of the medical training system may include a course review.
  • the course review may be a re-implementation of a physiological training scenario, a summary of the training course, actions and responses taken by the medical staff, and / or an audio-video-text-graphic overlay from the instructor about the training course.
  • the course review may include a re-implementation of the training course while simultaneously and synchronously displaying the summary and audio-video-text-graphic overlays from the instructor.
  • a medical training system includes the medical simulator and further includes:
  • a training course module for generating a training course, the training course including at least one of the training scenarios
  • the course review module is used to generate a course review
  • the medical simulator is configured to implement the physiological training scene according to the training course, and re-implement the training course according to the course review.
  • the training course is generated based on at least part of the recorded simulation data.
  • the course review is generated based on at least part of the recorded simulation data.
  • it further includes a communication network including at least one of the medical simulator, at least one of the training course module, and / or at least one of the course review module communicating with each other.
  • a communication network including at least one of the medical simulator, at least one of the training course module, and / or at least one of the course review module communicating with each other.
  • the communication network further includes a first subnet including at least one first subnet medical simulator, at least one first subnet training course module, and at least one first subnet course review module;
  • the second subnet includes at least one second subnet medical simulator, at least one second subnet training course module, and at least one second subnet course review module.
  • the invention also discloses a method for providing medical training, which is characterized by including:
  • the training course module generates the training course, the training course includes a training scenario, the training course is sent to the simulator controller, and the simulator controller executes the training scenario;
  • the course review module generates the course review.
  • the data acquisition device generates the recorded simulation data
  • the recorded simulation data is transmitted to the training course module and / or the course review module, and at least part of the recorded simulation data is used for Generate said training course and / or course review.
  • the course review includes a re-implementation of the training course.
  • the course review includes supplementary information.
  • the course review includes supplementary materials that are simultaneously superimposed as the training course is re-implemented, the supplementary materials including at least one of audio content, video content, text content, and graphic content.
  • the present invention has the beneficial effect that the medical training system and training method of the present invention can review the previously recorded physiological state and state through course review that can be managed locally, remotely, or a combination of local and remote,
  • states and state changes affect changes in one or more medical simulators (virtual or physical units); moreover, multiple medical simulators can be distributed in one or more locations and allow single or combined course reviews to provide adequate Feedback and analysis meet the needs of medical teaching and operation training, and are simple, efficient, easy to operate, and have high application value.
  • FIG. 1 shows a schematic diagram of an embodiment medical training system.
  • FIG. 2 shows a schematic diagram of a medical training system according to another embodiment.
  • 100- medical training system 102- medical simulator; 104- simulator controller; 106- communication network; 108- computer equipment; 108a- first computer equipment; 108b- second computer equipment; 110- subnet; 112-Data Acquisition Device
  • the training course module and course review module created in the present invention may be a processor associated with non-transitory and non-volatile memory operations, and installed with application software or firmware for generating training courses and course reviews, and may have a display function; Or a laptop computer, a tablet computer, or a computer device; in this embodiment, it is preferably a computer device, wherein the training course module may be defined as a first computer device; the course review module may be defined as a second computer device.
  • the training scenario created in the present invention may include a physiological training scenario (such as a training scenario in a non-pathological state) and a pathological training scenario (such as a medical death training scenario).
  • a physiological training scenario such as a training scenario in a non-pathological state
  • a pathological training scenario such as a medical death training scenario
  • An embodiment is a medical training system 100 that generates a physiological training scene.
  • the medical training system 100 may provide a training course for medical staff, and the training course includes at least one physiological training scene.
  • the medical training system 100 may also provide a course review, which may be a re-implementation of physiological training scenarios, a summary of the training course, actions and responses taken by the medical staff, and / or audio-video-text-graphics from the instructor about the training course Overlay.
  • the course review may include a re-implementation of the training course while simultaneously and synchronously displaying the summary and audio-video-text-graphic overlay from the instructor.
  • the course review may be sent to many users of the medical training system 100 simultaneously to provide a group course review.
  • an embodiment of the medical training system 100 includes a medical simulator 102, which may be a physical unit or a virtual unit.
  • the medical training system 100 may further include a plurality of medical simulators 102, and any one or a combination of the plurality of medical simulators 102 may be a physical unit or a virtual unit.
  • the physical unit can be a medical simulator with the whole or at least a part of the human anatomy (such as the head, chest, torso, back, respiratory system, vascular system, etc.).
  • the physical unit can have an animated part (such as head, mouth, legs, Arms, fingers, eyelids, eyes, etc.), and can produce physiological activities and physiological states.
  • Physiological activities may include joint activities of animated parts (eg, rotation of the head, opening and closing of eyelids, blinking, flinching, coughing, movement of limbs, shaking, muscle spasms, etc.).
  • Physiological conditions may include changes in skin temperature and / or humidity, blue skin, red eyes, breathing conditions (e.g., shortness of breath, cough, wheezing, inhalation), blood flow conditions (e.g., increased heart rate, heart murmur, defibrillation, etc.) ), Eye condition (such as strabismus, pupil dilation, etc.), skin condition (such as melanoma, lupus, acne, psoriasis, cellulitis, etc.) and so on.
  • breathing conditions e.g., shortness of breath, cough, wheezing, inhalation
  • blood flow conditions e.g., increased heart rate, heart murmur, defibrillation, etc.
  • Eye condition such as strabismus, pupil dilation, etc.
  • skin condition such as melanoma, lupus, acne, psoriasis, cellulitis, etc.
  • Physiological activities and states can be formed by using motors, actuators, vibration actuators, speakers, display units, condition-sensitive smart materials, etc., for example, by placing vibration actuators in or near simulated muscle tissue Drives to simulate muscle tissue vibrations to produce muscle spasms.
  • Breathing is generated by driving a pump connected to a balloon of a simulated lung, which can be fluidly connected to the airway leading to the mouth of the medical simulator.
  • a display (such as a liquid crystal display, a light emitting diode display, etc.) can project a desired characteristic image.
  • the display can project an image of the eye (such as the pupil, sclera, etc.) through the eye part of the eye socket.
  • the displayed eye can move or enlarge the pupil,
  • the sclera changes color to indicate eye condition and the like.
  • the display may project a simulated skin image through the medical simulator 102 to change its color, display a development image, and the like.
  • the virtual unit can use two-dimensional (2D) or three-dimensional (3D) images to represent the human anatomy with at least a part of the entire human body.
  • the virtual unit can be displayed by a computer device.
  • 3D The human anatomy represented by an image can be implemented through a graphical user interface.
  • the graphical user interface includes interactive graphical elements representing anatomical features.
  • the animation program logic is used to render any part of the image described in 2D or 3D. Physiological activities and conditions.
  • any display of the physical unit may include a computer with a display screen, and the display screen may display the virtual features.
  • the eyes of the medical simulator 102 may be computer generated with a display screen, where the eye features are 2D or 3D images generated by graphical elements.
  • the medical simulator 102 includes at least one data acquisition device 112.
  • the data acquisition device 112 may be a sensor, a camera, an audio recorder, etc .; the data acquisition device 112 may be used to collect, record, and analyze data.
  • the collected data may be a physiological training scene, Data about the environment around the medical simulator 102 (e.g. temperature, pressure, noise, light, movement of medical personnel, movement of medical simulator 102, etc.), actions taken by medical personnel (e.g., physical or verbal with medical simulator 102) Interact, locate the medical simulator 102, apply pressure to the wound, cut off a part of the medical simulator 102, open the airway of the medical simulator 102, administer medicine, etc.).
  • a pressure sensor may be placed in or near the simulated skin in the medical simulator 102 in an area that provides the physiological state of the wound, and the pressure sensor is used to determine how much pressure and how long the intern medical staff applies to the wound.
  • a proximity sensor may be positioned in the airway of the medical simulator 102 to detect whether any part of the airway is blocked or contracted due to the position of the head and neck, and the proximity sensor may be used to determine whether a healthcare professional is appropriate before performing CPR Tilt your head back to open the airway.
  • the data collected by the data acquisition device 112 may be referred to as recorded analog data.
  • the medical simulator 102 includes a simulator controller 104, which may be a processor associated with non-transitory and non-volatile memory operations, and the simulator controller 104 is electrically connected to the medical simulator 102.
  • the simulator controller 104 may be incorporated with or located outside the medical simulator 102. Positioning outside the medical simulator 102 may include mechanically attaching to the medical simulator 102 or simulating the medical simulation through wired or wireless communication
  • the device 102 is physically separated.
  • the simulator controller 104 may be configured to control functions of components of the medical simulator 102 and drive the components to be able to operate in a coordinated manner so as to generate at least one physiological training scene.
  • the physiological training scenario may be any one or a combination of the physiological activities and physiological conditions described herein.
  • the physiological training scenario may be executed by the processor according to instructions programmed in application software or firmware stored on a memory associated with the processor.
  • a physiological training scenario may include breathing, inhalation, coughing, suffocation by the medical simulator 102 and the skin turning blue by the medical simulator 102 without detecting certain actions but after a predetermined time has elapsed; for example, the simulator controller 104 Can be programmed to perform physiological training scenarios until the data acquisition device 112 detects an action taken by the medical trainee and sends the action (in the form of recorded simulation data) to the simulator controller 104, which the simulator controller 104 processes And analyze the recorded simulation data to determine whether to continue the steps of the physiological training scene, stop the physiological training scene, or change one aspect of the physiological training scene.
  • the electrical connection mentioned in this embodiment may be a wired connection (wire connection), a wireless connection (Bluetooth, WIFI, etc.).
  • the medical simulator 102 may be configured as a virtual unit.
  • the medical simulator 102 may include a display that may display a 2D image or a 3D image of a portion of the human anatomy.
  • the application software or firmware may be programmed to provide at least one training course
  • the training course may include at least one physiological training scene
  • the training course may also be programmed to change at least one of the physiological training scene based on the recorded simulation data Physiological activity and / or physiological state.
  • the training course can be programmed to generate a dynamic physiological training scene based on the environment around the medical simulator 102 and / or actions taken by medical staff. For example, keeping the above-mentioned physiological training scenario, if the medical simulator 102 detects that the medical staff opens the airway of the medical simulator 102 before a predetermined period of time, the training course may be programmed to drive the medical simulator 102 to start breathing.
  • the training course may be programmed to cause the medical simulator 102 to start a medical shock physiological training scene or a medical death training scene.
  • typical symptoms associated with medical shock may be presented by the medical simulator 102 until the data acquisition device 112 detects certain actions taken by a medical trainee.
  • the medical training system 100 may be part of the communication network 106.
  • the communication network 106 may include at least one computer device 108 in communication with the simulator controller 104, and may employ a wired connection or a wireless connection (eg, via a transceiver). Any computer device 108 of the communication network 106 and each other can receive and send data, manipulate data, analyze data, and send instructions to the simulator controller 104.
  • the data can include recorded analog data.
  • the communication network 106 may include a first computer device 108a.
  • the first computer device 108a may have a processor operatively associated with non-transitory and non-volatile memory. Any one or a combination of the simulator controller 104 and the first computer device 108a may have application software or firmware installed thereon.
  • the application software or firmware installed on the simulator controller 104 may be the same as or different from the application software or firmware installed on the first computer device 108a.
  • a user eg, a medical trainee or a medical trainer
  • the first computer device 108a may be programmed to display various training courses and / or physiological training scenarios from which a user may select.
  • a signal may be sent to the simulator controller 104 to cause the simulator controller 104 to execute the selected training course and / or physiological training scene.
  • the first computer device 108a allows the user to modify any training courses and / or physiological training scenarios that are running before, during, and / or after the training courses and / or physiological training scenarios are implemented.
  • the communication network 106 may include a second computer device 108b.
  • the second computer device 108b has an operating function and a processor associated with non-transitory and non-volatile memory.
  • the second computer device 108b may be located at a different physical location than the first computer device 108a and / or the simulator controller 104.
  • FIG. 1 shows that the second computer device 108b is at a different physical location than the physical location of the first computer device 108a and / or the simulator controller 104).
  • Any one or a combination of the simulator controller 104, the first computer device 108a, and the second computer device 108b may have application software or firmware installed thereon.
  • the application software or firmware installed on the simulator controller 104 may be the same as or different from the application software or firmware installed on the first computer device 108a, which may be the same as the application software or firmware installed on the second computer device 108b different.
  • the user can control aspects of the medical training system 100 through the second computer device 108b.
  • the application software or firmware of the second computer device 108b may be programmed to generate at least one course review.
  • the second computer device 108b may generate a course review as a summary of the training course, which may include any one or a combination of physiological training scenarios and recorded simulation data associated with the training course.
  • the course review may be sent to any one or a combination of the first computer device 108a, the second computer device 108b, and the simulator controller 104 of the communication network 106.
  • the course review may be displayed through textual content, video content, audio content, and / or graphical content (eg, graphical elements generated by a graphical user interface).
  • the course review can provide users with an assessment of the quality of medical practice performed by physician trainees during training sessions. As will be explained later, the user may modify and / or add course reviews through the second computer device 108b.
  • the medical training system 100 may be part of the communication network 106.
  • the communication network 106 may include at least one medical simulator 102, at least one first computer device 108a, and at least one second computer device 108b.
  • the medical training system 100 may include multiple medical simulators 102, multiple first computer devices 108a, and multiple second computer devices 108b. Any one or a combination of the medical simulator 102, the first computer device 108a, and the second computer device 108b may be connected to form the subnet 110.
  • the subnet 110 may be a set of components that provide a particular training course.
  • the first subnet 110a may be used to provide training courses configured for novice students
  • the second subnet 110b may be used to provide training courses configured for advanced students, and the like.
  • each subnet 110 can provide training courses related to the birth of a child.
  • a single second computer device 108b may be used to generate a course review for multiple first computer devices 108a and / or simulator controllers 104 within the communication network 106 or subnet 110.
  • the course review may be shared among many users using different second computer devices 108b.
  • the course review may be modified or augmented by any user before, during, and / or after sending the course review to the first computer device 108a and / or the simulator controller 104.
  • a course review provided to multiple simulator controllers 104 and / or the first computer device 108a may allow healthcare trainees to learn from actions taken by others during training sessions of the same or similar configuration, even if the healthcare trainees are located in different position.
  • each simulator controller 104 and / or the first computer device 108a may be the same. In some embodiments, the course review for at least one simulator controller 104 and / or first computer device 108a may be different from other simulator controllers 104 and / or first for communication network 106 or subnet 110 Course review of computer equipment 108a.
  • the re-implementation in this embodiment includes re-playing / executing a training course, and playing / executing the training course after selective integration.
  • the course review may include a re-implementation of the training course.
  • a course review may be sent to the simulator controller 104 to cause the medical simulator 102 to re-implement (or replay) a training course for which a course review was generated.
  • a summary of the training course and / or additions to the course review eg, text content, video content, and / or audio content
  • a course review can include a re-implementation of the training course while displaying synopses and supplemental information in a synchronized manner.
  • a course review may include a re-implementation of the training course while displaying the training summary and supplementary information in a synchronized manner.
  • the simultaneous display of the training summary and / or supplementary materials with the re-implementation of the training course can be achieved through the technology and system configurations disclosed in US Publication No. 2008/012694 and US Publication No. 2011/0223464, the entire disclosure of which is incorporated by reference Combined here.
  • comprehensive recording and playback of video, audio, and recorded analog data may be received in a time-stamped manner by simultaneously receiving analog data input, audio input, and video input for at least a portion of a recorded training session into a common digital memory buffer. to realise.
  • the common digital memory buffer may be part of the first computer device 108a and / or the second computer device 108b.
  • the common memory buffer may allow independent, simultaneous, synchronous, user-controlled playback of a single input received in the memory buffer.
  • the medical training system 100 may provide simultaneous tagging of a common memory buffer to tag events for a training session.
  • An exemplary implementation of the medical training system 100 may include providing at least one medical simulator 102 having at least one simulator controller 104 and at least one data acquisition device 112, at least one first computer device 108a, and at least one first Two computer devices 108b, which may include generating a communication network 106 or a subnet 110 to facilitate the reciprocal transmission of recorded analog data between each simulator controller 104, the first computer device 108a, and the second computer device 108b.
  • At least one physiological training scene is programmed in the simulator controller 104.
  • At least one training course including at least one physiological training scene is programmed in the first computer device 108a. The user may cause at least one training course to be selected and sent to the simulator controller 104 through the first computer device 108a to cause the medical simulator 102 to perform a physiological training scenario associated with the training course.
  • the medical trainee can perform medical operations on the medical simulator 102 based on the physiological activities and physiological states of the physiological training scenario.
  • the recorded simulation data can be collected, analyzed, and sent to the simulator controller 104, the first computer device 108a, and / Or the second computer device 108b.
  • the first computer device 108a may cause the training course to change one aspect of the physiological training scene or change the physiological training scene based on the recorded simulation data, and its instructions may be automatically sent to the simulator controller 104 for execution.
  • the user may change one aspect of the physiological training scene or change the physiological training scene by inputting a command into the first computer device 108a, and the command input may be sent to the simulator controller 104 for execution.
  • the second computer device 108b may generate a course review, which may be sent to the first computer device 108a, the simulator controller 104, and / or the second computer device 108a of the communication network 106 or subnet 110 Any one or a combination of computer devices 108b.
  • Course review is generated and transmitted in real-time as medical treatments being performed by physician trainees include: first computer device 108a and / or simulator controller 104 and / or Another first computer device 108a and / or simulator controller 104 associated with the physician trainee who is not performing a medical operation sends a course review.
  • Some embodiments of the course review may include a training course re-implemented by the medical simulator 102, and the re-implementation of the training course may be completed in real time on the medical simulator (s) 102 of the medical trainee who is not performing a medical operation (as the medical training When the person is performing a medical operation).
  • the re-implementation of the training course on any one or more of the medical simulators 102 may be performed after the medical trainee performs a medical operation.
  • the course review may include supplementary materials, which may be textual content, video content, audio content, and / or graphical content added by a user (eg, a teacher) of the second computer device 108b.
  • supplementary materials may be textual content, video content, audio content, and / or graphical content added by a user (eg, a teacher) of the second computer device 108b.
  • the supplementary material can be superimposed in the form of audio-video-text-image.
  • the course review may be displayed through any display of the medical simulator 102, the simulator controller 104, the first computer device 108a, and / or the second computer device 108b.
  • a medical simulator 102 may be modified to meet a specific set of design standards.
  • a simulator controller 104 may be modified to meet a specific set of design standards.
  • a data acquisition device 112 may be used to acquire data from a medical simulator 102.
  • a simulator controller 104 may be modified to acquire data from a medical simulator 102, a simulator controller 104, a data acquisition device 112, a first computer device 108a, The number or configuration of the second computer device 108b, the communication network 106, and / or other components or parameters to meet a particular goal.

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Abstract

A medical training system (100) comprises a training course model for generating a training course, a course review model for generating a course review; and a medical simulator (102) for implementing a training scenario according to the training course, and re-implementing the training course according to the course review. The course review can be managed locally, remotely, or by a combination of local and remote operations, and can replay previously recorded physiological states and state changes. The states and the state changes influence changes of one or more medical simulators (102). In addition, the multiple simulators (102) can be distributed at one or more positions, and a single or combined course review is allowed, such that during replay when reveiwing a course, the medical simulator (102) replays physical signs generated during an initial recording session.

Description

一种医学模拟器、医学训练***和方法Medical simulator, medical training system and method 技术领域Technical field
本发明涉及教育领域，尤其涉及一种医学模拟器、医学训练***及其训练方法。The invention relates to the field of education, in particular to a medical simulator, a medical training system and a training method thereof.
背景技术Background technique
医疗器械是患者护理不可或缺的组成部分。但是，它们可能带来一些医学界尚未充分解决的独特问题。有充分证据表明，在错误理解和使用医疗器械的时候，可能会导致相当大的发病率和死亡率。模拟人体模型可以作为模拟病人来帮助、指导医护人员正确使用多种仪器。这种模拟人体模型可以为医护人员提供“实践”医学培训。这些模拟人体模型通常具有一些重要的功能，包括但不限于自主呼吸、脉搏、心脏和呼吸声音，以及通过将商用(COTS)医疗器械连接到模拟人体模型来监测诸如ECG、脉搏血氧测定和呼气末二氧化碳的生命体征的能力。Medical devices are an integral part of patient care. However, they may pose unique issues that have not been adequately addressed by the medical community. There is ample evidence that misunderstanding and use of medical devices can lead to considerable morbidity and mortality. The simulated human body model can be used as a simulated patient to help and guide medical staff to use various instruments correctly. This simulated human body model provides "practical" medical training for healthcare professionals. These simulated human models usually have some important functions, including but not limited to spontaneous breathing, pulse, heart and breathing sounds, and monitoring such as ECG, pulse oximetry, and breath by connecting commercial (COTS) medical devices to simulated human models Capability of vital signs of carbon dioxide.
使用医学模拟器作为训练辅助工具可以帮助医务人员提高手动技巧和正确放置引线、管子等方面的技能，从而能够降低患者的风险。医学模拟器的真实感可以在训练中发挥重要的作用，但真实感方面只是整个教育培训的一部分。通常(例如，通过音频和/或视频)监视甚至记录训练课程的模拟事件以供学生或教师审阅，这种对训练课程的回顾和反馈可以成为一种有价值的教学工具。Using a medical simulator as a training aid can help medical staff improve manual skills and skills in correct placement of leads, tubes, etc., which can reduce patient risk. The realism of medical simulators can play an important role in training, but the realism aspect is only part of the entire education training. Usually (for example, via audio and / or video) to monitor or even record simulated events of training courses for review by students or teachers, this review and feedback of training courses can be a valuable teaching tool.
传统的医学模拟器操作***和培训***受到限制，因为它们不能提供充分的反馈和分析。例如，传统的医学模拟器操作***和训练***只能通过播放训练课程的视频记录来提供反馈，这需要单独的记录单元、制作记录副本的附加步骤以及回放记录的附加设备。此外，视频记录必须通过教室中的专用显示器重放，而没有大规模传播记录的能力，也没有同时向多个位置的许多受训者呈现反馈的能力。Traditional medical simulator operating systems and training systems are limited because they do not provide adequate feedback and analysis. For example, traditional medical simulator operating systems and training systems can only provide feedback by playing a video recording of a training course, which requires a separate recording unit, additional steps to make a copy of the recording, and additional equipment to play back the recording. In addition, video recordings must be replayed through dedicated displays in the classroom without the ability to disseminate the recordings on a large scale or the ability to present feedback to many trainees in multiple locations simultaneously.
技术问题technical problem
传统的医学模拟器操作***和培训***受到限制，因为它们不能提供充分的反馈和分析。例如，传统的医学模拟器操作***和训练***只能通过播放训练课程的视频记录来提供反馈，这需要单独的记录单元、制作记录副本的附加步骤以及回放记录的附加设备。此外，视频记录必须通过教室中的专用显示器重放，而没有大规模传播记录的能力，也没有同时向多个位置的许多受训者呈现反馈的能力。Traditional medical simulator operating systems and training systems are limited because they do not provide adequate feedback and analysis. For example, traditional medical simulator operating systems and training systems can only provide feedback by playing a video recording of a training course, which requires a separate recording unit, additional steps to make a copy of the recording, and additional equipment to play back the recording. In addition, video recordings must be replayed through dedicated displays in the classroom without the ability to disseminate the recordings on a large scale or the ability to present feedback to many trainees in multiple locations simultaneously.
技术解决方案Technical solutions
为了解决上述提出的传统的模拟器操作***和培训***受到限制，不能提供充分的反馈和分析的问题，本发明公开了一种医学模拟器，包括：In order to solve the problem that the traditional simulator operating system and training system proposed above are limited and cannot provide sufficient feedback and analysis, the present invention discloses a medical simulator, including:
模拟器控制器，所述模拟器控制器用于执行、控制、编辑训练场景的至少一种；A simulator controller for executing, controlling, and editing at least one of training scenarios;
数据采集装置，所述数据采集装置用于采集、生成并传输记录的模拟数据的至少一种；以及A data acquisition device for acquiring, generating, and transmitting at least one of the recorded analog data; and
还包括以下中的至少一个：It also includes at least one of the following:
模拟人，具有人体解剖结构的至少一部分；以及Simulates a human, with at least a portion of the human anatomy; and
所述模拟人的二维(2-D)或三维(3-D)结构图像。A two-dimensional (2-D) or three-dimensional (3-D) structure image of the simulated person.
本发明公开一种医学训练***，可以生成训练场景的医学训练***。例如，可以提供包括至少一个训练情景的训练课程来训练医护人员。医学训练***的一些实施例可以包括课程回顾。课程回顾可以是生理训练场景的重新实施、训练课程的概要、医护人员采取的动作和响应、和/或来自讲师的关于训练课程的音频-视频-文本-图形叠加。在一些实施例中，课程回顾可以包括训练课程的重新实施，同时和同步地显示概要和来自讲师的音频-视频-文本-图形覆盖。The invention discloses a medical training system, which can generate a medical training system for a training scene. For example, a training course including at least one training scenario may be provided to train medical staff. Some embodiments of the medical training system may include a course review. The course review may be a re-implementation of a physiological training scenario, a summary of the training course, actions and responses taken by the medical staff, and / or an audio-video-text-graphic overlay from the instructor about the training course. In some embodiments, the course review may include a re-implementation of the training course while simultaneously and synchronously displaying the summary and audio-video-text-graphic overlays from the instructor.
一种医学训练***，包括所述医学模拟器，还包括：A medical training system includes the medical simulator and further includes:
训练课程模块，用于生成训练课程，所述训练课程包括至少一个所述训练场景；以及A training course module for generating a training course, the training course including at least one of the training scenarios; and
课程回顾模块，用于生成课程回顾；                         The course review module is used to generate a course review;
其中，所述医学模拟器用于根据所述训练课程来实施所述生理训练场景，并且根据所述课程回顾来重新实施所述训练课程。The medical simulator is configured to implement the physiological training scene according to the training course, and re-implement the training course according to the course review.
优选地，所述训练课程基于至少部分所述记录的模拟数据而生成。Preferably, the training course is generated based on at least part of the recorded simulation data.
优选地，所述课程回顾基于至少部分所述记录的模拟数据而生成。Preferably, the course review is generated based on at least part of the recorded simulation data.
优选地，还包括通信网络，所述通信网络包括彼此通信的至少一个所述医学模拟器、至少一个所述训练课程模块和/或至少一个所述课程回顾模块。Preferably, it further includes a communication network including at least one of the medical simulator, at least one of the training course module, and / or at least one of the course review module communicating with each other.
优选地，还包括通信网络，所述通信网络包括：第一子网，包括至少一个第一子网医学模拟器、至少一个第一子网训练课程模块和至少一个第一子网课程回顾模块；以及第二子网，包括至少一个第二子网医学模拟器、至少一个第二子网训练课程模块和至少一个第二子网课程回顾模块。Preferably, the communication network further includes a first subnet including at least one first subnet medical simulator, at least one first subnet training course module, and at least one first subnet course review module; And the second subnet includes at least one second subnet medical simulator, at least one second subnet training course module, and at least one second subnet course review module.
本发明还公开了一种提供医学训练的方法，其特征在于，包括：The invention also discloses a method for providing medical training, which is characterized by including:
提供所述的医学训练***；Providing the medical training system;
所述训练课程模块生成所述训练课程，所述训练课程包括练场景，所述训练课程被发送到所述模拟器控制器，由所述模拟器控制器执行所述训练场景；The training course module generates the training course, the training course includes a training scenario, the training course is sent to the simulator controller, and the simulator controller executes the training scenario;
所述课程回顾模块生成所述课程回顾。The course review module generates the course review.
优选地，所述数据采集装置生成所述记录的模拟数据，所述记录的模拟数据被传输到所述训练课程模块和/或所述课程回顾模块，至少部分所述记录的模拟数据被用于生成所述训练课程和/或课程回顾。Preferably, the data acquisition device generates the recorded simulation data, the recorded simulation data is transmitted to the training course module and / or the course review module, and at least part of the recorded simulation data is used for Generate said training course and / or course review.
优选地，所述课程回顾包括所述训练课程的重新实施。Preferably, the course review includes a re-implementation of the training course.
优选地，所述课程回顾包括增补资料。Preferably, the course review includes supplementary information.
优选地，所述课程回顾包括随着所述训练课程的重新实施同步叠加的增补资料，所述增补资料包括音频内容、视频内容、文本内容和图形内容的至少一个。Preferably, the course review includes supplementary materials that are simultaneously superimposed as the training course is re-implemented, the supplementary materials including at least one of audio content, video content, text content, and graphic content.
有益效果Beneficial effect
与现有技术相比，本发明的有益效果在于，本发明的医学训练***和训练方法，可以通过本地、远程或本地和远程的组合方式管理的课程回顾可以回放先前记录的生理学状态和状态，这些状态和状态变化影响一个或多个医学模拟器（虚拟单元或物理单元）的变化；而且多个医学模拟器可以分布在一个或多个位置，并且允许单个或组合课程回顾，能够提供充分的反馈和分析，满足了医疗教学及操作训练的需要，且简单，高效，易于操作，具有较高的应用价值。Compared with the prior art, the present invention has the beneficial effect that the medical training system and training method of the present invention can review the previously recorded physiological state and state through course review that can be managed locally, remotely, or a combination of local and remote, These states and state changes affect changes in one or more medical simulators (virtual or physical units); moreover, multiple medical simulators can be distributed in one or more locations and allow single or combined course reviews to provide adequate Feedback and analysis meet the needs of medical teaching and operation training, and are simple, efficient, easy to operate, and have high application value.
附图说明BRIEF DESCRIPTION OF THE DRAWINGS
图1示出了实施例医学训练***的示意图。FIG. 1 shows a schematic diagram of an embodiment medical training system.
图2示出了另一实施例医学训练***的示意图。FIG. 2 shows a schematic diagram of a medical training system according to another embodiment.
其中，100-医学训练***；102-医学模拟器；104-模拟器控制器；106-通信网络；108-计算机设备；108a-第一计算机设备；108b-第二计算机设备；110-子网；112-数据采集装置Among them, 100- medical training system; 102- medical simulator; 104- simulator controller; 106- communication network; 108- computer equipment; 108a- first computer equipment; 108b- second computer equipment; 110- subnet; 112-Data Acquisition Device
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本发明的实施方式Embodiments of the invention
下面的描述是当前预期用于实施本发明的示例性实施例，该描述不是限制性的，而仅仅是为了描述本发明的一般原理和特征，本发明的范围不限于此描述。The following description is an exemplary embodiment currently expected to implement the present invention, and the description is not restrictive, but merely for describing the general principles and features of the present invention, and the scope of the present invention is not limited to this description.
本发明创造中的训练课程模块和课程回顾模块可以是与非瞬态和非易失性存储器操作关联的处理器，并且安装有生成训练课程和课程回顾的应用软件或固件，可具有显示功能；或者是笔记本电脑、平板电脑或计算机设备；本实施例中优选为计算机设备，其中，训练课程模块可以定义为第一计算机设备；课程回顾模块可以定义为第二计算机设备。The training course module and course review module created in the present invention may be a processor associated with non-transitory and non-volatile memory operations, and installed with application software or firmware for generating training courses and course reviews, and may have a display function; Or a laptop computer, a tablet computer, or a computer device; in this embodiment, it is preferably a computer device, wherein the training course module may be defined as a first computer device; the course review module may be defined as a second computer device.
本发明创造中的训练场景可以包括生理训练场景（例如非病理状态下的训练场景）、病理训练场景（例如医学死亡训练场景）。The training scenario created in the present invention may include a physiological training scenario (such as a training scenario in a non-pathological state) and a pathological training scenario (such as a medical death training scenario).
实施例为生成生理训练场景的医学训练***100。例如，医学训练***100可以为医护人员提供一个训练课程，训练课程包括至少一个生理训练场景。医学训练***100还可以提供课程回顾，课程回顾可以是生理训练场景的重新实施、训练课程概要、医护人员采取的动作和响应、和/或来自讲师的关于训练课程的音频-视频-文本-图形叠加。在一些实施例中，课程回顾可以包括训练课程的重新实施，同时和同步地显示概要和来自讲师的音频-视频-文本-图形叠加。在一些实施例中，课程回顾可以同时发送到医学训练***100的许多用户，以便提供组课程回顾。An embodiment is a medical training system 100 that generates a physiological training scene. For example, the medical training system 100 may provide a training course for medical staff, and the training course includes at least one physiological training scene. The medical training system 100 may also provide a course review, which may be a re-implementation of physiological training scenarios, a summary of the training course, actions and responses taken by the medical staff, and / or audio-video-text-graphics from the instructor about the training course Overlay. In some embodiments, the course review may include a re-implementation of the training course while simultaneously and synchronously displaying the summary and audio-video-text-graphic overlay from the instructor. In some embodiments, the course review may be sent to many users of the medical training system 100 simultaneously to provide a group course review.
提供医学训练***Provide medical training system
参照图1，医学训练***100的实施例包括医学模拟器102，医学模拟器102可以是物理单元或虚拟单元。一些实施例中，医学训练***100还可以包括多个医学模拟器102，多个医学模拟器102中的任何一个或其组合可以是物理单元或虚拟单元。Referring to FIG. 1, an embodiment of the medical training system 100 includes a medical simulator 102, which may be a physical unit or a virtual unit. In some embodiments, the medical training system 100 may further include a plurality of medical simulators 102, and any one or a combination of the plurality of medical simulators 102 may be a physical unit or a virtual unit.
物理单元可以为具有人体解剖结构的整体或至少一部分(例如头部、胸部、躯干、背部、呼吸***、血管***等)的医学模拟器，物理单元可以具有动画部分(例如头、嘴、腿、臂、手指、眼睑、眼睛等)，并能够产生生理活动和生理状态。生理活动可以包括动画部分的关节活动(例如，头部的转动、眼睑的打开和闭合、眨眼、退缩、咳嗽、肢体的活动、摇动、肌肉痉挛等)。生理状态可包括皮肤温度和/或湿度的变化、皮肤发蓝、眼睛发红、呼吸情况(例如呼吸急促、咳嗽、喘息、吸气)、血流情况(例如心率增加、心杂音、除颤等)、眼睛状态情况(例如斜视、瞳孔缩小等)、皮肤状态情况(例如黑色素瘤、狼疮、痤疮、牛皮癣、蜂窝织炎等)等等。生理活动和生理状态可以通过使用马达、致动器、振动致动器、扬声器、显示单元、条件敏感智能材料等来形成，例如，可以通过将振动致动器放置在模拟肌肉组织内或附近来驱动模拟肌肉组织振动产生肌肉痉挛。通过驱动与模拟肺的气囊连接的泵来产生呼吸，模拟肺可以与通向医学模拟器的口部的气道流体连接。显示器(例如液晶显示器、发光二极管显示器等)可以投影期望的特征图像，例如，显示器可以通过眼窝的眼睛部分投影眼睛(例如瞳孔、巩膜等)的图像，显示的眼睛可以使瞳孔移动或扩大、使巩膜改变颜色以表示眼睛状态等。作为另一示例，显示器可以投影通过医学模拟器102的模拟皮肤图像以改变其颜色、显示发展图像等。The physical unit can be a medical simulator with the whole or at least a part of the human anatomy (such as the head, chest, torso, back, respiratory system, vascular system, etc.). The physical unit can have an animated part (such as head, mouth, legs, Arms, fingers, eyelids, eyes, etc.), and can produce physiological activities and physiological states. Physiological activities may include joint activities of animated parts (eg, rotation of the head, opening and closing of eyelids, blinking, flinching, coughing, movement of limbs, shaking, muscle spasms, etc.). Physiological conditions may include changes in skin temperature and / or humidity, blue skin, red eyes, breathing conditions (e.g., shortness of breath, cough, wheezing, inhalation), blood flow conditions (e.g., increased heart rate, heart murmur, defibrillation, etc.) ), Eye condition (such as strabismus, pupil dilation, etc.), skin condition (such as melanoma, lupus, acne, psoriasis, cellulitis, etc.) and so on. Physiological activities and states can be formed by using motors, actuators, vibration actuators, speakers, display units, condition-sensitive smart materials, etc., for example, by placing vibration actuators in or near simulated muscle tissue Drives to simulate muscle tissue vibrations to produce muscle spasms. Breathing is generated by driving a pump connected to a balloon of a simulated lung, which can be fluidly connected to the airway leading to the mouth of the medical simulator. A display (such as a liquid crystal display, a light emitting diode display, etc.) can project a desired characteristic image. For example, the display can project an image of the eye (such as the pupil, sclera, etc.) through the eye part of the eye socket. The displayed eye can move or enlarge the pupil, The sclera changes color to indicate eye condition and the like. As another example, the display may project a simulated skin image through the medical simulator 102 to change its color, display a development image, and the like.
虚拟单元可以采用二维（2D）或三维（3D）图像表示具有整体人体解剖结构或至少一部分的人体解剖结构，例如，虚拟单元可以通过计算机设备进行显示，显示的二维（2D）或三维（3D）图像表示的人体解剖结构可以通过图形用户界面来实现，图形用户界面包括表示解剖结构特征的交互式图形元素，动画程序逻辑用于使2D或3D表示的任何部分图像呈现上所述的任何生理活动和生理状况。The virtual unit can use two-dimensional (2D) or three-dimensional (3D) images to represent the human anatomy with at least a part of the entire human body. For example, the virtual unit can be displayed by a computer device. 3D) The human anatomy represented by an image can be implemented through a graphical user interface. The graphical user interface includes interactive graphical elements representing anatomical features. The animation program logic is used to render any part of the image described in 2D or 3D. Physiological activities and conditions.
应当理解，一些物理单元可以包括虚拟生成的特征(例如虚拟眼睛、虚拟心脏等)，例如，上述物理单元的任何显示器可以包括具有显示屏的计算机，显示屏可以显示虚拟特征。例如，医学模拟器102的眼睛可以是具有显示屏的计算机生成，其中眼睛特征是由图形元素生成的2D或3D图像。It should be understood that some physical units may include virtually generated features (such as virtual eyes, virtual hearts, etc.). For example, any display of the physical unit may include a computer with a display screen, and the display screen may display the virtual features. For example, the eyes of the medical simulator 102 may be computer generated with a display screen, where the eye features are 2D or 3D images generated by graphical elements.
医学模拟器102包括至少一个数据采集装置112，数据采集装置112可以是传感器、照相机、音频记录器等；数据采集装置112可用于收集、记录和分析数据，所收集的数据可以是生理训练场景、医学模拟器102周围的环境(例如温度、压力、噪声、光、医护人员的移动、医学模拟器102的移动等)的数据、通过医护人员采取的动作(例如与医学模拟器102的物理或语言交互、定位医学模拟器102、向伤口施加压力、切断医学模拟器102的一个部位范围、打开医学模拟器102的气道、给药等)。例如，压力传感器可以置于医学模拟器102中的模拟皮肤中或附近靠近提供伤口生理状态的区域，压力传感器用于确定实习医护人员对伤口施加多大压力以及施加多长时间的压力。作为另一示例，接近传感器可定位在医学模拟器102的气道中，以检测气道的任何部分是否由于头颈部位置而阻塞或收缩，接近传感器可用于确定医护人员在实施心肺复苏之前是否适当地向后倾斜头部以打开气道。通过数据采集装置112收集的数据可以称为记录的模拟数据。The medical simulator 102 includes at least one data acquisition device 112. The data acquisition device 112 may be a sensor, a camera, an audio recorder, etc .; the data acquisition device 112 may be used to collect, record, and analyze data. The collected data may be a physiological training scene, Data about the environment around the medical simulator 102 (e.g. temperature, pressure, noise, light, movement of medical personnel, movement of medical simulator 102, etc.), actions taken by medical personnel (e.g., physical or verbal with medical simulator 102) Interact, locate the medical simulator 102, apply pressure to the wound, cut off a part of the medical simulator 102, open the airway of the medical simulator 102, administer medicine, etc.). For example, a pressure sensor may be placed in or near the simulated skin in the medical simulator 102 in an area that provides the physiological state of the wound, and the pressure sensor is used to determine how much pressure and how long the intern medical staff applies to the wound. As another example, a proximity sensor may be positioned in the airway of the medical simulator 102 to detect whether any part of the airway is blocked or contracted due to the position of the head and neck, and the proximity sensor may be used to determine whether a healthcare professional is appropriate before performing CPR Tilt your head back to open the airway. The data collected by the data acquisition device 112 may be referred to as recorded analog data.
医学模拟器102包括模拟器控制器104，模拟器控制器104可以是与非瞬态和非易失性存储器操作关联的处理器，模拟器控制器104与医学模拟器102电连接。模拟器控制器104可与医学模拟器102合并或定位在医学模拟器102的外部，定位在医学模拟器102外部可以包括机械地附接到医学模拟器102或者通过有线或无线通信方式把医学模拟器102物理地分离。模拟器控制器104可以被配置为控制医学模拟器102的部件的功能，并且驱动该部件能够以协同方式操作，以便生成至少一个生理训练场景。生理训练情景可以是本文所述的生理活动和生理状况中的任何一种或其组合，生理训练场景可以由处理器根据存储在与处理器相关联的存储器上的应用软件或固件内编程的指令来执行。例如，生理训练场景可以包括医学模拟器102的呼吸、吸气、咳嗽、窒息和医学模拟器102没有检测到某些动作但能在预定时间过去之后的皮肤变蓝；例如，模拟器控制器104可以被编程为执行生理训练场景，直到数据采集装置112检测到由医护受训者采取的动作并将该动作(以记录的模拟数据的形式)发送到模拟器控制器104，模拟器控制器104处理和分析记录的模拟数据以确定是否继续生理训练场景的步骤、停止生理训练场景、还是改变生理训练场景的一个方面。本实施例中提到的电连接可以为有线连接（电线连接）、无线连接（蓝牙、WIFI等）。The medical simulator 102 includes a simulator controller 104, which may be a processor associated with non-transitory and non-volatile memory operations, and the simulator controller 104 is electrically connected to the medical simulator 102. The simulator controller 104 may be incorporated with or located outside the medical simulator 102. Positioning outside the medical simulator 102 may include mechanically attaching to the medical simulator 102 or simulating the medical simulation through wired or wireless communication The device 102 is physically separated. The simulator controller 104 may be configured to control functions of components of the medical simulator 102 and drive the components to be able to operate in a coordinated manner so as to generate at least one physiological training scene. The physiological training scenario may be any one or a combination of the physiological activities and physiological conditions described herein. The physiological training scenario may be executed by the processor according to instructions programmed in application software or firmware stored on a memory associated with the processor. To execute. For example, a physiological training scenario may include breathing, inhalation, coughing, suffocation by the medical simulator 102 and the skin turning blue by the medical simulator 102 without detecting certain actions but after a predetermined time has elapsed; for example, the simulator controller 104 Can be programmed to perform physiological training scenarios until the data acquisition device 112 detects an action taken by the medical trainee and sends the action (in the form of recorded simulation data) to the simulator controller 104, which the simulator controller 104 processes And analyze the recorded simulation data to determine whether to continue the steps of the physiological training scene, stop the physiological training scene, or change one aspect of the physiological training scene. The electrical connection mentioned in this embodiment may be a wired connection (wire connection), a wireless connection (Bluetooth, WIFI, etc.).
在一些实施例中，医学模拟器102可以被配置为虚拟单元。例如，医学模拟器102可以包括显示器，该显示器可以显示人体解剖结构部分的2D图像或3D图像。In some embodiments, the medical simulator 102 may be configured as a virtual unit. For example, the medical simulator 102 may include a display that may display a 2D image or a 3D image of a portion of the human anatomy.
在一些实施例中，应用软件或固件可以被编程为提供至少一个训练课程，训练课程可以包括至少一个生理训练场景，训练课程还可以被编程为基于所记录的模拟数据改变生理训练场景的至少一个生理活动和/或生理状态。这样，训练课程可以被编程为基于医学模拟器102周围的环境和/或医护人员采取的动作来生成动态的生理训练场景。例如，保持上述生理训练场景，如果医学模拟器102检测到医护人员在预定时间段之前打开医学模拟器102的气道，则训练课程可以被编程为驱动医学模拟器102开始呼吸。但是，如果医学模拟器102检测到医护人员在预定时间段之前没有打开医学模拟器102的气道，则训练课程可以被编程为使得医学模拟器102开始医学休克生理训练场景或医学死亡训练场景。对于医学休克情形，与医学休克相关联的典型症状可由医学模拟器102呈现，直到数据采集装置112检测到由医学从业受训者采取的某些动作为止。In some embodiments, the application software or firmware may be programmed to provide at least one training course, the training course may include at least one physiological training scene, and the training course may also be programmed to change at least one of the physiological training scene based on the recorded simulation data Physiological activity and / or physiological state. In this way, the training course can be programmed to generate a dynamic physiological training scene based on the environment around the medical simulator 102 and / or actions taken by medical staff. For example, keeping the above-mentioned physiological training scenario, if the medical simulator 102 detects that the medical staff opens the airway of the medical simulator 102 before a predetermined period of time, the training course may be programmed to drive the medical simulator 102 to start breathing. However, if the medical simulator 102 detects that the medical staff does not open the airway of the medical simulator 102 before the predetermined period of time, the training course may be programmed to cause the medical simulator 102 to start a medical shock physiological training scene or a medical death training scene. For a medical shock situation, typical symptoms associated with medical shock may be presented by the medical simulator 102 until the data acquisition device 112 detects certain actions taken by a medical trainee.
生成训练课程Generate training course
在至少一个实施例中，医学训练***100可以是通信网络106的一部分。通信网络106可以包括与模拟器控制器104通信的至少一个计算机设备108，可以采用有线连接或无线连接(例如通过收发器)。通信网络106的任何计算机设备108及彼此之间都可以接收和发送数据、操纵数据、分析数据以及与模拟器控制器104之间发送指令，该数据可以包括记录的模拟数据。In at least one embodiment, the medical training system 100 may be part of the communication network 106. The communication network 106 may include at least one computer device 108 in communication with the simulator controller 104, and may employ a wired connection or a wireless connection (eg, via a transceiver). Any computer device 108 of the communication network 106 and each other can receive and send data, manipulate data, analyze data, and send instructions to the simulator controller 104. The data can include recorded analog data.
例如，通信网络106可以包括第一计算机设备108a。第一计算机设备108a可以具有可操作地与非暂时和非易失性存储器相关联的处理器。模拟器控制器104和第一计算机设备108a中的任何一个或其组合可以具有安装在其上的应用软件或固件。安装在模拟器控制器104上的应用软件或固件可以与安装在第一计算机设备108a上的应用软件或固件相同或不同。用户(例如，医护受训者或医护培训者)可以通过第一计算机设备108a控制医学模拟器102的各方面。例如，第一计算机设备108a可以被编程为显示各种训练课程和/或生理训练场景，用户可以从中选择。在选择训练课程和/或生理训练场景时，可以向模拟器控制器104发送信号以使模拟器控制器104执行所选择的训练课程和/或生理训练场景。此外，在训练课程和/或生理训练场景被实现之前、期间和/或之后，第一计算机设备108a允许用户修改正在运行的任何训练课程和/或生理训练场景。For example, the communication network 106 may include a first computer device 108a. The first computer device 108a may have a processor operatively associated with non-transitory and non-volatile memory. Any one or a combination of the simulator controller 104 and the first computer device 108a may have application software or firmware installed thereon. The application software or firmware installed on the simulator controller 104 may be the same as or different from the application software or firmware installed on the first computer device 108a. A user (eg, a medical trainee or a medical trainer) can control aspects of the medical simulator 102 through the first computer device 108a. For example, the first computer device 108a may be programmed to display various training courses and / or physiological training scenarios from which a user may select. When selecting a training course and / or physiological training scene, a signal may be sent to the simulator controller 104 to cause the simulator controller 104 to execute the selected training course and / or physiological training scene. In addition, the first computer device 108a allows the user to modify any training courses and / or physiological training scenarios that are running before, during, and / or after the training courses and / or physiological training scenarios are implemented.
除了第一计算机设备108a之外，通信网络106还可以包括第二计算机设备108b。第二计算机设备108b具有操作功能的且与非瞬态和非易失性存储器相关联的处理器。第二计算机设备108b可以位于不同于第一计算机设备108a和/或模拟器控制器104的物理位置。(图1示出了第二计算机设备108b处于与第一计算机设备108a和/或模拟器控制器104的物理位置不同的物理位置)。模拟器控制器104、第一计算机设备108a和第二计算机设备108b中的任何一个或其组合可以具有安装在其上的应用软件或固件。安装在模拟器控制器104上的应用软件或固件可以与安装在第一计算机设备108a上的应用软件或固件相同或不同，其可以与安装在第二计算机设备108b上的应用软件或固件相同或不同。In addition to the first computer device 108a, the communication network 106 may include a second computer device 108b. The second computer device 108b has an operating function and a processor associated with non-transitory and non-volatile memory. The second computer device 108b may be located at a different physical location than the first computer device 108a and / or the simulator controller 104. (FIG. 1 shows that the second computer device 108b is at a different physical location than the physical location of the first computer device 108a and / or the simulator controller 104). Any one or a combination of the simulator controller 104, the first computer device 108a, and the second computer device 108b may have application software or firmware installed thereon. The application software or firmware installed on the simulator controller 104 may be the same as or different from the application software or firmware installed on the first computer device 108a, which may be the same as the application software or firmware installed on the second computer device 108b different.
生成课程回顾Generate Course Review
用户可以通过第二计算机设备108b控制医学训练***100的各方面。在至少一个实施例中，第二计算机设备108b的应用软件或固件可以被编程为生成至少一个课程回顾。例如，第二计算机设备108b可以生成作为训练课程概要的课程回顾，该课程回顾可以包括生理训练场景和与训练课程相关联的记录的模拟数据中的任何一个或其组合。课程回顾可以被发送到通信网络106的第一计算机设备108a、第二计算机设备108b和模拟器控制器104中的任何一个或其组合。课程回顾可以通过文本内容、视频内容、音频内容和/或图形内容(例如由图形用户界面产生的图形元素)来显示。课程回顾可以向用户提供对医师受训者在训练课程期间执行的医学实践质量的评估。如稍后将解释的，用户可以通过第二计算机设备108b修改和/或增加课程回顾。The user can control aspects of the medical training system 100 through the second computer device 108b. In at least one embodiment, the application software or firmware of the second computer device 108b may be programmed to generate at least one course review. For example, the second computer device 108b may generate a course review as a summary of the training course, which may include any one or a combination of physiological training scenarios and recorded simulation data associated with the training course. The course review may be sent to any one or a combination of the first computer device 108a, the second computer device 108b, and the simulator controller 104 of the communication network 106. The course review may be displayed through textual content, video content, audio content, and / or graphical content (eg, graphical elements generated by a graphical user interface). The course review can provide users with an assessment of the quality of medical practice performed by physician trainees during training sessions. As will be explained later, the user may modify and / or add course reviews through the second computer device 108b.
参考图2，如本文所述，医学训练***100可以是通信网络106的一部分。通信网络106可以包括至少一个医学模拟器102、至少一个第一计算机设备108a和至少一个第二计算机设备108b。一些实施例中，医学训练***100可以包括多个医学模拟器102、多个第一计算机设备108a和多个第二计算机设备108b。医学模拟器102、第一计算机设备108a和第二计算机设备108b中的任何一个或其组合可以被连接以形成子网110。子网110可以是提供特定训练课程的一组组件。例如，第一子网110a可用于提供为新手学员配置的训练课程，而第二子网110b可用于提供为高级学员配置的训练课程等。并且例如，每个子网110都可以提供与孩子出生有关的训练课程。Referring to FIG. 2, as described herein, the medical training system 100 may be part of the communication network 106. The communication network 106 may include at least one medical simulator 102, at least one first computer device 108a, and at least one second computer device 108b. In some embodiments, the medical training system 100 may include multiple medical simulators 102, multiple first computer devices 108a, and multiple second computer devices 108b. Any one or a combination of the medical simulator 102, the first computer device 108a, and the second computer device 108b may be connected to form the subnet 110. The subnet 110 may be a set of components that provide a particular training course. For example, the first subnet 110a may be used to provide training courses configured for novice students, and the second subnet 110b may be used to provide training courses configured for advanced students, and the like. And, for example, each subnet 110 can provide training courses related to the birth of a child.
在一些实施例中，单个第二计算机设备108b可用于为通信网络106或子网110内的多个第一计算机设备108a和/或模拟器控制器104生成课程回顾。课程回顾可以在使用不同的第二计算机设备108b的许多用户之间共享。在向第一计算机设备108a和/或模拟器控制器104发送课程回顾之前、期间和/或之后，课程回顾可以由任何用户修改或扩充。向多个模拟器控制器104和/或第一计算机设备108a提供的课程回顾可以允许医护受训者从其他人在相同或类似配置的训练课程期间采取的动作中学习，即使医护受训者位于不同的位置。In some embodiments, a single second computer device 108b may be used to generate a course review for multiple first computer devices 108a and / or simulator controllers 104 within the communication network 106 or subnet 110. The course review may be shared among many users using different second computer devices 108b. The course review may be modified or augmented by any user before, during, and / or after sending the course review to the first computer device 108a and / or the simulator controller 104. A course review provided to multiple simulator controllers 104 and / or the first computer device 108a may allow healthcare trainees to learn from actions taken by others during training sessions of the same or similar configuration, even if the healthcare trainees are located in different position.
通信网络106或子网110中，每个模拟器控制器104和/或第一计算机设备108a的课程回顾可以是相同的。在一些实施例中，用于至少一个模拟器控制器104和/或第一计算机设备108a的课程回顾可以不同于用于通信网络106或子网110的其他模拟器控制器104和/或第一计算机设备108a的课程回顾。In the communication network 106 or the subnet 110, the course review of each simulator controller 104 and / or the first computer device 108a may be the same. In some embodiments, the course review for at least one simulator controller 104 and / or first computer device 108a may be different from other simulator controllers 104 and / or first for communication network 106 or subnet 110 Course review of computer equipment 108a.
训练课程的重新实施Re-implementation of training courses
本实施例中的重新实施包括训练课程的重新播放/执行、将训练课程进行有选择性地整合后的播放/执行。The re-implementation in this embodiment includes re-playing / executing a training course, and playing / executing the training course after selective integration.
课程回顾除了包括训练课程概要之外，或作为替代，课程回顾可以包括训练课程的重新实施。例如，课程回顾可以被发送到模拟器控制器104以使医学模拟器102重新实施(或重新播放)为其生成课程回顾的训练课程。随着训练课程的重新实施，还可以显示训练课程的概要和/或对课程回顾的增补(例如，文本内容、视频内容和/或音频内容)添加。因此，课程回顾可以包括训练课程的重新实施，同时以同步方式显示概要和增补资料。In addition to, or instead of, a course review, the course review may include a re-implementation of the training course. For example, a course review may be sent to the simulator controller 104 to cause the medical simulator 102 to re-implement (or replay) a training course for which a course review was generated. As the training course is re-implemented, a summary of the training course and / or additions to the course review (eg, text content, video content, and / or audio content) may be added. Therefore, a course review can include a re-implementation of the training course while displaying synopses and supplemental information in a synchronized manner.
如本文所述，课程回顾可包括训练课程的重新实施，同时以同步方式显示训练概要和增补资料。训练概要和/或增补资料与训练课程的重新实施的同步显示可以通过在美国公开第2008/012694号和美国公开第2011/0223464号中公开的技术和***配置来实现，其全部公开内容通过引用结合于此。例如，视频、音频和记录的模拟数据的综合记录和回放可以通过以时间戳的方式同时接收用于训练课程的至少一部分的记录的模拟数据输入、音频输入和视频输入到公共数字存储器缓冲器中来实现。公共数字存储器缓冲器可以是第一计算机设备108a和/或第二计算机设备108b的一部分。公共存储器缓冲器可以允许独立、同时、同步、用户控制地回放在存储器缓冲器内接收的单个输入。在一些实施例中，医学训练***100可以提供同时标记公共存储器缓冲器以标记训练课程的事件。As described herein, a course review may include a re-implementation of the training course while displaying the training summary and supplementary information in a synchronized manner. The simultaneous display of the training summary and / or supplementary materials with the re-implementation of the training course can be achieved through the technology and system configurations disclosed in US Publication No. 2008/012694 and US Publication No. 2011/0223464, the entire disclosure of which is incorporated by reference Combined here. For example, comprehensive recording and playback of video, audio, and recorded analog data may be received in a time-stamped manner by simultaneously receiving analog data input, audio input, and video input for at least a portion of a recorded training session into a common digital memory buffer. to realise. The common digital memory buffer may be part of the first computer device 108a and / or the second computer device 108b. The common memory buffer may allow independent, simultaneous, synchronous, user-controlled playback of a single input received in the memory buffer. In some embodiments, the medical training system 100 may provide simultaneous tagging of a common memory buffer to tag events for a training session.
医学训练***100的示例性实现可以包括提供至少一个医学模拟器102，该医学模拟器102具有至少一个模拟器控制器104和至少一个数据采集装置112、至少一个第一计算机设备108a和至少一个第二计算机设备108b，这可以包括生成通信网络106或子网110，便于将记录的模拟数据在每个模拟器控制器104、第一计算机设备108a和第二计算机设备108b之间往复地传输。在模拟器控制器104中编程至少一个生理训练场景。在第一计算机设备108a中编程包括至少一个生理训练场景的至少一个训练课程。用户可以通过第一计算机设备108a使得选择至少一个训练课程并且将其发送到模拟器控制器104以使得医学模拟器102执行与训练课程相关联的生理训练场景。An exemplary implementation of the medical training system 100 may include providing at least one medical simulator 102 having at least one simulator controller 104 and at least one data acquisition device 112, at least one first computer device 108a, and at least one first Two computer devices 108b, which may include generating a communication network 106 or a subnet 110 to facilitate the reciprocal transmission of recorded analog data between each simulator controller 104, the first computer device 108a, and the second computer device 108b. At least one physiological training scene is programmed in the simulator controller 104. At least one training course including at least one physiological training scene is programmed in the first computer device 108a. The user may cause at least one training course to be selected and sent to the simulator controller 104 through the first computer device 108a to cause the medical simulator 102 to perform a physiological training scenario associated with the training course.
医护受训者可以基于生理训练情景的生理活动和生理状态在医学模拟器102上执行医学操作，所记录的模拟数据可以被收集、分析并被发送到模拟器控制器104、第一计算机设备108a和/或第二计算机设备108b。第一计算机设备108a可以使得训练课程改变生理训练场景的一个方面或者基于所记录的模拟数据改变生理训练场景，其指令可以被自动发送到模拟器控制器104以供执行。此外，或者可选地，用户可以通过将命令输入到第一计算机设备108a中来改变生理训练场景的一个方面或者改变生理训练场景，该命令输入可以被发送到模拟器控制器104以供执行。The medical trainee can perform medical operations on the medical simulator 102 based on the physiological activities and physiological states of the physiological training scenario. The recorded simulation data can be collected, analyzed, and sent to the simulator controller 104, the first computer device 108a, and / Or the second computer device 108b. The first computer device 108a may cause the training course to change one aspect of the physiological training scene or change the physiological training scene based on the recorded simulation data, and its instructions may be automatically sent to the simulator controller 104 for execution. In addition, or alternatively, the user may change one aspect of the physiological training scene or change the physiological training scene by inputting a command into the first computer device 108a, and the command input may be sent to the simulator controller 104 for execution.
在执行训练课程期间和/或之后，第二计算机设备108b可以生成课程回顾，课程回顾可以被发送到通信网络106或子网110的第一计算机设备108a、模拟器控制器104和/或第二计算机设备108b中的任何一个或其组合中。课程回顾随着医师受训者当前正在执行的医学治疗实时地生成并被传送：包括向当前正在执行医学操作的医师受训者的第一计算机设备108a和/或模拟器控制器104和/或向与不执行医学操作的医师受训者相关联的另一第一计算机设备108a和/或模拟器控制器104发送课程回顾。During and / or after performing the training course, the second computer device 108b may generate a course review, which may be sent to the first computer device 108a, the simulator controller 104, and / or the second computer device 108a of the communication network 106 or subnet 110 Any one or a combination of computer devices 108b. Course review is generated and transmitted in real-time as medical treatments being performed by physician trainees include: first computer device 108a and / or simulator controller 104 and / or Another first computer device 108a and / or simulator controller 104 associated with the physician trainee who is not performing a medical operation sends a course review.
课程回顾的一些实施例可以包括通过医学模拟器102重新实施的训练课程，训练课程的重新实施可以在不执行医学操作的医护受训者的(多个)医学模拟器102上实时完成(如同医护受训者正在执行医学操作时)。在任何一个(多个)医学模拟器102上的训练课程的重新实施可以在医护受训者执行医学操作之后进行。Some embodiments of the course review may include a training course re-implemented by the medical simulator 102, and the re-implementation of the training course may be completed in real time on the medical simulator (s) 102 of the medical trainee who is not performing a medical operation (as the medical training When the person is performing a medical operation). The re-implementation of the training course on any one or more of the medical simulators 102 may be performed after the medical trainee performs a medical operation.
增补资料Supplementary information
在一些实施例中，课程回顾可以包括增补资料，增补资料可以是文本内容、视频内容、音频内容和/或由第二计算机设备108b的用户(例如教师)添加的图形内容。通过使文本内容、音频内容、视频内容和/或图像内容的任何一个或组合与培训会议的重新实施同步任何一个或组合的，增补资料可以以音频-视频-文本-图像的形式所叠加。课程回顾可以通过医学模拟器102、模拟器控制器104、第一计算机设备108a和/或第二计算机设备108b的任何显示器来显示。In some embodiments, the course review may include supplementary materials, which may be textual content, video content, audio content, and / or graphical content added by a user (eg, a teacher) of the second computer device 108b. By synchronizing any one or combination of text content, audio content, video content and / or image content with the re-implementation of the training session, the supplementary material can be superimposed in the form of audio-video-text-image. The course review may be displayed through any display of the medical simulator 102, the simulator controller 104, the first computer device 108a, and / or the second computer device 108b.
应当理解的是，可以对是上述公开的实施例进行修改以满足特定的一组设计标准，例如，可以使用医学模拟器102、模拟器控制器104、数据采集装置112、第一计算机设备108a、第二计算机设备108b、通信网络106和/或其他组件或参数的数量或配置来满足特定目标。It should be understood that the embodiments disclosed above may be modified to meet a specific set of design standards. For example, a medical simulator 102, a simulator controller 104, a data acquisition device 112, a first computer device 108a, The number or configuration of the second computer device 108b, the communication network 106, and / or other components or parameters to meet a particular goal.
对于本领域技术人员来说显而易见的是，根据上述公开的内容，所描述的示例和实施例的许多修改和变化是可能的，所公开的示例和实施例仅用于说明本发明的目的，其他替代实施例可包括本文公开的各种实施例的一些或全部特征。例如，可以设想，单独描述的特征或作为实施例的一部分描述的特定特征可以与其他单独描述的特征或其他实施例的部分组合。因此，这里描述的各种实施例的元件和动作以提供进一步的实施例。It will be apparent to those skilled in the art that many modifications and variations of the described examples and embodiments are possible according to the above disclosure, and the disclosed examples and embodiments are only for the purpose of illustrating the present invention, other Alternative embodiments may include some or all of the features of the various embodiments disclosed herein. For example, it is contemplated that features described separately or specific features described as part of an embodiment may be combined with other features described separately or parts of other embodiments. Thus, the elements and actions of various embodiments described herein are provided to provide further embodiments.
综上所述，覆盖所有这些修改和替代实施例的意图可能会落入本发明权利要求范围内。此外，数值范围的公开是该范围内的每个数值、包括端点。因此，尽管在此已经讨论和说明了设备及其制造和使用方法的某些示例性实施例，但是应当清楚地理解，本发明不限于此，而是可以在所附权利要求的范围内以其他方式不同地实施和实践。In summary, the intention to cover all of these modifications and alternative embodiments may fall within the scope of the claims of the present invention. In addition, the disclosure of a numerical range is every numerical value in the range, including the endpoints. Thus, although certain exemplary embodiments of the device and methods of making and using it have been discussed and illustrated herein, it should be clearly understood that the present invention is not limited thereto but may be modified within the scope of the appended claims. Ways to implement and practice differently.
 Zh

Claims (11)

  1. 一种医学模拟器，其特征在于，包括：A medical simulator, comprising:
    模拟器控制器，所述模拟器控制器用于执行、控制、编辑训练场景的至少一种；A simulator controller for executing, controlling, and editing at least one of training scenarios;
    数据采集装置，所述数据采集装置用于采集、生成并传输记录的模拟数据的至少一种；以及A data acquisition device for acquiring, generating, and transmitting at least one of the recorded analog data; and
    还包括以下中的至少一个：It also includes at least one of the following:
    模拟人，具有人体解剖结构的至少一部分；以及Simulates a human, with at least a portion of the human anatomy; and
    所述模拟人的二维(2-D)或三维(3-D)结构图像。A two-dimensional (2-D) or three-dimensional (3-D) structure image of the simulated person.
  2. 一种医学训练***，其特征在于，包括权利要求1所述的一种医学模拟器，还包括：A medical training system, comprising a medical simulator according to claim 1, further comprising:
    训练课程模块，用于生成训练课程，所述训练课程包括至少一个所述训练场景；A training course module, configured to generate a training course, where the training course includes at least one of the training scenarios;
    课程回顾模块，用于生成课程回顾；Course review module for generating course reviews;
    其中，所述医学模拟器用于根据所述训练课程来实施所述训练场景，并且根据所述课程回顾来重新实施所述训练课程。The medical simulator is used to implement the training scenario according to the training course, and re-implement the training course according to the course review.
  3. 根据权利要求2所述的医学训练***，其特征在于，所述训练课程基于至少部分所述记录的模拟数据而生成。The medical training system according to claim 2, wherein the training course is generated based on at least part of the recorded simulation data.
  4. 根据权利要求2所述的医学训练***，其特征在于，所述课程回顾基于至少部分所述记录的模拟数据而生成。The medical training system of claim 2, wherein the course review is generated based on at least a portion of the recorded simulation data.
  5. 根据权利要求2所述的医学训练***，其特征在于，还包括通信网络，所述通信网络包括彼此通信的至少一个所述医学模拟器、至少一个所述训练课程模块和/或至少一个所述课程回顾模块。The medical training system according to claim 2, further comprising a communication network, the communication network including at least one of the medical simulator, at least one of the training course modules, and / or at least one of the communication networks communicating with each other. Lesson review module.
  6. 根据权利要求2所述的医学训练***，其特征在于，还包括通信网络，所述通信网络包括：The medical training system according to claim 2, further comprising a communication network, the communication network comprising:
    第一子网，包括至少一个第一子网医学模拟器、至少一个第一子网训练课程模块和至少一个第一子网课程回顾模块；以及A first subnet including at least one first subnet medical simulator, at least one first subnet training course module, and at least one first subnet course review module; and
    第二子网，包括至少一个第二子网医学模拟器、至少一个第二子网训练课程模块和至少一个第二子网课程回顾模块。The second subnet includes at least one second subnet medical simulator, at least one second subnet training course module, and at least one second subnet course review module.
  7. 一种提供医学训练的方法，其特征在于，包括：A method for providing medical training, comprising:
    提供权利要求2所述的医学训练***；Providing a medical training system according to claim 2;
    所述训练课程模块生成所述训练课程，所述训练课程包括练场景，所述训练课程被发送到所述模拟器控制器，由所述模拟器控制器执行所述训练场景；以及The training course module generates the training course, the training course includes a training scenario, the training course is sent to the simulator controller, and the simulator controller executes the training scenario; and
    所述课程回顾模块生成所述课程回顾。The course review module generates the course review.
  8. 根据权利要求7所述的提供医学训练的方法，其特征在于，还包括由所述数据采集装置生成所述记录的模拟数据，所述记录的模拟数据被传输到所述训练课程模块和/或所述课程回顾模块，至少部分所述记录的模拟数据被用于生成所述训练课程和/或课程回顾。The method for providing medical training according to claim 7, further comprising generating the recorded simulation data by the data acquisition device, and the recorded simulation data is transmitted to the training course module and / or In the course review module, at least part of the recorded simulation data is used to generate the training course and / or course review.
  9. 根据权利要求7所述的提供医学训练的方法，其特征在于，所述课程回顾包括所述训练课程的重新实施。The method for providing medical training according to claim 7, wherein the course review includes re-implementation of the training course.
  10. 根据权利要求7所述的提供医学训练的方法，其特征在于，所述课程回顾包括增补资料。The method for providing medical training according to claim 7, wherein the course review includes supplementary information.
  11. 根据权利要求7所述的提供医学训练的方法，其特征在于，所述课程回顾包括随着所述训练课程的重新实施同步叠加的增补资料，所述增补资料包括音频内容、视频内容、文本内容和图形内容的至少一个。The method for providing medical training according to claim 7, wherein the course review includes supplementary materials that are superimposed synchronously as the training course is re-implemented, the supplementary materials including audio content, video content, and text content And at least one of the graphic content.
     Zh
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