CN110738891A

CN110738891A - Intelligent training method and system for three-cavity two-capsule tube compression hemostasis

Info

Publication number: CN110738891A
Application number: CN201810793766.8A
Authority: CN
Inventors: 于福东; 刘泽坤
Original assignee: SUZHOU MINXING MEDICAL INFORMATION TECHNOLOGY Co Ltd
Current assignee: SUZHOU MINXING MEDICAL INFORMATION TECHNOLOGY Co Ltd
Priority date: 2018-07-19
Filing date: 2018-07-19
Publication date: 2020-01-31

Abstract

A three-cavity two-sac tube compression hemostasis intelligent training method and system comprises login, mode selection, case selection, preoperative preparation, preparation before tube placement, examination of the three-cavity two-sac tube, intubation, stomach tube position confirmation, compression hemostasis, tube drawing and postoperative treatment, wherein the compression hemostasis is to detect whether a simulation injector is inserted into a stomach airbag interface and an esophagus airbag interface of a simulation three-cavity two-sac tube, the simulation injector is detected to simulate gas injection into a stomach airbag and an esophagus airbag for compression hemostasis, whether the injection gas amount is in a set range is judged, and if the injection gas amount is not in the set range, error prompt and record are carried out.

Description

Intelligent training method and system for three-cavity two-capsule tube compression hemostasis

Technical Field

The invention relates to a medical teaching training system, in particular to an intelligent training method and system for Sengstaken-Blakemore tube compression hemostasis.

Background

The three-cavity two-balloon catheter comprises a three-cavity catheter, a stomach balloon and an esophagus balloon, wherein the stomach balloon and the esophagus balloon are attached to ends of the three-cavity catheter, the three-cavity catheter comprises lumens with semicircular sections and two lumens with circles, the stomach balloon catheter and the esophagus balloon catheter are respectively arranged in the circular lumens, the stomach catheter is arranged in the semicircular lumens, the section of the stomach catheter is semicircular, the outer wall of the stomach catheter is in sealing fit with the inner wall of the semicircular lumens, and the stomach catheter can move in the semicircular lumens.

Disclosure of Invention

Based on this, there are kinds of intelligent training methods for the Sengstaken-Blakemore tube hemostasis by compression, which are used to guide the operator to perform Sengstaken-Blakemore tube hemostasis by compression simulation so as to improve the operation ability of Sengstakemore tube hemostasis by compression.

Meanwhile, kinds of intelligent training systems for the three-cavity two-capsule tube hemostasis by compression technology are provided, which guide an operator to perform simulation operation of the three-cavity two-capsule tube hemostasis by compression technology so as to improve the operation capability of the operator for the three-cavity two-capsule tube hemostasis by compression technology.

Intelligent training method for three-cavity two-capsule tube compression hemostasis comprises 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; if the selected case has contraindication proportion, prompting and indicating a contraindication part;

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, and prompting and recording by mistake if the article is selected wrongly or the article is selected too much or too little;

preparing before tube placement: prompting preparation operation before pipe placement;

inspecting the three-cavity two-capsule tube: prompting to check the three-cavity two-sac tube, detecting whether a simulation injector is connected to a stomach air sac interface of the simulation three-cavity two-sac tube respectively, detecting whether the simulation injector injects a set amount of gas into the stomach air sac, detecting whether the simulation injector is connected to an esophagus air sac interface, injecting the set amount of gas into the esophagus air sac according to the pushing simulation of the simulation injector, respectively simulating to inject the gas into the stomach air sac and the esophagus air sac of the three-cavity two-sac tube according to the pushing control of the simulation injector, judging whether the injection gas amount is in a set range, and checking whether the stomach air sac and the esophagus air sac leak gas or deviate;

inserting a tube: prompting a lubricating three-cavity two-capsule tube, receiving a lubricating cotton ball dragging instruction, smearing the front section of the lubricating three-cavity two-capsule tube, detecting the insertion of the simulated three-cavity two-capsule tube from the nostril or oral cavity of a model person, detecting the insertion position of the simulated three-cavity two-capsule tube, if the simulated three-cavity two-capsule tube reaches the esophageal stenosis or throat, if receiving a swallowing instruction of a patient, controlling the patient to start swallowing, and after the swallowing instruction is inserted to a set position, if receiving a swallowing stopping instruction, controlling the patient to stop swallowing;

confirming the position of the stomach tube: prompting to use a gastric fluid extraction method to detect whether the three-cavity two-sac tube is inserted into the stomach, detecting whether the simulation injector is connected to a gastric tube interface of the simulation three-cavity two-sac tube, detecting the pumpback of the simulation injector, and prompting to judge whether the three-cavity two-sac tube is in the stomach according to whether gastric fluid is pumpback or not;

compression hemostasis: prompting to perform compression hemostasis, detecting whether a simulation injector is inserted into a stomach airbag interface of a simulation three-cavity two-sac tube or not, simulating gas injection into a stomach airbag through the stomach airbag interface of the simulation three-cavity two-sac tube to perform compression hemostasis, judging whether the injection gas amount is in a set range or not, detecting whether the simulation injector is inserted into an esophagus airbag interface of the simulation three-cavity two-sac tube or not, simulating gas injection into the esophagus airbag through the esophagus airbag interface of the simulation three-cavity two-sac tube to perform compression hemostasis by the detection simulation injector, judging whether the injection gas amount is in the set range or not, and if the injection gas amount is not in the set range, performing error prompt and recording;

tube drawing: prompting checking, evaluating and explaining, withdrawing a treatment towel and withdrawing a bent disc, detecting and simulating the extraction of the three-cavity two-sac tube, if detecting that the simulated three-cavity two-sac tube is extracted from the oral cavity or the nasal cavity of the model person, controlling and displaying the extraction of the three-cavity two-sac tube from the nostril or the oral cavity of the patient, detecting the extraction speed, and if the extraction speed is lower than the set speed, giving an error prompt;

and (3) postoperative treatment: prompting for post-operation treatment, washing hands, checking information, explanation and recording.

In a preferred embodiment, the pre-cannulation preparation comprises: prompting to check the information of the patient, evaluate and explain, adjust the position of the patient, wash hands, lay a treatment towel, place a bent disc, check the nasal cavity, wear gloves and clean the nasal cavity.

In a preferred embodiment, said pre-tubulation preparation: receiving an order to check the order, check the patient information and evaluate and explain the patient information; receiving a rocking instruction of a bed tail rocker, controlling the bed head to rock and rise, and adjusting the body position of a patient; when a hand sanitizer or disinfectant click instruction is received, the hand washing display process is controlled to be performed; when an instruction that the treatment towel is dragged to the patient is received, the towel is controlled to be paved; receiving a glove clicking instruction, and controlling to wear the gloves; receiving an instruction of dragging the bent disc to a position corresponding to the mouth angle of the patient, and controlling to place the bent disc; receiving the corresponding position dragged to the nasal cavity of the patient by the flashlight, and carrying out nasal cavity examination; and receiving a corresponding position dragged to the nasal cavity by the cotton swab and a rotation instruction, and controlling to clean the nasal cavity.

In a preferred embodiment, the cannula further comprises: prompting to wipe secretion of the patient's mouth corner, receiving a wiping towel clicking instruction, and controlling the wiping towel to wipe the patient's mouth corner.

In a preferred embodiment, the position of the model person passing through the intubation process of the simulated three-cavity two-balloon catheter is detected by a detection module in the intubation process, and the detection module detects the insertion or extraction position and the insertion or extraction speed of the simulated three-cavity two-balloon catheter;

the clamping and pressing assembly comprises: the stomach tube simulation device comprises a power assembly, a clamping and pressing gear set and a cam, wherein the clamping and pressing gear set is connected with the power assembly and driven by the power assembly;

the positioning component comprises a detection sensor for sensing the insertion position of the simulated gastric tube 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 inserted simulated gastric tube to rotate, a gear component which is in shaft connection with the friction wheel, and a encoder which is in shaft connection with the gear component to detect the entering depth and the entering and exiting speed of the simulated gastric tube to be inserted;

in a preferred embodiment, the th detection sensor is a microswitch for sensing the arrival of the artificial gastric tube to be inserted at the positioning position and elastically pressing the artificial gastric tube to be inserted, and the microswitch comprises a main body part, an elastic part connected with the main body part and correspondingly arranged with the friction wheel, and a pulley sensing part arranged at the end of the elastic part .

In a preferred embodiment, the detection module further comprises a th sensing component for setting the simulated oral cavity channel of the model person to detect the placement of the simulated three-cavity two-sac tube, and a second sensing component for setting the simulated nasal cavity channel to detect the placement of the simulated three-cavity two-sac tube;

the intelligent training method for the three-cavity two-capsule tube hemostasis by compression further comprises the following steps of connecting a handheld terminal: and prompting whether the handheld terminal needs to be used for butt joint after login, if so, prompting to carry out communication butt joint pairing of the handheld terminal and the system, and if not, entering mode selection.

an intelligent training system for hemostasis by compression of a three-cavity two-balloon catheter 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 which is in communication connection with the main control device and used for displaying and receiving operation instructions, a simulated three-cavity two-balloon catheter in communication connection with the main control device and a simulation injector, wherein the simulated three-cavity two-balloon catheter comprises a three-cavity catheter, a communication wire tube, a communication head arranged at the end of the communication wire tube , an esophagus balloon part in communication connection with the communication wire tube, a stomach balloon part in communication connection with the communication wire tube and a stomach tube part in communication connection with the communication wire tube, the esophagus balloon part, the stomach balloon part and the stomach tube part are respectively provided with an esophagus balloon interface, a stomach balloon interface and a stomach tube interface which are matched with the simulation injector to induct the insertion or pushing position of the simulation injector, the operation panel is provided with a communication interface in communication connection with the simulated three-cavity two-balloon catheter, and the model person is provided with a detection module for detecting the speed of the;

the master control device includes:

a login module: receiving a user name, a password and a login instruction, and entering an operating system;

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; if the selected case has contraindication proportion, prompting and indicating a contraindication part;

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, and prompting and recording by mistake if the article is selected wrongly or the article is selected too much or too little;

a pipe placing preparation module: prompting preparation operation before pipe placement;

inspecting the three-cavity two-capsule tube module: prompting to check the three-cavity two-sac tube, detecting whether a simulation injector is connected to a stomach air sac interface of the simulation three-cavity two-sac tube respectively, detecting whether the simulation injector injects a set amount of gas into the stomach air sac, detecting whether the simulation injector is connected to an esophagus air sac interface, injecting the set amount of gas into the esophagus air sac according to the pushing simulation of the simulation injector, respectively simulating to inject the gas into the stomach air sac and the esophagus air sac of the three-cavity two-sac tube according to the pushing control of the simulation injector, judging whether the injection gas amount is in a set range, and checking whether the stomach air sac and the esophagus air sac leak gas or deviate;

an intubation module: prompting a lubricating three-cavity two-capsule tube, receiving a lubricating cotton ball dragging instruction, smearing the front section of the lubricating three-cavity two-capsule tube, detecting the insertion of the simulated three-cavity two-capsule tube from the nostril or oral cavity of a model person, detecting the insertion position of the simulated three-cavity two-capsule tube, if the simulated three-cavity two-capsule tube reaches the esophageal stenosis or throat, if receiving a swallowing instruction of a patient, controlling the patient to start swallowing, and after the swallowing instruction is inserted to a set position, if receiving a swallowing stopping instruction, controlling the patient to stop swallowing;

confirm stomach tube position module: prompting to use a gastric fluid extraction method to detect whether the three-cavity two-sac tube is inserted into the stomach, detecting whether the simulation injector is connected to a gastric tube interface of the simulation three-cavity two-sac tube, detecting the pumpback of the simulation injector, and prompting to judge whether the three-cavity two-sac tube is in the stomach according to whether gastric fluid is pumpback or not;

the compression hemostasis module: prompting to perform compression hemostasis, detecting whether a simulation injector is inserted into a stomach airbag interface of a simulation three-cavity two-sac tube or not, simulating gas injection into a stomach airbag through the stomach airbag interface of the simulation three-cavity two-sac tube to perform compression hemostasis, judging whether the injection gas amount is in a set range or not, detecting whether the simulation injector is inserted into an esophagus airbag interface of the simulation three-cavity two-sac tube or not, simulating gas injection into the esophagus airbag through the esophagus airbag interface of the simulation three-cavity two-sac tube to perform compression hemostasis by the detection simulation injector, judging whether the injection gas amount is in the set range or not, and if the injection gas amount is not in the set range, performing error prompt and recording;

tube drawing module: prompting checking, evaluating and explaining, withdrawing a treatment towel and withdrawing a bent disc, detecting and simulating the extraction of the three-cavity two-sac tube, if detecting that the simulated three-cavity two-sac tube is extracted from the oral cavity or the nasal cavity of the model person, controlling and displaying the extraction of the three-cavity two-sac tube from the nostril or the oral cavity of the patient, detecting the extraction speed, and if the extraction speed is lower than the set speed, giving an error prompt;

a post-operative treatment module: prompting for post-operation treatment, washing hands, checking information, explanation and recording.

In a preferred embodiment, the pre-tubulation preparation module: prompting to check patient information, evaluate and explain, adjust the position of a patient, wash hands, lay a treatment towel, place a bent disc, check a nasal cavity, wear gloves and clean the nasal cavity; receiving an order to check the order, check the patient information and evaluate and explain the patient information; receiving a rocking instruction of a bed tail rocker, controlling the bed head to rock and rise, and adjusting the body position of a patient; when a hand sanitizer or disinfectant click instruction is received, the hand washing display process is controlled to be performed; when an instruction that the treatment towel is dragged to the patient is received, the towel is controlled to be paved; receiving a glove clicking instruction, and controlling to wear the gloves; receiving an instruction of dragging the bent disc to a position corresponding to the mouth angle of the patient, and controlling to place the bent disc; receiving the corresponding position dragged to the nasal cavity of the patient by the flashlight, and carrying out nasal cavity examination; and receiving a corresponding position dragged to the nasal cavity by the cotton swab and a rotation instruction, and controlling to clean the nasal cavity.

In a preferred embodiment, the detection module comprises a clamping and pressing component and an th positioning component which are correspondingly arranged according to the position of the esophagus of the model person;

the positioning component comprises a detection sensor for sensing the insertion position of the simulated gastric tube 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 inserted simulated gastric tube 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 entering depth and the entering and exiting speed of the simulated gastric tube to be inserted.

According to the intelligent training method and the intelligent training system for the three-cavity two-capsule tube compression hemostasis, an operator is guided to simulate the three-cavity two-capsule tube compression hemostasis operation through prompting and timely feedback, the operation is timely given judgment and timely fed back to the operator, the operator is guided to operate and timely given guidance, the training method flow is designed according to the actual operation process of the three-cavity two-capsule tube compression hemostasis, the steps of assessment, explanation, nasal cavity examination and the like are carried out on communication before design, a patient is ordered to swallow at an esophagus stenosis position or a throat position according to the passing position of the three-cavity two-capsule tube during intubation, and the patient is ordered to stop swallowing when entering a set position. And confirming the position of the three-cavity two-sac tube according to a simulated gastric fluid extraction method, and controlling and displaying the outflow of gastric fluid according to the back-extraction position of the simulated injector. And the proper position of the model person is provided with the sensor and the sensing device to feed back and manage the operation process of the operator in time, and meanwhile, the realistic sense of the simulation training is increased, the clinical thinking is cultivated, and the operation capacity of the three-cavity two-capsule tube hemostasis operation of the operator is improved according to the actual operation design flow steps.

Drawings

FIG. 1 is a schematic flow chart of an intelligent training method for Sengstaken-Blakemore tube hemostasis by compression according to ;

FIG. 2 is a functional block diagram of an intelligent training system for Sengstaken-Blakemore tube hemostasis by compression according to ;

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 an exploded view of a simulated tricompartment bi-balloon catheter in accordance with an embodiment of the present invention.

Detailed Description

As shown in fig. 1, the intelligent training method for the Sengstaken-Blakemore tube hemostasis by compression of embodiments 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; if the selected case has contraindication proportion, prompting and indicating a contraindication part;

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, and prompting and recording by mistake if the article is selected wrongly or the article is selected too much or too little;

step S109, preparation before pipe placing: prompting preparation operation before pipe placement;

step S111, checking the three-cavity two-sac tube: prompting to check the three-cavity two-sac tube, detecting whether a simulation injector is connected to a stomach air sac interface of the simulation three-cavity two-sac tube respectively, detecting whether a set amount of gas is injected into a stomach air sac in a simulation mode, detecting whether the simulation injector is connected to an esophagus air sac interface, injecting the set amount of gas into the esophagus air sac in a simulation mode according to pushing of the simulation injector, simulating to inject the gas into the stomach air sac and the esophagus air sac of the three-cavity two-sac tube respectively according to pushing control of the simulation injector, judging whether the injection gas amount is within a set range, detecting whether the esophagus air sac and the stomach air sac are closed respectively after the simulation injection of the gas is finished, and;

the simulation three-cavity two-balloon tube of the embodiment is provided with an esophagus airbag interface, a stomach airbag interface and a stomach tube interface, the interfaces of the simulation three-cavity two-balloon tube are matched with the joint of the simulation injector, and the esophagus airbag interface, the stomach airbag interface and the stomach tube interface are respectively in communication connection with the communication line tube and upload detection signals to an upper computer.

The esophageal balloon signaling clip contacts or breaks with a detection device or detection means in the simulated esophageal balloon catheter 5932 of the esophageal balloon portion to simulate opening or closing of the esophageal balloon or the simulated esophageal balloon catheter 5932.

The gastric balloon signal clip contacts or breaks with a detection device or detection means in the simulated gastric balloon conduit 5952 of the gastric balloon portion 595 to simulate the gastric balloon or simulate the opening or closing of the gastric balloon conduit 5952.

Inserting the simulation injector into an esophagus air bag interface arranged on the simulation three-cavity two-bag tube to simulate the injection of gas into an esophagus air bag, detecting the amount of gas injected according to the pushing position of the simulation injector, simulating the stomach air bag interface arranged on the simulation three-cavity two-bag tube into which the simulation injector is inserted to inject gas into the stomach air bag if the injection gas amount is detected to be within the set range, detecting the amount of gas injected according to the pushing position of the simulation injector, and detecting whether the injection gas amount is within the set range. The detection sequence that the simulated injector is inserted into the simulated three-cavity two-sac tube and the esophagus air sac interface is arranged and the detection sequence that the simulated injector is inserted into the simulated three-cavity two-sac tube and the stomach air sac interface is arranged are not in sequence. And detecting the injection amount of the simulation injector according to the pushing position of the injection pump of the simulation injector, if the injection amount is judged to be in a set range, simulating the pushing of the simulation injector to inject gas into the stomach airbag and the esophagus airbag of the virtual three-cavity two-airbag tube, and observing and checking whether the esophagus airbag and the stomach airbag are leaked or deviated.

Step S113, intubation: prompting the front section of the lubricated three-cavity two-balloon catheter, receiving a dragging instruction of a lubricating cotton ball, smearing the front section of the lubricated three-cavity two-balloon catheter, detecting that the three-cavity catheter of the simulated three-cavity two-balloon catheter is inserted from the nostril or oral cavity of a model person, detecting the insertion position of the three-cavity catheter of the simulated three-cavity two-balloon catheter, detecting that the three-cavity catheter of the simulated three-cavity two-balloon catheter reaches the esophageal stenosis part, receiving a swallowing instruction of a patient to control the patient to start swallowing, sending swallowing sound, and if receiving a swallowing stopping instruction, controlling the patient to swallow or stop sending the swallowing sound; the front section of the three-cavity two-sac tube is the front section along the direction of the cannula.

And if the three-cavity tube simulating the three-cavity two-capsule tube reaches the narrow part of the esophagus and does not receive a swallowing instruction of a patient in a set time, carrying out error prompt. And if the three-cavity tube simulating the three-cavity two-capsule tube reaches the set position, performing error prompt if a swallowing stopping instruction is not received within the set time range.

Dragging the lubricating cotton ball for lubrication, and displaying lubrication color change according to the place where the lubricating cotton ball is dragged for lubrication. If the three-cavity tube simulating the three-cavity two-capsule tube is detected to be positioned at the esophageal stenosis part or the throat part of the model person, the swallowing command of the order patient is clicked or the swallowing starting button arranged on the model person is started, the virtual patient is controlled to start swallowing action or send swallowing sound, the swallowing stopping button displayed on the screen is clicked or the swallowing button arranged on the model person is pressed again, and the virtual patient is controlled to finish swallowing. The patient in this embodiment refers to a virtual patient displayed on a screen.

The clamping and pressing component 40 is arranged at the narrow part of the esophagus or the throat part of the model person, and when the triple-lumen tube of the simulated triple-lumen and double-lumen tube reaches the cam 46, resistance is met and force feedback is carried out.

Step S115, confirming the gastric tube position: prompting to use a gastric fluid extraction method to detect whether the three-cavity two-sac tube is inserted into the stomach, detecting whether the simulation injector is connected to a gastric tube interface of the simulation three-cavity two-sac tube, detecting the pumpback of the simulation injector, and prompting to judge whether the gastric tube is in the stomach according to whether gastric fluid is pumpback or not; the system controls and displays the outflow of gastric juice according to the pumping back position of the injector;

step S117, hemostasis by compression: prompting to perform compression hemostasis, detecting whether a simulation injector is inserted into a stomach airbag interface of a simulation three-cavity two-sac tube or not, simulating gas injection into a stomach airbag through the stomach airbag interface of the simulation three-cavity two-sac tube to perform compression hemostasis, judging whether the injection gas amount is in a set range or not, detecting whether the simulation injector is inserted into an esophagus airbag interface of the simulation three-cavity two-sac tube or not, simulating gas injection into the esophagus airbag through the esophagus airbag interface of the simulation three-cavity two-sac tube to perform compression hemostasis by the detection simulation injector, judging whether the injection gas amount is in the set range or not, and if the injection gas amount is not in the set range, performing error prompt and recording;

step S1119, drawing the tube: prompting checking, evaluating and explaining, removing a treatment towel and removing a bending plate, detecting the pulling-out of the simulated three-cavity two-sac tube, controlling and displaying the pulling-out of the stomach tube of the three-cavity two-sac tube from the nostril or the oral cavity of a patient if the pulling-out of the three-cavity tube of the simulated three-cavity two-sac tube from the oral cavity or the nasal cavity of the model person is detected, detecting the pulling-out speed, and prompting by mistake and recording if the pulling-out speed is lower than the set speed;

step S121, post-operation treatment: prompting for post-operation treatment, washing hands, checking information, explanation and recording.

Treatment of postoperative articles: waste after treatment, cleaning of instruments after operation, etc.

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.

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.

And , in tube drawing, receiving an instruction of dragging the treatment towel to the waste bin, controlling to remove the treatment towel for discarding, and receiving an instruction of dragging the bent disc to a recovery position, controlling to remove the bent disc.

, preparing for pre-intubation includes prompting to check patient information, evaluating and interpreting, adjusting patient position, washing hands, spreading therapeutic towel, placing bent plate, examining nasal cavity, wearing gloves, and cleaning nasal cavity.

, preparing before placing a tube, namely receiving an order of a medical order to check the medical order, checking information of a patient, evaluating and explaining information of the patient, receiving a rocking instruction of a bed tail rocker to control the bed head to rock and rise, adjusting the body position of the patient, receiving a click instruction of a hand sanitizer or a disinfectant to wash hands, displaying a hand washing process, receiving an instruction of dragging a treatment towel to the patient, controlling the towel to be spread, receiving a click instruction of a glove to wear the glove, receiving an instruction of dragging a bent disc to a corresponding position of a mouth corner of the patient, controlling the bent disc to be placed, receiving an instruction of dragging a flashlight to a corresponding position of a nasal cavity of the patient, performing nasal cavity examination, receiving an instruction of dragging a cotton swab to a corresponding position of the nasal cavity and rotating the cotton swab.

Step , the cannula of the embodiment further includes a prompt to wipe the patient's corner of the mouth with secretions, and a command to click on the wipe is received to control the wipe to wipe the patient's corner of the mouth.

, the intelligent training method for the Sengstaken-Blakemore tube hemostasis by compression further comprises connecting a handheld terminal, prompting whether the handheld terminal needs to be used for butt joint after logging in, prompting to carry out communication butt joint pairing between the handheld terminal and a system if yes, and entering mode selection if not.

, the mode selection of the intelligent training system for the three-cavity two-balloon compression hemostasis further comprises the step of entering a teaching mode if a teaching mode instruction is received, and entering the teaching mode, wherein the step of sequentially displaying operation steps of case selection, preoperative preparation, preparation before tube placement, three-cavity two-balloon tube inspection, intubation tube insertion, stomach tube position confirmation, compression hemostasis, tube drawing and postoperative treatment is performed, active voice error correction and knowledge point reminding are provided, 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.

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 artificial stomach tube 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 speed of the artificial stomach tube are detected, the detection module 100 comprises a th sensing component for setting the simulated oral cavity passage of the model person, a second sensing component for setting the simulated nasal cavity passage, a clamping and pressing component 40 and a th positioning component 60, wherein the clamping and pressing component 40 is set at the narrow part of the esophagus or the throat and feeds back force to the stomach tube when the stomach tube is inserted, so as to clamp and press the stomach tube.

The positioning component 60 detects the depth and speed of the artificial gastric tube entering the dummy, the positioning component 60 comprises a detection sensor 62 for sensing the insertion position of the artificial gastric tube to be inserted, a friction wheel 642 which is correspondingly arranged with the detection sensor and is driven by the inserted artificial gastric tube to rotate in cooperation with the detection sensor, a gear component 64 which is coupled with the friction wheel 642 in a shaft way, and a encoder 66 which is coupled with the gear component 64 in a shaft way to detect the depth and speed of the artificial gastric tube to be inserted.

, the th detecting sensor 62 of the present embodiment is a micro switch for communicating the dummy with the esophageal passageway 90. the micro switch senses that the artificial gastric tube to be inserted reaches the positioning position and elastically presses the artificial gastric tube to be inserted, the entering length of the artificial gastric tube to be inserted is the distance from the entrance of the simulated nasal cavity to the micro switch, the tube to be inserted further drives the friction wheel 642 to rotate, the th encoder 66 calculates the distance and the position of the tube to be inserted further 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 to the gastric emulator 642 besides the detection signal, so as to ensure that the gastric emulator 642 is pressed all the time (the gastric emulator 642 is kept pressed) during the advancing or retreating process of the gastric emulator to be inserted, thereby transmitting the rotation motion to the encoder 66 through the gear 644 and the second gear 646 engaged 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 artificial gastric tube) is pressed on the friction wheel 642 through 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 tube is detected through the friction wheel 642.

The chucking assembly 40 includes: the stomach tube simulator comprises a power assembly, a clamping and pressing gear set 44 which is connected with the power assembly and driven by the power assembly, and a cam 46 which is axially connected with the clamping and pressing gear set 44, is communicated with the esophagus of a model person and is controlled by the power assembly to rotate so as to generate different pressures on the simulated stomach tube.

, 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 needs to be compressed (to be placed into the artificial gastric tube), 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 narrow part or throat part of the esophagus of the model human, gives force feedback to the simulated gastric tube during intubation, clamps and presses the gastric tube, and controls the compaction degree of the simulated gastric tube 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 dummy is provided with a cavity assembly 20. , the cavity assembly 20 of this embodiment includes a cavity portion 22 provided with a simulated oral or nasal passage.

The detecting module 100 further includes a mounting bracket 24 disposed at the cavity hole 22 of the simulated oral or nasal passage and mounted with the clamping and pressing member 40 and the -th positioning member 60, step , preferably, the -th and second sensing members are photoelectric sensor members mounted on the mounting bracket 24, the -th sensing member in this embodiment is the -th and second

photoelectric sensor members

262 and 264.

If the operator inserts the oral cavity, detect emulation stomach tube through photoelectric sensing ware subassembly 262 of simulation oral cavity passageway 222 and insert the esophagus passageway, the hose inserts the esophagus passageway from simulation nasal cavity passageway 224, and passageway department uses second photoelectric sensing ware subassembly 264 to detect whether there is the hose to insert, passes the signal to the host computer, realizes that actual operation and virtual picture are synchronous.

As shown in fig. 2 to 11, the intelligent training system 102 for three-lumen two-sac tube compression hemostasis operation 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 model person 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 three-lumen two-sac tube 59 communicatively connected to the main control device 50, and a simulation injector 70.

As shown in fig. 11, the simulated three-cavity two-balloon tube 59 comprises a three-cavity tube 592, a communication line tube 594 connected with the three-cavity tube 592, a communication head arranged at the end of the communication line tube 594 , an esophagus balloon portion 593 in communication connection with the communication line tube, a stomach balloon portion 595 in communication connection with the communication line tube, and a stomach tube portion 597 in communication connection with the communication line tube.

The esophageal balloon portion 593 comprises a simulated esophageal balloon catheter 5932 in communication connection with a communication pipe 594, an esophageal balloon interface 5934 arranged at the end of the simulated esophageal balloon catheter 5932 , and an esophageal balloon signal clamp 5936 arranged on the simulated esophageal balloon catheter 5932 and simulating opening and closing of an esophageal balloon through opening and closing, a detection device or a detection device is arranged in the simulated esophageal balloon catheter 5932 and is matched with the esophageal balloon signal clamp 5936 to sense and detect the opening and closing states of the esophageal balloon signal clamp so as to simulate opening and closing of the esophageal balloon, the detection device can adopt a sensing switch 599 to detect opening and closing of the esophageal balloon signal clamp 5936 through contact sensing, the sensing switch 599 is triggered when the esophageal balloon signal clamp 5936 is closed, the simulated esophageal balloon or the simulated esophageal balloon catheter 5932 is closed, and is released from the triggering switch 599 when the esophageal balloon signal clamp 5936 is opened, the simulated esophageal balloon or the simulated esophageal balloon catheter 5932 is opened, and the esophageal balloon interface 5934 comprises an audio interface 5931 and an audio encapsulation 5933 arranged outside the audio interface 5931.

The gastric balloon part 595 comprises a simulated gastric balloon catheter 5952 in communication connection with a communication line 594, a gastric balloon interface 5954 arranged at the end of the simulated gastric balloon catheter 5952 , and a gastric balloon signal clamp 5956 arranged on the simulated gastric balloon catheter 5952 and simulating the opening and closing of a gastric balloon through the opening and closing of the gastric balloon, wherein a sensor or a detection device is arranged in the simulated gastric balloon catheter 5952 and is matched with the gastric balloon signal clamp 5956 for sensing to detect the opening and closing states of the gastric balloon signal clamp so as to simulate the opening and closing of the gastric balloon, and the detection device can adopt a sensing switch 599 for sensing the opening and closing of the gastric balloon signal clamp 5956 through contact, and when the gastric balloon signal clamp 5956 is closed, the sensing switch 599 is triggered to simulate the closing of the gastric balloon or the simulated gastric balloon catheter 5952, and when the gastric balloon signal clamp 5956 is opened, the sensing switch 599 is released to simulate the opening of the gastric balloon or the simulated gastric balloon catheter.

The gastric balloon interface 5954 includes: an audio interface 5951, and an audio wrapper 5953 wrapped around the audio interface 5951.

The gastric tube portion 597 comprises a simulated gastric tube guide tube 5972 in communication connection with the communication line 594, a gastric tube interface 5974 arranged at the end of the simulated gastric tube guide tube 5972 , and a gastric tube signal clamp 5976 arranged on a gastric tube line segment and simulating opening and closing of a gastric tube through opening and closing, wherein a detection device or device for detecting opening and closing of the gastric tube signal clamp is arranged in the simulated gastric tube guide tube 5972 to simulate opening and closing of the gastric tube, and the detection device can adopt an induction switch 599 to detect opening and closing of the gastric tube signal clamp 5976 through contact induction.

When the gastric tube signal clamp 5976 is closed, the inductive switch 599 is triggered, the analog gastric tube catheter 5972 is closed, and when the gastric tube signal clamp 5976 is opened, the inductive switch 599 is released from the trigger switch 599, and the analog gastric tube catheter 5972 is opened.

The gastric tube interface 5974 includes: an audio interface 5971, and an audio wrapper 5973 wrapped around the audio interface 5971.

Connector 599 is provided between three chamber pipe 592 and communication spool 594. Three lumen 592 is mounted on connector 599. Esophagus air sac portion 593, stomach air sac portion 595 and stomach tube portion 597 are fixed through connector 599 and are in communication connection with communication conduit 594.

The esophageal balloon interface 5934, the gastric balloon interface 5954 and the gastric tube interface 5974 are matched with an injection head of the simulation injector for sensing, and the connection of the simulation injector is detected.

The operation panel is provided with a communication interface which is in communication connection with the simulation three-cavity two-balloon tube. The communication head is connected with the communication interface in a matched mode for communication.

The model person is provided with a detection module for detecting the insertion or extraction speed of the simulated three-cavity two-balloon catheter or the insertion position or the extraction speed.

The main control device 50 includes: a login module 502, a mode selection module 504, a case selection module 506, a preoperative preparation module 508, a pre-catheterization preparation module 510, an examining three-lumen di-balloon tube module 512, a cannula module 514, a gastric tube position confirmation module 516, a hemostasis compression module 518, a tube withdrawal module 520, and a post-operative treatment 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: and receiving a training mode selection instruction to enter a training mode.

Case selection module 506: receiving a case selection instruction, displaying the selected case, and entering a scene if the selected case is a case without contraindications; if the selected cases have contraindications, the contraindications are indicated and indicated.

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, and prompting and recording by mistake if the selection is wrong or the article is selected too much or too little.

Pre-tubulation preparation module 510: prompting to carry out preparation operation before tube placement.

Examine tricompartmental tube module 512: the prompting of checking the three-cavity two-sac tube detects whether the simulation injector is connected to the stomach air sac interface of the simulation three-cavity two-sac tube respectively, the detection simulation injects the set amount of gas to the stomach air sac, the detection simulation is connected to the esophagus air sac interface, the set amount of gas is injected to the esophagus air sac according to the pushing simulation of the simulation injector, the gas is injected to the stomach air sac and the esophagus air sac of the three-cavity two-sac tube respectively according to the pushing control of the simulation injector, whether the injection gas amount is in the set range is judged, and whether the stomach air sac and the esophagus air sac leak gas or not and deviate or not.

The cannula module 514: prompting a lubricating three-cavity two-capsule tube, receiving a lubricating cotton ball dragging instruction, smearing the front section of the lubricating three-cavity two-capsule tube, detecting the insertion of the simulated three-cavity two-capsule tube from the nostril or oral cavity of a model person, detecting the insertion position of the simulated three-cavity two-capsule tube, if the simulated three-cavity two-capsule tube reaches the esophageal stenosis or throat, if receiving a swallowing instruction of a patient, controlling the patient to start swallowing, and after the swallowing instruction is inserted to a set position, if receiving a swallowing stopping instruction, controlling the patient to stop swallowing;

confirm gastric tube position module 516: prompting to use a gastric fluid extraction method to detect whether the three-cavity two-sac tube is inserted into the stomach, detecting whether the simulation injector is connected to a gastric tube interface of the simulation three-cavity two-sac tube, detecting the pumpback of the simulation injector, and prompting to judge whether the three-cavity two-sac tube is in the stomach according to whether gastric fluid is pumpback or not;

the compression hemostasis module 518: the method comprises the steps of prompting to perform hemostasis by compression, detecting whether a simulation injector is inserted into a stomach airbag interface of a simulation three-cavity two-sac tube or not, detecting whether the simulation injector injects gas into a stomach airbag through simulation of the stomach airbag interface of the simulation three-cavity two-sac tube or not, judging whether the injection gas amount is in a set range or not, detecting whether the simulation injector is inserted into an esophagus airbag interface of the simulation three-cavity two-sac tube or not, detecting whether the simulation injector injects gas into the esophagus airbag through simulation of the esophagus airbag interface of the simulation three-cavity two-sac tube or not, judging whether the injection gas amount is in the set range or not, and if the injection gas amount is not in the set range, performing error prompt.

Tube drawing module 520: prompting checking, evaluating and explaining, withdrawing a treatment towel and withdrawing a bent disc, detecting and simulating the extraction of the three-cavity two-sac tube, if detecting that the simulated three-cavity two-sac tube is extracted from the oral cavity or the nasal cavity of the model person, controlling and displaying the extraction of the three-cavity two-sac tube from the nostril or the oral cavity of the patient, detecting the extraction speed, and if the extraction speed is lower than the set speed, giving an error prompt.

Post-operative treatment module 522: prompting for post-operation treatment, washing hands, checking information, explanation and recording.

Pre-tubulation preparation module 510: prompting to check patient information, evaluate and explain, adjust the position of a patient, wash hands, lay a treatment towel, place a bent disc, check a nasal cavity, wear gloves and clean the nasal cavity; receiving an order to check the order, check the patient information and evaluate and explain the patient information; receiving a rocking instruction of a bed tail rocker, controlling the bed head to rock and rise, and adjusting the body position of a patient; when a hand sanitizer or disinfectant click instruction is received, the hand washing display process is controlled to be performed; when an instruction that the treatment towel is dragged to the patient is received, the towel is controlled to be paved; receiving a glove clicking instruction, and controlling to wear the gloves; receiving an instruction of dragging the bent disc to a position corresponding to the mouth angle of the patient, and controlling to place the bent disc; receiving the corresponding position dragged to the nasal cavity of the patient by the flashlight, and carrying out nasal cavity examination; and receiving a corresponding position dragged to the nasal cavity by the cotton swab and a rotation instruction, and controlling to clean the nasal cavity.

Post-operative treatment module 522: prompting for post-operation treatment, washing hands, checking information, explanation and recording. Wherein, the post-operation treatment: waste after treatment, cleaning of instruments after operation, etc. 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.

And , in the tube drawing module, receiving an instruction of dragging the treatment towel to the waste bin, controlling to remove the treatment towel for discarding, and receiving an instruction of dragging the bent disc to a recovery position, controlling to remove the bent disc.

And , connecting the cannula module with a wiping module, wherein the wiping module prompts to wipe secretion at the corners of the mouth of the patient, receives a wiping towel clicking command and controls the wiping towel to wipe the corners of the mouth of the patient.

, the intelligent training system for the Sengstaken-Blakemore tube hemostasis by compression of the Sengstakemore tube further comprises a handheld terminal connection module, wherein the handheld terminal connection module prompts whether the handheld terminal needs to be used for butt joint after logging in, if yes, prompts the handheld terminal to be in communication butt joint pairing with the system, and if not, enters a mode selection.

, the mode selection module of the intelligent training system for the three-cavity two-sac tube hemostasis by compression further comprises a teaching unit, the teaching unit enters a teaching mode if receiving a teaching mode instruction, the teaching unit enters the teaching mode, and the teaching unit sequentially displays operation steps of case selection, preoperative preparation, preparation before tube placement, tube examination of the three-cavity two-sac tube, intubation, stomach tube 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 operation is provided with detailed operation prompts and error descriptions, so that large-step jumping can be achieved, and repeated guidance can be conducted on a single step.

The mode selection module of the intelligent training system for the three-lumen two-balloon compression hemostasis operation 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, step , the position of the artificial stomach tube 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 speed of the artificial stomach tube are detected, the detection module 100 comprises a th sensing component for setting the simulated oral cavity passage of the model person, a second sensing component for setting the simulated nasal cavity passage, a clamping and pressing component 40 correspondingly set according to the position of the esophagus of the model person and a th positioning component 60, wherein the clamping and pressing component 40 is set at the position of the esophageal stenosis or throat, and gives force feedback to the stomach tube when the stomach tube is inserted, so that the stomach tube is clamped and pressed.

The positioning component 60 detects the depth and speed of the artificial gastric tube entering the model person, and the main control device judges the entering position according to the entering depth of the artificial gastric tube.A positioning component 60 comprises a detection sensor 62 sensing the entering position of the artificial gastric tube to be inserted, a friction wheel 642 arranged corresponding to the detection sensor and matched with the detection sensor and driven by the inserted artificial gastric tube to rotate, a gear component 64 coupled with the friction wheel 642 in a shaft way, and a encoder 66 coupled with the gear component 64 in a shaft way to detect the entering depth and speed of the artificial gastric tube to be inserted.

positioning element 60 includes a clamping and pressing element 40 located near the nasal cavity , a power element, a clamping and pressing gear set 44 connected to and driven by the power element, and a cam 46 connected to and connected to the clamping and pressing gear set 44 and connected to the esophagus of the dummy, and controlled by the power element to rotate to generate different pressures on the artificial stomach tube.

, 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 and the second induction components are photoelectric sensors respectively arranged in the simulated oral cavity channel and the simulated nasal cavity channel and used for sensing the insertion of the tube to be inserted.

The th sensing element is the th photosensor element 262 disposed in the simulated oral passage 222 and the second sensing element is the second photosensor element 264 disposed in the simulated nasal passage 224.

If the operator inserts the simulated gastric tube into the oral cavity and detects insertion of the simulated gastric tube through the th photosensor assembly 262 simulating the oral passageway 222, an operation error is determined.

The hose is inserted into the esophagus channel from the simulated nasal cavity channel 224, the second photoelectric sensor assembly 264 is used for detecting whether the hose is inserted into the channel, and a signal is transmitted to an upper computer, so that the synchronization of actual operation and a virtual picture 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, and the insertion or extraction is convenient, preferably, the simulation needle 78 of the embodiment is an audio plug, and the corresponding oesophageal air bag interface 5934, gastric air bag interface 5954 and gastric tube interface 5974 are audio jacks.

, 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.

The invention relates to preparation before pipe placing: the patient is read and then enters the preparation before the tube placement, the medical advice list is clicked to check the information of the patient, the condition of the patient is inquired, the preoperative evaluation and explanation are carried out, the condition possibly encountered in the three-cavity two-capsule tube hemostasis by compression is explained, and the patient is consolation. And prompting the student to check the patient information according to the requirement and performing preoperative evaluation and explanation.

The intelligent training method and system for the three-cavity two-capsule tube compression hemostasis technology 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 training system for the three-cavity two-capsule tube compression hemostasis is advanced and virtual-real combined interactive type oral or nasal gastric tube intubation training systems, can simulate real clinical operation environments and accurately simulate operation steps of clinical real tracheal intubation, and meanwhile can be operated on a simulation model like a traditional simulation model , give real-time guidance in the operation process, help to improve the operation 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 the three-cavity two-sac tube hemostasis by compression operation 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.

Informed consent and preoperative evaluation of the invention: after reading the 'case', the system plays the animation after entering the operation of informed consent and preoperative evaluation. 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 training method and system for the three-cavity two-capsule tube compression hemostasis technology judge the user behavior according to the parameters, display animation and voice video 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.

An intelligent training system for three-cavity two-capsule tube hemostasis by compression is advanced, virtual-real combined interactive oral trachea cannula training systems, accurately simulates the operation steps of clinical real intubation, namely preparation before intubation, assessment before intubation, intubation process, confirmation after intubation, hemostasis by compression and the like, and has a method for judging the position of a gastric tube in accordance with clinical application, so that operation environments with reality sense and immersion sense are provided for operators, the defects of an entity model in the existing teaching and training are overcome, and the teaching, training and assessment are really integrated into a body by adopting a mode of combining a virtual software platform and physical hardware simulation.

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

1, kinds of three-cavity two-capsule tube compression hemostasis art intelligence training method, characterized by, including the following step:

2. The intelligent training method for Sengstaken-Blakemore hemostasis by compression according to claim 1, wherein the pre-catheterization preparation comprises: prompting to check the information of the patient, evaluate and explain, adjust the position of the patient, wash hands, lay a treatment towel, place a bent disc, check the nasal cavity, wear gloves and clean the nasal cavity.

3. The intelligent training method for Sengstaken-Blakemore hemostasis by compression according to claim 2, wherein the pre-catheterization preparation comprises: receiving an order to check the order, check the patient information and evaluate and explain the patient information; receiving a rocking instruction of a bed tail rocker, controlling the bed head to rock and rise, and adjusting the body position of a patient; when a hand sanitizer or disinfectant click instruction is received, the hand washing display process is controlled to be performed; when an instruction that the treatment towel is dragged to the patient is received, the towel is controlled to be paved; receiving a glove clicking instruction, and controlling to wear the gloves; receiving an instruction of dragging the bent disc to a position corresponding to the mouth angle of the patient, and controlling to place the bent disc; receiving the corresponding position dragged to the nasal cavity of the patient by the flashlight, and carrying out nasal cavity examination; and receiving a corresponding position dragged to the nasal cavity by the cotton swab and a rotation instruction, and controlling to clean the nasal cavity.

4. The intelligent training method for Sengstaken-Blakemore tube hemostasis by compression according to claim 1, further comprising after said intubation: prompting to wipe secretion of the patient's mouth corner, receiving a wiping towel clicking instruction, and controlling the wiping towel to wipe the patient's mouth corner.

5. The intelligent training method for the Sengstaken-Blakemore tube compression hemostasis according to any of claims 1-4, wherein the position of the model person passing through the Sengstaken-Blakemore tube inserting process is detected by a detection module in the inserting tube, and the detection module detects the inserting or extracting position and the inserting or extracting speed of the Sengstakemore tube, wherein the detection module comprises a clamping and pressing component and a positioning component which are correspondingly arranged according to the position of the model person's esophagus;

6. The intelligent training method for the Sengstaken-Blakemore tube compression hemostasis according to claim 5, wherein the detection sensor is a microswitch for sensing the arrival of the simulated gastric tube to be inserted at the positioning position and elastically pressing the simulated gastric tube to be inserted, and the microswitch comprises a main body part, an elastic part connected with the main body part and correspondingly arranged with the friction wheel, and a pulley sensing part installed at the end of the elastic part .

7. The intelligent training method for the Sengstaken-Blakemore tube hemostasis by compression technique according to claim 5, wherein the detection module further comprises a sensing module for setting the simulated mouth passage of the model person to detect the insertion of the simulated Sengstakemore tube, a second sensing module for setting the simulated nasal passage to detect the insertion of the simulated Sengstakemore tube;

8, kinds of three-cavity two-sac tube compression hemostasis intelligent training system 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 connection with the main control device for displaying and receiving operation instructions, a simulation three-cavity two-sac tube in communication connection with the main control device, and a simulation injector, wherein the simulation three-cavity two-sac tube comprises a three-cavity tube, a communication line tube, a communication head arranged at the end of the communication line tube , an esophagus air sac part in communication connection with the communication line tube, a stomach air sac part in communication connection with the communication line tube, and a stomach tube part in communication connection with the communication line tube, wherein the esophagus air sac part, the stomach air sac part and the stomach tube part are respectively provided with an esophagus air sac interface, a stomach air sac interface and a stomach tube interface which are matched with the simulation injector to sense the insertion or pushing position of the simulation injector, the operation panel is provided with a communication interface in communication connection with the simulation three-cavity two-sac tube, and the model person is provided with a detection module for detecting the insertion or extraction;

the master control device includes:

9. The intelligent training system for Sengstaken-Blakemore hemostasis by compression according to claim 8, wherein the pre-catheterization preparation module: prompting to check patient information, evaluate and explain, adjust the position of a patient, wash hands, lay a treatment towel, place a bent disc, check a nasal cavity, wear gloves and clean the nasal cavity; receiving an order to check the order, check the patient information and evaluate and explain the patient information; receiving a rocking instruction of a bed tail rocker, controlling the bed head to rock and rise, and adjusting the body position of a patient; when a hand sanitizer or disinfectant click instruction is received, the hand washing display process is controlled to be performed; when an instruction that the treatment towel is dragged to the patient is received, the towel is controlled to be paved; receiving a glove clicking instruction, and controlling to wear the gloves; receiving an instruction of dragging the bent disc to a position corresponding to the mouth angle of the patient, and controlling to place the bent disc; receiving the corresponding position dragged to the nasal cavity of the patient by the flashlight, and carrying out nasal cavity examination; and receiving a corresponding position dragged to the nasal cavity by the cotton swab and a rotation instruction, and controlling to clean the nasal cavity.

10. The intelligent training system for Sengstaken-Blakemore tube hemostasis by compression according to claim 8 or 9, wherein the detection module comprises a clamping and pressing component and an positioning component which are arranged according to the esophageal position of a model person;