CN111696417A

CN111696417A - Intelligent training method and system for simulating transvaginal fornix puncture

Info

Publication number: CN111696417A
Application number: CN201910195885.8A
Authority: CN
Inventors: 于福东
Original assignee: Suzhou Mis Medical Information Technology Co ltd
Current assignee: Suzhou Mis Medical Information Technology Co ltd
Priority date: 2019-03-15
Filing date: 2019-03-15
Publication date: 2020-09-22

Abstract

An intelligent training method and system for simulating transvaginal fornix puncture comprises the following steps: preparing materials and conditions, simulating disinfection operation, simulating puncture liquid extraction, pressing hemostasis, withdrawing instruments, removing towels, wiping, simulating puncture post-treatment, simulating puncture liquid extraction: prompting to puncture, detecting a puncture position, a puncture depth and a puncture direction, if a puncture position error, a puncture depth too deep and a puncture direction error are detected, prompting by an error, if the puncture needle does not reach a set puncture position and a liquid extraction operation is detected, judging that the puncture depth is too shallow, prompting by an error, prompting in place if the puncture is in place, detecting a liquid extraction amount if the liquid extraction is detected, displaying or indicating the color of the extracted liquid according to one or more parameters in the detected puncture depth, position and direction, and recording; the intelligent training method and the system for simulating the transvaginal fornix puncture prompt and timely feed back to guide the operator to simulate the transvaginal fornix puncture operation by detecting the operation of the operator in real time.

Description

Intelligent training method and system for simulating transvaginal fornix puncture

Technical Field

The invention relates to a medical teaching training system, in particular to an intelligent training method and system for simulating transvaginal fornix puncture.

Background

Clinically, the method can extract the hematocele, the hydrops and the empyema in the abdominal cavity through the puncture of the fornix behind the vagina for observation, test and pathological examination, can assist to clearly diagnose the pathological changes, is a commonly used auxiliary diagnostic method in the clinical department of obstetrics and gynecology, and is one of necessary clinical skills of medical students. This skill is an invasive procedure, unsuitable for preliminary training on real patients, and necessary to develop a product for training the posterior fornix puncture skill. At present, teachers with education in medical colleges are in shortage, the homogenization teaching quality of students in the teaching process is difficult to achieve, the products guide and correct operation, score is intelligently assessed and evaluated, the effect of teaching guides is considered, the teaching experience of teachers is implanted into the products, and tasks of teachers with education are shared.

The current teaching process of the posterior fornix puncture comprises the steps that a teacher with a teacher firstly explains theoretical knowledge through PPT, then operation demonstration explanation is carried out on a traditional simulator and real clinical instruments, and a real operation video is played. And finally, the students are grouped to practice the operation of the traditional simulator, and teachers guide and correct the errors in the operation process.

The traditional dummy teacher is more accustomed to imitating the appearance of a local anatomical structure and using a real clinical instrument for operation, and the price is low. In places which are not identified by clients, a traditional human simulator only has appearance simulation and cannot detect operation or simulate physiological response of a real person, operation is wrong or correct, no effect is reflected, students who operate cannot be guided, corrected and scored in real time, and data cannot be collected for teaching analysis.

Disclosure of Invention

Based on the above, there is a need for an intelligent training method for simulating the transvaginal fornix puncture, which can timely detect the operation of an operator and feedback-guide the operator to perform the simulation operation of the transvaginal fornix puncture so as to improve the practical operation capability of the operator of the transvaginal fornix puncture.

Meanwhile, the intelligent training system for the simulated transvaginal fornix puncture is provided, which can detect the operation of an operator in time and guide the operator to perform the simulated transvaginal fornix puncture operation in a feedback manner so as to improve the practical operation capability of the operator in the transvaginal fornix puncture operation.

An intelligent training method for simulating transvaginal fornix puncture comprises the following steps:

preparation of materials and conditions: prompting to prepare materials and conditions, detecting the materials and the conditions, correspondingly prompting according to the operation and recording;

simulating a disinfection operation: detecting the disinfection operation, carrying out corresponding prompt according to the operation, and recording;

simulating puncture and liquid extraction: prompting to puncture, detecting puncture position, puncture depth and puncture direction, prompting by mistake if a puncture position error is detected, prompting by mistake if a puncture depth is detected to be too deep, prompting by mistake if a puncture direction error is detected, prompting by mistake if a puncture needle does not reach a set standard puncture position and detecting a puncture depth too light if a puncture needle liquid extraction operation is detected, prompting by mistake if the puncture depth is in place, prompting by in place if the puncture is in place, detecting liquid extraction amount if the puncture depth is detected, displaying or indicating the color of extracted liquid according to one or more parameters of the detected puncture depth, position and direction, and recording;

pressing for hemostasis: the puncture liquid extraction completion prompt is used for pressing a puncture point to stop bleeding, detecting the extraction of disinfection instruments and articles, detecting the operation of pressing the puncture point to stop bleeding and recording;

withdrawing the apparatus: if the hemostasis is pressed and the instrument is completely entered and withdrawn, the instrument withdrawal is prompted, the instrument withdrawal is detected, and corresponding prompt is performed according to the detected operation and is recorded;

removing the towel and wiping: prompting to remove the hole towel, detecting towel removing operation, detecting the hole towel removing operation according to a detection signal of the towel spreading detection piece, prompting to perform wiping if the hole towel removing operation is finished, and performing wiping operation and recording if a wiping instruction is received;

and (3) simulating puncture post-treatment: and prompting to perform post-puncture treatment and detection operation, prompting according to the operation, and recording.

In a preferred embodiment, in the simulated puncture liquid-extracting step, it is detected whether the simulated puncture needle passes through a simulated vagina of the model person and penetrates through a posterior fornix of the simulated cervical fornix to a first puncture detection piece arranged at a preset first puncture position, if it is detected that the simulated puncture needle punctures and contacts with the first puncture detection piece, it is determined that the puncture is in place, and prompt is performed, if the simulated puncture needle does not puncture to the first puncture detection piece, it is determined that the puncture depth is too shallow, an error prompt is performed, and the operation is recorded, the detected operation is compared with the standard operation, and the scoring is performed according to a scoring standard or a scoring grade;

detecting whether the simulation puncture needle penetrates or crosses the first puncture detection piece to puncture to a second puncture detection piece arranged on a preset second puncture position, judging that the puncture depth is too deep if the simulation puncture needle touches or contacts the second puncture detection piece, carrying out error prompt, recording operation, comparing the detected operation with standard operation, and grading according to a grading standard or grading grade;

detecting whether the simulation puncture needle penetrates through a rear fornix of the simulated cervical fornix to generate puncture direction deviation and a punctured dislocation detection piece, judging whether the puncture direction is wrong or the puncture is dislocated if the simulation puncture needle touches or contacts the dislocation detection piece, carrying out error prompt, recording operation, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade;

if the detection simulation puncture needle performs the liquid pumping operation, the push rod of the detection simulation puncture needle drives the movable position of the variable electronic device, the movable position simulation pumping amount of the push rod is detected according to the change of the electrical parameters of the variable electronic device, the color of the pumped liquid is displayed or indicated according to one or more parameters of the detected puncture depth, the detected puncture position and the detected puncture direction, the operation is recorded, the detected operation is compared with the standard operation, and the scoring is performed according to the scoring standard or the scoring grade.

In a preferred embodiment, the first penetration detector is mounted on a housing, the housing comprising: base, setting are in the curb plate of base both sides, setting are in base one end or setting are in between the curb plate of both sides and installation simulation cervical fornix's hollow structure's mounting panel, simulation cervical fornix includes: the cervical simulator comprises a columnar simulated cervix and an annular simulated fornix formed by extending one end of the simulated cervix to the periphery; first puncture detection piece is in with the relative setting of simulation cervical vault the two sides of mounting panel, first puncture detection piece with pedestal swing joint, second puncture detection piece sets up on the detection mount pad is operated to the mistake, the detection mount pad is operated to the mistake includes: the setting is in main part on the base, setting are in cross position installation department on the main part, dislocation detection piece sets up on the main part, the setting of second puncture detection piece is in on the cross position installation department, first puncture detection piece, second puncture detection piece, dislocation detection piece are electrically conductive, first puncture detection piece, second puncture detection piece, dislocation detection piece access control device's signal input part respectively, emulation pjncture needle and controlling means communication connection, the needle body ground connection of emulation pjncture needle.

In a preferred embodiment, the simulated sterilization procedure comprises:

and (3) simulating vulva disinfection: receiving a vulva disinfection command, entering a vulva disinfection operation scene, detecting vulva disinfection operation, detecting disinfection sequence and disinfection times, comparing the detected operation with standard operation to judge whether the operation is correct, if the operation is wrong, giving an error prompt, detecting taking of hole towels, detecting towel laying operation,

simulation examination of vagina and cervix: receiving an inspection instruction, entering a scene of inspecting the vagina and the cervix, detecting the detection operation of the vagina and the cervix, detecting whether the detection operation is correct, recording the operation, comparing the detected operation with a standard operation, and scoring according to a scoring standard or a scoring grade;

preparing an apparatus: detecting glove replacement, detecting glove taking operation, detecting simulated puncture needle smoothness checking operation, detecting simulated vaginal speculum taking and preparing operation, detecting lubricating operation of the simulated vaginal speculum, recording operation, comparing detected operation with standard operation, and grading according to grading standard or grading grade;

and (3) simulated vaginal speculum placement: detecting the placement operation of the simulated vaginal speculum, detecting the placement posture, the insertion depth and the opening angle of the simulated vaginal speculum, detecting the rotation operation and the rotation angle of the simulated vaginal speculum in the simulated vagina, recording the operation, comparing the detected operation with the standard operation, and grading according to the grading standard or the grading grade;

simulating and disinfecting vagina and fornix: detecting the taking of the sterilized articles, detecting the rotation operation and the rotation angle of the simulation vaginal speculum in the simulated vagina, detecting the sterilization times and detecting the sterilization operation of the fornix after the detection,

simulation of vault after re-disinfection: detecting taking of the simulated oval forceps or the cervical forceps, detecting lifting operation of the simulated cervix, detecting taking of a sterilized article, detecting disinfection operation of the posterior fornix, recording the operation, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade.

In a preferred embodiment, the simulated vulvar disinfection: receiving a command for disinfecting the vulva, entering a vulva disinfection operation scene, displaying that a lens of a picture turns to the vulva of a virtual human, displaying that a virtual forceps clamps and takes a disinfection cotton ball, indicating or prompting a disinfection sequence, detecting the disinfection operation of the virtual forceps clamping and taking the disinfection cotton ball, detecting the movement of the virtual forceps clamping and taking the disinfection cotton ball, detecting a disinfection step, a disinfection sequence and disinfection times, comparing the detected operation with a standard operation to judge whether the operation is correct, if the operation is wrong, prompting by mistake, detecting whether a hole towel is taken out from a hole towel station in an instrument box, detecting towel laying operation, detecting whether a towel laying detection piece on a model person is triggered, detecting the continuity of a towel laying signal, recording the operation, comparing the detected operation with the standard operation, and scoring according to a scoring standard or a scoring grade;

the simulation examines the vagina and cervix: receiving an inspection instruction, entering a scene of inspecting vagina and cervix uteri, displaying a display picture to display that virtual hands appear at corresponding positions of perineum, detecting the virtual hands to perform vagina and cervix uteri inspection operation, detecting the movement or operation of the virtual hands, detecting whether to drag or move the virtual left hand or right hand to a correct position for palpation, playing palpation inspection animation if correct palpation operation is detected, giving an error prompt or an error correction prompt if wrong operation is detected, recording the operation, comparing the detected operation with standard operation, and scoring according to a scoring standard or a scoring grade;

the instrument is prepared: detecting glove replacement, detecting the operation of taking gloves from glove stations of an instrument box, playing the operation process of replacing gloves or wearing gloves if the operation of taking gloves is performed, detecting the operation of taking a simulation puncture needle from a puncture needle station of the instrument box, detecting the smoothness inspection operation of the simulation puncture needle, detecting the back-and-forth drawing operation of the simulation puncture needle, detecting the drawing amount of the simulation puncture needle, displaying a display picture according to the operation of detecting the simulation puncture needle, detecting the operation of taking a simulation vaginal speculum from a vaginal speculum station of the instrument box, detecting the preparation operation of the simulation vaginal speculum, detecting the lubricating operation of the simulation vaginal speculum, detecting the operation of taking simulation forceps and a lubricating cotton ball from corresponding stations, and playing the lubricating operation of the vaginal speculum according to the operation, recording the operation, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

In a preferred embodiment, the simulated vaginoscope is placed: detecting the placement operation of the simulated vaginal speculum, detecting whether to trigger a vaginal speculum position detection piece arranged in a mounting collar sleeved outside the simulated vagina, judging whether to open to a set angle or an angle range according to whether to trigger, detecting the insertion depth according to different triggered vaginal speculum position detection pieces, judging that the simulated vaginal speculum is proper in opening angle and insertion depth if a first vaginal speculum position detection piece arranged in the vaginal speculum detection device is triggered, judging that the simulated vaginal speculum is proper in rotation operation and rotation angle or rotation angle range according to different triggered or different combined first vaginal speculum position detection pieces, judging that the insertion depth is too deep if a second vaginal speculum position detection piece arranged in the vaginal detection device is triggered, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade;

the simulated disinfecting vagina, fornix: detecting whether the simulated forceps and the cotton balls are respectively taken out from a forceps station and a cotton ball station of the instrument box, displaying an operation picture that the cotton balls clamped by the virtual forceps move to a virtual human vagina according to the detected operation, detecting the triggering condition of a plurality of first vagina-speculum position detection pieces arranged on the inner wall of the mounting sleeve ring, judging the rotating operation and the rotating angle or the rotating angle range of the simulated vagina-speculum according to the first vagina-speculum position detection pieces which trigger different or different combinations, displaying a picture of the rotating and disinfecting operation process of the vagina-speculum in the virtual human vagina according to the detected operation of the simulated vagina-speculum, judging whether the disinfection is complete according to the detected rotating angle or the angle range of the simulated vagina-speculum, detecting the operation of disinfecting cervix fornix, judging the operation of simulated and recording the detected operation and comparing the detected operation with the standard operation, grading according to a grading standard or a grading level;

the simulated re-disinfected fornix: detecting the operation of taking out the simulated egg circular forceps or the cervical forceps from the egg circular forceps or the cervical forceps station of the instrument box, detecting whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to lift up, detecting whether the lifting detection part is triggered, judging whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to carry out the cervical posterior lip lifting operation or not according to the detection signal of the detected lifting detection part, detecting whether the vaginal vault is exposed or not, displaying the operation picture that the virtual egg circular forceps or the cervical forceps move to the cervical orifice of a virtual person to carry out the cervical posterior lip lifting operation process picture according to the detected operation, detecting whether the simulated forceps and the cotton ball are respectively taken out from the forceps station and the cotton ball station of the instrument box, displaying the operation picture that the virtual forceps clamp the cotton ball move to a disinfection position according to the detected operation, detecting the operation of disinfecting the cervical vault, judging the operation of simulating the cervical vault according to the detection signal of the operation detection part in the simulated cervical vault, and displaying a corresponding sterilized cervical fornix operation picture according to the detected operation, recording the picture, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

In a preferred embodiment, the lifting detection piece is mounted on a detection mounting cover plate, the detection mounting cover plate is arranged on the mounting plate, bosses are arranged on two sides of the mounting plate, the detection mounting cover plate is arranged on the bosses, and the detection mounting cover plate covers the simulated cervical dome or is arranged above the simulated cervical dome and is arranged corresponding to the mounting plate; the mounting plate includes: the main body part of the mounting plate is connected with the side plate and forms a hollow structure together with the base; the appearance of the detection mounting cover plate and the main body part of the mounting plate are correspondingly arranged to be arch bridge-shaped or partially annular or arc-shaped, the mounting plate extends backwards from the end part of the arch bridge-shaped main body part to form a reinforcing part, and the first puncture detection piece is hinged with the side plate or the mounting plate to form a turnover structure; simulation cervical fornix adopts the elastic emulation cervical fornix that has that flexible material made, be provided with operation detection device in the simulation fornix or on the simulation fornix, operation detection device includes: the mounting plate is provided with a fixing hole for fixing the simulated cervical fornix, and the rear fornix part of the simulated fornix is arranged corresponding to the hollow structure of the mounting plate;

the mounting collar includes: the vagina simulation device comprises an annular mounting part arranged in a vagina mounting hole of a model person, an annular first detection part and an arc-surface-shaped or partially annular second detection part, wherein one end of the mounting part extends to form the first vagina peeping position detection piece, the first detection part partially extends to form the second detection part for mounting the second vagina peeping position detection piece, a simulated vagina of the model person is arranged in a mounting collar in a penetrating mode, and the other end of the simulated vagina is connected with a simulated cervical fornix or a mounting plate;

the instrument withdrawing step: detecting the operation of the simulated oval forceps or the cervical forceps, detecting the loosening of the simulated oval forceps or the cervical forceps according to the detection signal of the pull-up detection piece to simulate the cervical dome operation, according to the detection signal of the oval forceps or cervical forceps detection device in the cervical forceps station in the instrument box, the simulated oval forceps or cervical forceps are judged to be put back into the instrument box, the operation of the simulated vaginal speculum is detected, according to the detection signal of the vaginal speculum position detection piece or the detection of the unlocking and withdrawing operation of the simulated vaginal speculum by the locking detection device on the simulated vaginal speculum, the operation of replacing the artificial vaginal speculum into the instrument box is judged according to the detection signal of the vaginal speculum detection device in the vaginal speculum station in the instrument box, according to the detected operation, corresponding prompt is carried out, the hole towel removing operation is detected according to the detection signal of the towel spreading detection piece, recording, comparing the detected operation with standard operation, and grading according to grading standard or grading grade;

removing the towel and wiping: prompting to remove the hole towel, detecting to remove the towel according to the detection signal of the towel spreading detection piece, if the towel is removed, finishing entering wiping, prompting to wipe, if a wiping instruction is received, displaying or playing to wipe the perineum, recording, comparing the detected operation with the standard operation, and scoring according to the scoring standard or scoring grade.

In a preferred embodiment, further comprising: initial preparation; the initial preparation includes:

initializing with a material: detecting the state of the articles in the instrument box, detecting whether the articles belong to a normal state, detecting whether the corresponding article placing positions have placed the articles by using an article detecting device, prompting the normal state when the articles are completely placed, and prompting the abnormal state if the articles are missing;

mode selection: receiving a mode selection instruction and entering a corresponding training mode;

case selection: receiving a case selection instruction, entering a corresponding scene according to the case selection instruction, performing error prompt or error correction prompt if an error or inappropriate case selection instruction is received, and receiving a confirmation instruction to enter the scene if an appropriate case is received;

doctor-patient communication: receiving a communication instruction, displaying a communication content list, receiving a communication content selection instruction, playing communication content if the communication content selection is correct, and correcting an error prompt or an error prompt if an error selection instruction is received;

the preparation of the article and the conditions comprises:

preparation of test article: entering an object scene for checking, switching pictures, moving to a preparation area, displaying objects, receiving an object selection instruction, judging whether the object selection is correct or not, prompting correctly if the object selection is correct, prompting wrongly if the object selection is wrong, and completing entering the next step;

doctor-patient communication: receiving a communication instruction, and playing communication contents;

wearing a hat and a mask: receiving a hat and mask wearing instruction, and displaying a hat and mask wearing picture or a picture of the worn hat and mask;

body position preparation: displaying different body positions, receiving a body position selection instruction, judging whether the body position selection is correct or not, if the body position selection is correct, virtualizing that the patient is in the correct body position, and if a body position selection error instruction is received, carrying out error correction prompt or error prompt;

laying a hip towel: if a hip towel laying instruction is received, controlling to lay the hip towel;

for the light source: when a light source aligning instruction is received, controlling to operate the light source, and displaying the therapeutic lamp to rotate to align the operation of the vaginal opening of the virtual patient on the picture;

washing hands: detecting a hand washing operation, and if the operation of pressing the simulation hand washing solution is detected, displaying a hand washing operation picture or video;

opening the puncture bag: receiving a puncture packet opening instruction, displaying the puncture packet on a screen, prompting an opening direction and sequence, receiving an operation instruction, detecting whether the operation is correct, if the operation is wrong, prompting an error or prompting an error correction, if the puncture packet opens a first layer, detecting whether to take the object holding forceps, if the object holding forceps taking instruction is received, displaying an object holding forceps operation icon, receiving the operation instruction of the object holding forceps, prompting an opening direction or sequence of a second layer of the puncture packet, opening the puncture packet according to a movement instruction of the object holding forceps, and if the operation is wrong, prompting an error or prompting an error correction;

wearing gloves: and receiving a glove wearing instruction, and displaying a glove wearing picture or animation or video.

An intelligent training system for simulating transvaginal fornix puncture comprises the following components:

a material and condition preparation module: prompting to prepare materials and conditions, detecting the materials and the conditions, correspondingly prompting according to the operation and recording;

a simulated disinfection module: detecting the disinfection operation, carrying out corresponding prompt according to the operation, and recording;

the simulation puncture liquid-extracting module: prompting to puncture, detecting puncture operation, detecting puncture position, puncture depth and puncture direction, if a puncture position error is detected, prompting by an error, if a puncture depth is detected to be too deep, prompting by an error, if a puncture direction error is detected, prompting by an error, if a puncture needle does not reach a set standard puncture position and detects a puncture needle liquid pumping operation, judging that the puncture depth is too shallow, prompting by an error, if the puncture is in place, prompting in place, detecting whether the simulation puncture needle passes through a simulated vagina of a model person and penetrates through a posterior fornix simulating a cervical fornix to puncture a first puncture detection piece arranged at a preset first puncture position, and if the simulation puncture needle is detected to touch or contact the first puncture detection piece, judging that the puncture is in place and prompting; if the simulation puncture needle does not puncture the first puncture detection piece to detect the liquid pumping operation of the puncture needle, judging that the puncture depth is too shallow, and performing error prompt; detecting whether the simulation puncture needle penetrates or crosses the first puncture detection piece to puncture to a second puncture detection piece arranged on a preset second puncture position, and if the simulation puncture needle touches or contacts the second puncture detection piece, judging that the puncture depth is too deep, and giving an error prompt; detecting whether the simulation puncture needle penetrates through a rear fornix of the simulated cervical fornix to generate puncture direction deviation and a punctured dislocation detection piece, if the simulation puncture needle touches or contacts the dislocation detection piece, judging whether the puncture direction is wrong or the puncture is dislocated, and carrying out error prompt; if the simulation puncture needle is detected to perform liquid pumping operation, detecting the position of the push rod of the simulation puncture needle driving the variable electronic device to move, detecting the position simulation pumping amount of the movement of the push rod according to the change of the electrical parameter of the variable electronic device, displaying or indicating the color of the pumped liquid according to one or more parameters of the detected puncture depth, position and direction, and recording;

pressing the hemostasis module: the puncture liquid extraction completion prompt is used for pressing a puncture point to stop bleeding, detecting the extraction of disinfection instruments and articles, detecting the operation of pressing the puncture point to stop bleeding and recording;

withdrawing the instrument module: if the hemostasis is pressed and the instrument is completely entered and withdrawn, the instrument withdrawal is prompted, the instrument withdrawal is detected, and corresponding prompt is performed according to the detected operation and is recorded;

removing the towel and wiping the module: prompting to remove the hole towel, detecting towel removing operation, detecting the hole towel removing operation according to a detection signal of the towel spreading detection piece, prompting to perform wiping if the hole towel removing operation is finished, and performing wiping operation and recording if a wiping instruction is received;

the simulation puncture post-processing module: and prompting to perform post-puncture treatment and detection operation, prompting according to the operation, and recording.

In a preferred embodiment, the simulated sterilization module comprises:

a simulated vulva disinfection unit: receiving a vulva disinfection command, entering a vulva disinfection operation scene, detecting vulva disinfection operation, detecting disinfection sequence and disinfection times, comparing the detected operation with standard operation to judge whether the operation is correct, if the operation is wrong, giving an error prompt, detecting taking of hole towels, detecting towel paving operation, recording, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade;

simulated examination of the vaginal and cervical units: receiving an inspection instruction, entering a scene of inspecting the vagina and the cervix, detecting the detection operation of the vagina and the cervix, judging whether the detection operation is correct or not, recording, comparing the detected operation with a standard operation, and scoring according to a scoring standard or a scoring grade;

an instrument preparation unit: detecting glove replacement, detecting glove taking operation, detecting simulated puncture needle smoothness checking operation, detecting simulated vaginal speculum taking and preparing operation, detecting lubricating operation of the simulated vaginal speculum, recording, comparing the detected operation with standard operation, and grading according to grading standard or grading grade;

the simulation vaginal speculum placement unit: detecting the placement operation of the simulated vaginal speculum, detecting the placement posture, the insertion depth and the opening angle of the simulated vaginal speculum, detecting the rotation operation and the rotation angle of the simulated vaginal speculum in the simulated vagina, recording the rotation operation and the rotation angle, comparing the detected operation with the standard operation, and grading according to the grading standard or the grading grade;

simulation of a sterile vaginal, vault unit: detecting taking of a sterilized article, detecting rotation operation and rotation angle of the simulated vaginal speculum in the simulated vagina, detecting sterilization times, detecting and recording disinfection operation of the fornix after detection, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade;

simulation of post-resterilization vault unit: detecting taking of the simulated oval forceps or the cervical forceps, detecting lifting operation of the simulated cervix, detecting taking of sterilized articles, detecting disinfection operation of the posterior fornix, recording, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade.

In a preferred embodiment, the simulated vulvar disinfection unit: receiving a command for disinfecting the vulva, entering a vulva disinfection operation scene, displaying that a lens of a picture turns to the vulva of a virtual human, displaying that a virtual forceps clamps and takes a disinfection cotton ball, indicating or prompting a disinfection sequence, detecting the disinfection operation of the virtual forceps clamping and taking the disinfection cotton ball, detecting the movement of the virtual forceps clamping and taking the disinfection cotton ball, detecting a disinfection step, a disinfection sequence and disinfection times, comparing the detected operation with a standard operation to judge whether the operation is correct, if the operation is wrong, prompting by mistake, detecting whether a hole towel is taken out from a hole towel station in an instrument box, detecting towel laying operation, detecting whether a towel laying detection piece on a model person is triggered, detecting the continuity of a towel laying signal, recording, comparing the detected operation with the standard operation, and scoring according to a scoring standard or a scoring grade;

the simulation examines the vaginal and cervical units: receiving an inspection instruction, entering a scene of inspecting vagina and cervix uteri, displaying a display picture to display that virtual hands appear at corresponding positions of perineum, detecting the virtual hands to perform vagina and cervix uteri inspection operation, detecting the movement or operation of the virtual hands, detecting whether to drag or move the virtual left hand or right hand to a correct position for palpation, playing palpation inspection animation if correct palpation operation is detected, and performing error prompt or error correction prompt and recording if error operation is detected, comparing the detected operation with standard operation, and scoring according to a scoring standard or a scoring grade;

the instrument preparation unit: detecting glove replacement, detecting the operation of taking gloves from glove stations of an instrument box, playing the operation process of replacing gloves or wearing gloves if the operation of taking gloves is performed, detecting the operation of taking a simulation puncture needle from a puncture needle station of the instrument box, detecting the smoothness inspection operation of the simulation puncture needle, detecting the back-and-forth drawing operation of the simulation puncture needle, detecting the drawing amount of the simulation puncture needle, displaying a display picture according to the operation of detecting the simulation puncture needle, detecting the operation of taking a simulation vaginal speculum from a vaginal speculum station of the instrument box, detecting the preparation operation of the simulation vaginal speculum, detecting the lubricating operation of the simulation vaginal speculum, detecting the operation of taking simulation forceps and a lubricating cotton ball from corresponding stations, and playing the lubricating operation of the vaginal speculum according to the operation, recording the lubricating operation, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

In a preferred embodiment, the simulated vaginoscope placement unit: detecting the placement operation of the simulation vaginal speculum, detecting whether to trigger a vaginal speculum position detection piece arranged in a mounting collar sleeved outside the simulated vagina, judging whether to open to a set angle or an angle range according to whether to trigger, detecting the insertion depth according to different triggered vaginal speculum position detection pieces, judging that the opening angle of the simulation vaginal speculum is proper and the insertion depth is proper if a first vaginal speculum position detection piece arranged in the vaginal speculum detection device is triggered, judging that the rotation operation and the rotation angle or the rotation angle range are determined according to different or different triggered first vaginal speculum position detection pieces, judging that the insertion depth is too deep if a second vaginal speculum position detection piece arranged in the vaginal detection device is triggered, recording, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade;

the simulated disinfecting vagina, fornix unit: detecting whether the simulated forceps and the cotton balls are respectively taken out from a forceps station and a cotton ball station of the instrument box, displaying an operation picture that the cotton balls clamped by the virtual forceps move to a virtual human vagina according to the detected operation, detecting the triggering condition of a plurality of first vagina-speculum position detection pieces arranged on the inner wall of the mounting sleeve ring, judging the rotating operation and the rotating angle or the rotating angle range of the simulated vagina-speculum according to the first vagina-speculum position detection pieces which trigger different or different combinations, displaying a picture of the rotating and disinfecting operation process of the vagina-speculum in the virtual human vagina according to the detected operation of the simulated vagina-speculum, judging whether the disinfection is complete according to the detected rotating angle or the angle range of the simulated vagina-speculum, detecting the operation of disinfecting cervix fornix, judging the operation of simulated and recording the detected operation and comparing the detected operation with the standard operation, grading according to a grading standard or a grading level;

the simulated re-disinfected vault unit: detecting the operation of taking out the simulated egg circular forceps or the cervical forceps from the egg circular forceps or the cervical forceps station of the instrument box, detecting whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to lift up, detecting whether the lifting detection part is triggered, judging whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to carry out the cervical posterior lip lifting operation or not according to the detection signal of the detected lifting detection part, detecting whether the vaginal vault is exposed or not, displaying the operation picture that the virtual egg circular forceps or the cervical forceps move to the cervical orifice of a virtual person to carry out the cervical posterior lip lifting operation process picture according to the detected operation, detecting whether the simulated forceps and the cotton ball are respectively taken out from the forceps station and the cotton ball station of the instrument box, displaying the operation picture that the virtual forceps clamp the cotton ball move to a disinfection position according to the detected operation, detecting the operation of disinfecting the cervical vault, judging the operation of simulating the cervical vault according to the detection signal of the operation detection part in the simulated cervical vault, and displaying a corresponding sterilized cervical fornix operation picture according to the detected operation, recording the picture, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

the instrument withdrawing module: detecting the operation of the simulated oval forceps or the cervical forceps, detecting the loosening of the simulated oval forceps or the cervical forceps according to a detection signal of a lifting detection piece, replacing the simulated oval forceps or the cervical forceps into the instrument box according to a detection signal of the oval forceps or a cervical forceps detection device in an instrument box station, detecting the operation of the simulated vaginal speculum, detecting the loosening and withdrawing operation of the simulated vaginal speculum according to a detection signal of a vaginal speculum position detection piece or a locking detection device on the simulated vaginal speculum, judging the replacement operation of the simulated vaginal speculum into the instrument box according to a detection signal of the vaginal speculum detection device in a vaginal speculum station in the instrument box, correspondingly prompting according to the detected operation, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade;

the towel removing and wiping module comprises: prompting to remove the hole towel, detecting to remove the towel according to the detection signal of the towel spreading detection piece, if the towel is removed, finishing entering wiping, prompting to wipe, if a wiping instruction is received, displaying or playing to wipe the perineum, recording, comparing the detected operation with the standard operation, and scoring according to the scoring standard or scoring grade.

The intelligent training method and the system for simulating the transvaginal fornix puncture detect the puncture position, the puncture depth and the puncture direction, guide an operator to operate according to the detection and feedback prompt, carry out error prompt or error correction prompt if the operation is wrong or the puncture is in place, indicate according to the detected parameters and give different feedbacks according to different operations to remind the operator of the result or consequence of what operation brings, for example, the color of the extracted liquid is displayed or indicated according to one or more parameters in the puncture depth, the puncture position and the puncture direction, real-time detection and real-time feedback are carried out, the operation of the operator can be indicated or fed back in time, if the operation is misplaced or can be corrected in time, the operation process of the operator is fed back in time and managed in time, and meanwhile, the flow steps are designed according to the actual operation, the sense of reality of the simulation training is increased, the clinical thinking is cultivated, and the abdominal cavity lavage operation capability of an operator is improved.

The operation of the transvaginal fornix puncture operation is simulated by prompting and timely feeding back the operator, the operation is timely given judgment and is timely fed back to the operator, the operator is guided to operate and is timely given guidance, the operation is guided to simulate the transvaginal fornix puncture operation by prompting and timely feeding back according to the reality, the operation is timely given judgment and is timely fed back to the operator, the operator is guided to operate and is timely given guidance, the operation steps are detected, monitored and recorded, the operation results are counted and fed back, corresponding feedback is given to students according to different operations of the students, and meanwhile, the cultivation of clinical thinking is emphasized.

Drawings

FIG. 1 is a schematic flow diagram of a portion of a method for simulating post-vaginal vault puncture intelligent training in accordance with an embodiment of the present invention;

FIG. 2 is a functional block diagram of a portion of an intelligent training system for simulating transvaginal vault puncture according to an embodiment of the present invention;

FIG. 3 is a schematic diagram of a portion of the structure of an intelligent training apparatus for simulating transvaginal fornix puncture according to an embodiment of the present invention;

FIG. 4 is a schematic diagram of a portion of the main device of the intelligent training device for simulating transvaginal fornix puncture according to an embodiment of the present invention;

FIG. 5 is a schematic view of a portion of the lower mold base of the mold according to an embodiment of the present invention;

FIG. 6 is a partial structural view of an upper mold of the mold according to an embodiment of the present invention;

FIG. 7 is a schematic view of a first and a second detecting devices of the detecting device according to an embodiment of the present invention;

FIG. 8 is a partial schematic structural diagram of another view angle of the first and second detecting devices in the detecting device according to an embodiment of the present invention;

FIG. 9 is a schematic partial structure diagram of a fifth detecting device in the detecting device according to an embodiment of the present invention;

FIG. 10 is a partial schematic structural diagram of another view angle of a fifth detecting device in the detecting device according to an embodiment of the present invention;

FIG. 11 is a partial block diagram of an instrument pod according to an embodiment of the present invention;

FIG. 12 is a partial schematic structural view of a cartridge receptacle of the instrument cartridge according to one embodiment of the invention;

FIG. 13 is a partially exploded view of the instrument pod of one embodiment of the present invention;

FIG. 14 is a schematic view of a portion of a structure of a simulated injector simulating a puncture needle according to an embodiment of the present invention;

FIG. 15 is a cross-sectional view taken along line A-A of FIG. 14;

FIG. 16 is a partial structural view of the needle body of the artificial puncture needle according to the embodiment of the present invention;

fig. 17 is a schematic partial structural view of a simulated vaginal speculum according to an embodiment of the invention.

Detailed Description

As shown in fig. 1, the intelligent training method for simulating transvaginal fornix puncture in one embodiment of the invention comprises the following steps:

step S103, preparing materials and conditions: prompting to prepare materials and conditions, detecting the materials and the conditions, correspondingly prompting according to the operation and recording;

step S105, simulating a disinfection operation: detecting the disinfection operation, carrying out corresponding prompt according to the operation, and recording;

step S107, simulating puncture liquid extraction: prompting to puncture, detecting puncture position, puncture depth and puncture direction, prompting by mistake if a puncture position error is detected, prompting by mistake if a puncture depth is detected to be too deep, prompting by mistake if a puncture direction error is detected, prompting by mistake if a puncture needle does not reach a set standard puncture position and detecting a puncture depth too light if a puncture needle liquid extraction operation is detected, prompting by mistake if the puncture depth is in place, prompting by in place if the puncture is in place, detecting liquid extraction amount if the puncture depth is detected, displaying or indicating the color of extracted liquid according to one or more parameters of the detected puncture depth, position and direction, and recording;

step S109, hemostasis by compression: the puncture liquid extraction completion prompt is used for pressing a puncture point to stop bleeding, detecting the extraction of disinfection instruments and articles, detecting the operation of pressing the puncture point to stop bleeding and recording;

step S111, withdrawing the instrument: if the hemostasis is pressed and the instrument is completely entered and withdrawn, the instrument withdrawal is prompted, the instrument withdrawal is detected, and corresponding prompt is performed according to the detected operation and is recorded;

step S113, simulating post-puncture treatment: and prompting to perform post-puncture treatment and detection operation, prompting according to the operation, and recording.

As shown in fig. 3-17, a simulated transvaginal vault puncture intelligent training apparatus 100 according to an embodiment of the present invention includes: the model building system comprises a main device 20, a model person 40 in communication connection with the main device 20, an instrument box 60 in communication connection with the main device 20, and a training object 80 arranged in the instrument box 60. The master device 20 includes: a base 22, a control device disposed in the base 22, and a display device 24 disposed on the base 22.

Further, the dummy person 40 of the present embodiment includes: a model shell 42, a simulated organ 44 disposed in the model shell 42, and a detection device 46 disposed in the model shell 42. The mold case 42 is provided therein with a receiving cavity 420. A vaginal mounting opening 423 is provided at a corresponding position on the model housing 42.

Further, the simulated organ 44 of the present embodiment includes: a simulated vagina (not shown) disposed in correspondence with the vaginal mount 423, and a simulated cervical fornix 442 disposed opposite the other end of the simulated vagina and in correspondence with the simulated vagina.

As shown in fig. 7 to 10, further, the detecting device 46 of the present embodiment includes: a first detecting means 462 for detecting an operation, a second detecting means 464 provided corresponding to the first detecting means 462 and for detecting an erroneous operation or an improper operation.

The first detecting device 462 includes: holder 4620, first penetration detector 4622 disposed on holder 4620 to detect the penetration in place or proper operation. A simulated cervical vault 442 is provided on housing 4620. Holder 4620 includes: a base 4624, side plates 4626 disposed on both sides of the base 4624, and a mounting plate 4628 disposed at one end of the base 4624 or between the two side plates 4626 and mounted with a hollow structure simulating a cervical vault 442. The simulated cervical vault 442 is secured to the mounting plate 4628 by fasteners.

Further, the first penetration detecting element 4622 of the present embodiment is disposed on the predetermined first penetration position on the other side of the mounting plate 4628 opposite to the simulated cervical fornix 442, that is, the first penetration detecting element 4622 is disposed on the two sides of the mounting plate 4628 apart from the simulated cervical fornix 442 opposite to the mounting plate 4628, and the first penetration detecting element 4622 may be disposed on the mounting plate 4628 or not disposed on the mounting plate 4628 according to the predetermined first penetration position. The preset first puncture site is set according to an actual puncture site or puncture depth, for example, according to a puncture site punctured through a posterior fornix of a vagina, for example, an initial depth position of the puncture depth. The preset first puncture site of the present embodiment may be set according to a relative position or distance from the simulated cervical dome 442.

Further, the first penetration detector 4622 of the present embodiment is movably coupled to the housing 4620 for more realistically simulating a posterior vault penetration procedure.

Further, the first penetration detecting element 4622 of this embodiment is hinged to the side plate 4626 or the mounting plate 4628 to form a reversible structure. In view of the configuration of the preset first puncture site and the simplicity and beauty of the overall structure, the first puncture detecting element 4622 and the side plate 4626 of the present embodiment are hinged to form a reversible structure. Two sides of the upper end of the first puncture detecting element 4622 are hinged with the side plates 4626 at two sides to form a reversible structure. The mounting plate 4628 includes: an arc or arch bridge shaped body portion. The body portion of the mounting plate 4628 connects the side plates 4626, forming a hollow structure with the base 4624. In order to ensure the use strength of the mounting plate 4628 and facilitate the mounting of the first penetration detecting element 4622, the mounting plate 4628 of this embodiment is formed with a reinforcing portion 46282 extending rearward from the end of the arched bridge-shaped main body portion.

Further, the simulated cervical vault 442 of the present embodiment is a simulated cervical vault having elasticity and made of a flexible material. The simulated cervical vault 442 of the present embodiment may be formed of a silicone or rubber-like material. The simulated cervical vault 442 of the present embodiment includes: a cylindrical simulated cervix 4422, and an annular simulated fornix 4424 formed by extending one end of the simulated cervix 4422 to the periphery.

Further, the operation detection device is provided in or on the analog dome 4424 of the present embodiment. The operation detection device includes: metal pieces or metal wires disposed in the simulated domes 4424, and an inductive device electrically connected to the metal pieces or metal wires. For convenience of molding and installation, the metal member or the metal wire of the present embodiment is embedded in the simulated fornix 4424, and is integrally molded with the simulated cervical fornix 442. The metal piece or the metal wire can adopt a steel wire or a metal wire or a conductive wire. The sensing device detects the change of the induced potential or the magnetic field around the metal piece or the metal wire, and when the simulated tweezers clamping the sterilized cotton ball touch the metal piece or the metal wire or the change of the induced potential or the magnetic field of the metal piece or the metal wire is caused on the metal piece or the metal wire, whether the simulated tweezers clamping the sterilized cotton ball carries out simulated disinfection on the cervical fornix 442 is detected.

Further, the mounting plate 4628 of this embodiment is provided with a fixing hole for fixing the simulated cervical fornix 442. The simulated vault 4424 simulates a real human organ for simulation manufacturing, and takes a human body as a reference and an installation direction as a reference, and a part which is relatively installed at the lower part of the simulated vault 4424 is a rear vault part. The rear dome portion of the simulated dome 4424 is positioned to correspond to the hollow structure of the mounting plate 4628.

As shown in fig. 3 to 4, further, the base 22 of the present embodiment includes: a base 222, a cabinet 224 arranged on the base 222, a bracket 226 arranged on the cabinet 224 and used for supporting the model person 40, and a support frame 228 arranged on the cabinet 224 and used for supporting the display device 24. The cabinet 224 includes: a support frame and a housing 2244 covering the support frame. Further, in order to facilitate transportation or movement, a moving pulley 229 is disposed under the base 222 of the present embodiment, and a wheel locking device is disposed on the moving pulley 229.

Further, the control device of the present embodiment is provided in the cabinet 224. In order to facilitate adjusting the position of the display device 24, the supporting frame 228 of the present embodiment further includes: the support base 2282, a first support arm 2284 rotatably connected with the support base 2282, and a second support arm 2288 rotatably connected with the first support arm 2284. The display device 24 is pivotally connected to one end of the second support arm 2288.

Further, the control device of the present embodiment includes: the main control module and an instrument control module in communication connection with the main control module. The intelligent training device 100 for simulating transvaginal vault puncture of the present embodiment further comprises: a shelf 70 for placing the instrument box 60.

As shown in fig. 7 to 8, the second detecting device 464 of the present embodiment further includes: the detection piece is operated by mistake. The maloperation detection piece includes: a second puncture detector disposed behind the first puncture detector 4622 and at a predetermined second puncture position, and a misalignment detector disposed on the base 4624.

The second detecting device 464 includes: a wrong manipulation detection mount 4640 provided with a wrong manipulation detection member. The misoperation detection mount 4640 includes: a main body 4642 provided on the base 4624 of the first detection device 462, and an excessive mounting portion 4644 provided on the main body 4642.

The over mount 4644 is positioned to correspond to the posterior vault portion of the simulated vault 4424 or the simulated cervical vault 442. The second puncture detection piece is arranged on the over-position mounting part 4644 and on a preset second puncture position and is used for detecting whether the simulated puncture needle punctures too deeply or too deeply.

In order to ensure the structural stability and strength of the over-position mounting portion 4644, a reinforcing strip 4643 is arranged behind the over-position mounting portion 4644.

Further, the misalignment detector of the present embodiment is provided on the main body 4642. The misalignment detector is provided on the base 4624 of the first detection device 462 by being provided on the main body 4642 of the erroneous operation detection holder 4640.

The first puncture detection element, the second puncture detection element and the dislocation detection element of the present embodiment are conductive elements respectively connected to the signal input terminal of the control device. Further, the first puncture detection element, the second puncture detection element, and the misalignment detection element of the present embodiment are respectively connected to the signal input terminal of the puncture detection chip of the apparatus control module. The puncture detection chip detects one of the input voltage or input level and other electrical parameters of the first puncture detection piece, the second puncture detection piece and the dislocation detection piece so as to detect whether the simulation puncture needle punctures and touches the first puncture detection piece or the second puncture detection piece or the dislocation detection piece.

Further, the misoperation detecting mounting base 4640 of this embodiment further includes: a seat mounting portion 4646 formed by bending and extending the main body portion 4642.

The curved connection of the body portion 4642 and the housing mounting portion 4646 is adapted to the end of the base 4624 of the first sensing device 462.

Further, the first penetration detecting member 4622 of the present embodiment is made of a metal member. For convenience of manufacturing and production, the first penetration detecting member 4622 of this embodiment is made of an integrally formed metal member, and mounting pieces are formed on both sides of the upper end of the first penetration detecting member 4622, and mounting holes are formed in the mounting pieces and hinged to the side plates 4626 through a rotating shaft. The first penetration detecting element 4622 can rotate around the rotating shaft to realize overturning. First puncture detecting element 4622 is connected to a signal input terminal of the puncture detection chip, and detects a change in a parameter such as a voltage value of an electrical signal of first puncture detecting element 4622.

For convenience of mounting and molding, the second puncture detector and the misalignment detector of the present embodiment are conductive adhesives respectively disposed on the main body 4642 and the over-position mounting 4644 of the mishandling detection mounting 4640. The second puncture detection piece and the dislocation detection piece are respectively connected to the signal input end of the puncture detection chip, and the puncture detection chip respectively detects the change of parameters such as voltage values of electric signals of the second puncture detection piece and the dislocation detection piece. The puncture operation is detected by detecting the change of the electrical parameters of the second puncture detection piece and the dislocation detection piece, and whether the second puncture detection piece and the dislocation detection piece are over-positioned or not or are in error operation is detected.

As shown in fig. 3, 5, and 6, the mold case 42 of the present embodiment further includes: a model body 420, and a flexible simulated skin (not shown) overlying the model body 420.

Further, the model body 420 of the present embodiment includes: a lower die holder 422 and an upper die 424 matched with the lower die holder 422.

Further, the lower die base 422 of the present embodiment includes: a torso model base 4222, and a limb model base 4224 disposed on the torso model base 4222.

Further, the upper mold 424 of the present embodiment includes: an upper torso model 4242 cooperating with the torso model base 4222, and an upper limb model 4244 disposed on the upper torso model 4242 and cooperating with the limb model base 4224. Further, it is preferable that the upper torso model 4242 of this embodiment is provided with a hollow hole or a hollow groove 4243 for easy repair or maintenance or replacement of the device.

Further, the upper torso model 4242 of this embodiment cooperates with the torso model base 4222 to form a torso model portion that simulates the shape of a torso of a portion of a human body or a lower torso of a human body. To facilitate mounting and fixing, the holder 4620 of the present embodiment is disposed on the trunk model base 4222.

Further, the upper limb model 4244 of the present embodiment cooperates with the limb model base 4224 to form a limb model portion simulating the appearance of the thigh of a human body part. Further, the lower mold base 422 of the present embodiment is formed by using a hard material. The upper mold 424 is formed of a flexible or soft or foam material.

As shown in fig. 7 to 8, further, the detecting device 46 of the present embodiment further includes: a third detecting means 466 arranged in correspondence with the simulated cervical fornix. The third detecting device 466 includes: a pull-up detector (not shown), and a detection mounting cover 4660 provided on the mounting plate and mounting the pull-up detector. The pulling detection part can be a touch switch or other touch-triggered detection devices such as sensors.

Further, the inspection mounting cover 4660 of the present embodiment is provided in correspondence with the mounting plate 4628. To avoid the simulated cervical vault 442, bosses 4623 are provided on both sides of the mounting plate 4628 of the present embodiment, and the inspection mounting cover 4660 is provided on the bosses 4623.

Further, the test mounting cover 4660 of the present embodiment is positioned over the simulated cervical vault 442 or above the simulated cervical vault 442 and is configured to correspond to the shape of the mounting plate 4628. Further, the third detecting member of the present embodiment is provided corresponding to the simulated cervix.

Further, the inspection attachment plate 4660 of the present embodiment is configured such that the outer shape of the inspection attachment plate corresponds to the main body portion of the attachment plate 4628 and is formed in an arch bridge shape.

Further, the detecting device 46 of the present embodiment further includes: a fourth detection means (not shown) arranged on the limb model part. Further, the fourth detection device of the present embodiment includes: a drape detector provided on a cross section of the upper limb model 4244. The upper limb model 4244 is provided with a mounting hole groove (not shown) for mounting a drape detection piece. Holes or openings are arranged on the simulated skin at the corresponding positions of the drape detection pieces.

As shown in fig. 9 to 10, further, the detecting device 46 of the present embodiment further includes: a fifth detection device 468 that fits over the simulated vagina. The fifth detecting means 468 of the present embodiment includes: a mounting ring 4680 sleeved on the simulated vagina and a vagina peeping position detecting piece arranged in the mounting ring 4680. The mounting collar 4680 includes: an annular mounting portion 4682 to be mounted to the vaginal mounting opening 423, an annular first detecting portion 4684 formed by extending one end of the mounting portion 4682, and an arcuate or partially annular second detecting portion 4686 formed by partially extending the first detecting portion 4684.

Further, the simulated vagina (not shown) of this embodiment is threaded into the mounting collar 4680, and the mounting collar 4680 is positioned outside the simulated vagina. The simulated vagina is installed in the vagina installation opening 423, and one end of the simulated vagina is fixed on a port of the vagina installation opening 423.

Further, the other end of the simulated vagina of this embodiment is attached to a portion of the edge of the simulated fornix 4424 or to a mounting plate. The vagina peeping position detecting member of the present embodiment includes: a first peeping position detector provided on the first detecting section 4684, and a second peeping position detector provided on the second detecting section 4686. The positions of the first vaginal speculum position detection piece and the second vaginal speculum position detection piece are set according to the initial position of the working range of the simulated vaginal speculum entering the simulated vagina for vaginal dilation operation, and the initial position of the working range of the vaginal dilation entering the vagina for vaginal dilation is specifically set according to the actual starting position of the working range of the vaginal dilation entering the vagina for posterior fornix puncture.

In order to detect whether the operation such as complete disinfection is performed when the vagina is disinfected, a part of the simulated vaginal speculum can be shielded in the simulated vagina, if the simulated vaginal speculum is not rotated to expose the previously shielded place for continuous operation, incomplete operation can be caused, so that the rotation operation of the simulated vaginal speculum in the simulated vagina needs to be detected, whether the simulated vaginal speculum rotates in place or not is detected according to the arrangement of the upper leaf and the lower leaf of the simulated vaginal speculum and the shielding area, the disinfection operation is performed on each position in the simulated vagina, and a plurality of first vaginal speculum position detection pieces are arranged on the inner wall of the mounting sleeve ring 4680 in a surrounding mode. The number of the first peeking position detecting elements of the preferred embodiment is more than 2, such as three, around the inner wall of the mounting collar 4680. According to the first vaginal speculum position detection piece that triggers the difference like this can detect the rotation direction and the approximate angle that the vaginal ware was peeied in emulation, saves the setting of first vaginal speculum position detection piece simultaneously, material saving and manufacturing and processing cost.

A plurality of peeking stations 4685, which are provided corresponding to the first peeking position detector and on which the first peeking position detector is mounted, are provided on an inner wall of the first detecting portion 4684 of this embodiment. The vagina inspection piece of this embodiment includes: the detection plate is arranged on the vagina peeping station 4685, and the flexible conductive piece is covered on the detection plate and is pressed to be in contact with the detection plate for detection. The flexible conductive piece can adopt conductive cotton. In order to enable the conductive cotton to be uniformly deformed when being extruded and deformed so as to be uniformly stressed to contact the detection board, guide and connect the detection board and ensure that the detection board is stably guided and connected or conductive after being extruded by the conductive cotton, inclined planes 4687 are arranged on two sides of the vagina peeping station 4685. The height of the side of the inclined surface 4687 in contact with the speculum position 4685 matches the height of the test plate placed on the speculum position 4685.

Further, a peeping position 4685 of the present embodiment is provided with a detection fixing hole 4681 for installing the first peeping position detector. In the first detecting section 4684 of the present embodiment, a mounting hole or a mounting groove is provided at a position corresponding to the detection fixing hole. For convenience of operation, this embodiment employs a mounting operation slot 4683 provided at a position corresponding to the detection fixing hole 4681.

As shown in fig. 11 to 17, the training material 80 of the present embodiment further includes: simulating the instrument 82. The simulation instrument 82 can be simulated by simulating a real surgical instrument, can be modified according to actual requirements, and can be modified according to actual requirements.

As shown in fig. 14 to 16, further, the simulation instrument 82 of the present embodiment includes: a puncture needle 822 is simulated. The dummy insertion needle 822 includes: a simulated syringe 8220 and a needle body 8222 disposed on the simulated syringe 8220. The artificial puncture needle 822 is connected into the instrument control module through a signal wire.

Further, the needle body 8222 of the present embodiment is grounded. When the simulation puncture needle 822 performs puncture training, puncture the first puncture detection element, the second puncture detection element or the dislocation detection element, the needle body 8222 touches the first puncture detection element, the second puncture detection element or the dislocation detection element, and pulls down the voltage of the signal input end of the control chip connected to the first puncture detection element, the second puncture detection element or the dislocation detection element, so as to detect whether the simulation puncture needle 822 punctures to the first puncture detection element position, the second puncture detection element position or the dislocation detection element position, and detect whether the puncture is in place, or the puncture is over-place, or the puncture is dislocated or wrong.

Further, the artificial injector 8220 of the present embodiment includes: a cylinder 8224, a push rod 8226 disposed in the cylinder 8224, and variable electronics (not shown) connected to the push rod and causing a change in a parameter value due to a change in a pushing position of the push rod 8226. The variable electronic device may be a variable electronic device such as a sliding resistor or a variable capacitor that changes a parameter value by positional movement. The cylinder 8224 of the present embodiment is provided at one end thereof with a connector 8223 connected to the needle body 8222. The simulated injector 8220 further comprises: an adjustment installation groove 8228 provided in the cylinder 8224 corresponding to the push rod and provided with variable electronics. The adjustment installation groove 8228 is installed in the cylinder 8224 by a fixing member.

The emulation injector 8220 of the present embodiment further comprises: and a limiting installation seat 8227 is arranged at the bottom of the inner cavity of the cylinder 8224. The variable electronic device enters from the adjustment mounting slot 8228 into the limit mounting seat 8227 that limits the variable electronic device. A light emitting device or an indicating device for indicating the pushing or pulling operation of the push rod is further arranged in the limit mounting seat 8227. The limiting mounting seat of the embodiment is provided with a mounting groove or a limiting groove for mounting or limiting devices. The mounting groove or the limiting groove is arranged according to the arranged devices, and a plurality of mounting grooves or limiting grooves can be arranged according to different devices.

The cylinder 8224 of the embodiment is provided with scale marks for simulating and marking scale positions, and can simulate and represent the capacity position of the push rod 8226 for extraction or pushing. The needle body 8222 of the present embodiment is connected to the connector 8223. The needle body 8222 of the present embodiment can be grounded through the connection head 8223.

Further, the instrument cartridge 60 of the present embodiment includes: the case base 62 for the training object 80 is installed. The box base 62 is provided with a placement position 622 for placing the training object 80. The placement 622 is set in accordance with the training material 80 and is set in accordance with the training material 80. Different positions 622 are provided for different training objects 80. Indication or prompt marks for indicating or prompting the training objects to be placed in the corresponding object placing positions are arranged on the box base 62 at the corresponding positions of the object placing positions. Such as the identification of the puncture needle beside or corresponding to the location 622 for placing the puncture needle, which can be identified by figures or words.

Further, in the storage space 622 or a position corresponding to the storage space 622 of the present embodiment, an object detection device 623 for detecting the placement or removal of the training object 80 is provided. The object detection device 623 is connected to the instrument control module, is in communication connection with the instrument control module, and transmits a detection signal to the instrument control module. The site 622 includes: a puncture needle station 6222 is provided that emulates a puncture needle 822. The puncture needle station 6222 is configured to fit the shape of the dummy puncture needle 822. In order to facilitate the placement of the simulation puncture needle 822 and save space, and to indicate the placement of the simulation puncture needle 822, the puncture needle station 6222 is configured to match the shape of the simulation puncture needle 822 according to the shape of the simulation puncture needle 822. Prompt marks or indication marks for prompting or indicating corresponding placed objects are arranged near the puncture needle station 6222. The indication can be provided by a lettering of the needle disposed adjacent the needle station 6222.

Further, the object detection device 623 of the present embodiment includes: a puncture needle detection device which is arranged corresponding to the puncture needle station 6222 and is used for detecting the placing or taking of the training object into or out of the puncture needle station. The puncture needle detection device is connected with the instrument control module, detects the taking out or putting in of the training articles in the puncture needle station 6222, and transmits the detection signal to the instrument control module. The instrument control module can be arranged in a plurality according to actual needs.

Further, the simulation instrument 82 of the present embodiment includes: a simulated cervical clamp, a simulated forceps, and a simulated vaginal speculum 84. The placement site 622 of this embodiment includes: a cervical clamp station 6224 for placing the simulated cervical clamp, a forceps station 6226 for placing the simulated forceps, and a vaginal speculum station 6228 for placing the simulated vaginal speculum 84.

The cervical clamp station 6224 of the present embodiment is configured to fit the shape of the simulated cervical clamp. In order to conveniently place the simulation cervical clamps and save space, and simultaneously to indicate to place the simulation cervical clamps, the cervical clamp station 6224 is arranged to match with the simulation cervical clamps according to the appearance of the simulation cervical clamps. The simulated cervical clamp of the embodiment can be manufactured by adopting a simulated real cervical clamp, and can also be directly adopted in an actual operation.

The forceps station 6226 of this embodiment is configured to fit the shape of the simulated forceps. In order to place the simulation tweezers conveniently and save space, and meanwhile, in order to indicate to place the simulation tweezers, the tweezers work station 6226 is arranged to match with the simulation tweezers according to the appearance of the simulation tweezers. The artificial forceps of the embodiment can be manufactured by imitating real forceps, and can also be directly manufactured by adopting forceps used in actual operation.

The artificial vaginal speculum 84 of the present embodiment can be manufactured by imitating a real vaginal speculum, and can also be directly manufactured by adopting a vaginal speculum used in an actual operation, or can be modified and designed for puncture according to training requirements so as to meet the use requirements.

Further, the object detection device 623 of the present embodiment includes: a cervical clamp detection device 6232 which is arranged corresponding to the cervical clamp station 6224 and is used for detecting the position of putting the training object into or taking the training object out of the cervical clamp station, a forceps detection device which is arranged corresponding to the forceps station 6226 and is used for detecting the position of putting the training object into or taking the training object out of the forceps station 6226, and a vaginal speculum detection device which is arranged corresponding to the vaginal speculum station 6228 and is used for detecting the position of putting the training object into or taking the vaginal speculum station 6228. Preferably, the cervical clamp detection device 6232 of the present embodiment is disposed at the bottom of the cervical clamp station 6224, and may be implemented using a photoelectric sensor. The forceps detection device of this embodiment is disposed at the bottom of the forceps station 6226 and may be implemented using a photoelectric sensor.

Further, the training material 80 of the present embodiment further includes: a medical article 84. The medical article 84 includes: hole towels, gloves, cotton balls, etc. The training material 80 of the present embodiment further includes: simulation hand sanitizer. The simulated hand sanitizer can be modified and designed according to needs, and can also be manufactured by simulating actual hand sanitizer. In order to detect the hand washing operation or to detect the simulated hand washing operation, the pressing device of the simulated hand washing solution of the embodiment is provided with a pressure switch or a contact switch for detecting the pressing operation, or other sensors or detection devices capable of detecting the pressing operation. Further, the box base 62 of the present embodiment is further provided with a hanging rack 63 for placing the simulated hand sanitizer. In this embodiment, the mounting slot 632 for mounting the hanging rack 63 is disposed on the side of the box base 62. The hanging rack 63 is provided with a mounting slot 632 matched with a clamping bump 634 for clamping.

Further, the training material 80 of the present embodiment further includes: a stylus 86. Further, the placement site 622 of the present embodiment includes: a pen position 6227 where the stylus 86 is placed.

Further, the placement site 622 of the present embodiment includes: a hole towel station 6221 for placing hole towels, a glove station 6223 for placing gloves, and a cotton ball station 6225 for placing cotton balls. The object detection device 623 of the present embodiment includes: a hole towel detecting device which is arranged corresponding to the hole towel station 6221 and is used for detecting the position of putting or taking out the training articles into or out of the hole towel station 6221, a glove detecting device 6234 which is arranged corresponding to the glove station 6223 and is used for detecting the position of putting or taking out the training articles into or out of the glove station 6223, and a cotton ball detecting device which is arranged corresponding to the cotton ball station 6225 and is used for detecting the position of putting or taking out the corresponding training articles into or out of the cotton ball station 6225.

Further, the cartridge holder 62 of the present embodiment includes: a base 621 and a placement seat 620 disposed on the base 621 for placing the training object 80. The hole towel station 6221, the glove station 6223, the cotton ball station 6225, the forceps station 6226 and the cervical clamp station 6224 of the embodiment are arranged on the storage seat 620.

Further, the vaginal speculum station 6228 of this embodiment includes: a storage hole 625 arranged on the storage seat 620 and a vaginal speculum storage seat 627 arranged below the storage hole 625.

The vaginal speculum detection device of the embodiment is arranged on the vaginal speculum placement seat 627. A detection mounting hole 6272 for mounting the vaginal speculum detection device is arranged on the vaginal speculum storage seat 627.

The cotton ball station 6225 of this embodiment includes: a cotton ball placing hole 628 arranged on the placing seat 620 and a cotton ball placing seat 629 arranged below the cotton ball placing hole 628. The cotton ball detection device is provided on the cotton ball placement seat 629. The instrument control module includes: a first instrument control module. The first instrument control module of this embodiment includes: the base is provided with a circuit board and a signal interface 6214 connected to the circuit board.

Further, the instrument cartridge 60 of the present embodiment further includes: a box cover 64 matched with the box base 62. An instrument limiting member 642 for limiting the loaded simulation instrument is arranged on the box cover 64 at a position corresponding to the position of the loading simulation instrument.

Further, the cotton ball station 6225 of the present embodiment includes: one or more of a sterilized cotton ball station, a lubricating cotton ball station and a common cotton ball station. And (5) cotton ball station modular design.

Further, the box cover 64 of the present embodiment is a transparent box cover. The instrument limiting member 642 of the present embodiment includes: a limit frame 6424 which is arranged corresponding to the vaginal speculum working position 6228 and used for limiting the movement of the simulated vaginal speculum or the simulated vaginal speculum, and a limit column 6426 which is arranged corresponding to the puncture needle working position 6222 or the cervical clamp working position 6224 or the forceps working position 6226 and used for limiting the movement of the simulated puncture needle or the simulated cervical clamp or the simulated forceps.

The box base 62 of this embodiment is further provided with a garbage box 6212 of a pull-out structure. Preferably, the waste box 6212 of this embodiment is disposed on the base 621.

Further, the artificial vaginal speculum 84 of the present embodiment includes: the adjusting mechanism comprises an upper blade 842, a lower blade 844 hinged with the upper blade 842, an upper handle 846 formed by extending the upper blade 842, a lower handle 848 formed by extending the lower blade 844, a positioning screw 841 hinged with the lower blade 844 and penetrating through the upper handle 846, and an adjusting nut 843 which is arranged on the positioning screw 841 and limits the adjusting position of the upper blade 842 or the adjusting angle between the upper blade and the lower blade.

The upper handle 846 of this embodiment is provided with a position-limiting fixing hole through which the positioning screw 841 penetrates and which enables the upper handle 846 to move along the positioning screw 841. In order to detect the usage status of the artificial vaginal speculum 84, the upper handle 846 of the present embodiment is provided with a locking detection device at a corresponding position of the positioning screw 841 and corresponding to the adjusting nut 843. When adjusting nut 843 carries out spacing locking to opening the angle, rotatory detection device department of being locked through positioning screw 841 triggers detection device that is locked, detects adjusting nut 843's the state of being locked. When the adjusting nut 843 leaves the locking detection device, the locking angle or state of the upper blade 842 and the lower blade 844 is released, and the adjusting state or the using state is carried out.

Further, in step S107 of this embodiment, in the step of simulating puncturing and drawing fluid, it is detected whether the simulated puncture needle 822 passes through a posterior fornix of the simulated cervical fornix 442 via the simulated vagina of the model person 40 and punctures to the first puncture detecting element 4622 set at the preset first puncture position, and if it is detected that the simulated puncture needle 822 touches or contacts the first puncture detecting element 4622, it is determined that the puncture is in place, and a prompt is given; if the simulation puncture needle 822 does not puncture the first puncture detector 4622, if the simulation puncture needle 822 is detected to perform a liquid drawing operation, the puncture depth is judged to be too shallow, an error prompt is performed, the operation is recorded, the detected operation is compared with the standard operation, and scoring is performed according to a scoring standard or a scoring grade;

detecting whether the simulation puncture needle 822 penetrates or crosses the first puncture detecting piece 4622 to puncture a second puncture detecting piece arranged on a preset second puncture position, if the simulation puncture needle 822 touches or contacts the second puncture detecting piece, judging that the puncture depth is too deep, performing error prompt, recording operation, comparing the detected operation with standard operation, and grading according to a grading standard or grading grade;

detecting whether the simulation puncture needle 822 penetrates through a rear fornix of the simulated cervical fornix 442 to generate puncture direction deviation and a punctured dislocation detection piece, judging whether the puncture direction is wrong or the puncture dislocation is wrong if the simulation puncture needle 822 touches or contacts the dislocation detection piece, carrying out error prompt, recording operation, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade;

if the detection simulation puncture needle 822 performs the liquid pumping operation, the push rod of the detection simulation puncture needle drives the movable position of the variable electronic device, the movable position simulation pumping amount of the push rod is detected according to the change of the electrical parameter of the variable electronic device, the color of the pumped liquid is displayed or indicated according to one or more parameters of the detected puncture depth, the detected puncture position and the detected puncture direction, the operation is recorded, the detected operation is compared with the standard operation, and the scoring is performed according to the scoring standard or the scoring grade.

If the puncture direction of the puncture needle deviates from the correct angle range, the puncture is misplaced, such as the puncture to the uterus, and the extracted liquid is displayed in red. If the puncture depth is too shallow, the fluid may not be withdrawn if the puncture needle is still in the vagina, which is not shown. If the puncture depth is too deep, the pelvic organ is punctured or the blood vessel is punctured, and the extracted liquid is displayed in red.

Further, in step S109 of the present embodiment, hemostasis is pressed: the method comprises the steps of finishing puncture liquid drawing to prompt pressing of a puncture point for hemostasis, prompting pressing for hemostasis, taking out detection forceps and a cotton ball from an instrument box, detecting hemostasis operation of the puncture point, detecting whether an operation detection piece simulating a posterior fornix part of a cervical fornix is triggered or not, if an operation detection piece trigger signal is not detected, giving an error prompt, if the prompt is that hemostasis is not pressed, if the operation detection piece is triggered, detecting the hemostasis pressing operation, displaying a frame to display hemostasis pressing operation, if the hemostasis pressing operation is carried out, detecting that the pressing signal disappears by the detection operation detection piece, displaying the frame to display that the forceps clamp the cotton ball to withdraw from a vagina, moving out from the right side of a screen, recording the operation, comparing the detected operation with standard operation, and scoring according to a scoring standard or a scoring grade. The tweezers of this embodiment are metal members or conductive members, and the approach of the operation detection member causes a change in magnetic field or electric potential in the vicinity of the operation detection member.

Further, in step S105 of the present embodiment, the step of simulating the sterilization operation includes:

and (3) simulating vulva disinfection: receiving a vulva disinfection command, entering a vulva disinfection operation scene, detecting vulva disinfection operation, detecting disinfection sequence and disinfection times, comparing the detected operation with standard operation to judge whether the operation is correct, if the operation is wrong, giving an error prompt, detecting taking of hole towels, detecting towel paving operation, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or grading grade;

simulating and disinfecting vagina and fornix: detecting taking of a sterilized article, detecting rotation operation and rotation angle of the simulated vaginal speculum in the simulated vagina, detecting sterilization times, detecting fornix sterilization operation after detection, recording operation, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade;

Further, the simulated vulvar disinfection of the present embodiment: receiving a command for disinfecting the vulva, entering a vulva disinfection operation scene, displaying that a lens of a picture is turned to the vulva of a virtual human, displaying that a virtual forceps clamp takes a disinfection cotton ball, indicating or prompting a disinfection sequence, detecting the disinfection operation of the virtual forceps clamp taking the disinfection cotton ball, detecting the movement of the virtual forceps clamp taking the disinfection cotton ball, detecting a disinfection step, a disinfection sequence and disinfection times, comparing the detected operation with a standard operation to judge whether the operation is correct, if the operation is wrong, prompting by mistake, detecting whether a hole towel is taken out from a hole towel station in an instrument box, detecting towel laying operation, detecting whether a towel laying detection piece on a model person is triggered, detecting the continuity of a towel laying signal, recording the operation, comparing the detected operation with the standard operation, and scoring according to a scoring standard or a scoring grade.

In the simulated vulva disinfection step, a picture displays the vulva of a virtual patient, the disinfection sequence is indicated, the pubis, the labium majus, the labium minora, the left thigh, the inner side 1/3 of the left thigh, the inner side 1/3 of the right thigh, the left hip, the right hip and the anus are sequentially indicated, the arrow mark is carried out on the disinfection position of each step, the disinfection is carried out according to the mark, the forceps are dragged to clamp the disinfection cotton ball for moving, the disinfection is carried out for 3 times, and the next step is entered after 3 times of disinfection.

Further, the simulation of this example examines the vagina and cervix: receiving an inspection instruction, entering a scene of inspecting vagina and cervix, displaying a picture to display the perineum of a virtual patient and the appearance of virtual hands at corresponding positions of the perineum, detecting the operation of vagina and cervix by the virtual hands, detecting the movement or operation of the virtual hands, detecting whether to drag or move the virtual left hand or the right hand to a correct position for palpation, playing a palpation inspection animation if the correct palpation operation is detected, giving an error prompt or an error correction prompt if the error operation is detected, recording the operation, comparing the detected operation with a standard operation, and scoring according to a scoring standard or a scoring grade.

Palpation examination, examining vagina and cervix, inserting food and middle fingers along vagina back wall lightly, placing two fingers in vagina behind cervix, placing the other hand palm downwards and flatly on abdomen flat navel of patient, when the fingers in vagina lift up cervix, the abdomen fingers press abdominal wall backwards and downwards and move towards pubic bone joint part gradually, and the fingers press and lift up at the same time, and coordinate with each other; for the operation of the right attachment, two fingers in the vagina are moved from the back of the cervix to the fornix part at the right side, and touch is performed to the deep part of the pelvic cavity as far as possible; meanwhile, the other hand starts from the same side with the level of the iliac spine on the lower abdominal wall, presses the abdominal wall from top to bottom, and is mutually involuted with the fingers in the vagina. For the left side attachment: the operation method is the same as that for checking the accessories on the right side, and the direction is opposite.

Further, the instrument of the present embodiment is prepared: detecting glove replacement, detecting the operation of taking gloves from glove stations of an instrument box, playing the operation process of replacing gloves or wearing gloves if the operation of taking gloves is performed, detecting the operation of taking a simulation puncture needle from a puncture needle station of the instrument box, detecting the smoothness inspection operation of the simulation puncture needle, detecting the back-and-forth drawing operation of the simulation puncture needle, detecting the drawing amount of the simulation puncture needle, displaying a display picture according to the operation of detecting the simulation puncture needle, detecting the operation of taking a simulation vaginal speculum from a vaginal speculum station of the instrument box, detecting the preparation operation of the simulation vaginal speculum, detecting the lubricating operation of the simulation vaginal speculum, detecting the operation of taking simulation forceps and a lubricating cotton ball from corresponding stations, and playing the lubricating operation of the vaginal speculum according to the operation, recording the operation, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

Further, the simulated vaginal speculum of the present embodiment is placed: detecting the placement operation of the artificial vaginal speculum, detecting whether to trigger a vaginal speculum position detection piece arranged in a mounting collar sleeved outside the simulated vagina, judging whether to open to a set angle or an angle range according to whether to trigger, detecting the insertion depth according to different triggered vaginal speculum position detection pieces, judging that the simulated vaginal speculum is proper in opening angle and insertion depth if a first vaginal speculum position detection piece arranged in the vaginal speculum detection device is triggered, judging that the simulated vaginal speculum is proper in rotation operation and rotation angle or rotation angle range according to different triggered or different combined first vaginal speculum position detection pieces, judging that the insertion depth is too deep if a second vaginal speculum position detection piece arranged in the vaginal detection device is triggered, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade.

Further, the simulated vaginal, vault disinfection of the present example: detecting whether the simulated forceps and the cotton balls are respectively taken out from a forceps station and a cotton ball station of the instrument box, displaying an operation picture that the cotton balls clamped by the virtual forceps move to a virtual human vagina according to the detected operation, detecting the triggering condition of a plurality of first vagina-speculum position detection pieces arranged on the inner wall of the mounting sleeve ring, judging the rotating operation and the rotating angle or the rotating angle range of the simulated vagina-speculum according to the first vagina-speculum position detection pieces which trigger different or different combinations, displaying a picture of the rotating and disinfecting operation process of the vagina-speculum in the virtual human vagina according to the detected operation of the simulated vagina-speculum, judging whether the disinfection is complete according to the detected rotating angle or the angle range of the simulated vagina-speculum, detecting the operation of disinfecting cervix fornix, judging the operation of simulated and recording the detected operation and comparing the detected operation with the standard operation, grading according to a grading standard or a grading level;

further, the simulated re-disinfected vaults of the present embodiments: detecting the operation of taking out the simulated egg circular forceps or the cervical forceps from the egg circular forceps or the cervical forceps station of the instrument box, detecting whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to lift up, detecting whether the lifting detection part is triggered, judging whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to carry out the cervical posterior lip lifting operation or not according to the detection signal of the detected lifting detection part, detecting whether the vaginal vault is exposed or not, displaying the operation picture that the virtual egg circular forceps or the cervical forceps move to the cervical orifice of a virtual person to carry out the cervical posterior lip lifting operation process picture according to the detected operation, detecting whether the simulated forceps and the cotton ball are respectively taken out from the forceps station and the cotton ball station of the instrument box, displaying the operation picture that the virtual forceps clamp the cotton ball move to a disinfection position according to the detected operation, detecting the operation of disinfecting the cervical vault, judging the operation of simulating the cervical vault according to the detection signal of the operation detection part in the simulated cervical vault, and displaying a corresponding sterilized cervical fornix operation picture according to the detected operation, recording the picture, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

Further, the instrument withdrawing step of the embodiment: detecting the operation of the simulated oval forceps or the cervical forceps, detecting the loosening of the simulated oval forceps or the cervical forceps according to a detection signal of a lifting detection piece, replacing the simulated oval forceps or the cervical forceps into the instrument box according to a detection signal of the oval forceps or a cervical forceps detection device in an instrument box station, detecting the operation of the simulated vaginal speculum, detecting the loosening and withdrawing operation of the simulated vaginal speculum according to a detection signal of a vaginal speculum position detection piece or a locking detection device on the simulated vaginal speculum, judging the replacement operation of the simulated vaginal speculum into the instrument box according to a detection signal of the vaginal speculum detection device in a vaginal speculum station in the instrument box, correspondingly prompting according to the detected operation, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade.

Further, the towel removing and wiping steps of the embodiment are as follows: prompting to remove the towel, detecting hole towel removing operation according to the detection signal of the towel spreading detection piece, prompting to wipe, detecting wiping operation, recording operation, comparing the detected operation with standard operation, and scoring according to scoring standard or scoring grade.

Preferably, the wiping operation of this embodiment prompts to wipe the perineum cleanly, and when a wiping instruction is received, for example, a click instruction of gauze on the screen is received, a screen or animation or video for wiping the perineum is automatically played.

Further, the intelligent training method for simulating the transvaginal fornix puncture of the embodiment further comprises the following steps: and (5) initial preparation. The initial preparation includes:

initializing with a material: detecting the state of the object in the instrument box, detecting whether the object belongs to a normal state, detecting the state of the object by using an object detection device in the object position in the instrument box, prompting the normal state if detecting that the corresponding object position is provided with the object by using the object detection device, prompting the normal state if detecting that the object is completely provided, prompting the abnormal state if detecting that the object is true, failing to go to the next step if prompting the abnormal state, and entering the next step if detecting the normal state;

case selection: receiving a case selection instruction, entering a corresponding scene according to the case selection instruction, and performing error prompt or error correction prompt if the error selection instruction is received; if a proper case is received, a confirmation instruction is received to enter an outpatient room scene;

doctor-patient communication: and receiving a communication instruction, displaying a communication content list, receiving a communication content selection instruction, playing the communication content if the judgment is correct, correcting a prompt or a wrong prompt if the wrong selection instruction is received, and playing the communication content.

The doctor-patient communication in the initial preparation is mainly preoperative communication, signature, advice urination and the like.

Further, in step S103 of this embodiment, the preparing of the object and the condition includes:

preparation of test article: entering an object scene for inspection preparation, switching the picture to the door of an inspection chamber, moving to a preparation area, displaying the object, receiving an object selection instruction, such as clicking the selection instruction, judging whether the object selection is correct or not, prompting, if the selection is correct, prompting, such as hooking, if the selection is wrong, prompting, such as forking, completing the object inspection, entering the next step, and turning to panorama;

body position preparation: displaying pictures of different body positions, receiving a body position selection instruction, judging whether the body position is correct or not, if the body position is correct, virtualizing that the patient is in the correct body position, and if a body position selection error instruction is received, carrying out error correction prompt or error prompt;

laying a hip towel: if a hip-laying towel instruction is received (if a virtual hip towel clicking instruction is received), controlling and displaying that a treatment towel is laid under the hip of the virtual patient;

for the light source: receiving a light source instruction (if receiving the operation of clicking a virtual light source on the picture), controlling the picture to display that the therapeutic lamp rotates to align with the vaginal opening of the virtual patient;

washing hands: detecting whether the hand sanitizer is pressed or not, and if the pressing operation of the simulated hand sanitizer is detected, playing a hand washing picture or video;

opening the puncture bag: receiving a puncture package opening instruction, displaying a puncture package on a screen, prompting an opening direction and an opening sequence, if an arrow indicates the opening direction or the opening sequence, receiving an operation instruction (if sliding operation is performed according to the arrow indication), detecting whether the operation is correct, if the operation is wrong, prompting an error or prompting an error correction, after a first layer is opened, detecting whether an object holder taking instruction is received (if an object holder on a treatment vehicle on the screen is clicked), if the object holder is taken, a mouse focus becomes the object holder, receiving the operation instruction of the object holder, prompting the opening direction or the opening sequence of a second layer of the puncture package, opening the puncture package according to the movement instruction of the object holder, and if the operation is wrong, prompting the error or prompting the error correction;

wearing gloves: and receiving a glove wearing instruction (such as receiving a click operation of a virtual glove or a glove icon or a glove identifier on the picture), and playing the picture or animation or video of wearing the glove.

The doctor-patient communication in the preparation of the articles and conditions mainly informs the patient of the coordination items and soothes the patient.

Further, in step S113 of this embodiment, the simulated post-puncture processing includes:

arranging articles: prompting to sort articles, detecting article sorting operation, and detecting whether the articles are dragged to a proper processing container; if the puncture needle is processed, the puncture needle is discarded, a virtual puncture needle is displayed on a picture, the discarding operation of the puncture needle is detected, whether the virtual puncture needle is dragged to a sharp instrument box or not is detected, and if the dragging is finished, the picture or animation or video of the puncture needle is played and discarded; prompting to arrange the puncture packages, detecting the operation of arranging the puncture packages, and if an operation instruction that the virtual puncture packages are dragged to the lower layer of the treatment vehicle is detected on a detection picture, changing the opening state of the virtual puncture packages into the closing state and moving the virtual puncture packages to the lower layer of the treatment vehicle; if a glove dragging instruction is received, detecting whether the glove is dragged to a proper processing container, if so, controlling to move the virtual glove to a yellow trash can, and if the operation is wrong, giving an error prompt or correcting a prompt;

and (3) restoring the body position: prompting to assist in tidying the clothes of the patient to recover the body position, and performing clothes tidying and body position recovery operation on the patient;

doctor-patient communication: receiving a communication instruction, displaying a communication content list, receiving a communication content selection instruction, and if the selection is correct, performing doctor-patient communication operation, such as playing a doctor-patient communication process (such as inquiring patient experience, informing puncture conditions, post-operation doctor orders and the like), and if the selection is wrong, performing error prompt or error correction prompt.

Further, in step S113 of this embodiment, the simulated puncturing post-processing further includes:

puncture fluid auxiliary examination: after the doctor-patient communication is finished and a next step instruction is received, the puncture fluid auxiliary inspection is entered, the submission icon is prompted to be clicked to select a proper submission item, the selected submission item is selected according to a case or an inspection requirement, the selected submission item is detected, if the submission item is selected correctly, the next step is entered, if the submission item is selected incorrectly, an error prompt or an error correction prompt is given, and a correct answer is displayed;

and (3) judging the puncture fluid: the puncture solution is displayed, which type of the puncture solution belongs to is judged according to the puncture solution picture, the matching formation reason or the examination should be made, the judgment and the selection are correct, the next step is carried out, if the judgment and the selection are wrong, an error or error correction prompt is given, and a correct answer is displayed;

exclusion diagnosis: displaying the diagnosed knowledge points or questions, entering the next step if the diagnosed knowledge points or questions are selected correctly, and displaying correct answers if the diagnosed knowledge points or questions are judged and selected incorrectly, or prompting error or error correction;

puncture indication: and displaying the question related to the puncture indication, entering the next step if the answer is correct or the answer is correct, and displaying the correct answer if the answer is wrong or the judgment and the selection are wrong or an error correction prompt is given.

Further, if training is completed, entering a scoring interface can check training conditions and scoring conditions.

Further, if the training is finished, if the user initialization state is abnormal, the user enters an initialization page, and if the user initialization state is normal, the user enters a mode selection page.

If the training is finished, prompting that the training is finished, clicking a training finishing button instruction, quitting, recording operation time, comparing with set operation time, grading according to a grading standard, recording operation, comparing the operation with the operation standard, grading according to the grading standard or grading grade, and listing a grading table and grades.

Further, the intelligent training method for simulating the transvaginal fornix puncture of the embodiment further comprises the following steps: logging in: receiving identity authentication information to perform authentication login;

the identity authentication can adopt an account password for logging in, if the account password authentication is successful, logging in the system, and if the account password authentication is failed, prompting an error and inputting again.

The identity verification can also adopt face recognition authentication, in a starting state, infrared detection is carried out to detect that a person sits down, face recognition is started, and if the recognition is successful, the system is logged in; if the identification fails, the identification is carried out again, or other login modes are prompted to be adopted for login;

and scanning a code to log in, logging in a handheld terminal such as a mobile phone APP, and scanning a two-dimensional code in a flat plate to log in.

As shown in FIG. 2, the intelligent training system 30 for simulating transvaginal fornix puncture according to one embodiment of the present invention comprises the following components:

material and condition preparation module 32: prompting to prepare materials and conditions, detecting the materials and the conditions, correspondingly prompting according to the operation and recording;

the simulated sterilization module 34: detecting the disinfection operation, carrying out corresponding prompt according to the operation, and recording;

the simulated puncture liquid-extracting module 36: prompting to puncture, detecting puncture operation, detecting puncture position, puncture depth and puncture direction, if a puncture position error is detected, prompting by an error, if a puncture depth is detected to be too deep, prompting by an error, if a puncture direction error is detected, prompting by an error, if a puncture needle does not reach a set standard puncture position and detects a puncture needle liquid pumping operation, judging that the puncture depth is too shallow, prompting by an error, if the puncture is in place, prompting in place, detecting whether the simulation puncture needle passes through a simulated vagina of a model person and penetrates through a posterior fornix simulating a cervical fornix to puncture a first puncture detection piece arranged at a preset first puncture position, and if the simulation puncture needle is detected to touch or contact the first puncture detection piece, judging that the puncture is in place and prompting; if the simulation puncture needle does not puncture the first puncture detection piece to detect the liquid pumping operation of the puncture needle, judging that the puncture depth is too shallow, and performing error prompt; detecting whether the simulation puncture needle penetrates or crosses the first puncture detection piece to puncture to a second puncture detection piece arranged on a preset second puncture position, and if the simulation puncture needle touches or contacts the second puncture detection piece, judging that the puncture depth is too deep, and giving an error prompt; detecting whether the simulation puncture needle penetrates through a rear fornix of the simulated cervical fornix to generate puncture direction deviation and a punctured dislocation detection piece, if the simulation puncture needle touches or contacts the dislocation detection piece, judging whether the puncture direction is wrong or the puncture is dislocated, and carrying out error prompt; if the simulation puncture needle is detected to perform liquid pumping operation, detecting the position of the push rod of the simulation puncture needle driving the variable electronic device to move, detecting the position simulation pumping amount of the movement of the push rod according to the change of the electrical parameter of the variable electronic device, displaying or indicating the color of the pumped liquid according to one or more parameters of the detected puncture depth, position and direction, and recording;

pressing the hemostatic module 38: the puncture liquid extraction completion prompt is used for pressing a puncture point to stop bleeding, detecting the extraction of disinfection instruments and articles, detecting the operation of pressing the puncture point to stop bleeding and recording;

the instrument withdrawing module 31: if the hemostasis is pressed to complete entering and withdrawing the instrument, prompting to withdraw the instrument, detecting the withdrawal operation of the instrument, and recording;

towel removing and wiping module 33: prompting to remove the hole towel, detecting towel removing operation, detecting the hole towel removing operation according to a detection signal of the towel spreading detection piece, prompting to perform wiping if the hole towel removing operation is finished, and performing wiping operation and recording if a wiping instruction is received;

the simulated puncture post-processing module 35: and prompting to perform post-puncture treatment and detection operation, prompting according to the operation, and recording.

Further, the compression hemostasis module 38 of the present embodiment: the method comprises the steps of finishing puncture liquid drawing to prompt pressing of a puncture point for hemostasis, prompting pressing for hemostasis, taking out operation of detection forceps and a cotton ball from an instrument box, detecting hemostasis operation of the puncture point, detecting whether an operation detection piece simulating a posterior fornix part of a cervical fornix is triggered or not, if an operation detection piece trigger signal is not detected, giving an error prompt, if the prompt is that hemostasis is not pressed, if the operation detection piece is triggered, detecting the hemostasis pressing operation, displaying a frame to display hemostasis pressing operation, if the hemostasis pressing operation is carried out, detecting that the pressing signal disappears by the detection operation detection piece, displaying the frame to display that the forceps clamp the cotton ball to be clamped and exit from a vagina, moving out from the right side of a screen, recording the operation, comparing the detected operation with standard operation, and scoring according to scoring standard or scoring grade. The tweezers of this embodiment are metal members or conductive members, and the approach of the operation detection member causes a change in magnetic field or electric potential in the vicinity of the operation detection member.

Further, the simulated sterilization module 34 of the present embodiment includes: the device comprises a simulated vulva disinfection unit, a simulated vagina and cervix examination unit, an instrument preparation unit, a simulated vaginal speculum placing unit, a simulated vagina fornix disinfection unit and a simulated re-disinfected fornix unit.

Further, the simulated vulvar disinfection unit of the present embodiment: receiving a vulva disinfection command, entering a vulva disinfection operation scene, detecting vulva disinfection operation, detecting disinfection sequence and disinfection times, comparing the detected operation with standard operation to judge whether the operation is correct, giving an error prompt if the operation is wrong, detecting taking of hole towels, detecting towel paving operation, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade.

Further, the simulation of this example examines the vaginal and cervical units: receiving an inspection instruction, entering a scene of inspecting the vagina and the cervix, detecting the detection operation of the vagina and the cervix, detecting whether the detection operation is correct, recording the operation, comparing the detected operation with a standard operation, and scoring according to a scoring standard or a scoring grade.

Further, the instrument preparation unit of the present embodiment: the method comprises the steps of replacing a detection glove, taking the simulation puncture needle, detecting unobstructed inspection operation of the simulation puncture needle, detecting taking and preparing operation of the simulation vaginal speculum, detecting lubricating operation of the simulation vaginal speculum, recording the operation, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade.

The simulation vaginal speculum placement unit: detecting the placement operation of the simulated vaginal speculum, detecting the placement posture, the insertion depth and the opening angle of the simulated vaginal speculum, detecting the rotation operation and the rotation angle of the simulated vaginal speculum in the simulated vagina, recording the operation, comparing the detected operation with the standard operation, and grading according to the grading standard or the grading grade;

simulation of a sterile vaginal, vault unit: detecting taking of a sterilized article, detecting rotation operation and rotation angle of the simulated vaginal speculum in the simulated vagina, detecting sterilization times, detecting fornix sterilization operation after detection, recording operation, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade;

simulation of post-resterilization vault unit: detecting taking of the simulated oval forceps or the cervical forceps, detecting lifting operation of the simulated cervix, detecting taking of a sterilized article, detecting disinfection operation of the posterior fornix, recording the operation, comparing the detected operation with standard operation, and grading according to a grading standard or a grading grade.

Further, preferably, the simulated vulva disinfection unit of the present embodiment: receiving a command for disinfecting the vulva, entering a vulva disinfection operation scene, displaying that a lens of a picture is turned to the vulva of a virtual human, displaying that a virtual forceps clamp takes a disinfection cotton ball, indicating or prompting a disinfection sequence, detecting the disinfection operation of the virtual forceps clamp taking the disinfection cotton ball, detecting the movement of the virtual forceps clamp taking the disinfection cotton ball, detecting a disinfection step, a disinfection sequence and disinfection times, comparing the detected operation with a standard operation to judge whether the operation is correct, if the operation is wrong, prompting by mistake, detecting whether a hole towel is taken out from a hole towel station in an instrument box, detecting towel laying operation, detecting whether a towel laying detection piece on a model person is triggered, detecting the continuity of a towel laying signal, recording, comparing the detected operation with the standard operation, and scoring according to a scoring standard or a scoring grade.

Further, preferably, the simulation of the present embodiment examines the vaginal and cervical cells: receiving an inspection instruction, entering a scene of inspecting vagina and cervix uteri, displaying a display picture to display that virtual hands appear at corresponding positions of perineum, detecting the virtual hands to perform vagina and cervix uteri inspection operation, detecting the movement or operation of the virtual hands, detecting whether to drag or move the virtual left hand or right hand to a correct position for palpation, playing palpation inspection animation if correct palpation operation is detected, and performing error prompt or error correction prompt if error operation is detected, recording, comparing the detected operation with standard operation, and scoring according to a scoring standard or a scoring grade.

Further, preferably, the instrument preparation unit of the present embodiment: detecting glove replacement, detecting the operation of taking gloves from glove stations of an instrument box, playing the operation process of replacing gloves or wearing gloves if the operation of taking gloves is performed, detecting the operation of taking a simulation puncture needle from a puncture needle station of the instrument box, detecting the smoothness inspection operation of the simulation puncture needle, detecting the back-and-forth drawing operation of the simulation puncture needle, detecting the drawing amount of the simulation puncture needle, displaying a display picture according to the operation of detecting the simulation puncture needle, detecting the operation of taking a simulation vaginal speculum from a vaginal speculum station of the instrument box, detecting the preparation operation of the simulation vaginal speculum, detecting the lubricating operation of the simulation vaginal speculum, detecting the operation of taking simulation forceps and a lubricating cotton ball from corresponding stations, and playing the lubricating operation of the vaginal speculum according to the operation, recording the lubricating operation, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

Further, preferably, the simulated vaginal speculum placement unit of the present embodiment: detecting the placement operation of the simulation vaginal speculum, detecting whether to trigger a vaginal speculum position detection piece arranged in a mounting collar sleeved outside the simulated vagina, judging whether to open to a set angle or an angle range according to whether to trigger, detecting the insertion depth according to different triggered vaginal speculum position detection pieces, judging that the opening angle of the simulation vaginal speculum is proper and the insertion depth is proper if a first vaginal speculum position detection piece arranged in the vaginal speculum detection device is triggered, judging that the rotation operation and the rotation angle or the rotation angle range are determined according to different or different triggered first vaginal speculum position detection pieces, judging that the insertion depth is too deep if a second vaginal speculum position detection piece arranged in the vaginal detection device is triggered, recording, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade;

further, preferably, the simulated sterile vaginal, domed unit of the present embodiment: detecting whether the simulated forceps and the cotton balls are respectively taken out from a forceps station and a cotton ball station of the instrument box, displaying an operation picture that the cotton balls clamped by the virtual forceps move to a virtual human vagina according to the detected operation, detecting the triggering condition of a plurality of first vagina-speculum position detection pieces arranged on the inner wall of the mounting sleeve ring, judging the rotating operation and the rotating angle or the rotating angle range of the simulated vagina-speculum according to the first vagina-speculum position detection pieces which trigger different or different combinations, displaying a picture of the rotating and disinfecting operation process of the vagina-speculum in the virtual human vagina according to the detected operation of the simulated vagina-speculum, judging whether the disinfection is complete according to the detected rotating angle or the angle range of the simulated vagina-speculum, detecting the operation of disinfecting cervix fornix, judging the operation of simulated and recording the detected operation and comparing the detected operation with the standard operation, scoring is performed according to a scoring criterion or a scoring scale.

Further, preferably, the simulated re-sterilized vault unit of the present embodiment: detecting the operation of taking out the simulated egg circular forceps or the cervical forceps from the egg circular forceps or the cervical forceps station of the instrument box, detecting whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to lift up, detecting whether the lifting detection part is triggered, judging whether the simulated egg circular forceps or the cervical forceps hold the simulated cervix to carry out the cervical posterior lip lifting operation or not according to the detection signal of the detected lifting detection part, detecting whether the vaginal vault is exposed or not, displaying the operation picture that the virtual egg circular forceps or the cervical forceps move to the cervical orifice of a virtual person to carry out the cervical posterior lip lifting operation process picture according to the detected operation, detecting whether the simulated forceps and the cotton ball are respectively taken out from the forceps station and the cotton ball station of the instrument box, displaying the operation picture that the virtual forceps clamp the cotton ball move to a disinfection position according to the detected operation, detecting the operation of disinfecting the cervical vault, judging the operation of simulating the cervical vault according to the detection signal of the operation detection part in the simulated cervical vault, and displaying a corresponding sterilized cervical fornix operation picture according to the detected operation, recording the picture, comparing the detected operation with the standard operation, and grading according to the grading standard or grading grade.

Further, preferably, the instrument retracting module of the present embodiment: detecting the operation of the simulated oval forceps or the cervical forceps, detecting the loosening of the simulated oval forceps or the cervical forceps according to a detection signal of a lifting detection piece, replacing the simulated oval forceps or the cervical forceps into the instrument box according to a detection signal of the oval forceps or a cervical forceps detection device in an instrument box station, detecting the operation of the simulated vaginal speculum, detecting the loosening and withdrawing operation of the simulated vaginal speculum according to a detection signal of a vaginal speculum position detection piece or a locking detection device on the simulated vaginal speculum, judging the replacement operation of the simulated vaginal speculum into the instrument box according to a detection signal of the vaginal speculum detection device in a vaginal speculum station in the instrument box, correspondingly prompting according to the detected operation, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade.

Further, preferably, the towel removing and wiping module of the present embodiment: prompting to remove the hole towel, detecting to remove the towel according to the detection signal of the towel spreading detection piece, if the towel is removed, finishing entering wiping, prompting to wipe, if a wiping instruction is received, displaying or playing to wipe the perineum, recording the operation, comparing the detected operation with the standard operation, and scoring according to the scoring standard or scoring grade.

Further, the intelligent training system for simulating transvaginal fornix puncture of the embodiment further comprises: an initial preparation module. The initial preparation module includes: the system comprises a user initialization unit, a mode selection unit, a case selection unit and a doctor-patient communication unit.

Initializing a unit with an object: detecting the state of the object in the instrument box, detecting whether the object belongs to a normal state, detecting the state of the object by an object detecting device in the object position in the instrument box, prompting the normal state if detecting that the corresponding object position is provided with the object by the object detecting device, prompting the normal state if detecting that the object is completely provided, prompting the abnormal state if detecting that the object is true, and failing to go to the next step if prompting the abnormal state, and connecting to the next unit if detecting the normal state.

A mode selection unit: and receiving a mode selection command to enter a corresponding training mode.

Case selection unit: receiving a case selection instruction, entering a corresponding scene according to the case selection instruction, and performing error prompt or error correction prompt if the error selection instruction is received; and if an appropriate case is received, receiving a confirmation instruction to enter an outpatient room scene.

The doctor-patient communication unit: and receiving a communication instruction, displaying a communication content list, receiving a communication content selection instruction, playing the communication content if the judgment is correct, correcting a prompt or a wrong prompt if the wrong selection instruction is received, and playing the communication content.

Further, the object and condition preparation module of the present embodiment includes: the device comprises an inspection object preparation unit, a doctor-patient communication unit, a hat-wearing mask unit, a body position preparation unit, a hip towel laying unit, a light source alignment unit, a hand washing unit, a puncture bag opening unit and a glove wearing unit.

Preparing an inspection object unit: entering an object scene for inspection preparation, switching the picture to the door of an inspection chamber, moving to a preparation area, displaying the object, receiving an object selection instruction, such as clicking the selection instruction, judging whether the object selection is correct or not, prompting, if the selection is correct, prompting, such as hooking, if the selection is wrong, prompting, such as forking, completing the object inspection, entering the next step, and turning to panorama.

The doctor-patient communication unit: and receiving a communication instruction (such as clicking a communication identifier), and playing communication contents.

Wearing a hat and a mask unit: receiving a hat and mask wearing instruction (such as clicking a hat and a mask mark on the picture), and displaying the hat and mask wearing picture or displaying the picture of the hat and mask wearing.

A body position preparation unit: displaying pictures of different body positions, receiving a body position selection instruction, judging whether the body position is correct or not, if the body position is correct, virtually placing the patient into the correct body position, and if the body position selection error instruction is received, carrying out error correction prompt or error prompt.

Laying a hip towel unit: if a hip-on towel command is received (if a virtual hip towel click command is received), the control displays that a treatment towel is laid under the virtual patient's hip.

For the light source unit: and when a light source instruction is received (if the operation of clicking the virtual light source on the picture is received), the picture is controlled to display that the therapeutic lamp rotates to be aligned with the vaginal opening of the virtual patient.

A hand washing unit: and detecting whether the hand sanitizer is pressed or not, and playing a hand washing picture or video if the pressing operation of the simulated hand sanitizer is detected.

Opening the puncture bag unit: receiving a puncture packet opening instruction, displaying the puncture packet on a screen, prompting an opening direction and an opening sequence, if an arrow indicates the opening direction or the opening sequence, receiving an operation instruction (if sliding operation is performed according to the arrow), detecting whether the operation is correct, if the operation is wrong, prompting an error or correcting the error, after opening a first layer, detecting whether an object holding forceps taking instruction is received (if an object holding forceps on a treatment vehicle on the screen is clicked), if the object holding forceps is taken, changing a mouse focus into the object holding forceps, receiving the operation instruction of the object holding forceps, prompting the opening direction or the opening sequence of a second layer of the puncture packet, opening the puncture packet according to the movement instruction of the object holding forceps, and if the operation is wrong, prompting the error or correcting the error.

A glove-wearing unit: and receiving a glove wearing instruction (such as receiving a click operation of a virtual glove or a glove icon or a glove identifier on the picture), and playing the picture or animation or video of wearing the glove.

The doctor-patient communication unit in the object and condition preparation module mainly informs the patient of the coordination items and soothes the patient.

Further, the simulated puncture post-processing module of the embodiment includes: the device comprises an article arranging unit, a body position recovering unit and a doctor-patient communication unit.

An article arranging unit: prompting to sort articles, detecting article sorting operation, and detecting whether the articles are dragged to a proper processing container; if the puncture needle is processed, the puncture needle is discarded, a virtual puncture needle is displayed on a picture, the discarding operation of the puncture needle is detected, whether the virtual puncture needle is dragged to a sharp instrument box or not is detected, and if the dragging is finished, the picture or animation or video of the puncture needle is played and discarded; prompting to arrange the puncture packages, detecting the operation of arranging the puncture packages, and if an operation instruction that the virtual puncture packages are dragged to the lower layer of the treatment vehicle is detected on a detection picture, changing the opening state of the virtual puncture packages into the closing state and moving the virtual puncture packages to the lower layer of the treatment vehicle; if a glove dragging instruction is received, detecting whether the glove is dragged to a proper processing container, if so, controlling to move the virtual glove to a yellow trash can, and if the operation is wrong, giving an error prompt or correcting a prompt;

a body position recovery unit: prompting to assist in tidying the clothes of the patient to recover the body position, and performing clothes tidying and body position recovery operation on the patient;

the doctor-patient communication unit in the simulated puncture post-processing module of the embodiment: receiving a communication instruction, displaying a communication content list, receiving a communication content selection instruction, and if the selection is correct, performing doctor-patient communication operation, such as playing a doctor-patient communication process (such as inquiring patient experience, informing puncture conditions, post-operation doctor orders and the like), and if the selection is wrong, performing error prompt or error correction prompt.

Further, the simulated puncture post-processing module of the present embodiment further includes: the puncture liquid auxiliary examination unit, the puncture liquid judgment unit, the removal diagnosis unit and the puncture indication unit.

Puncture fluid auxiliary inspection unit: and after the doctor-patient communication is finished and a next step instruction is received, the puncture fluid auxiliary inspection is entered, the submission icon is prompted to be clicked to select a proper submission item, the selected submission item is selected according to a case or an inspection requirement, the selected submission item is detected, if the submission item is selected correctly, the next step is entered, if the submission item is selected incorrectly, an error prompt or an error correction prompt is given, and a correct answer is displayed.

A puncture fluid determination unit: and (4) displaying the puncture liquid, judging which liquid belongs to according to the puncture liquid picture, matching the formation reason or checking, judging and selecting to enter the next step, and if the judgment and the selection are wrong, giving an error or correcting a prompt and displaying a correct answer.

An exclusion diagnosis unit: displaying the diagnosed knowledge points or topics, entering the next step if the selection is correct, and displaying correct answers if the judgment and the selection are wrong or prompting error correction.

Puncture indication unit: and displaying the question related to the puncture indication, entering the next step if the answer is correct or the answer is correct, and displaying the correct answer if the answer is wrong or the judgment and the selection are wrong or an error correction prompt is given.

The artificial puncture needle of this embodiment is an artificial puncture needle that is produced by simulation from an actual puncture needle. The specific structure refers to the structure of the puncture needle used in actual medical use in hospitals. The simulation puncture needle is provided with a variable capacitor or a variable resistor, the capacitance of the variable capacitor or the resistance of the variable resistor is changed through the movement of the push rod, the variable capacitor or the resistance of the variable resistor is connected to the control circuit module through a communication line, and the control circuit module detects the withdrawal, displacement or position of the push rod through detecting the resistance or capacitance change in the simulation puncture needle.

Further, the intelligent training system for simulating transvaginal fornix puncture of the embodiment further comprises: and ending the module. An end module: prompting that the training is finished, clicking a training finishing button instruction, exiting, recording the operation time, comparing with the set operation time, grading according to the grading standard, recording the operation, comparing the operation with the operation standard, grading according to the grading standard or the grading grade, and listing a grading table and grades.

Further, the intelligent training system for simulating transvaginal fornix puncture of the embodiment further comprises: a login module: and receiving the identity authentication information to perform authentication login.

Further, the intelligent training system for simulating transvaginal fornix puncture of the embodiment further comprises: and a mode selection module. The mode selection further comprises: and if a teaching mode instruction is received, entering a teaching mode. And entering a teaching mode to provide active voice error correction and knowledge point reminding. In the teaching mode, each step of operation is provided with detailed operation prompts and error descriptions, so that large-step skipping 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.

The intelligent training method and system for simulating the transvaginal fornix puncture judge the user behavior according to the parameters, display animation, voice, video and characters, and collect and play back the user operation. The scoring list and the scores can be sent to the information platform, and the information server sends a webpage to display the scores of the students.

The intelligent training system for simulating the transvaginal fornix puncture is an advanced interactive training system combining virtuality and reality. Can simulate real clinical operation environment and accurately simulate the clinical real operation steps of transvaginal fornix puncture. Meanwhile, the operation can be carried out on a model person like a traditional simulation model, real-time detection is carried out in the operation process, and guidance is given in real time, so that the operation skill of students is improved, and a solid foundation is laid for the students to enter into real clinical operation. And the simulation instrument interacts with the real model and actually intelligently corrects and prompts. 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 modes:

training mode: and functions of active voice error correction, knowledge point reminding and the like are provided. Students can learn the peritoneal lavage procedure without a teacher. 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.

And (3) scoring: the student operation scores can be checked by clicking the submission scores in the training mode and the examination mode.

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. An intelligent training method for simulating transvaginal fornix puncture is characterized by comprising the following steps:

2. The intelligent training method for simulating transvaginal fornix puncture according to claim 1, wherein in the step of simulating puncture and liquid extraction, whether the simulated puncture needle passes through the simulated vagina of the model person and penetrates through the posterior fornix of the simulated cervical fornix to a first puncture detection piece arranged at a preset first puncture position is detected, if the simulated puncture needle is detected to touch or contact the first puncture detection piece, the puncture is judged to be in place and prompted, if the simulated puncture needle is not punctured to the first puncture detection piece and the operation of extracting liquid from the puncture needle is detected, the puncture depth is judged to be too shallow, an error is prompted, the operation is recorded, the detected operation is compared with standard operation, and the scoring is performed according to the scoring standard or the scoring grade;

3. The simulated transvaginal vault puncture intelligent training method of claim 2, wherein said first puncture detector is mounted on a holder body, said holder body comprising: base, setting are in the curb plate of base both sides, setting are in base one end or setting are in between the curb plate of both sides and installation simulation cervical fornix's hollow structure's mounting panel, simulation cervical fornix includes: the cervical simulator comprises a columnar simulated cervix and an annular simulated fornix formed by extending one end of the simulated cervix to the periphery; first puncture detection piece is in with the relative setting of simulation cervical vault the two sides of mounting panel, first puncture detection piece with pedestal swing joint, second puncture detection piece sets up on the detection mount pad is operated to the mistake, the detection mount pad is operated to the mistake includes: the setting is in main part on the base, setting are in cross position installation department on the main part, dislocation detection piece sets up on the main part, the setting of second puncture detection piece is in on the cross position installation department, first puncture detection piece, second puncture detection piece, dislocation detection piece are electrically conductive, first puncture detection piece, second puncture detection piece, dislocation detection piece access control device's signal input part respectively, emulation pjncture needle and controlling means communication connection, the needle body ground connection of emulation pjncture needle.

4. The simulated transvaginal vault puncture intelligent training method of claim 3, wherein said simulated sterilization procedure includes:

5. The method for simulating post-vaginal vault puncture intelligent training of claim 4, wherein the simulated vulvar disinfection: receiving a command for disinfecting the vulva, entering a vulva disinfection operation scene, displaying that a lens of a picture turns to the vulva of a virtual human, displaying that a virtual forceps clamps and takes a disinfection cotton ball, indicating or prompting a disinfection sequence, detecting the disinfection operation of the virtual forceps clamping and taking the disinfection cotton ball, detecting the movement of the virtual forceps clamping and taking the disinfection cotton ball, detecting a disinfection step, a disinfection sequence and disinfection times, comparing the detected operation with a standard operation to judge whether the operation is correct, if the operation is wrong, prompting by mistake, detecting whether a hole towel is taken out from a hole towel station in an instrument box, detecting towel laying operation, detecting whether a towel laying detection piece on a model person is triggered, detecting the continuity of a towel laying signal, recording the operation, comparing the detected operation with the standard operation, and scoring according to a scoring standard or a scoring grade;

6. The method for intelligent training of simulated transvaginal vault puncture according to claim 4, wherein the simulated vaginal speculum placement: detecting the placement operation of the simulated vaginal speculum, detecting whether to trigger a vaginal speculum position detection piece arranged in a mounting collar sleeved outside the simulated vagina, judging whether to open to a set angle or an angle range according to whether to trigger, detecting the insertion depth according to different triggered vaginal speculum position detection pieces, judging that the simulated vaginal speculum is proper in opening angle and insertion depth if a first vaginal speculum position detection piece arranged in the vaginal speculum detection device is triggered, judging that the simulated vaginal speculum is proper in rotation operation and rotation angle or rotation angle range according to different triggered or different combined first vaginal speculum position detection pieces, judging that the insertion depth is too deep if a second vaginal speculum position detection piece arranged in the vaginal detection device is triggered, recording the operation, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade;

7. The intelligent training method for simulating transvaginal fornix puncture according to claim 6, wherein the lifting detection piece is mounted on a detection mounting cover plate, the detection mounting cover plate is arranged on the mounting plate, bosses are arranged on two sides of the mounting plate, the detection mounting cover plate is arranged on the bosses, and the detection mounting cover plate covers the simulated cervical fornix or is arranged above the simulated cervical fornix and is arranged corresponding to the mounting plate; the mounting plate includes: the main body part of the mounting plate is connected with the side plate and forms a hollow structure together with the base; the appearance of the detection mounting cover plate and the main body part of the mounting plate are correspondingly arranged to be arch bridge-shaped or partially annular or arc-shaped, the mounting plate extends backwards from the end part of the arch bridge-shaped main body part to form a reinforcing part, and the first puncture detection piece is hinged with the side plate or the mounting plate to form a turnover structure; simulation cervical fornix adopts the elastic emulation cervical fornix that has that flexible material made, be provided with operation detection device in the simulation fornix or on the simulation fornix, operation detection device includes: the mounting plate is provided with a fixing hole for fixing the simulated cervical fornix, and the rear fornix part of the simulated fornix is arranged corresponding to the hollow structure of the mounting plate;

8. The method for simulating post-vaginal vault puncture intelligent training of claims 1 to 7, further comprising: initial preparation; the initial preparation includes:

the preparation of the article and the conditions comprises:

9. An intelligent training system for simulating transvaginal fornix puncture is characterized by comprising the following components:

10. The simulated transvaginal vault puncture intelligent training system of claim 9, wherein said first puncture detector is mounted on a seat body, said seat body comprising: base, setting are in the curb plate of base both sides, setting are in base one end or setting are in between the curb plate of both sides and installation simulation cervical fornix's hollow structure's mounting panel, simulation cervical fornix includes: the cervical simulator comprises a columnar simulated cervix and an annular simulated fornix formed by extending one end of the simulated cervix to the periphery; first puncture detection piece is in with the relative setting of simulation cervical vault the two sides of mounting panel, first puncture detection piece with pedestal swing joint, second puncture detection piece sets up on the detection mount pad is operated to the mistake, the detection mount pad is operated to the mistake includes: the setting is in main part on the base, setting are in cross position installation department on the main part, dislocation detection piece sets up on the main part, the setting of second puncture detection piece is in on the cross position installation department, first puncture detection piece, second puncture detection piece, dislocation detection piece are electrically conductive, first puncture detection piece, second puncture detection piece, dislocation detection piece access control device's signal input part respectively, emulation pjncture needle and controlling means communication connection, the needle body ground connection of emulation pjncture needle.

11. The simulated transvaginal vault puncture intelligent training system of claim 9, wherein said simulated disinfection module comprises:

12. The simulated transvaginal vault puncture intelligent training system of claim 11, wherein said simulated vulvar disinfection unit: receiving a command for disinfecting the vulva, entering a vulva disinfection operation scene, displaying that a lens of a picture turns to the vulva of a virtual human, displaying that a virtual forceps clamps and takes a disinfection cotton ball, indicating or prompting a disinfection sequence, detecting the disinfection operation of the virtual forceps clamping and taking the disinfection cotton ball, detecting the movement of the virtual forceps clamping and taking the disinfection cotton ball, detecting a disinfection step, a disinfection sequence and disinfection times, comparing the detected operation with a standard operation to judge whether the operation is correct, if the operation is wrong, prompting by mistake, detecting whether a hole towel is taken out from a hole towel station in an instrument box, detecting towel laying operation, detecting whether a towel laying detection piece on a model person is triggered, detecting the continuity of a towel laying signal, recording, comparing the detected operation with the standard operation, and scoring according to a scoring standard or a scoring grade;

13. The system according to claim 11, wherein the simulated transvaginal vault puncture intelligent training system comprises: detecting the placement operation of the simulation vaginal speculum, detecting whether to trigger a vaginal speculum position detection piece arranged in a mounting collar sleeved outside the simulated vagina, judging whether to open to a set angle or an angle range according to whether to trigger, detecting the insertion depth according to different triggered vaginal speculum position detection pieces, judging that the opening angle of the simulation vaginal speculum is proper and the insertion depth is proper if a first vaginal speculum position detection piece arranged in the vaginal speculum detection device is triggered, judging that the rotation operation and the rotation angle or the rotation angle range are determined according to different or different triggered first vaginal speculum position detection pieces, judging that the insertion depth is too deep if a second vaginal speculum position detection piece arranged in the vaginal detection device is triggered, recording, comparing the detected operation with the standard operation, and grading according to a grading standard or a grading grade;

14. The intelligent training system for simulating transvaginal fornix puncture according to claim 13, wherein the lifting detector is mounted on a detection mounting cover plate, the detection mounting cover plate is arranged on the mounting plate, bosses are arranged on two sides of the mounting plate, the detection mounting cover plate is arranged on the bosses, and the detection mounting cover plate is covered on the simulated cervical fornix or arranged above the simulated cervical fornix and arranged corresponding to the mounting plate; the mounting plate includes: the main body part of the mounting plate is connected with the side plate and forms a hollow structure together with the base; the appearance of the detection mounting cover plate and the main body part of the mounting plate are correspondingly arranged to be arch bridge-shaped or partially annular or arc-shaped, the mounting plate extends backwards from the end part of the arch bridge-shaped main body part to form a reinforcing part, and the first puncture detection piece is hinged with the side plate or the mounting plate to form a turnover structure; simulation cervical fornix adopts the elastic emulation cervical fornix that has that flexible material made, be provided with operation detection device in the simulation fornix or on the simulation fornix, operation detection device includes: the mounting plate is provided with a fixing hole for fixing the simulated cervical fornix, and the rear fornix part of the simulated fornix is arranged corresponding to the hollow structure of the mounting plate;