CN210722083U - Ultrasonic teaching simulator for critical obstetrics and gynecology department - Google Patents

Ultrasonic teaching simulator for critical obstetrics and gynecology department Download PDF

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CN210722083U
CN210722083U CN201921722270.8U CN201921722270U CN210722083U CN 210722083 U CN210722083 U CN 210722083U CN 201921722270 U CN201921722270 U CN 201921722270U CN 210722083 U CN210722083 U CN 210722083U
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ultrasonic
obstetrics
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pregnancy
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张晓磊
李晓岚
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Abstract

The utility model relates to an ultrasound teaching simulator for critical obstetrics and gynecology department, belonging to the technical field of medical appliances, comprising a human simulator, a simulation probe, a host and a man-machine interaction module, wherein the abdomen of the human simulator is provided with a pregnancy profile, and the surface of the pregnancy profile is provided with a plurality of data carriers; the host comprises a processor and a memory, the memory is used for storing the ultrasonic image corresponding to each data carrier, and the analog probe is used for sensing the data carrier; the processor is used for calling out the ultrasonic image corresponding to the data carrier. The utility model discloses do benefit to gynaecology and obstetrician and anesthesia department doctor and master normal uterus, normal multiple pregnancy uterus, postpartum uterus and foetus ultrasonics image acquisition method to and each supersound image characteristics, the ultrasonic manifestation of contrast study unusual obstetrical diseases can provide direct, visual, objective foundation for clinical treatment decision-making, the guide has the operation of creating, guides the medicine and uses and appraises robust and sturdy treatment, shorten the time of discovering postpartum hemorrhage, thereby reduce pregnant and lying-in woman, the foetus is pathogenic, the lethality rate.

Description

Ultrasonic teaching simulator for critical obstetrics and gynecology department
Technical Field
The utility model relates to the technical field of medical equipment, especially, relate to critical gynaecology and obstetrics's supersound teaching simulator.
Background
With the gradual release of birth policies in china, medical institutions face challenges such as: 1) the uterine mucosa is damaged due to multiple drug or appliance abortion of a certain part of women who cannot live two fetuses in the childbearing age due to policy factors; 2) the living standard of people is improved, and the excessive nutrition of pregnant women leads to the exceeding of the fetal weight; 3) increasing the number of elderly puerpera; 4) other factors that produce high risk pregnant and lying-in women. All of the above factors increase the risk of perinatal period of pregnant and lying-in women, wherein postpartum hemorrhage is one of the main causes of death of pregnant and lying-in women. In addition, the incidence of pathological pregnancies such as pre-placenta is increasing year by year because of placenta adhesion caused by the damaged uterine mucosa of a patient.
Four major reasons for postpartum hemorrhage are 1. uterine contraction debilitation (70-90%); 2. birth canal injury (20%); 3. placental factor (10%); 4. coagulation dysfunction (l%).
Currently, the main method for clinically diagnosing postpartum hemorrhage is still to make judgment through detailed physical examination of gynecology and obstetrics medical staff, and the method mainly depends on the medical technical level and clinical experience of current doctors, and lacks direct evidences such as objectivity and visibility.
Secondly, the pathological pregnancies such as placenta adhesion caused by the damage of the uterine mucosa of a patient, the preposed placenta and the like have great influence on the perioperative treatment strategy, particularly the selection problem of the anesthesia mode and the anesthesia medicament, and the reason is that most of intravenous anesthesia medicaments and inhalation anesthesia medicaments can affect the fetus through the placenta clinically, so that the newborn generates 'anesthesia effect', such as respiratory depression, muscle tension reduction and the like, and the newborn is reducedApgarAnd (6) scoring.
At present, intraspinal anesthesia is still the best anesthesia mode for pregnant women, but the selection of obstetrical severe anesthesia such as placenta prearrangement, placental premolarity, placenta implantation and the like has contradiction: 1) the peripheral preposed placenta on the front wall of the uterus, wherein if only a fetal membrane tissue or only a partial placenta tissue exists at the lower uterine incision of the uterus and the blood flow signal is less in an ultrasonic CDFI mode, intraspinal anesthesia can be adopted, otherwise, general anesthesia is selected; 2) the placenta implantation of the complete preposed placenta of the posterior wall can also be used for intraspinal anesthesia, and general anesthesia is preferred if the placenta implantation is merged; 3) the area of the fetal disc is small, the bleeding is less, the intravertebral anesthesia can be selected when the fetal heart is normal, and the general anesthesia can be selected otherwise.
The ultrasonic imaging method is commonly used for judging the position, size and shape of an organ, determining the range and physical properties of a focus, providing an anatomical map of glandular tissues and identifying the normality and abnormality of a fetus, and is widely applied to ophthalmology, obstetrics and gynecology, cardiovascular systems, digestive systems and urinary systems.
Bedside ultrasound has the characteristics of real time, dynamic, real and no radioactivity, and is suitable for bedside examination of critical patients. If the gynecologist and the anesthesiologist understand how to carry out the ultrasonic operation, the ultrasonic image can be conveniently and timely collected beside the bed. According to the ultrasonic image representation, experienced anesthesia department doctors can select the optimal anesthesia mode and anesthetic drugs, experienced obstetrics and gynecology doctors can quickly distinguish the reason of postpartum hemorrhage, and direct, visual and objective basis can be provided for clinical treatment decision. However, current anesthesiologists and gynecologists do not operate ultrasonically.
Furthermore, for anesthesiologists and gynecologists with little experience, who are not familiar with the performance of abnormal obstetrics ultrasound, it is difficult to quickly make accurate clinical treatment decisions even when looking at ultrasound images.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a critical gynaecology and obstetrics's supersound teaching simulator can be used to the operation of simulation training supersound, and gynaecology and obstetrics doctor and anesthesia branch of academic or vocational study doctor pass through the utility model discloses can learn the supersound image acquisition method, master each supersound image characteristics, compare the performance of the multiple unusual obstetrical department disease supersound of study.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
the ultrasonic teaching simulator for the critical obstetrics and gynecology department comprises a human simulator, a simulation probe, a host and a human-computer interaction module, wherein the abdomen of the human simulator is provided with a pregnancy profile, and a plurality of data carriers are distributed on the surface of the pregnancy profile along the surface type of the pregnancy profile;
the host comprises a processor and a memory, the analog probe, the memory and the human-computer interaction module are electrically connected with the processor, and the human-computer interaction module comprises a display;
the memory is used for storing the ultrasonic image corresponding to each data carrier, and the analog probe is used for sensing the data carrier, receiving the information of the data carrier and transmitting the information to the processor; the processor is used for identifying information of the data carrier and calling out an ultrasonic image corresponding to the data carrier; the display is used for displaying the ultrasonic image.
Preferably, the data carrier is an electronic tag and the analogue probe comprises a reader.
Or the data carrier is a two-dimensional code, and the analog probe comprises a scanner.
Preferably, the display is a touch screen.
Or the human-computer interaction module also comprises a human-computer interaction key and/or a mouse.
Preferably, the pregnancy profile is semi-ellipsoidal.
Compared with the prior art, the utility model discloses following beneficial effect has:
1, the utility model can be used for simulating training ultrasonic operation, and is convenient for gynecologists and anaesthetics doctors to learn the ultrasonic image acquisition method;
2, the utility model is beneficial for gynecologists and anesthetists to master the ultrasound image acquisition methods of normal uterus, normal multiple pregnancy uterus, postpartum uterus and fetus, and the characteristics of various ultrasound imaging, comparatively learn the ultrasonic performance of multiple abnormal obstetrical diseases, master the ultrasound image performance of the patient who commonly causes postpartum hemorrhage, and facilitate the anesthetists to select the optimal anesthesia mode and anesthetic in the perioperative period of the critically ill patient in obstetrical department;
3, through the utility model discloses, gynaecology and obstetrics doctor and anesthesia department doctor academic or vocational study ultrasonic image collection method back makes things convenient for them to carry out the supersound scanning at the bedside, is convenient for obtain the ultrasonic image fast, distinguishes postpartum hemorrhage's reason fast, for clinical treatment decision-making provides directness, it is visual, objective foundation, the guide has the operation of creating, guide the medicine and use and comment robust and sturdy treatment, shorten the time of discovering postpartum hemorrhage, in time make clinical decision-making, thereby reduce pregnant and lying-in women, the fetus is pathogenic, the lethality rate, save blood resource, reduce patient's cost of being in hospital etc.
Drawings
Fig. 1 is a schematic structural diagram of the present invention;
FIG. 2 is a three-dimensional view of a human simulator;
in the figure: 1-simulation human, 2-simulation probe, 3-host, 4-man-machine interaction module, 11-pregnancy profile, 12-data carrier.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more clearly understood, the present invention is further described in detail below with reference to the accompanying drawings.
As shown in fig. 1 and 2, the utility model discloses a critical gynaecology and obstetrics ultrasonic teaching simulator includes anthropomorphic dummy 1, analogue probe 2, host computer 3 and human-computer interaction module 4, and anthropomorphic dummy 1's belly has pregnancy profile 11. The surface of the pregnancy contour 11 is provided with a plurality of data carriers 12 along the surface shape of the pregnancy contour 11, and each data carrier 12 is provided with an independent position mark. The size and shape of the pregnancy contour 11 is set as desired. Preferably, the pregnancy contour 11 is 36 weeks of pregnancy in size, semi-ellipsoid in shape, with the major axis of the ellipse being 35 cm; and making warps and wefts on the semi-ellipsoid, and arranging data carriers 12 at the intersections of the warps and the wefts.
The host 3 comprises a processor and a memory, the analog probe 2, the memory and the human-computer interaction module 4 are electrically connected with the processor, and the human-computer interaction module 4 comprises a display; the display can select a touch screen, and input and output are realized through the touch screen.
In another embodiment, the human-computer interaction module further comprises human-computer interaction keys and/or a mouse, and the human-computer interaction keys and/or the mouse are output through the display and input through the human-computer interaction keys and/or the mouse. This is conventional in the art and will not be described further herein.
The anthropomorphic dummy 1 and the analog probe 2 are connected with the host 3 through USB for data exchange, and the power supply is provided by the host 3.
The memory is used for storing the ultrasound image corresponding to each data carrier 12. Because the images scanned by the ultrasound probe at different positions are different in the actual ultrasound examination. In order to better simulate an actual ultrasound examination, the ultrasound image corresponding to each data carrier 12 should be as consistent as possible with the image that the ultrasound probe scanned at the actual ultrasound examination.
Due to different gestational periods and physical conditions, different ultrasonic images can be obtained at the same scanning position under different pregnant women and different gestational periods during actual ultrasonic examination. The images stored in the memory are divided into different image sets, each image set corresponds to different pregnancy periods and physical conditions, a plurality of images in the same image set correspond to ultrasonic images corresponding to different scanning positions in the same pregnancy period and physical conditions, and any ultrasonic image in each image set corresponds to a data carrier 12 respectively.
The analog probe 2 is used for sensing the data carrier 12, receiving the information of the data carrier 12 and transmitting the information to the processor; the processor is used for identifying the information of the data carrier 12 and calling out the ultrasonic image corresponding to the data carrier 12; the display is used for displaying the ultrasound image. When the data carrier 12 is an electronic label, the analogue probe 2 comprises a reader. When the data carrier 12 is a two-dimensional code, the analogue probe 2 comprises a scanner.
Of course, the ultrasound teaching simulator for the critical obstetrics and gynecology department also comprises a software system, the software system is pre-installed in the host 3, and the software supports the remote encryption upgrading function for subsequent maintenance.
Running the software, the software interface shows the following simulation panels:
(1) a non-pregnant simulation plate for a normal adult female in the fertile period;
(2) simulated panels at 6 to 7 weeks gestation;
(3) the cumulant abortion simulation plate is not naturally discharged 2 months after the embryo stops developing;
(4) the placenta hominis is not low and is not preposed in 28 weeks of pregnancy, and the fetus is exposed to the simulated plate before the left occiput;
(5) non-low position, non-preposition placenta, and exposing fetus before left occiput simulation plate in 36 weeks of pregnancy;
(6) the advanced placenta simulation plate for regulating the marginality of the uterus in 36 weeks of pregnancy; front (or back, or left side, or right side wall)
(7) A placenta simulation plate block is arranged in front of the uterus part of the pregnant 36 weeks;
(8) the placenta simulation plate is completely preposed in the uterus of 36 weeks of pregnancy;
wherein the anterior part in (6), (7) and (8) comprises the anterior wall of uterus, the posterior wall of uterus, the left wall of uterus or the right wall of uterus. (9) Taking a 36-week pregnant uterus as a non-low side wall non-preposition placenta and a placenta part stripping simulation plate;
(10) taking a 36-week pregnant uterus as a lateral wall non-low-lying non-preposition placenta, and completely stripping the placenta to simulate a plate;
(11) normal quick-delivery in term has no placenta and decidua tissue residue, and uterine contraction well simulates plate;
(12) the placenta or decidua tissue residue ultrasonic simulation plate can be delivered in a quick-acting manner in term;
(13) the ultrasound simulation plate for uterine contraction and hypodynamia can be delivered in a normal way in term;
(14) other modules; including follow-up development according to clinical requirements, meeting other symptoms of critical obstetrics and ultrasonic simulation plates.
The images stored in the memory are grouped together for each simulated slab, each image group including a number of ultrasound images for the simulated slab.
The utility model discloses a using method of an ultrasonic teaching simulator for critical obstetrics and gynecology department, which comprises the following steps,
s1, selecting one of the simulation plates through the human-computer interaction module 4, and feeding back the information of the selected simulation plate to the processor through the human-computer interaction module 4;
s2, the analogue probe 2 is held by hand, and ultrasound scanning is simulated at the position of the pregnancy contour 11 of the analogue human 1;
when the analogue probe 2 senses the information of the data carrier 12, the analogue probe 2 receives the information of the data carrier 12 and transmits the information to the processor; the processor identifies the information of the data carrier 12 and calls an ultrasonic image corresponding to the data carrier 12 under the selected simulation plate; the display displays the ultrasound image.
In another embodiment, three learning modes, a random mode, a click mode, and a sequential mode, are provided. In step S1, one of the learning modes is selected by the human-machine interaction module 4.
Wherein the random pattern; the host machine automatically and randomly selects one of the simulation plates, and automatically jumps to any other simulation plate which is not learned after the simulation plate is learned.
When the simulation plate reaches 90% and the data carrier is triggered by the simulation probe, the learning is determined to be finished, the system prompts whether the learning is finished or not, the system can click to enter the next module or finish the learning, and if the system selects to enter the next module, the system automatically jumps to any other simulation plate which is not learned; if "end learning" is selected, the module pushes out.
The click mode is as follows: manually selecting one of the simulation plates;
the sequential mode is as follows: and automatically selecting one by one according to the arrangement sequence of the simulation plates.
In any learning mode, if a student selects a simulated plate, the output ultrasound image is the image in the image set corresponding to the simulated plate.
The image stored in the memory is from clinic, the real ultrasonic image of pregnant and lying-in women is clinically collected, the standardized graph is obtained by screening, and the image is matched with the data carrier 12 on the simulator in a partition way through computer processing.
The ultrasound images stored in the memory should meet the following requirements.
At 6 to 7 weeks of gestation, see embryo, image standard: the embryo radial line is 2mm, and the original heart tube beating sound image is seen;
when the patient is pregnant for 28 weeks or more, the simulation probe 2 is used to scan the patient from foot to head of the human simulator 1 in sequence, the output and displayed image should include the head, neck, spine, fetal heart and trunk of the fetus, and the output and displayed image should include the limb, placenta, umbilical cord, amniotic fluid and the like of the patient during left and right scanning. The image standards are not listed one by one, and both healthy and unhealthy images are ultrasound images with common representatives screened from a large amount of clinical data.
The utility model can be used for simulating the training ultrasonic operation, is beneficial to the gynecologist and the anaesthesia department doctors to master the ultrasonic image acquisition methods of normal uterus, normal multiple pregnancy uterus, postpartum uterus and fetus, and the characteristics of various ultrasonic imaging, comparatively learns the ultrasonic performance of multiple abnormal obstetrical diseases, masters the ultrasonic image performance of the patient who commonly causes postpartum hemorrhage, and is convenient for the anaesthesia doctors to select the optimal anaesthesia mode and anaesthesia medicine in the perioperative period of the critically ill patient in the obstetrical department; after the obstetrician and the anesthesiologist learn the ultrasound image acquisition method, the obstetrician and the anesthesiologist can conveniently perform ultrasound scanning at the bedside, conveniently and quickly obtain ultrasound images, quickly distinguish postpartum hemorrhage reasons, provide direct, visual and objective basis for clinical treatment decision, guide invasive operation, guide medicine use and evaluate robust and sturdy treatment effect, shorten postpartum hemorrhage time, and timely make clinical decision, so that pregnant and lying-in women and fetus diseases and fatality rate are reduced, blood resources are saved, and hospitalization cost of patients is reduced.
Of course, the present invention can be embodied in many other forms without departing from the spirit or essential attributes thereof, and it should be understood that various changes and modifications can be made by one skilled in the art without departing from the spirit or essential attributes thereof, and that such changes and modifications are intended to be included within the scope of the appended claims.

Claims (6)

1. Ultrasonic teaching simulator of critical gynaecology and obstetrics, its characterized in that: the abdomen of the human simulator is provided with a pregnancy profile, and the surface of the pregnancy profile is provided with a plurality of data carriers along the surface type of the pregnancy profile;
the host comprises a processor and a memory, the analog probe, the memory and the human-computer interaction module are electrically connected with the processor, and the human-computer interaction module comprises a display;
the memory is used for storing the ultrasonic image corresponding to each data carrier, and the analog probe is used for sensing the data carrier, receiving the information of the data carrier and transmitting the information to the processor; the processor is used for identifying information of the data carrier and calling out an ultrasonic image corresponding to the data carrier; the display is used for displaying the ultrasonic image.
2. The critical obstetrics and gynecology ultrasonic teaching simulator of claim 1, wherein: the data carrier is an electronic tag, and the analog probe comprises a reader.
3. The critical obstetrics and gynecology ultrasonic teaching simulator of claim 1, wherein: the data carrier is a two-dimensional code, and the analog probe comprises a scanner.
4. The critical obstetrics and gynecology ultrasonic teaching simulator of claim 1, wherein: the display is a touch screen.
5. The critical obstetrics and gynecology ultrasonic teaching simulator of claim 1, wherein: the human-computer interaction module also comprises a human-computer interaction key and/or a mouse.
6. The critical obstetrics and gynecology ultrasonic teaching simulator of claim 1, wherein: the outline of the pregnancy is semi-ellipsoid.
CN201921722270.8U 2019-10-15 2019-10-15 Ultrasonic teaching simulator for critical obstetrics and gynecology department Active CN210722083U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110556047A (en) * 2019-10-15 2019-12-10 张晓磊 Critical obstetrics and gynecology ultrasonic teaching simulator and use method
CN113257100A (en) * 2021-05-27 2021-08-13 郭山鹰 Remote ultrasonic teaching system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110556047A (en) * 2019-10-15 2019-12-10 张晓磊 Critical obstetrics and gynecology ultrasonic teaching simulator and use method
CN113257100A (en) * 2021-05-27 2021-08-13 郭山鹰 Remote ultrasonic teaching system

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