JP6288548B2 - Medical training device - Google Patents

Description

  The present invention relates to a medical training apparatus used for practical training such as cutting in medical education, particularly dental education.

2. Description of the Related Art In recent years, various types of training devices that resemble the human body have been proposed and used in education for performing operations such as dentistry. For example, a medical training device proposed in Patent Document 1 has a drive mechanism that opens and closes a mouth, and is used as a medical care system.
In the case of improper medical treatment by a practitioner, such as improper operation of a medical instrument, it is said that pain and fear can be expressed on a medical training device by actions and facial expressions by controlling the system. Yes.

  In this way, by recreating the actual treatment situation more realistically, practical training equivalent to that performed on an actual patient can be performed, so in some medical educational institutions, these training devices are used for clinical training. ing.

  In practice, however, it is natural that patients need to perform treatments for a variety of patients, from adults to children and elderly people. When the device is used, it can only be practiced by a young female patient, and in order to practice treatment for an elderly patient and a child patient, it is necessary to replace it with a training device that imitates an elderly patient and a child patient. Further, as described above, there is a problem that the cost is high for preparing different training apparatuses such as elderly patients and child patients.

  Therefore, for example, in the field of hairdressing and beauty, a human head for training that a barber uses for education and training is proposed in Patent Document 2, although the fields are different. This vinyl human head is designed to replace facial masks with hair on the face, and can perform education and training for various customers by applying hairstyles and makeup to different faces. It is said that.

  Similarly, in the medical field, Patent Document 3 proposes a mechanism for attaching and detaching a human body model by attaching a lower face mask to an upper face mask and releasing the lock by operating an operation lever. Has been.

  However, although the above-described training apparatus can be practiced assuming various patients, the appearance according to various patients is only different, and it is not satisfactory as practice for various actual patients. There wasn't.

WO2008 / 023464 JP-A-5-181410 No. 6-3419

  Therefore, an object of the present invention is to provide a medical training apparatus that can perform practical training with a sense of reality in line with actual treatments assuming various patients.

  The present invention relates to a human body model having a drive mechanism that operates by combining at least one of the mouth, eyeballs, eyelids, eyebrows, neck, and arms, or a combination of two or more, and a voice that listens to and recognizes the voice of the trainee A recognition unit, a voice output unit that outputs a simulated patient's voice, and information on the simulated patient, at least one of age group, sex, constitution, common medicine, and medical condition, or a combination of at least two or more A patient information setting unit for setting patient information, a standard medical practice scenario setting unit capable of selecting at least one scenario from standard medical practice scenarios composed of a plurality of medical treatment items stored in advance, and the patient information setting unit Patient information corresponding to the patient information created by combining the set patient information about the simulated patient and the standard medical practice scenario A storage unit for storing a scenario and the standard medical practice scenario, the standard medical practice scenario set by the standard medical practice scenario setting unit, and the operation control of the drive mechanism based on the patient-corresponding scenario, and the sound It is a medical training apparatus provided with the recognition part and the control part which controls the said audio | voice output part.

  The human body model having a driving mechanism that operates by combining at least one of the above-mentioned mouth, eyeball, eyelid, eyebrows, neck, and arms, or a combination of two or more thereof, should have at least an openable / closable mouth. For example, the eye part may be able to perform operations such as blinking or changing the direction of the line of sight, and the cheek part or eyebrows that control the facial expression may be driven. Further, in addition to the head model alone, the head model may be an upper body model including a neck and a chest or an arm, or a whole body model including a lower body.

  The patient handling scenario according to the combination of the patient information related to the simulated patient set by the patient information setting unit and the standard medical practice scenario set by the standard medical practice scenario setting unit is, for example, for a patient who is an elderly person In the practice of extraction, the operation is controlled based on the extraction scenario when the patient is an elderly person. In addition, it is good also as a patient corresponding | compatible scenario by registering the patient corresponding | compatible scenario according to the training content of the individual standard medical practice beforehand for every patient information. Moreover, it is good also as a patient corresponding scenario by modifying the patient corresponding scenario of the individual standard medical practice registered beforehand according to patient information.

  Furthermore, the patient response scenario when training contents of a plurality of standard medical practices are selected and continuously practiced is a new scenario that combines continuous patient handling scenarios according to the selected training contents of a plurality of standard medical practices. A continuous patient handling scenario may be registered in advance and read out as a patient handling scenario. Moreover, it is good also as a new continuous patient corresponding scenario which produces | generates a continuous patient corresponding scenario combining the training content of the individual standard medical practice selected among the continuous patient corresponding scenarios registered beforehand.

  In addition, the storage unit that stores the patient handling scenario according to the combination with the patient handling scenario set by the patient handling scenario setting unit is configured by a temporarily storing cache, or a storage unit such as a hard disk or RAM. Can do.

  The above-described patient information setting unit is set by detecting an identifier for identifying a patient, such as an RFID or a two-dimensional barcode provided on an examination ticket or a medicine notebook as well as a setting unit by operating an operation button or GUI. For example, the setting unit may be a setting unit in various forms such as a setting unit using image detection using an image obtained by imaging a patient, or a setting unit based on voice instruction recognition.

  In addition, medical treatment items, that is, practice content of standard medical practice, include medical interviews, oral examinations, tooth cutting, rubber dam moisture prevention, impression taking, anesthesia, tooth extraction, root canal treatment, explanation and correction of prescription drugs, etc. It can be. In addition, in the patient information, the age group shall be children, adults and the elderly, the constitution (specific constitution) shall be pregnant or allergies, etc., and regular medicines that require precautions such as contraindications in addition to the presence or absence of conventional medicines Whether or not it is a drug, and the medical condition can be not only a medical condition being treated, but also a past history including pregnancy and health status.

According to the present invention, it is possible to carry out practical training with a more realistic feeling in line with actual treatment assuming various patients.
More specifically, at least one of the mouth, eyeballs, eyelids, eyebrows, neck, and arms, or a human body model having a driving mechanism that operates by combining two or more, and voice recognition that recognizes and recognizes the voice of the trainee And a voice output unit for outputting the voice of the simulated patient, so that the voice of the simulated patient can be heard while the mouth of the head model is opened and closed while the voice recognition unit recognizes the voice of the trainee. Since it can be output, practical training with a sense of reality can be performed in line with the actual treatment.

  In addition, the information about the simulated patient is stored in advance with a patient information setting unit that sets patient information by combining at least one of age group, gender, constitution, common medicine, and medical condition, or a combination of at least two or more. A standard medical practice scenario setting unit capable of selecting at least one standard medical practice scenario from standard medical practice scenarios of medical treatment items of a plurality of standard medical practices, and patient information regarding the simulated patient set by the patient information setting unit A storage unit that stores a patient-corresponding scenario according to a combination with the standard medical practice scenario set by the standard medical practice scenario setting unit, the standard medical practice scenario set by the standard medical practice scenario setting unit, and The patient response system according to the combination of the patient information set by the patient information setting unit Based on Rio, equipped with a control unit that controls the operation of the drive mechanism and the voice recognition unit and the voice output unit, such as patient age, gender, allergies, and the presence of common drugs Patient information can be set, and a patient response scenario in which patient information is reflected in a standard medical practice scenario in accordance with the contents of training can be generated.

  In addition, the patient information can be set, and based on the patient response scenario in which the patient information is reflected in the standard medical practice scenario according to the training content, at least the operation control of the driving mechanism responsible for the opening / closing operation of the mouth, and the voice recognition Since the control unit and the voice output unit are controlled, for example, practical training with a sense of reality can be performed in accordance with actual treatments for various patients such as elderly people, children, and pregnant women.

As an aspect of the present invention, the patient information setting unit is configured to be able to set at least an elderly mode imitating an elderly patient and an adult mode imitating an adult patient, and the control unit is configured by setting the elderly mode, It can be set as the structure which controls the opening angle of the said mouth narrowly compared with the setting of the said adult mode.
According to the present invention, compared with the general adult mode, the opening angle of the mouth is small, and the elderly man mode that makes it difficult to perform the treatment makes it possible to perform practical training with a sense of reality in conformity with the actual treatment for elderly patients. .

Further, as an aspect of the present invention, the control unit may be configured to control the recognition degree of the voice recognition unit to be lower by the setting of the old man mode than the setting of the adult mode.
The above-mentioned recognition degree is the recognition rate in the speech recognition unit of the voice by the timing of the utterance by the trainee, voice volume, pitch, degree of smooth tongue, speed, etc. The low recognition degree means that the recognition rate for the same utterance is It means low.
According to the present invention, in response to a patient, for example, it is possible to perform practical training with a more realistic feeling in line with the treatment for an actual elderly patient, for example, slowly and clearly speaking.

Further, as an aspect of the present invention, the control unit may be configured to control the recognition sound volume of the voice recognition unit to be larger by the setting of the old man mode than the setting of the adult mode.
The above-described recognized sound volume is one of the factors affecting the recognition level, and indicates a recognizable sound volume threshold.
According to the present invention, in response to a patient, for example, it is possible to perform practical training with a sense of realism in conformity with a treatment for an elderly patient who is far away, such as speaking loudly.

  Further, as an aspect of the present invention, the control unit outputs the output voice output by the voice output unit according to the setting of the old man mode, the old man voice imitating the voice of the elderly patient, and the setting of the adult mode. Thus, the output sound can be controlled to output an adult sound imitating the voice of the adult patient.

  According to the present invention, compared with the adult voice in the adult mode, it is possible to experience the answer of the elderly person who is an elderly person, and the realism of the training can be further improved. Note that it is more preferable to set both the adult voice and the elderly voice for each gender in order to improve the sense of reality.

Further, as an aspect of the present invention, the control unit may be configured to control the driving speed of the driving mechanism slower by the setting of the old man mode than the setting of the adult mode.
According to the present invention, for example, the opening / closing operation of the mouth when speaking and the biological reaction to pain are controlled slower than the operation speed in the adult mode, so that the realism of the training can be further improved. .

  Further, as an aspect of the present invention, the control unit may be configured to cause the voice output start timing of the voice output unit relative to the recognition of the voice recognition unit and the drive of the drive mechanism by the setting of the old man mode and the setting of the adult mode. The start timing can be controlled late.

  According to the present invention, for example, the voice output start timing when uttering, the drive start timing after voice recognition of the utterance of the trainee, and the biological reaction to pain are compared with the start timing in the adult mode. Since it is controlled late, the realism of practical training can be further improved.

  Further, as an aspect of the present invention, the patient information setting unit is configured to be able to set a child mode imitating a child patient, and the control unit is configured to set the output voice according to the setting of the child mode and the voice of the child patient. It can be set as the structure which performs control which outputs the child voice which imitated.

  According to the present invention, it is possible to experience a child's voice response in comparison with an adult voice in the adult mode, so that the sense of reality of practical training for various patients can be further improved. In addition, it is more preferable to set the child voice for each gender in the same manner as the adult voice and the old man voice in order to improve the sense of reality.

Moreover, as an aspect of the present invention, the patient information setting unit can be configured to set the patient information by a selection operation.
According to the present invention, it is possible to accept the setting operation of the practitioner or the training instructor and to set the patient information with certainty.

As an aspect of the present invention, the operation to the patient information setting unit can be configured by an operation unit in the GUI or an operation unit provided on the display screen of the display device.
The operation unit in the above-described GUI can be, for example, an operation unit displayed on a tablet connected to a network, and the operation unit provided on the display screen of the display device is, for example, a display configured with a touch panel. It can be the display screen of the device.
According to the present invention, a practitioner or an instructor can accurately set patient information by performing an accurate setting operation by touching the screen or an operation with a touch pen based on vision.

As an aspect of the present invention, the patient information setting unit can be configured by a patient information setting reading unit that sets the patient information by reading from an RFID, a card, or an identification code storing the patient information.
According to the present invention, a practitioner or a practicing instructor who teaches the practitioner can accurately set patient information without performing an operation for setting. In addition, if it is the structure which can be read by non-contact, the infection control at the time of setting patient information can be performed.

Further, as an aspect of the present invention, when the patient information related to the common medicine is set in the patient information setting unit in the storage unit, the common use responds to the practitioner's question regarding the patient information related to the common medicine Medication information can be stored.
According to the present invention, for example, it is possible to perform practical training in conformity with the actual diagnosis, such as the presence or absence of conventional drugs.

  In addition, as an aspect of the present invention, it is possible to provide a contraindication determination unit that compares the patient information related to the regular medicine and the prescription drug information related to the prescription drug prescribed by the apprentice to determine precautions such as contraindications.

  By this invention, for example, contraindications between commonly used drugs and prescription drugs, especially in elderly patients who often take drugs such as hypertension, heart disease, cerebral infarction, diabetes, antiallergy, etc. It can be determined and confirmed by the contraindication determination unit, an alarm can be notified, displayed on the display unit, or the evaluation result can be stored in the evaluation unit. Therefore, it is possible to conduct practical training with a more realistic feeling based on contraindications to commonly used drugs, that is, imitating medical care that requires attention so as not to be in a dangerous state.

In addition, as an aspect of the present invention, a patient handling scenario setting unit for setting the patient handling scenario and a patient handling scenario changing unit for changing the patient handling scenario set by the patient handling scenario setting unit can be provided. .
According to the present invention, for example, a training instructor can perform practical training in a variety of situations while changing the previously set patient-corresponding scenario according to the training situation of the trainee.

In addition, as an aspect of the present invention, a biological signal output unit that outputs biological signals such as blood pressure, pulse, cardiac potential, myoelectric potential, and blood oxygen level according to the setting mode set by the patient information setting unit can be provided. .
According to the present invention, for example, more specific and realistic training can be performed in conformity with the actual treatment such that the pulse is increased due to pain or the blood pressure is decreased due to anesthesia. The biological signal output unit may be a display screen that displays a biological signal. For example, the biological signal output unit may be configured to obtain a biological signal from an arm of a human body model through a biological signal measuring instrument such as a palpation or a sphygmomanometer. Good. In addition, it is possible to perform a correspondence training by causing a sudden change in the patient's condition.

In an embodiment of the present invention, before Symbol mouth, exchangeable mounting occlusion model in accordance with the setting mode set in the patient information setting unit may be provided with a mouth portion to permit.
According to the present invention, a realistic training can be performed by attaching an occlusal model corresponding to set patient information, such as the above-described elderly mode and child mode, to the oral cavity.

Also it is provided with a mode as a mask and the head model to permit interchangeable mounting a wig in accordance with the setting mode set in the previous SL patient information setting unit of the present invention.
According to the present invention, it is possible to perform more practical training using an appearance model corresponding to the set patient information, such as the above-described elderly mode and child mode.

  According to the present invention, it is possible to provide a medical training apparatus capable of performing practical training with a sense of reality in consideration of various patients and in accordance with actual treatment.

1 is a schematic perspective view of a medical training apparatus. The functional block diagram in a medical training apparatus. Schematic explaining the joint mechanism in a pseudo patient body. Explanatory drawing of a joint mechanism. Explanatory drawing about the motion of the face of a pseudo patient body. The front view of the face of a pseudo patient body. The schematic longitudinal cross-sectional view of the head of a pseudo patient body. The schematic longitudinal cross-sectional view of a jaw model. The perspective view of an eyeball drive part. Explanatory drawing of an eyeball drive part. Explanatory drawing of an eyeball drive part. Explanatory drawing of an eyeball drive part. The perspective view of another eyeball drive part. A table summarizing the movement of each part of the simulated patient body. Drive control setting table. Scenario registration table. Schematic of a patient information setting part. Schematic of another patient information setting part. An example of an addictive scenario. Overall flow chart of practical training. Overall flow chart of practical training. The patient mode setting flowchart. The training flow diagram of the regular medicine mode. Practical flow diagram of pregnant woman mode. Flow chart of practical training in allergy mode. An example of a prescription training apparatus is shown. An example of a home medical care device is shown.

Hereinafter, a medical training apparatus 1 according to the present invention will be described with reference to FIGS.
1 is a schematic perspective view of the medical training apparatus M, FIG. 2 is a functional block diagram of the medical training apparatus M, and FIG. 3 is a schematic diagram illustrating the joint mechanism 28 in the simulated patient body 2. Yes.

4 shows an explanatory diagram of the joint mechanism 28, FIG. 5 shows an explanatory diagram of the facial movement in the head model 2a of the simulated patient body 2, and FIG. 6 shows the facial motion in the head model 2a of the simulated patient body 2. A front view is shown.
In addition, in FIG. 6, in order to clarify the internal structure of the head model 2a, a part is notched and shown.

  7 is a schematic longitudinal sectional view of the head model 2a of the simulated patient body 2, FIG. 8 is a schematic longitudinal sectional view of the jaw model 23, FIG. 9 is a perspective view of the eyeball driving unit 21a, and FIG. Reference numeral 12 denotes an explanatory diagram of the eyeball driving unit 21a.

  Specifically, FIG. 10A shows a side view of the eyeball driving unit 21a in a state where the pseudo eyeball 26 faces the front, and FIG. 10B shows a plan view of the same state. Similarly, FIG. 11A shows a side view of the eyeball drive unit 21a with the pseudo-eyeball 26 facing right, FIG. 11B shows a plan view of the same state, and FIG. A side view of the eyeball driving unit 21a with the eyeball 26 facing left is shown, and FIG. 12B shows a plan view of the same state.

  13 shows a perspective view of another eyeball drive unit 21a, FIG. 14 shows an operation setting table which is a table summarizing the movements of each part of the simulated patient body 2, FIG. 15 shows a drive control setting table, FIG. 16 shows a scenario registration table, FIG. 17 shows a schematic diagram of a patient information setting unit, FIG. 18 shows a schematic diagram of another patient information setting unit, and FIG. 19 shows an example of a scenario of conventional medicine .

  Further, FIGS. 20 and 21 show an overall flow chart of the practice, FIG. 22 shows a patient mode setting flow chart, FIG. 23 shows a practice flow chart of the regular medicine mode, and FIG. 24 shows a practice flow chart of the pregnant woman mode. FIG. 25 shows a training flow diagram of the allergy mode. FIG. 26 shows an example of a medicine prescription training apparatus in a pharmacy. FIG. 27 shows an example of a home medical care apparatus.

  As shown in FIG. 1, the medical training device M is used for performing treatment by placing an instrument table 1 including medical instruments 11 a to 11 e, a simulated patient body 2 imitating a patient, and the simulated patient body 2. The information processing apparatus 4 displays various information and accepts various instruction operations on the simulated patient body 2 as a clinical table 3 and a GUI.

  The instrument table 1 includes an instrument holder 1b on the front side of a table 1a that is rotatably attached to an examination table 3 via an arm. The instrument holder 1b has a cutting tool or a scaler such as an air turbine handpiece or a micromotor handpiece. The medical instrument 11 (11a to 11e) composed of a three-way syringe, a vacuum syringe or the like is detachably attached.

Furthermore, a display unit 5 is arranged above the table 1a so that the patient's chart can be called and displayed, and the operation contents of the medical instrument being practiced can be monitored.
The medical instrument 11 is driven by being connected to a water supply source, an air supply source, and an air suction unit. Since these mechanisms are known, detailed description thereof is omitted.

  The medical instrument drive unit and the operation unit A are configured by combining an oral camera, a photopolymerization irradiator, and a foot controller 12a (not shown) together with a drive unit that drives the medical instrument 11, and further detects these drive states. Therefore, a medical instrument state detection unit B is provided (see FIG. 2).

  Accordingly, the medical instrument drive unit and the operation unit A drive the medical instrument 11 on and off, and the medical instrument state detection unit B confirms that each medical instrument 11 has been taken up by the sensor provided in the instrument holder 1b. It is detected or the operation of the foot controller 12a is detected to detect whether the use state is on or off. However, in the case of a medical instrument having an operation unit in the medical instrument body, the operation of the operation unit may be detected by a sensor.

  In addition, the medical instrument state detection unit B includes a rotation speed of the medical instrument 11 or a voltage value, a current value corresponding to the number of rotations, or an air pressure, an air flow rate, a frequency, a vibration frequency, or the medical instrument 11 driven by the medical instrument. The pressing force at the time of contacting the simulated patient body 2 and the operation signal of the foot controller 12a connected to the medical table 3 can be detected.

  Moreover, as the instrument holder 1b, not only a holder provided on the instrument table 1 as illustrated, but also a holder provided on the examination table 3 and a holder to which other diagnostic instruments 11 can be detachably attached.

  The simulated patient body 2 includes a head model 2a, a torso model 2b, left and right arm models 2c, and left and right leg models 2d. A pseudo patient body drive unit D for changing the medical condition, and a pseudo patient body diagnosis state detection unit C for detecting a medical condition for the pseudo patient body 2 (see the functional block diagram of FIG. 2), and the head model 2a is entirely It is constructed as a so-called android-type robot that is made very similar to the human body by covering with artificial skin made of a flexible material and covering with a wig that becomes hair.

  The pseudo patient body 2 configured as described above is placed on the medical table 3 like a person and can perform various treatments, and mechanical, electrical, and fluid to change postures and facial expressions described later. It is connected to a drive source that supplies typical energy (drive medium). The simulated patient body 2 may be configured so as to be integrated with or interlocked with the clinical table 3 or may be configured to operate independently only by the simulated patient body 2 without using the clinical table 3. Details of the simulated patient body 2 will be described later.

  As shown in FIG. 3, the medical table 3 includes a seat portion sheet 3 a placed on the base 30 so as to be movable up and down, a tiltable back plate sheet 3 b connected to the rear of the seat portion seat 3 a, and A tiltable headrest 3c connected to the upper end of the back plate seat 3b, and a seat seat lifting / lowering portion, a back plate seat tilting portion, and a headrest tilting portion (see FIG. Reference) is provided, and the operation is controlled by the foot controller 12a (clinical table drive unit and operation unit J).

  As such a medical table drive unit and operation unit J, a conventional hydraulic cylinder, an electric motor or the like can be used for the seat seat elevating unit and the back plate seat tilting unit, and an electric motor for the headrest tilting unit. Etc. can be used.

  The medical table 3 is provided with a spit 3d and a treatment stand pole 6. The treatment stand pole 6 is provided with arms 61 and 62 that are branched from the middle and protruded to be rotatable. In addition, the arms 61 and 62 each include a shadow lamp 63 and an imaging camera 64 that constitutes an imaging unit that captures the handling and movement of the medical instrument 11 of the trainee and the posture, movement, and facial expression of the simulated patient body 2. In addition, a microphone 65 for collecting voice during treatment is installed.

  The Spitton 3d includes a water faucet that supplies water when rinsing the oral cavity and a saliva bowl. Further, on the back or abdomen of the simulated patient body 2, a connection part (not shown) is provided for connection to an electrical system path, a hydraulic system path, an air system path, or the like disposed on the medical table 2.

  The information processing apparatus 4 includes, for example, a workstation, and includes a PC main body 41, a display unit 42 such as a liquid crystal monitor, and an operation unit 43 such as a keyboard and a mouse. Various types of GUIs are displayed on the display unit 42 as a GUI. Information is displayed, and various instruction operations are received by the operation unit 43 such as a keyboard and a mouse.

  For example, on the operation setting screen 100 as shown in FIG. 17, the display unit 42 can display the consultation status of the simulated patient body 2 captured by the imaging camera 64 and call and display necessary information at any time. By operating a specific program built in the PC main body 41, it functions as a simulated patient body control operation unit G (see FIG. 2) and also functions as a patient information setting unit. The training instructor is configured so that the operation and facial expression of the simulated patient body 2 can be controlled by performing a selection operation while grasping the situation of the trainee.

  Further, as will be described later, by selecting and operating a sensor selection button (not shown) displayed on the display unit 42, various sensors S built in each part of the simulated patient body 2 are called and the detection signal is displayed on the monitor. You may comprise as follows.

  FIG. 2 shows a functional block diagram of the medical training apparatus M. As shown in FIG. 2, a control unit I shown in the center and configured by a CPU is configured such that devices and mechanisms that function as the functional blocks A to J are controlled. Are connected directly by a signal line or a hospital LAN.

  The medical instrument state detection unit B is an operation state during the practice of each of the medical instrument 11, the oral camera, the photopolymerization irradiator, and the foot controller 12a driven by the above-described medical instrument drive unit and operation unit A, that is, on, off Detects the rotation speed, load, etc. Therefore, an air turbine handpiece state detection unit a, a micromotor handpiece state detection unit b, a three-way syringe state detection unit c, a scaler state detection unit d, a vacuum syringe state detection unit e, an oral camera state detection unit f, light The polymerization irradiator state detection unit g and the foot controller operation state detection unit h are combined.

  The simulated patient body consultation state detection unit C includes various sensors S built in the simulated patient body 2 and an imaging unit 64 that captures a state during medical treatment. As various sensors S, as will be described later, a detection unit a that detects contact with the cheek of the simulated patient body 2, a detection unit b that detects contact with the chest, a detection unit c that detects impact and pressure on the teeth, It includes a detection unit d for detecting a temperature rise of the tooth, a pseudo patient body posture detection unit e, an imaging unit f, a microphone, and the like. By these sensors S, the imaging unit f, and a microphone, the pseudo patient body 2 can be used during training. On the other hand, the presence / absence and degree of stimulation given at the time of treatment and therapy are detected and output as a consultation status detection signal.

  The simulated patient body drive unit D is configured by combining an eyeball drive unit a, eyelid / eyebrow drive unit b, lower jaw opening / closing drive unit c, arm drive unit d, voice output unit e, voice recognition unit f, and the like, and is very similar to a human body. It is incorporated into the face and body of the head model 2a of the simulated patient body 2, and the facial expression and body movement of the head model 2a of the simulated patient body 2 are realized by combining these driving.

  The storage unit E is a consultation state detection signal output from the consultation state detection unit C of the simulated patient body, evaluation criteria information used in the training result evaluation calculation unit (inhibition determination unit) F, a standard medical practice scenario to be described later, Various data and control programs necessary for practical training are stored, such as patient handling scenarios according to the set patient information, set patient information, contraindication information about commonly used drugs.

  The training result evaluation calculation unit (contraindication determination unit) F, after the practicum by the practitioner, is evaluated in advance and stored in the storage unit E, the medical device state detection signal detected by the medical device state detection unit B, and / or the simulation. Compared with the medical condition detection signal detected by the medical condition detection unit C of the patient body, outputs the evaluation result of the training based on a predetermined algorithm, and ranks it according to the skill of the trainee or determines contraindications Or an inappropriate medical treatment item can be displayed on the display unit 42 of the information processing apparatus 4 or the display unit 5 of the instrument table 1 according to the evaluation result.

  The simulated patient body setting operation unit (patient information setting unit) G controls the movement of the simulated patient body drive unit D incorporated in the simulated patient body 2 to set the facial expression of the head model 2a. The standard medical practice scenario setting unit b for setting a training scenario according to the practice content of the standard medical practice, the display information setting unit c for setting the display content to be displayed on the display unit, and the patient information setting unit d. The patient information setting unit d includes a gender setting unit d-1 for setting the sex of the simulated patient, an age setting unit d-2 for setting the age group of the simulated patient (patient mode for adults, elderly people, children, etc.), the patient An operation speed setting unit d-3 for setting the speed of movement of the simulated patient body drive unit D according to the mode, an ordinary drug setting unit d-4 for setting the presence / absence and type of the common drug, and setting for the presence / absence of the patient's allergy A patient constitution setting unit d-5 for performing speech recognition, a speech recognition level setting unit d-6 for setting a speech recognition level by a speech recognition / output unit 21f, which will be described later, a male and female voice output from the speech output unit 21f of the simulated patient body 2, A voice output setting unit d-7 for setting a voice output by distinguishing between a child and an adult, a volume setting unit d-8 for setting a voice output of a voice output from the voice recognition / output unit 21f of the simulated patient body 2, and a biological signal Blood pressure and pulse of the patient that is output to the output unit K For example, a biosignal output setting unit d-9 that sets an emergency state and performs a practicum's correspondence training, and a patient handling scenario combination setting unit d-10 that sets a patient handling scenario and patient information in combination. doing. Therefore, for example, the facial expression setting unit a is configured to reproduce facial expression changes such as vomiting, pain, anxiety, relaxation, and discomfort of the simulated patient body 2.

  By providing the simulated patient body setting operation unit (patient information setting unit) G configured as described above, the original control operation in which the treatment action of the trainee is automatically reflected in the facial expression and body motion of the simulated patient body 2 In addition, as will be described later, the instructor can control the facial expression of the simulated patient body 2 by judging the situation of the instructor and selecting and operating the display selection button.

  The display setting unit H configured by the display unit 42 of the information processing apparatus 4 and the display unit 5 of the instrument table 1 combines a display unit a configured by a PC monitor or a tablet and a setting operation unit b selected by a mouse or the like. It is composed. Using the setting operation unit b of the display unit 42 of the information processing apparatus 4, the operation of the pseudo patient body setting operation unit (patient information setting unit) G is operated on the screen using a touch panel, a touch pen, a mouse, a keyboard, or the like. it can.

  As described above, the medical training apparatus M includes the medical treatment unit 1 provided with the medical instrument 11, the pseudo patient body 2 imitating a patient to receive medical care, and the medical treatment table 3 on which the pseudo patient body 2 is placed. In addition, a medical instrument drive unit and operation unit A, a medical instrument state detection unit B, a medical examination state detection unit C, a simulated patient body drive unit D, a storage unit E, a training result evaluation calculation unit (inhibition determination unit) F, a simulated patient Since it has a body setting operation unit (patient information setting unit) G, a display setting unit H, a control unit I, a diagnosis table driving unit, and an operation unit J, a reception state detection signal output from the reception state detection unit C of the pseudo patient body Based on the above, the facial expression of the simulated patient body 2 can be changed or operated.

  The patient information setting reading unit (common medicine reading unit) L is capable of carrying and reading patient information such as conventional medicines, constitution, medical history, etc. of the patient set in advance by RFID, barcode, etc. It is. Information on the future-scheduled RFID, IC card and health insurance card and medicine notebook are stored as these patient information, and are used as a reading device for such information. The patient information setting reading unit (common medicine reading unit) L is arranged in the training apparatus itself or in the vicinity thereof, and corresponds to an RFID reader or a card reader.

Next, each part in the simulated patient body 2 that changes or operates the facial expression based on the consultation state detection signal and the medical instrument state detection signal will be described in detail.
As shown in FIG. 3, the simulated patient body 2 includes a head model 2a, a torso model 2b, left and right arm models 2c, and left and right leg models 2d, and the head model 2a and the torso model 2b. Between the torso model 2b and the left and right arm models 2c, between the torso model 2b and the left and right leg models 2d, and the elbows of the left and right arm models 2c and the knee parts of the leg model 2d The joint mechanism 28 is provided in the body so that it can be bent freely so as to move in the same manner as a joint of a human body.

In the joint mechanism 28, an air cylinder 28d is attached to two main rods 28a and 28b pivoted to each other to form a skeleton, and a rod 28e provided at one end of the air cylinder 28d is formed on the main rod 28a. The other end of the air cylinder 28d is pivotally attached to a small rod 28h that protrudes from a member 28g that fixes the main rod 28b.
The indirect mechanism 28 configured as described above can be bent by the two main rods 28a and 28b by moving the rod 28e of the air cylinder 28d back and forth.

  For example, as shown in FIG. 4 illustrating the details of the elbow portion of the arm model 2c, the rod 28e of the air cylinder 28d is extended so that the elbow can be extended and bent. It has the same structure.

  It should be noted that the hip and knee joint mechanism 28 and the like may be configured to move passively in accordance with a change in the position of the examination table 3 without driving the air cylinder 28d. The driving of the joint mechanism 28 of the neck, waist, arm and knee has been described here using the air cylinder 28d, but various electric motors and hydraulic cylinders are employed instead of the air cylinder 28d. Of course, it is also good.

  The simulated patient body 2 recognizes the voice of the practitioner and outputs a voice in addition to a driving unit that drives each part of the face, eyeball, eyelid, eyebrows, cheeks, mouth, lips, and neck. By driving these simulated patient drive units D, it is configured so that a facial expression very similar to a person can be created.

  For example, as shown in FIG. 5, the simulated patient body 2 is configured to be capable of moving the eyebrow up and down a, opening and closing the eyelid b, moving the eyeball up and down and left and right c, and opening and closing the mouth d. In addition, the pseudo patient body 2 can be bent in the front and rear direction f, shake to the left and right g, tilt to the left and right, and turn to the left and right in the same way as a person. Has a configured neck. In addition, the detection signal by the contact sensor S provided on the cheek is configured to be transmitted to the consultation state detection unit C of the pseudo patient body.

Next, the internal structure of the head model 2a will be described in more detail with reference to FIGS.
As shown in FIGS. 6 and 7, the head model 2 a is a skin member 24 a in which a skull member 24 formed of a hard resin is formed of silicon rubber having a softness similar to the skin, and the surface is appropriately colored. Covered with. In addition, a frame 25 made of a sturdy member is incorporated in the skull member 24.

  The frame 25 connects the maxillary bone member 25a and the mandibular bone member 25c with the temporomandibular joint portion 25b, and is provided with an air cylinder 21d, and the rod 21d ′ of the air cylinder 21d is extended, whereby the mandible member 25c is It is configured to open downward while rotating with respect to the temporomandibular joint 25b. Conversely, by reducing the rod 21d 'of the air cylinder 21d, the mandible member 25c is configured to close upward while rotating relative to the temporomandibular joint 25b.

  Further, the frame 25 includes an eyeball drive unit 21 a having a pseudo eyeball 26, an eyelid drive unit 21 b, an eyebrow drive unit 21 c, a voice recognition / output unit 21 f, and a neck drive unit 27. The eyeball drive unit 21a, the eyelid drive unit 21b, the eyebrow drive unit 21c, and the voice recognition / output unit 21f are all the eyeball drive unit a, eyelid / eyebrow drive unit b, audio output unit e, and voice of the simulated patient body drive unit D. It corresponds to the recognition unit f and the neck driving unit g.

  The eyelid 24b has a member 21bb whose one end is rotatably fixed to the frame 25. By moving the rod 21b ′ of the air cylinder (the eyelid drive unit) 21b forward and backward, the eyelid 24b moves up and down in front of the pseudo eyeball 26. And configured to open and close the flange 24b.

  Further, the eyebrow driving unit 21c fixes the rod 21c ′ of the air cylinder (eyebrow driving unit) 21c to the member 21cb pivotally attached to the protruding piece 21ca protruding from the frame 25, and moves the rod 21c ′ forward and backward. The eyebrows are moved up and down by moving the movable member 24c provided in the portion corresponding to the eyebrows of the artificial skin up and down.

The neck 27 is provided with a joint mechanism 27a for connecting the head model 2a and the trunk model 2b so that the head model 2a and the body model 2b can be tilted forward and backward and left and right by a neck driving part g. A rod extending downward from the joint mechanism 27a is attached to the sheath part 27b. It is housed in a rotatable manner. As a result, the neck 27 can be tilted in the range of +10 degrees to -30 degrees back and forth and ± 45 degrees to the left and right by the joint mechanism 27a as indicated by the arrows, and further by rotating the rod within the sheath portion 27b. It is configured to be able to rotate within a range of ± 45 degrees to the left and right.
In addition, the left and right cheeks have built-in contact sensors S that detect careless contact of the surgeon who is undergoing medical care (see FIG. 5D): Contact detector a).

  The jaw model 23 is configured by combining an upper jaw model 23a and a lower jaw model 23c. Each jaw model 23 is provided with an iron piece 23e so that it can be attached to and detached from a magnet 25d provided on the opposing upper jaw member and lower jaw member by a magnetic force. doing.

  The upper jaw model 23a and the lower jaw model 23c are planted so that the teeth 23d can be replaced one by one. As a result, it is possible to replace a tooth that has been consumed during a cutting practice, or to replace it with a special tooth with a decayed tooth or a tartar. The jaw model 23 is also configured to be replaceable with a small model for children or a model of an edentulous jaw in which the teeth 23d are not planted. In addition, as the tooth 23d, for example, a configuration similar to the training tooth described in JP-A-5-27675 may be employed.

  In addition, the upper jaw model 23a and the lower jaw model 23c are provided with a sensor S described below in order to detect treatment and treatment during training. More specifically, an impact sensor that detects an impact when the medical instrument 11 contacts the tooth 23d, a pressure sensor that detects a pressure applied to the teeth and upper and lower jaws during cutting treatment, a vibration sensor that detects vibration, and a temperature rise There are provided a temperature sensor for detecting (for example, at the time of taking an impression, laser cutting, etc.), and a sensor for detecting a conduction or resistance value change for detecting the degree of tooth cutting.

  By transmitting a diagnosis status detection signal from these sensors S to the control unit I, the diagnosis status of the simulated patient body 2 at the time of training can be objectively grasped and used as diagnosis data. These sensors S constitute a pseudo-patient consultation state detection unit C, which is further output as a diagnosis state detection signal and transmitted to the information processing device 4.

  As shown in FIG. 8 illustrating the contact sensor S installed in the tongue member 23f and the throat member, the detection signal of the contact sensor S is transmitted from the consultation state detection unit C of the pseudo patient body, and is used as a diagnosis state detection signal. Is output. Therefore, when the medical instrument 11 comes into contact with the back of the tongue member 23f with the built-in contact sensor S or the throat member, the pseudo-patient body 2 is vomiting as in an actual patient, as will be described later. Can express facial expressions.

  As shown in FIG. 9 which is a perspective view of the pseudo eyeball drive unit 21a, a hemispherical pseudo eyeball 26 having a pupil drawn at the center portion is provided with a rod-like member 26a extending in the rearward direction of the eyeball. The rod-shaped member 26a is loosely fitted in a hole 21aa formed in the support member 21ab protruding above the frame body 21ac, and is further attached to two members 21al and 21ak installed in the crossing direction at the opening of the frame body 21ac. The rod-shaped member 26a is inserted into the formed long holes 21am and 21an with play so as not to be twisted even if it is inclined. The two members 21al and 21ak are provided with connecting portions 21ao and 21ap that are screwed with screw shafts 21ai and 21aj connected to the rotation shafts of the stepping motors 21ag and 21ah attached to the frame body 21ac.

  Therefore, the rotation of the two stepping motors 21ag and 21ah and the movement of the two members 21al and 21ak within the frame 21ac move the rod-shaped member 26a, and the rod-shaped member 26a moves the moving pseudo-eyeball 6 into the hole. With the center point 21aa, it is directed left and right and up and down. With such a mechanism, the pseudo eyeball 26 is configured to be tiltable within a range of 15 degrees vertically and 30 degrees left and right.

  As shown in FIG. 13, unlike the pseudo eyeball drive unit 21a shown in FIG. 10, two air cylinders 21aq and 21ad are used instead of the stepping motor, and long holes 21am and 21an are provided at the tips of the respective rods. By providing the formed members 21ae and 21af, intersecting them in the frame body 21ac, and changing the overlapping position in the frame body 21ac of the long holes 21am and 21an formed in the two members 21ae and 21af, two long You may comprise so that the rod-shaped member 26a of the pseudo eyeball 26 inserted in the superposition | polymerization position of hole 21am and 21an can move back and forth, and right and left.

  In addition to the above-described jaw model, the simulated patient body 2 is provided with a sensor S for contact with the chest, detection of anesthesia, and angle detection of the joint mechanism 28 such as the neck, waist, and arm. The medical examination state detection unit C is configured to send a medical examination state detection signal to the control unit I.

  More specifically, the cheek contact detection unit (the cheek contact detection unit a of the simulated patient body contact detection unit a) is shown in FIG. When the apprentice rests his hand on the cheek when operating the medical instrument 11, it is detected as a medical action uncomfortable for the patient.

  The chest contact detection unit (the chest contact detection unit b of the simulated patient body diagnosis state detection unit C) includes, for example, a contact sensor S or a pressure sensor S (not shown) provided on the chest of the simulated patient body 2. When an apprentice touches the chest, it is detected as an unpleasant medical practice. Especially in the case of female patients, the practitioner touching the chest is an action that should be avoided, so such an unpleasant medical practice is detected and changes to facial expressions that show discomfort to the simulated patient body. Is set.

  When the above-described simulated patient body driving unit D is configured using an air cylinder, the driving air is supplied from a compressor (not shown) or the like, but may be driven by an electric motor, and in particular, the driving method is as follows. Do not limit.

  Further, the voice recognition / output unit 21f shown in FIG. 7 corresponds to the voice output unit e and the voice recognition unit f of the simulated patient body driving unit D of FIG. 2, and is incorporated in the head model 2a of the simulated patient body 2. It consists of a small microphone and a speaker. The voice of the trainee is detected with the microphone, and the voice recognition unit (not shown) recognizes the voice, and the voice to be generated in advance is stored in the storage unit E, so that the patient is examined. According to the status of the state detection unit C and the medical device state detection unit B and the stimulus detected by the above-described sensor S at the time of medical treatment, in addition to the voice corresponding to the place, breathing breaths and the like are also output as voice, and the practitioner Recognize the voice. Specifically, for example, when pain is felt at the time of medical treatment, it is “painful”, and at the end of medical treatment, a voice such as a thank-you word is output.

  In the case of simplification, a simple buzzer sound may be generated when discomfort is exhibited. Further, the chest part of the torso model 2b of the simulated patient body 2 may be configured such that an air bag is built in and the chest moves up and down by winding one end of the air bag with an air cylinder in conjunction with the breathing operation. Alternatively, the breathing motion may be changed in accordance with the change in facial expression.

  Examples of the tooth impact or pressure detection unit (impact or pressure detection unit c on the tooth of the pseudo patient body visit state detection unit C) include, for example, a contact sensor S, an impact sensor S, or a pressure sensor S on the inside or bottom of the tooth 23d. Is provided. As a result, it is possible to detect inappropriate medical treatment such as the medical instrument 11 colliding with the tooth 23d, applying excessive force during cutting treatment, or applying an impact.

  The tooth temperature rise detection unit (a temperature rise detection unit d for the tooth of the pseudo patient body visit state detection unit C) is constituted by, for example, a temperature sensor S built in the tooth 23d, and the tooth 23d is used when taking an impression. Detects unpleasant medical practice that presses hot impression material against.

  The pseudo patient body 2 posture detection unit (pseudo patient body consultation state detection unit C pseudo patient body posture detection unit e) is used in the pseudo patient body 2 by a rotation angle sensor or an inclination sensor provided in the joint mechanism 28, for example. The posture of the simulated patient body 2 is detected by detecting the relative positional relationship between the head model 2a, the trunk model 2b, the left and right arm models 2c, and the left and right leg models 2d.

Changes in facial expressions and body movements performed by the simulated patient body 2 incorporating the simulated patient body driving unit D configured as described above and the sensor configuring the simulated patient body diagnosis state detection unit C are summarized in a table. The operation setting table is shown in FIG.

  In the motion setting table shown in FIG. 14, facial expressions and body movements of the simulated patient body 2 are divided into head, chin (mouth), eyes (including the surroundings of eyes), breathing, motion, and voice. (Before treatment), immediately before treatment (face orientation, pillow angle), during treatment (painful and uncomfortable), and after treatment are shown in a row.

  As shown in the operation setting table, the head model 2a moves passively according to the setting of the examination table 3 immediately before the treatment, and the control unit I monitors the diagnosis status detection signal and there is no abnormality. For example, various driving units built in the head model 2a are driven to maintain a relaxed expression on the face, but when an abnormality is detected, the expression is changed to discomfort, pain, vomiting, and the like.

  The jaws are normally closed (before treatment) and actively open immediately before treatment (face orientation, pillow angle). When the control unit I monitors the consultation status detection signal of the consultation status detection unit C of the simulated patient body and detects an abnormality, the movement changes to a necessary motion to change the facial expression to discomfort, pain, vomiting, and the like.

  In addition, the eyes (and the surroundings) change in the same manner, and breathing is usually unpleasant when the control unit I detects abnormalities by the diagnosis status detection signal by repeating exhalation and inspiration at a predetermined slow number in normal (before treatment). To change the expression to pain, vomiting, etc., it changes at the required speed.

  The action is exemplified by an elbow in the action setting table, and raises a hand when painful. Furthermore, when expressing discomfort, pain, and vomiting by voice, a voice corresponding to that is expressed, and after treatment, a thank-you word is emitted.

  The practitioner can perform the practice while experiencing the same reaction as when a real person is treated by performing these operations and facial expression changes during the practice. In this specification, the expression change refers to a change in only the facial expression in the head model 2a of the simulated patient body 2, and a change in the operation of the torso, arms, legs, etc. in addition to the facial expression. Or audio output.

  Subsequently, using the medical training apparatus M having the pseudo patient body 2 configured as described above, various functions are assumed and various functions and configurations for training performed according to the scenario will be described in detail below. To do.

  First, in the practical training in this embodiment, it is possible to set the age of children, adults, elderly people, etc., gender, constitutions such as pregnancy and allergies, common drugs such as warfarin and bisphosphonates as assumptions of various simulated patients At the same time, it is possible to set medical interview, oral examination, cutting, rubber dam moisture prevention, impression taking, anesthesia, tooth extraction, root canal treatment, explanation and correction of prescription drugs as practical training contents.

  As described above, in FIG. 14, facial expressions and body movements of the simulated patient body 2 are divided into head, chin (mouth), eyes (around), breathing, movement, and voice, and are usually (before treatment). , Immediately before treatment (face orientation, pillow angle), during treatment (painful, uncomfortable), post-treatment operations, etc. are shown as a list. For these operations, the settings in the patient mode are shown in FIG. As shown in the drive control setting table, it is set and registered.

  The drive control setting table shown in FIG. 15 sets the adult male mode, the adult female mode, the old man mode, and the child mode in the row direction, and in the column direction, the voice output, the aperture, the operation speed, the operation timing, and the voice recognition degree. Recognition volume and chest contact detection are preset as standard trends. These settings are stored in the storage unit E.

  The setting will be described in detail. The sound output is set so that the sound is output according to the mode, and the opening degree, that is, the mandible member 25c moves in the opening direction with respect to the maxillary member 25a and opens. The size of the mouth is set so that the old man mode and the child mode are smaller than the adult mode (adult male mode and adult female mode).

  Also, with respect to the operation speed and operation start timing, the elderly mode is set slower than the other modes. Similarly, the sound recognition level is low and the recognizable volume is set large so that the elderly mode is less likely to be recognized than the other modes. Furthermore, the chest contact detection (corresponding to the chest contact detection unit b in the consultation state detection unit C of the simulated patient body) is set to detect only adult women. The drive control setting table shown in FIG. 15 is stored in the storage unit E together with the above-described operation setting table. In voice output, the elderly and children may be output separately for each gender.

  Further, as shown in the scenario registration table of FIG. 16, a scenario corresponding to the training content is registered. In detail, practical training on medical interviews, oral examinations, cutting, rubber dam moisture prevention, impression taking, anesthesia, tooth extraction, root canal treatment, explanation of prescription drugs, and correction as practical medical practice activities shown on the vertical axis Standard medical practice scenarios that make up the story of

  In addition, for each training content, each of the patient-corresponding scenarios having a pattern adapted to the patient information described above is registered so as to be settable. With regard to patient information, the patient-related scenarios registered for the above dental treatment and treatment actions according to the presence and type of children, adults, women, men, allergic constitutions, and regular medicines on the horizontal axis are further added to adults, children, men and women. It can be developed and used so that custom-made medical care can be performed according to the patient's distinction, patient-specific constitution, conditions of common drugs, etc. In addition, for each training content, each of the patient handling scenarios with patterns adapted to each patient information is registered, but without registering all the patient handling scenarios of all patterns, each patient handling scenario of each training content is You may correct and use with the keyword in patient information.

  The creation of these patient-response scenarios can be arbitrarily set according to the standard medical practice scenario registered for the dental treatment and treatment action on the vertical axis and the characteristics of the patient developed on the horizontal axis. The standard medical practice scenario setting unit b and the patient information setting unit d see the display screen of the part H, and the standard medical practice scenario items on the vertical axis and the patient information setting items on the horizontal axis shown in FIG. You can create your own settings. In addition, for the patient information handling scenario created in this way, the patient handling scenario combination setting unit d-10 individually registers and stores the patient handling scenario for each standard medical practice, or the order of a plurality of patient handling scenarios. Can be changed.

  As described above, the standard medical practice scenario is a medical practice scenario adapted to all persons regardless of age group, gender, constitution, common medicine, and symptoms. On the other hand, the patient correspondence scenario is a medical practice scenario adapted to any one of a specific age group, sex, constitution, common medicine, symptom, or a combination thereof.

  In the patient correspondence scenario shown in FIG. 16, it is a medical treatment for an elderly person having an allergic constitution indicated by a circle and using warfarin as a regular medicine, for medical interview, impression taking, and explanation of prescription drugs. A patient handling scenario is set from this table and prepared so that it can be practiced in a patient handling scenario registered in advance and stored in the storage unit. After that, the training is advanced according to the patient correspondence scenario stored in advance with the start of the training.

  The patient's constitution and common drugs may be read and set by the patient information reading unit L. These conditions and order are stored in the storage unit E so that it can be easily practiced in a specific order for a combination of multiple patient-response scenarios. If it keeps, it is convenient.

Next, the operation setting screen 100 for setting patient information will be described.
An operation setting screen 100 shown in FIG. 17 is a screen of the display unit 42 shown in FIG. 1 and is an operation screen operated by a training instructor instructing a practitioner. The scenario display unit 101, the training situation enlarged display unit 102, The training status display unit 103, the age group setting unit 110, the common medicine setting unit 120, and the constitution setting unit 130, a gender setting unit, a training content setting unit, and a scenario changing unit (not shown) are included.

  The scenario display unit 101 is a part in which a training scenario generated by an operation described later is displayed in text, and the training situation enlargement display unit 102 zooms in and displays the face of the simulated patient body 2 receiving the training, The training status display unit 103 is a portion that displays the training status of the upper body of the simulated patient body 2 and the trainee.

  The age group setting unit 110 includes an elderly patient setting unit 111, an adult patient setting unit 112, and a child patient setting unit 113. The common drug setting unit 120 includes a no common drug setting unit 121, a warfarin setting unit 122, and a bisphosphonate drug setting unit 123. The constitution setting unit 130 includes a non-specific constitution setting unit 131, an allergy setting unit 132, and a pregnant woman setting unit 133.

  In this operation setting screen 100, the instructor specifies the patient mode by operating any one of the elderly patient setting unit 111, the adult patient setting unit 112, and the child patient setting unit 113 of the age group setting unit 110, Any of the no-addictive drug setting unit 121, the warfarin setting unit 122, and the bisphosphonate drug setting unit 123 of the common drug setting unit 120, and the non-specific constitution setting unit 131, the allergy setting unit 132, and the pregnant woman setting unit 133 of the constitution setting unit 130. By operating either one, it is possible to set the patient information of the patient assumed in the practice. Also, the operation shown in the screen of FIG. 16 may be displayed on the screen and the scenario setting operation may be performed.

Instead of the operation setting screen 100, patient information may be set on the operation setting screen 100a shown in FIG.
The operation setting screen 100a for setting patient information more specifically than the operation setting screen 100 described above includes a gender setting unit 160, an age group setting unit 110, a common drug presence / absence setting unit 140, a common drug type setting unit 150, and a disease type. A setting unit 170 is provided.

  The gender setting unit 160 includes a male setting unit 161 and a female setting unit 162, and the age group setting unit 110 includes a child patient setting unit 111, an adult patient setting unit 112, and an elderly patient setting unit 113. The common drug presence / absence setting unit 140 includes a common drug present setting unit 141 and a common drug absent setting unit 142, and the common drug type setting unit 150 includes a bisphosphonate formulation setting unit 151 and a warfarin setting unit 152. That is, the common drug presence / absence setting unit 140 and the common drug type setting unit 150 correspond to the common drug setting unit 120 on the operation setting screen 100. The disease type setting unit 170 includes a hypertension setting unit 171, an angina pectoris / myocardial infarction setting unit 172, a cerebral infarction / cerebral hemorrhage setting unit 173, a hepatitis setting unit 174, and a drug allergy setting unit 175.

  In this operation setting screen 100a, the instructor operates either the male setting unit 161 or the female setting unit 162 of the gender setting unit 160, and the child patient setting unit 111 and the adult patient setting unit 112 of the age group setting unit 110. The patient mode is specified by operating any one of the elderly patient setting unit 113, and either the presence setting unit 141 or the none setting unit 142 of the common drug presence / absence setting unit 140 is operated, When the presence setting unit 141 is operated, either the bisphosphonate formulation setting unit 151 or the warfarin setting unit 152 of the commonly used drug type setting unit 150 is operated, and among the disease type setting unit 170, the hypertension setting unit 171, angina pectoris / myocardium One of the infarction setting unit 172, the cerebral infarction / cerebral hemorrhage setting unit 173, the hepatitis setting unit 174, and the drug allergy setting unit 175 It is possible to set the patient information of the patient to be assumed in practice by work.

  Note that the disease setting section 170 may be provided on the operation setting screen 100, or the constitution setting section 130, the scenario display section 101, the training situation enlarged display section 102, and the training situation display section 103 may be provided on the operation setting screen 100a. It may be set appropriately according to the training content.

Next, the content of a specific scenario of practical training related to the conventional medicine will be described with reference to FIG.
In this common drug scenario, the patient asks the patient what drug they are currently taking, the patient answers the common drug based on the settings, and exchanges such as a history, explanation of treatment policy, and explanation of prescription drugs It is configured to be able to.

  As described above, the medical training device M according to the present embodiment advances the training along the patient correspondence scenario according to the patient information set by the training instructor, but stores a plurality of patient correspondence scenarios in the storage unit E. It is configured to select from a plurality of patient-corresponding scenarios according to the training content.

  17 and 18 is set by operating the common drug setting unit 120 and constitution setting unit 130 on the operation setting screen 100 or the common drug presence / absence setting unit 140, common drug type setting unit 150 and disease type setting unit 170 on the operation setting screen 100a. As shown in FIG. 19, for example, the patient correspondence scenario corresponding to the patient information is composed of a dialogue of a practitioner and a dialogue of a simulated patient (pseudo-patient body 2). It is a story of a response that a simulated patient answers a question of the person in question, diagnoses the answer of the simulated patient, and is treated by a practitioner.

In FIG. 19, which shows an example of a specific patient handling scenario, a practitioner asks about the presence or absence of regular medicines for hospital visits, and it is a simulated patient (pseudo patient body 2) that there are medical conditions and common medicines but the type of common medicine is unknown. The answer is that the practitioner decides to avoid bleeding-related treatments for some commonly used drugs.
Such scenarios are stored in the storage unit E according to the types of commonly used drugs, the presence or absence of allergies and pregnancy, and the medical condition.

  About the flow of the determination process of the patient correspondence scenario used for training by the medical training device M configured as described above, FIGS. 20 and 21 showing an overall flowchart of the training, FIG. 22 showing the patient mode setting flowchart, 23 will be described together with FIG. 23 showing a training flow diagram of the mode, FIG. 24 showing a training flowchart of the pregnant woman mode, and FIG. 25 showing a training flowchart of the allergy mode.

  First, in starting the training, patient information is set in FIG. 20 (step s1). Specifically, as shown in the patient mode setting flow of FIG. 22, when the female confirmation step is operated on the setting screen such as the operation setting screens 100 and 100a described above (step w1: Yes), it is determined whether or not the patient is a pregnant woman. The process proceeds to the confirmation step (step w7).

  Subsequently, when the child confirmation step is operated (step w2: Yes), the boy child mode is set (step w3), and when the old man confirmation step is operated (step w2: No, w4: Yes), the old man mode is set. (Step w5) If all the confirmation steps are “No”, the adult male mode is set (Step w6). On the other hand, when the female confirmation step is operated (step w1: Yes) and the pregnant woman confirmation step is operated (step w7: Yes), the pregnancy mode is set (step w16). When the child confirmation step is operated without operating the pregnant woman confirmation step (step w8: Yes), the girl child mode is set (step w3), and when the elderly setting unit is operated (step w8: No, w9: Yes), the female elderly mode is set (step w5), and when the adult confirmation step is operated, the adult female mode is set (step w10).

  In this way, when the allergy confirmation step is operated after the child mode for either gender, the elderly mode for either gender, the adult male mode, the pregnancy mode, and the adult female mode are set (step w11: Yes). When the allergy mode is entered (step w12), and further, the regular medicine confirmation step is operated (step w13: Yes), the regular medicine mode is entered (step w14), and the patient mode is determined (step w15).

  In this way, the allergy mode and the regular medicine mode are either the male or female child mode, the male or female elderly mode, the adult male mode, the pregnancy mode, or the adult female mode, and the allergy mode or the regular medicine mode. One or both of these modes are set. For example, allergic medicine elderly mode, etc., either male or female child mode, male or female elderly mode, adult male mode, pregnancy mode, and adult female mode. A mode combined with these may be set in advance.

  Also, you can select one of six modes, adult male mode, adult female mode, male / female child mode, and male / female elderly mode, and you can select adult male mode, adult female mode, male / female by selecting on the screen. The configuration may be such that any one of the child mode and either the male or female elderly mode can be directly selected.

  Thus, after the patient mode is set by the patient mode setting flow, for example, the practice content is set by selecting and operating one of the disease type setting units 170 on the operation setting screen 100a (step s2). The scenario according to the set training content and the patient mode is read from the storage unit E and displayed on the scenario display unit 101 of the operation setting screen 100, for example, to become a training scenario (steps s3, s4: Yes, s6). At this time, when there are a plurality of selected training contents (step s4: No), a scenario corresponding to each of the selected training contents is synthesized (step s5), and a patient-corresponding scenario used for the training is determined. Is displayed on the scenario display unit 101 (step s6).

  When practical training is started in this state (step s7: Yes), recording of imaging data for imaging the practical situation, medical condition detection signals of the respective detection units in the reception state detection unit C of the simulated patient body, and the like is started (step) s8), the utterance of the trainee, the shock of the medical instrument 11 and the temperature rise, etc., are detected as a medical condition detection signal by the pseudo patient body receiving state detection unit C (step s9). If driving is required, such as raising an answer or outputting an answer to the utterance of the trainee (step s10: Yes), each drive unit performs drive control according to the patient mode set in step s1 above. (Step s11).

  As described above, in the patient handling scenario, the setting items may be determined according to the selection based on the flow shown on the screens shown in FIGS. 20 to 22, or the standard medical practice scenario and the patient information as shown in FIG. You may create by selecting from the list. The patient correspondence scenario created in this way can be changed and registered in the patient correspondence scenario combination setting unit d-10. In addition, when changing the patient information once stored in the storage unit, the patient information change unit (not shown) may be operated to change the patient information and then store it in the storage unit E.

Here, a more specific training flow for a patient in the regular medicine mode will be described with reference to FIG.
First, it is determined whether or not the selected regular medicine is a common medicine that requires attention regarding contraindications, and if it is a common medicine that should be noted (step t1: Yes), a message that prompts attention to contraindications is displayed. (Step t2). And when prescription of a medicine is required (step t3: Yes), it is not contraindicated and it is determined whether selection of the medicine to prescribe is appropriate, and when it is not appropriate (step t4: No), an indication that it is not appropriate is displayed. It is performed (step t5). Similarly, it is determined whether the treatment (treatment) is appropriate from the viewpoint of conventional drugs. If it is not appropriate (step t6: No), a message indicating that it is not appropriate is displayed (step t7).

Specifically, the contraindications of the above-mentioned common drugs include disease contraindications, allergy contraindications, concomitant contraindications, pregnant women contraindications, and the like.
Disease contraindications, which are drugs that cannot be used due to a specific disease or medical history, can exacerbate the disease or cause serious side effects.

Allergic contraindications that are prohibited for use by people with allergies or hypersensitivity to certain drugs or similar drugs may cause severe symptoms such as shock, anaphylaxis, asthma attacks, and angioedema.
Concomitant contraindicated drugs, which are prohibited for people who take drugs that are not well-drinked as regular drugs, may have adverse effects such as diminished effects and increased side effects due to drug interactions.

Prenatal contraindications, drugs that are prohibited for women who are pregnant and possibly, may have adverse effects on the fetus, including poor fetal growth, miscarriage, and possibly malformations.
As a more specific example, asthma attacks caused by acidic non-steroidal anti-inflammatory drugs are known, but cefaclor antibiotics must be noted as drugs that cause anaphylactic shock.

  In implant surgery, which has been increasing recently, implant treatment within 6 months after the occurrence of myocardial infarction, cerebral infarction, or stroke is contraindicated. Even if 6 months have passed, antiplatelet drugs or Care should be taken with implant treatment for patients taking anticoagulants such as “Warfarin,” which is used as a prescription drug for patients with cerebral infarction and makes blood harder to clot. In addition, when a “bisphosphonate drug” used as a prescription drug for osteoporosis or the like is used as a regular drug, “jawbone necrosis” may occur when the tooth is extracted during the treatment of the implant. In addition, implant treatment is contraindicated in patients currently undergoing radiation therapy for cancer (cancer) treatment, especially when radiation is applied to the jawbone, and surgical procedures are contraindicated and anesthesia is performed. It is also dangerous.

  In this way, treatment (surgical treatment) is performed in consideration of medical history and contraindications related to conventional drugs, but if treatment (surgical treatment) is determined to be inappropriate, there is a risk that the actual treatment may pose the risks described above. Then, a display indicating that the training is not appropriate is performed (step t7).

  In addition, although there are regular medicines, there are no contraindications, etc., and when they are different from common medicines that should be noted (step t1: No), or when prescription drugs are not prescribed (step t3: No), the selection of the prescribed medicine is When it is appropriate (step t4: Yes), and when the practiced treatment is appropriate (step t6: No), it is possible to move to the next step as the above-described practice flow.

  Similarly, the training flow in the case of allergy (FIG. 24) and the training flow in the case of a pregnant woman (FIG. 25) perform the same steps as steps t2 to t7 in the training flow in the case of having the above-mentioned common medicine ( Steps u1 to u6, steps v1 to v6).

  In this way, in accordance with the practical scenario, practice with the response to the simulated patient body 2 and the processing (operation) on the simulated patient body 2 is performed, but the instructor in the middle of the practical scenario or after the selected scenario ends If there is a scenario change instruction (step s12: Yes), the training scenario is changed and the training is continued. This is repeated until the end of the practice (step s13: No), and with the completion of the practice (step s13: Yes), the recording of the practice situation is terminated (step s14).

Then, when evaluating the content of the practice that has been carried out (step s15: No), the practice situation record recorded in the storage unit E is read (step s16), and the practice result is set for each evaluation item set in advance from the practice situation record that has been read. Evaluation is performed by the evaluation calculation unit F (step s17), and the evaluation result is displayed and recorded (step s18). Further, the evaluation result data is aggregated and displayed (step s19), the evaluation comment is input and recorded (step s20), the training situation record and the evaluation are output (step s21), and the series of training is finished. .
In this medical training apparatus M, it is also possible to read only the training records performed so far and perform the evaluation without performing the training (step s7: No).

  As described above, the medical training apparatus M listens to and recognizes the voice of the head model 2a having the lower jaw opening / closing drive unit c of the simulated patient body drive unit D that performs at least opening / closing operation of the mouth, The voice recognition unit f and the voice output unit e that output the simulated patient's voice of the simulated patient body drive unit D, and the information about the simulated patient, at least one of the age group, sex, constitution, common medicine, and medical condition, Alternatively, at least one standard medical practice scenario is selected from the standard medical practice scenarios of the medical treatment items of a plurality of standard medical practices stored in advance and the simulated patient body setting operation unit G that sets patient information by combining at least two Standard medical practice scenario setting unit b, patient information on simulated patient set in simulated patient body setting operation unit G, standard medical practice scenario setting unit A storage unit E for storing a patient-corresponding scenario according to a combination with the standard medical practice scenario set by the standard medical practice scenario set by the standard medical practice scenario setting unit b, and a simulated patient body setting operation unit G A control unit I for controlling the operation of the lower jaw opening / closing drive unit c of the simulated patient body drive unit D and the control of the voice recognition unit f and the voice output unit e based on the patient handling scenario according to the combination of patient information set in As a result, it is possible to carry out practical training with a more realistic feeling in line with actual treatment assuming various patients.

  Specifically, the head model 2a having the mandibular opening / closing drive part c that performs at least the opening / closing operation of the mouth and the voice recognition for listening to and recognizing the voice of the trainee and outputting the voice of the simulated patient The voice of the simulated patient is opened and closed while the mouth of the head model 2a is opened and closed while the voice of the trainee is recognized by the voice recognition unit f and the voice output unit e. Can be output, so that hands-on training can be performed in line with actual treatment. The voice recognition unit f and the voice output unit e that output the voice of the simulated patient of the simulated patient body driving unit D shown in FIG. 2 correspond to the voice recognition / output unit 21f shown in FIG.

  In addition, a simulated patient body setting operation unit (patient information setting) that sets patient information by combining at least one of age group, gender, constitution, common medicine, and medical condition, or a combination of at least two of the information about the simulated patient Part) G, a standard medical practice scenario setting part b that enables at least one standard medical practice scenario to be selected from standard medical practice scenarios of a plurality of medical treatment items stored in advance, and a pseudo patient body setting operation part (patient information) A storage unit E for storing a patient-corresponding scenario according to a combination of the patient information related to the simulated patient set in G and the standard medical practice scenario setting unit b, and the standard medical practice scenario Set by the standard medical practice scenario set by the setting unit b and the simulated patient body setting operation unit (patient information setting unit) G A control unit I for controlling the operation of the lower jaw opening / closing drive unit c of the simulated patient body drive unit D and the control of the voice recognition unit f and the voice output unit e based on a patient handling scenario corresponding to the combination of the patient information. Patient information such as patient age, gender, allergies, patient information such as the presence or absence of common drugs, and patient-friendly scenarios that are tailored to each patient, such as different constitutions, common drugs, physical conditions, etc. Can be generated.

  In addition, patient information can be set, and the mandibular opening / closing drive unit for the pseudo patient body drive unit D that performs the opening / closing operation of the mouth based on the patient handling scenario in which the patient information is reflected in the standard medical practice scenario according to the training content In order to control the operation of c and the voice recognition unit f and the voice output unit e, for example, to perform practical training with a more realistic feeling in line with actual treatments for various patients such as elderly people, children, and pregnant women Can do.

  In addition, the pseudo patient body setting operation unit (patient information setting unit) G is configured to be able to set an elderly mode imitating an elderly patient and an adult mode imitating an adult patient, and the control unit I sets the elderly mode. With the configuration that controls the opening angle of the mouth narrower than the setting of the adult mode, the opening angle of the mouth is smaller than the general adult mode, and the elderly man mode makes it difficult to perform treatment. More realistic training can be performed in line with the actual treatment of the patient.

  In addition, the control unit I is configured to control the recognition level of the voice recognition unit f and the voice output unit e lower by the setting of the elderly mode than the setting of the adult mode. Speaking slowly and clearly and clearly, it is possible to carry out practical training with a sense of realism in line with the actual treatment for elderly patients.

  Further, by setting the control unit I to control the sound volume of the voice recognition unit f and the voice output unit e larger by setting the elderly mode than by setting the adult mode, It is possible to conduct practical training with a sense of reality that is similar to the treatment for an elderly patient who is far away, such as speaking loudly.

  In addition, the control unit I outputs the output voice output by the voice recognition unit f and the voice output unit e according to the setting of the old man mode, and outputs the old man voice imitating the voice of the elderly patient, and outputs according to the setting of the adult mode. By configuring the voice to control the output of adult voice that simulates the voice of an adult patient, compared to adult voice in the adult mode, you can experience the answers with the voice of elderly people, and feel the realism of the training It can be improved further.

  In addition, the control unit I is configured to control the driving speed of the simulated patient body driving unit D slower by the setting of the elderly mode compared to the setting of the adult mode, for example, opening and closing of the mouth when speaking Since movement and biological responses to pain are controlled slower than the operation speed in the adult mode, it is possible to further improve the realism of practical training.

  Further, the control unit I controls the voice output start timing of the voice recognition unit f and the voice output unit e and the drive start timing of the pseudo patient body driving unit D by setting the elderly mode, as compared with the setting of the adult mode. By configuring, for example, the voice output start timing when uttering, the drive start timing after voice recognition of the utterance of the trainee, and the biological reaction to pain, etc. are the start timing in the adult mode Since it is controlled later, the realism of practical training can be further improved.

  In addition to the adult mode and the elderly mode, a child mode imitating a child patient can be set, and the control unit I can output an output sound and a child sound imitating a child patient voice by setting the child mode. By adopting a configuration that performs output control, it is possible to experience a child's voice response as compared to an adult voice in the adult mode, so that the realistic feeling of practical training for various patients can be further improved.

  In addition, by configuring the pseudo patient body setting operation unit (patient information setting unit) G with the operation setting screen 100 for setting patient information by a selection operation, the setting operation of an instructor or an instructor can be accepted and the patient can be surely received. Information can be set.

  In addition, when patient information related to a conventional drug is set in the pseudo patient body setting operation unit (patient information setting unit) G in the storage unit E, the normal drug information that responds to a practitioner's question regarding the patient information related to the conventional drug is stored. By memorizing, for example, it is possible to carry out practical training in conformity with the actual diagnosis, such as the presence or absence of conventional drugs.

  In addition, by comparing the patient information related to the regular medicine and the prescription drug information related to the prescription drug prescribed by the apprentice, by providing a training result evaluation calculation section (contraindication judgment section) F for judging precautions such as contraindications, For example, practical results evaluation calculation of contraindications between regular drugs and prescription drugs, especially in elderly patients who are often taking drugs such as hypertension, heart disease, cerebral infarction, diabetes, antiallergy, etc. It can be determined and confirmed by the unit (contraindication determining unit) F, an alarm can be notified, displayed on the display unit, or the evaluation result can be stored in the evaluation unit. Therefore, it is possible to conduct practical training with a more realistic feeling based on contraindications to commonly used drugs, that is, imitating medical care that requires attention so as not to be in a dangerous state.

  In addition, by providing a patient response scenario change unit that changes the set patient response scenario set by the patient response scenario setting unit, for example, the instructor changes the previously set scenario according to the practical situation of the apprentice. However, it is possible to conduct practical training in a variety of situations.

In addition, since the jaw model 23 corresponding to the setting mode set in the patient information setting unit can be exchanged on the mouth of the head model 2a, the set patient information such as the elderly mode and the child mode as described above can be used. A suitable chin model 23 can be attached to the oral cavity for practical training.

In addition, by setting the head model 2a to allow the wearing of the mask and wig that can be replaced according to the setting mode set in the patient information setting unit, the aged mode and the child mode as described above are set. By using an appearance model according to patient information, it is possible to carry out more practical training.

In correspondence between the configuration of the present invention and the above-described embodiment,
The drive mechanism of the present invention corresponds to the pseudo patient body drive unit D,
Similarly,
The voice recognition unit and the voice output unit correspond to the voice recognition unit f and the voice output unit e,
The patient information setting unit and the patient information setting unit correspond to the pseudo patient body setting operation unit G,
The GUI and the display device correspond to the display unit a of the display setting unit H,
The operation unit corresponds to the setting operation unit b of the display setting unit H,
The patient information setting reading unit corresponds to the patient information setting reading unit (common drug data reading unit) L,
The contraindication determination unit corresponds to the training result evaluation calculation unit F,
The biological signal output unit corresponds to the biological signal output unit K,
The occlusal model corresponds to the jaw model 23, but the present invention is not limited to the configuration of the above-described embodiment, and many embodiments can be obtained.

  For example, in the above description, the operation setting screens 100 and 100a are configured such that the presence / absence and type of the commonly used drug are operated and input. For example, an identifier for identifying patient information such as the type of commonly used drug is used as an RFID reader. Alternatively, the medical table 1 or the pseudo patient body 2 may be provided with an ordinary medicine data reading unit L that sets patient information by reading with a two-dimensional bar code reader or an IC card reader.

  Specifically, as shown in FIG. 1, for example, an RFID reader / writer 200 that constitutes an ordinary medicine data reading unit L (see FIG. 2) between a table 1a and an instrument holder 1b in the instrument table 1, or Equipped with a barcode reader and IC card reader. Then, the instructor or an instructor instructing the instructor can send the RFID tag (not shown), the two-dimensional barcode or the IC card information attached to the patient's examination ticket or medicine notebook to the RFID reader / writer 200 or By holding it over a barcode reader or IC card reader, the RFID reader / writer 200 or the barcode reader or IC card reader communicates with the patient's RFID tag, etc., and the presence or absence of the patient's usual medicine, its type, allergy or pregnancy It is possible to read and set patient information such as a constitution such as medium, and a medical condition or medical history being treated. In other words, by installing the RFID reader / writer 200 constituting the common medicine data reading unit L, or a barcode reader or IC card reader, a practitioner or a practicing instructor who teaches the practitioner operates for setting. Patient information can be accurately set without operating a setting screen or the like. In addition, since patient information can be read in a non-contact manner, infection control can be performed when setting patient information.

  In addition, the configuration of the example in which the pseudo patient body 2 is placed on the clinical table 3 and the practice is performed on the pseudo patient body 2 in the sleeping position has been described so far. For example, the meeting at the prescription pharmacy window Assuming a practice of questions and answers, as shown in FIG. 26, a practice may be performed on the pseudo patient body 2 in a standing posture.

  In detail, as shown in FIG. 26, for example, an instructor X such as a pharmacist faces the pseudo patient body 2 in the standing posture through the counter 450, and meets the questions and answers according to the scenario as described above. You can practice with a sense of reality. In this case as well, patient information can be set accurately by providing an RFID reader / writer 200, or a barcode reader or IC card reader that constitutes the common medicine data reading unit L (see FIG. 2). In the question and answer, it is also possible to perform practical training assuming that the patient himself / herself sets patient information using the RFID reader / writer 200, or a barcode reader or IC card reader.

  In the case of such a face-to-face question and answer training over the counter 450, as shown in FIG. 26, a realistic training with a sense of realism can be performed even for the upper body pseudo patient body 2 without the leg model 2d. it can.

Furthermore, in addition to practicing the simulated patient body 2 placed on the medical table, it is assumed that home medical care or home-visit medical treatment is performed, and practice is performed on the pseudo patient body 2 laid on the futon 400 or the bed. Also good.
In a medical treatment called home medical care or home medical care, for example, a portable medical treatment unit 300 for home medical care is brought to a patient who is sleeping on the futon 400, and medical treatment is performed using the medical instrument 11 built in the mobile medical treatment unit 300. To do.

  As shown in FIG. 27, such home medical care and visiting medical care are different from medical care in a well-equipped clinic such as the medical examination table 3 such as medical care in an inconvenient posture, and portable medical care with few types of medical equipment. Since it is performed using the unit 300, a skilled technique is required.

  As shown in FIG. 27, the pseudo-patient body 2 is placed on the futon 400 and the medical device 11 of the portable medical unit 300 is used to realistically reproduce home medical care and visiting medical care that require skilled skills. You can do practical training with a sense of reality.

  Note that the RFID reader / writer 200, a barcode reader, or an IC card reader described above may be provided in any part of the simulated patient body 2 or the portable medical treatment unit 300.

  Thus, in the present invention, not only training for patients who have been prescribed various conventional drugs, but also training that can issue accurate prescriptions to healthy individuals is possible. In addition, prescription issuance training is possible for patients with heart diseases such as hypertension, angina pectoris, myocardial infarction, arrhythmia, or basic diseases such as asthma and diabetes.

  Further, by collating the medical record with the prescription, when an incorrect prescription is issued, it may be displayed on the display unit a or warned. The results and progress of these trainings are stored in the storage unit E. It is also possible to presume the patient's illness from the data on conventional medicines and confirm with the patient, issue appropriate prescriptions and treatment, and training on whether the volume of prescription drugs is appropriate.

As shown in FIG. 2, the medical training apparatus M may include a biological signal output unit K that outputs biological signals such as blood pressure and pulse according to the setting mode set by the display setting unit H.
Specifically, as illustrated in FIG. 27 of a practical situation assuming home medical care, a biological signal output unit 250 constituting the biological signal output unit K is provided inside the wrist of the arm model 2c of the simulated patient body 2. Equip.

  The biological signal output unit 250 is connected to the control unit I, and under the control of the control unit I, based on the medical condition detection signal of the medical condition detection unit C, by an inappropriate medical practice of the trainee X, for example, due to pain A biological signal indicating that the pulse is rising or the blood pressure is lowered due to anesthesia is obtained through a biological signal measuring instrument (not shown) such as a palpation or a sphygmomanometer.

  In this way, by installing the biological signal output unit 250 constituting the biological signal output unit K in the pseudo patient body 2, the medical condition detection signal detected by the medical condition detection unit C by the medical practice of the trainee X can be used. Since the biological signal is obtained through a biological signal measuring instrument (not shown) such as a palpation or a blood pressure monitor, a more specific and realistic training can be performed according to the actual treatment. The biological signal output unit K may be configured to display a biological signal on the display screen as well as the biological signal output unit 250 built in the pseudo patient body 2.

  Further, since the pulse rate and the heart rate have normal values depending on the age group of the patient, if the normal value according to the age is stored in the storage unit E, the training that understands the normal value according to the age can be performed. Then, in the simulated patient body setting operation unit G, the biomedical signal measured by the standard medical practice scenario setting unit c is set for each scenario, stored in the storage unit E, and recalled and trained to obtain the set scenario. Training can be performed after understanding whether the measured value based on the measured value is within the normal range as compared with the normal value. Moreover, when a measured value shows an abnormal value in order to call attention to a practitioner, the display color of the measured value may be changed or a warning may be displayed.

  If the blood pressure or pulse of the patient model is set to a value indicating an emergency state, for example, by the biological signal output setting unit d-9 of the patient information setting unit d, the setting is made from the sphygmomanometer or pulse meter attached to the arm model of the patient model. Since the electric signal along the line is output or displayed on the display unit, the practitioner can practice the countermeasure for the emergency.

Moreover, you may provide the alerting | reporting part which makes it possible to confirm whether the occlusion model according to the setting mode set in the patient information setting part d is mounted | worn in the oral cavity part, and also to the setting mode set in the patient information setting part d You may provide the alerting | reporting part which confirms whether the corresponding mask and wig are mounted | worn with the head. In this case, more practical training can be performed using an occlusion model or an appearance model corresponding to the set patient information, such as the above-described elderly mode and child mode.

2a ... head model 21f ... voice recognition / output unit 23 ... jaw model D ... simulated patient body drive unit E ... storage unit F ... practice result evaluation calculation unit (inhibition determination unit)
G ... Simulated patient body setting operation unit (patient information setting unit)
b ... Standard medical practice scenario setting unit I ... Control unit K ... Biological signal output unit L ... Patient information setting reading unit (common medicine data reading unit)
M ... Medical training device

Claims (17)

A human body model having a drive mechanism that operates by combining at least one of the mouth, eyeball, eyelid, eyebrows, neck, arm, or two or more;
A speech recognition unit that listens and recognizes the trainee's speech;
A voice output unit for outputting the voice of the simulated patient;
About information on the simulated patient, at least one of the age group, sex, constitution, common medicine, and medical condition, or a patient information setting unit that sets patient information by combining at least two, and
A standard medical practice scenario setting unit capable of selecting at least one scenario from standard medical practice scenarios comprising a plurality of medical treatment items stored in advance;
A storage unit that stores patient information about the simulated patient set in the patient information setting unit, a patient corresponding scenario corresponding to patient information created by combining the standard medical practice scenario, and the standard medical practice scenario;
A control unit configured to control the operation of the drive mechanism based on the standard medical practice scenario set by the standard medical practice scenario setting unit and the patient corresponding scenario, and to control the voice recognition unit and the voice output unit; Medical training device equipped with. The patient information setting unit,
The elderly mode imitating elderly patients and the adult mode imitating adult patients can be set at least,
The control unit
The medical training device according to claim 1, wherein the opening angle of the mouth portion is controlled to be narrower by the setting of the elderly mode than by the setting of the adult mode. The control unit
The medical training device according to claim 2, wherein the elderly person mode setting controls the degree of recognition of the voice recognition unit to be lower than that of the adult mode setting. The control unit
The medical training device according to claim 2 or 3, wherein the old man mode setting is configured to largely control the recognition volume of the voice recognition unit as compared to the adult mode setting. The control unit
According to the setting of the old man mode, the output sound output by the sound output unit is used to output the old man voice imitating the voice of the elderly patient,
The medical training device according to any one of claims 2 to 4, wherein the output sound is controlled to output an adult sound imitating the voice of the adult patient according to the setting of the adult mode. The control unit
The medical training device according to any one of claims 2 to 5, wherein the old man mode setting is configured to control the driving speed of the driving mechanism slower than the adult mode setting. The control unit
Compared to the adult mode setting, the old man mode setting
The medical training device according to any one of claims 2 to 6, wherein a voice output start timing of the voice output unit and a drive start timing of the drive mechanism with respect to recognition by the voice recognition unit are controlled late. The patient information setting unit,
Configure to be able to set a child mode that mimics a child patient,
The control unit
The medical training device according to any one of claims 2 to 7, wherein the output sound is controlled to output a child sound imitating the voice of the child patient according to the setting of the child mode. The medical training device according to any one of claims 2 to 8 , further comprising a biological signal output unit that outputs biological signals such as blood pressure and pulse according to a setting mode set by the patient information setting unit. Before Symbol mouth,
The medical training device according to any one of claims 2 to 9 , further comprising an oral cavity part that allows wearing to replace an occlusal model according to a setting mode set by the patient information setting unit. Medical training according to any one of the previous SL <br/> claims 2 to 10 comprising a head model that allows interchangeable wearing the mask and wig in accordance with the setting mode set in the patient information setting unit apparatus. The patient information setting unit,
Medical training apparatus according to any one of claims 1 to 11 and configured to set the patient information by the selection operation. The patient information setting unit,
The medical training device according to claim 12 , comprising an operation unit in a GUI or an operation unit provided on a display screen of a display device. The patient information setting unit,
RFID which stores the patient information, medical training apparatus according to any one of claims 1 to 13 configured in the patient information setting reading unit for setting the patient information read from the card or the identification code. In the storage unit,
In the patient information setting unit, the time of the patient information on the conventional agent is set, among the claims 1 to 14 for storing conventional medicine information responsive to said training person in question for the patient information on the conventional drug Medical training apparatus according to any one of the above. 16. The incontinence determining unit according to any one of claims 1 to 15 , further comprising a contraindication determination unit that determines precautions such as contraindications by comparing the patient information regarding the regular medicine and prescription drug information regarding a prescription drug prescribed by a practitioner. The medical training device described. Provided with a patient corresponding scenario setting unit for setting the patient corresponding scenario, any one of claims 1 to 16 having a patient correspondence scenario changing unit for changing the patient corresponding scenario set by the patient corresponding scenario setting section Medical training device as described in 1.

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