JPH11231770A - Medical simulator reporting device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide sufficient information for supporting the training, learning or experimentation of a simulated medical treatment to be an object activity corresponding to the conditions. SOLUTION: This device is provided with a storage means 13 for storing virtual model information virtually consisting of one part of a human body or an animal or the whole and medical treatment information concerning the medical treatment activity such as surgical operation, examination or experimentation, a simulated medical instrument 14 simulating an instrument to be used for the said medical treatment activity, a control means 15 for controlling the conditions of the simulated medical treatment activity to be virtually performed by using the said virtual model information and the said medical treatment information in the storage means 13 with respect to the simulated medical treatment activity to be virtually performed by an operator 10 while using this simulated medical instrument and a reporting means 18 for reporting information provided by this control means 15 to the operator 10 in addition to value-added information.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical simulator notification device.

[0002]

2. Description of the Related Art FIGS. 11a and 11b show, for example, USP.
This is a display method in the conventional medical simulator system shown in US Pat. No. 4,907,973, and is a recommended form for communication between an operator and a display for solving a problem of a patient. In the figure, 110 is an operator, 111 is a display, 112 is a scene inside the patient's body displayed on the display 111, 113 is an EXPERT category, and 114 is an SI
MILAR ANGIOGRAMS category, 115 is OCCLUSION ART
The category 117 is a corresponding position of the scene 112 in the patient.

Next, the operation will be described. The operator 110 is presented with the display 111, which shows a scene 112 within the patient during the examination. 3 above the display 111
Categories, EXPERT category 113, SIMILAR AN
The GIOGRAMS category 114 and the OCCLUSION ART category 115 are displayed, and can be selected by the operator 110. Although three categories are shown here, it is also possible to construct many categories and display them according to medical instruments and places of interest.

When one of the three categories displayed on the display 111 is selected, a system memory is accessed and necessary information is presented.
FIG. 11B shows information that is presented according to the display status when the EXPERT category 113 is selected.
The display 111 keeps displaying the basic scene inside the patient, but the upper part of the display screen changes to display information related to the selected category, EXPERT. The computer performs a data search related to the displayed information and concludes that at some location 117 the probability of OCCLUSION occurring is 70%.

[0005]

In the display system in the conventional medical simulator system, it was possible to select a desired category from a plurality of menus and express the possibility of a lesion by probability. However, in simulating a medical practice such as surgery, examination or experiment, the target operator is often a novice, and sufficient information is available to assist in training, learning, or experimenting in a simulated medical practice. There was a problem that it was not provided accordingly.

The present invention has been made in order to solve the above-mentioned problems, and provides sufficient information to assist in training, learning, or experimenting with a target simulated medical treatment according to circumstances. The purpose is to do.

[0007]

The medical simulator notifying device according to claim 1 of the present invention provides virtual model information for virtually configuring a part or the whole of a human body or an animal, and medical medical treatment such as surgery, examination, or experiment. Storage means for storing medical medical information relating to the practice, a simulated medical instrument simulating the medical instrument used for the medical medical practice, and a simulated medical practice performed by an operator virtually using the simulated medical instrument. Control means for controlling a situation of a simulated medical care practice virtually performed using the virtual model information and the medical care information stored in the storage means, and information obtained by the control means. Notification means for adding value-added information to notify the operator.

According to a second aspect of the present invention, there is provided the medical simulator notifying device, wherein the notifying means notifies the operator of the state of the medical treatment to be simulated in accordance with the actual situation. Additional information notifying means for displaying additional information which does not correspond to the situation described above but assists in training, learning, or experimenting in simulated medical practice.

According to a third aspect of the present invention, in the medical simulator notifying device, the additional information notifying unit notifies a guideline of the simulated medical treatment to assist training, learning, or experiment in the simulated medical treatment. Notification means.

In a medical simulator notifying device according to a fourth aspect of the present invention, the additional information notifying means is a risk prediction information notifying means for notifying a dangerous situation in training, learning or experiment of the simulated medical treatment.

In a medical simulator notifying device according to a fifth aspect of the present invention, the additional information notifying means is a simulated time notifying means for notifying a time required for the simulated medical treatment.

[0012] In the medical simulator notifying device according to claim 6 of the present invention, the additional information notifying means notifies the result evaluation of the simulated medical treatment, and the self-training, learning, or experiment of the simulated medical treatment is performed. This is an evaluation result notifying means that helps others to evaluate.

[0013]

DESCRIPTION OF THE PREFERRED EMBODIMENTS Embodiment 1 FIG. 1 is a basic configuration diagram of the medical simulator notification device according to the first embodiment. In the figure, 10 is an operator (user) operating the medical simulator system, 11 is virtual model information that virtually configures a part or the whole of a human body or an animal, and 12 is medicine related to medical treatments such as surgery, examination or experiment. Medical information 13 is the virtual model information 11
And storage means for storing the medical and medical information 12, a simulated medical device simulating a medical device used for the medical medical action, and 15 a simulated medical medical device virtually performed by an operator using the simulated medical device. The control means for grasping and controlling the situation of the simulated medical care action virtually performed using the virtual model information 11 and the medical care information 12 stored in the storage means 13 for the action; Simulated situation notifying means for notifying the operator of the state of the medical treatment to be simulated obtained by the control means in accordance with the actual situation; 17 is training and learning of the simulated medical practice which does not correspond to the actual situation. Alternatively, an additional information notifying unit 18 for notifying additional information that assists the experiment, and a notifying unit 18 including the simulation situation notifying unit 16 and the additional information notifying unit 17 .

Next, the operation will be described. First, the operator 10 simulates a medical treatment by moving the simulated medical instrument 14 on the virtual model information 11 that is virtually configured. FIG. 2 is a three-dimensional graphics shape information diagram specifically explaining the configuration of the virtual model information.

In the figure, reference numeral 20 denotes three-dimensional graphics shape information of a human body or an animal which virtually configures a part or entire shape of a human body or an animal using three-dimensional graphics, and 21 denotes a simulated medical instrument. This is simulated medical instrument three-dimensional graphics shape information whose shape is virtually configured using three-dimensional graphics. Reference numeral 22 denotes the number of vertices constituting each piece of three-dimensional graphics shape information.
Indicates that there are 1,000 vertices, and 21 indicates that there are 100 vertices. Reference numeral 23 denotes a first vertex element constituting each piece of three-dimensional graphics shape information. Here, vertex coordinates (X1, Y1, Z1),
An example is shown in which the normal vector (L1, M1, N1) at the vertex and the color information (R1, G1, B1) at the vertex are included. It is not necessary to have all the information, and further information may be added as needed.

Numeral 24 denotes the number of planes constituting each piece of three-dimensional graphics shape information. 20 indicates 4,000 planes and 21 indicates 400 planes. Reference numeral 25 denotes a first surface constituting each piece of three-dimensional graphics shape information, and the first surface is a triangle formed by first, second, and third vertex coordinates. The surface configuration need not be triangular. Generally, a polygon is used, but a circle or a sphere may be represented by specifying a center point and a radius. Here, for simplicity,
Although the case where the three-dimensional graphics shape information is composed of information of vertices and planes has been described as an example, the three-dimensional graphics shape information may include value-added information such as a transformation matrix such as rotation or enlargement of an object. The color may be provided and specified by the color table index. further,
Instead of the information description method using surface data as shown in FIG. 2, three-dimensional graphics shape information may be described using a set of point information called volume data.

FIG. 3 is an eye surgery information diagram specifically illustrating the structure of the medical medical information, taking eye surgery as an example. In the figure, reference numeral 30 denotes a cataract patient symptom information diagram describing a patient's symptom in a simulated cataract operation, and reference numeral 31 denotes a state change information diagram describing a symptom change of an affected part with respect to a simulated operative operation in a simulated cataract operation. According to the cataract patient symptom information 30 shown in FIG. 3, the patient of the present simulated surgery suffers from cataract and the hardness of the lens nucleus is grade 2;
It can be understood that the method can be a target of learning the surgical technique of two methods. In addition, since the hardness is grade 2, it can be seen that crushing of the lens nucleus occurs when a force of 1.0 kg is applied. In simulated surgery, it is set so that lens nucleus division occurs when more force is applied.

On the other hand, from the state change information 31, it is known that the conjunctival incision is accompanied by bleeding and the amount is 1 ml / s, so that it is possible to simulate an increase in the amount of bleeding in the simulated operation. Also, when a corneal incision is made,
On the contrary, if you try to insert Phaco before the corneal incision, you may damage the cornea. These matters are also known from the state change information 31, and can be simulated in the simulation operation.

Examples of the simulated medical practice include, for example,
Practice of surgery, rehearsal of examination method, experiment of new surgical technique, etc. are mentioned. Here, a description will be given of a situation in which the operator 10 performs a simulated medical treatment using the simulated medical instrument 14, taking a simulated cataract operation as an example. When the operator 10 moves the simulated medical instrument 14 on the virtual model information 11, the position information of the simulated medical instrument 14 on the virtual model information 11 changes. This change in position information is transmitted to the control means 15 by a position detection mechanism such as a sensor or a motor installed on the simulated medical instrument 14. For example, a sensor is attached to the tip of a simulated surgical instrument that simulates a scalpel, a method of obtaining position information by a three-dimensional motion measurement device, a rotation angle of a motor attached to a force sense presentation device called a haptic device, or a string. The position change of the simulated medical instrument 14 on the virtual model information 11 can be determined from the degree of expansion / contraction of As a specific device, Northe
rn OPTO TRAK, SensAb manufactured and sold by Digital Inc.
PHANToM manufactured and sold by le Technologies Inc., Haptic Master studied at University of Tsukuba, or SPIDAR studied at Tokyo Tech. All of these situations are performed in the virtual space, and FIG. 4 shows a visual representation of the situation of the simulated eye surgery in the virtual space. 1
Reference numeral 1 denotes the virtual model information, which indicates a model of an eyeball which is a part of a human body. Reference numeral 14 denotes the simulated medical instrument, and two instruments on the left and right are prepared for simulating an operation using two methods.

Here, the virtual model 11 and the simulated medical instrument 14 are composed of three-dimensional graphics data as shown in FIG. Therefore, if graphic geometry is applied, contact detection between the eyeball model and the simulated medical instrument can be performed. When the simulated medical device does not touch the eyeball model, the eyeball state does not change, but when the simulated medical device touches the eyeball model and performs any medical treatment,
The state of the eyeball model changes.

For example, it is assumed that a scalpel is picked up as the simulated medical instrument 14 and a part called conjunctiva, which forms a part of the eyeball model, is incised. The determination as to whether the scalpel has come into contact with the conjunctiva can be realized by applying graphic geometry as described above. Specifically, the equation between a plane and a plane or between a plane and a line segment is solved.If the solution of this equation exists, contact between the scalpel and the conjunctiva has occurred.If there is no solution, the scalpel contacts the conjunctiva. It can be determined that it has not been done. If the scalpel is in contact with the conjunctiva, an incision in the conjunctiva will be made,
The control means 15 recognizes that the state of the simulated cataract surgery has shifted to conjunctival incision. How the operation state changes due to the conjunctival incision can be known from the state change information 31. According to the state change information 31, it is understood that conjunctival incision is accompanied by bleeding. Also, this bleeding volume
At 1 ml / s, it can also be seen that the amount of bleeding continues to increase until hemostasis treatment is performed using an electric iron.

As another example, a case where the lens nucleus is crushed using Phaco can be considered. Phaco as the simulated medical instrument 14 and contact detection with the lens nucleus constituting a part of the eyeball model are detected, and when the contact is detected and a certain or more force is applied to the lens nucleus, the lens is removed. According to 30 in FIG. 3, which can be crushed, the hardness of the lens nucleus is grade 2, and it can be seen that the lens nucleus can be crushed when a force of 1.0 kg is applied in the case of the hardness of grade 2. Based on these information, the control means 15 can execute a simulation of lens nucleation.

A series of processes described above, that is, a contact detection calculation between the virtual model information 11 and the simulated medical instrument 14 is performed based on the position information notified from the simulated medical instrument 14, and this calculation is performed. Based on the result, the control unit 15 is a unit that realizes a simulated medical treatment for a virtually set symptom using the medical treatment information 12.
Further, the notifying unit 18 is a unit that notifies the information of the simulated medical treatment recognized by the control unit 15 to the operator 10 performing the simulated medical treatment. As described above, the notifying means 18 includes the simulated situation notifying means 16 for notifying the operator of the state of the medical treatment to be simulated according to the actual situation, and the simulated medical treatment not responding to the actual situation. And additional information notifying means 17 for displaying additional information that assists in training, learning, or experimenting.
Examples of the notification unit 18 include a display unit that performs visual feedback, a tactile presentation unit that performs haptic or tactile feedback, and a voice output unit that performs auditory feedback. The case where the notifying means 18 is realized by using the above-described method will be described.

FIG. 5 shows an example in which a display means is used as the notification means. FIG. 3 is a diagram illustrating a simulation status notifying unit and an additional information notifying unit, and illustrates a case where a guideline notifying unit is used as the additional information notifying unit.
Reference numeral 50 denotes a screen viewed by an operator performing a simulated medical treatment.
5 shows image information obtained by the following. Reference numeral 51 denotes the text information obtained by the additional information notifying means 17. Here, the additional information notifying means is realized as a guideline notifying means, and the obtained guideline text information is shown as an example.

FIG. 6 shows the procedure of the simulated medical treatment used by the guideline notifying means. The guideline information is a part of the medical treatment information 12. Numeral 60 shows the steps of cataract surgery as an example, and it can be seen that the general procedure of cataract surgery is 1) anesthesia, 2) eyelid opener, and 3) conjunctival incision. As described above, since the control means 15 controls the state of the medical simulator, this control means
The current surgical process is known. In the case of FIG. 5, since the control means 15 has grasped that the corneal incision, which is the fifth step, has been completed and that a surgical instrument has been inserted, the sixth step of incising the anterior capsule is performed as the next step. According to the above guideline notification means, "Please make an anterior capsulotomy next."
Message is displayed.

The operator who performs the simulated medical treatment is usually a beginner, and even if he or she has prepared in advance, he often forgets the procedure when it comes to the actual medical treatment. For this reason, by presenting the guideline information, even if you forget the procedure of medical care, even if you forget the procedure of medical care, you will be able to train, learn or experiment on the target medical care by yourself without the help of others Can be.

In this embodiment, an example is shown in which the notifying means is realized using display means for providing visual feedback. However, it is not always necessary to use display means, and tactile presentation means for providing tactile or force feedback is provided. It may be realized by using a sound output unit or the like which performs auditory feedback. In particular, when the operator is visually impaired or the like, the display means is not very effective, and it is better to use a tactile presentation means that can be touched and felt, or an audio output means that can be transmitted by voice. Further, it is not necessary to use the same notification means, for example, a display means, as the simulation status notification means 16 and the additional information notification means 17. For example, while the simulation status notifying means 16 presents image information created by computer graphics using a display means, the additional information notifying means 17 notifies the guideline by voice using an audio output means. good.

As described above, the present simulator notification device notifies the operator of the procedure of the simulated medical treatment as a guideline when simulating a medical treatment such as surgery, examination or experiment. Even if the operator is a beginner, it is possible to more efficiently train, learn, or experiment on a target medical medical practice by himself. In addition, the notification means is not limited to the display means, and a tactile presentation means or a voice output means may be used. Alternatively, when the display means is not an effective notification means, it is possible to provide more effective information for assisting the simulated medical treatment.

Embodiment 2 In the first embodiment,
An example in which the guideline notifying means is implemented as the additional information notifying means of the medical simulator notifying device has been described. Next, as the additional information notifying means, a risk prediction information notifying means for notifying a dangerous situation in a simulated medical medical practice. A second embodiment using the above will be described.

FIG. 7 is a diagram realized by using the risk prediction information notifying means as the additional information notifying means, and is a diagram showing the simulated situation notifying means and the risk prediction information notifying means. In the figure, reference numeral 71 denotes a message displayed by the danger prediction information notifying means, and the other components are exactly the same as those in FIG.

Next, the operation will be described. As described above, an example in which the display unit is used as the notification unit is described. However, the display unit is not necessarily used, and the display unit may be implemented using the tactile presentation unit or the voice output unit. FIG.
It is danger prediction information describing a danger situation in cataract which is a part of the medical information 12. For example, a conjunctival incision is associated with bleeding. At this time, according to FIG. 3, it is necessary to stop the bleeding with an electric iron. However, from FIG. 8, if the bleeding is not performed within 30 seconds, a fatal injury is caused. That is, if the operator does not perform the hemostasis process, for example, 20 seconds after the conjunctival incision, a dangerous situation is expected to occur, and a message "Stop hemostasis immediately" can be displayed. Thus, the operator recognizes that the hemostatic treatment is the most important in the present situation, and can avoid a fatal injury by performing the hemostatic treatment.

When the bleeding is caused as described above, the operator can easily recognize the necessity of hemostasis by using the display means as the simulated situation notifying means. However, there are cases where the operator cannot easily recognize the importance of each process in the simulation situation. For example,
According to FIG. 8, it can be seen that "if the instrument gets too close to the posterior capsule, it will cause posterior capsule damage." However, usually, the screen viewed by the operator is an image viewed from directly above as shown in FIG. 7, and the distance from the instrument to the posterior capsule cannot be easily recognized. However, as described above, in the medical simulator system, the control means 15 has grasped all the states of the simulated medical treatment, and the eyeball model and the medical instrument model are shown in FIG.
Since it is constructed as three-dimensional graphics data as shown in
By performing the contact determination or calculating the distance from the intersection to the surface, for example, the distance from the tip of Phaco, which is a medical instrument, to the posterior capsule, which is the posterior part of the lens, can be calculated. As a result of this distance calculation, if the measured distance is less than a certain value, it is determined that there is a risk of posterior capsule damage,
The message "Risk of posterior capsule damage" is displayed. FIG. 7 shows this situation,
71 is the displayed message.

Since there is no such three-dimensional graphics data in actual medical treatment, it is not possible to perform intersection calculation or distance calculation to notify the possibility of danger. However, the purpose of the medical simulator system is to accurately simulate actual medical medical practice,
Training to not fail in actual medical practice,
Learning or experimenting. There are ways to actually make mistakes and prevent them from failing by experiencing them.However, understand the circumstances under which failures occur and encounter such situations in actual medical and medical practice. When you do, there is a way to avoid danger by remembering the simulation training. The additional information notifying means may be switched as needed, and if it is unnecessary, it may be set to a non-display or non-notifying state. In any case, by notifying the risk prediction information that cannot be obtained by the actual medical treatment, it is possible to more efficiently train, learn, or experiment with the medical treatment.

As described above, by realizing the additional information display means as the risk prediction information notifying means, it is possible to detect a dangerous situation in advance and perform training, learning or experiment of a target medical medical practice without fail. Can be completed. Further, by acquiring the risk prediction ability, it is possible to avoid failure in actual medical treatment in advance.

Embodiment 3 FIG. In the second embodiment, the embodiment in which the additional information notification unit is realized as the risk prediction information notification unit has been described. Next, a third embodiment in which the additional information notification unit is realized as the evaluation result notification unit will be described. FIG.
FIG. 3 is a diagram realized by using an evaluation result notifying means as an additional information notifying means. In the figure, reference numeral 90 denotes an evaluation message as a result of the simulated medical treatment displayed by the evaluation result notifying means. In this case, since the simulated medical treatment has been completed, there is no information notified from the simulated situation notifying means 16.

As shown in FIG. 9, in this example, cataract surgery was performed as a simulated medical practice, and the time required for the simulated surgery was 50 minutes. Although there were no complications, a crack occurred in the intraocular lens, indicating that the lens needs to be kept a little warmer. Further, regarding the occurrence of cracks in this lens, it can be considered that the operation time is as long as 50 minutes, and that the lens that has been kept warm and cooled has cooled. Such information cannot be easily obtained by the operator's own self-evaluation, and it is usual to have an expert attend and evaluate others. However, by using such a means of notifying the evaluation result by the computer, even if there is no skilled person to be present,
The operator himself can obtain the evaluation of others, and can practice until he is satisfied as long as his time allows.

As described above, by realizing the additional information notifying means as the evaluation result notifying means, the operator of the medical simulator system can obtain another person's evaluation without having an expert attend, and a sufficient evaluation can be obtained. Training,
You can study or experiment.

Embodiment 4 FIG. The third embodiment has described the embodiment in which the additional information notifying unit is realized as the evaluation result notifying unit. Further, in the above embodiment, an example in which a single additional information notifying unit is realized has been described. Next, a fourth embodiment in which a plurality of additional information notifying units are realized in combination will be described. Although the description of the simulated time notifying means is not particularly given above, the elapsed time of the simulated medical treatment can be notified as in the guideline notifying means or the danger prediction information notifying means.

FIG. 10 is a flowchart realized by combining a plurality of additional information notification means. In the figure, 100 is a means for determining whether or not a guideline notification is required, 101 is a guideline notification means, 102 is a means for determining whether or not a dangerous situation has occurred in a simulated medical practice, and 103 is a risk prediction information notification. Means for determining whether or not the simulation time needs to be notified; 105
Is a simulated time notifying means, 106 is a means for judging whether or not the simulated medical treatment has been completed, 107 is a means for judging whether it is necessary to notify the evaluation result, and 108 is an evaluation result notifying means.

Next, the operation will be described. Operator 1
When 0 operates on the virtual model information 11 using the simulated medical instrument 14, simulation of a certain medical practice is started. In this simulated medical practice, it can be determined whether it is necessary to notify the guideline as follows. For example, before starting the simulated medical treatment, the notification of the guideline is set to "necessary" as an initial setting. Then, the control means 15
Manages the state of the simulated operation. For example, in FIG. 6, when it is determined that “conjunctival incision” has been completed, the next guideline of “applying control thread” can be notified. It is also conceivable that the operator 10 switches the necessity of the guideline as necessary during the simulated medical treatment. This switching may be, for example, a keyboard or mouse operation, a voice input, or a foot switch.

As the simulated medical practice progresses, the likelihood of a dangerous situation increasing. This is also control means 1.
5 can be grasped. As an example, as mentioned above, if the tip of the simulated medical instrument is close to the posterior capsule, which is the back of the lens, "there is a risk of posterior capsule damage."
May be notified. Normally, whether or not a dangerous situation occurs is determined by the control unit 15. However, if it is not necessary to notify the danger prediction information, the danger prediction information notification should be set by the operator as "unnecessary". Is also possible.

The means for determining the necessity of the simulation time notification is also
This can be realized in the same manner as the means 100 for determining the necessity of the guideline. Next, if the simulated medical treatment has not been completed, the operator 10 continues the simulated medical treatment and is notified of necessary information according to the above-described flowchart. If the simulated medical treatment has been completed, an evaluation result is created by the control means 15, and this notification is made. However, if it is determined that the notification of the evaluation result is not necessary, the notification is not performed. As described above, this necessity determination may be set by initial setting before the start of the simulated medical treatment, or the operator may determine whether or not notification is necessary at the end of the simulated medical treatment. You may contact 10.

As described above, by realizing a combination of a plurality of additional information notifying means, it is possible to notify more effective information which helps to simulate medical treatment.

[0044]

As described above, according to the medical simulator notifying apparatus of the present invention, by providing additional information notifying means in addition to the simulated situation notifying means for accurately simulating a certain selected medical medical practice, Medical medical practice training,
Sufficient information can be provided to the operator, depending on the situation, to assist in learning or performing experiments.

[Brief description of the drawings]

FIG. 1 is a basic configuration diagram of a medical simulator notification device according to a first embodiment.

FIG. 2 specifically illustrates a configuration of virtual model information.
3D graphics shape information diagram.

FIG. 3 is an eye surgery information diagram specifically illustrating a configuration of medical medical information.

FIG. 4 is a diagram showing an eyeball surgery situation in a virtual space.

FIG. 5 is a diagram showing a simulation status notifying means and a guideline notifying means.

FIG. 6 is a diagram showing a procedure of a simulated medical practice used for the guideline notification means.

FIG. 7 is a diagram showing a simulation situation notifying unit and a danger prediction information notifying unit.

FIG. 8 is a danger prediction information diagram describing a danger situation in cataract.

FIG. 9 is a diagram showing an evaluation result notifying unit.

FIG. 10 is a flowchart realized by combining a plurality of additional information notifying means.

FIG. 11 is a display device diagram in a conventional medical simulator system.

[Explanation of symbols]

10 operator, 11 virtual model information, 12
Medical and medical information, 13 storage means, 14 simulated medical instrument, 15 control means, 16 simulated situation notification means,
17 additional information notification means, 18 notification means.

Claims (6)

[Claims] 1. A storage means for storing virtual model information that virtually configures a part or the whole of a human body or an animal and medical medical information related to medical medical operations such as surgery, examination or experiment, and A simulated medical device that simulates a medical device to be used, and the virtual model information and the medical care stored in the storage unit for a simulated medical medical operation virtually performed by an operator using the simulated medical device. Control means for controlling the situation of a simulated medical treatment virtually performed using the information, and notifying means for adding value-added information to the information obtained by the control means and notifying an operator. A medical simulator notification device characterized by the above-mentioned. 2. The medical simulator notifying device according to claim 1, wherein the notifying means notifies the operator of a state of the medical medical action to be simulated in accordance with an actual situation. A medical simulator notification device comprising: an additional information notification unit that displays additional information that does not correspond to the above, but that assists in training, learning, or experimenting in simulated medical care. 3. The medical simulator notifying device according to claim 2, wherein the additional information notifying unit notifies a guideline of the simulated medical treatment that assists training, learning, or experiment in the simulated medical treatment. A medical simulator notification device, characterized in that: 4. The medical simulator notifying device according to claim 2, wherein the additional information notifying means is a risk prediction information notifying means for notifying a dangerous situation in training, learning or experiment of the simulated medical treatment. Medical simulator notification device. 5. The medical simulator as claimed in claim 2, wherein said additional information notifying means is simulated time notifying means for notifying time required for said simulated medical treatment. Notification device. 6. The medical simulator notifying device according to claim 2, wherein the additional information notifying means notifies the result evaluation of the simulated medical treatment, and performs self-training or learning of the simulated medical treatment, learning, or experiment. A medical simulator notification device, which is an evaluation result notification means for assisting evaluation.