KR100691253B1 - Network applicable type medical treatment simulation apparatus - Google Patents

Abstract

Watch the video lab, we will practice the party and the instructor provides a more approximate qualified lab simulation devices come can simultaneously exchange two-way voice, the dental clinicians, in a state that can cope at nine positions.

The training bench for the practitioner E having the head model 15, the medical examination instrument 2, the liquid crystal display 45 for image or voice communication, and the training bench for the leader to which a three-dimensional measurement unit is added are mutually informed. by passing possibly electrically connected, not only to pass the practice exercise state of the image and sound, the leader of image and audio in both directions, exercise or the leader, the head model 15, existence body model (14) with respect to the side It was set as the apparatus which can respond to either of the "12 o'clock position" located on the opposite side of and the "9 o'clock position" located next to the right side of the head part model 15. FIG.

Network, Medical, Practice Lab, Simulation

Description

Network applicable type medical treatment simulation apparatus

1 is a schematic diagram showing the overall configuration of a medical practice practice simulation apparatus of the present invention,

2 is a diagram showing the electrical hardware configuration of a training bench for a trainee;

3 is a view showing the electrical hardware configuration of the training bench for the leader,

(A), (b) is a figure which shows the example of arrangement | positioning of the training bench for an exerciser, and an evaluation apparatus,

5 is an explanatory diagram of a head portion model suitably used in the apparatus of the present invention;

6 is a view showing an example of using a training bench for a trainee;

7 is a diagram showing an example of a marker movement trajectory at the time of treatment of a trainee;

8 is a view showing the hardware configuration of the marker movement trajectory forming means;

9 is a flowchart showing a control process procedure of the marker movement trajectory forming means;

Figure 10 is a basic principle of the configuration of the lab data analysis means for analyzing the external appearance shape of the cavity is formed the tooth model, and cutting the processed anchor by exercise chair in a non-contact manner,

11 is a view of a display example of a monitor showing a training result of cavity formation evaluated by the evaluation apparatus;

(A), (b) is a figure of the example of the monitor display which shows a cavity evaluation map and a score evaluation with respect to the training result of the cavity formation evaluated by the evaluation apparatus,

(A), (b) is a figure of the example of the monitor display which shows an example and training result about anchor formation by an evaluation apparatus,

14 is a plan view showing a training bench for practitioners of the simulation device for China,

15 is a front view of a training bench for a trainee shown in FIG. 14;

16 is a front view showing the training zone for the leader of the simulation device for China;

17 is a plan view showing a model diagram of a 12 o'clock position and a 9 o'clock position;

18 is a perspective view showing a support state of the treatment apparatus;

19 is suitable retracted position to said hanger portion shown the position, (a) is a 9 o'clock position by the slide mechanism, (b) a suitable entry point in the 12 o'clock position,

20 is a rear view of the main portion showing the structure of the slide mechanism;

21 shows the rotation positioning structure of the support pipe, (a) is a side view, (b) is a plan view,

Fig. 22 is a side view showing the structure of the rotation mechanism and the tilt mechanism acting on the head model;

23 is an operation diagram showing a rotational movement state of the head model;

It is a perspective view which shows the attitude | position situation of the head part model suitable for 9 o'clock position.

<Description of Symbols for Main Parts of Drawings>

1, 15: head part model

2: medical equipment

3, 4: means of communication

18: Aspiration nine groups (吸引機具)

23: base part

24: hanger part

30: arithmetic processing unit

31: monitor

33: video processor

35: RAM

36: operation circuit

45: video communication means

81: operating status indicator lamp

82: driving speed toggle switch

100, 16: human body model

102, 14: body model

103, 13: Support body

104: horizontal rotation position adjusting means

105: tilt position adjusting means

a: rotation mechanism

b: tilt mechanism

c: movable mechanism

A, E: Training Bench for Trainers

B, F: Leader's Workbench

S: Practice Evaluation Device

L: signal line

C: camera

SP: Speaker

MC: microphone

The present invention relates to an improvement of a network-adaptive medical practice training simulation apparatus.

Conventionally, etc. dental lab is equipped with a jaw (顎) model according to the hands-purpose model lab jinryodae and student gihayeo the instructor of the map (指導) performing the exercise, the map instructor map according to the process, as a result, I can get the ratings, a strong request that it be standardized to avoid tilting the objectivity of training and teaching methods in the evaluation of individual subjectivity.

In addition, since the number of instructors is small with respect to the number of students who practice, there is a need for efficient communication means, and it is difficult to respond individually even when there is a difference in learning maturity and achievement for each student. Therefore, improvement is desired.

Furthermore, there are two types of practice in practice in each department: so-called horizontal stomach treatment, in which the treatment table is placed horizontally, and so-called face-to-face treatment, in which the base of the treatment table is placed . In a situation where a training apparatus that can be shared by a plurality of departments is required, a practice medical table that satisfies these two positionings is desired.

As such, in the conventional system, there is no learning system that is more approximate to the dental clinic, which is operable , reliable, and space-saving.

In addition, students can come to respond to their learning maturity, flexibility in the achievement, does not exist in the education system to study training, a self-reliant.

There is no educational system that can take the form of self-learning with objectivity, independent of the supervisor and practitioner.

Further, W to give an objective evaluation, does not exist in the system that the normalized map of how achieved.

In more detail, the conventional practice system, Japanese Patent Laid-Open Publication No. Hei 6-95538, proposes a system for observing only an image between a leader and a practitioner . In addition, in combination with the training evaluation apparatus, the training evaluation results may not be exchanged between the leader and the practitioner.

For the practical evaluation device, for example, Japanese Unexamined Patent Publication Heisei 9-178437, but Ronaldinho is proposed call Japanese Unexamined Patent Publication Heisei 10-97187, and both can be found in the practice leader for incontinence and practice exercises for the monitors, a microphone and speakers It is not a system in which the leader and the practitioner can communicate with each other in both directions directly in the place, or view and evaluate the evaluation results, and the computer of the training station cannot connect to the Internet.

In addition, the body (body) model and the head (head) part model is supine (仰臥位) examination and ipwi (立位) versus practice that allows a doctor, and Japan Patent Publication No. 2001-337597, in which in many disciplines There is a known training zone that can reduce the occupied area, but no attempt has been made to use this in combination with the above training system.

In addition, as a system for evaluating the posture of a medical examination device or a practitioner, a system for detecting and binarizing a trajectory of a specific position by a camera is known from Japanese Patent Laid-Open No. 2000-293097. As described above, it was not possible to interactively exchange voice and video between the leader and the practitioner.

By the way, in the dental treatment in Japan, it is common to adopt a form in which the doctor sits at the position opposite to the body , the so-called "12 o'clock position", with respect to the head of the patient in the transverse position. In other countries, doctors often perform dental treatment at the right side position of the patient's head , so-called "9 o'clock position" (see Fig. 17). Therefore, also in the dental treatment by the "9 o'clock position", it is indispensable to be in a state where the medical instrument is easy to use.

The present invention, been made in view of the above circumstances, exercise ranked guaranteeing objectivity, secured on the map, and the student's learning maturity, the map of careful consideration of the degree of achievement, and evaluation is possible, and the operability, reliability rich, than It is to provide a network-adaptive medical practice practice simulation device suitable for clinical practice.

It is therefore an object of the present invention to provide a practice simulation apparatus that is more approximated to a dental clinic.

Another object of the present invention is to provide an education system that can flexibly respond to the learning maturity and achievement level of each student for the purpose of making practical education more efficient and saving energy.

It is to provide an educational system with objectivity and a self-learning form.

Moreover, it is to provide a practical training system in which the operability of the apparatus is good, the reliability is high, and it is integrated in low cost and space saving.

In addition, another object of the present invention is to provide a practice simulation apparatus which is easy to perform the above-described treatment practice of "9 position."

In order to achieve the above object, there is provided a network-adaptive medical practice training simulation apparatus of the present invention.

The present invention organically combines various training functions that have been individually proposed in the related art, quickly and efficiently confirms the training effect in a small space, and establishes a computer network while communicating between the leader and the practicers. In addition, in a preferred embodiment, a human body model suitable for actual treatment, or various functional evaluation apparatuses developed individually, can be assembled in a preferred embodiment, which can be set to change the horizontal swing, supine position, and position position. It is composed.

Therefore, in the present invention apparatus in accordance with claim 1, the head portion (頭部) model, and treatment mechanism, an image, and one or more hands against incontinence practice with a communication means of the respective voice, an image and voice communication means, each of It is composed of a training zone for leaders to be equipped, and it is possible to simultaneously transfer images and audio of the training situation of each trainee and the video and audio of the leader in both directions simultaneously between the training zone for the trainer and the training zone for the leader, so that medical practice is possible. We make constitution (we suggest as independent invention).

Furthermore, in Claims 5 and 12, it is proposed that the training bench for the practitioner and the training bench for the leader are interconnected by wire or wireless , or connected to the Internet. In claim 6, as a communication means, a camera and a monitor are proposed. And a general configuration using a computer connected to a microphone and a speaker.

In the present invention as described above, the instructor and the student can interactively exchange not only image information but also mutual intentions by voice, so that they can flexibly cope with learning maturity and achievement level of each student.

In addition, such a device of the present invention can be applied to a wide range of medical practice devices such as medical care, ophthalmology, otorhinolaryngology, or beauty and use devices, as well as dental care as described below as a preferred embodiment.

In the second aspect, in addition to the basic configuration of claim 1, and a hands-on evaluation unit that exercises self objective evaluation of the exercise result of, Practice edition Practice for, enabling transfer of information between hands for for leader (proposed as an independent invention) .

The training bench for the trainer, the training bench for the leader, and the training evaluation apparatus are interconnected by a network. Therefore, after performing the training, the training staff can transfer the training data, the cut teeth model, and the like to any place of the training evaluation apparatus. There is no need to carry it one by one and practical performance can be evaluated on the spot, so that efficient learning is possible.

In Claim 3, in addition to the basic structure of Claim 1, the training evaluation apparatus which objectively evaluates the training result which a practicer performed was made into the structure which was built in the head parent type provided in the training bench for a trainee (as proposed as an independent invention).

As the practical evaluation apparatus in this case, relatively small ones such as a canal length measurement evaluation apparatus and a cutting pressure measurement evaluation apparatus are used.

In the fourth aspect, in any one of claims 1 to 3, Practice edition Practice for and, in its support main body, and the human body model formed of a body model and a head model, and the support through the position switch means and the position before ring means, and a tilt of the torso, the support horizon time position adjustment means that enables the horizon times around the vertical axis with respect to the body and the human body model, between at least a supine position with ipwi position relative to the support body ( tilt) and a tilt (tilt) position adjusting means for enabling.

According to the configuration in which the human body model is assembled, the practitioner can keep the human body model in a horizontally rotated position, or take a supine position or a standing position. Do.

In Claims 7 to 11, a training bench having a function in which an objective training function evaluation is performed on various kinds of medical treatments and processes actually performed by a practicing person is proposed.

That is, in claim 7, the training bench for the practitioner according to any one of claims 1 and 2 is provided with various sensor means for detecting a movement during the medical practice of the practitioner, the medical examination apparatus, and the like. Practice training data captured by the practice training function data creating means for creating cutting pressure and processing degree of the dental model by the practice training data, the various sensor means, and the practice training function data creating means. Training practice comprising a training function evaluation means for executing a predetermined evaluation program prepared in advance on the treatment posture of the trainee in the practice and the treatment training data, and performing various function evaluations at the time of treatment of the trainee. The apparatus further includes a function evaluation device.

Moreover, in claim 13, the lab stand for the leader, the map (指導) information is stored a storing means, a simultaneous switch means of the voice and video are provided, when operating the switch means on the leader side, and change the mode of operation In this regard , the leader can provide instructional information to the practitioners, or can exchange information individually with specific practitioners. It is made available online.

That is, in claim 7, the training evaluation apparatus executes a predetermined evaluation program from evaluation signals from various sensor means assembled in the head model or the treatment apparatus, or from a cut tooth model assembled in the head model. Evaluation means for performing a practical function evaluation is provided, and Claims 8 to 11 have been proposed in which the evaluation target of such a practical evaluation device is specified to specify a function.

Here, in the eighth aspect, the training evaluation device is, as various sensors, a position marker for indicating the movement of the trainee and the treatment instrument at the time of training, and from a training image captured by the camera. And a marker movement trajectory forming means for extracting the position marker and creating the movement trajectory data of the position marker at the time of medical treatment. In the training evaluation apparatus, the created marker movement trajectory data is collected as training data and collected. A predetermined evaluation program is executed on the training data to evaluate postures, movements, and movements of the treatment equipment during the practice of the trainees. According to claims 9, marker movement path forming means, and by processing the binary an image taken by a camera installed on the center line of substantially constant upward's hands screen is configured, including image storage means to be displayed as two-dimensional coordinates.

Further, in the tenth aspect, the training evaluation device is a sensor for measuring canal length on a cutting pressure detecting means for detecting cutting pressure by a cutting mechanism applied to a dental model, or on a dental model. And a canal length measuring means for performing a reading, and reading data from these detecting means as training data, and executing a predetermined evaluation program on the read data, so as to attain the practice of the trainee. It is set as the structure which evaluates cutting pressure and a canal length measurement.

Furthermore, according to claim 11, the training evaluation apparatus includes training data analysis means for extracting cutting and processing data from the dental model cut and processed by the trainer in a non-contact manner from the training model. The practice data extracted by the above is executed by executing an evaluation program prepared in advance so that the practice function evaluation for the formation of the cavity and the formation of the anchor by the trainee can be objectively performed. .

Claim 15 of the network-responsive medical care practice simulation apparatus according to any one of claims 1 to 14, also the installation and the hanger (hanger) unit which can accommodate removable medical apparatus, the base portion (基) for supporting parts of the hanger In addition, a movable mechanism for supporting the hanger portion to be movable in a direction along the longitudinal direction of the head parent type with respect to the base portion is provided.

According to claim 15, in because to be movable in the direction along the longitudinal direction of the hanger part head model for receiving a medical apparatus, in correspondence to the exercise or leader physique or the change in the position at the time of treatment, the ease of manipulating position It becomes possible to arrange medical treatment. In particular, the practice or reunde leaders are in the 9 o'clock position, which is located on the right side of the 12 o'clock position and the head model, which is located on the side opposite to where the body is located in the well-written eight significant about the head model, the hanger portion by position adjustment, you can come to a set of medical instruments easier to use in any position where it is possible to provide an easy and convenient to use simulation device that can respond to other health care positions. In addition, as described in claim 16, when the movable mechanism is constituted by a slide mechanism that supports the hanger portion so as to be slidably movable with respect to the base portion, a structure such as a rail that is long in the slide direction is required, but it jumps up, down, left, and right. Since the outgoing structure can be made unnecessary , there is an advantage that the movable mechanism can be compactly constructed as compared to the folding arm type mechanism.

The network-adaptive medical practice training simulation apparatus of claim 17, wherein the hanger portion is configured such that the rotation can be adjusted within a predetermined angle range with respect to the slide mechanism, centering on the vertical axis . It is characterized by.

According to claim 17, the rotation of the hanger can be adjusted centering on the vertical axis, and according to factors such as individual differences and tastes , the direction of the hanger is controlled in response to a change in the position of the head parent type of the practitioner or the leader. It can be set, and it can be set in the state which is easy to use, and can arrange | position any medical instruments at about the same distance. In addition, since the rotation adjustment of the hanger part is performed within a predetermined angle range, there is no unnecessary action of rotating or rotating more than one rotation in the same direction more than necessary , as well as equipment accompanying medical equipment such as an air hose, etc. the inconvenience of such groups is wrapped around to be prevented in advance, and is to be easy to use in this respect.

The network-adaptive medical practice training simulation apparatus of claim 18, wherein the network-adaptive medical practice simulation apparatus according to any one of claims 1 to 17 is configured to support the head parent type so as to be laterally twisted and fixed with respect to a body model that supports it. A rotation mechanism is provided.

According to claim 18, the head model because it to twist (橫捻) and the fixed holding the can to the side with respect to the body model, and it is possible to easily view by twisting the head parent type, depending on the teeth where the treatment target woman, hands or leader is in a position of the head in the 9:00 position, which is located on the right side of the model, a high twisting the head model to the right to see the mouth easily, the best easy-to-care, care head model You can switch.

Network-responsive medical care practice simulation device according to Claim 19, according to claim 18, the head parent type, characterized in that installing a tilt mechanism for supporting a tilt-up (tilt up) and fixed holding is to be against the body model do.

According to claim 19, the head parent type, by a tilt-up (tilt up) and the door when the fixed holding is possible with respect to the body model, tilting the head parent type, depending on the teeth where the treatment target can easily view . For example, in the 12 o'clock position to make the oral cavity easier to see, the head parent type is tilted down so that the head is lower than the neck area, or in the 9 o'clock position, to make the oral cavity easier to see. the head portion to thereby open tilt-up (tilt up) to climb than the neck, or possible methods of use, and to effect more medical practice for real. And if the rotation mechanism and / or the tilt mechanism are comprised by the manual operation structure which is a finger-operation freedom as in Claim 20, these convenient mechanisms can be installed in low cost .

Network-responsive medical care practice simulation apparatus in accordance with claim 21, the method according to any one of claims 1 to 20, the group acts freely in the suction obtain in the oral cavity, the treatment tools like in the head parent type in away from the side which is disposed Arrangement is possible, and it is comprised so that a movement along the longitudinal direction of a head parent type is possible .

According to claim 21, saliva and the suction tools like that sucks the liquid in the oral cavity, such as yunhwalsu, because it to be movable in the longitudinal direction of the head parent type disposed in the treatment apparatus and the opposite side with respect to the head parent type, at 12-position, or by 9:00 corresponds to a change in position of the hands or leader such as position, air to be possible to change also the suction group sphere positions, and also to easily practice, it is more close to real medical practice to be performed.

Network-responsive medical care practice simulation apparatus in accordance with claim 22, claim 4, 18, 19 according to any one of the driving speed switch switches the operating state indicator lamp and / or a medical care organization mechanism, in the body model It is arrange | positioned near the chest, It is characterized by the above-mentioned.

According to claim 22, in a state, such as in the vicinity of the chest in the body model, that is in the vicinity of the head parent type, since placing the operating state display lamp or the operating speed toggle switch on the treatment apparatus, 12 o'clock position or 9 o'clock position, Even if the position of the practitioner or leader of the head parent type changes, it is possible to easily check the indicator lamp and the changeover switch. As a result, it becomes an economic means for installing the display lamp or the switching switch in only one place, and a reasonable display means can be obtained that is easy to see without being constrained by the position change of the practitioner or the leader.

Network-responsive medical care practice simulation apparatus in accordance with claim 23, the method according to any one of claims 1 to 22, characterized in that visual communication means, which is supported so as to be moved by the rotation axis center of the lead-down direction.

According to claim 23, since the video communication means placed on the training desk or the like allows the rotational movement to the center of the axis in the vertical direction, the video communication means is directed in an easy-to-view direction in response to the change of the medical treatment position of the practitioner or the leader . and it is open and it is possible, it is possible to be easy to carry than a medical practice.

Embodiment 1

EMBODIMENT OF THE INVENTION Below, embodiment of this invention is described with drawing. 1 is a diagram showing a system system of the present invention.

As shown in the drawing, the apparatus of the present invention is configured by combining one or more training benches A for training practitioners and a training bench B for leaders.

The training table A for the practitioner is provided with a medical instrument 2 (not shown in FIG. 1, shown as 2 in FIG. 6), such as a head parent type 1, a handpiece, a syringe, a skeleton, a mirror, and the like. Together, communication information processing means (3) for bidirectionally communicating images and audio is provided, and the other training leader (B) on the other side is communication information processing means (4) for bidirectionally communicating images and audio. At least is provided. Here, the communication information processing means 3 of the training bench A for the exerciser is a client terminal, and the communication information processing means 4 of the training bench B for the leader functions as server equipment, and the communication information of both of them. The processing means 3 and 4 are connected via the signal line L to construct a so-called LAN system.

Here, although the training bench B for the trainer, the training bench A for the leader, and the training evaluation apparatus S are each connected to the wired LAN by a communication line, the present invention is not limited to this example. It may be a wireless LAN connection. Furthermore, when they are connected to the Internet, they can also transfer the training data to an external server device, store and store the data, or retrieve necessary information from the external server device.

In the example of the drawing, since the training evaluation apparatus S is assigned to each training bench A as described later, the training bench B is connected to the training bench B via the mutual communication line L. In practice, the practitioner is expected to evaluate the results of the practice objectively in the place.

2 and 3 show the electrical hardware configurations of the training table A for the trainer and the training table B for the leader.

The training table A for the practitioner is provided with communication information processing means 3 composed of a personal computer, and the communication information processing means 3 provides a microphone MC, a speaker SP, and an image display for a call. The monitor 31, the CCD camera C, and the VTR for storing the image | photographed by this camera C are provided, and also it is connected to the evaluation apparatus S by communication. Here, since the evaluation apparatus S is provided with the interface I / F, when the canal length measuring apparatus mentioned later and the cutting pressure detection means are connected to the interface I / F, a human body model will be provided. It is possible to obtain a training result which is practiced using training data as training data, execute a predetermined evaluation program, and evaluate the skills of the training staff.

The other leader training table B also has communication information processing means 4 made up of a personal computer, similar to the training table A for trainers. Built-in microphone (MC), speaker (SP), monitor (41) for image display, CCD camera (C), and VTR to store the image captured by this camera (C) and edit it as necessary The AV controller 6 is provided. Further, reference numeral 7 is the same time switch for switching the transmission of the transmission and, voice and video in the map information on the leader hands for (B) to switch the operation mode by, that is, the hands for (A) for as a means, the former by means of a ring switch operation can be performed by appropriately switching the service of information exchange with a specific exercise chair and, map (指導) information.

Therefore, according to such a configuration, the monitor 31 provided in the training table A of the trainee is provided with the training image containing the sound collected by using the camera C, the speaker SP, and the microphone MC during the training. The video is displayed on the screen, and the practitioner can check his / her own practice image at the place.

In addition, since the training image is stored in the communication information processing means 3 or transferred to the communication information processing means 4 of the leader training bench B as necessary, the training image is stored in the file information. It accumulates sequentially, and when necessary, it can also take out from the leader training stand B and the training stand A for a learner, and can reproduce.

In addition, the leader can send the best practice tips captured by the camera to the client terminal of all the practitioners or specific practitioners, and display them on the display device. It is possible to simultaneously output the video to the display device of the leader training bench by splitting the screen, or to sequentially output the video by time division to observe the training image.

In practice leader for large, configuring an assessment of the practical results of the lab's multiple online so you can focus on observation, can quickly grasp the practical assessment in the leadership side, can lead to further improve efficiency.

Instructor uses microphone (MC), speaker (SP), camera (C) and monitors (31, 41) to make simultaneous maps for all trainees while exchanging voices or images. Only for the practitioner, individual guidance is possible according to the person 's abilities.

In particular, since the teaching zone for the leader B and the training room A for the practitioner can be coached by exchanging not only an image but also a voice in both directions at the same time , individual guidance according to the ability of the practitioner can be effectively performed. .

4 (a) and 4 (b) show an arrangement example of the training evaluation device S in the training table A. As shown in FIG. 1 is a head parent type, C is a CCD camera for capturing a training image, and L is a dental light, and is attached to the articulated light arm 8. Incidentally, in this figure, the CCD camera C is shown mounted on the dental light L. However, the CCD camera C may be fixed to the light arm 8. In the latter case, the direction of the dental light L is changed. and it may do this point, that the orientation of the camera (C) unchanged.

Here, in Fig. 4A, the training evaluation apparatus S is housed in the same cabinet as the personal computer constituting the communication information processing means 3, and this cabinet is a table on which the monitor 31 is placed. Although it is comprised separately, in FIG.4 (b), the training evaluation apparatus S is put on the same table as the monitor 31, and the communication information processing means 42 is placed under this table.

Next, the human body model will be described.

The torso 100, as shown in Figure 5, in its support main body 103, the body model 102 and the head parent type (1) is supported via the position switch means (not shown), Therein , horizontal rotational position adjusting means for pivoting the human body 100 in the horizontal direction (X) about the vertical axis with respect to the support body 103, and the human body 100, the support body Tilt position adjusting means for enabling setting to any arbitrary tilt position in the vertical direction Y at least between the supine position and the standing position with respect to (103).

In this figure, the support body 103 is provided with two foot pedals 104 and 105. When the pedals 104 and 105 are pressed down, the human body 100 is moved in the X direction and the Y direction. The turning and tilt can be adjusted, and when the stepping operation is canceled, it is auto-locked at the position. However, the operation means may be operated manually instead of being automated.

When using the human body model 100, the practitioner does not replace the human body model 100, but assumes the state of the actual medical treatment, and maintains the horizontal turning position, or take the supine position or standing posture You can practice your practice.

Next, the practical evaluation function which can be implemented in this invention is demonstrated.

Taking dental practice as an example, it is possible to:

1) Evaluation of movement, posture at the time of treatment of practitioner

In the case of dental preservation, dental prosthesis, pediatric dentistry, orthodontics, oral surgery, etc. How to move the treatment apparatus by the self is captured as movement trajectory data and displayed on the monitor 31 to evaluate the training function.

In this case, since the human body model 100 of each practitioner can perform horizontal position examination and position examination, the position of the human model 100 is changed in accordance with the purpose of treatment, and procedures and actions are performed. Practical skill evaluation is possible.

Fig. 6 shows a basic configuration of a training bench used for this purpose, and a position marker (not shown) that reflects infrared rays to the treatment instrument 2 such as a handpiece, a skeleton, a mirror, a reamer, a file, a needle, and the like. And illuminate the articulated light arm (8) with infrared light from the shadowless lamp (L), pick up a training image from the CCD camera (C), and track the reflection spot of the infrared rays from the picked-up image. The positional marker movement trajectory data generated by the display is arranged, and displayed on the same monitor 31 as the movement trajectory data serving as an example prepared in advance.

Fig. 7 is an example of the screen display of the monitor 31 in that case, and each of (a) and (b) is an exerciser and a position marker movement trajectory data serving as an example, (c) and (d), Evaluation comments about each are shown. Referring to Fig. 7, it can be seen that the position marker movement trajectory (b) serving as an example has a smaller movement area than the position marker movement trajectory (a) of the trainees, and thus does not perform unnecessary movement.

8 shows a hardware configuration of the position marker movement trajectory forming means D. As shown in FIG.

The arithmetic processing unit 30 composed of a CPU includes an input unit 39, an output unit 32, a video processor 33, a ROM 34, a RAM 35, and an arithmetic circuit 36. 37 is a graphics circuit for displaying the extracted movement trajectory as a binary image, and 38 is a DSP.

In the case of forming such position marker movement trajectory data, the CCD camera C is moved substantially above the center line of the practitioner, and then a training image is captured, and the reflection spot by the position marker is extracted from the captured image, and binary The image is processed and displayed on two-dimensional coordinates.

This position marker movement trajectory forming means D is provided with the arithmetic processing part 30 with various input parts 39. Among these various input units 39, in addition to a keyboard, a mouse, and an audio input device, other computers connected to this control system via a transmission system such as a communication cable are also included. The camera C is constituted by a video camera, and the training image captured by the video camera C is connected to the arithmetic processing unit 30 through the video processor 33.

The video processor 33 converts the image signal from the camera C into a digital signal, and then extracts a position marker from the digital signal, fractionates it from other image data, and digitizes it. In addition, the video processor 33 creates XY coordinate data for creating the movement trajectory of the position marker.

The ROM 34 includes various programs for image processing, and the RAM 35 includes a video processor (eg, coordinate data created by the video processor 33 and condition data such as experimental conditions input from the input unit 39). 33 stores the XY coordinate data output.

The arithmetic circuit 36 uses the coordinate data stored in the RAM 35 and the frame data stored in the ROM 34 to display the results of the training according to the evaluation program stored in the ROM 34. Evaluate the score.

The graphics circuit 37 creates moving picture data at a specific position for outputting an image to the display 31 based on the coordinate data stored in the RAM 35. In addition, the graphics circuit 37 creates frame image data outputted to the display together with the moving image data on the basis of the frame data. The output unit 32 is a printing device such as a printer.

Thus, by this construction, by shooting at least one specific position of the medical apparatus in the camera operation, come can be displayed on the particular device (M) monitoring the movement path of the location of, and a more appropriate map is performed. Figure 9, will say that that the base sequence of the position marker movement path data generating process in the flowchart.

2) Cutting pressure evaluation or canal length measurement evaluation

The cutting pressure is measured by embedding a pressure sensor in the jaw model mounted on the human body model 100 or by installing a rotational speed detection sensor on the handpiece to fully rotate the handpiece, and cutting. comparing the rotation speed at the time to, and the like for detecting the cutting pressure from the speed drop of the time. In the case of an air turbine handpiece, the cutting pressure can be detected indirectly in view of the correlation between the supply pressure, the exhaust pressure, the rotational speed, the rotational speed, and the cutting pressure of the driving air. Alternatively, the pressure sensor may be detected directly.

In the structure of Claim 2 of this invention, since the head parent die 1 is equipped with the training evaluation apparatus S, the cutting pressure at the time of cutting the tooth model using a handpiece is the training evaluation apparatus ( being evaluated in the S), the evaluation results can be displayed immediately on the monitor 31.

Then, in the cutting process, is that in order to do not feel pain in the patient, without changing the cutting pressure at the time of treatment, it does not apply a pressure as possible (feather touch) is more than ever.

On the other hand, for the canal (canal) treatment, by drilling a hole in a specific tooth of the tooth model mounted on the human body model 100 using a file, etc. while expanding the hole using a canal enlarger ( all not shown), or After the enlargement, the display is displayed on the display of the canal length measuring instrument mounted on the training table . The measured value at that time is read by the training evaluation device S built in the head parent type 100, and the predetermined reference value is set. By comparing, the adequacy of the process at the time of canal treatment is evaluated, and the evaluation result is displayed on the monitor 31.

The canal treatment is performed by removing all the dental pulp from the tooth, disinfecting the portion, and then filling the filling . In the root of the tooth , the electrical resistance indicates a predetermined value. Since there is a characteristic, by measuring its resistance, the adequacy of removal of the dimension can be evaluated. Thus, this is the tooth model to be used in the practice of the canal treatment, and was similarly changes the electrical resistance of the muscle is attached to the actual human teeth, thereby expanding the canal, when a canal length measurement to the instrument, the electrical resistance so that it appears It is.

3) Evaluation of practical function for cavity formation and anchor formation

After cutting the tooth model assembled to the human body model 100 , forming a cavity or forming an anchor, and reading the tooth model, the formed cavity or anchor 3 The dimensional shape is compared with the reference data to assess the state of emergence.

As a device for measuring the three-dimensional shape of such a dental model, a measuring device using the laser slit light cutting method proposed in Japanese Patent Application Laid-open No. Hei 9-178437 is used as the training data analysis means (E). It is possible.

This proposed apparatus has the basic structure as shown in FIG. The cut tooth model and the anchor are accommodated in the measurement chamber (not shown) as the measurement object 200, and in the measurement chamber, the measurement object 200 is driven by the driving means 205 in the axial direction. 206) is fixed to the lift plate 201, each time kill when rotating the support (206) to one side by a predetermined angle, is irradiated with the laser slit light from the light source, reads the outline image of the measurement object 200, Since the three-dimensional digital image is generated by the data generating unit 204, the precision of cutting is judged by reading the generated three-dimensional digital image into the evaluation means and comparing and comparing it with the reference data.

Fig. 11 is a diagram showing a display example of the monitor 31 which shows the training results of the cavity formation evaluated by the training evaluation device S with respect to the cavity formation performed by the practicer.

12 (a) and 12 (b) are exemplary diagrams of a monitor display showing a cavity evaluation map and a score evaluation for a training result of cavity formation evaluated by the training evaluation apparatus S;

13 (a) and 13 (b) are exemplary views of an example of the anchor formation by the training evaluation device S and a monitor display showing the training results.

<Embodiment 2>

Next, a network-adaptive medical practice training simulation device mainly produced for China will be described. As shown in FIG. 17, a simulation apparatus for a Chinese person including a training bench for a trainee (trainer for a trainee) E and a training bench for a leader (trainer for a leader) F is shown in FIG. 17. ) And treatment leader (professional, veteran doctor, etc.) are located on the other side of the body with respect to the head part of the human body model 16 (patient) of the horizontal posture, and so-called "12 o'clock position" and the right side of the head part In order to enable both the so-called "9 o'clock positions" treatment states positioned in the lateral posture, various designs have been implemented.

Here, Figs. 14 to 16 show the appearance of each training bench, Fig. 17 shows the positional relationship (positional relationship between the dentist and the patient) between the practitioner or the leader and the head parent type, and Figs. 21 and 22 show the head parent-type support structure, and FIG. 23 shows the posture state of the patient head unit suitable for the "9 o'clock position" described later. Although the illustration and the description are omitted, the simulation apparatus is also electrically connected using a LAN system or the like as described above with reference to FIGS. 1 to 4 and the like.

The training table E for a trainee used by a student etc. is comprised from the simulation unit 11 and the training desk 12, as shown to FIG. 14, FIG. The simulation unit 11 has a human body model 16 composed of a support body 13, a body model 14, and a head parental shape 15, and a dental light (L) at the distal end of the patient's mouth. It consists of the treatment support | pillar 17 arrange | positioned at the left side side toward the human body model 16, the treatment instrument 2 arrange | positioned at the right side side toward the human body model 16, etc. As shown in FIG.

The supporting body 13 is supported a holding (17) for medical treatment in, beokyum when Lindsey (vacuum syringe) fixed hanger 19 and the cut filter (20 for [aspiration group syntax example of (Claim 20) (18) ) Is equipped . The human body model 16 is substantially the same as that shown in Fig. 5, and the body model 14 is centered on the shaft center p1 in the horizontal direction with respect to the support body 13 by the tilt position adjusting means and the turning position adjusting means. the tilt adjustment is possible and at the same time, the model body is the body axis (p2) is configured makes it possible to adjust the turning center of the longitudinal direction of the lead 14 to the. One shoulder of the body model 14 is provided with a movable support mechanism for holding and holding the rinsing 18 so that it can be repositioned when held.

Head parent type 15, the rotation mechanism (a) and tilting mechanism (b) so as to, enable the body model (14) next to the twist (橫捻) and the fixed holding with respect to the by, Also, the tilt-up and maintain a fixed Is supported to enable . Moreover, the tread type controller 21 and the unit main switch 22 are arrange | positioned at the front lower part of the support body 13 together .

And medical apparatus (2), three kinds of treatment tools like is composed of a (2a, 2b, 2c), these treatment groups, obtain (2a, 2b, 2c) of row fisherman 24 for receiving to and detachable, the line with the box installing base portion 23 for supporting the fisherman 24, movable in a row fisherman 24, the front-rear direction relative to the base part 23 (the direction along the longitudinal direction of the head parent type) and The movable mechanism (c) which supports the crab is provided. Mobile structure (c) is constituted by a slide mechanism (c) to slide, with respect to the support line fisherman 24 to the base portion (23).

The training desk 12 includes a keyboard housing 26, a mechanism storage space 27, a computer 28 for a practitioner, a buoyancy fitting 29 for a machine, and the like below the top plate 25. On the upper side, the operation panel part 43 which has various switches, etc., the film viewer 44, the liquid crystal display (an example of an image communication means) 45, etc. are arrange | positioned. The display 45 is installed so as to be able to adjust the rotation around the vertical axis Q in order to facilitate viewing in response to the position change of the trainee.

The training zone F for leaders used by professors and the like is shown in FIG. 16. The difference between the hands-edition Practice for (E) is a three-dimensional system-side unit (d) and a canal length measuring instrument 46, and, will the CCD camera 47 is added, is the same, except that. 3D-based side unit (d) is, and is in the accommodation case 50, the equipment configured by a three-dimensional system-side device 48, the three-dimensional system-side computer (49) for the like. The canal length measuring instrument 46 is, being equipment through the support arm 51 in the vertical middle portion of the holding (17) for medical treatment, CCD camera 47, different from the top for the call holding 17 value group It is provided at the tip of the second link 52. The same reference numerals are used for parts such as the training bench E for the trainee.

Next, a slide mechanism (c), a rotation mechanism (a), a tilt mechanism (b), etc. for realizing both "12 position" and "9 position" as a practical use attitude with ease of use are demonstrated. Here , as shown in FIG. 17, when the head part of the human body model (patient) 16 of a transverse posture is viewed with the clock (the clock is shown by the dashed-dotted line in FIG. 17) T at the position "12 o'clock", The state where the practitioner (doctor) or the like performs treatment at the position of the number 12 in the "12 o'clock position" (indicated by the solid line), and the state performing the treatment at the position of the number 9 in the "9 o'clock position" (in the virtual line). Each).

As shown the line fisherman 24 to the slide mechanism (c) it is 18 to 20 for supporting it and movable slide in a direction along the longitudinal direction of the head parent type (15) relative to the base section 23, The rail 53 of the base portion 23 attached to the support main body 13 and the movable body 55 in which the hanger part 24 was attached to the front-end part via the support pipe 54 are comprised. . That is, when the movable body 55 reciprocates linearly with respect to the rail 53, the hanger part 24 is moved to the entrance position (refer FIG. 19 (b)) suitable for 12 o'clock position (s1), and 9 o'clock position. It is movable between a suitable retracted position (see Fig. 19 (a)) (s2).

Rail 53, had a width dimension that can be formed of a steel (steel), the channel-like member has a short outwardly bending a front end portion (53a), having a modified cross-section shapes of the substantially U-shaped upwardly open, distal end (53a) A long rod- shaped upper and lower guide 56 is provided on the inner side of the outer wall portion 53b that follows , and the lower guide 57 is fixed to the outer side by bolting or the like. The movable body 55 is composed of a steel channel member having a substantially U-shaped cross-section having a downward opening, and a slider 58 made of a synthetic resin or the like attached to the inner surface thereof, and having a tip portion 53a. ), The lower guide 57 and the upper and lower guides 56 are pressed against the rails 53 from the outside in a state where the slider 58 is circumscribed so as to be in sliding contact .

Pipe line fisherman 24, treatment group, obtain (2a to 2c) to eject freely receive ground receiving tool in the tubular with the (受具) (59) is formed in a curved plate for supporting the parallel three, and the support ( It is fixed with one bolt 60 to the apex part of 54). By squeezing unwinding operation of the bolt 60, the rotation adjusting the angular position relative to the support pipe 54 of the line fisherman 24 is possible. Each treatment group, obtain (2a to 2c), there is an air hose 61 from a downstream side in the lower face of the transverse projections (23a) of the base part 23 is connected.

Moreover, the turning support mechanism f which supports the hanger part 24 with respect to the slide mechanism c so that rotation adjustment is possible within the predetermined angle range centering on the up-down shaft center p3 is provided. In other words, the support pipe 54 made of a round pipe is fitted to the angle block 62 in which the support pipe 54 is fixed to the upper end of the movable body 55 so that the support pipe 54 can be rotated about the up and down shaft center p3, and the support pipe 54 can be rotated . is good and 54, the sheets of knob bolt (63) which can be pushed from the lateral side of each block (62) screw. That is, when the knob bolt 63 is loosened, the hanger part 24 can adjust the rotation position about the up- down shaft center p3, and can be fixed by tightening the knob bolt 63 at the adjustment position.

At the 12 o'clock position in the state where the slide mechanism c is extended, the hanger part 24 is about 45 degrees in a state where the three receiving tools 59 approach the front (practice side) as the one on the training desk side. In the 9 o'clock position in which the slide mechanism c is retracted and set to the inclined inclined posture (see FIG. 14), the three receiving tools 59 are set to the horizontal posture (see FIG. 14) exactly lined left and right. . Thereby, the three treatment instruments 2a to 2c can be set to a position which is easy to operate on almost the same conditions in any position.

In addition, a positioning mechanism g for positioning the support pipe 54 in an inclined attitude and a horizontal attitude is provided. That is, as shown in FIG. 21, while fixing the semicircular ring-shaped cam plate 64 to the support pipe 54, it is embedded in the angle block 62 for fitting the support pipe 54 inside . In the upper end of the boss plate 65, a stepped portion 66 protruding upward with an angle of about 135 degrees is formed to form the positioning mechanism g. That is, the support pipe 54 can adjust the rotation position within the range of a predetermined rotation angle (theta) (45 degree), and the one end wall 66a of the step part 66, and the cam plate 64 of the the end wall (54a) of one is the correct touch of the inclined posture, the other of the end wall (5 4b) are abuts face horizontal position of the other end wall (66b) and the cam plate 64 of the step portion 66 Will be.

As shown in FIGS. 22 and 23, the rotation mechanism a and the tilt mechanism b are provided to the base plate 68 and the head parent mold 15 fixed to the arm portion 67 of the body model 14. It is formed over the fixed support plate 69. And supporting the upper and lower swing possible, to support the intermediate plate 70 to the supporting point (Z) is installed in the right and left direction on the base plate 68, makes it possible fluctuation in the support point (W) are installed in the front-rear direction to the support plate (69) . The support base plate 68 a, the plant of the screw shaft 71 in the forward and backward direction with the rotation operation is possible handle 72 by a finger rotation is possible, it is, screwed to the screw shaft 71, via a link member 74 connected to the support core of the coma by the member 73 and the intermediate plate 70, these both written by interlocking connection constitutes a tilting mechanism (b). And, leaving open to describe the scale and the value of tilt angle for displaying the arrow in a coma member 73 and corresponding to the tilting angle of the head parent type (15) in advance in the base plate 68, rotation of the handle 72 Thus, by matching the arrow of the coma member 73 to the angular scale and numerical value of the base plate 68, the tilt angle of the head parent die 15 can be tilted at an arbitrary angle.

The bolt shaft 75 is supported during possible rotation to the upper and to the through core of the intermediate plate 70, Chapter screws to the support plate 69 through the plate spring 76 is good and there and with the head of the bolt shaft 75 On the negative side, a large diameter driven gear 77 is fitted in an integrally rotated state. Then, the rotation knob (78), and supporting the operation shaft 80 is a drive gear 79 of the small diameter mounting fitted to the driven gear 77, rotatable in the vertical middle portion of the intermediate plate 70 and to The rotation mechanism a is comprised by this. The disc spring 76 presses the intermediate plate 70 and the support plate 69 to an appropriate level at all times, so that the position retaining function of the head parent die 15 does not rotate with respect to the intermediate plate 70 in the free state. To make it possible. Further, similarly to the tilting mechanism (b), and W placed and in correspondence with the rotation angle of the head parent type (15) to the driven gear 77 previously described the value of the grid and angle of the rotation angle, the following is the angle right is such that when the rotation of rotation knob 78, can be set to a desired rotation angle to the head parent type (15). Further, although the example of configuring a rotation mechanism (a) with a gear, without the use of gears, install a plurality of holes or recesses corresponding to the rotation angle in the rotation disk in the circumferential direction, and in that the hole or recess It is good also as a rotation mechanism of the structure which inserts and installs the rod-shaped member which fixes a rotation angle like a latch.

By the above configuration, when the rotation operation of the handle 72, the swing available from the supporting point (Z) with respect to the head parent type (15) in the body model 14, and it can be tilted up (tilt up) and maintain a fixed, from the horizontal position shown by the solid line in Figure 22, is the position the two government down look-down (down), right at 12-position position (see the dashed line in Fig. 22) or up (up) suitable for the 9:00 position posture the operation (see virtual line in FIG. 22) it is to be. Further, by the rotation operation of the rotation knob 78, relative to the head part model 15 in the intermediate plate 70, that is, twist sideways relative to the body model 14 and the fixed holding is possible, W, shown in FIG. 23 , thereby to some extent so that the swing frame to the right or to the extent of, when the swing frame to the left key is freely such as.

For reference, FIG. 24 shows a perspective view of the head model 15 tilted up about 40 degrees with respect to the body model 14 so as to be optimal for the 9 o'clock position, and tilted about 30 degrees to the right. By operating the posture of the head parent die 15 in this manner, it is possible to ensure that the practice of dental care is performed well even at the 9 o'clock position.

A display unit 83 disposed in a state that is listed as a status indication lamp 81 and the driving speed to switch the switch 82, the left and right of each treatment group, obtain (2a to 2c), as shown in Figure 17 or Figure 24 The body model 14 is located at a position to the right of the chest near the chest. As a result, even in the 12 o'clock position and the 9 o'clock position, the display unit 83 is in a position where it is easy to be seen by the practitioner or the leader, so that the operation state can be easily checked.

<Other embodiment>

The rotation mechanism (a), the tilt mechanism (b), the movable mechanism (c), the movable support mechanism (e), the pivot support mechanism (f), and the positioning mechanism (g) are not limited to the illustrated structure . In addition, various changes are possible. For example, the turning support mechanism f replaces the bolt 60 which fixes the hanger part 24 to the support pipe 54 with a knob bolt, and replaces the hanger part 24 by the fastening operation of the knob bolt. can be rotated to adjust the structure, it is possible to.

According to the network-adaptive medical practice training simulation apparatus of the present invention, the following effects are obtained.

That is, in the device of the present invention as set forth in claims 1, 5, 6, and 12, one or more training benches for training practitioners each having a head parent type, a medical examination apparatus, video and audio communication means, and video and audio communication means are provided. It is composed of training zones for each leader, and the training situation image and sound of each practicer can be simultaneously transmitted in both directions between the training zone for the trainer and the training zone for the leader, so that the practice can be practiced. I make it a constitution.

According to the apparatus of the present invention as described above, the practitioner flexibly responds to the learning maturity and achievement of the practitioner, while effectively confirming the learning effect in a small space while not only communicating with the leader but also by voice. Guidance is possible.

Claim in 2, in addition to the basic configuration of claim 1, lab evaluation apparatus, lab edition to exercise self objective evaluation of the exercise result of practice for, since the enable transfer information between the hands-for for the leader, who practice, performing the exercise Later, it is not necessary to carry the training data or the cut tooth model to one place where the training evaluation apparatus is located, and the training performance can be evaluated on the spot, so that the learning can be conducted efficiently.

In Claim 3, in addition to the basic structure of Claim 1, since the training evaluation apparatus which objectively evaluates the training result which a practicer performed was made into the structure built in the head parent type installed in the training bench for a trainee , a canal length measurement evaluation apparatus Even when a relatively small device such as a cutting pressure measurement and evaluation device is mounted, space saving can be achieved.

In the fourth aspect, in any one of claims 1 to 3, Practice Edition lab stand, a manikin comprising a body model and the head parent type in the support body, and is supported via the position switch means, the position switch means the human body model, the vertical center lead to the horizon once the human body model and the horizontal time position adjustment means, to enable with respect to the support body, the tilting is possible between at least a supine position with ipwi position with respect to said support body And a tilt position adjusting means.

According to the configuration in which the human body model is assembled, the practitioner keeps the human body model in the horizontally rotated position, or takes the supine position or the standing position, and is more attentive to make the position closer to the actual medical treatment. Practice of consideration is possible.

According to claim 7 to claim 11, the network for the movement and posture of the practitioner's medical treatment, the cutting pressure during the cutting operation, the cavity formation for the teeth, the formation of the anchor , and the like, for various medical treatments and treatments actually performed by the practitioner. Through this, objective practical function evaluation is performed.

Moreover, in claim 13, since the leader Practice for for map (指導) information is stored a storing means, a simultaneous switch means of voice and image is provided, simply by operating the switch means on the leader side, the operation mode prior to the ring, handageona provides map information to the hands-chair from the leader side, it is possible to handageona individually exchange information to and from a particular exercise chairs.

Further, in claim 14, since the training evaluation of a plurality of practitioners can be observed intensively online on the leader training bench, the response to the training results is promptly made.

According to claim 15, because it makes it possible movement in a direction along a longitudinal direction of the hanger part head parent type for receiving a medical apparatus, in correspondence with position changes at the time of build or medical practice or leader, treatment with an easy-to-operate position It becomes possible to arrange the mechanism. In particular, the hands or reunde leader is in the 9 o'clock position, which is located next to the right of the 12:00 position with the head parent type which is located on the other side and the body exist side the position of the well writing arm greatly with respect to the head parent type, the hanger portion By adjusting the position, it is possible to set the treatment instrument in a position that is easy to use in any position, and thus it is possible to provide a convenient and easy-to-use simulation apparatus that can cope with different treatment positions. Further, as in claim 16, when the movable mechanism is constituted by a slide mechanism that supports the hanger portion so as to be slidably movable relative to the base portion, a structure such as a rail that is long in the slide direction is required, but is pulled up, down, left, and right. that structure can be dispensed with, there is a problem that can be compared or the like mechanism of the foldable arm type, compactly configure the mobile structure.

In claim 17, since the hanger portion can be rotated about the upper and lower shaft centers , the hanger portion can be oriented in response to a change in the position of the head parent type of the trainee or the leader due to factors such as individual differences and tastes. it is not, any medical treatment apparatus can also take the like that can be placed at about the same distance, set with an easy-to-use state. In addition, since the rotation adjustment of the hanger part is performed within a predetermined angle range, there is no need to rotate more than necessary or to rotate in the same direction a plurality of times. distracted or dry with each other or are uncomfortable with it are being prevented, it is easy to use at this point.

In Claim 18, the head model can be makes it possible to twist to the side and remains fixed relative to the body model, open and available to lay easily view the head unit models based on the location of the tooth that treatment target practice or leaders in the 9 o'clock position, which is located on the right side of the head model, turning the head model to the right to see the mouth easier, or prior to the posture of the head model suitable for the treatment etc. that can be easy to care switch between Can be.

In claim 19, since the head submodel enables tilting up and holding with respect to the body model, it is possible to tilt the head submodel according to the position of the tooth to be treated so that the head submodel can be easily viewed. For example, in the 12 o'clock position, in the neck area than the head portion thereby down-tilt the head model to go down or, 9:00 position to group easier to see than the oral cavity and, in order to group easier to see than the oral cavity and, the head portion to thereby open up so as to tilt up than the neck, or a method can be used for, and it can be carried out than a medical practice conform to an actual state. And if the rotation mechanism and / or the tilt mechanism are comprised by the finger-operated manual operation structure like Claim 20, these convenient mechanisms can be provided at low cost .

21. The, since the saliva and suction tools like that sucks the liquid in the oral cavity, such as yunhwalsu, makes movable in the longitudinal direction of the head parent type in the treatment mechanism and the opposite side arrangement with respect to the head parent type, at 12-position or the 9 when deunga to correspond to the change in position of the hands or leader, including position, suction machine've also been able to change the sphere location, easy to practice, it was to be carried out more close to actual medical practice.

22. The, in the vicinity of the chest in the body model, that is in the vicinity of the head parent type, since placing the operating state display lamp or the operating speed toggle switch on the treatment apparatus, the head in the state such as the 12 o'clock position or 9 o'clock position, Even if the position of the practitioner or leader with respect to the parent type changes, it is possible to easily check the indicator lamp or the changeover switch. As this, as over the economic means to install only one position lamp or switch the display switch is not bound by the position change of practice or leader could see likely to get a reasonable indication means.

According to claims 23, it is possible because the image communication means is placed or the like lab desk enabling a rotation movement around the central axis of the uplink and downlink, in response to a change in the treatment position of the hands or leader, facing the view of the image communication means easy direction and over, and it is possible to be easy to carry than a medical practice.

Claims (23)

The head portion (頭部) model, medical apparatus, the image and at least one or more hands-edition Practice with a communication means for speech and for each, It is composed of a training room for leaders each having communication means of video and audio, The network is connected so that information can be transferred between the training bench for the trainer and the training zone for the leader, and the video and audio of the training situation of each trainee and the video and audio of the leader are simultaneously transmitted in both directions to conduct a medical practice. Type medical practice simulation device. At least one training bench for at least one practitioner each having a head parent type, a medical examination apparatus, and communication means of video and audio; A training bench for leaders each having video and audio communication means, It consists of a training evaluation device that evaluates the training results of the trainees, The practitioner's training bench, the leader's training bench, and the training evaluation apparatus are connected to each other so as to transmit information, and the image and sound of the training status of each training person, the image and sound of the leader, and the evaluation information of the training evaluation apparatus. A network-adaptive medical practice training simulation device for conducting practice practice by simultaneously delivering two directions simultaneously. It is composed of at least one training bench for training practitioners each having a head parent type having a training evaluation apparatus, a medical examination apparatus, communication means of video and audio, and a training lab for leaders each having video and audio communication means, The practitioner's training bench and the leader's training bench are connected to each other so as to be able to transmit information, and the video and audio of the training situation of each practitioner are simultaneously transmitted in both directions and the information of the leader and the training training is simultaneously carried out. Network-adaptive medical practice simulation apparatus to perform the operation. The method according to any one of claims 1 to 3, A torso made of the exercise for hands and incontinence, in its support main body, a body (胴體) model with the parent-type head, and the supporting position through a switch means, The position switch means, Horizontal rotation position adjusting means for adjusting the human body model to an arbitrary horizontal rotation position about the vertical axis with respect to the support body, and the human body model with at least an elevation position and position with respect to the support body. A network-adaptive medical practice training simulation device having a tilt control means for enabling tilt between postures. The method of claim 4, wherein A network-adaptive medical practice training simulation device, characterized in that at least the training zone for the trainer and the training zone for the leader are connected by wire or wirelessly . The method of claim 5, A network-adaptive medical practice training simulation apparatus comprising communication computers provided in the training training bench and the training chair for training comprising a computer connected to a camera, a monitor, and a microphone, respectively. The method of claim 6, The training evaluation device executes a predetermined evaluation program on an evaluation signal from various sensor means assembled in the head parent type or treatment apparatus, or a tooth model assembled and cut in the head parent type to practice a trainee. A network-adaptive medical practice practice simulation device comprising an evaluation means for performing a functional evaluation. The method of claim 7, wherein The training evaluation device includes, as the various sensors, a position marker for indicating the movement of the trainee and the medical instrument during training; A marker movement trajectory forming means for extracting the position marker from the training image picked up by the camera and creating movement trajectory data of the extracted position marker, The training evaluation apparatus collects the created marker movement trajectory data as training data, executes a predetermined evaluation program on the collected training data, and moves the trainee's posture, movement, and treatment equipment at the time of practice of the trainee. Network-adaptive medical practice simulation device configured to evaluate the system. The method of claim 8, The marker movement trajectory forming means includes image storage means for binarizing and displaying an image captured by a camera provided substantially above the center line of the practitioner on two-dimensional coordinates. Network-adaptive medical practice simulation device. The method of claim 7, wherein The various sensors include cutting pressure detecting means for detecting cutting pressure by a cutting mechanism applied to the tooth model, or canal length measuring means for measuring canal length on the tooth model, A network-adaptive medical practice training simulation apparatus which reads data from these detection means as training data and performs cutting pressure evaluation or canal length measurement evaluation of a trainee by executing a predetermined evaluation program on the read data. The method of claim 7, wherein The training evaluation apparatus includes training data analysis means for extracting cutting and processing data from the dental model cut and processed by the trainer in a non-contact manner from them. In the training evaluation apparatus, the training data extracted by the training data analysis means executes an evaluation program prepared in advance, thereby performing a functional evaluation on the formation of a cavity or an anchor by a trainee. Network-adaptive medical practice training simulation device to be configured. The method of claim 6, A network-adaptive medical practice training simulation apparatus, wherein said practitioner communication means and said leader communication means are each connectable to the Internet. The method of claim 12, In practice large for the leader, the map (指導) information is stored a storing means, are provided for simultaneous switch means of voice and images, the simultaneous switch means the leader is operated by the exchange of information with a specific exercise chair And a network-adaptive medical practice training simulation device configured to appropriately select to provide instruction information to a trainee. The method of claim 13, A network-adaptive medical practice training simulation device configured to allow the intensive training of a plurality of practitioners to be observed online on the leader training bench. The method of claim 14, A hanger part for detachably accommodating the treatment apparatus and a base part for supporting the hanger part are provided, and the hanger part is provided in a direction along the longitudinal direction of the head parent type with respect to the base part. A network-adaptive medical practice practice simulation device equipped with a movable mechanism that supports a movement. The method of claim 15, And the movable mechanism comprises a slide mechanism for supporting the hanger portion to be slidably movable relative to the base portion. The method according to claim 15 or 16, The hanger part, the network-responsive medical care practice simulation device, which with respect to the slide mechanism configured to enable adjustment rotation within a predetermined angular range in the vertical center axis. The method of claim 17, The head parent type, body model corresponding to the network type for medical care practice simulation device that is installed next to the rotation mechanism for supporting the twist (橫捻) and kept to be fixed with respect to the supporting it. The method of claim 18, Tilt-up (tilt up) and the network-responsive medical care practice simulation device that is installed for supporting the tilting mechanism is to be held fixed with respect to the head parent type, in the body model. A network-adaptive medical practice training simulation apparatus comprising the rotation mechanism according to claim 18 or the tilt mechanism according to claim 19 in a manual operation structure that is free to operate a finger. The method of claim 20, For the suction tools like act freely in the mouth, disposed in the away from the side from which the treatment group sphere is placed in the head parent type, and further configured to enable movement in a direction along the longitudinal direction of the head parent type Network-adaptive medical practice training simulation device. The method of claim 18 or 19, Operation status indicators and / or the driving speed to switch the switch, data that is arranged near the thoracic-responsive medical care practice simulation apparatus according to the model body of the medical apparatus of the medical treatment apparatus. The method of claim 22, A network-adaptive medical practice simulation apparatus for supporting the video communication means so as to be able to rotate around the center of the axis in the vertical direction.

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