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WO2020047761A1 - Simulateur médical, et système de formation médicale et procédé - Google Patents

Simulateur médical, et système de formation médicale et procédé Download PDF

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Publication number
WO2020047761A1
WO2020047761A1 PCT/CN2018/104058 CN2018104058W WO2020047761A1 WO 2020047761 A1 WO2020047761 A1 WO 2020047761A1 CN 2018104058 W CN2018104058 W CN 2018104058W WO 2020047761 A1 WO2020047761 A1 WO 2020047761A1
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WO
WIPO (PCT)
Prior art keywords
training
course
medical
simulator
review
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/CN2018/104058
Other languages
English (en)
Chinese (zh)
Inventor
刘雁飞
刘朝群
陆君
王滨
•大卫 •N. 布鲁萨尔
•查尔斯 • G. 米勒
•杰里 伍兹
•克利福德 • D. 奥姆斯特德
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Tianjin Tellyes Scientific Co Ltd
Original Assignee
Tianjin Tellyes Scientific Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Tianjin Tellyes Scientific Co Ltd filed Critical Tianjin Tellyes Scientific Co Ltd
Priority to CN201880095938.2A priority Critical patent/CN112534491A/zh
Priority to PCT/CN2018/104058 priority patent/WO2020047761A1/fr
Publication of WO2020047761A1 publication Critical patent/WO2020047761A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • GPHYSICS
    • G06COMPUTING OR CALCULATING; COUNTING
    • G06TIMAGE DATA PROCESSING OR GENERATION, IN GENERAL
    • G06T19/00Manipulating 3D models or images for computer graphics
    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B23/00Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes
    • G09B23/28Models for scientific, medical, or mathematical purposes, e.g. full-sized devices for demonstration purposes for medicine
    • GPHYSICS
    • G09EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
    • G09BEDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
    • G09B9/00Simulators for teaching or training purposes

Definitions

  • the invention relates to the field of education, in particular to a medical simulator, a medical training system and a training method thereof.
  • the simulated human body model can be used as a simulated patient to help and guide medical staff to use various instruments correctly.
  • This simulated human body model provides "practical" medical training for healthcare professionals.
  • These simulated human models usually have some important functions, including but not limited to spontaneous breathing, pulse, heart and breathing sounds, and monitoring such as ECG, pulse oximetry, and breath by connecting commercial (COTS) medical devices to simulated human models Capability of vital signs of carbon dioxide.
  • Using a medical simulator as a training aid can help medical staff improve manual skills and skills in correct placement of leads, tubes, etc., which can reduce patient risk.
  • the realism of medical simulators can play an important role in training, but the realism aspect is only part of the entire education training. Usually (for example, via audio and / or video) to monitor or even record simulated events of training courses for review by students or teachers, this review and feedback of training courses can be a valuable teaching tool.
  • Traditional medical simulator operating systems and training systems are limited because they do not provide adequate feedback and analysis.
  • traditional medical simulator operating systems and training systems can only provide feedback by playing a video recording of a training course, which requires a separate recording unit, additional steps to make a copy of the recording, and additional equipment to play back the recording.
  • video recordings must be replayed through dedicated displays in the classroom without the ability to disseminate the recordings on a large scale or the ability to present feedback to many trainees in multiple locations simultaneously.
  • Traditional medical simulator operating systems and training systems are limited because they do not provide adequate feedback and analysis.
  • traditional medical simulator operating systems and training systems can only provide feedback by playing a video recording of a training course, which requires a separate recording unit, additional steps to make a copy of the recording, and additional equipment to play back the recording.
  • video recordings must be replayed through dedicated displays in the classroom without the ability to disseminate the recordings on a large scale or the ability to present feedback to many trainees in multiple locations simultaneously.
  • a medical simulator including:
  • a simulator controller for executing, controlling, and editing at least one of training scenarios
  • a data acquisition device for acquiring, generating, and transmitting at least one of the recorded analog data
  • the invention discloses a medical training system, which can generate a medical training system for a training scene.
  • a training course including at least one training scenario may be provided to train medical staff.
  • Some embodiments of the medical training system may include a course review.
  • the course review may be a re-implementation of a physiological training scenario, a summary of the training course, actions and responses taken by the medical staff, and / or an audio-video-text-graphic overlay from the instructor about the training course.
  • the course review may include a re-implementation of the training course while simultaneously and synchronously displaying the summary and audio-video-text-graphic overlays from the instructor.
  • a medical training system includes the medical simulator and further includes:
  • a training course module for generating a training course, the training course including at least one of the training scenarios
  • the course review module is used to generate a course review
  • the medical simulator is configured to implement the physiological training scene according to the training course, and re-implement the training course according to the course review.
  • the training course is generated based on at least part of the recorded simulation data.
  • the course review is generated based on at least part of the recorded simulation data.
  • it further includes a communication network including at least one of the medical simulator, at least one of the training course module, and / or at least one of the course review module communicating with each other.
  • a communication network including at least one of the medical simulator, at least one of the training course module, and / or at least one of the course review module communicating with each other.
  • the communication network further includes a first subnet including at least one first subnet medical simulator, at least one first subnet training course module, and at least one first subnet course review module;
  • the second subnet includes at least one second subnet medical simulator, at least one second subnet training course module, and at least one second subnet course review module.
  • the invention also discloses a method for providing medical training, which is characterized by including:
  • the training course module generates the training course, the training course includes a training scenario, the training course is sent to the simulator controller, and the simulator controller executes the training scenario;
  • the course review module generates the course review.
  • the data acquisition device generates the recorded simulation data
  • the recorded simulation data is transmitted to the training course module and / or the course review module, and at least part of the recorded simulation data is used for Generate said training course and / or course review.
  • the course review includes a re-implementation of the training course.
  • the course review includes supplementary information.
  • the course review includes supplementary materials that are simultaneously superimposed as the training course is re-implemented, the supplementary materials including at least one of audio content, video content, text content, and graphic content.
  • the present invention has the beneficial effect that the medical training system and training method of the present invention can review the previously recorded physiological state and state through course review that can be managed locally, remotely, or a combination of local and remote,
  • states and state changes affect changes in one or more medical simulators (virtual or physical units); moreover, multiple medical simulators can be distributed in one or more locations and allow single or combined course reviews to provide adequate Feedback and analysis meet the needs of medical teaching and operation training, and are simple, efficient, easy to operate, and have high application value.
  • FIG. 1 shows a schematic diagram of an embodiment medical training system.
  • FIG. 2 shows a schematic diagram of a medical training system according to another embodiment.
  • 100- medical training system 102- medical simulator; 104- simulator controller; 106- communication network; 108- computer equipment; 108a- first computer equipment; 108b- second computer equipment; 110- subnet; 112-Data Acquisition Device
  • the training course module and course review module created in the present invention may be a processor associated with non-transitory and non-volatile memory operations, and installed with application software or firmware for generating training courses and course reviews, and may have a display function; Or a laptop computer, a tablet computer, or a computer device; in this embodiment, it is preferably a computer device, wherein the training course module may be defined as a first computer device; the course review module may be defined as a second computer device.
  • the training scenario created in the present invention may include a physiological training scenario (such as a training scenario in a non-pathological state) and a pathological training scenario (such as a medical death training scenario).
  • a physiological training scenario such as a training scenario in a non-pathological state
  • a pathological training scenario such as a medical death training scenario
  • An embodiment is a medical training system 100 that generates a physiological training scene.
  • the medical training system 100 may provide a training course for medical staff, and the training course includes at least one physiological training scene.
  • the medical training system 100 may also provide a course review, which may be a re-implementation of physiological training scenarios, a summary of the training course, actions and responses taken by the medical staff, and / or audio-video-text-graphics from the instructor about the training course Overlay.
  • the course review may include a re-implementation of the training course while simultaneously and synchronously displaying the summary and audio-video-text-graphic overlay from the instructor.
  • the course review may be sent to many users of the medical training system 100 simultaneously to provide a group course review.
  • an embodiment of the medical training system 100 includes a medical simulator 102, which may be a physical unit or a virtual unit.
  • the medical training system 100 may further include a plurality of medical simulators 102, and any one or a combination of the plurality of medical simulators 102 may be a physical unit or a virtual unit.
  • the physical unit can be a medical simulator with the whole or at least a part of the human anatomy (such as the head, chest, torso, back, respiratory system, vascular system, etc.).
  • the physical unit can have an animated part (such as head, mouth, legs, Arms, fingers, eyelids, eyes, etc.), and can produce physiological activities and physiological states.
  • Physiological activities may include joint activities of animated parts (eg, rotation of the head, opening and closing of eyelids, blinking, flinching, coughing, movement of limbs, shaking, muscle spasms, etc.).
  • Physiological conditions may include changes in skin temperature and / or humidity, blue skin, red eyes, breathing conditions (e.g., shortness of breath, cough, wheezing, inhalation), blood flow conditions (e.g., increased heart rate, heart murmur, defibrillation, etc.) ), Eye condition (such as strabismus, pupil dilation, etc.), skin condition (such as melanoma, lupus, acne, psoriasis, cellulitis, etc.) and so on.
  • breathing conditions e.g., shortness of breath, cough, wheezing, inhalation
  • blood flow conditions e.g., increased heart rate, heart murmur, defibrillation, etc.
  • Eye condition such as strabismus, pupil dilation, etc.
  • skin condition such as melanoma, lupus, acne, psoriasis, cellulitis, etc.
  • Physiological activities and states can be formed by using motors, actuators, vibration actuators, speakers, display units, condition-sensitive smart materials, etc., for example, by placing vibration actuators in or near simulated muscle tissue Drives to simulate muscle tissue vibrations to produce muscle spasms.
  • Breathing is generated by driving a pump connected to a balloon of a simulated lung, which can be fluidly connected to the airway leading to the mouth of the medical simulator.
  • a display (such as a liquid crystal display, a light emitting diode display, etc.) can project a desired characteristic image.
  • the display can project an image of the eye (such as the pupil, sclera, etc.) through the eye part of the eye socket.
  • the displayed eye can move or enlarge the pupil,
  • the sclera changes color to indicate eye condition and the like.
  • the display may project a simulated skin image through the medical simulator 102 to change its color, display a development image, and the like.
  • the virtual unit can use two-dimensional (2D) or three-dimensional (3D) images to represent the human anatomy with at least a part of the entire human body.
  • the virtual unit can be displayed by a computer device.
  • 3D The human anatomy represented by an image can be implemented through a graphical user interface.
  • the graphical user interface includes interactive graphical elements representing anatomical features.
  • the animation program logic is used to render any part of the image described in 2D or 3D. Physiological activities and conditions.
  • any display of the physical unit may include a computer with a display screen, and the display screen may display the virtual features.
  • the eyes of the medical simulator 102 may be computer generated with a display screen, where the eye features are 2D or 3D images generated by graphical elements.
  • the medical simulator 102 includes at least one data acquisition device 112.
  • the data acquisition device 112 may be a sensor, a camera, an audio recorder, etc .; the data acquisition device 112 may be used to collect, record, and analyze data.
  • the collected data may be a physiological training scene, Data about the environment around the medical simulator 102 (e.g. temperature, pressure, noise, light, movement of medical personnel, movement of medical simulator 102, etc.), actions taken by medical personnel (e.g., physical or verbal with medical simulator 102) Interact, locate the medical simulator 102, apply pressure to the wound, cut off a part of the medical simulator 102, open the airway of the medical simulator 102, administer medicine, etc.).
  • a pressure sensor may be placed in or near the simulated skin in the medical simulator 102 in an area that provides the physiological state of the wound, and the pressure sensor is used to determine how much pressure and how long the intern medical staff applies to the wound.
  • a proximity sensor may be positioned in the airway of the medical simulator 102 to detect whether any part of the airway is blocked or contracted due to the position of the head and neck, and the proximity sensor may be used to determine whether a healthcare professional is appropriate before performing CPR Tilt your head back to open the airway.
  • the data collected by the data acquisition device 112 may be referred to as recorded analog data.
  • the medical simulator 102 includes a simulator controller 104, which may be a processor associated with non-transitory and non-volatile memory operations, and the simulator controller 104 is electrically connected to the medical simulator 102.
  • the simulator controller 104 may be incorporated with or located outside the medical simulator 102. Positioning outside the medical simulator 102 may include mechanically attaching to the medical simulator 102 or simulating the medical simulation through wired or wireless communication
  • the device 102 is physically separated.
  • the simulator controller 104 may be configured to control functions of components of the medical simulator 102 and drive the components to be able to operate in a coordinated manner so as to generate at least one physiological training scene.
  • the physiological training scenario may be any one or a combination of the physiological activities and physiological conditions described herein.
  • the physiological training scenario may be executed by the processor according to instructions programmed in application software or firmware stored on a memory associated with the processor.
  • a physiological training scenario may include breathing, inhalation, coughing, suffocation by the medical simulator 102 and the skin turning blue by the medical simulator 102 without detecting certain actions but after a predetermined time has elapsed; for example, the simulator controller 104 Can be programmed to perform physiological training scenarios until the data acquisition device 112 detects an action taken by the medical trainee and sends the action (in the form of recorded simulation data) to the simulator controller 104, which the simulator controller 104 processes And analyze the recorded simulation data to determine whether to continue the steps of the physiological training scene, stop the physiological training scene, or change one aspect of the physiological training scene.
  • the electrical connection mentioned in this embodiment may be a wired connection (wire connection), a wireless connection (Bluetooth, WIFI, etc.).
  • the medical simulator 102 may be configured as a virtual unit.
  • the medical simulator 102 may include a display that may display a 2D image or a 3D image of a portion of the human anatomy.
  • the application software or firmware may be programmed to provide at least one training course
  • the training course may include at least one physiological training scene
  • the training course may also be programmed to change at least one of the physiological training scene based on the recorded simulation data Physiological activity and / or physiological state.
  • the training course can be programmed to generate a dynamic physiological training scene based on the environment around the medical simulator 102 and / or actions taken by medical staff. For example, keeping the above-mentioned physiological training scenario, if the medical simulator 102 detects that the medical staff opens the airway of the medical simulator 102 before a predetermined period of time, the training course may be programmed to drive the medical simulator 102 to start breathing.
  • the training course may be programmed to cause the medical simulator 102 to start a medical shock physiological training scene or a medical death training scene.
  • typical symptoms associated with medical shock may be presented by the medical simulator 102 until the data acquisition device 112 detects certain actions taken by a medical trainee.
  • the medical training system 100 may be part of the communication network 106.
  • the communication network 106 may include at least one computer device 108 in communication with the simulator controller 104, and may employ a wired connection or a wireless connection (eg, via a transceiver). Any computer device 108 of the communication network 106 and each other can receive and send data, manipulate data, analyze data, and send instructions to the simulator controller 104.
  • the data can include recorded analog data.
  • the communication network 106 may include a first computer device 108a.
  • the first computer device 108a may have a processor operatively associated with non-transitory and non-volatile memory. Any one or a combination of the simulator controller 104 and the first computer device 108a may have application software or firmware installed thereon.
  • the application software or firmware installed on the simulator controller 104 may be the same as or different from the application software or firmware installed on the first computer device 108a.
  • a user eg, a medical trainee or a medical trainer
  • the first computer device 108a may be programmed to display various training courses and / or physiological training scenarios from which a user may select.
  • a signal may be sent to the simulator controller 104 to cause the simulator controller 104 to execute the selected training course and / or physiological training scene.
  • the first computer device 108a allows the user to modify any training courses and / or physiological training scenarios that are running before, during, and / or after the training courses and / or physiological training scenarios are implemented.
  • the communication network 106 may include a second computer device 108b.
  • the second computer device 108b has an operating function and a processor associated with non-transitory and non-volatile memory.
  • the second computer device 108b may be located at a different physical location than the first computer device 108a and / or the simulator controller 104.
  • FIG. 1 shows that the second computer device 108b is at a different physical location than the physical location of the first computer device 108a and / or the simulator controller 104).
  • Any one or a combination of the simulator controller 104, the first computer device 108a, and the second computer device 108b may have application software or firmware installed thereon.
  • the application software or firmware installed on the simulator controller 104 may be the same as or different from the application software or firmware installed on the first computer device 108a, which may be the same as the application software or firmware installed on the second computer device 108b different.
  • the user can control aspects of the medical training system 100 through the second computer device 108b.
  • the application software or firmware of the second computer device 108b may be programmed to generate at least one course review.
  • the second computer device 108b may generate a course review as a summary of the training course, which may include any one or a combination of physiological training scenarios and recorded simulation data associated with the training course.
  • the course review may be sent to any one or a combination of the first computer device 108a, the second computer device 108b, and the simulator controller 104 of the communication network 106.
  • the course review may be displayed through textual content, video content, audio content, and / or graphical content (eg, graphical elements generated by a graphical user interface).
  • the course review can provide users with an assessment of the quality of medical practice performed by physician trainees during training sessions. As will be explained later, the user may modify and / or add course reviews through the second computer device 108b.
  • the medical training system 100 may be part of the communication network 106.
  • the communication network 106 may include at least one medical simulator 102, at least one first computer device 108a, and at least one second computer device 108b.
  • the medical training system 100 may include multiple medical simulators 102, multiple first computer devices 108a, and multiple second computer devices 108b. Any one or a combination of the medical simulator 102, the first computer device 108a, and the second computer device 108b may be connected to form the subnet 110.
  • the subnet 110 may be a set of components that provide a particular training course.
  • the first subnet 110a may be used to provide training courses configured for novice students
  • the second subnet 110b may be used to provide training courses configured for advanced students, and the like.
  • each subnet 110 can provide training courses related to the birth of a child.
  • a single second computer device 108b may be used to generate a course review for multiple first computer devices 108a and / or simulator controllers 104 within the communication network 106 or subnet 110.
  • the course review may be shared among many users using different second computer devices 108b.
  • the course review may be modified or augmented by any user before, during, and / or after sending the course review to the first computer device 108a and / or the simulator controller 104.
  • a course review provided to multiple simulator controllers 104 and / or the first computer device 108a may allow healthcare trainees to learn from actions taken by others during training sessions of the same or similar configuration, even if the healthcare trainees are located in different position.
  • each simulator controller 104 and / or the first computer device 108a may be the same. In some embodiments, the course review for at least one simulator controller 104 and / or first computer device 108a may be different from other simulator controllers 104 and / or first for communication network 106 or subnet 110 Course review of computer equipment 108a.
  • the re-implementation in this embodiment includes re-playing / executing a training course, and playing / executing the training course after selective integration.
  • the course review may include a re-implementation of the training course.
  • a course review may be sent to the simulator controller 104 to cause the medical simulator 102 to re-implement (or replay) a training course for which a course review was generated.
  • a summary of the training course and / or additions to the course review eg, text content, video content, and / or audio content
  • a course review can include a re-implementation of the training course while displaying synopses and supplemental information in a synchronized manner.
  • a course review may include a re-implementation of the training course while displaying the training summary and supplementary information in a synchronized manner.
  • the simultaneous display of the training summary and / or supplementary materials with the re-implementation of the training course can be achieved through the technology and system configurations disclosed in US Publication No. 2008/012694 and US Publication No. 2011/0223464, the entire disclosure of which is incorporated by reference Combined here.
  • comprehensive recording and playback of video, audio, and recorded analog data may be received in a time-stamped manner by simultaneously receiving analog data input, audio input, and video input for at least a portion of a recorded training session into a common digital memory buffer. to realise.
  • the common digital memory buffer may be part of the first computer device 108a and / or the second computer device 108b.
  • the common memory buffer may allow independent, simultaneous, synchronous, user-controlled playback of a single input received in the memory buffer.
  • the medical training system 100 may provide simultaneous tagging of a common memory buffer to tag events for a training session.
  • An exemplary implementation of the medical training system 100 may include providing at least one medical simulator 102 having at least one simulator controller 104 and at least one data acquisition device 112, at least one first computer device 108a, and at least one first Two computer devices 108b, which may include generating a communication network 106 or a subnet 110 to facilitate the reciprocal transmission of recorded analog data between each simulator controller 104, the first computer device 108a, and the second computer device 108b.
  • At least one physiological training scene is programmed in the simulator controller 104.
  • At least one training course including at least one physiological training scene is programmed in the first computer device 108a. The user may cause at least one training course to be selected and sent to the simulator controller 104 through the first computer device 108a to cause the medical simulator 102 to perform a physiological training scenario associated with the training course.
  • the medical trainee can perform medical operations on the medical simulator 102 based on the physiological activities and physiological states of the physiological training scenario.
  • the recorded simulation data can be collected, analyzed, and sent to the simulator controller 104, the first computer device 108a, and / Or the second computer device 108b.
  • the first computer device 108a may cause the training course to change one aspect of the physiological training scene or change the physiological training scene based on the recorded simulation data, and its instructions may be automatically sent to the simulator controller 104 for execution.
  • the user may change one aspect of the physiological training scene or change the physiological training scene by inputting a command into the first computer device 108a, and the command input may be sent to the simulator controller 104 for execution.
  • the second computer device 108b may generate a course review, which may be sent to the first computer device 108a, the simulator controller 104, and / or the second computer device 108a of the communication network 106 or subnet 110 Any one or a combination of computer devices 108b.
  • Course review is generated and transmitted in real-time as medical treatments being performed by physician trainees include: first computer device 108a and / or simulator controller 104 and / or Another first computer device 108a and / or simulator controller 104 associated with the physician trainee who is not performing a medical operation sends a course review.
  • Some embodiments of the course review may include a training course re-implemented by the medical simulator 102, and the re-implementation of the training course may be completed in real time on the medical simulator (s) 102 of the medical trainee who is not performing a medical operation (as the medical training When the person is performing a medical operation).
  • the re-implementation of the training course on any one or more of the medical simulators 102 may be performed after the medical trainee performs a medical operation.
  • the course review may include supplementary materials, which may be textual content, video content, audio content, and / or graphical content added by a user (eg, a teacher) of the second computer device 108b.
  • supplementary materials may be textual content, video content, audio content, and / or graphical content added by a user (eg, a teacher) of the second computer device 108b.
  • the supplementary material can be superimposed in the form of audio-video-text-image.
  • the course review may be displayed through any display of the medical simulator 102, the simulator controller 104, the first computer device 108a, and / or the second computer device 108b.
  • a medical simulator 102 may be modified to meet a specific set of design standards.
  • a simulator controller 104 may be modified to meet a specific set of design standards.
  • a data acquisition device 112 may be used to acquire data from a medical simulator 102.
  • a simulator controller 104 may be modified to acquire data from a medical simulator 102, a simulator controller 104, a data acquisition device 112, a first computer device 108a, The number or configuration of the second computer device 108b, the communication network 106, and / or other components or parameters to meet a particular goal.

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Abstract

La présente invention concerne un système de formation médicale (100) comprenant un modèle de cours de formation permettant de générer un cours de formation, un modèle de révision du cours permettant de générer une révision du cours; et un simulateur médical (102) permettant la mise en œuvre d'un scénario de formation selon le cours de formation, et la remise en œuvre de la formation en fonction de la révision du cours. La révision du cours peut être gérée localement, à distance, ou par une combinaison de mises en œuvre locales et distantes, et peut relire des états physiologiques et des changements d'état préalablement enregistrés. Les états et les changements d'état influencent les changements d'un ou de plusieurs simulateurs médicaux. De plus, les simulateurs multiples (102) peuvent être distribués à une ou plusieurs positions, et une révision du cours unique ou combinée est autorisée, de telle sorte que pendant la relecture lors de la révision d'un cours, le simulateur médical (102) relit des signes physiques générés pendant une session d'enregistrement initiale.
PCT/CN2018/104058 2018-09-05 2018-09-05 Simulateur médical, et système de formation médicale et procédé Ceased WO2020047761A1 (fr)

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CN201880095938.2A CN112534491A (zh) 2018-09-05 2018-09-05 一种医学模拟器、医学训练系统和方法
PCT/CN2018/104058 WO2020047761A1 (fr) 2018-09-05 2018-09-05 Simulateur médical, et système de formation médicale et procédé

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