Disclosure of Invention
The invention aims to provide a preoperative situation simulation training device and a simulation method thereof.
In order to achieve the purpose, the technical scheme provided by the invention is as follows:
the utility model provides an art foreground simulation trainer, including the handheld handle that is convenient for to grip, be arranged in the simulation art light transform light subassembly, be used for the record patient to blink and move the subassembly of making a video recording of eye data, be used for eye-shade subassembly and the long timing subassembly of record simulation of laminating patient's eye, the one end of handheld handle corresponds light subassembly and the subassembly of making a video recording is equipped with the cavity, and light subassembly and the integrated setting of subassembly of making a video recording are in inside the one end that handheld handle is equipped with the cavity, eye-shade subassembly sets up the one end that handheld handle is equipped with light subassembly is outside, and timing subassembly sets up light subassembly's one end is kept away from to handheld handle.
The light component comprises an annular light module, a point-shaped light module and a circular light module, the annular light module is arranged in one end of the handheld handle and is fixedly connected with the handheld handle, the point-shaped lamp module is arranged inside one end of the hand-held handle provided with the annular lamp module and is fixedly connected with the hand-held handle, the point-shaped lamp module is positioned in the middle of the inner side of the annular lamp module and is concentrically arranged with the annular lamp module, the circular lamp module is arranged inside one end of the hand-held handle provided with the annular lamp module and is fixedly connected with the hand-held handle, the annular lamp module and the circular lamp module are arranged in an integrated mode, one end, provided with the annular lamp module, of the handheld handle is provided with a protective glass sheet corresponding to the lamp light assembly, and the protective glass sheet is located on the outer side of the annular lamp module, the dot-shaped lamp module and the circular lamp module.
The annular lamp module is characterized by further comprising a light source brightness adjusting switch, the light source brightness adjusting switch is arranged in the middle of the handheld handle and is in sliding connection with the handheld handle, and the light source brightness adjusting switch is electrically connected with the annular lamp module.
The camera shooting assembly comprises a miniature industrial camera and a wireless transmission module, the miniature industrial camera is arranged inside one end, provided with a lighting assembly, of the handheld handle and fixedly connected with the handheld handle, the wireless transmission module is arranged on the handheld handle, provided with the miniature industrial camera, inside one end of the miniature industrial camera and integrally arranged with the miniature industrial camera.
The eye-shade subassembly includes silica gel eye-shade and eye-shade draw-in groove, the silica gel eye-shade sets up handheld handle be equipped with light subassembly one end outside and with the connection can be dismantled to handheld handle, the eye-shade draw-in groove sets up the silica gel eye-shade with handheld handle junction, the silica gel eye-shade passes through the eye-shade draw-in groove with handheld handle joint.
The timing assembly comprises a timer and a timing switch, the timer is arranged on one end side face, far away from the lamplight assembly, of the handheld handle and fixedly connected with the handheld handle, the timing switch is arranged on the side, at intervals, of the timer and fixedly connected with the handheld handle, and the timing switch is electrically connected with the timer.
Still include total control switch, group battery and data transmission interface, total control switch sets up the one end that lighting components was kept away from to handheld handle and with handheld handle fixed connection, set up on the group battery inside the handheld handle, handheld handle corresponds the group battery is equipped with the battery compartment, the group battery passes through the battery compartment and sets up inside the handheld handle, the data transmission interface sets up the one end side that lighting components was kept away from to handheld handle and with handheld handle fixed connection, total control switch and annular lamp module, punctiform lamp module, circular lamp module, miniature industrial camera, the equal electric connection of wireless transmission module and group battery, the data transmission interface with the equal electric connection of group battery and miniature industrial camera.
Still include supplementary aligning gear, supplementary aligning gear includes miniature calibration steering wheel and calibration control switch, miniature calibration steering wheel sets up handheld handle be equipped with light assembly one end inside and with handheld handle fixed connection, miniature calibration steering wheel is located between circular lamp module and the miniature industrial camera, punctiform lamp module sets up the output of miniature calibration steering wheel and via miniature calibration steering wheel sets up circular lamp module is inboard, calibration control switch sets up the side of handheld handle and with handheld handle fixed connection, miniature calibration steering wheel with the equal electric connection of calibration control switch and total control switch.
A simulation method of a preoperative scene simulation training device comprises the following steps:
a. and (3) disinfection: sterilizing one end of the handheld handle connected with the silica gel eyeshade and the silica gel eyeshade, and clamping the silica gel eyeshade and one end of the handheld handle provided with the lighting assembly through an eyeshade clamping groove;
b. body position: the patient lies on the examination bed or the head of the patient leans back while sitting straight;
c. debugging: the general control switch is turned on, the miniature industrial camera starts to work while the annular lamp module starts to work, the annular lamp module emits annular white light, the miniature industrial camera performs data transmission with the computer terminal through the wireless transmission module or the data transmission interface, the light intensity of the annular lamp module is adjusted through the light source brightness adjusting switch, and the camera shooting interface of the miniature industrial camera is debugged through the computer terminal;
d. focusing: the medical staff holds the hand-held handle to keep the hand-held handle in a vertical state, the end of the hand-held handle provided with the lighting assembly faces the patient, the end of the hand-held handle provided with the lighting assembly is placed above the eye of the patient, which is not covered, by about 5cm and gradually approaches the eye of the patient, and the eyes of the patient follow the center of the light source;
e. and (3) simulating a negative pressure suction stage: when the edge of the silica gel eyeshade is completely attached to the eyes, the master control switch is pressed, the annular lamp module and the point lamp module work together, the annular lamp module emits annular white light, meanwhile, the point lamp module emits flickering green light, a patient stares at the flickering green light and keeps the eye position still after the central point is found, when the eye position of the patient is stable, the timer starts to work through the timing switch, the time is timed for 30s, and the simulation of a negative pressure suction stage in the ophthalmologic operation process is carried out;
f: simulating a cornea lens taking stage: after the simulation of the negative pressure suction stage in the ophthalmologic operation process is completed, the hand-held handle is lifted, the silica gel eye patch is separated from the eyes of a patient to a position which is about 30cm away from the eyes of the patient, the master control switch is pressed, the circular lamp module starts to work, the circular lamp module emits strong white light, the patient can watch the light source, the time is kept for 30s, and the simulation of the corneal lens taking stage in the ophthalmologic operation process is performed;
g: after the simulation of the corneal lens taking stage in the ophthalmic surgery process is completed, the preoperative scene simulation training is completed, and the master control switch is turned off.
During the preoperative scene simulation training process, the eye position of a patient can be observed through a silica gel eyeshade, the eye position change of the patient is recorded in real time through a miniature industrial camera, and during the simulation, whether the eye position of the patient moves needs to be observed, the patient can blink occasionally, but the eyes cannot shift.
The invention has the beneficial effects that:
simple structure, small, the easy operation is and be convenient for grip, can simulate the light transform sight of operation in-process, thereby let the situation in the real experience operation of patient before the art, master the cooperation main points in the operation, alleviate nervous and anxious mood of patient, reduce the accident in the art, can take notes the patient through the subassembly of making a video recording and blink and move the eye data, thereby for the operation process provides the reference, the change can be dismantled to the eye patch subassembly, make things convenient for different patients' simulation user demand, the disinfection is convenient, repeatedly usable, economical and practical.
Detailed Description
The invention is described in further detail below with reference to the accompanying drawings,
the invention provides a preoperative scene simulation training device, which comprises a handheld handle 1 convenient to hold, a light assembly used for simulating lamplight transformation in an operation, a camera assembly used for recording blink and eye movement data of a patient, an eye mask assembly used for fitting eyes of the patient and a timing assembly used for recording simulation duration, wherein one end of the handheld handle 1 is provided with a cavity corresponding to the light assembly and the camera assembly, the light assembly and the camera assembly are integrally arranged in one end, provided with the cavity, of the handheld handle 1, the eye mask assembly is arranged outside one end, provided with the light assembly, of the handheld handle 1, and the timing assembly is arranged at one end, far away from the light assembly, of the handheld handle 1.
The light component comprises an annular lamp module 2, a point-shaped lamp module 3 and a circular lamp module 4, the annular lamp module 2 is arranged inside one end of the handheld handle 1 and fixedly connected with the handheld handle 1, the point-shaped lamp module 3 is arranged inside one end of the handheld handle 1 provided with the annular lamp module 2 and fixedly connected with the handheld handle 1, the point-shaped lamp module 3 is arranged at the middle position inside the annular lamp module 2, the point-shaped lamp module 3 and the annular lamp module 2 are concentrically arranged, the circular lamp module 4 is arranged inside one end of the handheld handle 1 provided with the annular lamp module 2 and fixedly connected with the handheld handle 1, the annular lamp module 2 and the circular lamp module 4 are integrally arranged, one end of the handheld handle 1 provided with the annular lamp module 2 is provided with a protective glass slide corresponding to the light component, the protective glass slide is arranged outside the annular lamp module 2, the point-shaped lamp module 3 and the circular lamp module 4, the light component passes through the annular lamp module 2, The spot lamp module 3 and the circular lamp module 4 are matched to simulate light conversion in an ophthalmologic operation process, wherein the annular lamp module 2 is used for emitting annular white light so as to focus eyes of a patient in a preoperative scene simulation process, the spot lamp module 3 is used for emitting flashing green light so as to be matched with the annular lamp module 2 to simulate a negative pressure suction stage in the ophthalmologic operation, the circular lamp module 4 is used for emitting strong white light so as to simulate a corneal lens taking stage in the ophthalmologic operation, the handheld handle 1 is of a split structure, the split part of the handheld handle 1 is connected through threads, and a matched cross section of the light assembly and the handheld handle 1 is shown in fig. 2.
Still include light source brightness control switch 5, light source brightness control switch 5 sets up in handheld handle 1 middle part and with handheld handle 1 sliding connection, light source brightness control switch 5 and annular lamp module 2 electric connection, wherein, light source brightness control switch 5 is used for adjusting the light source luminance of annular lamp module 2 to the in-process of scene simulation debugs the light source intensity of annular lamp module 2 before the art.
The camera shooting component comprises a miniature industrial camera 6 and a wireless transmission module 7, the miniature industrial camera 6 is arranged inside one end of the hand-held handle 1 provided with the lighting component and is fixedly connected with the hand-held handle 1, the wireless transmission module 7 is arranged inside one end of the hand-held handle 1 provided with the miniature industrial camera 6 and is integrated with the miniature industrial camera 6, the miniature industrial camera 6 is electrically connected with the wireless transmission module 7, the camera shooting component is matched with the miniature industrial camera 6 and the wireless transmission module 7 to record data such as blink, eye movement and eye position of a patient, wherein, miniature industrial camera 6 is used for data such as blink, move the eye and the eye position to the patient and carry out the record, and wireless transmission module 7 is used for carrying out data connection with miniature industrial camera 6 and computer terminal, and wireless transmission module 7 accessible wireless network or bluetooth etc. mode carry out data connection with computer terminal.
The eye patch assembly comprises a silica gel eye patch 8 and an eye patch clamping groove 9, the silica gel eye patch 8 is arranged outside one end, provided with a light assembly, of the handheld handle 1 and detachably connected with the handheld handle 1, the eye patch clamping groove 9 is arranged at the joint of the silica gel eye patch 8 and the handheld handle 1, the silica gel eye patch 8 is clamped with the handheld handle 1 through the eye patch clamping groove 9, the eye patch assembly is matched with the eye of a patient through the silica gel eye patch 8 and the eye patch clamping groove 9 and is attached to the eye of the patient so as to improve the preoperative scene simulation effect, wherein the silica gel eye patch 8 is a transparent silica gel eye patch 8, the condition of the eyes of the patient can be observed through the silica gel eye patch 8, the eye patch clamping groove 9 is used for connecting the silica gel eye patch 8 and the handheld handle 1, the silica gel eye patches 8 of different specifications can be replaced according to the eye conditions of different patients, and the matched cross-sectional view of the eye patch assembly and the handheld handle 1 is shown in figure 3.
The timing assembly comprises a timer 10 and a timing switch 11, the timer 10 is arranged on one side face of the handheld handle 1 far away from the lamplight assembly and is fixedly connected with the handheld handle 1, the timing switch 11 and the timer 10 are arranged side by side at intervals and are fixedly connected with the handheld handle 1, the timing switch 11 is electrically connected with the timer 10, the timing assembly is matched with the timer 10 and the timing switch 11, timing different simulation stages, wherein the timer 10 is used for timing different simulation stages, the timing switch 11 is used for controlling the timer 10 to work, and timing 30s can be set to be a fixed timing frequency band according to actual conditions, namely, the timer 10 is controlled by the timing switch 11 to work, the timer 10 automatically counts 30s, timing 30s is carried out, the timer 10 sends out sound prompt, and medical staff can carry out corresponding operation according to the sound prompt.
The hand-held lamp further comprises a master control switch 12, a battery pack 13 and a data transmission interface 14, wherein the master control switch 12 is arranged at one end of the hand-held handle 1 far away from the light component and fixedly connected with the hand-held handle 1, the battery pack 13 is arranged inside the hand-held handle 1, the hand-held handle 1 is provided with a battery bin corresponding to the battery pack 13, the battery bin is arranged at a split part in the middle of the hand-held handle 1, the battery pack 13 is arranged inside the hand-held handle 1 through the battery bin, the data transmission interface 14 is arranged at one side of the hand-held handle 1 far away from the light component and fixedly connected with the hand-held handle 1, the master control switch 12 is electrically connected with the annular lamp module 2, the spot lamp module 3, the circular lamp module 4, the micro industrial camera 6, the wireless transmission module 7 and the battery pack 13, the data transmission interface 14 is electrically connected with the battery pack 13 and the micro industrial camera 6, wherein the master control switch 12 is used for controlling the light component and the camera component to work, the battery pack 13 is used for supplying power to the device, the data transmission interface 14 is used as the data transmission interface 14 of the micro industrial camera 6 and can be used as the charging interface of the battery pack 13, and the general control switch 12 is electrically connected as shown in fig. 4.
The portable lighting device further comprises a pen clip 15, the pen clip 15 is arranged on one side face of one end, far away from the lighting assembly, of the handheld handle 1, one end of the pen clip 15 is fixedly connected with the handheld handle 1, and the device can be clipped at a position convenient to take and use through the pen clip 15.
The device also comprises an auxiliary calibration mechanism, the auxiliary calibration mechanism comprises a micro calibration steering engine 16 and a calibration control switch 17, the micro calibration steering engine 16 is arranged in one end of the hand-held handle 1 provided with a light component and is fixedly connected with the hand-held handle 1, the micro calibration steering engine 16 is positioned between the circular lamp module 4 and the micro industrial camera 6, the point-shaped lamp module 3 is arranged at the output end of the micro calibration steering engine 16 and is arranged at the inner side of the circular lamp module 4 through the micro calibration steering engine 16, the calibration control switch 17 is arranged at the side surface of the hand-held handle 1 and is fixedly connected with the hand-held handle 1, the micro calibration steering engine 16 is electrically connected with the calibration control switch 17 and the main control switch 12, the auxiliary calibration mechanism is matched with the micro calibration steering engine 16 and the calibration control switch 17 to perform auxiliary calibration on a patient who is difficult to focus on the point-shaped lamp module 3 in a simulation process, wherein the micro calibration steering engine 16 is used for adjusting the angle of the point-shaped lamp module 3, therefore, the position of the point light emitted by the point light module 3 is adjusted, the calibration control switch 17 is used for controlling the rotation direction and the rotation angle of the micro calibration steering engine 16, when a patient is difficult to focus on the point light module 3, namely the patient cannot focus on the central point of the light assembly and cannot stare at the flickering green light emitted by the point light module 3, the micro calibration steering engine 16 is controlled by the calibration control switch 17 to drive the point light module 3 to rotate towards the pupil direction of the patient, the position of the point light module 3 is found by matching with the patient, and after the patient finds the position of the point light module 3 and stares at the flickering green light emitted by the point light module 3, the micro calibration steering engine 16 is controlled by the calibration control switch 17 to drive the point light module 3 to reset to the central point of the light assembly, so as to complete auxiliary calibration.
Wherein, the length of the part of the hand-held handle 1 positioned in the silica gel eye patch 8 is not more than 5 mm.
Wherein, but this device off-line work makes the patient cooperation carry out preceding operation scene simulation through medical personnel oral prescription promptly.
A simulation method of a preoperative scene simulation training device comprises the following steps:
a. and (3) disinfection: sterilizing one end of the handheld handle 1 connected with the silica gel eye patch 8 and the silica gel eye patch 8, and clamping the silica gel eye patch 8 with one end of the handheld handle 1 provided with the light assembly through an eye patch clamping groove 9;
b. body position: the patient lies on the examination bed or the head of the patient leans back while sitting straight;
c. debugging: the general control switch 12 is turned on, the miniature industrial camera 6 starts to work while the annular lamp module 2 starts to work, the annular lamp module 2 emits annular white light, the miniature industrial camera 6 performs data transmission with a computer terminal through the wireless transmission module 7 or the data transmission interface 14, the light intensity of the annular lamp module 2 is adjusted through the light source brightness adjusting switch 5, and the camera shooting interface of the miniature industrial camera 6 is debugged through the computer terminal;
d. focusing: the medical nursing device has the advantages that the two eyes of a patient are opened simultaneously, one eye of the patient is covered by the medical sterile cloth, medical staff hold the handheld handle 1 to enable the handheld handle 1 to be kept in a vertical state, one end, provided with the light assembly, of the handheld handle 1 faces the patient, one end, provided with the light assembly, of the handheld handle 1 is placed above the uncovered eye of the patient by about 5cm and gradually approaches the eye of the patient, the eye of the patient follows the center of a light source, and the light state diagram of the light assembly in a focusing state is shown in fig. 5;
e. and (3) simulating a negative pressure suction stage: when the edge of the silica gel eyeshade 8 is completely attached to the eyes, the master control switch 12 is pressed, the annular lamp module 2 and the point lamp module 3 work together, the annular lamp module 2 emits annular white light, the point lamp module 3 emits flashing green light, a patient stares at the flashing green light and keeps the eye position still after the central point is aligned, when the eye position of the patient is stable, the timer 10 starts to work through the timing switch 11, the time is 30s, and the simulation of a negative pressure suction stage in the ophthalmic surgery process is carried out, wherein a light state diagram of a light component is shown in fig. 6 when the negative pressure suction stage is simulated;
f: simulating a cornea lens taking stage: after the simulation of the negative pressure suction stage in the ophthalmic surgery process is completed, the hand-held handle 1 is lifted, the silica gel eye patch 8 is separated from the eyes of a patient to a position which is about 30cm away from the eyes of the patient, the master control switch 12 is pressed, the circular lamp module 4 starts to work, the circular lamp module 4 emits strong white light, the patient looks at a light source, the time is kept for 30s, and the simulation of the corneal lens taking stage in the ophthalmic surgery process is performed, wherein the light state diagram of the light assembly in the corneal lens taking stage is shown in fig. 7;
g: after the simulation of the corneal lens taking stage in the ophthalmologic operation process is completed, the preoperative scene simulation training is completed, and the master control switch 12 is turned off.
During the training process of the preoperative scene simulation, the eye position of a patient can be observed through the silica gel eye mask 8, the eye position change of the patient is recorded in real time through the miniature industrial camera 6, and during the simulation, whether the eye position of the patient moves needs to be observed, the patient can blink occasionally, but the eyes cannot shift.
Wherein, press always controlling for the first time, annular lamp module 2 begins work, miniature industrial camera 6 begins work simultaneously, press always controlling switch 12 for the second time, punctiform lamp module 3 and annular lamp module 2 work jointly, miniature industrial camera 6 lasts work, press always controlling switch 12 for the third time, punctiform lamp module 3 and annular lamp module 2 close, circular lamp module 4 begins work, miniature industrial camera 6 lasts work, press always controlling switch 12 for the fourth time, circular lamp module 4 closes, miniature industrial camera 6 closes, the device is in the off-state.
After the evaluation simulation of one eye of the patient is completed, the eye after the evaluation simulation is completed can be covered by using the medical sterile cloth, and the evaluation simulation is performed on the eye of the patient which is not subjected to the evaluation simulation, wherein the medical sterile cloth is used for shading light, so that the evaluation simulation process is prevented from being influenced by light.
Wherein, in the simulation negative pressure suction stage, when the patient is difficult to focus on the scintillation green light that punctiform lamp module 3 sent, through supplementary alignment mechanism supplementary patient find the scintillation green light that punctiform lamp module 3 sent and guide the patient to follow the scintillation green light that punctiform lamp module 3 sent and reset to the central point of light subassembly, because silica gel eye-shade 8 inner space is limited to the position that the patient pupil removed is limited, so finely tune punctiform lamp module 3 through miniature calibration steering wheel 16 and can satisfy the requirement of guiding the sight of patient.
Wherein, the standard head position is that the forehead and the lower jaw of the patient are kept in the same plane and are parallel to the horizontal plane, the vertex of the cornea is vertical to the ground, and in the simulation process, the patient can blink occasionally, but the change of the head and the eye position is avoided, namely the position change of the eyeball such as rotation, offset and the like can not happen.
The working principle is as follows:
light transformation among the light transformation simulation operation process through each light module among the light subassembly, thereby carry out the scene simulation training to the patient before the operation goes on, let the situation in the real experience operation of patient before the art, and in the evaluation simulation process, record data such as patient blink, move the eye and eye position through the subassembly of making a video recording, and upload data to computer terminal through wireless transmission module 7 or data transmission interface 14 and save, thereby grasp cooperation condition among the patient's art, provide the basis for instructing the smooth cooperation operation of patient, can accurately control the duration in each stage in the simulation process through the timing subassembly.
The eye shield assembly has the advantages of simple structure, small volume, easiness in operation and convenience in holding, light transformation scenes in the operation process can be simulated, so that a patient can really experience situations in the operation before the operation, the matching key points in the operation are mastered, the nervous and anxious mood of the patient is relieved, the accidents in the operation are reduced, blink and eye movement data of the patient can be recorded through the camera assembly, reference is provided for the operation process, the eye shield assembly can be detached and replaced, the simulated use requirements of different patients are met conveniently, and the eye shield assembly is convenient to disinfect, reusable, economical and practical.
While one embodiment of the present invention has been described in detail, the present invention is only a preferred embodiment of the present invention and should not be construed as limiting the scope of the present invention. All equivalent changes and modifications made within the scope of the present invention shall fall within the scope of the present invention.