“康為醫(yī)療”高智能數(shù)字化產(chǎn)科急救模擬訓(xùn)練系統(tǒng)(計(jì)算機(jī)控制)

“康為醫(yī)療”高智能數(shù)字化產(chǎn)科急救模擬訓(xùn)練系統(tǒng)(計(jì)算機(jī)控制)

系統(tǒng)結(jié)合婦產(chǎn)科臨床技能操作要求而研發(fā)。包含了婦科、產(chǎn)科、兒科、急救以及護(hù)理等多個(gè)學(xué)科，分為產(chǎn)婦、新生兒兩大系統(tǒng)。包括整個(gè)分娩過程、基礎(chǔ)護(hù)理、產(chǎn)后母嬰護(hù)理以及母嬰的基礎(chǔ)生命支持(BLS)、高級生命支持(ACLS)到持續(xù)生命支持（PLS）的急救知識(shí)點(diǎn)。提供典型的難產(chǎn)案例，如正常分娩，臍帶繞頸分娩，臀位難產(chǎn)，先兆子癇，剖腹產(chǎn)，臍帶脫垂，早產(chǎn)，潛在的產(chǎn)前、產(chǎn)中和產(chǎn)后出血等，通過胎兒的臨床監(jiān)護(hù)，及時(shí)診斷胎兒宮內(nèi)窘迫，并實(shí)施處理；訓(xùn)練新生兒的護(hù)理及急救。軟件可以自行編輯臨床病例，模擬臨床真實(shí)環(huán)境，培養(yǎng)學(xué)生處理分娩與急救病例時(shí)的臨床診斷思維與團(tuán)隊(duì)合作精神。

模擬分娩系統(tǒng)：
友好的操作界面：軟件操作簡單，易學(xué)，可以模擬多種患病場景，訓(xùn)練學(xué)生的綜合急救能力和臨床診斷思維
開放式系統(tǒng)構(gòu)架：用戶可以自行編寫病例，以滿足不同培訓(xùn)和考核的需要
容易編寫：提供多種趨勢，流程圖表，事件記錄使編寫，運(yùn)行變的更加容易。
全面兼容windows系統(tǒng)：可同時(shí)進(jìn)行其他辦公軟件的操作，與其他軟件不沖突。
孕婦分娩模擬人主要功能：
急救技術(shù)：
■ 標(biāo)準(zhǔn)的氣道管理功能，可進(jìn)行口、鼻氣管插管（插管位置在電腦上實(shí)時(shí)顯示）
■靜脈穿刺：手臂靜脈輸液，三角肌部位皮下注射，大腿外側(cè)，三角肌肌肉注射
■ 模擬藥物治療系統(tǒng)，可選擇多種給藥方式，可自定義添加，修改藥物，能保存藥物列表，藥物存在各種藥效生理反應(yīng)。
■ CPR：吹氣時(shí)胸部有起伏，計(jì)算機(jī)監(jiān)測按壓位置及深度，計(jì)算機(jī)監(jiān)測吹氣量大小，實(shí)時(shí)數(shù)據(jù)圖形顯示，操作結(jié)束后有統(tǒng)計(jì)報(bào)告，能進(jìn)行單人或多人訓(xùn)練考核，全程中文語音提示。
★ 模擬除顫起搏：多媒體動(dòng)畫展示醫(yī)用除顫儀的操作流程，與模擬除顫起搏器配套使用，可實(shí)現(xiàn)除顫起搏。能選擇除顫能量，最大除顫能量達(dá)到360J。 
生命體征模擬：
■ 實(shí)時(shí)監(jiān)測宮縮曲線及FHR曲線變化
■ 模擬產(chǎn)婦的的各種主訴，呻呤、咳嗽、嘔吐等聲音，真實(shí)再現(xiàn)產(chǎn)房的實(shí)際情景
■ B超檢查：提供幾十種臨床B超影像，通過B超檢查，觀察胎兒生理活動(dòng)情況，判斷胎盤是否正常
■ 頸動(dòng)脈搏動(dòng)
■ 胎心音聽診
■配有高度仿真宮頸。
★ 模擬心電監(jiān)護(hù)：使用指夾式血氧探頭，監(jiān)測血氧，可與多參數(shù)模擬心電監(jiān)護(hù)儀配套使用，實(shí)現(xiàn)模擬心電監(jiān)護(hù)。。多參數(shù)模擬監(jiān)護(hù)儀LCD屏幕提供12導(dǎo)聯(lián)心電圖、血氧飽和度、呼吸、二氧化碳、血壓（動(dòng)脈血壓、中心靜脈壓、肺動(dòng)脈壓、無創(chuàng)血壓）、心輸出量等。
模擬從待產(chǎn)到生產(chǎn)，以及產(chǎn)后護(hù)理的整個(gè)過程：
■配有“利奧波德手法練習(xí)用提升軟墊”，可進(jìn)行利奧波德手法練習(xí)。
■ 軟件控制胎頭下降的位置，配合產(chǎn)前宮頸變化與產(chǎn)道關(guān)系變化模塊，測量胎頭的下降和宮口開大情況
■配有產(chǎn)前宮頸變化與產(chǎn)道關(guān)系變化模塊可裝配到母體上進(jìn)行訓(xùn)練             
階段一：宮頸口沒有擴(kuò)張、宮頸管沒有消失、胎頭與坐骨棘平面位置關(guān)系為-5。
     階段二：宮頸口擴(kuò)張2cm、宮頸管消失50%、胎頭與坐骨棘平面位置關(guān)系為-4。
     階段三：宮頸口擴(kuò)張4cm、宮頸管完全消失、胎頭與坐骨棘平面位置關(guān)系為-3。
     階段四：宮頸口擴(kuò)張5cm、宮頸管完全消失、胎頭與坐骨棘平面位置關(guān)系為0。
     階段五：宮頸口擴(kuò)張7cm、宮頸管完全消失、胎頭與坐骨棘平面位置關(guān)系為+2。
     階段六：宮頸口擴(kuò)張10cm、宮頸管完全消失、胎頭與坐骨棘平面位置關(guān)系為+5。。
■ 模擬正常分娩，臀位分娩，
■ 肩難產(chǎn)：模擬turtle  sign，可在模擬人上練習(xí)四種常用手法解決肩難產(chǎn)：McRobert’s手法、恥骨上加壓法、旋肩法、膝肘臥位法，或聯(lián)合使用幾種手法
■可進(jìn)行剖腹產(chǎn)
■ 分娩：可自動(dòng)進(jìn)行枕左前位分娩機(jī)制的演示，并伴有自動(dòng)的宮縮，括銜接、下降、俯屈、內(nèi)旋轉(zhuǎn)、仰伸、復(fù)位及外旋轉(zhuǎn)、胎肩及胎兒的娩出，分娩速度可根據(jù)教學(xué)要求而調(diào)節(jié)。模擬宮縮，由氣泵模擬不同強(qiáng)度，持續(xù)時(shí)間的宮縮。模擬分娩機(jī)轉(zhuǎn)，在第一產(chǎn)程期間，縮復(fù)現(xiàn)象。下降是間段進(jìn)行的，宮縮時(shí)胎兒頭下降，間隔時(shí)略回縮。到宮口完全張開后（第二產(chǎn)程開始），縮復(fù)現(xiàn)象消失。
■模擬多種胎盤位置，胎盤碎片殘留
■外陰縫合練習(xí)模塊，分左下、正中、右下三個(gè)切口位置。
■產(chǎn)后48小時(shí)子宮按摩
■產(chǎn)婦護(hù)理（包扎、梳頭，全身擦洗等）
新生兒功能：
■ 靜脈穿刺功能：可進(jìn)行新生兒頭皮靜脈穿刺、手臂靜脈穿刺，靜脈穿刺時(shí)有落空感，穿刺成功時(shí)有回血產(chǎn)生
■ 護(hù)理功能：眼清洗滴藥、可進(jìn)行新生兒清洗、包扎
■ 可進(jìn)行新生兒心肺復(fù)蘇訓(xùn)練
■ 可經(jīng)口鼻氣管插管，進(jìn)行嬰兒吸痰、洗胃。
■ 可進(jìn)行嬰兒臍帶護(hù)理。
■支持口對口、口對鼻、簡易呼吸器對口等多種通氣方式
■可進(jìn)行人工呼吸
■可進(jìn)行心外按壓

Obstetrics Skills Training System

The simulator upgrades from F55. Its system is developed according to the standardization training syllabus of the newest house staff and combined with requirement of clinical skills operation in gynaecology and obstetrics. It includes multiple subjects such as gynaecology, obstetrics, paediatrics, emergency treatment and nursing, which can be divided into puerpera and neonatus system.  These two large scale systems cover first-aid knowledge points of the entire labor process, basic nursing, postpartum nursing care and BLS of infant and Mother, ACLS and PLS. It provides classical dystocia cases, e.g, normal labor, cord around neck delivery, breech dystocia, preeclampsia, caesarean birth, prolapse of umbilical cord, premature birth and potential hemorrhage before, during and after delivery, which instructs obstetrical workers to identificate different natal stages through partogram, diagnose abnormal labor stages in clinic and deal with it properly; to diagnose fetal distress in time by clinical fetal monitoring and handle it; and to train nursing care and emergency treatment for neonates. The software can self-edit clinical cases, simulate real clinical environment and cultivate students’ ability in clinical diagnosis and team cooperation for labor and emergency cases.

★ The mark shows that only when it used with optional accessories can some functions be realized.

System configuration:

1. Gravida manikin (for delivery and adult first aid)

2. Neonatal manikin (for first aid and nursing care)

3. Fetal manikin (for delivery)

4. Other auxiliary set

5. Simulative cervical opening

6. Antepartum cervical changes and birth canal relation modules (6 stages)

7. Uterus postpartum 48 hours

8. Modules for postpartum perineal incision and suture

9. Simulative placenta/ umbilical cord

10. Lifting “soft pad” for Leopold maneuver practice

11. Other auxiliary set etc

Friendly user interface:

Software is easy to operate and learn, which can simulate various ill scenes to have students’ comprehensive first-aid ability and clinical diagnostic thought trained;

Open system structure: users can edit cases by themselves to meet the needs of different training and examination;

Easy to compile: provide multiple trends, flow charts and event recording to make compilation and operation easier;

Compatible with Windows system roundly: can simultaneously operate other office software and do not conflict with them;

Main functions of gravida delivery manikin:

Emergency treatment:

1. Standard airway management function, available orotracheal intubation and real-time display of intubation position on the computer

2. Venipuncture: arm venous transfusion, deltoid subcutaneous injection, intramuscular injection of lateral thigh etc

3. Simulative drug treatment system provides multiple ways of drug administration; can make user-defined addition, medicine modification and drug list saving; and all kinds of drug effects cause physiological reaction;

4. CPR: there’s chest rise during insufflation; computer monitors compression position, compression depth and inflating volume; real-time graphical display of data; have statistic reports when the operation is over

★ Simulate defibrillation and pace-making: when it is used with GD/J880 simulative defibrillating pace-maker, defibrillation and pace-making can be achieved

Vital signs simulation:

1. Real-time monitoring changes of UC and FHR curves

2. Simulate all kinds of maternity chief complaint; moan, cough and vomit sounds; and real spontaneous respiration authentically reproduces actual scenes of delivery room;

3. Carotid pulse

4. Fetal heart sound auscultation

5. Equipped with highly simulated cervix;

★ Simulative ECG monitoring: use finger-clamped SpO2 sensor to monitor SpO2; simulative ECG monitoring can be achieved when it is used with GD/J115, simulative multi-parameter ECG monitor. LCD simulative multi-parameter ECG monitor can provide 12-lead electrocardiogram, saturation of blood oxygen, breath, CO2, BP  cardiac output, etc.; show the chest radiogram, ultrasonic cardiogram and 12-lead ECG synchronously; save hundreds of ECG internally, which can be used for training and assessment;

Simulate the whole process from expectant, parturition to postpartum nursing:

1. Type-B ultrasonic testing: provide dozens of clinical type-B ultrasound images; observe fetal physiological activities by type-B ultrasonic testing and judge whether placenta is normal;

2. Delivery: automatically demonstrate the delivery mechanism of left occiput anterior with spontaneous UC, engagement, descending, flexion, internal rotation, extension, restoration, external rotation, fetal shoulder and fetal delivery, and the delivery speed can be adjusted according to teaching requirements; air pump simulate UC of different intensity and duration; simulate delivery mechanism, there’s uterine contraction during the first stage of labor; descent is discontinuous: fetal head descent during UC and a little retraction during the intervals; after cervix dilates totally, the second stage of labor begins; 

3. The descending position of fetal head is controlled by the software; coordinate modules of antenatal cervical changes and birth canal relation changes to know the conditions of fetal head descent and cervical dilation;

4. Simulate normal delivery, breech delivery and shoulder dystocia;

5. Four common maneuver can be used to solve shoulder dystocia

6. Equipped with lifting “soft pad” for practicing Leopold maneuver;

7. Equipped with modules of antepartum cervical changes and birth canal relation changes, which can be fitted to maternal manikin for training:            

Stage 1: no dilation of cervix; cervical canal does not disappear; the position relation between fetal head and ischial spine place is -5;

Stage 2: 2cmcervical dilation; 50% of cervical canal disappears; the position relation between fetal head and ischial spine place is -4;

Stage 3: 4cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is -3;

Stage 4: 5cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is 0;

Stage 5: 7cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is +2;

Stage 6:10cmcervical dilation; cervical canal completely disappears; the position relation between fetal head and ischial spine place is+5;

8. Simulate multiple placenta positions, placenta fragments residual;

9. Available cesarean birth;

10. Perineum suture modules for practice, and there’re three incision positions: left inferior, median and right inferior;

11. Uterine massage postpartum 48 hours, great postpartum hemorrhage;

12. Puerpera nursing care (binding up, combing, overall cleaning, etc.)

Neonatal function:

1. Venipuncture: Neonatal scalp and arm venous punctures are available, and there’s a “pop” feeling and back flow of blood for successful venipuncture; 

2. Nursing: washing eyes and drop administration; neonatal cleaning and binding up;

3. Neonatal CPR Training;

4. Have trachea cannula via mouth and nose to make sputum suction and gastric lavage;

5. Baby’s umbilical cord nursing;

6. Support multiple ventilation modes such as mouth to mouth, mouth to nose, and BVM to mouth and so on;

7. Artificial respiration;

8. Extracardial compression