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CN113539031A - Acupuncture manipulation simulation training teaching system and training teaching method - Google Patents

Acupuncture manipulation simulation training teaching system and training teaching method Download PDF

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CN113539031A
CN113539031A CN202110329348.5A CN202110329348A CN113539031A CN 113539031 A CN113539031 A CN 113539031A CN 202110329348 A CN202110329348 A CN 202110329348A CN 113539031 A CN113539031 A CN 113539031A
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needle
acupuncture
needle insertion
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李正芃
郑虹
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Abstract

本发明公开了一种针灸手法模拟训练教学系统及训练教学方法,包括针灸装置,所述针灸装置包括设有的底座,所述底座上安装有控制装置,所述底座与肌肤仿真装置连接,所述肌肤仿真装置上设有传感装置,所述传感装置与所述控制装置电连接,所述控制装置与上位机通过无线通信模块进行通讯。本发明利用所述装置,通过对针灸针法参数进行量化采集,使针灸医务学员对针法操作实践有的放矢,更直观,以设置的专家数据库做依托,使针灸医务学员对针法操作实践有据可依,更标准,有利于针灸技法的培训传承和推广。

Figure 202110329348

The invention discloses an acupuncture manipulation simulation training teaching system and a training teaching method, comprising an acupuncture device, the acupuncture device comprising a base, a control device is installed on the base, the base is connected with a skin simulation device, and the base is connected to a skin simulation device. The skin simulation device is provided with a sensing device, the sensing device is electrically connected with the control device, and the control device communicates with the host computer through a wireless communication module. The present invention utilizes the device to quantitatively collect the parameters of acupuncture and moxibustion, so that acupuncture medical students can have a targeted and more intuitive acupuncture operation practice, and rely on the set expert database, so that acupuncture medical students can have evidence for acupuncture operation practice. Reliable, more standard, and conducive to the training, inheritance and promotion of acupuncture techniques.

Figure 202110329348

Description

Acupuncture manipulation simulation training teaching system and training teaching method
Technical Field
The invention belongs to the field of medical teaching instruments, and particularly relates to an acupuncture manipulation simulation training teaching system and an acupuncture manipulation simulation training teaching method.
Background
Traditional Chinese medicine acupuncture and moxibustion is a combined name of acupuncture and moxibustion. The acupuncture therapy is to insert the acupuncture points (shu) into the body of a patient at a certain angle, and to treat diseases by twisting and lifting the needles through the sensory transmission and action of the meridian system, so as to treat the diseases of the body surface, inside and outside. Moxibustion is a medical treatment for treating internal diseases by fumigating the skin with burning moxa according to certain acupuncture points and utilizing the stimulation of heat. In terms of acupuncture alone, the traditional Chinese medicine believes that slight pain is firstly produced after acupuncture, attention to the original discomfort of the body is transferred at the same time, pain media are consumed, the threshold value of the pain is increased, secondary dilatation hyperemia of vasoconstriction is caused by local stimulation, and the body generates self-adaptive reaction through adjoining vessels, polar-junction tissue connection and layer connection of the body, namely, healthy qi is full, the regulation is rapid, diseases are eliminated, and the functions of qi, blood, yin and yang, body fluid and viscera are further regulated to be normal.
In long-term medical practice, acupuncture and moxibustion medicine forms a meridian theory consisting of fourteen meridians, eight extra meridians, fifteen extra meridians, twelve tendons, twelve cortex, grand meridians and floating collaterals, and knowledge of the main diseases of the acupoints such as 361 acupoints and extra-meridian acupoints, and further finds out the specific connection rules among specific parts of the human body, and creates a meridian theory, thereby creating a unique method system for treating diseases.
In the training and learning of young acupuncture medical personnel, operation quantitative indexes cannot be visually obtained in the practice of needle manipulation, force and the like, so that the needle manipulation cannot be compared with the needle manipulation of expert-level medical personnel; some acupuncture techniques are summarized in long-term medical practice, and different medical staff have more or less deviation in teaching operation, so that a set of uniform and standard operation techniques cannot be formed for study and study, which is not favorable for inheritance and popularization of acupuncture techniques.
Disclosure of Invention
The invention aims to overcome the defects in the traditional acupuncture teaching, and provides an acupuncture manipulation simulation training teaching system which comprises an acupuncture device, wherein the acupuncture device comprises a base, a control device is installed in the base, the base is connected with a skin simulation device, a sensing device is arranged on the skin simulation device, the sensing device is electrically connected with the control device, and the control device is communicated with an upper computer through a first wireless communication module.
In addition, the embodiment according to the present invention may have the following additional technical features:
skin analogue means include one end with the coiled pipe that the base is connected, the other end of coiled pipe is equipped with first pivot, first pivot is connected with Y-shaped structure's fork handle end, be equipped with the disk body in Y-shaped structure's the fork mouth portion, the disk body in radial direction with two Y-shaped parts of Y-shaped structure are respectively through second pivot swing joint, are close to the central part of disk body upper surface is equipped with emulation skin layer, sensing device includes dynamics monitoring devices that is equipped with in the disk body under the emulation skin layer, and with the one end fixed connection's of second pivot angle monitoring devices.
Dynamics monitoring devices includes third pivot and fourth pivot that is equipped with in the disk body, third pivot and fourth pivot side by side the butt set up and the axle head with the lateral wall swing joint of disk body, third pivot middle part is equipped with first silica gel layer, and fourth pivot middle part is equipped with second silica gel layer, the axle head of third pivot is connected with first rotatory monitoring devices, first rotatory monitoring devices's body fixed connection be in on the lateral wall of disk body.
The skin simulation device further comprises an acupuncture point simulation part, the acupuncture point simulation part comprises a silica gel body, the silica gel body is fixedly mounted on the bracket, the lower end of the bracket is connected with the second rotation monitoring device, the lower end of the second rotation monitoring device is connected with the ball head, the ball head is matched with the ball head mortar, the ball head mortar is arranged on the lower platform, and the second rotation monitoring device is electrically connected with a control device in the acupuncture device base through a data line.
The control device comprises a first microcontroller arranged in a base shell of the acupuncture device, an angle monitoring device, a first rotation monitoring device and a second rotation monitoring device are respectively electrically connected with the first microcontroller, the first microcontroller is further electrically connected with a buzzer, a second power module and a first wireless communication module, the first wireless communication module is a Bluetooth module, the second power module is a 5-volt or 6-volt battery, and the first wireless communication module comprises a first microcontroller end of the first wireless communication module and an upper computer end of the first wireless communication module.
First microcontroller still communicates with range unit through second wireless communication module, range unit passes through C shape buckle fixed mounting at the stalk portion lower extreme of needling instrument, second wireless communication module includes second wireless communication module range unit end and the first microcontroller end of second wireless communication module, range unit includes second microcontroller, range sensor, first power module, second microcontroller and range sensor, first power module and second wireless communication module range unit end electricity is connected, second wireless communication module is NRF24L01 wireless transceiver module, first power module is 5 volts or 6 volts of batteries.
The simulated skin layer is a third silica gel layer.
The base of the acupuncture device is connected with one end of the coiled pipe through a fixing pile.
A training teaching method of an acupuncture manipulation simulation training teaching system comprises the following steps:
step one, implanting an expert-level technical quantization parameter threshold into the upper computer, wherein the quantization parameter threshold comprises the following steps: the length of the needle head part of each filiform needle is fixed, the name of the corresponding acupuncture point, the needle inserting force threshold value of the corresponding acupuncture point, the needle inserting angle threshold value, the needle inserting depth threshold value, the twirling speed and the threshold value of the number of turns;
secondly, holding a filiform needle by an acupuncture medical student, wherein the acupuncture medical student adopts a thumb, food and single-hand three-finger needle holding needle inserting method and a thumb, single-hand two-finger needle holding needle inserting method which are suitable for practice, a needle body is vertical, a needle point is abutted to the upper surface of a simulation skin layer arranged in the middle of a tray body to prepare needle inserting, a distance measuring sensor arranged at the lower end of a needle handle part is used for transmitting a real-time distance measuring value which is acquired at the moment and is far away from the simulation skin layer to an upper computer through a first microcontroller, the upper computer subtracts a needle head length fixed value of the filiform needle in a quantization parameter threshold value by using the positioning initial value, if the deviation is less than 2%, the positioning initial value is approved to meet the requirement, otherwise, the needle body is moved again, and the positioning initial value meets the deviation requirement;
when the positioning initial value meets the requirement, the upper computer communicates with the first microcontroller, so that a buzzer of the first microcontroller sends an needle insertion starting prompt tone and the first microcontroller synchronously restarts the timer for timing, a learner holds the needle, immediately pierces the needle into a simulated skin layer and feeds the needle downwards at the moment when the needle insertion starting prompt tone is heard, a third rotating shaft and a fourth rotating shaft arranged on the disk body guide and clamp the needle tip part, and at the moment when the needle tip continuously feeds downwards to cause the third rotating shaft and the fourth rotating shaft which are connected closely, a first rotation monitoring device connected with the shaft end of the third rotating shaft sends an interruption request signal to the first microcontroller, and the first microcontroller immediately interrupts the timer for timing and uploads the timing duration;
step four, the upper computer subtracts the real-time distance measurement value of the distance simulation skin layer acquired by the distance measurement sensor at the timing moment of the interrupt timer from the fixed length value of the needle head of the filiform needle to obtain the needle insertion depth at the moment, verifies the needle insertion depth and the fixed value of the actual mechanical installation distance between the simulation skin layer and the third rotating shaft and the fourth rotating shaft, if the deviation is less than +/-2%, the obtained needle insertion depth at the moment is judged to be effective, and otherwise, the needle insertion operation is repeated from the step two;
step five, the upper computer divides the determined effective needle insertion depth as the distance between the simulated skin layer and the third rotating shaft and the fourth rotating shaft by the time of the interrupt timer to obtain the average needle insertion speed, compares the average needle insertion speed with the quantitative value for measuring the initial needle insertion force of the student, compares the average needle insertion speed with the quantitative parameter threshold of the expert needle insertion force, judges whether the needle insertion force of the student is qualified, clamps the needle tip part by the third rotating shaft and the fourth rotating shaft on the disk body, and obtains the feed amount of the needle by using a first rotation monitoring device connected with the shaft end of the third rotating shaft to collect the rotation radian in real time and calculating the rotation arc length by using the product of the radius of the third rotating shaft or the fourth rotating shaft and the real-time collected rotation radian during the continuous downward feeding process of the needle tip, and synchronously uploads the feed amount to the upper computer and the upper computer by using the fixed length value of the needle head of the filiform needle to subtract the distance measuring sensor to obtain the real-time Checking the synchronous real-time needle insertion depth obtained by the distance measurement value, judging that the needle insertion depth is effective at the moment when the deviation is less than +/-2%, and otherwise, repeating the needle insertion operation from the second step;
step six, an angle monitoring device fixedly connected with one end of the second rotating shaft acquires needle insertion angle quantity in real time, the needle insertion angle quantity is uploaded to an upper computer in real time through a first microcontroller until a needle point reaches and is inserted into a silica gel body of an acupuncture point simulation part on the lower platform, the upper computer calculates the needle insertion angle quantity and a needle insertion depth sampling value obtained by utilizing the difference between a fixed length value of a needle head part of the filiform needle and a real-time distance measurement value of a distance measurement sensor, and the needle insertion depth sampling value is compared with a quantitative parameter threshold value of an expert progressive needle technique to judge whether the operation process of the needle insertion angle and the needle insertion depth of the student is qualified or not;
step seven, twisting the needle body, synchronously rotating the silica gel body of the acupuncture point simulation part and the lower bracket, collecting data of twisting speed and twisting turns in real time by a second rotation monitoring device positioned at the lower end of the lower bracket of the silica gel body, uploading the data to an upper computer through a first microcontroller, comparing the data of the twisting speed and the twisting turns which are transmitted by the upper computer with a quantitative parameter threshold of an expert progressive needle technique of the acupuncture point, judging whether the operation process is qualified, and displaying the operation judgment result together with the needle feeding force, the needle feeding angle and the needle feeding depth of the student for the observation and the study of acupuncture medical staff and acupuncture medical students;
and step eight, after the medical acupuncture trainees look out the defects of acupuncture manipulation operation, the medical acupuncture trainees repeatedly practice acupuncture manipulation operation on the same acupuncture point by using the device until the needle inserting strength, the needle inserting angle, the needle inserting depth, the twirling speed and the number of turns meet the requirement of quantitative parameter threshold of the expert-level needle inserting technique of the corresponding acupuncture point in the upper computer.
The working principle of the invention is as follows:
through setting up acupuncture device to carry out full duplex or half duplex communication through wireless communication module between with the host computer. Implanting an expert-level technical quantization parameter threshold into the upper computer, wherein the quantization parameter threshold comprises the following steps: the needle head length of each filiform needle is fixed, the corresponding acupuncture point name, the needle inserting force threshold value, the needle inserting angle threshold value, the needle inserting depth threshold value, the twirling speed, the number of turns threshold value and the like of the corresponding acupuncture point, and a standard expert-level needle inserting technical quantization basis database is established. The force monitoring device, the angle monitoring device, the distance measuring sensing device and the rotation monitoring device in the device monitor the needle inserting force, the needle inserting angle, the needle inserting depth, the twirling speed, the number of turns and the like in the needle inserting process in real time, the force monitoring device, the angle monitoring device, the distance measuring sensing device and the rotation monitoring device are uploaded to an upper computer through a first microcontroller, the force monitoring device is compared with a quantitative parameter threshold value of an expert progressive needle inserting technique implanted in the upper computer, and a judgment result of whether the acupuncture operation of the medical student is qualified or not is made. If the acupuncture treatment is unqualified, the medical acupuncture trainees can intuitively find out the defects of the acupuncture operation, and the device is used for repeatedly carrying out the acupuncture manipulation operation practice on the same acupuncture point until the requirements of specialists on the acupuncture point on the needle technique are met.
By utilizing the acupuncture device, an acupuncture medical learner can obtain standardized acupuncture training operation, and can visually see the whole process of needle insertion by utilizing the skin simulation device, so that the acupuncture device greatly facilitates the observation of the needle insertion process compared with a copper acupuncture person. The skin simulation device adopts a coiled pipe connecting structure with one fixed end and one suspended end, so that on one hand, a needle insertion real-time process can be more closely constructed, the effect that the skin is rigid and flexible can be simulated, and the acupuncture medical staff can operate more realistically; on the other hand, the angle monitoring device which is responsible for collecting the needle insertion angle can be used for collecting the needle insertion angle through the hollow serpentine tube structure; the first rotation monitoring device is responsible for needle insertion guiding, clamping, triggering of an interrupt timing signal and providing needle insertion amount and real-time distance measurement value of a distance measurement sensor for needle insertion depth calibration; the second rotation monitoring device which is responsible for collecting twirling data and a connection signal cable between a first microcontroller in the control device are laid, so that the whole device is clean and tidy in the outside and compact in structure.
By utilizing the acupuncture device, the acupuncture needle inserting strength, the needle inserting angle, the needle inserting depth, the twirling speed and the number value of turns are quantitatively collected, so that acupuncture medical students can intuitively operate the acupuncture method and practice the acupuncture medical students with a definite target; the quantitative parameter threshold of the expert needle-inserting skill corresponding to the acupuncture points of the upper computer is taken as a reference, so that the needle operation of the medical acupuncture students becomes more standard, the practice is based, and the teaching, training, inheritance and popularization of the acupuncture skill are facilitated.
Additional aspects and advantages of the invention will be set forth in part in the description which follows and, in part, will be obvious from the description, or may be learned by practice of the invention.
Drawings
The above and/or additional aspects and advantages of the present invention will become apparent and readily appreciated from the following description of the embodiments, taken in conjunction with the accompanying drawings;
FIG. 1 is a schematic view of a single-handed needle insertion of an acupuncture manipulation simulation training teaching system;
FIG. 2 is a schematic view of another single-handed needle insertion teaching system for simulation training of acupuncture manipulation;
FIG. 3 is a schematic view of the force monitoring device of FIG. 1 or FIG. 2;
fig. 4 is a partially enlarged schematic view of the acupoint simulation part in fig. 1 or fig. 2;
FIG. 5 is an electrical schematic of the system;
wherein, the device comprises a coil pipe 1, a first rotating shaft 2, a distance measuring device 3, a fork-shaped structure 4, a disk body 5, a first rotation monitoring device 6, a second rotating shaft 7, an angle monitoring device 8, an angle monitoring device 9, a lower platform 10, a base 11, an acupuncture point simulation part 12, a data line 13, a control device 14, a fixing pile 15, a third rotating shaft 16, a fourth rotating shaft 17, a simulation skin layer 18, a silica gel body 19, a bracket 20, a second rotation monitoring device 21, a ball head 22, a ball socket 23, a first microcontroller 24, a first microcontroller end of a first wireless communication module 25, a distance measuring device end of a second wireless communication module 26, a distance measuring sensor 27, a first power module 28, a first microcontroller end of the second wireless communication module 29, a second power module 30, a buzzer 31, an upper computer end of the first wireless communication module, 32. and the upper computer 33 is a second microcontroller.
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the accompanying drawings are illustrative only for the purpose of explaining the present invention, and are not to be construed as limiting the present invention. The following is further explained with reference to the drawings;
in fig. 1 to 5, the main idea of the present invention is to design a teaching system for simulation training of acupuncture manipulation, which comprises an acupuncture device, wherein the acupuncture device comprises a base 10, the base is a C-shaped structure, and the base structure forms three coplanar points, so that the whole acupuncture device can be placed on a table top with high and low altitude, to simulate different joints of the body for teaching training. The skin simulation device is characterized in that a control device 13 is installed in the base 10, the base 10 is connected with the skin simulation device, a sensing device is arranged on the skin simulation device and electrically connected with the control device 13, and the control device 13 is communicated with the upper computer 32 through a first wireless communication module. Besides the wireless communication mode, a full-duplex or half-duplex wired mode may be implemented by connecting the serial interface in the control device 13 to a computer through a USB converter, which is also a mode often used by those skilled in the art, and is not as convenient as the wireless communication mode used in the present technical solution.
Skin analogue means include one end with the coiled pipe 1 that base 10 is connected, the other end of coiled pipe 1 is equipped with first pivot 2, first pivot 2 is connected with forked structure 4's fork handle end, be equipped with disk body 5 in forked structure 4's the fork mouth portion, disk body 5 on radial direction with two forked structure 4's two forked parts are respectively through 7 swing joint of second pivot, are close to the central part of disk body 5 upper surface is equipped with emulation skin layer 17, sensing device includes dynamics monitoring devices that are equipped with in the disk body 5 under the emulation skin layer 17, and with the one end fixed connection's of second pivot 7 angle monitoring devices 8. The angle monitoring device 8 can adopt an ADXL335 small size (4mmX4mmX1.45mm), a low-power consumption X \ Y \ Z triaxial acceleration inclination angle sensor or an ADXL 345X \ Y \ Z triaxial angle inclination sensor GY-291, the number of axes to be measured can be selected according to needs, in the scheme, monitoring data acquisition can be carried out on one axis or multiple axes in X \ Y \ Z, and the inclination angle change monitoring precision of about 0.25 degree minimum can be realized on each axis.
Dynamics monitoring devices includes third pivot 15 and fourth pivot 16 that are equipped with in the disk body 5, third pivot 15 and fourth pivot 16 side by side the butt set up and the axle head with the lateral wall swing joint of disk body 5, third pivot 15 middle part is equipped with first silica gel layer, and fourth pivot 16 middle part is equipped with second silica gel layer, the axle head of third pivot 15 is connected with first rotatory monitoring devices 6, the body fixed connection of first rotatory monitoring devices 6 is in on the lateral wall of disk body 5. The first rotational monitoring device 6 may employ an ABZ1000 line MJ20E-C incremental rotary magnetic encoder. Or a YFRobot 25 diameter opto-electronic 360cpr opto-electronic incremental encoder.
Skin simulation device still includes acupuncture point emulation portion 11, acupuncture point emulation portion 11 includes colloidal silica 18, can be the spherical shape of silica gel, colloidal silica 18 fixed mounting is on bracket 19, bracket 19's lower extreme is connected with the rotatory monitoring devices 20 of second, the lower extreme and the bulb 21 of the rotatory monitoring devices 20 of second are connected, bulb 21 and the cooperation of bulb mortar 22, bulb mortar 22 sets up under on platform 9, the rotatory monitoring devices 20 of second pass through data line 12 with controlling means 13 electricity in the acupuncture device base 10 is connected. The second rotary monitoring device 20 may employ an E6B2-CWZ1X, resolution 1800 or 2000 incremental rotary encoder. The data line 12 can adopt a copper core soft DuPont line, so that the position of the lower platform 9 can be placed at different positions, the simulated setting of different acupuncture point directions is realized by combining the matching of the ball head 21 and the ball head mortar 22, and then the training and teaching purpose that acupuncture medical students should adopt different needle inserting angles and manipulations in the face of different acupuncture points is realized.
Controlling means 13 is including setting up first microcontroller 23 in the base 10 shell of acupuncture device, angle monitoring devices 8, first rotatory monitoring devices 6, the rotatory monitoring devices 20 of second respectively with first microcontroller 23 electricity is connected, first microcontroller 23 still electricity is connected with bee calling organ 30, second power module 29 and first wireless communication module, first wireless communication module is bluetooth module, second power module 29 is 6 volt batteries, first wireless communication module includes first microcontroller end 24 of first wireless communication module and first wireless communication module host computer end 31. The first microcontroller 23 can adopt an 8051 series universal single chip microcomputer, and the first wireless communication module can adopt an HC-05 master-slave integrated Bluetooth module, so that wireless transceiving duplex communication is realized, and the effective communication distance is 10 meters.
The first microcontroller 23 is further communicated with the distance measuring device 3 through a second wireless communication module, the distance measuring device 3 is fixedly mounted at the lower end of the handle part of the needle tool through a C-shaped buckle, the second wireless communication module comprises a second wireless communication module distance measuring device end 25 and a second wireless communication module first microcontroller end 28, the distance measuring device 3 comprises a second microcontroller 33, a distance measuring sensor 26 and a first power supply module 27, the second microcontroller 33 is electrically connected with the distance measuring sensor 26, the first power supply module 27 and the second wireless communication module distance measuring device end 25, the second wireless communication module is an NRF24L01 wireless transceiver module, and the first power supply module 27 is a 6-volt battery. The first power module 27 and the second power module 29 can be formed by connecting two 3-volt CR2032 button batteries in series to form a 6-volt battery. The distance measuring sensor 26 can adopt GP2Y0A41SK0F 4-30CM distance infrared sensors. The second microcontroller 33 may also be an 8051 series general purpose single chip microcomputer.
The simulated skin layer 17 may be a third silicone gel layer. The base 10 of the acupuncture device may be further connected to one end of the serpentine tube 1 by a fixing peg 14 provided.
A training teaching method of an acupuncture manipulation simulation training teaching system comprises the following steps:
step one, an expert-level needle insertion technique quantitative parameter threshold is implanted into the upper computer 32, and the quantitative parameter threshold comprises: the length of the needle head part of each filiform needle is fixed, the name of the corresponding acupuncture point, the needle inserting force threshold value of the corresponding acupuncture point, the needle inserting angle threshold value, the needle inserting depth threshold value, the twirling speed and the threshold value of the number of turns;
secondly, holding a filiform needle by a hand of an acupuncture medical student, wherein the method comprises a thumb, food and single-hand three-finger needle holding needle inserting method and a thumb, single-hand two-finger needle holding needle inserting method which are suitable for practice, a needle body is vertical, a needle point is abutted to the upper surface of a simulated skin layer 17 arranged in the middle of a tray body 5 to prepare needle inserting, a distance measuring sensor 26 arranged at the lower end of a needle handle part takes a real-time distance measuring value collected at the moment to the simulated skin layer 17 as a positioning initial value and uploads the real-time distance measuring value to an upper computer 32 through a first microcontroller 23, the upper computer 32 subtracts a needle head part length fixed value of the filiform needle in a quantization parameter threshold value by using the positioning initial value, if the deviation is less than 2%, the positioning initial value is approved to meet the requirement, otherwise, the needle body is moved again, and the positioning initial value meets the deviation requirement;
step three, when the positioning initial value meets the requirement, the upper computer 32 communicates with the first microcontroller 23, so that the buzzer 30 of the first microcontroller 23 sends an needle insertion starting prompt tone and the first microcontroller 23 synchronously restarts the timer for timing, a learner immediately penetrates a needle into the simulated skin layer 17 and feeds the needle downwards at the moment when hearing the needle insertion starting prompt tone, the third rotating shaft 15 and the fourth rotating shaft 16 arranged on the tray body 5 guide and clamp the needle tip part and continuously feed the needle tip downwards at the moment to cause the third rotating shaft 15 and the fourth rotating shaft 16 which are abutted to rotate, the first rotation monitoring device 6 connected with the shaft end of the third rotating shaft 15 sends an interruption request signal to the first microcontroller 23, and the first microcontroller 23 immediately interrupts the timer for timing and uploads the timing duration; the buzzer 30 can adopt a passive 5020 ultra-small electromagnetic patch buzzer 30;
step four, the first microcontroller 23 communicates with the upper computer 32, the upper computer 32 subtracts the real-time distance measurement value of the distance-measuring sensor 26 from the simulated skin layer 17 at the timing of the interrupt timer from the fixed length value of the needle head of the filiform needle to obtain the current needle insertion depth, the needle insertion depth and the fixed value of the actual mechanical installation distance between the simulated skin layer 17 and the third rotating shaft 15 and the fourth rotating shaft 16 are verified, if the deviation is less than +/-2%, the obtained needle insertion depth is determined to be valid, otherwise, the needle insertion operation is repeated from the step two;
step five, the upper computer 32 divides the determined effective needle insertion depth as the distance between the simulated skin layer 17 and the third rotating shaft 15 and the fourth rotating shaft 16 by the time of the interrupt timer to obtain the average needle insertion speed, compares the average needle insertion speed with the quantitative value for measuring the initial needle insertion force of the student, and judges whether the needle insertion force of the student is qualified or not, meanwhile, the third rotating shaft 15 and the fourth rotating shaft 16 on the tray body 5 clamp the needle tip part and calculate the arc length by the product of the radius of the third rotating shaft 15 or the fourth rotating shaft 16 and the real-time collected arc length in the process of continuously feeding the needle tip downwards, namely, the needle feeding amount is obtained, the feeding quantity is uploaded to the upper computer 32 and the upper computer 32, synchronous needle inserting depth obtained by subtracting the distance measuring value obtained by the distance measuring sensor 26 from the fixed value of the length of the needle head part of the filiform needle is synchronously utilized to be verified, the needle inserting depth is judged to be effective when the deviation is less than +/-2%, and otherwise, the needle inserting operation is repeated from the second step;
step six, the angle monitoring device 8 fixedly connected with one end of the second rotating shaft 7 acquires the needle insertion angle quantity in real time, the needle insertion angle quantity is uploaded to the upper computer 32 in real time through the first microcontroller 23, and after the needle point reaches and is inserted into the silica gel 18 of the acupuncture point simulation part 11 on the lower platform 9, the upper computer 32 calculates the needle insertion angle quantity and the needle insertion depth sampling value obtained by utilizing the difference between the fixed length value of the needle head part of the filiform needle and the real-time distance measurement value of the distance measurement sensor 26, and compares the needle insertion depth sampling value with the quantitative parameter threshold of the expert progressive needle technique to judge whether the needle insertion angle and the needle insertion depth operation of the student are qualified;
seventhly, the second rotation monitoring device 20 located at the lower end of the lower bracket 19 of the silica gel body 18 is responsible for collecting data of twisting speed and twisting turns and uploading the data to the upper computer 32 through the first microcontroller 23, the upper computer 32 compares the data of the twisting speed and twisting turns transmitted with the expert progressive needle technique quantitative parameter threshold value of the acupuncture point to judge whether the operation is qualified or not, and displays the operation judgment result together with the needle inserting angle and the needle inserting depth of the student for the observation and study of acupuncture medical teaching personnel and acupuncture medical students;
and step eight, after the medical acupuncture trainees look out the deficiencies of acupuncture manipulation operation, the medical acupuncture trainees repeatedly practice acupuncture manipulation operation on the same acupuncture point by using the device until the needle inserting strength, the needle inserting angle, the needle inserting depth, the twirling speed and the number of turns are in accordance with the quantitative parameter threshold of the expert-level needle inserting technique of the corresponding acupuncture point in the upper computer 32. The quantitative parameter threshold examination is not limited to the above, and acupuncture medical teaching personnel can add corresponding quantitative parameter threshold examination training items to the upper computer 32 according to actual work requirements, so as to meet the requirements of the students in the acupuncture manipulation simulation training.
Acupuncture medical science teaching personnel and acupuncture medical staff can all utilize this application technical scheme carry out the instruction and the study training of corresponding acupuncture needle method skill, audio-visual observation at the whole process of inserting needle no dead angle of going on can play the good practice effect that makes a lot of results with half the effort.
In the description herein, references to the description of "one embodiment" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples. While embodiments of the invention have been shown and described, it will be understood by those of ordinary skill in the art that: various changes, modifications, substitutions and alterations can be made to the embodiments without departing from the principles and spirit of the invention, the scope of which is defined by the claims and their equivalents.

Claims (8)

1.一种针灸手法模拟训练教学系统,其特征在于,包括针灸装置,所述针灸装置包括设有的底座,所述底座中安装有控制装置,所述底座与肌肤仿真装置连接,所述肌肤仿真装置上设有传感装置,所述传感装置与所述控制装置电连接,所述控制装置与上位机通过第一无线通信模块进行通讯。1. an acupuncture technique simulation training teaching system, is characterized in that, comprises acupuncture device, and described acupuncture device comprises the base that is provided with, is installed with control device in described base, and described base is connected with skin simulation device, described skin The simulation device is provided with a sensing device, the sensing device is electrically connected with the control device, and the control device communicates with the upper computer through a first wireless communication module. 2.根据权利要求1所述的一种针灸手法模拟训练教学系统,其特征在于,所述肌肤仿真装置包括一端与所述底座连接的蛇形管,所述蛇形管的另一端设有第一转轴,所述第一转轴与叉形结构的叉柄端连接,所述叉形结构的叉口部内设有盘体,所述盘体在径向方向上与所述叉形结构的两个叉形部分别通过第二转轴活动连接,靠近所述盘体上表面的中心部设有仿真皮肤层,所述传感装置包括在所述仿真皮肤层下的盘体内设有的力度监测装置,以及与所述第二转轴的一端固定连接的角度监测装置。2. An acupuncture manipulation simulation training teaching system according to claim 1, wherein the skin simulation device comprises a serpentine tube whose one end is connected with the base, and the other end of the serpentine tube is provided with a first A rotating shaft, the first rotating shaft is connected with the fork handle end of the fork-shaped structure, the fork-shaped structure is provided with a disc body, and the disc body is radially connected to the two ends of the fork-shaped structure. Each fork-shaped part is movably connected by a second rotating shaft, a simulated skin layer is provided at the center part near the upper surface of the disk body, and the sensing device includes a force monitoring device provided in the disk body under the simulated skin layer , and an angle monitoring device fixedly connected with one end of the second rotating shaft. 3.根据权利要求2所述的一种针灸手法模拟训练教学系统,其特征在于,所述力度监测装置包括在所述盘体内设有的第三转轴和第四转轴,所述第三转轴和第四转轴并列靠接设置且轴端与所述盘体的侧壁活动连接,所述第三转轴中部设有第一硅胶层,第四转轴中部设有第二硅胶层,所述第三转轴的轴端连接有第一旋转监测装置,所述第一旋转监测装置的本体固定连接在所述盘体的外侧壁上。3. A kind of acupuncture-moxibustion manipulation simulation training teaching system according to claim 2, is characterized in that, described strength monitoring device comprises the 3rd rotating shaft and the 4th rotating shaft that are provided in described disk body, described 3rd rotating shaft and The fourth rotating shaft is arranged in parallel and abutting and the shaft end is movably connected to the side wall of the disk body. The middle of the third rotating shaft is provided with a first silica gel layer, the middle of the fourth rotating shaft is provided with a second silica gel layer, and the third rotating shaft The shaft end of the plate is connected with a first rotation monitoring device, and the body of the first rotation monitoring device is fixedly connected to the outer side wall of the disk body. 4.根据权利要求3所述的一种针灸手法模拟训练教学系统,其特征在于,所述肌肤仿真装置还包括穴位仿真部,所述穴位仿真部包括硅胶体,所述硅胶体固定安装在托架上,所述托架的下端与第二旋转监测装置连接,所述第二旋转监测装置的下端与球头连接,所述球头与球头臼配合,所述球头臼设置在下平台上,所述第二旋转监测装置通过数据线与所述针灸装置底座中的控制装置电连接。4. An acupuncture manipulation simulation training teaching system according to claim 3, wherein the skin simulation device further comprises an acupoint simulation part, and the acupoint simulation part comprises a silica gel body, and the silica gel body is fixedly installed on the support. The lower end of the bracket is connected to the second rotation monitoring device, the lower end of the second rotation monitoring device is connected to the ball head, the ball head is matched with the ball head mortar, and the ball head mortar is arranged on the lower platform , the second rotation monitoring device is electrically connected with the control device in the base of the acupuncture device through a data cable. 5.根据权利要求4所述的一种针灸手法模拟训练教学系统,其特征在于,所述控制装置包括设置在所述针灸装置的底座外壳内的第一微控制器,所述角度监测装置、第一旋转监测装置、第二旋转监测装置分别与所述第一微控制器电连接,所述第一微控制器还电连接有蜂鸣器、第二电源模块和第一无线通信模块,所述第一无线通信模块为蓝牙模块,所述第二电源模块为5伏或6伏电池,所述第一无线通信模块包括第一无线通信模块第一微控制器端和第一无线通信模块上位机端。5. An acupuncture manipulation simulation training teaching system according to claim 4, wherein the control device comprises a first microcontroller arranged in the base shell of the acupuncture device, the angle monitoring device, The first rotation monitoring device and the second rotation monitoring device are respectively electrically connected with the first microcontroller, and the first microcontroller is also electrically connected with a buzzer, a second power supply module and a first wireless communication module, so The first wireless communication module is a Bluetooth module, the second power module is a 5-volt or 6-volt battery, and the first wireless communication module includes a first wireless communication module, a first microcontroller end, and a first wireless communication module host machine side. 6.根据权利要求5所述的一种针灸手法模拟训练教学系统,其特征在于,所述第一微控制器还通过第二无线通信模块与测距装置进行通信,所述测距装置通过C形卡扣固定安装在针具的柄部下端,所述第二无线通信模块包括第二无线通信模块测距装置端和第二无线通信模块第一微控制器端,所述测距装置包括第二微控制器、测距传感器、第一电源模块,所述第二微控制器与测距传感器、第一电源模块以及所述第二无线通信模块测距装置端电连接,所述第二无线通信模块为NRF24L01无线收发模块,所述第一电源模块为5伏或6伏电池。6. A kind of acupuncture manipulation simulation training teaching system according to claim 5, is characterized in that, described first microcontroller also communicates with distance measuring device through the second wireless communication module, and described distance measuring device passes C The second wireless communication module includes a second wireless communication module ranging device end and a first microcontroller end of the second wireless communication module, and the distance measuring device includes a second wireless communication module. Two microcontrollers, a ranging sensor, and a first power supply module, the second microcontroller is electrically connected to the ranging sensor, the first power supply module and the ranging device end of the second wireless communication module, the second wireless communication module The communication module is an NRF24L01 wireless transceiver module, and the first power module is a 5-volt or 6-volt battery. 7.根据权利要求6所述的一种针灸手法模拟训练教学系统,其特征在于,所述仿真皮肤层为第三硅胶层。7 . The acupuncture manipulation simulation training teaching system according to claim 6 , wherein the simulated skin layer is a third silica gel layer. 8 . 8.使用如权利要求7所述的一种针灸手法模拟训练教学系统的训练教学方法,其特征在于,包括:8. use the training teaching method of a kind of acupuncture manipulation simulation training teaching system as claimed in claim 7, is characterized in that, comprises: 步骤一,在所述上位机中植入专家级进针技法量化参数阈值,量化参数阈值包括:各款毫针的针头部长度定值、相应穴位名称、相应穴位的进针力度阈值、进针角度阈值、进针深度阈值、捻动速度和圈数量阈值;Step 1: Implant expert-level acupuncture technique quantification parameter thresholds in the upper computer, and the quantification parameter thresholds include: the fixed length of the needle head of each type of filiform needle, the name of the corresponding acupoint, the threshold of the needle insertion force of the corresponding acupuncture point, the angle of the needle insertion Threshold, needle depth threshold, twisting speed and number of turns threshold; 步骤二,针灸医务学员手握毫针,包括采用适宜练习的拇、食、中单手三指持针进针法和拇、食单手两指持针进针法,将针体垂直、针尖靠接在所述盘体中部设有的仿真皮肤层的上表面准备进针,安装在针柄部下端的所述测距传感器将此刻采集到的距离仿真皮肤层的实时测距值作为定位初始值经第一微控制器上传至上位机,上位机利用该定位初始值减去量化参数阈值中该款毫针的针头部长度定值,若偏差小于2%,则认可该定位初始值满足要求,否则重新移动针体,使定位初始值满足偏差要求;Step 2: Acupuncture and moxibustion medical practitioners hold filiform needles, including using the thumb, food, and middle one-handed three-finger needle-holding method and the thumb and food one-hand two-finger needle-holding method suitable for practice. Connected to the upper surface of the simulated skin layer provided in the middle of the disk body to prepare for needle insertion, the distance measuring sensor installed at the lower end of the needle handle takes the real-time distance measurement value of the distance simulated skin layer collected at this moment as the positioning initial value. The first microcontroller is uploaded to the upper computer, and the upper computer uses the initial positioning value to subtract the fixed value of the needle head length of the filigree needle in the quantization parameter threshold. If the deviation is less than 2%, it is recognized that the initial positioning value meets the requirements, otherwise it will be reset. Move the needle body so that the initial value of the positioning meets the deviation requirements; 步骤三,当定位初始值满足要求,上位机与第一微控制器进行通信,使第一微控制器的蜂鸣器发出开始进针提示音并使第一微控制器同步重启定时器计时,学习人员持针在听到开始进针提示音的时刻立即将针刺入仿真皮肤层并向下进给,设置在所述盘体上的第三转轴和第四转轴对针尖部进行引导、夹持并在针尖继续向下进给而导致靠接的第三转轴和第四转轴转动的一瞬间,位于所述第三转轴的轴端连接的第一旋转监测装置向第一微控制器发出中断请求信号,第一微控制器随即中断定时器计时并上传计时时长;Step 3, when the initial positioning value meets the requirements, the upper computer communicates with the first microcontroller, so that the buzzer of the first microcontroller sends out a prompt sound for starting needle insertion, and the first microcontroller restarts the timer synchronously, The learner holds the needle and immediately pierces the needle into the simulated skin layer and feeds it downward at the moment when he hears the prompt sound of needle insertion. Hold and at the moment when the needle tip continues to feed downward, causing the abutted third and fourth rotating shafts to rotate, the first rotation monitoring device connected to the shaft end of the third rotating shaft issues an interruption to the first microcontroller request signal, the first microcontroller interrupts the timer timing and uploads the timing duration; 步骤四,上位机利用该款毫针的针头部长度定值减去所述测距传感器在中断定时器计时时刻所采集到的距离仿真皮肤层的实时测距值,得到此刻的进针深度,将该进针深度与仿真皮肤层与第三转轴和第四转轴之间的实际机械安装距离定值做校验,若偏差小于±2%,则判定此刻得到的进针深度有效,否则,自步骤二开始重复上述进针操作;Step 4: The host computer uses the fixed value of the needle head length of the filigree needle to subtract the real-time distance measurement value of the simulated skin layer collected by the distance measuring sensor at the time of the interrupt timer to obtain the needle insertion depth at the moment, and then The needle insertion depth is checked against the actual mechanical installation distance between the simulated skin layer and the third and fourth shafts. If the deviation is less than ±2%, it is determined that the needle insertion depth obtained at this moment is valid. 2. Start to repeat the above needle insertion operation; 步骤五,上位机将判定为有效的进针深度作为仿真皮肤层与第三转轴和第四转轴之间的距离与中断定时器时刻所采集上传的计时时长相除,获得进针平均速度,并将该进针平均速度的大小作为衡量该学员初始进针力度的量化值,与专家级进针力度量化参数阈值进行对比,判断该学员的进针力度是否合格,同时所述盘体上的第三转轴和第四转轴对针尖部进行夹持并在针尖继续向下进给过程中,位于所述第三转轴的轴端连接的第一旋转监测装置实时采集旋转弧度,并利用第三转轴或第四转轴的半径与实时采集旋转弧度的乘积计算出旋转弧长,即获得针的进给量,将该进给量上传上位机与上位机同步利用该款毫针的针头部长度定值减去测距传感器实时获得的测距值所得到的同步实时进针深度相校验,偏差小于±2%判定此刻进针深度有效,否则,自步骤二开始重复上述进针操作;Step 5, the upper computer will determine the effective needle insertion depth as the distance between the simulated skin layer and the third rotating shaft and the fourth rotating shaft divided by the time length collected and uploaded at the moment of the interrupt timer to obtain the average needle insertion speed, and The size of the average needle insertion speed is used as a quantitative value to measure the student's initial needle insertion strength, and it is compared with the expert-level needle insertion strength quantification parameter threshold to judge whether the student's needle insertion strength is qualified. The three rotating shafts and the fourth rotating shaft clamp the needle tip, and during the continuous downward feeding of the needle tip, the first rotation monitoring device connected to the shaft end of the third rotating shaft collects the rotation arc in real time, and uses the third rotating shaft or The product of the radius of the fourth rotating shaft and the real-time acquisition rotation arc is used to calculate the rotation arc length, that is, the feed amount of the needle is obtained, and the feed amount is uploaded to the upper computer and synchronized with the upper computer, and the fixed value of the needle head length of the needle is subtracted The synchronous real-time needle insertion depth obtained from the real-time distance measurement value obtained by the distance measuring sensor is verified, and the deviation is less than ±2% to determine that the needle insertion depth is valid at the moment, otherwise, repeat the above needle insertion operation from step 2; 步骤六,所述第二转轴的一端固定连接的角度监测装置实时获取进针角度量,通过第一微控制器实时上传至上位机,直至针尖抵达并插入所述下平台上的穴位仿真部的硅胶体,上位机将进针角度量,以及利用该款毫针的针头部长度定值与所述测距传感器实时测距值作差计算所获得的进针深度采样值,与专家级进针技法量化参数阈值进行对比,判断该学员的进针角度、进针深度操作过程是否合格;Step 6: The angle monitoring device fixedly connected to one end of the second rotating shaft obtains the needle insertion angle in real time, and uploads it to the upper computer through the first microcontroller in real time, until the needle tip arrives and is inserted into the acupoint simulation part on the lower platform. Silicone body, the upper computer calculates the needle insertion angle, and the needle insertion depth sampling value obtained by calculating the difference between the fixed value of the needle head length of this filigree needle and the real-time distance measurement value of the distance measuring sensor, which is consistent with the expert needle insertion technique. Quantitative parameter thresholds are compared to determine whether the student's needle insertion angle and needle insertion depth are qualified or not; 步骤七,捻动针体,所述穴位仿真部的硅胶体连同下部托架同步转动,位于所述硅胶体下部托架的下端的第二旋转监测装置负责实时采集捻动速度、捻动圈数的数据,并通过第一微控制器上传至上位机,上位机对上传来的捻动速度、捻动圈数的数据与该穴位的专家级进针技法量化参数阈值进行比较,判断操作过程是否合格,并连同该学员的进针力度、进针角度、进针深度操作判定结果进行显示,供针灸医务教学人员和针灸医务学员观摩;Step 7: Twist the needle body, the silicone body of the acupoint simulation part rotates synchronously with the lower bracket, and the second rotation monitoring device located at the lower end of the lower bracket of the silicone body is responsible for collecting the twisting speed and the number of twisting turns in real time. The data is uploaded to the upper computer through the first microcontroller, and the upper computer compares the uploaded data of the twisting speed and the number of twisting circles with the quantitative parameter threshold of the expert-level acupuncture technique of the acupoint, and judges whether the operation process is Qualified, and together with the student's needle insertion strength, needle insertion angle, and needle insertion depth operation judgment results, it will be displayed for acupuncture medical teaching staff and acupuncture medical students to observe; 步骤八,针灸医务学员通过上述观摩后,找出针法操作不足之处,利用本装置对同一穴位重复进行针灸手法操作练习,直到达到进针力度,进针角度、进针深度、捻动速度和圈数量值符合所述上位机中对应穴位的专家级进针技法量化参数阈值要求为止。Step 8: After the above observation, the acupuncture medical students find out the deficiencies of the acupuncture operation, and use the device to repeat the acupuncture operation practice on the same acupoint until the needle insertion strength, needle insertion angle, needle insertion depth, and twisting speed are reached. The number of circles meets the requirements of the quantification parameter threshold of the expert-level acupuncture technique for the corresponding acupoint in the upper computer.
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CN117137596A (en) * 2023-10-30 2023-12-01 湖南明舟医疗科技有限公司 Puncture needle assembly and disposable puncture needle
CN117137596B (en) * 2023-10-30 2024-01-12 湖南明舟医疗科技有限公司 Puncture needle assembly and disposable puncture needle

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