A biofidelic birthing simulator. Models for research and training in complicated human births.

A biofidelic birthing simulator. Models for research and training in complicated human births.
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逼真的分娩模拟器。

DOI:
10.1109/memb.2005.1549728
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发表时间:
2005
期刊:
IEEE engineering in medicine and biology magazine : the quarterly magazine of the Engineering in Medicine & Biology Society
影响因子:
--
通讯作者:
Allen,RobertH
Allen,RobertH
中科院分区:
--
文献类型:
--
作者:
Kim,EstherJ;Theprungsirikul,Parnduangjai;McDonald,MaryK;Gurewitsch,EdithD;Allen,RobertH

文献摘要

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设计,测试和实施一种新的分娩模拟器(专利申请中,2005年9月6日)专门开发的研究交付过程和提高临床培训,在不常见的,但不可避免的复杂的人类births的报告on.The模拟器包括一个产妇模型和一个仪表胎儿模型,用于与现有的力传感系统和数据采集系统。母体模型包括一个骨质的、可旋转的骨盆、灵活的腿和一个可选的子宫排出系统。可以通过母体模型重复递送的胎儿模型配备有电位计以测量递送期间的颈部伸展、旋转和屈曲。模拟模型胎儿颈部内的臂丛神经,可以测量在困难分娩期间有损伤风险的神经的拉伸。元素模仿新生儿的运动范围特性。在模拟分娩过程中测量临床医生施加的力的两种方法为受训者提供了他们自己的牵引力的实时评估,并允许研究人员将胎儿颈部运动和神经拉伸参数与临床医生施加的牵引力相关联。初步测试表明,该系统在分娩过程的最后阶段具有生物活性,可用于产科培训和研究。
The design, testing, and implementation of a novel birthing simulator (patent pending, 6 September 2005) developed specifically to research the delivery process and improve clinical training in uncommon but inevitable complicated human births is reported on. The simulator consists of a maternal model and an instrumented fetal model that are used in conjunction with an existing force-sensing system and a data-acquisition system. The maternal model includes a bony, rotatable pelvis, flexible legs, and an optional uterine expulsive system. The fetal model, which can be delivered repeatedly through the maternal model, is instrumented with potentiometers to measure neck extension, rotation, and flexion during delivery. Simulation of the brachial plexus within the model fetal neck allows measurement of stretch in those nerves at risk for injury during difficult deliveries. Elements mimic the range-of-motion properties of neonate. Two methods for measuring clinician-applied force during simulated deliveries provide trainees with the real-time assessment of their own traction force and allow researchers to correlate fetal neck motion and nerve stretch parameters with clinician-applied traction. Preliminary testing indicates the system is biofidelic for the final stages of the birthing process and can be used for training and research in obstetrics.