Release date: 2016-04-27 Insight into global healthcare innovation and entrepreneurship practices Our own group of doctors is based on what we used to think that doctors have always been ignored in the entire medical industry ecosystem. In the past, in our traditional system, when doctors were all employees of the hospital, the doctor's labor and creativity were actually bound to a certain extent. After we came to the independent establishment of the doctors' group, the whole ecology includes insurance, medical care, hospitals, the Internet, medicines, equipment, etc. All the links must rely on doctors to realize its application. After we came out, we were also optimistic about various industrial organizations, and our creativity was also released. VR is one of the most important areas. Fantasy of VR technology attached to the training course of the university era Speaking of VR, I didn't have a concept before. When I was in college, I had a headache in the anatomy class. The anatomy displayed on the book had no stereo concept. At that time, there was no 3D anatomy, and the concept of 3D was obtained through autopsy. The body is very nervous, about eight people to dissect, and the remaining things are left to the doctors in the affiliated hospital. So a corpse is costly and costly, and we have few opportunities to get in touch. The anatomy class can enter the anatomy of the body, and the course is not a lot. Another group of people took turns to dissect. There is very little that people can really see this thing. If one of the front anatomy is broken, you can't see the original appearance. The bodies were all soaked in formalin, so everyone was crying in a class. Even so, everyone's enthusiasm is still very high, because through anatomy, it is indeed possible to find something in the book in our minds. At that time, there was an idea. If it is a three-dimensional model, then there are some models, such as anatomical specimens or something, but there is no interaction between people and specimens. At that time, I felt that learning anatomy was a very painful thing. I always thought that if there is a simulated thing, like playing a game, I can cut it at any time and look back and forth. That is more about our anatomy. helpful. That is actually a prototype of VR. At that time, there was no computer and many other things. It was an idea. I wondered if there was such a thing in the world. At the time, I felt that only alien talents had this thing, but now I find that many of today's things are better than I thought. Today, let's talk about what imaginable applications virtual reality can have in a doctor's group. I look at VR technology from a doctor's point of view and roughly divide it into five major applications. These five categories of applications may provide ideas for our VR technology R&D institutions in the future, because doctors know which VR technologies can really improve our medical quality in the application process, so I will share these five applications with you. The first application is to solve our anatomy learning problems. Our current university system is eight years. I often think about it. With the continued development of the Internet, if our medical learning can pass VR technology, I think that at least 80% of the courses in anatomy can be shortened. Very realistic, three-dimensional, interactive virtual reality. The virtual reality of the heart is very realistic. I can hold the heart in my hand. I can turn around and open my muscles at any time. The blood flow can be seen, which can greatly shorten our learning cycle. Especially for surgeons, a very important knowledge of surgeons is anatomy and partial anatomy. Topical Anatomy Knowledge Before we learned through books, we saw everything on the plane. There are few stereoscopic concepts in our minds, and we can't interact. The advent of VR technology allows surgeons to gain partial anatomical experience before surgery, which can effectively improve the safety of surgery. And our medical students through VR anatomy technology, learning speed will be greatly accelerated, while reducing the cost of learning. Of course, we are not only in the anatomy of medicine, I think it is a scene that we can simulate through VR technology in terms of physiology and biochemistry. It involves some things that we can't see with the naked eye, such as chemical reactions and physiological changes. This change can be simulated by virtual reality. If we can get very informative information, the speed of knowledge development and learning of doctors will speed up. In the second application, we will reduce our internship costs in the future internships with medical students. Our current doctor's internship is on the scene, guided by the teacher, to arrange how to wear clothes in the operating room, how to ensure sterility or how, this scene can be set in the VR products in the future, also That is to say, many times we do not need to go to the real scene of the hospital, you can familiarize yourself with the whole process of the hospital directly in the virtual scene. Now in our public hospital, a lot of doctors go in to see the patient's surgery, and the patient can't say anything. In the future, more and more patients have suggested that I don't like this. I don't want to have so many people around me. What should I do at this time? The necessity of learning cannot be canceled casually, so there must be a simulated scene to reflect the real learning process, that is, the scene using VR. In this case, the protection of the patient's privacy, the second is to reduce costs. It is a teacher who teaches, and the whole process of lectures does not need to be repeated over and over. In the past, we were divided into four groups. When each group was in turn, the teacher said it again, then the teacher might repeat it four times. Then each classmate can only enter this scene once. Some students will forget about it if they have bad memory. Then VR technology can solve this problem. You can review it repeatedly, and then the teacher does not need to talk so much. In this regard, the cost of teaching it will be greatly reduced. The first two categories are based on the future we may be training young doctors, in terms of basic knowledge, or how new employees are familiar with our field. Our doctors' group is constantly optimizing our treatment scenes. This scene is familiar to some new doctors. We can complete all the procedures at home as quickly as possible. The third is simulated surgery, and I think this will be very fast in the international development in the future. Because I was attending the American Surgery Annual Meeting, you will see that about half of the booths outside the conference are simulated. This is different from China. Most of China is a gray income booth, stand or equipment. They are posing in a large number of booths for simulated surgery. This is very different from ours. From this we can see that the application of simulation training in medical treatment abroad is very wide. In the past, the opportunity for doctors to practice knives was practiced on patients. Therefore, it is often said that famous doctors have come through the blood of many people, so the price paid is too great. In the future, it is very important that the simulated surgery is in the process of growing up the doctor. You can simulate various scenes without harming the patient. The simulated scene may be more than you actually encounter, so the effect of the simulated training is actually It surpassed the real practice knife. On the one hand, simulation training can be repeated at home to simulate and deepen the impression, which is impossible for patients because the patient's resources are limited. We used to open the knife. Several graduate students were surrounded by a circle. There were three layers inside and outside, so there were very few opportunities for doctors to really reach patients. Simulated surgery is to present every operation in front of you. The opportunities that individuals receive are infinite, and you can look at them repeatedly and have no harm to the patient. If, from this point of view, a simulated training doctor will perform surgery on the patient, his learning cycle will be short and short, which is actually a great protection for the patient's interests. The current simulated surgery has already been in China. As we have visited Johnson & Johnson, the surgical training center of Kehui has already had a laparoscopic simulation, a simulation of interventional surgery, and of course a simulation of Da Vinci surgery, but this The simulation is not a real scene, which means that in the future, in VR technology, you can fully enter the operating room and then perform simulated surgery in a real scene, which may be closer to reality. The fourth area is that I think that VR technology will directly enter our therapeutic field in the future, that is, it can cure diseases. We believe that in the field of rehabilitation, the application of virtual reality will be very extensive. Our current rehabilitation mainly focuses on sports training and psychological help. The simplest example is when a patient is recovering from exercise, virtual reality allows him to experience obstacles in the outside world in a safe therapeutic environment, making his training more interesting and more realistic. We can even imagine a patient with periarthritis of the shoulder. His arm can't be lifted but he has to do some lifting exercises. Can he let him pick the apple in the orchard? The apple is tall and low. He can pick it. With a few apples, he can enter this real virtual world and raise his hand to pick up the apple. This is much more effective than the doctor's motivation to raise his hand. We have a single vascular rehabilitation center in Beijing and the Hejia Hospital, mainly for patients with lower extremity arterial occlusive disease. The treatment effect through exercise training is sometimes better than the stent. These exercise training must be under the guidance of a doctor. Its treatment period is usually about three months. If there is virtual reality technology introduced, if a patient walks, set a scene, for example, the first five minutes is In the park, or he likes to walk on the beach, or on a foreign street, I believe this kind of training is very helpful for the patient's motivation and interest. Our sports training requires him to walk for a while while walking. If there is such a scene, it is more realistic for him, more fun and fun. Therefore, VR has a unique advantage in sports training. Of course, what I think is more important is a psychological support. Virtual reality is a visual stimulation of people, and visual stimulation is very strong. In real life, many people will think when they are in a bad mood. They will think of going to Lijiang to take a walk. They have to go to a distant place to release their hearts. Then why not complete the entire travel process at home, or even design scenes that are not in real life, and interact with personal emotions. In fact, you can see this picture. In fact, the heart you see wearing the helmet is the same as that seen on the picture. It is completely true in front of your eyes. You can pull it closer, put it on your hand, open it. Turning circles, this is very useful for learning anatomy. After the deep development of virtual reality in the future, it will not be designed as a static anatomy. There should be a dynamic, for example, hemodynamics will be integrated. Even you can see that a blood flow is simulated. If my aorta is placed in a place where the blood flow changes, virtual reality can help the doctor to judge the possible changes in blood flow in the future, that is, through virtual The way to understand the effects of different sizes of stents on blood flow changes is very helpful for doctors to develop a plan. The last piece, for our doctors group, we envision the improvement of the patient experience in the future. Because we used to see a doctor, the patient was strange to a scene. Before we went to see a doctor, the patient went to the hospital. This doctor didn't understand it at all. The tension between our doctor-patient relationship is actually related to the patient's experience. In other words, it is actually quite difficult for a patient to establish trust with a doctor in a completely unfamiliar situation. Because many people in the United States are family doctors, patients have prior knowledge of doctors. Another is that it takes time to build trust between doctors and patients. In the United States, doctors are taught how to build trust with patients in the shortest possible time. The pattern of medical treatment in our country is a bit different. If there are many public hospitals, it will take three to five minutes to see a patient. Therefore, the trust of doctors and patients has not been established, and treatment is over. This time, it is very easy to cause conflict. Our doctor group has a very good relationship with patients because we have plenty of time, even if there is some tension or distance. He went to the hospital to see the whole process. He was not familiar with the hospital. His process can make us use VR technology to present it to patients. He reviewed it in his home beforehand. He went to the hospital. The process is very familiar. In addition, some patients will have a mysterious feeling in the operating room. At this time, we can consider letting the patient experience the whole process of the operation, so that he also knows what the operation is, which may be very helpful for him to eliminate the fear. How do we guide him after the patient returns home at the end of the surgery? Of course, we used to look at pictures, videos, and videos. But if there is a virtual reality thing, then the patient is in the hospital. This feeling is very helpful to the patient's entire recovery process. On the other hand, our doctors also provide them with a lot of information, from a technical point of view, they will consider very perfect details. But from a doctor's point of view, which links can be simplified and which are the key points, then our proposed solutions may significantly reduce their costs, and will also increase their overall importance to product training. Because a training course must be focused, which fatal errors must cause the failure of the surgery, which are relatively small problems, how to design a product that is closer to reality, our team of doctors can give the medical production team Provide a lot of useful information. We have already done a period, and have not seen the surgery. Now, we will ask Mr. Pan, who is in charge of the micro-information, to introduce their products and their views on VR. I also hope to know why the team of Medical WeChat chooses our doctor group and expects the doctor group to give them products. How to help. I will talk about it here first, and please ask Mr. Pan to continue this topic. Mr. Pan Wei, CEO of Medical Micro-Communication, shared content Many of our product designs come from the personal experience of professional doctors. Everyone just saw a video of a 3D virtual reality product we made, which was just released this afternoon. This product is a virtual interactive device based on HTC Vive. It can be used to perform surgical operations in a virtual operating room, as Dr. Zhang Qiang said. The relationship between time, this group of Demo did not cooperate with Dr. Zhang Qiang, we chose a relatively simple bone fixation surgery to do Demo. Just now Dr. Zhang Qiang talked about the application of several VRs in the medical field. I would like to add some questions about anatomy teaching, when we are in contact with doctor users. In fact, the combination of anatomy and 3D virtual technology has already begun very early, but unfortunately, there is no anatomical model for the Orientals in China. At present, the anatomical maps used by People's Health Publishing House's Anatomy are derived from the Soviet version introduced in the 1950s. Some of the more representative virtual anatomy software that you have seen are anatomical software developed based on the characteristics of Westerners. This is our regret for our digital 3D production company. Therefore, we spend a lot of time doing some medical animation or medical virtual interaction, and there is no way to do research on virtual anatomy. This is the difficulty we have encountered so far. Although we do not have a complete anatomical 3D model data graph, our existing data on system anatomy is homogeneous. Our company's data in certain areas such as cardiovascular, orthopedics, and orthopedics can meet the requirements. Therefore, in the products we design in the future, according to the advice of Dr. Zhang Qiang, we will use the 3D model as an important auxiliary means while doing virtual surgery. It can be used before, during, and after operation. The 3D model is called up. Always remind the doctor from another field of vision, the progress of the operation now, the location, the blood vessels that need to be avoided, and where the main lesions are located. The second question is about the medical students' experience of the product. This point, Dr. Zhang Qiang said that the idea is very good. Because we have no people who have been in the operating room, or R & D personnel who are rarely in contact with the surgeon, experience the tension and environmental effects of entering the operating room. I went into the operating room and I was very impressed by the tension and excitement. VR technology can recreate products and help us adapt to the environment as quickly as possible. The third question is about research in simulated surgery. Dr. Zhang Qiang also mentioned its meaning and value in the front. We found that the important issue is that the surgery now has a trend of standardization and standardization. In this process, the difficulty is mainly reflected in the inability to make effective guidance. So in the process of VR surgery training, we hope to complete the work of standardization and standardization. Another difficulty is the technical point of view, which is to make VR surgery as close as possible to reality. Everyone saw this in the demo, and we spent a lot of energy researching the accuracy of physical collisions and surgery. Because surgery is not the same as the game. In fact, there is a game called "CrazySurgeon" in HTC Vive. But the biggest problem with this game is that it is too arbitrarily, and in the end it becomes a game of heavy taste, because it can make random mess on people. I personally think this is a serious act. Our way is not to turn him into a very casual software. We used some bindings and locks, and the user had to follow the steps of the surgery step by step. If there is a jump or there is something that is not normal, the user can't go on. At the same time, it is also autonomous. This autonomy means that we have some means to help the surgeon deal with the emergency situation during the operation. For example, when cutting with a scalpel, there will be special effects beyond the scope of the standard incision, suggesting that the incision must meet the standard. But the surgery is indeed too complicated. The work we are doing now is quite laborious, but its significance and value are great. I want to emphasize here a bit. Medical micro-informatics is a technology application innovation company. We don't produce surgical knowledge. We are only the disseminators of medical experience. So we now have a lot of cost for communication and communication with medical experts. A very important issue in the process of communication and communication is that although members of our team have surgical backgrounds as project managers, most of them are not medical backgrounds. Therefore, we have to spend a lot of time on internal discussions; the procedural documents we have made need to communicate with experts and doctors in depth, and the demos we make will also be tested with them. This process is relatively long, but we are very willing to do so. Because, as Dr. Zhang Qiang just said, a good medical simulation device can help the surgeon solve a big problem, so that they no longer need to practice on the human body, and do not need to practice on animals or on cadaver specimens. These are scarce and irreversible resources. I often joked that the surgery is the same as painting, but it is not good to tear down the redraw, but the surgery is not good, can you reopen it? No, this is a disrespect for the patient's right to life. I personally think that the biggest feature of VR technology is that although the production cost is very expensive, the cost of practical teaching applications is very low. Because it can be drilled many times, simulated many times, and done nothing wrong. In addition, in the last sharing, I mentioned the clinical support of VR technology, which is a development direction besides education. For example, the current hot 3D printing, its core is to restore the patient's complex lesions, as well as anatomical relationships, through 3D reconstruction of patient image data. As you know, its ultimate goal is to do pre-operative design. Now 3D printing is very mature, but the cost is very expensive. I saw a report some time ago that Fudan’s pediatric hospital had a conjoined baby, and they spent a lot of time printing 3D models of conjoined babies. I personally feel that with VR technology, we can observe the model that does not need to be printed directly in the world of VR, and restore the scene in 3D. Just like the picture that Dr. Zhang Qiang just shared, it can truly restore flatulence, lesions, and surgical paths in 3D space. I am not saying that 3D printing is not good, at least in a sense, we really do not need to print the case as a physical object to watch. I believe this is very valuable for clinical assistance. In addition, I mentioned AR technology last time, and the application space in the future is more imaginative than VR. If we can superimpose the 3D reconstruction and physical position of the patient image as before, then the doctor can observe the important nerves and blood vessels in the operation area in real time by wearing the AR device during the operation, and can clearly indicate the lesion. The position so that the surgical control will be stronger. I think the imagination of this is very large. I also want to share with you the application of VR technology in motion capture. Everyone should know that in sports, such as football and gymnastics, there are slow-motion playbacks, and motion capture to analyze whether the athletes' actions are done, and what are the reasons for the mistakes. This technique can also be used in surgery. Through motion capture or gesture recognition and VR technology, after the surgeon learns or tries, he can recover the surgery and see the procedure of the operation. If there are mistakes, what are the reasons? This kind of playback can greatly help doctors improve their technology. This is our latest research. I am also looking for suppliers of gesture recognition and wearable devices in China to work together to overcome this difficulty. In addition, I would like to talk about the application of the patient mentioned by Dr. Zhang Qiang. When the patient arrives in an unfamiliar environment, there will inevitably be a stress response. I once talked to the patient. He felt that when he waited outside the operating room and the anesthetic had not yet taken effect, his nervousness and fear were the strongest. He even had the experience of dying. Let us now think about it, this experience is very bad for everyone. If you use VR technology, give him a piece of content that is easy for him to relax in this environment, let him know what the operating room and surgery are like before entering the operating room, and he can eliminate his fear of the unknown environment. . I believe that this is a humanistic concern for patients, which can be effectively applied in improving the level of medical services. Dr. Zhang Qiang now attaches great importance to patient services. I believe this is an opportunity for us to cooperate in the future. Finally, I want to talk about a problem, that is, the communication between doctors and patients. Just now, Dr. Zhang Qiang also stressed that even if there is enough time for communication like the Zhang Qiang doctor group, it is very tiring to rely solely on mouth, use pictures, and even hand-painted diagrams, because of the complexity of medical knowledge and Professionalism, including some proper nouns, is really selective memory for patients. They may listen to the first sentence, forget the second sentence, and even miss the most important things. This means that all doctors are calling for communication between doctors and patients. In fact, we can really use virtual reality technology to virtualize a general cause, pathology, plan, and operation process of surgery. It is not necessary to talk about it in detail. It only needs to be talked about. It is important to talk about the risk of surgery and us. The response to the patient's reassurance is far better than putting an icy surgical consent form in front of the patient. This communication method, I believe, is helpful for cracking the tension between doctors and patients. I hope VR In the next step, I will do some research on patient education and doctor-patient communication. I would like to add to it today. Finally, I would like to thank Dr. Zhang Qiang and hope that Dr. Zhang Qiang and all the doctors under his group will continue to support our projects. Source: Flint Online Acesulfame K,Sweeteners In Food,Acesulfame Potassium,Acesulfame K Sweetener CHANGZHOU GUANGHUI FOOD INGREDIENTS CO.,LTD , https://www.gsweetfood.com
