Abstract: A computer-assisted medical system includes robotic manipulators, a user input system operable to generate signals to control the manipulators, and a controller configured to execute instructions to perform operations. A portion of the user input system is movable relative to the plurality of manipulators. The operations include, in a pairing mode, associating a first manipulator of the plurality of manipulators with the portion of the user input system based on movement of the portion of the user input system relative to the first manipulator, and, in a following mode, controlling motion of the first manipulator in accordance with an indication generated by the user input system in response to operation of the portion of the user input system by a user.

Abstract: A system and method for tracking position and orientation of a surgical tool during a surgical procedure and providing feedback to a user are described. For example the system includes a surgical tool configured to perform at least a portion of the surgical procedure, a tracking system configured to monitor and record position information related to the surgical tool, a processing system, and a display. The processing system can be configured to receive the position information, determine optimal position information for the surgical tool during the surgical procedure, compare the received position information against the optimal position information to determine a conformance level for the user, and generate a user performance record. The display can be configured to receive and display the user performance record.

Abstract: One example method for predictive clinical planning and design includes instantiating a plurality of data objects, each data object of the plurality of data objects comprising clinical trial information; displaying a graphical user interface on one or more display screens, the graphical user interface providing a graphical representation of at least a portion of a clinical trial and comprising a plurality of graphical nodes; receiving a selection of the second graphical node; receiving, via an editor associated with the second graphical node, a modification of the second data object; propagating an indication of the modification to the first data object, the propagation modifying a clinical trial data item of the first data object; and displaying, within the first graphical node, the modified clinical trial data item of the first data object.

Abstract: A prosthetic abdomen for peritoneal dialysis training is provided. The prosthetic abdomen has an inner layer of material, an outer layer of material, and a pouch formed between the inner layer of material and the outer layer of material. The outer layer of material has an inner surface partially defining the pouch, and an outer surface having a skin tone color. The positioning of the belt and skin tone color can be selected to mimic the actual peritoneum of a patient. The pouch is expandable. A method of training a patient to carry out a peritoneal dialysis self-treatment, using the prosthetic abdomen, is also provided.

Abstract: In certain aspects of the present disclosure, a computer-implemented method includes receiving a 3D imaging. The method includes generating 3D models based on the 3D imaging. The method includes generating, responsive to a pre-determined set of surgical steps, a finite number of 4D time deformation scenes for each pre-determined surgical step associated with the 3D models. The method includes displaying selectively interactive simulations based on the finite number of 4D time deformation scenes. Systems and machine-readable media are also provided.

Abstract: A wearable physiological monitoring device is configured to determine a wearer's sleep intention. In particular, the device evaluates activity that might be objectively associated with awaking from sleep in order to distinguish between a wearer's intention to end sleep and transitory stirring or other intermittent activity occurring in the context of a longer sleep interval. By evaluating sleep intention more accurately in this manner, the device can advantageously request sleep analysis from a remote server in those instances where a user intends to end a period of sleep (so that this data can be available to the user more quickly), while avoiding unnecessary or redundant server-side processing of sleep data in those instances where a user intends to continue sleeping.

Abstract: A technique for generating and presenting context-aware recommendations to assist a patient in managing a chronic health condition. A health management platform provides various services that are accessible to a patient via a graphical user interface (GUI). Input data are received from various services and processed to generate contextual data associated with the patient such as a health state of the patient. Using the contextual data, a recommendation to access a particular service is generated and presented to the patient via the GUI. For example, in response to determining a health state of a patient, a recommendation to access a service to improve the health state of the patient can be automatically presented via the GUI to encourage the patient to access the service.

Abstract: An injection device and an injection device trainer for training a user to use an injection device. Each one of the injection device and the injection device trainer can include: a body portion; an actuator positioned towards a proximal end of the body portion, the actuator moveable from a proximal position to a distal position; a shield positioned towards a distal end of the body portion, the shield moveable between: an initial position; an extended position that is more distal relative to the body portion than the initial position; and a connector that connects the actuator to the shield such that movement of the actuator from the distal position towards the proximal position pulls the shield from the extended position to the initial position.

Abstract: A cadaverous heart model and methods of making and using the cadaverous heart model are provided. The cadaverous heart model may remain within the chest cavity of the cadaver (in situ) or may be explanted (ex vivo). The efferent and afferent vessels of the heart are ligated and one or more of the heart chambers are cannulated to permit the infusion of fluid. Video cameras or other means for visualizing the flow of fluid and opening and closing of valves are applied internally or proximally externally. Pumps and inflatable bladders are used to effect the flow of fluid within the heart model.

Abstract: A current having a light emission period current value for emitting first illumination light or second illumination light is caused to flow through a V-LED in a first light emission period for emitting the first illumination light or a second light emission period for emitting the second illumination light. A current having a light non-emission period current value for applying a VF voltage is caused to flow through a pseudo load in a light non-emission period that is provided between the first light emission period and the second light emission period, or between the second light emission periods and in which the first illumination light and the second illumination light are not emitted.

Abstract: A client-customized cardiopulmonary resuscitation system, according to one embodiment, may comprise: a training device for practicing cardiopulmonary resuscitation; a terminal which can communicate with the training device and acquires information on a user's cardiopulmonary resuscitation operation performed in the training device; and a server which can communicate with the terminal and provides a manager page which enables a client to directly edit the configuration of a screen displayed on the terminal.

Abstract: To provide a rehabilitation assistance device, a rehabilitation assistance method, and a non-transient storage medium storing a rehabilitation assistance program that support continuous rehabilitation by enabling the generation of a rehabilitation plan that can increase the motivation to continue rehabilitation. When a patient selects one set from an activity event information DB that stores a plurality of sets that associate information of a predetermined activity event with information of an exercise amount for each of a plurality of body parts when the activity event is performed, the patient can check on the screen displayed on the display unit to what extent the exercise amount contained in one's rehabilitation plan information is achieved by the activity event of the selected set.

Abstract: A simulated abdominal wall model that is ideal for practicing laparoscopic first entry surgical techniques is provided. The model includes a simulated abdominal wall portion captured between two frame elements of a support. The support is connectable to a surgical trainer. When connected to the trainer, the model provides a penetrable abdominal tissue portion for accessing an internal cavity of the trainer. The simulated abdominal wall includes a plurality of layers including a skin layer, a fabric posterior rectus sheath layer, a simulated fat layer of low-resilience polyurethane foam and at least two layers that provide distinctive haptic feedback upon penetration of the simulated transversalis fascia and muscle layers. The simulated abdominal wall includes a simulated umbilicus across several layers of simulated tissue.

Abstract: Systems and methods are disclosed that allow a patient to self-treat a medical condition, such as migraine headache and trigeminal neuralgia and the like, by noninvasive electrical stimulation of nerves of the head, particularly supraorbital, supratrochlear, infraorbital, and mental nerves in the vicinity of their foramen or notch. The system comprises a stimulator having one or more electrodes that apply electrical impulses transcutaneously through the patient's skin to the targeted nerve. The stimulator may be coupled to a handheld mobile device, such as a smartphone, for receiving a treatment regimen to treat the medical condition. The system is designed to address problems that arise particularly during self-treatment, when a medical professional is not present.

Abstract: This invention relates to a computer-implemented simulation system comprising a needle device having a retractable needle shaft comprising a resistance mechanism which can be activated to vary the resistance of the needle shaft. A processing module is configured to: receive ultrasound image data representative of a subject being scanned, receive position and orientation data representative of an ultrasound probe and a needle device, calculate a projected path for the needle device and generate a simulation needle from the projected path. When the simulation needle is determined to intersect with an identified tissue type, it modulates a signal and sends the modulated signal to the resistance mechanism, thereby to cause a change in the resistive force acting on the retractable needle shaft. The invention also relates to a computer-implemented method for simulating ultrasound guided needling using this system.

Abstract: Disclosed is a suturing training device and a method of using the device. The device comprises a base having a first side and a second side, the base defining a plane. The device also comprises a first anchor and a second anchor positioned on the first side of the base. The first and second anchors are each connectable to a segment of tissue so that the tissue is suspended therebetween in use of the device. An actuator is associated with one or both of the first anchor and the second anchor. The actuator is actuatable to cause relative movement of the first and second anchors along the plane. A force gauge is configured to measure a force applied to the tissue when the first and second anchors are moved relative one another by the actuator.

Abstract: The present invention relates to a system and a method for simulating human surgical anatomy for the purposes of beginner anatomical teaching and advanced surgical teaching, and more specifically concerns a device which reproduces a part of the human head or of other human anatomical parts, reproducing the associated anatomy, movement in space, and surgical approach methods thereof.

Abstract: A CPR training system comprises a plurality of CPR training manikins and at least one receiver unit, where each manikin comprises at least one sensor and a microcontroller connected to each sensor. The microcontroller is connected to a Bluetooth transmitter which is adapted to transmit the data from the sensors within a BLE advertising package to the at least one receiver unit. For the CPR training system there may also be provided a multi CPR monitoring device which comprises the receiver unit, a user interface, and a processor, where the receiver unit is adapted to receive CPR data from the transmitters as BLE advertising packages, the processor analyzes the received data, and the user interface shows the result of the analysis in a grid, where each grid cell represents the data from a respective transmitter.

Abstract: Embodiments of the present disclosure relate to systems, methods, and user interfaces that generates and renders virtual environments for display using a VR system (e.g., on a display of a VR headset). Virtual reality is leveraged to create immersive experiences that enables users to experience clinical processes, train staff through new protocols, and gain empathy through a variety of complex scenarios. Initially, contextual information is initially received for an event. Based on the contextual information of the event, data collections is triggered from a clinical system and an environment system for data occurring before and after the event. Utilizing the collected data, a three dimensional modeling of a timeline of event, characters associated with the event, and dialogue corresponding to the event can be recreated. After contributing factors are identified and weighted for the event, a virtual simulation of the event can be created.

Abstract: An electronic apparatus and method for medical examination of human body using haptics is provided. The electronic apparatus controls a first head-mounted display to render a 3D model of an anatomical portion of the body of a human subject. The rendered 3D model includes a region corresponding to defect portion in the anatomical portion. The electronic apparatus transmits a touch input to wearable sensor in contact with the anatomical portion. Such an input corresponds to a human touch on the region of the rendered 3D model. The electronic apparatus receives, based on the touch input, bio-signals associated with the defect portion via the wearable sensor. The bio-signals include physiological signals and somatic sensation information associated with the defect portion. As a response to the human touch, the electronic apparatus controls a wearable haptic device to generate a haptic feedback based on the received set of bio-signals.

Abstract: A training system to teach use of an ultrasound probe, the training system having a chamber defining an orifice, a shaft insertable into the orifice of the chamber, a marker positioned on the shaft at a distal end, a camera positioned to view the marker when inserted inside the chamber, and a processor operatively connected to the camera for processing a position and an orientation of the shaft based on the marker. The system provides a method for visualizing movement of the shaft from inside the chamber.

Abstract: The disclosure relates to a syringe support for supporting an axial position of a syringe relative to a housing of an autoinjector. The syringe support comprises a projecting portion, which projects from the syringe support in a distal direction and a flexible portion which axially adjoins the projecting portion. The flexible portion is adapted to axially bias the syringe in the distal direction within the housing. The disclosure further relates to an autoinjector.

Abstract: A synthetic skin patch for a medical needle insertion training device. The training device has a training region, at least one synthetic vein in the training region, and a plurality of fastening structures positioned about the training region. The skin patch comprises an elastic, substantially flat central body, and a plurality of connectors positioned about the perimeter of the central body. The connectors positionally match and mate with the fastening structures on the training device to secure the skin patch to the training device over the training region.

Abstract: An organ model comprises a polymer body formed from one or more selectively deposited substructures of a printable polymer-based ink composition, wherein the one or more selectively deposited substructures form a printed geometrical structure that corresponds to at least a portion of an anatomical structure of an organ, wherein a formulation of the printable polymer-based ink is selected such that the printed geometrical body has one or more material properties that match or substantially match one or more corresponding tissue material properties of an organ tissue, and an electronic device integrated onto a surface or into a structure of the printed geometrical structure.

Abstract: A training system uses a physical model of a head and neck with a first tracker, a second tracker on a physical laryngoscope model, a third tracker on a physical endotracheal tube model, and a fourth tracker on a VR goggle; the system uses the trackers to determine positions of the physical models. A simulation system has corresponding digital 3D models of a laryngoscope, an endotracheal tube, and an airway, the airway including 3D models of surfaces of tongue, epiglottis, larynx, pharynx, and trachea. The physical model locations are registered to the digital models. In embodiments, the physical laryngoscope model has sensors measure strain or pressure along its blade and the simulation system has instructions to distort the digital 3D model of the airway according to readings of the sensors. The system can render the digital 3D model viewed from the VR goggle or a camera of the laryngoscope.

Abstract: A needle-free injector conditionally detects a training cartridge based on the detected response to linear actuation of a plunger and enters a training mode instead of an injection mode.

Abstract: With a diagnostic imaging support apparatus, a diagnostic imaging support method, and a diagnostic imaging support program, an optimum image for extracting a contour can be automatically selected from a superimposed image obtained by superimposing a plurality of images of different types. A diagnostic imaging support apparatus 1 includes: an accepting unit 22 that accepts a specification of the position of a predetermined defined region R on a superimposed image G obtained by superimposing a plurality of images of different types including a target image G0 that is a target on which a contour is created; a selection unit 23 that selects an image for extracting a contour on the basis of image information about regions R0, R1, and R2, in the plurality of images of different types, each corresponding to the accepted defined region R; and a contour extraction unit 24 that extracts the contour from the selected image.

Abstract: A prosthetic abdomen for peritoneal dialysis training is provided. The prosthetic abdomen is in the form of a belt having an inner layer of material, an outer layer of material, and a pouch formed between the inner layer of material and the outer layer of material. A belt fastener is provided at one or both ends of the belt. The outer layer of material has an inner surface partially defining the pouch, and an outer surface having a skin tone color. The positioning of the belt and skin tone color can be selected to mimic the actual peritoneum of a patient. The pouch is expandable to hold a bag of liquid having a volume of at least 1000 milliliters (ml). A method of training a patient to carry out a peritoneal dialysis self-treatment, using the prosthetic abdomen, is also provided.

Abstract: In an embodiment provided herein, an injection simulation device including a housing having a proximal end and a distal end is provided. The injection simulation device embodiment comprises a plunger having a proximal end, a distal end and being slidable relative to the housing, and a retractable injection simulation member at the distal end of the housing, at least one biasing member associated with the retractable injection simulation member and associated with the plunger, wherein a first force on a distal end of the injection simulation member causes movement of the injection simulation member from an extended position to a retracted position, to compress the first biasing member, and simulate the tactility of an injection to a user; and wherein a second force on the proximal end of the plunger asserts a third force on the first biasing member to facilitate resetting the injection simulation member to the extended position.

Abstract: A method for optimizing a knee arthroplasty surgical procedure includes receiving pre-operative data comprising (i) anatomical measurements of the patient, (ii) soft tissue measurements of the patient's anatomy, and (iii) implant parameters identifying an implant to be used in the knee arthroplasty surgical procedure. An equation set is selected from a plurality of pre-generated equation sets based on the pre-operative data. During the knee arthroplasty surgical procedure, patient-specific kinetic and kinematic response values are generated and displayed using an optimization process. The optimization process includes collecting intraoperative data from one or more surgical tools of a computer-assisted surgical system, and using the intraoperative data and the pre-operative data to solve the equation set, thereby yielding the patient-specific kinetic and kinematic response values. A visualization is then provided of the patient-specific kinetic and kinematic response values on the displays.

Abstract: The present disclosure pertains to systems, devices, and methods for use in medical simulation and training, providing realistic-looking medical effects. More particularly, the present disclosure pertains to systems, devices, and methods for simulating an open surgery environment, including dynamic features and aspects commonly found in trauma, emergency, and combat events. Aspects of the present disclosure relate to a wearable device for simulating wounds and injuries received during a trauma event, and performing associated surgical tasks. Aspects of the present disclosure further relate to a medical training device for Trauma Emergency Casualty Care and Tactical Combat Casualty Care (TCCC), including hemorrhage control. Aspects of the present disclosure further relate to an open surgery simulator, which may stand alone or work in combination (e.g., wear) various wound and injury simulators. Aspects of the present disclosure further relate to a simulated torso for an open surgery simulator.

Abstract: A device and system for simulating normal and disease state cardiovascular functioning, including an anatomically accurate cardiac simulator for training and medical device testing. The system and device uses pneumatically pressurized chambers to generate ventricle and atrium contractions. In conjunction with the interaction of synthetic valves, which simulate mitral and aortic valves, the system is designed to generate pumping action that produces accurate volume fractions and pressure gradients of pulsatile flow, duplicating that of a human heart. Through the use of a control unit and sensors, one or more parameters, such as flow rates, fluidic pressure, and heart rate, may be automatically controlled, using feedback loop mechanisms to adjust parameters of the hydraulic system to simulate a wide variety of cardiovascular conditions including normal heart function, severely diseased or injured heart conditions, and compressed vasculature, such as hardening of the arteries.

Abstract: The present disclosure relates to a system for patient-specific intervention planning, the system comprising a physical model of an anatomical structure, wherein the physical model is a patient-specific model based on medical image data; a virtual model of the anatomical structure, wherein the virtual model is a patient-specific model based on medical image data; a tracking device configured to track a position of a physical representation of an interventional tool with respect to the physical model of the anatomical structure; a processor configured to perform the step of: registering the physical model of the anatomical structure with the virtual model of the anatomical structure and registering the physical representation of the interventional tool with a virtual representation of the interventional tool based on the position of the physical representation of the interventional tool and the physical model of the anatomical structure.

Abstract: A system and method for monitoring user stress levels is provided. One embodiment measures blood pressure using a blood pressure monitor in a monitoring sock; measures heart rate of the user using a heart rate monitor in the monitoring sock; monitors galvanic skin response (GSR) of the foot using at least one electrode in a monitoring shoe that is being worn by the user; generates supplemental information that includes at least a date and time of acquisition of the received blood pressure data, the heart rate data, and/or the GSR data; communicates the supplemental information, the blood pressure the heart rate data, and the GSR data; and stores the supplemental information, the blood pressure data, the heart rate data, and the GSR data into a memory.

Abstract: A method, computer system, and a computer program product for task monitoring is provided. The present invention may include training an AI voice response system based on task performance data, wherein the task performance data originates from at least one monitoring device. The present invention may include receiving a request for instructions to complete a task from a user. The present invention may include monitoring a performance of the task by the user, wherein the performance of the task by the user is monitored utilizing at least one monitoring device. The present invention may include determining differences between the performance of the task by the user and a task sequence.

Abstract: Various embodiments of an apparatus, methods, systems and computer program products described herein are directed to an Interaction Engine. According to various embodiments, the Interaction Engine generates, within a unified three-dimensional (3D) coordinate space: a virtual 3D medical model positioned according to a current model pose and at least one a virtual 3D hand representation. The Interaction Engine renders an AR display that includes display of the virtual 3D medical model positioned according to the current model pose and the virtual 3D hand representation. The Interaction Engine identifies selection of a slate virtual interaction based on the type of movement of the virtual 3D hand representation. The Interaction Engine modifies the AR display by rendering a virtual slate concurrently displayed with the virtual 3D medical model. The Interaction Engine adjusts the display of the virtual 3D medical model based at least on subsequent physical gestures with respect to the virtual slate.

Abstract: An ultrasound system including an ultrasound machine and an ultrasound probe. The ultrasound probe includes an ultrasound transducer, ultrasound circuitry, a six degree of freedom (6-DOF) sensor, and a probe housing. The probe housing encases the ultrasound transducer and the 6-DOF sensor. By embedding motion-sensing technology directly within the housing of the ultrasound transducer, the position and orientation of the ultrasound probe can be tracked in an automated manner in relation to an indicator mark on the ultrasound screen. This allows assisting technologies to mitigate human error that arises from misalignment of the transducer indicator.

Abstract: In an embodiment, an injection simulation device is provided including a housing defining a channel, the housing comprising a proximal end and a distal end, a plunger comprising a plunger rod body having a proximal end and a distal end and a stopper disposed at the distal end of the plunger rod, the plunger movable proximally and distally within the channel; and a friction feature associated with the housing, the friction feature for interfacing with the plunger rod, wherein the plunger moves in a distal direction relative to the housing to simulate medicament delivery and in a proximal direction to reset the injection simulation device, wherein the friction feature optionally causes differential resistance on the plunger rod, when the plunger rod moves in either the distal or proximal direction.

Abstract: Disclosed is a hands-free heart-beat audio transmitter and receiver, plus related methods of meditation and relaxation. In one embodiment, the disclosed system is a device that allows a user to listen to his or her heartbeat wirelessly and hands-free during meditation and relaxation.

Abstract: In one aspect of the invention a system and method is claimed for providing model parameters for three dimensional fabrication of anatomical structures by obtaining and reconstructing three dimensional image data with a medical imager wherein imaging acquisition parameters of the imaging system and/or reconstruction input parameters of the reconstructor are optimized for maximum geometry precision. Advantageously, the imaging system is further configured to obtain material and/or functional information of the anatomical structure model and that material information is used to incorporate the material information in the anatomical model.

Abstract: There is disclosed a simulation system for simulating a respiratory system. The simulation system includes a variable resistance device that provides a variable resistance to the airflow it receives to simulate a variation in resistance for the respiratory system during breathing and a variable elastance device that provides a variable elastance to the airflow it receives to simulate a variation in elastance for the respiratory system during breathing.

Abstract: A method of operating a surgical control system comprises displaying an image of a surgical environment, from a field of view of an imaging instrument, on a display system. The display system is configured for mounting to a head of a user. The method also includes detecting an imaging control input from the user and responsive to the detection of the imaging control input, enabling an imaging control mode of the surgical control system. The method also includes detecting a movement of the head of the user. While the surgical control system is in the imaging control mode and responsive to the user's head movement, an image of the surgical environment from a changed field of view of the imaging instrument is displayed. The changed field of view corresponds to the detected movement of the user's head.

Abstract: A system and method for extended spectrum ultrasound training using tags placed on animate and/or inanimate objects. The system combines the use of tags, a reader, and a 3-DOF motion tracker to train a user in finding image windows and optimal image views in an ultrasound simulation environment.

Abstract: Various embodiments of the disclosed technology present a structural foundation for volumetric flow reconstructions for expiratory modeling enabled through multi-modal imaging for pulmonology. In some embodiments, this integrated multi-modal system includes infrared (IR) imaging, thermal imaging of carbon dioxide (CO2), depth imaging (D), and visible spectrum imaging. These multiple image modalities can be integrated into flow models of exhale behaviors enable the creation of three-dimensional volume reconstructions based on visualized CO2 distributions over time, formulating a four-dimensional exhale model which can be used to estimate various pulmonological traits (e.g., breathing rate, flow rate, exhale velocity, nose/mouth distribution, tidal volume estimation, and CO2 density distributions).

Abstract: A system and method for providing a medical simulation device that utilizes open software platforms and provides functionality in both software and hardware modules is disclosed. The medical simulation system facilitates plug and play operation with installed hardware and software modules that are automatically recognized by the system for compatibility and the system configures itself according to identification information of the hardware module.

Abstract: Provided is an ultrasound diagnosis apparatus including an image processor configured to generates an ultrasound image on the basis of an ultrasound signal, an image outputter configured to display the ultrasound image generated by the image processor on the basis of a plurality of parameters, a sound outputter configured to output Doppler sound of the ultrasound image, and a controller configured to control a volume of the Doppler sound on the basis of at least one of the plurality of parameters.

Abstract: An example method includes obtaining, a virtual model of a portion of an anatomy of a patient obtained from a virtual surgical plan for an orthopedic joint repair surgical procedure to attach a prosthetic to the anatomy; identifying, based on data obtained by one or more sensors, positions of one or more physical markers positioned relative to the anatomy of the patient; and registering, based on the identified positions, the virtual model of the portion of the anatomy with a corresponding observed portion of the anatomy.

Abstract: A test apparatus or system for testing impact induced brain trauma a method of making and a method using the same are provided. The system includes a head model, which includes a skull component, a brain component, and a fluid component. The skull component has a wall defining an interior chamber. The brain component includes a gel material and is disposed within the interior chamber. The fluid component is disposed inside the interior chamber. The system may also include a fluid tank fluidly coupled with the skull component and configured to provide the fluid component into the interior chamber. The head model may further include a layer of porous media disposed between the brain component and the interior wall surface of the skull component. The system may include at least one impact element for providing an impact on the head model. The impact is translational or rotational or both.

Abstract: Devices utilizing holographic 4D plenoptic capture and display technologies to generate a light field function to provide glasses-less vision correction for observers with imperfect vision, and to project an image according to the generated light field function, and methods for calibrating a four-dimensional light field for a user with an uncorrected visual acuity.

Abstract: Generally, described herein are computer-implemented systems and methods for self-guided education in various aspects of health care. The described systems and methods effect behavior change through a functional relationship between the content of educational case packages comprising a plurality of displays, each of which has one or more completion conditions which must be completed by the user in accordance with a health care procedure to be practiced. The performance of the case by the user habituates behavior change through practice of a health care procedure.