Abstract: An automatic injection training device is presented having an elongated housing having a tubular demo container axially and rotationally fixed relative to the elongated housing and having a tubular wall, a reloadable plunger assembly having a plunger which is movable in the demo container between a first and a second position and a first energy accumulating member that moves the plunger from the first to the second position, an actuation assembly that holds the plunger in the first position, a biased needle cover that is movable in relation to the housing from an extended position to a retracted position and from the retracted position to the extended position, wherein the needle cover member interacts with the actuation assembly for releasing the plunger when the needle cover member is moved distally.

Abstract: Introduced here are teaching system for realistically simulating medical situations in such a manner to test individuals as to the adequacy of their learning. A teaching system may include a manikin representative of a patient, an image projection mechanism, a simulation mechanism, a headpiece, a pair of hand coverings, a controller, a performance review mechanism, a recording device, a scenario generation mechanism, or any combination thereof. The teaching system can improve upon conventional simulation in several respects. First, the script corresponding to a simulation session may be dynamically traversed to mimic the unpredictability of an actual medical situation. Second, the action(s) of an individual may be actively monitored to discover whether her behavior complied with the relevant protocol(s).

Abstract: Vasculature models and associated systems and methods are disclosed herein. In some embodiments, the model comprises a tube including a lumen extending therethrough, a synthetic thrombus including a magnetic component, and a magnetized member. The thrombus is sized to be positioned within the lumen, and the magnetized member is positioned peripheral to the thrombus such that a radially outward force is exerted on the thrombus via the magnetized member. The tube may be part of a network of tubes that generally resemble human neurovasculature.

Abstract: Disclosed herein are systems, methods, and software for providing a virtual environment with enhanced visual and haptic detail. In some embodiments, the haptic tool and haptic target are assigned affordance and susceptibility values, respectively, that are used to determine visual and haptic feedback.

Abstract: A simulator for simulating soft body deformation includes a display system, a user interface, and a controller. The controller includes one or more processors coupled to memory that stores instructions that when executed cause the system to perform operations. The operations include generating a simulated soft body having a shape represented, at least in part, by a plurality of nodes. The operations further include determining, with at least a first machine learning model, a displacement of individual nodes included in the plurality of nodes in response to a simulated force applied to the simulated soft body. The operations further include rendering a deformation of the simulated soft body in substantially real time in response to the simulated force based, at least in part, on the displacement.

Abstract: A modular wound therapy training device, system, and method of use for the device are provided. The device may include a support tray, an elastic insert, a base within the elastic insert, a recess within the base, a conformable polymer, a dressing and a negative pressure source. The recess may be circumferentially smaller than the base and the conformable polymer may be sized to fit within the recess. The device is preferably sized and shaped to form a system when aligned and assembled with duplicates of the device. A method is provided to apply negative pressure and installation therapy when a negative pressure source is activated through a protective dressing.

Abstract: A surgical simulator comprising a haptic arm capable of simulating forces generated during surgery from interactions between a surgical tool and tissue operated upon. The simulator further comprises a visual display capable of depicting a three-dimensional image of the simulated surgical tool and a physics-based computer model of the tissue. The haptic arm controls the movement and orientation of the simulated tool in the three-dimensional image, and provides haptic feedback forces to simulate forces experienced during surgery. Methods for simulating surgery and training users of the simulator are also described.

Abstract: A system for selecting an intervention based on effective age includes configured determine a user endocrinal age factor using at least a measure of user endocrine function, to determine a user telomeric age factor using a user telomere length, determine a user negative habit factor, and to multiply each factor by a user chronological age to obtain a user effective age. The at least a server is configured to derive a user health quality vector listing user priorities including life-expectancy increase. The at least a server is configured to generate a plurality of interventions, each with a vector having similar entries to the health quality vector. The at least a server is configured to select an intervention from the plurality of interventions by generating a loss function of the plurality of interventions and the user health quality vector and minimizing the loss function.

Abstract: A system and apparatus for selection and fabrication of surgical models allows a database of files of anatomical systems and regions with specific anatomy, pathology, and severity for a corresponding specific surgical model fabrication. A database stores files with data for fabrication of 3D models arranged by anatomical system, ailment or disease, severity, region and location, for allowing selection of a model appropriate to instructional subject matter desired, such as surgical procedure training on unique anatomy and pathology. A server employs a GUI for user selection for narrowing and identifying parameters for the model. An interface to a manufacturing machine, such as a 3D or additive printer to produce the surgical model using materials approximating the emulated tissues. Additionally, the fabricated models include integrated attachment components to fasten and orient the model to a surface for surgical training instrumentation.

Abstract: Systems, methods, and devices for providing feedback to an individual based on brushing performance, and providing guidance for the individual's brushing, are provided herein. In one exemplary embodiment, after an oral hygiene device is orientated, a determination is made as to a segment within the individual's mouth that a brush head of the oral hygiene device is located. Upon this determination being made, a sub-segment within the individual's mouth where the brush head is located is also determined. A brushing performance within the sub-segment is calculated and displayed to the user. A level of compliance for the particular segment is determined based on the brushing performance of the various sub-segments within the particular segment. If the level of compliance exceeds a pre-set compliance level for that segment, the individual is guided to a different segment within their mouth for brushing.

Abstract: A system for simulating a hysteroscopy procedure is disclosed. The system includes a base station adapted to communicate with a computer having a display monitor. A training box is connected to the base station, and includes a housing having a chamber positioned therein. The chamber simulates the shape of a uterine cavity and includes an opening for receiving an instrument. The instrument is adapted for insertion into the chamber for performing hysteroscopy evaluation exercises including targeting and polyp removal exercises.

Abstract: Aspects of the subject disclosure may include, for example a machine-readable medium that includes executable instructions that, when executed by a processing system including a processor, facilitate performance of operations, where the operations can include determining a level of experience that each of two or more users have with an AR event, identifying a primary user of the two or more users based on the level of experience, receiving an instruction from the primary user to modify an AR overlay for a user of the two or more users, and modifying the AR overlay based on the instruction. Other embodiments are disclosed.

Abstract: In certain embodiments, a video file may be obtained based on one or more predetermined criteria. Information associated with a user (to which dynamic content derived from at least a video portion of the video file is to be presented) may be obtained. The video file may be processed based on the information associated with the user to determine reference points within the video file. The dynamic content may be generated based on the reference points such that the dynamic content comprises a first video portion of the video file (that corresponds to at least one of the reference points) and additional content related to the first video portion. The dynamic content may be provided for presentation to the user.

Abstract: A training device for training a user on the operation of an auto-injector that dispenses a medicament. A needle guard is slidable from a first extended position relative to a housing prior to operation of the training device, to a retracted position during operation of the training device, and to a second extended position after operation of the training device. An actuation assembly controls the movement of the needle guard from the retracted position to the second extended position. A lock locks the needle guard in the second extended position. A safety is proximate a proximal end of the housing and prevents movement of the needle guard from the first extended position to the retracted position in a storage position. The needle guard is moveable into the retracted position with the safety in an armed position. The safety resets the lock upon returning the safety to the storage position.

Abstract: A medical simulator of procedures associated with punctures, for simulation and practical training in puncture interventions, the medical simulator comprising a phantom, an intervention device and a processing system in data communication with the phantom and the intervention device, wherein the phantom comprises at least one target structure arranged for the training of the intervention and means for detecting the intervention device, said detection means being in communication of data with the processing system. The intervention device comprises a real puncture instrument that includes sensing means and detection means in data communication with the processing system. The phantom comprises a structure with at least two components, a simulation assembly that simulates the behavior of tissues and anatomical structures, and a base structure that forms the phantom support, wherein the base structure comprises accommodation and fixation means to house and fix the simulation assembly.

Abstract: The present invention relates to a web-based platform to track medical clinical assignments and to link embedded evaluation instruments to procedure type, for the optimization and improvement of medical clinical education and performance for healthcare professions, and in particular for graduate residents, such as surgical residents. This model is the basis for the platform for physician scoring and profiling to determine physician educational and performance competency with a selected medical procedure. The invention provides methods and systems for improving or optimizing performance tracking of a medical professional.

Abstract: [Object] To more flexibly control the affinity of a spoken utterance for a background sound in accordance with the importance degree of an information notification. [Solution] There is provided an information processing apparatus including an utterance control unit that controls an output of a spoken utterance corresponding to notification information. The utterance control unit controls an output mode of the spoken utterance on the basis of an importance degree of the notification information and affinity for a background sound. In addition, there is provided an information processing method including controlling, by a processor, an output of a spoken utterance corresponding to notification information. The controlling further includes controlling an output mode of the spoken utterance on the basis of an importance degree of the notification information and affinity for a background sound.

Abstract: An AED trainer is implemented using a special purpose hardware platform and a state machine, implemented in software, which together replicate or simulate operations of a target AED device. The state machine operates the AED trainer in an efficient and effective manner to train students to correctly perform rescue procedures on patients suffering from Sudden Cardiac Arrest.

Abstract: Methods, apparatus and computer program products implement embodiments of the present invention that include receiving 3D image data with respect to a 3D region in a living body, the 3D region including a first body cavity having an opening to a second body cavity, and receiving coordinates of a seed location within the first cavity in proximity to the opening. The 3D image data is processed so as to identify, for each ray among a plurality of rays emanating from the seed location at different, respective angles, a respective distance from the seed location to a respective intersection point at which the ray intersects surface tissue in the second cavity. Among the rays, the ray for which the distance from the seed location to the respective intersection point is greatest is selected, and an image is rendered that includes the opening as seen from a location on the selected ray.

Abstract: A system and method that improves the speed and efficiency through which ultrasound practitioners acquire and develop essential basic ultrasound skills in a simulated environment without the need of actual patients or subjects. The system utilizes a simulator with an input device that manipulates a virtual transducer probe in a simulated 3D space to cut a slice through a basic shape. A 2D section of the cut plane is also displayed so that the practitioner can learn to relate 2D section with their 3D objects cut in cross-section.

Abstract: Embodiments receive images of a body area of a patient; identify abnormal tissue in the image; generate a data set with the abnormal tissue masked out; deform a model template in space so that features in the deformed model template line up with corresponding features in the data set; place data representing the abnormal tissue back into the deformed model template; generate a model of electrical properties of tissues in the body area based on the deformed and modified model template; and determine an electrode placement layout that maximizes field strength in the abnormal tissue by using the model of electrical properties to simulate electromagnetic field distributions in the body area caused by simulated electrodes placed respective to the body area. The layout can then be used as a guide for placing electrodes respective to the body area of the patient to apply TTFields to the body area.

Abstract: A rib retention training assembly that is beneficial for training and practicing chest tube insertion and other invasive rib surgical procedures is envisioned to incorporate a portion of an animal rib cage covered by a synthetic sheet of human-like skin. One embodiment contemplates an apparatus comprising three framed plates each with an aperture in the center, much like a picture frame. When assembled, the synthetic sheet of human-like skin is sandwiched between a first outer framed plate and a center framed plate such that the synthetic sheet is covering the respective apertures, and the portion of the animal rib cage is sandwiched between the center frame plate and a second outer framed plate such that the rib cage is covering the respective apertures. This assembly provides a chest prop with a realistic feel for surgical simulations.

Abstract: The present invention patent refers to a system for vascular-surgery simulation that corresponds to an equipment and system designed to produce, by means of 3D printing using a 3D printer, real images of the aorta of the patients obtained by imagined examinations such as computed tomography and/or nuclear magnetic resonance in order to enable doctors to acquire complex skills and/or to refine their operating techniques, training in a controlled environment and with suitable guidance, without putting the patient at risk, being characterized in that it comprises connectors (2) made of silicone, pulsating flow pump (3), negatoscope (4), black box (5), camera (not shown) and monitor (6) such as to reproduce, in silicone or translucent resin, the aortic arch, thoracic aorta, abdominal aorta and the iliac arteries.

Abstract: Techniques and systems are described for providing modularity, tracking and simulation features of a mixed reality simulator. A modular approach to tracking systems, tracked instruments, and interchangeable modular physical models is described. Enhanced indicators and indicator interfaces improve imaging probe and instrument orientation and alignment with respect to a physical target, including but not necessarily within a combined physical and virtual system; these include anisotropy indicators, indicators of alignment in both in-plane and out-of-plane ultrasound or other imaging techniques, and perpendicularity indicators for better placement of probes and instruments over curved surfaces. A universal needle hub is described that integrates tracking system components and simulation feedback components usably with varying needle types.

Abstract: The present disclosure relates to a medicament delivery training device comprising a body, a needle cover, a rotator that is torsionally biased, and a plunger rod. When the needle cover is moved from an extended position to a retracted position relative to the body, this linear motion is transformed into a rotational motion of the rotator which thereby releases the plunger rod. The plunger rod, which is biased, is thereby able to move axially. During axial motion of the plunger rod, the plunger rod is arranged to engage with the rotator to thereby displace the rotator axially, eventually resulting in a first angular distance rotation of the rotator. Upon release of the biased needle cover from the extended position, the rotator is allowed to rotate a second angular distance, thus obtaining a position which prevents the needle cover to move from the extended position towards the retracted position.

Abstract: Various operational mode arrangements of an electric toothbrush (10) include pre-programming a controller portion (16) of the electric toothbrush such that a single brushing event of approximately two minutes comprises automatically at least two different operating modes and specified times for each mode. Another operational mode includes the capability of operating the on/off button (20) of the toothbrush within a specified short time following termination of a normal brushing event to provide the user a specified additional time, e.g. 30 seconds of toothbrush action. A special toothbrush interface arrangement includes a display (80) which encourages children to maintain brushing for the full brushing period. This is accomplished through sequential illustration of the progress of an article from an initial state to a final desired state as the toothbrush is used for increasing portions of a full brushing time period.

Abstract: A resettable injection training device embodiment is provided. In one embodiment, the device may include an outer housing comprising locking tabs at its proximal end, a safety shield, the safety shield being slidable relative to the outer housing between a ready-to-fire position, and a fired position, wherein when the safety shield is in a fired position, the injection simulation member is retracted into the outer housing. The device may further include a plunger comprising a proximal end and a distal end, the proximal end comprising a plunger contact portion for interfacing with the locking tabs to displace the locking tabs to unlock the safety shield, and a biasing member disposed between the outer housing and the safety shield to extend the shield in a proximal direction upon release of the locking tabs, wherein retraction of the plunger and proximal movement of the outer housing resets the device.

Abstract: Systems and methods relating to placement of an ultrasound transducer for a procedure. In a non-limiting embodiment, a 3D environment including images of a body region of a patient, as well as images including a first virtual representation of an ablation needle at a first location and a second virtual representation of an ultrasound transducer at a second location is rendered on a display device. A determination may be made as to whether the first and second virtual representations collide at a first collision point. If so, at least one parameter associated with an orientation and/or position of the second virtual representation may be adjusted. A determination may then be made as to whether or not the first and second virtual representations still collide and, in response to determining that there is no collision, position data indicating the location of the second virtual representation after the adjustment, is stored.

Abstract: A resettable injection training device embodiment including an outer housing having a proximal end and a distal end, the housing defining a chamber there within, a safety shield having a proximal end and a distal end, the safety shield having a retracted, locked position, a first extended unlocked position, a second extended unlocked position, and a second extended locked position is described herein. The device embodiment including a plunger having a proximal a distal end, the plunger having a retracted and an extended position. The device may include a rotating plunger locking collar, an unlocking member coupled to the plunger, wherein rotation of the unlocking member from a first position to a second position unlocks the device and releases the safety shield from the retracted, locked position. The device may further include a resetting cap for resetting the device for a subsequent use.

Abstract: A training system for dental procedures having a training device and a self-assessment for use with the training device is described. The training device is printed with a 3D printer and includes a predetermined anatomic form of at least a portion of a human jaw structure and a predetermined anatomic form of at least one human tooth structure. Part of the printed human tooth structure is rooted in the printed human jaw structure, and both structures are designed to have at least one analogous physical property to their corresponding human structures. The self-assessment includes a pictorial array of procedural outcomes of a procedural step so that a user can identify which image in the pictorial array best represents the user's own procedural outcome of the procedural step performed by the user on the training device and at least one feedback instruction.

Abstract: In one embodiment, the invention can be an oral care system that includes a toothbrush; a user interface configured to receive a brushing goal from a user; and a programmable processor operably coupled to the user interface. The programmable processor can be configured to receive brushing goal data indicative of the brushing goal received by the user interface; and determine, based at least in part on the brushing goal data, at least one of a suggested brushing routine and a brushing evaluation for a brushing session.

Abstract: A liquid flow instructional system for presenting a proportions problem and for allowing the proportions problem to be solved comprises an input container and a plurality of output containers selectively and fluidly coupled to the input container. The system has an adjustable valve having a plurality of configurable regions. Each of the plurality of configurable regions corresponds to one of the plurality of output containers. An activable switch is provided for initiating flow of liquid from the input container to the plurality of output containers in accordance with a user configuration of the plurality of configurable regions. The proportions problem is solvable by filling each of the plurality of output containers to capacity without spillage. The correspondence between the plurality of configurable regions and the plurality of output containers is indicated by a visible indicator.

Abstract: A surgical simulator for electrosurgical training and simulation is provided. The surgical simulator includes one or more simulated tissue structures made substantially of a hydrogel comprising a dual interpenetrating network of ionically cross-linked alginate and covalently cross-linked acrylamide. Combinations of different simulated tissue structures define procedural-based models for the practice of various electrosurgical procedures including laparoscopic total mesorectal excision, transanal total mesorectal excision, cholecystectomy and transanal minimally invasive surgery. Methods of making the simulated tissue structures are also provided.

Abstract: A sensorized surgical instrument for training users laparoscopic surgical procedures is provided. The instrument includes at least one sensor selected from a group consisting of a strain gauge, accelerometer, magnetometer, and gyroscope. The sensor is attached directly to a handle of the instrument. A shaft assembly having a tool tip is interchangeably connectable to the handle. The sensor is connected to a computer configured to provide feedback useful to the user for improving the user's surgical skills. The feedback includes the time to complete a procedure, economy of motion, smoothness of motion and the force exerted at the tool tip.

Abstract: A system includes a guidance device that provides feedback to a user to compress a patient's chest at a rate of between about 90 and 110 compressions per minute and at a depth of between about 4.5 centimeters to about 6 centimeters. The system includes a pressure regulation system having a pressure-responsive valve that is configured to be coupled to a patient's airway. The pressure-responsive valve is configured to remain closed during successive chest compressions in order to permit removal at least about 200 ml from the lungs in order to lower intracranial pressure to improve survival with favorable neurological function. The pressure-responsive valve is configured to remain closed until the negative pressure within the patient's airway reaches about ?7 cm H2O, at which time the pressure-responsive valve is configured to open to provide respiratory gases to flow to the lungs through the pressure-responsive valve.

Abstract: Methods and training programs for improving the level of quality of care within a healthcare plan. The methods include obtaining medical data from a population of patients within the plan, storing such data in electronic medical records embodied on a computer readable medium, evaluating at least one metric within the data via a computer capable of interpreting said electronic medical records, and presenting a notification if the metric is found to be below a standard for the metric. The training includes evaluating the healthcare plan's current practices, training the healthcare provider in improved practices, providing a system for recording medical documents, and training the healthcare provider in use of the system.

Abstract: Systems and methods enabling a personalized solution for allowing more efficient access to the carotid artery (or vertebral arteries) m patients needing endovascular/neurointervention procedures using catheter systems.

Abstract: A medicament-free device (e.g., a smartphone device) for simulating a medicament dispenser may include a sensing device and a processor. The sensing device may sense a user action performed upon the medicament-free device and may output sense data. The processor may receive the sense data, compare the sense data with predefined data, and provide feedback based on how the sense data compares to the predefined data. The predefined data may be indicative of a model user action associated with the medicament dispenser.

Abstract: A method and a system of alerting patient with sleep disorder are provided. The method includes: detecting a change in a parameter(s), and if the change is detected, sounding an alarm, wherein the parameter(s) includes sound, motion, heartbeat, blood pressure, breathing frequency, magnitude and/or frequency of movement. The system includes a detector for detecting a change in a parameter(s) and an output device for sounding an alarm, wherein the parameter(s) comprise(s) sound, motion, heartbeat, blood pressure, breathing frequency, and/or magnitude and/or frequency of movement.

Abstract: Systems and methods for simulating fluid injection procedures are disclosed. According to some embodiments, a fluid injection simulation system comprises a processing unit coupled to a variable flow resistance module. The processing unit determines a fluid flow resistance that corresponds to a predetermined level of resistance for tactilely simulating a fluid injection procedure. The processing unit controls the variable flow resistance module to achieve the fluid flow resistance that corresponds to the predetermined level of resistance for tactilely simulating a fluid injection procedure.

Abstract: A system and method for converting static/still medical images of a particular patient into dynamic and interactive images interacting with medical tools including medical devices by coupling a model of tissue dynamics and tool characteristics to the patient specific imagery for simulating a medical procedure in an accurate and dynamic manner by coupling a model of tissue dynamics to patient specific imagery for simulating surgery on the particular patient. The method includes a tool to add and/or to adjust the dynamic image of tissues and ability to draw any geometric shape on the dynamic image of tissues and to add the shape into the modeling system.

Abstract: Methods, systems, and devices for creating a model of a medical device for use in an extended reality (XR) system are described. The method may include receiving a three-dimensional model of the medical device, where the three-dimensional model is represented by a plurality of vectors. The method may further include reducing a number of the plurality of vectors to at least below a maximum vector count threshold while maintaining at least a minimum model resolution threshold. In some cases, the method may include assigning one or more components to the reduced number of the plurality of vectors. The method may further include configuring a software-executable file for displaying an XR version of the three-dimensional model of the medical device.

Abstract: The present disclosure relates to a tool used to producing anatomical phantoms. The tool includes an inner flexible mold which sits inside a rigid, thermally conductive outer shell. The rigid shell may be made out of aluminum. The silicone mold and thermally conductive shell both include at least two interlocking components. The shell is held together by a locking mechanism which can expand upon internal pressure. An anatomical phantom is produced from polyvinyl alcohol hydrogel by freezing and thawing a PVA liquid precursor in the silicone mold and demolding it.

Abstract: A medication management system is described that is operable to determine whether a user is actually following a protocol, provide additional assistance to a user, starting with instructions, video instructions, and the like, and moving up to contact from a medication administrator if it is determined that the user would need such assistance in any medical adherence situation, including clinical trial settings, home care settings, healthcare administration locations, such as nursing homes, clinics, hospitals and the like. Suspicious activity on the part of a patient or other user of the system is identified and can be noted to a healthcare provider or other service provider where appropriate.

Abstract: Systems, methods, and tangibly-implemented software instructions for supporting a teleoperated surgical system (TSS). A surgical input that includes monitored events of the TSS, is received. A current stage of the surgical procedure is autonomously determined based on the surgical input. A call for surgeon assistance may be detected, in response to which context-relevant assistance may be provided to a surgeon console of the TSS, the context-relevant assistance being stage-synchronized with the surgical procedure.

Abstract: Systems and methods related to the field of cardiac resuscitation, and in particular to devices for assisting rescuers in performing cardio-pulmonary resuscitation (CPR), are described herein. In one aspect, a method for managing cardiopulmonary resuscitation (CPR) treatment to a person in need of emergency assistance includes monitoring a parameter that indicates a fatigue level of a rescuer and providing an indication that a different person should perform the CPR component if the rescuer is exhibiting fatigue.

Abstract: An interactive mixed reality simulator is provided that includes a virtual 3D model of internal or hidden features of an object; a physical model or object being interacted with; and a tracked instrument used to interact with the physical object. The tracked instrument can be used to simulate or visualize interactions with internal features of the physical object represented by the physical model. In certain embodiments, one or more of the internal features can be present in the physical model. In another embodiment, some internal features do not have a physical presence within the physical model.

Abstract: A computer implemented method and system for generating a hybrid test construct, and for simulating and recording events, to test and simulate a virtual environment of connected devices. A plurality of real devices and virtual devices are provided and their behavior parameters are provided. A hybrid test construct of virtual and real devices is created by connecting the plurality of real devices and instantiating the virtual devices and external influencers. At least one container is specified to represent the virtual environment. A spatial relationship of the real devices, the virtual devices, and the external influencers are specified. Then at least one event is specified. A simulation is run where real data is received from the real devices that are then combined with a behavioral simulation of the virtual devices and external influencers. The results of the simulation are then compared to forecasted behavior.

Abstract: A neck assembly for an anthropomorphic test device (ATD) includes a plurality of vertebra discs, a plurality of ligament joints each having a joint element disposed between the vertebra discs, and a torsion assembly coupled to one of the vertebra discs to allow rotation about an axis of the one of the vertebra discs to simulate torsion response of a human neck.

Abstract: An exemplary system may include an augmented reality device with a user interface, a processor and memory having a program communicatively connected to the processor. A transceiver may be communicatively connected to a practitioner device for real-time practitioner guidance. The system may include a plurality of sensors and a feedback device in communication with the processor. The system may display initial and updated guidance objects in a real-time environment of the user and in response to sensor outputs of the plurality of sensors. The feedback device may provide at least one of audio, visual, and tactile feedback in response to the sensors outputs. The system may condition the user to provide a desired reaction by guiding the real-time user reactions in the real-time environment using the feedback in response to the sensor outputs.