UnityLaparoscopicSceneSimul.../.claude/commands/medical-simulation-safety.md
Artur Mukhamadiev c51e6d1369 feat(models) added models/textures and Agents related stuff
:Release Notes:
- Agents files for opencode and claude
- Skills for opencode and claude
- 3d models with medical organs
- Some textures

:Detailed Notes:
-

:Testing Performed:
-

:QA Notes:
- Looks like shit :)

:Issues Addressed:
TG-1
2026-06-22 16:57:48 +03:00

3.6 KiB

Medical Simulation Safety (project-scoped)

Enforces the visual-only, non-clinical, non-instructional boundary. Load on any output that mentions anatomy, surgery, instruments, tissue, or pathology.

When to use

  • Reviewing any agent output before delivery.
  • Writing a comment, log, README, scene description, or handoff note touching anatomy, surgery, instruments, tissue, or pathology.
  • Any request for "realistic surgical steps", "what a surgeon would do", "anatomically correct [structure]", "clinically accurate [behaviour]".

Hard refusals (no exceptions)

  • Clinical instructions or surgical steps: "cut here", "incise the peritoneum", "place the trocar at the umbilicus".
  • Patient-specific advice: anything changing behaviour for a specific patient, anatomy, or pathology.
  • Anatomical diagnosis: "this looks like a tumour", "this is the hepatic artery", "this represents inflammation".
  • Treatment decisions: "use the harmonic scalpel here", "apply haemostatic agent".
  • Operative guidance: "the surgeon should now…", "the next step is…", "in a real procedure…".
  • Performance claims: "this will improve surgical outcomes", "this matches clinical guidelines".
  • Real-patient imagery references: naming a specific operation, or referencing a real surgical video.

Visual emulation vocabulary

The test: does the description teach a clinical fact, or describe a visual property? Teach nothing, describe everything.

Allowed Not allowed
"the surface looks wet and reflective" "this is the peritoneum, which is normally…"
"the cavity reads as enclosed" "this cavity is the abdomen, which contains…"
"the warm tone matches typical scope colour temperature" "this is what the surgeon sees during a cholecystectomy"
"the geometry suggests a curved wall" "this is the abdominal wall"
"the instrument proxy is metallic and tapered" "this is a Maryland dissector"
"the mucosa has normal-mapped micro-relief" "this tissue is inflamed"
"scenario 02 raises the specular response" "scenario 02 simulates bleeding"

Red-flag phrases to refuse or rewrite

Stop and rewrite as a visual description (or refuse) if output contains: "in a real surgery…", "clinically…", "the surgeon should…", "the next step is…", "this represents…", "this mimics…", "this corresponds to [named structure]…", "this is a [named instrument]…", "this looks like [pathology]…", "patients with…", "treatment of…".

Safe rewrite cheat sheet

Red flag Safe replacement
"this is the peritoneum" "this is the cavity wall"
"this is a Maryland dissector" "this is a metallic tapered instrument proxy"
"this represents inflammation" "this material has a warmer red tone"
"this is a cholecystectomy scene" "this scene shows a small enclosed cavity viewed through a narrow scope"
"the surgeon should now…" "the camera is positioned to look at…"
"in a real surgery…" "in a real scope view, the optics… (visual only)"
"this simulates bleeding" "this scenario raises the wet specular response"
Tissue_Inflamed.mat Tissue_Warm.mat
Instrument_Maryland.mat Instrument_Tapered.mat
// mimics peristalsis // adds a slow periodic motion to the geometry

Naming rules

New materials, scripts, and GameObjects must not contain clinical terms. Pattern: describe the visual property, not the anatomy.

  • Allowed: Tissue_Warm, CavityWall_Reflective, InstrumentProxy_Tapered.
  • Not allowed: Tissue_Inflamed, Peritoneum, BleedingScenario, Instrument_Maryland.