ProMIS Colorectal surgery
4
Haptica introduces ProMIS™ LC, a powerful, new augmented reality simulator for Laparoscopic Colectomy. A mix of virtual and real worlds ProMIS™ LC allows a surgeon to perform a complete hand-assisted or fully laparoscopic colectomy on a totally simulated model, using a complete set of real instruments. "We finally have a training tool that, through the combination of real tactile feedback and virtual reality, gives the surgeon an unparalleled opportunity to practice, step by step, a Hand-assisted laparoscopic sigmoid resection." Bryan N. Butler, MD, Buffalo Medical Group. • Augmented Reality (AR) integrates virtual and physical reality • Uses real instruments, including access devices, a range of instruments, staplers and energy devices • Tracks instruments and hand movements for performance measurement • Highly realistic surgical context and real haptics and tactile feedback via complete physical anatomic model • Guided tutorial via animations, graphics, video, audio and text • Automatic metrics and assessment of performance • User and group records • Networked system www.haptica.com [email protected] Tel +1 617 342 7270 Fax +1 617 342 7080 RoW tel +353 (0)1676 7310 RoW fax +353 (0)1676 7311 ProMIS™ Laparoscopic Colectomy Simulator
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ProMIS Surgical Simulator: Laparoscopic & Hand-Assisted Colorectal surgery Module. A user is guided step-by-step through a HALS & Laparoscopic Colectomy procedure - and provided metrics on their performance. See www.haptica.com
Transcript of ProMIS Colorectal surgery
ProMIS™ Surgical Simulator
ProMIS™ is unique in combining virtual
and real worlds in the same system.
Users learn, practice and measure
their proficiency with real instruments
on real models with real haptics and
real context.
Validated
The award-winning ProMIS™ has become thesimulator of choice for leading skills centersworldwide. Studies have validated ProMIS'effectiveness in training and assessinglaparoscopic skill - including on FLS Tasks and with robotic instrumentation.
Preferred by users
Studies show that users prefer ProMIS™ over VR simulators. "Scores for ProMIS™ weresignificantly higher (than the VR simulator) foroverall realism, thread behavior, reflection ofclinical ability, and overall educational value."(Fellinger, et al, SAGES 2006 P224)
Integrates easily into the Curriculum
ProMIS™ is the only simulator that adapts to local curriculum. Administrators and tutorscan adapt the ProMIS Basic Skills Program to suit local needs and can use the unique OpenModule to add new Tasks. Proficiency levels can be set for different groups.
Measures and predicts FLS performance
A new Module enables the SAGES/ACSFundamentals of Laparoscopic Surgery program to be used in ProMIS™ and for users to get objective and effective measurement ofperformance on FLS Tasks*. Users simply insertFLS Tasks in ProMIS™ and get the standardProMIS™ metrics and video recording; thenetworked user records system offers a unique opportunity to gather user data on FLS performance.
*McCluney, et al, 2006; Ritter, et al, 2006; Vuong, et al, 2006.
ProMIS™ Components
Bodyform and Laptop Computer
• A molded ‘Bodyform’, ‘skin’ and sliding drawer.
• A laptop computer, Windows XP, 60GB hard-drive, 1GB RAM.
• Base tilt mechanism enabling tilting up to 45º.
• ProMISCam™: a model Laparoscopic Camera.
System software and technology
• Core System software.
• Tracking system.
• Graphics engine.
• Integrated Diagnostics and Setup software.
Laparoscopic Skills Modules
As well as Laparoscopic Colectomy, ProMIS™ offers a Basic Laparoscopic Skills curriculum, including:
• Laparoscope Orientation
• Instrument Handling
• Dissection
• Intracorporeal Suturing and Knot-tying
Modules are also available to measure FLSTasks and to train in techniques of specificprocedures. An Open Module allows users to measure their own research Tasks or Tasks in an existing curriculum.
Haptica introduces ProMIS™ LC, apowerful, new augmented realitysimulator for Laparoscopic Colectomy.
A mix of virtual and real worldsProMIS™ LC allows a surgeon to perform acomplete hand-assisted or fully laparoscopiccolectomy on a totally simulated model, using a complete set of real instruments.
"We finally have atraining tool that,through thecombination of real tactile feedbackand virtual reality,gives the surgeon an unparalleledopportunity topractice, step by step, a Hand-assistedlaparoscopic sigmoidresection." Bryan N. Butler, MD, Buffalo Medical
Group.
• Augmented Reality (AR) integrates virtualand physical reality
• Uses real instruments, includingaccess devices, a range ofinstruments, staplers and energydevices
• Tracks instruments and handmovements for performancemeasurement
• Highly realistic surgical context andreal haptics and tactile feedback viacomplete physical anatomic model
• Guided tutorial via animations,graphics, video, audio and text
• Automatic metrics and assessment of performance
• User and group records
• Networked system
For more information on ProMIS™ LC is available globally from Haptica. To learn more about this and otherHaptica simulators, please call Haptica at 617-342-7270 or RoW +353 (0)1676 7310, email [email protected].
[email protected] +1 617 342 7270Fax +1 617 342 7080RoW tel +353 (0)1676 7310RoW fax +353 (0)1676 7311
ProMIS™ Laparoscopic Colectomy Simulator
Why ProMIS™ LC?
Most people with colorectal cancer will havesome type of surgery. The ProMIS™ LC Simulatoraims to help reduce the risk of surgery byincreasing the accessibility and effectiveness of training for surgeons.
Real haptics and real context
ProMIS™ LC is the first simulator to integratevirtual reality with real haptics and realinstruments. Surgeons use the full range of real laparoscopic instruments to completethe procedure, interacting with a mix of virtual and physical models.
Show, Practice, Measure
ProMIS™ LC is built on a 'Show, Practice,Measure' model of training. Surgeons are guided through the procedure step-by-step, and at the end are given feedback on theirperformance. As they work, the surgeon'sinstruments - and hand - are tracked as they perform the procedure.
It is this combination of real and virtual worldsthat enables ProMIS™ LC to deliver a highlyrealistic and engaging learning experience.
Limitless practice
Unlike traditional training, ProMIS™ LC provides standard tutorial and performancemeasurement and affords an opportunity topractice and run courses anytime, anywhere.
Networked user records system
User records and group performance reports are automatically generated and may beaccessed remotely.
A (wireless) networked system enables datafrom more than one ProMIS™ simulator to begathered quickly and easily on a single server. Proficiency levels can be set for differentgroups and can be set remotely, for a singlesimulator or for a networked group.
ProMIS™ LC LapColectomy Procedure
Users practice on a physical,anatomically correct model withdefined surgical planes - with IMA,pulsation, ureter, etc
Augmented Reality - 3D animationsand images - are overlaid on thephysical model to provide instruction,guidance and measurement
Users must deal with issues suchbleeding which are VR overlaid onthe haptic model. The bleeding isstopped using the real energy device
Irrigation and suction areperformed through virtual reality and real instruments
Whether done HALS or purelylaparoscopically, real instruments are used, including energy devicesand staplers
In Step 3, once the tissue has beendissected, the user identifies the IMAthrough haptic feel - with eitherinstrument or hand
The colon is externalized to resect the tumor and insert the anvil of the circular stapler
On completing the procedure, users review performance results
In Step 1, a virtual small bowel isretracted when the bodyform is tilted.A video shows how the step works in a real procedure and providesadditional guidance.
Onscreen graphics provide guidancefor dissection, transaction andretraction and enable performance measurement
Sutures are used to secure the anvil. Anastomosis is created intra-corporeally
And examine the real model for performance
Why ProMIS™ LC?
Most people with colorectal cancer will havesome type of surgery. The ProMIS™ LC Simulatoraims to help reduce the risk of surgery byincreasing the accessibility and effectiveness of training for surgeons.
Real haptics and real context
ProMIS™ LC is the first simulator to integratevirtual reality with real haptics and realinstruments. Surgeons use the full range of real laparoscopic instruments to completethe procedure, interacting with a mix of virtual and physical models.
Show, Practice, Measure
ProMIS™ LC is built on a 'Show, Practice,Measure' model of training. Surgeons are guided through the procedure step-by-step, and at the end are given feedback on theirperformance. As they work, the surgeon'sinstruments - and hand - are tracked as they perform the procedure.
It is this combination of real and virtual worldsthat enables ProMIS™ LC to deliver a highlyrealistic and engaging learning experience.
Limitless practice
Unlike traditional training, ProMIS™ LC provides standard tutorial and performancemeasurement and affords an opportunity topractice and run courses anytime, anywhere.
Networked user records system
User records and group performance reports are automatically generated and may beaccessed remotely.
A (wireless) networked system enables datafrom more than one ProMIS™ simulator to begathered quickly and easily on a single server. Proficiency levels can be set for differentgroups and can be set remotely, for a singlesimulator or for a networked group.
ProMIS™ LC LapColectomy Procedure
Users practice on a physical,anatomically correct model withdefined surgical planes - with IMA,pulsation, ureter, etc
Augmented Reality - 3D animationsand images - are overlaid on thephysical model to provide instruction,guidance and measurement
Users must deal with issues suchbleeding which are VR overlaid onthe haptic model. The bleeding isstopped using the real energy device
Irrigation and suction areperformed through virtual reality and real instruments
Whether done HALS or purelylaparoscopically, real instruments are used, including energy devicesand staplers
In Step 3, once the tissue has beendissected, the user identifies the IMAthrough haptic feel - with eitherinstrument or hand
The colon is externalized to resect the tumor and insert the anvil of the circular stapler
On completing the procedure, users review performance results
In Step 1, a virtual small bowel isretracted when the bodyform is tilted.A video shows how the step works in a real procedure and providesadditional guidance.
Onscreen graphics provide guidancefor dissection, transaction andretraction and enable performance measurement
Sutures are used to secure the anvil. Anastomosis is created intra-corporeally
And examine the real model for performance
ProMIS™ Surgical Simulator
ProMIS™ is unique in combining virtual
and real worlds in the same system.
Users learn, practice and measure
their proficiency with real instruments
on real models with real haptics and
real context.
Validated
The award-winning ProMIS™ has become thesimulator of choice for leading skills centersworldwide. Studies have validated ProMIS'effectiveness in training and assessinglaparoscopic skill - including on FLS Tasks and with robotic instrumentation.
Preferred by users
Studies show that users prefer ProMIS™ over VR simulators. "Scores for ProMIS™ weresignificantly higher (than the VR simulator) foroverall realism, thread behavior, reflection ofclinical ability, and overall educational value."(Fellinger, et al, SAGES 2006 P224)
Integrates easily into the Curriculum
ProMIS™ is the only simulator that adapts to local curriculum. Administrators and tutorscan adapt the ProMIS Basic Skills Program to suit local needs and can use the unique OpenModule to add new Tasks. Proficiency levels can be set for different groups.
Measures and predicts FLS performance
A new Module enables the SAGES/ACSFundamentals of Laparoscopic Surgery program to be used in ProMIS™ and for users to get objective and effective measurement ofperformance on FLS Tasks*. Users simply insertFLS Tasks in ProMIS™ and get the standardProMIS™ metrics and video recording; thenetworked user records system offers a unique opportunity to gather user data on FLS performance.
*McCluney, et al, 2006; Ritter, et al, 2006; Vuong, et al, 2006.
ProMIS™ Components
Bodyform and Laptop Computer
• A molded ‘Bodyform’, ‘skin’ and sliding drawer.
• A laptop computer, Windows XP, 60GB hard-drive, 1GB RAM.
• Base tilt mechanism enabling tilting up to 45º.
• ProMISCam™: a model Laparoscopic Camera.
System software and technology
• Core System software.
• Tracking system.
• Graphics engine.
• Integrated Diagnostics and Setup software.
Laparoscopic Skills Modules
As well as Laparoscopic Colectomy, ProMIS™ offers a Basic Laparoscopic Skills curriculum, including:
• Laparoscope Orientation
• Instrument Handling
• Dissection
• Intracorporeal Suturing and Knot-tying
Modules are also available to measure FLSTasks and to train in techniques of specificprocedures. An Open Module allows users to measure their own research Tasks or Tasks in an existing curriculum.
Haptica introduces ProMIS™ LC, apowerful, new augmented realitysimulator for Laparoscopic Colectomy.
A mix of virtual and real worldsProMIS™ LC allows a surgeon to perform acomplete hand-assisted or fully laparoscopiccolectomy on a totally simulated model, using a complete set of real instruments.
"We finally have atraining tool that,through thecombination of real tactile feedbackand virtual reality,gives the surgeon an unparalleledopportunity topractice, step by step, a Hand-assistedlaparoscopic sigmoidresection." Bryan N. Butler, MD, Buffalo Medical
Group.
• Augmented Reality (AR) integrates virtualand physical reality
• Uses real instruments, includingaccess devices, a range ofinstruments, staplers and energydevices
• Tracks instruments and handmovements for performancemeasurement
• Highly realistic surgical context andreal haptics and tactile feedback viacomplete physical anatomic model
• Guided tutorial via animations,graphics, video, audio and text
• Automatic metrics and assessment of performance
• User and group records
• Networked system
For more information on ProMIS™ LC is available globally from Haptica. To learn more about this and otherHaptica simulators, please call Haptica at 617-342-7270 or RoW +353 (0)1676 7310, email [email protected].
[email protected] +1 617 342 7270Fax +1 617 342 7080RoW tel +353 (0)1676 7310RoW fax +353 (0)1676 7311
ProMIS™ Laparoscopic Colectomy Simulator
