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

1. ProMIS™ Laparoscopic Colectomy Simulator
"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
Haptica introduces ProMIS™ LC, a • Uses real instruments, including
powerful, new augmented reality access devices, a range of
simulator for Laparoscopic Colectomy. instruments, staplers and energy
devices
• Tracks instruments and hand
A mix of virtual and real worlds
movements for performance
ProMIS™ LC allows a surgeon to perform a
measurement
complete hand-assisted or fully laparoscopic
colectomy on a totally simulated model, using • Highly realistic surgical context and
a complete set of real instruments. 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
www.haptica.com
• User and group records
info@haptica.com
Tel +1 617 342 7270 • Networked system
Fax +1 617 342 7080
RoW tel +353 (0)1676 7310
RoW fax +353 (0)1676 7311

2. 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 their
performance. As they work, the surgeon's
instruments - and hand - are tracked as
they perform the procedure.
It is this combination of real and virtual worlds
that enables ProMIS™ LC to deliver a highly
realistic and engaging learning experience.
Why ProMIS™ LC?
Limitless practice
Most people with colorectal cancer will have
some type of surgery. The ProMIS™ LC Simulator Unlike traditional training, ProMIS™ LC
aims to help reduce the risk of surgery by provides standard tutorial and performance
increasing the accessibility and effectiveness measurement and affords an opportunity to
of training for surgeons. practice and run courses anytime, anywhere.
Networked user records system
Real haptics and real context User records and group performance reports
ProMIS™ LC is the first simulator to integrate are automatically generated and may be
virtual reality with real haptics and real accessed remotely.
instruments. Surgeons use the full range
of real laparoscopic instruments to complete A (wireless) networked system enables data
the procedure, interacting with a mix of from more than one ProMIS™ simulator to be
virtual and physical models. gathered quickly and easily on a single server.
Proficiency levels can be set for different
groups and can be set remotely, for a single
simulator or for a networked group.

3. ProMIS™ LC LapColectomy Procedure
Users practice on a physical, Whether done HALS or purely In Step 1, a virtual small bowel is
anatomically correct model with laparoscopically, real instruments retracted when the bodyform is tilted.
A video shows how the step works in
defined surgical planes - with IMA, are used, including energy devices
a real procedure and provides
pulsation, ureter, etc and staplers additional guidance.
Augmented Reality - 3D animations In Step 3, once the tissue has been Onscreen graphics provide guidance
and images - are overlaid on the dissected, the user identifies the IMA for dissection, transaction and
physical model to provide instruction, through haptic feel - with either retraction and enable performance
guidance and measurement instrument or hand measurement
Users must deal with issues such The colon is externalized to Sutures are used to secure
bleeding which are VR overlaid on resect the tumor and insert the the anvil. Anastomosis is
the haptic model. The bleeding is anvil of the circular stapler created intra-corporeally
stopped using the real energy device
Irrigation and suction are On completing the procedure, And examine the real model
performed through virtual users review performance results for performance
reality and real instruments

4. 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 the
simulator of choice for leading skills centers
ProMIS™ Components
worldwide. Studies have validated ProMIS'
Bodyform and Laptop Computer
effectiveness in training and assessing
laparoscopic skill - including on FLS Tasks • A molded ‘Bodyform’, ‘skin’
and with robotic instrumentation. and sliding drawer.
• A laptop computer, Windows XP,
Preferred by users 60GB hard-drive, 1GB RAM.
Studies show that users prefer ProMIS™ over • Base tilt mechanism enabling
VR simulators. "Scores for ProMIS™ were tilting up to 45º.
significantly higher (than the VR simulator) for • ProMISCam™: a model
overall realism, thread behavior, reflection of Laparoscopic Camera.
clinical ability, and overall educational value."
(Fellinger, et al, SAGES 2006 P224) System software and technology
• Core System software.
Integrates easily into the Curriculum • Tracking system.
ProMIS™ is the only simulator that adapts • Graphics engine.
to local curriculum. Administrators and tutors • Integrated Diagnostics and Setup software.
can adapt the ProMIS Basic Skills Program to
suit local needs and can use the unique Open
Laparoscopic Skills Modules
Module to add new Tasks. Proficiency levels
can be set for different groups. As well as Laparoscopic Colectomy,
ProMIS™ offers a Basic Laparoscopic
Measures and predicts FLS performance Skills curriculum, including:
A new Module enables the SAGES/ACS • Laparoscope Orientation
Fundamentals of Laparoscopic Surgery • Instrument Handling
program to be used in ProMIS™ and for users • Dissection
to get objective and effective measurement of • Intracorporeal Suturing and Knot-tying
performance on FLS Tasks*. Users simply insert Modules are also available to measure FLS
FLS Tasks in ProMIS™ and get the standard Tasks and to train in techniques of specific
ProMIS™ metrics and video recording; the procedures. An Open Module allows users
networked user records system offers a to measure their own research Tasks or
unique opportunity to gather user data Tasks in an existing curriculum.
on FLS performance.
*McCluney, et al, 2006; Ritter, et al, 2006; Vuong, et al, 2006.
For more information on ProMIS™ LC is available globally from Haptica. To learn more about this and other
Haptica simulators, please call Haptica at 617-342-7270 or RoW +353 (0)1676 7310, email promis@haptica.com.