Haptica ProMIS @ SAGES 2010


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Haptica's ProMIS Surgical Simulator - as presented at SAGES 2010

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Haptica ProMIS @ SAGES 2010

  1. 1. ProMIS: accelerating surgical performance through simulation SAGES Phoenix, AZ April 2009 www.haptica.com | +1 617 342 7270 | info@haptica.com
  2. 2. Accelerating performance through simulation <ul><li>More surgeons doing </li></ul><ul><li>more procedures </li></ul><ul><li>more proficiently – </li></ul><ul><li>in less time, </li></ul><ul><li>at lower cost and </li></ul><ul><li>at lower risk </li></ul>ProMISSAGES09 © Haptica 2009 Page With simulation Without effective simulation solution Time Adoption; Patient Safety
  3. 3. The NEW ProMIS3 ™ surgical simulator : <ul><li>100% of trainees felt that ProMIS &quot;simulated reality effectively compared with only 38% in the VR group&quot;. </li></ul>ProMISSAGES09 © Haptica 2009 Page JSLS(2008)12:219-226
  4. 4. The NEW ProMIS3 ™ surgical simulator <ul><li>Real instruments interact with virtual and physical models, with comprehensive metrics on performance </li></ul><ul><li>Outperforms pure VR for MIS training </li></ul><ul><li>Metrics are “Excellent predictors” of scores in FLS; “predict readiness for FLS Certification”. </li></ul><ul><li>Basic Laparoscopic Skills and procedures </li></ul><ul><li>Meets ACS & ACGME RRC requirements for simulation  </li></ul><ul><li>Three surgical and technical innovation awards </li></ul>ProMISSAGES09 © Haptica 2009 Page Pure VR Task in ProMIS—using real instruments ‘ Mixed reality’ Task: real anatomical model; real instruments; 3D graphics
  5. 5. Why ProMIS 3 ? <ul><li>Highly realistic camera image </li></ul><ul><li>Flexible positioning and zoom </li></ul><ul><li>Multiple real instruments in realistic port positions </li></ul><ul><li>Team training and non-technical skills training </li></ul><ul><li>Multiple procedures </li></ul><ul><li>Improved metrics reporting and functionality </li></ul><ul><li>Build, adapt and integrate Modules and Tasks—including FLS and local curriculum </li></ul>ProMISSAGES09 © Haptica 2009 Page
  6. 6. Developing proficiency with ProMIS ProMISSAGES09 © Haptica 2009 <ul><li>Augmented reality, graphics, video & audio provide guidance and instruction </li></ul>1. Show <ul><li>Physical and/or virtual anatomic model </li></ul><ul><li>Tactile feedback </li></ul><ul><li>Real instruments </li></ul>2. Practice <ul><li>Valid metrics & proficiency </li></ul><ul><li>Records errors </li></ul><ul><li>User and group records </li></ul>3. Measure Page
  7. 7. ProMIS Basic Laparoscopic Skills <ul><li> Basic Laparoscopic Skills </li></ul><ul><ul><li>Laparoscope Orientation </li></ul></ul><ul><ul><li>Instrument Handling </li></ul></ul><ul><ul><li>Dissection </li></ul></ul><ul><li> Suturing & Knot-tying </li></ul><ul><li> SAGES/ACS FLS Module </li></ul>ProMISSAGES09 © Haptica 2009 Page
  8. 8. ProMIS LapAppendectomy <ul><li>Full LapAppendectomy procedure: </li></ul><ul><ul><li>Investigation </li></ul></ul><ul><ul><li>Diathermy </li></ul></ul><ul><ul><li>Loop placement </li></ul></ul><ul><ul><li>Cutting </li></ul></ul><ul><li>Mixed reality approach (virtual reality with real instruments and real appendix model) </li></ul>ProMISSAGES09 © Haptica 2009 Page
  9. 9. ProMIS Lap Colectomy ProMISSAGES09 © Haptica 2009 <ul><li>Full step-by-step procedure </li></ul><ul><li>Mix of virtual and physical reality </li></ul><ul><li>Uses real instruments </li></ul><ul><li>Physical model enables realistic tactile feedback </li></ul><ul><li>On-screen graphics, animations, video, audio, text </li></ul><ul><li>Automatic metrics </li></ul>Page
  10. 10. ProMIS for Single Incision Surgery (SIS) ProMISSAGES09 © Haptica 2009 <ul><li>First simulator for Single Incision Surgery </li></ul><ul><li>Will work for current ProMIS Modules </li></ul><ul><li>Place any instruments (and any Task) in ProMIS and get proficiency metrics </li></ul><ul><li>Ask now to participate in our trial to compare metrics on a FLS task when done pure lap vs SIS </li></ul>Page
  11. 11. ProMIS Metrics <ul><li>All tasks: measure </li></ul><ul><ul><li>Time </li></ul></ul><ul><ul><li>Path length </li></ul></ul><ul><ul><li>Economy of movement </li></ul></ul><ul><ul><li>Hand dominance </li></ul></ul><ul><li>Play back track of instrument </li></ul><ul><li>Play back video of performance </li></ul>ProMISSAGES09 © Haptica 2009 Page
  12. 12. Learning Management System <ul><li>Create users and Groups </li></ul><ul><li>View records of individual and group performance </li></ul><ul><li>Query by user, group, specific Module, etc. </li></ul><ul><li>Set proficiency levels </li></ul><ul><li>Export data to Excel </li></ul><ul><li>Network for remote access </li></ul>ProMISSAGES09 © Haptica 2009 Page
  13. 13. Integrating ProMIS into the curriculum ProMISSAGES09 © Haptica 2009 Page Use ProMIS Modules Record Users Use with FLS Use Your Own Modules
  14. 14. Customising and Developing Modules <ul><li>‘ Open Module’: </li></ul><ul><li>Put any existing Task in ProMIS and get standard metrics (as has been validated with FLS Tasks). </li></ul>ProMISSAGES09 © Haptica 2009 Page
  15. 15. ContentCreationTool <ul><li>Design new measurable Tasks </li></ul><ul><li>Record/insert instruction video </li></ul><ul><li>Add audio cues and on-screen text </li></ul><ul><li>Insert augmented reality, graphics for on-screen guidance </li></ul><ul><li>Set proficiency levels </li></ul><ul><li>Edit existing ProMIS Tasks </li></ul>ProMISSAGES09 © Haptica 2009 Page
  16. 16. Proven with FLS; Better than VR; Preferred by Users <ul><li>100% of trainees felt that ProMIS &quot;simulated reality effectively compared with only 38% in the VR group&quot; 8 </li></ul><ul><li>An “excellent predictor” of scores in FLS ; “predict readiness for FLS Certification” 1 2 3 </li></ul><ul><li>Delivers performance data with robotic instrumentation 4 </li></ul><ul><li>“ ProMIS scored significantly higher than SurgicalSIM; better than LapSim on all tested features” 5 6 </li></ul>ProMISSAGES09 © Haptica 2009 Page 1 SAGES 2006 S064 Ritter et al 2 SAGES 2006 P237 McCluney MD, et al 3 SAGES 2007 P279 McCluney et al 4 SAGES 2006 S065 Vuong et al 5 SAGES 2006 P224 Fellinger, et al 6 World J Surg. 2007 Apr. Botden et al 7 SAGES 2007 S077 Lin et al JSLS(2008)12:219-226
  17. 17. Why ProMIS wins in surgical simulation <ul><li>Best curriculum </li></ul><ul><ul><li>Basic skills, procedures, FLS </li></ul></ul><ul><li>Best instructional approach </li></ul><ul><ul><li>Real instruments, real haptics and VR; team training </li></ul></ul><ul><li>Best validation </li></ul><ul><ul><li>>25 studies validated Metrics; better than VR </li></ul></ul><ul><li>Best customization </li></ul><ul><ul><li>Edit and design new Tasks to integrate with curriculum </li></ul></ul>ProMISSAGES09 © Haptica 2009 Page