Haptica ProMIS @ SAGES 2010

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

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

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