The most effective and affordable simulator for medical specialists.

1. An educational platform
By Epona Medical B.V.
Rotterdam, Netherlands
www.lapx.eu
+31 10 206 63 70
info@epona.com

2. Dervis Demirtas, CEO Epona Medical
aerospace engineering,
specialist in control & simulation

3. INTRODUCTION

5. The LAP-X offers residents the opportunity
to train in a safe and controlled
environment, where mistakes can be
made without harming actual patients.
“From mistakes we learn”

6. The LAP-X controller
“Training becomes even more realistic”
Model LAP-X 2h 2012

7. Advantages of LAP-X: LAP-X Hardware Gen2h
Real surgical instruments inserted through an incision point. The
controller mimics reality closely. The touch and feel are similar to
a real surgery.
The training starts with the same instruments used on real
surgeries; narrowing the gap between training and real surgeries.
Footpedals for cauterization and coagulation
Hybrid function, use the LAP-X as a boxtrainer with the benefit
of measuring the different parameters (pathlength and time)
and store this in the personal profile.

8. Advantages of LAP-X: organize, standardize the training
and reduce learning curve
Organize and standardize the training:
Every user has their own username and password to continue the
training at the same or different location
Time efficiency:
Efficient way of training, shorten the learning curve
Structurise skill training levels:
Train to reach the proficient skills levels; basic, novice I-III and
intermediate

9. + Personal portfolio
+ curriculum platform for education
LAP-X skills
+ E-learning
+ Exams

10. Advantages of LAP-X: Better skilled surgeons
Shorten the surgery time, increase the number of surgeries
Lessen the failures/mistakes made by unskilled residents
Shorten recovery time of patients
Advantages of LAP-X: Better skilled surgery assistants
During a surgery, it is very common that surgery assistants need to assist surgeons by holding
camera/endoscope or an instrument.
With the LAP-X, surgery assistants will understand the difficulties of scope assisting and reducing “learning
time” during real surgeries.
Possibility to add E-learning content to help surgery assistants understand different surgery
instruments used in a surgery.
Better skilled assistants will increase the efficiency of a surgery.

11. Advantages of LAP-X: Administration modus to organize
mandatory training
Review the scores of all the student behind your own desk on your own
computer.
Monitor when, how long the students train and their progresses over time.
Add E-learning content.
Add exam questions.
Create and name your own curriculum. This will be available for a selected
students or for all of the students.
Set up a minimal requirement for a weekly training and deadline to finish a
curriculum (in development). Automatic warnings supported (in
development)

12. Advantages of LAP-X: Measured parameters
Number of mistakes
Pathlength of the left and right controllers
Camera aimed precision
Time
Dropped objects
Collision with objects and floor
In development: Motion signature: every user have an unique 3D
signature.

13. Advantages of LAP-X: Increased training effect
Motivate students with challenging exercises
Serious gaming elements added to motivate and challenge the
residents
Compete with other residents worldwide
Compete with residents from the same hospital
Create mandatory training schedules
Deliver a variation in training to increase training effect

14. In our opinion the most important one to start with is
that the training must be a mandatory part of the
curriculum to obtain the expected result.
Also;
Interval and repetition of the training is necessary. We
would advise to pass the curriculum every 6 months
to maintain the certificate.

15. Advantages of LAP-X: Support and service
Replacement program of the hardware: always up-to-date with the latest
innovation of the LAP-X controller in the same generation line (*)
Support and service on site, by phone and by email
Support in Dutch, German, English, Japanese,
Chinese, Vietnamese, French, Spanish, Portuguese,
Korean, Indonesian, Thai and Arabic, etc..
*During the license period. First year license is included in the package

16. Advantages of LAP-X: Software updates, license
During the license period, module extension and new exercises are
regularly and automatically updated at no extra cost (internet
connection is necessary)
Still able to train with LAP-X after the license expires
Unlimited user registration
First year license included

17. Epona Medical provides training and simulation
for all minimal invasive disciplines
General Surgery Orthopedics
Gynaecology
Urology
Surgery assistants
Medical students
Etc...

18. Free update from gen2 to gen2+
controllers.

19. LAP-X available now in
Netherlands
United States
Brazil
Germany
France
Belgium
United Kingdom
Japan
South Korea
Malaysia
Indonesia
Vietnam
Mexico
Thailand
China
Oman
UAE
Qatar
Kuwait
Bahrain
Saudi Arabia
Iran
Russia
Algeria
Soon available in:
Italy
Argentia
Chile
Peru
India
Canada
Etc...

20. QUESTIONS?

21. Basics of MIS
(Minimal Invasive Surgery)

22. Training
1. Fulcrum effect
Explanation:
 The instrument tip moves in the opposite direction of the handle.

23. Training
2. Converting 3D movements to 2D screen
Explanation:
 Training for the decreased depth-perception on screen.

24. Training
3. Brain training of converting X,Y,Z movements
to radial coordinates.
Explanation:
 A human is used to thinking in x,y,z displacements with six Degrees Of Freedom
(DOF). During MIS the brain has to convert this to radial coordinates with 4
DOF, that means thinking in a radius and angle of the instrument.

25. Training
4. Camera navigation.
Explanation:
 Learn how to work with a 0, 30, 45 and 60 degrees scope.

26. Training
5. Camera misalignment.
Explanation:
 Repositioning the camera may influence the instrument movements on the screen
dramatically, this effect is well known by experienced surgeons and its training
should be paid more adequate attention.

27. Training
6. Working with both hands simultaneously
Explanation:
 LAP-X provides exercises to train the residents to operate with the dominant as
well the non-dominant hand.

28. Training
7. Panic situation
Explanation:
 The resident will be trained to stay calm during a panic situation and given the
chance to correct the mistake within a time limitation.

29. Training
8. Move gently and precisely with your
instruments
Explanation:
 Working gently and precisely has better outcomes than handling the movements
uncontrolledly and fast. This will lessen the mistakes and tissue damages caused by
fast and uncontrolled movements.