Robotic Simulator

The Mimic dV-Trainer robotic simulator offers more than 70 robotic training exercises, the most of any robotic simulator on the market. This extensive training content is suitable for residents, fellows and novice robotic surgeons, as well as more accomplished practitioners who may have a limited robotic caseload and wish to stay current on robotic technique.

Mimic has collaborated with Intuitive Surgical since 2003 to provide the most realistic and life-like simulation available for robotic surgery. The Mimic dV-Trainer remains the only stand-alone robotic simulator that has been independently validated in published studies. Using objective performance evaluation through MScore™, users are able to track their progress through modules and compare performance against experienced surgeon data in order to establish proficiency-based scoring reports.

Basic skills training modules:

• Surgeon console overview – Review basic da Vinci functionality, covering topics such as icons, ergonomics and settings
• EndoWrist manipulation – Develop EndoWrist dexterity when working with as many as three common da Vinci instruments
• Camera and clutching – Improve camera control and learn to use the clutch effectively; train while using different motion scaling settings
• Troubleshooting – Understand common da Vinci error messages and determine how to react

Advanced surgical skills training modules:

• Needle control and needle driving – Develop skill when manipulating needles, including the ability to hand off and position needles for effective and accurate needle driving
• Suturing and knot tying – Improve suturing and knot tying technique with a variety of geometries common to robotic surgery, including tube anastomosis and tube closure
• Energy and dissection – Learn to properly apply monopolar and bipolar energy; practice dissection and manage bleeding
• Games – Enjoy competing with other surgeons while developing robotic surgical skills at the same time

Learning objectives:

• Increase training access for residents, fellows, and novice or advanced surgeons
• Minimize the need for proctored supervision
• Develop robotic surgical skills through simulation training rather than training on patients or animals
• Manage procedural risk through validated simulation curriculum and operator feedback

GI Mentor

The Simbionix GI Mentor II is a top-of-the-line endoscopic medical simulator for the training of gastrointestinal upper and lower endoscopic procedures. It offers a comprehensive library of modules with more than 120 tasks and virtual patient cases. The simulator provides multiple training opportunities with true-to-life patient cases offering realistic scenarios of clinical situations, ranging from simple diagnostic procedures to advanced ERCP procedures and Endoscopic Ultrasound (EUS) procedures.

Two original colonoscope and duodenoscopes have been customized with various endoscopic tools to provide realistic simulation of tactile sensations. The GI Mentor II offers an excellent environment for practicing clinical procedures in a safe and realistic manner.

Learning objectives:

• Increase training access for residents, fellows, and novice or advanced surgeons and endoscopists
• Develop endoscopic skills through simulation training rather than training on patients or animals
• Manage procedural risk through validated simulation curriculum and operator feedback

Skills Trainer Boxes

The FLS Laparoscopic Trainer System is a device for surgical residents and practicing surgeons that facilitates the development of psychomotor skills and dexterity required during the performance of basic laparoscopic surgery. Tasks include peg transfer, precision cutting, ligating loop, extracorporeal knot tying and intracorporeal knot tying.

The FES Trainer box is a device for surgical residents and practicing surgeons that facilitates the development of Endoscopic skills via an array of tasks that must be completed using a gastroscopy scope.

Learning objectives:

• Increase training access for residents, fellows, and novice or advanced surgeons and endoscopists.
• Develop laparoscopic and endoscopic skills through simulation training rather than training on patients or animals.
• Provide hands-on practice of laparoscopic and endoscopic skills tests through the Fundamentals of Laparoscopic Surgery (FLS) and Fundamentals of Endoscopic Surgery (FES) Program.

Olympus Endoscope

TheOlympus Endoscope and video processor systemdelivers sharp images to help physicians provide accurate screening and diagnosis; a close focus optical system allows detailed observation without electronic magnification. The CV-140 endoscope also lets the user enhance, freeze, and adjust color settings to provide clear and accurate images.

The Advanced Colonoscope Training Model is designed to present a wide range of challenges to trainees performing a colonoscopy. Challenges vary from simple and uncomplicated to difficult and sensitive cases. This model provides the necessary training required to avoid patient pain and discomfort during an examination.

Learning objectives:

• Increase training access for residents, fellows, and novice or advanced surgeons and endoscopists
• Develop advanced endoscopic skills through simulation training rather than training on patients or animals
• Provide hands-on practice with complex endoscopic skills such as colonoscope insertion and withdrawal, insufflation and suction of colon, and manipulation of colonoscope

Other

PSSI is well equipped for hands-on education courses, team training exercises, medical device innovation and research.

The following surgical equipment is available in the lab for hands-on training:

• 6 portable laparoscopy towers including light source, camera box, camera and insufflator (Stryker Endoscopy and Wolf Medical)
• 6 0° and 8 30° and 45° laparoscopes (Stryker Endoscopy and Carl Storz), and an Olympus EndoEye 5mm Laparoscopic Camera System (Olympus Medical)
• 3 portable operating tables with power operations, table extenders and bedside attachments
• Complete set of TEM equipment and instrumentation for adapting TEM for single port procedures (Richard Wolf Surgical)
• Therapeutic flexible endoscopes and towers (Olympus Medical)
• 2 endoscopy compatible electro-surgical units (Coviden and Valleylab)
• 2 harmonic generators (ACE, Ethicon-Endosurgery)
• 8 sets of laparoscopic suction irrigators (Stryker Endoscopy)
• Advanced laparoscopic instruments such as needle knives, scissors, graspers, dissectors, balloons, etc.
• Various flexible endoscopy and NOTES instruments such as needle knives, scissors, graspers, dissectors, balloons, over-tubes, suction cones, shape-lock device, etc.

Learning objectives:

• Provide hands-on surgical training for basic and advanced laparoscopic and endoscopic skills for residents, fellows, and novice and advanced surgeons
• Offer team training simulations in a realistic operating room environment