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Simulators and Skills

Duke Surgery responded to the need to enhance learner training when it created the Surgical Education and Activities Laboratory (SEAL) to provide skills-based training to medical students, residents, fellows, and currently practicing professionals.

Using various techniques, we provide instruction for many different types of learners. The many learners who use SEAL benefit from round-the-clock access to minimally invasive laparoscopic surgical simulators, virtual reality laparoscopic surgical simulators, and endoscopy simulators for practicing flexible bronchoscopy as well as upper and lower gastrointestinal (GI) flexible endoscopy.

In the SEAL you have access to (PIN) stations to provide users with the ability to monitor clinical activities during their simulation training.

Read about the features of the simulators in the lab and the skills they are used to develop.

dV Trainer

Skills: Robotic-Assisted Surgery

Quantity in lab: One

Manufacturer: Mimic Technologies, Inc.

The Mimic dV Trainer is the premier virtual reality training device for teaching basic skills in robotic-assisted surgery.

The dV Trainer contains over 40 exercises designed to challenge novices, and provide warm-up for experienced surgeons. The system contains a robust assessment toll [M-Score] that measures key components fo the exercises, and matches the trainees score against expert benchmarks.

The dV Trainer can effectively assess learners’ proficiency over time in the following areas:

  • System Settings and Controls
  • Camera control
  • Endowrist Manipulation
  • Clutching
  • Dissection
  • Energy Control
  • Fourth Arm Control
  • Needle Driving

References: dV Trainer website

da Vinci SI

The daVinci Skills Simulator offers training with system skills exercises to help learners gain experience within their surgical specialty. They can practice on basic or move to more advanced skills.

  • System Settings and Controls
  • Camera control
  • Endowrist Manipulation
  • Clutching
  • Dissection
  • Energy Control
  • Fourth Arm Control
  • Needle Driving

References: Intuitive Surgical website

LapVR

Skills: Laparoscopy

Quantity in lab: Two

Manufacturer: CAE Healthcare

The LapVR surgical simulator uses the latest advances in technology, appropriate interactive 3D models, haptic force feedback, and performance tracking and evaluation to help decrease the learning curve in laparoscopic surgery.

Through use of the surgical simulator's essential skills module, users may develop some of the technical skills and dexterity needed for laparoscopic surgery. Users can also develop:

  • Proficiency in both dominant and non-dominant hand
  • Hand-eye coordination
  • Depth perception
  • Sharper visual spatial cognition
  • Camera driving skills
  • Cutting
  • Knot tying
  • Clipping
  • Needle driving
  • Suturing

SimBaby

Skills: Pediatrics

Quantity in lab: One

Manufacturer: Laerdal

SimBaby is a portable infant patient simulator used in the lab for team training.

The SimBaby simulator has realistic anatomy and clinical functionality and includes software with video debriefing and an interactive, technologically advanced manikin, allowing learners to practice the emergency treatment of infant patients.

The SimBaby simulator allows for pediatric training in the following areas:

  • Infant airway management
  • Peripheral intravenous therapy
  • Infant trauma
  • Pharyngeal swelling
  • CPR
  • Live defibrillation, pacing, and cardioversion

References: Laerdal SimBaby website

EDGE Laparoscopic Trainer

Skills: Laparoscopy

Quantity in lab: One

Manufacturer: Simulab

The EDGE Surgical Simulator uses the latest advances in technology to provide a task-based environment for learning the basic skills of laparoscopy. The simulate records newton strength, path length and time to evaluate learner proficiency.

This simulator is currently assigned as part of a multi-center study to validate the Basics of Laparoscopic Urologic Surgery curriculum developed by the AUA.

FLS Towers

Skills: Laparoscopy

Quantity in lab: Four

The Fundamentals of Laparoscopic Surgery towers hone in on the basics of laparoscopic surgery skills.

The trainer consists of a FLS box, camera and lap-instruments that the learner uses to perform specific tasks to practice Laparoscopic Skills.

The SEAL is registered with SAGES as a FLS Test Center. These towers are equipped and ready for test takers to come and test for the FLS exam.

GI Mentor

Skills: Endoscopy

Quantity in lab: One

Manufacturers: 3D Systems formerly Simbionix

The GI Mentor is an endoscopic Medical Simulator to train learner on upper and lower endoscopic procedures. As a learner you will work with in a library of modules and work on virtual patient cases.

The SEAL is registered with SAGES as a FES Test Center. The GI mentor is used for the manual portion of this exam.

References:  http://simbionix.com/simulators/gi-mentor/

Simantha

Skills: Endovascular

Manufacturers: Medical Simulation Corporation and Laerdal

Simantha, also a portable advanced patient simulator, contains a tactile force-feel technology that allows for distinct and unique experiences for each physician based on individual response time. Simantha has the ability to sit up, bleed, and speak with a limited vocabulary while screens around the operating table monitor her vital signs and take x-rays.

Vimedics 

Skills: Ultra-Sound

Manufacturer: CAE Healthcare

Vimedix is a manikin that allows learners to practice ultrasound on a realistic manikin with simulated ultrasound probes.

References: http://www.caehealthcare.com/ultrasound-simulators/vimedix

SonoSim

Skills: Ultra-Sound

Manufacturer: SonoSim, Inc.

SonoSim is a computer based training simulator that provides didactic education along with hands-on simulation.