GYN /2015-E. GynTrainer. the virtual platform for diverse and risk-free training of gynecological diagnosis and therapy
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1 GYN /2015-E GynTrainer the virtual platform for diverse and risk-free training of gynecological diagnosis and therapy
2 Virtual Reality (VR) in Medical Training and Further Education at KARL STORZ Minimally invasive surgery (MIS) places special demands on the medical training and further education of surgeons. This is why KARL STORZ, one of the leading manufacturers in the MIS sector, is committed to providing its customers with optimum support for medical training and further education. KARL STORZ believes that the use of simulators holds great potential in this area. Simulator training was first successfully implemented in fields such as aviation. It is commonplace for pilots to train various scenarios not only during training but throughout their entire professional career mainly using (flight) simulators. The adaptation of simulator training to medical education and to MIS in particular opens up new horizons for the medical training of surgeons. Virtual reality training simulators offer surgeons the opportunity to acquire the technical skills required for MIS under standardized conditions in a controlled environment. Simulator training is particularly useful for enhancing skills related to instrument handling and navigation in a three-dimensional space via a two-dimensional monitor as well as providing more efficient training of specific surgical steps. Computer-based simulators allow trainees to review and practice procedures as often as required. Moreover, simulators reduce costs for consumable parts. Simulation training enables learners to acquire essential surgical skills and procedures and thus has a positive outcome on actual procedures in the clinic. KARL STORZ offers VR simulators for urology (UroTrainer), gynecology (GynTrainer) and arthroscopy (ArthroTrainer). The KARL STORZ trainer family offers novice and experienced surgeons a modern and comprehensive training system for diagnostic and therapeutic interventions. The simulators provide training in basic skills such as hand-eye coordination and diagnostic tours as well as entire procedures such as, for example, meniscectomy (ARTHRO), TURP (URO) or polypectomy (GYN). The GynTrainer features an anatomical pelvis model and the ArthroTrainer a shoulder and knee model for a realistic tactile feedback. The UroTrainer, on the other hand, features a Simbox that provides realistic force feedback. In conjunction with virtual patient cases, the system allows the trainee to gain practical experience that is essential for the safe performance of interventions. A further advantage is the feedback report. After each completed task, the trainee receives a feedback report with expert-defined scores on basic parameters such as training time, precision of movements and the identification of possible errors (depending on the task). Furthermore, all procedures are recorded and can be analyzed at a later date with a tutor/supervisor/mentor. Trainees and tutors have the option of monitoring individual development. Each participant has an own account that offers the possibility to track or review procedures at any time. 2
3 GynTrainer the virtual platform for diverse and risk-free training of gynecological diagnosis and therapy Original working elements and other instruments provide a complete simulation experience and facilitate familiarization with surgical instruments. The GynTrainer is equipped with: Anatomic pelvic model for highly realistic tactile feedback (optional available as a portable version without tactile feedback) In- and outlet valves for fluid handling Working element for electro surgery 3 virtual telescopes: 0, 12 and 30 Speculum and tenaculum High-end PC and 23" multi touch screen and keyboard Movable display cart with height-adjustable screen Expert-defined metrics provide objective feedback and thus offer the best learning outcomes 3
4 Basic Module Hysteroscopy 8* virtual patients with varying pathologies and cases with different levels of difficulty allowing the trainee to gain experience in using the angled optics. In total there are 12 different diagnostic cases available. Learning objectives: Confirm the correctly placed hysteroscope Establish uterine distension and clear viewing conditions Inspect the uterine cavity completely and describe visible pathologies Polyp Removal 8* virtual patients with various polyps in different locations provide training for the first steps in operative hysteroscopy using the loop electrode. Learning objectives: Inspect the uterine cavity completely and describe visible pathologies Cut the polyp with the loop electrode Remove the stalk completely while preserving the healthy tissue * The number of patient cases may change due to further development of the product. 4
5 Myomectomy Resection of 8* different submucosal fibroids (type 0) in challenging positions and various levels of difficulty. Learning objectives: Inspect the uterine cavity completely and describe visible pathologies Cut myoma in chips while safely handling the loop electrode Coagulate bleeding sources Endometrial Ablation with the Rollerball 4* virtual patients with different shapes of uterine cavities offer an ideal environment to practice electro surgery, even in places which are hard to reach. Learning objectives: Inspect the uterine cavity completely and describe visible pathologies Safely and systematically ablate the complete endometrial surface * The number of patient cases may change due to further development of the product. 5
6 Extension Module Hysteroscopy 4* virtual patients for advanced hysteroscopy include patient cases with synechiae, a uterine septum and challenging fibroids (type 0, I and II). Learning objectives: Learnings include removing the intramural parts of fibroids Re-establishing a uterine cavity without perforating with the resection tool Extension Resection Module 4* virtual patients with multiple polyps, multiple myomas type 0, I and II, synechiae and a septum enable training of advanced therapeutic hysteroscopy. Extension Module Essure 8* virtual patients give scope for the Essure procedure. * The number of patient cases may change due to further development of the product. 6
7 Gyn Basic Module with exercises for Diagnostic Hysteroscopy Polypectomy Myomectomy Endometrium ablation Additional software packages can be installed Stationary GynTrainer, with passive working element, software modules, in a reusable transportation case, ideal for use at conferences, workshops and training centers, including: Integrated Learning Management System High-end PC and 23" Multi Touch Screen Mobile Cart, with height-adjustable monitor Anatomical Pelvis Model Tenaculum Speculum Wireless Keyboard Mains Cord Cleaning Box Same, with active working element, in a reusable transport case Same, with active working element, in disposable packaging Same, with passive working element, in disposable packaging Portable GynTrainer, with Simball tracking system, passive working element, high-end laptop with 17" multi touch screen, in a practical trolley, can be checked in as flight luggage Same, with active working element 7
8 Platform Additional available software modules: GYN Advanced Hysteroscopy Module, for stationary GynTrainer with anatomical pelvis model, including hysteroscope, grasper/punch and software GYN Advanced Module Resection Essure Module, advanced module for stationary GynTrainer with anatomical pelvis model, including hysteroscope, Essure instrument and software Additional software modules: GYN Advanced Hysteroscopy Module, for portable GynTrainer without anatomical pelvis model, with Simball tracking system, including hysteroscope, grasper/punch and software GYN Advanced Resection Module Essure Module, advanced module for portable GynTrainer without anatomical pelvis model, with Simball tracking system, including hysteroscope, Essure instrument and software 8
9 Additional instruments Anatomical Pelvis Model, with stand and electromagnetic tracking (including the anatomical uterus insert), for use with the stationary GynTrainer Anatomical Uterus Insert, with electromagnetic tracking, for use with the stationary GynTrainer Refurbishment of Anatomical Uterus Insert, replacement of worn components, refurbishment, calibration and function control, for use with the stationary GynTrainer Transport Case, for all stationary trainers, reusable, recommended for frequent shipment 9
10 Additional instruments Hysteroscope, including working channel, for use with: Stationary GynTrainer Portable GynTrainer Passive Resectoscope, adapted original instrument with passive working element, for use with: Stationary GynTrainer Portable GynTrainer Active Resectoscope, adapted original instrument with active working element, for use with: Stationary GynTrainer Portable GynTrainer 10
11 Additional instruments Adapted Essure Instrument, Essure add-on module required, for use with GynTrainer Grasper/Punch, adapted instrument, for use with GynTrainer Tenaculum, adapted tenaculum made of titanium, for use with stationary GynTrainer Speculum, adapted speculum, for use with stationary GynTrainer It is recommended to check the suitability of the product for the intended procedure prior to use. 11
12 KARL STORZ Endoscopy-America, Inc East Grand Avenue El Segundo, CA , USA Phone: Phone toll free: (US only) Fax: Fax toll free: (US only) KARL STORZ GmbH & Co. KG Mittelstraße 8, Tuttlingen, Germany Postbox 230, Tuttlingen, Germany Phone: +49 (0) Fax: +49 (0) GYN /2015/EW-E
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