Surgical Simulator for Improving Skill Proficiency and Resilience

用于提高技能熟练程度和恢复能力的手术模拟器

• 批准号: 10468965
• 负责人: Rachel Clipp
• 金额: $ 47.63万
• 依托单位: KITWARE, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10468965
• 关键词: Academic Medical Centers; Adopted; Adverse event; Algorithms; Anatomy; Buffaloes; Child; Cholecystectomy; Clinical Research; Collaborations; Communities; Computer software; Custom; Development; Engineering; Ensure; Equipment; Equipment Malfunction; Evaluation; Event; Face; Feedback; Funding Opportunities; Goals; Hemorrhage; Hospitals; Injury; Institutes; Intelligence; Laparoscopic Cholecystectomy; Laparoscopic Surgical Procedures; Learning; Learning Skill; Maintenance; Medical; Medical Students; Medical center; Methodology; Methods; Minor; Modeling; New York; Operative Surgical Procedures; Outcome Assessment; Patient Care; Patients; Performance; Physics; Physiologic pulse; Physiological; Physiology; Procedures; Puncture procedure; Regimen; Research Institute; Science; Surgeon; Surgical Error; Techniques; Technology; Testing; Time; Training; Training Programs; Training Support; Training and Education; Universities; Validation; Variant; Work; base; bile duct; care outcomes; care providers; clinical application; continuing medical education; design; experience; heat injury; improved; innovation; medical schools; minimally invasive; open source; open source tool; orthognathic; patient safety; physiologic model; prototype; resilience; response; safety outcomes; simulation; skill acquisition; skills; software development; technology development; tool; virtual; virtual reality simulator; virtual surgery

Abstract Minimally invasive techniques that are constantly evolving have increased the skill requirements for successful and safe surgical procedures. There has been an extensive effort in the last two decades to develop medical simulators for training surgeons. However, much of the work has focused on medical students and surgical residents who are currently in formal training programs. There is a recognized need to ensure practicing surgeons maintain their level of skills through continuous evaluation while simultaneously learning newer procedures or equipment that get adopted into the OR. The objective of this proposal is to develop, evaluate and validate simulation technologies to train, retrain and advance the performance and resiliency of practicing surgeons. We plan to develop open source software templates for rapid creation of high-fidelity simulations that include rare and adverse surgical events to enable practicing surgeons maintain and enhance their surgical skill. In this project, we propose extending Interactive Medical Simulation Toolkit (iMSTK)-an open source medical simulation platform, that has been used to prototype virtual trainers for laparoscopic surgery, orthognathic surgery and other clinical applications. We will develop software templates for rare and adverse event simulation, including hemorrhage (due to vessel puncture and unintentional cutting), thermal injury, anatomical variation, and physiological modeling. In most cases, physiological models are developed separately without coordination with interactive surgical simulation limiting their capability. In this project, we will integrate Kitware’s open source Pulse Physiological Engine with iMSTK to build a closed-loop physiology model that handles local physiological changes and global, systemic physiological responses. This project is a collaboration between Kitware Inc. and the University at Buffalo School of Medicine and Biomedical Sciences (UB) with an End-User Advisory Group (EAG) from Children National Medical Center (CNMC) and Baylor University Medical Center (BUMC). The institutes have a long record of collaboration in simulation technology development projects. We will demonstrate the new software templates by building a virtual surgical simulator for cholecystectomy with bile-duct injury and other complications that can occur in this type of surgery. The End-User Advisory Group will meet with the technical team on regular basis to provide feedback on the technical development. We will conduct face, content, and construct validity test and learning assessment to validate the simulator.

抽象的 不断发展的最低侵入性技术提高了技能 成功和安全的手术程序的要求。付出了很大的努力 过去的二十年来开发培训外科医生的医学模拟器。但是，大部分 工作专注于目前正式正式的医学生和外科居民 培训计划。有认可的需要确保练习外科医生保持其水平 通过连续评估的技能，同时学习新的程序或 被采用到OR的设备。该建议的目的是开发，评估 并验证模拟技术以训练，重新训练和提高性能和 执业外科医生的弹性。我们计划开发开源软件模板以快速 创建包括罕见和不良外科事件的高保真模拟 实践外科医生维护和增强其手术技能。 在这个项目中，我们建议扩展交互式医疗模拟工具包（IMSTK） 开源医学模拟平台，已用于原型虚拟培训师 腹腔镜手术，矫形手术和其他临床应用。我们将发展 罕见和不良事件模拟的软件模板，包括出血（由于血管 穿刺和无意切割），热损伤，解剖学变异和生理 造型。在大多数情况下，物理模型是单独开发的，而无需协调 通过互动手术模拟限制了它们的能力。在这个项目中，我们将整合 Kitware的开源脉冲生理引擎与IMSTK建立闭环生理 处理当地生理变化和全球生理反应的模型。 该项目是Kitware Inc.和Buffalo School大学的合作 来自最终用户咨询小组（EAG）的医学和生物医学科学（UB） 儿童国家医疗中心（CNMC）和贝勒大学医学中心（BUMC）。这 研究所在模拟技术开发项目中的协作记录很长。我们 将通过构建虚拟手术模拟器来演示新软件模板 胆囊切除术和胆管损伤和其他并发症可能发生在这种类型的 外科手术。最终用户咨询小组将定期与技术团队会面 提供有关技术发展的反馈。我们将进行面部，满足和构造 有效性测试和学习评估以验证模拟器。