Diagnostic and Operative Hysteroscopy Simulator

诊断和手术宫​​腔镜检查模拟器

• 批准号: 6443625
• 负责人: JOSEPH L TASTO
• 金额: $ 36.21万
• 依托单位: IMMERSION CORPORATION
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-07-01 至 2004-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6443625
• 关键词: bioengineering /biomedical engineering; bioimaging /biomedical imaging; clinical research; computer human interaction; computer simulation; continuing education; educational resource design /development; endoscopy; female reproductive system disorder diagnosis; female reproductive system surgery; human subject; medical education; training; uterus

Gynecologists have traditionally employed blind procedures such as dilatation and curettage (D&C) for intra-uterine diagnosis and treatment. More recently, they have begun to use hysteroscopic techniques, with a camera and operating instruments insert4d into the uterus through the cervix. Being able to see inside the uterus allows experienced surgeons to work more effectively, with fewer complications; however, operating with instruments inserted through the narrow cervical canal places great demands on surgeons' skill and dexterity. Hysteroscopic surgery can even increase complication rates, especially for surgeons inexperienced with hysteroscopy. The simulator developed in Phase I and proposed for extension in Phase II will allow surgeons to learn in a standardized environment with low instructional costs, built-in performance evaluation, no patient risk, and varied pathologies determined by a curriculum, not by the random flow of patients. Phase I produced a prototype simulator for the common hysteroscopy tasks-cervical dilation, endometrial ablation, and polyp extraction. Here distinguished surgical educators evaluated the simulator, providing validation and guidance for Phase II. The Phase II will include instructional design and implementation of three training software modules, custom interface hardware development, and simulator evaluations, resulting in a refined simulator ready for delivery to customers. PROPOSED COMMERCIAL APPLICATIONS: Immersion is a world leader in the commercialization of medical simulators using patented TouchSense. Technology that lets physicians feel forces and tactile sensations as they operate on a virtual patient. Hysteroscopy is a common technique performed by obstetrician/gynecologists, the specialty with the largest number of surgical residents in the U.S. A commercial simulator would increase the quality of training and speed adoption improved hysteroscopy procedures.

传统上，妇科医生采用了盲目的程序，例如扩张和凝结（D＆C）进行诊断和治疗。最近，他们已经开始使用宫腔镜技术，并通过子宫颈将相机和操作仪器插入子宫中。能够看到子宫内部可以使经验丰富的外科医生更有效地工作，并且并发症较少。但是，用狭窄的宫颈管插入的仪器运行，对外科医生的技能和灵巧性提出了巨大要求。 宫腔镜手术甚至可以提高并发症率，尤其是对于宫腔镜检查经验不足的外科医生。在第一阶段开发的模拟器并提议在第二阶段扩展，将允许外科医生在具有低教学成本，内置绩效评估，没有患者风险以及由课程确定的不同病理的标准化环境中学习，而不是由患者的随机流动。第一阶段产生了一种原型模拟器，用于常见的宫腔镜任务颈部扩张，子宫内膜消融和息肉提取。 在这里，杰出的外科教育者评估了模拟器，为II期提供了验证和指导。第二阶段将包括三个培训软件模块的教学设计和实施，自定义接口硬件开发以及模拟器评估，从而导致准备向客户交付的精制模拟器。拟议的商业应用：沉浸是使用专利的触摸索斯在医疗模拟器商业化方面的世界领导者。可以使医生在虚拟患者身上运作时感受到力量和触觉感觉的技术。宫腔镜检查是由产科医生/妇科医生进行的一种常见技术，该专业人士在美国的手术居民数量最多，商业模拟器将提高培训和速度采用的质量改善的宫腔镜检查程序。