Training Simulator for Epidural Needle Insertion

硬膜外进针训练模拟器

• 批准号: 7089071
• 负责人: JOHN C MAGILL
• 金额: $ 42.76万
• 依托单位: PHYSICAL SCIENCES, INC
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-08-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7089071
• 关键词: clinical research; computer assisted instruction; computer human interaction; computer program /software; computer simulation; education evaluation /planning; educational resource design /development; epidural anesthesia; human subject; medical education; physical model; touch; training aid; vertebrae; visual stimulus

DESCRIPTION (provided by applicant): In this Phase II program, Physical Sciences Inc. (PSI) proposes to develop a training simulator for epidural catheter insertion that combines features of a physical model and virtual reality simulation. The physical model will consist of a human torso mannequin. The torso will be covered with an artificial skin through which anatomical landmarks can be palpated to determine the location of needle insertion, as is done to patients. When a Touhy needle punctures the artificial skin, it will encounter, the novel, haptic feedback device, the feasibility of which was demonstrated in Phase I. This computer-controlled device calculates the location of the needle and applies the appropriate resistive force. The system will be designed so that the haptic feedback device can be mounted at different locations in the mannequin for simulation of epidural needle insertion at different intervertebral joints by both the median and paramedian approaches. This system will also allow simulation of other needle insertion techniques, such as spinal tap. In the Phase II Program, collaborators at the CIMIT simulation center will develop performance measurement algorithms and design a study to validate that performance on the simulator is correlated with clinical skill. The study will be conducted with residents of varying experience and attending anesthesiologists. Validation work will be accomplished with support from obstetric anesthesiologists at the Beth Israel-Deaconess Medical Center. When completed, the simulator will aid training medical personnel to deliver epidural anesthesia at several intervertebral joints for relief of surgical pain, chronic pain, and childbirth pain, as well as other needle insertion procedures. It will allow complex cases to be simulated, allow trainees to purposely make mistakes, and ease the anxiety of junior physicians treating patients.

描述（由申请人提供）： 在此阶段II计划中，物理科学公司（PSI）建议开发用于硬膜外导管插入的训练模拟器，该模拟器结合了物理模型的特征和虚拟现实模拟。物理模型将由人类躯干人体模特组成。躯干将被人造皮肤覆盖，可以将解剖学地标触及，以确定针头插入的位置，就像患者对患者一样。当Touhy针穿刺人造皮肤时，它将遇到新颖的，触觉的反馈装置，其可行性在I期中证明了。该计算机控制的设备计算了针的位置并施加了适当的电阻力。该系统将被设计，以便可以将触觉反馈装置安装在人体模型中的不同位置，以通过中位数和paramedian方法在不同的椎间接缝处模拟硬膜外针头插入。该系统还将允许模拟其他针插入技术，例如脊柱水龙头。在第二阶段计划中，CIMIT模拟中心的合作者将开发性能测量算法并设计一项研究，以验证模拟器上的性能与临床技能相关。这项研究将与有不同经验和参加麻醉师的居民进行。验证工作将在以色列贝丝（Beth Israel）执行医疗中心的产科麻醉师的支持下完成。完成后，模拟器将帮助培训医务人员在几个椎间处进行硬膜外麻醉，以缓解手术疼痛，慢性疼痛和分娩疼痛以及其他针刺插入程序。它将允许模拟复杂的病例，允许学员有目的地犯错，并减轻治疗患者的初级医生的焦虑。

项目成果

A novel actuator for simulation of epidural anesthesia and other needle insertion procedures.

一种用于模拟硬膜外麻醉和其他针插入程序的新型执行器。

• DOI: 10.1097/sih.0b013e3181ce761a
• 发表时间: 2010
• 期刊: Simulation in healthcare : journal of the Society for Simulation in Healthcare
• 作者: Magill,JohnC;Byl,MartenF;Hinds,MichaelF;Agassounon,William;Pratt,StephenD;Hess,PhilipE
• 通讯作者: Hess,PhilipE