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Simbionix LAP Mentor

Laparoscopy Virtual Reality Simulator

LAP Mentor - Laparoscopy Simulator from Simbionix

SIMBIONIX LAP Mentor:

The Simbionix LAP Mentor Virtual Reality Simulator is a state-of-the-art laparoscopic training system that stands out amongst available laparoscopic surgical simulators by providing a complete training solution to learners of all levels and across all disciplines including gynaecology, urology and general surgery.

The Simbionix LAP Mentor is the simulator of choice at leading centres worldwide.

• It is developed in close collaboration with the medical community.
• Didactic content includes anatomical 3D maps, video-based education, procedural instructions and more
• The only virtual reality training simulator for both basic and advanced laparoscopic procedures
• Ever-expanding multidisciplinary library of modules
• Ready-to-use curricula for a structured method of trainingthat can be tailored to training needs
• Technical skills reporting and assessment
• The only laparoscopic simulator completely integrated online
• LAP Mentor is the ideal solution for the ACGME requirement for simulation based training

Surgeons have demonstrated the LAP Mentor’s effectiveness in basic and advanced skill acquisition.

LAP MENTOR TASKS AND SKILLS MODULES:

As recommended by SAGES, prior to performing advanced laparoscopic procedures; it is recommended that the resident will be familiar with and experienced in basic laparoscopic skills. Simbionix provides unique modules for laparoscopic basic skills and basic and advanced suturing training.

BASIC LAPAROSCOPIC SKILLS MODULE:

9 laparoscopic basic tasks. Enables the trainee to acquire basic-level skills essential to building confidence and ease with laparoscopic techniques. Exercises in a non-anatomic setting provide a relaxed environment outside of the operating room for both individuals and teams, aimed at improving orientation, eye hand coordination and manual skills.

ESSENTIAL LAPAROSCOPIC TASKS MODULE:

3 essential laparoscopic tasks. Provides practice on tasks including peg transfer, pattern cutting and placement of ligating loop, similar to the Fundamentals of Laparoscopic Surgery Program (FLS) developed by SAGES. The module enables implementing a training curriculum for the tasks, while heavily relying on self practice and optimizing proctor time. Breakthrough virtual reality technology provides an efficient and enjoyable environment to practice the tasks repetitively and independently until reaching the desired proficiency level.

BASIC SUTURING MODULE:

6 tasks for practicing the basic suturing skills. The Basic Suturing Module is a unique and realistic module designed to train until proficient at basic suturing techniques for all fields of laparoscopic surgery: All tasks are illustrated by instructional videos that greatly enhance the training process. Real suturing handles enable realistic training of needle loading, needle insertion, knot tying, interrupted suture and continuous suture.

ADVANCED SUTURING MODULE:

7 tasks for practicing advanced suturing skills. The Advanced Suturing Module is a unique and realistic module designed to train until proficient at intra-corporeal suturing and knotting techniques for all fields of laparoscopic surgery. The advanced tasks include practicing 'backhand' technique, and suturing in difficult suture line angles as encountered in procedures. All tasks are illustrated by instructional videos that greatly enhance the training process. Real suturing handles enable realistic training.

LAP MENTOR PROCEDURE MODULES:

Basic and Advanced Laparoscopic Procedure Training.

As new laparoscopic procedures emerge and guidelines for endoscopic surgery evolve, Simbionix develops training modules based on cutting edge simulation technology enabling users to experience entire complex laparoscopic procedures in a safe environment.

GENERAL SURGERY

CHOLECYSTECTOMY PROCEDURAL TASKS MODULE:

4 didactic tasks provide a step-by-step tutorial of the Lap Chole procedure. Each task focuses on one critical step of the procedure: Achieving the critical view of the cystic duct and artery, safe clipping and cutting and dissection of gallbladder from the liver bed. Instructions on safe procedure performance are applied to the anatomical setting. This module helps surgeons identify the visual cues associated with traction/counter-traction of tissue as well as identifying areas requiring additional practice.

GENERAL SURGERY

CHOLECYSTECTOMY PROCEDURE MODULE:

6 simulation tasks, each with 3 anatomical variations, provide 18 complete Lap Chole procedure cases. The realistic Lap Chole procedure simulation resembles a true-to life experience, enhanced even more by tactile feedback. The module provides patient cases of easy to difficult anatomical variations to the cystic duct and positions of arteries, which may otherwise not be experienced during a training period. The module enables free-style training using different techniques, alternative approaches, and acquisition of the skill and knowledge necessary to safely cope with possible complications.

GENERAL SURGERY

APPENDICECTOMY TASKS AND PROCEDURE MODULE:

A complete curriculum for laparoscopic appendicectomy: Basic appendicectomy procedural tasks, interactively guided complete procedure techniques and free-hand complete procedure cases. Acquire skills and knowledge of key components of Laparoscopic Appendicectomy: Exposure of the appendix; division of the meso-appendix and appendix; specimen retrieval and haemostasis. Learn to determine the best approach to the procedure in cases of various anatomical positions of the appendix from easy normal positions to a retrocecal position, requiring exposure skills. Experience different degrees of inflammation; easy moderately inflamed cases to a perforated appendix. Practice a variety of techniques and appropriate use of surgical instruments such as energy devices, stapler and loop. Cases include an anatomical 3D map, real-life videos, interactive 3D guidance and comprehensive objective performance metrics to enrich and enhance the learning experience.

GENERAL SURGERY

INCISIONAL HERNIA MODULE:                                              LAP MENTOR EXCLUSIVE!

6 easy to difficult hernia repair cases. Provides surgeons with true-to-life experience of laparoscopic incisional hernia repair in a controlled and safe environment. Trainees gain an in-depth understanding of abdominal anatomy, skills for carefully separating the adhesion to expose the hernia defect, appreciation of potential complications, and practice safe use of prosthetic mesh and devices used to fixate, suture and staple the mesh.

BARIATRIC SURGERY

GASTRIC BYPASS MODULE:

4 key steps for performing laparoscopic gastric bypass. Provides surgeons with the opportunity to perform advanced tasks including creation of the gastric pouch, measurement and division of the jejunum, gastrojejunal anastomosis and enteroenterostomy anastomosis. Trainees practice the technical aspects of laparoscopic Roux-en Y creation and jejunojejunostomy and gain an in-depth understanding of intra-operative problems during lap bypass surgery and how to avoid them. Familiarity with instruments is gained by experiencing a variety of procedure specific surgical instruments, while instructional movies enhance knowledge of the procedure.

COLORECTAL SURGERY

SIGMOIDECTOMY MODULE:                                                 LAP MENTOR EXCLUSIVE!

A complete procedure simulation. The module provides an environment in which to perform a wide range of tasks from vessel isolation through creation of the anastomosis before encountering them in the operating room. Trainees learn to determine the best approach to the procedure, practicing real-time clinical decision-making and working safely to prevent complications and respond to injuries. An anatomical 3D map, on-demand real-life videos, procedural instructions and trocar placements complete this exceptional training module.

GYNAE SURGERY

ESSENTIAL GYNAE MODULE:

7 patient cases: Laparoscopic tubal sterilization, salpingostomy, salpingectomy and salpingo-oophorectomy. Trainees encounter a range of patient pathologies and gain experience with various techniques and surgical instruments. Included in this module are a variety of complications and emergency situations such as bleeding at the implantation site, a ruptured fallopian tube and a blood-filled abdominal cavity.

GYNAE SURGERY

HYSTERECTOMY MODULE:                                                  LAP MENTOR EXCLUSIVE!

This new industry first module enables to practice the key components of the Total Laparoscopic Hysterectomy procedure: Uterine manipulation; Superior pedicle division; Bladder mobilization; Exposure and division of the uterine artery and Colpotomy. The advanced and comprehensive simulation curriculum provides an opportunity for practicing a safe laparoscopic hysterectomy procedure and includes educational aids such as videos of the real procedure, procedural instructions and performance reports.

UROLOGY SURGERY

NEPHRECTOMY MODULE:                                                     LAP MENTOR EXCLUSIVE!

A laparoscopic transperitoneal nephrectomy procedure. It has been estimated to take surgeons approximately 15 laparoscopic cases to become proficient with the nephrectomy procedure. The module is intended to provide an alternative platform for gaining the learning curve experience, before proceeding to the clinical setting. Steps for successful and effective performance of the procedure may be practiced: Colon mobilization; Exposure and dissection of the renal hilum; Mobilization of the upper pole. The adrenal gland may be spared or removed. Potential errors and complications, and the methods by which to avoid or manage them are simulated, for example, injuries to the renal vessels and their tributaries may occur during unsafe electro-surgical dissection, clipping or stapling. Didactic step-by-step procedural instructions and videos of a real procedure may be displayed. Performance metrics are collected during the session to assess training success.

GYNAE SURGERY

VAGINAL CUFF CLOSURE  MODULE:                                  LAP MENTOR EXCLUSIVE!

The module provides a unique opportunity to practice vaginal cuff suturing using unidirectional and bidirectional Barbed Sutures.

Training includes a variety of potential complications such as suspected injury to the bladder, ureters, colon and iliac vessels.

Designed as a self-pace module, cases comprise unique educational aids including an anatomical 3D map, real-life videos, and visual guidance, all intended to help trainees become more confident in this challenging task.

Real suturing handles allow for the life-like practice of suturing skills.