Modular Staged Reality Simulator for Surgical Training

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Solution Overview

Problem

Traditional surgical training methods, such as apprenticeship models and virtual reality, lack the ability to provide repetitive and realistic simulations of surgical scenarios, leading to inadequate preparation for medical professionals, particularly in tactile surgical skills and high-stakes situations like thoracic surgery, resulting in high failure rates for surgical board certification exams.

Innovation Solution

A modular staged reality simulator using segmented mannequins with permanent and filler components made from materials like ballistic gelatin and synthetic human tissues, connected via umbilical cables for pneumatic, fluid, and electrical supplies, allowing for realistic and repeatable simulations of surgical procedures, including pulsatile heart and trauma scenarios, with a master-controller managing the simulation and data collection.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If traditional apprenticeship model is used for surgical training, then medical professionals gain real surgical experience, but the training lacks repeatability and control over surgical scenarios presented

Engineering Contradiction:
Improvetraining effectivenessVSAvoidcontrol over training scenarios
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The training system is divided into modular components: a mannequin with replaceable organ modules (heart, lungs, liver, etc.), each containing specific surgical scenarios. This segmentation allows individual modules to be swapped out, providing controlled repetition of specific surgical scenarios while maintaining overall training effectiveness.

Inventive Principle:
Principle #1Segmentation

Solution Approach 2:

The system uses controllable parameters such as pulsatile motion simulation, fluid flow rates, and organizational responses to create standardized surgical scenarios. By controlling these parameters, the system provides repeatable training conditions while maintaining surgical realism, resolving the contradiction between reliability and adaptability.

Inventive Principle:
Principle #35Parameter changes

2Measurement precision

If virtual reality training is used, then diagnostic and prioritization skills are improved, but tactile surgical skills cannot be practiced

Engineering Contradiction:
Improvediagnostic skill assessmentVSAvoidtactile skill development
Core Design Contradiction:
Measurement precisionVSEase of operation

Solution Approach 1:

The system uses synthetic organic tissue materials as an intermediary between virtual reality diagnostics and actual surgical practice. These materials provide realistic tactile feedback and surgical resistance, allowing trainees to practice hands-on surgical skills while the system maintains controlled scenarios for diagnostic assessment.

Inventive Principle:
Principle #24Intermediary (Mediator)

3Ease of operation

If intact cadavers are used for training, then realistic surgical practice is provided, but the training cannot be repeated and is ethically limited

Engineering Contradiction:
Improverealistic surgical practiceVSAvoidtraining repetition capability
Core Design Contradiction:
Ease of operationVSProductivity

Solution Approach 1:

The system creates copies of human organs using synthetic materials that replicate the tactile and structural properties of real tissue. These copied organs can be repeatedly used for training without ethical concerns, maintaining surgical realism while enabling unlimited repetition of training scenarios.

Inventive Principle:
Principle #26Copying

Solution Approach 2:

The modular organ modules can be replaced when worn or depleted, allowing continuous training without permanent degradation of training value. Used modules can be recovered, reset, or replaced, ensuring unlimited training repetition while maintaining ethical standards.

Inventive Principle:
Principle #34Discarding and recovering

4Reliability

If supervised apprenticeship on human patients is used, then real surgical outcomes are achieved, but the failure rate for board certification is high due to limited exposure to diverse scenarios

Engineering Contradiction:
Improvesurgical outcome qualityVSAvoidexposure to surgical scenario diversity
Core Design Contradiction:
ReliabilityVSAdaptability or versatility

Solution Approach 1:

The mannequin system is designed with multiple organ modules and configurable scenarios that can simulate various surgical conditions, pathologies, and complications. This universal platform allows trainees to exposure to diverse surgical scenarios in a controlled setting, improving both outcome quality and scenario diversity before board certification.

Inventive Principle:
Principle #6Universality (Multi-functionality)

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

Enhances the realism and repeatability of surgical training, improving the proficiency of medical professionals by providing a controlled and consistent environment for practicing surgical skills, thereby reducing failure rates in certification exams and improving clinical outcomes.

Implementation Method 1

A pulsatile pump delivers pressurized fluid through tubing to the staged reality module

Methodology Applied
Scientific EffectPulsatile flow:

Data Source

PatentUS10013896B2Modular staged reality simulator
Publication Date: 2018.07.03 THE UNIV OF NORTH CAROLINA AT CHAPEL HILL
  • US10013896B2 patent drawing
  • US10013896B2 patent drawing
  • US10013896B2 patent drawing

AI summary

This invention is directed to a modular staged simulator and a process of simulating medical trauma and maladies for the purpose of training or certifying individuals including medical professionals. More specifically, this disclosure relates to ex vivo training exercises as opposed to traditional forms of training using intact cadavers, in vivo surgery on animal subjects; and supervised apprenticeship performing surgery on human subjects with trauma or maladies under the watch of a skilled medical practitioner.