Virtual Surgical Training System Using Sensor Feedback
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Solution Overview
Problem
Current training methods for endoscopic vessel harvesting (EVH) surgical procedures are limited by the need for expensive cadavers, scarce operating room availability, and lack of frequent practice opportunities, which hinder the development of skilled medical personnel due to the inconvenience and cost of sterilized equipment and the static nature of leg models.
Innovation Solution
A training system comprising a manipulation device with sensors and a video display that allows users to practice EVH procedures in a virtual environment, providing feedback and progressive levels of complexity, mimicking real-world movements and scenarios.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If traditional proctored training using cadavers or leg models is used, then training realism and anatomical accuracy are improved, but cost and device complexity increase significantly
Solution Approach 1:
The patent creates a virtual copy of the surgical procedure environment using computer-generated 3D anatomical models that replicate the visual and spatial characteristics of real surgical fields. This virtual copying allows trainees to practice procedures with high realism without requiring actual cadavers or complex physical models, thereby reducing cost and complexity while maintaining training effectiveness
2Productivity
If frequent training sessions are provided using traditional methods, then skill development is improved, but cost and resource availability worsen
Solution Approach 1:
The virtual training system allows trainees to independently access and perform repeated training sessions without requiring proctors, cadavers, or specialized laboratory facilities. The system provides automated feedback and guidance, enabling self-directed practice that can occur anytime and anywhere, dramatically increasing the frequency and quantity of training opportunities without proportional increases in resource consumption
3Object-affected harmful factors
If sterilized equipment and operating room availability are required for training, then infection control is improved, but scheduling flexibility and accessibility worsen
Solution Approach 1:
The patent replaces the physical mechanical system of actual surgical equipment and cadavers with a digital virtual reality system. This substitution eliminates the need for sterilization protocols, operating room facilities, and proctor supervision, allowing trainees to access training through standard computing devices in any location, thereby dramatically improving accessibility while maintaining infection control through the inherently sterile digital environment
4Device complexity
If static leg models are used for training, then equipment simplicity is improved, but adaptability to different patient scenarios worsens
Solution Approach 1:
The patent implements dynamic virtual anatomical models that can be programmatically adjusted to represent different patient anatomies, pathologies, and surgical scenarios. Unlike static physical models, the virtual models can be dynamically reconfigured through software to provide unlimited variety in training scenarios while using the same underlying hardware platform, thereby achieving high adaptability without increasing physical equipment complexity
Data Source
AI summary
A training system that allows a user to practice performing movements commonly performed during an endoscopic vessel harvesting surgical procedure includes a manipulation device representative of components of a vessel harvesting device. The manipulation device includes a first tool having a main handle configured to be grasped by a user and a second tool having an auxiliary handle including a shaft inserted through an opening in the main handle. The training system also includes a video display and a controller in electronic communication with sensors of the manipulation device and the video display. The controller is configured to: receive and process signals from the sensors of the manipulation device to determine movement information for the manipulation device and cause at least one visual indication to be provided on the video display at a position on the video display based, at least in part, on the determined movement information.


