By Epona Medical B.V.Rotterdam, Netherlands

An educational platform

Dervis Demirtas, CEO Epona Medicalaerospace engineering, specialist in control & simulation

Epona Medical provides an educational platform with a high tech simulator that is not only effective and affordable, but also flexible and firmly grounded in client needs.

“We listen to the feedbacks from end-user customers and use it to improve or design new exercises. All LAP-X exercises are based on our users feedbacks”

INTRODUCTION

The LAP-X offers residents the opportunity to train in a safe and controlled

environment, where mistakes can be made without harming actual patients.

“From mistakes we learn”

Product description

Specially designed simulator for laparoscopy

2nd generation controller hardware design

Goal: “Mimic the exact instrument movements”

[ Limited stock with reduced price ]

New Controller Gen2+

“Training becomes even more realistic”Available in January 2012

Advantages of LAP-X: LAP-X Hardware Gen2+

Real surgical instruments inserted through an incision point. The controller mimics reality closely. The touch and feel are similar to a real surgery.

Footpedals for cauterization and coagulation

The training starts with the same instruments used on real surgeries; narrowing the gap between training and real surgeries.

Advantages of LAP-X: organized training

With LAP-X simulator, it is now possible to organize the training

Simulator will accelerate the learning curve for skills acquistion. The shape of the learning curve is likely to be different for every student; however, the outcome should be identical. “Proficient skills level” , standardizing training

The best way and the fastest method of skills training is to break down the training in smaller segments and focus one by one before combining to one later.

BasicSkills

Novice I-IIISkills

E-Learning

Exams

IntermediateSkills

Advantages of LAP-X: Better skilled surgeons

Shorten the surgery time, increase the number of surgeries

Lessen the failures/mistakes made by unskilled residents/students

Shorten recovery time of patients

Advantages of LAP-X: Better skilled surgery assistants

During a surgery, it is very common that surgery assistants need to assist surgeons by holding camera/endoscope or an instrument.

With the LAP-X, surgery assistants will understand the difficulties of scope assisting and reducing “learning time” during real surgeries.

Possibility to add E-learning content to help surgery assistants understand different surgery instruments used in a surgery.

Better skilled assistants will increase the efficiency of a surgery.

Advantages of LAP-X: Reviewing the results local and online

All the results are stored on a personal profile.

Review the results behind your own desk and computer.

Receive a certificate of proof after finishing a curriculum. This cirtificate is ony valid for 6 months.

Advantages of LAP-X: Administration modus

Overview of all the students in one page.

Review the scores behind your own desk on your own computer.

Monitor when, how long the students train and their progresses over time.

Add E-learning content.

Add exam questions.

Create and name your own curriculum. This will be available for a selected students or for all of the students.

LAP-X skills

+ Personal portfolio+ curriculum+ E-learning

platform for education

Advantages of LAP-X: Measured parameters

Number of mistakes

Pathlength of the left and right controllers

Time

Dropped objects

In development: Motion signature: every user have an unique 3D signature.

Advantages of LAP-X: Increased training effect

Motivate students with challenging exercises

Serious gaming elements added to motivate and challenge the residents

Compete with other residents worldwide

Create mandatory training schedules

Deliver a variation in training to increase training effect

In our opinion the most important one to start with is that the training must be a mandatory part of the

curriculum to obtain the expected result.

Also;

Interval and repetition of the training is necessary. We would advise to pass the curriculum every 6 months

to maintain the certificate.

The LAP-X trainer delivers the professor tools to organize mandatory training:

Creating his own curricula

Insert E-learning content

Insert exam questions

Set up a deadline for residents to finish a curriculum

Set up a minimal requirement for a weekly training (in development)

Automatic warnings supported (in development)

Monitoring the progress of the students remotely

Advantages of LAP-X: Support and service

Replacement program of the hardware: always up-to-date with the latest innovation of the LAP-X controller in the same generation line (*)

Support and service on site, by phone and by email

Support in Dutch, German, English, Japanese, Chinese, Vietnamese, French, Spanish, Portuguese, Korean, Indonesian, Thai and Arabic

*During the license period. First year license is included in the package

Advantages of LAP-X: Software updates, license

During the license period, module extension and new exercises are regularly and automatically updated at no extra cost (internet

connection is necessary)

Still able to train with LAP-X after the license expires

Unlimited user registration

Advantages of LAP-X: Updates, license

Most realistic hardware interface in the market (the only simulator with real surgical instruments)

Hardware and software is always up-to-date with a license

First year license is included

Epona Medical provides training and simulation for all minimal invasive disciplines

General SurgeryGynaecology

Urology

Orthopedics

Surgery assistants

Etc...

Medical students

Basic skills

LAP-X Basic curriculumBasic exercises with the boxBooks

Courses and lectures

Learn procedures from lectures and booksMultimedia medium to obtain procedural knowledge LAP-X E-learning and exams

Novice skills

LAP-X novice ILAP-X novice IIFLS box task

Intermediate skills

LAP-X intermediate ILAP-X intermediate II Novice IIISuturing task and techniques in a box

Practical courses

Training on a life animalTraining on a cadaver

SurgeryAssist and/or operate on real patient

Positioning the LAP-X in the training curriculum

CERTIFICATION I CERTIFICATION II

CERTIFICATION IV CERTIFICATION III

SKILLS LAB 2011, GEN2 CONTROLLER SKILLS LAB 2012, GEN2+ CONTROLLER

SKILLS LAB 2012, GEN2+ CONTROLLER

Free update from gen2 to gen2+ controllers.

LAP-X available now in

NetherlandsUnited States

BrasilGermany

FranceBelgium

United KingdomJapan

South KoreaMalaysiaIndonesiaVietnamMexico

ThailandChinaOmanUAE

QatarKuwaitBahrain

Saudi ArabiaIran

Soon available in:Italy

RussiaArgentia

ChilePeruIndia

CanadaEtc...

QUESTIONS?

Basics of MIS (Minimal Invasive Surgery)

1. Fulcrum effect

Explanation: The instrument tip moves in the opposite direction of the handle.

Training

2. Converting 3D movements to 2D screenExplanation: Training for the decreased depth-perception on screen.

Training

3. Brain training of converting X,Y,Z movements to radial coordinates.

Explanation: A human is used to thinking in x,y,z displacements with six Degrees Of Freedom

(DOF). During MIS the brain has to convert this to radial coordinates with 4 DOF, that means thinking in a radius and angle of the instrument.

Training

4. Camera misalignment.Explanation: Repositioning the camera may influence the instrument movements on the screen

dramatically, this effect is well known by experienced surgeons and its training should be paid more adequate attention.

Training

5. Working with both hands simultaneouslyExplanation: LAP-X provides exercises to train the residents to operate with the dominant as

well the non-dominant hand.

Training

6. Panic situationExplanation: The resident will be trained to stay calm during a panic situation and given the

chance to correct the mistake within a time limitation.

Training

7. Move gently and precisely with your instruments

Explanation: Working gently and precisely has better outcomes than handling the movements

uncontrolledly and fast. This will lessen the mistakes and tissue damages caused by fast and uncontrolled movements.

Training