Customized Coursework. Dynamic Assessment.
High-performance laparoscopic skills come only with repetition. With LapSim, techniques and complete procedures can be practiced again and again at increasing levels of difficulty, with thousands of new challenges, scenarios and complications to make each experience unique.
Each exercise is digitally recorded with detailed metrics, statistics and video debriefing, providing both immediate and long-term skill development feedback.
The LapSim System
The LapSim System includes a Haptic or Non-Haptic hardware platform with LapCam, a separate laparoscope; Basic Skills, Task Training and Camera Anatomy Training software modules; all necessary computer and monitor hardware; and a height-adjustable rolling SimStation to house the system.
LapSim Hardware Options:
- Haptic System – All necessary computer and monitor hardware on a height adjustable rolling SimFrame; includes LapSim core software modules.
-
Non-Haptic System- All necessary computer and monitor hardware on a height adjustable rolling SimStation; includes LapSim core software modules.
- Portability Package – Wheeled for convenience (airplane carry-on compatible), the case can be used to set the laptop on for better viewing during use; and has the ability to be utilized in team training with existing OR equipment.
LapSim Core Software Modules:
- Basic Skills
The LapSim Basic Skills module offers a comprehensive portfolio of laparoscopic procedure exercises that range from basic navigation to advanced suturing. Each exercise is customizable to provide complications and ongoing challenges.
LapSim Basic Skills contains 13 different exercises, listed below.
- Camera navigation
- Instrument navigation
- Coordination
- Grasping
- Cutting
- Clip applying
- Lifting and grasping
- Suturing
- Precision and speed
- Handling intestines
- Fine dissection
- Seal and Cut
- Catheter Insertion
- Task Training
Inspired by the Fundamentals of Laparoscopic Surgery (FLS), a standard developed by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES), the Task Training module includes four exercises:
- Peg Transfer
- Pattern Cutting
- Ligating Loop
- Intra-corporeal Knot Tying
- Camera Anatomy Training
Utilizing the most advanced modeling technology, the LapSim Camera Anatomy Training module focuses on teaching camera handling with straight and angled optics within a virtual anatomy. Tasks are scored on multiple metrics, such as deviation from the horizontal line; focus, zoom and light intensity management; and drift.
Available modules:
- Abdominal anatomy
- Female pelvic anatomy
- Additional modules are under development
Additional LapSim Software Modules Available:
- Appendectomy
The Appendectomy Module is designed to introduce residents to one of the most frequently performed surgeries in hospital ORs. This scenario-based simulation module will continually challenge trainees’ procedural knowledge and decision-making skills with extensive pathology variations and complications.
Procedures included within the Appendectomy Module:
- Loop technique
- Single stapling technique
- Dual stapling technique
- Optional stapling technique
- Bariatrics
The LapSim Bariatrics Module features procedural deconstruction capabilities simulating various bariatric training tasks.
The Bariatrics Module includes four training tasks:
- Running the bowel
- Measure the bowel
- Lap-band suturing
- Jejunojejunal anastomosis
- Cholecystectomy
From clipping the cystic duct to removing the gall bladder, the Cholecystectomy Module simulates each critical step in this frequently performed laparoscopic procedure. With LapSim’s unparalleled scenario and skills-based customization, instructors can introduce complications and target specific skill development while driving procedural excellence.
The Cholecystectomy Module also features the interactive SimPraxis software, designed to advance trainees’ cognitive proficiency and decision-making abilities as tactile skills are honed.
- Gynecology
In study after study, training on LapSim’s Gynecology Module has been proven to provide significant improvement in trainees’ skills before they step foot in an operating room.
This module provides cutting edge simulations of four procedures:
- Tubal occlusion
- Salpingectomy
- Salpingostomy
- Myoma suturing
- Hysterectomy
Simulating the critical steps of a laparoscopic hysterectomy procedure, the LapSim Hysterectomy Module offers a comprehensive and customizable virtual training experience. With the integrated SimPraxis component, trainees must demonstrate both critical knowledge and hands-on proficiency.
This module includes cutting edge simulations of the following:
- Right & left uterine artery dissection
- Vaginal cuff opening
- Suturing of the cuff after removal of the uterus
- Nephrectomy
The LapSim Nephrectomy Module features procedural deconstruction capabilities simulating the surgical removal of the kidney.
The Nephrectomy Module includes three training tasks:
- Kidney clips
- Kidney dissection
- Camera Management Exercise
- Suturing & Anastomosis
Building on the foundational elements of LapSim Basic Skills, the Suturing & Anastomosis Module challenges learners with a progressively complex, stepwise approach to suturing and knot tying techniques.
Fully customizable to meet individual trainee’s skills and training needs, the Suturing & Anastomosis Module includes ten successive exercises:
- Needle passing
- Interrupted stitching
- Running stitching
- Square knot
- Surgeon’s knot
- Stitch & square knot
- Stitch & surgeon’s knot
- Interrupted suturing
- Running suturing
- Side-to-side anastomosis
- VATS Lobectomy
The first Video-Assisted Thoracoscopic Surgery (VATS) Lobectomy procedure module for virtual reality. The VATS module offers training on key steps in the removal of the upper right lung lobe, utilizing a three-port anterior approach.
KEY TRAINING ELEMENTS FOR VATS LOBECTOMY:
- Dissection of hilum/vessels
- Identification of vessels
- Use of elastic vessel rubber loop
- Sequential stapling of veins, arteries, bronchus and fissure
- Bleeding control
- Avoid critical structures, ex. the Phrenic nerve
With the addition of VATS, LapSim’s suite of validated fully customizable procedure modules, Surgical Science now offers an even more complete training solution for medical professionals across multiple disciplines.
With clearly defined learning objectives, procedural deconstruction capabilities and endless variations and challenges, LapSim’s library of software modules provides surgeons with unparalleled access to skill practice essential to building surgical proficiency.
Laparoscopic Skills:
-
Basic Skills
- Camera navigation
- Instrument navigation
- Coordination
- Grasping
- Cutting
- Clip applying
- Lifting and grasping
- Suturing
- Precision and speed
- Handling intestines
- Fine dissection
- Seal and Cut
- Catheter Insertion
-
Task Training
- Peg Transfer
- Pattern Cutting
- Ligating Loop
- Intra-corporeal Knot Tyin
-
Camera Anatomy Training
- Abdominal anatomy
- Female pelvic anatomy
-
Appendectomy
- Loop technique
- Single stapling technique
- Dual stapling technique
- Optional stapling technique
-
Bariatrics
- Running the bowel
- Measure the bowel
- Lap-band suturing
- Jejunojejunal anastomosis
-
Cholecystectomy
- Clipping the cystic ductr
- Removing the gall bladder
-
Gynecology
- Tubal occlusion
- Salpingectomy
- Salpingostomy
- Myoma suturing
-
Hysterectomy
- Right & left uterine artery dissection
- Vaginal cuff opening
- Suturing of the cuff after removal of the uterus
-
Nephrectomy
- Kidney clips
- Kidney dissection
- Camera Management Exercise
-
Suturing & Anastomosis
- Needle passing
- Interrupted stitching
- Running stitching
- Square knot
- Surgeon’s knot
- Stitch & square knot
- Stitch & surgeon’s knot
- Interrupted suturing
- Running suturing
- Side-to-side anastomosis
-
VATS Lobectomy
- Dissection of hilum/vessels
- Identification of vessels
- Use of elastic vessel rubber loop
- Sequential stapling of veins, arteries, bronchus and fissure
- Bleeding control