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Università degli Studi di RomaUniversità degli Studi di Roma““Tor Vergata”Tor Vergata”
Facoltà di IngegneriaFacoltà di IngegneriaCorso di Laurea Magistrale in Corso di Laurea Magistrale in Ingegneria Medica (Presidente: Prof. Ingegneria Medica (Presidente: Prof.
Franco Maceri)Franco Maceri)Insegnamento di Tecnologie Insegnamento di Tecnologie
Chirurgiche InnovativeChirurgiche Innovative(Prof. Francesco Rulli, Dipartimento di (Prof. Francesco Rulli, Dipartimento di
Chirurgia)Chirurgia)
A Dry Lab for A Dry Lab for Medical Engineers?Medical Engineers?
francesco.rulli@ptvonline.it
What is a Dry Lab?What is a Dry Lab?
laboratorylaboratory that is that is specific to work with dry specific to work with dry stored materials, stored materials, electronics and/or large electronics and/or large instruments, instruments, in whichin which biological tissuesbiological tissues (living (living or dead) or dead) are not are not utilized.utilized.
““DRY LAB”DRY LAB”
Dry LabDry Lab
““DRY DRY LAB”LAB”
equipped equipped workstations for workstations for practicing practicing endoscopic endoscopic techniquestechniquesrealistic realistic settingsetting
phantoms and organ phantoms and organ modelsmodels
necessary to necessary to design a design a
minimally minimally invasive invasive surgery surgery training training programprogram
Why a Dry Lab?Why a Dry Lab?
gain, certify gain, certify and improve and improve the expertisethe expertise, , along with a along with a proper case proper case
loadload
Many institutions, universities, centres of Many institutions, universities, centres of excellence are equipped with dry labs in excellence are equipped with dry labs in order to provide a teaching, training and order to provide a teaching, training and evaluation instrument to the surgeon, evaluation instrument to the surgeon, developing curricula to teach fundamental developing curricula to teach fundamental technical skills to surgeons in a laboratory technical skills to surgeons in a laboratory setting.setting.
ESI Dry Lab, Hamburg, GermanyESI Dry Lab, Hamburg, Germany
Importance of a dry lab for surgical residentsImportance of a dry lab for surgical residents
• Learn and practice basic Learn and practice basic skills in a relaxed and skills in a relaxed and inexpensive environmentinexpensive environment
• Attain and transfer a basic Attain and transfer a basic level of technical facility from level of technical facility from the laboratory to the operating the laboratory to the operating room environmentroom environment
LaparoscopiLaparoscopic simulatorsc simulators
Inanimate box trainersInanimate box trainers
Computer-based Computer-based virtual reality virtual reality platformsplatforms
Simulator-based curriculaSimulator-based curricula
Importance of a dry lab for surgical residentsImportance of a dry lab for surgical residents
Training in a surgery dry lab provide Training in a surgery dry lab provide mastery of basic skills that allows trainees to mastery of basic skills that allows trainees to focus on more complex issues, both technical focus on more complex issues, both technical
and and nontechnicalnontechnical, in the operating room., in the operating room.
Laparoscopic Laparoscopic columncolumn
March 2007March 2007Innovative Surgical Innovative Surgical
Technologies course Technologies course (Medical Engineering (Medical Engineering
program)program)
Surgical dry labSurgical dry labCamera and Camera and telescopestelescopes
Endoscopic Endoscopic mechanical training mechanical training
systemssystemsEndoscopic Endoscopic instrumentsinstruments
Ultrasound Ultrasound devicedevice
Dry Lab equipment: Dry Lab equipment: workstationworkstation
Laparoscopic Laparoscopic column:column: CRT MonitorCRT Monitor Light sourceLight source Camera systemCamera system 0° and 30° 0° and 30°
telescopestelescopes Automatic Automatic
insufflatorinsufflator
Pelvic trainerPelvic trainer Leg trainerLeg trainer
Dry Lab equipment: Dry Lab equipment: instrumentationinstrumentation
EndoClinch graspersEndoClinch graspers ScissorsScissors EndoRetractEndoRetract EndoBagEndoBag Linear staplersLinear staplers EndoPath needle EndoPath needle
holdersholders cablescables
Hasson trocarsHasson trocars 5 mm and 10 5 mm and 10
mm trocarsmm trocars
Dry Lab Dry Lab ActivitiesActivities
Analysing devices in Analysing devices in their working contexttheir working context
Introduction to MIS Introduction to MIS (Minimally Invasive Surgery)(Minimally Invasive Surgery) techniquestechniques
Managing imaging Managing imaging system and instrumentssystem and instruments
Performing simple tasks Performing simple tasks on the workstation on the workstation
Understanding technical Understanding technical properties of devices by properties of devices by using themusing them
Why a Dry Lab for Medical Why a Dry Lab for Medical Engineers?Engineers?
Dry Lab improve the students’ Dry Lab improve the students’ knowledge of MIS instrumentation and knowledge of MIS instrumentation and
techniques through hands-on experiencetechniques through hands-on experience
Dry Lab Dry Lab experiencexperienc
ee
Learning and Learning and improving analysis improving analysis and managementand managementof laparoscopic of laparoscopic
devicesdevices
Identification of Identification of problemsproblems
““brainstorming”brainstorming”Developing better Developing better
devicesdevices
GalatàGalatà
Training and Training and Teaching: 2007 Teaching: 2007
StudyStudy
Hands-on exercises Hands-on exercises performed on a performed on a
simulatorsimulator
Eleven Medical Eleven Medical Engineering students Engineering students were trained to perform a were trained to perform a sequence ofsequence of
Clipping and Clipping and CuttingCutting
standardized standardized drillsdrills
Carring out specimen with Carring out specimen with endobagendobag
Positioning a Positioning a needleneedle
Cutting a Cutting a paperpaper
Intra – corporeal Intra – corporeal KnottingKnotting
ConclusionsConclusions
Improve the students’ Improve the students’ knowledge of MIS knowledge of MIS instrumentationinstrumentation
Dry Lab Dry Lab experienceexperience
Learning and improving Learning and improving analysis and management analysis and management of laparoscopic devicesof laparoscopic devicesIdentification of Identification of problemsproblems
Developing better Developing better devicesdevices