贝德思达
 

news

VR Surgical Simulator

您当前位置:贝德思达>Products>VR Surgical Simulator>浏览文章

Medical models

Contact Us

Beijing Beidestar Technology Development Ltd
Phone:010-82253261-823
Fax:010-82251748-817
E-mail: sales@beidestar.com
Address:701 Qifa Plaza ,ShengGu Middle Road ,Anwai street,Chaoyang street,Beijing,China

ANGIO MENTOR

ANGIO MENTOR™

点击浏览下一页

 

The Most Advanced Endovascular Training

Simbionix ANGIO Mentor simulators provide hands-on practice of endovascular procedures performed under fluoroscopy in the cath lab, interventional suite or an OR, in an extensive and complete virtual reality simulated environment. It provides a complete individual and team training solution to learners of all levels and across multiple disciplines, including Interventional Cardiology, Interventional Radiology, Vascular Surgery, Cardiothoracic Surgery, Electrophysiology, Interventional Neuroradiology, Neuro Surgery and Trauma.

The company’s unique technology enables realistic visualization of the anatomy and instrument activity. This technology is combined with a high-end haptic system for visual and tactile feedback, which realistically mimics the look and feel of actual endovascular interventions.

An ever expanding library of modules provides an up-to-date curriculum including basic and advanced cases. The system features more than 19 different endovascular procedures and over 130 patient scenarios.点击浏览下一页

New content is continuously developed and the existing modules are updated, bringing new procedures and devices to provide the most value possible for the ANGIO Mentor products.

The number and variety of available patient cases becomes unlimited with the addition of Simbionix’s innovative PROcedure Rehearsal Studio™ .

Using the ANGIO Mentor results in a higher level of professional skills, allowing clinicians to provide patients with better care.

点击浏览下一页

 

点击浏览下一页

 

 

ANGIO MENTOR
PLATFORMS

The ANGIO Mentor family of products is an excellent example of Simbionix’ commitment to providing flexible, cost-effective solutions for a wide range of settings.
ALL our platforms are capable of running any software version we release, including Procedure Rehearsal Studio.

点击浏览下一页

 

ANGIO Mentor Suite

Provides a true-to-life Cath Lab/ ANGIO Suite clinical environment with a full body mannequin and a large fluoroscopy/vital signs monitor – ideal for multi-disciplinary team training.
The system allows tool introduction from 5 optional access sites, and is ergonomically designed to allow table height adjustment and C-arm control panel position.

点击浏览下一页

ANGIO Mentor Flex

A compact and easy to use solution for various training needs, especially for remote meetings and courses. Packed in a small case, it can be checked-in as luggage on flights within airline weight restrictions.

The system is available in both single and dual access configurations.

点击浏览下一页

ANGIO Mentor Tab

A light weight, carry-on solution, packed into a small laptop bag. Ideal for device demonstration (for clinical reps), teaching procedural steps (for hospitals/training centers) or planning and rehearsing an upcoming procedure using a dedicated simulation file created with Procedure Rehearsal Studio software.

Runs full simulation using keyboard and touch gestures, and allows device deployment using an authentic handle.

 

 

ANGIO MENTOR
FEATURES AND BENEFITS

Angiography Suite / Cath Lab / Hybrid OR Simulation

  • Real time creation of continuous fluoroscopy, roadmap, CINE and DSA imaging.
  • Simulation of C-arm and patient’s table maneuvering using a control panel.
  • Ability to store and browse images/sequence acquired..

Patient Management

  • A comprehensive drug panel including anti-hypertensive, anticoagulation or thrombolytic agents.
  • Vital signs and ECG monitor reflecting complications or drug administration.

Echocardiography

ECHO visualization capabilities gives intra-operative structural and functional assessment of cardiac structures in real time. ICE (Intra Cardiac Echo) and TEE (Transesophagel Echocardiogram) including doppler are incorporated in several cardiac modules.

Educational Aids

  • 3D anatomical views – allow the trainee to work without fluoroscopy to become familiar with the anatomy.
  • Virtual instructor messages and warnings – guide the trainee through the procedure.
  • Self-guided tutorial cases with step-by-step instructions.

Trainee Tracking and Assessment

  • A procedure log tracks all user actions- devices used, contrast injected, imaging, drug administration, hemodynamic changes and complications.
  • A comprehensive performance report includes tracking and capturing objective parameters: Accurate device selection and manipulation, trainee errors, complications, contrast and imaging.

Benefits

  • Learn and practice the procedural steps.
  • Encounter a variety of anatomies, including difficult or rare anatomies, which may otherwise not be encountered during a training period.
  • Improve technical skills and performance.
  • Experience a variety of diagnostic and interventional devices.
  • Perform errors and manage real time complications.
  • Improve imaging and radiation safety skills.

 

点击浏览下一页

 

 

ANGIO MENTOR
LIBRARY OF MODULES

 

THE GREATEST CONTENT NOW OFFERING 19 MODULES

The ANGIO Mentor™ ever-expanding library of modules, includes multi-disciplinary endovascular procedures performed in an interventional suite, cath lab or an operating room. The modules are created in collaboration with leading physicians. The ANGIO Mentor development is ongoing, with new content constantly being added and existing modules being updated. Adding new procedures and devices helps keep the system up-to-date.

The library of modules supports acquiring and perfecting the skills that are essential to building confidence and proficiency in a variety of endovascular techniques and procedures. With a large variety of advanced procedural modules presenting over 100 unique patient cases, the ANGIO Mentor™ library provides more realistic, high fidelity training opportunities than any other endovascular simulator on the market today. With the addition of Simbionix’s innovative PROcedure Rehearsal Studio™, the number and variety of available patient cases becomes unlimited.

 

ACUTE ISCHEMIC STROKE MODULE

This module allows physicians (Neuro Radiologists, Endovascular Neuro Surgeons, Endovascular Neurologists) to practice endovascular treatment of acute ischemic stroke in which a mechanical thrombectomy device (stent retriever)  is used to remove the clot.

The pathophysiological basis for an acute ischemic stroke begins with the occlusion of an intracranial vessel either by an embolus or a local thrombus, reducing blood flow to the downstream brain region. In the first 3-4.5 hours after the occurrence of the stroke, patients receive intravenous drug therapy (thrombolytic agent) such as tPA to dissolve the clot.

In patients who have either failed IV tPA therapy or who are either ineligible for or have contraindications to IV tPA use, an endovascular procedure with neuro thrombectomy device is performed to retrieve the clot.

 

Simulated Procedural Steps:

  • Perform diagnostic angiography to locate the clot
  • Pass a microcatheter beyond the clot to assess the location of the clot distal end
  • Position and deploy a stent retriever beyond the clot
  • Extract the clot while performing aspiration and inflating a balloon guide catheter.

点击浏览下一页

点击浏览下一页

 

ADVANCED CORONARY

The module provides hands-on training for advanced percutaneous coronary interventions, presenting a selection of complex patient pathologies and scenarios, including Coronary Chronic Total Occlusion (CTO), Coronary Bifurcation Lesions, Coronary Left Main Lesions and Coronary Artery Bypass Graft.

The module offers an opportunity for practicing a variety of advanced interventional techniques and devices, including CTO catheter, left transradial approach to LIMA graft, bifurcation stenting, provisional optimization technique (POT), kissing balloons and IVUS.点击浏览下一页

 

 

AORTIC VALVE REPLACEMENT MODULE

This innovative module consists of a variety of cases and provides cases with anatomical variations such as: different heart orientations, different annulus sizes, different calcification levels of the valve, and different degrees of left ventricular hypertrophy.

The module also provides an opportunity to practice on possible complications such as: left ventricle perforation, bioprosthesis pop up during the deployment, and low implementation of the bioprosthesis causing reregulation.

The module consists of 8 different cases:

Case 1-5, 7 and 8 are performed via the common femoral approach.

Case 6 is performed via the subclavian approach.

The module includes:

  • Adapting an implantation strategy in order to deal with potential complications that might occur during the simulated cases such as:
    • Pericardial effusion – The user can learn how to identify pericardial effusion by looking at the vital signs, checking the Echo or injecting contrast from the pigtail catheter. Once identified, the user can treat it by using medication.
    • Bioprosthesis pop up – Due to low implantation, the valve pops up. The user needs to decide whether to remove the valve out of the patient’s body or to advance it towards the LV
    • Low implementation of bioprosthesis – The valve might slip towards the left ventricle. This complication can be treated by Balloon inflation, Snaring (using snaring catheter and wire), or implanting an additional valve in the correct location.
  • Practicing on selecting the recommended sizes for different devices and recommended projection for the bioprosthesis deployment.

At the beginning of these cases, the user has the option of starting the procedure with puncturing the access site based on the following criteria:

  • Pigtail loop distance from femoral bifurcation
  • Puncture site within 1 mm from artery center
  • Angle from artery

点击浏览下一页

 

ASD/PFO CLOSURE MODULE

This innovative module allows physicians to practice repairing the atrial septum of the heart in patients who suffer from Atrial Septal Defect (ASD) and Patent Foramen Ovale (PFO).

It consists of a variety of cases and provides different pathology of ASD and PFO pathologies such as: long tunnel PFO, thick septum secundum PFO, hypermobile atrial septum with PFO, and ASD with deficient aortic rim.

The module also provides an opportunity to practice:

  • Measuring the ASD/PFO pathology with an inflation balloon in order to select the proper size of the occluder device.
  • Navigating inside the internal structures of the heart with an ICE (Intra Cardiac Echocardiography) handle or TEE (Trans Esophageal Echocardiography) in order to find the ASD/PFO tunnel and treat it with the occluder.
  • Activating Doppler and detecting the blood flow inside the heart and through the pathology.
  • Deploying the device in order to fix the defect.
  • Retrieving a deployed device.

点击浏览下一页

 

 

ENDOVASCULAR BASIC SKILLS MODULE

The Endovascular Basic Skills module addresses the growing need to enhance the fundamental endovascular skills required of the interventional clinician in order to perform an endovascular procedure.This module is specifically designed for inexperienced physicians to allow them practice on the wire-catheter skills and manipulation techniques.

The module consists of tasks in a non-anatomic setting as well as on an anatomical vascular model to provide a relaxed environment outside the cath lab / OR in which to practice the skills required to perform endovascular procedures.

The module is intended for physicians across multiple disciplines including:

  • Vascular Surgery
  • Interventional Cardiology
  • Interventional Radiology
  • Interventional Neuroradiology
  • Neuro Surgery
  • Cardiothoracic Surgery

Learning Objectives:

  • To master use and manipulation of endovascular tools in both non-anatomical and anatomical settings
  • To gain familiarity with different guidewire diameter/curves and various  catheter head shapes
  • To practice wire-catheter manipulation
  • To master acquiring stability of guidewire-catheter-sheath system
  • To practice performing non-selective and selective arteriography
  • To practice cannulating a branch in a reversed manner in different aortic arch types
  • To practice selective catheterization of different branches and 3rd order vessel
  • To practice navigating up and over different types of aortic bifurcation
  • To practice navigating across an area of high tortuosity
  • To cannulate a stent graft contralateral gate using an angled catheter and a wire
  • To practice acquiring and using a roadmap
  • To practice correct c-arm positioning for optimal visualization of vessel take-off

点击浏览下一页

 

BTK -BELOW THE KNEE MODULE

Aims to enhance the endovascular skills of physicians who wish to practice the treatment of critical limb ischemia, and focuses on chronic total occlusions (CTO) in vessels below the knee. The module provides several common endovascular revascularization methods, including antegrade/crossover and retrograde techniques. After managing to cross the occlusion, the trainee will be able to perform balloon angioplasty. Virtual patient cases present different occlusion locations, stiffness degree, and length, and presents procedural complications such as perforation.

点击浏览下一页

 

CAROTID INTERVENTION MODULE

Provides practice on all aspects of the carotid stenting procedure, including embolic protection device placement, and selection, manipulation, and deployment of an angioplasty balloon and stent. Fluctuations in vital signs caused by complications and baroreceptor response are reflected on the monitor and can be treated with medication. ACT level and the neurological status of the patient can also be monitored.

点击浏览下一页

 

CEREBRAL INTERVENTION MODULE

Provides clinicians with an opportunity to practice performing intracranial aneurysm coil embolization and intracranial stenosis stenting, as well as reacting to relevant complications such as aneurysm perforation.The module enables performing stent/balloon assisted coil embolization and treatment of stenosis, featuring an innovative and unique simulated biplane x-ray system. Virtual patients show a range of cerebral vasculature, including a variety of aortic arch types and aneurysm locations, with variation in sizes and neck types.

点击浏览下一页

 

CORONARY INTERVENTION MODULE

Provides hands-on training of basic and advanced cardiac catheterization skills, including wire and catheter skills, diagnostic coronary angiography  and coronary interventions.

Practice a complete percutaneous coronary intervention under fluoroscopic guidance, using a variety of cath lab interventional tools such as guide wires, diagnostic catheters, guiding catheters, PTCA balloons and stents, aspiration catheters and more.

Simbionix Coronary Intervention module is the only simulation that allows the trainee to practice handling dynamic complications, such as dissections and perforations, that may occur as a response to the user’s actions during the procedure.

New! Coronary Bifurcation Cases

The Simbionix Coronary Intervention module is the only simulation that allows the trainee to practice bifurcation lesion treatment techniques.

点击浏览下一页

 

 

CRM MODULE

This sophisticated module provides significant training and practice opportunities in three electrode leads placement (LV, RV and RA). The simulation, designed to help develop competence in electrophysiology interventions, includes real life sensing and pacing measurements, and enables clinicians to cope with procedural arrhythmia complications. The CRM module provides a variety of realistic anatomies including variations in the CS ostium (e.g. Thebesian valve) and coronary sinus vasculature.

点击浏览下一页

 

EP BASIC SKILLS MODULE

Provides practice on core skills in a virtual, non anatomical environment as well as a medical (fluoroscopic) environment.

The skills include:

  • EP catheter maneuvering, using the handle
  • Eye- hand coordination
  • Identification of different parts of the anatomy

The module includes 7 cases. Objectives are to navigate either through a 3D cyber maze or a cardiac anatomy and touch different targets by manipulating the deflectable catheters. Each task displays anatomies of different diameters and vessel’s turtousity. In some of the cases, the user is required to identify certain anatomical locations and manipulate the EP catheter to the relevant targets.

Some of the cases also include tasks such as manipulating and placing a lasso mapping catheter at the pulmonary veins and using an ablation catheter to ablate and create ablation lines in specific locations in the heart.点击浏览下一页

 

 

EVAR MODULE

Allows practicing endovascular aneurysm repair in the abdominal aorta using a stent graft system including aortography, precise deployment of the bifurcated and contralateral leg stent graft components, deployment of extenders and touch-up ballooning. The trainee may encounter complications such as stent graft migration or endoleaks. Patient anatomies include varying aortic neck sizes and angulations, aneurysm sizes and orientations, size and tortuosity of iliac arteries and presence of calcification.

点击浏览下一页

 

 

LAA CLOSURE MODULE

The module enables training on LAA closure intervention. Learners gain experience in the different steps of the procedure, including standard transseptal puncture technique, sheath placement and closure device deployment.

The module features real time ultrasound in all cases, using TEE (Trans Esophageal Echocardiogram). This Echo modality uses a specialized probe containing an ultrasound transducer at its tip. It allows image and Doppler evaluation which can be recorded.

The transseptal can be performed using specific TEE views for identifying correct needle placement prior to performing a transseptal puncture; measurements of LAA can be performed under TEE views.Complications such as aortic puncture or LAA pericardial effusion might occur. In addition, one of the cases includes an air embolism complication in the coronary artery that needs to be attended to using the aspiration catheter.

The module includes 6 cases with different LAA anatomies and Fossa Ovalis (Transseptal Puncture membrane) anatomical variations.

点击浏览下一页

 

PERIPHERAL EMBOLIZATION MODULE

Provides practice on multiple patient anatomies and scenarios requiring embolization, such as renal aneurysm, arterio venous fistula, hypogastric artery embolization (pre-EVAR), Type II (post EVAR) endoleak embolization and GI bleeding. The module provides a selection of common embolization materials such as microcoils and macrocoils and PVA particles, delivered through a microcatheter or an angiographic catheter to the target vessel. The module includes intra-procedural complications such as coil migration, perforations and spasms.

点击浏览下一页

 

RENAL INTERVENTION MODULE

Allows clinicians to practice renal angioplasty and stenting procedures for the diagnosis and treatment of renal artery stenosis using either a retrograde brachial or an antegrade femoral approach. During the simulated procedure, intra-arterial pressure and pressure gradient measurements can be used to supplement the data presented on the radiographic image to assist in determining the hemodynamic significance of the stenosis.

点击浏览下一页

 

SFA AND ILIAC INTERVENTION Module

Allows clinicians to practice complete virtual SFA and iliac angioplasty and stenting. Clinicians can choose either crossover (retrograde) or ipsilateral (antegrade) approach, based on the morphology of the vasculature and the culprit vessel.

These unique modules feature anatomies that vary in aortic bifurcation angulation, iliac artery diameter and length, locations and number of stenoses and in the degree and length of each stenosis, featuring an innovative and unique simulated biplane x-ray system. Virtual patients show a range of cerebral vasculature, including a variety of aortic arch types and aneurysm locations, with variation in sizes and neck types.

点击浏览下一页

 

TEVAR MODULE

Allows practicing thoracic endovascular aneurysm repair (TEVAR) using a stent graft system and a stent graft balloon. The patient anatomies include different sizes and locations of aneurysms and transections.The simulated complications include endoleaks which can be resolved with balloon inflation or stent graft extensions.

点击浏览下一页

 

TRANSRADIAL CORONARY INTERVENTION

This unique module is the only one in the market dedicated to provide hands-on training for physicians learning how to perform diagnostic coronary angiography and coronary intervention using the transradial approach.

The module provides basic anatomy as well as anatomical variants that present difficulty during transradial coronary catheterization, such as tortuous subclaian, CABG and brachial loop. During the procedure, the trainee may experience complications such as spasm and perforation and will be able to treat them using medications and common techniques.

点击浏览下一页

 

TRANSSEPTAL PUNCTURE AND AF ABLATION MODULE

The module provides practice for left atrial access via the intra-atrial septum (fossa ovalis) using a correct and safe puncture technique, under fluoroscopic and echocardiographic guidance. During the simulation, life threatening complications such as pericardial effusion or aortic puncture will need to be attended to. The patient anatomies vary in coronary sinus, right atrium and aorta location and in fossa ovalis size, stiffness and location.

Simulated Procedural Steps and Components:

  • Identifying the fossa ovalis using one of the following techniques:
    – HIS and Coronary Sinus EP catheters positioning
    – Pigtail catheter placement
    – Ultrasound guidance using TEE (Trans Esophageal Echocardiogram) or ICE (Intracardiac Echocardiography)
  • Safe and accurate transseptal catheter positioning and orientation in the fossa ovalis
  • Tenting
  • Puncture
  • Transseptal Sheath advancement and positioning in the left atrium
  • Intra-cardaic pressure waves display to verify needle position

Echocardiography Guidance

点击浏览下一页
  • A real ICE handle is used and allows to practice fluoroscopic positioning of the ICE catheter and standard view acquisition in real time.
  • Provides realistic visualization of cardiac structures and the transseptal tools and needle during procedure.
  • Pre-fixed views allow to study cardiac structure ultrasound visualization in ICE/TEE standard views.
  • Includes advanced echo features include Sepia color scheme, cross section view, labeling of cardiac chambers and vessels and freezing/snapshotting the echo image.

Self-guided Tutorial Case

Walks the trainee through the procedural steps of the transseptal puncture simulation using ICE Echocardiography.

Allows physicians to practice the correct and safe procedural steps independently, as if a proctor is standing next to them, including step-by-step instructional text, videos of real procedures, and colorful on-screen visual aids.

点击浏览下一页

点击浏览下一页

 

 

ANGIO MENTOR  CURRICULA

The simulator curriculum plays an important role in the success of skill centers and in resident learning. A number of publications have demonstrated the importance of structured VR training curriculum and suggest that training within a proficiency-based virtual reality curriculum may reduce errors during real surgical procedures.

Simbionix is very proud to work in collaboration with key leaders in medical education and endovascular training programs to provide our worldwide customers with well thought out curricula. Within these, the simulator serves as a tool for delivering a learning experience. The curricula are intended to enhance learner motivation for an enjoyable, effective and efficient way of acquiring new skills using simulators. The following ANGIO Mentor™ curricula are suitable for various specialties involving endovascular procedures, including interventional radiology, vascular surgery, interventional cardiology, thoracic surgery.

The ready-to-use curricula are provided as a structured method of training, and can serve as a template for program directors at other institutions, who can tailor the curriculum to the individual training needs. Learn more about Simbionix curricula.

 

ANGIO MENTOR
RESOURCES

The Role of Simulation in Aortic Endografting

Simulation in Neurosurgical Residency Training: A New Paradigm

Peripheral Endovascular Interventions Training Curriculum

Aortic Endovascular Interventions Training Curriculum

ANGIO Mentor Validation Studies