Arthroscopic Equipment

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Gino M M J Kerkhoffs - One of the best experts on this subject based on the ideXlab platform.

  • first validation of the passport training environment for Arthroscopic skills
    Knee Surgery Sports Traumatology Arthroscopy, 2010
    Co-Authors: Gabrielle J M Tuijthof, Maayke N Van Sterkenburg, Inger N Sierevelt, Jakob Van Oldenrijk, Niek C Van Dijk, Gino M M J Kerkhoffs
    Abstract:

    The demand for high quality care is in contrast to reduced training time for residents to develop Arthroscopic skills. Thereto, simulators are introduced to train skills away from the operating room. In our clinic, a physical simulation environment to Practice Arthroscopic Surgical Skills for Perfect Operative Real-life Treatment (PASSPORT) is being developed. The PASSPORT concept consists of maintaining the normal Arthroscopic Equipment, replacing the human knee joint by a phantom, and integrating registration devices to provide performance feedback. The first prototype of the knee phantom allows inspection, treatment of menisci, irrigation, and limb stressing. PASSPORT was evaluated for face and construct validity. Construct validity was assessed by measuring the performance of two groups with different levels of Arthroscopic experience (20 surgeons and 8 residents). Participants performed a navigation task five times on PASSPORT. Task times were recorded. Face validity was assessed by completion of a short questionnaire on the participants’ impressions and comments for improvements. Construct validity was demonstrated as the surgeons (median task time 19.7 s [8.0–37.6]) were more efficient than the residents (55.2 s [27.9–96.6]) in task completion for each repetition (Mann–Whitney U test, P < 0.05). The prototype of the knee phantom sufficiently imitated limb outer appearance (79%), portal resistance (82%), and Arthroscopic view (81%). Improvements are required for the stressing device and the material of cruciate ligaments. Our physical simulation environment (PASSPORT) demonstrates its potential to evolve as a training modality. In future, automated performance feedback is aimed for.

Gabrielle J M Tuijthof - One of the best experts on this subject based on the ideXlab platform.

  • first validation of the passport training environment for Arthroscopic skills
    Knee Surgery Sports Traumatology Arthroscopy, 2010
    Co-Authors: Gabrielle J M Tuijthof, Maayke N Van Sterkenburg, Inger N Sierevelt, Jakob Van Oldenrijk, Niek C Van Dijk, Gino M M J Kerkhoffs
    Abstract:

    The demand for high quality care is in contrast to reduced training time for residents to develop Arthroscopic skills. Thereto, simulators are introduced to train skills away from the operating room. In our clinic, a physical simulation environment to Practice Arthroscopic Surgical Skills for Perfect Operative Real-life Treatment (PASSPORT) is being developed. The PASSPORT concept consists of maintaining the normal Arthroscopic Equipment, replacing the human knee joint by a phantom, and integrating registration devices to provide performance feedback. The first prototype of the knee phantom allows inspection, treatment of menisci, irrigation, and limb stressing. PASSPORT was evaluated for face and construct validity. Construct validity was assessed by measuring the performance of two groups with different levels of Arthroscopic experience (20 surgeons and 8 residents). Participants performed a navigation task five times on PASSPORT. Task times were recorded. Face validity was assessed by completion of a short questionnaire on the participants’ impressions and comments for improvements. Construct validity was demonstrated as the surgeons (median task time 19.7 s [8.0–37.6]) were more efficient than the residents (55.2 s [27.9–96.6]) in task completion for each repetition (Mann–Whitney U test, P < 0.05). The prototype of the knee phantom sufficiently imitated limb outer appearance (79%), portal resistance (82%), and Arthroscopic view (81%). Improvements are required for the stressing device and the material of cruciate ligaments. Our physical simulation environment (PASSPORT) demonstrates its potential to evolve as a training modality. In future, automated performance feedback is aimed for.

  • Physical Simulation Environment for Arthroscopic Joint Irrigation
    Journal of Medical Devices, 2009
    Co-Authors: Gabrielle J M Tuijthof, Paul M. Heeman, C. Niek Van Dijk, Leendert Blankevoort
    Abstract:

    Good Arthroscopic view is important to perform Arthroscopic operations (minimally invasive surgery in joints) safely and fast To obtain this the joint is irrigated However optimal irrigation settings are not described To study the complex clinical practice of irrigation, a physical simulation environment was developed that incorporates the main characteristics for performing arthroscopy Its irrigation capacities were validated with patient data The physical simulation environment consists of a specially designed knee phantom all normally used Arthroscopic Equipment and registration devices for two video streams, pressures and flows The physical embodiment of the knee phantom matches that of human knee Joints during Arthroscopic operations by the presence of important anatomic structures in sizes comparable to human knee Joints, the presence of access portals, and the ability to stress the joint The hydrostatic and hydrodynamic behavior of the knee phantom was validated with pressure and flow measurements docu mented during Arthroscopic knee operations Surgeons confirmed that the knee phantom imitated human knee Joints sufficiently The hydrostatic parameters of the knee phantom could be tuned within the range of the human knee joints (restriction 0 0266-29 3 N s(2)/m(8) versus 00143-1 22 X 10(18) N s(2)/m(8) and capacitance 6 89 m(5)/N versus 750 X 10(-9) m(5)/N) The hydrodynamic properties. 4 the knee phantom were acceptably comparable to those of the human knee Joints The physical simulation environment enables realistic and conditioned experimental studies to optimize joint irrigation The foundation has been laid for evaluation of other surgical instruments and of training of surgical skills [DOI 10 1115/1 3131729]

Maayke N Van Sterkenburg - One of the best experts on this subject based on the ideXlab platform.

  • first validation of the passport training environment for Arthroscopic skills
    Knee Surgery Sports Traumatology Arthroscopy, 2010
    Co-Authors: Gabrielle J M Tuijthof, Maayke N Van Sterkenburg, Inger N Sierevelt, Jakob Van Oldenrijk, Niek C Van Dijk, Gino M M J Kerkhoffs
    Abstract:

    The demand for high quality care is in contrast to reduced training time for residents to develop Arthroscopic skills. Thereto, simulators are introduced to train skills away from the operating room. In our clinic, a physical simulation environment to Practice Arthroscopic Surgical Skills for Perfect Operative Real-life Treatment (PASSPORT) is being developed. The PASSPORT concept consists of maintaining the normal Arthroscopic Equipment, replacing the human knee joint by a phantom, and integrating registration devices to provide performance feedback. The first prototype of the knee phantom allows inspection, treatment of menisci, irrigation, and limb stressing. PASSPORT was evaluated for face and construct validity. Construct validity was assessed by measuring the performance of two groups with different levels of Arthroscopic experience (20 surgeons and 8 residents). Participants performed a navigation task five times on PASSPORT. Task times were recorded. Face validity was assessed by completion of a short questionnaire on the participants’ impressions and comments for improvements. Construct validity was demonstrated as the surgeons (median task time 19.7 s [8.0–37.6]) were more efficient than the residents (55.2 s [27.9–96.6]) in task completion for each repetition (Mann–Whitney U test, P < 0.05). The prototype of the knee phantom sufficiently imitated limb outer appearance (79%), portal resistance (82%), and Arthroscopic view (81%). Improvements are required for the stressing device and the material of cruciate ligaments. Our physical simulation environment (PASSPORT) demonstrates its potential to evolve as a training modality. In future, automated performance feedback is aimed for.

Inger N Sierevelt - One of the best experts on this subject based on the ideXlab platform.

  • first validation of the passport training environment for Arthroscopic skills
    Knee Surgery Sports Traumatology Arthroscopy, 2010
    Co-Authors: Gabrielle J M Tuijthof, Maayke N Van Sterkenburg, Inger N Sierevelt, Jakob Van Oldenrijk, Niek C Van Dijk, Gino M M J Kerkhoffs
    Abstract:

    The demand for high quality care is in contrast to reduced training time for residents to develop Arthroscopic skills. Thereto, simulators are introduced to train skills away from the operating room. In our clinic, a physical simulation environment to Practice Arthroscopic Surgical Skills for Perfect Operative Real-life Treatment (PASSPORT) is being developed. The PASSPORT concept consists of maintaining the normal Arthroscopic Equipment, replacing the human knee joint by a phantom, and integrating registration devices to provide performance feedback. The first prototype of the knee phantom allows inspection, treatment of menisci, irrigation, and limb stressing. PASSPORT was evaluated for face and construct validity. Construct validity was assessed by measuring the performance of two groups with different levels of Arthroscopic experience (20 surgeons and 8 residents). Participants performed a navigation task five times on PASSPORT. Task times were recorded. Face validity was assessed by completion of a short questionnaire on the participants’ impressions and comments for improvements. Construct validity was demonstrated as the surgeons (median task time 19.7 s [8.0–37.6]) were more efficient than the residents (55.2 s [27.9–96.6]) in task completion for each repetition (Mann–Whitney U test, P < 0.05). The prototype of the knee phantom sufficiently imitated limb outer appearance (79%), portal resistance (82%), and Arthroscopic view (81%). Improvements are required for the stressing device and the material of cruciate ligaments. Our physical simulation environment (PASSPORT) demonstrates its potential to evolve as a training modality. In future, automated performance feedback is aimed for.

Jakob Van Oldenrijk - One of the best experts on this subject based on the ideXlab platform.

  • first validation of the passport training environment for Arthroscopic skills
    Knee Surgery Sports Traumatology Arthroscopy, 2010
    Co-Authors: Gabrielle J M Tuijthof, Maayke N Van Sterkenburg, Inger N Sierevelt, Jakob Van Oldenrijk, Niek C Van Dijk, Gino M M J Kerkhoffs
    Abstract:

    The demand for high quality care is in contrast to reduced training time for residents to develop Arthroscopic skills. Thereto, simulators are introduced to train skills away from the operating room. In our clinic, a physical simulation environment to Practice Arthroscopic Surgical Skills for Perfect Operative Real-life Treatment (PASSPORT) is being developed. The PASSPORT concept consists of maintaining the normal Arthroscopic Equipment, replacing the human knee joint by a phantom, and integrating registration devices to provide performance feedback. The first prototype of the knee phantom allows inspection, treatment of menisci, irrigation, and limb stressing. PASSPORT was evaluated for face and construct validity. Construct validity was assessed by measuring the performance of two groups with different levels of Arthroscopic experience (20 surgeons and 8 residents). Participants performed a navigation task five times on PASSPORT. Task times were recorded. Face validity was assessed by completion of a short questionnaire on the participants’ impressions and comments for improvements. Construct validity was demonstrated as the surgeons (median task time 19.7 s [8.0–37.6]) were more efficient than the residents (55.2 s [27.9–96.6]) in task completion for each repetition (Mann–Whitney U test, P < 0.05). The prototype of the knee phantom sufficiently imitated limb outer appearance (79%), portal resistance (82%), and Arthroscopic view (81%). Improvements are required for the stressing device and the material of cruciate ligaments. Our physical simulation environment (PASSPORT) demonstrates its potential to evolve as a training modality. In future, automated performance feedback is aimed for.