lap-x presentation

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By Epona Medical B.V. Rotterdam, Netherlands www.lapx.eu +31 10 206 63 70 [email protected] An educational platform

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The most effective and affordable simulator for medical specialists.

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Page 1: LAP-X presentation

By Epona Medical B.V.Rotterdam, Netherlands

www.lapx.eu+31 10 206 63 [email protected]

An educational platform

Page 2: LAP-X presentation

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

Page 3: LAP-X presentation

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

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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”

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The LAP-X controller

“Training becomes even more realistic”Model LAP-X 2h 2012

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Advantages of LAP-X: LAP-X Hardware Gen2h

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.

Hybrid function, use the LAP-X as a boxtrainer with the benefit of measuring the different parameters (pathlength and time) and store this in the personal profile.

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Advantages of LAP-X: organize, standardize the training and reduce learning curve

Organize and standardize the training:Every user has their own username and password to continue the training at the same or different location

Time efficiency: Efficient way of training, shorten the learning curve

Structurise skill training levels: Train to reach the proficient skills levels; basic, novice I-III and intermediate

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BasicSkills

Novice I-IIISkills

E-Learning

Exams

IntermediateSkills

LAP-X skills

+ Personal portfolio+ curriculum+ E-learning+ Exams

platform for education

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Advantages of LAP-X: Better skilled surgeons

Shorten the surgery time, increase the number of surgeries

Lessen the failures/mistakes made by unskilled residents

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.

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Advantages of LAP-X: Administration modus to organize mandatory training

Review the scores of all the student 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.

Set up a minimal requirement for a weekly training and deadline to finish a curriculum (in development). Automatic warnings supported (in development)

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Advantages of LAP-X: Measured parameters

Number of mistakes

Pathlength of the left and right controllers

Camera aimed precision

Time

Dropped objects

Collision with objects and floor

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

Page 13: LAP-X presentation

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

Compete with residents from the same hospital

Create mandatory training schedules

Deliver a variation in training to increase training effect

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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.

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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, etc..

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

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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

First year license included

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Epona Medical provides training and simulation for all minimal invasive disciplines

General SurgeryGynaecology

Urology

Orthopedics

Surgery assistants

Etc...

Medical students

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

SKILLS LAB 2012, GEN2+ CONTROLLERFree update from gen2 to gen2+ controllers.

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LAP-X available now in

NetherlandsUnited States

BrazilGermany

FranceBelgium

United KingdomJapan

South KoreaMalaysiaIndonesiaVietnamMexico

ThailandChinaOmanUAE

QatarKuwaitBahrain

Saudi ArabiaIran

RussiaAlgeria

Soon available in:Italy

ArgentiaChilePeruIndia

CanadaEtc...

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QUESTIONS?

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Basics of MIS (Minimal Invasive Surgery)

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1. Fulcrum effect

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

Training

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

Training

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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

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4. Camera navigation.Explanation: Learn how to work with a 0, 30, 45 and 60 degrees scope.

Training

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5. 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

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6. 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

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7. 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

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8. 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