Smith Roger, Truong Mireille, Perez Manuela
Florida Hospital Nicholson Center, 404 Celebration Place, Celebration, FL, 34747, USA,
Surg Endosc. 2015 Apr;29(4):972-83. doi: 10.1007/s00464-014-3748-7. Epub 2014 Aug 15.
BACKGROUND: The implementation of robotic technology in minimally invasive surgery has led to the need to develop more efficient and effective training methods, as well as assessment and skill maintenance tools for surgical education. Multiple simulators and procedures are available for educational and training purposes. A need for comparative evaluations of these simulators exists to aid users in selecting an appropriate device for their purposes. METHODS: We conducted an objective review and comparison of the design and capabilities of all dedicated simulators of the da Vinci robot, the da Vinci Skill Simulator (DVSS) (Intuitive Surgical Inc., Sunnyvale, CA, USA), dV-Trainer (dVT) (Mimic Technologies Inc., Seattle, WA, USA), and Robotic Surgery Simulator (RoSS) (Simulated Surgical Skills, LLC, Williamsville, NY, USA). This provides base specifications of the hardware and software, with an emphasis on the training capabilities of each system. RESULTS: Each simulator contains a large number of training exercises, DVSS = 40, dVT = 65, and RoSS = 52 for skills development. All three offer 3D visual images but use different display technologies. The DVSS leverages the real robotic surgeon's console to provide visualization, hand controls, and foot pedals. The dVT and RoSS created simulated versions of all of these control systems. They include systems management services which allow instructors to collect, export, and analyze the scores of students using the simulators. CONCLUSIONS: This study is the first to provide comparative information of the three simulators functional capabilities with an emphasis on their educational skills. They offer unique advantages and capabilities in training robotic surgeons. Each device has been the subject of multiple validation experiments which have been published in the literature. But those do not provide specific details on the capabilities of the simulators which are necessary for an understanding sufficient to select the one best suited for an organization's needs.
背景:机器人技术在微创手术中的应用使得有必要开发更高效、有效的培训方法,以及用于外科教育的评估和技能维持工具。有多种模拟器和程序可用于教育和培训目的。需要对这些模拟器进行比较评估,以帮助用户选择适合其目的的设备。 方法:我们对达芬奇机器人的所有专用模拟器——达芬奇技能模拟器(DVSS)(美国加利福尼亚州森尼韦尔市直观外科公司)、dV-Trainer(dVT)(美国华盛顿州西雅图市Mimic Technologies公司)和机器人手术模拟器(RoSS)(美国纽约州威廉斯维尔市模拟手术技能有限责任公司)的设计和功能进行了客观的回顾和比较。这提供了硬件和软件的基本规格,重点是每个系统的培训能力。 结果:每个模拟器都包含大量用于技能发展的训练练习,DVSS有40个,dVT有65个,RoSS有52个。所有三款模拟器都提供3D视觉图像,但使用不同的显示技术。DVSS利用真正的机器人外科医生控制台来提供可视化、手动控制和脚踏板。dVT和RoSS创建了所有这些控制系统的模拟版本。它们包括系统管理服务,允许教师收集、导出和分析使用模拟器的学生的分数。 结论:本研究首次提供了这三款模拟器功能能力的比较信息,重点是它们的教育技能。它们在培训机器人外科医生方面具有独特的优势和能力。每个设备都已成为多项验证实验的对象,这些实验已在文献中发表。但那些实验没有提供模拟器能力的具体细节,而这些细节对于充分理解以选择最适合组织需求的模拟器是必要的。
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