Krumm Ilana Roberts, Drapeau Scott, Kim Bryan, Gesthalter Yaron B, Santhosh Lekshmi
Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine.
Makers Lab, University of California, San Francisco, San Francisco, California.
ATS Sch. 2024 Jul 16;5(3):451-459. doi: 10.34197/ats-scholar.2024-0008IN. eCollection 2024 Sep 30.
For procedural education, the shift from the traditional apprenticeship model to simulation-based mastery has become increasingly accepted as the gold standard and has underscored the importance of high-fidelity, cost-effective training options. However, cost-effective pleural procedure simulators providing both realistic haptic feedback and ultrasound compatibility are lacking.
We aimed to create a pleural procedure simulator with characteristics of human tissue, at low cost and with ultrasound compatibility.
This work used design-based research principles and a collaborative rapid iteration approach in collaboration with the University of California, San Francisco, Makers Lab and design-based researchers at the University of California, Berkeley, which led to the creation of a three-dimensionally printed pleural procedure simulator.
The needs assessment indicated significant discomfort with pleural procedures and a request for more accessible simulation opportunities. Iterative prototyping resulted in a three-dimensionally printed rib cage and a series of innovations in the fluid pocket and skin layers to provide realistic tactile feedback and ultrasound imaging compatibility. The final model costs significantly less than commercial simulators, with durable components and replaceable parts that can be reused multiple times.
The development of a low-cost, high-fidelity pleural procedure simulator addresses the current limitations of commercially available pleural simulators. By integrating three-dimensional printing technology and easily accessible materials, we were able to produce a simulator that closely replicates the feel of human tissue, allows ultrasound use, and is adaptable for different patient anatomies and clinical scenarios. This novel simulator is a scalable solution to elevate the standard of procedural education and ultimately positively affect patient care.
在程序教育方面，从传统的学徒模式向基于模拟的掌握模式转变已日益被视为金标准，并凸显了高保真、经济高效的培训选项的重要性。然而，缺乏既提供逼真触觉反馈又具备超声兼容性的经济高效的胸腔穿刺程序模拟器。
我们旨在创建一种具有人体组织特征、低成本且具备超声兼容性的胸腔穿刺程序模拟器。
本研究采用基于设计的研究原则以及与加利福尼亚大学旧金山分校、创客实验室和加利福尼亚大学伯克利分校的基于设计的研究人员合作的快速迭代方法，从而制造出一种三维打印的胸腔穿刺程序模拟器。
需求评估表明，人们对胸腔穿刺程序存在明显不适，并希望有更多易于获得的模拟机会。迭代式原型制作产生了一个三维打印的胸腔模型，以及在液囊和皮肤层方面的一系列创新，以提供逼真的触觉反馈和超声成像兼容性。最终模型的成本明显低于商业模拟器，其组件耐用且部件可更换，能多次重复使用。
低成本、高保真的胸腔穿刺程序模拟器的开发解决了市售胸腔模拟器目前存在的局限性。通过整合三维打印技术和易于获取的材料，我们能够制造出一种模拟器，它能紧密复制人体组织的触感，允许使用超声，并且适用于不同的患者解剖结构和临床场景。这种新型模拟器是一种可扩展的解决方案，能够提升程序教育的标准，并最终对患者护理产生积极影响。
