scholarly journals P04.07: A low cost, home-made training model 2D/3D characterisation of mesh properties

2015 ◽  
Vol 46 ◽  
pp. 133-134
Author(s):  
J. Neymeyer ◽  
A.Y. Weintraub ◽  
A. Weichert
Author(s):  
J Neymeyer ◽  
A Weintraub ◽  
S Weinberger ◽  
A Heydenrych ◽  
A Weichert

Urology ◽  
2015 ◽  
Vol 85 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Ashima Singal ◽  
Amy Halverson ◽  
Deborah M. Rooney ◽  
Lauren M. Davis ◽  
Stephanie J. Kielb

2020 ◽  
Vol 7 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Amy Sinclair ◽  
Mohamed Sayed Allam ◽  
Evelyn Jean Ferguson ◽  
Mohamed Khairy Mehasseb

Postpartum haemorrhage remains a leading cause of maternal mortality and morbidity. While conventional obstetrics training curricula describe at length the management of postpartum haemorrhage, obstetrics trainees rarely have exposure to surgical management of postpartum haemorrhage in emergency situations due to reduced hours of training. Procedures such as the transverse or longitudinal haemostatic uterine brace sutures are recognised to be safe, simple and allow for the preservation of the uterus. Training during emergency situations is rarely practical or ideal. We describe a simple model that simulates the atonic postnatal uterus and allows trainees to practise the safe placement of the brace sutures. We use a bovine uterus model with attached broad ligament, bladder and ureters for the transverse haemostatic suture. For the longitudinal brace suture, we use a porcine bladder to simulate the uterus, with the ureters and bladder mesentery simulating the tubes and broad ligaments. The placement of the sutures can be practised with the uterus/bladder closed, or open akin to a caesarean section. Tissue dissection and feedback is almost similar to in vivo conditions. The sutures are inserted and driven using the material and correct placement used during real surgery. Our wet lab training model allows the acquisition, maintenance and enhancement of the required technical skills in a controlled environment, using inexpensive, reproducible and widely available specimens. The model has proved successful in both high and low-resource healthcare settings.


2019 ◽  
Vol 45 (1) ◽  
pp. 31-36
Author(s):  
Jonathan Mark Ewald ◽  
◽  
Julie Won-ching Cheng ◽  
Shawn Michael Engelhart ◽  
Michael Chevalier Wilkinson ◽  
...  

2020 ◽  
Vol 55 (8) ◽  
pp. 1475-1480 ◽  
Author(s):  
Damir Ljuhar ◽  
Maurizio Pacilli ◽  
Ramesh Mark Nataraja

2020 ◽  
Vol 19 (3) ◽  
pp. 223-227
Author(s):  
CAROLLINE POPOVICZ NUNES ◽  
ÁLYNSON LAROCCA KULCHESKI ◽  
PAULA ADAMO DE ALMEIDA ◽  
EDMAR STIEVEN FILHO ◽  
XAVIER SOLER GRAELLS

ABSTRACT Objective The objective of the study was the development of a low cost simulator of the endoscopic lumbar spine flavectomy technique for use as a teaching method in order to make endoscopic training more accessible. Methods The study was a descriptive research project conducted at the Orthopedic Skills Laboratory of the Health Sciences Department of the Federal University of Paraná. Easily accessible, low cost materials, such as a commercial-use mannequin, EVA plastic, PVC and copper tubing were used to develop the simulator.. Results At the end of the project, it was possible to build a simulator of the endoscopic lumbar spine flavectomy technique with a budget of approximately 464 BRL, or approximately 140 USD. Conclusions We concluded that it was possible to build an endoscopic lumbar spine flavectomy technique simulator on a budget of less than half a Brazilian minimum monthly wage, which makes training more accessible to academics, residents and surgeons. Level of Evidence V; Expert opinion.


10.2196/19792 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e19792
Author(s):  
Michelle Ho ◽  
Jared Goldfarb ◽  
Roxana Moayer ◽  
Uche Nwagu ◽  
Rohan Ganti ◽  
...  

Background Nasal osteotomy is a commonly performed procedure during rhinoplasty for both functional and cosmetic reasons. Teaching and learning this procedure proves difficult due to the reliance on nuanced tactile feedback. For surgical simulation, trainees are traditionally limited to cadaveric bones, which can be costly and difficult to obtain. Objective This study aimed to design and print a low-cost midface model for nasal osteotomy simulation. Methods A 3D reconstruction of the midface was modified using the free open-source design software Meshmixer (Autodesk Inc). The pyriform aperture was smoothed, and support rods were added to hold the fragments generated from the simulation in place. Several models with various infill densities were printed using a desktop 3D printer to determine which model best mimicked human facial bone. Results A midface simulation set was designed using a desktop 3D printer, polylactic acid filament, and easily accessible tools. A nasal osteotomy procedure was successfully simulated using the model. Conclusions 3D printing is a low-cost, accessible technology that can be used to create simulation models. With growing restrictions on trainee duty hours, the simulation set can be used by programs to augment surgical training.


Author(s):  
Apostolos Fyllos ◽  
Aristeidis Zibis ◽  
Zoe H. Dailiana

AbstractDuring medical education, medical students are often frustrated by difficulties in translating theoretical anatomical knowledge and basic surgical skills (suturing, tissue and instrument handling, and local anesthetic administration) into practice. A common etiological factor for this difficulty, among others, is lack of a low-cost and easy-to-assemble low fidelity suturing model. The purpose of this study is the demonstration of a validated, practical, inexpensive, hand-shaped anatomy training model. It is addressed to medical students and graduates that wish to get acquainted with neurovascular anatomy of the hand and improve their basic surgical skills. The model requires only two latex gloves, cotton, and two different color markers per trainee to draw the course of large nerve and vessels. Construction requires less than 15 minutes. For validation, 80 students participated as volunteers in the demonstration course. They evaluated course usefulness and their own confidence after the course. According to the 5-point Likert scale, the participants’ confidence increased in a statistically significant way (p < 0.05). All participants (100%) stated that their skills were “significantly improved” in terms of instrument handling, anatomy studying, performing digital anesthesia, and suturing technique. Overall experience was rated as “satisfactory” or above. The proposed model enables safe gentle soft-tissue handling, and it resembles a realistic human tissue. Low cost, availability, and fast construction are the most important characteristics, making this validated training model appropriate for acquiring fundamental local anesthesia, respect for hand neurovascular anatomy, and suturing skills.


2017 ◽  
Vol 44 (5) ◽  
pp. 471-475 ◽  
Author(s):  
André Takashi Oti ◽  
Lucas Nascimento Galvão ◽  
Thyago Cezar Prado Pessoa ◽  
Camylla Rodrigues de Oliveira Rocha ◽  
Andrew Moraes Monteiro ◽  
...  

ABSTRACT Objective: to develop a model of training in video-surgery, of low cost and that uses a smartphone as an image-generating source. Methods: We developed a 38cm high, 40cm wide, 40cm long hexagonal-shaped training box, with a front opening of 12x8 cm for coupling the smartphone. The internal illumination is made with LED lamps and for the support of the smartphone, we used a selfie stick, fixed in the upper part of the box, that allows control of height, distance, angulation, and the coupling of devices with different formats. We selected 20 undergraduate students without previous training in video-surgery, who performed four exercises in the box, with assessment of the time and amount of errors in the execution of the tasks. Each student completed the training for three consecutive weeks. We collected the data in spreadsheets for later analysis. Results: Nineteen students completed the training program, with significant improvement in the times and in the number of errors. Conclusion: the developed model was feasible and promoted the acquisition of skills in this group of students. In addition, it presents low cost, is portable and uses common equipment, such as smartphones.


Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1106
Author(s):  
Florian Recker ◽  
Lei Jin ◽  
Patrick Veith ◽  
Mark Lauterbach ◽  
Pantelis Karakostas ◽  
...  

Objectives: Currently, ultrasound (US) is widely used for the diagnosis of giant cell arteritis (GCA). Our aim was to develop a low-cost US training model for diagnosis of GCA of the temporal and axillary artery using a modern 3D printing system. Methods: We designed an US training model, which enables measurement of the intima-media thickness (IMT) of temporal and axillary arteries using Autodesk Fusion360. This model was printed using a modern 3D printer (Formlabs Form3) and embedded in ballistic gelatine. The ultrasound images including measurement of the IMT by ultrasound specialists in GCA were compared to ultrasound images in acute GCA and healthy subjects. Results: Our ultrasound training model of the axillary and temporal artery displayed a very similar ultrasound morphology compared to real US images and fulfilled the OMERACT ultrasound definitions of normal and pathological temporal and axillary arteries in GCA. The IMT measurements were in line with published cut-off values for normal and pathological IMT values in GCA and healthy individuals. When testing the models on blinded US specialists in GCA, they were identified correctly in all test rounds with an intra-class coefficient of 0.99. Conclusion: The production of low-cost ultrasound training models of normal and pathological temporal and axillary arteries in GCA, which fulfil the OMERACT ultrasound definitions and adhere to the published IMT cut-off values in GCA, is feasible. Ultrasound specialists identified each respective model correctly in every case.


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