Simulation-Based Wound Closure Training System

描述（由申请人提供）：培训时间的减少，需要掌握的手术数量的增加，手术室使用效率的要求，以及成本可回收的服务性能最大化的压力，已经影响了以患者为中心的传统外科医生培训方式。技术正越来越多地纳入这一过程，特别是在以计算机为基础的交互式技能培训师形式的微创程序中。然而，大多数手术仍然是通过开放切口进行的，并且没有基于模拟的培训系统可用于这种培训。开放手术训练的基础是伤口闭合，这是本提案将建立的模拟。这项工作建立在早期的原型工作基础上，证明了基本概念是可能的。以此为出发点，这项工作将改进基于物理的工具-组织相互作用模拟，并实施伤口闭合的培训内容，以符合最近公布的外科住院医师培训课程。由此产生的底层模拟器架构将作为将来附加培训内容的平台。这项提议的结果将是一个成本合适的模拟器，准备进入下一阶段的商业化，在那里它可以满足外科医生的需求，以及许多其他需要基本伤口闭合培训的医疗保健专业人员的需求。

DESCRIPTION (provided by applicant): The pressures of reduced training hours, increased numbers of procedures to master, demands for operating room usage efficiency, and maximizing performance of services whose costs can be recovered has impacted the traditional ways of patient-centric surgeon training. Technology is being increasingly incorporated into the process, especially in minimally invasive procedures in the form of computer-based interactive skills trainers. Yet the majority of surgery is still performed through open-incision access and there are no simulation-based training systems available for this training. The foundation for open surgery training is wound closure and this is the simulation that will be built in this proposal. This work builds upon earlier prototype work that has proved the fundamental concept is possible. Taking that as a starting point, this effort will refine physics-based simulation of tool-tissue interaction and implement training content for wound closure that conforms with recently announced curricula for surgical resident training. The underlying simulator architecture that results will serve as a platform for additional training content in the future. The outcome of this proposal will be a cost appropriate simulator that is ready to go to the next stage of commercialization, where it can meet the needs of surgeons in addition to those of many other groups of healthcare professionals who need basic wound closure training.