Università degli Studi di RomaUniversità degli Studi di Roma““Tor Vergata”Tor Vergata”

Facoltà di IngegneriaFacoltà di IngegneriaCorso di Laurea Magistrale in Corso di Laurea Magistrale in Ingegneria Medica (Presidente: Prof. Ingegneria Medica (Presidente: Prof.

Franco Maceri)Franco Maceri)Insegnamento di Tecnologie Insegnamento di Tecnologie

Chirurgiche InnovativeChirurgiche Innovative(Prof. Francesco Rulli, Dipartimento di (Prof. Francesco Rulli, Dipartimento di

Chirurgia)Chirurgia)

A Dry Lab for A Dry Lab for Medical Engineers?Medical Engineers?

francesco.rulli@ptvonline.it

What is a Dry Lab?What is a Dry Lab?

laboratorylaboratory that is that is specific to work with dry specific to work with dry stored materials, stored materials, electronics and/or large electronics and/or large instruments, instruments, in whichin which biological tissuesbiological tissues (living (living or dead) or dead) are not are not utilized.utilized.

““DRY LAB”DRY LAB”

Dry LabDry Lab

““DRY DRY LAB”LAB”

equipped equipped workstations for workstations for practicing practicing endoscopic endoscopic techniquestechniquesrealistic realistic settingsetting

phantoms and organ phantoms and organ modelsmodels

necessary to necessary to design a design a

minimally minimally invasive invasive surgery surgery training training programprogram

Why a Dry Lab?Why a Dry Lab?

gain, certify gain, certify and improve and improve the expertisethe expertise, , along with a along with a proper case proper case

loadload

Many institutions, universities, centres of Many institutions, universities, centres of excellence are equipped with dry labs in excellence are equipped with dry labs in order to provide a teaching, training and order to provide a teaching, training and evaluation instrument to the surgeon, evaluation instrument to the surgeon, developing curricula to teach fundamental developing curricula to teach fundamental technical skills to surgeons in a laboratory technical skills to surgeons in a laboratory setting.setting.

ESI Dry Lab, Hamburg, GermanyESI Dry Lab, Hamburg, Germany

Importance of a dry lab for surgical residentsImportance of a dry lab for surgical residents

• Learn and practice basic Learn and practice basic skills in a relaxed and skills in a relaxed and inexpensive environmentinexpensive environment

• Attain and transfer a basic Attain and transfer a basic level of technical facility from level of technical facility from the laboratory to the operating the laboratory to the operating room environmentroom environment

LaparoscopiLaparoscopic simulatorsc simulators

Inanimate box trainersInanimate box trainers

Computer-based Computer-based virtual reality virtual reality platformsplatforms

Simulator-based curriculaSimulator-based curricula

Importance of a dry lab for surgical residentsImportance of a dry lab for surgical residents

Training in a surgery dry lab provide Training in a surgery dry lab provide mastery of basic skills that allows trainees to mastery of basic skills that allows trainees to focus on more complex issues, both technical focus on more complex issues, both technical

and and nontechnicalnontechnical, in the operating room., in the operating room.

Laparoscopic Laparoscopic columncolumn

March 2007March 2007Innovative Surgical Innovative Surgical

Technologies course Technologies course (Medical Engineering (Medical Engineering

program)program)

Surgical dry labSurgical dry labCamera and Camera and telescopestelescopes

Endoscopic Endoscopic mechanical training mechanical training

systemssystemsEndoscopic Endoscopic instrumentsinstruments

Ultrasound Ultrasound devicedevice

Dry Lab equipment: Dry Lab equipment: workstationworkstation

Laparoscopic Laparoscopic column:column: CRT MonitorCRT Monitor Light sourceLight source Camera systemCamera system 0° and 30° 0° and 30°

telescopestelescopes Automatic Automatic

insufflatorinsufflator

Pelvic trainerPelvic trainer Leg trainerLeg trainer

Dry Lab equipment: Dry Lab equipment: instrumentationinstrumentation

EndoClinch graspersEndoClinch graspers ScissorsScissors EndoRetractEndoRetract EndoBagEndoBag Linear staplersLinear staplers EndoPath needle EndoPath needle

holdersholders cablescables

Hasson trocarsHasson trocars 5 mm and 10 5 mm and 10

mm trocarsmm trocars

Dry Lab Dry Lab ActivitiesActivities

Analysing devices in Analysing devices in their working contexttheir working context

Introduction to MIS Introduction to MIS (Minimally Invasive Surgery)(Minimally Invasive Surgery) techniquestechniques

Managing imaging Managing imaging system and instrumentssystem and instruments

Performing simple tasks Performing simple tasks on the workstation on the workstation

Understanding technical Understanding technical properties of devices by properties of devices by using themusing them

Why a Dry Lab for Medical Why a Dry Lab for Medical Engineers?Engineers?

Dry Lab improve the students’ Dry Lab improve the students’ knowledge of MIS instrumentation and knowledge of MIS instrumentation and

techniques through hands-on experiencetechniques through hands-on experience

Dry Lab Dry Lab experiencexperienc

ee

Learning and Learning and improving analysis improving analysis and managementand managementof laparoscopic of laparoscopic

devicesdevices

Identification of Identification of problemsproblems

““brainstorming”brainstorming”Developing better Developing better

devicesdevices

GalatàGalatà

Training and Training and Teaching: 2007 Teaching: 2007

StudyStudy

Hands-on exercises Hands-on exercises performed on a performed on a

simulatorsimulator

Eleven Medical Eleven Medical Engineering students Engineering students were trained to perform a were trained to perform a sequence ofsequence of

Clipping and Clipping and CuttingCutting

standardized standardized drillsdrills

Carring out specimen with Carring out specimen with endobagendobag

Positioning a Positioning a needleneedle

Cutting a Cutting a paperpaper

Intra – corporeal Intra – corporeal KnottingKnotting

ConclusionsConclusions

Improve the students’ Improve the students’ knowledge of MIS knowledge of MIS instrumentationinstrumentation

Dry Lab Dry Lab experienceexperience

Learning and improving Learning and improving analysis and management analysis and management of laparoscopic devicesof laparoscopic devicesIdentification of Identification of problemsproblems

Developing better Developing better devicesdevices