haptica promis @ medinireland oct09
TRANSCRIPT
Accelerating Performance through SimulationMedinIrelandDublin, October 2009
Fiona Slevin
www.haptica.com | +1 617 342 7270 | [email protected]
Why simulation?
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With simulation
Without effective simulation solution
TimeAd
opti
on;
Pati
ent
Safe
ty
44,000 (and up to 98,000) people die from medical errors in the U.S. every year. Institute of Medicine, 2002More physicians . . . doing more procedures . . . more proficiently . . . in less time . . . at lower cost and . . . at lower risk
What is simulation?• Replicates surgical/ medical
context• Delivers data on
performance and effectiveness – of device and physician
• Provides indicators of areas of potential difficulty/ error
• Indicators of learning curves
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At all stages in the product life-cycle
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Training; Marketing
R&D
; Clin
ical
Tri
als
Accelerated Uptake = Effectiveness + Proficiency
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Training; Marketing
R&D
; Clin
ical
Tri
als
Guidant and Cordis Carotid-Artery-Stent simulatorChallenge
• Guidant and Cordis Carotid-Artery-Stent simulator training a requirement for FDA device approval
Solution
• Simulator to replicate full procedure
• 4-6 hours of training
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J&J EES & Applied Medical : Hand-Assisted SurgeryChallenge
• Increase uptake of LAPDISC & GelPort for Colectomy
• Seeking decentralized, valid, efficient training roll-out
Solution
• Simulator to replicate full procedure
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"We finally have a training tool that gives the surgeon an unparalleled opportunity
to practice [HALC]." Bryan N. Butler, MD, Buffalo
Medical Group.
“The evaluation forms resoundingly confirmed our belief that our
simulators are here to stay and will only grow stronger as an incredible teaching modality!” Applied Medical
Challenge
• Increase accessibility and safety of training
Solution
• Simulator to replicate spine and fluoroscopy
• Portable, easy-to-use; offers risk-free, safe, cost-effective training
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MIS Spine Surgery Simulator
Challenge
• Demonstrate new microwave ablation device - in a safe, portable way
Solution
• Replicate functionality of large stacking unit in stylish display box, laptop and real endometrial ablation devicely
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Microsulis SimMEA simulator
»
“A dynamic and highly motivated team [developed] SimMEA in time for its
successful world launch.” Robert Barlow, Microsulis Medical
Delivering comparative metrics on surgical instrumentsChallenge
• New line of instruments• Engage surgeonsSolution
• Simulator practice; show data comparing performance on two sets of instruments
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“The reception of [ProMIS] at the booth
was amazing.” “It transformed the
quality of conversations we had with customers”
Brooke Skora, Cardinal Health V. Mueller
Why simulation?• Data-driven evidence of performance and
effectiveness• Cost-effective• Procedurally-relevant• Avoids testing/training on animals and patients• Surgeons who trained on simulators performed 29%
faster and made 7 times fewer errors” Annals of Surgery 2002
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And other drivers• New procedures/techniques increase complexity and risk• Training in the OR too costly and error-prone• Less access to cadavers and animals for training• Move to field-training• Need to demonstrate proficiency (measured objectively)• Patient awareness and demands• An FDA requirement?
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