Accelerating Performance through SimulationMedinIrelandDublin, October 2009

Fiona Slevin

www.haptica.com | +1 617 342 7270 | info@haptica.com

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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