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CAE EndoVR User Manual Download Page 91

Starting an ESD Simulation

77

PN:165K400000

Using the Snare Tool

The Snare tool is used to simulate a variety of ESD tools that can be used during the simulated cases. 

The following tools can be selected from the Tools menu on the left screen and they can only interact 

with the region of operative interest (ROI):

Coagrasper

Dual Knife

IT Knife

Injection Needle

Triangle Knife

Hook Knife

Endo Clips

The Snare Tool

Summary of Contents for EndoVR

Page 1: ...User Guide...

Page 2: ...2018 CAE PN 165K400000...

Page 3: ...ovisions in their entirety then click the ACCEPT button below If You do not accept these terms conditions and other provisions in their entirety without modification of any sort then click the DECLINE...

Page 4: ...yright and any other proprietary notices indicated on the Software and Data ghost export or produce any derivative works from the Product or any part thereof not network the Product without CAE s prio...

Page 5: ...License and shall remain in effect until terminated as provided hereafter 4 2 This License terminates immediately upon termination of the HEPGTC 4 3 CAE may terminate this License immediately upon wri...

Page 6: ...ne having access to the Confidential Information to comply with the terms and conditions set forth herein including all actions that Licensee would take to protect its own trade secrets and confidenti...

Page 7: ...presentatives of CAE 9 3 No Waiver The failure of CAE to enforce at any time any of the provisions of this License or to require at any time the performance by Licensee of any of the provisions hereof...

Page 8: ...eir express wish that this License and related agreements and documents be drawn up in the English language and that any notification letter or any other communication from a party to the other pertai...

Page 9: ...al foot pedal Dimensions 40 5 W x 35 D x 72 H Adjustable 103cm W x 89cm D x 183cm H Adjustable Weight 245 lb 111 kg Electrical 100 120 V 50 60 Hz 10A 200 240 V 50 60 Hz 5A Storage Temperature 40 C to...

Page 10: ...Front Matter Product Specifications viii CAEEndoVR PN 165K400300...

Page 11: ...of the lift mechanism can cause crush hazard resulting in possible bodily injuries and damaged equipment Do not jam the motor lift mechanism onto an object This is a misuse and subjects the motor to b...

Page 12: ...Front Matter Cautions Warnings x CAEEndoVR PN 165K400300...

Page 13: ...3 Computer 4 Additional Equipment 4 Before Using the Simulator 5 Using the Simulator 7 Power On the Simulator 8 Starting the Software 9 Interface Overview 11 Selecting a Simulation 14 Reviewing the Di...

Page 14: ...Data to a PDF File 56 Modifying Language Preferences 59 Adjusting the Volume 60 Hiding the Available Tasks Panel 60 Exiting the Software 61 Starting an Endoscopic Submucosal Dissection Simulation 63...

Page 15: ...s to licensed medical professionals The EndoVR Simulator Preprogrammed tasks and courses with didactic content real time simulation haptics and post simulation evaluation metrics help create the compr...

Page 16: ...Introduction 2 CAEEndoVR PN 165K400000...

Page 17: ...obility when storing the simulator The EndoVR Device Monitor Pole and Monitor Arms The monitor pole is shipped separately from the EndoVR device and requires some assembly before the simulator can be...

Page 18: ...he simulator The Computer Access Door Additional Equipment For modules which are sold separately users must purchase additional equipment to fully utilize the curriculum and simulation procedures Bron...

Page 19: ...es correct configuration Before setting up the system keep in mind these basic guidelines Read and understand the Cautions and Warnings in the beginning of this User Guide Do not power on any componen...

Page 20: ...Equipment Overview 6 CAEEndoVR PN 165K400000...

Page 21: ...ve training experience Administrators and trainers are responsible for setting up the user accounts managing the learners curriculum and reviewing learners results to identify areas for improvement No...

Page 22: ...ions below To power on the simulator a Ensure the top of the master power button located on the back of the simulator is pressed in The Master Power Switch b Press the top part of the orange power swi...

Page 23: ...nter the assigned username in the Username field To log in as a guest enter guest Note Any tasks performed while using the guest login will be recorded in the guest account only if the administrator s...

Page 24: ...00 The Home Screen From the Home screen users can select and start a simulation exercise view personal data and print usage summaries and reports Users are also able to modify language preferences and...

Page 25: ...the icon will appear blue and the associated content will appear in the main screen on the interface The left panel contains is a list of options for users The My Tasks icon is selected by default an...

Page 26: ...a simulation review didactic content run a simulation and review results The My Tasks Screen My Profile From the My Profile screen users can review their personal data including username registration...

Page 27: ...om the Usage screen review and print their usage summaries for completed simulations The Usage Screen Reports From the Reports screen users can review and print reports for completed simulations The R...

Page 28: ...nd tasks assigned to the learner by the administrator the training experience is customized to help the learner meet the necessary educational objectives Note Learners only have access to the curricul...

Page 29: ...ulator 15 PN 165K400000 2 From the Available Tasks panel on the left side of the screen click the desired module The Home Screen 3 Click the desired course The My Tasks Screen The desired module The d...

Page 30: ...Using the Simulator 16 CAEEndoVR PN 165K400000 4 Click the desired task The My Tasks Screen The didactic content appears in the main screen of the software The desired task The main screen...

Page 31: ...procedure The didactic content for tasks may include Training Objectives Didactics Instructions Case History Diagnostic Images Pre Procedures Parameters and Post Procedures The Results screen is only...

Page 32: ...een click the Training Objectives tab When selected the tab appears blue and the Training Objectives screen appears The Training Objectives Screen The Training Objectives screen outlines the training...

Page 33: ...creen click the Instructions tab When selected the tab appears blue and the Instructions screen appears The Instructions Screen The Instructions screen provides an overview of the procedure and direct...

Page 34: ...0000 Demos To access the Demos screen click the Demos tab When selected the tab appears blue and the Demos screen appears The Demos Screen The Demos screen provides users with a tutorial on how to per...

Page 35: ...tab When selected the tab appears blue and the Didactics screen appears The Didactics Screen The Didactics screen contains two outlines of content for the user to navigate Procedure Overview and Anat...

Page 36: ...utline of procedural information videos and instructions created by endoscopy specialists and physicians The Procedure Overview Screen Learners can select the content to review by clicking on the outl...

Page 37: ...images of specific parts of the anatomy for the learner to review prior to beginning a procedure The Anatomy Atlas Screen Learners can select the content to review by clicking on the outline hyperlink...

Page 38: ...een contains images of pathologies for the learner to review prior to beginning a procedure The Pathology Atlas Screen Learners can select the content to review by clicking on the outline hyperlinks o...

Page 39: ...agnostic Images tab replaces the Didactics tab When selected the tab appears blue and the Diagnostic Images screen appears The Diagnostic Images Screen The Diagnostic Images screen contains helpful im...

Page 40: ...se History tab When selected the tab appears blue and the Case History screen appears The Case History Screen The Case History screen provides users with background information about the patient inclu...

Page 41: ...Procedures screen click the Pre Procedures tab When selected the tab appears blue and the Pre Procedures screen appears The Pre Procedures Screen The Pre Procedures screen provides steps the user need...

Page 42: ...Post Procedures screen click the Post Procedures tab When selected the tab appears blue and the Post Procedures screen appears The Post Procedures Screen The Post Procedures screen provides actions u...

Page 43: ...virtual aids However some modules do not contain any adjustable user parameters From the Parameters screen learners can change the parameters prior to beginning a simulation After the simulation is co...

Page 44: ...mpletes the simulation Users can also cancel the parameter changes by clicking the Revert Changes button The Parameters Screen with Adjusted Parameter Note Parameters with a value field can also be ad...

Page 45: ...ing steps 1 Select the desired task 2 Review the associated didactic content 3 Complete any parameter adjustments if applicable After the preparation steps are complete start the simulation To start a...

Page 46: ...When a task from the upper GI bleeding module is selected the simulation start screen appears on the left monitor The Left Monitor Start Screen IMPORTANT Some modules contain different content relate...

Page 47: ...ng the Simulator 33 PN 165K400000 The vitals and external view appear on the right monitor The Right Monitor Start Screen Note Be sure to observe the content on both monitors while performing procedur...

Page 48: ...cope is used in the Bronchoscopy modules including Pediatric Difficult Airway Endobronchial Sampling and Transbronchial Needle Aspiration TBNA The Bronchoscope Diagram Stand to the left of the simulat...

Page 49: ...iagram Stand directly in front of the simulator when inserting the endoscope unless otherwise informed when reviewing the didactic content prior to beginning the module The Endoscope Hand Positioning...

Page 50: ...that is currently connected learners can disconnect the current scope and connect the new scope Note Do not disconnect scope during a running simulation To disconnect a scope a Twist the two fastener...

Page 51: ...prongs in the connector with the scope port located on the back left side of the simulator The Back of the Simulator c Press the connector into the scope port and twist the two fasteners clockwise The...

Page 52: ...for the chosen procedure 3 Select the desired task review the didactic content and click Start Simulation to begin the simulation 4 When the Please Insert Scope to Begin Procedure message appears on...

Page 53: ...uring EBUS TBNA module tasks in the software The EBUS TBNA Accessory Tool The Upper GI Lower GI accessory tool is a single hardware component that is used with the endoscope to simulate several differ...

Page 54: ...ry tool for specific procedures 1 Select the desired accessory tool for the procedure The EBUS TBNA accessory tool is used for EBUS TBNA module tasks The EBUS TBNA Accessory Tool The Upper GI Lower GI...

Page 55: ...or 41 PN 165K400000 2 Locate the accessory tool port on the back of the simulator The Back of the Simulator 3 Press the accessory tool connector into the accessory tool port The Accessory Port The acc...

Page 56: ...to an appropriate depth for needle penetration 6 Using the EBUS TBNA accessory tool insert the needle into the node while simultaneously observing the depth of the needle on the simulation screen 7 Cl...

Page 57: ...ol must be in the retracted closed position prior to using the tool The Accessory Tool in the Retracted Position 2 From the Tools menu located on the left monitor during the UGI Bleeding module select...

Page 58: ...ted tool This position is known as the deployed open position The Accessory Tool in the Deployed Position Note If an accessory tool is unavailable learners may use the virtual substitutes in the softw...

Page 59: ...located underneath the simulator 2 Place the pedals directly in front of the simulator The Simulation Pedals 3 Select the desired procedure review the didactic content and click Start Simulation to st...

Page 60: ...s or errors are acceptable and correctable within a simulation If a learner performs a fatal error the simulation will end before the time expires In other cases the learner completes the procedure be...

Page 61: ...Using the Simulator 47 PN 165K400000 To end the simulation manually in modules without a Continue button click the End Simulation button The Simulation Screen The End Simulation button...

Page 62: ...the learner meets all of the parameters for the simulation the Successful Completion message displays The Results Screen If the learner did not meet all of the parameters for the simulation the Unsuc...

Page 63: ...Using the Simulator 49 PN 165K400000 Viewing Personal Data To view personal data click the My Profile icon The Icon Dashboard The Personal Data Screen The My Profile icon...

Page 64: ...Using the Simulator 50 CAEEndoVR PN 165K400000 Viewing Usage Summaries To view usage summaries click the Usage icon The Icon Dashboard The Usage Summary Screen The Usage icon...

Page 65: ...the Simulator 51 PN 165K400000 Viewing Reports Learners can view customized reports from the Reports screen To view reports 1 Click the Reports icon The Icon Dashboard The Reports Screen The Reports...

Page 66: ...elect the desired tasks to include in the report or select All Tasks The Reports Screen The Reports options appear 3 From the Reports options select the desired reports to include in the report or sel...

Page 67: ...Using the Simulator 53 PN 165K400000 The report appears in the Print Preview panel The Reports Screen The Print Preview panel...

Page 68: ...your administrator for further assistance To print data to a network printer 1 From the selected screen click the Print button located near the bottom right corner of the screen The Results Screen Not...

Page 69: ...Using the Simulator 55 PN 165K400000 The Print Window 2 Select the desired network printer 3 Click Print The Print button...

Page 70: ...print data to a PDF file and save the file to an external device to print on a computer with a network printer connection To print the data to a PDF file 1 From the selected screen click the Print bu...

Page 71: ...desired folder where the file will be saved Notre If the location is on an external device use the USB port located on the back of the simulator to connect the external device to the simulator 5 Ente...

Page 72: ...Using the Simulator 58 CAEEndoVR PN 165K400000 The PDF Complete Special Edition window appears with the completed PDF The PDF Complete Window...

Page 73: ...reen To modify the language preferences 1 Click the Language Preferences menu The Home Screen 2 Select the preferred language from the drop down menu A checkmark appears next to the selected language...

Page 74: ...ease press the Ctrl key and the Down arrow on the simulator keyboard simultaneously until the desired volume is achieved Hiding the Available Tasks Panel Learners can hide the Available Tasks panel to...

Page 75: ...ut of the software once they are completed with their training session To exit the software 1 Click on the username in the top right corner of the screen The Home Screen with Logout Drop Down Menu 2 S...

Page 76: ...Using the Simulator 62 CAEEndoVR PN 165K400000...

Page 77: ...TTEMPTS TO INSERT THE SCOPE PRIOR TO THIS INDICATION CAN SEVERELY DAMAGE THE EQUIPMENT Prior to starting the simulation you should ensure that the large oral anatomy plate is mounted on the front of t...

Page 78: ...at Start of a Simulation Note This message will reappear if the endoscope is removed from the simulator at any point during the simulation While standing at the head of the anatomy plate and facing th...

Page 79: ...ation If this occurs solve the problem by pressing the Reset button Below The Reset Button You can navigate the simulator with both LCD touchscreen monitors You can also use the simulator s built in m...

Page 80: ...annel to insert the filament of the snare tool refer to Using the Snare Tool section The Scope Controls Up down deflection knob larger knob Left right deflection knob smaller kniob Working channel Air...

Page 81: ...LCD touchscreen monitor displays different views depending on the selected camera mode The left LCD touchscreen monitor has three menus along the left side of the screen depending on the camera mode...

Page 82: ...W perspective by moving the camera angle up down in a clockwise direction or in a counterclockwise direction with the help of the arrow controls The Increase Zoom button allows you to increase the tot...

Page 83: ...mulation software buttons Sample Anatomy With Narrow Band Imaging Off Sample Anatomy With Narrow Band Imaging On The Narrow Band Imaging button enables narrow band imaging modality The Chromoendoscopy...

Page 84: ...has the following ESD cap options The No Cap option removes the selected ESD cap on the distal end of the scope in simulation The Oblique Cap option adds the oblique ESD cap on the distal end of the...

Page 85: ...e will appear on both the left and right screens if this sequence of steps is not followed Example Of Selecting Oblique Or Flat Cap Without Retracting The Scope Beforehand The TOOLS menu has the follo...

Page 86: ...and take effect in simulation at a time The Cut Coag configuration assigns the cutting functionality to the left pedal and the coagulation functionality to the right pedal The Cut Inject configuration...

Page 87: ...ed to this point of the simulation If pressed that quantity is reset to 0 ml The Soft Coagulation option sets the tool s coagulation energy to soft coagulation Note the Soft Coagulation option is the...

Page 88: ...screen Monitor The Right Screen Simulation Configuration The right LCD touchscreen monitor displays control functions available during the simulation The right LCD touchscreen monitor has three menus...

Page 89: ...ctory C Users UniVR Pictures ESDSnapshots Taking a snapshot adds the most recent snapshot to the right hand side monitor There are also arrows on the right hand side monitor that allow you to navigate...

Page 90: ...the simulation by selecting Cancel The Next Procedure Step button allows you to proceed to the next procedural step The name of the current procedural step will be displayed along the bottom of the r...

Page 91: ...iety of ESD tools that can be used during the simulated cases The following tools can be selected from the Tools menu on the left screen and they can only interact with the region of operative interes...

Page 92: ...r EXTERNAL VIEW 3 Insert the filament further in the working channel to advance the tool 4 Pull the filament to retract the tool into the scope 5 Push the finger loops of the snare tool to open the co...

Page 93: ...utton Warning message that is displayed on left screen before ending the simulation You can choose to either end the simulation by selecting OK or continue the simulation by selecting Cancel The simul...

Page 94: ...Starting an ESD Simulation 80 CAEEndoVR PN 165K400000...

Page 95: ...mplete common tasks performed during a bronchial sampling Bronch TBNA Complete common tasks performed during a transbronchial needle aspiration Lower GI Biopsy Complete common tasks involved in a lowe...

Page 96: ...ications Required Equipment EBUS TBNA Needle Stylet Syringe Topicals Saline Lidocaine IV Medications Fentanyl Meperidine Midazolam Naloxone EBUS TBNA accessory tool Bronchoscope Intro to BAL Needle Sa...

Page 97: ...ications Required Equipment Biopsy Needle Forceps Syringe Suction Air Water Topicals Saline Lidocaine IV Medications Fentanyl Meperidine Midazolam Naloxone Upper Lower GI accessory tool Endoscope Intr...

Page 98: ...ssory tool Endoscope Foot pedal UGI Bleeding Wire Grasper Clip Applier BICAP Probe Injection Needles Irrigation Suction Air Water IV Medications Fentanyl Flumazenil Meperidine Midazolam Naloxone Upper...

Page 99: ......

Page 100: ...m ET Phone 1 877 223 6273 Email can service caehealthcare com International Monday Friday from 7 00 a m to 6 00 p m ET Phone 1 514 341 6780 Email international service caehealthcare com 2018 CAE PN 16...

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