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Introduction

1

PN: 905K400652

I

NTRODUCTION

This CathLabVR

TM

 

Simulator User Guide provides information about setting up the simulator, 

navigating the user interface, and maintaining the system. 

The CathLabVR System allows physicians, nurses and technicians to practice endovascular diagnostic 

and intervention procedures in a highly realistic, reproducible and safe training environment. 

Trainees can navigate realistically modified endovascular tools through a virtual anatomy based on 

actual patient data. 3-D graphics, auditory and state-of-the-art haptic feedback enhance the virtual 

reality.

IMPORTANT: 

The CathLabVR

 

Simulator is a training tool. The simulator is not intended to diagnose 

the condition of a live human being or identify a life-threatening situation. The CathVR Simulator is 

one of a series of didactic tools that can be used to improve training for endovascular diagnostic and 

intervention procedures. This simulator is not intended to replace any courses or hands-on sessions 

with live subjects, but should be implemented as part of a blended learning solution.

The CathLabVR Simulator

Содержание CathLabVR Simulator

Страница 1: ...UserGuide...

Страница 2: ...ientific and technical information which is in the possession of or belonging to CAE and relating to the Product including without limitation all Data Software trade secrets know how processes methodo...

Страница 3: ...for concurrent use b not sell attempt to sell or transfer unless in compliance with the HEPGTC sub license encumber the Software or Data c not modify the Product in any way combine with other program...

Страница 4: ...attempt to directly or indirectly assign or transfer any of the rights granted to it pursuant to this License without CAE s prior written authorization b disclose in whole or in part any Confidential...

Страница 5: ...y any such persons 6 Irreparable Harm 6 1 Licensee acknowledges that the Software and Data constitute a special irreplaceable asset of great value to CAE and that a breach in any way of any of License...

Страница 6: ...d in the State of Florida U S A Each Party hereby waives any right that it might otherwise have to object to such venue or seek dismissal of the action on the basis of forum non conveniens EACH PARTY...

Страница 7: ...see is solely responsible for reviewing its data that will be provided to CAE or to which CAE will have access to ensure that it does not contain Excluded Data 10 5 No Waiver No omission or delay by e...

Страница 8: ...midity 20 to 80 Storage Conditions Non Operating temperature 40 to 149 F 40 to 65 C Relative Humidity 20 to 80 Cart Dimensions 95 6 W x 60 6 D x 71 6 H 2429cm W x 154cm D x 181 9cm H Weight 250 lbs 11...

Страница 9: ...ift 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 burn out...

Страница 10: ...abVR Cart 5 Monitor Pole 5 Extension Tray 5 CathLabVR Shelf 5 Control Box 5 Keyboard and Mouse 5 Monitors 6 Monitor Power Cable 6 Monitor DVI Cables 6 Foot Pedals 6 Accessories 6 Embolic Protection To...

Страница 11: ...44 Using the Balloon Inflation Feature 45 Using the Embolic Protection Devices 47 Using the Adjunct Therapy Feature 48 Using the Analyzer Function 49 Accessing the Cine Gallery 50 Accessing the Stills...

Страница 12: ...nt CRDM 72 Cardiac Surgery 72 Percutaneous Coronary Interventions PCI 73 Percutaneous Peripheral Interventions PPI 74 Appendix B Keyboard Shortcuts 75 Introduction 76 Contained in this User Guide 77 A...

Страница 13: ...Table of Contents 4...

Страница 14: ...rough a virtual anatomy based on actual patient data 3 D graphics auditory and state of the art haptic feedback enhance the virtual reality IMPORTANT The CathLabVR Simulator is a training tool The sim...

Страница 15: ...provides instructions on the use of the various tools and hardware features integrated into the simulated experience This section also includes information on how the simulator and software component...

Страница 16: ...ote As you would with any shipment check the inventory against the packing invoice to verify that all components have been received Standard Equipment CathLabVR Simulator Anatomy Plate CathLabVR Compu...

Страница 17: ...specific tools for each individual procedure and require proper care to ensure the product remains in good working condition The CathLabVR Simulator Anatomy Plate The CathLabVR anatomy plate is a fle...

Страница 18: ...nsion tray attaches to the main cart structure and serves as a resting place for accessories prior to use or insertion CathLabVR Shelf The CathLabVR contains a shelf upon which the Control Box is plac...

Страница 19: ...ual foot pedals connect directly to the back of the manikin and serve as a necessary tool for completing most simulations on the CathLabVR The Cine pronounced sin nee pedal captures video clips of act...

Страница 20: ...s the following accessories Accessory handles for deflectable catheters 2 Guidewire steering handle torque tool Deflectable guide catheters 0 035 Diagnostic guidewire 0 016 Nitinol guidewire Cook intr...

Страница 21: ...iff guidewire 016 guidewire 14 interventional guidewire Modified MX2 therapeutic catheter Contrast syringe Before Using the Simulator Proper operation of the CathLabVR simulation requires correct conf...

Страница 22: ...R Note For optimal use no other software programs should be open while the simulator software is running Note To use the printing functions in the software a network connection must be established For...

Страница 23: ...ware 1 Enter 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 adminis...

Страница 24: ...screen appears 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 pre...

Страница 25: ...selected 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 de...

Страница 26: ...ulation 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 and c...

Страница 27: ...age From 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...

Страница 28: ...sks 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 curriculum as...

Страница 29: ...r 16 CAECathLabVR PN 905K400652 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 Home Screen The desired module T...

Страница 30: ...Using the Simulator 17 PN 905K400652 4 Click the desired task The Home Screen The didactic content appears in the main screen of the software The desired task...

Страница 31: ...rming a specific procedure The didactic content for tasks may include Training Objectives Case History Pre Procedures Post Procedures and Collaborators The Results screen is only accessible after a ta...

Страница 32: ...lick 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 goals...

Страница 33: ...ase 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 incl...

Страница 34: ...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...

Страница 35: ...he 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...

Страница 36: ...Collaborators screen click the Collaborators tab When selected the tab appears blue and the Collaborators screen appears The Collaborators Screen The Collaborators screen credits the individuals and i...

Страница 37: ...lation by completing the following steps 1 Select the desired task 2 Review the associated didactic content After the preparation steps are complete start the simulation To start a simulation 1 Click...

Страница 38: ...the initialization screen appears The Initialization Screen Once the initialization is complete the simulation start screen appears The right monitor displays the Fluoro imaging vital signs and ECG fo...

Страница 39: ...ions list Physio Cine Still and Case History The Simulation Start Screen Left Monitor Note Be sure to observe the content on both monitors while performing procedures When learners choose a feature fr...

Страница 40: ...simulation tips are present by default The simulation tips appear in the bottom left corner of the left monitor The Simulation Screen Simulation Tips On To turn off the simulation tips click the Simul...

Страница 41: ...etc that they deem appropriate for the task they chose and identify the selected tool in the software To select a tool in the software 1 From the simulation screen left monitor choose a tool pod in th...

Страница 42: ...lection Window Users can also select a tool directly from the filter results panel without selecting different options 3 Click OK to select the tool The Simulation Screen Guidewire Selected The physic...

Страница 43: ...sing the tool selection panel To insert a tool in the simulator 1 Align the tool with the hole and gently feed the tool into the hole The Tool Insertion The Smart Capture feature initiates on screen N...

Страница 44: ...navigate appropriately To manipulate the tool twist the end of the tool slowly until the to ensure no damage or perforation occurs Note If the inserted tool conflicts with any of the previous selecte...

Страница 45: ...1 From the simulation screen left monitor choose a tool pod in the tool selection panel The Simulation Screen Guidewire Selected The Tool Selection Window 2 Click NO TOOL to deselect the tool The sele...

Страница 46: ...t Monitor The physical tool can now be removed into the simulator Using the Pedals The dual foot pedals are used to control the x ray and video capture tools The Foot Pedals The feature options list T...

Страница 47: ...dule press down on the RIGHT pedal labeled Cine to use the Fluoro feature Activating the Cine Feature To capture a video of the procedure depress the Cine pedal and hold for desired length of recordin...

Страница 48: ...use this to calibrate the QCA measurement To calibrate a measurement 1 Record a cine image 2 Pause the cine loop to obtain a still image 3 Right click on one side of the catheter and right click again...

Страница 49: ...Push the Home button to return the C arm and table to the home position Use the Crop V toggle switch to widen or narrow the shutter opening with respect to the cranial caudal axis Use the Crop H togg...

Страница 50: ...ray by injecting contrast dye into the vessels To use the contrast syringe 1 Ensure the contrast syringe is connected to the back of the simulator The Accessory Ports 2 Pull back on the syringe 3 Pres...

Страница 51: ...x ray The Fluoro Image with Contrast Dye Right Monitor Note The Cine feature can be activated in place of the Fluoro feature to use the x ray during a contrast dye injection Using the Cine feature al...

Страница 52: ...ptions list click Physio The Physio image appears on the left monitor The Simulation Screen Physio View The anatomy beats in rhythm with the virtual patient s pulse and rises and falls according to th...

Страница 53: ...list select STILL The Stills screen appears with a still frame of the last video captured and the STILL menu options on the left monitor Note The still frame is the last image frame captured by pausin...

Страница 54: ...r stylet 1 Select a tool from the Tool Selection panel The Simulation Screen Tool Selected 2 Click Customize The selected tool in its default 2 D shape will appear on the left monitor The Customize Sc...

Страница 55: ...ange the wire s shape in a different 2 D view and click on the desired axis to change To view the wire s shape in 3 D 1 Right click on the small 3 D preview window in the upper right portion of the Cu...

Страница 56: ...fixation lead tip 1 Place the active fixation lead tip in the desired anatomical location 2 Click Fixate Once Fixate has been selected rotation of the stylet will not cause the lead body to rotate bu...

Страница 57: ...ce a lead This syringe is connected via tubing to the Venogram port located on the back of the simulator To use the venogram syringe 1 Ensure the venogram syringe is connected to the back of the simul...

Страница 58: ...e back of the simulator The Balloon Inflation Syringe Note Prior to using connecting the inflation device water must be drawn into the syringe and tube leading from it To fill the syringe with water 1...

Страница 59: ...tools selection panel in the software 3 Rotate the piston knob clockwise until the desired pressure is achieved The expansion of the balloon stent is visible on the monitor 4 To reduce pressure quick...

Страница 60: ...n the back of the simulator 2 Click the Embolic Protection Tools link inside the tools selection panel 3 Select the desired Embolic Protection Tool 4 Click OK The selected tool name appears in the bel...

Страница 61: ...treat complications occurring within the simulation The Simulation Screen Left Monitor To select an adjunct therapy click the Adjunct Therapy link inside the tools selection panel Note The adjunct the...

Страница 62: ...use the analyzer function 1 From the features options list select Analyzer The Simulation Screen Left Monitor The analyzer function appears on the left monitor The Simulation Screen Left Monitor Pacin...

Страница 63: ...to evaluate for extra cardiac stimulation 7 Once acceptable pacing and sensing thresholds are achieved and no extra cardiac stimulation is present deselect PACE The threshold data from this location...

Страница 64: ...m the Stills menu select Gallery 3 Double click on the Stills image in the gallery to access the Still frame Ending a Simulation The CathLabVR simulator has two ways in which a simulation can end In s...

Страница 65: ...simulation is complete the Results screen appears The Results Screen Users can review the different metrics recorded from the procedure including but not limited to total fluoroscopy time times and a...

Страница 66: ...Using the Simulator 53 PN 905K400652 Viewing Personal Data To view personal data click the My Profile icon The Icon Dashboard The Personal Data Screen The My Profile icon...

Страница 67: ...Using the Simulator 54 CAECathLabVR PN 905K400652 Viewing Usage Summaries To view usage summaries click the Usage icon The Icon Dashboard The Usage Summary Screen The Usage icon...

Страница 68: ...the Simulator 55 PN 905K400652 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...

Страница 69: ...Tasks options select the desired tasks to include in the report or select All Tasks The Reports Screen 3 From the Reports options select the desired reports to include in the report or select All Repo...

Страница 70: ...Using the Simulator 57 PN 905K400652 The Reports Screen The report is now available for printing The Print Preview panel...

Страница 71: ...creen is the only screen that requires the learner to select the data to include in the report and generate a print preview prior to printing Printing Data to a Network Printer A network connection is...

Страница 72: ...K400652 Note The Print button on the Personal Data screen is located near the top right corner of the screen The Results Screen The Print Window 2 Select the desired network printer 3 Click Print The...

Страница 73: ...an 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...

Страница 74: ...e desired folder where the file will be saved Note 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...

Страница 75: ...ge preferences menu in the top right corner of the screen To modify the language preferences 1 Click the Language Preferences menu The Home Screen 2 Select the preferred language from the drop down me...

Страница 76: ...rrow on the simulator keyboard simultaneously until the desired volume is achieved Hiding the Available Tasks Panel Learners can hide the Available Tasks panel to view the didactic content in full scr...

Страница 77: ...log out 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 Me...

Страница 78: ...position If there is no tool in the carriage open the lid of the device and confirm that the carriage in question is in the home position The home position is to the far right of the device in contac...

Страница 79: ...rify that the tool is not bent broken or kinked Even small curves kinks may prevent the tool from capturing successfully in the device Re test capture with a new undamaged tool If this new tool fails...

Страница 80: ...release the tool turn off the power to the CathLabVR device Turn the power back on while applying GENTLE traction to the wire tool If this still fails to release the tool open the lid of the CathLabV...

Страница 81: ...to power source Be sure volume is turned ON Using the Windows key or from the desktop selecting the Start Menu My Computer Control Panel select Speaker Volume and make sure volume is high enough and n...

Страница 82: ...rdia Complete common tasks involved in resolving bradycardia in a patient Cardiac Resynchronization Therapy Complete common tasks involved in cardiac resynchronization therapy Cardiac Surgery Transcat...

Страница 83: ...d to perform a CRDM corrective procedure Cardiac Surgery The Cardiac Surgery modules give learners an opportunity to practice and master techniques required to perform a transcatheter aortic valve cor...

Страница 84: ...basic and advanced PCI procedure Module Available Instruments Available Features PCI Coronary Interventions Guidewire Catheters Balloon Stent Embolic Protection Aspirate Adjunct Therapy Fluoro Customi...

Страница 85: ...master techniques required to perform a basic and advanced PPI procedure Module Available Instruments Available Features PPI Carotid Interventions Guidewire Catheters Balloon Stent Embolic Protection...

Страница 86: ...ntinue Enter key Continue F2 Guide Wire Menu F3 Catheter Menu F4 Balloon Menu F5 Stent Menu F6 Embolic Protection Menu F7 Adjunct Therapy Menu F8 Simulation Tips H Help I Cine View J Pigtail Catheter...

Страница 87: ...ascular tools through a virtual anatomy based on actual patient data 3 D graphics auditory and state of the art haptic feedback enhance the virtual reality IMPORTANT The CathLabVR Simulator is a train...

Страница 88: ...on provides instructions on the use of the various tools and hardware features integrated into the simulated experience This section also includes information on how the simulator and software compone...

Страница 89: ...Appendix B Keyboard Shortcuts 78 CAECathLabVR PN 905K400652...

Страница 90: ...re from a Windows XP computer to a Windows 7 computer To connect a Windows 7 computer that has upgraded Medtronic CathLab VR software with an existing CathLab VR device 1 Turn the computer ON 2 Connec...

Страница 91: ...b Click Start on the EV 3 0 calibration screen to start friction calibration The Calibration Window c Click OK when the calibration is complete The Calibration Window 6 Register OCX a From the compute...

Страница 92: ...or PCI a From the computer open the C Medtronic PCI folder b Double click the file Register PCI OCX bat to run the register c Click OK when the register is complete and succeeded For EDGE a From the c...

Страница 93: ...C226 Embedded ATX Motherboard Super Micro X10SAE 2 Open PCI slots 1 Gen3 PCIex16 slot 6 USB 2 0 4 front 2 rear 4 USB 3 0 rear CPU Intel i7 4770 3 4 GHz 4 Cores 8 Threads 8 MB cache 16 GB Ram only 4 GB...

Страница 94: ......

Страница 95: ...Phone 1 866 462 7920 Email customerservice caehealthcare com Customer Service Canada Monday Friday from 8 00 a m to 5 00 p m ET Phone 1 877 223 6273 Email can service caehealthcare com Customer Servi...

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