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Appendix A - Module Descriptions

84

CAE

EndoVR

PN: 165K400000

Upper GI

The Upper GI modules present the learners with different scenarios and cases related to the upper GI 

tract. Learners use an endoscope and related tools to complete the procedures.

 Module

Available                

Instruments

Medications

Required                 

Equipment

Endoscopic         

Submucosal        

Dissection

•  Coagrasper

•  IT Knife

•  Triangle Knife

•  Endo Clips

•  Dual Knife

•  Injection Needle

•  Hook Knife

NONE

•  Upper/Lower GI 

accessory 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/Lower GI 

accessory tool

•  Endoscope

Intro to EGD

•  Cytology brush
•  Forceps
•  Suction
•  Air/Water

IV Medications:

•  Sedation
•  Counter Sedative
•  Atropine Sulfate

•  Upper/Lower GI 

accessory tool

•  Endoscope

Intro to ERCP

•  Suction
•  Air/Water
•  Single lumen 

cannula

•  Thin tapered 

cannula

•  Sphincterotome
•  Spiked forceps
•  Hydrophilic 

guidewire

•  Instill contrast

IV Medications:

•  Sedation
•  Counter Sedative
•  Glucagon
•  Atropine Sulfate

•  Upper/Lower GI 

accessory tool

•  Endoscope
•  Foot pedal

Содержание EndoVR

Страница 1: ...User Guide...

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

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

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

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

Страница 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...

Страница 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...

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

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 99: ......

Страница 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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