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CathLabVR simulator

Most accurate physiology, superior force feedback, most advanced cardiovascular content

CAE Healthcare’s CathLabVR endovascular simulator helps learners practice skills for accessing and navigating through diverse anatomical and abnormalities encountered during cardiac and peripheral vascular procedures. Patented force feedback technology integrated with visual and audio responses mimic the look and feel of in-theater procedures. Learners are exposed to the forces encountered when manipulating wires, catheters, balloons and stents within the virtual patient’s anatomy. Repetitive practice and challenging cases allow users to hone their skills and increase their confidence in a safe, risk-free environment prior to actual patient contact.  At the conclusion of each case, users are debriefed with evidence-based metrics and outcome measurements, and recorded for ongoing trainee assessment.  Numerous training modules are available for the system and the ongoing development of new modules keeps training programs current and competitive.

Highlights

  • Responsive physiology is reflected with changes in vital signs, hemodynamic wave tracings, and patient responses that enhance decision-making process.
  • Superior force feedback
  • Variety of cases with increasing difficulty and management of complications helps users to assess and perfect their skills
  • Post-case debriefing with recorded metrics providing analytical feedback for continuous trainee assessment 
  • Tool recognition feature enhances realism by automatically recognizing and responding to instrument insertion and removal
  • Fourth carriage allows the insertion and rotation of up to four instruments simultaneously
  • Longer carriages allow more tool-travel length for peripheral procedures

“The feel of the simulator, the mechanics of it, are really good. The tactile feel is
reminiscent of what really happens in patients. The link between the technical
steps and what you see on the screen is quite realistic. A third point would be that
the scenarios represent everyday mainstream events.”

Dr. Campbell Rogers
Director, Cardiac Catheterization Laboratory
Brigham & Women’s Hospital

“Those who train with this medical simulator achieve better performance, take less time to complete a procedure, and require fewer procedures to reach competency than those trained under the historical mentoring method.”

Dr. Alan Yeung
Chief, Division of Cardiovascular Medicine
Director, Interventional Cardiology
Stanford University School of Medicine



Integrated Haptics
Patented force feedback technology integrated with visual and audio responses mimics the look and feel of an actual surgery. Users actually feel the forces encountered when navigating interventional catheters, wires, balloons, and stents within the virtual patient’s anatomy. This helps to promote training in proper tool selection and tool-handling techniques within the virtual anatomy.


Multiple Simulated Cases
The module includes training on placing balloons and stents in stable and unstable patients. The simulation provides an ideal environment for surgeons to practice and perfect minimally invasive endovascular skills in an objective, repeatable, non-threatening training environment. The simulator also allows team training for the physician and allied health personnel who will work together in the procedure.


Computer-generated Simulations
The CathLabVR System uses computer-generated models that closely reproduce the anatomical variations and physiology of a wide range of patients. A real-time display of fluoroscopic and cine images provides realistic rendering with emulation of digital zoom allowing evaluation of case-specific pathology and subsequent interventions. The simulation provides an ideal environment for surgeons to practice and perfect minimally invasive endovascular skills in an objective, repeatable, non-threatening training environment.


Realistic Changes in Simulated Physiology
The comprehensive physics-based surgical simulator reacts appropriately to the manipulation and deployment of actual diagnostic and therapeutic devices, providing practice in accessing and navigating through diverse anatomy. The appropriately responsive physiology is reflected in changes in vital signs, hemodynamic wave tracings, and patient responses, which enhance the decision-making process. Depending on the underlying anatomy, these decisions will impact the time to successfully complete the case, as well as in determining whether not the problem lesions are effectively resolved.

A variety of cases with increasing difficulty call for the management of complications, allowing users to assess and perfect their skills. Measurable outcomes and metrics allow for objective assessment of users.

Due to the different anatomical variations of the virtual patients, users may need to select a different guide catheter, guidewire, and/or lead to improve the success of navigating to the desired location. For successful completion of the case, trainees need to test leads prior to and after fixation to confirm optimization of sensing and stimulation thresholds, and to withdraw all delivery instruments and devices without damaging any of the surrounding tissues.

Created with curriculum building in mind

Percutaneous Coronary Interventions

  • Basic PCI, includes 10 cases of single- or multiple-vessel coronary disease, including stenoses, occlusions and thrombus.  The main focus of these cases is to familiarize the student with basic angiographic techniques and fluoroscopic visualization of the coronary anatomy.  Navigation and tool delivery are emphasized with minimal complications.
Advanced PCI, includes 10 cases of challenging anatomy including AMIs, SVGs, CTOs, ostial lesions, thrombus and embolizations.  Ability to prevent and treat complications with embolic protection devices, pharmacologic and electrical therapy and to send the patient to “emergency cardiac surgery” if necessary.   Proper sequencing of therapies and decision-making are emphasized.

Percutaneous Peripheral Interventions

  • Carotid Artery Angioplasty and Stenting.  All cases include embolic protection devices and pharmacologic/non-pharmacologic therapies
    • 5 ‘basic’ cases with Type I and Type II aortic arches
    • 5 ‘advanced’ cases including Type III  and Type IV, (Bovine) aortic arches

Cardiac Surgery

  • Trans-catheter Aortic Valve replacement;
    • Femoral/Retrograde placement of a self-expanding stent/valve via the femoral artery/retrograde approach to the aorta.  4 cases of a failed ‘native’ valve and 4 cases of a failed ‘bioprosthetic’ valve.
    • Trans-apical placement of a self-expanding stent/valve via a small incision in the left, anterior chest and through the left ventricular apex.  4 ‘native’ and 4 ‘bioprosthetic’ failed valves.

CRM (Cardiac Rhythm Management);

  • Bradycardia, (pacemaker lead placement and threshold testing in the right atrium and/or ventricle; 4 cases)
  • Cardiac Resynchronization Therapy, (pacemaker lead placement and threshold testing in the Coronary Sinus and RA or RV; 6 cases)

Download information sheet (PDF)