Developing basic robotic skills using virtual reality simulation and automated assessment tools: a multidisciplinary robotic virtual reality-based curriculum using the Da Vinci Skills Simulator and tracking progress with the Intuitive Learning platform

Gleason, Augustus; Servais, Elliot L.; Quadri, Syed M.; Manganiello, Marc; Cheah, Yee Lee; Simon, Caroline J.; Preston, Elizabeth; Graham-Stephenson, Alexis; Wright, Valena

doi:10.1007/s11701-021-01363-9

Cited by 20 publications

(8 citation statements)

References 14 publications

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“…VR allows for the creation of realistic, interactive environments that can be used to train surgeons and other medical professionals, as well as to test new procedures and devices. Other research has shown that VR can be an effective tool for teaching surgical skills and for training healthcare professionals in laparoscopic surgery (Aoki et al, 2020; Gleason et al, 2022; Kamat et al, 2022; Mori et al, 2022; Yu et al, 2022) and neurosurgery (Petrone et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

A new dimension in medical education: Virtual reality in anatomy during COVID‐19 pandemic

Miltykh,

Kafarov,

Covantsev

et al. 2023

Clinical Anatomy

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Virtual reality technology has been increasingly used in the field of anatomy education, particularly in response to the COVID‐19 pandemic. Virtual reality in anatomy (VRA) allows the creation of immersive, three‐dimensional environments or experiences that can interact in a seemingly real or physical way. A comprehensive search of electronic databases was conducted to identify relevant studies. The search included studies published between 2020 and June 2023. The use of VRA education has been shown to be effective in improving students' understanding and retention of knowledge, as well as developing practical skills such as surgical techniques. VRA can allow students to visualize and interact with complex structures and systems in a way that is not possible with traditional methods. It can also provide a safe and ethical alternative to cadavers, which may be in short supply or have access restrictions. Additionally, VRA can be used to create customized learning experiences, allowing students to focus on specific areas of anatomy or to repeat certain exercises as needed. However, there are also limitations to the use of VRA education, including cost and the need for specialized equipment and training, as well as concerns about the realism and accuracy of VRA models. To fully utilize the potential of VRA education, it is important for educators to carefully consider the appropriate use of VR and to continuously evaluate its effectiveness. It is important for educators to carefully consider the appropriate use of VRA and to continuously evaluate its effectiveness to fully utilize its potential.

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Section: Discussionmentioning

confidence: 99%

A new dimension in medical education: Virtual reality in anatomy during COVID‐19 pandemic

Miltykh,

Kafarov,

Covantsev

et al. 2023

Clinical Anatomy

View full text Add to dashboard Cite

show abstract

“…These activities are directly comparable across both consoles with the same metrics set across both consoles for each activity. These activities were selected to provide a graded progression of activities that assessed all essential manipulative and psychomotor abilities—including instrument and camera control, endowrist manipulation, two-handed dexterity and needle driving [ 18 ]. To achieve proficiency for an activity the participant had to complete the exercise and pass the pre-defined outcome metrics on two consecutive attempts.…”

Section: Methodsmentioning

confidence: 99%

Transferability of robotic console skills by early robotic surgeons: a multi-platform crossover trial of simulation training

Larkins

Mohan

Gray³

et al. 2022

J Robotic Surg

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Robotic surgical training is undergoing a period of transition now that new robotic operating platforms are entering clinical practice. As this occurs, training will need to be adapted to include strategies to train across various consoles. These new consoles differ in multiple ways, with some new vendors using flat screen open source 3D enhanced vision with glasses and differences in design will require surgeons to learn new skills. This process has parallels with aviation credentialling across different aircraft described as type rating. This study was designed to test the hypothesis that technical robotic console operating skills are transferrable across different robotic operating platforms. Ten participants sequentially completed four Mimic®(Surgical Science) simulation exercises on two different robotic operating platforms (DaVinci®, Intuitive Surgical and HUGO™ RAS, Medtronic). Ethical approval and informed consent were obtained for this study. Groups were balanced for key demographics including previous robotic simulator experience. Data for simulation metrics and time to proficiency were collected for each attempt at the simulated exercise and analysed. Qualitative feedback on multi-platform learning was sought via unstructured interviews and a questionnaire. Participants were divided into two groups of 5. Group 1 completed the simulation exercises on console A first then repeated these exercises on console B. Group 2 completed the simulated exercises on console B first then repeated these exercises on console A. Group 1 candidates adapted quicker to the second console and Group 2 candidates reached proficiency faster on the first console. Participants were slower on the second attempt of the final exercise regardless of their allocated group. Quality and efficiency metrics and risk and safety metrics were equivalent across consoles. The data from this investigation suggests that console operating skills are transferrable across different platforms. Overall risk and safety metrics are within acceptable limits regardless of the order of progression of console indicating that training can safely occur across multiple consoles contemporaneously. This data has implications for the design of training and certification as new platforms progress to market and supports a proficiency-based approach.

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“…In the current literature, multiple applications can be found that use VR to create a highly immersive three-dimensional virtual environment that is used as a learning tool for systems found in the real environment. An example of such an application is found in a study that focused on developing/improving skills in robotic surgery using VR to train medical doctors in multidisciplinary surgery [ 9 ]. The study used the DaVinci simulator and included 24 exercises.…”

Section: Literature Reviewmentioning

confidence: 99%

Integration of Virtual Reality in the Control System of an Innovative Medical Robot for Single-Incision Laparoscopic Surgery

Covaciu

Crişan

Vaida

et al. 2023

Sensors

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In recent years, there has been an expansion in the development of simulators that use virtual reality (VR) as a learning tool. In surgery where robots are used, VR serves as a revolutionary technology to help medical doctors train in using these robotic systems and accumulate knowledge without risk. This article presents a study in which VR is used to create a simulator designed for robotically assisted single-uniport surgery. The control of the surgical robotic system is achieved using voice commands for laparoscopic camera positioning and via a user interface developed using the Visual Studio program that connects a wristband equipped with sensors attached to the user’s hand for the manipulation of the active instruments. The software consists of the user interface and the VR application via the TCP/IP communication protocol. To study the evolution of the performance of this virtual system, 15 people were involved in the experimental evaluation of the VR simulator built for the robotic surgical system, having to complete a medically relevant task. The experimental data validated the initial solution, which will be further developed.

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Developing basic robotic skills using virtual reality simulation and automated assessment tools: a multidisciplinary robotic virtual reality-based curriculum using the Da Vinci Skills Simulator and tracking progress with the Intuitive Learning platform

Cited by 20 publications

References 14 publications

A new dimension in medical education: Virtual reality in anatomy during COVID‐19 pandemic

A new dimension in medical education: Virtual reality in anatomy during COVID‐19 pandemic

Transferability of robotic console skills by early robotic surgeons: a multi-platform crossover trial of simulation training

Integration of Virtual Reality in the Control System of an Innovative Medical Robot for Single-Incision Laparoscopic Surgery

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