Development of the airway management training system WKA-3: Integration of evaluation module to provide assessment of clinical competence and feedback module to reproduce different cases of airway difficulties

An active training system is characterized by providing quantitative information of the trainee's performance of the task to the trainee, simulating real-world conditions of the task, and assuring training effectiveness. For this purpose, the authors have been developing an Airway management training system. In particular, we have previously presented an evaluation model system to acquire quantitative information for the trainee's performance, and an actuated model system for real-world conditions of the task. In order to fulfill all of the characteristics of the active training system; in this paper, we would like to propose an integrated system, W̲aseda K̲yotokagaku A̲irway No.3 (WKA-3) which integrates the function of both system models. For this reason, we have focused on embedding sensors and actuators with the link drive mechanism and the wire drive mechanism to a conventional patient model towards the development of a patient robot. In this paper, we present WKA-3 how to design the mechanism and how to redesign several organs to embed the sensors for the measurement of the trainee's performance. A set of experiment have been carried out to doctor subjects using the WKA-3 to verify the effectiveness of the proposed system by asking doctors to evaluate the proposed system.

[1]  B. Epker,et al.  Indications for simultaneous mobilization of the maxilla and mandible for the correction of dentofacial deformities. , 1982, Oral surgery, oral medicine, and oral pathology.

[2]  Blake Hannaford,et al.  Markov modeling of minimally invasive surgery based on tool/tissue interaction and force/torque signatures for evaluating surgical skills , 2001, IEEE Transactions on Biomedical Engineering.

[3]  D. Doyle Practice Guidelines for Management of the Difficult Airway: An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway , 2003, Anesthesiology.

[4]  N. Delson,et al.  Measuring 3D Force and Motion Trajectories of a Laryngoscope in the Operating Room , 2003 .

[5]  J. Mayrose,et al.  Utilization of virtual reality for endotracheal intubation training. , 2003, Resuscitation.

[6]  E. Crosby Airway Management in Adults after Cervical Spine Trauma , 2006, Anesthesiology.

[7]  F. Dexter,et al.  Craniocervical Motion during Direct Laryngoscopy and Orotracheal Intubation with the Macintosh and Miller Blades: An In Vivo Cinefluoroscopic Study , 2007, Anesthesiology.

[8]  Antonio Frisoli,et al.  Reactive robot system using a haptic interface: an active interaction to transfer skills from the robot to unskilled persons , 2007, Adv. Robotics.

[9]  T. Turkstra,et al.  Cervical spine motion: a fluoroscopic comparison of Shikani Optical Stylet® vs Macintosh laryngoscope , 2007, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[10]  K. Greenland The sniffing and extension‐extension position: the need to develop the clinical relevance , 2008, Anaesthesia.

[11]  A. Takanishi,et al.  Development of the evaluation system for the Airway Management Training System WKA-1R , 2008, 2008 2nd IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics.

[12]  Hiroyuki Ishii,et al.  Development of the airway management training system WKA-2 designed to reproduce different cases of difficult airway , 2009, 2009 IEEE International Conference on Robotics and Automation.

[13]  A. Takanishi,et al.  Development of Oral Rehabilitation Robot WAO-1R designed to provide various massage techniques , 2009, 2009 IEEE International Conference on Rehabilitation Robotics.

[14]  Achir A. Al-Alami,et al.  Pediatric laryngospasm: prevention and treatment , 2009, Current opinion in anaesthesiology.

[15]  Yohan Noh,et al.  Development of Tension/Compression Detection Sensor System designed to acquire quantitative force information while training the airway management task , 2009, 2009 IEEE/ASME International Conference on Advanced Intelligent Mechatronics.