SmartSIM ‐ a virtual reality simulator for laparoscopy training using a generic physics engine

Virtual reality (VR) training simulators have started playing a vital role in enhancing surgical skills, such as hand–eye coordination in laparoscopy, and practicing surgical scenarios that cannot be easily created using physical models. We describe a new VR simulator for basic training in laparoscopy, i.e. SmartSIM, which has been developed using a generic open‐source physics engine called the simulation open framework architecture (SOFA). This paper describes the systems perspective of SmartSIM including design details of both hardware and software components, while highlighting the critical design decisions. Some of the distinguishing features of SmartSIM include: (i) an easy‐to‐fabricate custom‐built hardware interface; (ii) use of a generic physics engine to facilitate wider accessibility of our work and flexibility in terms of using various graphical modelling algorithms and their implementations; and (iii) an intelligent and smart evaluation mechanism that facilitates unsupervised and independent learning.

[1]  Blake Hannaford,et al.  The RAVEN: Design and Validation of a Telesurgery System , 2009, Int. J. Robotics Res..

[2]  Stephane Cotin,et al.  EP4A: Software and Computer Based Simulator Research: Development and Outlook SOFA—An Open Source Framework for Medical Simulation , 2007, MMVR.

[3]  Sehyung Park,et al.  Development of a Laparoscopic Surgical Training System with Simulation Open Framework Architecture (SOFA) , 2011, ACCAS.

[4]  H Cakmak,et al.  VSOne, a virtual reality simulator for laparoscopic surgery , 2005, Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy.

[5]  Christian Duriez,et al.  SOFA: A Multi-Model Framework for Interactive Physical Simulation , 2012 .

[6]  Derek Cassidy,et al.  Mixed-Reality Simulation of Minimally Invasive Surgeries , 2007, IEEE MultiMedia.

[7]  Rajesh Aggarwal,et al.  Proving the Effectiveness of Virtual Reality Simulation for Training in Laparoscopic Surgery , 2007, Annals of surgery.

[8]  Daniel F. L. Souza,et al.  A Framework for Development of Virtual Reality-Based Training Simulators , 2009, MMVR.

[9]  Hiroshi Oyama,et al.  Design and implementation of MVL: medical VR simulation library , 2005, SIGGRAPH '05.

[10]  M S Wilson,et al.  MIST VR: a virtual reality trainer for laparoscopic surgery assesses performance. , 1997, Annals of the Royal College of Surgeons of England.

[11]  Mariano Alcañiz Raya,et al.  GeRTiSS: A Generic Multi-model Surgery Simulator , 2003, IS4TH.

[12]  G. Ahlberg,et al.  Does training in a virtual reality simulator improve surgical performance? , 2001, Surgical Endoscopy And Other Interventional Techniques.

[13]  Frank Tendick,et al.  GiPSi: a framework for open source/open architecture software development for organ-level surgical simulation , 2006, IEEE Transactions on Information Technology in Biomedicine.

[14]  Hervé Delingette,et al.  Soft Tissue Modeling for Surgery Simulation , 2004 .

[15]  Woojin Ahn,et al.  Development of the VBLaST™: a virtual basic laparoscopic skill trainer , 2008, The international journal of medical robotics + computer assisted surgery : MRCAS.

[16]  A. Gallagher,et al.  An ergonomic analysis of the fulcrum effect in the acquisition of endoscopic skills. , 1998, Endoscopy.

[17]  Hervé Delingette,et al.  Versatile Design of Changing Mesh Topologies for Surgery Simulation , 2008, ISBMS.

[18]  R. Satava,et al.  Virtual Reality Training Improves Operating Room Performance: Results of a Randomized, Double-Blinded Study , 2002, Annals of surgery.

[19]  M. A. O. Ignacio,et al.  How to cite this article , 2016 .

[20]  Mary Hegarty,et al.  A Virtual Environment Testbed for Training Laparoscopic Surgical Skills , 2000, Presence: Teleoperators & Virtual Environments.

[21]  Blake Hannaford,et al.  The BlueDRAGON - a system for measuring the kinematics and dynamics of minimally invasive surgical tools in-vivo , 2002, Proceedings 2002 IEEE International Conference on Robotics and Automation (Cat. No.02CH37292).

[22]  A. Gallagher,et al.  Experienced laparoscopic surgeons are automated to the "fulcrum effect": an ergonomic demonstration. , 1999, Endoscopy.

[23]  Malik Anas Ahmad,et al.  Benchmarking expert surgeons' path for evaluating a trainee surgeon's performance , 2013, VRCAI '13.

[24]  Joel Brown,et al.  Spring: a general framework for collaborative, real-time surgical simulation. , 2002, Studies in health technology and informatics.

[25]  Stephane Cotin,et al.  A hybrid elastic model for real-time cutting, deformations, and force feedback for surgery training and simulation , 2000, The Visual Computer.

[26]  C. Riviere,et al.  Characteristics of hand motion of eye surgeons , 1997, Proceedings of the 19th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 'Magnificent Milestones and Emerging Opportunities in Medical Engineering' (Cat. No.97CH36136).