1. The Xitact Platform for Laparoscopic Surgery Training Ivan Večerina, M.D. – Xitact S.A. MMVR11, 2003 LS 500 Trainer Platform

2. A Complete Solution for Surgery Training Force Feedback Instruments Simulation Software Training Curricula Analysis & Administration

3. Hardware Platform 2 Instruments –Force Feedback –Genuine Handles 1 Endoscope –Angled Optics Fully Adjustable –Port Placement –Operating Height –Trendelenburg –Touch-Screen

4. Simulation Software Camera Navigation – angled optics Advanced Dissection –Blunt Dissection with curved Grasper –Flagging, Two Handed Manipulation –Complete Anatomy: Liver, Fat Tissue, Exposure of Duct & Artery Clip & Cut Training Superficial Dissection ( hook, scissors ) 4 Sets of Training Modules (Curricula)

5. Camera Navigation

6. Advanced Dissection

7. Training Curricula Autonomous Training –Didactic Materials Procedure broken down into Modules –Progressive Difficulty –Modules are Combined Together –Interactive Guidance and Assessment Evaluation Report

8. Administration & Analysis Class and User Management Review Results & Playbacks Learning Curves & Comparisons Exhaustive Data Collection, Exported for Analysis & Study

9. Validation Studies (1/2) Rosenthal R. and Gantert W.A., VITOMS Project : Virtual Environments for Team Oriented Medical Simulation, Poster Presentation at the 11 th Medicine Meets Virtual Reality Conference, Newport Beach, 2003. Schijven M. and Jakimowicz J., Construct Validity : Experts and Residents performing on the Xitact LS500 Laparoscopy Simulator, submitted for publication in Surg Endosc, 2002 Schijven M. and Jakimowicz J., The intercollegiate Basic Surgical Skills Course: laparoscopic skill assessment using the xitact LS500 Laparoscopy Simulator, submitted for publication in Br. J. Surg, 2002 Schijven M. and Jakimowicz J., Introducing the Xitact LS500 Laparoscopy Simulator: towards a revolution in surgical education, submitted for publication in Universal Medical Press, 2002

10. Validation Studies (2/2) Schijven M. and Jakimowicz J., Face-, expert and referent validity of the xitact LS500 Laparoscopy Simulator. Surg Endosc, 2002. DOI : 10.1007/s00464-001-9229-9 Schijven M. Face-, expert and referent validity of the xitact LS 500 Laparoscopy Simulator, Oral Presentation at the 10 th International Congress of the EAES, Lisboa, 2002. Jakimowicz J. xitact® LS 500 Virtual Reality Laparoscopy Simulator, Oral Presentation at the Endoscopische Chirurgie, Rotterdam, 2002. Gantert W.A. The virtual patient, a VR simulator for training in Laparoscopic surgery: initial experience in a training course, Oral Presentation at the 9 th International Congress of the EAES, Maastricht, 2001.

11. Thank You ! Ivan Večerina, M.D. ive@xitact.com