Design of a virtual reality haptic robotic central venous catheterization training simulator

David Pepley, Mary Yovanoff, Katelin Mirkin, David Han, Scarlett Miller, Jason Moore

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Citations (Scopus)

Abstract

Central venous catheterization (CVC) is a medical procedure where a surgeon attempts to place a catheter in the jugular, subclavian, or femoral vein. While useful, this procedure places patients at risk of a wide variety of adverse effects. Traditionally, training is performed on CVC mannequins, but these mannequins cannot vary patient anatomy. This work describes the development of a mobile training platform utilizing a haptic robotic arm and electromagnetic tracker to simulate a CVC needle insertion. A haptic robotic arm with custom syringe attachment used force feedback to provide the feeling of a needle insertion. A virtual ultrasound environment was created and made navigable by a mock ultrasound probe containing a magnetic tracking device. The effectiveness of the system as a training tool was tested on 12 medical students without CVC experience. An average increase in successful first insertion of 4.2% per practice scenario was seen in students who trained exclusively on the robotic training device. The robotic training device was able to successfully vary the difficulty of the virtual patient scenarios which in turn affected the success rates of the medical students. These results show that this system has the potential to successfully train medical residents for future CVC insertions.

Original languageEnglish (US)
Title of host publication40th Mechanisms and Robotics Conference
PublisherAmerican Society of Mechanical Engineers (ASME)
ISBN (Electronic)9780791850152
DOIs
StatePublished - Jan 1 2016
EventASME 2016 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference, IDETC/CIE 2016 - Charlotte, United States
Duration: Aug 21 2016Aug 24 2016

Publication series

NameProceedings of the ASME Design Engineering Technical Conference
Volume5A-2016

Other

OtherASME 2016 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference, IDETC/CIE 2016
CountryUnited States
CityCharlotte
Period8/21/168/24/16

Fingerprint

Haptics
Virtual Reality
Virtual reality
Robotics
Robotic arms
Simulator
Simulators
Insertion
Students
Needles
Ultrasonics
Syringes
Ultrasound
Catheters
Vary
Force Feedback
Scenarios
Veins
Feedback
Anatomy

All Science Journal Classification (ASJC) codes

  • Mechanical Engineering
  • Computer Graphics and Computer-Aided Design
  • Computer Science Applications
  • Modeling and Simulation

Cite this

Pepley, D., Yovanoff, M., Mirkin, K., Han, D., Miller, S., & Moore, J. (2016). Design of a virtual reality haptic robotic central venous catheterization training simulator. In 40th Mechanisms and Robotics Conference (Proceedings of the ASME Design Engineering Technical Conference; Vol. 5A-2016). American Society of Mechanical Engineers (ASME). https://doi.org/10.1115/DETC2016-59560
Pepley, David ; Yovanoff, Mary ; Mirkin, Katelin ; Han, David ; Miller, Scarlett ; Moore, Jason. / Design of a virtual reality haptic robotic central venous catheterization training simulator. 40th Mechanisms and Robotics Conference. American Society of Mechanical Engineers (ASME), 2016. (Proceedings of the ASME Design Engineering Technical Conference).
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abstract = "Central venous catheterization (CVC) is a medical procedure where a surgeon attempts to place a catheter in the jugular, subclavian, or femoral vein. While useful, this procedure places patients at risk of a wide variety of adverse effects. Traditionally, training is performed on CVC mannequins, but these mannequins cannot vary patient anatomy. This work describes the development of a mobile training platform utilizing a haptic robotic arm and electromagnetic tracker to simulate a CVC needle insertion. A haptic robotic arm with custom syringe attachment used force feedback to provide the feeling of a needle insertion. A virtual ultrasound environment was created and made navigable by a mock ultrasound probe containing a magnetic tracking device. The effectiveness of the system as a training tool was tested on 12 medical students without CVC experience. An average increase in successful first insertion of 4.2{\%} per practice scenario was seen in students who trained exclusively on the robotic training device. The robotic training device was able to successfully vary the difficulty of the virtual patient scenarios which in turn affected the success rates of the medical students. These results show that this system has the potential to successfully train medical residents for future CVC insertions.",
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Pepley, D, Yovanoff, M, Mirkin, K, Han, D, Miller, S & Moore, J 2016, Design of a virtual reality haptic robotic central venous catheterization training simulator. in 40th Mechanisms and Robotics Conference. Proceedings of the ASME Design Engineering Technical Conference, vol. 5A-2016, American Society of Mechanical Engineers (ASME), ASME 2016 International Design Engineering Technical Conferences and Computers and Information in Engineering Conference, IDETC/CIE 2016, Charlotte, United States, 8/21/16. https://doi.org/10.1115/DETC2016-59560

Design of a virtual reality haptic robotic central venous catheterization training simulator. / Pepley, David; Yovanoff, Mary; Mirkin, Katelin; Han, David; Miller, Scarlett; Moore, Jason.

40th Mechanisms and Robotics Conference. American Society of Mechanical Engineers (ASME), 2016. (Proceedings of the ASME Design Engineering Technical Conference; Vol. 5A-2016).

Research output: Chapter in Book/Report/Conference proceedingConference contribution

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Pepley D, Yovanoff M, Mirkin K, Han D, Miller S, Moore J. Design of a virtual reality haptic robotic central venous catheterization training simulator. In 40th Mechanisms and Robotics Conference. American Society of Mechanical Engineers (ASME). 2016. (Proceedings of the ASME Design Engineering Technical Conference). https://doi.org/10.1115/DETC2016-59560