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where Simulation becomes Reality

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MedaPhor’s revolutionary ScanTrainer simulator teaches doctors and sonographers complex, hard-to-learn ultrasound scanning skills, without the need for patients and with minimal expert supervision.

Our unique range of self-learning ultrasound training simulators replicates having an expert guiding your learning. ScanTrainer combines ‘real-feel’ virtual reality simulation with real patient scans, real-time expert guidance and feedback and curriculum-based interactive learning and assessment. As such, ScanTrainer provides fast and effective ultrasound training for hospitals and university training centres.

REAL SAVINGSScanTrainer helps relieve the pressure on

trainers and equipment by expediting skills acquisition and increasing trainees’ competency

prior to hands-on patient contact. A recent study(1) shows that practical skills training

using simulation can save costs compared with a traditional approach to training using live

scanning lists. Simulation saves tutor time – less expert supervision is required in the

early stages - and clinical equipment can be released to meet clinical service delivery targets.

Ref 1. Medaphor ScanTrainer transvaginal ultrasound training simulator: cost analysis.Grace Carolan-Rees, Cedar Wales. 2013.

REAL FEEDBACK The Learning Management System built into every ScanTrainer provides detailed task-by-task feedback to trainees. Each

task attempted is compared against expert data. Trainee results are displayed on a results review screen, with detailed feedback explaining the reason for pass

or failure.

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REAL FEEL Transvaginal and

transabdominal scanning are realistically replicated

using haptic feedback devices that simulate different patient types

and positions.

REAL EXPERT GUIDANCEOur stunning new real-time ScanTutor expert guidance, literally guides the trainee as though an expert was

standing by their side explaining how to scan.

“ScanTrainer is an unparalleled ultrasound skills-based simulator

that enables standardised and objective practical assessment

at every level of skills competency”

REAL SCANS Realism is the key to the

perfect learning experience, so all our ScanTrainer

ultrasound images are actual scans from real patients.

CONTROL PANELSimulated ultrasound

controls teach core image manipulation skills and

measurement functions.

CURRICULUM BASED STRUCTURED LEARNING

Step-by-step instructions guide users through an easy-to-follow

curriculum based, structured teaching programme.

VIRTUAL ANATOMY Detailed virtual anatomy

of an actual patient, specific to each scan,

helps trainees understand orientation and probe

manipulation.

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PLATFORMS

*Future developments in the fields of needling, separate probe placement or simulation of moving body parts may require additional hardware.

TRANSABDOMINAL SIMULATOR

A unique floor-mounted haptic device, developed specifically for ScanTrainer, replaces the need for mannequins and provides a highly realistic abdominal scanning experience, replicating different patient and body part profiles.

A virtual patient is shown on the second display to help with probe placement. Teaching modules and Case Studies can then be added according to your speciality, without the need for further hardware*. Current specialities include Obstetrics, Gynaecology, General Medical and Emergency Medicine. Future modules such as MSK and paediatrics are planned for launch in 2014/15.

TAS

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ScanTrainer TVS uses an endo-cavity haptic probe and constraint to accurately replicate the feel of conducting transvaginal ultrasound examinations.

In addition to Core Skills modules in gynaecology and first trimester obstetrics, a comprehensive library of Advanced Skills modules and Case Studies is available, including key first trimester scenarios (such as ectopic, miscarriage, twins etc) and common gynaecology pathologies (such as fibroid, endometriosis, IUCD positioning etc).

TRANSVAGINAL SIMULATOR

TVS

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SCANTUTOR™

A range of pre-practice teaching resources includes expert videos for each assignment, scanning technique schematics, references, and notes on common anatomical variants.

LEARNING RESOURCES

PRACTICE WITH AN EXPERTScanTrainer has two training modes:

‘Guided Practice’ mode allows trainees to watch and replicate an expert’s scanning skills by following an expert video of them performing the scan on screen as they scan:

‘Supported Practice’ mode, when selected the new ScanTutor ‘expert’ provides real-time, on-screen visual guidance whilst the trainee scans, guiding them through both basic and complex tasks:

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In a perfect world, the gold standard for image acquisition learning would be for every trainee to get one to one expert teaching on multiple patients, who never complained and allowed unlimited practice. The expert would explain how to scan; show you how to image the patient and then allow you to learn on the patient.

As you scan, the expert would guide your probe position and orientation, whilst pointing out structures and landmarks on the ultrasound image as you progressed. Finally when you had practiced enough, you would be assessed and hopefully passed by the expert...

Welcome to ScanTutor, your trainee’s 24/7 expert tutor - available whenever you can’t be.

Finally, trainees are assessed in ‘Assessment’ mode. All expert guidance is deactivated and the trainees have an opportunity to scan unaided. Trainees are provided with feedback using ScanTrainer’s Learning Management System that passes/fails each task according to gold standard metrics.

ASSESSMENT

Correct positioning of the key ultrasound controls also shown with ’traffic light’ indicators.

Structures to be located are colour co-ordinated in the instructions and on the ultrasound image, helping trainees identify key structures in the early learning phase.

Correct probe position and orientation are shown using a traffic light display on the virtual patient.

On-screen spheres indicate correct positioning of callipers when measurements are being attempted.

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MODULES

CORE SKILLS MODULESUsing a selection of normal patient scans, ScanTrainer’s core skills modules teach basic transvaginal and transabdominal ultrasound scanning skills. These include:

• Orientation and probe manipulation• Identification and imaging of normal structures• Making appropriate measurements

There is detailed feedback available for all assignments, and the structured learning process is completed with a timed final examination to test newly acquired skills.

ADVANCED SKILLS MODULESScanTrainer’s advanced skills modules teach more advanced skills and typical pathologies on a range of difficult cases using real patient scans. These skills include:

• Identification and imaging of difficult or abnormal structures

• Making appropriate measurements

As with Core Skills modules, there is detailed feedback available for all assignments.

CASE STUDY MODULESCase Studies present a library of both common and rare pathologies which more advanced trainees can use to help develop their image interpretation and differential diagnosis skills. These Case Studies may be used to create customised assessment modules - Tutors can easily add their own multiple choice questions and answers, allowing tailoring to specific levels of trainee and different training programmes.

Clinical Phase

Pre-Clinical Phase

Proficient Excellent

Competent

Advanced Beginner

Novice

Experience

Mastery

ScanTrainerAdvanced Skills modules

NEW ScanTrainerAssessment modules*

ScanTrainerCore Skills modules

Reduce clinical riskto patients

Practical assessmentof skill usingScanTrainer

Supervised clinical practice

Skills based simulation practice with standardised, objective practical assessment at every level of skills competency

*New randomised patient assessment module due for release in the second half of 2014

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Tutors are able to customise the way in which their ScanTrainer is used in order to tailor the system to different training needs.

These features include:

CREATE YOUR OWN MODULES (NEW)Our new ‘create your own’ modules enable tutors to write their own multiple choice questions to create their own assessment modules.

ADVANCED FEATURES

DISABLE METRICSTutors can now modify ScanTrainer modules to meet their specific training needs by utilising the new ‘disable individual task metrics’ function.

TRAINING REPORTSTutors can produce customised reports and statistics on all the simulation training carried out on their ScanTrainer.

TUTOR GROUPSTutor Groups can be created with selected content from various modules. Trainees can be allocated to specific tutor groups and moved between groups as their training progresses.

Sample screenshots of a tutor creating their own module

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TVS obstetric modules include core first trimester scanning techniques using a range of normal patient scans.

These modules teach basic ultrasound scanning techniques, including orientation and probe manipulation, identification and imaging of basic structures, and making key measurements, including CRL. Detailed feedback is provided for each task attempted, and the structured learning process is completed with a final examination. Advanced Skills modules are also available including ectopic pregnancy, miscarriage, twins, cervical length measurement and early pregnancy at 6 weeks.

Future TAS Advanced Skills modules include:

20-week scanning skills are taught at two levels:

BASICA standard 20-week normal anatomy scan module, teaching basic scanning methods.

ADVANCEDThe Fetal Anomaly Screening Programme (FASP) module contains 19 detailed assignments, significantly expanding on the basics learned in the standard module.

Enhancements include:

• Two extra fetal heart lessons, incorporating the 3-vessel view and identification of key cardiac structures

• More thorough examination of the fetal head, including the fetal face

• Assessment of the fetal kidneys and abdomen, with measurements

TAS TVSOBSTETRICS

TAS obstetric Core Skills modules cover 12-week dating, 20-week anomaly and 30-week growth scanning.

These modules teach basic ultrasound scanning techniques, using a range of normal patient scans, including identifying structures and making BPD, HC, AC, femur length and AFI measurements.

NUCAL TRANSLUCENCYINTRA-UTERINE FETAL DEATH

EXPERT FETAL HEARTEXPERT FETAL HEAD

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These modules teach basic ultrasound-scanning techniques, including orientation and probe manipulation, identification and imaging of basic structures, and measuring key structures.

TVS Advanced Skills modules and case studies cover a range of pathologies including fibroids, endometriomas, IUCD positioning and uterus didelphys.

Core transvaginal and transabdominal gynae scanning skills are taught using a range of normal patient scans.

TAS TVSGYNAECOLOGY

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The module introduces several enhancements to the quality of ScanTrainer simulation, including rib and bowel shadowing and enhanced haptic feedback that allows individual ribs to be felt.

The module covers the:

• liver• gall bladder• bile ducts• spleen• pancreas• kidneys• aorta• bladder & prostate

The TAS Upper Abdomen Core Skills package covers upper abdominal scanning skills on normal patients and is used to educate radiologists and sonographers in core upper abdominal scanning techniques.

Scans include patients lying in different positions, for example, an oblique scan of the kidneys.

TASUPPER ABDOMEN

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The FAST module teaches the trainee how to obtain the required FAST views in an emergency and trauma environment.

Scans of patients with free fluid then allow the trainee to consolidate their learning.

A new assessment module will be available later in the year, featuring multiple, randomised patient scans (normal and abnormal) that will allow the trainee and their tutor to assess performance.

Emergency medicine (EM) specific modules are available for teaching FAST scanning and for teaching the use of transvaginal scanning in an emergency context.

TAS TVSEMERGENCY MEDICINE

The EM specific Transvaginal ultrasound skills modules enable medical practitioners of all levels to learn the skills required to scan ectopic pregnancy, early pregnancy and miscarriage.

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“The ScanTrainer is simulation at its best, providing very realistic practice in necessary and potentially lifesaving skills that are otherwise quite difficult to teach at the bedside.”

Dr Trish HenwoodMD, President and Co-Founder of PURE,Emergency Ultrasound FellowBrigham and Women’s Hospital, Boston USA

WHAT OUR CUSTOMERS SAY...

“I can without hesitation endorse this company and their ScanTrainer simulator and would be happy to be approached by anyone who required additional detail of my formal endorsement.”

Mr R G Walker FRCOGConsultant Obstetrician & GynaecologistQueen Elizabeth Hospital, Gateshead

“The system has been a great success with our students and has demonstrated an improved performance in practical scanning.”

Jean WilsonProgramme Leader MSc/PGD/PGCDiagnostic Imaging, Professional Lead for Radiography, School of Healthcare, University of Leeds

“We saw the ScanTrainer as breakthrough technology. It will allow us to come closer to our goal of having trainees acquire technical skills in a realistic simulated environment before performing them on patients.”

Dr Thomas J. Benedetti, M.D., M.H.A.Professor of Obstetrics and Gynecologyand Director of Education in Obstetrics and GynecologyUniversity of Washington Medical Centre, Seattle

“Our trainees have acquired considerable confidence in scanning live patients as a result of practicing on the simulator.”

Dr Kalpana UpadhyayConsultant Obstetrician & GynaecologistWrexham Maelor Hospital

“I would definitely recommend it as a very effective and modern simulation training method.”

Dr Arpita GhoshST5 traineeObstetrics & Gynaecology,St. Richards Hospital, Chichester

“ScanTrainer is proving extremely useful in teaching and assessing our students studying on the MSc Medical Ultrasound programme.”

Dr Vivien GibbsMedical Ultrasound Programme ManagerFaculty of Health and Life Science,University of the West of England

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WORLDWIDE PRESENCE

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