Interactive VR-based hands-on training was found to be a relatively inexpensive and effective mode for teaching OR fire prevention and management scenarios.

Background The Virtual Electrosurgical Skill Trainer (VEST) is a tool for training surgeons the safe operation of electrosurgery tools in both open and minimally invasive surgery. This training includes a dedicated team-training module that focuses on operating room (OR) fire prevention and response. The module was developed to allow trainees, practicing surgeons, anesthesiologist and nurses to interact with a virtual OR environment, which includes anesthesia apparatus, electrosurgical equipment, a virtual patient, and a fire extinguisher. Wearing a head mounted display, participants must correctly identify the ‘fire triangle’ elements and then successfully contain an OR fire. Within these virtual reality (VR) scenarios, trainees learn to react appropriately to the simulated emergency. A study targeted at establishing the face validity of the virtual OR fire simulator was undertaken at the 2015 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) conference. Methods Forty-nine subjects with varying experience participated in this Institutional Review Board approved study. The subjects were asked to complete the OR fire training/prevention sequence in the VEST simulator. Subjects were then asked to answer a subjective preference questionnaire consisting of sixteen questions, focused on the usefulness and fidelity of the simulator. Results On a 5-point scale, 12 of 13 questions were rated at a mean of 3 or greater (92%). Five questions were rated above 4 (38%), particularly those focusing on the simulator effectiveness and its usefulness in OR fire safety training. 33 of the 49 participants (67%) chose the virtual OR fire trainer over the traditional training methods such as a textbook or an animal model. Conclusions Training for OR fire emergencies in fully immersive VR environments, such as the VEST trainer, may be the ideal training modality. The face validity of the OR fire training module of the VEST simulator was successfully established on many aspects of the simulation.

This paper presents a screw theory based approach for the analysis and synthesis of flexible joints using wire and sheet flexures. The focus is on designing flexure systems that have a simple geometry, i.e., a parallel constraint pattern. We provide a systematic formulation of the constraint-based approach, which has been mainly developed by precision engineering experts in designing precision machines. The two fundamental concepts in the constraint-based approach, constraint and freedom, can be represented mathematically by a wrench and a twist in screw theory. For example, an ideal wire flexure applies a translational constraint, which can be described by a wrench of pure force. As a result, the design rules of the constraint-based approach can be systematically formulated in the format of screws and screw systems. Two major problems in compliant mechanism design, constraint pattern analysis, and constraint pattern design are discussed with examples in details. Lastly, a case study is provided to demonstrate the application of this approach to the design of compliant prismatic joints. This innovative method paves the way for introducing computational techniques into the constraint-based approach for the synthesis and analysis of compliant mechanisms. Disciplines Mechanical Engineering Comments

This paper presents a novel general-purpose simulation analysis application that combines concurrent operations simulation with the advanced data interrogation and user interaction capabilities of immersive virtual reality systems. The application allows for interactive modification of the simulation parameters, while providing the users with the available simulation information by effectively placing the operator in the midst of the environment being simulated. The major contribution of this research is the total integration of the immersive virtual reality environment with the simulation, allowing users in the environment to interactively change the inputs to the simulation as it is running. Implementation and functionality details of the developed application are presented. The experience of using the application to analyze a manufacturing operation in a collaborative scenario is also discussed. AbstractThis paper presents a novel general-purpose simulation analysis application that combines concurrent operations simulation with the advanced data interrogation and user interaction capabilities of immersive virtual reality systems. The application allows for interactive modification of the simulation parameters, while providing the users with the available simulation information by effectively placing the operator in the midst of the environment being simulated. The major contribution of this research is the total integration of the immersive virtual reality environment with the simulation, allowing users in the environment to interactively change the inputs to the simulation as it is running. Implementation and functionality details of the developed application are presented. The experience of using the application to analyze a manufacturing operation in a collaborative scenario is also discussed.

Virtual Reality (VR) is becoming an important tool in the engineering product development process. The virtual environment provides the user with the ability to interact with three-dimensional digital representations of products using natural head and hand motions. While interacting with digital objects in VR seems natural, the use of traditional two-dimensional menu systems does not always provide a convenient interface to controlling task specifications in the three-dimensional space. New human-computer-interfaces are needed for this emerging VR design tool. This paper will present the details of implementing a speakerindependent, command and control, speech recognition menuing system for a virtual reality application. The menuing system will be described as it is incorporated into a virtual environment for the design of spatial mechanisms. Design and technical issues involved in the interface creation process are discussed and the resulting interaction system is described. ABSTRACTVirtual Reality (VR) is becoming an important tool in the engineering product development process. The virtual environment provides the user with the ability to interact with three-dimensional digital representations of products using natural head and hand motions. While interacting with digital objects in VR seems natural, the use of traditional twodimensional menu systems does not always provide a convenient interface to controlling task specifications in the three-dimensional space. New human-computer-interfaces are needed for this emerging VR design tool. This paper will present the details of implementing a speaker-independent, command and control, speech recognition menuing system for a virtual reality application. The menuing system will be described as it is incorporated into a virtual environment for the design of spatial mechanisms. Design and technical issues involved in the interface creation process are discussed and the resulting interaction system is described.