Design and validation of an epidural needle insertion simulator with haptic feedback for training resident anaesthesiologists

Simulating a syringe behavior using a pneumatic cylinder haptic interface

“…It can be especially used to simulate the LOR effect in an epidural needle insertion procedure. For this kind of application, compared to existing solutions [5,6,7,8], two skilled anesthesiologists confirmed a good realism. Moreover, its customisability enables simulations of a wide range of difficulty levels, hence proposing a large improvement margin for the trainees.…”

“…Some solutions provide training tools to help trainees learn the epidural anesthesia (Manoharan et al [5], Magill et al [6], Dubey et al [7] or Thao et al [8], for example). Furthermore, Vaughan et al [1] analyzed most of the solutions available in 2013.…”

Face and construct validity of TU-Delft Epidural Simulator and the value of real time visualization

“…The forces model and the loss-of-resistance-pressure model are based on a combination of actual force and pressure measurements (porcine specimens, in vivo and in vitro), data from the literature, and expert opinion. [7][8][9][10] There are no experimental studies on the force measurement during real epidural needle insertion on live humans, and therefore a realistic force range has been determined from animal studies. 9 The technical set-up and exact mechanism of action of the TU-Delft simulator are described in detail in a previous study.…”

“…9 The technical set-up and exact mechanism of action of the TU-Delft simulator are described in detail in a previous study. 10 The anatomic model is based on segmented CT and MRI data. Although the system database contains anatomic models of 52 different patients, in this study we used a single patient model of six consecutive vertebral interspaces from T12-L1 to L5-S1 in order to keep these variables constant.…”

Designing an Accurate and Customizable Epidural Anesthesia Haptic Simulator

“…Some computer based solutions have been developed to help trainees learn the epidural anesthesia. We can highlight, for instance, the works of Manoharan et al [3], Magill et al [4], Dubey et al [5] or Thao et al [6], who developed haptic simulators for this particular procedure. These simulators however, provide an incomplete representation of epidural anesthesia.…”