PD41-10 EVALUATION OF THE FEASIBILITY OF REMOTELY MANUFACTURED LOW-COST THREE-DIMENSIONALLY PRINTED LAPAROSCOPIC TRAINERS AND COMPARISON TO STANDARD LAPAROSCOPIC TRAINERS

You have accessJournal of UrologySurgical Technology & Simulation: Training & Skills Assessment II1 Apr 2017PD41-10 EVALUATION OF THE FEASIBILITY OF REMOTELY MANUFACTURED LOW-COST THREE-DIMENSIONALLY PRINTED LAPAROSCOPIC TRAINERS AND COMPARISON TO STANDARD LAPAROSCOPIC TRAINERS Renai Yoon, Zhamshid Okhunov, Benjamin Dolan, Michael J. Schwartz, Paras H. Shah, Hannah Bierwiler, Aldrin Joseph Gamboa, Roberto Miano, Stefano Germani, Dario Del Fabbro, Alessio Zordani, Salvatore Micali, Kamaljot Kaler, Ralph V. Clayman, and Jaime Landman Renai YoonRenai Yoon More articles by this author , Zhamshid OkhunovZhamshid Okhunov More articles by this author , Benjamin DolanBenjamin Dolan More articles by this author , Michael J. SchwartzMichael J. Schwartz More articles by this author , Paras H. ShahParas H. Shah More articles by this author , Hannah BierwilerHannah Bierwiler More articles by this author , Aldrin Joseph GamboaAldrin Joseph Gamboa More articles by this author , Roberto MianoRoberto Miano More articles by this author , Stefano GermaniStefano Germani More articles by this author , Dario Del FabbroDario Del Fabbro More articles by this author , Alessio ZordaniAlessio Zordani More articles by this author , Salvatore MicaliSalvatore Micali More articles by this author , Kamaljot KalerKamaljot Kaler More articles by this author , Ralph V. ClaymanRalph V. Clayman More articles by this author , and Jaime LandmanJaime Landman More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1889AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We have previously documented the feasibility of the local three-dimensionally (3D) printed manufacture and efficacy of a low cost, portable laparoscopic trainer (UCi Trainer) that utilizes an electronic tablet for video and optics. In the current study, we evaluate the feasibility of remote 3D manufacture of the UCi Trainer with commercially available “home” printers. We also compared the performance of the UCi Trainer and a standard pelvic trainer (SPT) (Karl Storz, Tuttlingen, Germany) (Richard Wolf, Vernon Hills, Illinois, USA). METHODS We created computer-aided designs for nine components to be assembled into a laparoscopic training device. These files were provided to four institutions to 3D print using an inexpensive “home” 3D printer (Flashforge Creator 3D printer), assemble, and use the trainer. All institutions were provided standardized instructions for printing and assembly of the components, and were asked to rate the 3D printing and assembly process. Participants were assigned to perform timed peg transfer and intracorporeal knot tying tasks with the UCi Trainer and SPT, as well as rate each trainer on image quality, resolution, brightness, comfort, and overall performance on a 5-point Likert scale. A local instructor evaluated trainee performance on the peg transfer and knot tying tasks. RESULTS The printer cost was $876.48, and the total materials cost was $26.50 for each UCi Trainer manufactured. Initial set up of the 3D printer was challenging to all participants but with adjustments, successful printing and assembly of the components was accomplished. All participants recommended 3D printing as a method for disseminating surgical education tools. A total of 16 subjects participated in the trainer comparison assessment. There was no significant difference between peg transfer and intracorporeal knot tying task scores completed on the UT when compared with the SPT (p > 0.05). Participants rated the SPT significantly higher compared to the UCi Trainer (p<0.05): image quality (3.19 vs 4.25), resolution (3.56 vs 4.31), brightness (3.19 vs 4.38), delay (3.25 vs 4.38), overall comfort (3.13 vs 3.88), and overall performance (3.19 vs 4.06). In the questionnaire participants agreed that the UCi Trainer is similar to laparoscopy (44%), comfortable to use (56%), good practice format (88%), would purchase the UCi Trainer (69%), and would recommend the UCi Trainer for residents (88%). CONCLUSIONS The UCi Trainer can be remotely manufactured in a cost-effective manner. It appears to be a valuable tool for facilitating resident training in laparoscopy. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e810-e811 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Renai Yoon More articles by this author Zhamshid Okhunov More articles by this author Benjamin Dolan More articles by this author Michael J. Schwartz More articles by this author Paras H. Shah More articles by this author Hannah Bierwiler More articles by this author Aldrin Joseph Gamboa More articles by this author Roberto Miano More articles by this author Stefano Germani More articles by this author Dario Del Fabbro More articles by this author Alessio Zordani More articles by this author Salvatore Micali More articles by this author Kamaljot Kaler More articles by this author Ralph V. Clayman More articles by this author Jaime Landman More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...