AIRWAY Simulation Ltd
ORSIM User Guide Model 1.6
User Guide
26 Pages

Preview
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Bronchoscopy Simulator
User Guide
This guide contains important information for users of the ORSIM bronchoscopy simulator
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Contents Introduction
3
Foreword
3
About Orsim
3
Disclaimer
3
Getting Started
4
Orsim Computer
4
What Is Included
4
Checking For Updates
5
Installing The Hardware
Command Panel
13
Score Tab
13
Controls Tab
14
Info Tab
15
Simulation Window
16
End Session
17
New Session
17
Exit
17
6
Session Player
17
Case Notes
18
The Scope
7
Reference
18
Scope Buttons
7
Session Results
18
Using The Simulator
7
Keyboard Shortcuts
19
Starting The Software
7
View Modes
19
Scope Control
19
Holding The Scope
8
Scope View
20
The Interface
9
Orbit View
20
The Menu
9
Fly View
20
Tutorials Menu
9
Tutorial Interface
11
Introductory Tutorial
21
Tool Bar
11
Troubleshooting
24
Timer
12
Feedback Bars
12
Compliance, Patents and Service
25
Goal List
12
Lung Map
12
Copyright © 2012 Airway Ltd. All rights reserved.
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Introduction Foreword Information in this Getting Started Guide is subject to change without notice and does not represent a commitment on the part of Airway Simulation Ltd. The software described in this Getting Started Guide is furnished under a licence agreement and may be used only in accordance with the terms of the agreement. This documentation is copyright 2010 Airway Ltd. All rights reserved.
About ORSIM The ORSIM™ has been designed as an affordable bronchoscopy training solution. We have developed a high quality, virtual reality, bronchoscopy simulator that is small, portable and capable of running off a laptop. This, combined with the latest computer graphics and simulation technology, takes hands-on experience to a new dimension. Our talented development team includes doctors, software engineers, 3-D graphics and user interface experts, simulator designers, electronics engineers and industrial designers. The development has been directed by an anesthesiologist who specializes in airway management and flexible bronchoscopy.
Disclaimer Please note that the ORSIM Bronchoscopy Simulator is still being developed and it is subject to change and may differ from what is in the documentation. Updated Using the ORSIM Bronchoscopy Simulator
Copyright © 2012 Airway Ltd. All rights reserved.
documentation will be made available to you as updates are released.
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Scope
Getting Started Orsim Computer The computer which comes preloaded with your ORSIM software must remain dedicated for use with the ORSIM Bronchoscopy Simulator and must not be used for any other purpose. Installing other software or changing the computer configuration may affect the performance and stability of the ORSIM Bronchoscopy Simulator. The computer must not be connected to a network, the Internet, or any external storage devices or media (such as but not limited to a USB Flash drive or inserting a DVD-Rom) without prior written consent by Airway Simulation Limited. Any breach of these conditions will void the Limited Warranty as set out in the General Terms and Conditions for Supply.
Recommendations Sensor Module
The computer should be run on mains power while using the ORSIM Bronchoscopy Simulator to ensure it continues to perform at its maximum level.
What Is Included
Copyright © 2012 Airway Ltd. All rights reserved.
•
Replica Bronchoscope (Scope)
•
Sensor Module
•
Computer preloaded with ORSIM software
•
USB Cable
•
Getting Started Guide
•
Mouse & Mouse Pad
•
Protective Carry Case
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Checking For Updates Occasionally Airway Simulation Ltd will release software updates for the ORSIM simulator. When an update becomes available you will be notified by e-mail. Please make sure that you are using the latest version of the simulator.
Copyright © 2012 Airway Ltd. All rights reserved.
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Installing The Hardware 1.
Connect the Scope to the Sensor Module by inserting the HDMI plug into the HDMI port marked SCOPE. Secure by tightening the two silver screws.
2.
To Scope...
Connect the Sensor Module to the computer by plugging one end of the USB cable into the Sensor Module’s USB port and the other end into a spare USB port on the computer.
3.
Connect the mouse to a USB port on the computer.
Sensor Module USB
To Computer...
Scope HDMI
Copyright © 2012 Airway Ltd. All rights reserved.
Sensor Module USB
Computer USB
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The Scope 3
2
Scope Buttons
6
5
1.
Take Picture
2.
Wipe Lens
3.
Oxygen
4.
Lidocaine
5.
Suction
6.
Tip Control (Up and Down)
Using The Simulator Starting The Software
1 4
Copyright © 2012 Airway Ltd. All rights reserved.
1.
Connect to mains power and start the computer.
2.
Click on the ORSIM Bronchoscopy Simulator Icon
The simulator will launch and display the Menu.
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Holding The Scope
Suggested method of holding the replica bronchoscope and insertion tube
Copyright © 2012 Airway Ltd. All rights reserved.
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The Interface Course/Tutorial List
User Profile
The Menu The Menu screen is the central hub of the simulator. From here you choose the tutorial that you want to view in the simulator.
Tutorials Menu The Tutorials menu contains tutorials grouped into a series of courses. Create New User The Simulator has been designed so that it can be shared by multiple users. Before doing your first tutorial, you should select Create New User from the drop down menu and type in your name and then click OK. Select User Each time you use the simulator make sure your user profile is selected before starting a tutorial so that your sessions can be saved under your profile. Click on the Select User drop down and select your username.
Simulator Exit
Start Selected Tutorial/Load Session
Simulator Version Number
Copyright © 2012 Airway Ltd. All rights reserved.
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Course Name and Overview
Learning Objectives
Courses A course is a collection of tutorials. The tutorials within a course are listed in the recommended order of completion. Click on the + button on the left to open a course and display its tutorials. Tutorials Each tutorial involves a number of Goals which the user must achieve. When a session is saved a + button will appear to the left of the tutorial on the menu screen. Clicking on the
+ Open - Close
+ button expands the menu to display any saved sessions.
Tutorial Thumbnail
Saved Session Saved sessions are previously recorded tutorials that are listed chronologically. Sessions
Saved Session
can be replayed by selecting the chosen session and clicking the Load Session button. Learning Objectives A list of expected learning outcomes for the selected tutorial.
Exit
Exit The Exit button is used to exit the simulator and return to the Windows desktop. Start Tutorial Load Session
Start Tutorial Clicking the Start Tutorial button loads the selected tutorial. A progress bar will be displayed while the tutorial is loading.
Copyright © 2012 Airway Ltd. All rights reserved.
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Tool Bar
Command Panel
View Tabs
End Session
Tutorial Interface This is the main interface you use when doing a tutorial. The interface is divided into the following components: Simulation Window, Tool Bar, Command Panel and the Session Player.
Tool Bar The Tool Bar contains tools that may be used during the tutorial. To use the tools, either click on them with the mouse or use the corresponding button on the Scope.
Select Entry Select Oral or Nasal entry before inserting the scope. Anti Fog
Remove the scope from the patient to apply the Anti Fog.
Wipe Lens
Remove the scope from the patient to Wipe the Lens.
Suction
Allows you to apply Suction.
Oxygen
Allows you to administer Oxygen.
Deep Breath
Instructs the patient to take a deep breath.
Take Picture
Pictures are saved to your session files/user name/snapshots folder on your computer.
Simulation Window
Copyright © 2012 Airway Ltd. All rights reserved.
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Timer
Feedback Bars
Timer The Timer displays the duration of time that the Scope is inserted.
Feedback Bars The Feedback Bars give you live feedback about the Scope Pressure and the Oxygen Saturation. Scope Pressure: The pressure of the scope tip against the mucosa. Oxygen Saturation: Allows you to monitor the patient’s oxygen saturation level.
Goal List Displays the active goal for the current tutorial.
Lung Map The green cross shows the location of the scope tip within the airway.
Goal List
Copyright © 2012 Airway Ltd. All rights reserved.
Lung Map
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Command Panel The Command Panel is made up of three Tabs (Score, Controls & Info).
Score Tab The Score Tab displays the Session Metrics and Goals Reached. While doing a tutorial, you can check the Score Tab to monitor your progress.
Session Metrics Distance: The distance the scope tip has traveled during the tutorial. Rotation: The rotation of the scope tip during the tutorial. Direction Changes: The number of times the scope has changed direction. Maximum Speed: The maximum speed of the scope during the tutorial. Tissue Collisions: The number of times the scope tip has collided with the mucosa.
Goals Reached This section is a list of the tutorial goals that you have completed. The active goal is displayed in the lower left corner of the Simulation Window.
Copyright © 2012 Airway Ltd. All rights reserved.
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Controls Tab The Controls Tab is made up of two sections (View Controls and Meds). View Controls The View Controls are used during a tutorial to make changes to what is visible within the Simulation Window. Point Of Interest Using the Point Of Interest menu you can select an area of the patient that you want to look at. When you select an area from the menu the Simulation Window switches to the Orbit View mode and focuses on the area that you selected in the menu. To Get back to the Scope View select the Scope View button on the Tool Bar. Show Labels This allows you to display or hide the anatomical labels. Show Area Spheres This allows you to display or hide the Area Spheres. Show Lung Map This turns on the display of the Lung Map in the lower right of the Simulation Window. Focus, Color and Brightness The Focus Slider is used to focus the bronchoscope. Note that sometimes it can look out of focus when the lens becomes fogged. The Color slider allows the user to set the color balance of the simulated scope. The Brightness slider controls the amount of light coming from the scope. These three sliders only have an effect in the Scope View. Meds The Meds panel allows the user to select medication.
Copyright © 2012 Airway Ltd. All rights reserved.
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Info Tab The Info Tab displays all the Scope Buttons for quick reference. Scope Buttons The Scope Buttons panel is a quick reference to what functions are assigned to the Handset buttons.
Copyright © 2012 Airway Ltd. All rights reserved.
1.
Take Picture
2.
Wipe Lens
3.
Oxygen
4.
Lidocaine
5.
Suction
6.
Tip Control (Up and Down)
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Simulation Window By using the View Tabs you can select three different ways of viewing the patient: the Scope View, the Orbit View and the Fly View. Each view type uses different controls so please refer to the Keyboard Shortcuts section in this guide to find out how to control the Scope View
camera for each view type. Scope View This is the normal clinical view. To control the scope in this view, insert the tip of the scope into the Sensor Module. As you push the scope into the Sensor Module the Scope View changes to reflect the movement of the scope. Push the scope in to move forward, pull it out to move backwards and rotate it to rotate the scope. Use the lever on the Scope for up and down tip movements. Orbit View The Orbit View gives an external perspective of the airway and is useful for anatomical orientation. The Orbit View can be manipulated by using either the keyboard or the mouse to zoom and rotate. The Point Of Interest menu on the Command Panels Control Tab
Orbit View
changes the view orientation. See Keyboard Shortcuts section for these details. Fly View The Fly View is similar to the Orbit View in that it allows you to rotate the patient and look at the airway from different angles. The Fly View uses keyboard shortcuts (W,A,S, D and Shift) and the mouse to move the camera around.
Fly View
Copyright © 2012 Airway Ltd. All rights reserved.
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End Session
Exit
End Session The End Session button allows you to end the session before completing all the goals. When you withdraw the scope and click on the End Session button, the Session Results will be displayed as well as the Session Player.
New Session The New Session button reloads the tutorial as a new session. You will be prompted to save the previous session before the tutorial reloads.
Exit The Exit button ends the session and returns you to the main menu. You will be prompted to save the previous session before exiting.
Session Player The Session Player allows you to playback and save your session performance and results. Save At the end of every tutorial session you can save a recording of that session for later playback by clicking the Save button. Session Playback Menu The Session Playback Menu allows you to choose which saved session to play back. Note Save Session
Session Playback Menu Rewind
Timeline
Play/Pause
See Session Results
that only sessions that are saved will be listed. Rewind Rewind the Session Playback to the start of the recorded session. Play/Pause Play back and pause the session replay. Timeline The Timeline displays playback progress. The slider can be dragged to any point in the session. See Results This displays the Session Results for the recorded session.
Copyright © 2012 Airway Ltd. All rights reserved.
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Case Notes A brief summary of the patient’s clinical presentation, including history, examination findings and images.
Case Notes
Reference A graphical representation of the bronchial tree. Clicking on the circles will display the scope view for that location.
Session Results At the successful completion of the tutorial, the session results are displayed on screen once the scope has been removed from the sensor module. The Session Metrics will also be displayed when you click on End Session. If you save a session your Session Results will be saved under your user profile. Note that, if you do not save your session your results will not be saved. Reference
Session Results
Copyright © 2012 Airway Ltd. All rights reserved.
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Keyboard Shortcuts Most features in the application can be accessed by either mouse, keys or handset. The function of various keys often depends on the current view mode. It is therefore important
Scope Control
to take note of your view mode before referring to this list.
The Scope can be controlled in any view as follows:
View Modes
Handset: Insert tube in base unit and manipulate handset.
The View Modes are called Scope, Orbit and Fly. You can see what view mode you are in
Keys:
by the orange highlight around the appropriate icon.
CTRL + Up Arrow, W
Inserts more scope.
CTRL + Down Arrow, S
Withdraws more scope.
SPACE
Toggles the View Mode.
CTRL + Left Arrow, A
Twists scope to the Left.
TAB
Toggles the Panel into view.
CTRL + Right Arrow, D
Twists scope to the Right.
CTRL
Engages Mouse or Keys to control tube while pressed.
CTRL + -
Bends scope tip Up.
F11
Show Score tab.
CTRL + +
Bends scope tip Down.
F12
Show Controls tab.
HOME
Re-orient scope Up.
O
Toggle Oxygen Supply On/Off.
L
Suction is on while key is pressed.
F
Toggle stats display top left corner. Also shows file name of latest snapshot.
C
Toggle compositors such as blur, color and brightness On/Off.
Prt Scr
The Print Screen key makes a snapshot that is stored in your profile folder.
Copyright © 2012 Airway Ltd. All rights reserved.
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Scope View
Keys:
In Scope view you see what would be seen through the bronchoscope. The following keys
Up Arrow or W
Rotates the view Up.
apply in addition to the keys above. The CTRL key is not required for tube control.
Down Arrow or S
Rotates the view Down.
Left Arrow or A
Rotates view Left. Rotates view Right.
Click in the 3D View
Engage/Disengage mouse camera control.
Right Arrow or D
Y
Decrease Focus.
+
Zoom In.
U
Increase Focus.
-
Zoom Out.
H
Decrease White Balance.
Q or ,
Previous point of interest.
J
Increase White Balance
E or .
Next point of interest.
N
Decrease Brightness.
M
Increase Brightness.
Fly View In this mode you have direct control over the camera where you can move it to any
Orbit View
position.
In this mode the camera is locked to point at a specific target. However, using the mouse
Mouse:
and keyboard you can rotate around your view target. Orbit mode is a great way to show
Left Mouse button + Move Forward
Rotates the view Up.
various points of interest in the model. The points of interest
Left Mouse button + Move Backward
Rotates the view Down.
available depends on the lesson loaded.
Left Mouse button + Move Left
Rotates view Left.
Left Mouse button + Move Right
Rotates view Right.
Right Mouse button + Move Left
Rolls view to the Left.
Right Mouse button + Move Right
Rolls view to the Right.
Mouse: Left Mouse button +
Move Forward Rotates the view Up.
Left Mouse button +
Move Backward Rotates the view Down.
Left Mouse button +
Move Left Rotates view Left.
Keys:
Left Mouse button +
Move Right Rotates view Right.
Up Arrow or W
Move Forward.
Scrollwheel
Zooms In or Out.
Down Arrow or S
Move Backward.
Left Arrow or A
Move Left.
Right Arrow or D
Move Right.
E or .
Rolls view to the Left.
Q or ,
Rolls view to the Right.
Copyright © 2012 Airway Ltd. All rights reserved.
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