Foxpat Simulatur ta' Taħriġ Kirurġiku by Nitin Gurram

Foxpat Simulatur ta' Taħriġ Kirurġiku by Nitin Gurram is a highly esteemed winner of the very prestigious 2020 Premju A' Design Award tal-Fidda in Disinn tal-Edukazzjoni, Għodod tat-Tagħlim u Kontenut tat-Taħriġ Competition Category.

FiddaEdukazzjoni· 2020

Foxpat Simulatur ta' Taħriġ Kirurġiku

by Nitin Gurram

Client: Zimmer Biomet

Premju A' Design Award tal-Fidda Winner in Edukazzjoni Category

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The Design

About Foxpat Simulatur ta' Taħriġ Kirurġiku

Foxpat huwa simulatur ta' taħriġ li jista' jerġa' jintuża għall-kirurġija tas-sostituzzjoni tal-irkoppa. It-tagħmir huwa mudell fiżiku tal-irkoppa ta' pazjent, mgħammar b'sensuri li jagħtu feedback dwar il-prestazzjoni waqt l-operazzjoni. Għadam tal-poliuretan u għata tat-tessut artab tas-silikonju jinżammu minn qafas tal-aluminju, biex il-kirurgi jkunu jistgħu jipprattikaw bl-istess għodda użati fis-sala tal-operazzjonijiet, mingħajr assistent biex iżomm l-irkoppa. Martell kirurġiku mingħajr fili jirreġistra l-forza tal-impatt u juri r-riżultat fuq skala LED. Foxpat jippermetti lill-kirurgi ġodda jitgħallmu mill-iżbalji mingħajr ma jagħmlu ħsara lil pazjent.

The Recognition

About the Premju A' Design Award tal-Fidda

Foxpat Simulatur ta' Taħriġ Kirurġiku huwa rebbieħ tal-Premju A' Design Award tal-Fidda, rikonoxximent prestiġjuż straordinarjament mogħti lil disinji tal-ogħla livell, sbieħ u impressjonanti. Ir-rebbieħa tal-Fidda huma xogħlijiet brillanti ħafna u kreattivi ħafna li juru l-għarfien espert, it-talent u l-aċċuratezza tad-disinjaturi tagħhom. Huwa mistenni li Foxpat Simulatur ta' Taħriġ Kirurġiku ikun xogħol mill-isbaħ, eżemplari, professjonali ħafna u innovattiv bil-fond. Dan id-disinn rebbieħ tal-Fidda huwa invenzjoni notevoli u mammirata li tikkontribwixxi biex jitwessgħu l-fruntieri tal-arti, ix-xjenza, id-disinn u t-teknoloġija. Foxpat Simulatur ta' Taħriġ Kirurġiku huwa ħolqien li ħafna jinvidjawh, li jqajjem ix-xewqat, iġib sentimenti pożittivi u joħloq tgħaġġib u mistagħġib.

Behind the Design

Press Kit

Credits, team members and technical details provided by the designer.

Unique Properties: Foxpat is a reusable training simulator for knee replacement surgery. Unlike the existing digital simulators, Foxpat is a physical simulation of a patient knee integrated with sensors to feedback on operational performance. The learning platform incorporates all the four stages of Kolb's experiential learning cycle; feel, observe, learn and experiment. The surgeons can use actual tools that are used in the operating room to practice independently without needing an assistant to hold the knee.
Dimensions & Packaging: Width 900 mm x Depth 600mm x Height 400mm.
Tags: Arthroplasty, Knee Replacement, Medical Training, Surgical simulator, Impact hammer
Production Technology: The product consists of polyurethane(PU) bones, 3D scanned knee anatomy, aluminium structural frame and a wireless surgical mallet. The lower leg is made up of ABS plastic, and the upper knee joint is vacuum cast with silicone of shore hardness 0030. The PU bones are vacuum casted for 320gm/cc density to simulate a realistic bone density. The low production volume of 50 pieces per year, allows producing most of the plastic and aluminium parts through CNC milling.
Design Challenge: Orthopedics surgeries involve invasive processes like cutting, milling, and hammering. Making a realistic training model simulating the ergonomics of an actual operation is quite complicated. Secondly, there is not any standardized validation procedure to feedback the surgeons. Several studies have suggested that the hammer impact is a crucial element for positive results. So the impact force is recoded through a wireless surgical mallet to feedback the user on an LED impact scale.
Research: The project was a graduation thesis took place with collaboration between Zimmer Biomet and Delft University of Technology. Oxford Partial Knee Replacement is one of the most popular Knee Replacement techniques from Zimmer Biomet. The research took place in two hospitals in Oxford, where the surgical technique was invented. The outcome of this project was expected to support Oxford training course that takes place across the world to train the novice surgeons on the surgical techniques.
Inspiration: Research shows that it takes about 25 surgeries for novice surgeons to be proficient at knee replacement surgery(Qidong et al., Journal of Orthopaedic Surgery and Research, 9:81). So designing efficient and ergonomic surgical tools is not just enough, but an excellent learning platform is crucial. This idea has led to developing a reusable surgical trainer where surgeons are allowed to make mistakes without harming a patient and gain surgical skills.
Project Duration: The project started in March 2019 in Delft, The Netherlands and finished in August 2019, and was exhibited at Innovation for Health - Design Expo in Rotterdam in February 2020.
Operation Flow: As the product is used for training the novice surgeons, the training sessions take place in a conference hall or a hospital. A training support team that organizes the training or a local technician in the hospital will set up the device. Firstly, the metal frame is clamped down to a suitable table. Secondly, a new pair of Polyurethane bones are inserted into the device and clamped. Lastly, the silicon soft tissue is wrapped around the bones and locked with a Velcro strap.
Team Members: Nitin Gurram
Image Credits: Image #1, Image #2, Image #3 and Image #4: Keyshot Renders, Nitin Gurram, 2020. Image #5: Photographer and model Nitin Gurram, Foxpat photoshoot, 2020.
Video Credits: Zimmer Biomet, TU Delft, Oxford Knee Group