The digital wetlab, combining real instruments with natural haptics and digital insights.
Develop your skills, evolve your practice, and equip the next generation of gynaecologic surgeons with our comprehensive range of MIGS simulators.
The universally recognised platform of choice for the AAGL and GCH.
Shaping the future of MIGS training with an evolving ecosystem of simulators, connecting practice to procedure from society curricula to device procedural training.
Nash S. Moawad, M.D., EMIGS Chair
AAGL selects HystAR to power EMIGS across North America
In October 2023, Inovus Medical announced an innovative new partnership with the American Association of Gynecologic Laparoscopists (AAGL), and global leader in women’s health, Hologic. The partnership will result in the provision of Inovus’ high fidelity hysteroscopy simulators, HystAR, to all ACGME approved residency programs across North America. In addition to the simulators being provided to all residency sites, the partnership will provide access to Inovus’ digital surgery platform, Totum to all residents working towards their EMIGS certification.
This collaboration will strengthen our ability to offer hysteroscopy simulation for our residents, and to integrate advanced tools to aid our trainees in pursuing excellence in surgical training.
The premier global association in minimally invasive gynecologic surgery, AAGL began offering the EMIGS validated Training and Testing Program in 2022 to provide a gynecology specific cognitive and skills test that would allow OBGYN residents to meet the Surgical Skills Program standard for the American Board of Obstetrics & Gynecology examination. In late 2022, Inovus Medical announced it had been contracted as the manufacturing and delivery partner for the EMIGS skills tasks. This new partnership will result in the digitalization of the EMIGS program, with the skills tasks being integrated into Inovus’ hybrid surgical simulators and digital surgery platform, Totum.
Read more about the partnership with Hologic and AAGL here.
Want to learn more about HystAR and Totum? Click on the links below for more information.
Saikat Banerjee, Consultant Gynaecologist and Minimal Access Reproductive Surgeon
Cambridge University Hospitals develops remote surgical training programme using LapAR and Totum
Following the recent acquisition of a further fifteen LapAR simulators by Cambridge University Hospitals, Gynaecologists across the East of England Deanery will be participating in a groundbreaking remote skills training programme. Trainees across the region have been provided with LapAR laparoscopic surgical simulators and access to the Totum digital surgery platform to use for remote skills training.
The pilot programme will be conducted over a three-month period and aims to assess the impact of remote skills training through objective performance metrics and self-reported confidence scores. The programme will have a phased progression of skills development, starting with the part proxy tasks of LapPass and progressing into full procedure simulations including salpingectomy, salpingostomy and vaginal vault closure, ensuring tasks are aligned to RCOG curriculum.
The study provides gynaecology trainees with an opportunity to practice and improve their laparoscopic surgical abilities using LapAR simulators in a remote setting, removing bottle necks to traditional approaches to hands on skills training. The comparison of metrics before and after the training program will offer valuable insights into the impact of this approach on trainees’ skill development and proficiency.
Saikat Banerjee Consultant Gynaecologist and Minimal Access Reproductive Surgeon, CEES-U Cambridge Endometriosis, Ensoscopic Surgery Unit, stated
Having access to the LapAR and Totum platforms gives us a valuable opportunity to enhance simulation training. It offers a realistic and immersive environment for trainees to practice and refine their laparoscopic skills and allow trainers the ability to successfully track their progress.
The inclusion of a video review process in Totum, allows faculty to provide subjective commentary and remote certification of tasks, adding another layer of evaluation. The combination of objective metrics and subjective feedback offers a comprehensive evaluation of trainees’ performance during surgical simulations. Consultants can provide detailed insights, observations, and recommendations based on their expertise, further enhancing the training process.
Clinical Excellence Lead at Inovus Medical, Dr David Rawaf commented
This is a wonderful opportunity to provide further evidence of Kirkpatrick levels 1 & 2 achievement in this novel approach to simulation training. We will all be looking forward to hearing the outcomes of this study, which looks bolster the construct, content and face validity of the Totum and LapAR Ecosystem.
Want to learn more about LapAR and Totum? Click on the links below for more information.
Official hysteroscopy simulation partners to Global Community of Hysteroscopy
Inovus Medical has been appointed as the official simulation partner to the Global Congress of Hysteroscopy (GCH). The partnership was announced on stage at the opening address of the 2023 GCH congress by GCH Founder and Chair Dr Sergio Haimovich, and Inovus Medical’s CEO, Dr Elliot Street. This partnership recognizes Inovus's portfolio of hysteroscopy simulators and Totum digital surgery platform as the official simulators of the GCH.
The partnership will enable Inovus to work closely with the GCH to advance hysteroscopy simulation training and provide cutting-edge training technology to hysteroscopists across the globe. As part of the agreement, a research partnership will be established, which will commence with a multi-centre prospective validation study led by GCH faculty. The aim of this study is to validate the HystAR simulators and Totum digital surgery platform for delivery of remote hysteroscopy skills training and certification.
The partnership will see Inovus’ range of hysteroscopy simulators placed at the forefront of GCH sanctioned training events across the globe with the simulators playing a major part in the hands-on skills training workshops at the annual GCH congress. The partnership announcement will also result in improved access to Inovus’ portfolio of simulators for GCH members.
Dr Elliot Street, CEO of Inovus Medical, commented on the announcement:
We are thrilled to be appointed as the official simulation partner for the Global Congress of Hysteroscopy. The Society have fast become the pre-eminent voice of hysteroscopy across the globe. This announcement is another step forward for Inovus on our mission of becoming the world's partner for surgical training and we are excited to partner with the GCH to advance standards in hysteroscopy training through simulation.
The Global Congress of Hysteroscopy (GCH) is the premier global society focused on hysteroscopy. GCH aims to promote the practice, teaching and research of hysteroscopy to improve women's health worldwide. The partnership with the GCH is a major honour for Inovus Medical, as it recognizes the company's commitment to advancing surgical training and the impact its portfolio of hysteroscopy simulators and digital surgery platform can have on hysteroscopy skills development.
Dr Sergio Haimovich, Founder and Chair of GCH, commented:
GCH is committed to Continuous Medical Education (CME) globally, and we believe that with the help of Inovus’ simulators we will be able to improve our CME programs, with special emphasis in developing countries, helping to enhance the level of intrauterine surgery and hysteroscopy.
For more information on the GCH, its events and activities, visit www.my-gch.com
Want to learn more about HystAR and Totum, click on the links below for more information.
Greg Wynn FRCS, Lead Clinical Director
World famous ICENI centre adopts LapAR and bozzini training systems
Inovus Medical today announced the adoption of its LapAR and bozzini training systems by the world famous ICENI centre, a global pioneer of surgical training, research and development. The announcement follows a competitive tender win for both LapAR and bozzini and highlights the paradigm shift in surgical training that is being driven by the Inovus Medical approach of delivering affordable, accessible and highly functional surgical training solutions.
The ICENI Centre’s first-class facilities provides training to some of the UK’s aspiring NHS employees of the future, today’s undergraduates and clinicians on a career pathway from FY1 through to senior consultants. With the introduction of the very latest in high fidelity laparoscopic and hysteroscopy simulators manufactured and designed by Inovus the centre will now offer trainees the very latest in, hands on, laparoscopic and hysteroscopic training.
The LapAR system opens the ICENI centre up to a brand new world of high fidelity laparoscopic simulation, allowing them to connect with and tutor their trainees like never before. The trainees will also benefit from the industry breaking AR technology, which will immerse them into real to life simulations and allow them to practise full surgical procedures all while being tracked and recorded by the LapAR technology.
As part of the contract the centre has acquired a number of LapAR take home models and so with the distance learning capabilities of the LapAR cloud-based software platform the centre will now be equipped to offer trainees the capability of being able to train from home in a safe environment during the current COVID 19 pandemic.
Greg Wynn FRCS, Lead Clinical Director, ICENI Centre, Colchester said:
We are thrilled to be able to start using the new Inovus augmented reality simulation equipment here at the ICENI Centre in Colchester. Technical skills simulation has always played a key role in the training pathway for our clinicians but being able to objectively measure performance is really important. Putting motion-tracking software in a laparoscopic box trainer will allow us to measure technical performance not just on basic skills exercises, but also on a variety of anatomical models that are relevant to clinical practice. This means learners can map their progress to a defined goal, improving compliance. One of the great features of this equipment is the ability of the trainee to take their box away and practice in an environment that they find most comfortable, whilst their data is remotely uploaded to the trainer’s portal. Organising simulation in this way will allow many more training hours to be completed. This is a valuable addition to our simulation suite
Along with the latest in high fidelity laparoscopic simulation the centre has included the purchase of the unique bozzini Hysteroscopy simulators by Inovus Medical which will be used for basic practical skills training within hysteroscopy including tasks such as adhesiolysis and polypectomy. The bozzini systems also allow the trainees to gain valuable camera and basic instrument handling skills.
The bozzini also offers unrivalled high fidelity hysteroscopy training with its range of wet lab models that enable a spectrum of energy and other medical devices to be used in a close to life training experience which includes endometrial ablation, polypectomy and myomectomy.
Dr Elliot Street, Co-Founder and CEO of Inovus Medical said:
The ICENI centre is widely accepted as one of the global pioneers of minimally invasive surgical training and I am delighted they have chosen to adopt our suite of technologies to future proof their position as leaders in this field. This is the start of what I am sure will be an exciting and long-term partnership between the ICENI centre and Inovus Medical as we both look to provide the perfect training solutions for the modern-day surgical trainee.
Want to learn more about LapAR and Bozzini? Click on the links below for more information.
Donna Ghosh, Chair for Laparoscopic Training at the BSGE
Inovus Medical announce partnership with BSGE to deliver National Laparoscopic Training Programme
Inovus Medical are excited to announce their partnership with the British Society of Gynaecological Endoscopy (BSGE) RIGS National Training Programme, which officially launched across the UK this month. The training programme is a standardised distance learning programme, delivered through a combination of online webinars and hands-on workshops. The programme has been rolled out to over 300 gynaecology trainees across 17 sites around the UK and utilises the Inovus medical portfolio of laparoscopic simulators and laparoscopic skills tasks.
The training programme, also supported by Olympus KeyMed, is using the LapAR laparoscopic simulator to provide benchmarking of trainee performance and demonstrate their skills progression through the programme. The LapAR provides objective performance metrics through state-of-the-art instrument tracking technology with performance data stored and accessed on an online learning management system. Cutting edge Augmented Reality (AR) technology offers the BSGE a unique opportunity to deliver wide scale, high fidelity, distance learning.
The recent global pandemic has highlighted the importance of technology in allowing professionals to connect even when separated physically and geographically. The LapAR allows trainers and trainees to be connected in a way never before possible, ensuring high fidelity surgical training can continue in the face of physical, geographical and financial barriers.
The data collected from the LapAR platform will be used to inform future training programmes during the academic year, enhance surgical training provision across the country and improve surgical proficiency for the long term.
There are 3 programme streams (Basic, Intermediate and Advanced) and the content aligns with the requirements of the core Royal College of Obstetricians and Gynaecologists (RCOG) curriculum including tasks from the LapPass curriculum which provides validated, academically certified laparoscopic skills training.
Each workshop is facilitated by appointed RIGs regional reps along with a BSGE faculty member within each of the 17 ‘hub sites’. The monthly workshops offer learning opportunities including hands-on skills training, lectures, peer-to-peer training, and completion of OSATS.
The team at Inovus Medical have been instrumental in enabling us to run high-quality laparoscopic training courses in gynaecology. They have been integral partners in the delivery of the BSGE National Training Programme. The surgical technologies they create are of excellent quality and design. The team are always striving to improve their products to make the simulation output as realistic as possible. Their expertise in innovation, combined with their approachability and understanding of the training programme, mean that Inovus Medical are consistently my ‘go-to’ for training support in gynaecology.
About the BSGE
The British Society for Gynaecological Endoscopy was originally founded in 1989 by a small group of consultant gynaecologists keen to promote the benefits of minimal access surgery for their patients. The society has since grown to over 1000 members drawn from consultants, trainees, specialist nurse practitioners, GP’s and students. However, its ethos and aims remain the same. The BSGE exists not only to serve its members, but also to promote knowledge and understanding of the endoscopic approach to diagnosis and treatment to a wider public, including patients and those responsible for the formulation of healthcare policy. Find out more about BSGE here.
Want to learn more about our partnership with the BSGE, watch our interview with Miss Jessica Preshaw about the BSGE/RIGS programme:
Jessica Preshaw, Consultant Gynaecologist
Severn Deanery Regional MIGS training benefits from the bozzini hysteroscopy simulator
Inovus Medical – a global healthcare simulation company – has announced the further adoption of the bozzini Hysteroscopy simulator within the NHS. The bozzini platform has been adopted by North Bristol, NHS Trust and the wider Severn Deanery following a competitive tender process win.
The announcement means trainee gynaecology surgeons across the region will have access to bozzini hysteroscopy simulators to further develop their minimally invasive gynaecologic surgery (MIGS) skills and help lead them onto consultant posts when their training is complete.
North Bristol Trust will use the bozzini systems to deliver a specialised MIGS programme led by Miss Jessica Preshaw, Consultant Gynaecologist, as part of the Severn Postgraduate Medical Education curriculum.
Miss Preshaw stated:
bozzini hysteroscopy simulators have now been installed in the Learning and Research Centre at Southmead Hospital within the Simulation Suite. All surgical trainees have access.
Alongside the central hub of simulators at Southmead, bozzini simulators will be stationed at each of the 6 deanery hospitals within their O&G departments. This exciting development in conjunction with a new hysteroscopy training matrix, will boost MIGS training across Severn.
The adoption emphasises the accessibility and versatility of the Inovus Medical simulators which allows far more trainees to benefit from cutting-edge technology at home in addition to within the Learning and Research Centre.
Elliot Street, CEO Inovus Medical commented:
We are delighted to be supplying our very latest high fidelity simulators to the Severn Region and to be supporting MIGS training and assessment to over sixty trainees spread across a large geographical area, allowing many more trainees to benefit from the latest technology that is helping deliver the very best surgical care to patients.
Hear more from Miss Preshaw on how the Severn Deanery are using the bozzini simulators in her interview with us:
Click on the link below to learn more about how bozzini can elevate your hands on hysteroscopy skills training.
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The Inovus advantage: Unlocking the power of practice.
Watch our co-founder and CEO, Dr Elliot Street, as he provides an overview of the surgical training pathway and explains how Inovus Medical’s hybrid approach to surgical training serves the full spectrum of training needs from a single platform.
An evolving ecosystem connecting practice to procedure.
The power of partnerships in training
Dr Nash Moawad
Having developed a new standardised curriculum for hands on hysteroscopy skills training in the form of the EMIGS programme, Dr Moawad, and the rest of the EMIGS steering committee wanted to find a partner that could provide a scalable hysteroscopy simulation platform to ensure fair and equitable access to training for OBGYN residents across North America.
In 2022, AAGL appointed Inovus as the exclusive simulation partner to the EMIGS programme with the HystAR and Totum platforms planned as the platform for rolling out the hysteroscopy element of EMIGS. Following a generous donation by Hologic, who joined the partnership in 2023, this vision will become a reality, with HystAR systems and Totum access being provided to all ACGME accredited residency programmes across North America.
“We chose Inovus Medical because of their innovative perspective to training and testing,” said AAGL Executive Director, Linda Michels, “and we felt that they would be a strong partner to assist now and in the future.”
The collaboration with Inovus Medical on the EMIGS program will strengthen our ability to offer hysteroscopy simulation for our residents, and to integrate advanced tools to aid our trainees in pursuing excellence in surgical training.
The HystAR and Totum platform will be rolled out to residency programmes from late 2023, and will include the EMIGS hysteroscopy skills tasks (H1 and H2) to enable residents and their programme directors to become familiar with the tasks.
Want to learn more about the EMIGS programme? Visit the AAGL website here:
Want to learn more about HystAR and Totum, click on the links below for more information.
Creating a laparoscopic training curriculum
Guys and St Thomas NHS Trust
The surgical teams at Guys and St Thomas NHS Trust wanted to set up a new laparoscopic skills curriculum to provide structured surgical training in their programme. They used the LapAR and Totum to create a hybrid programme that would allow trainees to progress through a combination of in person training and remote learning. Dr Francis Ugwu, Surgical innovation and simulation fellow, remarked:
The programme has been well received by both trainees and trainers.
Read more about LapAR and Totum and how they could guide the way to surgical success for your programme. Click on the links below for more information.
Transforming medical education to improve patient care
The NHS at large
The development of the Totum platform was supported by the NHS through it’s SBRI research programme. The funding enabled Inovus to develop the first version of the platform and eventually extend its use to hysteroscopy training by integrating it with the HystAR.
Innovations like HystAR and Totum can help us transform medical education and training and equip the NHS workforce with the skills and knowledge they need to deliver high quality patient care.
The HystAR and Totum are widely used across the NHS for registrar (resident) and surgeon training. The platform has been integrated into several region wide training programmes. Peer reviewed evidence shows that training with the platform increases surgeon proficiency by up to 41%.
Read more about HystAR and Totum and how they could guide the way to surgical success for your programme. Click on the links below for more information.
Partnering to deliver national training programmes
Olympus
The professional education team at Olympus UK were searching for a partner and platform that would allow them to engage surgeons more deeply in their learning pathway. The team wanted a platform that could be used to deliver national training programmes for first year trainees as well as advanced laparoscopic skills courses to senior surgeons.
Kelly Stacey, head of professional education for Olympus remarked,
“We utilise the platform to provide pre-learning, followed by hands on skills training. The fact that the simulators produce natural haptics and allow training with real instruments is what sold our faculty on them.”
It was important for Olympus to gain trainee feedback on the programmes and the simulators being used to deliver them. Following each cohort of trainees, the Professional education team collate feedback and present it on the final day of the programme.
“The trainees are loving using the platform. They love the natural haptics generated by LapAR and the data insights from Totum are unlike anything they have ever had before.”
Olympus continues to utilise the LapAR and Totum to deliver their national training programmes across the UK, in partnership with the BSGE and supported by Inovus Medical. Hear more about this partnership here:
Read more about LapAR and Totum and how they could guide the way to surgical success for your professional education programme. Click on the links below for more information.
The power of hybrid training
Dr Mohamed Mabrouk
Dr Mabrouk, Consultant Gynaecologist, Cambridge, shared with us how the modern demands of surgical training call for increased use of simulation. When searching for the simulation platform best suited to his trainees, he wanted a solution that could be used in the hospital setting and for remote skills training.
“What I like about the LapAR and Totum platform is that it provides training and tutoring opportunities from anywhere, allowing the trainee to review feedback and work on their skills in their own time.”
Dr Mabrouk was looking for a platform that could be used to deliver theoretical knowledge as well as hands on training. He found that Totum was the perfect tool for this. Having used the platform to run an advanced laparoscopic skills course in collaboration with the BSGE.
The course was a great success as we delivered theoretical knowledge, hands on training and remote tutoring from a single platform.
Want to hear more from Dr Mabrouk? Watch the full interview:
Want to learn more about LapAR and Totum, click on the links below for more information.
Tracking progress and monitoring performance
Dr Jessica Preshaw (on LapAR)
When Dr Preshaw was setting up the regional training for MIGS across the Severn Deanery, she wanted to ensure the training experience was standardised across all 6 sites in the region and make sure that trainees focussed on the training not on learning how to use the simulator.
In addition to the data collection and insights, Dr Preshaw wanted to ensure the trainees had the most realistic training experience available. The natural haptics generated by the sift tissue models of LapAR were a major factor in her decision to implement the LapAR across all 6 sites in the region.
Having used more expensive systems that do not give you that haptic feedback means that the LapAR wins for me.
Totum provides a log in that can accompany trainees through their whole training program.
Want to hear more from Dr Preshaw? Watch the full interview here:
Want to learn more about LapAR and Totum, click on the links below for more.
Becoming a safer and more skilful surgeon
Dr Salwa Abdullah Idle
Salwa was looking to find a training platform that would allow her to work on her laparoscopic skills between cases and away from the workplace. She chose the LapAR due to its portability and the options for remote training.
Having a home learning system has allowed me to learn new skills such as laparoscopic suturing. It’s a nice compact box that gives you a good feel for what it is like to be in the OR and actually operating and I feel it has made me a better operator.
Salwa also wanted a simulator that would allow her to train the full spectrum of laparoscopic skills, from basic instrument handling through to full procedures.
Salwa shares more insights about the LapAR in her full interview here:
Want to learn more about LapAR, click on the link below for more information.
Distance learning for national training programme
Ethicon
Following disruption to the traditional model of surgical training by the COVID-19 pandemic, the professional education team for Ethicon UK turned to the LapAR and Totum ecosystem to deliver a next generation national training programme.
The team wanted to ensure their trainees could work through a full spectrum of skills, from basic training through to advanced laparoscopic skills training. The integration of the LapPass curriculum with the LapAR allowed Ethicon to deliver a validated curriculum with additional data and surgeon performance insights. The full procedure training of LapAR was then used to progress the training programme into intermediate and advanced skills.
The addition of LapAR to Ethicon’s national training programmes has brought the future of surgical training to today’s trainees.
Mr Fevzi Shakir, Ethicon Faculty member stated:
“The hybrid augmented reality (AR) nature of the system provides an inimitable combination of real feel haptics and performance tracking delivered on a portable box trainer.”
Read more about LapAR and Totum and how they could guide the way to surgical success for your professional education programme. Click on the links below for more information.
Developing advanced laparoscopic skills
Dr Joanna Abiola
Nearing the end of her training, Dr Abiola was searching for a simulator that would allow her to develop and hone her advanced laparoscopic skills. She had a desire to improve her laparoscopic suturing and wanted a simulator that would allow her to do this with real instruments and sutures and provide natural haptic feedback.
The LapAR allowed me to work on my laparoscopic suturing at home and between sessions in the OR.
I am not the most tech savvy person, but the simulator and software was really easy for me to use.
Joanna was worried that a high fidelity simulator may be too complicated for her to use, but was pleased to find that the LapAR was extremely intuitive to set up and use from home and in the hospital setting.
Joanna shares more insights about the LapAR in her full interview with us here:
Want to learn more about LapAR, click on the link below for more information.
Providing 24/7 access to simulation
Oxford University Hospitals
The Oxford University Hospitals surgical department wanted to provide unrestricted access to laparoscopic simulators for their trainees. The hospital system has three sites across Oxford. Standardising the training experience was essential to provide consistency for all trainees.
Mr Mike Silva, the training programme director said
The Inovus simulators provide a first, the ability to monitor trainee performance and progress in a structured manner.
Read more about LapAR and Bozzini and how they could guide the way to surgical success for your programme. Click on the links below for more information.