Totum Digital surgery platform
Get the confidence you need to perform at your best, every time.
We've dismantled the barriers between trainees, mentors, and data to take a holistic approach to surgical training with natural haptics.
Dynamic assessment universal recognition.
Accredited surgical training is now accessible to all.
Wherever and whenever you train, you’re working towards an official certification, recognised by institutions worldwide.
Empowering the future of surgery, globally
11K Active Users
11K Totum active users worldwide
Totum - The Digital Surgery Platform
Totum is a Digital Surgery Platform developed by Inovus Medical to support connected, data-driven surgical training across the UK and the United States. Accredited by the Royal College of Surgeons of England, Totum is used internationally by healthcare systems, surgical societies, and academic training programmes.
11,000 plus active users worldwide rely on Totum to support modern surgical education.
Supporting Surgical Training in the UK and USA
- UK: Used across the NHS and in collaboration with ALSGBI, supporting basic and advanced surgical training programmes
- USA: Adopted within society-led curricula and fellowship pathways in general surgery, minimally invasive surgery, and specialty training
Key Platform Capabilities
- Surgical procedure recording and structured review
- Remote certification and credentialing
- Objective surgical performance metrics via instrument-tracking algorithms
- Longitudinal skills tracking across training pathways
Totum integrates mobile, native, and web-based applications to deliver consistent assessment and performance insight across training environments.
Interoperable and Scalable by Design
Built on an open API and SDK framework, Totum is a scalable, modular platform designed to integrate with existing surgical training infrastructure. It is deployed across Inovus Medical’s high-fidelity simulators, including LapAR and HystAR, and supports multi-device interoperability.
“Totum has been developed to support the way surgical training is increasingly delivered, across institutions, specialties, and healthcare systems. Our aim is to provide a digital infrastructure that supports objective assessment and scalable credentialling throughout a surgeon’s training pathway.”
Positively Impacting
48 million women across North America
By training 10,000 gynecologists as the exclusive partner to the EMIGS training program.
Positively impacting 48 million women across North America
The EMIGS Laparoscopy and Hysteroscopy Training Programmes utilise standardised simulation-based education to support progressive skills development, objective assessment, and consistency of training across institutions.
Through the integration of Totum, both programmes provide a structured framework aligned with EMIGS competency-based educational principles.
Supporting standardised simulation-based education in laparoscopic and hysteroscopy skills across 250 US sites
Totum is being implemented as part of Inovus Medical’s partnership with Hologic and the AAGL EMIGS programme, with deployment across 250 training sites in the United States.
Within this collaboration, Totum supports simulation-based education in laparoscopic and hysteroscopy techniques, providing a structured environment for deliberate practice, objective performance assessment, and progressive skills development.
The platform is designed to support standardisation of training delivery and alignment with EMIGS educational frameworks, helping to ensure consistency in skills acquisition across training centres.
The EMIGS laparoscopic training programme
The EMIGS Laparoscopic training programme is a structured, simulation-based education pathway designed to support the acquisition of fundamental laparoscopic skills required for gynaecological surgery.
The programme emphasises core technical competencies that underpin safe laparoscopic practice, including camera control, hand–eye coordination, depth perception, bimanual dexterity, and efficient instrument handling.
Totum is incorporated within the programme as a standardised simulation platform to support deliberate practice and objective skills assessment. Trainees complete defined laparoscopic tasks within a controlled, low-risk environment, enabling consistent exposure to core skills across training sites. Objective performance metrics are used to support formative feedback and progressive skills development in alignment with EMIGS principles of competency-based education. The programme is intended to complement didactic learning and supervised clinical experience.
On completion of the EMIGS Laparoscopy Training Programme, trainees should be able to:
- Demonstrate effective laparoscopic camera navigation and visual orientation
- Perform basic laparoscopic tasks requiring hand–eye coordination and depth perception
- Exhibit appropriate bimanual instrument control and tissue manipulation skills
- Apply principles of efficiency, accuracy, and economy of motion during simulated tasks
- Demonstrate readiness to progress to supervised clinical laparoscopic training
The EMIGS Hysteroscopy Training Programme
The EMIGS Hysteroscopy Training Programme provides a simulation-based framework for the development of essential hysteroscopic skills required for diagnostic and operative procedures. The programme focuses on scope handling, visual orientation, uterine cavity assessment, and coordinated instrument use, supporting the safe introduction of hysteroscopy skills prior to clinical practice.
Within the programme, Totum is used to deliver standardised hysteroscopy simulation tasks that allow trainees to practise core techniques through repetition and structured feedback. The use of objective task-based metrics supports skills progression and consistency of training delivery across participating institutions. The programme aligns with EMIGS educational frameworks and supports a graduated approach to hysteroscopy skills acquisition.
On completion of the EMIGS Hysteroscopy Training Programme, trainees should be able to:
- Demonstrate safe and controlled hysteroscope navigation
- Maintain appropriate visual orientation within the uterine cavity
- Systematically assess uterine cavity anatomy using simulation-based scenarios
- Coordinate hysteroscopic instruments effectively within a simulated environment
- Demonstrate technical preparedness for supervised clinical hysteroscopy training
Earn points
points for every hour logged.
Structured surgical education from Inovus Medical—delivered through the Totum Digital Surgery platform.
CPD & CME-Aligned Digital Surgery Training with Totum
Inovus Medical learning content is available on the Totum Digital Surgery platform, enabling healthcare professionals to engage in structured, trackable digital surgery education that can support Continuing Professional Development (CPD) and Continuing Medical Education (CME) requirements, where applicable.
Through Totum, learners can access skills-based surgical training, procedural education, and guided learning pathways designed to support safe, effective, and measurable professional development.
This integration allows clinicians to:
- Engage with simulation-informed surgical education anytime, anywhere
- Participate in structured learning activities aligned to recognised CPD principles
- Track learning progress, engagement, and completion within a single digital platform
- Support personal learning portfolios and appraisal documentation
Key Benefits
- Digital surgery CPD & CME support
- Online surgical education with structured modules
- Simulation-based learning informed by real-world clinical practice
- Progress tracking and learning records via Totum
- Flexible access to professional development for surgeons, trainees, and healthcare professionals
CPD/CME recognition is dependent on regional accrediting bodies and institutional requirements. Learners are responsible for confirming eligibility and documentation requirements in their local jurisdiction.
“High-quality surgical education must be practical, accessible, and measurable. Through Totum Digital Surgery, Inovus Medical content supports structured online learning that aligns with CPD and CME frameworks, enabling clinicians to develop skills, track progress, and evidence professional development in a digital environment.”
Harnessing the power of data to transform surgical training
Hone your skillset and set a new standard with comprehensive performance tracking and personalised feedback
Objective Performance Metrics
Get instant access to objective performance metrics in one easy-to-navigate dashboard. Track your progress and focus on the skills that matter most.
Real-Time Coaching
Maximise your training time with real-time coaching and corrections. Perfect your technique, speed, and dexterity with instant feedback.
Mentor Feedback
Record your sessions on video and receive tailored feedback direct from your mentor to refine your surgical skills.
Accredited Training
Work towards official certification recognised by institutions worldwide. Earn CPD points for every hour logged.
Natural Haptics
Experience realistic tactile feedback that bridges the gap between simulation and real surgical procedures.
Data-Driven Insights
Harness the power of data to transform your surgical training. Work smarter, not harder with intelligent analytics.
Powering the Inovus Medical simulator range
Totum seamlessly connects with our complete line of surgical training simulators, providing unified digital management and analytics.
Totum powers Inovus’ growing portfolio of high-fidelity, minimally invasive surgical simulators including LapAR, HystAR and SpineHUB.
The Totum mobile application can be paired with open surgery task trainers to enable recording, review, and refinement of open surgical skills.
Totum powered surgical simulation
Inovus’ simulators allow surgeons to practice procedures with real instruments and simulated tissues that create natural haptics. The augmented reality overlays of Totum are uniquely streamed direct to a screen, providing ‘headset free’, immersive training experiences. Totum connects surgeons of all grades with mentors, peers, and examiners to share best practice through its web-based learning portal.
High fidelity laparoscopic surgical training
The LapAR serves the demand for distance learning in laparoscopic simulation. The simulator allows the user to perform simulated full surgical procedures as well as basic skills tasks by connecting the simulator to their PC or laptop*.
Powered by the Totum digital surgery platform, users’ performance data is captured and displayed in the web portal and can be downloaded and added to surgical training portfolios and logbooks.
Hysteroscopy training
HystAR simulators are powered by Totum, the holistic platform that creates a connected surgical training ecosystem.
Totum allows instrument motions to be mapped and recorded digitally, to generate rich objective data on surgical performance. The objective data is aggregated, managed, and shared with trainers via the Totum web portal.
Spinal surgery training
The combination of SpineHUB and Totum empowers surgical training programs, Medical Technology companies and healthcare institutions to deliver high-fidelity, fully immersive endoscopic spine simulation.
Data-Driven Performance Analytics: Utilise the Totum platform to capture instrument trajectories, force metrics, and procedure times, facilitating objective assessment and feedback.
With unlimited Totum user licenses, the platform ensures that there are no barriers to training the next generation of spine surgeons.
Basic surgical skills
Totum’s video capture and debrief feature allows users to review their performance and receive remote coaching from connected mentors. Mentors and examiners can issue certificates of competence directly through the Totum portal.
By linking with the Totum platform, the app allows over 30 direct procedural skills to be assessed remotely by trainers. In this way coaching can be closely focused on the individual’s technique and specific areas for improvement.
The Totum Mobile App can be used to capture training sessions on any brand of procedural skills trainer by setting the mobile phone up in its cradle and focusing the phone’s camera on the skills trainer. Procedural videos are captured and aggregated in Totum, allowing programs to easily and cost-effectively digitise their procedural skills learning, and assessment.
With the Totum Mobile App, direct procedural skills training can now be recorded, shared, and assessed from any location. Totum mobile allows the digitization of any procedural skills trainer, allowing programmes to fast track their digitalisation of procedural skills teaching and assessment.
The user’s mobile phone is mounted above task trainers such as the Inovus Basic Surgical Skills Base. The phone records procedures, which can then be reviewed and assessed in the Totum web application.
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