{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='Realistic medical training device' data-url='/boclips/videos/5c54c34ed8eafeecae160449' data-video-url='/boclips/videos/5c54c34ed8eafeecae160449' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nRealistic medical training device\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eAP TelevisionNew York City, 8 March 20101. Zoom out of Dr. Laith Jazrawi, head of sports medicine at NYU Langone Medical Centre, during surgery UPSOUND (English): \"We''re going to localise our other portal with an eighteen-gauge spinal...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eAP Television\u003cbr/\u003eNew York City, 8 March 2010\u003cbr/\u003e1. Zoom out of Dr. Laith Jazrawi, head of sports medicine at NYU Langone Medical Centre, during surgery UPSOUND (English): \"We''re going to localise our other portal with an eighteen-gauge spinal needle.  This is entering into the joint.\"\u003cbr/\u003e2. Mid of Jazrawi cutting into knee \u003cbr/\u003e3. Close of Jazrawi''s face in surgical mask UPSOUND (English): \"Some counter-pressure. And in there the patient has a meniscus tear; we''re going to localise.\" \u003cbr/\u003e4. Zoom out from knee with marks for surgical instruments to Jazwari operating them UPSOUND (English): \"And remove any unstable flats that are present.\"\u003cbr/\u003e5. Mid of Jazrawi performing surgery as he watches progress on screen UPSOUND (English): \"Get to the back here, which has a tear that''s still present.\"\u003cbr/\u003eAP Television\u003cbr/\u003eNew York City, 4 March 2010\u003cbr/\u003e6. Close of KAST (Knee Arthroscopy Surgical Trainer) screen\u003cbr/\u003e7. Mid of Scott Hadley, NYU resident, on the KAST UPSOUND (English): \"It''s amazing how much it does feel like a real knee.\"\u003cbr/\u003e8. Tilt-up of Scott Hadley manipulating instrument UPSOUND (English): \"Go in and probe, this in my right hand is the probe, and so then I use this...\"\u003cbr/\u003e9. Close of Scott Hadley on the KAST UPSOUND (English): \"...with this knee simulator.\"\u003cbr/\u003e10. SOUNDBITE (English) Dr. Laith Jazrawi, Head of sports medicine at NYU Langone Medical Centre:\u003cbr/\u003e\"Our intent is to add and improve our ability to teach our residents. So it is only going to enhance the experience that they have, both in the operating room, with some cadaveric training, and then we have this virtual simulator that will add to their experience and improve their technical proficiency in these procedures, without causing any harm to patients.\"\u003cbr/\u003e11. Tilt-up of Scott Hadley using the KAST UPSOUND (English): \"And, I can, you know, adjust it in several ways.\"\u003cbr/\u003e12. Close of Scott Hadley using the KAST, manipulating leg UPSOUND (English): \"...any potential areas of pathology.\"\u003cbr/\u003e13. Zoom out from Scott Hadley''s hand holding camera UPSOUND (English): \"(And that one in your left hand, what does that do?) This is the camera in the left hand, here, OK so this is the scope.\"\u003cbr/\u003e14. Zoom in from Scott Hadley to the KAST screen UPSOUND (English): \"And this is good, because it actually won''t allow you to do things that you can''t do in real life. And this is a good place to learn it, and not in real life.\"\u003cbr/\u003e15. SOUNDBITE (English) Scott Hadley, NYU resident:\u003cbr/\u003e\"There''s a big learning curve with knee arthroscopy, and it would be optimal if that learning curve wasn''t on a live human patient, but that a lot of that learning curve - you know, there are simple things that you need to learn like triangulation and other techniques that could be accomplished well with a simulator.\"\u003cbr/\u003eAP Television \u003cbr/\u003eNew York City, 8 March, 2010\u003cbr/\u003e16. Close of Jazrawi''s face in surgical mask UPSOUND (English): \"The probe is used to probe this knee''s meniscus to make sure everything looks pretty good.\"\u003cbr/\u003e17. Mid instrument being inserted into knee UPSOUND (English): \"And coming right towards that tear.\"\u003cbr/\u003e18. Wide of Jazrawi and others in surgery, looking at screen\u003cbr/\u003e19. Mid of Jazrawi and others during surgery\u003cbr/\u003e20. Push in from Jazrawi performing surgery on knee and watching screen to screen itself\u003cbr/\u003eAP Television\u003cbr/\u003eNew York City, 4 March 2010\u003cbr/\u003e21. SOUNDBITE (English) Dr. Laith Jazrawi, Head of sports medicine at NYU Langone Medical Centre\u003cbr/\u003e\"This is something that''s hard to teach residents, and certainly the simulator allows them to improve their, sort of, video-gaming ability in a more realistic fashion. And a lot of medicine today, a lot of the advancing technologies, are based on a lot of your video game simulator-type set-ups. So if you can get good with your 3D co-ordination, you''re going to get good at some of the surgical procedures that we perform.\"\u003cbr/\u003e22. Close of hand of Karl Reinig, head of simulation at Touch of Life Technologies, using the KAST; screens in the background UPSOUND (English): \"I don''t know where it is, but I know that it''ll slide back.\"\u003cbr/\u003e23. Close of Karl Reinig''s hand using the KAST UPSOUND (English): \"Get a view of the anterior, and do some tugging on that.\"\u003cbr/\u003e24. Mid of Karl Reinig using the KAST UPSOUND (English): \"Looking in this direction, I''m just moving my scope over here, finding my probe again.\"\u003cbr/\u003e25. Close of screen, Karl Reinig''s hand in foreground\u003cbr/\u003e26. SOUNDBITE (English) Karl Reinig, head of simulation at Touch of Life Technologies\u003cbr/\u003e\"The beauty of VR is the same thing that lets a needle pass through something, let''s say for a joint injection, can be a suture passing through a meniscus for doing a meniscule suturing. And so while VR is slow and tough to get off the ground, once you''ve got a foundation built, no telling what you can build out of this.\"\u003cbr/\u003e27. Wide pan from KAST to leg from a cadaver\u003cbr/\u003e28. Close tilt down of leg from a cadaver\u003cbr/\u003eAP Television\u003cbr/\u003eNew York City, 8 March, 2010\u003cbr/\u003e29. Close of screen during surgery UPSOUND (English): \"And that''s me just trimming it back; what we''re trying to do is help the tissue here.\"\u003cbr/\u003e30. Zoom in of Jazrawi performing surgery to knee and instruments\u003cbr/\u003eAP Television\u003cbr/\u003eNew York City, 4 March 2010\u003cbr/\u003e31. SOUNDBITE (English) Dr. Laith Jazrawi, Head of sports medicine at NYU Langone Medical Centre\u003cbr/\u003e\"The goal would be to reduce the number of cadavers totally, to the point that we''re no longer doing cadaveric training, we''re doing training on virtual simulators. Because if it truly can simulate 100% a knee, then there is really no need to do cadaver training. That would be the goal; we''re far from that, but we''re sort of, this is a step in the right direction.\"\u003cbr/\u003eAP Television \u003cbr/\u003eNew York City, 8 March, 2010\u003cbr/\u003e32. Zoom out of Jazrawi during surgery\u003cbr/\u003e33. Close of knee being stitched up after surgery\u003cbr/\u003e34. Mid of Jazrawi clapping his hands together after finishing surgery UPSOUND (English): \"That''s it.\"\u003cbr/\u003eA new medical training device is being trialled in knee arthroscopy.\u003cbr/\u003eKAST (Knee Arthroscopy Surgical Trainer) gives students a realistic feel and may one day replace the need to train on cadavers. \u003cbr/\u003eDr. Laith Jazrawi is performing a knee arthroscopy, a procedure he knows very well. \u003cbr/\u003eJazrawi has preformed thousands of \"scopes\" as they''re known, in this role as head of sports medicine at NYU Langone Medical Centre in New York City.\u003cbr/\u003eAlong with everyday duties as a surgeon, he also trains medical students as they go through their surgical residency.\u003cbr/\u003eWith hundreds of thousands of knee arthroscopies performed every year, the procedure is a fundamental skill for any orthopaedic surgeon.\u003cbr/\u003eBut before any resident can operate on a living patient, he or she has to go through intense training.\u003cbr/\u003eFor decades this training has happened on cadavers, but Jazrawi and his residents are testing a new device that some think could replace cadaver training forever.\u003cbr/\u003eThe device named KAST, or Knee Arthroscopy Surgical Trainer, is a virtual reality simulator.\u003cbr/\u003eDeveloped by Touch of Life Technologies, KAST is what some see as the future of surgical training.\u003cbr/\u003eThe KAST allows users to virtually go through the motions of a knee arthroscopy including the haptic feedback that allows the user to know if they''re hitting cartilage or a tendon. \u003cbr/\u003eWhile it hasn''t replaced cadavers yet, Jazrawi is confident the KAST adds to a residents training.\u003cbr/\u003e\"Our intent is to add and improve our ability to teach our residents. So it is only going to enhance the experience that they have, both in the operating room, with some cadaveric training, and then we have this virtual simulator that will add to their experience and improve their technical proficiency in these procedures without causing any harm to patients,\" he says.\u003cbr/\u003eNYU surgical resident Scott Hadley was part of a test group of residents, half of whom used the KAST to train.\u003cbr/\u003eHadley was part of the group who did not use the KAST in their training and has only recently begun using the KAST to train. \u003cbr/\u003eWhile he doesn''t think the KAST will ever replace cadavers completely, now that he has had a chance to use the machine he agrees that the simulator has its place.\u003cbr/\u003e\"There''s a big learning curve with knee arthroscopy, and it would be optimal if that learning curve wasn''t on a live human patient, but that a lot of that learning curve - you know, there are certain things that you need to learn like triangulation and other techniques that could be accomplished well with a simulator,\" he says.\u003cbr/\u003eJazrawi says knee arthroscopy is not an easy thing to teach residents.\u003cbr/\u003eHe believes that the video game nature of the KAST is an important reason for its effectiveness as a training device.\u003cbr/\u003e\"3D co-ordination\" is important, says Jazrawi, because more and more video game type set-ups are a part of actual surgeries.\u003cbr/\u003e\"This is something that''s hard to teach residents, and certainly the simulator allows them to improve their, sort of, video-gaming ability in a more realistic fashion. And a lot of medicine today, a lot of the advancing technologies, are based on a lot of your video game simulator-type set-ups. So if you can get good with your 3D co-ordination, you''re going to get good at some of the surgical procedures that we perform,\" he says.\u003cbr/\u003eThe key to the KAST system is its ability to simulate the feel of surgical tools inside the human knee.\u003cbr/\u003eOne of the dangers of any arthroscopic surgery is iatrogenic damage, or damage caused by the surgeon in the process of getting to the patient problem area. \u003cbr/\u003ePrevious simulators could not give a realistic feel to users, so that when the user bumped into an object representing tissue they either didn''t feel it or the bump didn''t feel realistic. \u003cbr/\u003eAlthough the KAST, as the name implies, is only for knee arthroscopy training, Reinig says there now exists the foundational knowledge in Virtual Reality technology for his and other companies to build upon.\u003cbr/\u003e\"The beauty of VR is the same thing that lets a needle pass through something, let''s say for a joint injection, can be a suture passing through a meniscus for doing a meniscule suturing. And so while VR is slow and tough to get off the ground, once you''ve got a foundation built, no telling what you can build out of this,\" he says.\u003cbr/\u003eWith the short life of a training cadaver and the cost of replacement over $500 a piece, Jazrawi said he also can also see a day when the 80-thousand dollar KAST machine will save hospitals money.\u003cbr/\u003e\"The goal would be to reduce the number of cadavers totally, to the point that we''re no longer doing cadaveric training, we''re doing training on virtual simulators. Because if it truly can simulate 100% a knee, then there is really no need to do cadaver training. That would be the goal; we''re far from that, but we''re sort of, this is a step in the right direction,\" he says.\u003cbr/\u003e\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='action-container flex justify-between'\u003e\n\u003cbutton aria-expanded='false' aria-label='Read more description' class='rp-full-description' type='button'\u003e\n\u003ci class='fai fa-solid fa-align-left'\u003e\u003c/i\u003e\n\u003cspan id='read_more'\u003eRead More\u003c/span\u003e\n\u003c/button\u003e\n\u003cdiv class='rp-report'\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv aria-labelledby='resource-details-heading' class='rp-info-section'\u003e\n\u003ch2 class='title' id='resource-details-heading'\u003eResource Details\u003c/h2\u003e\n\u003cdiv class='rp-resource-details clearfix'\u003e\n\u003cdiv class='detail'\u003e\n\u003cdl\u003e\n\u003cdt\u003eCurator Rating\u003c/dt\u003e\n\u003cdd\u003e\u003cspan class=\"star-rating\" aria-label=\"3.5 out of 5 stars\" role=\"img\"\u003e\u003ci 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id='concepts-heading'\u003eConcepts\u003c/h2\u003e\n\u003cdiv class='clearfix'\u003e\n\u003cdiv class='details-list concepts' data-identifier='Boclips::VideoDecorator' data-type='concepts'\u003esports, new york city, video games, new york, medical technology, north america\u003c/div\u003e\n\u003cdiv class='concepts-toggle-buttons' data-identifier='Boclips::VideoDecorator'\u003e\n\u003cbutton aria-expanded='false' class='more btn-link' type='button'\u003e\n\u003cspan\u003eShow More\u003c/span\u003e\n\u003ci aria-hidden='true' class='fa-solid fa-caret-down ml5'\u003e\u003c/i\u003e\n\u003c/button\u003e\n\u003cbutton aria-expanded='true' class='less btn-link' style='display: none;' type='button'\u003e\n\u003cspan\u003eShow Less\u003c/span\u003e\n\u003ci aria-hidden='true' class='fa-solid fa-caret-up ml5'\u003e\u003c/i\u003e\n\u003c/button\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv aria-labelledby='additional-tags-heading' class='rp-info-section'\u003e\n\u003ch2 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