IRCADSTUDENT  

Surgical Instrumentation

Development over the Ages

Modern surgery has come a long way from bashing holes in people's skulls 10,000 years ago. There have been a number of major discoveries and developments along the way that have helped to shape modern surgery.

From bloody barbers and public spectacles to scarless surgery and robotics, surgery continues to advance and evolve. This talk by Dr. Brian Barry from Ireland will give students an idea of the major advances in surgery over the last 10,000 years, the current systems used and a glimpse at the future.

Laparoscopic Suturing

In this lecture, Dr Natasha Waters from the UK explains the importance of learning to suture in laparoscopic procedures for students.

The various methods and techniques of suturing are discussed, as well as the instruments appropriate to each. Video demonstrations accompany the presentation to explain the different situations in which suturing laparoscopically is an indispensable skill.

Airway Management

In this lecture Professor Errol Lobo discusses how different techniques of airway management are tailored to suit the requirements of individual patients. Trauma cases and obese patients, for example, require extra care and expertise on the part of the anesthesiologist.

Professor Lobo comprehensively describes the method of approach and tricks he would employ in difficult situations. The presentation includes illustrations and animations to demonstrate the techniques covered and clarify the cases that would require certain procedures.

Trocar Insertion: Complications and Preventions

Professor Joel Leroy discusses different types of trocars available and the situations in which they could be employed. The advantages and dangers of each method and device are discussed and explained with illustrations and videos from live operations.

As the final lecture this month, the main topics of discussion were summarised, from surgical instrumentation to the setup of the operating room, with the additional contribution of Professor Leroy's own expertise.

From an idea to a company

Dr James Wall (US) discusses the development of an idea into a company, drawing on his own experience of producing a new medical device conceived from a clinical observation to a working device being employed in hospitals.

Cholecystectomy

A step-by-step introduction including the presentation of the case and symptoms, a description of the anatomy and techniques encountered and an explanation of possible complications and solutions encountered in this common but vital procedure by Dr. Jacopo D’Agostino (F).

Appendectomy

Appendicitis is the most common condition of acute abdominal pain requiring surgery. Dr. Benoît Navez (BE) explains the fundamental surgical steps of an appendectomy.

Please note: it is mandatory to read the WeBSurg chapter: Appendectomy prior to viewing the video lecture: Appendectomy. In the monthly assessment there will be a question on the WeBSurg chapter.

Laparoscopy in Children

Prof. Francois Becmeur (Fr) presents the captivating subject of laparoscopy in children. From anatomical landmarks to specialised paediatric laparoscopic tools, explore the anomalies and unique challenges of this fascinating field, and how it was developed.

Laparoscopy During Pregnancy

Dr Natasha Waters (UK) discusses the subject of laparoscopy in pregnant women, including the challenges and special circumstances of this difficult area.

Business Case: Surgical Innovation and Concept Creation

Professor Lee Swanstrom (US) presents the topic of concept creation and surgical innovation, explaining the need for surgeons to be involved in innovation as a complement to their clinical work. He also discusses the importance of the patient as the focal point of innovation, explaining the steps from idea conception to a functional product.

Single Port Surgery

Prof. Joel Leroy (Fr) discusses the techniques and instrumentation required to perform this surgery, as well as potential benefits and limitations compared with traditional minimally invasive surgery.

Business Case: Apollo Endosurgery Inc.

CEO and Founder of Apollo Endosurgery, Dennis McWilliams introduces his company and its development, sharing his extensive entrepreneurial experience in medical devices and giving insight into the business side of surgical innovation.

Minimally Invasive Imaging Technologies

In this lecture, Dr. Francois Lacombe, world-renowned scientist and CSO of Mauna Kea Technologies covers the different minimally invasive imaging technologies available as well as Mauna Kea's pioneering work in endomicroscopy.

Flexible Endoscopy

Discover the basics of these small masterpieces of precision engineering, exploring flexible endoscopy with Dr. Hyunsoo Chung from South Korea.

N.O.T.E.S.

Dr Silvana Perretta (Fr) introduces the concept of Natural Orifice Transluminal Endoscopic Surgery and its applications. The challenges and potential of this technique are presented along with examples of particular cases.

The Future of Surgery: Tissue Engineering

Could we reverse seemingly permanent injuries and grow our own organ transplants?
In this unique and exclusive lecture, Professor Kacey Marra of Pittsburgh University and the McGowan Institute for Regenerative Medicine will discuss the exciting potential of tissue engineering in surgery.

As Co-Director of the Adipose Stem Cell Center, Professor Marra will describe her work investigating the applications of tissue engineering using adipose-derived stem cells to generate three-dimensional, statically and mechanically functional tissues in order to regenerate soft tissues, nerves and bones.

Seeing the unseen: New developments in medical imaging

Professor Luc Soler (F) introduces in this lecture the 3D patient modeling revolution and its application in surgical planning, simulation and training.

Guided scalpels, targeted tools: Intra-operative navigation

Dr. Wolfgang Birkfellner, associate professor at Vienna Medical School discusses the importance of intra-operative navigation in surgical oncology, and how it allows for a more precise and targeted treatment.

Robot-assisted Minimally Invasive Surgery

Tamas Haidegger from the Budapest University of Technology and Economics explores the history of robotics and emerging research themes. He gives us specific examples from his own personal research activities in medical robotics and computer-integrated interventional systems.

Pairing real and virtual: Registration procedures in the OR

Registration typically refers to the alignment of specific models of pre-operative patients to intra-operative imaging modalities. In this lecture, Dr. Lena Maier-Hein will review the basic concepts of registration with a particular focus on computer-assisted interventions.

A Sense of Touch: The Role of Haptics in On-site and Remote Access Surgery

Haptic technology, or haptics, is an innovative feedback technology in which a tactile approach is used by the surgeon to apply forces, vibrations, or motions. This lecture highlights the many benefits of haptic feedback systems, including their valuable contributions in robotic surgery.

Automation and Control Challenges in the OR

In this lecture, professor Michel de Mathelin, from the University of Strasbourg, outlines some of the challenges of robot-assisted surgery as well as the solutions it offers, including the advantage the robot can have over the human hand in terms of precision and eradication of physiological tremors, which allows the surgeon to concentrate on the surgical intervention.

The Future of Minimally Invasive Robotic Surgery

Professor Arianna Menciassi, Associate Professor of Biomedical Robotics, gives an exciting overview of current state-of-the-art surgical robots, ranging from those used for single port surgery to reconfigurable internal robots, endoscopic capsules and probes to navigate through the vascular system.

Assessing market and existing technologies

Dr. James Wall from Stanford University (USA) presents the essentials of validating medical needs, understanding market assessment, and the evaluation of today’s competitive technologies, using his extensive experience as a surgeon, an engineer, and founder of Insite Medical Technologies.

Brainstorming and early prototyping: strategies for generating ideas

In this lecture, Zach Malchano, an entrepreneur with a background in engineering, anthropology, healthcare, business, and product development, will focus on techniques used to generate ideas, create and evaluate prototypes to help young professionals with different backgrounds to come up with ideas and convey them.

Protecting innovative ideas: managing intellectual property

Managing intellectual property (IP) is of great importance in many organizations. Dr. Mike Gertner, who has over 15 years of experience in surgery and medical device innovations, is the co-founder, President and CEO of Kona Medical. He will explain how to set the right strategic direction, and to have an in-depth understanding of the tools and techniques that enable companies to protect their innovative products by outlining techniques to analyze and submit IP.

CE marking for medical devices

CE marking is a mandatory conformity mark for medical devices on the European Economic Market Area. Isabelle Douchet benefits from over 20 years of experience as part of international medical device companies in the field of regulatory and quality strategies. In this lecture, she will explain the process of CE approval for a medical device.

FDA approval for medical devices

In the United States, the Food and Drug Administration (FDA) has control over which medical devices should be authorized, including registration and listing, requirements for production using proper manufacturing practices, and requirements for post-market reporting of device failures. Paul Kramsky, former Vice-President and Global Regulatory Affairs of Bausch & Lomb Inc., and current President of Rockin' Regulatory, Inc., will give a step-by-step explanation on how to get a medical device approvement for sale in the US.

Developing an innovative business

Putting together a business plan and assembling a development team

A good business plan is both essential and invaluable to a company's success. Not only can it be used as a way to help a company raise capital, but it is also a great strategic planning document that can be used to chart a company's future perspectives. It is key to focus on learning. While business plans are essential, not all business plans are equal.

Jean-Luc Dimarq, director of innovative business incubator: SEMIA, outlines the process of writing a streamlined business plan in a stepwise fashion, presenting all aspects of the business planning process, and how to assemble a multi-disciplinary team of experts.

Med-Tech Business Planning

Mr Wilfrid Girard, founding partner and France Leader of Medeuronet, provides us with practical information concerning the path to take from the conception of a medical device until its arrival in the market. Common pitfalls as well as tips and tricks are presented in this lecture in order to overcome difficulties and to be prepared for unanticipated challenges.

Marketing and communication strategies

Creating the brand and elaborating the reputation of a company

Kristine Morrill, co-founding partner of medeuronet™ and founder of KAM Communications, focuses on strategic and effective communication for the medical field and explains how to make a significant impact on a competitive media marketplace.

Starting up a medical device company

Prototype building, funding, research and product marketing

This key lecture covers all issues concerning the process of assembling a medical device company. It is illustrated in a stepwise fashion and enriched by Mr. John O'Dea's own personal experience through a real-life case study of the Endoflip© Imaging System.

With 20 years experience in the medical device industry, John O'Dea has overseen the successful launch of 8 electronic medical device products in the past 14 years. Over this period of time, he has held R&D management positions in several companies. He is the owner of six U.S. patents, the Vice-Chairman of the Irish Medical Devices Association, the Vice-President of Engineers Ireland and Adjunct Professor at the School of Engineering and Informatics at NUI Galway.

Career development: Women in Surgery

Choosing a career in surgery often seems intimidating to many medical students. Sharona Ross, Assistant Professor of Surgery at the USF College of Medicine, Department of General Surgery, goes over her challenging career path and her rewarding everyday life as a surgeon. In addition, Dr. Ross provides the viewer with tips and tricks such as how to overcome obstacles and to achieve a successful career in the dynamic field of surgery.

Dr. Ross is currently Director of the Endoscopic Surgery journal, Founder and Director of the USF Women in Surgery [WIS] initiative, and Course Director of both the 2010 and 2011 Annual National Women in Surgery Career Symposium. Dr. Ross has become a national voice advocating for women to embrace surgery. Encouraging women to pursue a career in surgery and to pursue leadership has truly become her driving force.

Surgery in Space

Arnaud Runge, a biomedical engineer at the European Space Agency, introduces us to the challenges of performing surgery in space. Zero gravity, isolation and other limitations such as the lack of room in environments like the international space station, have encouraged scientists to redefine surgery as we know it.