title: Electronic device for endosurgical skills training (EDEST): study of reliability.
abstract: OBJECTIVE
  Minimally Invasive Surgery procedures are commonly used in many surgical practices, but surgeons need specific training models and devices due to its difficulty and complexity. In this paper, an innovative electronic device for endosurgical skills training (EDEST) is presented. A study on reliability for this device was performed.
  
  
  METHODS
  Different electronic components were used to compose this new training device. The EDEST was focused on two basic laparoscopic tasks: triangulation and coordination manoeuvres. A configuration and statistical software was developed to complement the functionality of the device. A calibration method was used to assure the proper work of the device. A total of 35 subjects (8 experts and 27 novices) were used to check the reliability of the system using the MTBF analysis.
  
  
  RESULTS
  Configuration values for triangulation and coordination exercises were calculated as 0.5 s limit threshold and 800-11,000 lux range of light intensity, respectively. Zero errors in 1,050 executions (0%) for triangulation and 21 errors in 5,670 executions (0.37%) for coordination were obtained. A MTBF of 2.97 h was obtained.
  
  
  CONCLUSIONS
  The results show that the reliability of the EDEST device is acceptable when used under previously defined light conditions. These results along with previous work could demonstrate that the EDEST device can help surgeons during first training stages.
authors.affiliation: Laparoscopic Unit, Minimally Invasive Surgery Centre Jesús Usón, Cáceres, Spain. jbpagador@ccmijesususon.com
authors.forename: J B
authors.initials: JB
authors.lastname: Pagador
authors.forename: J
authors.initials: J
authors.lastname: Uson
authors.forename: M A
authors.initials: MA
authors.lastname: Sánchez
authors.forename: J L
authors.initials: JL
authors.lastname: Moyano
authors.forename: J
authors.initials: J
authors.lastname: Moreno
authors.forename: P
authors.initials: P
authors.lastname: Bustos
authors.forename: J
authors.initials: J
authors.lastname: Mateos
authors.forename: F M
authors.initials: FM
authors.lastname: Sánchez-Margallo
mesh_terms: D002138:Calibration; D002983:Clinical Competence; D003198:Computer Simulation; D004867:Equipment Design; D006801:Humans; D010535:Laparoscopy / Q000193:education* / Q000295:instrumentation*; D016012:Poisson Distribution; D015203:Reproducibility of Results; D012984:Software; D014584:User-Computer Interface