CAE EndoVR User manual

User Guide

©2018CAE
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Front Matter/EULA
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CAE End-User License Agreement
END-USER LICENSE FOR CAE’S HEALTHCARE EDUCATION PRODUCTS (THE “PRODUCT(S)”) THIS IS A
LEGAL AGREEMENT. PLEASE READ THIS DOCUMENT CAREFULLY.
The software you are about to access is provided to you pursuant to the purchase of the Product by
the legal entity which employs you, or which you represent (the “Licensee” or You”), from CAE, Inc., a
corporation having a place of business in Sarasota, Florida, USA. This purchase of the Product is
subject to CAE’s Healthcare Education Products General Terms and Conditions (the “HEPGTC”) and
this End-User License agreement (“License”).
This License governs the grant of licenses for the software, in object code only, embedded in or
bundled with the Product or required to operate the Product, as the case may be (“Software”), as well
as all related Product documentation and information (“Data”) supplied by CAE either with or
separately from the Product, which items as indicated in the HEPGTC are not sold but licensed.
Acceptance of these terms and conditions must be without modification of any of the terms,
conditions and notices contained herein.
Consequently, please be sure to read the terms of this License carefully.
If You agree to these terms, conditions and other provisions in their entirety, then click the "ACCEPT"
button below.
If You do not accept these terms, conditions and other provisions in their entirety, without
modification of any sort, then click the "DECLINE" button below and your access to the Software and
Data is prohibited.
1. Definitions and Interpretation
1.1 The preamble forms an integral part of this License.
1.2 Terms with a capital letter defined in the Preamble have the meaning indicated in the Preamble.
Whenever used in this License, the following terms have the meaning set out below:
(a) “Confidential Information" means any and all scientific and technical information which is in the
possession of, or belonging to, CAE and relating to the Product, including without limitation, all Data,
Software, trade secrets, know-how, processes, methodologies, samples, components, analyses,
compilations, guides and other information or documents prepared by CAE, its subsidiaries and
affiliates and/or their officers, servants, agents, representatives, employees or advisers which contain
or are otherwise generated from or reflect any CAE proprietary information, whether or not covered
by intellectual property rights or explicitly designated as confidential or proprietary, which is
disclosed by any means in written, oral, electronic, or any other form.
(b) “Purpose” means the use of the Software and the Data solely for the operation and maintenance
of the Product, and the use of the Product solely as an educational tool.

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2. License
2.1 In consideration of Licensee’s agreement and compliance with the terms and conditions
contained in the HEPGTC and in this License, CAE grants to Licensee, and Licensee accepts, a
personal, non-exclusive, non-transferable license to use the Software and Data exclusively with the
Product, and with the computer on which this License appears.
2.2 Except for the License granted herein, CAE grants no express or implied right under any patent,
copyright, mask work right, trademark, know how or other intellectual property rights. Without
limiting the foregoing, the Licensee shall not obtain any rights to CAE’s property, or any part thereof,
by implication, estoppel or otherwise. Title to and full ownership of any trade secrets and other
intellectual property rights related to the Product and components thereof shall remain with CAE
and, if applicable, its suppliers. For clarification, Licensee agrees that the source code for the
Software is a trade secret of CAE and only CAE shall have the right to alter, maintain, enhance or
otherwise modify the Software.
2.3 Without limiting the foregoing or any other terms in this License, Licensee shall, and shall ensure
that any person authorized to access the Product, which are limited to Licensee’s employees, agents,
representatives, medical staff and students (“Authorized Users”):
(a) not copy (save and except for normal back up and disaster recovery purposes provided such copy
shall include CAE’s copyright and any other proprietary notices indicated on the Software and Data),
ghost, export or produce any derivative works from the Product, or any part thereof, not network the
Product without CAE’s prior written approval, or make it available for concurrent use;
(b) not sell, attempt to sell or transfer (unless in compliance with the HEPGTC), sublicense, encumber
the Software or Data;
(c) not modify the Product in any way, combine with other programs, or reverse engineer, screen
scratch, decompile or disassemble any Software nor otherwise attempt to create or derive the source
code related thereto;
(d) not deface or remove any copyright or proprietary notices;
(e) not use the Product without the Key, if provided with the Product, or attempt to develop or
develop any means or technology which would enable Licensee to bypass the use of the Key to
operate the Product;
(f) prevent anyone other than Authorized Users from accessing or using the Product;
(g) not incorporate the Product, in whole or in part, to any product or service that Licensee would
make available to a third party, on a commercial basis or not.
2.4 Notwithstanding anything else contained in this License, in no event shall Licensee use the
Product and/or Confidential Information to enable, support, or otherwise aid Licensee or a third
party to develop any product, software or service competitive with any of CAE’s products.
2.5 Licensee agrees to grant CAE, its agents and representatives, at any time during Licensee’s normal
business hours and upon reasonable prior notice, the right to access to Licensee’s premises, to
ensure that the use of the Product is done at all times in compliance with the terms and conditions of
this License.

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2.6 CAE reserves the right to embed a software security mechanism within the Product to monitor
usage of the Product to verify Licensee’s compliance with this Agreement, as well as to control access
to the Software through use of: a) a hardware lock device and/or b) a license administration software
and/or c) a license authorization key (collectively, the “Key”).
2.7 Some Products may provide Licensee with the option of saving and reproducing the images
created by such Products (“Work”) during their use. In this regard, Licensee hereby recognizes that the
entire rights, title and interests in and to such Work remain the exclusive property of CAE. Licensee
shall not modify such Work in any way whatsoever and shall not remove or alter any CAE notices.
However, Licensee is permitted to produce and reproduce such Work only for non-commercial
educational purposes.
3. Feedback
Licensee agrees to provide CAE, from time to time, with comments, suggestions, data, information or
feedback (“Feedback”) on the Product. Licensee acknowledges and agrees that such Feedback may
be freely used by CAE, at its sole discretion, for the design, development, improvement, marketing
and commercialization of its products and services, without any restrictions based on confidentiality
or intellectual property rights.
4. Term and Termination
4.1 This License shall become effective as of the date of Your execution of this License and shall
remain in effect until terminated as provided hereafter.
4.2 This License terminates immediately upon termination of the HEPGTC.
4.3 CAE may terminate this License immediately, upon written notice, should Licensee:
(a) fail to comply with any of the terms and conditions of this License;
(b) terminate or suspend its business; make an assignment for the benefit of creditors, or any
proceedings are instituted by any party or against it seeking to declare it bankrupt or insolvent, or
seeking liquidation, winding-up, reorganization, arrangement, adjustment, protection, relief or
composition of its debts under any law relating to bankruptcy, insolvency, reorganization or relief of
debtors, or seeking the entry of an order for relief or the appointment of a receiver, trustee or other
similar official for it or for any substantial part of its property;
4.4 Upon termination of this License, Licensee agrees to immediately discontinue use of the
Confidential Information and the Product, and to return same to CAE as well as any copies,
summaries or extracts thereof, with any associated CD ROM(s), DVD, keys, dongles or other devices
as may be directed by CAE. At CAE’s request, Licensee shall promptly provide a written certificate
signed by an officer of Licensee confirming that such items have been returned to CAE or destroyed
as so directed by CAE.
4.5 The following shall survive and continue in full force and effect notwithstanding any termination
of this License: the obligations of Licensee under Sections License, Non-Disclosure; as well as any
other clauses which by their nature and context are intended to survive.

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5. Non-Disclosure
5.1 Licensee agrees to keep this License and all Confidential Information obtained hereunder in strict
confidence, and shall only disclose same a) to Authorized Users solely for the Purpose and provided
such access to the Product conforms, at all times, to the terms and conditions governing the use of
the Product contained herein, or b) if required to be disclosed by law, and only to the extent of such
disclosure and limited to the purpose requested, with prior notice to CAE to permit it to seek an
appropriate remedy to prevent the disclosure, or alternatively to agree to the terms of such
disclosure.
5.2 The obligations of confidentiality, use and non-disclosure referred to in this Section shall not
apply to information which: (i) is or becomes publicly available through no fault of Licensee; (ii) was
already in the rightful possession of Licensee prior to its receipt from CAE; (iii) is independently
developed by Licensee, provided it is not, in whole or in part, related to the Product; and (iv) is
obtained by Licensee in good faith and on a non-confidential basis and without a use restriction from
a third party who lawfully obtained and disclosed such information. However, Confidential
Information does not come within the foregoing exceptions merely because features of it may be
found separately or within a general disclosure in the public domain.
5.3 Licensee agrees to be responsible for enforcing the terms of this Section Non-Disclosure and to
take such action, legal or otherwise, to the extent necessary to cause anyone having access to the
Confidential Information to comply with the terms and conditions set forth herein (including all
actions that Licensee would take to protect its own trade secrets and confidential information but
with not less than reasonable care). Licensee shall be responsible and indemnify, defend and hold
harmless CAE for any default caused by any such persons.
6. Irreparable Harm
6.1 Licensee acknowledges that the Software and Data constitute a special, irreplaceable asset of
great value to CAE, and that a breach, in any way, of any of Licensee’s obligations under Sections
License, and Non-Disclosure hereof would cause serious and irreparable harm to CAE which may not
be adequately compensated for in damages. If the Licensee breaches any of such provisions,
Licensee consents to an injunction being issued against it restraining it from any further breach of
such provision, without derogation from any other remedy which CAE may have in the event of such
a breach.
7. Warranty, Limitation of Liability
7.1 THE SOLE WARRANTIES PROVIDED BY CAE ARE LIMITED TO THE WARRANTIES PROVIDED IN THE
HEPGTC. ANY WARRANTIES PROVIDED ARE PERSONAL AND NOT TRANSFERABLE.
7.2 CAE’S LIABILITY SHALL IN NO CIRCUMSTANCES EXCEED THE LIMITATION OF LIABILITY INDICATED
IN THE HEPGTC. LIABILITY, IF ANY, SHALL BE SOLELY FOR DIRECT DAMAGES, NOT TO EXCEED ON A
CUMULATIVE BASIS THE AMOUNT PAID BY LICENSEE FOR THE PRODUCT.
8. Governing Law
8.1 This Agreement shall be governed by, subject to, and interpreted according to the laws of the
State of Florida, U. S. A., without regard to its conflict of law rules. In all cases, the Parties expressly
exclude and waive the application of the United Nations Convention on Commercial Agreements for
the International Sale of Goods (1980) (Vienna Sales Convention) as amended.

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8.2 The exclusive forum for the resolution of any and all disputes arising out of or in connection with
this Agreement shall be a court of appropriate jurisdiction located in the State of Florida, U.S.A. Each
Party hereby waives any right that it might otherwise have to object to such venue or seek dismissal
of the action on the basis of forum non-conveniens. EACH PARTY HERETO IRREVOCABLY WAIVES, TO
THE FULLEST EXTENT PERMITTED BY APPLICABLE LAW, ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY
LEGAL PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT.
8.3 Notwithstanding the foregoing, if a party seeks injunctive proceedings to preserve confidentiality
obligations or intellectual property rights, then it is entitled to seek relief before the competent court/
body of any jurisdiction.
9. Miscellaneous
9.1 United States Government Customer: If Licensee is the United States Government (“U.S.
Government”) or a unit or agency of the U.S. Government, the Software and Data are deemed to be
“commercial computer software” and “commercial computer software documentation”, respectively,
pursuant to DFAR Section 227.7202 and FAR Section 12.212 b) as applicable. Any use, modification,
reproduction, release, performance, display, or disclosure of the Software and/or Data by the U. S.
Government, or any of its units or agencies shall be governed solely by the terms of this License and
the HEPGTC. Any technical data provided by CAE with the Product that is not covered by the above
provisions is deemed to be "technical data-commercial items" pursuant to DFAR Section
252.227.7015(a).
9.2 Amendment. This License may only be amended by the duly authorized representatives of CAE.
9.3 No Waiver: The failure of CAE to enforce at any time any of the provisions of this License, or to
require at any time the performance by Licensee of any of the provisions hereof, shall not be
construed to be a waiver of such provisions, nor in any way affect the validity of this License or any
part thereof, or the right of CAE thereafter to enforce any such provision.
9.4 No third-party beneficiaries. Nothing in this Agreement shall be construed as creating or giving
rise to any rights for any third parties or any persons other than the parties to this Agreement.
9.5 Notices: Notices or communications pertaining to this Agreement must be given in writing and
delivered to the addressee as indicated in the HEPGTC.
9.6 Preamble/Headings. The preamble forms an integral part of this Agreement. The division of this
Agreement into Clauses, Articles, sections, subsections and other subdivisions and the insertion of
headings are for convenience of reference only and will not affect the construction or interpretation
of this Agreement.
9.7 Severability. If any one or more of the provisions of this License shall be held to be invalid, illegal
or unenforceable, the validity, legality or enforceability of the remaining provisions of this Agreement
shall not in any way be affected or impaired thereby.
9.8 Assignment and Succession. Licensee may not assign or delegate this Agreement in whole or in
part, expressly or by operation of law, without CAE’s prior written consent. CAE may assign this
Agreement, in whole or in part, and/or its rights and obligations, in CAE’s sole discretion, to any party.
This Agreement shall be binding upon and enure to the benefit of the parties hereto and their
permitted successors and assigns. Any assignment of this Agreement, or any license granted herein,
in violation of the provisions of this Section shall be void.

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9.9 Entire Agreement. This License constitutes the complete agreement of the parties with respect to
the subject matter referred to herein, and supersede any other agreements, written or oral,
concerning the subject matter hereof.
9.10 Language. The parties declare that they have requested and hereby confirm their express wish
that this License, and related agreements and documents be drawn up in the English language and
that any notification, letter or any other communication from a party to the other pertaining thereto
shall be solely in the English language.
PROPRIETARY NOTICE: This document, including the information contained herein is confidential
and/or proprietary to CAE Inc., and shall not be reproduced or disclosed in whole or in part, or used
for any purpose whatsoever unless authorized in writing by CAE Inc. Information on copyright and
trademarks.

Front Matter/Product Specifications
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SYSTEM SPECIFICATIONS
Hardware
Equipment Two 22” flat LCD touchscreen monitors
Haptics device
Scope holder
Dual foot pedal
Dimensions 40.5” W x 35” D x 72” H (Adjustable)
103cm W x 89cm D x 183cm H (Adjustable)
Weight 245 lb (111 kg)
Electrical 100-120 V, 50-60 Hz, 10A
200-240 V, 50-60 Hz, 5A
Storage Temperature -40˚C to +65˚C (-40˚F to +149˚F)
Storage Humidity 20% to 80% without condensation
Operating Temperature 10˚C to 32˚C (50˚F to 90˚F)
Operating Humidity 20% to 80% without condensation

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Front Matter/Cautions & Warnings
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CAUTIONS AND WARNINGS
Please read and understand these cautions and warnings before you begin using the simulator.
Operations
• Do not operate your equipment with any covers removed
• Do not use your equipment in a wet environment. Protect equipment for liquid intrusion
• Do not put any object on top of the bottom platform. Movement of the lift mechanism
can cause crush hazard, resulting in possible bodily injuries and damaged equipment.
• Do not jam the motor lift mechanism onto an object. This is a misuse and subjects the
motor to burn out. It can also result in possible bodily injuries and damaged equipment.
Ergonomics
• Tip-over hazard: Do not move your equipment without fully lowering the lift mechanism.
Failure to do so can result in possible bodily injury and damaged equipment.
• Improper or prolonged keyboard use may results in injury
• Viewing a monitor screen for extended period of time may result in eye strain

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Table of Contents
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TABLE OF CONTENTS
CAE End-User License Agreement ................................................................ i
System Specifications ............................................................................. vii
Cautions and Warnings ........................................................................... ix
Operations..................................................................................................... ix
Ergonomics....................................................................................................ix
Table of Contents...................................................................................... 1
Introduction............................................................................................... 1
Equipment Overview ................................................................................ 3
EndoVR Device ...............................................................................................3
Monitor Pole and Monitor Arms..................................................................3
Monitors .........................................................................................................3
Computer........................................................................................................4
Additional Equipment ...................................................................................4
Before Using the Simulator ..........................................................................5
Using the Simulator .................................................................................. 7
Power On the Simulator ...............................................................................8
Starting the Software ....................................................................................9
Interface Overview.................................................................................11
Selecting a Simulation.................................................................................14
Reviewing the Didactic Content............................................................17
Changing User Parameters...................................................................29
Running a Simulation..................................................................................31
Selecting a Scope....................................................................................34
Connect the Scope.......................................................................................36
Using the Scope......................................................................................38
Troubleshooting Guide..........................................................................39
Selecting an Accessory Tool..................................................................39
Connect the Accessory Tool (Optional).....................................................40
Using the EBUS-TBNA Accessory Tool .................................................42

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Using the Upper GI and Lower GI Accessory Tool .............................43
Using the Pedals.....................................................................................45
Ending a Simulation.....................................................................................46
Viewing Results ............................................................................................48
Viewing Personal Data...........................................................................49
Viewing Usage Summaries .........................................................................50
Viewing Reports ...........................................................................................51
Printing Data to a Network Printer ......................................................54
Printing Data to a PDF File ....................................................................56
Modifying Language Preferences ..............................................................59
Adjusting the Volume..................................................................................60
Hiding the Available Tasks Panel ...............................................................60
Exiting the Software ....................................................................................61
Starting an Endoscopic Submucosal Dissection Simulation ..................63
Scope Controls.............................................................................................66
Left LCD Touchscreen Monitor ..................................................................67
Right LCD Touchscreen Monitor................................................................74
Using the Snare Tool..............................................................................77
Ending the Procedure .................................................................................79
Appendix A - Module Descriptions .......................................................81
Module Instruments and Required Equipment.......................................82
Bronchoscopy.........................................................................................82
Lower GI ..................................................................................................83
Upper GI ..................................................................................................84

Introduction
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INTRODUCTION
Welcome to the CAE EndoVR Simulator user guide. This guide provides instructions on how to use the
EndoVR simulator.
The EndoVR simulator provides a safe, virtual environment for learners to practice endoscopic
techniques and skills. Learners can range from medical students to licensed medical professionals.
The EndoVR Simulator
Preprogrammed tasks and courses with didactic content, real-time simulation haptics and post-
simulation evaluation metrics help create the comprehensive training experience for learners.
Through the combination of these tools, learners begin to recognize anatomical structures and
landmarks, intervention approaches and complication management. Learning within a virtual patient
environment offers both students and faculty the opportunity to practice safely.

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Equipment Overview
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EQUIPMENT OVERVIEW
The standard equipment for the EndoVR simulator includes all the necessary equipment for basic use
of the simulator. The items listed in the table below are shipped with the simulator.
EndoVR Device
The EndoVR device comes as a single entity. The haptic device (including external anatomy plates),
keyboard, mouse and lifting mechanism are all part of the EndoVR device. The device is secured to a
four-wheel platform for convenient mobility when storing the simulator.
The EndoVR Device
Monitor Pole and Monitor Arms
The monitor pole is shipped separately from the EndoVR device and requires some assembly before
the simulator can be used. Two plates (one front and one back) connect to the EndoVR device to
create the monitor pole. The monitor arms are attached to the monitor pole front plate.
Monitors
Two flatscreen monitors are provided with the purchase of an EndoVR simulator. The mounting
plates to mount the monitors to the monitor arms are located on the back of the monitors.
Standard Equipment
EndoVR Device
Monitor Pole and Monitor Arms
Monitors
Computer
The lifting
mechanism
The keyboard and
mouse
The haptic device

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Computer
The computer for the EndoVR simulator is shipped inside the EndoVR device. To access the
computer, press on the access door located on the side of the simulator.
The Computer Access Door
Additional Equipment
For modules, which are sold separately, users must purchase additional equipment to fully utilize the
curriculum and simulation procedures.
Bronchoscopy Equipment
Scope Head
Scope Tube
EBUS-TBNA Accessory Tool
Lower GI Equipment
Scope Head
Scope Tube
Accessory Tool
Foot Pedals
Upper GI Equipment
Scope Head
Scope Tube
Accessory Tool

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Before Using the Simulator
Proper operation of the EndoVR simulation requires correct configuration. Before setting up the
system, keep in mind these basic guidelines:
• Read and understand the Cautions and Warnings in the beginning of this User Guide
• Do not power on any components until instructed in the text
• Do not install any Windows updates or anti-virus software when connecting to the
network

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