PHACON SINUS TRAINER User manual

USER MANUAL
PHACON SINUS TRAINER

your trackers
your tracking camera
your patient
your pointer
your holder tray with skull
your PHACON navigation soware
DISCOVER THE INTRODUCTION
IN OUR PHACON TRAINER:

TABLE OF CONTENTS
06 TRAINER COMPONENTS
07 LAPTOP DISPLAY SCREEN
08 BUTTONS
09 OPERATE THE TRAINER
09 Enter the application
11 Perform setup for navigation
12 Perform patient calibration
13 Perform tool calibration
14 Select a view during simulation
15 Select the axis view
15 Adjust the quality or perspective of the X, Y, and Z windowpane display
16 Adjust the perspective of the 3-D windowpane display
16 Change the view mode of the 3-D windowpane display
17 Virtually extend the tool
18 Adjust the opacity value of an anatomical structure
19 View status during simulation
20 View the training session results
22 Compare with other group results
22 Remove a group
PAGE THEMES

23 CLEANING
23 Clean the skull
23 Clean the skull holder with tray
23 Clean the trainer accessories
24 TROUBLESHOOTING
24 Troubleshooting
26 Error Messages
27 HOW TO PACK THE TRANSPORT CASE
28 PRODUCT WARRANTIES
29 MANUFACTURERS DECLARATION
PAGE THEMES

6
ALaptop with navigation soware
BPower supply suitable for the voltage of the country
CMask
DMouse
E Navigation camera
FSinus skull
GHolder Tray with adjustable skull xation
HGround cable (3x)
IInstrument tracker for ball probe
JPointer
KInstrument tracker for suction
M3 x Instrument tracker for dierent drills
LInstrument tracker for a blakesley or trucut
NO-Ring for xation of the tracker drill
TRAINER COMPONENTS

7
LAPTOP DISPLAY SCREEN
ATitle Menu Bar – Used to access the title bar button options, including the HELP button, the TUTORIAL button
and the END button to return to the MAIN MENU.
BPanel Menu Bar – Used to access the panel menu button options, including the SETUP button, the VIEW button,
and the STATUS button. Each button provides access to a specic panel type.
C Camera Line of Sight – Used to display the image within the navigation camera’s line of sight.
DSimulation Time – Used to display the start time of the simulation, the current time, and the duration of the
simulation session.
EWindowpanes (4) – Used to display the three computed tomography (CT) scan image views and 3-D view of the
skull and Patient.
FSlice Selection Slide Bar – Used to select the slice view of the CT scan image.
GAxis Identication – Used to identify the CT scan image axis, including the x-axis (sagittal plane), the y-axis
(coronal plane), and the z-axis (transverse plane), the maximum number of slices and the current slice.
A
B
C
D
E
F
G

8
BUTTONS
PHACON
3D LIFE MODELING & SIMULATION
Buttons
3
Button Definition
Button Definition
Login as guest. Reload detected patient CT-data.
Access the MAIN MENU screen to view
major menu options.
Access the SIMULATION screen to begin
a training session.
Access the RESULTS screen to view and
compare the training session data.
Access the ABOUT dialog box to view
hardware and software information.
Accept inputs, changes or selections
and return to the previous screen.
Reject inputs, changes or selections and
return to the previous screen.
Access the CREATE NEW USER dialog
box to create a new user profile, user
name and password.
Access the SETUP panel to perform
calibration of an instrument or patient.
Initiate the calibration of instruments or
patient from the SETUP panel.
Select the factory default calibration set-
tings programmed for the instrument or
Patient.
Begin a SIMULATION or training session
from the SETUP panel.
Continue a SIMULATION or training
session from the SETUP panel.
Access and view the training session
results in a graphical format.
Access and view the training session
results in a tabular format.
Virtual extension of the instrument.
Open a tutorial.
Add a graph in the result screen.
Select or toggle the language for the
software (German / English).
Reset the default settings for brightness,
contrast and slice position in the 4
windowpane in the simulation mode.
Close and exit the program.
End the SIMULATION or training
session.
Access the HELP dialog box to view
instructions for use information.
Access the VIEW panel to select or
modify a screen view or perspective.
Access the STATUS panel to view the
number of injured risk structures during
a training session.
Select the POINTER for recalibration
and use.
Select the angled drill for recalibration
and use.
Select the ballprobe for recalibration
and use.
Select the blakesley for recalibration
and use.
Select the suction device for recalibration
and use.
Access the sagittal view of the skull CT
data as a full screen display.
Access the coronal view of the skull CT
data as a full screen display.
Access the transversal view of the skull
CT data as a full screen display.
Access the 3-D view of the Patient and skull
as a full screen display.
Return to the default 4-windowpane
screen view.
View a navigated instrument in the 3-D
windowpane as if a virtual camera was
mounted on the tip of the instrument.
View a navigated instrument without the
virtual camera option.
Access the camera view onto the transparent
cochlea.
Record a video of the camera view of the
cochlea.

9
ENTER THE APPLICATION
1. Double click on the „PHACON Trainer“ icon located on the laptop computer desktop to log into the
training program (Fig. 2).
OPERATE THE TRAINER
2. Enter your unique user name and password.
NOTE: If you are a new user, click on the CREATE NEW USER button. A CREATE NEW USER dialog box will
appear. Enter the required information into each eld, and then click OK.
3. Aer a successful LOGIN, an existing group can be selected in the GROUP drop-down list (Fig. 3 page 5).
Select an existing group or enter a new group name into the NEW GROUP NAME eld, then click OK.
4. From the MAIN MENU screen, click the SIMULATION button (Fig. 3 page 5).
Fig.: 2

10
5. Click on the SETUP button to perform instrument and patient calibration for optimal navigation results.
6. See To Perform Setup for Navigation section.
7. Click on the START button to begin simulation without performing calibration (Fig. 4).
Fig.: 3
Fig.: 4

11
PERFORM SETUP FOR NAVIGATION
NOTES:
• Each instrument must be selected and calibrated before the instrument may be used in a navigated
fashion.
• To apply navigation, make sure the appropriate tracker is installed on the drill or the manual instrument.
The pointer is designed with a tracker and is already precalibrated.
To calibrate your instrument click on icon Tool calibration -> „RECALIBRATE“ (Fig. 5).
Fig.: 5
ALWAYS make sure the round shapes of the pointer, drill tracker, or instrument tracker are aligned and
visible to the navigation camera’s line of sight during any calibration. The dialog box is showing which
instrument will be calibrated.
To calibrate another instrument, the selected tool ca be exchanged during the shown time in seconds (Fig. 5).
The soware automatically detects the current instrument in use.
• SETUP for navigation requires tool calibration and Patient registration.

12
PERFORM PATIENT CALIBRATION
NOTES:
• Calibration is performed to align the skull model coordinate system with the coordinate system of the
pointer, drill, or manual instrument.
• The seven calibration points are visible on the Sinus Patient and within the 3-D windowpane during
calibration.
• Sequence numbers and a progress bar are provided in the Patient Calibration dialog window as visual
feedback during the calibration procedure.
1. Click on the RECALIBRATE button to begin the calibration process (Fig. 6).
2. Hold the tip of the pointer on the rst calibration point of the Patient as indicated in the 3-D windowpane.
3. Aer visual and audible feedback indicates successful data acquisition, relocate the tip of the pointer
to the next calibration point as indicated in the 3-D windowpane.
4. Change the location of the pointer seven times. An INFORMATION MESSAGE pop-up will appear to
indicate the successful completion of the calibration procedure.
5. Click on the START/RESUME button to begin or continue the simulation, respectively, if desired.
Fig.: 6

13
PERFORM TOOL CALIBRATION
NOTES:
• Tool Calibration is performed to determine the axis length and tip location of the pointer, drill, or
manual instrument.
• Orientation calibration is the last step of Tool Calibration. Orientation calibration is performed to de-
termine the orientation of the pointer, drill, or manual instrument within the 3-D space.
• ALWAYS keep the tip of the pointer, drill, or manual instrument in the same user-dened location
during the entire calibration procedure.
• Sequence numbers and a progress bar are provided in the TOOL CALIBRATION dialog window as visual
feedback during the calibration procedure.
1. Click on the CALIBRATE or RECALIBRATE button to begin the calibration process (Fig. 5 page 11).
2. Make sure the desired tool is selected for calibration.
3. Hold the tip of the tool in a xed location on the Patient. Make sure the tracking shapes are facing the
camera and are within the camera line of sight.
Fig.: 7
4. Aer visual and audible feedback indicates successful data acquisition, change the angle of the tool
while keeping the tip of the tool in a xed location.
5. Change the angle of the tool seven times with the tip location in a xed location.
6. Hold the tool perpendicular to the Patient to perform the direction calibration (Fig. 7).
An INFORMATION MESSAGE pop-up will appear to indicate the successful completion of the calibration
procedure. (As shown in the 3D Scene)
7. Perform the Patient CALIBRATION if necessary.
8. Click on the START or RESUME button to begin or continue the simulation, respectively, if desired.

14
SELECT A VIEW DURING SIMULATION
From the panel menu bar, click on the VIEW button to access the VIEW panel options including AXIS VIEW
CONTROL, VIEW MODE, and the OPACITY VALUE of an ANATOMICAL STRUCTURE (Fig. 8).
NOTE: The cross hairs visible within each windowpane represent the location of the pointer, drill, or manual
instrument tip when using navigation.
Fig.: 8

15
SELECT THE AXIS VIEW
• Click on the X, Y, Z, or 3-D button to access the X, Y, Z, or 3-D surface windowpane in a full screen view,
respectively (Fig. 9).
• Click on the four-quadrant windowpane button to return to the default fourquadrant screen view.
• Click on the RESET button to return the X, Y, Z and 3-D view, if modied, to their original default settings.
ADJUST THE QUALITY OR PERSPECTIVE OF THE X, Y, AND Z WINDOWPANE DISPLAY
• To adjust the brightness, click on the desired windowpane, hold down the le mouse button, and move
the mouse up and down.
• To adjust the contrast, click on the desired windowpane, hold down the le mouse button and move the
mouse le and right.
• To adjust the zoom, click on the desired windowpane, hold down the right mouse button and move the
mouse up and down. The mouse wheel may also be used.
• To pan, click on the desired windowpane, hold down the shi key and le mouse button, and move the
mouse up and down or le and right. The middle mouse button may also be used.
• When using navigation, the CT image slice is selected automatically based on the tip location of the
pointer, drill, or manual instrument. To view dierent slices of a specic X, Y, or Z perspective, move the
slider of the appropriate windowpane.
Fig.: 9

16
ADJUST THE PERSPECTIVE OF THE 3-D WINDOWPANE DISPLAY
• To rotate, click on the 3-D windowpane, hold down the le mouse button and move the mouse.
• To zoom, click on the 3-D windowpane, hold down the right mouse button, and move the mouse up
and down. The mouse wheel may also be used.
• To pan, click on the 3-D windowpane, hold down the shi key and le mouse button, and move the
mouse up and down or le and right. The middle mouse button may also be used.
Fig.: 10
CHANGE THE VIEW MODE OF THE 3-D WINDOWPANE DISPLAY
NOTE
• The ENDOSCOPIC view button allows you to use a navigated tool as a virtual endoscope.(Fig. 10).
• The CLASSIC view button is the default 3-D windowpane display option. Click on the CLASSIC button
to view the exterior surface of the Patient. Click on the ENDOSCOPIC button to view the interior surfaces
of the Patient when using a tool in a navigated fashion.

17
VIRTUALLY EXTEND THE TOOL
NOTE
Tool extension can be performed to show the tool path during the simulation.
• To virtually extend the tool in the 3-D windowpne, click on the EXTEND TOOL button and move the slider
to variable extend the virtual tool extension, shown as a red line in the 3-D windowpane (Fig. 11).
Fig.: 11

18
ADJUST THE OPACITY VALUE OF AN ANATOMICAL STRUCTURE
The opacity of a specic anatomical structure may be changed to provide better visualization within
and behind the Patient.
1. Click on the drop-down list and select the desired anatomical structure (Fig.12).
2. Move the slider to change the opacity of the selected structure or click on the square button next to
the selected structure to change opacity in steps „o“ (red), 25% (orange), 75% (yellow), „on“ (green).
Fig.: 12

19
VIEW STATUS DURING SIMULATION
From the panel menu bar, click on the STATUS button anytime during the training session to see which
risk structure was injured and the time the injury occurred (Fig.13). The start time, current time and du-
ration of the training session is also displayed.
END THE SIMULATION OR TRAINING SESSION
From the title menu bar, click on the END button to end the training session and return to the MAIN
MENU screen.
Fig.: 13

20
VIEW THE TRAINING SESSION RESULTS
1. From the MAIN MENU screen, click on the RESULTS button (Fig. 14).
2. Click on the GRAPH or TABLE button to display the training session data in a graphical or tabular for-
mat, respectively (Fig. 15).
3. Click on the MEASUREMENT drop-down list to select DURATION (MINUTES) or NUMBER OF INJURIES.
NOTES
The DURATION (MINUTES) option will display how much time was spent in each training session.
Fig.: 14
Fig.: 15