The Laparoscopic Take Home Kit is a simple box trainer style kit for trainee surgeons.
This is currently being rolled out to appropriate trainees by the RCSI.
When you have the kit you can follow these instructions to get your live feed.
Connect the lead from the take home kit to the computer and wait a few seconds
Click on this button to launch the online viewer (internet connection required)View Web Camera
If the camera feed does not start then:
Right click on the area within the grey border and click “Settings”
On the second tab – ‘allow’ the camera
On the last tab click on the camera you want to use
You may need to have your browser allow the plugin
You should then see the following
Download and run this application that will view the camera feed on any PC.
Instruments : 1 x endoscopic curved scissors , 2 x Maryland dissector
Peg transfer : 1 x Peg Board , 6 x rubber objects
Suture / Intracorporeal Knot tying : 1 x one suture block, 1x penrose drain model.
Precision Cutting : 1 x large clip, 1 large glove , 1 circle marking template , 1 x permanent marker/pen, 1 x foam square, 3 x small clips.
Placement and Securing of Ligating Loop : 1 x large clip, 1 x foam organ with appendages.
Equipment: Two Maryland graspers, pegboard, 6 rubber objects
Center the pegboard on the Velcro™ strip in the center of the trainer box.
Make sure the pegboard is centered in the camera’s field of view.
To begin, the six rubber objects are placed on the side of the pegboard corresponding to the candidate’s non-dominant hand.
Task Two: Precision Cutting
Equipment: One Maryland dissector/grasper, one endoscopic scissors,
1 x large clip, 1 large glove , 1 circle marking template , 1 x permanent marker/pen, 1 x foam square, 3 x small clips
This exercise requires you to cut out a circle from a glove suspended between clips.
Step 1 : Place the large white clip on the Velcro™ strip at the top of the trainer box.
Step 2: Place the foam square into the glove.
Step 3: Tension glove surface using large and small clips.
Step 4 : Mark out circle on glove using circle template and marker.
Step 5 : perform task, one hand should be used to provide traction on the glove using the grasper and to place the glove at the best possible angle to the cutting hand.
Equipment: One grasper (choice of Maryland grasper/dissector or grasper with locked/ratcheted
handle), one endoscopic scissors, one large clip, one pre-tied ligating loop or endoloop, one foam
organ with appendages.
Place the clip on the lower Velcro™ strip in the center of the square marked on the floor of the box
ensuring it’s in the center of the camera’s field of view.
Place the foam organ in the clip so that the appendages are free and visible in the field of view.
In this task, you are required to place a pre-tied ligating loop or endoloop around a tubular foam
appendage and secure the knot on the provided mark. Once you have inserted the endoloop into the field of view, break off the end of the plastic pusher at the
scored mark. Once you have positioned the endoloop properly, secure the knot on the mark
near the base of the foam appendage by sliding the pusher rod down.
Place the drain firmly on the suture block, and place the suture block on the Velcro™ strip in the center of the trainer box
This suturing task requires you to place a long suture through two marks in a longitudinally slit Penrose drain.
You are then required to tie 3 single throws extracorporeally, using the knot-pusher to secure each
throw on the drain. You must tie the knot tightly enough to close the slit in the drain. Be careful not to avulse the drain off the foam block.