PRE-PURCHASE

Fundamental Surgery is a medical simulation platform, that has been produced by the company FundamentalVR. Fundamental Surgery combines both virtual reality environment and haptics (sense of touch) to provide real-time feedback on individual medical procedures. The main objective of Fundamental Surgery is to provide a safe, virtual environment where surgeons or other practitioners can perform and train and develop skills. 

Fundamental Surgery is for any medical professional who wants to experience, practise or explore surgical simulations in a virtual environment. The product is presently mainly focused on providing a safe learning space for residents with 2+ years’ experience.

The short answer is no. 

Whilst reports of motion sickness were more common in the early days of VR, great improvements in VR technology, computer graphics processing and  programming mean that occurrences of motion sickness are much less common than they used to be. In addition, motion sickness in VR is most likely to occur when there is lots of movement involved such as in fast-paced racing games. Our medical simulations by contrast involve much less movement and we have taken great care with the way there are built so the risk of experiencing motion sickness is very low. However, individuals do vary in their susceptibility to motion sickness and we advise anyone who feels unwell whilst in VR to remove the headset and take a seat until they feel better.

Fundamental Surgery simply delivers high value surgical simulations using VR and haptic feedback at low cost. 

You buy a license for a year for the surgical areas of interest, then acquire your hardware and you are good to go! 

Simply go to the quote page on this site and follow the instructions from there. 

Our “BUILD YOUR QUOTATION” process allows the flexibility to purchase access to one, two or all of our Orthopedic joint and/or Orthopedic spine procedures. Each license is for one installation of the software. As many people as you wish can use the system, each with their own unique login.

Further information to each individual SAAS procedure can be found here:

Orthopedic joint procedures:

Anterior Total Hip Replacement (A-THR)

Posterior Total Hip Replacement (P-THR)

Total Knee Replacement (TKA)

Orthopedic spine procedures:

Spinal Pedicle Screw

Facetectomy

Each purchased license allows for one installation on a single PC, but with any number of students/users.

Following the full Orthopedic Pack 1 being available in September, Fundamental Surgery will be expanding its simulations into other medical fields including General Surgery, Neurosurgery, Urology, Cardiovascular, Ophthalmology and Laparoscopic.

Yes, each of our procedures awards CPD points from the Royal College of Surgeons. Stay tuned for other developments!

TECHNICAL REQUIREMENTS

To run Fundamental Surgery you need 3 things:​

  1. A PC or laptop with compatible graphics card​
  2. A VR headset, we recommend Microsoft mixed reality, HTC Vive or Oculus Rift​
  3. Two Geomagic haptic arms.​

Once in place, you will need only to download and activate the software to be able to use the medical simulation.

If your existing computer or laptop has a suitable processor (Intel i7 or above) and graphics card (GTX 1080 or above) then you can use it for Fundamental Surgery.

Ideally you would allocate a 5ft x 5ft space to the simulation but you can use it in smaller spaces. You will need a table/desk for the equipment which should be no less than 3ft by 2ft, and at least 32″ high (this will leave enough room for all the components). You may want to adjust the height of the haptic arms, we recommend an adjustable table for ease or your can use a riser for manual adjustment.

Yes of course. With the purchase of a license you will receive a link to a setup video and an additional guide for further assistance.

For hardware procurement we offer a ‘Managed Service’, which includes all the equipment you’ll need, remote hardware support and optional installation services. Alternatively you can opt for the ‘Do-It-Yourself’ option which gives you the freedom to source your own equipment and build it yourself. For either option please get in touch for more details.

We do not provide a hardware support service other than that included with the ‘Managed Service’, but we do of course offer you all the support you need when it comes to the software updates, setup and anything else you may find tricky.

You will need to be connected to the internet before launching the application. This is so we can confirm your licensing agreement and to make sure your software is up to date.

At present Fundamental Surgery does not support Single Sign-On but rest assured it is on our roadmap of user experience improvements to make to our platform.

Fundamental Surgery has forward compatability with new hardware, however in terms of software simulation we are a unique offering that does not currently integrate with other software systems.

Fundamental Surgery is not currently available on mobile and tablet devices. 

POST PURCHASE

Please contact us via our support page, and provide us with your contact details and institution name.

For hardware procurement we offer a ‘Managed Service’, which includes all the equipment you’ll need, remote hardware support and optional installation services. Alternatively you can opt for the ‘Do-It-Yourself’ option which gives you the freedom to source your own equipment and build it yourself. For either option please see the Hardware page for more details 

Set up instructions can be found here.

If your existing computer or laptop has a suitable processor (Intel i7 or above) and graphics card (GTX 1080 or above) then you can use it for Fundamental Surgery. However please note that most home/office computers or laptops use lower specification components, in which case a specific PC with compatible components would be required for Fundamental Surgery.

SETUP TROUBLESHOOTING

  • Check the connections from the headset to the PC. Ensure all plugs are well connected. Ensure the HDMI plug is connected directly to the HDMI port on the graphics card (not into the motherboard, or via an HDMI adapter).
  • Rift: Check the Rift sensors are plugged into and the Oculus app is running.
  • Vive: Check the Vive sensors are plugged in and the Steam VR app is running.
  • Windows VR: Check the Mixed Reality Portal app is running.
  • Check the volume settings on your PC.
  • Vive: The Vive headset requires headphones to be plugged into the headphone socket on the headset.
  • Windows VR: The Windows headset requires headphones to be plugged into the headphone socket on the headset.
  • Check the sound card settings on your PC:
    • Select the ‘Speaker’ icon in the bottom right corner of the desktop.
    • From the dialogue box that appears, click on the speaker type at the top. This will show all the sound outputs available.
    • Select the output that matches your headset.
  • Clean the lenses with a lens cloth.
  • Adjust the headset’s position so that the centre of the lenses are in the middle of your view.
  • Adjust the lens adjuster (IPD adjustment) to calibrate the position of the lens to your IPD.
  • Ensure the HDMI plug from the headset is plugged directly into the HDMI port in the graphics card (not into the motherboard, or via a HDMI adapter).
  • Try plugging the USB plug from the headset into an alternative USB port.
  • Vive: Check the Vive sensors are plugged in.
  • Rift/Vive: Move the headset around in front of the sensors.
  • Windows VR: Hold the headset in the center of your play-space and rotate it from left to right, and then tilt it up and down. This should re-calibrate the headset’s position.
  • Press ‘Spacebar’ to re-center your position within the operating room.
  • Vive/Rift: Check nothing is blocking the path between the headset and the sensors, e.g. hands holding the side of the headset.
  • Vive: Re-run the room set up in SteamVR:
    • In the SteamVR window, click on ’SteamVR’ and select ‘Run Room Setup’. Follow the onscreen instructions.
  • Windows VR: Hold the headset in the center of your play-space and rotate it from left to right, and then tilt it up and down. This should recalibrate the headset’s position.
  • Check the connections from the Geomagic Touch controller to the PC and the power cable connection. Ensure all plugs are well connected.
  • In the ‘Touch Smart Setup’ app, click the ‘Rescan’ button to check for connected Geomagic Touch controllers.
  • Try plugging the USB plug from the controller into an alternative USB port in the PC.
  • Re-insert the stylus into the inkwell to recalibrate its position.
  • Check the connections from the Geomagic Touch controller to the PC and the power cable connection. Ensure all plugs are well connected.
  • Close and re-open the ‘Touch Smart Setup’ app and repeat the setup procedure.
  • Close and reopen the Fundamental Surgery app.

Open the ‘Touch Smart Set Up’ app. Check the serial numbers on each controller (found on the bottom-side of the base of each unit). Use the controllers’ serial numbers to assign them as left and right i.e. select serial number of device on the left from the column on the left first, to assign that controller as the left hand one. Repeat for the right hand controller and ‘Save Configuration’.

PROCEDURE GENERIC TROUBLESHOOTING

  • In VR, if you look at the Help button and use the laser pointer to select it, you will see an option to ‘Recalibrate’. This will re-center the operating room environment to your position. ​
  • Alternatively you can press the spacebar on your computer/laptop keyboard.

Make sure you are holding the correct haptic controller, and gently lift it upwards toward you.

  • Insert the stylus into the inkwell of the haptic controller to recalibrate its position​.
  • Check the connections from the Geomagic Touch controller to the PC and the power cable connection. Ensure all plugs are well connected​.
  • Close and re-open the ‘Touch Smart Setup’ app and repeat the setup procedure.
  • Close and re-open the Fundamental Surgery app.
  • If you look at the menu screen and point your haptic controller towards it at the same time you will see a laser pointer appear. Point the laser at the option you want to select and then press the button on the haptic controller to select it.​
  • If you have not successfully passed the step you can use the ‘Skip’ button to proceed to the next step.

PROCEDURE SPECIFIC TROUBLESHOOTING

There is only a small section of bone that can be removed with the rongeur tool as the surgeon’s target area is also very small in real life.

The target for the pedicle awl is small and it requires precision and patience to be able to begin the channel correctly.