User Guide

September 2023

07-ARTUG-W0923
Contents

Contents
Chapter 1 Introduction 1

Chapter 2 Introduction 5

Chapter 3 Hardware 6

Changing the platform height 8

Anatomical models 9

Changing the anatomical model 10

Incompatibility between the attached anatomical model and

selected case 12

Operating the knee model 14

Positioning the shoulder model 15

Positioning the hip model 17

Accessing different portals 18

Arthroscopic tools 22

Arthroscopic camera 22

Arthroscopic instruments 24

Detaching and attaching arthroscopic tools 25

Foot pedals 26

Storing instruments and camera 27

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Contents

Storing anatomical models 28

Chapter 4 Library of Modules 29

FAST module 29

Advanced Knee module 29

Complete Shoulder Arthroscopy module 30

Shoulder Labral Repair module 31

Hip Diagnostics module 31

Chapter 5 Getting Started 32

User interface 32

Workflow 32

Chapter 6 MentorLearn 33

MentorLearn overview 33

MentorLearn workflow 33

Logging in to MentorLearn on the simulator 34

Working locally and on a cloud site 35

Accessing a module or course within My Curricula or

Library 36

Easy Access to courses and modules in the Library 38

Reviewing didactic materials 39

Starting a simulation case or task 40

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Contents

Chapter 7 Display Modes 43

FAST display mode 43

Clinical Procedure display mode 44

Screen layout 44

Screen display layout 45

Internal View 45

External View 48

Anatomical Atlas 51

Anatomical labels 55

Analyzing and documenting clinical findings 56

General buttons 58

Chapter 8 Performing Simulation 59

Automatic definition of model type and patient’s position

59

Working with the camera 59

Inserting and positioning the camera 59

Working with instruments 60

Arthroscopic instruments 60

Working with Shoulder Labral Repair instruments 64

Working with Advanced Knee procedure instruments 66

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Contents

Chapter 9 Viewing Performance Reports 68

Overview 68

Viewing reports 68

Viewing additional information 71

Viewing the Trainee Report 72

Viewing recorded videos 73

Exporting performance results 75

Chapter 10 Quick Reference 77

Clinical Procedure display mode buttons 77

Chapter 11 Administrative Tasks 81

Chapter 12 Technical Support 88

SURGICAL SCIENCE SUPPORT POLICY 88

Surgical Science Call Center 88

Chapter 13 End-User Software Licence Agreement 89

ARTHRO Mentor® 89

1 EXTENT OF LICENSE 90

2 CONFIDENCE OF THE SOFTWARE AND COPYRIGHT 91

3 OWNERSHIP OF SOFTWARE 91

4 SUPPORT SERVICES 92

5 INTEGRITY OF THE SOFTWARE 92

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Contents

6 RIGHT OF ACCESS 93

7 WARRANTY AND LIMITATION OF LIABILITY 93

8 TERMINATION 94

9. MISCELLANEOUS 95

Index 97

Page vi
Figures

Figures
Figure 3-1: Elevation mechanism .............................................................. 8
Figure 3-2: Anatomical models ................................................................. 9
Figure 3-3: Shoulder portals .................................................................... 19
Figure 3-4: Knee portals .......................................................................... 20
Figure 3-5: Hip portals .............................................................................. 21
Figure 3-6: Arthroscopic camera ............................................................ 22
Figure 3-7: Instrument ports on Tool Hanger ........................................ 26
Figure 3-8: Foot pedals ........................................................................... 27
Figure 3-9: Placing the handles on the tool hanger for storage.......... 27
Figure 3-10: Anatomical models on storage stand ............................... 28
Figure 6-1: My Curricula page ................................................................. 37
Figure 6-2: ARTHRO Mentor Library page ............................................. 37
Figure 6-3: Opening a module ................................................................ 39
Figure 6-4: Task description ................................................................... 42
Figure 7-1: FAST Display mode screen layout....................................... 43
Figure 7-2: Internal View – New display mode ...................................... 46
Figure 7-3: Tool Menu ............................................................................. 47
Figure 7-4: External View – Labral display mode .................................. 48
Figure 7-5: Guidance text ........................................................................ 50
Figure 7-6: Anatomical Atlas ................................................................... 52
Figure 7-7: Anatomical Tree .................................................................... 53
Figure 7-8: Labeled organ ....................................................................... 55
Figure 7-9: Trainee Report button on New Display Mode screen ....... 56
Figure 7-10: Trainee report ..................................................................... 57

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Figures

Figure 9-1: MentorLearn Reports page .................................................. 68

Figure 9-2: Snapshot viewed from single report ................................... 71
Figure 9-3: Trainee report with correct and incorrect answers .......... 72
Figure 9-4: Recorded video viewed from single report ....................... 74
Figure 9-5: Export Performance window ............................................... 75
Figure 11-1: Anatomical Recognition Configuration screen .................. 83
Figure 11-2: Target selected to move to Selected Target list ............. 84
Figure 11-3: Target moved to Selected Targets List ............................ 85

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Chapter 1 Introduction

Chapter 1 Introduction
Before using the ARTHRO Mentor simulator, please read these safety
precautions to ensure proper use of the equipment. These items
contain important notes to prevent injury to the operator and damage
to the equipment.
Two symbols are used to indicate specific types of warnings in
addition to the general note table, which is clearly marked:

A warning that indicates a prohibition.

A general warning that emphasizes essential information

about something that must be done.

The following safety precautions must be adhered to upon setup and

using the ARTHRO Mentor simulator. Failure to follow these
precautions may result in the removal of the warranty and may cause
irreversible damage to the simulator or injury to operators.

Read all the instructions and precautions fully before

attempting to setup or use the ARTHRO Mentor
simulator.

Follow all warnings and instructions marked on the

ARTHRO Mentor simulator.

Do not attempt to open, check, alter, or fix any part of

the ARTHRO Mentor system, unless directly asked to
do so during a support session with a Surgical Science
representative.

Page 1
Chapter 1 Introduction

Unplug the ARTHRO Mentor simulator when you know

an electrical storm is approaching.

Before cleaning, unplug the ARTHRO Mentor simulator

from the wall outlet. Use a dry cloth without liquid. Do
not use aerosol cleaners.

Do not use the ARTHRO Mentor near water.

DO NOT use the any component of the ARTHO Mentor

for anything but the ARTHRO Mentor. The Surgical
Science components are intended for use in simulated
medical procedures only.

DO NOT lubricate or sterilize the components.

When placing the ARTHRO Mentor in a room with

additional simulators, other electrical systems, or large
amounts of metal, ensure that these items are at least
1 meter away from the ARTHRO Mentor simulator.
Failing to do so may result in an improper functioning
of the simulator.

Place the ARTHRO Mentor on stable ground only.

To protect the ARTHRO Mentor from overheating, the

openings on the sides of the platform should not be
covered or blocked.

The ARTHRO Mentor should not be placed near a

radiator or heat register.

The ARTHRO Mentor should be placed in a room with

a temperature range between 5 and 30 degrees
centigrade. Proper ventilation is crucial.

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Chapter 1 Introduction

The ARTHRO Mentor should be operated only from

the voltage indicated on the marking label; otherwise
a fire or electric shock may occur. If you are not sure
of the type of power supply, consult Surgical Science
support.

Do not allow anything to rest on the power cord or

position the ARTHRO Mentor where a cord could be
stepped on or pulled out accidentally.

Do not overload wall outlets and extension cords.

Never spill liquid of any kind on the simulator.

Avoid placing or dropping anything on the ARTHRO

Mentor. It may cause a malfunction or irreparable
damage.

Power must be off when handling the system or

disconnecting any internal part during a support
session.

Unplug the ARTHRO Mentor from the wall outlet and

contact Surgical Science support under the following
conditions:
• When any cord, especially the power supply
cord, is damaged or frayed.
• If liquid has been spilled into the ARTHRO
Mentor.
• If something has been dropped on the ARTHRO
Mentor.

To reduce the risk of electric shock or voiding of the

warranty, do not disassemble or try to repair the
ARTHRO Mentor. Opening or removing parts of the
simulator may cause irreversible damage.

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Chapter 1 Introduction

The ARTHRO Mentor must not be modified.

Modification may result in a fire, electric shock, a
malfunction or irreparable damage.

Do not force the devices.

Do not try to over twist the Phantom device stylus.

Try not to work with the Phantom arms stretched.

When the instruments do not reach portals, move the
arms from the base of their platforms.

Do not lean on the Phantoms or the Phantom arms.

For storage and transportation purposes, the

instruments should always be placed on their turrets
(in calibration position) and the Phantom arms should
be in the backward position when the simulator is not
in use.

Switch off the system once you have finished using it.

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Chapter 2 Introduction

Chapter 2 Introduction
ARTHRO Mentor® is an advanced arthroscopic training simulator. As
the most effective tool for arthroscopic surgery skills acquisition, the
system reduces training time and considerably improves the learning
curve for complex surgery techniques.
The simulator features a line of simulated procedures, combining
anatomical models (shoulder, knee, and hip) with 3D images and
haptic sensation, to allow users to learn key aspects of the
procedures. Simulated procedures are performed utilizing a realistic
set of tools including the arthroscopic camera, which allow the trainee
to acquire a true-to-life, hands-on experience.
Features include:
• Detailed realistic anatomical models.
• Realistic and accurate simulation of tissue, organs, instruments
and optics.
• Realistic surgical instruments adapted for use with the simulator.
• Haptic device providing dynamic tactile sensation.
• Elevated platform and adjustable tools location for maximal
comfort.
The ARTHRO Mentor library of cases includes a didactic sequence of
training tasks to develop the navigation skills required to reach the
eye-hand coordination using both the arthroscopic camera and the
virtual instruments.
Training curricula includes both skill tasks and full surgical procedure
cases. Training modules increase in difficulty and include healthy
anatomies and various pathologies.

Page 5
Chapter 3 Hardware

Chapter 3 Hardware
The ARTHRO Mentor robust simulator is of an advanced ergonomic
design. The tactile experience of tissue resistance feedback via the
surgical tools provides a true-to-life feel of performing arthroscopic
surgery.
The ARTHRO Mentor standard system includes:
• PC and simulation processor.
• 24" flat touch screen.
• Ergonomically designed system with height adjustable
platform.
• Detailed realistic anatomical models of shoulder, knee and hip.
• Two positions for the shoulder model: beach chair and lateral
decubitus.
• Knee movement in both bent and extended positions (and
varus/valgus).
• Two positions for the hip model: supine and lateral decubitus.
• Foot pedals for a realistic control of the arthroscopic devices.
The ARTHRO Mentor instruments and camera feature:
• High performance and precision.
• True-to-life tactile feeling of tissue resistance, adding to the
realistic experience.
• Virtual tools similar to surgical tools both in size and behavior.
• Two physical tools, a Grasper and Stylus Pen, simulating
multiple virtual tools and adaptable to different arthroscopic
techniques.
• A Camera tool simulating an arthroscope with a variety of
optical angles: 0º, 30º and 70º.

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Chapter 3 Hardware

1 Touch monitor
2 Keyboard and trackball, keyboard tray
3 Instrument handles
4 Phantoms
5 Trocars
6 Model platform
7 Anatomical model
8 Simulator body
9 Tools hanger

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Chapter 3 Hardware

10 Anatomical models storage stand (back of simulator)

11 Foot pedals (not shown)

Changing the platform height

The height of the platform can be adjusted to the desired height.
To raise or lower the platform, press the Up or Down Arrow buttons on
the Elevation Mechanism, located on the left side of the simulator
body.

Figure 3-1: Elevation mechanism

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Chapter 3 Hardware

Anatomical models
There are three models of joints available: shoulder, knee and hip. The
shoulder model can be attached in either the lateral decubitus or
beach chair position. The knee joint model has one position and can
be bent and moved with valgus and varus movements. The hip model
can be attached in either the supine or lateral decubitus position.

Shoulder model

Knee model
Hip model

Figure 3-2: Anatomical models

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Chapter 3 Hardware

Changing the anatomical model

The ARTHRO Mentor automatically detects which anatomical model is

attached to the platform base and in which position it is placed. The
physical anatomical models are attached to the platform in the
following way.
To attach the anatomical model to the platform:
1. Place the anatomical model at the edge of the platform.

2. Slide it to the end of the platform so that the latch screws on the
bottom of the model fit into the grooves at the edge of the
platform. Push until you hear a click as the model locks into place.

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Chapter 3 Hardware

3. Try to remove the model. If you can’t move it, it is locked in place.
To remove an anatomical model from the platform:
1. Place one hand on the lever on the back of the platform and the
other on the base of the anatomical model.
2. Push the lever down (on left side) to unlock the model. Slide the
model along the platform until the latch screws are out of the
grooves and then lift it off the platform.

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Chapter 3 Hardware

3. Place the model on the storage stand on the back of the simulator
body.

Incompatibility between the attached anatomical

model and selected case

If the attached anatomical model does not match the case you are
running, an error message will appear. You can do one of the
following:
1. Remove the anatomical model from the platform and attach the
correct model.
2. Press Accept.
3. Start the selected case.
OR
1. Press Cancel. The MentorLearn Library screen is displayed.
2. Select a case that matches the anatomical model.

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Chapter 3 Hardware

For Labral Repair, Advanced Knee and Hip modules

If the attached anatomical model does not match the case you are
running, an error message will appear. You can do one of the
following:
1. Remove the anatomical model from the platform and attach the
correct model.
2. Start the selected case.
OR
1. Press Exit. The MentorLearn Library screen is displayed.
2. Select a case that matches the anatomical model.

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Chapter 3 Hardware

Operating the knee model

The knee model has been designed to move on two different axes:
• It can be bent and extended between 0° (total extension) and
90°.

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Chapter 3 Hardware

• It can be moved in varus and valgus deformities.

As you move the knee model, these movements are reflected in the
knee joint on the screen.

Positioning the shoulder model

There are two patient positions to work with the shoulder model in
shoulder arthroscopy:

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Chapter 3 Hardware

• Beach chair position

• Lateral decubitus position

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Chapter 3 Hardware

Positioning the hip model

The Hip model represents a left hip. There are two patient positions to
work with the hip model in hip arthroscopy:
• Supine – for patients lying on their back (the foot is on the left
and the head is on the right).

• Lateral decubitus – for patients lying on their side (the foot is on

the right and the head is on the left).

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Chapter 3 Hardware

Accessing different portals

The ARTHRO Mentor provides predefined portals on the anatomy

models for operating instruments and the arthroscopic camera. These
portals are automatically detected when you insert an instrument in
the anatomy.

To achieve better
access of the different
portals, each Phantom
base can be rotated to
follow the Phantom
arm movements to
access the desired
portal.

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Chapter 3 Hardware

The following portals can be accessed on the shoulder model:

• Anterior inferior
• Anterior superior
• Posterior
• Lateral
• Subportal

Figure 3-3: Shoulder portals

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Chapter 3 Hardware

The following portals can be accessed on the knee model:

• Anterolateral
• Anteromedial

Note: The forward rotation of the Phantoms is mandatory for

accessing the knee portal.
Figure 3-4: Knee portals

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Chapter 3 Hardware

The following portals can be accessed on the hip model:

• Mid-Anterior
• Anterior
• Anterolateral
• Posterolateral

Figure 3-5: Hip portals

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Chapter 3 Hardware

Arthroscopic tools
Two types of arthroscopic tools are available for practicing simulation.
Their handles are attached to the Phantom arms and can be easily
exchanged.
• Camera
• Arthroscopic Instruments

Arthroscopic camera

The ARTHRO Mentor simulates the use of an arthroscopic camera with

a camera handle and a menu of camera angles. You can manipulate
the camera exactly as you would manipulate a real arthroscopic
camera, inserting it into a portal and withdrawing it toward you to
remove the camera from the portal. When the camera is inserted, the
screen displays a simulated video image of the operative field and the
image changes responsively when you move the camera handle
inward and outward and side to side or rotate the camera. The
arthroscopic camera is suitable for all shoulder, knee and hip
exercises.

Figure 3-6: Arthroscopic camera

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Chapter 3 Hardware

1 Camera handle. Use the camera handle to hold the camera as if

holding an arthroscope. When you rotate the handle during hands-
on training, the simulated video image rotates as if the scope was
rotated. It is advisable to select an appropriate camera angle from
the camera menu (see Changing the camera angle on page 46).
Holding the camera handle, you can push the camera handle inward
and outward as if inserting a camera into the portal and pulling it
out. When inserted, you can move the camera in all directions. A
simulated video image on the screen responds to your movements.
2 Camera stick (light source). While holding the camera handle, use
the camera stick to rotate only the optic lens as in a real
arthroscope. Note: The stick does not rotate a complete 360
degrees.
3 Camera button. Use the button to display the exercise menu. The
button also works as a joystick for scrolling horizontally across the
menu options, for selecting a menu option, and for exiting the
exercise menu.

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Chapter 3 Hardware

Arthroscopic instruments

The ARTHRO Mentor provides two sets of instruments which are

designed to simulate true-to-life practice and are easy to exchange.
There are two different instruments that are connected to the
Phantom arms:
• Grasper
• Phantom Omni Stylus
Grasper

The grasper represents a variety of simulation tools which use

grasping or cutting actions. Hold the graspers with your middle finger
and thumb as if holding scissors. Clasp and release the graspers.

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Chapter 3 Hardware

Phantom Omni Stylus

The Phantom Omni Stylus represents a variety of simulation tools. The

light grey and dark grey buttons serve different purposes depending
on the type of tool and the simulation exercise.

Detaching and attaching arthroscopic tools

Arthroscopic tools are exchanged in the following instances:

• When switching between the grasper and stylus instruments in
order to select a different tool to use during simulation.
• When switching the camera and instrument sides to achieve an
optimal working angle that suits the task/simulation.
To detach an arthroscopic tool:
1. Detach the tool by pulling it while firmly holding onto the trocar.

To attach an arthroscopic tool:

1. Insert the new tool into the trocar connector. The slot on the tool
must be aligned exactly with the slot on the trocar connector.

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Chapter 3 Hardware

Note: The grasper and camera each have two slots in the connection hole,
one marked L (left) and the other marked R (right). The stylus does not
have these markings.
If connecting to the left Phantom trocar, align the L slot on the grasper
or camera to the slot on the trocar connector. If connecting to the right
Phantom trocar, align the R slot on the grasper or camera to the slot on
the trocar connector.

2. If not already connected, connect the grasper’s cable to the

GRASPER port and the camera cable to the CAMERA port on the
Tool Hanger on the left side of the simulator body.

Figure 3-7: Instrument ports on Tool Hanger

Note: If necessary, the grasper‘s cable can be connected to either the

GRASPER or CAMERA port.

Foot pedals

The foot pedals are used to:

• Capture images.

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Chapter 3 Hardware

• Turn on and off tools.

Figure 3-8: Foot pedals

If not already connected, connect the foot pedal cable to the FOOT
port on the back of the simulator.

Storing instruments and camera

When not in use, the instruments and camera should be stored on the
tool hanger on the left side of the simulator body.

Figure 3-9: Placing the handles on the tool hanger for storage

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Chapter 3 Hardware

Storing anatomical models

When not in use, the anatomical models should be stored on the stand
on the back of the simulator.

Figure 3-10: Anatomical models on storage stand

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Chapter 4 Library of Modules

Chapter 4 Library of Modules

The ARTHRO Mentor surgical simulator has been developed in close
collaboration with the medical community to provide a meaningful and
valuable training solution. The comprehensive library of modules
provides a curriculum for the training of specific basic arthroscopic
tasks and skills alongside basic and advanced complete procedure
training modules.
The modules are divided into different categories with different
exercises (cases) of varying difficulty.

FAST module
The Fundamentals of Arthroscopic Surgery Training (FAST) module
allows for the training of basic arthroscopic skills based on the
curricula from three leading American orthopedic societies.
The FAST module combines:
• Didactic material – 6 didactic programs with valuable content,
found in MentorLearn.
• Hands-on tasks – 22 hands-on tasks to gain the skills relevant
for ambidextrous arthroscopic skills.

Advanced Knee module

The Advanced Knee module allows the trainee to acquire arthroscopic
basic skills, learn to explore the knee joint, and perform different
surgical procedures.

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Chapter 4 Library of Modules

• Healthy Anatomy Tasks – provide designated skills tasks,

supporting focused acquisition of the necessary basic
arthroscopic capabilities on a right knee anatomy model. The
exercises are aimed at obtaining anatomical knowledge,
improving orientation, eye-hand coordination, triangulation
abilities, and manual skills and deep familiarization of the
appearance and the physical behavior of healthy structures in
the hip joint. The course administrator can tailor the tasks and
choose the targets and the order in which they will appear
according to their preferences.
• Diagnostics of Pathological Cases – provide the trainee with a
realistic patient environment and an interactive, hands-on
practice of diagnostic arthroscopy. Trainees are requested to
arthroscopically examine the joint, identify and capture
pathological conditions and describe them. Pathologies include
meniscal tears, meniscal abnormalities and torn ACL.
• Meniscectomy Procedures – provide the trainee with the
opportunity to practice a full meniscectomy procedure on
several meniscal tears using a variety of real-life tools. Trainees
learn how to choose the most suitable tool for each tear and
evaluate the amount of meniscus that needs to be removed.

Complete Shoulder Arthroscopy module

The Complete Shoulder Arthroscopy module allows trainees to
practice the complete shoulder arthroscopy in both the Glenohumeral
joint and the Subacromial space. The module’s main objectives are:
• Learn the arthroscopic anatomy of the shoulder.
• Practice how to manipulate arthroscopic tools inside the
shoulder safely and efficiently.
• Learn the common path of a systematic examination of the
shoulder.
• Learn how to identify and document pathological conditions.
• Practice locating and removing loose bodies.
• Learn how to resect the acrominal undersurface to treat an
impingement syndrome.

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Chapter 4 Library of Modules

Shoulder Labral Repair module

The Should Labral Repair module allows trainees to practice the
complete Labral Repair procedure including 5 complete shoulder
arthroscopy procedures: SLAP, Bankart, anterior SLAP, posterior
SLAP, and posterior Bankart repairs. The module’s main objective is to
practice the steps involved in various instability repair procedures
including:
• Diagnostic arthroscopy
• Labral debridement
• Drilling into the bone
• Placement of suture anchors
• Suture thread manipulation
• Passing the suture thread through the Labrum
• This module features tools such as shavers, driller, anchors,
suture manipulator, and suture passer-retriever.

Hip Diagnostics module

The Hip Diagnostics module allows the exploration of the central
compartment in healthy and pathological hip joints for gradual
obtaining of diagnostic skills.
• Healthy Anatomy Tasks – include tasks for gradually exercising
the diagnostic examination of the joint. The course administrator
can tailor the tasks and choose the targets and the order in
which they will appear according to their preferences. Trainees
obtain anatomical knowledge, visual and probe examination
skills, orientation skills when accessing from different portals,
and a deep familiarization with the appearance and the physical
behavior of healthy structures in the hip joint.
• Pathological Cases – trainee is provided with general information
and medical history of several patients and is requested to
arthroscopically examine their hip joint, identify and capture
their pathological conditions and describe them. The module
includes pathologies such as labral tears, chondral injuries and
lesions of the acetabular fossa.

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Chapter 5 Getting Started

Chapter 5 Getting Started

User interface
The ARTHRO Mentor simulator’s interface may be operated using
either the touch screen or the trackball.
• Touch screen: Use the tip of your finger to touch the buttons
and icons as directed in this guide.
or
• Use the trackball/mouse in the usual fashion, as a computer
mouse.
Note: In this document, Press will be used to either click a button or icon with
the mouse or tap a button or icon on the Touch screen.

Workflow
The following chapters will describe how to use the simulator. To get
started on any simulation case or task, follow this workflow.
1. Log in to MentorLearn (see page 34).
2. Start a simulation case or task (see page 40).
3. Insert and position the camera (see page 59).
4. Insert instruments.
5. Perform the simulation case.
6. Learn more about the simulator main features and controls.
a. Learn about the various display modes (see page 43).
b. Use the range of arthroscopic instruments (see page 60).
c. Switch instruments (see page 47) or instrument sides (see
page 47) if needed.
7. Press Close button to end the simulation.
8. Review your performance report and learning curve graphs (see
Viewing Performance Reports on page 68).

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Chapter 6 MentorLearn

Chapter 6 MentorLearn

MentorLearn overview
MentorLearn® is a web-based simulator curricula management
system, providing the optimal solution for managing training and
education needs for the Surgical Science line of simulators.
This easy-to-use system facilitates performing the administrative
tasks of a simulator-based curriculum, running a training course or
workshop. The system includes a library of ready-to-use simulator-
based courses and a platform to design new training courses. Courses
may include online didactic content, proficiency based hands-on
training, and performance review and assessment. For more
information regarding using MentorLearn, refer to the MentorLearn
Guide for Learners.

MentorLearn workflow
All ARTHRO Mentor modules, including didactic materials, simulation
tasks, simulation cases etc. are accessed from MentorLearn, Surgical
Science’s web-based simulation curricula management system.
When you want to use didactic materials from an ARTHRO Mentor
module, you log in to MentorLearn and open the materials from
MentorLearn. The MentorLearn login page appears on the screen
when you turn on the system.
When you want to perform a hands-on training task or case, you open
the task or task from MentorLearn, MentorLearn opens the ARTHRO
Mentor simulator for you, closes it when you finish the case or task,
and shows you a report of your performance afterwards. This is the
workflow for performing hands-on training:
• Log in to MentorLearn on the simulator (see page 34).
• Train within a module or course (see page 36).
• Start an ARTHRO Mentor hands-on case or task from
MentorLearn (see page 40). MentorLearn opens the ARTHRO
Mentor simulator for you to begin the hands-on simulation.

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Chapter 6 MentorLearn

• Perform the case or task using the ARTHRO Mentor simulator.

When you finish the case or task, MentorLearn closes the
ARTHRO Mentor simulator and displays a performance report.
• Review your performance (see Viewing Performance Reports on
page 68).

Logging in to MentorLearn on the simulator

In order to access functionality on a simulator, you need to first enter
the MentorLearn system. You require a login name and password to
login. When you log in, your Library page is displayed. For more
information regarding using MentorLearn, refer to the MentorLearn
Guide for Learners or MentorLearn Guide for Administrators.
Note: If you are entering the application for the first time, contact your system
administrator and ask him to create your user profile.

To log in:

1. On the Login page, in Login Name, enter your login name. The
login name is case sensitive.

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Chapter 6 MentorLearn

2. In Password, enter your password. Your password is case

sensitive.
3. Press Login.
MentorLearn opens and displays your Library page. Your first
name, last name, and user type appear in the top right corner of
the screen.
When you log in to MentorLearn, the MentorLearn menu appears
on the left side of the screen.

The menu gives you structured access to the MentorLearn

functionality. Click any menu option to open the associated screen

in MentorLearn. Click above the MentorLearn menu to hide it.

Note: The buttons that appear on the MentorLearn menu are
dependent on your user-type.

Working locally and on a cloud site

The cloud configuration is possible only if there is access to the

internet. If there is temporarily no internet access but you need to use
the simulators, you can switch to working locally on the simulator.
When you switch to work locally, MentorLearn switches from the cloud
database to a local database, meaning:
• Group, user, and assigned course information is not saved to the
local simulator. If necessary, groups and users must be
redefined on each local simulator, and training must be
reassigned.

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Chapter 6 MentorLearn

• Any data that is created during the time you are working locally
is not saved to the cloud database after the simulator is
switched back to the cloud site. Any reports or information on
how a user performed a simulator case will not be available, new
users and groups, and so on, are maintained in the local
database and are not available when you are on a cloud site.

To switch from working on the MentorLearn cloud site to working

locally:
1. Open MentorLearn on the simulator. MentorLearn is redirected
to work locally with the selected simulator. The icon on the

top of any screen changes to the icon.

Note: It is recommended that you switch back to cloud mode as soon as the
internet connection is restored.

To switch from working locally to working on the MentorLearn cloud

site:
1. Open the web browser and go to http://Your-site-
name.mentorlearn.com
MentorLearn is redirected to work with the MentorLearn cloud

database. The icon on the top of any screen changes to the

icon.

Accessing a module or course within My

Curricula or Library
This section describes how users train using MentorLearn.
• To access training courses and modules that you have been
assigned, click My Curricula on the MentorLearn menu (left
pane).

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Chapter 6 MentorLearn

Figure 6-1: My Curricula page

• To access all the training courses and modules available in the

library, click Library on the MentorLearn menu (left pane).

Figure 6-2: ARTHRO Mentor Library page

On the Library page, MentorLearn displays the list of modules and

courses. They are categorized as Simbionix Modules, Standard
Courses (ready-to-use courses provided by experienced educators in
collaboration with Surgical Science), and Customized Courses
(courses you and other educators at your center have created).

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Chapter 6 MentorLearn

Easy Access to courses and modules in the

Library

To easily access courses and modules in

the Library, click the Easy Access arrow
on the top right side of the screen and
select an option from the list.
To search for a specific module or group
of modules, click the Search button,
enter a term and click the Search button
again. To clear the search results, click
one of the easy access options.

Open a module or course, review didactic material or perform in a

hands-on simulation case. For more information, see Reviewing
didactic materials on page 39 and on Starting a simulation case or task
on page 40.
1. To open a module or course, press its row. The module opens,
displaying a description of the module, its learning objectives, and
the educational content of the module.

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Chapter 6 MentorLearn

Figure 6-3: Opening a module

Reviewing didactic materials

The ARTHRO Mentor modules and courses include didactic materials

preceding the hands-on training. Materials may include simulation
course/curricula and real-life procedure videos.
1. On the MentorLearn menu, press Library.
MentorLearn displays the list of Simbionix modules and standard
courses in the simulator library.
2. Open a module or course by pressing its row. The module opens,
displaying a description of the module and all the items in the
module.
3. Under Didactics, select the didactic material you want to look at
and press its row.

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Chapter 6 MentorLearn

Note: If the didactic material is in a format that is not supported by

the simulator, you are prompted to save the file to an
external location. PDF, mp4 files, and graphic files can be
opened on the simulator. Microsoft® PowerPoint® and
Word® files cannot be opened on a simulator. If you are
using MentorLearn Cloud, the didactic material may be
viewed on another computer by accessing your MentorLearn
Cloud site.

4. When you have finished, close the material.

Starting a simulation case or task

To open a case or task:

1. From the MentorLearn menu, press one of the following menu
options:
o Library - lists all the courses and modules in the ARTHRO
Mentor library. If other simulator libraries are listed, select
Library > ARTHRO Mentor.
o My Curricula - lists all your assigned courses and modules.
2. Click the Expand arrow on the right side of the screen to
display more details about the module or course.

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Chapter 6 MentorLearn

3. Open the module or course you want by pressing its row.

The details include a description and the objectives of the module
or course.

4. Under Hands-on, select the case or task you want to perform, and
press its row. The task description or patient file opens.

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Chapter 6 MentorLearn

Figure 6-4: Task description

5. Press .The simulation case begins.

When you have completed the simulation case, you are returned
to MentorLearn, and a report of your performance is displayed.
6. If at any time you wish to choose another case, module, or course
or another MentorLearn Library, click that item in the browse
sequence hierarchy above the middle pane.

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Chapter 7 Display Modes

Chapter 7 Display Modes

The ARTHRO Mentor offers three basic display modes:
• FAST Display Mode
• Clinical Procedure Display Mode
Each display mode has a designated screen layout offering relevant
displays, procedural features, and tool selection options. These
options enhance the learning process and aid the user in performing
different procedures.

FAST display mode

The FAST display mode is composed of 11 basic tasks, each delivered
in an ambidextrous configuration. The screen layout is different for
each task and consists of instructions for performing a basic
arthroscopic skill.
The filling in of a green circle or line indicates the completion of a task
component. On completion of all the components of the task, press
the Finish button. You can select another task or repeat the task with
the same or a different hand.

Figure 7-1: FAST Display mode screen layout

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Chapter 7 Display Modes

Clinical Procedure display mode

This simulation display mode provides a comprehensive educational
environment for arthroscopic procedure training. Multiple supporting
views and educational aids are offered in order to enhance the
learning process.

Screen layout

The screen is divided into the following parts:

① Internal View
➁ Elapsed Time Indicator
③ Camera Angle Options
④ Camera Side/Tool Side Button
⑤ Tool Menu Options
⑥ External View
⑦ Show/Hide Guidance
⑧ External View Controls
⑨ Procedural Step Indicator
⑩ Selected Tool Panel
⑪ Anatomical Tree
⑫ Screen Layout Options
⑬ General Buttons

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Chapter 7 Display Modes

Screen display layout

The screen display ⑫ is by default split into 2 panes: External View

and Internal View. You can use the different layout options to display
one view or both views simultaneously. When displayed side by side,
the movement of the anatomy and the selected tools are
synchronized.

Internal View – full screen of internal view

Normal View (default) – split screen of external view

and internal view

External View – full screen of external view

Internal View

The Internal View ① shows the real-time simulated view of the

arthroscope during the exercise or procedure you are performing. The
simulated video image changes responsively when you move or rotate
the arthroscopic camera.

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Chapter 7 Display Modes

Figure 7-2: Internal View – New display mode

Elapsed Time indicator ②

Elapsed Time indicator shows you how much time has elapsed since
the beginning of the procedure (from the first time the camera is
inserted into the portal).

Camera angle options ③

The virtual arthroscopic optical system includes several available
angles: 0°, 30°, and 70°.
To change the camera angle, select an angle on the Upper Left
Toolbar.
For more information about working with the camera, see Arthroscopic
camera on page 22.

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Chapter 7 Display Modes

Tool Menu options ⑤

Figure 7-3: Tool Menu

The choice of instruments varies depending on the task. You can

select different instruments using the Tools Menu.
To select an instrument:

1. Press the Tools Menu button. A list of tools is

displayed.
Note: In some cases, an arrow appears on the tool option. Press the arrow to
display a submenu consisting of several instruments.

2. Press the desired instrument. The selected tool is displayed in the

upper right panel.

Switching the Camera and Tool side ④

You can change the sides where the camera and tool are inserted.
After you physically connect the camera and tool to the phantoms,
you need to make sure that the “Camera/Tool Side Indicator” is
correct. If not, press the arrows button to switch sides.

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Chapter 7 Display Modes

Each time the arrows button is pressed, the ARTHRO Mentor swaps
the sides in which the camera and the tool are identified.
Note: The physical instrument and camera handle must be outside the
anatomic model before selecting the camera/tool side.

External View

Figure 7-4: External View – Labral display mode

When the simulation begins, an external view ⑥ of the anatomy and

instruments is displayed. It realistically shows an external view of the
knee or shoulder, displaying both soft tissue and bones.

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Chapter 7 Display Modes

External View controls ⑧

You can manipulate the External View using the navigational buttons
on the top of the screen.

To rotate:
1. Press the Rotate button to select.
2. Click and drag the mouse in different directions to turn the
anatomical atlas 3-dimentionally around that point.
OR
Slide your finger in different directions on the screen to turn the
anatomical atlas 3-dimentionally around that point.

To zoom:
1. Press the Zoom button to select.
2. Tap and slide your finger up to zoom in or down to zoom out.
OR
Click and drag the mouse up to zoom in and down to zoom out.

To pan:
1. Press the Pan button to select.
2. Slide with your finger on the screen to move the anatomical atlas
up, down, right and left.
OR
Click and drag the mouse up, down, right, and left.

To reset:
1. Press the Reset button to reset the anatomical atlas to its default
display.

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Chapter 7 Display Modes

Displaying On-Screen step-by-step procedural guidance ⑦

You can display step-by-step instructional text on the screen to help

you with the Labral Repair procedure.
To display guidance text:

1. On the button panel, press the Guidance button.

Figure 7-5: Guidance text

To hide the guidance text:

1. On the button panel, press the Guidance button again.

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Chapter 7 Display Modes

Using the procedural step indicator ⑨

In the full procedure cases, there is a list of procedural steps on the

upper right side of the screen. The step highlighted in green is the
step currently being performed. You can turn off the Procedural Step

Indicator by pressing the light bulb button.

Note: This feature is only available in the Meniscectomy and Shoulder Labral
Repair cases.

Hiding and displaying side bar

The side bar contains the Tool Indicator panel and the Anatomical
Tree panel. It can be easily displayed or hidden.
To hide the side bar:

1. Press the button on the top of the panel.

To display the side bar:

1. Press the button on the top of the panel.

Anatomical Atlas

The Anatomical Atlas displays layers of organs and anatomical

structures on top of the external view model. It can be used to
accelerate the mastery of the complex anatomy.
You can view all of the layers or filter out certain layers or even
specific parts of a layer, using the Anatomical Tree.

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Chapter 7 Display Modes

Figure 7-6: Anatomical Atlas

Displaying arthroscopic camera

You can remove the arthroscopic camera from the External View in
order to get a clearer, less obstructive view of the Anatomical Atlas.

To hide the camera, click the Hide Camera button.

To show the camera, click the Show Camera button.

Anatomical Tree ⑩

An Anatomical Tree allows you to view the knee or shoulder anatomy

in a layered view, displaying on the screen as much or as little
information as you need. The anatomy elements are organized into 4
groups with their respective organs. You can select to display all
elements or none of them. You can select to display individual groups
and/or elements. You can also collapse or expand each group.

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Chapter 7 Display Modes

Figure 7-7: Anatomical Tree

The anatomy is broken down into 4 main groups:

• Muscles
• Bones
• Tendons and Ligaments
• Blood Vessels and Nerves

Note: The options selected on the Anatomical Tree are saved by the system.
To change the viewed anatomy, change the selected view options.

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Chapter 7 Display Modes

To display a group and/or subgroup element:

1. Press to select the check box next to the element.
2. Press the + or – signs to open or close a group.
The selected organs or structures are displayed on the Anatomical
Atlas.
Note: If an organ/structure within a group is displayed, the group’s
check box will be partially filled .

To display all the anatomy layers and elements:

1. Press the check box at the top of the Anatomical Tree panel.
All the organs and structures are displayed on the Anatomical
Atlas and all the check boxes in the 3D Filter list are filled .
To hide all the anatomy layers and elements:
1. Press the check box at the top of the Anatomical Tree panel.
All the organs and structures are hidden on the Anatomical Atlas
and all the check boxes in the 3D Filter list are cleared .

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Chapter 7 Display Modes

Anatomical labels

Organs and anatomical structures can be automatically labeled in

order to identify them. Anatomical labeling enhances the user’s
knowledge of the anatomy by providing an in-depth understanding of
how the organs and structures appear on the Anatomical Atlas and
how they are related to each other.

Figure 7-8: Labeled organ

To display the anatomical labels:

1. Press the Labels button on the Upper toolbar.

The Automatic Name Labeling function is activated.

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Chapter 7 Display Modes

2. Click with the mouse or tap anywhere on the External View model.
The corresponding anatomical name of an organ or structure is
displayed on the External View model.

Analyzing and documenting clinical findings

The ARTHRO Mentor allows you to browse through the captured

images of pathological conditions you located and identified in the
Diagnostic of Pathological Cases. You can then analyze these images
in order to make a diagnosis and document this information in the
Trainee Report ④.

Figure 7-9: Trainee Report button on New Display Mode screen

To capture an image:
1. Press one of the pedals to capture an image of the identified
pathology.
The image is saved in the Trainee Report.
To document the pathological condition:

1. Press the Trainee Report button.

The Trainee Report is displayed.

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Chapter 7 Display Modes

Figure 7-10: Trainee report

2. Select the check box by the appropriate diagnosis.

3. Use the Next and Back buttons to browse between captured

images.
4. When you have entered a diagnosis for all the captured images,
press:
• Close Report to return to the case.
OR

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Chapter 7 Display Modes

• Finish Task to exit the case and view the performance report.

General buttons

The general buttons ⑬ appear on the bottom right of the screen and
include the following functions:

The Mute button turns the sound on and off.

The Case File button opens the current virtual patient’s

case file or the task instructions.

The Help button open a help file, when available.

The Finish button ends the current simulation and

returns to the performance section. Once exiting the
case, it is not possible to continue the same simulation
session.

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Chapter 8 Performing Simulation

Chapter 8 Performing Simulation

Automatic definition of model type and

patient’s position
When you connect an anatomical model to the platform (for a detailed
explanation, see Changing the Anatomical Model on page 10), the
simulator is automatically updated to the model type and desired
position.
If the anatomical model or patient position is not the correct anatomy
to perform the selected case, an error message appears when you
load the case, stating that attached anatomical model does not match
the case you are running.
1. Remove the anatomy model from the platform and attach the
correct model in the correct patient position.
2. Press Accept.
3. Start the selected case.

Working with the camera

The simulator displays a simulated video image of the operative field
that responds to your manipulation of the camera.
For information regarding the camera hardware, refer to the
Arthroscopic camera section in the Hardware section on page 22.

Inserting and positioning the camera

The case starts with a camera view displayed on the screen. However,
the camera may need to be manipulated to display the correct view of
the anatomy.
To insert and position the camera:
1. Insert the camera handle into the selected portal.

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Chapter 8 Performing Simulation

2. Move the camera handle to adjust the operative view seen on the
screen.
3. Rotating the camera (using the rotatable handle) is similar to
rotating the arthroscope. Rotating it rotates the horizon too.
Change the camera angle, if necessary, to see behind objects.
Note: The camera should always be held vertically and only the optics should
be rotated.

Working with instruments

Each case has different predefined instruments. You select different
instruments using the Tools Menu (see page 47).

Arthroscopic instruments

The ARTHRO Mentor provides two sets of instrument handles which

are designed to allow true-to-life practice and are easy to exchange.
• Grasper handle
• Phantom Omni Stylus handle

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Chapter 8 Performing Simulation

Each instrument handle represents a different instrument in the

simulation exercise. The selected simulated instrument can be
controlled manually using the inserted instrument handle.
The following instruments are represented in the simulation by the
Phantom Omni Stylus:

PROBE In some exercises, the buttons on the Omni Stylus

have special functions. For example, in the ACL
repair tunnel selection exercise, the buttons are
used to select, confirm or cancel tunnel positions.

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Chapter 8 Performing Simulation

BUR Press the light gray button on the Phantom Omni

Stylus handle to activate the bur.

Press the dark grey button for burr suction.

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Chapter 8 Performing Simulation

The following instruments are represented in the simulation by the

Grasper:

GRASPER Squeeze the grasper closed to grasp an object;

open the grasper to release the object.

MANIPULATOR Squeeze the manipulator closed to grasp an

object; open the manipulator to release the
object.

BASKET PUNCH Squeeze the basket punch closed to resect the

tissue.

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Chapter 8 Performing Simulation

Working with Shoulder Labral Repair instruments

The following instruments are represented in the Shoulder Labral

Repair module by the Phantom Omni Stylus:

PALPATATION
PROBE

CUTTER/SHAVER Press the light grey button to cut.

DRILLER Press the light grey button to drill.

Press the dark grey button to replace the
Driller tool with the Anchor tool.

ANCHOR Press the light grey button to hammer in an

anchor.

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Chapter 8 Performing Simulation

SUTURE PASSER Press the light grey button to insert a suture;

press the dark grey button to retrieve a
suture.

The following instrument is represented in the Shoulder Labral Repair

module by the Grasper:

SUTURE Squeeze the manipulator closed to grasp an

MANIPULATOR object; open the manipulator to release the
object.

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Chapter 8 Performing Simulation

Working with Advanced Knee procedure

instruments

The following instruments are represented in the Advanced Knee

module by the Phantom Omni Stylus:

PALPATATION
PROBE

SHAVER Press the pedal to turn the shaver on.

Press the pedal again to turn it off.

Note: You can also turn the shaver on and

off by pressing the light grey button.

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Chapter 8 Performing Simulation

The following instrument is represented in the Advanced Knee module

by the Grasper:

PUNCH Squeeze the punch closed to resect the

tissue.

For an explanation on how to select an instrument, see Tool Menu

options on page 47.

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Chapter 9 Viewing Performance Reports

Chapter 9 Viewing Performance

Reports

Overview
Performance reports are displayed after each simulation case or task,
allowing you to monitor and track your training progress.
When you press the Close button to end a task or case, your
performance report is displayed automatically. All of your reports are
listed on the MentorLearn Reports screen.

Viewing reports
To view performance reports:
1. Click Reports on the MentorLearn menu to access the Reports
screen.

Figure 9-1: MentorLearn Reports page

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Chapter 9 Viewing Performance Reports

2. The entries in the reports table appear in chronological order – the

most recently performed sessions appear at the top of the list.
Each row in the reports table represents a single session, meaning
that if a user completed a particular simulation case three times,
three entries (rows) for that case are displayed.
3. To display a shorter, more focused list of sessions in the Reports
table, use the search at the top of the table or define a filter on the
right pane. To restore the full, clear the selected checkbox(es).
4. To bookmark a report, click the star to the left of its name. The

report is bookmarked and the star is filled . To remove the

bookmark, click the star again. If desired, you can filter only
starred reports. On the right pane, select the Starred check box to
view only those starred reports. Clear the check box to view all the
reports.

Note: When you exit MentorLearn, those bookmarked reports are

saved and will be displayed the next time you open
MentorLearn.

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Chapter 9 Viewing Performance Reports

5. To open a single-case report, press its row on the reports table.

1 The Report Header displays information about the report, including

your username, the name of the case performed, and the Simbionix
module that contains the performed case. The session number is
also displayed in the report header.
2 Metric column: the metrics included in the report. The metrics are
divided into categories. The available categories and metrics vary
between simulators and simulation modules and cases.
Press a metric’s row to display additional information about how it is
measured.
Press the Up arrow at the end of the metric’s row to hide the
associated metrics; press the Down arrow at the end of the metric
category’s row to display the metrics.
Video options display options for viewing, downloading and deleting
the recorded video of your simulation performance. For more
information, see Viewing recorded videos on page 73.
3 Result column: the result of the metrics as recorded during the user's
performance of a simulation case. If a metric is highlighted, press to
display additional information.
4 Learning-Curve Graph: A learning-curve is displayed on the right
side of the Reports page if you have completed two or more
sessions of the specific simulation case. The graph shows the values
for the metric as recorded in each session you performed.
5 Print: press to print the report.

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Chapter 9 Viewing Performance Reports

Viewing additional information

Press a metric’s result or click Additional Info to display details such as

a list of pathologies, explanation of the metric or a captured snapshot.
The information is displayed in the right pane.

Double-click the captured snapshot to display it in a separate window.

Figure 9-2: Snapshot viewed from single report

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Chapter 9 Viewing Performance Reports

Viewing the Trainee Report

You can browse through those images you captured during the
simulation (of Advanced Knee and Hip Diagnostics pathological cases)
and check if the answers you documented in the Trainee Report are
correct. Correct answers are highlighted in green.
To view the Trainee Report:
1. Press Trainee Report in the Trainee Report row.
The Trainee Report is displayed. Next to each captured image, the
correct answers are highlighted in green.
Note: If no pathology was captured, no answer will be highlighted.

Figure 9-3: Trainee report with correct and incorrect answers

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Chapter 9 Viewing Performance Reports

2. You can browse through your captured images using the Next and
Previous arrow buttons at the top of the window.
3. Click outside the Trainee Report to close it and return to the single
report.

Viewing recorded videos

You can view a video of your simulation performance. You can

download the video to review your performance at a later time or
delete the recorded video.
To view the performance video:
1. In the Video section of the report, press Video.

The recorded video of your performance of the simulation case is

displayed.

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Chapter 9 Viewing Performance Reports

Figure 9-4: Recorded video viewed from single report

2. Use the controls under the video to play, pause, mute the sound or
view the video in Full Screen view.
3. Click outside the video to close it and return to the single report.
To download the performance video:

1. Press in the top left corner of the screen and select

Video>Download.
OR

Press under the video and select Download Video.

2. Browse to select the file location where you want the video to be
downloaded.
3. Press Save.
The video is downloaded to the selected location.
To delete the performance video:

1. Press and select Video>Delete.

The recorded video is deleted.

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Chapter 9 Viewing Performance Reports

Note: A message will appear when there is no more storage space for the
recorded videos on your local drive. It is recommended to download
those videos you wish to save to another drive on the computer or to
an external drive (e.g. USB stick or external hard disk) and then delete
them.

Exporting performance results

Performance results can be exported to a file. The data is saved as
CSV (comma separated values) file, which can be viewed using
Microsoft® Excel®.
To export data:
1. Press Reports on the MentorLearn menu to access the Reports
screen.
2. Select the reports you want to export.

3. Press and then select Reports>Export Performance.

Figure 9-5: Export Performance window

4. In the Export Performance window, define the format of the report

as well as the time period that should be included in the exported
file and click Export.

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Chapter 9 Viewing Performance Reports

5. Select a location where MentorLearn will save the exported file,

and then click Save.
MentorLearn generates the performance data and saves the
exported file in the specified location.

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Chapter 10 Quick Reference

Chapter 10 Quick Reference

Clinical Procedure display mode buttons

Buttons Activity How to Perform Location

Display the Press the Upper

simulated video desired angle Toolbar
image in button.
different camera
angles.
Rotate the Press the Rotate Upper
anatomical atlas button. Toolbar
on its axis. Tap and slide
the display
image in the
desired
direction.
Zoom in or out Press the Zoom Upper
on the button. Toolbar
anatomical Tap and slide up
atlas. to zoom in or
tap and slide
down to zoom
out.
Move the Press the Pan Upper
anatomical atlas button. Toolbar
horizontally or Tap and slide
vertically. the display
image
horizontally or
vertically.

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Chapter 10 Quick Reference

Buttons Activity How to Perform Location

Reset the Press the Reset Upper

display to its button. Toolbar
original setting.
Display anatomy Press the Labels Upper
labels button. Toolbar
dynamically on
the image.
Show/hide the Press the Show Upper
arthroscopic Camera button Toolbar
camera on the to show the
External View. camera.
Click it again to
hide the camera.
Select the Physically Upper
camera side. switch the Toolbar
camera and
instrument to
their opposite
sides.
Press the
arrows button
on the panel.
Display step- Press the
by-step Guidance
instructional button.
text on the Upper
Click it again to Toolbar
screen. hide the
instructional
text.
Show right side Press the Show Right
bar. button. side bar
Hide right side Press the Hide Right
bar. button. side bar

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Chapter 10 Quick Reference

Buttons Activity How to Perform Location

Display the Press the Tools Lower

Tools Menu for Menu button. Left
selecting Toolbar
different
instruments.
Display the Press the Lower
Trainee Report Trainee Report Right
for documenting button. Toolbar
pathology in
captured
images.
Display the Press the Lower
Internal View. Internal View Right
Layout button. Toolbar
Display split Press the Split Lower
screen of the Screen button. Right
Internal and Toolbar
External Views.
Display the Press the Lower
External View. External View Right
Layout button. Toolbar
Turn sound on Press the Sound Lower
and off. button. Right
Toolbar
Open the Press the Lower
Patient file. The Patient File Right
patient file button. Toolbar
contains
information on
patient
procedures and
patient history.

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Chapter 10 Quick Reference

Buttons Activity How to Perform Location

Open a help file, Press the Help Lower

when available. button. Right
Toolbar
Exit the Press the Exit Lower
simulation case. button. Right
Toolbar

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Chapter 11 Administrative Tasks

Chapter 11 Administrative Tasks

You can tailor the different tasks to fit your specific course
requirements. Different anatomical targets can be added or removed
for a specific task. In addition, you have the option of displaying the
targets randomly as well as choosing how many of these random
targets will be displayed during the task.
Note: You can only configure the anatomical targets to be displayed for the
first 3 Hip tasks and the first 3 Advanced Knee tasks (Healthy Anatomy
Assignment).

To display the Anatomical Recognition Configuration Task:

1. On the MentorLearn Library screen, select either the Hip or
Advanced Knee module.

2. Under Settings, select the Anatomical Recognition Configuration

task.

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Chapter 11 Administrative Tasks

The Anatomical Recognition Configuration task description is

displayed.

3. Press . The Anatomical Recognition Configuration screen is

displayed.

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Chapter 11 Administrative Tasks

Figure 11-1: Anatomical Recognition Configuration screen

To configure the targets for a specific task:

1. Open the Anatomical Recognition Configuration task.
2. From the Case drop-down list, select the task/case for which you
want to configure anatomical targets.

Note: For the Hip Diagnostics, also select the portal which you
want to configure the targets in.

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Chapter 11 Administrative Tasks

Figure 11-2: Target selected to move to Selected Target list

3. Press to select a target from the Complete Targets List and press
Add.
OR
Press to select a target from the Complete Targets List and drag it
to the Selected Targets List.
The selected target is added to the Selected Targets List.

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Chapter 11 Administrative Tasks

Figure 11-3: Target moved to Selected Targets List

4. Use the Up and Down arrows next to the Selected Targets List
pane to set the order of how the targets will appear in the list. This
is the order in which they will appear for the selected task.
5. Press to select the Display randomly check box if you want the
selected targets to appear in random order.

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Chapter 11 Administrative Tasks

Use the Left and Right arrows to set the number of targets from
the total number of targets to be displayed randomly for the
selected task. For example, if you enter the number 8, 8 targets
from the 10 targets listed in the Selected Targets List will be
displayed in random order for the selected task. A different
random set of 8 targets will be displayed each time the task is
performed.
To remove a target from the list of targets to be displayed for a
specific task:
1. Press to select a target on the Selected Targets List and press
Remove.
OR
Press to select a target from the Selected Targets List and drag it
to the Complete Targets List.

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Chapter 11 Administrative Tasks

The target is removed from the Selected Targets List.

To add all the targets to the list of targets to be displayed for a
specific task:
1. Press Add All.
All the targets are added to the Selected Targets List.
To remove all the targets from the Selected Targets List:
1. Press Remove All.
All the targets are removed from the Selected Targets List and
appear in the Complete Targets List.
Note: If all the targets have been removed from the Selected Targets List, the
OK button will be disabled. You cannot complete the Anatomical
Recognition Configuration if the Selected Targets List is empty.

After completing the configuration process, press OK. The changes

are saved and the Anatomical Recognition Configuration screen
closes.

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Chapter 12 Technical Support

Chapter 12 Technical Support

SURGICAL SCIENCE SUPPORT POLICY

Surgical Science assigns the highest priority to customer support. We

are committed to doing our utmost to provide our clients with reliable
support and assistance 24 hours a day, 7 days a week. This support is
available in real time via telephone or email.

Surgical Science Call Center

Customer service 24/7: +1-216-270-2020

email: [email protected]

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Chapter 13 End-User Software Licence Agreement

Chapter 13 End-User Software

Licence Agreement

ARTHRO Mentor®

1. DEFINITIONS

This End-User License Agreement ("Agreement") is a legal agreement

between you (either an individual or a single entity) and Surgical
Science Sweden AB ("Surgical Science") for ARTHRO Mentor® or such
upgrade or future versions thereof identified in the Particulars or the
License Key Issue Note, which includes computer software and may
include associated media, printed materials, and electronic
documentation ("Software").

11. GRANT

Surgical Science hereby grants to you a non-exclusive, non-

transferable license to install and use one copy of the Software, or any
prior version for the same operating system in accordance with the
applicable license type (the type of license in your case can be found
in the order form / invoice as well as in the License Key Issue Note
from Surgical Science). The License hereby granted is subject to the
following conditions.

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Chapter 13 End-User Software Licence Agreement

111. CONDITIONS

1 EXTENT OF LICENSE

1.1 If you have acquired a hardware identity-based license you may

install and use one copy of the Software, or any prior version for the
same operating system on the single computer for which the License
Key is issued.
1.2 If you have acquired a hardware key ("dongle") based node locked
license you may install and use one copy of the Software, or any prior
version for the same operating system on the single computer to
which the Hardware Key, for which the License Key is issued, is
attached. Note that you are not obligated to remove the installed
Software from the computer even if the Hardware Key is removed.
However, you are not entitled to use the Software on that computer
unless the Hardware key is reattached.
1.3 If you have acquired a floating license, you may install one copy of
the Software or any prior version for the same operating system on
any number of computers and simultaneously use no more than the
number of Software permitted in the License Key Issue Note. The
rights of installation and use of Software is restricted to the site
defined in the License Key Issue Note.
1.4 If the Software is labeled as an upgrade, you must be properly
licensed to use a product identified by Surgical Science as being
eligible for the upgrade in order to use the Software. Software labeled
as an upgrade replaces and/or supplements the product that formed
the basis for your eligibility for the upgrade. You may use the resulting
upgraded product only in accordance with the terms of this
Agreement.
1.5 If the Software is labeled as an upgrade, you must be properly
licensed to use a product identified by Surgical Science as being
eligible for the upgrade in order to use the Software. Software labeled
as an upgrade replaces and/or supplements the product that formed
the basis for your eligibility for the upgrade. You may use the resulting
upgraded product only in accordance with the terms of this
Agreement.

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Chapter 13 End-User Software Licence Agreement

1.6 This license is personal to you and you shall not assign or transfer
any interest in it or grant any right under it to any third party or seek to
exercise this license for the benefit or on the data of any third party.

2 CONFIDENCE OF THE SOFTWARE AND COPYRIGHT

2.1 The Software, all associated documentation, and all copies are
secret and confidential to Surgical Science and shall be retained under
the effective control of you during the period of this Agreement.
Disclosures shall be limited to those members of your staff (including
temporary staff) who need access to the Software to enable you to
exercise this license. You shall take all measures necessary to
maintain confidence and secrecy in the Software during the period of
this license and after its termination, however such termination may
arise.
2.2 All title and copyrights and patents in and to the Software
(including but not limited to any images, photographs, animations,
video, audio, music, text, techniques and "applets" incorporated into
the Software), the accompanying printed materials, and any copies of
the Software are owned by Surgical Science or its suppliers. The
Software is protected by copyright laws and patents laws as well as
by international treaty provisions. Therefore, you must treat the
Software like any other copyrighted or patented material. You may not
copy the printed materials accompanying the Software.

3 OWNERSHIP OF SOFTWARE

3.1 Subject to the rights granted to you by this Agreement, you

acknowledge that all and any proprietary rights in the software
(including but not limited to copyrights, patents, trademarks and trade
secrets) and in all associated documentation and other material
related to the Software in each case now existing or to be developed
by Surgical Science shall remain the sole property of Surgical Science.

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Chapter 13 End-User Software Licence Agreement

3.2 Usage Data. You acknowledge and agree that Surgical Science
may derive or create data and information about the use of the
Software by you and your users ("Usage Data") and Surgical Science
may use and disclose Usage Data to its third-party service providers
in order to improve the Software. Personal data related to any
identifiable individual is not collected by Surgical Science.

4 SUPPORT SERVICES

4.1 Surgical Science may provide you with support services related to
the Software ("Support Services"). Use of Support Services is
governed by the Surgical Science policies and programs described in
the user manual, in "online" documentation, and/or in other Surgical
Science-provided materials. Any supplemental software provided to
you as part of the Support Services shall be considered part of the
Software and subject to the terms and conditions of this Agreement.
With respect to technical information you provide to Surgical Science
as part of the Support Services, Surgical Science may use such
information for its business purposes, including for product support
and development. Surgical Science will not utilize such technical
information in a form that personally identifies you.

5 INTEGRITY OF THE SOFTWARE

5.1 You shall not, directly or indirectly in any form or manner, copy,
distribute, reproduce, incorporate or allow unauthorized use or access
to the Software or modify, decompile, reverse engineer, disassemble
or otherwise attempt to derive a source code or similar information
from Software, except as explicitly permitted under this Agreement.
5.2 The Software is licensed as a single product. Its component parts
may not be separated for use on more than one computer.
5.3 You shall ensure that all copies of and extracts from the Software
and its associated documentation made or disclosed by you carry
Surgical Science’ copyright notice in the form shown on the original, or
such other copyright notices as Surgical Science may specify from
time to time and shall ensure that no such notice is deleted.

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Chapter 13 End-User Software Licence Agreement

6 RIGHT OF ACCESS

6.1 For the purpose only of verifying your compliance with these
conditions, you hereby irrevocable grants permission for Surgical
Science and its authorized representatives during normal business
hours to enter the premises from time to time wholly or partly
occupied by you and in each case there to access, operate, and
inspect computer equipment and to access, inspect and take copies
of documents and records (including magnetic and other media).
Surgical Science shall exercise this right only for the above purpose
and shall observe strict confidence in all information which it obtains
as a result of such inspections except to the extent that disclosure to
third parties is necessary for the purposes of protecting Surgical
Science’ rights in the Software.

7 WARRANTY AND LIMITATION OF LIABILITY

7.1 Surgical Science warrants that (i) the Software will perform
substantially in accordance with the accompanying written materials
for a period of ninety (90) days from the date of receipt, and (ii) any
Support Services provided by Surgical Science shall be substantially
as described in applicable written materials provided to you by
Surgical Science, and Surgical Science support engineers will make
commercially reasonable efforts to solve any problem issues. Some
jurisdictions do not allow limitations on duration of an implied
warranty, so the above limitation may not apply to you. To the extent
allowed by applicable law, implied warranties on the Software, if any,
are limited to ninety (90) days.
The above said warranty is void if failure of the Software has resulted
from accident, abuse, or misapplication. Any replacement Software
will be warranted for the remainder of the original warranty period or
thirty (30) days, whichever is longer. Neither these remedies nor any
Support Services offered by Surgical Science are available without
proof of purchase from an authorized source.

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Chapter 13 End-User Software Licence Agreement

7.2 To the maximum extent permitted by applicable law, Surgical

Science and its suppliers disclaim all other warranties and conditions,
either express or implied, including, but not limited to, implied
warranties of fitness for a particular purpose, title, and non-
infringement, with regard to the Software, and the provision of or
failure to provide Support Services.
7.3 To the maximum extent permitted by applicable law, in no event
shall Surgical Science or its suppliers be liable for any special,
incidental, indirect, or consequential damages whatsoever (including,
without limitation, damages for loss of business profits, business
interruption or loss of business information) arising out of the use of or
inability to use the Software or the provision of or failure to provide
Support Services. However, if you have entered into a Surgical
Science Support Services agreement, Surgical Science’ entire liability
regarding Support Services shall be governed by the terms of that
agreement.
7.4 Surgical Science’ entire liability under any provision of this
Agreement and your exclusive remedy shall be, at Surgical Science’
sole discretion to, either (i) return of the amount actually paid by you
for the Software, if any, or (ii) repair or replacement of the Software
that does not meet Surgical Science’ warranty and which is returned
to Surgical Science with a copy of your receipt.

8 TERMINATION

8.1 If this license is a Trial license, you shall be entitled to return the
Software to Surgical Science on or before Trial Expiry Date specified
in the License Key Issue Note and, in that event, this Agreement shall
then terminate. Unless otherwise agreed under special conditions, no
license fee or other charges shall be payable by you in respect of the
trial.
8.2 Unless terminated pursuant to 8.3 below this Agreement shall
continue until the expiry date, if any, specified in the Particulars or the
License Key Issue Note.
8.3 This Agreement may be terminated by Surgical Science at any
time by written notice of termination:

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Chapter 13 End-User Software Licence Agreement

8.3.1. if you shall expressly or impliedly repudiate this license by

refusing or threatening to refuse to observe any of the conditions to
which this license is subject; or
8.3.2 if you shall fail to make payment of any amount due to and
invoiced by Surgical Science or to observe any of the conditions to
which this license is subject and, after your attention has been drawn
by notice to such failure, shall fail to remedy the matter to Surgical
Science's reasonable satisfaction within thirty days of the giving or
such notice; or
8.3.3 if you shall have a receiver or administrative receiver or
administrator appointed or shall enter into liquidation whether
compulsory or voluntary or if you or any member of your partnership
shall be unable to pay its debts as and when they fall due or any
judgment or execution or other process issued in respect of any
judgment against you is unsatisfied for fourteen days.
8.4 On expiry, surrender or other termination of this Agreement,
however such termination may arise, you shall cease to load, store,
copy or use the Software, shall delete the Software from the any
computers on which the Software is installed or copied and at Surgical
Science's option shall either surrender the Software and all
documentation and other related materials to Surgical Science or shall
destroy the Software with all documentation and other related
materials and deliver to Surgical Science a certificate of
comprehensive destruction. You shall continue after termination to
observe and enforce confidence and secrecy in respect of the
Software and its documentation and related materials for the benefit
of Surgical Science, and however termination may occur it shall not
prejudice any right of action or remedy which may have accrued prior
to termination.

9. MISCELLANEOUS

9.1 This Agreement is governed by Swedish law and any disputes

arising out of or in connection to this Agreement shall be submitted to
the exclusive jurisdiction of the Swedish courts.
9.2 The headings to these Conditions are included for convenience
only and do not affect their interpretation.

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Chapter 13 End-User Software Licence Agreement

9.3 Should you have any questions concerning this Agreement, or if

you desire to contact Surgical Science for any reason, please contact
Surgical Science (write or e-mail): Surgical Science Sweden AB,
Drakegatan 7, SE-412 50 Göteborg, Sweden, [info@surgical-
science.com].

Page 96
Index

Index

A B
Accessing a module or course · 37
Beach chair position · 10, 17
easy access buttons · 39
Bookmarking reports · 70
Activity toolbar
quick reference
clinical procedure · 78
Adjusting platform height · 9 C
Administrative tasks · 82
Advanced Knee screen layout Camera · 23
instruments · 67 positioning · 60
Analyzing clinical findings · 57 rotating · 60
Anatomical atlas · 52 showing and hiding · 53
Anatomical labels · 56 storing · 28
Anatomical model Camera angles · 47
attaching to platform · 11 Camera side, switching
removing from platform · 12 new display mode · 49
Anatomical models · 10, 60 Capturing images · 57
changing · 11 Changing camera angle
incompatibility between model new display mode · 47
and case · 13, 14 Changing instruments
storing · 29 new display mode · 48
Anatomical Recognition Clinical procedure display mode ·
Configuration task · 82 45
Anatomical task targets, buttons · 78
configuring · 84 Cloud configuration · 36
Anatomical tree · 53
displaying organs and
structures · 55 D
filtering · 55
main groups · 54 Detaching arthroscopic tools · 26
Arthroscope view · 46 Didactic materials · 40
Arthroscopic camera · 23 Display modes · 44
showing and hiding · 53 Display Modes
Arthroscopic tools · 23 clinical procedure · 45
detaching and attaching · 26 training · 44
Attaching anatomical model · 11 Documenting pathologies · 57
Attaching arthroscopic tools · 26

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Index

E selecting · 48
storing · 28
working with · 61
Elapsed time indicator · 47
Internal view
Elevation mechanism · 9
new display mode · 46
Exporting performance results · 76
External view
new display mode · 49
K

F Knee axis extensions · 15

Knee model
hardware · 10
Foot pedals · 27
operating · 15
portals · 21
G
L
General buttons · 59
Grasper · 25
Labeling
advanced knee · 68
automatically · 56
labral repair · 66
Labeling organs and structures ·
Grasper · 64
56
Guidance text · 51
Labral repair module
browsing through · 52
instruments · 65
Lateral decubitus position
hip · 10, 18
H shoulder · 17
shouler · 10
Hardware · 7, 8 Logging in to MentorLearn · 35
Hiding side bar · 52
Hip model
hardware · 10 M
portals · 22
positioning · 18
MentorLearn
Home page · 36
Library page · 38
I overview · 34
patient file · 42
Inserting the camera · 60 starting case or task · 41
Instrument ports · 27 workflow · 34
Instrument sides, switching Models · 10
new display mode · 49 Modules · 30
Instruments · 25, 61 advanced knee · 30
advanced knee · 67
labral repair · 65

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Index

complete shoulder arthroscopy · Rotating anatomical atlas · 50

31
FAST · 30
hip diagnostics · 32 S
Safety precautions · 2
N Screen display layout · 46
Selecting
New display mode camera side
general buttons · 59 new display mode · 48
Selecting instruments
new · 48
O Shoulder model
hardware · 10
On-screen instructions · 51 portals · 20
Opening a module · 40 positioning · 16
Showing side bar · 52
Side bar
P hiding and showing · 52
Simulated video · 46
Simulation modules · 30
Panning anatomical atlas · 50
Simulator
Patient file · 42
camera · 23
Patient’s position · 60
foot pedals · 27
Performance reports · 69
hardware · 7, 8
Performance video
instruments · 25
deleting · 75
Snapshots · 72
downloading · 75
Starting a simulation case or task ·
Phantom omni stylus · 26, 62
41
advanced knee · 67
Step-by-step procedural
labral repair · 65
instructions · 51
Platform height, adjusting · 9
instruction manager · 52
Portals, accessing · 19
Storing
Positioning the camera · 60
anatomical models · 29
Procedural Step Indicator · 52
camera · 28
instruments · 28
Stylus · 26
R Supine position · 18

Removing anatomical model · 12

Reports T
bookmarking · 70
Resetting anatomical atlas · 50
Targets, anatomical task · 84
Reviewing
Technical support · 89
didactic materials · 40
Tool hanger · 28

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Index

ports · 27 performance reports · 69

Touch screen · 33 snapshots · 72
Trackball · 33 trainee report · 73
Trainee report · 57 videos · 74
viewing · 73
Training display mode · 44
Training with MentorLearn within a W
module or course · 37
Trocar connector · 26 Workflow · 33
Working
locally · 36
U on the cloud site · 36
Working locally configuration · 36
Unlocking platform · 12 Wrong case for model · 13, 14
Wrong model for case · 13, 14

V
Z
Videos · 74
Viewing Zooming
additional information in report · anatomical atlas · 50
72

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