(c) 2010 Vertual Ltd(c) 2010 Vertual Ltd

VERTVERT - - VVirtual irtual EEnvironment nvironment

for for RRadiotherapy adiotherapy TTrainingraining

FDA Meeting - Session 2 - User TrainingFDA Meeting - Session 2 - User Training

Michael Meyer, Vertual LtdMichael Meyer, Vertual LtdPresident, North American OperationsPresident, North American Operations

Virtual Environment for Radiation Virtual Environment for Radiation Therapy TrainingTherapy Training

Life size fully interactive virtual replica of Life size fully interactive virtual replica of RT treatment environmentRT treatment environment

Presentation OverviewPresentation Overview

Background & Product OverviewBackground & Product Overview

The case for Medical Simulation and VERTThe case for Medical Simulation and VERT The VERT experienceThe VERT experience UsersUsers BBC VideoBBC Video

BACKGROUNDBACKGROUND

VERT was developed collaboratively between The University of Hull and The Hull & East Yorkshire Hospitals NHS Trust in 2002

Founders:

Mr James W. Ward

Prof. Roger PhillipsProf. Andy Beavis

Currently has 60 installed clinical and training sites

1st VERT Installation in 2007

PRODUCT OVERVIEWPRODUCT OVERVIEW The emulation of errorsThe emulation of errors SAFE- Non Pressured SAFE- Non Pressured

Environment for learning- Environment for learning- Make mistakes safely, no Make mistakes safely, no

harm to patientsharm to patients Life size 3D visualisationsLife size 3D visualisations Virtual replica of all Linac Virtual replica of all Linac

models and accessoriesmodels and accessories Fully interactive and in real Fully interactive and in real

timetime 3D immersive projection 3D immersive projection

controlled by the real Linac controlled by the real Linac pendantpendant

Rapid assimilation of RT Rapid assimilation of RT equipment, concepts equipment, concepts and techniquesand techniques

The Case for Simulation The Case for Simulation

The Case for Medical Simulation The Case for Medical Simulation & &

VERTVERT

NY Times ArticlesNY Times Articles I believe everyone is well aware of these articles.I believe everyone is well aware of these articles.

U. S. Congressional Bill U. S. Congressional Bill H. R. 855- H. R. 855- Enhancing Safety in Medicine Enhancing Safety in Medicine

Utilizing Leading Advanced Simulation Utilizing Leading Advanced Simulation Technologies to Improve Outcomes Now Act of Technologies to Improve Outcomes Now Act of 20092009

UK National Radiotherapy Advisory Group UK National Radiotherapy Advisory Group (NRAG) Report – (NRAG) Report – February 2007February 2007

The Report on the National VERT The Report on the National VERT ExperienceExperience Birmingham, England January, 2010Birmingham, England January, 2010

U. S. Congressional BillU. S. Congressional BillH. R. 855H. R. 855

H. R. 855 - H. R. 855 - The Congress finds as follows: The Congress finds as follows: (1) Simulation-based education and training in (1) Simulation-based education and training in

medicine... can enhance procedural skills and reinforce medicine... can enhance procedural skills and reinforce best practices by allowing students, experienced best practices by allowing students, experienced clinicians, and health care professionals to practice clinicians, and health care professionals to practice procedures in a realistic setting.procedures in a realistic setting.

(2) The enhanced clinical skill development pro- vided (2) The enhanced clinical skill development pro- vided by simulation-based training benefits patients and by simulation-based training benefits patients and health care consumers in the form of improved health health care consumers in the form of improved health outcomes, patient safety, and quality; reduced medical outcomes, patient safety, and quality; reduced medical errors and deaths; and reduced costs associ- ated with errors and deaths; and reduced costs associ- ated with providing patient care.providing patient care.

U. S. Congressional BillU. S. Congressional BillH. R. 855 - cont.H. R. 855 - cont.

H. R. 855 - H. R. 855 - The Congress finds as follows: The Congress finds as follows: (e) AUTHORIZATION OF APPROPRIATIONS.—To carry out (e) AUTHORIZATION OF APPROPRIATIONS.—To carry out

this section, there are authorized to be appropriated—this section, there are authorized to be appropriated— (1) $50,000,000 for fiscal year 2010; and(1) $50,000,000 for fiscal year 2010; and (2) such sums as may be necessary for fiscal years (2) such sums as may be necessary for fiscal years

2011 through 20142011 through 2014

www.vertual.co.ukwww.vertual.co.uk

Dec 2007

Cancer Strategy for England

The VERT ExperienceThe VERT Experience

Report on the National VERT Report on the National VERT ProjectProject

Birmingham, EnglandBirmingham, EnglandJanuary 31, 2010January 31, 2010

The VERT ExperienceThe VERT Experience

The VERT ExperienceThe VERT Experience

VERT UsersVERT Users Global (non United Kingdom) VERT sitesGlobal (non United Kingdom) VERT sites

1.Aarhus University Hospital, Denmark 1.Aarhus University Hospital, Denmark 2.Rigshospitalet, Copenhagen, Denmark 2.Rigshospitalet, Copenhagen, Denmark 3.Copenhagen University Hospital Herlev, Denmark 3.Copenhagen University Hospital Herlev, Denmark 4.Rotterdam Erasmus MC, Netherlands 4.Rotterdam Erasmus MC, Netherlands 5.Michener Institute, Toronto, Canada5.Michener Institute, Toronto, Canada 6.Gertzen University, Russia 6.Gertzen University, Russia 7.Trinity College, University of Dublin 7.Trinity College, University of Dublin 8.British Columbia Institute of Technology, Vancouver, Canada8.British Columbia Institute of Technology, Vancouver, Canada 9.British Columbia Cancer Agency, Vancouver Canada9.British Columbia Cancer Agency, Vancouver Canada

VERT UsersVERT Users VERT Sites Universities in the UKVERT Sites Universities in the UK

1.Birmingham City University 1.Birmingham City University 2.University of Ulster 2.University of Ulster 3.City University (London) 3.City University (London) 4.Hertfordshire University4.Hertfordshire University 5.Kingston University 5.Kingston University 6.Liverpool University6.Liverpool University 7.London Southbank University 7.London Southbank University 8.Portsmouth University 8.Portsmouth University 9.Sheffield Hallam University 9.Sheffield Hallam University 10. University Campus Suffolk 10. University Campus Suffolk 11. University of West of England 11. University of West of England 12. Cardiff University12. Cardiff University

VERT UsersVERT Users Radiotherapy Clinics in the UKRadiotherapy Clinics in the UK

1.Addenbrooke's Hospital, Cambridge 1.Addenbrooke's Hospital, Cambridge 2.Brighton & Sussex University Hospitals 2.Brighton & Sussex University Hospitals 3.Derriford Hospital, Plymouth 3.Derriford Hospital, Plymouth 4.Colchester General Hospital 4.Colchester General Hospital 5.Gloucestershire Hospitals NHS 5.Gloucestershire Hospitals NHS 6.Imperial College Healthcare NHS 6.Imperial College Healthcare NHS 7.Leeds Teaching Hospitals NHS 7.Leeds Teaching Hospitals NHS 8.North Middlesex University Hospital NHS 8.North Middlesex University Hospital NHS 9.Northamptonshire Centre for Oncology 9.Northamptonshire Centre for Oncology 10. Nottingham University Hospitals NHS 10. Nottingham University Hospitals NHS 11. Royal Devon & Exeter Hospital 11. Royal Devon & Exeter Hospital 12. Royal Marsden NHS 12. Royal Marsden NHS 13. Royal Shrewsbury Hospital 13. Royal Shrewsbury Hospital 14. Royal Surrey County Hospital 14. Royal Surrey County Hospital 15. Royal United Hospital Bath NHS 15. Royal United Hospital Bath NHS

VERT UsersVERT Users Radiotherapy Clinics in the UK cont.Radiotherapy Clinics in the UK cont.

16. Southend University Hospital NHS16. Southend University Hospital NHS 17. United Bristol Healthcare NHS 17. United Bristol Healthcare NHS 18. University Hospital Birmingham 18. University Hospital Birmingham 19. Weston Park Hospital, Sheffield 19. Weston Park Hospital, Sheffield 20. Mount Vernon Hospital 20. Mount Vernon Hospital 21. Oxford Radcliffe Hospitals NHS 21. Oxford Radcliffe Hospitals NHS 22. South Tees Hospitals NHS22. South Tees Hospitals NHS 23. Southampton Hospital 23. Southampton Hospital 24. Poole Hospital NHS 24. Poole Hospital NHS 25. Leicester Royal Infirmary 25. Leicester Royal Infirmary 26. Clatterbridge Centre for Oncology NHS 26. Clatterbridge Centre for Oncology NHS 27. Newcastle upon Tyne Hospitals NHS 27. Newcastle upon Tyne Hospitals NHS 28. Royal Free Hampstead NHS28. Royal Free Hampstead NHS 29. University College London Hospital29. University College London Hospital 30. Maidstone and Tunbridge Wells NHS30. Maidstone and Tunbridge Wells NHS

VERT UsersVERT Users Radiotherapy Clinics in the UK cont.Radiotherapy Clinics in the UK cont.

31. Barking Havering and Redbridge Hospitals NHS31. Barking Havering and Redbridge Hospitals NHS 32. Castle Hill Hospital, Hull 32. Castle Hill Hospital, Hull 33. Lancashire Teaching Hospitals NHS 33. Lancashire Teaching Hospitals NHS 34. Royal Berkshire NHS 34. Royal Berkshire NHS 35. United Lincolnshire Hospitals NHS 35. United Lincolnshire Hospitals NHS 36. University Hospital of North Staffordshire 36. University Hospital of North Staffordshire 37. University Hospitals Coventry &Warwickshire37. University Hospitals Coventry &Warwickshire 38. Royal United Hospital Derby NHS38. Royal United Hospital Derby NHS 39. Norfolk & Norwich University Hospitals NHS Trust39. Norfolk & Norwich University Hospitals NHS Trust 40. The Ipswich Hospital NHS Trust40. The Ipswich Hospital NHS Trust

61 Sites World Wide 61 Sites World Wide

Further Information Further Information

• www.vertual.co.uk

• USA & Canada SalesUSA & Canada Sales– Mike MeyerMike Meyer– mike@vertual.co.uk

• Head OfficeHead Office– info@vertual.co.ukinfo@vertual.co.uk

www.vertual.co.ukwww.vertual.co.uk

BBC news ReportBBC news Report

www.vertual.co.ukwww.vertual.co.uk

http://news.bbc.co.uk/2/hi/uk_news/england/7360989.stm