Simendo laparoscopy

The Simendo laparoscopy simulator is designed for all laparoscopic specialties, such as general surgery, gynaecology and urology. The simulator enables the user to train laparoscopic skills up to a high level and provides certification programs for novice and intermediate skills. The laparoscopy trainer is connected to our online scoring platform for certification and global competition in the laparoscopy Skills Arena.

Key features

  • Novice curriculum
  • Intermediate curriculum
  • Bi-manual fundamentals curriculum
  • Online certification
  • Compete online against your peers
  • Online support
  • Unlimited registrations
  • Connected to

Product videos

Bimanual fundamentals curriculum

Grab a ring and place it in the box with the same color without touching the borders. The trainee will need to use both hands to place the rings correctly.

Maneuver the rope through the rings along the path. The trainee has to work with great precision to finish the exercise properly.

Loop the elastic cord around the pillars, then transfer the pegs to the other side without having the pegs touching the cord, or each other.

The most difficult exercise of this curriculum. Complete the puzzle by placing the pieces in the correct spot. This exercise focuses on the effect of object orientation.

Place the weights and keep the scale balanced. The trainee will learn to focus on one instrument while keeping the other instrument in the correct position.

Intermediate curriculum

This exercise simulates the instrument movements for preparing tissue to create a proper working space. It focusses on left and right handed instrument handling. The trainee has to work horizontally and has to avoid unnecessary movements. Only small vertical movement of the beams are allowed during the exercise and the trainee is forced to work cooperate with the left and right instrument.

The trainee will learn to safely clip a vessel on four different locations. The vessel is in a common position for surgical and gynecologic operations. Both sides of  the clip must be visible before clipping to make sure the vessel is fully closed. In total four clips have to be placed at four different positions.

Learns the basic principles for stitching with a curved needle. The trainee will learn how to manipulate, position and rotate a curved needle. The trainee will also learn how to rotate the wrist needed for stitching with to avoid collateral damage.

Here the trainee is forced to work at a very precise level with the left and right instruments together. The objects are highly sensitive and even small movements or leaning dice can cause the tower of dice to fall. If the trainee is able to finish this exercise he/she has obtained a high level of instrument control.

Teaches the basic principles for tying a knot. The exercise represents a single knot. During the ring and needle exercise the trainee has learned how to position the curved needle. The next step is to close a knot. The safest way to do this is by not holding the needle, as this is a sharp and solid object that can cause collateral damage. The trainee has to pull the thread horizontally (only minimal upward beam movement is allowed) to prevent tissue damage when closing the knot.

Novice curriculum

Learn the first motorial skills by picking up the marbles and dropping them in the holes.

Pick up the marbles and drop them in the holes while following the instrument with a scope.

Work bimanually by grabbing the iron spheres and placing them on the magnets.

Experience the importance of camera positioning. Grab the spheres and place them on the magnets while the camera is placed on the left side of the box.

Navigate the needle through the rings in a straight line by rotating and retracting the instrument at the same time.

Grab and place the marbles on the platform with a grasper while navigating, and experiencing the difficulties of handling, a 30 degrees scope.

Scientific publications

  • Barnes J., Burns J., Nesbitt C., Hawkins H., Horgan A. (2015) Home virtual reality simulation training: the effect on trainee ability and confidence with laparoscopic surgery. Journal of Surgical Simulation, 2, 53–59.

  • Bashankaev, B., Baido, S., & Wexner, S.D. (2011) Review of available methods of simulation training to facilitate surgical education. Surgical Endoscopy, 25(1), 28-35.

  • Schreuder, H.W., van Hove, D., Janse, J.A., Verheijen, R.H., Stassen, L.P., & Dankelman, J. (2011). An 'Intermediate Curriculum' for Advanced Laparoscopic Skills Training using Virtual Reality Simulation.

  • Verdaasdonk, E.G., Stassen, L.P., Schijven, M.P., & Dankelman, J. (2007) Construct validity and assessment of the learning curve for the SIMENDO endoscopic simulator. Surgical Endoscopy, 21(8), 1406-1412.

  • Hiemstra, E., Terveer, E.M., Chmarra, M.K., Dankelman, J., & Jansen, F.W. (2011) Virtual reality in laparoscopic skills training: Is haptic feedback replaceable?. Minimally Invasive Therapy & Allied Technologies, 20(3), 179-184.

  • Wentink, M. (2003) Hand-eye coordination in minimally invasive surgery. Theory, surgical practice & training. Faculty of Mechanical Engineering and Marine Technology, Delft University of Technology, Delft, The Netherlands

  • van Det, M. (2012). Training, Efficiency and Ergonomics in Minimally Invasive Surgery.

  • Verdaasdonk, E.G., Dankelman, J., Lange, J.F., & Stassen, L.P.S. (2008). Incorporation of proficiency criteria for basic laparoscopic skills training: how does it work?. Virtual reality training and equipment handling in laparoscopic surgery: 75-86.

  • Verdaasdonk, E.G., Dankelman, J., Lange, J.F., & Stassen, L.P. (2008) Transfer validity of laparoscopic knot-tying training on a VR simulator to a realistic environment: A randomized controlled trial. Surgical Endoscopy, 22(7), 1636-1642.

  • Verdaasdonk, E.G., Dankelman, J., Lange, J.F., & Stassen, L.P. (2008) Incorporation of proficiency criteria for basic laparoscopic skills training: how does it work?. Surgical Endoscopy, 22(12), 2609-2615.

  • Verdaasdonk, E.G., Stassen, L.P., Monteny, L.J., & Dankelman, J. (2006) Validation of a new basic virtual reality simulator for training of basic endoscopic skills. Surgical Endoscopy, 20(3), 511-518.

  • Verdaasdonk, E.G., Stassen, L.P., van Wijk, R.P., & Dankelman, J. (2007) The influence of different training schedules on the learning of psychomotor skills for endoscopic surgery. Surgical Endoscopy, 21(2), 214-219.