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Transeptal Puncture

Realistic and comprehensive training of the transseptal puncture

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This learning module is designed for:
Interventional cardiologists
Structural Heart Cardiologists

Transseptal puncture is used by electrophysiologists and interventional cardiologists to gain access through the fossa ovalis to the left atrium to treat different cardiac conditions. This module complements fluoroscopy with ultrasound imaging modalities, intra-cardiac echo (ICE) and transesophageal echocardiography (TEE), to help improve the success of the procedure. The software provides options to use ultrasound, pressure measurements, and the possibility to show augmented visualizations, to ensure a safe and precise puncture.

Mentice clinical modules take training away from patients and animals – allowing physicians to develop and build their technical, procedural and cognitive skills in a realistic and risk-free environment. E-learning materials are combined with practical exercises using real devices and haptic feedback to deliver a complete and immersive solution.

Features & Benefits

Key Benefits

Features & Benefits
  • Learn how to puncture the fossa in optimal positions for different procedures, such as mitral valve interventions, LAAO or pulmonary vein isolation
  • Visualize and confidently evaluate the risks and benefits of finding the optimal location for puncture placement
  • Built-in guidance reduces the need for proctoring and helps optimize the use of both Fluoroscopy and Echo during Transseptal Puncture
  • Visual aids such as labeled anatomical structures and 3D visualizations shorten the learning curve and improve understanding of the procedure and underlying anatomy
  • Train as a team with an echocardiographer or individually using preset echo views for ICE and TEE
    - Includes auto-tracking of devices in Echo to further help workflow
    - Practice using 2D, Biplane, and MPR functionalities
  • Detailed metrics and benchmarking tools allow users to track progress to help optimize training and identify improvement areas
  • Built-in complications and warnings show the importance of careful device manipulation
  • Ability to run each case with or without assistance to help with retention and identifying knowledge gaps
Training Objectives
  • Acquire practical knowledge by working in an environment that closely replicates the actual procedure
  • Learn how to puncture the fossa in the optimal positions for different procedures
  • ​Confidently learn how to puncture fibrotic and aneurysmal fossa ovalis safely.
  • ​Perfect your workflow utilizing alternative imaging modalities to ensure safe and precise punctures
  • ​Improve how you work as a team with your echocardiographer, or how to manage without one​Understand the advantages and disadvantages of various puncture locations.
  • ​Deepen your understanding of the anatomy of the left & right atrium​
  • Accurately identify important anatomical landmarks
  • Utilize needle pressure to confirm location​Identify inadvertent aortic puncture or tamponade
  • ​Learn when to administer heparin to prevent clot formation
  • ​Safely gain access to the left atrium or pulmonary veins
  • ​Make mistakes (while there are no real consequences)

Case Layout

Total of 3 interactive cases covering varying levels of difficulty
  • Normal fossa ovalis
  • Fibrotic fossa ovalis (hard)
  • Aneurysmal fossa ovalis (floppy)

1 Different Anatomy

  • Very anterior fossa

For case description, please contact us on the form below
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