Below the Knee Intervention by Mentice is a simulation software module designed for training clinicians in below-the-knee (BTK) vascular interventions, particularly for limb-salvaging procedures in patients with critical limb ischemia. The software provides a learner-focused, risk-free environment that replicates real clinical scenarios using advanced haptic feedback and 3D anatomy. Users can interact with the virtual patient, including rotating the leg, and practice a variety of access strategies (antegrade, retrograde, pedal-plantar loop). The module supports realistic device behavior, requiring appropriate device selection and technique adaptation for each case. Complication management is integrated, allowing users to respond to events such as perforations. The system includes detailed metrics for assessment and debriefing, supports radiation management, and enables the review of angiography prior to treatment. The software is compatible with the VIST® G7 and G7+ simulation platforms, supporting both standard and patient-specific case import for comprehensive procedural rehearsal.

Key Features

Realistic Haptic Feedback and 3D Anatomy Provides tactile realism and anatomical accuracy.

• Simulates lesion crossing and chronic total occlusions (CTOs).
• Allows patient leg rotation for optimal access.

Comprehensive Access and Device Training Covers a wide range of procedural strategies.

• Supports antegrade, retrograde, and pedal-plantar loop access.
• Trains on exchanging .035”, .018”, and .014” guide wire platforms.

Complication and Radiation Management Prepares users for real-world challenges.

• Simulates perforations and other complications.
• Includes radiation management tools: DSA, roadmaps, collimation.

Device Selection and Procedural Adaptation Enhances decision-making skills.

• Requires appropriate device selection for recanalization.
• Enables strategy changes in case of procedural difficulties.

Performance Metrics and Debriefing Supports skill assessment and improvement.

• Provides detailed metrics for assessment.
• Facilitates debriefing and performance review.

Benefits

Improved Clinical Preparedness Enhances readiness for complex BTK interventions.

• Enables practice in a risk-free, realistic environment.
• Reduces risk by allowing rehearsal of challenging cases.

Optimized Patient Outcomes Supports safe and effective limb-salvaging procedures.

• Trains users to manage complications and select optimal devices.
• Promotes efficient and safe procedural strategies.

Personalized and Collaborative Training Facilitates team-based and individualized learning.

• Allows import of patient-specific cases for targeted rehearsal.
• Supports both instructor-led and self-directed training.