We propose to determine the scientific, technical, and commercial merit and feasibility of creating a hybrid physical mannequin and PC-based augmented reality training system to teach the diagnosis and treatment of various human femur fractures. It would provide exposure both to common and unusual fracture scenarios to accelerate initial learning and provide exposure to cases that might not otherwise be experienced. The use of a hybrid system allows the development of both cognitive and physical skill through tactile contact with a convincingly realistic leg form with appropriate injuries and through display of photo-realistic imagery, real-time simulated fluoroscopic and x-ray views, and augmented reality images including partially transparent views. The proposed collaboration between Pacific Research Laboratories (PRL) and the CIMIT Simulation Group brings together experience in many of the items covered in the solicitation. PRL is the world leader in orthopedic surgical training models including multiple fracture models and has created custom soft tissue analogs. The CIMIT Simulation Group brings expertise in developing hybrid training systems, including the generation of real-time visual, x-ray and augmented reality imagery, interfacing physical mannequins with PC-based control of active components and instrument tracking systems, and experience in implementing training curricula relevant to theses systems
