01
Clutching
Small and large corrections to view and position “without thinking”. The most economical sequence. Four exercises.
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VirtaMed · Robotic surgery
RoboS®
The console of the leading robotic system — outside the operating theatre. And the only place where the surgeon and the bedside assistant can train together.
The training content, in full
Four modules.
Fifty-eight exercises
plus the full scenarios.
The exercise count is taken from VirtaMed's module descriptions of 1 April 2026. Cholecystectomy is counted by scenario, not by exercise — so a scenario label appears there, not a number.
MODULE
EXERCISES
SCOPE
STATUS
Foundational skills
22
Clutching, articulation, no-haptics,
needle work, fourth arm, energy
AVAILABLE
Advanced suturing
28
Knots, single and running sutures,
barbed suture, anastomosis
AVAILABLE
Cholecystectomy
—
Three scenarios: uncomplicated · acute
cholecystitis · high-BMI patient
AVAILABLE
Team training
8
Coordination, clipping, exposure,
traction and communication
AVAILABLE
THE SCORING
Feedback
Assistant
The metrics are what shape console behaviour: they reward desired actions and penalise undesired ones. Feedback does not end with a score — Feedback Assistant shows exactly where points were lost and why. The metrics are defined by an expert panel in robotic surgery, not by a marketing department.
58
EXERCISES
4
PANEL EXPERTS
What the console alone cannot do
Robotic surgery is
team work. Training
has not been — until now.
Even with a real robotic system the bedside assistant has nowhere to practise. RoboS is the first solution that trains both simultaneously — and that is not possible on the console itself.
- Trocar placement and instrument entry angles
- Abdominal orientation and instrument handover
- Clutching, exposure, clipping and object transfer
- Communication with the lead surgeon during the procedure
8
CORE EXERCISES
17+
TROCAR PORTS
2
TRAINED SIMULTANEOUSLY
The module runs through the LaparoS™ haptic abdomen connected to RoboS. Half of the exercises exist in two variants — with and without explicit communication — to measure what speaking aloud adds.
The nine skill groups
MODULE “BASIC SKILLS” · 22 EXERCISES
02
Articulation
Full functionality of the instrument wrist, including working behind an obstacle. Five exercises across three levels.
03
No haptics
The robotic console transmits no sense of touch. Tissue is “read” by deformation: firm, medium, soft — using the eyes alone.
04
Needle work
Orienting to a set position, grasping perpendicular and away from the tip, equal use of both hands. Five exercises.
05
The fourth arm
Transfer from the second to the fourth arm without instrument collision, with correct tension and precise cutting.
06
Bimanual coordination
Simultaneous and precise grasping and movement with both hands.
07
Non-dominant hand
One hand sets the traction and optimises the operative field, the other cuts. Traction and pushback.
08
The endoscope
The 30-degree optic and camera rotation — to look round the edge.
09
Energy
Switching between monopolar and bipolar energy with left and right pedals, with the instrument always in the visual field.
Procedural module
Cholecystectomy —
and all three times it
is difficult.
Not one textbook case, but three scenarios: uncomplicated, with acute cholecystitis and with a high-BMI patient. Всеки от тях соло и в екип, плюс отделни упражнения по ключовите стъпки.
- Correct force during fundus and infundibulum traction to open the triangle of Calot
- Achieving the critical view of safety — only two structures to the gallbladder, lower third free from the liver bed, cleared hepatocystic triangle
- Safe peritoneal opening and correct use of the hook and energy
- Clipping with correct sequence, placement and distance
- Managing accidental arterial bleeding
- Avoiding injury to adjacent structures
Four arguments
Why a simulator
when there is a robot?
01
The console is busy
Robotic systems operate throughout the working day. Without a second console outside the theatre, training simply cannot happen.
02
The hardware matches
Hand grips, pedals, workspace, immersive display and seat — the interfaces that matter are reproduced.
03
Metrics guide
Assessment is not assessment for its own sake: it rewards safe behaviour and names unsafe behaviour explicitly.
04
The pathway is independent
The curriculum runs without depending on the theatre's free schedule — and is assembled by the clinic itself.
Seven instruments
- Needle driver
- Fenestrated bipolar forceps
- Scissors
- Monopolar hook
- Suction-irrigation system
- Large clip applier
- Prograsp forceps
The platform is shared across the VirtaMed portfolio. The same device accepts modules for laparoscopy, gynaecology, urology and arthroscopy — changeover takes under ten minutes.
"For the first time, universities and hospitals will have a simulation system that allows them to make use of the precious time in robotic operating theatres. Before the surgeon and the hospital, the first to benefit is the patient."
JEAN-PIERRE HENRI · CHAIRMAN AND CO-FOUNDER, STAN INSTITUTE
Who wrote the exercises
EXPERT PANEL IN ROBOTIC SURGERY
01
Federico Gheza, MD, PhD
Artificial intelligence in medicine; expert in surgical training.
CONTENT
AND METRICS
02
Federico Serrot, MD
Medical director, bariatric and metabolic surgery, Cleveland Clinic, Florida.
CLINICAL
SCENARIOS
03
Roger Smith, PhD
Distinguished researcher in robotic surgery and simulation; a decade of teaching at AdventHealth Nicholson Center.
PLATFORM
ASSESSMENT
04
Jean-Pierre Henry
Chairman and co-founder, STAN Institute.
TRAINING
PROGRAMME
Training management
VirtaMed Connect
Courses are assembled remotely, each resident's progress is tracked, and device utilisation is visible from the desk or tablet. Trainees compare their own results over time.
FOR THE CLINIC
Who trained,
for how long and with what result.
The data remains with you. We help the curriculum be structured so that this data means something — Academy.
Independent assessment
A robotic programme requires more than a device. Before the proposal we clarify whether RoboS® is the right step for your hospital at all — including when the answer is “not yet”.
Simulator footage
CHOLECYSTECTOMY — SCREEN RECORDING FROM THE SIMULATOR
Clipping and cutting of the cystic duct and artery during robotic cholecystectomy on VirtaMed RoboS
We bring RoboS® to you.
With your surgeon at the console and your bedside assistant — in the same session.