19 NOVEMBER 2024with fewer than ten vaginal hysterectomies to their name before the study. Participants are divided into two groups­a control group that continues with standard institutional training and an experimental group that receives simulation training using the Miya Model.The study begins with initial benchmarking to establish the residents' baseline surgical skills. The experimental group then undergoes training sessions on the Miya Model until they achieve a passing score according to the modified VSSI. The study then compares the first live surgeries of the two groups to validate the Miya Model's effectiveness in enhancing surgical skills. "By validating our OR readiness score, we will demonstrate a difference in the skills obtained during training as evidenced in the OR," says Noah Miyazaki, Vice President of Business Development. ELEVATING TRAINING WITH THE MIYA MODELIn a landscape where OB/GYNs face political, legal and regulatory hurdles, increased skills requirements and a decline in expertise, the Miya ModelTM functions as a lifeline. This technology platform is designed by physicians for physicians, enhancing training, communication and knowledge sharing. It allows users to refine their skills through repetitive practice `before' operating on live patients. The approach ensures that OB/GYNs can continue to impart knowledge to future generations despite the growing complexities in the field. Training on the Miya Model is time-efficient and cost-effective compared to traditional cadaver and OR training because it features a realistic pelvic frame with replaceable anatomical cartridges. Noah calls it a `surgical Lego set' that allows surgeons to perform multiple gynecologic simulations in a controlled, stress-free environment by removing and replacing cartridges and simulating different scenarios. The efficiency of this repeatable, portable platform not only reduces the need for expensive cadaver resources but also saves time by allowing OB/GYNs to enhance their skills before applying them to actual patients.The Miya Model is designed with lifelike skin, life-size organs, realistic cutting and puncturing tensions, palpable surgical landmarks and a pressurized vascular system that bleeds with the improper surgical technique. It also consists of an inflatable bladder that leaks water if damaged. Surgeons can cut, sew, dissect, and perform operative procedures on the model. They can clamp, cut and tie pedicles and feel the characteristic pop when passing needles through surgical planes. This design provides immediate positive or negative feedback to the user while helping them develop muscle memory.Physicians can use the Miya Model for bimanual exams, speculum exams, cervical visualization and pap smears. It enables palpation and identification of key surgical landmarks and supports a range of procedures, including endometrial biopsy, bladder catheterization and operative hysteroscopy. The model also facilitates total vaginal hysterectomy with or without bilateral salpingo-oophorectomy.OB/GYNs and urologists can practice transobturator sling placements using inside-out and outside-in approaches. Retropubic sling placements can be conducted using top-down and bottom-up techniques, expanding the model's utility for various pelvic floor procedures.The Miya Model transcends the boundaries of basic training by enabling full-thickness vaginal wall dissections to the arcus tendinous fascia pelvis, providing a comprehensive training experience for intricate surgical techniques. Furthermore, it facilitates bilateral sacrospinous ligament suspension and diagnostic cystoscopy training.The model's versatility ensures that physicians can master various procedures essential for female pelvic medicine, reconstructive surgery and urology. Going the extra mile, Miyazaki Enterprises provides an extensive information portfolio Douglas Miyazaki,Founder and PresidentBruce Anderson,Director of ResearchTrace Brookins,Clinical Trials SpecialistNoah Miyazaki,Business Development
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