TEE Simulator5.0 - App Store

Practical training in transesophageal echocardiography (TEE) traditionally depends on guidance from experienced physicians in a supervised clinical environment. Training opportunities are limited, and learning is often constrained by the discomfort and limited tolerance of awake patients. This app overcomes these challenges by allowing you to practice TEE at your own pace with a high-fidelity echocardiography simulator.

The app features an intuitive interface modeled after a conventional TEE control module, providing a realistic experience of how probe manipulation and control settings affect the echocardiographic image. It automatically recognizes 28 standard TEE views and notifies you when each view has been acquired correctly. Interactive guidance helps you fine-tune the controls to obtain every standard view accurately, making it an effective tool for developing practical TEE skills anytime, anywhere.

One of the greatest challenges in learning echocardiography is understanding the three-dimensional relationship between cardiac anatomy and the two-dimensional ultrasound images. To bridge this gap, the app provides optional real-time annotations of all cardiac chambers, major vessels, and valve leaflets in any user-selected imaging orientation, making spatial anatomy easier to understand.

Best of all, the built-in self-assessment system allows you to continuously test your knowledge through short, engaging exercises. Your performance is automatically tracked over time, creating a personalized learning profile. The app identifies areas that require additional practice and adapts future assignments accordingly, helping you improve efficiently and systematically.

Standard features:
. Live labelling of cardiac chambers, great vessels and valve leaflets
. Automatic recognition of 5 echocardiographic standard views
. Goto function: provides interactive instructions to guide you to 5 standard views, starting from any position of the probe

Premium features (in-app purchase):
. Access to and automatic recognition of all 28 echocardiographic standard views defined by the ASE
. Assistance mode: indicates which settings have been set correctly and which ones need to be adjusted (and how) for any selected view
. Goto function for all 28 standard views
. Self-assessment for all 28 standard view, allowing you to reach "Expert" level and higher
DISCLAIMERS

. This app does is NOT intended to provide any medical diagnoses or treatment advice whatsoever. Always seek a doctor’s advice in addition to using this app and before making any medical decisions.

. This app is NOT able to perform a real ultrasound examination on a real patient, nor is it able to transform your device into a real ultrasound machine.

. This app uses synthetic echo images based on an artificial human heart model, with live labelling to show what structures are displayed. The 'Live' function of this app makes the heart model move by means of digital animation technology. This function is intended for illustration purposes only, and does not reproduce a clinically realistic movement of the heart wall or any of the heart valves.

Terms of Use:
https://www.apple.com/legal/internet-services/itunes/dev/stdeula/

Privacy Policy
https://haselhoffherzog.com/privacy/

Version History Version 5.0 introduces a new heart model, with improved anatomical accuracy.

Additional improvements include:
• Refreshed UI
• Reduced CPU load
• Increased echo image resolution 5.0 Aug 1 Version 4.2 allows you to dim the dot indicators in the Herzogram, so you can practice reproducing all standard TEE views from the menu without any graphical guidance. Simply tap the Herzogram to hide the dots, and tap again to bring them back. 4.2 12/02/2025 - The Herz-o-gram: a graphical display that helps you adjust the controls to obtain a selected standard view. The working principle is simple: just adjust the controls until all green dots in the diagram are covered by the white dots.
- Some small bug fixes 4.1 05/09/2025 Fixed a bug that caused errors in the layout of the 2D selection menu 4.01 05/04/2025 • A new artificial heart model, with enhanced anatomical precision.
• A new view selection interface, designed as a two-dimensional "TOE roadmap". 4.0 05/02/2025 Release 3.3 introduces a groundbreaking new feature: detailed mitral cusp annotation. Now, effortlessly identify and label the A1, A2, A3, P1, P2, and P3 segments, along with the anterior and posterior commissures.

What else is new in Version 3.3?
• Enhanced Navigation: Our updated Goto function now uses intuitive, visual indicators directly on UI controls—no more relying on text descriptions.
• Streamlined Interface: Experience a cleaner, more user-friendly design for effortless interaction.
• Upgraded Artificial Heart Model: Enjoy a more lifelike Transesophageal Echocardiography (TOE) simulation with improved model realism. 3.3 12/27/2024 SELF ASSESSMENT FUNCTION

This exciting new feature allows you to use every lost minute of your day for a quick skills check in transoesophageal echocardiography. After pressing the "Test" button, adjust the probe and the plane rotation for the requested standard view. Once you're satisfied, hit "Submit" to receive a rating that updates your skill level. If adjustments are necessary, dedicated labels on the UI will clearly indicate the required changes for each control button. Everyone begins as a “Noob,” but as you enhance your skills, your progress will be automatically tracked. As you advance, the app identifies areas for improvement and tailors the assignments accordingly, providing a personalized and effective learning experience. 3.2 11/05/2024 - Bug fixes
- Terms of Use now only need to be accepted once after installation of the app
- Updated info pages 3.1 10/26/2024 - Annotation of heart valve leaflets
- Updated user manual 3.0 10/05/2024 Minor bug fixes 2.4.1 04/21/2024 - In Freeze mode, pan horizontally over the echo image to advance frame by frame
- Scan depth can now also be adjusted by two-finger pinching on the echo image 2.4 04/20/2024 • Flex wheels with haptic feedback
• Multi-page info booklet
• Minor bug fixes 2.3 03/24/2024 • Compatibility for older iPhones
• Improved simulated echo images
• Minor UI improvements
• Corrected typos in the info page 2.2 01/20/2024 • Enhanced Assistance function (Premium only): little arrows indicate the required directions of adjustment for the controllers
• Landscape mode: turn your iPhone sideways, left or right - perfect for display on external screens
• Goto function can now be aborted by tapping on the little 'x' at the top right of the selection menu
• Popup alerts user when probe is manipulated during flexion 2.1 11/16/2023 - Animated heart model
- Improved Assistance function, now supporting Goto
- Extended info pages 2.0 11/07/2023 Goto function. Select a standard view, from any viewing position, and the app will generate written instructions for the fastest way to reposition the echo probe to see the selected view. As you navigate towards the desired view, the app keeps guiding you until you have successfully positioned the probe. 1.1 10/02/2023 1.0 09/19/2023