Adult Simulators

Adult simulators/manikins, with names like Kelly, Harvey and HAL, are in high demand at the CSC. Visitors can practice intubation or catheter placement, work with the full birthing simulator or run a MegaCode in real-time. With 19 different kinds of adult simulators, there are multiple opportunities to expand and refine patient treatment skills.

Blue Phantom Central Line / Vascular Access Models

Blue Phantom ultrasound phantoms are used primarily for ultrasound guided vascular access, but models are also available for ultrasound guided thyroid and nodal biopsy practice.

Some key features by model:

Central Venous Access Torso

  • Venous anatomy includes; the right internal jugular vein, subclavian vein and axillary vein
  • Arterial anatomy includes the right carotid artery, subclavian artery, and axillary artery
  • Superb ultrasound imaging characteristics
  • Self sealing vessels & tissue
  • Artificial clavicle offers realistic subclavian vein access; utilize supraclavicular or infraclavicular approaches 
  • Includes the SVC and RA allowing for full threading of guidewires and catheters
  • Use ultrasound guidance to cannulate and thread catheters 
  • Contains anatomical landmarks for the most realistic simulation training
  • Practice using ultrasound system controls

PICC Arm Venous Access

  • Identify and access vessels of the upper arm using simulated brachial and basilic veins.
  • Thread catheters into simulated vessels
  • Interchange a variety of pathology models

Vascular Access Blocks

  • Contains four simulated blood vessels of varying diameters
  • Vessels are located at a variety of depths
  • Small vessels available for pediatric practice

For complete product information see: www.bluephantom.com

Blue Phantom Paracentesis Training Model

Blue Phantom ultrasound guided paracentesis training model is designed to aid clinicians in the use of ultrasound to recognize intraperitoneal fluid collections and development of the psychomotor skills associated with ultrasound guided paracentesis procedures. The superb realism helps users learn to use ultrasound to identify appropriate anatomy and to guide needle and catheter placements in the mid abdominal region in a patient with intraperitoneal fluid consistent with hemoperitoneum, ascites or other pathological scenarios.

Some key features:

  • Excellent for training clinicians in the psychomotor skills associated with ultrasound guided paracentesis procedures
  • Ultra-durable self healing tissue is extremely realistic in ultrasound imaging characteristics and feels like real human tissue
  • Self healing tissue will withstand tremendous use and will save you money by dramatically reducing the necessity for purchasing replacement parts
  • Anatomically correct anatomy of the mid abdomen including the right lobe of the liver, small bowel, transverse colon, and peritoneal fluid collections
  • Contains a variety of fluid pockets ranging in size from small, medium, and large allowing the user to begin their ultrasound training with easily obtainable fluid spaces and to progress to targeting smaller fluid collections as their skills progress
  • Full lower torso from mid thorax to mid thigh
  • Intraperitoneal fluids that are removed during ultrasound guided paracentesis training are easily refilled using quick fill ports
  • Positive fluid flow in the vessels provides users with immediate feedback when intraperitoneal fluid is accessed
  • Tissues match the acoustic characteristics of real human tissue so when you use your ultrasound system on our training models, you experience the same quality you expect from imaging patients in a clinical environment

For complete product information see: www.bluephantom.com

Eva Gynecological Pelvic Exam Simulator

Eva is a low tech, lifelike female pelvis used for developing diagnostic skills in gynecologic procedures through anatomical instruction, abdominal palpation and speculum instruction. Eva provides detailed lifelike anatomical features using the following interchangeable inserts:

  • Normal cervix and uterus for IUD insertion and removal
  • Normal parous cervix
  • Cervix with endocervical polyp
  • Cervix with neoplasia
  • Pregnant 10 week uterus
  • Adnexal masses

For complete product information see: www.simulaids.com

Female Urinary Catheterization Simulator

The Female Urinary Catheterization Simulator allows learners to perform bladder catheterization just as they would on a real patient. The normal feeling of resistance and pressure will be experienced as a lubricated catheter is passed through the urethra, past the sphincter, and into the bladder. When the catheter enters the bladder, artificial urine (colored water) will flow from the catheter as it would with a real patient. This simulator is the torso of a middle-aged woman with thighs abducted for proper position during catheterization. The external genitalia and perineum are molded in lifelike form. The labia minora can be spread apart naturally to reveal the clitoris, urethral opening, and vaginal introitus.

A Foley catheter can be used if extreme care is taken to inflate the cuff only when it is in the proper position. Just as in a real patient, the cuff must be completely deflated before the catheter is removed. Improper use of a Foley can result in damage to the simulator, just as when using a Foley catheter with a real patient.

For complete product information see: www.enasco.com

Gaumard Adult HAL

Adult HAL is an advanced, full size, portable adult manikin simulator.

Some key features:

Airway

  • Oral or nasal intubation
  • Programmable airway
  • Sensors detect depth of intubation
  • Perform tracheostomy or needle cricothyrotomy
  • Unilateral chest rise with right mainstem intubation
  • Multiple upper airway sounds synchronized with breathing

Breathing

  • Control rate and depth of respiration and observe chest rise
  • Ventilation is measured and logged
  • Gastric distension with excess
  • BVM ventilation
  • Select independent left, right, upper, and lower lung sounds
  • Chest rise and lung sounds are synchronized with selectable breathing patterns
  • Accommodates assisted ventilation including BVM and mechanical support
  • Unilateral chest rise simulates pneumothoraces and multiple breath sounds

Circulation and color change

  • Multiple heart sounds, rates, and intensities
  • Chest compressions are measured and logged
  • Blood pressure can be taken bilaterally using a cuff, palpation, or auscultation
  • Korotkoff sounds audible between systolic and diastolic pressures
  • Cyanosis and vital signs respond to physiologic condition and interventions
  • Bilateral carotid, radial, brachial, femoral, and pedal pulses operate continuously
  • Pulse strengths vary with HAL’s blood pressure and pulses are synchronized with the ECG

Venous access

  • Bilateral IV training arms
  • IM sites on shoulders and thigh
  • Intraosseous access at tibia

For complete product information see: www.gaumard.com

Gaumard CPR Simon

The Gaumard CPR Simon is a full body adult manikin used to practice and monitor basic life support skills.

Some key features:

  • Totally disposable airways for hygiene
  • Fully articulating head, neck, and jaw permitting head/tilt, chin lift, jaw thrust, and neck extension into the “sniffing” position
  • Airway blocked when head is forward
  • Easily accessible chest cavity with ribcage, lungs, and heart for realism and practice of the Heimlich maneuver
  • Realistic chest rise
  • Carotid and femoral arterial pulse points
  • Eyes open and close; one pupil is dilated
  • Instrumented for Code Blue®/CPR Link™ which monitor the cadence and depth of cardiac compression and airway ventilation
  • Jointed elbows, wrists, knees and ankles
  • Monitor and log compressions and ventilations with included Omni Code Blue pack. Connect Omni to any computer, OR view feedback in your Omni screen for maximum mobility

For complete product information see: http://www.gaumard.com

Gaumard Noelle Birthing Simulator

The Noelle Birthing Simulator is a full sized articulating female manikin with an articulating birthing baby and a full size intubatable and cyanotic new-born. Also, programmable hemorrhage using simulated blood and catherization with flow of simulated urine.

Some key features:

Breathing and pulses

  • Vertex, breech and C-section deliveries
  • Shoulder dystocia and PPH
  • Dynamic perinatal monitor
  • Maternal and neonatal vital signs monitors
  • Dynamic waveforms of ECG, invasive blood pressure, respiration, and carbon dioxide Numerics for temperature, NIBP, respiration rate, and oxygen saturation

Normal Vaginal and Instrumented Delivery

  • Fetus descends and rotates internally as it moves down birth canal
  • Extensible cervix dilates
  • Fetal external rotation aligns shoulders with vulva
  • New fetal head skin for use with most vacuum devices and forceps

Shoulder Dystocia

  • Use delivery Profile Control to specify exactly when the turtle sign will occur and how long you allow students to deal with this dilemma
  • Relieve dystocia using suprapubic pressure, McRobert’s maneuver or posterior arm sweep

Intrapartum Modelling or Trending

  • Use our physiologic model that controls skin color and vital signs
  • Trend color and vital signs as you wish

Breech Delivery

  • Practice vaginal breech deliveries
  • Learn to free the legs using Pinard maneuver
  • Once delivered the neonate requires resuscitation
  • Change maternal vital signs or fetal heart tones during the scenario

C-Section

  • Special abdominal cover having tissue layers students can dissect
  • Practice delivery of either vertex or breech presentation
  • Change vital signs and fetal heart tones with this or any other scenario on the fly

Episiotomy Repair

  • Deliveries may require an episiotomy to prevent an uncontrolled tear of the vulva
  • These reusable repair modules also feature tears of the labia and periurethra

Postpartum Hemorrhage and Fundal Massage

  • This postpartum uterus bleeds through cervical os and cervix
  • The uterus can be massaged and it shrinks. Instructor then reduces bleeding
  • Students can also administer medication via IV, IM or rectal sites

For complete product information see: www.gaumard.com

Gaumard Victoria Birthing Simulator

From early pregnancy complications, high-risk deliveries, and postpartum emergencies to non-gravid scenarios for general nursing care, Victoria simulates a full range of obstetrical events to facilitate teamwork and deepen critical thinking skills in learners of all levels.  It is a comprehensive package of tools and support designed to help improve patient safety in women’s health through education and training.

Some key features:

  • Interactive eyes: automatic, visual object tracking and lifelike eye movements
  • Fully programmable airway, breathing, and circulation physiological parameters
  • True-to-life shoulder dystocia, breech, and C-section deliveries
  • Births lifelike, full-term baby featuring programmable vitals for APGAR scoring
  • Integrated array of sensors track participant performance in real time
  • Automatic recognition of 50+ virtual medications
  • Wireless and tetherless; up to 10hrs. of battery life
  • Supports real monitoring equipment: EKG, capnography, defib., NIBP, TOCO, and pulse oximeters
  • Includes Microsoft Surface Pro tablet PC and Virtual Patient/CTG Monitor
  • 45+ preprogrammed scenarios included
  • Video training library covering setup and operation
  • Converts into a non-pregnant patient for general nursing and gynecology training

For complete product information see: www.gaumard.com

Harvey

Harvey is an adult manikin simulator that provides a comprehensive cardiology curriculum by realistically simulating 30 cardiac conditions. It is structured to begin with common, less complex conditions and progress to more rare and complex diseases. Harvey gives the user the opportunity to study various cardiac conditions and practice bedside examination techniques under realistic conditions without the difficulty of finding an appropriate group of available cardiology patients.

Some featured cardiac sounds include:

  • Normal
  • Innocent murmur
  • Aortic valve sclerosis
  • Hypertension
  • Angina pectoris
  • Acute inferior myocardial infarction
  • Acute anterior myocardial infarction
  • Ventricular aneurism
  • Mitral valve prolapse
  • Mitral valve prolapse, isolated click & murmur
  • Mitral regurgitation, chronic
  • Mitral regurgitation, mild
  • Mitral regurgitation, acute
  • Mitral srenosis with severe tricuspid regurgitation
  • Mitral stenosis with mild tricuspid regurgitation
  • Mitral stenosis & regurgitation
  • Aortic regurgitation, chronic
  • Aortic regurgitation, acute
  • Aortic stenosis
  • Hypertrophic obstructive cardiomyopathy
  • Cardiomyopathy
  • Acute pericarditis
  • Primary pulmonary hypertension
  • Atrial septal defect
  • Patent ductus arteriosus
  • Pulmonary stenosis
  • Coarctation of the aorta
  • Tetrology of Fallot

Harvey can be used one-on-one, or with up to ten participants simultaneously listening to heart sounds on simulated stethoscopes via an infrared broadcaster.

For complete product information see: www.gcrme.med.miami.edu

Laerdal ALS Trainer

The ALS Trainer is a portable adult manikin simulator used for training in a wide range of advanced life support skills.

Some key features:

  • Total of 30 cardiac rhythms
  • 17 modified rhythms including Torsade de Pointes
  • Special features including paroxysmal, ignore shock, and variable pulse strengths
  • Realistic adult airway for insertion of standard airway devices

For complete product information see: www.laerdal.com

Laerdal Adult Airway / Intubation Head

The adult airway / intubation head allows for realistic training in a variety of adult intubation, ventilation, and suction techniques.

Some key features:

  • Practicing of oral and nasal intubation
  • Practicing use of LMA (Laryngeal Mask Airway) and Combitube
  • Correct tube placement can be checked by practical inflation test
  • Realistic anatomical features allow demonstration of Sellick Maneuver and laryngospasm
  • Bag-Valve-Mask ventilation can be practiced
  • Stomach inflation and vomiting situation can be simulated
  • Provides visual inspection of lung expansion
  • Provides auscultation of breath sounds
  • Airway anatomical model is standard with each trainer

For complete product information see: www.laerdal.com

Laerdal Adult BLS Manikins

The Laerdal Little Anne is a low tech, adult torso manikin used to practice basic life support skills.

 

  • Oral and nasal passages allow realistic nose pinch required for mouth-to-nose ventilation
  • Natural obstruction of the airway allows students to learn the important technique of opening the airway
  • Head tilt/chin lift and jaw thrust allow students to correctly practice all maneuvers necessary when resuscitating a real victim
  • Chest rise is seen with correct ventilations
  • Anatomically correct landmarks and sternal notch allow the student to practice identification of all anatomical landmarks relevant to adult CPR
  • Realistic chest compression resistance allows the students to experience the amount of pressure needed to perform proper chest compressions in a real-life situation

For complete product information see: www.laerdal.com

Laerdal MegaCode Kelly

MegaCode Kelly is a portable adult manikin simulator used for training in a wide range of advanced life support skills.

Some key features:

  • Airway allows for insertion of standard airway devices with the addition of the LMA and Combitube
  • 1400+ cardiac rhythms with synchronized pulses allows students to interpret and intervene using defibrillation, pacing, and drug administration
  • Use of clinical monitors, defibrillators, and external pacers for practice of live interventions
  • Instructor-controlled blood pressure arm allows for realistic palpation and auscultation. Systolic and diastolic pressures, ausculatory gap, and volume are variable
  • Allows student assessment of heart, breath and bowel sounds
  • Pupillary assessment of normal, constricted and dilated pupils
  • Intravenous drug administration via IV bolus or drip using the multivenous IV arm
  • Chest tube insertion can be practiced at the left mid-axillary site, at the 4th and 5th intercostal spaces
  • VitalSim allows for increased functionality including creating, editing and running of scenarios

For complete product information see: www.laerdal.com

Laerdal SimMan

SimMan is a portable, advanced adult patient simulator for team training. SimMan has realistic anatomy and clinical functionality.

Some key features:

  • Full scale patient simulator which allows you to perform relevant ALS skills and scenarios
  • Interactive manikin which gives you immediate feedback to interventions
  • Simulated patient monitor with touch-screen technology including the possibility to configure your layout and content to mach your simulation environment
  • SimMan software comes with pre-programmed scenarios or instructors can also design and save their own patient cases
  • Trend curves on instructor’s panel control how the physiological parameters will change over time, and multiple trends can be run simultaneously with their effects added together
  • Simulator utilizes software generating automatic debriefing, based on the event log synchronized with video pictures, which provide immediate, detailed feedback on performance to learners
  • Patented airway system allows accurate simulation of all relevant difficult airway management scenarios
  • Needle and surgical cricothyrotomy
  • Bronchial tree is anatomically accurate in size, color and texture and features the accurate anatomical landmarks necessary to facilitate realistic fiberoptic bronchoscopy
  • Simulated patient monitor with touch-screen technology
  • Simulated patient monitor can provide snap shot of x-ray, 12-lead ECG and trends
  • SimMan software comes with pre-programmed scenarios; instructors can also design and save their own patient cases
  • Event handlers allow user to create automatic responses to actions performed by students
  • Trend curves on instructor’s panel control how the physiological parameters will change over time
  • Multiple trends can be run simultaneously with their effects added together
  • User entered comments can be automatically added to the log to aid in evaluation of performance during debriefing
  • Scenarios can also generate automatic comments in the log

For complete product information see: www.laerdal.com

Lumbar Puncture Simulator

The Lumbar Puncture Simulator allows hands-on training in the skills required for epidural and lumbar puncture procedures.

Some key features:

  • Epidural procedure can be practiced
  • Variations of puncture pads: adult normal, adult obese, elderly, ederly obese and epidural
  • Patient position management
  • Palpation of pelvic landmarks
  • Palpation of lumbar spinous process
  • Needle positioning and insertion
  • Collection of cerebrospinal fluid (CSF)
  • CSF pressure measurement

For complete product information see: www.kyotokagaku.com

M.E.T.I. Human Patient Simulator (HPS)

The HPS is Medical Education Technology Inc’s top-of-the-line, fully automatic, high-fidelity patient simulator specifically designed for training in anesthesia, respiratory and critical care.

What differentiates the HPS from any other simulator available on the market today is its high level of automatic and enhanced features. The HPS is the only patient simulator with the ability to provide respiratory gas exchange, anesthesia delivery, and patient monitoring with real physiological clinical monitors.

Some key features:

  • Full-size reproduction of an adult male or female patient with interchangeable genitalia
  • Fully operational in supine, sitting, lateral and prone positions
  • Demonstrates clinical signs such as heart, breath and bowel sounds, palpable pulses, chest excursion and airway patency, which are dynamically coupled with mathematical models of human physiology and pharmacology
  • Realistic adult upper airway (oropharynx, nasopharynx and larynx)
  • Direct laryngoscopy and oral or nasal tracheal intubation
  • Right or left mainstem endobronchial intubation automatically results in unilateral breath
  • Esophageal intubation results in gastric distension and the absence of breath sounds,
  • Chest excursion and carbon dioxide output
  • Airway visualization occluder
  • Varying degrees of tongue swelling, hindering laryngoscopy and endotracheal intubation
  • Laryngospasm
  • Needle cricothyrotomy, transtracheal jet ventilation, retrograde wire techniques and tube
  • Cricothyrotomy can be practiced
  • Supports standard clinical devices such as combitubes, lighted stylets and fibre-optic intubation tubes
  • Spontaneous respiration
  • Mechanical ventilation
  • Assisted ventilation
  • Oxygen consumption
  • Uptake and elimination of anesthetic gases
  • Variable lung and thorax compliance
  • Variable airway resistance
  • Breath sounds
  • Intrapleural volume
  • Functional residual capacity
  • Heart sounds
  • Electrocardiogram
  • Palpable carotid, radial, brachial, femoral, popliteal and pedal pulses
  • Cardiac output
  • Cardiac dysrhythmias
  • Arterial blood temperature
  • Central venous pressure
  • Hemodynamic monitoring
  • Pulmonary artery catheter
  • Chest compression
  • Airway management and ventilation
  • Cardiac arrhythmias
  • Defibrillation
  • Pacing
  • Cardioversion
  • Cardiovascular and respiratory responses to sympathetic and parasympathetic activities
  • Standard peripheral nerve stimulator for twitch response
  • Reactive eyes that blink and automati­cally respond to changing light stimuli simulating neurologic trauma
  • Includes library of pre-programmed pharmacokinetic and pharmacodynamic parameters for over 50 intravenous medications

For complete product information see: www.meti.com

Male Urinary Catheterization Simulator

The Male Urinary Catheterization Simulator allows learners to perform bladder catheterization just as they would on a real patient. A lubricated catheter can be inserted in the urethral orifice, passed through the urethra, and into the bladder. When the bladder is successfully entered, artificial urine (colored water) will flow from the catheter. The student will feel the normal restrictions caused by the mucosal folds, bulbous urethra, and the internal urethral sphincter, just prior to entrance into the bladder. The experience teaches proper positioning and movement of the penis to allow the catheter to pass easily with a minimum of discomfort to the patient.

A Foley catheter can be used if extreme care is taken to inflate the cuff only when it is in the proper position. Just as in a real patient, the cuff must be completely deflated before the catheter is removed. Improper use of a Foley can result in damage to the simulator, just as when using a Foley catheter with a real patient.

For complete product information see: www.enasco.com

Orpheus Perfusion Simulator

The Orpheus Perfusion Simulator offers users to practice emergency cardiopulmonary bypass procedures outside of the operating room. The system can recreate a wide variety of patient scenarios through the input of rhythms and outputs; ECG, arterial and CVP waveforms; nasopharyngeal temperature; heating and cooling effects; and equipment faults.

Some of the events the Orpheus Perfusion Simulator can recreate include:

Routine Bypass

  • Initiation of bypass
  • Weaning from bypass
  • Cooling and rewarming
  • Use of centrifugal pumps
  • Variations in patient resistance
  • Variations in patient coagulability
  • Use of vasodilators
  • Use of vasoconstrictors
  • Oxygen consumption changes

Patient Emergencies

  • Blood loss
  • Left ventricular dysfunction
  • Cardiac arrhythmias
  • Failure of anticoagulation
  • Air embolism
  • Anaphylaxis
  • Protamine reaction
  • Transfusion reaction
  • Blood gas abnormalities
  • Drug errors

Equipment Malfunctions

  • Aortic cannula obstruction
  • Aortic cannula displacement
  • Venous line kinking
  • Venous cannula obstruction
  • Oxygen supply failure
  • Pump power supply failure
  • Heat exchanger failure
  • Patient monitor failure
  • Oxygenator failure
  • Venous air entrainment
  • Perfusion circuit leaks

For complete product information see: www.terumo-cvs.com

Simulab TraumaMan

TraumaMan is an anatomically correct human torso simulator with all the pertinent landmarks for locating various procedures.

Some key features:

  • Realistic body form skin and replaceable tissue sets have a high fidelity touch and dissection feel.
  • Tissue sets are filled with simulated blood and bleed when they are cut.
  • A ventilator provides an airway response in the pleural cavity, lungs, and trachea.
  • Accommodates chest tube placement, pericardiocentesis, cricothyroidotomy, and DPL training.

For complete product information see: www.simulab.com

Sim Man 3G Simulator

SimMan 3G is an adult patient simulator designed to deliver the most realistic training possible whilst remaining easy to set up and simple to operate.

SimMan 3G comes with a long list of features that will optimise simulation training scenarios including automatic drug recognition, light sensitive pupils, bodily fluid excretion and Wi-Fi portability.

Wireless technology makes SimMan 3G flexible and mobile, so that it is possible to conduct training for the entire rescue chain and allow team training which includes patient handover and emergency reporting.