2 Limbsandthings.com Celebrating over 25 years of Innovation In 1990 medical artist Margot Cooper saw an opportunity to improve fundamental clinical and surgical skills training using hands-on simulation. Encouraged by medical training institutions, Margot began to develop high quality models in keeping with the standards in her medical illustration practice. Limbs & Things was created...
Building on Margot’s work, our vision is to enable healthcare practitioners around the world to become more competent and confident professionals through deliberate practice, which ultimately aims to improve patient outcomes and reduce rates of medical error. With the customer at the heart of the business, Limbs & Things continues to collaborate with clinical partners and global healthcare educators to drive forward quality simulation solutions into a widening range of disciplines for tomorrow’s healthcare and education needs. Our many awards over the years serve as testament to the research and development expertise within the business and the commitment to improved patient care. The most prestigious of all was the Queen’s Award for Enterprise in 2013, recognising the innovative approach to delivering high quality and relevant skills, training tools and solutions. Bristol, UK remains the hub for the corporate office and manufacturing, working alongside our subsidiaries in the United States, Australia and Sweden. In partnership with our distributors, the products reach each of the 6 continents across the globe (over 80 countries globally). Our range of products continues to grow, with new and innovative products launched each year. We look forward to sharing these with you.
Thank you for choosing Limbs & Things
3 The Limbs & Things Story
Bodyform is launched at Royal Society of Medicine
Having trained as a medical illustrator, First simulator: Margot Cooper resectable uterus for establishes Limbs & hysteroscopic training Things in Bristol is launched Second patent to design and is granted: Skills manufacture medical Training for Staged training models Pilot programme of & Structured GP workshops is held Learning. Dynamic anatomical at RCGP, London. In collaboration models of the foot Dr Roger Kneebone with Prof Mike and spine are the demonstrating Hand McMahon, Leeds first products to be & Wrist for Joint launched by the Injection to Prof. new company Alastair Donald (Pres. Move to Sussex Street. Initially 24,000 sq/ft RCGP), EU CRAFT grant project of manufacturing Dr Peter Holt (Chmn. entitled ‘Primacorps’: space, now expanded BSDS), Sir Robert “Cost effective, realistic Shields (Pres. RCS First use of CAD to 30,000 sq/ft in house using CT surgical trainer for Ed.) & Prof Norman ‘hands-on’ endoscopic First joint injection Limbs & Things office is scan data for chest Browse procedures through model: shoulder established in Australia drain model (Pres. RCS Eng.) application of rapid prototyping CAD/CAM technology” First Dr Frank H Netter award is received
1990 91 92 93 94 95 96 97 98 99 00 01 02
The business grows and Limbs & Things moves First patent is into its first business granted: premises at Radnor Road Epidermis & Jig. Covering suture pad, cannulation pad, extended ACF pad, and bowel
Range of Medical Skills self-directed training Distributor network Manufacturing of soft Major surgical Millennium Award products is launched tissue models starts is engaged models for courses received for the Pulsatile with varicocele & at Royal College Heart model as an perianal haematoma First distributor training of Surgeons, example of the best of session is with Armando England: rectopexy, British design, creativity Romeo from Sofar fundoplication and innovation s.p.a. (Italy). Dr Roger and hernia Kneebone (top) and Mr Mr Rex Stanbridge, Harry Espiner (bottom) Dept of Cardiothoracic demonstrate products Surgery, St Mary’s (London) is shown practising a coronary artery bypass graft
4 limbsandthings.com Clinical Male Pelvic Trainer Mk 2 is launched
Chest Drain & Needle Vacuum casting is Decompression brought in house: an Trainer is launched ideal manufacturing facility for computer generated high precision models Advanced Clinical Female Pelvic Venepuncture Arm is Trainer (CFPT) Mk 3 Adult Male launched for use as with an expanded Circumcision a bench top model, range of uterine Trainer is launched or to be worn by a modules and simulated patient Huddersfield Foot & Ankle for Nerve Block are launched Suture Tutor Plus is PROMPT Birthing Limbs & Things office is Product portfolio launched: our first Simulator and continues to expand online subscription established in USA PROMPT training with over 20 new and course. A Hands-on course are launched improved products in Kit with practice with spectacular Nearly £3000 raised the catalogue materials completes results for Orchid - Fighting the package male cancer
03 04 05 06 07 08 09 10 11 12 13 14 2015
25 Years
Limbs & Things Partnership with expands into Foam latex Laerdal starts: premises next door manufacturing development and Limbs & Things Second Dr Frank H facilities are brought manufacturing of celebrates 25 year Netter Award for in-house enabling SimMom full body anniversary Special Contributions a scientific approach Intercollegiate Basic birthing manikin to what is commonly to Medical Education. Surgical Skills Course This time perceived as a package launched in ‘black art’ for the PROMPT collaboration with Birthing Simulator the Royal College of Surgeons of England Margot Cooper (2nd left) with members of the Vesalius Trust, Swedish distributor (from left to right) Bill Waldemar Larsson Andrews, acquired Other manufacturer’s Marcia Hartsock, products are Marie Bauenheimer, Launch of the Breast introduced Sue Seif Examination Trainer PROMPT Flex is launched The Vesalius Trust for Visual Communication in the Health Sciences is a non-profit public foundation set up in the USA to develop Breastmilk Hand and support education Expression Trainer is and research launched in conjunction programmes in the with UNICEF UK Baby field of health science Friendly Initiative communications Surgical Female Pelvic Trainer Mk 2 is launched Received Queen’s Award for Enterprise Innovation 5 limbsandthings.com Key Guide
About Our Key Guide Our key guide utilises icons to break down the unique qualities that are specific to our trainers. It will help you to assess how each product will meet the needs of your clinical environment.
Anatomy / pathology Identifies the anatomical structure and pathologies of the trainer.
Product Qualities: Additional Information:
Realism Standardised / Simulated Patient How the trainer feels to the touch and how it SP Can be used with a standardised patient, responds to an examination or procedure to help teach professional-to-patient communication
Key Features Unique benefits and functionality of the trainer Video On Website Product demonstration video available on our website Versatility How the trainer adapts for multiple procedures New Product or scenarios NEW PRODUCT Any product that displays this icon is new to the Limbs & Things range Safety Allergy advice and personal safety requirements
Cleaning & Care Cleaning advice and instruction for best possible care of the trainer
6 limbsandthings.com Contents
About Our Catalogue
We have structured the catalogue to promote competency based on learning theories that move from simple to complex. Fundamentally we believe it is imperative to have a solid foundation of assessment and diagnostic skills before moving towards procedural or specialist skill achievement, and our catalogue is laid out with this in mind. We start with physical examination skills in order to build a solid foundation of assessment and diagnostic skills, before moving on to procedural skills in Section 2. Finally, the third section of the catalogue focuses on more complex specialist skills. With all our products we encourage the use of critical thinking and effective communication with patients and their families.
Physical Examination Skills Products to aid in the development of clinical examination skills
Conducting a thorough and detailed physical examination is a Female Examination 10 fundamental skill for all medical undergraduates, nurses and Male Examination 14 allied health practitioners. Ophthalmology 18 Our range allows for the development and maintenance Otology 20 of examination expertise, in individual, team and hybrid Auscultation & Cardiology 22 simulation scenarios. Resulting in knowledge, skill retention Abdominal Ultrasound 24 and confidence.
Procedural Skills Products designed for staged training in clinical procedures
Our range enables healthcare practitioners to continually Chest Trauma Management 28 enrich their procedural skills through deliberate practise. Airway Management 32 Moving forward, as the development of non-technical skills Venepuncture 34 (patient interaction) becomes more important to the overall Venepuncture & Arterial Puncture 37 competency of the individual, many of our products are Venepuncture & Injection Technique 38 adaptable for use in hybrid simulation scenarios. This flexibility Central Line Management 39 is helpful when adding requirements for more experienced Urinary Catheterisation 42 practitioners through advanced scenarios. Diagnostic Procedures 44 We believe in hybrid simulation, which meets the evolving Diagnostic Procedures & Patient Care 46 needs of the educator and practitioner alike. Patient Care 47
Specialist Skills Products for specialist and surgical skills training
The increasing specialisation in the healthcare environment Limbs & Things learning onlineTM 50 demands progressive learning, careful preparation and realistic Basic Surgical Skills 52 training equipment. Minor Surgery 54 Our range has been created to meet the increasingly complex Gynaecology 60 needs of basic practice, intermediate and advanced skills. Hysteroscopy 62 Limbs & Things works to bring the practitioner closer to real Obstetrics & Midwifery 63 life experiences through simulation and deliberate practice. Paediatrics 73 Joint Injection 78 General Surgery 81 Laparoscopic Surgery 82 Wound Care 89 Urology 90 Vascular 91 Radiology Ultrasound 92 Radiology X-ray & CT 93
limbsandthings.com 7 Limbs & Things Latest Products
NEW NEW PRODUCT PRODUCT PROMPT Flex - PROMPT Flex - Cervical Dilatation Page Caesarean Section Module Page & Effacement Module 67 66
NEW NEW PRODUCT PRODUCT Arthrocentesis Knee Limbs & Things Page with Ultrasound Capability Page Laparoscopic Skills Trainer USB 78 83
8 limbsandthings.com Physical Examination Skills
New Physical Examination Products to aid in the Skills Products development of clinical examination skills ™ OphthoSim Ophthalmoscopy Conducting a thorough and detailed physical examination is a Page Training & Simulation Unit fundamental skill for all medical undergraduates, nurses and 18 allied health practitioners. Our range allows for the development and maintenance of examination expertise, in individual, team and hybrid simulation scenarios. Resulting in knowledge, skill retention and confidence.
Products in this section Examination & Diagnostic Breast Trainer 10 Breast Ultrasound Examination Phantom 10 Breast Examination Trainers 11 Clinical Female Pelvic Trainers (CFPT) Mk 3 12 Female Pelvic Ultrasound Phantom 14 Scrotal Ultrasound Phantom 14 Rectal Examination Trainer Mk 2 15 Clinical Male Pelvic Trainers (CMPT) Mk 2 16 OtoSim 2™ Otoscopy OphthoSim Ophthalmoscopy Training Page Training & Simulation Unit & Simulation Unit 18 20 Eye Examination Simulator 19 OtoSim 2 Otoscopy Training & Simulation Unit 20 Ear Examination Simulator II 21 Lung Sound Auscultation Trainer 22 Blood Pressure Assessment Simulator 22 Pitting Oedema Trainer 23 ABDFAN Ultrasound Examination Training Models 24 FAST/ER FAN Ultrasound Examination Training 25 SIMnext Dr Doppler Core Competency Trainer (CCT) 26
Page SIMnext - DR Doppler 26
limbsandthings.com 9 Female Examination • Breast
Breast Ultrasound Examination & Diagnostic Examination Phantom Breast Trainer
Product No: KKMUS-6 Product No: 40044 This unique phantom is ideal for training in breast ultrasound Our realistic, life-size breast trainer is the ideal platform for training examination and offers imaging of key anatomy and pathologies. in the examination procedures and diagnostic techniques required for clinical breast examination (CBE). Skills Gained Skills Gained
• Breast sonography • Recognised clinical breast examination technique • Recognition of typical pathologies • Diagnosis of pathologies: - carcinoma • Placement and measurement of cysts and tumours - fibroadenoma • Aspiration of a cyst – Allows for the visualisation of: • Self-examination technique (SBE) – Subcutaneous adipose – Mammary gland – Simulated carcinoma and fibroadenoma – Galactophore – Benign cyst for aspiration – Cooper’s ligament – Retromammary adipose Product Qualities – Costae – Breast skin is warm to the touch – Clavicle – Responds to palpation in a lifelike way – Pectoralis major – Lung – Lymph nodes at axilla – Variable cyst volume
Product Qualities – Lightweight and compact base allows for: – Self-examination – Visualisation of key anatomical landmarks – Bench top presentation and pathologies a – Excellent ultrasound image quality – Contains latex – Embedded targets include lymph nodes, cyst, mammary ductal ectasia, benign tumour and – Skin surface is washable using soap and water malignant tumour – Simulated targets with different echogenecities embedded in the breast You’ll Receive You’ll Receive
• 40040 1 Examination & Diagnostic Breast • 40106 1 Breast Aspirant (50ml) • 1 Breast phantom • 1 Carry case • 1 Rigid two-part plastic base
Packed weight (kg) & dimensions (mm) 19 kg 570 l 440 w 280 h Packed weight (kg) & dimensions (mm) 1.25 kg 320 l 270 w 140 h
10 limbsandthings.com Female Examination • Breast
Breast Examination Trainer - Standard, Advanced & Basic SP Product No: 40200 Standard 40201 Advanced 40202 Basic
Our Breast Examination Trainer provides a highly realistic learning Advanced platform for acquiring the skills required to perform Clinical Breast Breast Examination Trainer with Lymph Examination (CBE). Featuring 6 readily interchangeable and multi- Node Pads positional pathologies, providing healthcare professionals with the tools to identify various complications and pathologies, including carcinomas, cysts, fibrocystic disease and fibroadenoma. Both Simulated Patient and benchtop training can be used for any undergraduate programs running OSCEs or healthcare professionals promoting best practice techniques to trainees and patients. Breasts can be worn by a simulated patient (male or female) This product was developed in close collaboration with leading clinicians: • Mr Peter Donnelly, Torbay Hospital, UK • Clinical Skills Resources Centre, University of Liverpool, UK • Clinical Practice Centre, St James’s University Hospital, Leeds, UK
Skills Gained
• Clinical breast examination (CBE) • Self breast examination (SBE) • Identification of anatomical landmarks • Identification of lymph nodes (axillary, supra Pathologies are supplied and fit securely into the and infraclavicular) holes in the Pathology Supports & Back Plates • Location and diagnosis of pathologies • Professional-to-patient communication You’ll Receive – Realistic soft tissue breast anatomy – Pathologies supplied: carcinomas: 2cm, 3cm, 5cm, cyst, fibrocystic disease, fibroadenoma Adv Std Basic Product Qualities Wearable Examination Breasts ••• 40204 Pathologies ••• – Soft tissue breasts look and feel realistic 40205 Breast Examination Inserts ••• – Clavicular and axilla pads for accurate lymph 40206 Breast Pathologies Supports ••• node placement 40207 Breast Back Plates ••• – Pathologies can be placed in various predetermined 40208 Breast Examination Torso •• - location points and are easily changeable 40203 Lymph Node Pads + Lymph Nodes • -- – Dual purpose product: bench top and hybird Advanced – Hard torso available for bench top use Packed weight (kg) & dimensions (mm) 5.5 kg 650 l 280 w 460 h
– Pathologies can be placed in various predetermined Standard location points and are easily changeable Packed weight (kg) & dimensions (mm) 5.3 kg 650 l 280 w 460 h – Comfortable to wear for long periods of time Basic
during OSCEs and assessements Packed weight (kg) & dimensions (mm) 2.6 kg 650 l 280 w 460 h
– Latex-free Optional Extras:
– Skin surface is washable using soap and water • 40209 Breast Examination Carry Case
Patents granted • US6336812 • EP099027 • DE69804793 • CA 2293585 • ZL98806331 • HK1023832 • 755575 Austrailia
limbsandthings.com 11 Female Examination • Pelvic
Clinical Female Pelvic Trainer (CFPT) Mk 3 - Advanced & Standard SP Product No: 60900 Standard 60905 Advanced The CFPT Mk 3 is an anatomically accurate and tactile representation of the female pelvis. It is the ideal platform for hands-on examination as well as diagnosis of pathologies and abnormalities. It can be used for many levels of training from undergraduate onwards, as well as in family health. In 2014 the 7 uterine modules included with the Advanced model were used in a study by gynaecologists and doctors. Participants performed speculum and bimanual examinations. The modules were found to be realistic and have construct validity.1
1 Realism and construct validity of novel pelvic models of common gynecologic conditions Edwards, S, Cass, G, Lenguerrand, E, Fox, R & Crofts, J. 2014 International Journal of Gynaecology and Obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, vol 124, pp. 270-3 Skills Gained
• Recognition of perineal and pelvic anatomy including bony landmarks • Digital vaginal examination • Bi-manual examination • Cervical smear procedure (including use of speculum) • Digital rectal examination
– Abdomen, pelvis and genitalia – Vagina, cervix, anus and lower bowel – Advanced model comes with interchangeable 7 modules available uterine modules with different complications – Modules: – Normal - Nulliparous Cervix – Large Fibroid - Nulliparous Ectropion Cervix – Small Fibroid - Nulliparous Polyp Cervix – Ovarian Cyst - Multiparous Cervix – Retroverted - Multiparous Cervix – 10-12 Weeks Pregnant – 14-16 Weeks Pregnant
Producta Qualities
Abdominal wall lifts off...... allowing uterine module to – Abdominal wall with fat layer makes palpation be lifted out more realistic – Labia can be parted realistically – Each uterus is presented at the correct anatomical angle
– Partial thighs aid anatomical orientation – Soft and strong perineum and labia
– Abdominal wall can be removed quickly and easily – Modules can be changed quickly and easily
Pelvis has realistic anatomy Insertion of speculum prior to – Latex-free modelled from CT scan data cervical smear
– Skin surface is washable using soap and water
12 limbsandthings.com Female Examination • Pelvic
CFPT Module 1: CFPT Module 2: CFPT Module 3: CFPT Module 4: Normal - Large Fibroid -Nulliparous Small Fibroid - Ovarian Cyst - Nulliparous Cervix Ectropion Cervix Nulliparous Polyp Cervix Multiparous Cervix
Product No: 60920 Product No: 60921 Product No: 60922 Product No: 60923
Packed weight (g) & dimensions (mm) Packed weight (kg) & dimensions (mm) Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) 950 g 310 l 230 w 160 h 1.15 kg 310 l 230 w 160 h 950 g 310 l 230 w 160 h 950 g 310 l 230 w 160 h
CFPT Module 5: CFPT Module 6: CFPT Module 7: Retroverted - Multiparous 10-12 Weeks 14-16 Weeks Cervix Pregnant Pregnant
Product No: 60924 Product No: 60925 Product No: 60926
Packed weight (g) & dimensions (mm) Packed weight (kg) & dimensions (mm) Packed weight (kg) & dimensions (mm) 950 g 310 l 230 w 160 h 1.0 kg 310 l 230 w 160 h 1.3 kg 310 l 230 w 160 h
Images above are for information purposes & show a simplified representation of anatomy within the CFPT Modules
Advanced - 60905 Standard - 60900 You’ll Receive You’ll Receive
• 60910 1 CFPT Abdominal Insert • 60910 1 CFPT Abdominal Insert • 60920 1 CFPT Module 1: Normal - Nulliparous Cervix • 60920 1 CFPT Module 1: Normal - Nulliparous Cervix • 60921 1 CFPT Module 2: Large Fibroid - Nulliparous • 1 Lower torso
Ectropion Cervix • 1 Base • 60922 1 CFPT Module 3: Small Fibroid - Nulliparous • 1 Tube of aqueous gel
Polyp Cervix • 1 Carry case • 60923 1 CFPT Module 4: Ovarian Cyst - Multiparous Cervix • 60924 1 CFPT Module 5: Retroverted - Multiparous Cervix Packed weight (kg) & dimensions (mm) 9.5 kg 490 l 490 w 360 h • 60925 1 CFPT Module 6: 10-12 Weeks Pregnant Patents granted • 60926 1 CFPT Module 7: 14-16 Weeks Pregnant • US6336812 • EP099027 • DE69804793 • CA 2293585 • 1 Lower torso • 1 Base • 1 Tube of aqueous gel • ZL98806331 • HK1023832 • 755575 Austrailia • 2 Carry cases - 1 modules, 1 trainer
Uteri
Packed weight (kg) & dimensions (mm) 9.10 kg 670 l 480 w 300 h Trainer
Packed weight (kg) & dimensions (mm) 9.5 kg 490 l 490 w 360 h
limbsandthings.com 13 Female & Male Examination • Pelvic
Female Pelvic Scrotal Ultrasound Phantom Ultrasound Phantom
Product No: KKUS-10 A phantom for teaching and practising transvaginal and transabdominal ultrasound procedures as well as learning to identify a range of pathologies. Product No: KKUS-11 Skills Gained A high-fidelity phantom for teaching and practising scrotal ultrasound procedures and learning to identify abnormalities. • Image acquisition, interpretation, technique and positioning for transvaginal and transabdominal ultrasound examination Skills Gained • Visualisation of pathologies • 3D ultrasound imaging restructuring • Image acquisition, technique and interpretation • Psychomotor skills associated with transvaginal • Visualisation of pathologies ultrasound procedures • Psychomotor skills required for scrotal ultrasound
– Vagina, cervix, uterus, fallopian tubes, ovaries, – Scrotum, testicle, epididymis and penis Douglas Cavum, rectum, bladder and pelvis – Realistic pathologies include uterine fibroid, dermoid cyst and endometrial cancer Product Qualities Product Qualities – Accurately simulates the feel and imaging – Accurately simulates the feel and imaging of real characteristics of real human tissue human tissue – High quality, lifelike ultrasound images – Excellent ultrasound image quality – Scrota can be easily detached from the model – Compatible with any ultrasound scanner system for cleaning and replacement – 2 interchangeable phantoms: pathological and – Interchangeable normal and pathological ectopic pregnancy phantoms
– Latex-free – Latex-free
– Skin surface is washable using soap and water – Skin surface is washable using soap and water
You’ll Receive You’ll Receive
• 1 Lower torso manikin • 1 Ultrasound ectopic • 1 Lower torso manikin • 1 Pathological scrotum • 1 Ultrasound pathology unit pregnancy unit • 1 Normal scrotum • 1 Storage case • 1 Storage case
Packed weight (kg) & dimensions (mm) 7 kg 330 l 340 w 24 h Packed weight (kg) & dimensions (mm) 15 kg 330 l 340 w 240 h
14 limbsandthings.com Male Examination • Rectal
Rectal Examination Trainer Mk 2 SP
– Buttocks, anus and rectum 2 interchangeable perineums: - Normal for prostate examination - Pathology featuring polyp and carcinoma 5 interchangeable prostates: Product No: 60120 - Normal - Bilateral benign Our rectal examination model comprises a realistic representation - Unilateral benign of the buttocks, anus and rectum enabling the practice of - Bilateral carcinoma diagnostic skills associated with rectal examination. - Unilateral carcinoma Skills Gained Product Qualities
– When in use, the prostate is hidden and cannot • Digital examination of the prostate be seen by the trainee • Digital rectal examination – Realistic sphincter tone • Proctoscope insertion and use – Palpable sacrum • Professional-to-patient communication
– Prostates can be easily and quickly changed – Trainer can also be presented in Do you have the original Rectal Examination Trainer ‘semi-standing’ position Product No: 60100? Use either of these Kits to upgrade it to Mk 2 level: – Latex-free
– Washable using soap and water
You’ll Receive Mk 2 Rectal Mk 2 Rectal Examination Trainer Examination Upgrade Kit Trainer Upgrade Kit • 60122 1 Mk 2 Rectal Examination Perineum - Normal (with Perineums) (without Perineums) • 60123 1 Mk 2 Rectal Examination Perineum - Pathology Product No: 60124 Product No: 60125 • 60121 1 Mk 2 Rectal Examination Prostates (Set of 5) • 00293 Tube of Water-based Lubricant Kit contains: Both Mk 2 Kit contains: Mk 2 • 1 Lower torso Perineums, Mk 2 Prostates, Prostates, replacement • 1 Base replacement prostate & prostate & perineum • 1 Carry case perineum frame & coccyx frame & coccyx
Packed weight (kg) & dimensions (mm) 7.55 kg 420 l 420 w 340 h
limbsandthings.com 15 Male Examination • Pelvic
Clinical Male Pelvic Trainer (CMPT) Mk 2 - Advanced & Standard Product No: 60950 Standard 60951 Advanced Our anatomically accurate trainer is an ideal platform for teaching and learning ‘hands-on’ male pelvic examination and diagnosis. The user-friendly design, combined with clear anatomic landmarks and a range of pathologies creates a realistic training experience for students across all levels of healthcare education. Developed in collaboration with: • The Clinical Skills Resource Centre, University of Liverpool, UK • Imperial College, London, UK • Guys Hospital, London, UK • Southmead Hospital, Bristol, UK • University of Southampton, UK Skills Gained
• Correct examination procedure of male pelvis • Examination and evaluation of: - Normal anatomy - Testicular abnormalities - Abdominal and pelvic pain • Dry catheterisation
– Abdomen, pelvis and genitalia Anatomy of the groin with clear anatomical landmarks: - Anterior Superior Iliac Spine (ASIS) - Pubic symphysis and tubercles Genitalia includes: - Penis – both circumcised and non-circumcised - Scrotum – containing testicles with epididymis and vas deferens Pathologies (Advanced model only): - Testicular tumour and penile cancer - Epididymal cyst Pelvis has realistic anatomy modelled from CT scan data - Varicocele - Orchitis / epididymo-orchitis - Hydrocele - Indirect inguinal hernia Product Qualities
– Soft tissue genitals and abdominal wall
– Soft tissue inserts can be removed and replaced – Can be used in 2 positions (standing and supine)
– Modules 5 & 7 contain latex
– Skin surface washable using soap and water 7 modules available
16 limbsandthings.com Male Examination • Pelvic
CMPT Module 1: CMPT Module 2: CMPT Module 3: CMPT Module 4: Normal Varicocele Testicular Tumours Epididymal Cysts and Penile Cancer Product No: 60952 Product No: 60953 Product No: 60955 Product No: 60954
Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) 720 g 600 l 210 w 160 h 730 g 600 l 210 w 160 h 730 g 600 l 210 w 160 h 740 g 600 l 210 w 160 h
CMPT Module 5: CMPT Module 6: CMPT Module 7: Orchitis/ Hydrocele Indirect Inguinal HernIa Epididymo-orchitis Product No: 60956 Product No: 60957 Product No: 60958
Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) 835 g 600 l 210 w 160 h 810 g 600 l 210 w 160 h 775 g 600 l 210 w 160 h
Advanced - 60951 Standard - 60950 You’ll Receive You’ll Receive
• 60952 1 CMPT Module 1: Normal • 60952 1 CMPT Module 1: Normal • 60953 1 CMPT Module 2: Varicocele • 60959 1 CMPT Abdominal Insert • 60954 1 CMPT Module 3: Tumours • 60960 1 CMPT Pubic Bone • 60955 1 CMPT Module 4: Epididymal Cysts • 60961 1 CMPT Foreskins Pack • 60956 1 CMPT Module 5: Hydrocele (contains 2 foreskins & 3 lubricant sachets) • 60957 1 CMPT Module 6: Orchitis/Epididymo-orchitis • 1 Lower torso • 1 Support base • 60958 1 CMPT Module 7: Indirect Inguinal HernIa • 1 Carry case • 60959 1 CMPT Abdominal Insert • 60960 2 CMPT Pubic Bone Packed weight (kg) & dimensions (mm) 13.2 kg 650 l 290 w 480 h
• 60961 2 CMPT Foreskins Pack Patents granted (each pack contains 2 foreskins & 3 lubricant sachets) • US6336812 • EP099027 • DE69804793 • CA 2293585 • 1 Lower torso • 1 Support base • ZL98806331 • HK1023832 • 755575 Austrailia • 2 Carry cases - 1 modules, 1 trainer • 1 LED pen torch
Trainer
Packed weight (kg) & dimensions (mm) 13.2 kg 650 l 290 w 480 h Penii
Packed weight (kg) & dimensions (mm) 6.9 kg 550 l 290 w 480 h
limbsandthings.com 17 Ophthalmology
OphthoSim™ Ophthalmoscopy Training & Simulation Unit
NEW PRODUCT
Product No: OS13-001 OphthoSim™ is highly effective in training students to recognise and diagnose eye pathologies through dynamic hands-on experience and interaction with the extensive software content. OphthoSim™ can be purchased as a stand-alone unit, or as an upgrade to the OtoSim™ otoscopy system (see p20). Skills Gained
• Practice in monocular vision and ophthalmoscopic/ funduscopic technique • Examination principles and techniques • Retinal feature identification OphthoSim™ eye with • Diagnosis of eye pathologies iris control dial
– Retinal pathologies include: – Normal retinas – Diabetic retinopathy – Hypertensive retinopathy – Papilledemas – Retinal vascular disease – Retinal detachment – Age related macular degeneration – Tumours – Glaucoma – Optic neuropathies – Trauma
Product Qualities
– The supplied OphthoSim™ Ophthalmoscope is Optional accessory of pre-installed & configured laptop instrumented to detect the user’s movement and orientation and control the display of the appropriate retinal region You’ll Receive – Eye geometry realistically replicates the magnification of lens in the human eye and different clinical conditions • 1 Base Unit • 1x Software package & – Adjustable iris that dilates and constricts to add • 1 Eye Piece manual on USB Key complexity • 1 Instrumented • Protective hard cases Ophthalmoscope • 1 Year warranty – Verifies student progress as the ophthalmoscope’s • 1 Control box movements and orientation are tracked by the Accessories & Extended Warranties instructor to complete the learning feedback loop • OS51-001 OphthoSim/OtoSim Approved & – Includes training modules and testing routines to Configured Laptop practise and evaluate technique • OS73-003 OphthoSim 2 Year Extended Warranty – Landmarking function in the software allows the (total 2 years) instructor to highlight specific characteristics of • OS73-004 OphthoSim 3 Year Extended Warranty pathologies as they are viewed by the student (total 3 years) – OphthoSim™ is interoperable with the Base unit: OtoSim™ platform Packed weight (kg) & dimensions (mm) 4.0 kg 280 l 180 w 250 h Kit: OtoSim Packed weight (kg) & dimensions (mm) 1.0 kg 240 l 200 w 115 h BETTER EAR AND EYE TRAINING, BETTER OUTCOMES 18 limbsandthings.com Ophthalmology Ophthalmology
Eye Examination Simulator
Product No: KKM82 A sophisticated trainer for teaching and practising the use of an ophthalmoscope, examining the ocular fundus and identifying diseases and conditions within the eye. Skills Gained
• Use of an ophthalmoscope (not supplied) • Examination technique • Identification of up to 90 cases • Communication skills
– Head, neck and shoulders (manikin) – Eyeballs with lenses – Eyelids Product Qualities
– Lens-equipped eyeballs reproduce a realistic visual axis and view of eyegrounds – Soft and supple material allows hands-on simulation of raising the eyelids
– Unique set of image-processed slides taken from real cases provide a highly realistic Head is mounted on sturdy Remove back of head to 3D perspective lightweight plastic base. The change slides & the depth of – 3 step pupil diameter variations (2.0mm, wheel in the forehead allows the the fundus (3 settings) 3.5mm, 5.0mm) pupil diameter to be changed – 3 step slide locator simulates hyperopic, normal and myopic views – Red reflex – 10 common diseases/conditions: – Normal eyeground – Hypertensive retinopathy: arteriolar vasoconstriction grade 3, arteriolosclerosis grade 1, haemorrhages and cotton wool spots, simple vein concealment – Simple/background diabetic retinopathy: microaneurysm, haemorrhages and Slide: Simple/background diabetic Slide: Retinal vein occlusion hard exudates retinopathy (microaneurysms, (after retinal laser haemorrhages & hard exudates) photocoagulation) – Papilloedema (chronic phase) – Papilloedema (acute phase) – Glaucomatous optic atrophy: glaucomatous You’ll Receive optic disc cupping and nerve fibre defect – Retinal vein occlusion (acute phase): flameshaped haemorrhage and cotton wool spots • KK11220-010 1 Ocular Fundus Slides (Set of 10) – Retinal vein occlusion (after retinal • 1 Eye examination simulator base laser photocoagulation) • 1 Slide holder – Toxoplasmosis: retinochoroiditis • 1 Carry case – Age-related macular degeneration:
macular exudates and subretinal haemorrhage Packed weight (kg) & dimensions (mm) 4.5 kg 480 l 310 w 550 h
limbsandthings.com 19 Otology
OtoSim 2™ Otoscopy Training & Simulation Unit NEW Product No: OS11-002 PRODUCT OtoSim 2™ is an integrated system that dynamically improves the accuracy of diagnosing pathologies of the ear through experiential and interactive learning. Both students and current professionals can practise to improve their knowledge base of ear pathologies and otoscope technique. Skills Gained
• Practise otoscopy skills with modular vision • Proper landmark identification
– Realistic ear geometry- ear form with realistic shape and feel, shape and composition with various ear canal complexities: ‘introductory’, meatal stenosis and angulation of canal – Tympanic membrane – Adult and pediatric ears both left and right geometries available Product Qualities
– Unique optics enables OtoSim to project a 1cm wide image of the tympanic membrane - a realistic clinical scenario. – Instrumented to detect the user’s movement and displays the viewed region of the ear drum
– Proprietary database of over 380 high-resolution images of various ear pathologies – Accompanying detailed educational descriptions and histology images – Landmarking function to highlight specific features Optional Accessories to be viewed by the student through an otoscope, encouraging student/instructor interactions – Intuitive, easy-to-use graphic interface PneumatoSim™ Otoscopy Trainer – On/off function to capture student’s attention Product No: OS12-101 The Students will learn to: make a proper seal at the opening – Sufficient content and quizzes for student of the ear canal with a 5mm pneumatic speculum; apply self-tutorial appropriate positive and negative pressures for various – Multiplexing function - connect up to 14 OtoSim ear pathologies using the pressure graph; identify and be units at the same time to deliver a consistent familiar with the way the tympanic membrane behaves and message and efficiently use instructor time looks when insufflated under various ear pathologies (eg. normal vs. a fluid-filled membrane). You’ll Receive Package supplied • Pneumatic Ear, PneumatoSim software & Manual in USB key, Protective hard case
• 1 Base unit • 1 OtoSim 2™ Software & Manual on USB key OS31-003 Paediatric Earform (right ear) • 1 Adult Right & Left Earform OS31-003L Paediatric Earform (left ear) • 1 Control Box • 1 Instrumented Otoscope OS51-001 OtoSim Approved & Configured Laptop • 2 Protective hard cases • 1 Year Warranty OS52-002 OtoSim Recommended USB2.0 multi-port hub OS71-001 OtoSim 2 2 Year Extended Warranty (Total 2 Years) Base unit: OS71-002 OtoSim 2 3 Year Extended Warranty (Total 3 Years) Packed weight (kg) & dimensions (mm) 4.0 kg 280 l 180 w 250 h Kit: Packed weight (kg) & dimensions (mm) 1.0 kg 240 l 200 w 115 h OtoSim BETTER EAR AND EYE TRAINING, BETTER OUTCOMES
20 limbsandthings.com Otology
Ear Examination Simulator II
Product No: KKMW12 A life-size model of the ear including external acoustic meatus and tympanic membrane, for training in examination of the ear with an otoscope and foreign body removal. It offers two modes of use: instructor mode, which is is particularly useful for OSCE or skills examination, and self-learning mode. The model warns against painful insertion in the ear by beeping when in learning mode and displaying a warning light to the assessor when in instructor mode. The instructor mode also indicates when the tip of the otoscope reaches the bony part of the ear canal (yellow light) or touches the eardrum (red light).
Skills Gained
• Ear examination with an otoscope (not supplied) • Diagnosis of up to 9 cases • Earwax and foreign body removal Simulator with ear units & Head can be tilted to allow for foreign body removal kit proper positioning
– Head, neck and shoulders – Anatomically correct soft ear model with external acoustic meatus and tympanic membrane Product Qualities
– Ear model allows training in straightening the auditory canal by pulling the auricle – The neck can be tilted to allow proper Foreign body removal can Turn the dial to change cases head positioning be practised
– Warning against painful insertion with or without beep – 9 major clinical cases are prepared: – Normal – Serous otitis media (SOM) – Mucoid otitis media (MOM) – Chronic otitis media with perforation – Acute suppurative otitis media (AOM) Red light comes on when Yellow light comes on when – Cholesteatoma otoscope touches eardrum otoscope reaches the bony part of the ear canal – Tympanosclerosis – Traumatic perforations – Cerumen block You’ll Receive – Foreign body removal set supplied. Includes simulated earwax, small toys, small sponge fragments and a spoon • 1 Manikin head & shoulder • 4 Pairs of ear units: - Examination ear (normal), examination ear – Examination possible on both left and right ears (stenosis), foreign body ear (normal), foreign body ear (stenosis) – Suitable for use with all otoscopes • 1 Set of foreign body removal kit – 4 matching sets of right and left ears - Simulated ear wax, small toy, small sponge fragments & a spoon – 2 sizes of ear canal for all cases • 1 Carry case – Cases can be switched over easily by using the
dial on the back of the mode Packed weight (kg) & dimensions (mm) 6 kg 490 l 330 w 530 h
limbsandthings.com 21 Auscultation & Cardiology
Lung Sound Auscultation Trainer Blood Pressure Assessment Simulator
Product No: KKM81-S This unique lung sound auscultation trainer allows the trainee to distinguish and identify different lung sounds and diagnose associated conditions. Skills Gained Product No: BT-CEAB2 This trainer can be used to teach, practise and assess measurement • Use and placement of a stethoscope (not supplied) of blood pressure and pulse rate. It comes with a touch screen • Identification of sounds and their variations tablet offering real-time display of cuff pressure change and • Relationship between sounds and auscultation sites decompression rates. • Ability to describe sounds clearly to others Skills Gained – Torso – Thorax with trachea • Cuff placement • Manual pressurisation – Left lung field (upper, middle and lower) • Systolic and diastolic blood pressure reading – Right lung field (upper, middle and lower) • Auscultation of Korotkoff sounds – Right and left costophrenic angle • Palpation of radial and brachial artery pulse • Depressurisation Product Qualities Product Qualities – Torso rotates on the base to allow auscultation of the anterior (front) and posterior (back) lung fields – Training mode has a range of pre-programmed – Sound waves can be displayed graphically to aid scenarios to facilitate independent practice understanding and improve retention – Evaluation mode allows the assessor to control the systolic BP, diastolic BP, heart rate and – Lung sounds structure follows American Thoracic auscultatory gap Society classification – Student capability is scored according to the – Detailed explanation of lung sounds provided accuracy of the values they record. and synchronizes with the case being listened to. These include a description of the sound to aid identification, an explanation of how and why the sound is generated and a listing of possible conditions. These are enhanced with illustrations, chest radiographs and CT images
– Respiration rate can be varied You’ll Receive You’ll Receive
• 1 Adult arm manikin • 1 Tablet (10.1”) with software • 1 LSAT Trainer • 1 PC • 1 Amplifier • 2 Speakers (left arm) for training and evaluation Due to a policy of continuing product development & software upgrade, the specifications • 1 Sphygmomanometer • 1 Mount for arm & features of the current model may vary from those shown in this catalogue. (adult cuff, manometer, • 1 Power adapter spuit, t-connector, tube) • 1 Battery holder Packed weight (kg) & dimensions (mm) Multiple boxes & weights • 1 Storage case
Packed weight (kg) & dimensions (mm) 6.0 kg 750 l 300 w 170 h
22 limbsandthings.com Cardiology
Pitting Oedema Trainer SP
Product No: KKMW1 The Trainer consists of 5 pitting oedema models (1 normal and 4 variations) used for training students in the recognition, examination and classification of leg oedema. The models can be worn by a simulated patient (SP) or on a training manikin. Skills Gained
• Identification of different resistances and depths of pitting oedemas
Product Qualities
– 5 variations of pitting oedema: – normal (no indentations) – light (indentations approx 2mm deep) – moderate (indentations approx 4mm deep) – deep (indentations approx 6mm deep) – very deep (indentations approx 8mm deep)
– The models can be worn by a simulated patient or on a training manikin. – With the fibula plate inserted the models can be used on a work surface
You’ll Receive
• 5 Variations of pitting oedema models
Packed weight (kg) & dimensions (mm) 1 kg 260 l 220 w 120 h
limbsandthings.com 23 Abdominal Ultrasound
ABDFAN Ultrasound ABDFAN Ultrasound Examination Training Model Examination Training Model with ECHO-ZOU without ECHO-ZOU
Awaiting copy
Product No: KKUS-1B 41900-020 Product No: KKUS-1B 41900-030 In addition to the ABDFAN ultrasound phantom, this product This high-fidelity phantom can be used for teaching and practising package includes an anatomical model which separates into 20 abdominal ultrasound scanning and includes simulated lesions in parts to facilitate 3 dimensional understanding of the ultrasound the liver, pancreas, kidney, spleen and gallbladder. sectional images. Skills Gained Skills Gained
• Understanding of abdominal anatomy • Instrumentation and probe manipulation • Instrumentation and probe manipulation • Basics of abdominal sonography • Basics of abdominal sonography • Cross sections and sonographic anatomy • Cross sections and sonographic anatomy • Sonographic demonstration of each individual organ • Sonographic demonstration of each individual organ • Localisation of hepatic Couinaud’s segments • Localisation of hepatic Couinaud’s segments • Lesion detection training • Lesion detection training • Understanding of abdominal anatomy
Product Qualities Product Qualities
– Compatible with any ultrasound device with – Compatible with any ultrasound device with a convex probe a convex probe
– The phantom can be scanned from any part of – The phantom can be scanned from any part of its body surface and in a variety of positions its body surface and in a variety of positions
Sample ultrasound image: midsaggital plane showing Comprehensive stomach (upper middle) and package supplied spinal column (bottom)
You’ll Receive You’ll Receive
• 1 Ultrasound phantom ABDFAN • 1 Talcum powder • 1 Ultrasound phantom ABDFAN • 1 Talcum powder • 1 Anatomical model ECHO-ZOU • 1 Carry case • 1 Set of positioning pillows • 1 Carry case • 1 Set of positioning pillows • 1 DVD tutorial manual • 1 DVD tutorial manual
Packed weight (kg) & dimensions (mm) 20 kg 700 l 500 w 300 h Packed weight (kg) & dimensions (mm) 17 kg 700 l 500 w 300 h
24 limbsandthings.com Abdominal Ultrasound
ABDFAN Ultrasound FAST/ER FAN Ultrasound Examination Training Model Examination Training Model without ECHO-ZOU
Product No: KKMUS-5 This high-fidelity phantom is for training in FAST (Focused Assessment with Sonography for Trauma) ultrasound and identifying the presence of free intraperitoneal or pericardial fluid in trauma patients. Skills Gained
• FAST procedures • Sonography for acute patients • Detection of mass haemothorax, intraperitoneal haemorrhage and cardiac tamponade
– Pathologies include chloecystitis, an aortic aneurysm and lesion on the colon
Product Qualities
– Internal haemorrhaage in perihepatic, perisplenic, pelvis and pericardium area – Intra-abdominal haemorrhage around the liver, spleen and bladder
You’ll Receive
• 1 Ultrasound phantom • 1 Carry case
Packed weight (kg) & dimensions (mm) 33 kg 770 l 440 w 370 h
limbsandthings.com 25 Ultrasound Examination
SIMnext - DR Doppler
Skills Gained
• Proficiency in ultrasound interpretation • Recognition of multiple pathologies • Refined differential diagnosis skills NEW PRODUCT • Greater competency in performing augmented physical exams
Product Qualities
– Dynamic scenario control – Intuitive mobile app controlling normal and pathological flow conditions – Built-in teaching library DR Doppler Dynamic Ultrasound – Compatible with any diagnostic ultrasound Training System – Lightweight and compact design The first dynamic ultrasound training system replicating real – Modular design with additional anatomic time pathologies through true-to-life anatomic phantoms and phantoms and case studies in development measurable, app-based training modules. The system offers Doppler instruction and ultrasound training in a flow-based Product details and anatomies correct at time of going to press. Subject environment. to change.
Core Competency Trainer (CCT) Carotid Artery Trainer (Available Q3 2016) Internal view of the Core Competency Internal view Normal view Trainer (CCT)
The model includes CAA, ICA and ECA Normal view of the Core Competency Trainer (CCT) Recorded ultrasound waveforms created by DR Doppler
Product No: DRDSYSO1
You’ll Receive ‘Tardus Parvus’ ‘Greater than 70% Stenosis
You’ll Receive • DRDSYSO1 1 Core Competency Trainer (CCT) + dongle • 1 Waveform emulator • 1 Tablet with pre-loaded DR Doppler app and CCT curriculum • 2 litres DRD blood mimicking fluid • 1 Carotid Artery Trainer (CAT) + dongle • 1 Pelican wheeled carry case • CAT curriculum
Packed weight (kg) & dimensions (mm) 22.7 kg 665 l 584 w 397 h
26 limbsandthings.com Procedural Skills
Popular Procedural Products designed for staged Skills Products training in clinical procedures Our range enables healthcare practitioners to continually enrich their procedural skills through deliberate practise. Moving forward, as the development of non-technical skills (patient interaction) becomes more important to the overall Advanced competency of the individual, many of our products are adaptable for use in hybrid simulation scenarios. This flexibility Page Venepuncture Arm 35 is helpful when adding requirements for more experienced practitioners through advanced scenarios. We believe in hybrid simulation, which meets the evolving needs of the educator and practitioner alike.
Products in this section Chest Drain & Needle Decompression Trainer 28 Ultrasound Guided Thoracentesis Strap-on Simulator 30 Ultrasound-Guided Pericardiocentesis Simulator 31 AirSim Advance 32 AirSim Advance Bronchi 32 AirSim Advance Combo Bronchi 32 AirSim Advance Combo 32 Difficult Airway management Simulator & Demonstrator 33 Page Injection Trainer Cricoid Stick Trainer 33 38 Standard Venepuncture Vein 34 Advanced Venepuncture Arm 35 Bag & Stand for Venepuncture Arm 35 ACF Pad - Venepuncture 36 Three Vein Pad - Venepuncture 36 Extended ACF Pad - Venepuncture 36 Mock Blood Giving Set 37 Mock Blood - Arterial & Venous 37 Arterial Puncture Wrist 37 Cutdown Pad 38 Injection Trainer 38 Ultrasound Vascular Access Trainer 39 Ultrasound CVC Insertion Simulator Mk 2 39 Chester Chest with New Advanced Arm 40 Advanced Peter PICC Line 40 Page Catheterisation Trainer Ultrasound Guided PICC Training Simulator 41 43 Advanced Catheterisation Trainer - Complete Set 42 Advanced Catherisation Trainers - Male & Female 43 Lumbar Spine Anatomical Model 44 Thoracic & Lumbar Epidural Anaesthesia Simulator 44 Ultrasound Compatible Lumbar Puncture/Epidural Simulator 45 Diagnostic Peritoneal Lavage (DPL) Trainer 46 NG Tube & Trach Care Trainer 46 Patient Care Simulator “Cherry” 47 Tube Feeding Simulator 48
limbsandthings.com 27 Chest Trauma Management
Chest Drain & Needle Decompression Trainer
Product No: 60230 Our Chest Drain and Needle Decompression Trainer has been designed to meet the specific requirements of healthcare professionals training in surgical or guidewire-assisted thoracostomy and thoracentesis. This product allows for a variety of chest drain insertion techniques to be performed including ultrasound-guided techniques.
Skills Gained
• Needle decompression of tension pneumothorax • Open, or cut-down chest drain insertion: recognition of correct position, surgical incision, blunt dissection through chest wall, perforation of pleura and finger sweep • Suture of tube to chest wall • Ultrasound-guided chest drain insertion (Seldinger-type), including insertion of needle under direct vision and ultrasonic recognition of chest structures • Management of pleural effusion
– Representation of adult male thorax with arms raised – Bony and soft tissue landmarks: manubriosternal joint, clavicles, ribs, pectoralis major and latissimus dorsi – Internal ultrasound anatomy: diaphragmatic structures and collapsed lung Product Qualities
– Can give the impression of breathing under ultrasound when using the advanced pad – Needle decompression air reservoirs provide realistic release of air on insertion of needle
– Reservoirs can be filled with fluid or mock blood to represent pleural effusion You’ll Receive – Bilateral chest drain and needle decompression pads • 60231 1 Needle Decompression Pads (x2) – Suitable for supine, sitting or leaning • 60232 1 Advanced Chest Drain Pads (x2) forwards positions • 60234 1 Standard Chest Drain Pads (x2) – Works with thoracic seals when using the • 60240 1 Chest Drain Ribs (x12) standard pad • 60235 1 Chest Drain Rib frame (Left) • 60237 1 Chest Drain Rib frame (Right) • 60238 1 Chest Drain Lung – Latex-free • 60239 1 Chest Drain Diaphram • 1 Torso • 1 Carry case – Affordable replaceable pads Packed weight (kg) & dimensions (mm) 15.9 kg 660 l 290 w 480 h
28 limbsandthings.com ChestChest TraumaTrauma ManagementManagement
Needle only needle decompression Needle, syringe & saline solution Advanced Chest Drain Pads Standard Chest Drain Pads needle decompression
Pad feature comparison Advanced Standard • Ultrasoundable • - • Use with liquids • - • Effusion • - • Haemothorax simulation • - • Pleural layer • • • Blunt dissection • • • Seldinger technique • - • Can be sutured • • • Needle insertion • • • Guidewire insertion • • • Dilator insertion • • • Drain tube insertion • • • Use with adhesive dressings • • • Shows respiratory swing • - • Latex free • •
Blunt dissection with drain tube insertion
rib (casting shadow onto lung below)
diaphragmatic lung structure
Ultrasound guided needle insertion (Seldinger type) Recognition of pleural effusion & ultrasonic landmarks: chest wall, lung & diaphragmatic structure
limbsandthings.com 29 Chest Trauma Management
Ultrasound Guided Thoracentesis Strap-on Simulator SP Product No: KKMW4A The Ultrasound Guided Thoracentesis Simulator features wearable puncture units that facilitate hybrid training, including interaction with patients. There are 2 types of puncture units: mid-scapular line access and mid-axillary line access. Both units include ribs, soft tissue, pleura, lung and diaphragm. The ribs can be palpated from the surface to determine site for needle insertion. Skills Gained
• Patient positioning • Recognition of anatomical landmarks by ultrasound • Assessment of level and volume of pleural effusion • Determination of insertion site • Needle insertion and collection of the fluid • Professional-to-patient training
– Ribs, pleura, soft tissue, lung and diaphragm
Product Qualities
– Realistic needle-tip resistance and sensation when the needle penetrates the pleura
– Explanation model to facilitate anatomical understanding – Excellent ultrasound image – Volume of pleural effusion can be controlled to set different levels of challenges
– Strap-on puncture units provide effective learning of patient positioning and communication Anatomical landmarks can be Fluid can be collected – 2 sites for access: recognised using ultrasound – Right mid-scapular line – Left mid-axial line Sample ultrasound image 1 4 showing: – Latex-free 1 lung 2 diaphragm 3 pleura – Self-sealing material 3 4 rib 5 5 soft tissue 2 You’ll Receive
• 1 Mid-scapular line unit • 1 Set of accessories (1 plastic • 1 Mid-axial line unit jar, 1 tube with 3-way, 1 50ml syringe, 1 funnel) Consumables • 1 Instruction manual KK11383-020 Mid-scapular Line Puncture Pad (Pair) KK11383-010 Mid-axial Line Unit Puncture Pad (Pair) Packed weight (kg) & dimensions (mm) 1 kg 350 l 250 w 190 h KK11383-030 Replacement Lung (Pair)
30 limbsandthings.com Chest Trauma Management
Ultrasound Guided Pericardiocentesis Simulator
Product No: KKMW15 This simulator allows trainees to practise pericardiocentesis: inserting the needle under ultrasound guidance, piercing the pericardial sac and aspirating pericardial fluid.
Skills Gained
• Ultrasound guided pericardiocentesis using subxiphoid or parasternal approach • Patient positioning • Visualisation of pericardial fluid • Palpation and identification of left xiphisternal junction (Larrey’s point) for needle insertion • Insertion of needle in pericardial space • Pericardial fluid suction • Professional-to-patient training
– Adult upper torso – Left Xiphisternal junction (Larrey’s point) Product Qualities
– Realistic needle tip feeling when the needle pierces the pericardial sac
– Confirmation of ventricles, ribs, pericardium, liver and main artery under ultrasound scanning – Durable and replaceable puncture pad
You’ll Receive
• 1 Adult chest model with spacer • 1 Puncture pad for pericardiocentesis • 1 Pillow for positioning • 1 Instruction manual
Packed weight (kg) & dimensions (mm) 7 kg 650 l 480 w 480 h
Consumables
KK11394-010 Puncture Pad for Guided Pericardioncentesis Simulator (Pair)
limbsandthings.com 31 Airway Management
AirSim Advance AirSim Advance Bronchi Product No: Product No: TCAA91100 TCAA95100
An anatomically correct model, The AirSim Advanced Bronchi with lifelike skin covering and provides the same benefits as the inflatable tongue. Allows realistic AirSim Advance with the added bag-mask ventilation training benefit of anatomically correct including correct articulation for bronchial detail down to the airway management techniques. fourth generation bronchi. Skills Gained Skills Gained
• Bag-mask ventilation • Naso-tracheal intubation • Diagnostic bronchoscopy • Standard laryngoscopy • Awake fibreoptic examination • Using single and double lumen tubes and bronchial blockers • Video laryngoscopy • Full range of supraglottic • Lung isolation techniques using left and right • Tracheal intubation devices endobronchial tubes and bronchial blockers • Fibreoptic bronchoscopy • Lung suctioning techniques • Visit the product page on our website for a full listing • Bronchial stent insertion
• Visit the product page on our website for a full listing AirSim Advance Combo AirSim Advance Combo Bronchi
Product No: IMPROVED Product No: IMPROVED TCCTC91100 TCCTC95100 The AirSim Advance Combo The AirSim Advance Combo combines the uniquely Bronchi has all the features constructed AirSim airway and anatomy of the Advanced with the enhanced addition of Combo with the addition of tracheal rings, simulated cricoid and laryngeal cartilages. internal bronchi down to the This combination of features delivers a high quality solution fourth generation. for the practise of realistic airway management, percutaneous tracheostomy and emergency cricothyroidotomy training. Skills Gained Skills Gained As AirSim Advance Combo, plus: • Needle and surgical cricothyroidotomy • Fibre optic bronchoscopy techniques • Percutaneous tracheostomy • Diagnostic bronchoscopy • Direct and video laryngoscopy • Lung isolation techniques • Endotracheal and naso gastric tube insertion • Lung suctioning techniques • Bag-mask ventilation • Awake fibre optic examination • Combi tube insertion You’ll Receive
You’ll Receive
• Airsim Advance Combo model • Black carrier case • 1 CD user manual • 30 Larynx membrane inserts • 1 Combo larynx cover (as supplied on manikin) • 1 Airsim Advance Combo model including larynx insert & • 1 Wrap around neck skin (as supplied on manikin) wrap around neck skin • 4 Spare Larynx inserts • 1 Blue adult lung bag • 2 Blue baby lung bags Packed weight (kg) & dimensions (mm) 3.6 kg 460 l 260 w 330 h • 1 Carry case • 1 CD user manual • 1 Bottle of lubrication
Packed weight (kg) & dimensions (mm) 3.5 kg 460 l 260 w 330 h
32 limbsandthings.com Airway Management
Cricoid Stick Trainer
Product No: – Anatomically accurate landmarks for site training LD261-01001
This trainer can be used to Product Qualities practise needle and surgical – Interchangeable rigid and soft tracheas facilitate cricothyrotomy skills. realistic simulation of cricothyrotomy procedures
You’ll Receive
• LD261-01150 • LD261-01350 1 Replaceable 1 Replacement neck skin trachea – rigid • 1 Cricoid stick head • LD261-01250 • 1 Balloon lung 1 Replaceable • 1 Retaining band Skills Gained trachea – soft • 1 Base
• Needle cricothyrotomy • Surgical cricothyrotomy Packed weight (kg) & dimensions (mm) 5.45 kg 380 l 380 w 255 h
Difficult Airway Management Skills Gained Simulator Models For both models: • Airway opening techniques (head tilt, jaw thrust) KKMW13 Training Manikin • Bag-mask ventilation • Pre-intubation airway assessment
Product Qualities
– 24 Variations of patient scenarios including: – 2 Steps of neck flexibility – 3 Steps of mouth opening – 2 Sizes of tongues – 2 Positions of vocal cords
– Stable base for training in various settings including those for pre-hospital scenarios – Accurate anatomy and realistic feeling of airway will meet requirements of all levels of trainees
Product No: KKMW13 Training You’ll Receive Product No: KKMW14 Demonstration
These models offer excellent • KKMW13 • KKMW14 realism in airway management 1 Training manikin 1 Demonstration model training. Both feature the ability • 3 Upper incisors • 3 Upper incisors to control the degree of mouth • 1 Lubricant • 1 Lubricant opening, tongue inflation and • 1 Syringe • 1 Syringe limit of neck flexibility. The • 1 Carry bag • 1 Carry bag Training model also confirms successful ventilation by Packed weight (kg) & dimensions (mm) Packed weight (kg) & dimensions (mm) observation of lung expansion 12 kg 740 l 430 w 310 h 4 kg 460 l 310 w 320 h and stomach inflation, or auscultation of the chest. KKMW14 Demonstration Model
limbsandthings.com 33 Venepuncture
Venepuncture Standard Arms Venepuncture Arm Skills Gained SP • Venepuncture • IV Cannulation • IV Infusion • Professional-to-patient communication
– Soft, flexible skin – Underlying palpable veins: Standard - All models: cephalic, basilic and dorsal metacarpal Venepuncture - Advanced model only: median cubital Arm veins Product Qualities
– Realistic blood flashback – Arm allows for digital pressure to stem Product No: 00330 Light blood flow – Infusion Tube allows for volume IV fluids 00331 Brown to be administered 00332 Black The Standard Venepuncture Arm provides the ideal platform for – Skin is durable practising the skills related to venepuncture and IV cannulation. – Veins last for up to 500 insertions of The bag and stand mock blood supply is perfect for a clinical 21g needle skills training environment where large numbers of trainees are – Blood has been reformulated to improve practising on a regular basis, or for self-directed learning time in leak resistance of veins (concentrated a skills laboratory. Little technical knowledge is required for setup liquid to save you money and and maintenance. storage space). – Can be used with vacuum blood You’ll Receive collection systems, needle and syringe and IV cannulas – Can be used for hybrid simulation and for professional-to-patient communication • 00333 1 SV Arm Vein when using the optional Venepuncture • 00334 1 SV Vein Module Arm Harness • 00336 1 Bag & Stand Venepuncture Arm Mock Blood Supply • 00020 1 Concentrated Venous Blood - Starter Pack • 00335 1 Venepuncture Arm Infusion Tube – Contains latex • 00302 1 Venepuncture Arm Rest • 1 Venepuncture arm skin • 3 Packs water-based lubricant – Veins are easy to replace • 1 Arm shell – Easy to clean, service and maintain Packed weight (kg) & dimensions (mm) 6.1 kg 1010 l 190 w 290 h
Vacuum blood collection systems Skin to be stretched to ‘anchor’ to be used veins for easier cannula insertion
34 limbsandthings.com Venepuncture
Advanced Bag Stand & Venepuncture Advanced Arm Venepuncture SP Arm SP
Advanced Advanced Venepuncture Venepuncture Arm veins Arm veins
Product No: 00290 Light Product No: 00440 Light 00298 Brown 00441 Brown 00296 Black 00442 Black The Advanced Venepuncture Arm features a closed blood flow This product combines the more complex vein structure of system rather than the Bag and Stand supply and allows easy the Advanced Venepuncture Arm with the Bag and Stand Mock adjustment of the pressure. The Advanced arm also has a greater Blood Supply. number of vein types.
You’ll Receive You’ll Receive
• 00292 1 AV Arm Vein • 00292 1 AV Arm Vein • 00295 1 AV Vein Module • 00295 1 AV Vein Module • 00020 1 Concentrated Venous Blood - Starter Pack • 00336 1 Bag & Stand Venepuncture Arm Mock Blood Supply • 00335 1 Venepuncture Arm Infusion Tube • 00020 1 Concentrated Venous Blood - Starter Pack • 00302 1 Venepuncture Arm Rest • 00335 1 Venepuncture Arm Infusion Tube • 00303 1 Refill Bottle • 00302 1 Venepuncture Arm Rest • 00337 1 Pressurised Venepuncture Arm Mock Blood Supply • 1 Venepuncture arm skin • 1 Venepuncture arm skin • 3 Packs water-based lubricant • 3 Packs water-based lubricant • 1 Arm shell • 1 Arm shell
Packed weight (kg) & dimensions (mm) 4.25 kg 1010 l 190 w 290 h Packed weight (kg) & dimensions (mm) 6.1 kg 1010 l 190 w 290 h
Optional Extras & Consumables Available for all Venepuncture Arms
• 00291 Arm Skin - Light • 00297 Arm Skin - Black • 00299 Arm Skin - Brown • 00300 Venepuncture Arm Harness • 00301 Venepuncture Arm Carry Case
limbsandthings.com 35 Venepuncture
ACF Pad - Venepuncture Three Vein Pad - Venepuncture SP SP
Product No: 00140 This soft tissue strap-on pad can be used to train in venepuncture Product No: 00161 and represents the antecubital fossa of the right arm. This soft tissue strap-on pad features 3 Skills Gained straight veins, one of which is paediatric size.
• Professional-to-patient communication Skills Gained • Recognition of the vein pattern through palpation • Insertion of a needle • Professional-to-patient communication • Insertion of cannula • Insertion of a needle • Management of blood flow • Insertion of cannula • Management of blood flow
– Contains latex – Lumen sizes of veins (1 of each): 1mm, 4mm, 6mm You’ll Receive Product Qualities
– Straps onto the arm or back of the hand • 00180 1 Vein for ACF Pad • 00170 1 Epidermis for ACF Pad • 1 Pad base with strap – Veins are: – Self-sealing for repeated use Packed weight (g) & dimensions (mm) 140 g 140l 100 w 60 h – Replaceable – Rechargeable via a one-way valve – Supplied with mock blood under pressure Extended – The pad can be connected to the Mock Blood ACF Pad - Giving Set (60651) to simulate blood flow. Only Venepuncture for use with Mock Blood - Venous (250ml) (00223)
Product No: 00211 – Tough backing plate to prevent needle This soft tissue pad is supplied on a base for benchtop training stick injuries in venepuncture and insertion of cannulae. It represents the – Contains latex antecubital fossa of the right arm. – Washable using soap and water Skills Gained – Epidermis is replaceable
• Recognition of the vein pattern through palpation • Insertion of a needle • Introduction of cannula and use of micropore You’ll Receive • Removal of cannula • Management of blood flow • 00213 1 Vein for Three Vein Pad • 00200 1 Epidermis for Three Vein Pad – Contains latex • 1 Pad base with strap
Packed weight (g) & dimensions (mm) 200 g 420l 120 w 20 h Packed weight (g) & dimensions (mm) 220 g 150l 115 w 60 h
36 limbsandthings.com Venepuncture & Arterial Puncture
Mock Blood Giving Set Arterial Puncture Wrist Product No: 60651 A 1 litre blood bag with luer lock connector tube and stand. This product can be used with Limbs & Things products requiring a mock blood supply including: - ACF Pad - Three Vein Pad - SFJ Ligation Technique Trainer - Arterial Procedures Kit - Vermiform Appendix - Gall Bladders
Product No: KKM99 You’ll Receive This trainer facilitates practice of radial artery puncture for blood collection and artery catheterisation.
• 60652 1 Mock Blood Bag • 1 Metal stand with base Skills Gained • 1 Luer lock tube adapter • Palpation of radial artery Packed weight (kg) & dimensions (mm) 1.35 kg 280 l 280 w 130 h • Needle insertion • Blood collection Mock Blood - Venous & Arterial Product Qualities
– Arterial pulse is palpable – Soft tissue and artery wall provide realistic needle resistance
– Speed of pulse is variable – Flashback can be observed
– Puncture sites not visible after use – One-touch, leak free connectors Venous - Product No: 00223 250ml of synthetic solution made to the correct colour and viscosity – Easy clean product of venous blood. – Skin, pad and artery tube are replaceable
You’ll Receive You’ll Receive • 1 250ml Bottle
Packed weight (kg) & dimensions (mm) 320 g 205 l 180 w 80 h • KK11351-010 2 Skin Sets • 1 Jar of blood powder with (Inner & Outer) beaker & spoon Arterial - Product No: 60653 • KK11351-030 1 Silicon Belt • 2 Plastic jars 250ml of synthetic solution made to the correct colour and viscosity • KK11351-040 1 Artery • 2 Connection tubes of arterial blood. Tubes (Set Of 4) • 1 Air bulb • 1 Wrist & hand model with • 1 Vinyl sheet You’ll Receive circulation pump • 1 Case • 1 250ml Bottle
Packed weight (kg) & dimensions (mm) 7 kg 520 l 490 w 380 h Packed weight (kg) & dimensions (mm) 320 g 205 l 180 w 80 h
limbsandthings.com 37 Venepuncture & Injection Technique
Cutdown Pad Injection Trainer SP
Product No: 00280 Product No: 00310 A multi-layered pad containing filled veins for practising venous Our soft tissue injection pad is designed for practising intradermal, cutdown procedure. subcutaneous and intramuscular tissue injection techniques. The Injection Trainer has multiple tissue layers representing the epidermis, dermis, fat and muscle layer, and can easily attach to an arm or thigh to help teach professional-to-patient communication. Skills Gained Skills Gained
• Palpation to locate vein position • Subcutaneous injection • Incising tissue layers • Intradermal and intramuscular injection • Inserting a cannula • Management of tissue • Vein injection both distally and proximally • Professional-to-patient communication • Tying off veins
– Epidermis, dermis, fat and muscle – Layers simulate the epidermis and subdermal layers – 3 straight veins (each 150mm long) filled with mock blood Product Qualities
Product Qualities – Tissues are soft and warm to the touch
– The pad can be connected to the Mock Blood – Epidermis layer peels back to quickly release Giving Set (60651) to simulate blood flow subcuticular liquid – Only use Mock Blood - Venous (250ml) (00223)
– The veins can be used by multiple trainees if tied – Strap for hybrid simulation off after each use
– Latex free – Contains latex
– Durable replaceable epidermis
You’ll Receive You’ll Receive
• 00280 1 Cutdown Pad • 00311 1 Skin Pad & Muscle Block • 00320 1 Epidermis for Injection Trainer (x2) • 1 Strap-on base plate • 1 Soft tissue tray with liner
Packed weight (kg) & dimensions (mm) 100 g 250 l 150 w 15 h Packed weight (kg) & dimensions (mm) 600 g 210 l 160 w 110 h
38 limbsandthings.com Venepuncture & Injection Technique Central Line Management
Ultrasound Vascular Ultrasound CVC IMPROVED Access Trainer Insertion Simulator Mk 2
Product No: 60530 Product No: KKM93-UB An echolucent and contoured slab with representation of the A realistic model for teaching cannula approaches and the jugular vein for teaching needle insertion under ultrasound. insertion of central venous catheters into the superior vena cava, with and without ultrasound guidance. Skills Gained
Skills Gained • New improved CVC pad with more durable veins for greater longevity • Use of ultrasound technology • Identification of key landmarks, including the clavicle, • Handling ultrasound transducers sternocleidomastoid muscle and the internal carotid artery • Insertion of needles under ultrasound guidance • Navigation of needle under ultrasound and recognition of • Handling and management of guidelines and catheters correct vessels under ultrasound • Subclavian, supraclavicular, axillary and internal jugular • Recognition of vessels using ultrasound approach to catheterisation
Product Qualities Product Qualities
– Echolucent material provides realistic – Lifelike needle tip resistance ultrasound image – Excellent image quality – Palpable landmarks and carotid arterial pulsation – Vein is self-sealing for repeated use and rechargeable with water via a one-way valve – 3 interchangeable blocks: – Designed to be used on the bench top – Landmark pad for palpation and puncturing – Ultrasound pad for guided catheter insertion – Fluid volume and pressure can be changed into internal jugular or axillary vein in the vessel to represent variability in patient – Transparent anatomical pad for circulation, providing various levels of difficulty cannulation practice for needle insertion – Blue and red fluid confirms successful and unsuccessful needle placement – Contains latex You’ll Receive
You’ll Receive • 1 Male upper torso manikin • 1 Air bulb • 2 CVC pads • 2 Plastic jars • 1 Ultrasound puncture pad • 1 Irrigation bottle • 1Transparent anatomical block • 1 Syringe • 60531 1 Ultrasound Vascular Access Slab • 1 Skin for cannulation training • 1 Sample syringe • 1 Base • 2 Mock blood power sachets • 1 Sample needle • 1 10ml Syringe (red and blue)
Packed weight (kg) & dimensions (mm) 0.85 kg 210 l 120 w 100 h Packed weight (kg) & dimensions (mm) 9 kg 520 l 450 w 380 h
limbsandthings.com 39 Central Line Management
Chester Peter PICC Line™ Chest™ with New Advanced Arm
Product No: VTA2400 Light Skin VTA2402 Dark Skin A lifelike model of a human torso with detachable right arm designed for the insertion, care and removal of common long- term vascular access routes. Product No: VTA0600 Designed for practising blind insertion, care and removal of Skills Gained peripherally inserted central catheter (PICC) lines.
• Placement of peripheral port • Fluid infusion and withdrawal • Dressing and securement techniques Skills Gained Product Qualities • Identification of veins – Successful access is confirmed by a blood return • Standard IV catheter placement – Fluid can be infused and blood withdrawn from • Placement and removal of PICC lines all the lines • Fluid infusion and withdrawal
– Prepositioned surgically implanted CVC and – Anatomically accurate cephalic, basilic, median PICC line basilic, jugular and subclavian veins, and superior – Chest has a real implanted vascular access vena cava device (IVAD) – Openings to attach triple lumen and Product Qualities subclavian catheters – Chin can be positioned to simulate occlusion – Can be used in upright and supine positions of jugular – 3 difficult access inserts are supplied simulating – Palpable ribs allow measurement of proper the following port placements: catheter length externally – Tipping – Wandering – Replaceable translucent arm skin allows – Deeply placed visualisation of veins
You’ll Receive You’ll Receive
• VTA0406 1 Real Chest Port • VTA0420/0430/0440 • VTA0601 1 Arm Vein • VTA0607 1 Muscle Tissue (IVAD) 3 Difficult Access Inserts Tubing Set • VTA0608 1 Superior Vena • VTA0408 1 Dual Lumen 5FR • 1 Torso with detachable • VTA0602 1 Body Vein Cava Viewing Vial PICC Catheter advanced arm Tubing Set • VTA0609 1 Large Simulated • VTA0409 1 9.6FR Tunneled • 1 Blood reservoir bag • VTA0603 1 Arm Skin Blood Reservoir Bag Central Catheter in the torso & arm • VTA0604 1 Body Skin • 1 Carry case • VTA0405 1 Chest Tissue Flap • 1 Base • VTA0606 1 Rib
Packed weight (kg) & dimensions (mm) 5.45 kg 435 l 560 w 140 h Packed weight (kg) & dimensions (mm) 5.45 kg 435 l 560 w 140 h
40 limbsandthings.com Central Line Management
Ultrasound Guided PICC Training Simulator
Product No: KKMW18 A simulator for comprehensive hands-on training in peripherally inserted central catheter (PICC) line insertion and removal under ultrasound guidance. Skills Gained
• Patient positioning • Puncture site selection • Ultrasound-guided venous access • Seldinger technique • Peel-away cannula technique • Advancement of the cannula into the SVC
– Male upper torso with right arm – Internal jugular, subclavian, cephalic and basilic veins – Sternum – Ribs – Superior Vena Cava – Right clavicle Product Qualities
– Palpable ribs and right clavicle allow measurement of catheter length as well as providing anatomical understanding of correct PICC tip location – Anatomically correct bifurcation of the vein in the upper chest provides realistic resistance of its outer walls and allows simulation of complications such as incorrect insertion of the catheter into the jugular, thoracodorsal or subclavian vein. – Realistic ‘flash-back’ confirms successful venous access
– Excellent image quality and visualisation of the needle tip
– Movable shoulder for training in correct positioning of the arm
– Replaceable puncture pads
You’ll Receive
• KK11398-010 Puncture Pad for Ultrasound Guided Pericardiocentesis Simulator (pair) • 10 Simulated blood sticks (swab type) • 1 Male upper torso with the right arm • 1 Syringe • 1 Jar • 1 Instruction manual • 1 Storage case
Packed weight (kg) & dimensions (mm) 8.5 kg 740 l 490 w 240 h
Replacement parts: PICC puncture pads (set of 2) 11398-010
limbsandthings.com 41 Urinary Catheterisation
Advanced Catheterisation Trainer - Complete Set SP
Penis has replaceable foreskin Aseptic catheterisation can be practised with reusable sleeves
Accurate anatomical modelling allows for realistic catheterisation Product Qualities
– Supple urethra and resistant sphincter providing realistic response
– 1 litre fluid bag on stand provides pressurised fluid flow – Syringe supplied with water-based lubricant to simulate proprietary local anaesthetic gel – Non-drip valve Optional Self – Reusable double-sleeve catheter packaging is Catheterisation supplied for teaching aseptic catheter handling Stand Product No: 60150 – Easily interchangeable male and female Our Advanced Catheterisation Trainer facilitates the teaching catheterisation units of urethral and supra-pubic catheterisation, as well as how to demonstrate self-catheterisation to patients (when using – Latex free the optional Self Catheterisation Stand). It has interchangeable accurate male and female anatomy, and both sets of genitalia are realistically soft and pliable. The feel of the catheter passing along – Skin surface washable with soap and water the urethra into the bladder corresponds closely to real life. Skills Gained You’ll Receive
• Correct handling of male and female anatomy • Aseptic catheterisation technique • 60156 1 Female Catheterisation Unit • Catheter placement: accepts catheters from 14-16 French • 60152 1 Male Catheterisation Unit (male) and 12-16 French (female) • 60154 1 Catheterisation Foreskin (x3) • Fluid management • 60158 1 Suprapubic Bung (x2) • Withdrawal of catheter • 60161 2 Standard Bung • Intermittent self-catheterisation (ISC) when used with the • 50185 1 Antifungal Agent (250ml) optional Self-Catheterisation Stand (Part No: 60167) • 60160 2 Aseptic Catheterisation Sleeves • Suprapubic catheter insertion and catheter management • 50183 1 Mock LA Gel with Syringe using Suprapubic Bung • 60159 1 Male Catheterisation Sphincter Kit • 1 Drip tray with bag stand & 1 litre fluid bag • 1 14 French foley catheter (male) – Male anatomy: realistic meatus, flaccid penis and • 1 12 French foley catheter (female) replaceable foreskin • 1 Pelvic shell • 1 Plastic kidney dish • 1 2 Litre jug • 1 Carry case – Female anatomy: partable labia with realistic
urethral meatus and vaginal opening Packed weight (kg) & dimensions (mm) 12.15 kg 600 l 450 w 450 h
42 limbsandthings.com Urinary Catheterisation
Advanced Catheterisation Trainers - Male & Female SP SP
Female - Product No: 60155 Male - Product No: 60151 Advanced Female Trainer with suprapubic site and bung. Advanced Male Trainer with suprapubic site and bung. You’ll Receive You’ll Receive
• 60156 1 Female Catheterisation Unit • 60152 1 Male Catheterisation Unit • 60158 1 Suprapubic Bung • 60154 1 Catheterisation Foreskin (x3) • 60161 1 Standard Bung • 60158 1 Suprapubic Bung • 50185 1 Antifungal Agent (250ml) • 60161 1 Standard Bung • 60160 2 Aseptic Catheterisation Sleeves • 50185 1 Antifungal Agent (250ml) • 50183 1 Mock LA Gel with Syringe • 60160 2 Aseptic Catheterisation Sleeves • 1 Pelvic shell • 50183 1 Mock LA Gel with Syringe • 1 Drip tray, bag stand • 60159 1 Male Catheterisation Sphincter Kit • 1 Litre fluid bag & plastic kidney dish • 1 Pelvic shell • 1 12 French foley catheter (female) • 1 Drip tray, bag stand • 1 2 Litre jug • 1 Litre fluid bag & plastic kidney dish • 1 Carry case • 1 14 French foley catheter (male) • 1 2 Litre jug • 1 Carry case
Packed weight (kg) & dimensions (mm) 10.75 kg 600 l 450 w 900 h Packed weight (kg) & dimensions (mm) 10.80 kg 600 l 450 w 900 h
Basic Catheterisation Trainers - Value Set SP Skills Gained
• Correct handling of male and female anatomy Product No: 60166 • Aseptic catheterisation technique • Catheter placement: accepts catheters from 14-16 French This cost effective value set contains basic versions of the Male and (male) and 12-16 French (female) Female Catheterisation Trainers, without the suprapubic bungs • Fluid management and withdrawal of catheter
You’ll Receive Optional Extras
60168 NEW IMPROVED: • 1 Basic Male Catheterisation Trainer with carry case Suprapubic Catheterisation • 1 Basic Female Catheterisation Trainer with carry case Management Bung (pre-ported) Packed weight (kg) & dimensions (mm) 10.75 kg 600 l 450 w 900 h
limbsandthings.com 43 Diagnostic Procedures
Lumbar Puncture Thoracic & Lumbar Epidural & Epidural Simulator Mk 2 Anaesthesia Simulator
Product No: KKM43B Product No: KKMMW3 Designed for hands-on training and assessment in lumbar Designed to teach procedures relating to thoracic and lumbar puncture and epidural procedures. A range of interchangeable epidural anaesthesia and analgesia. puncture blocks is supplied to simulate elderly and obese patients. Skills Gained
Skills Gained • Epidural anaesthesia procedures in lumbar and thoracic area • Lumbar puncture • Patient position management • Skin preparation – Anatomically correct spinal column from T7 to L5 • Palpation of pelvic landmarks – Palpable landmarks: iliac crests (Jacoby Line), • Palpation of lumbar spinous process scapulae (angulus inferior scapulae) and • Needle positioning and insertion spinous process • Collection of cerebrospinal fluid (CSF) • CSF pressure measurement Product Qualities • Epidural – Realistic resistance and ‘pop’ during passage of the needle
– Can be placed in both left and right lateral positions
You’ll Receive – Broad puncture pad allows paramedian access as well as median approach
• KK11348-150 1 Replacement Skin You’ll Receive • KK11348-090 1 Puncture Block – Normal • KK11348-110 1 Puncture Block – Obese • KK11348-120 1 Puncture Block – Senior • KK11348-130 1 Puncture Block – Senior Obese • 1 Life size unisex torso • 1 Drain pouch • KK11348-140 1 Puncture Block – Epidural • 1 Puncture pad • 1 50ml syringe • KK11348-060 1 Lumbar Spine Anatomical Model • 1 Supporting stand • 1 Carry case • 1 Puncture block support • 1 Lower torso with 3 support bases • 1 Reservoir stand & bag Packed weight (kg) & dimensions (mm) 12.5 kg 610 l 430 w 360 h • 1 Syringe • 1 Carry case Consumables
Packed weight (kg) & dimensions (mm) 14.3 kg 700 l 300 w 500 h KK11382-010 Replacement Puncture Pad (Set of 2)
44 limbsandthings.com Diagnostic Procedures
Ultrasound Compatible Lumbar Puncture/Epidural Simulator
Product No: KKM43E Designed to teach and practise the procedure for lumbar puncture and epidural anaesthesia using ultrasound guidance.
Skills Gained
• Patient positioning – Lumbar region with • Ultrasound-guided lumbar puncture - lumbar vertebrae • Ultrasound-guided epidural anaesthesia - spinous process • Visualisation of lumbar landmarks using ultrasound - superior articular process • Cerebrospinal fluid (CSF) collection - transverse process • CSF pressure measurement - epidural and spinal dura mater Product Qualities
– Realistic ultrasound images
– Interchangeable blocks to allow training in You’ll Receive landmark and fluoroscopic procedures – Transparent block to allow visibility of the needle trace • KK41348-190 Ultrasound Lumbar/Epidural Block • KK41348-230 Ultrasound Lumbar Region Skin Cover – 2 support bases to allow upright or • 1 Lumbar region model lateral positioning • 2 Lumbar region support bases (upright & lateral) • 1 Irrigator bag, tube, support base & syringe – Durable, replaceable parts that will withstand multiple procedures Packed weight (kg) & dimensions (mm) 14 kg 710 l 300 w 530 h
limbsandthings.com 45 Diagnostic Procedures & Patient Care
Diagnostic Peritoneal Lavage NG Tube & Trach Care Trainer (DPL) Trainer
Product No: 60290 Product No: LD375-10001 This product allows for the emergency procedure of diagnostic Torso task trainer designed for instruction in the care of patients peritoneal lavage which is an integral part of ATLS courses and with respiratory conditions and the practice of gastrointestinal medical military field training. care procedures.
Skills Gained Skills Gained
• Incision through the abdominal wall • Tracheostomy care • Introduction of instruments • Tracheal suctioning • Flushing of abdominal cavity • Nasogastric tube insertion and removal • Nasogastric tube irrigation, instillation and monitoring Product Qualities • Feeding tube insertion and removal • Gastric lavage and gavage • Nasoenteric and oesophageal tube insertion, care – Soft tissue abdominal wall and removal • Oropharyngeal and nasopharyngeal insertion and suctioning – Fluid Retention Tray allows fluid to be contained within abdominal cavity Product Qualities
– Mock blood can be introduced into the Fluid – Lungs and stomach may be filled with fluid Retention Tray to simulate abdominal trauma for realistic practice of many procedures – Handheld bulb can be squeezed to simulate – Contains latex carotid pulse
– Skin is washable using soap and water – Skin washable using soap and water
You’ll Receive You’ll Receive
• 50104 1 Perineum • 1 Adult male torso • 1 Carry case • 60263 1 DPL Abdominal Wall • 1 Manikin lubricant • 1 User manual • 60250 1 DPL Fluid Retention Tray • 1 Tank top • 00223 1 Mock Blood - Venous (250ml) • 1 DPL base Packed weight (kg) & dimensions (mm) 14.97 kg 1020 l 410 w 305 h
Packed weight (kg) & dimensions (mm) 4.2 kg 460 l 310 w 180 h
46 limbsandthings.com Patient Care
† Patient Care Simulator “Cherry”
NEW PRODUCT
Product No: KKMW22 Cherry is a basic, full body nursing manikin for hands-on training in a wide range of skills required for day to day patient care. – Male and female genitalia Skills Gained Product Qualities
• Body positioning /patient handling/passive exercise – Seamless arms and legs enable realistic bed and • Bed bathing and change of clothes foot bathing • Oral and denture care – True-to-life joint articulation for patient handling • Nasogastric tube placement and passive exercise • Oxygen/Nasal cannula placement • Tracheotomy care and management – TPN and IV routes to simulate patients with • Stomach pumping catheter lines • TPN care – Pressure sores of different depths located at the • PEG care scapula, greater trochanter, sacral bone and heel • Stoma care – Subcutaneous and intramuscular injection pads • Pressure ulcer care • Subcutaneous injection accept liquid and can be squeezed out after use. • Intramuscular injection • IV insertion and care – Easily interchangeable male and female genitalia • Male and female urinary catheterisation – Manikin can sit upright without support • Enema – Removable dentures • Suppository insertion • Perineal care – Skin washable with soap and water
You’ll Receive
• 1 Cherry Patient Care manikin • 1 Upper arm IM injection pad • 1 Male genitalia • 1 Wound care pad • 1 Female genitalia • 1 Bottle • 1 Femoral IM injection pad • 1 Syringe
Female genitalia Male genitalia Packed weight (kg) & dimensions (mm) 18.5 kg 1130 l 590 w 320 h
Consumables
KK11401-010 Insulin Injection Pads (x6) KK11401-020 Gluteal IM pads (x4) KK11401-030 Female Genitalia Unit KK11401-040 Male Genitalia Unit KK11388-200 Injection Pads for Median Antebrachial Vein (x2) KK11401-050 Shoulder IM Pads (x2) KK11401-060 Thigh IM Pads (x2) KK11401-070 Wound Care Pad
Wound care pad Syringe, bottle and IV injection pads
limbsandthings.com 47 Patient Care
Tube Feeding Simulator
Tube insertion into PEG
Administration of liquid food Product No: KKMW8 Skills Gained The Tube Feeding Simulator offers effective training for caregivers • Nasogastric (NG) and Orogastric (OG) tube insertion and medical professionals who work with patients receiving enteral • Percutaneous endoscopic gastrostomy (PEG) tube nutrition. The manikin offers three routes for EN tubes and • Gastric lavage allows training with real liquid foods. The placement of the tubes • Administration of liquid food can be confirmed by auscultation as well as direct observation*. The model is supplied with a feeding routes panel and a chest anatomy overlay sheet to facilitate anatomical understanding. Product Qualities *National Patient Safety Agency alerts ref: NPSA/2012/RRR01 – Transparent chest overlay enables direct observation of procedures – Can be set at Fowler’s position – Flexible neck allows for appropriate neck/ head positioning
– Tube placement can be confirmed by fluid aspiration. – Stomach accepts up to 300cc of liquid
– Compact and portable Tube feeding routes panel for NG, OG & PEG. Also shows complications with airway & tracheostomy tube placement You’ll Receive
• 1 Male torso & support base • 1 Tube feeding routes panel • 1 Drain tube • 1 Chest sheet • 1 Funnel • 1 Instruction manual • 1 Plastic cup • 1 carry case
Packed weight (kg) & dimensions (mm) 9 kg 720 l 430 w 310 h Skin removed showing transparent torso with chest anatomy overlay sheet in place
48 limbsandthings.com Patient Care Specialist Skills
New Specialist & Surgical Products for specialist & Skills Training products surgical skills training The increasing specialisation in the healthcare environment demands progressive learning, careful preparation and realistic training equipment. Our range has been created to meet the increasingly complex needs of basic practice, intermediate and advanced skills. NEW PRODUCT Limbs & Things works to bring the practitioner closer to real life experiences through simulation and deliberate practice. Page Newborn Care Baby 76 Products in this section Suture Tutor - Learning online 50 Basic Surgical Skills Range 52 Minor Surgery 54 Gynae Dissection Pad 60 Ectopic Pregnancy, Transparent Uterus 60 Surgical Female Pelvic Trainer (SFPT) 61 Hysteroscopic Diagnostic & Resection Trainers 62 SPACEFAN-ST Foetal Ultrasound NEW PRODUCT Knee Aspiration & Examination Trainer 63 Examination Trainer with PROMPT Flex Range 65 Page Ultrasound Capability Cordocentesis Trainer 68 78 MamaNatalie Birthing Simulator 69 Umbilical Cord 69 Keele & Staffs Episiotomy Repair Trainer 70 Episiotomy & FGM Deinfibulation Trainers 71 Sultan Anal Sphincter Trainer 72 Breastmilk Hand Expression Trainer 72 TruCorp AirSim Baby, Child & Child Bronchi 73 Intraosseous Trainer 74 Paediatric Lumber Puncture Simulator II 75 Paediatric IV Hand Simulators 75 Newborn Care Baby & Nita Newborn 76 Baby and Child Patient Care Models 77 Paediatric FAST/Acute Abdomen Phantom 77 Knee Aspiration & Examination Trainer, NEW with Ultrasound Capability 78 PRODUCT Knee for Aspiration Mk 2 79 Limbs & Things Shoulder for Joint Injection 79 Page Laparoscopic Skills Trainer USB Elbow,Hand & Wrist for Joint Injection 80 83 Foot & Ankle for Joint Injection 81 Colonoscopy Training Model 81 Soft Tissue Retaining Set 82 Helago HD Laparoscopic Trainer 82 Limbs & Things Laparascopic Skills Trainer USB 83 FLS Trainer Box Trainer Range 84 Large & Small Surgical Dissection Pad 86 Vermiform Appendix 87 Gall Bladders 88 Wound Care Range 89 Adult Male Circumcision Trainer 90 Arterial Procedures Kit 91 Radiology, Ultrasound, X-ray & CT range 93
limbsandthings.com 49 Limbs & Things learning onlineTM
Suture Limbs & Things Tutor Plus™ learning online
Hands-on kit and online course All you need to learn basic instrument handling, knot tying, suturing and more
About Suture Tutor Plus Online, Video-based Course The 11 module course closely follows the • Unlimited access Intercollegiate Surgical Skills Program and An online, video-based course that can be incorporates recognised best practise techniques. accessed anytime, anywhere. Developed in collaboration with Professors Jonathan Beard and Roger Kneebone, the 11 module course closely follows the Intercollegiate Surgical Skills Program. • Explanatory videos use computer graphics for clarity • Showing clinical footage The course content was developed in conjunction with vascular surgeon Professor Jonathan Beard, • Practical videos use Limbs & Things Professor of Surgical Education at the Royal products from the Hands-on Kit College of Surgeons England; and Professor Roger • Choose from PRO or LITE versions Kneebone, Professor of Surgical Education at • Purchase 1 years subscription Imperial College London. with or without kit Over 40 practical online tutorials are included with techniques clearly explained using clinical videos and animation.
50 limbsandthings.com Limbs & Things learning onlineTM
Online, Video-based Course Hands-on Kit Product No: STP-KIT
The course comprises 11 skills modules, with over 300 short This Hands-on Kit contains the essentials for practising suturing, videos and more than 40 step-by-step tutorials. You can choose knot tying and instrument handling. Packaged in a robust, rigid whether to purchase the full course (PRO), or the 6 core modules plastic box, it is highly portable, can be quickly and safely packed only (LITE): and the lid may also double as a temporary sharps bin.
Modules PRO LITE • Handling of instruments • • You’ll Receive • Needles and sutures • • • Knot Tying • • • Incision of skin and subcutaneous tissue • • • 00052 1 Large, Light Professional Skin Pad Mk 2 • 00550 1 Skin Pad Jig Mk 3 • Suturing techniques • • • 00555 1 Basic Knot-tying kit • Suture aftercare • • • INSO2000 1 Pack of 10 Sutures (non-sterile) • Scalpel • Patient management and consent • - • Dissecting forceps • Scrubbing, gowning and gloving • - • Scissors • Cleaning a wound • - • Needle holder • Local anaesthesia • - • Other methods of wound closure • - Packed weight (kg) & dimensions (mm) 0.5 kg 225 l 260 w 60 h
Institutional Licences Institutional Multi-User and trainer licences are also available - please contact Customer Service for details.
Choose Your Product Learn more at limbslearningonline.com Complete One Year Subscription Subscription only with Hands-on Kit One Year
PRO Complete PRO Subscription Product No: STP-PRO-COM Product No: STP-PRO-SUB 11 Modules 11 Modules Hands-on Kit only
LITE Complete LITE Subscription STP-KIT Product No: STP-LITE-COM Product No: STP-LITE-SUB Product No: STP-KIT 6 Modules + Kit 6 Modules See above for content
limbsandthings.com 51 Basic Surgical Skills
Knot Tying Trainer 1 Tying at depth: finger tie
Product No: 50050 A comprehensive trainer for teaching all surgical knot tying techniques, including those specified in the GB and Ireland Intercollegiate Basic Surgical Skills Course. Developed in 2 Hand tie & instrument tie collaboration with Professor Jonathan Beard, Northern General Hospital, Sheffield (UK) and Mr. John Rochester, Rotherham General Hospital (UK). Skills Gained
• One-handed reef knot technique • Instrument tie • Surgeon’s knot • Slip knot • Tying in a small opening • Tying at depth vertically in a large opening • Tying at depth, at an angle, in a large opening 3 Tying at depth: large aperture (abdominal)
– 2 perioperative openings represented by: – Small, shallow fixed cylinder for tying in a small opening – Large, deep removable cylinder, reversible for angled abdominal and gynaecological depth tying Product Qualities
– Unique magnetic system to represent tissue strength – Parallel knotting tubes are elastic for a realistic tissue response You’ll Receive
– Light and compact – Cylinders are transparent to allow the trainer • 50164 1 Two Coloured Cord (x3) to observe and assess trainee competence • 50158 1 Knotting Tube (x3) • 1 Base with cylinders • 1 Knot tying tension hooks (x3)
Packed weight (kg) & dimensions (mm) 1.15 kg 300 l 240 w 160 h
52 limbsandthings.com Basic Surgical Skills
BSS Day 1 Kit (5th Ed) BSS Day 2 Kit (5th Ed)
Product No: 50070 Skills Gained
• Knot-tying: one-handed reef knot, instrument tie, Product No: 50071 surgeon’s knot, tying at depth • Suturing techniques: holding/manipulation of needles, Skills Gained interrupted, simple and mattress, continuous, subcuticular • Abdominal closure and drain insertion: open abdominal • Skin lesions and LA techniques: excising a skin lesion, wall, insert drain and secure, close abdominal wall with excising a sebaceous cyst Aberdeen knot • Haemostasis: clip tie, continuity tie, pedicle transfixion • Fine tissue handling: vein patch exercise • Tissue handling - bowel: end-to-end interrupted sutures • Wound management: abscess drainage, traumatic • Fine tissue handling: tendon repair wound debridement
– Contains latex – Contains latex
You’ll Receive You’ll Receive
• 50061 1 Double Layer Bowel 30mm • 50075 1 BSS Abscess • 50074 1 BSS Lesion & Cyst • 50047 1 BSS Traumatic Wound with Simulated Foreign Bodies • 50051 1 BSS Surgical Skills Board • 50060 1 BSS AOCT Pad • 50056 1 BSS Tendon Repair Trainer • 50055 1 BSS AOCT Frame • 1 BSS knot tying trainer • 1 Drain • 1 Skin pad jig with skin pad • 1 8mm x 140mm artery • 1 BSS soft tissue retaining set • 1 8mm x 76mm graft patch • 1 Haemostasis pad
Packed weight (kg) & dimensions (mm) 2.2 kg 340 l 240 w 160 h Packed weight (kg) & dimensions (mm) 2.2 kg 340 l 240 w 160 h
BSS Day 1 Refill Pack (5th Ed) BSS Day 2 Refill Pack (5th Ed)
Product No: 50072 Product No: 50073 1 Skin pad 1 AOCT pad with drain 1 Bowel 1 BSS abscess 1 Haemostasis pad 1 BSS traumatic wound 1 BSS lesion & cyst 1 Artery with graft patch 1 Tendon
Packed weight (g) & dimensions (mm) Packed weight (kg) & dimensions (mm) 380 g 340 l 240 w 160 h 1.6 kg 340 l 240 w 160 h
limbsandthings.com 53 Minor Surgery
BSS Lesion & Cyst BSS Abscess Product No: 50074 Product No: 50075 For the practice of abscess For the practice of skin lesion drainage and necrotic wound removal, local anaesthesia and debridement. Abscess contains biopsy techniques. The cyst simulated pus. Included as has a fragile epidermoid wall part of the BSS Day 2 Kit filled with simulated pus. Product No: 50071 Included as part of the BSS Day 1 Kit Product No. 50070 Skills Gained Skills Gained
• Excising a skin lesion • Abscess drainage • Excising a sebaceous cyst • Necrotic wound debridement
You’ll Receive You’ll Receive
• 1 BSS Lesion & cyst • 1 BSS Abscess
Packed weight (kg) & dimensions (mm) 65 g 120 l 100 w 30 h Packed weight (kg) & dimensions (mm) 0.5 kg 190 l 120 w 70 h
BSS Traumatic Wound BSS Surgical Skills Board Product No: 50047 Product No: 50051 Included as part of the BSS For use with the BSS Day 1 Day 2 Kit Product No: 50071 Refill Pack products and all Limbs & Things skin pads. Skills Gained • Wound management Skills Gained • Traumatic wound debridement • Applicable to the synthetic soft tissue product used - Wound contains: - Broken bone with splinters, tendon and Product Qualities fluid filled vein - Necrotic tissue and simulated foreign bodies – Non-slip heavyweight base (glass and dirt)
– Smooth top surface allows for secure fixing of Product Qualities soft tissue products using supplied Soft Tissue Retaining Set – Realistic soft tissue with skin, fat and muscle layers – Wipe-clean surface – Supplied in handy, compact clam pack with lid which can be used to retain excised tissue and removed foreign bodies You’ll Receive
You’ll Receive • 50054 1 BSS Soft Tissue Retaining Set - 2 Retaining clips with sucker feet - 4 Retaining clips with attachment loops • 1 BSS Traumatic wound • 1 Skin pad jig • 1 Bag of simulated foreign bodies • 1 Base
Packed weight (kg) & dimensions (mm) 0.6 kg 260 l 370 w 80 h Packed weight (kg) & dimensions (mm) 1 kg 255 l 350 w 50 h
54 limbsandthings.com Minor Surgery
Double Layer Bowel Professional Abdominal Opening & Closure Trainer (AOCT)
Product No: 60430 An advanced abdominal wall pad consisting of epidermis, dermis, fat and linea alba. This pad has a separate peritoneal layer and is mounted on a base for teaching all surgical access and closure techniques to the abdomen. Skills Gained Product No: 50061 30mm Outside • Insertion of a veress needle • Insertion of a trochar Diameter • Hassen technique 50065 20mm Outside • DPL techniques Diameter • Incisions: linear, ellipse, flaps, shaped • Subcuticular undermining Realistic two layer bowel simulation for training in anastomosis • Simple and advanced interrupted suturing techniques techniques. Both models are approximately 200mm in length. • Subcuticular suturing • Continuous suturing Skills Gained • Stapling • Use of adhesive strips • Tissue handling • Single layer extra mucosal suturing • Continuous suturing technique – 5 layered system represents the abdominal • Stapling wall anatomy: epidermis, dermis, fat, linea • End-to-end extra mucosal anastomosis alba, peritoneum • End-to-side anastomosis Product Qualities
Product Qualities – Abdominal wall is held under tension by a balloon which represents the intestines – Realistic tissue response – Will withstand a fluid flush test to demonstrate – Contains latex integrity of the anastomosis
– Light and compact You’ll Receive – Mobile when held in Soft Tissue Retaining Set (page 82)
• 60431 1 Professional AOCT Pad: – Latex free - 2 Peritoneums – Non-biological material: no hygiene issues - 5 Balloons or problems • 1 AOCT base
Packed weight (kg) & dimensions (mm) 50 G 235 l 40 w 40 h Packed weight (kg) & dimensions (mm) 1.4 kg 380 l 260 w 260 h
limbsandthings.com 55 Minor Surgery
Skin Pad Jig Mk 3 Wound Closure Pad SP SP
Product No: 00550 Product No: 00041 Light Large (x6) This jig supports the entire range of Limbs & Things synthetic soft 00042 Light Small (x12) tissue pads. 00043 Black Large (x6) 00044 Black Small (x12) Product Qualities A low cost, 1 layer pad, ideal for demonstrating, training and – Presents pads on a curved lifelike profile allowing practising core skills associated with wound closure. incisions to gape, akin to real life – Flexible plastic allows for realistic ‘give’ of skin pad Skills Gained when pressure is applied • Making an incision – Sucker feet work effectively on smooth • Application of skin adhesives work surfaces • Interrupted suturing and knotting – Stable and non-slip • Stapling – Optional jig strap allows use with simulated patient – Use with: – Professional Skin Pad Mk 2 – Wound Closure Pad – Lipoma Pad – Sebaceous Cyst Pad, Curettage, Snip & Shave Excision Pad Product Qualities – Minor Skin Procedures Pads – Two Person Minor Surgery Pack – Works with all major topical skin adhesives
Packed weight (g) & dimensions (mm) 150 g 260 l 200 w 30 h – An excellent starter pad for wound closure training – Pad dimensions: large 145mm x 125mm, small 125mm x 72mm
Skin Pad Jig Strap – Use with the Skin Pad Jig Mk 3 (00550)
Product No: 00510 (x3) – Latex free Allows the Skin Pad Jig to be strapped onto the limbs or body of a trainee
Packed weight (g) & dimensions (mm) 120 g 140 l 165 w 35 h Packed weight (g) & dimensions (mm) 350 g 390 l 250 w 60 h
56 limbsandthings.com Minor Surgery
Professional Skin Pad Mk 2 Lipoma Pad SP SP
Product No: 00091 Light Small (x4) Product No: 00081 00092 Light Large (x2) For practising the full lipoma removal procedure. 3 layer skin: 00093 Black Small (x4) epidermis, dermis and subdermal layer. Pad contains 2 Lipomas. 00094 Black Large (x2)
An advanced 3 layer skin pad for demonstrating and practising – 3 layer skin: epidermis, dermis and subdermal layer a variety of incisions and a wide range of suturing techniques. – Contains 2 Lipomas
Skills Gained Skills Gained
• Incisions: linear, ellipse, flaps, shaped • Designing the incision • Subcuticular undermining • Marking out the lipoma • Simple and advanced interrupted suturing techniques • Incising the skin • Subcuticular suturing • Blunt dissection • Continuous suturing • Removal • Stapling • Closure • Use of adhesive strips
Product Qualities Product Qualities
– Realistic tissue response and soft skin with a – Lipoma is consistent with that found in a patient similar drag and strength to human skin – Lipoma sited within the fat layer – All layers have realistic retention of sutures – Precise replication of in-vivo adhesion – All layers of tissue can be identified – Pad dimensions: large 145mm x 125mm, small 125mm x 72mm – Pad dimensions: 125mm x 72mm
– Serves the needs of both specialist and beginner – Use with the Skin Pad Jig Mk 3 (page 56) – Use with the Skin Pad Jig Mk 3 (page 56)
– Latex free – Latex free
Packed weight (g) & dimensions (mm) 250 g 170 l 140 w 60 h Packed weight (g) & dimensions (mm) 40 g 130 l 80 w 20 h
limbsandthings.com 57 Minor Surgery
Sebaceous Curettage, Snip & Cyst Pad Shave Excision Pad SP SP
Product No: 00103 Large (x2) Product No: 00071 00104 Small (x4) For practising the full sebaceous cyst removal procedure. A 3 layer Combines a number of skin lesions (tags, naevi, seborrhoeic skin pad with epidermis, dermis and subdermal layer. Contains keratose) for teaching superficial dermatological lesion removal 2 cysts. techniques.
Skills Gained Skills Gained
• Marking out the cyst • Snip excision • Planning and marking the ellipse • Shave excision • Incising the skin • Curettage • Sharp dissection • Blunt dissection Product Qualities • Management of a burst cyst • Removal – Stretches to allow realistic extension of the tissue • Closure surrounding the skin tags during snip excision – Stretches to allow realistic extension of naevi during shave excision – 3 layer skin: epidermis, dermis and subdermal layer – Allows seborrhoeic keratoses to be removed using – Contains 2 Cysts curettage technique
Product Qualities – Cost effective: large pack with 4 skin tags, 4 naevi and 4 seborrhoeic keratoses (large pad). – Cyst is consistent with that found in a patient The small pad has 2 of each – Cyst exhibits appropriate adhesion to other – Pad dimensions: large 145mm x 125mm, surrounding tissue small 125mm x 72mm – Cyst sited immediately below skin layer and is attached firmly to its underside – Fragile epidermoid wall filled with simulated pus – Use with the Skin Pad Jig Mk 3 (page 56)
– Pad dimensions: 125mm x 72mm – Latex free
Packed weight (g) & dimensions (mm) 280 g 130 l 80 w 20 h – Use with the Skin Pad Jig Mk 3 (page 56)
– Latex free
Packed weight (g) & dimensions (mm) 280 g 130 l 80 w 20 h
58 limbsandthings.com Minor Surgery
Minor Skin Procedures Pads Ingrowing Toenail Trainer SP
Product No: 90065 Product No: 80060 Set of 4 pads covering all aspects of suturing and minor skin This unique product closely mimics an inflamed toe end with an procedures, for use with the Skin Pad Jig Mk 3 (page 56). ingrowing toenail. Product Qualities Skills Gained
– Pad dimensions: L 125mm x W 72mm • Ring block techniques • Application of a tourniquet • Total nail avulsion • Phenolisation techniques • Ablation of the nail bed You’ll Receive • Wedge excision - partial nail avulsion You’ll Receive
• 00091 1 Professional Skin Pad (small) • 00104 1 Curettage, Snip & Shave Excision Pad (small) • 00071 1 Sebaceous Cyst Pad • 80071 1 Toe Jig • 00081 1 Lipoma Pad • 80070 1 Toe Ends (x3)
Packed weight (g) & dimensions (mm) 300 g 160 l 135 w 40 h Packed weight (g) & dimensions (mm) 150 g 170 l 140 w 60 h
Two Person Minor Surgery Pack Diagnostic Face with Lesions SP
Product No: 90900 Devised in conjunction with the Royal College of General Practitioners, and containing a selection of the core pad offerings, Product No: 20001 this pack provides the ideal platform for learning minor surgery An invaluable aid for teaching the recognition of a wide variety skills in pairs. of skin lesions. Provides a basis for the discussion of suitable procedures for their treatment, and the planning of skin flaps and You’ll Receive incisions. Designed for diagnosis and planning only. Use individual Limbs & Things skin pads for practising operations.
You’ll Receive • 00091 2 Professional Skin Pads (small) • 00081 2 Lipoma Pads • 00071 2 Sebaceous Cyst Pads • 00104 2 Curettage, Snip & Shave Excision Pads (small) • 30023 1 ‘No-trace’ Marker • 80070 1 Toe End • 1 Face with lesions on a rigid plastic base
Packed weight (g) & dimensions (mm) 650 g 115 l 100 w 290 h Packed weight (kg) & dimensions (mm) 1.2 kg 400 l 400 w 190 h
limbsandthings.com 59 Gynaecology
Gynae Dissection Pad Ectopic Pregnancy
Product No: 50116 Product No: 60315 An intermediate laparoscopic technique trainer for gynaecological For practising the removal of an ectopic pregnancy using surgery. The round and broad ligaments, ureters and uterine diathermy, laser, other monopolar electrocautery techniques and artery are represented in 3 dimensions. also standard instruments. Recommended as the ‘Gold Standard’ for training following research conducted by 2 UK hospitals. Skills Gained Skills Gained • Dissection of the round and broad ligament
• Division of tissues in 2 planes • Arterial ligation • Surgical opening of the fallopian tube (salpingostomy) • Suturing and stapling in 2 planes • Vessel cutting • Surgical excision of a fallopian tube (salpingectomy) • Identification of ureters, uterine artery and mobilisation • Removal of an ectopic pregnancy
– Arterial and ureteric fluid-filled vessels with 5 crossing points, artery over ureter Product Qualities Product Qualities
– Patented material for realistic suturing and stapling – Provides a realistic response with instruments – Realistic tissue layers and instrument response
– 1 ‘sheet’ containing 3 ectopic pregnancies – Cost effective, convenient and hygienic
– Up to 5 uses for gynae technique practice, and – Latex-free afterwards for basic skills – Resectable product
– Contains latex You’ll Receive You’ll Receive
• 60315 1 Ectopic Pregnancy Sheet • 50116 1 Gynae Dissection Pad (with 3 Ectopic Pregnancies)
Packed weight (g) & dimensions (mm) 45 g 205 l 90 w 10 h Packed weight (g) & dimensions (mm) 95 g 160 l 110 w 60 h
Translucent Uterus Skills Gained
• Placement and removal of IUDs Product No: • Insertion, manipulation and removal of instruments 60311 A translucent uterus Product Qualities with normal anatomy for demonstrating – Translucent for visualising internal anatomy placement of IUDs and device placement and for use with small – Long-lasting, non-dilated diameter hysteroscopes. – Use with Hysteroscopic Diagnostic Trainer and Hysteroscopic Resection Trainer (page 62)
60 limbsandthings.com Gynaecology
Surgical Female Pelvic Trainer Product No: 60251 (SFPT) The Surgical Female Pelvic Trainer (SFPT) is a simulator for training in a wide range of laparoscopic gynaecological surgical techniques and procedures. The uterus component can be easily removed and replaced after use. Skills Gained
• All skills relevant to performing the following procedures:
• Salpingectomy • Salpingostomy
• Myomectomy • Cystectomy • Hysterectomy • Oophorectomy • Dissection down to and location of ureters • Insertion and use of uterine manipulator • Working with various gynaecology instruments • Identification of anatomical landmarks
Includes: - Uterus - Vagina - Cervix - External Introitus - Bladder - Fallopian Tube - Ovaries - Broad Ligament - Ureters - Uterine Artery - Ovarian Artery - Pouch of Douglas - Dunns Pouch - Bowel and Sigmoid - Ovarian Cyst - Ectopic Pregnancy - Fibroid - Uterosacral Ligament - Cardinal Ligament - Abdominal Skin with realistic pressure needed to insert cannula - Pelvic Floor with sympathetic features Product Qualities
– Insufflation of abdomen is represented
– Provides practice and role playing for gynaecological perioperative teams – Includes a realistic vaginal canal and cervix for inspection, in which a uterine manipulator can be used – Realistic bleeding when arteries are cut
– Compatible for use with harmonic scalpels
You’ll Receive
• 60252 1 SFPT Surgical Uterus • 60253 1 Sfpt Abdominal Skin Pad • 60254 1 SFPT Perineum • 1 Abdominal support • 1 Abdominal shell
Packed weight (g) & dimensions (mm) 11.6 g 660 l 310 w 510 h Consumables
Patents granted 60256 SFPT Uterus (x5) • US6336812 • EP099027 • DE69804793 • CA 2293585 60257 SFPT Uterus (x10) • ZL98806331 • HK1023832 • 755575 Austrailia
limbsandthings.com 61 Hysteroscopy
Hysteroscopic Internal view after diagnostic: Hysteroscopic Internal view after diagnostic: Uterus with Polyps Uterus with Fibroid Diagnostic Resection Trainer Trainer
Uterus with Uterus with Polyps, Fibroid Fibroid & Septum
Product No: 60326 Product No: 60324 A comprehensive intra-uterine examination training system with Having acquired diagnostic skills using the Hysteroscopic a variety of uteri to teach instrument handling and diagnosis. Diagnostic Trainer, treatment of the identified pathologies can Used for Basic Surgical Skills training at the Royal College of then be performed using the Hysteroscopic Resection Trainer. Obstetricians and Gynaecologists, London (UK). Skills Gained Skills Gained
• Insertion, manipulation and removal of instruments • Instrument handling • Recognition of uterine abnormalities • Fluid management • Performing a punch biopsy • Identification and recognition of fibroids, polyps and a septum under fluid management • Resection skills within an anatomical structure – Presents anatomy prepared for diagnostic procedure; os and cervix dilated ready for insertion of instruments Product Qualities Product Qualities – Provides a realistic hysteroscope image and response with resecting instruments – Dilated Translucent Uterus allows demonstration – Incorporates a simple but effective irrigation and of instrument manipulation drainage system to contain operative liquids – Uteri are long-lasting when used only for diagnosis and examination – A clamp stabilises the uterus whilst providing – Uteri can be biopsied and replaced when necessary adequate mobility when using the hysteroscope
– Use with the Translucent Uterus (page 58) – Latex free – Resectable product: monopular – Latex-free – Non biological – Use with the Translucent Uterus (page 60)
You’ll Receive You’ll Receive
• 60321 1 Resectable Uterus with Polyps, Fibroid & Septum • 60322 1 Diagnostic Uterus with Normal Anatomy • 60323 1 Resectable Uterus with Fibroid • 60312 1 Diagnostic Uterus with Polyps • 60334 1 Uterus Clamp • 60313 1 Diagnostic Uterus with Fibroid • 60329 1 Universal Base Splash Shield • 60316 1 Dilated Translucent Uterus • 60325 1 Universal Base • 60334 1 Uterus Clamp • 60327 1 Universal Base Drainer • 60325 1 Universal Base • 90100 1 Helix Connectors (x10)
Packed weight (kg) & dimensions (mm) 2.6 kg 550 430l w 250 h Packed weight (kg) & dimensions (mm) 2.7 kg 460l 360 w 260 h
Patents granted • US6336812 • EP099027 • DE69804793 • CA 2293585 • ZL98806331 • HK1023832 • 755575 Austrailia
62 limbsandthings.com Obstetrics & Midwifery
SPACEFAN-ST Foetal Ultrasound Examination Trainer
Product No: KKUS7 SPACEFAN-ST provides high quality training for second trimester screening. A 23-week foetus is included with the detailed anatomies essential for foetal assessment. This unique phantom with full skeletal structure can be scanned with 2D and 3D transducers. Skills Gained
• Foetal size assessment: biparietal diameter (BPD), abdominal diameter (AD), abdominal circumference (AC), femur length (FL) • Confirmation of normal foetus situs • Foetal anatomy assessment: head and brain, heart and lung, abdominal organs, spine and bones • Placental localisation • Evaluation of amniotic fluid volume
– Uterus, amniotic fluid, placenta, umbilical cord, 23 week foetus (26cm) – Foetus: brain with septum lucidum, heart with 4 chambers, lungs, spleen, kidneys, aorta, umbilical vein (UV), umbilical artery (UA) and external genitalia Product Qualities
– Includes a life-size Foetus Demonstration Model to facilitate 3 dimensional understanding
– The phantom abdomen can be set in 4 different positions
– Cleanable
You’ll Receive
• 1 Mother torso • 1 Ultrasound pregnant uterus phantom • 1 Foetus demonstration model • 1 Carry case
Packed weight (kg) & dimensions (mm) 16 kg 650l 480 w 480 h
limbsandthings.com 63 Obstetrics & Midwifery
Prompt Flex - Standard and Force Monitoring (Bluetooth) SP
The upgraded PROMPT, launched in 2015, offers improved anatomy and wider functionality for both routine and difficult birthing management at all levels of teaching, learning and skill maintenance. The flexible modular design of the cervix and birth canal allows for training in Shoulder Dystocia management, and with additional modules: PPH, C-Section and Cervical Dilation & Effacement drills can be undertaken. Rehearsal of these birthing scenarios can be practised through hybrid simulation using SPs (Simulated Patients) or used for stand- alone benchtop training. It is an integral part of the PROMPT (Practical Obstetric Multi Professional Training) course, and was designed in collaboration with the PROMPT Foundation, Southmead Hospital, Bristol.
Skills Gained Skills comparison 80105 80100 • Communication & team work skills (SP) • • • Birth scenarios covered (80105 & 80100) • Normal • • - Communication and team work skills (SP) • Breech • • - Normal • Shoulder dystocia management • • - Breech - Shoulder dystocia management • Instrumental (forceps & vacuum devices) • • - Instrumental (forceps and vacuum devices) • Delivery of placenta • • - Delivery of placenta • Cord prolapse • • - Cord prolapse • Urinary catheter placement • • - Urinary catheter placement • IM injection pads • • - IM injection • PPH management • - • With Wireless Force Monitoring (80105) • Force feedback of baby’s head • - - PPH management • Recording of scenarios & force monitoring • - - Force feedback Additional Modules fit • NEW additional modules - Cervical dilation and effacement (80102) • Cervical dilation & effacement (80102) • • - Caesarean section (80103) • Caesarean section (80103) • • • Lower limbs for SP (80110) • •
64 limbsandthings.com Obstetrics & Midwifery
Prompt Flex - Wireless Force Prompt Monitoring (Bluetooth) Flex - Standard SP SP
Product No: 80100
Launched in 2015 with improved anatomy, durability and functionality the new PROMPT Flex Standard has a modular design allowing for numerous training scenarios. It is also fully compatible with the new C-section and effacement modules. Used either for stand-alone training or integrated into hybrid Product No: 80105 simulation, it is an ideal training solution for all skills relating to routine and difficult deliveries. In addition to the functionality of the standard PROMPT Flex, the Force Monitoring allows for multiple scenario training, You’ll Receive monitoring and recording actions, including interventions made, and time to deliver the baby. Traction applied to the baby’s head can be recorded during a shoulder dystocia drill, with the force applied visually represented. • 80120 Birthing Mother (with Upper Legs) • 80121 Standard Baby The downloadable PDFs provide a record of the trainee and allow • 80123 Placenta for factual debriefing post the scenarios. • 80124 Abdomen for Prompt Flex • 80125 Perineum & Birth Canal for Prompt Flex Also includes Post-Partum Haemorrhage drill. • Carry Case
Optional Extras: You’ll Receive 80110 Lower Legs with Knee Joint Interface - For extended realism when running a shoulder dystocia drill or when using a Simulated Patient. • 80120 Birthing Mother (with Upper Legs) 80101 PPH Module (80100) • 80122 Wireless Force Monitoring Baby (Bluetooth) • 80123 Placenta Consumables • 80124 Abdomen for Prompt Flex • 80125 Perineum and Birth Canal for Prompt Flex 00020 Concentrated Venous Blood – Starter Pack (x2) • 80101 Prompt Flex – PPH Module 10193 PROMPT Birthing Lubrication (250ml) • Carry Case - Download simulator software at limbsandthings.com Consumables (80100 / 80105)
Product Qualities - Standard and Force Monitoring – Birth canal and cervix – Improved and more realistic pelvic floor – Ischial spines and pubic bone – Articulating thighs for McRobert’s procedure – Gynaecoid pelvis – Stretchable perineum – Articulating thighs – Soft flexible birthing canal – IM injecting – Additional modules to include realism – Fully articulated baby with detachable umbilical - Lower legs cord and placenta - SP and shoulder dystocia drill – Baby includes clavicles, fontanelles, flexible - PPH management head, and is fully articulated - C-section - Cervical dilatation and effacement – Suitable for Standardised Patient
– Skin washable with soap and water
limbsandthings.com 65 Obstetrics & Midwifery
PROMPT Flex - † NEW Cervical Dilatation & Effacement Module PRODUCT SP
Product No: 80102 This versatile module is an optional add-on to the PROMPT Flex – Realistic representation of cervixes, including Standard or Wireless Force Monitoring simulator. It allows for anterior lip, and presenting parts in soft birth canal, training in assessment of both the latent and active stages of with palpable ischial spines labour. † CAD Imagery Product Qualities
– Inserts to represent early labour cervixes - effacement, dilatation and ripeness in line with Skills Gained Bishop’s scoring – Positioning mechanism allows adjustment of • Assessment and Bishop’s scoring of: station, dilatation and tilt without removal from - Cervical dilation (1-10cm) the simulator - Cervical effacement (0-100%) – Dynamic positioning mechanism allows - Cervical ripeness/consistency (soft, medium, hard) adjustment of dilatation in active labour - Cervical position (anterior, mid, posterior) – Markers allow tutor to read positioning in situ - Foetal station (-3 to +3) – Numerous presenting part inserts including flexed, • Assessment of and artificial rupture of membranes deflexed, brow, face, breech, caput and moulding • Assessment of presenting part - flexed, deflexed, brow, face, breech, caput and moulding and caput formation – Presenting parts and cervix can be set up outside the model for demonstration, then placed inside for examination
You’ll Receive
• 1 Perineum • 1 Standard positioning unit • 1 Dynamic positioning unit • 1 Set of latent labour cervixes • 1 Set of presenting parts • 1 Difficult labour head (x2) • 1 Active labour cervix • 1 Amniotic membrane set Available to order June 2016 Packed weight (kg) & dimensions (mm) TBA kg TBA l TBA w TBA h
66 limbsandthings.com Obstetrics & Midwifery
PROMPT Flex - † NEW Caesarean Section Module PRODUCT SP
Product No: 80103 This product is ideal for practising the skills when performing a – Surgical pad has following anatomical layers: C-section transverse incision, (both Pfannenstiel and Joel-Cohen), skin, fat, hypogastric vessels, rectus sheath, rectus allowing for the layers to be sutured as well as in-situ repair of muscle, parietal peritoneum, visceral peritoneum, the uterine wall. Also delivering a difficult baby with an impacted bladder, muscular uterine wall, amniotic membrane head or a transverse lie can be performed. † CAD Imagery Product Qualities
– Abdominal skin has realistic appearance and Skills Gained soft feel of at-term abdomen – Realistic feel of uterus interior during delivery • Abdominal and uterine wall opening and closure • Cephalic and breech delivery – Uterus holds baby firmly in position for • C-section at full dilatation: normal and transverse lies, breech and - Head disimpaction using vaginal push methods cephalic presentations - Use of balloon disimpacting device – Uterus support positions baby and directs it - Reverse breech extraction towards the pelvis/abdominal incision when • Transverse lie fundal pressure is applied • Instrument assisted delivery – Pre-incised skin option allows easy repeat • Delivery of the placenta delivery practice • Teamwork and human factors training in emergency – Surgical pad allows realistic dissection and Caesarean section closure and is reversible to allow 2 uses. – Single/double in situ uterine wall closure – Suturing of rectus sheath, fat and subcuticular or cutaneous skin closure You’ll Receive – Accommodates retraction using metal, plastic or rubber retractors
– Optional insert to allow presentation of head • 80104 Caesarian Section Surgical Pad (x2) just below ischial spines for Caesarean section • 1 Prompt flex uterus at full dilatation • 1 Pre-incised delivery only skin • 1 Caesarian section abdominal skin • 1 Cervix • 1 Caesarian-section perineum • 1 Foam support • 1 Full dilatation pelvic insert Available to order June 2016 Packed weight (kg) & dimensions (mm) TBA kg TBA l TBA w TBA h
limbsandthings.com 67 Obstetrics & Midwifery
PROMPT Flex - Cordocentesis Trainer PPH Module
Product No: 80101 Product No: 60203
Allowing training in the management of post-partum bleeding, it A simulation of a gravid abdomen for learning percutaneous offers a realistic simulation of an atonic and contracting uterus. umbilical blood sampling (cordocentesis). Optional add-on for PROMPT Flex Standard. Skills Gained
• Familiarisation and use of ultrasound equipment • Identification of ultrasound calling signals Skills Gained • Recognition of placental/foetal cord • Needle insertion and placement under ultrasound • Management of post-partum bleeding: • Withdrawal of foetal blood - Fundal massage - Bi-manual compression – Contains a foetal cord, filled with mock blood, - Haemostatic balloon insertion and management suspended in gel (does not include foetus) • Communication skills with mother when used with – Includes 2 placentas, one on the anterior and Simulated Patient the other on the posterior aspect, enabling • Intramuscular injection both direct and transplacental approaches • Estimating blood loss to the cord Product Qualities Product Qualities
– Atonic uterus can simulate contraction on – Excellent image and realism used with any fundal massage ultrasound equipment
– Blood loss of up to 2 litres can be simulated – The mock blood in the foetal cord can – Air bulbs are used to stimulate blood flow and be replenished control atonic state of the uterus – Self-sealing abdomen and cord can be pierced repeatedly providing a durable, – Can be quickly and easily fitted into the birthing long-lasting and cost effective model mother to allow simulation of situations where bleeding occurs directly after delivery – Can be used for needle insertion and placement for amniocentesis training, however no fluid can be withdrawn from the amniotic sac
– Contains latex
You’ll Receive You’ll Receive
• 60204 1 Cordocentesis Abdomen • 80127 1 PROMPT Flex PPH Uterus Assembly • 00223 1 Mock Blood - Venous (250ml) • 00020 2 Concentrated Venous Blood - Starter Pack • 1 Base • 1 PROMPT Flex PPH blood container Packed weight (kg) & dimensions (mm) 5.75 kg 550 l 430 w 250 h
68 limbsandthings.com Obstetrics & Midwifery
MamaNatalie Birthing Umbilical Cord Simulator SP
Product No: 50143 (x5) Simulated umbilical cord for identifying the vein and arteries and Product No: LD340-00233 Dark practising cannulation techniques relevant to an intermediate LD340-00333 Light level of training for resuscitation of the newborn. The MamaNatalie Birthing Simulator, complete with NeoNatalie newborn baby, provides realistic and affordable training in maternal and newborn care. Skills Gained Skills Gained
• Bleeding • Positioning and delivery of the baby • Insertion of cannula into umbilical vein for venous access • Delivery of placenta • Foetal heart sounds • Withdrawal of blood for sampling • Cervix landmark • Urine bladder catheterisation • Tying off the umbilical vessels • Uterine massage • Uterine compression
– Realistic representation of the umbilical Product Qualities vessels – blood filled large vein, 2 smaller arteries, twisted within a soft tubal structure – Easy to manipulate the condition of the uterus and simulated Wharton’s Jelly (from boggy to well contracted, and any condition in between) Product Qualities – Instructor can manually control: foetal heart sounds, delivery of placenta, – Suitable for introduction of catheters up to FG5 baby positions in birth tract, uterine firmness, – Size to suit Baby Umbi intensity of bleeding and volume of blood loss
– Dimensions: 12mm outside diameter, – Highly affordable, portable and easy to use 220mm length – Quickly ready for use in any setting
– Contains latex You’ll Receive
You’ll Receive • 1 MamaNatalie birthing simulator • 1 NeoNatalie newborn simulator • For a full listing visit the product page on our website • 5 Umbilical cords
Packed weight (kg) & dimensions (mm) 5.4 kg 640 l 300 w 320 h
Packed weight (g) & dimensions (mm) 110 g 235 l 40 w 40 h
limbsandthings.com 69 Obstetrics & Midwifery
Keele & Staffs Episiotomy Stage 2 Perineal Repair Techniques The Episiotomy and Perineal Repair Pad prompts trainees to learn Repair to suture on 2 planes, one of which has the spatial challenges Trainer which exist when suturing within the vagina. Comprises epidermis, dermal and subdermal layer.
• Suturing in 2 planes: inside vagina and on the perineum • Practice of suture techniques: continuous, subcuticular, knot tying
Product Qualities
– Soft skin with a similar drag and strength to human skin – Epidermis and dermis have a realistic retention of suture 1 2 3 – Representation of the anus printed on pad for orientation – Representation of the hymenal remnant printed on pad to assist in assessment of suturing techniques
Product No: 60450 Stage 3 Perineal Repair Procedures The Keele and Staffs Episiotomy Repair Trainer is a 3 stage training For the practice of episiotomy and second degree tear repair. system for teaching episiotomy, suturing techniques and repair of episiotomy and second degree tears. The trainer frame can be used • Tissue layer recognition and handling with the FGM Deinfibulation Upgrade Kit Product No: 60473 • Vaginal mucosal suturing (page 71). • Deep muscle suturing Developed in collaboration with: • Subcuticular suturing • Identification and management of perineal tears - Professor Khaled Ismail - Senior Lecturer and Consultant • Enables digital rectal examination before and after repair Obstetrician and Gynaecologist, Keele University School of Medicine and University Hospital of North Staffordshire (UK) - Professor Christine Kettle - Professor of Women’s Health, University – Perineal skin Hospital of North Staffordshire and Staffordshire University (UK). – Superficial muscle structure and relevant layer for suturing
Stage 1 Episiotomy Product Qualities A simplified model for teaching safe methods of episiotomy. – Cost effective: all layers can be sutured repeatedly – Each Procedure Block presents 3 repair sites (left • Identification of fontanelles lateral is pre-incised, with both midline and right • Handling of a stretched perineum lateral uncut) • Reducing the risk of damaging the baby or mother • Infiltration of perineum prior to episiotomy • Performance of medio-lateral (or midline) episiotomy You’ll Receive • Use of instruments
Product Qualities • 60451 1 Episiotomy Incision Pad (x6) • 60452 1 Episiotomy & Perineal Repair Pad (x2) – Realistic representation of tissue to represent a • 60453 1 Episiotomy & Perineal Repair Block stretched perineum • 60454 1 Perineal Repair Perineum • 60455 1 Perineal Repair Techniques Jig • 60456 1 Perineal Repair Base & Clip – Baby head provides a realistic look and feel • 60457 1 Keele & Staffs Baby Head providing landmarks and appropriate tactile • 2 Bench top clamps response when inserting fingers to guard the • 1 Carry case baby’s head
Packed weight (kg) & dimensions (mm) 4.2 kg 460 l 310 w 180 h
70 limbsandthings.com Obstetrics & Midwifery
Episiotomy Trainer FGM Deinfibulation Trainer
Product No: 60470 Product No: 60225 This product has been designed to help recognise female genital mutilation (FGM) and perform the surgical reversal procedure of For the practice and repair of episiotomy, and repair of perineal deinfibulation. This model represents Type III FGM. Created from lacerations. the Keele and Staffs Episiotomy Repair Trainer by Mr Abdalla E A Skills Gained Yagoub (Specialist Registrar in Obstetics and Gynaecology, West Midlands Deanery) and developed by him in collaboration with • Performing an episiotomy Professor Khaled M K Ismail and Miss Fidelma O’Mahony from • Tissue layer identification and handling the University Hospital of North Staffordshire (UK). • Deep musculature suturing • Subcuticular suturing Skills Gained • Superficial suturing • Recognition of correct anatomy and classification type of FGM Product Qualities • Identification of important anatomical landmarks • Guarding vital anatomy whilst performing a surgical incision – Full procedure can be carried out • Suturing skills including knot tying – Perineum can be distended to replicate delivery – Perineum, vagina and bowel are represented by a replaceable soft tissue pad Product Qualities – Soft tissue pad contains superficial muscle – Skin layers have realistic retention of sutures structure and relevant layers for suturing – Finger can be inserted to ‘guard’ the vagina and clitoris whilst incisions are made – Cost effective: all layers can be sutured repeatedly – Clamps stabilise the trainer during use You’ll Receive
– Episiotomy or laceration can be sited to the left, right or directly towards the anus • 60471 1 FGM Deinfibulation Perineum • 60474 1 FGM Deinfibulation Insert Block – Skin surface is washable using soap and water • 60472 1 FGM Deinfibulation Perineal Skin (x3) • 1 Frame • 2 Bench top clamps • 1 Carry case
Packed weight (kg) & dimensions (mm) 2.20 kg 560 l 360 w 130 h
You’ll Receive FGM Deinfibulation Upgrade Kit • 60226 1 Episiotomy Pad Product No: 60473 • 1 Base • 2 Clamps Fits onto the frame supplied with the Keele & Staffs Episiotomy Repair Trainer (page 70) and the Sultan Anal Sphincter Trainer Packed weight (kg) & dimensions (mm) 2.0 kg 280 l 290 w 150 h (page 72)
limbsandthings.com 71 Paediatrics
Sultan Anal Sphincter Breastmilk Hand Trainer Expression Trainer SP
Product No: 40103 Product No: 60227 Developed for teaching the techniques for hand expression of breast milk, the trainer was designed in conjunction with the For practising the techniques associated with the repair of the UNICEF UK Baby Friendly Initiative, and may be particularly internal and external sphincter (third degree tear). Developed in useful for staff training in facilities working towards Baby Friendly collaboration with Mr Abdul Sultan, Consultant Obstetrician and accreditation. Ideal as both a teaching and learning tool for Gynaecologist, Croydon University Hospital (UK). midwives, health visitors and other health care practitioners. Skills Gained Skills Gained
• Recognition of internal anatomy • The technique of hand expression mimics the natural • Tissue Handling stimulation of breast milk during feeding. There are 2 • End-to-end repair of the external sphincter stages to this process: • Overlap repair of the external sphincter • The oxytocin reflex (milk ejection or let down reflex) • Repair of the internal sphincter and mucosa • Compression of the lactiferous sinuses
Product Qualities – Perineal skin, external sphincter, internal sphincter, mucosa and muscle tissue – The soft foam breast is realistic in shape, texture and proportion, and is warm to the touch Product Qualities – Can be presented in 2 ways: freestanding or held – All essential layers of tissue can accept sutures against the body – Each replaceable Anal Sphincter Block presents 2 repair sites (1 site is preincised, the other is uncut) – The model incorporates 4 ‘milk’ reservoirs. These mimic the 15 to 20 lactiferous sinuses of the normal breast. Squeezing the nipple alone – Durable, long-lasting perineum and frame does not produce milk – Quick and easy to prepare/replace during courses – Clamps provided to secure trainer to benchtop – Compact and portable – Contains latex You’ll Receive – Washable using soap and water You’ll Receive • 60229 1 Anal Sphincter Perineum • 60228 1 Anal Sphincter Block • 1 Anal sphincter block clip • 1 Base • 40104 1 Simulated Breast Milk (500ml) • 2 Bench top clamps • 40105 1 Cleaning Pump • 1 Carry case • 1 Breastmilk hand expression trainer
Packed weight (kg) & dimensions (mm) 2.5 kg 390l 270 w 120 h Packed weight (kg) & dimensions (mm) 3.45 kg 520 l 430 w 250 h
72 limbsandthings.com Paediatrics
TruCorp AirSim Baby TruCorp AirSim Child
Product No: TCJR10001 Product No: TCAC10006 This simulator incorporates realistic anatomy and clinical This anatomically correct 6 year old child manikin has both realistic functionality enabling the practice of basic and advanced paediatric size and anatomical features perfect for practising paediatric airway airway management. management skills, including bag/mask ventilation, supraglottic airway insertion, naso and orotracheal intubation. Developed in conjunction with the Children’s Hospital Los Angeles, it is based Skills Gained on true CT data and offers quality and affordability for paediatric airway management skills. • Use of laryngoscope • Insertion of supraglottic devices Skills Gained • Insertion of naso- and oro-tracheal tubes • Bag-mask ventilation • Insertion of laryngeal masks • Use of videolaryngoscopes • Nasal endotracheal intubation • Positive pressure ventilation • Oral endotracheal intubation
Product Qualities Product Qualities
– Realistic airway – Realistic and true internal anatomical features – Realistic external and internal anatomical features allow for an efficient and successful demonstration allow for easy and successful demonstration of all of all paediatric video laryngoscopes paediatric videolaryngoscopes – Supplied with ‘lungs’ to demonstrate correct – Lungs demonstrate correct tube placement tube placement
– Neatly packaged with its own lightweight case – Presented on a lightweight, sturdy base for easy transportation – Neatly packaged with its own lightweight case for easy transportation – Allows for training in all aspects of infant airway management – Accepts 3.5-4.0 tracheal tubes and size 1 supraglottic airway
You’ll Receive You’ll Receive
• 1 AirSim baby • Airway lubricant • 1 AirSim child • Airway lubricant • 1 Carry case • 2 Lungs • 2 Lungs • 1 Carry case
Packed weight (kg) & dimensions (mm) 2 kg 320 l 190 w 190 h Packed weight (kg) & dimensions (mm) 2.6 kg 400 l 245 w 215 h
limbsandthings.com 73 Paediatrics
TruCorp AirSim Child Bronchi Intraosseous Trainer
Product No: TCAC50006 Product No: LD080015
This anatomically correct manikin of a 6 year old features internal An infant leg designed for training in infant intraosseous infusion anatomical detail down to the forth generation Bronchi to techniques. facilitate training in fibre optic bronchoscopy techniques as well as all aspects of airway management Skills Gained Skills Gained
• Direct and video laryngoscopy • Intraosseous needle insertion • Insertion of endo- and naso tracheal tubes • Aspiration of simulated bone marrow • Insertion of supraglottic devices • Bag-mask ventilation Product Qualities • Fibre optic bronchoscopy techniques • Lung isolation techniques – Replaceable pads contain a tibia prefilled with • Lung suctioning simulated bone marrow • Diagnostic bronchoscopy – Up to 15 punctures can be performed per pad Product Qualities
– ‘Real feel’ skin covering for added realism You’ll Receive – Bronchi provide accuracy down to the fourth generation, facilitating the full range of bronchoscopy techniques – Realistic external and internal anatomical features • 1 Infant leg mounted on base • 5 Intraosseous pads allow for easy and successful demonstration of all
paediatric videolaryngoscopes Packed weight (kg) & dimensions (mm) 8 kg 290 l 140 w 100 h – Tongue can be inflated to illustrate tongue oedema – Missing frontal teeth to illustrate realistic dentals of a 6 year old – Realistic feedback provided during airway management procedures
You’ll Receive
• 1 Airsim child bronchi • 1 Bottle of lubrication • 1 Carry case • 2 Blue child lung bags
Packed weight (kg) & dimensions (mm) 2.6 kg 400 l 245 w 220 h
74 limbsandthings.com Paediatrics
Paediatric IV Hand Simulators Paediatric Lumbar Puncture Simulator II
Product No: KKM95 Product No: KKM43D Providing the ideal platform for healthcare professionals needing Designed to represent a 7-10 month old infant, this model is used to practise venepuncture and IV cannulation procedures on to practise the lumbar puncture procedure. infants (2 hands are supplied: 1 and 3 year old). The incorporation of thin, soft, difficult-to-find veins presents the trainee with the realistic challenges associated with paediatric venous access. Skills Gained
• Skin preparation • Needle positioning Skills Gained • Patient positioning and insertion • Palpation of landmarks • Cerebrospinal fluid (CSF) • Venepuncture • Sterilisation and local collection and pressure • IV cannulation anaesthesia measurement
Product Qualities Product Qualities
– Realistic tissue resistance of the hand and veins – Body of the manikin is soft and flexible – Realistic venous flashback – Quiet circulation pump reproduces blood flow – Realistic tissue resistance – Iliac crests and spinous process are present – No puncture traces visible after procedure is and palpable performed
– Special angle-adjustable stands facilitate practice in – Puncture block is quick and easy to replace the proper position (inset right) – Easy to set up, one-touch leak-free connections – Puncture sites not visible on skin – Successful puncture is confirmed by the simulated – Easy clean up CSF (water) flowing out – CSF pressure can be measured with a manometer
You’ll Receive You’ll Receive
• 1 1 year old IV hand • 1 Jar of blood powder with stand • 1 Plastic beaker, spoon • KK11348-410 2 Paediatric Lumbar • 1 Baby manikin • 1 3 year old IV hand and plastic jar Puncture Blocks (12mm) • 1 Stand with stand • 1 Carry case • KK11348-420 2 Paediatric • 1 Irrigation bag & syringe • 1 Circulation pump Lumbar Puncture Blocks (17mm)
Packed weight (kg) & dimensions (mm) 11 kg 700 l 500 w 30 h Packed weight (kg) & dimensions (mm) 4 kg 460 l 310 w 320 h
limbsandthings.com 75 Paediatrics
Newborn Care Baby Nita Newborn
NEW PRODUCT
Product No: KK11259-000-M63 (Female) KK11278-000-M59 (Male) This anatomically accurate, life-size model of a 4 week old newborn infant is ideal for training in a range of essential care skills. Skills Gained
• Injection (arm and leg) and catheterisation • Umbilical catheterisation and care Product No: VTA1800 • Nasogastric and orogastric tube feeding An anatomically correct manikin representing a 1.8kg, 40cm long • Airway suction female baby for teaching and practising the vascular accessing of • Endotracheal tube placement newborns and infants. • Airway management • CPR – Venepuncture sites include: - median, basilic and axillary sites in both arms - saphenous and popliteal veins in right leg – Arm - basilic, cephalic and dorsal veins - external jugular and temporal veins – Leg - saphenous and popliteal veins – Umbilical cord Skills Gained
Product Qualities • Placement, suctioning, securing, dressing, cleansing and maintenance of nasal cannulas, endotracheal tubes, – Soft, lifelike umbilical cord can be cut and nasotracheal tubes and feeding tubes catheterised and is easy to replace. • Central catheter insertion, securing, dressing & maintenance – Non-rigid, flexible neck • IV and PICC line insertion, securing, dressing & maintenance – Veins can be visualised using a real LED • Umbilical catheterisation transilluminator • Venepuncture including heparinisation and fluid infusion – Supports 3 types of injection and catheterisation training: direct vision, transilluminated and Product Qualities ultrasound guided PICC – A “pop” is felt as the needle enters the vein with – The right arm can be interchanged with an a realistic flashback of blood confirming proper ultrasound compatible PICC arm needle placement
– Veins specifically designed with a small internal – Skin can be washed with soap and water diameter to make accessing more challenging
You’ll Receive
• I Newborn care baby You’ll Receive
Packed weight (kg) & dimensions (mm) 4 kg 54 l 31 w 17 h
• 1 Infant manikin • 1 Nappy • 1 Fluid bag and tubing • 1 Simulated blood • 1 Carry case Available Quarter 2 2016 Packed weight (kg) & dimensions (mm) 2.75 kg
76 limbsandthings.com Paediatrics Paediatrics
Child Product Qualities Patient – Life-size: 105 cm tall Care – Realistic weight
Model – Soft plastic skin covering a metal frame – Movable joints (shoulders, elbows, knees, wrists, ankles and fingers) allow realistic patient handling and transportation Product No: KKM86 You’ll Receive Life-size model of 5-6 year old female child.
Skills Gained • 1 Child manikin
• Patient handling • Transportation Packed weight (kg) & dimensions (mm) 14 kg 1080 l 440 w 290 h • Dry bathing • Dressing & undressing
Paediatric FAST/ Nickie® Medical Training Doll Acute Abdomen Phantom Product No: HOL-WF (White Female) Product No: KKUS-8 HOL-WM (White Male) This high fidelity phantom represents (Hispanic and black a 2 year old child and features life- available - see website) size thoracoabdominal organs, bony structures and common paediatric pathologies for training in FAST / Acute sonography.
Skills Gained Nickie® is used to practise medical device training for special medical needs children. • Paediatric abdominal ultrasound Nurses and paramedics can use it to train school and hospital staff, • Paediatric FAST procedures • Sonography for acute patients as well as parents and home care providers. • Recognition of typical paediatric conditions such as bowel intussusception, appendicitis and hydronephrosis Skills Gained – 2 year old torso with thoracoabdominal organs and bone structure • Tracheostomy management • Urethral catheter insertion • Tracheal tube suctioning • Stoma care • Gastrostomy training • Oral suctioning Product Qualities • Care of a gastrostomy • Peripherally inserted central button catheter (PICC) line care – Internal haemorrhages: perihepatic, pleural, perisplenic, pericardial and rectovesical area – Pathologies include: cholecystitis, biliary Product Qualities dilation, hydronephrosis, bowel intussusception, appendicitis and uretal calculus – Ileostomy stoma is in the lower right abdomen – Open oral and nasal passages You’ll Receive – Gastrostomy device and feeding tube is included – A tracheostomy tube is inserted and secured with a standard tracheostomy tube holder • 1 Ultrasound phantom • 1 Storage case – A PICC is positioned in the forearm and secured • 1 Tutorial manual (DVD) with a ‘Stat-Lock’ – Injection port on the left thigh Packed weight (kg) & dimensions (mm) 8 kg 510 l 240 w 260 h – Fluid drain in the left heel
limbsandthings.com 77 Joint Injection
Knee Aspiration & Examination Trainer – NEW with Ultrasound PRODUCT † Capability
Product No: 70103 An anatomically accurate knee model for aspirating synovial fluid from the knee joint, from both the lateral and medial aspects, using ultrasound-guidance or palpation.
† CAD Imagery Skills Gained Product Qualities
• Patient posture and management – Precise, palpable anatomy with bony landmarks • Identification of anatomical landmarks using palpation – Key internal landmarks visible under ultrasound and ultrasonic guidance – Discrete muscle and skin layers provide realistic • Injection into joint cavity tissue and needle response • Aspiration of synovial fluid from both lateral and – Anatomically accurate synovial sac medial aspects • Competence using ultrasound technology – Can be used in stand for supine position, or without stand for side of bed position – Patella and patellar ligament – Femur – Tibia and Fibula – Latex free – Collateral ligaments (lateral and medial) – Meniscus (lateral and medial) – Joint cavity – Skin washable using mild soap and water – Muscle mass of quadriceps and tendon
You’ll Receive
• 70104 1 Knee Module for Aspiration • 1 Knee support • 1 Knee stand Available Quarter 3 2016 Packed weight (kg) & dimensions (mm) TBA kg TBA l TBA w TBA h
78 limbsandthings.com Joint Injection
Knee for Aspiration Shoulder Mk 2 for Joint Injection
Product No: 70020 This specialised model is used for training in the technique of Product No: 30010 synovial fluid aspiration. Undergraduate teaching of knee aspiration For practising soft tissue joint injection used for the treatment of using this product improved post-graduate clinical practice. injuries and arthritis. Developed in collaboration with: Skills Gained Barry Smith and Stephen Stafford of Addenbrooke’s Hospital, Cambridge (UK). • Patient posture and management Skills Gained • Palpation techniques • Injection on 5 specific sites: - subacromial space • Patient posture and management - acromioclavicular joint • Palpation techniques - bicipital groove • Identifying anatomical landmarks - glenoid fossa from the anterior aspect • Aspirating synovial fluid from the knee joint from both - glenoid fossa from the posterior aspect lateral and medial aspects
– Represents normal anatomy precisely Product Qualities (both superficially and subdermally) for palpation purposes – Discrete muscle and skin layers provide realistic tissue and needle response Product Qualities – Supplied with ‘No Trace’ marker (non-permanent rapidly fading ink) for illustrating underlying – Easy-to-use Feedback Console: LEDs light up when landmarks correct injection sites have been acquired
– Contains latex – Supplied with ‘No Trace’ marker (non-permanent rapidly fading ink) for illustrating underlying Not suitable for ultrasound training anatomical landmarks
You’ll Receive – Contains latex
Not suitable for ultrasound training • 70021 1 Knee Skin Mk 2 • 70022 2 Knee Aspirant (250ml) You’ll Receive • 70029 1 Synovial Sac One-way Connector • 70024 1 Knee Filling Kit • 30023 1 ‘No-Trace’ Marker • 30023 1 ‘No-Trace’ Marker • 30091 1 Knee Needle Set • 30094 1 Shoulder Needle Set • 70023 1 Synovial Sac Mk 2 • 30020 1 Shoulder Skin • BKS1846191904 1 Joint and Soft Tissue Injection book • BKS1846191904 1 Joint and Soft Tissue Injection Book • 1 Leg assembly with base • 1 Metal stand and 1 litre fluid bag • 1 Shoulder for joint injection • 1 Carry case • 1 Feedback console with batteries • 1 Carry case
Packed weight (kg) & dimensions (mm) 6.05 kg 590 l 290 w 310 h Packed weight (kg) & dimensions (mm) 8.2 kg 360 l 329 w 540 h
limbsandthings.com 79 Joint Injection
Elbow Hand & Wrist for for Joint Joint Injection Injection
Product No: 30031 An articulated right hand & wrist used Product No: 30080 for practising soft tissue joint injection for the treatment of injuries & arthritis. For practising soft tissue joint injection used for the treatment of injuries and arthritis. The arm is presented for the treatment of Skills Gained both Golfer’s and Tennis elbow. • Patient posture and management Skills Gained • Identifying anatomical landmarks • Relevance of digital movement for presentation • Patient posture and management of injection sites • Palpation techniques • Injection in 4 specific areas: • Identifying anatomical landmarks and painful areas - carpal tunnel - trigger finger/tendon sheath injection • Injections for: - de Quervains sheath - first metacarpal joint - Tennis Elbow (lateral epicondylitis) • Precise placement of needle to avoid median nerve - Golfer’s Elbow (medial epicondylitis) • Training in fan or cone infiltration techniques – Simulates normal anatomical reference points for: carpal tunnel, palmaris longus tendon, distal wrist crease and tendon to the flexor carpi radials Product Qualities Product Qualities – Flexed right elbow, which rotates on the stand
– Articulated joints – Easy-to-use Feedback Console: LEDs light up when correct injection sites have been acquired, – Easy-to-use Feedback Console: LEDs light up point of maximal tenderness has been palpated, when correct injection sites have been acquired and when the ulnar nerve has been hit and when the median nerve has been hit
– Supplied with ‘No Trace’ marker (non-permanent – Supplied with ‘No Trace’ marker (non-permanent rapidly fading ink) for illustrating underlying rapidly fading ink) for illustrating underlying anatomical landmarks anatomical landmarks
– Contains latex – Contains latex
You’ll Receive You’ll Receive
• 30023 1 ‘No-Trace’ Marker • 30023 1 ‘No-Trace’ Marker • 30093 1 Elbow Needle Set • 30092 1 Hand and Wrist Needle Set • BKS1846191904 1 Joint and Soft Tissue Injection book • 30040 1 Hand and Wrist Skin • 1 Elbow for joint injection • BKS1846191904 1 Joint and Soft Tissue Injection book • 1 Feedback console with batteries • 1 Hand and wrist for joint injection • 1 Carry case • 1 Feedback console with batteries • 1 Carry case
Packed weight (kg) & dimensions (mm) 6.4 kg 360 l 320 w 540 h Packed weight (kg) & dimensions (mm) 3.6 kg 520 l 260 w 180 h
80 limbsandthings.com Joint Injection & General Surgery
Foot & Ankle Colonoscopy Training Model for Joint Injection
Product No: 30100 A foot and ankle for practising soft tissue injection for the Product No: KKM40 treatment of injuries and arthritis. Designed for practising colonoscope handling and techniques. Designed in collaboration with Mr Jim Pickard and Dr Chris Davies It presents a wide range of challenges to trainees performing a from the University of Huddersfield, UK. colonoscopy, from simple and uncomplicated cases to difficult Skills Gained and sensitive variations. Providing the necessary training required to avoid patient pain and discomfort during an examination. • Patient posture and management • Palpation techniques • Identifying anatomical landmarks • Injection sites for: Skills Gained - metatarsophalangeal (MTP) joint - Morton’s neuroma - tarsal tunnel - plantar fascia • Colonoscope insertion and withdrawal - sinus tarsi - retrocalcaneal bursa • Insufflation and suction of colon - tibiotalar joint - subtalar joint • Manipulation of colonoscope
– Represents normal anatomy as required for Product Qualities palpation purposes – Soft, flexible and airtight colon tube allows for Product Qualities realistic colonoscope insertion and withdrawn
– Easy-to-use Feedback Console: LEDs light up when – 5 different colon layout guides, with 6 case studies correct injection sites have been acquired and a training guide, are included
– May be oriented in left lateral, right lateral or – Latex free supine positions
You’ll Receive You’ll Receive
• 30095 1 Foot and Ankle Needle Set • KK11361-010 1 Colon-rectum Tube • 30101 1 Foot and Ankle Skin • KK11361-020 1 Anus Unit • 70102 1 Foot and Ankle Musculature • KK11361-030 1 Colon Fixture Set • BKS1846191904 1 Joint and Soft Tissue Injection book • KK11361-120 1 Colon Layout Guide • 1 Foot & ankle base anatomy • KK11361-040 1 Concentrated Lubricant Pack • 1 Feedback console with batteries • KK11361-050 1 Lubricant Pack • 1 Carry case • 1 Storage case
Packed weight (kg) & dimensions (mm) 3.65 kg 590 l 285 w 310 h Packed weight (kg) & dimensions (mm) 20 kg 710 l 300 w 500 h
limbsandthings.com 81 Laparoscopic Surgery
Soft Tissue Retaining Set Helago HD Laparoscopic Trainer
Product No: HEL-LT018 This versatile laparoscopic trainer incorporates a full HD/1080p digital camera with a 22” LCD screen. It also features additional video output for connection to a digital projector or another monitor. Software is supplied to enable video capture of laparoscopic tasks for subsequent analysis and discussion. Product No: 50151 Skills Gained For securing synthetic soft tissue components used in intermediate • Hand eye co-ordination surgical training and laparoscopic trainers. • Use of laparoscopic instruments • Techniques and skills depending on the laparoscopic product used inside the trainer Product Qualities Product Qualities
– Variable slope jig allows practise of surgical skills – 16 instrument ports including 4 ports for single at varying angles for more realistic and/or difficult port techniques presentation of components – Uncovered operating field allows for the trainee to directly observe the task performed inside the – Easy-to-use and versatile: sucker feet allow for trainer (3D vision) easy positioning and removal on smooth surfaces – Covered operating field (shown in image) obscures – Retaining clips recommended for use on a smooth direct vision forcing the trainee to use the screen work surface or on the variable slope jig to (2D vision) stabilise synthetic: – Transparent laparoscopic ‘torso’ allows for both – bowel – arteries and veins – flat pads uncovered and covered operating fields: simply pick it up and turn it around – Can be fitted into other laparoscopic boxes/trainers – Provides for structured and staged learning – USB interface allows for PC connection – Full HD video capture apabilities through software provided – Open ends of ‘torso’ provide quick and easy access when changing laparoscopic components
You’ll Receive You’ll Receive
• Laparoscopic ‘torso’ • 1 Variable slope jig • 1 Display unit with stand • 4 Retaining clips • 1 Blackmagic Media Express software • Accessories: Training aid shoelaces, specimen tray, basic suturing set
Packed weight (g) & dimensions (mm) 250 g 350 l 240 w 10 h Packed weight (kg) & dimensions (mm) 7.5 kg 510 l 410 w 200 h
82 limbsandthings.com Laparoscopic Surgery Laparoscopic Surgery
Limbs & Things Laparoscopic Skills Trainer USB NEW PRODUCT
Product No: 50301 A brand new, cost effective solution for acquiring the basic skills required for laparoscopic surgery. This trainer box comes with a USB camera, light source and pre-ported skin frame for trocars.
Skills Gained
• Basic psychomotor skills • Use of laparoscopic instruments (not provided) • Knot tying and precision cutting
You’ll Receive
Product Qualities • 1 Trainer box – Skin frame constructed from durable Neoprene • 1 USB camera with lead – Two pre-incised holes for the trocars • 1 Light strip • 1 Power cable – USB camera included • 1 Simulated skin – Trainer design allows for ambient light to enter • 1 String & alligator clips training area • 2 Trocars – Overhead LED lighting strip
– For use with laptop/PC Packed weight (kg) & dimensions (mm) 7.4 kg 660 l 310 w 510 h
Optional Consumables and Instruments Compatible with all FLS consumables and instruments see page 84
Peg Transfer Precision Cutting Ligating Loop
Knot Tying Instruments
limbsandthings.com 83 Laparoscopic Surgery
Fundamentals of FLS Trainer Box Laparoscopic Surgery™ with TV Camera Trainer System Product No: 50302 Working closely with the SAGES-ACS FLS committee, we have This product is economical and portable, making it ideal for revolutionised the FLS trainer system. Introducing an updated training centres. series of laparoscopic training products exclusively designed and Note that users must provide their own endorsed for the FLS Program. The systems come complete with TV screen. a training box and TV camera alongside a range of tasks designed to develop the skills necessary to perform the fundamentals of laparoscopic surgery. For further information on the FLS training system visit www.fls-products.com
Skills Gained
• Laparoscopic surgery • Tasks: - Peg transfer - Precision cutting - Ligating loop - Knot tying You’ll Receive
• 50302 FLS Trainer Box with TV Camera Product Qualities • 1 Trainer box • 25 Single circle gauze • 1 TV camera • 25 Double circle gauze – Skin frame constructed from durable Neoprene • 1 Light strip • 3 Foam organs – 2 pre-incised holes for the trocars • 1 Power cable • 1 Suture block – Trainer systems come with a TV camera • 1 Simulated skin • 50 Penrose drain – Trainer design allows for ambient light to enter • 2 String & alligator clips the training area • 2 Trocar – Overhead LED lighting strip • 1 Peg board with 6 triangles • 1 Jumbo clip retainer
– Variety of manual task products designed to develop a range of necessary skills Packed weight (kg) & dimensions (mm) 7.4 kg 660 l 310 w 510 h
Optional Consumables and Instruments
* Not for animate use, not sterile, FLS Task One: Peg Transfer FLS Task Two: Precision Cutting FLS Task Three: Ligating Loop for training purposes only
† Instrument Kit includes: • 50331 Peg Board & • 50332 Jumbo Clip • 50363 Foam Organs 1x Endoscissors 6 Triangles Retainer (x15) 2x Maryland dissectors 1x Right needle driver • 50360 Triangles for • 50361 Gauze Pads with • 50364 Single Use 1x Left needle driver Peg Board Single Circle Ligating Loop 1x Graspers (locking) (x6) (x100)* (x3)* 2x Knot pushers (1 open ended; • 50362 Gauze Pads with • 50365 Multi-Use 1 closed ended) Double Circle Ligating Loop ‡ For practice only, not approved (x100)* ‡ (x5)* ‡ for use during the fls exam
84 limbsandthings.com Laparoscopic Surgery Laparoscopic Surgery
FLS Trainer System FLS All-In-One Trainer System with TV Camera with TV Camera Product No: 50304 Product No: 50306 The FLS Trainer System incorporates all of the features of the FLS The FLS All-In-One Trainer System incorporates all of the features of Trainer Box but also includes a 19” Television Screen and a Mobile the FLS Trainer System and also includes ligating loops, sutures and Sim Cart. This product offers greater flexibility and is extremely an FLS Approved Instrument Kit. This product provides a training cost-effective option for training centres. centre with everything required to run an FLS Training program.
You’ll Receive You’ll Receive
• 50304 FLS Trainer System with TV Camera • 50306 FLS All-In-One Trainer System with TV Camera • Mobile SimCart, 19” TV • 25x Single circle gauze • Mobile SimCart, 19” TV • 25x Single circle gauze • 1x Trainer box • 25x Double circle gauze • 1x Trainer box • 25x Double circle gauze • 1x TV camera • 3x Foam organs • 1x TV camera • 3x Foam organs • 1x Light strip • 1x Suture block • 1x Light strip • 1x Suture block • 1x Power cable • 50x Penrose drains • 1x Power cable • 50x Penrose drains • 1x Simulated skin • 1x Simulated skin • 3x Single-use ligating loops • 2x String & alligator clips • 2x String & alligator clips • 5x Multi-use ligating loops • 2x Trocar • 2x Trocar • 50x Sutures 2/0 silk 90cm • 1x Peg board with 6 triangles • 1x Peg board with 6 triangles 26mm needle • 1x Jumbo clip retainer • 1x Jumbo clip retainer • 1 FLS approved instrument kit
Packed weight (kg) & dimensions (mm) 7.4 kg 660 l 310 w 510 h Packed weight (kg) & dimensions (mm) 7.4 kg 660 l 310 w 510 h
FLS Tasks Four and Five: Knot Tying Instruments – FLS Approved
• 50333 Suture Block • 50380 Fls Approved Instrument Kit (8 Pieces)* † • 50366 Penrose Drains • 50381 Pair of Maryland Dissectors* (x100) • 50382 Graspers (Locking)* • 50367 Suture 2/0 Silk 90cm, 26mm Needle • 50383 Endoscissors* (x50) • 50384 Right Needle Driver* • 50368 Suture 2/0 Silk 90Ccm, 26mm Needle • 50385 Left Needle Driver* (x25) • 50386 Set Of 2 Knot Pushers (1 Open Ended; 1 Closed Ended)*
limbsandthings.com 85 Laparoscopic Surgery
Large Surgical Dissection Pad Small Surgical Dissection Pad
Product No: 50114 Product No: 50118 This unique multi-layered pad with 14 fluid filled vessels for A multi-layered pad with 4 fluid filled vessels for training in the training in the 7 basic surgical techniques used in open and basic surgical techniques, as listed for the Large Surgical Dissection laparoscopic surgery. Pad. The lower cost of this pad makes it ideal for individual or 2 person training; ideally issued to trainees at the start of a course or for self-directed learning. Skills Gained Skills Gained
• Incision • Mobilisation • Incision • Mobilisation • Stapling • Dissection • Stapling • Dissection • Ligation • Division • Ligation • Division • Suturing • Suturing
– Contains 3 types of vessel: venous, arterial and bile – Contains 2 types of vessel: arterial and bile
Product Qualities Product Qualities
– Provides a realistic response with steel blade – Provides a realistic response with steel blade laparoscopic instruments or a harmonic scalpel laparoscopic instruments or a harmonic scalpel – Convincing appearance when viewed – Convincing appearance when viewed through laparoscope through laparoscope – Made from patented material which provides – Made from patented material which provides for realistic suturing and stapling for realistic suturing and stapling
– Cost effective and extremely convenient when – Cost effective and extremely convenient when compared with animal tissue compared with animal tissue
– Wet laboratory not required – Wet laboratory not required
– Contains latex – Contains latex
You’ll Receive You’ll Receive
• 50114 1 Large Surgical Dissection Pad • 50118 1 Small Surgical Dissection Pad
Packed weight (g) & dimensions (mm) 115 g 235 l 190 w 10 h Packed weight (g) & dimensions (mm) 30 g 205 l 90 w 10 h
86 limbsandthings.com Laparoscopic Surgery Laparoscopic Surgery
Vermiform Appendix
Product No: 50122 Normal Anatomy 50123 Post-ileal 50124 Retrocaecal For practising the laparoscopic removal of the vermiform appendix. There are 3 variations presenting the appendix in the following positions: - normal (as found in 32% of patients) - post-ileal (as found in 1% of patients) - retrocaecal (as found in 64% of patients) Each model has the additional feature of a simulated peptic ulcer, for closure using peritoneum and mesentry.
Vermiform Appendix: Vermiform Appendix: Vermiform Appendix: Normal Post-ileal Retrocaecal
Product No: 50122 Product No: 50123 Product No: 50124
Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) 100 g 320 l 200 w 20 h 100 g 320 l 200 w 20 h 100 g 320 l 200 w 20 h
Skills Gained Product Qualities
• Excision and division of peritoneum – Convincing fluid filled vessels, caecum contents, • Identification and exposure of appendix and tissues encourage correct handling of tissue • Mobilisation and division of vessels • Removal of appendix – The variations available in the range of • Inspection of stump of appendix appendices provide increased levels of difficulty • Repair and closure of peptic ulcer – Vessel incorporates a luer lock to which the Mock Blood Giving Set Part No: 60651 – Highly realistic model of appendix, caecum, and (page 37) may be attached to provide ileum stump presented anatomically fluid flow for the appendicular artery. Patents granted Use Mock Blood - Arterial (250ml) Part No: • US6336812 • EP099027 • DE69804793 • CA 2293585 60653 (page 37) • ZL98806331 • HK1023832 • 755575 Austrailia – Ideal for training course requirements; the model is designed for swift attachment to and removal from the Soft Tissue Retaining Set
– Contains latex
limbsandthings.com 87 Laparoscopic Surgery
Gall Bladders Product No: 50127 Normal Anatomy 50128 Bifurcated Cystic Artery 50129 Short Cystic Duct 50132 Wide Common Bile Duct and Stones for Exploration A series of 4 highly realistic models of increasing complexity for structured and staged training in gall bladder removal. Trainees progress from the Surgical Dissection Pads (page 86) to this range of Gall Bladders.
Gall Bladder: Gall Bladder: Gall Bladder: Gall Bladder: Wide Normal Anatomy Bifurcated Cystic Artery Short Cystic Duct Common Bile Duct & Stones for Exploration Product No: 50127 Product No: 50128 Product No: 50129 Product No: 50132
Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) Packed weight (g) & dimensions (mm) 80 g 140 l 120 w 40 h 80 g 140 l 120 w 40 h 80 g 140 l 120 w 40 h 110 g 180 l 110 w 40 h
Skills Gained Product Qualities
• Incision and dissection of the visceral peritoneal layer – Highly realistic viewed through the laparoscope, • Division and mobilisation of vessels and the tissue response to cutting and dissection • Ligation of cystic artery and cystic duct is convincing • Removal of gall bladder • Visualisation and recognition of anatomical landmarks – The 4 variations of gall bladder provide increased and organ variations levels of difficulty, and the element of surprise is • All 7 skills defined for the Surgical Dissection Pad, within introduced and controlled this procedure – All vessels and the gall bladder are fluid filled • Cholangiogram catheter insertion and stone retrieval – When running a course, the used component Patents granted can be removed and replaced with a new one • US6336812 • EP099027 • DE69804793 • CA 2293585 • ZL98806331 • HK1023832 • 755575 Austrailia in seconds
– Incorporates a luer lock to which the Mock Blood Giving Set Part No: 60651 (page 37) may be attached to provide fluid flow for the appendicular artery. Use Mock Blood - Arterial (250ml) Part No: 60653 -
– Contains latex
88 limbsandthings.com Wound Care
‘Pat’ Pressure Ulcer Seymour II Wound Staging Model™ Care Model™
Product No: VTA0910 Based on an elderly patient, this model aids in the identification Product No: VTA0980 and assessment of wounds. Once the different aetiologies A compact, comprehensive model with realistic pressure ulcers to are understood, this model can be used to discuss and devise aid in the identification and assessment of wounds. treatment plans. Skills Gained Skills Gained
• Wound identification and assessment • Wound assessment (classification & staging) • Routine cleansing • Wound cleansing • Dressing techniques • Dressing techniques • Measurement of wound length, depth, undermining Product Qualities and tunnelling • Negative pressure wound therapy – For dark skin: – suspected DTI (Deep Tissue Injury) with ‘mushy/boggy’ feel when palpated - blood blister ‘Wilma’ Wound - Stage I pressure ulcer Foot™ – For light skin: – suspected DTI with ‘mushy/boggy’ feel when palpated - Stage I pressure ulcer - Stage II blister intact - Stage II pressure ulcer – Stage III pressure ulcer with undermining, Product No: tunnelling, granulation tissue, subcutaneous fat, eschar and slough VTA0950 For educating all healthcare professionals and patients in the identification and staging of wounds and You’ll Receive their probable aetiologies. Skills Gained
• 1 ‘Pat’ pressure ulcer model • Wound assessment • VTA0981 PAT Pressure Carry Case • Routine cleansing • Dressing techniques Packed weight (g) & dimensions (mm) 2.3 g 210 l 320 w 45 h
limbsandthings.com 89 Urology
Adult Male Circumcision Trainer Light and Black
Forceps guided method Dorsal slit method
Sleeve resection method Penis without foreskin
Product No: 60395 Light Skills Gained
60392 Black • Three methods can be performed: This product has been designed for healthcare professionals - Forceps guided practising the necessary skills for prophylactic and therapeutic - Dorsal Slit method male circumcision. It allows practitioners to perform the 3 most - Sleeve resection common methods of circumcision (as illustrated). n 2013, trainees and trainers attending RCS Core Surgical Skills Product Qualities courses or a national urology meeting were asked to use the model to undertake circumcision. Feedback questionnaires were analysed – Realistic and accurate representation of the from 55 trainees and 32 trainers. Use of the model for training was foreskin: realistic retraction of foreskin and realistic considered satisfactory or better in 93% of returns. As a realistic representation of the layers of the foreskin model, 92% considered it to be satisfactory/very good/excellent.1 – Able to perform penile ring block technique Designed and evaluated in collaboration with: – Penis presented in supine position MSR Israel Center for Medical Simulation – Can be used to practise suturing techniques Mrs Suzie Venn and her colleagues at the Royal College of Surgeons England. – Compact and portable
1 Validation of a reusable model for simulation training of adult circumcision Arie – Available in light or black skin tones Parnham, Nick Campain, Chandra Shekhar Biyani, Asif Muneer, Suzie Venn. RCS The Bulletin, Volume 97 Issue 9, October 2015, pp. 383-385 – Latex-free
Light - 60395 Black - 60392 You’ll Receive You’ll Receive
• 60396 1 Circumcision Foreskins (x5) - Light • 60393 1 Circumcision Foreskins (x5) - Black (including elastic bands and lubrication sachet) (including elastic bands and lubrication sachet) • 60397 1 Circumcision Penis - Light • 60394 1 Circumcision Penis - Black • 00551 1 Jig for Circumcision Trainer • 00551 1 Jig for Circumcision Trainer
Packed weight (kg) & dimensions (mm) 0.85 kg 155 l 210 w 110 h Packed weight (kg) & dimensions (mm) 0.85 kg 155 l 210 w 110 h
90 limbsandthings.com Urology Vascular
Arterial Procedures Kit
Product No: 60600 A modular system for teaching and practising the essential techniques pertinent to 4 core arterial surgery procedures. Designed in collaboration with St Mary’s Hospital Vascular Unit, London (UK) and used as part of the European Society of Vascular Surgery (ESVS) aortic aneurysm workshop, Helsinki 2005. The kit contains the following modules: • Abdominal Aortic Aneurysm (AAA) Trainer • Carotid Endarterectomy (CE) Trainer • Femoro-Peroneal Anastomosis (FA) Trainer • Femoral Popliteal Bypass (FPB) Trainer Skills Gained
For each of the above modules the following can be carried out: • Management of pre-incised skin and soft tissue using the correct surgical instruments to provide adequate access to the relevant vessel • Identification of the internal structures around the vessel • Maintaining access and conducting delicate manoeuvres within a confined space • Anastomosis of arterial grafts • Vessels will withstand a fluid flush test to demonstrate the integrity of the repair Product Qualities AAA workshop at an ESVS meeting – Realistic tissue response – Anatomically accurate vessels with relevant soft You’ll Receive tissue landmarks
– Separate models for deep and superficial procedures • 60610 1 Abdominal Aortic Aneurysm (AAA) Repair Trainer • 60620 1 Carotid Endarterectomy (CE) Trainer • 60630 1 Femoral Popliteal Bypass (FPB) Trainer – Lightweight and portable • 60640 1 Femoro-Peroneal Anastomosis (FA) Trainer – Provides 4 discrete workstations for • 60651 1 Mock Blood Giving Set simultaneous practice • 60653 1 Mock Blood - Arterial (250ml) • 60601 1 Arterial Blood Flow System – Contains latex • 1 Carry case
Packed weight (kg) & dimensions (mm) 4.1 kg 600 l 450 w 450 h
limbsandthings.com 91 Ultrasound Overview
ABDFAN Ultrasound FAST/ER FAN Ultrasound Chest Drain & Needle Examination Training Examination Training Decompression Trainer Model Model
Page Page Page 24 25 28
Ultrasound-Guided Ultrasound Vascular Pericardiocentesis Simulator Access Trainer
Page Page 31 39
Ultrasound CVC Insertion SPACEFAN-ST Foetal Cordocentesis Simulator Mk 2 Ultrasound Examination Trainer
Page Page Page 39 IMPROVED 63 68
92 limbsandthings.com RadiologyBasic Surgical • X-ray Skills& CT
Multipurpose Chest Phantom N1 ‘Lungman’
You’ll Receive
Product No: KKPH-1 • 1 Male chest phantom: • 15 Simulated tumours – Chest wall with (3 Sets of 5): This multipurpose phantom can be used for both radiography synthetic bones – Each set has a different and CT scanning. The internal parts are easily detachable, – Internal parts: mediastinum hounsfield number allowing for the insertion of simulated tumours or other lesions. (heart & trachea), pulmonary (-800, -630,+100) The unique radiological substitute material and the elaborate vessels (right & left), abdomen & has 5 sizes of tumour three-dimensional modelling of pulmonary vessels offers life-like (diaphragm) block with no (3, 5, 8, 10, 12 mm X-ray and CT images. Visit the product web page for detailed internal structure diameter) information and a list of optional parts.
Whole Body Phantom CT Torso Phantom
Product No: Product No: KKMPBU-50 KKMCTU-41 A life-size, anthropomorphic phantom A one-piece anthropomorphic with embedded anatomical structures. torso phantom with embedded Movable joints allow basic positioning anatomical structures allowing for X-ray procedures. Training/research various CT approaches including applications can also be enriched by helical scanning. Each synthetic disassembling the phantom into its 10 organ has the same Hounsfield constituent parts. number as that of the real one. Visit the product web page for more information.
You’ll Receive
You’ll Receive • 1 Phantom of a life-size male: – Synthetic bones with cartilage: skull, vertebra, clavicles, ribs, sternum, scapula, coxal bones, femurs – Synthetic organs: brain with cerebral ventricles, eye balls, lungs • 1 Whole body phantom with synthetic skeleton, hands and with pulmonary vessels (up to the fourth bifurcations), trachea feet with bone trabeculae, lungs with pulmonary vessels, (up to the third bifurcations), liver with portal and hepatic mediastinal space, liver, kidneys veins, kidneys, gallbladder, pancreas, spleen, • 1 Head supporter • 1 Flat head screwdriver aorta, vena cava, ureter, urinary bladder, prostate, • 1 Set of replacement joint connectors and screws rectum, sigmoid colon, ascites • 1 CD with sample X-ray images • 1 CD with sample X-ray images
limbsandthings.com 93 Index - Part Number
00020 Concentrated Venous Blood - Starter Pack 34, 35 40204 Breast Pathologies 11 60227 Sultan Anal Sphincter Trainer 72 00041 Wound Closure Pad Light - Large 56 40205 Breast Examination Inserts 11 60228 Anal Sphincter Block 72 00042 Wound Closure Pad Light - Small 56 40206 Breast Pathologies Supports 11 60229 Anal Sphincter Perineum 72 00043 Wound Closure Pad Black - Large 56 40207 Breast Back Plates 11 60230 Chest Drain & Needle 00044 Wound Closure Pad Black - Small 56 40208 Breast Examination Torso 11 Decompression Trainer 28 00052 Large Light Professional Skin Pad 51 40209 Breast Examination Carry Case 11 60231 Needle Decompression Pads 28 00071 Sebaceous Cyst Pad 58, 59 50047 BSS Traumatic Wound 53, 54 60232 Advanced Chest Drain Pads 28 00081 Lipoma Pad 57, 59 50050 Knot Tying Trainer 52 60234 Standard Chest Drain Pads 28 00091 Professional Skin Pad Mk 2 Light - Small 57, 59 50051 BSS Surgical Skills Board 53, 54 60235 Chest Drain Rib (left) 28 00092 Professional Skin Pad Mk 2 Light - Large 57 50055 BSS AOCT Frame 53 60237 Chest Drain Rib (right) 28 00093 Professional Skin Pad Mk 2 Black - Small 57 50056 BSS Tendon Repair Trainer 53 60238 Chest Drain Lung 28 00094 Professional Skin Pad Mk 2 Black - Large 57 50060 BSS AOCT Pad 53 60239 Chest Drain Diaphram 28 00103 Large Curettage, Snip & Shave Excision Pad 58 50061 Double Layer Bowel 30mm Outside Diameter 55 60240 Chest Drain Ribs 28 00104 Small Curretage, Snip & Shave Excision Pad 58, 59 50065 Double Layer Bowel 20mm Outside Diameter 55 60250 DPL Fluid retention Tray 46 00140 ACF Pad - Venepuncture 36 50070 BSS Day 1 Kit (5th Ed) 53 60251 Surgical Female Pelvic Trainer (SFPT) 61 00161 Three Vein Pad - Venepuncture 36 50071 BSS Day 2 Kit (5th Ed) 53 60252 Advanced Surgical Uterus 61 00170 Epidermis for ACF Pad - Venepuncture 36 50074 BSS Lesion & Cyst 53, 54 60253 SFPT Abdominal Skin Pad 61 00200 Epidermis for Three Vein Pad- Venepuncture 34 50075 BSS Abscess 53, 54 60254 SFPT Perineum 61 00211 Extended ACF Pad - Venepuncture 34 50104 DPL Perineum 46 60256 SFPT Uterus (5) 61 00213 Vein for Three Vein Pad - Venepuncture 34 50114 Large Surgical Dissection Pad 86 60257 SFPT Uterus (10) 61 00223 Mock Blood - Venous 37 50116 Gynae Dissection Pad 60 60263 DPL Abdominal Wall 46 00223 Mock Blood - Venous (250 ml) 46 50118 Small Surgical Dissection Pad 86 60290 Diagnostic Peritoneal Lavage (DPL) 00223 Mock Blood 68 50122 Vermiform Appendix - Normal Anatomy 87 Trainer 46 00280 Cutdown Pad 38 50123 Vermiform Appendix -Post-ileal 87 60311 Translucent Uterus 60 00290 Light Advanced Venepuncture Arm 35 50127 Gall Bladders - Normal Anatomy 88 60312 Diagnostic Uterus with Polyps 62 00291 Venepuncture Arm Skin - Light 35 50143 Umbilical Cord 69 60313 Diagnostic Uterus with Fibroid 62 00292 Venepuncture Arm Vein 35 50151 Soft Tissue Retaining Set 82 60315 Ectopic Pregnancy 60 00293 Tube of Water-based Lubricant 15 50158 Knotting Tube 52 60316 Dilated Translucent Uterus 62 00295 Venepuncture Vein Module 35 50164 Two Coloured Cord 52 60321 Resectable Uterus with Polyps, 00296 Black Advanced Venepuncture Arm 35 50183 Mock LA Gel with Syringe 43 Fibroid Septum 62 00297 Venepuncture Arm Skin - Black 35 50185 Antifungal Agent (250ml) 43 60322 Diagnostic Uterus with Normal Anatomy 62 00298 Brown Advanced Venepuncture Arm 35 50300 Limbs & Things Laparascopic Skills Trainer USB 83 60323 Resectable Uterus with Fibroid 62 00299 Venepuncture Arm Skin - Brown 35 50302 FLS Trainer Box with TV Camera 84 60324 Hysteroscopic Resection Trainer 62 00300 Venepuncture Arm Harness 35 50304 FLS Trainer System with TV Camera 85 60325 Universal Base 62 00301 Venepuncture Arm Carry Case 35 50306 FLS All-in-one Trainer System with TV Camera 85 60326 Hyteroscopic Diagnostic Trainer 62 00302 Venepuncture Arm Rest 35 50331 Peg Board & 6 Triangles 84 60327 Univrsal Base Drainer 62 00303 Venepuncture Arm Blood Refill Bottle 35 50332 Jumbo Clip Retainer 84 60329 Universal Base Splash Shield 62 00310 Injection Trainer 38 50333 Suture Block 85 60334 Uterus Clamp 62 00311 Skin Pad & Muscle Block 38 50360 Traingles for Peg Board 84 60392 Adult Male Circumcision Trainer - Black 90 00320 Epidermis for Injection Trainer 38 50361 Gauze Pads with single circle 84 60393 Circumcision Foreskins (Pack of 5) - Black 90 00330 Light Standard Venepuncture Arm 34 50362 Gauze Pads with double circle 84 60394 Circumcision Penis - Black 90 00331 Brown Standard Venepuncture Arm 34 50363 Foam Organs 84 60395 Adult Male Circumcision Trainer - Light 90 00332 Black Standard Venepuncture Arm 34 50364 Single Use Ligating Loop 84 60396 Circumcision Foreskins (Pack of 5) - Light 90 00333 Standard Venepuncture Vein 34 50365 Multi-use Ligating Loop 84 60397 Circumcision Penis - Light 90 00334 Standard Venepuncture Vein Module 34 50366 Penrose Drains 85 60430 Professional Abdominal Opening & 00335 Venepuncture Arm Infusion Tube 34, 35 50367 Suture 2/0 silk (50) 85 Closure Trainer (AOCT) 55 00335 Venepuncture Arm Infusion Tube 35 50368 Suture 2/0 silk (25) 85 60431 Professional AOCT Pad 55 00336 Bag & Stand for Venepuncture 50380 FLS Approved Instrumennt Kint 85 60450 Keele & Staffs Episiotomy Repair Trainer 70 Arm Mock Blood Supply 34, 35 50831 Pair of Maryland Dissectors 85 60451 Episiotomy Incision Pad 70 00337 Venepuncture Arm Pressurised 51024 Vermiform Appendix - Retrocaecal 87 60452 Episiotomy & Perineal Repair Pad 70 Mock Blood Supply 35 51282 Graspers 85 60453 Episiotomy & Perineal Repair Block 70 00440 Light Bag Stand & Advanced 51733 Endoscissors 85 60454 Perinal Repair Perineum 70 Venepuncture Arm 35 52184 Right Hand Driver 85 60455 Perineal Repair Techniques Jig 70 00441 Brown Bag Stand & Advanced 52635 Left Hand Drive 85 60456 Perineal Repair Base & Clip 70 Venepuncture Arm 35 53086 Knot Pushers 85 60457 Keele & Staffs Baby Head 70 00442 Black Bag Stand & Advanced 60120 Rectal Examination Trainer Mk 2 15 60470 FGM Deinfibulation Trainer 71 Venepuncture Arm 35 60121 Mk 2 Rectal Examination Prostates (Set of 5) 15 60471 FGM Defibulation Perineum 71 00510 Skin Pad Jig Strap 56 60122 Mk 2 Rectal Examination Perineum - Normal 15 60472 FGM Deinfibulation Perineal Skin 71 00550 Skin Pad Jig Mk 3 51 60123 Mk 2 Rectal Examination Perineum - Pathology 15 60474 FGM Deinfibulation Insert Block 71 00550 Skin Pad Jig Mk 3 56 60124 Mk 2 Tectal Examination Trainer Upgrade Kit 15 60530 Ultrasound Vascular Access Trainer 39 00551 Jig for Circumcision Trainer 90 60125 Mk 2 Rectal Examination Trainer Upgrade Kit 60531 Ultrasound Vascular Access Slab 39 00555 Basic Knot-tying Trainer 51 (without Perineums) 15 60600 Arterial Procedures Kit 91 10193 PROMPT Birthing Lubricant (250ml) 65 60150 Advanced Catheterisation Trainer - 60601 Arterial Blood Flow System 91 20001 Diagnostic Face with Lesions 59 Complete Set 43 60610 Abdominal Aortic Aneurysm (AAA) 30010 Shoulder for Joint Injection 79 60151 Advanced Catheterisation Trainer - Male 43 Repair Trainer 91 30020 Shoulder Skin 79 60152 Male Catheterisation Unit 43 60620 Carotid Endarterectomy (CE) Trainer 91 30023 No-Trace’ Marker 59 60152 Male Catherterisation Unit 43 60630 Femoral Popliteal Bypass (FPB) Trainer 91 30031 Hand & Wrist for Joint Injection 80 60154 Catheterisation Foreskin 43 60640 Femoro-Peroneal Anastomosis (FA) Trainer 91 30040 Hand & Wrist Skin 80 60154 Catherterisation Foreskin 43 60651 Mock Blood Giving Set 37 30080 Elbow for Joint Injection 80 60155 Advanced Catheterisation Trainer - Female 43 60651 Mock Blood Giving Set 91 30091 Knee Needle Set 79 60156 Female Catheterisation Unit 43 60653 Mock Blood - Arterial 37 30092 Hand & Wrist Needle Set 80 60156 Female Catherterisation Unit 43 60653 Mock Blood - Arterial 91 30093 Elbow Needle Set 80 60158 suprapubic Bung 43 60900 Standard Clinical Female Pelvic 30094 Shoulder Needle Set 79 60158 Suprapubic Bung 43 Trainer (CFPT) Mk 3 12 30095 Foot & Ankle Needle Set 80 60159 Male Catheterisation Sphincter Kit 43 60905 Advanced Clinical Female Pelvic 30100 Foot & Ankle for Joint Injection 80 60159 Male Catherterisation Sphinceter Kit 43 Trainer (CFPT) Mk 3 12 30101 Foot & Ankle Skin 80 60160 Aseptic Catheterisation Sleeves 43 60910 CFPT Abdominal Insert 13 40040 Examination & Diagnostic Breast 10 60160 Aseptic Catherterisation Sleeves 43 60920 Normal - Nulliporous Cervic 13 40044 Examination & Diagnostic Breast Trainer 10 60161 Standard Bung 43 60921 Large Fobrpod - Nulliparous 40103 Breastmilk Hand Expression Trainer 72 60161 Standard Bung 43 Ectropion Cervix 13 40104 Simulated Breast Milk (500ml) 72 60166 Basic Catheterisation Trainers - Value Set 43 60922 Small Fibroid - Nulliparous Polyp Cervix 13 40105 Cleaning Pump 72 60168 Suprapubic Catherterisation 60923 Ovarian Cyst - Multiparous Cervix 13 40106 Breast Aspirant (50ml) 10 Management Bung 43 60924 Retrovertd - Multiparous Cervix 13 40200 Standard Breast Examination Trainer 11 60203 Cordocentesis Trainer 68 60925 10-12 Weeks Pregnant 13 40201 Advanced Breast Examination Trainer 11 60204 Cordocentesis Abdomen 68 60926 14-16 Weeks Pregnant 13 40202 Basic Breast Examination Trainer 11 60225 Episiotomy Trainer 71 60950 Standard Clinical Male Pelvic 40203 Lymph Node Pads & Lymph Nodes 11 60226 Episiotomy Pad 71 Trainer (CMPT) Mk 2 16
94 limbsandthings.com Index - Part Number
60951 Advanced Clinical Male Pelvic KK11361-040 Concentrated Lubricant Pack 81 OS71-001 OtoSim II 2 Year Trainer (CMPT) Mk 2 16 KK11361-050 Lubricant Pack 81 Extended Warranty 20 60952 CMPT Module 1 : Normal 17 KK11361-120 Colon Layout Guide 81 OS71-002 OtoSim II 3 Year 60953 CMPT Module 2 : Varicocele 17 KK11382-010 Replacement Puncture Pad 44 Extended Warranty 20 60954 CMPT Module 3 : Testicular Tumours KK11383-010 Mid-axial Line Unit Puncture Pad 30 OS73-003 OpththoSim 2 Year and Penil Cancer 17 KK11383-020 Mid-scapular Line Puncture Pad 30 Extended Warranty 18 60955 CMPT Module 4 : Epididymal Cysts 17 KK11383-030 Replacement Lung 30 OS73-004 OpththoSim 3 Year 60956 CMPT Module 5 : Hydrocele 17 KK11388-200 Injection Pads for Median Extended Warranty 18 60957 CMPT Module 6 : Orchitis/Epididymo-orchitis 17 Antebrachial Vein 47 STP Kit Suture Tutor Plus Hands-on Kit 51 60958 CMPT Module 7 : Indirect Inguinal Hernia 17 KK11401-010 Insulin Injection Pads 47 STP-LITE-COM Suture Tutor LITE with Kit 60959 CMPT Abdominal Insert 17 KK11401-020 Gluteal IM Pads 47 1 year Subscription 51 60960 CMPT Pubic Bone 17 KK11401-030 Female Genitalia Unit 47 STP-LITE-SUB Suture Tutor LITE 60961 CMPT Foreskins Pack 17 KK11401-040 Male Geitalia Unit 47 1 year Subscription 51 70020 Knee for Aspiration Mk 2 79 KK11401-050 Shoulder IM pads 47 STP-PRO-COM Suture Tutor Pro-Complete with Kit 70021 Knee Skin Mk 2 79 KK11401-060 Thigh IM Pads 47 1 year Subscription 51 70022 Knee Aspirant (250ml) 79 KK11401-070 Wound Care Pad 47 STP-PRO-SUB Suture Tutor Plus 70023 Synovial Sac Mk 2 79 KK41348-190 Ultrasound lumbar/epidural 1 year Subscription 51 70024 Knee Filling Kit 79 block 45 TCAA91100 AirSim Advance 32 70029 Synovial Sac One -way Connector 79 KK41348-230 Ultrasound lumbar region TCAA95100 AirSim Advance Bronchi 32 70102 Foot & Ankle Musculature 80 skin cover 45 TCAC10006 TruCorp AirSim Child 73 70103 Knee Aspiration & Examination Trainer – KKM40 Colonoscopy Training Model 81 TCAC50006 TruCorp AirSim Child Bronchi 74 with Ultrasound Capability 78 KKM43B Lumbar Puncture & Epidural TCCT951000 AirSim Advance Combo Bronchi 32 80060 Ingrowing Toenail Trainer 59 Simulator Mk 2 44 TCCTC91100 AirSim Advance Combo 32 80070 Toe Ends 59 KKM43D Paediatric Lumber Puncture TCJR10001 TruCorp AirSim Baby 73 80071 Toe Jig 59 Simulator II 75 VTA0405 VATAChest Tissue Flap 40 80100 PROMPT Flex - Standard 65 KKM43E Ultrasound Compatible Lumbar VTA0406 VATA Real Chest Port (Ivad) 40 80101 PROMPT Flex - PHH Module 65, 68 Puncture/Epidural Simulator 45 VTA0408 VATA Dual Lumen 5FR 80102 PROMPT Flex - Cervical Dilatation KKM81-S Lung Sound Auscultation Trainer 22 Picc Catheter 40 & Effacement Module 66 KKM82 Eye Examination Simulator 19 VTA0409 VATA 9.6Fr Tunneled 80103 PROMPT Flex - Caesarean Section Module 67 KKM86 Child Patient Care Model 77 Central Catheter 40 80105 PROMPT Flex - with Bluetooth KKM93-UB Ultrasound CVC Insertion VTA0420/0430/0440 Vata Difficult Force Monitoring 65 Simulator Mk 2 39 Access Inserts 40 80110 PROMPT Lower Legs with Knee Joint KKM95 Paediatric IV Hand Simulators 75 VTA0600 Peter PICC Line 40 Interface 65 KKM99 Arterial Puncture Wrist 37 VTA0601 VATA Arm Vein Tubing Set 40 80120 Birthing Mother (with lower legs) 65 KKMCTU-41 CT Torso Phantom 93 VTA0602 VATA Body Vein Tubing Set 40 80121 PROMPT Flex Standard Baby 65 KKMMW3 Thoracic & Lumbar Epidural VTA0603 VATA Arm Skin 40 80122 PROMPT Flex Bluetooth Force Anaesthesia Simulator 44 VTA0604 VATA Body Skin 40 Monitoring Baby 65 KKMPBU-50 Whole Body Phantom 93 VTA0607 VATA Muscle Tissue 40 80123 Placenta 65 KKMUS-1B ABDFAN Ultrasound VTA0910 Seymour II Wound Care Model 89 80124 Abdomen for PROMPT Flex 65 Examination Training 24 VTA0950 Wilma’ Wound Foot 89 80125 Perineum and Birth Canal for PROMPT Flex 65 KKMUS-5 FAST/ER FAN Ultrasound VTA0980 Pat’ Pressure Ulcer Staging Model 89
90065 Minor Skin Procedures Pads 59 Examination Training 25 VTA0981 Pat Pressure Carry Case 89 90100 Helix Connectors 62 KKMUS-6 Breast Ultrasound Examination VTA1800 Nita Newborn 76
90900 Two Person Minor Surgery Pack 59 Phantom 10 PICC Puncture Pads 41 BKS1846191904 Joint & Soft Tissue Injection KKMW1 Pitting Oedema Trainer 23 Simulated Blood Sticks 41 book 79, 80, 81 KKMW12 Ear Examination Simulator II 21 BT-CEAB2 Blood Pressure Assessment Simulator 22 KKMW13 Difficult Airway Management DRDSYS01 SIMNext Dr Doppler Core Competency 26 Simulator 33 HEL-LT018 Helago HD Laparoscopic Trainer 82 KKMW14 Demonstration Difficult Airway HOL-BF Nickie Medical Training Doll Management Simulator Model 33 (Black Female) 77 KKMW15 Ultrasound-Guided Pericardiocentesis
HOL-BM Nickie Medical Training Doll Simulator 31 (Black Male) 77 KKMW18 Ultrasound Guided PICC Training
HOL-HF Nickie Medical Training Doll Simulator 41 (Hispanic Female) 77 KKMW22 Patient Care Simulator “Cherry” 47 HOL-HM Nickie Medical Training Doll KKMW4A Ultrasound Guided Thoracentesis
(Hispanic-Male) 77 Strap-on Simulator 30 HOL-WF Nickie Medical Training Doll KKMW8 Tube Feding Simulator 48 (While Female) 77 KKPH-1 Multipurpose Chest phantom N1 HOL-WM Nickie Medical Training Doll ‘Lungman’ 93 (White Male) 77 KKU57 SPACEFAN-ST Foetal Ultrasound INS02000 Pack of Sutures 51 Examination Trainer 63 KK11220-010 Ocular Fundus Slides 19 KKUS-10 Female Pelvic Ultrasound Phantom 14 KK11259-000-M63 Newborn Care Baby - Female 76 KKUS-11 Scrotal Ultrasound Phantom 14 KK11278-000M59# Newborn Care Baby - Male 76 KKUS-8 Paediatric FAST/Acute KK11347-119 Landmark Puncture Pad 39 Abdomen Phantom 77 KK11347-170 CVC Mk 2 Ultrasound LD080015 Intraosseous Trainer 74 Puncture Pad 39 LD261-01001 Cricoid Stick Trainer 33 KK11347-210 Introductory Ultrasound Training LD261-01150 Replaceable Trachea - Rigid 33 Block 39 LD261-01250 Replaceable Trachea - Soft 33 KK11348-060 Lumbar Spine Anatomical Model 44 LD261-01350 Replacement Neck Skin 33 KK11348-090 Poncture Block - Normal 44 LD340-00233 MamaNatalie Birthing KK11348-110 Puncture Block - Obese 44 simulator - Dark 69 KK11348-120 Puncture Block - Senior 44 LD340-00333 MamaNatalie Birthing KK11348-130 Puncture Block - Senior Obese 44 simulator - Light 69 KK11348-140 Puncture Block - Epidural 44 LD375-10001 NG Tube & Trach Care Trainer 46 KK11348-150 Replacement Skin 44 OS11-002 OtoSim 2 Otoscopy Training & KK11348-410 Paediatric Lumbar Puncture Simulation Unit 20 Blocks (12mm) 75 OS13-001 OphthoSim Ophthalmoscopy KK11348-420 Paediatric Lumbar Puncture Training & Simulation Unit 18 Blocks (17mm) 75 OS31-003 Paediatric Earform (right ear) 20 KK11351-010 Arterial Puncture Wrist - skin sets 37 OS31-003L Paediatric Earform (left ear) 20 KK11351-030 Arterial Puncture - Silicon Belt 37 OS51-001 OpththoSim/OtoSim Approved
KK11351-040 Arterial Puncture - Artery Tubes 37 & Configured Laptop 18 KK11361-010 Colon-rectum Tube 81 OS51-001 OtoSim Approved & Configured Laptop 20 KK11361-020 Anus Unit 81 OS52-002 OtoSim Recommended
KK11361-030 Colon Fixture et 81 USB2.0 multi-port hub 20
limbsandthings.com 95 Index
A Colonoscopy Training Model 81 INTUBATION Cordocentestis Trainer 68 AirSim Baby 73 Abdo Abdfan U/S Training Models 24 Cricoid Stick Trainer 33 AirSim Child 73 Abdo Phantom, Paediatric Fast/Acte 77 CT CHEST AirSim Child Bronchi 74 ACF Pad - Venepuncture 36 Phantom NI Lung Man 93 Adult Male Circumcision Trainer 90 CT Torso Phantom 93 J AIRWAY MANAGEMENT Curettage, Snip & Shave Ex Pad 58 AirSim Advance 32 Cutdown Pad 38 JOINT INJECTION Elbow - Joint Injection 80 AirSim Baby 73 Foot & Ankle - Joint Injection 81 AirSim Child 73 D Hand & Wrist - Joint Injection 80 AirSim Child Bronchi 74 Knee Aspir & Exam U/S 78 Bronchi 32 DIAGNOSTIC PROCEDURES Lumbar Puncture & Epidural Sim 44 Knee For Aspiration 79 Combo 32 Thoracic & Lumbar Epidural Sim 44 Shoulder - Joint Injection 79 Combo Bronchi 32 U/S Lumbar Puncture/ Epidural Sim 45 Cricoid Stick Trainer 33 Peritoneal Lavage (Dpl) Trainer 46 K Diff Airway Manag’t Sim Models 33 NG Tube & Track Care Trainer 46 Anal Sphincter Trainer (Sultan) 72 Dissection Pad, Large, Surgical 86 Keele & Staffs Episiotomy Repair Trainer 70 Appendix, Vermiform 87 Dissection Pad,Small, Surgical 86 Knee Aspiriration & Exam U/S 78 Arm - Blood Pressure Assess Sim 22 Double Layer Bowel 55 Knee For Aspiration 79 Arterial Procedures Kit 91 Knot Tying Trainer 52 Aterial Puncture Wrist 37 E Auscultation, Lung Sound Trainer 22 L Pro Abdo Open & Close Trainer 55 EAR Ear Exam Sim II 21 B LAPARASCOPIC SURGERY Otology Range 20 FLS All-In-On Trainer With Tv 85 Otosim 2 Train & Sim Unit 20 FLS Trainer Box With Tv 84 Baby Care, Newborn 76 Ectopic Pregnacy 60 FLS Trainer System With Tv 85 Breastmilk Hand Expression Trainer 72 Elbow - Joint Injection 80 Gall Bladders 88 BSS Abscess 54 Epidural & Lumbar Punctur Sim Range 44 Helago HD Lap Trainer 82 BSS Lesion & Cyst 54 Episiotomy Trainer 71 L&T Lap Skills Trainer Usb 83 BSS Surgical Skills Board 54 EYE Large Surgical Dissection Pad 86 BSS Traumatic Wound 54 Eye Examination Sim 19 Small Surgical Dissection Pad 86 BASIC SURGICAL SKILLS Ophthalmosocopy Train & Sim Unit 18 Soft Tissue Retaining Set 82 BSS Day 1 & 2 Refil 53 Opthalmology Range 18 Vermiform Appendix 87 BSS Day 1& 2 Kit 53 LEARNING ON LINE Knot Tying Trainer 52 F Suture Tutor Plus Range 50 BREAST Lipoma Pad 57 L&T Exam & Diagnostic Trainer 10 Face, Diagnostic With Lesions 59 Lumbar Puncture & Epidural Sim Range 44 L&T Exam Trainer Range 11 FEMALE EXAMINATION RANGE Lumbar Puncture Paediatric Sim II 75 Ultrasound Exam Phantom 10 Breast 10 LUNG BLOOD Pelivc (Clinical) 12 Lung Sound Auscultation Trainer 22 Mock Blood - Venous & Arterial 37 Pelivc Ultrasound 14 Mock Blood Giving Set 37 FGM Deinfibulation Trainer 71 M Blood Pressure Assessment Sim 22 FLS Laparoscopic Surgery Range 84 Bowel, 2 Layer 55 Foot & Ankle - Joint Injection 81 MALE EXAMINATION Clinical Pelivc Trainer (CMPT) 16 C Foot, Wilma Wound 89 Rectal Exam Trainer 15 G Scrotal Ultrasound 14 Cardiology, Blood Pressure Assess Sim 22 MamaNatalie Birth Sim 69 Catheterisation Adv Train - Complete 42 Gall Bladders, Lap Surgery 88 MINOR SURGERY Catheterisation Train - Basic 43 GYNAECOLOGY BSS Abscess 54 CENTRAL LINE MANAGEMENT Ectopic Pregnacy 60 BSS Lesion & Cyst 54 Chest Chester With Adv Arm 40 Gynae Dissection Pad 60 BSS Surgical Skills Board 54 Cvc U/S Insertion Sim Mk 2 39 Surgical Female Pelvic Trainer 61 BSS Traumatic Wound 54 Peter Picc Line 40 Transulucent Uterus 60 Curettage, Snip & Shave Ex Pad 58 U/S Guided Picc Training Sim 41 Diagnostic Face With Lesions 59 Utrasound Vascular Access Trainer 39 H Double Layer Bowel 55 Cherry, Patient Care 47 Ingrowing Toenail Trainer 59 Chest Chester With Adv Arm 40 Hand & Wrist - Joint Injection 80 Lipoma Pad 57 CHEST TRAUMA MANAGEMENT Minor Skin Proced Pads 59 Chest Drain & Needle Decompresssion 28 Hand Sim Peadiatric 75 Pro Abdo Open & Close Trainer 55 U/S Guided Pericardiocentesis Sim 31 Helago HD Laparascopic Trainer 82 Pro Skin Pad Mk 2 57 U/S Guided Thoracentesis Sim 30 Hysteroscopic Diagnostic Trainer 62 Sebaceous Cyst Pad 58 Child Patient Care Model 77 Hysteroscopic Resection Trainer 62 Skin Pad Jig Mk 3 56 Circumcision Trainer 90 Skin Pad Jig Strap 56 Clinical Female Pelvic Trainer 12 I Two Person Minor Surgery Kit 59 Clinical Male Pelvic Trainer 16 Injection Trainer 38 Wound Closure Pad 56 Intraosseous Trainer 74 96 limbsandthings.com Index
N R T
Ng Tube & Track Care Trainer 46 Radiology Chest Phantom NI Lung Man 93 Thoracic & Lumbar Epidural Anaethesia 44 Nickie Medical Training Doll 77 Rectal Exam Trainer 15 Three Vein Pad - Venepuncture 36 Nita Newborn 76 Toenail Ingrowing Trainer 59 S Thoracentesis Ultrasound Guided Sim 30 O Thoracic & Lumbar Epidural Sim 44 Scrotal Phantom U/S 14 Tissue Injection 38 OBSTETRICS & MIDWIFERY Breastmilk Hand Minor Skin Proced Pads 59 Translucent Uterus 60 Expression Trainer 72 Sebaceous Cyst Pad 58 TRAMA MANAGEMENT Cordocentestis Trainer 68 Seymour II Wound Care 89 Chest Drain & Needle Decompresssion 28 Episiotomy Trainer 71 Shoulder For Joint Injection 79 Tube Feeding Simulator 48 FGM Deinfibulation Trainer 71 SKIN Cutdown Pad 38 Two Person Minor Surgery Pack 59 K & S Episiotomy Repair Trainer 70 Skin Pad Jig Mk3 56 Mamanatalie Birth Sim 69 Skin Pad Jig Strap 56 U PROMPT Caesarean Section 67 Pro Skin Pad Mk 2 57 PROMPT Cervical Dilation & Effacement 67 Soft Tissue Retaining Set 82 ULTRASOUND Abdominal (Abdfan) Models 24 PROMPT Flex Force Monitoring 64 STANDARDISATION PATIENT Breast Exam Phantom 10 PROMPT Flex Lower Legs 65 ACF Pad - Venepuncture 36 CVC Insertion Sim Mk2 39 PROMPT Flex Standard 64 Breast Exam Trainer 11 Female Pelvic Phantom 14 PROMPT Pph Module 68 Breastmilk Hand Expression Trainer 72 Guided Picc Training Sim 41 SPACEFAN-ST Foetal U/S Exam Trainer 63 Catheterisation Trainer - Complete 42 Knee Aspiriration & Exam 78 Sultan Anal Sphincter Trainer 72 Clinical Female Pelvic Trainer 12 Lumber Puncture/ Epidural Sim 45 Umbilical Cord 69 Clinical Male Pelvic Trainer 16 Paediatric Fast/Acte Abdo Phantom 77 Oedema, Pitting 23 Curettage, Snip & Shave Excision Pad 58 Pericardiocentesis Sim 31 OPTHALMOLOGY Episiotomy Trainer 71 Scrotal Phantom 14 Ophthalmosocopy Train & Sim Unit 18 FGM Deinfibulation Trainer 71 SPACEFAN-St Foetal Exam T 63 Eye Examination Sim 19 Injection Trainer 38 Thoracentesis Simulator 30 OTOLOGY K & S Episiotomy Repair Trainer 70 Vascular Access Trainer 39 Otosim Train & Sim Unit 20 Lipoma Pad 57 Umbilical Cord 69 Ear Exam Sim II 21 Mamanatalie Birth Sim 69 URINARY CATHETERISATION Minor Skin Procedure Pads 59 Adv Cath Trainer - Complete 42 P Pitting Oedema 23 Basic Cath Trainer 43 Professional Skin Pad Mk2 57 UROLOGY PAEDIATRICS Airsim Baby 73 PROMPT Caesarean Section 67 Adult Male Circumcision Trainer 90 Airsim Child 73 PROMPT Cervical Dilation & Effacement 67 Uterus, Transulucent 60 Airsim Child Bronchi 74 PROMPT Flex Force Monitoring 64 Child Patient Care Model 77 PROMPT Flex Lower Legs 65 V Fast/Acte Abdomen Phantom 77 PROMPT Flex Standard 64 Intraosseous Trainer 74 PROMPT PPH Module 68 Vascular Arterial Procedures Kit 91 IV Hand Sim 75 Rectal Exam Trainer 15 Vasuclar U/S Access Trainer 39 Lumbar Puncture Sim II 75 Sebaceous Cyst Pad 58 VENEPUNCTURE Arm Range 35 Newborn Care Baby 76 Skin Pad Jig 56 ACF Pad 36 Nickie Medical Training Doll 77 Sultan Anal Sphincter Trainer 72 3 Vein Pad 36 Nita Newborn 76 Three Vien Pad - Venepuncture 36 Mock Blood Giving Set 37 Pat Pressure Ulcer Staging Model 89 U/S Guided Thoracentesis 30 Mock Blood - Venous & Arterial 37 PATIENT CARE Cherry 47 Venepuncture Arm Range 34 Aterial Puncture Wrist 37 Tube Feeding Sim 48 Wound Closure Pad 56 Cutdown Skin Pad 38 PELVIC TRAINERS Surgery, Laparoscopic 82 Clinical Female (CFPT) 12 Injection Trainer 38 Surgical Female Pelvic Trainer 61 Female Ultasound Phantom 14 Vermiform Appendix 87 SUTURE TUTOR Clinical Male (CMPT) 16 Pro And Lite Complete / Subscription 51 Pericardiocentesis U/S Guided Sim 31 W Peritoneal Lavage (DPL) Trainer 46 Peter PICC Line 40 WOUND CARE Pitting Oedema 23 Pat Pressure Ulcer Model 89 PROMPT FLEX Caesarean Section 67 Seymour II Wound Care 89 Cervical Dilation & Effacement 67 Wilma Wound Foot 89 Force Monitoring 64 Lower Legs 65 X PPH Module 68 Standard 64 X Ray Whole Body Phantom 93
limbsandthings.com 97 General Information
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