Procedural simulator for vaginal examination and multiple gynecological procedures.

Designed by doctors for doctors and other medical professionals, this gynecological simulator allows the practice of multiple gynecological procedures, including laparoscopic examination, minilaparotomy, and the insertion of an intrauterine device (IUD). 

Technical features:

• Full-size female pelvis, including important internal anatomical landmarks
• Bimanual pelvic exam
• Palpation of normal and fetal uterus
• Vaginal examination, including valve examination
• Visual recognition of normal and abnormal cervix
• Probing the uterus
• Sterile insertion and extraction
• The distal end of the vagina allows the insertion of a female condom or a 75 mm diaphragm
• Removable vaginal vestibule provides flexibility and allows the addition of many optional simulator components
• Allows laparoscopic visualization and occlusion of the fallopian tubes
• The possibility of performing minilaparotomy
• One antevert and one retrovert uterus
• Enables exercises to palpate a normal uterus with short fallopian tubes
• Palpation of a low gestational age 6-8 weeks and a 10-12 weeks pregnant uterus
• Delivered with a 20-week pregnant uterus
• Normal cervix (5 pieces)
• Abnormal cervix (4 pieces)
• Fallopian tubes (10 pieces)
• Realistic, anatomically correct ovaries and fimbriae
• The uterus and cervix feature a patented screw-type design for quick and easy replacement
• Set of 7 normal and abnormal uteri with palpable external pathologies, with patented screw system
• Set of 7 normal and abnormal uteri with internal pathologies for hysteroscopic visualization, with patented screw system
• Uterus at 48 hours postpartum, with cervix and fallopian tubes, for insertion of intrauterine device using long curved forceps
• Uterus at 10 minutes postpartum for intrauterine device insertion

Procedural simulator for hysteroscopy

Technical features: 

• Realistic hysteroscopy simulator
• It is a life-size adult female pelvis with a foam-backed tegument, giving a realistic feel when touching the anterior pelvic wall.
• Realistic and removable skin
• It has 7 uteri, including normal uterus with healthy internal and external appearance
• Internal anatomical appearance of the normal and abnormal uterus
• Internal representations of: endometrial polyps, uterine fibroid, early or advanced stage endometrial cancer, pedunculated fibroid torsion, uterine fundus cancer
• External appearance of the normal and abnormal uterus
• Palpation of normal and abnormal uterus
• Normal cervix and interchangeable uteri with patented screw design 

Pelvis-type birthing simulator for practicing basic obstetric maneuvers

Technical features: 

• Female pelvis for practicing childbirth.
• Enables childbirth practice in cranial or pelvic presentation.
• Enables intrauterine manipulation.
• The following can be simulated: umbilical cord collapse, placenta previa
• The practice of uterine fundal massage and postpartum care can be performed.
• Internal rotation, expulsion and external rotation can be demonstrated.
• Enables the use of forceps or vacuum extractor to remove the fetus.
• Opaque removable abdominal wall.
• Placenta.
• Expandable cervix.
• Shoulder dystocia can be stimulated.
• Practicing the Leopold fetal palpation maneuver with the inflatable pad.
• Postpartum care.
• It contains:

-three dilatable cervixes

-three vulvar insertions

-one fetus

-two placentas

-three umbilical cords

-talcum and silicone powder

-user's manual

• The articulated fetus has palpable fontanel, palpable spine. The shoulders, elbows and knees of the fetus are articulated

Interactive complex childbirth simulator

Technical features:

• Childbirth simulator showing a woman with a full-term pregnancy.

Strengths

• The realistic and anatomically realistic representation of the live body suspends the feeling of working with a manikin
• Complete operation without external connections, wireless control, with all system components contained inside the simulator
• Fully functional during transportation for simulation on the move and teamwork
• Full-term articulated fetus, normal size: includes realistic weight, length, and proportions.
• Supports monitoring with real equipment (EKG, automatic external defibrillator, Auto Bp, fetal monitor, pulse oximeter)
• Simulates multiple birthing positions
• Designed for advanced shoulder dystocia protocols and different postpartum bleeding scenarios
• Innovative fetus with programmable functions for heartbeat, lungs, crying, cyanosis and head movements
• Detects and records the application of the McRoberts maneuver and the application of suprapubic pressure
• Includes control tablet and patient/physician monitor
• The easy-to-use simulator software includes 45 pre-programmed scenarios with a license guaranteed for the entire life of the manikin
• Soft automatic maternal-fetal-newborn, syringes for injecting pre-programmed medication and reaction to drug infusion
• Internal battery with approx. 10 hours run time  

Obstetrics-gynecology 

• The abdomen supports examination with real ultrasound or tocograph probes to monitor fetal activity in real time
• The fetus' heartbeat tones change as it descends through the birth canal
• Contractions can be felt by palpation
• Inside is the bladder with fluid reservoir for urinary catheterization exercises
• Leopold maneuvers can be performed
• Needle detection for epidural anesthesia. The epidural area consists of skin, subcutaneous tissue, connecting tissue and palpable lumbar vertebrae
• The forearm contains sensors to detect drugs from programmable syringes
• The rectum has a recognition function in case of suppository or medication administration
• The infused medication affects the signs of both mother and fetus
• It can simulate pre-eclampsia and eclamptic presentation, with moderate to severe seizures
• It has more than 45 pre-programmed scenarios, with the license secured for the entire running time
• It can simulate labor and childbirth in real or accelerated time
• Identically repeatable labor scenarios can be simulated for courses or competency assessments
• The simulator software provides automatic lubrication of the birth canal so that both the birth canal and the fetus remain lubricated between consecutive simulations
• The fetal pushing system is silent and simulates cardinal and descending movements of the fetus  

Full-term pregnancy belly 

• The simulator's abdomen, the actual size of a full-term pregnancy, offers the same realistic feel to the touch, as roundness and firmness. Inside the abdomen, the fetus floats freely in the amniotic sac, exactly replicating the tactile sensation and opposition to Leopold maneuvers or exercise maneuvers.

The nature of labor and delivery

• It mimics the natural mechanics of childbirth and cardinal movements.
• One can schedule intrapartum bleeding
• Realistic cervical dilation
• Fetal head pressure monitoring sensors
• Realistic placenta allows simulation of placenta previa, retained placenta or placenta with retained fragments
• The umbilical cord can be clamped and cut
• Simulates umbilical cord complications

Birth with the same precision every time

• Birth in cranial presentation
• Birth in pelvic presentation

It is possible to simulate labor with the fetus in pelvic presentation, in order to prepare the medical staff for this type of birth. The simulator allows the use of techniques specific to this type of birth, including the Pinard maneuver. Alternatively, the Zavanelli maneuver can be performed while the manikin is moved to the operating room for emergency caesarean section surgery

• Shoulder dystocia

1. Realistic withdrawal of the fetus' head behind the perineum
2. The "turtle" sign is synchronized with the fetal heart rate displayed by the monitor
3. Detection of suprapubic pressures and maneuver response
4. Simulate obstruction at any point in labor with repeat accuracy
5. Allows obstetric practices including Rubin, Wood, hand repositioning, Lovset or Zavanelli
6. Sensors positioned in the hips detect and record their position for different birthing maneuvers.

• Cesarean birth

1. Cesarean section (C-section).
2. The caesarean section abdomen is designed as a multilayered skin assembly, including a subcutaneous layer with simulated blood, fascia, rectus muscle and peritoneum.
3. Allows caesarean section to be performed using real surgical cutting and suturing instruments

• Assisted birth

1. One can use real instruments like vacuum or forceps. 

Postpartum 

• The high-fidelity postpartum abdominal system integrates the reproductive system with hemorrhage capabilities that facilitate the transition from simulated childbirth to simulated postpartum
• Realistic palpable cervix with programmable uterine contractions
• Vital signs that automatically deteriorate following the onset of postpartum hemorrhage
• One-liter bleeding reservoir
• Uterine hemorrhage with flow control
• Tactile realism when massaging the cervix
• Hemorrhage can be managed with medication or a balloon tamponade.
• It contains three interchangeable episiotomy modules:

-Medial episiotomy with peri-urethral tears

-Mediolateral episiotomy with small labial tears

-Grade 4 episiotomy with hemorrhagic tears of the vaginal walls and lacerations of the cervix

Full control

• The simulator control software offers ease of use, even with the most difficult simulation programs. The software is pre-installed on a wireless PC tablet that comes with the simulator
• The tablet offers easy control of the simulator from nearby, from a control room or from anywhere up to 90 meters away.
• The user interface contains a command screen for labor and delivery, patient and fetal monitor, a 3D animation of the patient, a screen for editing and running the labor scenario, a report file, a record of activities, and more. The labor and delivery control screen is an intuitive interface with options and commands for changing or scheduling these phases.
• Simulations can start quickly by selecting one of over 30 pre-programmed labor and delivery scenarios
• New scenarios are easy to create or edit and can be added to existing ones in memory.

Respiratory tree

• Head tilt / chin lift / jaw subluxation
• Oral or nasal intubation
• Programming difficult intubation: laryngospasm, lingual edema and pharyngeal edema
• The vocal cords can be visualized by performing the Sellick maneuver
• Intubation depth sensing with recording and reporting of intubation outcome
• Esophageal intubation
• Selectable upper airway sounds synchronized with breathing patterns
• Bag-mask ventilation with chest tube extensions

Breathing

• Automatic spontaneous breathing
• Breathing modes selectable and synchronized with chest amplitudes, including normal breathing, Cheyne-Stokes, apnea, etc.
• Bilateral or unilateral anterior lung sounds synchronized with breathing patterns
• Programmable breathing rates, with programmable in and out rates
• Realistic chest expansion during assisted ventilation
• Real-time monitoring of ventilation performance with reporting and recording

Heart Aspect

• Monitoring the performance of compressions and ventilation (CPR) for maternal cardiopulmonary resuscitation (CPR) training and evaluation of personnel involved in the procedure.
• Compressions generate palpable pulse and EKG artifacts
• Select different heart rhythms and arrhythmias from the pre-programmed range in memory
• Real-time monitoring with real 4-channel EKG machine
• One can perform defibrillation, pacing, or cardioversion using real equipment
• Defibrillation response, recording and reporting effects
• Realistic heart sounds
• Programmable heart rhythms, synchronized with the pulse recorded by the EKG, even during pacing
• 12-channel virtual EKG rhythm display in dynamic 

Neurological Aspect

• Programmable blink rate and pupil dilation
• Schedule pupil dilation, unilateral
• Seizures of varying levels of intensity

Language

• Voice dialog during simulation
• Can hear conversations up to 30 meters away
• Voice responses can be recorded and played back in any language

Soft

• The simulator can be controlled by manual commands, pre-programmed scenarios, or using automatic mode
• It has more than 45 pre-programmed scenarios, licensed throughout the simulator's lifetime
• Easy-to-use scenario editor
• Automatic mother / fetus / newborn mode
• Recording participants' actions
• Incorporates:

-Laboratory tests with results

-Virtual patient monitor

-Virtual fetal monitor

-Medication editor with over 50 pre-programmed medication types

-Questionnaire/form generator 

Virtual Patient/Fetal Monitor

• Interactive touch-screen patient and fetal monitor (including cardiotocogram)
• Allows simultaneous display of mother and baby's vital signs
• The screen can be modified to resemble the display of real monitors
• Programmable alarms on vital sign levels
• Display ultrasound, CT, lab results
• See the attached display of vital signs of mother and baby
• Display up to 8 numerical parameters, 5 real-time wave types in manual mode and 12 wave types in automatic mode
• Cardiotocograph that displays in real time:

-Contraction frequency, duration and intensity

-Uterine rest

-Fetal heart rate

-Fetal Heart Rate (FHR) variation

-FHR episodic, periodic, and variable changes

• Uterine activity is synchronized with the state of the mother and the movement of the fetus during labour
• Fetal heart sounds can be auscultated
• Fetal activity recordings of up to 2 hours can be made
• Option to record or print fetal activity data for later discussion (debriefing)

Educational manikin for vaginal examination 

Technical features:

• Adult female pelvis, full size, intended for practice: vaginal examination with valves, bimanual vaginal examination, intrauterine device insertion techniques, diaphragm sizing and fitting, uterine probing, visualization of normal or abnormal cervix
• The mannequin skin is removable
• It has a normal anterior uterus with a transparent upper part and rounded ligaments
• It has seven uteruses, one normal uterus for "control" and six uteruses with external uterine pathology
• It has two normal cervix with a hole to allow insertion and removal of intrauterine devices
• Uterus and cervix feature patented screw-type design for quick and easy changing
• Allows insertion and removal of the contraceptive sponge as well as the female condom
• Allows insertion and removal of the diaphragm and cervical cap
• It has 6 cervixes with pathologies
• Anatomically correct ovaries and fimbriae