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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 collaboration with Professor Jonathan Beard, Northern General Hospital, Sheffield (UK) and Mr. John Rochester, Rotherham General Hospital (UK).
Overview
Light and compact
Cylinders are transparent to allow the trainer to observe and assess trainee competence
Realism
Unique magnetic system to represent tissue strength
Parallel knotting tubes are elastic for a realistic tissue response
Versatility
Interchangeable scenarios - choose between small, fixed cylinder for narrow spaces or large, deep cylinder for deep or angled tying
Supports training in varied orientations and anatomical scenarios.
Cleaning
Removable cylinders and knotting tubes for easy cleaning and maintenance.
Safety
Latex free
Anatomy
2 perioperative openings represented by:
Small, shallow fixed cylinder for tying in a small opening
Large, deep removable cylinder, reversible for angled abdominal and gynecological depth tying
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
Evidence
"Ceiling effect in technical skills of surgical residents."
Munz, Y. M., K .; Bann,S.; Shah,J.; Ivanova, S.; Darzi, S. (2004). "Ceiling effect in technical skills of surgical residents." The American Journal of Surgery 188(3): 294-300.
"A Cost-Effective Proficiency-Based Knot-Tying and Suturing Curriculum for Residency Programs."
Scott, D. J. G., Mouza T.; Tesfay, Seifu T. (2007). "A Cost-Effective Proficiency-Based Knot-Tying and Suturing Curriculum for Residency Programs." The Journal of surgical research 141(1): 7-15.
AAFP Recommended Curriculum Guidelines for Family Medicine Residents, Urgent and Emergent Care, Reprint No. 285, 2016, p.9
6. Other Skills
a. Repair of skin lacerations (including plastic closure)
ACGME General Surgery Milestones (p.8): This resident has basic surgical skills such as ... knot tying
AAMC, Recommendations For Clinical Skills Curricula For Undergraduate Medical Education (2005, p. 30)
Appendix B: Clinical Testing and Procedural Skills:
...Surgical knot-tying
Adult-Gerontology Acute Care And Primary Care NP Competencies 2016, p.42
Primary care practice skills which includes, but is not limited to:
• Suturing
ACGME Obstetrics and Gynecology Milestones, Version 09/2013, Patient Care, p.6
Demonstrates basic surgical skills, including:
knot tying
simple suturing
CPMEC Australian Curriculum Framework for Junior Doctors version 3.1, 2012, p.31
Skills & Procedures:
Surgical knots
RACGP Curriculum for Australian General Practice 2016, CS2.2.5 Appropriate procedures, p.39
• suturing
Health Workforce Australia Medical Graduate Competency Framework Stage 2 Final Report, 2012
Simple wound repair including skin suture - Performs in a simulated environment
The Intercollegiate Surgical Curriculum, General Surgery 2013 (Updated 2018) (pp.44-45)
Module 3 Basic surgical skills...
o To tie secure knots
