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Advanced Catheterization Trainer Set (Light Skin Tone)

Skin Tone

Model

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Including the Augmented Reality Training Mat!

Urinary catheterization is a fundamental skill that is taught globally in many different disciplines. Limbs & Things have developed a range of simulators that cover urethral catheterization across all levels of training.

The Advanced Catheterization Trainer Set contains two complete simulators, one male and one female. This allows for two true to life catheterizations to be run simultaneously.

Augmented Reality is now part of the Catheterization range

The new ART Mats combine real world MRI and CT scan data, with the skills of talented medical artists and digital creators, to bring the internal anatomy of our trainers to life.

Within the L&T ART app’s digital environment, you can move around your task trainer and view various overlays, including: the musculature, organs and vessels, and skeletal structure. The interface allows you to move seamlessly between the layers, as well as view their cross sections.

Overview

Augmented Reality capabilities with the ART Mat
Robust design keeping on-going costs lower
Improved Water System
Softer, more realistic male/female anatomy
Improved internal anatomy to allow for smoother insertion of catheter into the bladder

Realism

Supple urethra & resistant sphincter providing realistic response
Anatomically accurate bladder
Flaccid penis with a removable foreskin for realistic male catheterization
Increased mobility of the penis gives a more accurate representation of inserting the catheter
Softer labia to practise parting using aseptic no touch technique
Meatus is less obvious than previous simulator, allowing for truer to life experience when performing female catheterization
Increased realism of anatomy, inclusion of a vaginal vault allows for potential insertion of catheter into the incorrect location

Versatility

Modules are removeable and easily interchangeable
Module comes with removeable foreskins
Ability to view the path of the catheter during procedures, when using the modules outside of the Pelvic Shell
Non-drip valve
Reusable double-sleeve catheter packaging is supplied for teaching aseptic technique
Syringe supplied with water-based lubricant to simulate proprietary local anesthetic gel

Cleaning

Remove all catheters from the cath trainer
Drain all fluid from the product
Remove all catheters from the trainer
Clean product surface with soft, damp cloth and mild detergent
Allow trainer to dry completely before storing

Safety

Components of the trainer are latex free
Foley Catheter supplied is made of silicone coated latex
Use supplied Milton Antifungal agent to sterilize water
Always deflate the balloon before removing a catheter
Only use mock gel that’s supplied with the catheterization simulator
Use lubricant when inserting the catheter

Simulated Patient

Can be used with a standardized patient to help improve practitioner/patient communication skills

Anatomy

Male anatomy:

Pubic bone
Realistic meatus
Flaccid penis
Foreskins (removable)

Female anatomy:

Soft labia
Subtle meatus
Vaginal vault
Pre-ported suprapubic catheter
Pubic bone

References

UK General Surgery Specialist Training

Suprapubic catheter insertion. Intercollegiate Surgical Curriculum Programme (ISCP) General Surgery Curriculum, 2021, P69.

UK Medical Undergraduate

Therapeutic Procedures 22. Male and female urinary catheterization. Passing a tube into the urinary bladder to permit drainage of urine, in make and female patients. Outcomes for Graduates (Tomorrow's Doctors), 2016, Appendiz 1 Practical Procedures for Graduates, P14.

UK Physician Associate

2.4.7 Renal and genitourinary system - Undertake male and female urinary catheterization. Competence and Curriculum Framework for the Physician Assistant, 2012, 2.4 Specification of core procedural skills.

UK Postgraduate Medicine FY1 & FY2

Core procedure requirements. 13. Uretheral catheterisation (male) guidance. 14. Urethral catheterisation (female) guidance. Foundation Programme Curriculum, 2012, updated for 2016, Core Procedure Requirements, P9.

UK Postgraduate Nursing

The suggested structure for gaining competence in catheterisation: - Observe model/manikin being catheterised - Practise catheterisation on a model/manikin under supervision until confident - Insert and secure urethral catheters - Manage suprapubic catheters - Enable individuals to carry out intermittent self-catheterisation. Catheter Care Guidance for RCN Nurses, Second Edition, 2012, Pg 3. Pg 12.

UK Pre-Registered Nursing

Annexe B: Nursing Procedures. 6.1 "observe and assess level of urinary and bowel continence to determind the need for support and intervention." 6.2: "select and use appropriate continence products; insert, manage and remove catheters for all genders; and assist with self-catheterisation when required." 6.3: "manage bladder drainage." Future Nurse: Standards of proficiency for registered nurses, 2018, P35.

UK Urology Specialist Training

Technical Skills and Procedures - Competently insert a suprapubic catheter, with ultrasound guidance as appropriate - Complex catheterisation. Intercollegiate Surgical Curriculum Programme (ISCP) Urology Syllabus, August 2021, P58.

What sized catheter should be used with the catheterisation simulators?

The Limbs & Things catheterisation training models have been designed for use with a size 14 Foley Catheter.

While use with other sized catheters is possible, we would not recommend their use as there’s potential to damage the trainer, effecting the warranty, performance and life of the trainer.

How can we get the optimal use from our catheter simulation model?

To improve the longevity of your trainers, we would recommend the following simple steps to help you get the most out of your catheterisation set:

Protecting the silicone from rips and tears:

Use lubrication when inserting a catheter
Wear gloves and remove jewellery to keep sharp items from damaging the surfaces
Deflate balloon catheters before removing them
Always insert and remove the internal module with two hands, as shown

Cleaning and maintaining the catherisation set to avoid blockages or decay of parts:

Always remove catheters when not in use
Only use recommended gel and liquids with the catheter trainer
Add an anti-fungal/sterilization agent to the water
Always drain the trainer set after use and allow it to dry naturally
Remove lubricant and fluids from surfaces with a soft damp cloth and mild detergent

Is it possible to check the positioning of the catheter once it has been inserted?

Yes. The pelvic unit of each catheterisation module has clear sides that contain the internal structure and bladder reservoir. This part of the unit is hidden from the trainee during the procedure by the pelvic shell and stand. Following a completed procedure, the unit can be removed with the urinary catheter still in place, allowing you to see the catheter placement and inflation of the balloon for assessment.

Is it possible to practice ultrasound suprapubic catheter insertion with the Advanced Catheterisation training manikin set?

With the addition of the suprapubic catheterisation Insertion unit, you can easily practice suprapubic techniques. Designed using the same modular casing, it is quick and easy to switch between standard and suprapubic modules.

Why does the suprapubic module only come in a female unit?

Limbs & Things gathered feedback from evaluators involved in the development stages of the suprapubic module. Their response was that the process is the same for both male and female patients when inserting a catheter in this region. The decision was made to only produce one version of this module, to keep the catheterisation range more cost effective for training purposes.

Troubleshooting:

Our catheter trainer is leaking

Here are a couple of quick checks to run on your trainer if you discover a leak:

Is the Bladder Valve orange in colour? – If no, we would advise changing it to the newer orange valve
Check the Bladder Valve for damage – over time the valve can become damaged, replace the valve if there are signs of wear, such as light visible through the silicone
Has water been left in the unit when not in use? – the valves distort when left submerged in water for long periods of time. It is advised that between uses, fluid in drained. Change the bladder valve if it has been left in water and damage is visible

We are unable to catheterize our trainer

Here are some of the common issues related to unsuccessful catheter insertion on the catheterization simulator:

Old bladder diaphragm – current bladder diaphragms are yellow in colour, older version can hinder procedures due to age
Old catheter being used – old catheters can get stuck around the diaphragm as the balloon has been inflated numerous times, this can increase the diameter of the catheter
Not enough lubricant on the catheter – between 5-10ml of catheter lubricant should be used before each insertion
No lubricant applied during set up – the top of the diaphragm and underside of the bladder cap should be lubricated during assembly of the trainer
Bladder unit in incorrect position – ensure the bladder unit is in the correct gender position, incorrect positioning can lead to an inability to catheterise