Chest Drain & Needle Decompression Trainer: Setup, Use & Maintenance Guide
The Chest Drain & Needle Decompression Trainer is a multi-purpose task trainer for practicing chest trauma and emergency procedures, including needle decompression, open chest drain insertion and ultrasound-guided chest drain insertion.
Designed for healthcare professionals and educators, the trainer combines realistic external and internal anatomy with interchangeable procedural pads, simulated fluid and air feedback, and augmented reality (AR) training. It supports training in thoracostomy, thoracentesis, chest drainage, needle thoracostomy and the Seldinger technique.
This guide explains what is included with the trainer, how to assemble and prepare it for training, how to use the different pads and pumps, how to replace consumable components, and how to clean and store the trainer after use.
| Quick Reference | Specifications |
|---|---|
| Product | Chest Drain & Needle Decompression Trainer |
| Product Number | 60230 (Light Skin Tone) / 61230 (Dark Skin Tone) |
| Product Type | Task Trainer |
| Key Procedures | Needle decompression, chest drain insertion, ultrasound-guided chest drain insertion |
| Needle Decompression Sites | 2nd, 4th, and 5th intercostal spaces |
| Ultrasound Training | Yes, when using the Advanced Chest Drain Pads |
| Seldinger Technique | Yes |
| Simulated Fluid Scenarios | Yes, when using the Advanced Chest Drain Pads |
| AR Compatible | Yes, Augmented Reality App and AR Mat available |
| ATLS Course | Approved for use |
| Weight | 15.9kg* |
| Dimensions | 66cm x 31cm x 51cm |
| Latex Free | Yes |
| *Please note: When filled with fluid, the model’s weight can increase to approximately 21 kg, so care should be taken when positioning or moving it. For detailed assembly, operation and maintenance instructions, refer to the official Chest Drain & Needle Decompression Trainer User Guide available to download online, document links below. |
|
What Can You Practice with the Chest Drain & Needle Decompression Trainer?
The trainer supports a broad range of chest trauma and procedural skills, allowing educators to progress from anatomical identification through to hands-on procedural practice.
Needle Decompression
The trainer supports needle decompression, also known as needle thoracostomy, for simulated management of tension pneumothorax. Needle decompression can be practiced at the 2nd, 4th and 5th intercostal spaces.
The dedicated needle decompression pads provide immediate feedback when the simulated chest cavity is successfully decompressed, including a realistic hiss of escaping air or visible bubbles in a saline-filled syringe.
Chest Drain Insertion
Learners can practice different approaches to chest drain or chest tube insertion, including:
- Identification of anatomical landmarks
- Selection and recognition of appropriate chest drain position
- Skin incision
- Blunt dissection through the chest wall
- Perforation of the pleura
- Finger sweep assessment
- Chest tube insertion
- Chest tube positioning
- Suturing the chest tube to the chest wall
- Application of adhesive dressings
Ultrasound-Guided Chest Drain Insertion
The Advanced Chest Drain Pads are made from echolucent material, allowing ultrasound imaging of the underlying simulated anatomy. They support practice of guidewire-assisted chest drain insertion using the Seldinger technique.
Pleural Effusion & Haemothorax Management
Advanced Pads can be used with simulated fluids to create scenarios involving pleural effusion or haemothorax. The supplied Respiratory Swing Pump can also simulate respiratory movement under ultrasound, adding another layer of realism to the training scenario.
What Comes with the Chest Drain & Needle Decompression Trainer?
Each trainer is supplied with the components to practice multiple chest drain and needle decompression techniques.
Note: The trainer comes in a medium carry case, and the whole product weighs approximately 15.9 kg and measures 66 cm long × 31 cm wide × 51 cm high. When filled with fluid, the model’s weight can increase to approximately 21 kg, so care should be taken when positioning or moving it.
| Included components | Purpose |
|---|---|
| Needle Decompression Pads | Left and right pads that suppoers training in needle decompression of a tension pneumothorax |
| Standard Chest Drain Pads | Skin coated foam for incision and suturing of a blunt dissection, backed with a pleural layer. Standard pads are also compatible with adhesive dressings |
| Advanced Chest Drain Pads | Supports ultrasound-guided procedures, with or without simulated fluids |
| Chest Drain Ribs & Rib Frames | The ribs and rib frames hold the structure of the pads when secured in the correct torso positions |
| Retaining Knobs with Key | Retaining knobs are used to secure chest drain pads and torso skin, using the the key to progressively tighten in place |
| Chest Drain Lung & Diaphragm | Representations of the underlying anatomy |
| Chest Drain Torso Skin | Covers the torso base to give a realistic training experience |
| Needle Decompression Pump | Creates the simulated pressure for needle decompression positive feedback response to correct procedures |
| Respiratory Swing Pump | Creates the respiratory movement for realistic ultrasound guided procedures |
| Augmented Reality Training Mat | Placed under the model, it supports AR anatomy and procedures when scanned with a smart phone or tablet. |
Understanding the Standard & Advanced Chest Drain Pads
One of the key features of the Chest Drain & Needle Decompression Trainer is that it includes two different types of chest drain pad. Each is designed for different training requirements.
Standard Chest Drain Pads
The Standard Pads are foam pads with a simulated pleural layer.
They are particularly suited to practicing:
- Skin incision
- Blunt dissection
- Pleural penetration
- Finger sweep
- Chest tube insertion
- Chest tube positioning
- Suturing
- Application of adhesive dressings
The pleural layer provides realistic resistance and a noticeable “pop” when the pleural space is entered with a finger or forceps. The pads can also be used with adhesive dressings and sutures.
Advanced Chest Drain Pads
Advanced Pads are silicone and use an echolucent material that supports ultrasound-guided training.
They can be used to practice:
- Ultrasound-guided chest drain insertion
- Seldinger technique
- Guidewire insertion
- Needle insertion under ultrasound
- Chest drain insertion
- Blunt dissection
- Pleural procedures
- Simulated pleural effusion
- Simulated haemothorax
- Needle decompression
Hot to Set Up the Chest Drain Trainer
Fitting the Lung & Diaphragm
Within the chest cavity, fit the organs into the corresponding holes.
Fitting the Needle Decompression Pads
- Identify the left and right pad – the rectangular end of the pad will have it embossed on the edge that will face up when the torso is standing
- Connect the tubing in the corresponding slot on the torso, to the tubing in the base of the pad – Note: Left and right are identified from the patient’s point of view
- Insert the pad into the slot until the circular part is laying on the torso – rock the pad side to side while pushing, to fit it into the torso. Top Tip: If you have trouble with this method, apply a small amount of lubricant around the insertable section of pad
- Jump to "Fitting the Pumps" to finish the pad set-up
Fitting the Chest Drain Pads
- Select the type of pad you will be using for your session:
- Standard Chest Drain Pad – open/cut-down chest drain procedures
- Advanced Chest Drain Pad – ultrasound-guided procedures, simulated fluid scenarios and needle decompression
- Fit the ribs into the pads – with the raised side of the pad facing up, place each rib into a channel. Each rib should curve in the same direction (centre point up). For ease of fitting and removal, use lubricant on each rib
- Identify the left and right Rib Frame – the outer side of the frame is marked to indicate their orientation, corresponding to which side of the torso to fit it to, and which edge points up
- Place the prepped Chest Drain Pad into the Rib Frame – the inside of the Rib Frame will have grooves for the ribs to sit in
- Align the Pad and Rib Frame with the threaded screws of the correct side of the torso – double check you are matching up the correct components
- Attach the retaining knobs – loosely screw on each of the four retaining knobs by hand to hold the pad and frame in place,
- Secure the retaining knobs – progressively tighten the Retaining Knobs with the supplied Key. Note: To ensure a strong seal, tighten each knob in turn until you feel resistance. Do not over tighten, excess pressure can cause the silicone to split, and break the seal
Fitting the Pumps
Needle Decompression Pump – pump with the black bulb
1. Attach the pump to the black connector on the top of the model. Note: both sides of the model work independently, you will need to choose the connector that corresponds to the side you’re using
2. Open the bleed valve to release any residual air in the system
3. Close the bleed valve
4. Pump the bulb twice to prime the Needle Decompression Pad
Respiratory Swing Pump – pump with the blue bulb, for use with the Advanced Chest Drain Pads
1. Attach the pump to the blue connector on the top of the model. Note: both sides of the model work independently, you will need to choose the connector that corresponds to the side you’re using
2. When using the Respiratory Swing Pump, keep your thumb on the inlet on the end of the bulb
There are two ways to operate the pump:
1. Respiration – alternately squeeze and release to replicate normal breathing motions
2. Coughing – squeeze the pump hard to replicate the bubbling effect of coughing
Preparing the Fluid System
Use the fluid compartment when simulating pleural effusion or haemothorax.
Filling the fluid compartments should always only be done once the Advanced Chest Drain Pads have been secured to the torso.
This trainer can be used with water, or suitable simulated fluids.
1. Prepare the simulated fluid as per the instructions
2. Ensure the white clip on the tube is closed. Note: The closed clip should be on the side you are filling with fluid
3. Remove the cap of the compartment you’re using during the scenario
Using the funnel, begin to fill the reservoir. Note: monitor the chest drain pad’s seal periodically for leaks. If you see a leak, stop filling the reservoir and tighten the retaining knobs before continuing
Fitting the Torso Skin
1. Lift the chest torso skin onto the front of the model so that the holes for the pads line up with the pad positions on the base
2. Adjust the skin position until the two Needle Decompression Pads are flush with the torso skin, and the Chest Drain pads are visible though the sides
3. Smooth the skin around the torso so that the back aligns to the centre point with the two bolts equidistant from the edges
4. Align the back plate over the two bolts and check the skin is smooth underneath it
5. Put a retaining knob on each bolt and manually tighten, using the key to secure at the end
How to Use the Chest Drain & Needle Decompression Trainer
The trainer is designed to support both individual skills practice and complete scenario-based training.
Needle Decompression Training
The needle decompression pads are positioned along the midclavicular lines and support training at multiple intercostal spaces.
During training, learners can practice:
- Identifying the relevant anatomical landmarks
- Selecting the appropriate insertion site
- Preparing and positioning the needle
- Inserting the needle using the taught clinical technique
- Recognising successful entry into the simulated chest cavity
- Responding to the simulated release of air
Successful decompression produces positive feedback in the form of a realistic hiss of air or observable bubbles in a saline-filled syringe.
Open Chest Drain Insertion
Using the Standard or Advanced Chest Drain Pads, learners can practice the procedural sequence for chest drain insertion.
Training can include:
- Anatomical landmark identification
- Skin incision
- Blunt dissection
- Pleural penetration
- Finger sweep
- Chest drain insertion
- Correct positioning
- Securing the drain with sutures
- Applying an adhesive dressing
Ultrasound-Guided Chest Drain Insertion
The Advanced Pads allow learners to use ultrasound to identify simulated internal anatomy and practice the Seldinger technique.
This allows educators to integrate ultrasound imaging with hands-on procedural skills rather than teaching the two skills independently.
Using Simulated Fluid
Advanced Pads can be used with mock fluids to simulate conditions such as pleural effusion and haemothorax.
This allows learners to practice procedures in a more clinically representative scenario while using ultrasound to identify the simulated anatomy and fluid.
Order your Chest Drain & Needle Decompression Trainer
How to Replace the Chest Drain Pads
The chest drain pads are replaceable consumable components. Replacement frequency depends on the procedures being performed and how efficiently the pads are used.
Replacement Standard and Advanced Chest Drain Pads are available in packs of 2 and 10.
Replacing a Standard or Advanced Chest Drain Pad
Note: If removing an Advanced Chest Drain Pad following a procedure with simulated fluids, ensure you drain the fluid off before removing the rib frame and pad.
- Remove the torso skin from the trainer
- Unscrew and remove the retaining knobs from the rib frame
- Remove the frame and pad from the torso
- Remove the ribs from the used pad and inspect for any damage that may have occurred during the training session
- Clean the ribs and rib frame, if required
- Position the ribs in the replacement pad
- Place the replacement pad into the appropriate rib frame
- Position the frame on the correct side of the torso
- Replace the retaining knobs
- Hand-tighten the knobs evenly
- Use the supplied key to create a secure seal
How to Replace the Needle Decompression Pads
Needle Decompression Pads are designed for repeated use, pads have been tested to withstand up to around 50 stabs with a 21G needle. Thinner gauge needles may extend the life of the pad.
When a pad has reached the end of its useful life:
- Remove the pad from the trainer. Note: you do not need to remove the skin to remove the Needle Decompression Pads, however, the process may be easier without the torso skin on the model
- Inspect the model and tube connection within the torso for damage or wear
- Fit the replacement Needle Decompression Pad
- Prime the system with the Needle Decompression Pump (black bulb) before beginning a training session
How to Dismantle and Store the Trainer
For routine storage:
- Remove needles, guidewires, catheters or other clinical equipment
- Drain any remaining fluid. (Use caution when moving the trainer, remaining fluid will increase the weight and can cause it to be unstable)
- If using simulated blood in the trainer, rinse the fluid chambers after use
- Remove and wipe the torso skin clean using a mild detergent, warm water and a soft cloth, if needed. Note: remember to check the inside of the skin around the Chest Drain Pads in case of fluid leakage
- Remove and clean the Chest Drain Pads and Rib Frames
- Allow all components to dry completely
- Check the pumps, tubing, and other components for damage or wear and replace if needed
- Return the components to the supplied carry case
Explore the Chest Drain Pad range
How to Use Augmented Reality
The Chest Drain & Needle Decompression Trainer comes with a Limbs & Things Augmented Reality Training Mat that is compatible with the app, available on Google Play and the App Store.
The AR experience combines real-world MRI and CT scan data with digital anatomical models to help learners visualise structures beneath the surface of the trainer.
The AR environment allows learners to explore different anatomical layers, including:
· Musculature
· Organs
· Blood vessels
· Skeletal structures
· Cross-sectional anatomy
Learners can also view digital representations of procedures and see how procedures relate to the underlying anatomy.
This creates a link between what the learner can see externally, what they can feel during a procedure and what is located beneath the skin.
Augmented Reality Mat for Chest Drain
How to Get the Best Training Experience
The versatility of this trainer means educators can use it to build a progression from anatomy through to complete procedural scenarios.
Start With Anatomy
Use the physical trainer and AR environment to introduce:
- Ribs
- Lungs
- Diaphragm
- Chest wall
- Intercostal spaces
- Relevant external landmarks
Progress To Landmark Identification
Ask learners to identify the appropriate anatomical landmarks by inspection and palpation before introducing procedural equipment.
Introduce Individual Procedures
Practice needle decompression, chest drain insertion or ultrasound-guided procedures individually before combining them.
Add Clinical Context
Once learners are familiar with the physical skills, introduce scenario-based training involving conditions such as tension pneumothorax, haemothorax or pleural effusion.
Combine Ultrasound And Procedural Skills
The Advanced Pads allow ultrasound imaging to be incorporated directly into procedural training, helping learners connect ultrasound findings with the physical procedure.
What Makes the Limbs & Things Chest Drain Trainer Different?
The Chest Drain & Needle Decompression Trainer is designed to support multiple chest trauma procedures within one training platform, rather than focusing on a single intervention.
Multiple procedures in one trainer
A single trainer supports:
- Needle decompression
- Open/cut-down chest drain insertion
- Guidewire-assisted chest drain insertion
- Ultrasound-guided procedures
- Seldinger technique
- Pleural fluid management
- Suturing
- Chest tube positioning
This gives educators greater flexibility when designing chest trauma and emergency medicine training programmes.
Two Procedural Pad Technologies
The inclusion of both Standard and Advanced Chest Drain Pads allows educators to select the most appropriate technology for their learning objective.
Standard Pads prioritise open procedural techniques, while Advanced Pads introduce echolucency, ultrasound and simulated fluid scenarios.
Realistic Positive Procedural Feedback
Needle decompression produces an audible and/or visual indication of successful decompression, while Standard Pads provide realistic resistance and a characteristic “pop” when the pleural layer is penetrated.
Integrated Anatomy & Augmented Reality
The physical trainer represents an adult male upper torso with anatomical landmarks including the ribs, lungs and diaphragm. The compatible AR system then allows learners to explore the anatomy beneath the surface using digital overlays based on MRI and CT scan data.
Designed For Repeated Training
Replaceable procedural pads allow the core trainer to be used repeatedly while individual high-use components can be replaced as required.
This supports ongoing skills practice without requiring the complete trainer to be replaced when a procedural pad reaches the end of its useful life.
Chest Drain & Needle Decompression Trainer Documents & Downloads
Chest Drain & Needle Decompression Trainer FAQs
What procedures can be practiced on the Chest Drain & Needle Decompression Trainer?
The trainer supports needle decompression, open or cut-down chest drain insertion, ultrasound-guided chest drain insertion using the Seldinger technique, pleural fluid management, chest tube positioning, suturing and other associated procedural skills.
Can you practice ultrasound-guided chest drain insertion?
Yes. The Advanced Chest Drain Pads use echolucent material designed to support ultrasound simulation and Seldinger technique training.
What is the difference between the Standard and Advanced Chest Drain Pads?
Standard Pads are foam pads designed particularly for open/cut-down procedures, including incision, blunt dissection and suturing. Advanced Pads are silicone, echolucent pads designed to support ultrasound-guided procedures and simulated fluid scenarios.
Can the Chest Drain Trainer simulate a pleural effusion?
Yes. The Advanced Chest Drain Pads can be used with simulated fluids to create pleural effusion and haemothorax scenarios.
Can the trainer simulate breathing during ultrasound?
Yes. The supplied Respiratory Swing pump can simulate movement within the chest cavity under ultrasound when using the Advanced Pads.
Where can needle decompression be practiced on the trainer?
The trainer supports needle decompression at the 2nd, 4th and 5th intercostal spaces.
What needle size should be used with the Needle Decompression Pads?
The optimal needle for use with the Needle Decompressions Pads is 21G. Other sizes can be used, but will effect the life span of the pads.
What catheter size is recommended for the Advanced Chest Drain Pads?
A 12 FG catheter is identified as the optimal catheter for the Advanced Chest Drain Pads. Other sizes can be used, but the recommended equipment can help prolong pad life.
Can the trainer be used with water?
Yes. The trainer supports the use of water and suitable simulated fluids, when the Advanced Chest Drain Pads are fitted to the model. (Standard Chest Drain Pads are not suitable for simulated fluids.)
Is the Chest Drain Trainer suitable for ATLS training?
The Chest Drain & Needle Decompression Trainer from Limbs & Things is approved for use in ATLS courses.
Is the Chest Drain Trainer latex free?
Yes. The product’s components are latex free.
Does the trainer come in different skin tones?
Yes. The product is available in Light Skin Tone and Dark Skin Tone variants.
Troubleshooting the Chest Drain Trainer
Why is my chest drain trainer leaking fluid?
Fluid leakage is most commonly associated with using the wrong pad, a pad reaching the end of its useful life or an incorrectly fitted pad.
Check the pad type
Only the Advanced Chest Drain Pads are silicone and designed for use with fluids. Standard Chest Drain Pads are foam and do not make a water-tight seal when put in the Rib Frames.
Check the pad seal
Make sure:
- The ribs are correctly fitted into the pad
- The correct left or right rib frame is being used
- The pad edges sit flush inside the frame
- The frame is correctly positioned on the torso
- All retaining knobs are correctly fitted
- The knobs have been tightened evenly and securely
Check the pad condition
If fluid is leaking through previous needle sticks or incisions, the Advanced Pad may have reached the end of its useful life and should be replaced.
Check the tubing
If the pad and frame are correctly fitted, check that:
- Tubing connections are secure
- Clips are closed correctly
- There is no visible damage to the fluid chambers
If the problem persists, contact Limbs & Things Customer Service.
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