70103

Knee Aspiration & Injection Trainer with Ultrasound Capabilities (Light Skin Tone)

£2,350.00

Skin Tone

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An anatomically accurate adult knee model for injection and aspiration of synovial fluid from the knee joint, from both the lateral and medial aspects, using palpation or ultrasound guidance.

The robust sealed knee includes: knee joint, patella, patellar tendon and the suprapatellar space.

Discrete muscle, skin and fat layers, provide realistic tissue and needle response, while key anatomical landmarks are realistic to palpate. This enables trainees to improve their accuracy of injection and aspiration through repeatable practise.

Performing knee aspirations and injections are fundamental skills required for Internal Medical Trainees, as well as Rheumatologists, Doctors practising General Medicine and Orthopaedic Surgeons*

Overview

1,000+ stabs per module with 21 gauge needle
Precise, palpable anatomy with bony landmarks
Robust, sealed knee unit that holds all anatomy
Key internal landmarks visible under ultrasound
Compatible with all standard ultrasound machines
Echolucent material allows aspiration and injection under ultrasound guidance or using the palpation method
Suitable for Undergraduate and Postgraduate medical study
Knee skin is watertight

Realism

Discrete muscle and skin layers provide realistic tissue and needle response
Anatomically accurate synovial sac and palpable patella
Realistic color and consistency of synovial fluid

Versatility

Can be used with leg supports for supine position, or without leg supports for side of bed position
Caters for ultrasound-guided techniques as well as palpation
Separate Fluid Bag & Stand ensure the model is easy to use and mobile
Clear indicator on Fluid Bag to prevent overfilling

Cleaning

Clean off any residual ultrasound gel from the knee injection trainer
Skin surface should be cleaned with a soft, damp cloth, using warm water and mild detergent
Empty any remaining fluid from the knee once the procedure is complete
Allow knee injection model to dry before storing

Safety

This product is latex free
If the model sustains damage, refer all servicing to qualified servicing personnel
During practice injections, be sure to remove the needle at the same angle as inserted, removing at an angle can cause the knee skin to split
We advise that you do not use simulator if the skin of the knee is torn
Always store/dispose of needles safely in the sharps bin supplied or a suitable alternative
While the new Synovial Fluid in this product contains a new preservative (approved for use by EU cosmetic regulations) meaning it is safe for extended skin contact, we still recommend the use of gloves while using this product

Simulated Patient

This knee model can be used with a simulated patient to practice knee joint aspiration and injection

Anatomy

Key anatomical landmarks are realistic to palpate:

Skin
Subcutaneous fat, quadriceps tendon & patellar ligament
Prefemoral fat pad
Suprapatellar fat pad
Hoffa’s or Infrapatellar fat pad
Femur
Medial & lateral collateral ligament
Tibia
Patella
Joint space & synovial recess
Meniscus
Muscle mass of quadriceps

Product Contains

Fluid Bag and Stand

Synovial Fluid (including syringe)

Needle Set (3 Green, 21 Gauge)

Light
Dark

Ultrasound Knee Module for Aspiration & Injection (Light Skin Tone)

Knee Injection model contents	Light	Dark
What's included	70103	70114
Ultrasound Knee Module	70104	70115
Leg Unit (including removable supports)	70105	70116
Fluid Bag & Stand	70106	70106
Synovial Fluid (including syringe)	70107	70107
Needle Set	70108	70108
Carry Case	Yes	Yes

References

Family Medicine

AAFP Residency Guidelines, Musculoskeletal and Sports Medicine, Reprint No. 265 (p.4): Indications, limitations, contraindications, and informed consent for office-based musculoskeletal procedures such as: a. Common joint aspirations b. Common joint injections c. Common injections for bursitis d. Common injections for tendinopathy

Rheumatology

Core Curriculum Outline for Rheumatology Fellowship Programs, American College of Rheumatology, 2015 "Demonstrtae competency in obtaining synovial fluid from diarthrodial joints, bursae, and tenosynovial structures."

Undergraduate Medicine

Association of American Medical Colleges:Recommendations for Clinical Skills Curricula for Undergraduate Medical Education,Appendix B; Clinical Testing and Procedural Skills p.23 "Knee examination (including manoeuvres); Musculoskeletal Joint Aspiration Technique; Joint Fluid Examination."

Postgraduate Nursing

Adult-Gerontology Acute Care And Primary Care NP Competencies 2016, p.42 Primary care practice skills which includes, but is not limited to: • Joint aspiration and injection. Nurse Practitioner (NP) and Physician Assistant (PA) Rheumatology Curriculum Outline, American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ARHP), 2017, p.8 Perform procedures, as agreed upon by the supervising/collaborating rheumatologist and NP/PA: 2. Joint and soft tissue injections (adult) a. Indications and contraindications b. Large and medium joints (i.e., knee)

Physician Assistant

Nurse Practitioner (NP) and Physician Assistant (PA) Rheumatology Curriculum Outline, American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ARHP), 2017, p.8 Perform procedures, as agreed upon by the supervising/collaborating rheumatologist and NP/PA: 2. Joint and soft tissue injections (adult) a. Indications and contraindications b. Large and medium joints (i.e., knee)

Specialist GP Trainees

RAGCP Lifelong Learning Curriculum: Appropriate Procedures (2016): guided and unguided musculoskeletal injections (eg trigger point, joint, bursal, intra-articular, carpal tunnel, nerve blocks) The RACGP Curriculum for Australian General Practice 2011: Musculoskeletal Medicine, Royal Australian College of General Practitioners. Identify and acquire musculoskeletal procedural skill competency levels appropriate for the required service provision level, eg. if performing joint injections ensure skill competency level has been acquired.

Rheumatology Specialist Trainees

Royal Australasian College of Physicians, Rheumatology Advanced Training Curriculum, Royal Australasian College of Physicians, 2013, p.8 "be competent in the use of appropriate diagnostic and therapeutic procedures, including joint and soft tissue injection and aspiration."

Sports Medicine Specialist Trainees

ACSEP CURRICULUM, Australasian College of Sports and Exercise Physicians, 2017 Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic. Assessment: Direct Observation of Procedural Skills (DOPS): Knee joint injection/aspiration Ultrasound guided injection (optional)

Physician Associate

NHS National Practitioner Program: Matrix Specification for the Physician Associate (2016). p.105: Skills: Perform knee aspiration using aseptic technique causing minimal distress to patient

CMT

Specialty Training Curriculum for Core Medical Training, 2013 CMTs should try to gain at least some experience and independent competency if possible in procedure relating to knee aspiration.

Orthopaedics

Section: Applied Clinical Skills: General, Page 55, Specialist Training in Trauma & Orthopaedics Curriculum, 2013 “A trainee must be able to demonstrate their competence in the procedures of aspiration and injection of knee joint”.

Specialist Sport & Exercise Medicine Trainees

Specialty Training Curriculum for Sport and Exercise Medicine, Joint Royal Colleges of Physicians Training Board, August 2010, p.53 Skills (mandatory): Safely inject major joints including shoulder, elbow, knee and ankle

GP Training

The RCGP Curriculum: Professional & Clinical Modules, The Royal College of General Practitioners, 2016, p.327 You may also consider attending courses offering joint injection training.

Rheumatology

Specialty Training Curriculum for Rheumatology, Joint Royal Colleges of Physicians Training Board, 2010 ,p.24 Practical procedures: to aspirate and inject joints competently using the appropriate techniques Competency is required in all of the following procedures: o Knee: Joint: Tibio-femoral Soft tissue: Bursal injections.

Clinical Radiology

Clinical Radiology Specialty Training Curriculum, The Royal College of Radiologists, 2019. Ultrasound guided.