Anal Sphincter Repair Trainer (Dark Skin Tone)

Obstetric Anal Sphincter Injuries (OASIS) are complications that occur during a vaginal delivery, also referred to as 3rd and 4th degree perineal lacerations.

Developed in collaboration with Mr Abdul Sultan, Consultant Obstetrician and Gynecologist with Croydon University Hospital (UK), the Anal Sphincter Repair Trainer presents ideal practise for 4th degree perineal repairs.

The Anal Sphincter Repair Trainer can be used for end-to-end and overlap repair of the external anal sphincter, as well as repair of the internal anal sphincter and anal mucosa.

Highlights

Anatomically accurate model for teaching perineal laceration suturing
Includes Illustration Pack to aid in identification of key landmarks and internal anatomy of each degree of perineal trauma
Silicone module can be positioned for examination or suturing
Improved rubber has increased accuracy when suturing through the perineal muscle

Realism

Can be used alongside PROMPT Flex trainers to increase realism in the simulation
All essential layers of tissue are present, and can accept repeated suturing
Soft skin on the trainer has a similar drag and strength to human skin
Improved, thinner skin layer, more anatomically accurate and allowed for more accurate placement of subcuticular sutures

Versatility

Quick and easy set up
When in place, there are two resting positions for the perineum:
- Relaxed, unhooked for suturing
- Tensed, hooked to stand for examination
Compact and portable, clamps can be used on a variety of surfaces to secure for training

Anatomy

Vaginal mucosa
Distinct Perineal dermis and epidermis
Posterior Fourchette
Perineal muscles (bulbocavernosus and transverse presented together)
External anal sphincter with pararectal fat
Internal anal sphincter
Anal mucosa

Simulated Patient

This product can be used with a simulated patient
This product can be used in conjunction with the PROMPT Flex birthing simulator and a simulated patient

Cleaning

Clean the product with a soft damp cloth, warm water and mild detergent, after every training session
Allow to dry thoroughly before storing

Safety

Note: We recommend using non-toothed forceps with this trainer. (Although you can use toothed dissectors and forceps while performing perineal repairs, they may cause damage to the silicone and reduce the life span of the product)
This product is latex free
Ensure clamps are securely fastened before beginning a procedure
Wear gloves at all times and handle soft silicone block with care
When packing away, remove all parts from the Stand so that they are not under undue tension whilst in storage
Take care when removing sutures, to ensure that the block doesn’t suffer damage (We recommend using small sharp scissors to remove sutures)

Weight & Dimensions

Weight: 4.2 kg
Width: 29 cm
Height: 48 cm
Length: 55 cm

Skills Gained

Recognition of internal anatomy
Perform infiltration (administering local anaesthesia, we recommend this is done ‘dry’)
Identification of degree of tear using the pill rolling technique
Repair techniques for fourth degree perineal tears
Tissue layer identification and handling
Deep musculature suturing
Subcuticular suturing
Superficial suturing
Dissection of anal sphincter muscles
End-to-end or overlap repair of the external sphincter
Repair of internal sphincter and rectal mucosa

Comparison	Light	Dark
What's included	61102	61122
Anal Sphincter Repair Block (x2)	61107	61129
Perineal Repair Stand with Clamps	61109	61129
Perineal Repair Block Loading Handle	61110	61110
Perineal Repair Illustration Pack	61112	61132
Lubricant (Adams Aquagel)	00293	00293

References

Midwifery

The standards and Criteria for the Accreditation of Nursing and Midwifery Courses Leading to Registration states that midwives in Australia are expected to have experience of actual or simulated episiotomy and perineal suturing.

Obstetric and Gynaecology Training

Clinicians that choose to specialise in obstetrics and gynaecology would learn to perform an episiotomy and perineal repair by meeting the following milestones: - Core module 11: Management of delivery - Episiotomy and Perineal trauma and repair (ST1-ST5) - Core module 12: Postpartum Problems - Repair Episiotomy, 2nd, 3rd and 4th laceration - Advanced Labour Ward - perform the repair of 3rd/ 4th degree perineal tear (ST6-ST7)

How is the Anal Sphincter Repair simulator different to the midline and mediolateral models?

This silicone model can be used for 4th degree perineal tears, as well as lesser, 3rd degree tears. The Midline and Mediolateral Repair trainers are designed for regional techniques of 2nd degree repairs.

To give full coverage of repair techniques, the Anal Sphincter Repair simulator was created to aid in training of more severe perineal lacerations. 3-10% of women suffer with this degree of trauma following a vaginal delivery, proper management helps maintain postpartum health of the birth mother.

What instruments and sutures can be used with this simulator?

Standard perineal suturing tools can be used, we recommend the following options:

Non-toothed forceps
Non-toothed dissectors
2-0, 3-0 or 4-0 vicryl rapide sutures (or equivalent)
Small sharp scissors (for removing sutures at the end of an exercise)

Please note: You can use toothed forceps and dissectors with this trainer, however, due to the composition of the silicone, longevity of the anal block may be affected.

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Anal Sphincter Repair Trainer (Dark Skin Tone)

Skin Tone

Highlights

Realism

Versatility

Anatomy

Simulated Patient

Cleaning

Safety

Weight & Dimensions

Skills Gained

Comparison

Product Contains

Anal Sphincter Repair Block (x2) - Dark

Perineal Repair Illustration Pack (Dark Skin Tone)

Perineal Repair Stand with Clamps (Dark Skin Tone)

Perineal Repair Block Loading Frame

Weight & Dimensions

References

User Guide

Product Brochure

Additional Modules

Episiotomy Module (Dark Skin Tone)

Related products

Birthing Simulator PROMPT Flex - Standard (Light Skin Tone)

Midline Perineal Repair Trainer (Dark Skin Tone)

Episiotomy Module (Dark Skin Tone)