Shoulder Injection Trainer - Ultrasound Guided (Dark Skin Tone)
Skin Tone
Model
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The latest Ultrasound Guided Shoulder Injection Trainer allows trainees to acquire the key skills of using Ultrasound guidance to locate, inject and aspirate the 4 most commonly treated shoulder sites.
The novel echolucent material has properties comparable to human tissue, giving clear visualisation throughout a procedure. This material is a bespoke formulation for Limbs & Things ultrasound trainer ranges. Thorough testing was performed with popular ultrasound machines. (Image quality may vary on different ultrasound machines.)
The Synovial Fluid used with this product now contains a new preservative which is approved for use by EU cosmetic regulations which means that it is safe for extended skin contact.
We still recommend the use of gloves, as the pigments may stain skin and clothes.
Overview
- Suitable for postgraduate learning
- Successful injection can be confirmed by visualising fluid entering the site or by aspirating fluid
- Watertight and durable for repeated use
- Echolucent material enables ultrasound imaging of the underlying landmarks
Realism
- Discrete muscle and skin layers for a realistic needle feel
- Echolucent material within the shoulder creates close to life ultrasound imaging
- Volume of fluid in the Subdeltoid/Subacromial Bursa can be adjusted, from no fluid present up to fluid-filled distension to give training at a variety of skill levels
- Nerve block functionality allows trainees to view and inject around the Suprascapular nerve
- Synovial fluid has realistic colouring
Versatility
- Injections from multiple approaches to allow for different preferences
- Shoulder skins have been vigorously tested for repeated use, ensuring a longer life span for the product
- Torso is compatible with both palpation guided and ultrasound guided Shoulder Injection modules
- Watertight design to ensure extended life of product
- The shoulder ultrasound model can also utilise the app that accompanies the palpation guided model, see the download tab for a link to download to a compatible Android device
Cleaning
- Clean product with a damp cloth
- Allow product to dry thoroughly before storing
Safety
- This product is latex free
- Package contains needles
- Use the needles provided with the simulator, or near new needles of 21 gauge
- This simulator contains electronics, do not inject shoulder with liquids or use near water
- If storing for long periods of time, remove the batteries from the product
- Model conforms with ISO IEC 17050-1:2010 and FCC/CFR 47: Part 15, Sub Part B
Simulated Patient
- Shoulder trainer can be used with a simulated patient
Anatomy
Internal anatomy:
- Rotator cuff muscles (represented in one moulded piece)
- Biceps sheath
- Bicipital tendon
- Deltoid muscle
- Capsule representing:
- Coracohumeral ligament
- Superior glenohumeral ligament
- Coracoacromial ligament
- Transverse ligament
Skills Gained
- Practice multiple approaches to specific sites
- Patient positioning and management
- Identification of anatomical landmarks using ultrasound guidance
- Competence using ultrasound technology to perform injections in different planes and approaches
- Viewing or inferring the suprascapular nerve under ultrasound
- Performing ultrasound guided injections
- 4 common injection sites:
- Acromioclavicular Joint
- Glenohumeral Joint
- Biceps Tendon Sheath (which lies in the Bicipital Groove and surrounds the tendon)
- Subdeltoid Bursa (in the Subacromial Space)
Product Contains
Comparison |
Palpation with Tablet | Palpation without Tablet | Ultrasound Guided |
---|---|---|---|
What's included | 70219 | 70220 | 70221 |
Palpation Guided Shoulder Module (70223) | Yes | Yes | No |
Ultrasound Shoulder Module (70224) | No | No | Yes |
Shoulder Torso (70226) | Yes | Yes | Yes |
Spare Shoulder Skin (Palp, 70222) | Yes | Yes | No |
Android Tablet (with preloaded app) | Yes | No | No |
2 x AA Batteries | Yes | Yes | No |
Needle Set (70108) | Yes | Yes | Yes |
Synovial Fluid (250ml, 70022) | No | No | Yes |
Carry Case | Yes | Yes | Yes |
Elbow | Yes | Yes | Yes |
Ultrasound Gel | No | No | Yes |
Works with the following products:
References
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) ... e. Subacromial space
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) ... e. Subacromial space
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
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."
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."
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): Subacromial joint space injection Acromioclavicular joint injection
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.
Specialty Training Curriculum For Core Medical Training August 2009 Joint Swelling, p 92-93
Specialty Training Curriculum for Rheumatology, Joint Royal Colleges of Physicians Training Board, 2010, p.17 and 24
T&O Simulation Curriculum 2013 v 2, p.62
Specialty Training Curriculum for Sport and Exercise Medicine August 2010, p.53
http://www.gmc-uk.org/RCGP_Curriculum_modules_jan2016.pdf_64810573.pdf, p. 327
Clinical Radiology Specialty Training Curriculum, The Royal College of Radiologists, 2019. Ultrasound guided.
Can I perform a nerve block injection of this ultrasound guided shoulder injection simulator?
Yes, the ultrasound shoulder trainer is designed to allow trainees to view and inject around the suprascapular nerve to practice nerve blocks.
Does this ultrasound model allow trainees to practice procedures using fluids?
Yes. The Ultrasound Shoulder Injection Trainer was designed with watertight features, fluid can be injected or aspirated from the glenohumeral joint, subdeltoid bursa, acromioclavicular joint, and biceps tendon sheath.