Product No. 80198

Birthing Simulator - PROMPT Flex ECOSystem - Medium (Light Skin Tone)

$14,870.00 Price does not include taxes or delivery
Skin Tone:

The Birthing Simulator - PROMPT Flex ECOSystem has been designed to complement the teaching of The American College of Obstetricians and Gynecologists (ACOG) Emergencies in Clinical Obstetrics (ECO) course.

The objective of the ECO course is to give learners the ability to describe evidence-based protocols for common obstetric emergencies, alongside the ability to demonstrate correct technique and perform key responsibilities during a simulated obstetric emergency. Learners will also practice teamwork and communication for simulated cases complicated by shoulder dystocia, postpartum hemorrhage, umbilical cord prolapse, and vaginal breech delivery. Limbs & Things ECOSystem Medium has been designed for classes of 5-10 learners, running two ECO obstetrical emergency stations simultaneously.

The ECOSystem Medium includes:

Built with versatility and realism in mind, the PROMPT Flex birthing simulator features a realistic pelvic floor, articulating thighs for the McRoberts procedure, a stretchable perineum, flexible birthing canal, and optional lower legs to simulate birthing in an all fours position. PROMPT flex product care is simple, and is Latex free. For extended use outside of the ECO course, additional modules include:

Find out more about the latest obstetric training requirements here.





  • The ECO course has been approved for 5 CME credits for DO’s and MD’s and for maintenance of Certification part IV. For more information about the course, click here.

  • PROMPT Flex Advanced

    • Bluetooth enabled baby for force monitoring during shoulder dystocia drills.
    • Free, downloadable Birthing Simulator software allows trainees' actions and interventions to be recorded during drills, with time to deliver baby.
    • PDFs of trainee drills can be saved and printed for debriefing.
    • Software scenarios can be modified or created from scratch.
    • Software compatible with Windows, PC, iOS and Android devices
  • PPH Module
    • Blood loss of up to 2 liters can be simulated
    • Air bulbs simulate blood flow and control atonic state of uterus
    • Multiple uses when conducting the compression suture 
  • Pre-incised skin
    • 10mm incision, with 12mm holes at either end to prevent propagation of the cut
    • Accommodates use of metal, plastic or rubber retractors
  • Compression Suture Uterus
    • Represents a postpartum uterus 
    • Includes uterine arteries, uterine veins and broad ligament


  • Suitable for use with simulated / standardized patients
  • Realistic pelvic floor
  • Articulating thighs for McRobert’s maneuver
  • Stretchable perineum
  • Soft, flexible birthing canal


  • Supports from 5 to 10 trainees on ECO course
  • Modular, for larger courses additional equipment can be added to this set
  • The design of the trainer allows for quick and easy fitting of modules needed for each station


  • Skin washable with soap and water


  • Latex free


  • PROMPT Flex Advanced
    • Birth canal and cervix
    • Ischial spines and pubic bone
    • Gynecoid pelvis
    • Articulating thighs

Skills Gained

Station 1

  • Breakout 1: Shoulder Dystocia
    • PROMPT Flex Advanced with Force Monitoring
  • Breakout 2: Breech Vaginal Delivery
    • PROMPT Flex Standard
    • Piper Forceps

Station 2

  • Breakout 1: Postpartum Hemorrhage
    • PROMPT Flex Standard (no baby required)
    • PPH Module
    • Compression Suture Uterus (package of 2)
    • Pre-incised skin
    • Mock Blood
  • Breakout 2: Umbilical Cord Prolapse
    • PROMPT Flex Standard
  • By the end of this course, participants will be able to:
    • Describe evidence-based protocols for common obstetric emergencies
    • Demonstrate correct technique and performance of key responsibilities during simulated obstetric emergencies
    • Practice teamwork and communication for simulated cases complicated by shoulder dystocia, postpartum haemorrhage, umbilical cord prolapse and vaginal breech delivery
  • For course registration and materials, click here.
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  • Piper Forceps

    Piper Forceps




The Emergencies in Clinical Obstetrics (ECO) course has been created from the most updated evidence-based literature to train all levels of providers to work together during obstetric emergencies. It includes standardized lectures to provide the necessary background as well as clinical checklists for reference during the course and to use at their institutions. The simulation stations provide hands-on opportunities to practice individual skills and the critical teamwork and communication skills necessary to care for women during obstetric emergencies. The five units include breech vaginal delivery, shoulder dystocia, postpartum hemorrhage, umbilical cord prolapse, and teamwork and communication during obstetric emergencies. www.acog.org/education-and-events/simulations/eco