Product No. 80199

Large ECOSystem with PROMPT Flex Advanced

$23,850.00 Price does not include taxes or delivery

Limbs & Things Large ECOSystem has been designed for classes of 10 or more learners, running four ECO obstetrical emergency stations simultaneously.

The Large ECOSystem includes:

  • 1 Advanced PROMPT Flex Birthing Simulator (with force monitoring capabilities)
  • 2 Standard PROMPT Flex birthing simulators
  • 1 Postpartum Hemorrhage Kit which includes the PPH module, Compression Suture Uterus, Pre-incised skin and Mock blood
  • 1 Abdomen for PROMPT Flex
  • Piper Forceps




  • 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
  • PROMPT Flex Standard
    • Suitable for use with Simulated/Standardized Patient
  • 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


  • Suitable for more than 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: Shoulder Dystocia

  • PROMPT Flex Advanced with Force Monitoring Software

Station 2: Postpartum Hemorrhage

  • PROMPT Flex Standard (no baby required)
  • PPH Module
  • Uterine Compression (package of 2)
  • Pre-incised skin
  • Mock Blood

Station 3: Breech Vaginal Delivery

  • PROMPT Flex Standard
  • Piper Forceps

Station 4: 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.

  • Product Image

    PROMPT Flex Birthing Simulator - Advanced

    Product No. 80106

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  • Product Image

    PROMPT Flex Birthing Simulator - Standard

    Product No. 80100

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  • Product Image

    PROMPT Flex - PPH Module

    Product No. 80101

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  • Product Image

    Compression Suture Uterus

    Product No. 80111

    Learn more
  • Product Image

    Pre-incised Delivery Only Skin for PROMPT Flex Caesarean Section Module

    Product No. 80171

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  • Product Image

    Abdomen for PROMPT Flex

    Product No. 80124

    Learn more
  • Piper Forceps

    Piper Forceps

Works With
  • Product Image

    Small ECOSystem with PROMPT Flex Advanced

    Product No. 80197

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  • Product Image

    Intermediate ECOSystem with PROMPT Flex Advanced

    Product No. 80198

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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.