PRODUCT CATALOGUE eidos-medicine.com

Transcription

1 PRODUCT CATALOGUE 2018 eidos-medicine.com

2 Сontents Message from the CEO... 3 Simulator of physical examination of a patient About Us... 4 Medical Team Training Manufactured in Russia... 5 Patient Care Key principles... 6 Traumatology Unit Comparison... 7 Phantomes th generation of the Robots-simulators Endovascular simulator Intensive Care Unit Endosurgery simulator Advanced Life Support Bronchoscopy simulator Basic Life Support Endoscopy Simulator Basic Life Support and ECG Hysteroscopy Simulator Cardiopulmonary Resuscitation Procedure (CPR) Dentistry Military Medicine Neurosurgical simulator Traumatology + Ultrasound Diagnostics Ultrasonography Traumatology Opinions on us Anesthesia Feedback Pulmonology Intensive Care Unit (Child) Advanced Life Support (Child) Basic Life Support (Child) Neonatology Basic neonatology Obstetrics and Gynecology Auscultation Simulator of physical examination of a cardiac patient... 36

3 Message from the CEO About Us Lenar Valeev CEO Eidos-Medicine LLC Our company, «Eidos-Medicine», has started as a small company consisting of only 10 people in 2012, and now we have grown into a large innovative company specializing on development and production of medical simulators. It is 2018, and the company employs more than 120 people and has its own development and manufacturing center During the period from 2012 to 2017, 5 whole cycles of R&D were completed. Each of theme significantly increased the level of products in terms of performance, quality and reliability. And as at 2017 we already put in motion serial production of surgical simulators and robotic patients, all according to the ISO 9001 standard, which successfully competes with already renowned manufactures. We strive for constant improvement of the quality of our products The current level of products development and equipment localization is about 95%, we use our own design and manufactured components: realistic «skin», structural elements, electronics, and software. We cooperate with leading world associations, universities, and research institutes. Unique solutions and own developments of the company «Eidos-Medicine» are confirmed by world patents. Eidos-Medicine LLC is a Russian company specialized in design and manufacture of high-tech medical training simulators. Eidos- Medicine LLC is an acting member of the Cluster of Biological and Medical Technologies of the Skolkovo Foundation and currently participates in the creation of a Moscow State University scientific and educational simulation center. Our products are suitable for medical specialists of various levels of knowledge and skills, both students and doctors with many years of professional experience. For simulators, complex software is implemented that includes numerous exercises, which greatly expands and deepens the degree of the learning process, as well as automatic tracking and assessment of the progress of training. There are only five companies in the world developing and producing similar equipment, and Eidos-Medicine LLC (Republic of Tatarstan, Russia), the only Russian manufacturer, is among. In October 2016 Company also receive an official message of thanks from world-renowned JCI (Joint Commission International) JCI Gold standard JCI Health Professional Education Juntendo University (Japan) due to the fact of undergoing a Joint Commission International accreditation process (which is considering to be an international «gold» standard in the field of quality and safety for medical institutions) largely due to the use of Eidos-Medicine LLC developments in the field of simulation.. We are proud that medical simulators «Eidos-Medicine» can be found in the USA, Europe, Japan and other countries of the world. That is why we strive for constant improvement of the quality of our products and the system of service. 3 4

4 Manufactured in Russia Key principles «Eidos-Medicine» employs significant scientific and industrial experience, its own patents and know-how, advanced design and production methods. The company employs qualified scientists, designers, programmers, and technologists who are responsible for creating unique scientific and technical solutions and arranging the production of complex innovative products corresponding to the constantly changing market requirements. The company s production areas are located on the territory of more than 3500 m2. They include a large number of laboratories, industrial sites, and production management systems. Every month, the company performs an average of 24,000 technological operations and operates a nomenclature of 6,000 parts. All of this allows establishing of a serial production of about 1,000 simulators a year. Individual approach In the sphere of supplies of simulation medical equipment, Eidos-Medicine offers complexes that include everything necessary to launch a learning process, including a sufficient number of consumables. The goal of the company is to create conditions that ensure the real operation of simulators in the learning process and to minimize the organizational processes associated with the search for additional components or expendable instruments (needles, intubation tubes, and other instruments) necessary to develop relevant practical skills. At the same time, the selected products can be additionally furnished by all the necessary medical furniture at the request of the Customer, which allows to speed up the process of furnishing the premises and starting the training. Also, at the request of the customer, Eidos- Medicine can organize the conversion of the premises for the needs of the simulation equipment, establish a single management system for the educational process, a video integration system, a server for data storage, and conduct remote room equipment to establish the optimal educational process. Since 2017 the company «Eidos-Medicine» has developed, implemented and is constantly improving the quality management system that meets the requirements of ISO 9001 standards. The marking of the products of «Eidos-Medicine» with the CE mark guarantees and confirms the company s ability to consistently produce high-quality and safe products that meet the needs of customers, as well as the world s highest standards and regulatory requirements applicable to the safety engineering of the CE directive «2014/35 / EU Low Voltage Products «and 2014» 2014/35 / EU Electromagnetic Compatibility «issued by the international notified body TSU Piestany, Europa. Services and Guarantees The company «Eidos-Medicine» guarantees the proper functioning of the product provided that the user complies with the requirements of operation and maintenance. Maintenance service is not regulated and repairs are carried out at the request of the Customer in the event of a malfunction. Delivery, installation, commissioning and training of personnel on the equipment is carried out within no more than 4 (four) months from the date of signing the contract for the purchase of equipment and are included in the cost of the equipment. The warranty period (12 months) can be extended by concluding an additional agreement. The cost of extending the warranty service in each particular case is discussed additionally. 5 6

5 Comparison The current level of products development and equipment localization is about 95% and the average price per unit is two times lower in comparison with the competitors. The company helped with organization and launching more than 20 types of educational medical simulators, all of that meet modern education standards have been successfully implemented. The rulers of the supplied simulators are constantly updated and modernized. Robot patient Surgical simulators Options Eidos-Medicine Analog 1 Analog 2 Options Eidos Medicine Analog 1 Analog 2 Level of physiological model of the patient Above average High level No Haptic feedback Magnetic (except for angography) Mechanical Mechanical Level of patient detailisation Life like skin, realistic musculoskeletal structure Medium Low Possibilityof integration with the robot-patient simulator Yes No No Anesthesiologist training Yes Yes No Visualization of anatomical structures in software High level Low level High level Possibilityof integration with surgical simulators Yes No No Implementation of 3D-endoscopy No No High level HF and ALS models Yes Yes Yes Availability of training modules aimed at conducting diagnostic procedures Yes No No BLS models Yes No Yes Number of training exercises A large number of exercises Reduced amount of exercises A large number of exercises Cost of equipment $ $ $ Cost of equipment $ $ $ Service charges Low High High Service charges Low High High 7 8

6 5th generation of the Robots-simulators A high-fidelity patient simulator: the highest standard of realism in form and function. The line of robot-patients of the 5th generation was launched into mass production in early 2017 and already received high marks both at international exhibitions and during approbations in clinics and universities not only in Russia but also in the USA, Europe, and Japan. The first among its predecessors, the 5th generation robotic patient was completely reprogrammed, and also mechanically altered. A single highquality database of solutions, created in the development process, made it possible to create robots with combined functions, ronots that have no analogs in the world. Appearance At the heart of the robot design, real tomographic images were used, which made it possible to realize the closest to the human musculoskeletal structure with mobility in the main joints. The skin of the robot-patient in appearance and tactile sensations is similar to human s. Elements A number of new functions have been added, such as the possibility of using replaceable modules of limbs (for imitation of trauma and amputation), simulation of secretions of all the main biological fluids (blood, urine, sweat, tears, saliva) was added, and all the executive units responsible for simulating the realism of human physiology (breathing, CPR, auscultation, defibrillation, and ECG) was updated. Software The highly realistic physiological model of the patient is completely updated. The pharmacokinetics of drugs, the ability to dynamically track changes in all the basic parameters of the patient s vital activity on a bedside monitor, has been added. There was an opportunity to create customer ECG graphs, create and edit training scenarios with different outcomes and varying degrees of complexity, depending on the manipulations performed. Electronics Unlike previous generation robots, in this series the number of sensors and sensors has been doubled, which allowed automating the process of recording actions on the robot as much as possible, fixing them in the debriefing system. The changes introduced also allow the use of more realistically looking medical equipment and tools in the training process. 9 10

7 Intensive Care Unit ADAM.HF (High Fidelity) Development Of Major Medical Skills such as: Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications (which includes but not limited to tongue edema, laryngeal edema, laryngospasm (requires a coniotomy), left/right bronchus obstruction, trismus), using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and others Decompression of tension pneumothorax Performance of intramuscular, intraosseous and intravenous injections (with type and amount of the administered medicine being automatically recognized) by software Performance of cricoid pressure technique (Sellick s maneuver) Performance of pleural cavity drainage Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones which requires a correct positioning of instrument Performance of urethral catheterization Automatic blinking, depending on the physiological state of the patient; pupils reaction to the light or touching of the eyeball Physiological model, correlated with the patient age Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone Pulse: 12 points Imitation of various types of secretion (bleeding, sweating, urination, tears, secretion from ears, nose, mouth) Creation and editing of ECG graphs (additional software) Lips and fingers cyanosis Imitation of different clinical pictures: During Cardiac complications - pressure change, heart rate, ECG rhythm change, pulsation power, etc is carried out both on the patient and on the bedside monitor. During respiratory the introduction and maintenance of anesthesia - various complications and critical situations - drug overdose, inflammation, cessation of oxygen supply, failure of mechanical ventilation or NDA, embolism Real-time tracking and analysis of the CPR procedure performance Possibility of inputting individual breathing settings for the lungs (right / left) Life-like mobility and flexion of major joints - neck, shoulders, knee, hip, elbow etc; flexion of the hands and fingers Imitation of different types of seizures Additional elements with imitations of injuries (arms and legs) Virtual imitations of mechanical ventilation machine and anesthetic machine Detailed automatic registration of all actions performed during exercise performance During respiratory complications - changes in the BHD, capnogram, the appearance of cyanosis, loss of consciousness, voices, various wheezing, etc. In case of head injuries, internal injuries of the torso and limbs with different physiological reactions - lack of pupils response, auscultatory pattern on left or right sides, pressure drop (in case of blood loss), convulsions ans seizures ADAM.HF is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of cardiopulmonary resuscitation, intensive care, and life-support procedures using a wide variety of possible medical situations. Robot patient height 183 cm, weight 70 kg, age years 11 12

8 Advanced Life Support Development Of Major Medical Skills such as: Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications (which includes but not limited to tongue edema, laryngeal edema, laryngospasm (requires a coniotomy), left/ right bronchus obstruction, trismus), using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and other Decompression of tension pneumothorax (right side) Performance of pleural cavity drainage (right side) ADAM.ALS (Advanced Life Support) Performance of intramuscular, intraosseous and intravenous injections (with type and amount of the administered medicine being automatically recognized) by software Performance of a conicotomy procedure, including making of an incision, the installation of the endotracheal tube, the administration of medicine and the use of an BVM Performance of cricoid pressure technique (Sellick s maneuver) Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones which requires a correct positioning of instrument Performance of urethral catheterization (without liquid) Automatic blinking, depending on the physiological state of the patient; pupils reaction to the light Adapter interface for the real defibrillator machine Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone Pulse: 10 points Lips and fingers cyanosis Extensice ECG-graphs library Real-time tracking and analysis of the Development Of Clinical Judgment: Addressing the complications in patient health caused by malfunctioning of mechanical ventilation Performing of an emergency assistance in case of airways obstruction and /or closure caused by allergic reactions, blockage of the lungs, swelling of the tongue, presence of a foreign object CPR procedure performance Imitations of convulsions (arms) Life-like mobility and flexion of major joints - neck, shoulders, knee, hip, elbow etc; flexion of the hands and fingers Type and amount of the administered medicine are automatically recognized by software Virtual imitation of mechanical ventilation machine Detailed automatic registration of all actions performed during exercise performance Performing of emergency first-aid in various critical situations: drug overdose, anaphylactic shock, hyperkalemia etc Addressing unforeseen complications in patient health caused by unknown circumstances ADAM.ALS is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of advanced life support and intensive care in case of various complications and life-threatening situations. Robot patient height 183 cm, weight 70 kg, age years 13 14

9 Basic Life Support Basic Life Support ADAM.BLS (Basic Life Support) ADAM.BLS.HT (Basic Life Support. Half Torso) Development Of Major Medical Skills such as: Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and other Performance of cricoid pressure technique (Sellick s maneuver) Performance of intramuscular and intravenous injections Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones which requires a correct positioning of instruments Development Of Major Medical Skills Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and other Performance of cricoid pressure technique (Sellick s maneuver) Palpation of the pulse on the carotid and radial arteries Adapter interface for the real defibrillator machine Real-time tracking and analysis of the CPR procedure performance Manual changing of the pupil s diameter Possibility of inputting individual auscultation sounds settings depending on heart rate and respiratory rate If intubation tube inserted further than required it will lead to stomach bloating Type and amount of the administered medicine are automatically recognized by software The palpation of the pulse on the carotid and radial arteries Real-time tracking and analysis of the CPR procedure performance Manual changing of the pupil s diameter If intubation tube inserted further than required it will lead to stomach bloating Patient breaths spontaneously in imitation of different clinical pictures Chest excursions during breathing Oropharynx structure is modelled based on real patient data Real-time tracking and analysis of the CPR procedure performance ADAM.BLS is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of basic life support and firs-aid. Robot patient height 183 cm, weight 70 kg, age years ADAM.BLS.HT is a simulator of a human torso. It is designed for training in the performance of CPR and intubation. Robot patient, weight 35 kg, age years 15 16

10 Basic Life Support and ECG Cardiopulmonary Resuscitation Procedure (CPR) ADAM.START Simulator of an adult patient for practicing practicing of cardiopulmonary resuscitation procedure with imitations of: Respiratory sounds and noises Chest excursions during breathing Palpation of the pulse on the carotid and radial arteries ECG-readings can be traced using real medical devices and more than 30 other different functions aimed on development of major medical skills and clinical judgment CPR+ Training Manikin (Half-Torso) Training manikin (half-torso) for CPR+ training Basic CPR-training Chest resistance can be changed in order to imitate patients of different ages (young, middle-aged, elderly) Automatic registration of all actions performed and the output of the results on the screen Performance of intubation procedure Performance of defibrillation procedure ECG+ Simulator Adult patient phantom (torso) designed for the performance of ECG procedure. Complete with ECG-leads placement areas and Laptop 12-lead ECG ECG-readings can be traced using real medical devices Realistic skin and anatomical structure of the body The ECG results are shown on the Laptop monitor CPR Training Manikin (Half-Torso) Training manikin (half-torso) for CPR training Basic CPR-training Fixation of the patient neck and head Technique of patient positioning and transportation Chest resistance can be changed in order to imitate patients of different ages (young, middle-aged, elderly) ECG Simulator Adult patient phantom (torso) designed for the performance of ECG procedure. Complete with ECG-leads placement areas 12-lead ECG ECG-readings can be traced using real medical devices Realistic skin and anatomical structure of the body CPR Training Manikin (Full-Torso) Training manikin (full-torso) for CPR training Basic CPR-training Fixation of the patient neck and head Easy to transport and set for work Chest resistance can be changed in order to imitate patients of different ages (young, middle-aged, elderly) 17 18

11 Military Medicine Military Medicine ADAM.HF.ARMY (High Fidelity) ADAM.ALS.ARMY (Advanced Life Support) Autonomous, wireless simulator of an adult patient with a skeletal and anatomical structure of a human. Simulator designed for practicing skills and providing medical assistance, with heavy focus on military field medicine Autonomous, wireless simulator of an adult patient with a skeletal and anatomical structure of a human. Simulator designed for practicing advanced life support and providing medical assistance, with heavy focus on military field medicine Improved life support system (for performance of specializedintesive care) Realistic musculoskeletal structure and skin are strengthened to provide wear-and-tear resistance during usage in field conditions) Real-time tracking and analysis of the CPR procedure performance Performance of ECG and Defibrillation using real defibrillator Detailed automatic registration of all actions performed during exercise performance; Video recording of exercise performance Auscultation and interpretation of heart, lungs, intestines sounds, and Korotkoff tones Imitation of various types of secretion (bleeding, sweating, urination, tears, secretion from ears, nose, mouth) Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone Increased blood volume (for imitation of limb loss and excessive trauma) Robot patient can be safely laid in the ground and used outside in different weather conditions Special «military medicine»-based exercises Improved life support system (for performance of specialized resuscitation measures) Realistic musculoskeletal structure and skin are strengthened to provide wear-and-tear resistance during usage in field conditions) Real-time tracking and analysis of the CPR procedure performance Real-time tracking and analysis of the CPR procedure performance Performance of ECG and Defibrillation using real defibrillator Detailed automatic registration of all actions performed during exercise performance; Video recording of exercise performance Robot-patient can be safely laid in the Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone ground and used outside in different weather conditions Special «military medicine»-based exercises ADAM.HF.ARMY is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of cardiopulmonary resuscitation, intensive care, and life-support procedures using a wide variety of possible medical situations. Robot patient height 183 cm, weight 70 kg, age years ADAM.ALS.ARMY is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of advanced life support and intensive care in case of various complications and life-threatening situations. Robot patient height 183 cm, weight 70 kg, age years 19 20

12 Traumatology + Ultrasound Diagnostics Traumatology ADAM.ALS.TRAUMA ADAM.ALS.TRAUMA.US (Advanced Life Support. Ultra Sound) Autonomous, wireless simulator of an adult patient with a skeletal and anatomical structure of a human. Simulator designed for practicing skills in advanced life support including additional ultrasound diagnostic features, with heavy focus on traumatology Improved life support system (for performance of specialized resuscitation measures) Realistic musculoskeletal structure and skin Real-time tracking and analysis of the CPR procedure performance Detailed automatic registration of all actions performed during exercise performance; Video recording of exercise performance Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone A set of special exercise, requiring use of ultrasound diagnostic A set of exercises that simulate various clinical situations, with heavy focus on injuries and the corresponding patient conditions A set of replaceable limbs for simulating injuries Autonomous, wireless simulator of an adult patient with a skeletal and anatomical structure of a human. Simulator designed for practicing skills in advanced life support with heavy focus on traumatology Improved life support system (for performance of specialized resuscitation measures) Realistic musculoskeletal structure and skin Real-time tracking and analysis of the CPR procedure performance Detailed automatic registration of all actions performed during exercise performance; Video recording of exercise performance Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones ADAM.BLS.TRAUMA Autonomous, wireless simulator of an adult patient with a skeletal and anatomical structure of a human. Simulator designed for practicing skills in basic life support including additional ultrasound diagnostic features, with heavy focus on traumatology Base life support system (for performance of base CPR) Realistic musculoskeletal structure and skin Real-time tracking and analysis of the basic CPR procedure performance Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone A set of exercises that simulate various clinical situations, with heavy focus on injuries and the corresponding patient conditions A set of replaceable limbs for simulating injuries A set of exercises that simulate various clinical situations, with heavy focus on injuries and the corresponding patient conditions A set of replaceable limbs for simulating injuries 21 22

13 Anesthesia Pulmonology ADAM.ALS.ANESTHESIA Autonomous, wireless simulator of an adult patient with a skeletal and anatomical structure of a human. Simulator designed for practicing skills in anesthesia-related procedures Improved life support system (for performance of specialized resuscitation measures) Realistic musculoskeletal structure and skin Real-time tracking and analysis of the CPR procedure performance Performance of ECG and Defibrillation using real defibrillator Detailed automatic registration of all actions performed during exercise performance; Video recording of exercise performance Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone Auscultation and interpretation of heart, lungs, intestines sounds, and Korotkoff tones Performance of intubation procedures, normal and with complications Additional anesthesia-based exercise Possibility to intergate and use simulator with real anaesthetic machine ADAM.ALS.PULMONOLOGY Autonomous, wireless simulator of an adult patient ADAM.ALS + LUNG Unit Base life support system (for performance of base CPR) Realistic musculoskeletal structure and skin Real-time tracking and analysis of the basic CPR procedure performance Can be integrated with mechanical ventilation machine Inspiratory pressure control LUNG Unit Regulation of the respiratory volume Adjusting the breathing frequency Regulation of PEEP Inhalation / expiration ratio adjustment Regulation of the inspiratory pause Controlling the oxygen level in the feed mixture An additional unit designed for simulation of the human respiratory system, which can be connected to the mechanical ventilation machine and used with it ANESTHESIA Unit An additional unit designed for simulation of the human respiratory system, which can be connected to the anaesthetic machine and used with it Can be connected to the robot-patient in order to be integrated with anesthetic machine Simulation of CO2 exhalation (4 levels) using a replacement cartridge installed inside the simulator Imitation of different patient conditions Can be integrated with mechanical ventilation machine Inspiratory pressure control Regulation of the respiratory volume Adjusting the breathing frequency Regulation of PEEP Inhalation / expiration ratio adjustment Regulation of the inspiratory pause Controlling the oxygen level in the feed mixture 23 24

14 Intensive Care Unit (Child) JUNIOR.HF (High Fidelity) Development Of Major Medical Skills Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications (which includes but not limited to tongue edema, laryngeal edema, laryngospasm (requires a coniotomy), left/right bronchus obstruction, trismus), using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and others Decompression of tension pneumothorax Performance of intramuscular, intraosseous and intravenous injections (with type and amount of the administered medicine being automatically recognized) by software Performance of cricoid pressure technique (Sellick s maneuver) Performance of pleural cavity drainage Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones which requires a correct positioning of instrument Performance of urethral catheterization Automatic blinking, depending on the physiological state of the patient; pupils reaction to the light or touching of the eyeball Physiological model, correlated with the patient age Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone Pulse: 12 points Imitation of various types of secretion (bleeding, sweating, urination, tears, secretion from ears, nose, mouth) Creation and editing of ECG graphs (additional software) Development Of Clinical Judgment: During Cardiac complications - pressure change, heart rate, ECG rhythm change, pulsation power, etc is carried out both on the patient and on the bedside monitor. During respiratory the introduction and maintenance of anesthesia - various complications and critical situations - drug overdose, inflammation, cessation of oxygen supply, failure of mechanical ventilation or NDA, embolism Lips and fingers cyanosis Real-time tracking and analysis of the CPR procedure performance Possibility of inputting individual breathing settings for the lungs (right / left) Life-like mobility and flexion of major joints - neck, shoulders, knee, hip, elbow etc; flexion of the hands and fingers Imitation of different types of seizures Additional elements with imitations of injuries (arms and legs) Virtual imitations of mechanical ventilation machine and anesthetic machine Detailed automatic registration of all actions performed during exercise performance During respiratory complications - changes in the BHD, capnogram, the appearance of cyanosis, loss of consciousness, voices, various wheezing, etc. In case of head injuries, internal injuries of the torso and limbs with different physiological reactions - lack of pupils response, auscultatory pattern on left or right sides, pressure drop (in case of blood loss), convulsions and seizures Junior.HF is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of cardiopulmonary resuscitation, intensive care, and life-support procedures using a wide variety of possible medical situations. Robot patient height 120 cm, weight 30 kg, age 6-8 years 25 26

15 Advanced Life Support (Child) JUNIOR.ALS (Advanced Life Support) Automatic blinking, depending on the physiological state of the patient; pupils reaction to the light Adapter interface for the real defibrillator machine Simulation of patient speech, coughing, moaning, screaming; possibility of voice communication with the trainee (imitation of active speech) via microphone Pulse: 10 points Lips and fingers cyanosis Extensice ECG-graphs library Imitations of convulsions (arms) Life-like mobility and flexion of major joints - neck, shoulders, knee, hip, elbow etc; flexion of the hands and fingers Type and amount of the administered medicine are automatically recognized by software Virtual imitation of mechanical ventilation machine Detailed automatic registration of all actions performed during exercise performance Development Of Major Medical Skills Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications (which includes but not limited to tongue edema, laryngeal edema, laryngospasm (requires a coniotomy), left/ right bronchus obstruction, trismus), using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and other Decompression of tension pneumothorax (right side) Performance of pleural cavity drainage (right side) Performance of intramuscular, intraosseous and intravenous injections (with type and amount of the administered medicine being automatically recognized) by software Performance of a conicotomy procedure, including making of an incision, the installation of the endotracheal tube, the administration of medicine and the use of an BVM Performance of cricoid pressure technique (Sellick s maneuver) Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones which requires a correct positioning of instrument Performance of urethral catheterization (without liquid) Real-time tracking and analysis of the CPR procedure performance Development Of Clinical Judgment: Performing of an emergency assistance in case of heart failure using pre-programmed ECG readings Addressing the complications in patient health caused by malfunctioning of mechanical ventilation Performing of emergency first-aid in various critical situations: drug overdose, anaphylactic shock, hyperkalemia etc Performing of an emergency assistance in case of airways obstruction and /or closure caused by allergic reactions, blockage of the lungs, swelling of the tongue, presence of a foreign object Junior.ALS is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of advanced life support and intensive care in case of various complications and life-threatening situations. Robot patient height 120 cm, weight 30 kg, age 6-8 years 27 28

16 Basic Life Support (Child) Basic Life Support (Child) JUNIOR.BLS (Basic Life Support) JUNIOR.BLS.HT (Basic Life Support. Half Torso) Development Of Major Medical Skills Development Of Major Medical Skills Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and other Performance of cricoid pressure technique (Sellick s maneuver) Performance of intramuscular and intravenous injections Auscultation and interpretation of heart, lungs and intestines sounds, and Korotkoff tones which requires a correct positioning of instruments Performance of cardiopulmonary resuscitation procedure (CPR) in accordance with AHA/ERC Guidelines for CPR and defibrillation with or without use of acute care medications and real defibrillator machine Performance of intubation procedures, normal and with complications using a variety of medical instruments such as endotracheal tubes, laryngeal mask airway (LMA), combitube and other Performance of cricoid pressure technique (Sellick s maneuver) Palpation of the pulse on the carotid and radial arteries Adapter interface for the real defibrillator machine Real-time tracking and analysis of the CPR procedure performance Manual changing of the pupil s diameter Possibility of inputting individual auscultation sounds settings depending on heart rate and respiratory rate If intubation tube inserted further than required it will lead to stomach bloating Type and amount of the administered medicine are automatically recognized by software The palpation of the pulse on the carotid and radial arteries Real-time tracking and analysis of the CPR procedure performance Manual changing of the pupil s diameter If intubation tube inserted further than required it will lead to stomach bloating Patient breaths spontaneously in imitation of different clinical pictures Chest excursions during breathing Oropharynx structure is modelled based on real patient data Real-time tracking and analysis of the CPR procedure performance Junior.BLS is a high-fidelity patient simulator: the highest standard of realism in form and function. It is designed for training in performance of basic life support and firs-aid. Robot patient height 183 cm, weight 70 kg, age years Junior.BLS.HT is a simulator of a child torso. It is designed for training in the performance of CPR and intubation. Robot patient, weight 12 kg, age 6-8 years 29 30

17 Neonatology Basic neonatology NENA.HF (High Fidelity) Wireless neonatal simulator with an unprecedented level of realism. Reproduces infant-specific neurological and physiological responses, allows the practice of intubation and artificial ventilation, and there is the possibility of simulating pneumothorax on the right and left. Height - 50 cm, weight 5 kg, age 0-3 months. NENA.ALS (Advanced Life Support) Highly realistic manikin for a child under 1 year old A realistic musculoskeletal structure of a child Performance of cardiopulmonary resuscitation procedure of a newborn with the possibility of monitoring of vitals Checking anterior fontanelle size, presence of testicles in the scrotum, checking of reflexes and neurological status, evaluation of physical development indices NENA.PREMATURE Highly realistic manikin for a premature child Development Of Major Medical Skills Neonatal cardiopulmonary resuscitation procedure with or without use of acute care medications Checking anterior fontanelle size, presence of testicles in the scrotum, checking of reflexes and neurological status, evaluation of physical development indices Performance of intubation procedures, normal and with complications using a variety of medical instruments such as Playing sounds: crying, coughing, hiccoughing Life-like mobility and flexion of major joints - neck, shoulders, knee, hip, elbow etc; flexion of the hands and fingers Automatic blinking, depending on the physiological state of the patient; Compression of the chest (imitation of the cardiovascular system) endotracheal tubes, laryngeal mask airway (LMA), combitube and other Auscultation and interpretation of heart, lungs and intestines sounds which requires a correct positioning of instruments Performance of all neonatal care procedures, with or without use of real specialized instruments including possibility of integration with the real infant incubator Extensive library of training exercises Bedside monitor for tracking vital signs Carrying out cardiopulmonary resuscitation of newborns Complicated intubation airways Auscultation Estimation of the fontanel Catheterization of the bladder Scenario Creating software Performance of general pediatric care Extensive library of training exercises Video recording of exercise performance NENA.CPR Highly realistic manikin for a child under 1 year old for the CPR training Performance of cardiopulmonary resuscitation procedure of a newborn with the possibility of monitoring of vitals Performance of all neonatal care procedures, with or without use of real specialized instruments including possibility of integration with the real infant incubator Performance of basic pediatric care Wireless neonatal simulator with an unprecedented level of realism, and offers an ideal training solution with different scenarios for a wide range of healthcare professionals, including patient care, emergency medical intervention, and resuscitation training

18 Obstetrics and Gynecology EVA.HF (High Fidelity) Simulation of the process of delivery: from labor to the postpartum period Anatomically realistic doll full-term fetus (fontanel, placenta) with articulation of joints Anatomically realistic doll premature fetus Listening to the heartbeat of the fetus and fetal monitoring Includes 10 clinical scenarios Automatic blinking, depending on the physiological state of the patient Anatomically correct structure of female organs and their dynamic variation depending on the stage of childbirth Realistic behavior of the woman in childbirth (screaming, moaning, cursing) Realistic physiological condition of the mother in childbirth Scenario Creating software Development Of Clinical Judgment: Development Of Major Medical Skills Imitation of numerous variants of childbirth with complications, such as pelvic presentation of the fetus, severe toxicosis, high blood pressure, extensive bleeding, rupture of the uterus, etc. Conducting a vaginal examination (assessment of the cervix, fetus, fetus position) Performing of epidural injections Early delivery (up to 35 weeks) accompanied by the birth of the premature fetus Imitation of a delivery in case of the inverted position of the fetus Addressing of an excessive bleeding during delivery Imitation of-of the placenta rejection procedure Imitation of different level of contractions the development of all stages of labor, from the first contractions to the postpartum period obstetrics during intrauterine hypoxia and fetal asphyxia development of the use of obstetric instruments (forceps, vacuum extractor, etc.) Preparation of the patient for childbirth Simulator of an adult female patient with an anatomically correct structure of female organs and imitation of their dynamic change, depending on the stage of childbirth. The simulator allows the trainee to work through all stages of childbirth, from the first contractions to the postpartum period, using a variety of clinical cases, including normal and pathological variants of childbirth. at the operative extraction of the fetus through the natural birth canal with imitation on the monitor of the positions and rotations of the fetal head inside the pelvis of the mother in childbirth with cardiac complications during childbirth with a simulation of the corresponding clinical picture, both on the patient and on the bedside monitor - pressure change, heart rate, ECG rhythm change, pulsation, etc. Obstetrics module when working with respiratory complications in the process of childbirth - changes in BHD, capnogram, the appearance of cyanosis, loss of consciousness, voices, and other meanings with extensive blood loss, ruptures of the birth canal, uterus, pelvic bone injuries, bone pelvis abnormalities Manikin parts of the pregnant woman lower body (abdomen, uterus, vagina, bladder, rectum) with the placenta and newborn The ability to «manually» simulate the process of labor from the first fights to the fetus, including the possibility of postpartum complications (bleeding) It is possible to simulate various fetal presentation the degree of hemorrhage, extraction of the placenta, palpitation of the fetus, etc

19 Auscultation Auscultation simulator Standart/ Advanced SIMULATOR OF PHYSICAL EXAMINATION OF A CARDIAC PATIENT Standart/ Advanced Manikin for conducting of a physical examination of a patient with various heart diseases Realistic musculoskeletal structure and skin Auscultation of the heart and lungs Auscultation of precordial pulsation Palpation of central and peripheral arteries Synchronization of pulsation with heart sounds Adjusting the sounds of auscultation of the lungs and heart (advanced) Palpation of the apical impulse (advanced) Visualization of veins of the neck (advanced) Palpation of central and peripheral arteries synchronized with cardiac phases (advanced) For the «Advanced» version, following options are included: debriefing, demonstration of the phonogram of auscultation sounds, the possibility of combining the ECG and phonogram charts, the possibility of changing the heart rate and BHD with a corresponding change in the dynamics of sound More than 20 (35 for the «advanced» version) of the auscultation zones More than 30 (50 for the version of «advanced») pre-established clinical cases Self-tuning of sounds in different zones Reproduction of complex combinations (heart sounds with breathing sounds) The possibility of changing the dynamics and strength of precaradal pulsations (advanced) SIMULATOR OF PHYSICAL EXAMINATION OF A PATIENT Standart/ Advanced Manikin for palpation of the abdominal organs: Realistic musculoskeletal structure and skin Palpation of the apical impulse (advanced) Auscultation of lung souns The sound is normal: trachea, bronchial, vesicular, broncho-vesicular Noise respiratory: sniffles, snoring, wheezing, stridor, friction of the pleura Vocal sounds Croupous pneumonia Dry low-toned rales Dry high-pitched rales Crepitus Noise of friction of the pleura Pulmonary edema Auscultation of heart sounds Normal sound of heart rate, Additional third, fourth tone Systolic noises Mitral regurgitation The noise of exile Diastolic murmurs Aortic stenosis Mitral valve insufficiency Mitral stenosis Atrial septal defect Cardiomyopathies Ppalpation of the abdominal cavity organs Realistic positioning of abdominal organs Realistic anatomy of modules of internal organs Interchangeable modules of internal organs Imitation of auscultation of the heart and lungs (advanced) Visualization of veins of the neck (advanced) Palpation of the central and peripheral arteries (advanced) Synchronization with cardiac phases (advanced) 35 36

20 Medical Team Training Medical Team Training AMBULANCE AMBULANCE.AVIA Simulation of an ambulance Simuation of an air medical services Ambulance driving training (city route, cross country, mountain road, maneuvering at the training ground) Teamwork as ambulance brigade Work with a standalone, wireless simulator of an adult patient Performing of an emergency assistance in case of airways obstruction and /or closure caused by allergic reactions, blockage of the lungs, swelling of the tongue, presence of a foreign object Performing of emergency first-aid in various critical situations: drug overdose, anaphylactic shock, hyperkalemia etc Addressing unforeseen complications in patient health caused by unknown circumstances Performance of the CPR and Basic Life Support procedures Teamwork as ambulance brigade Work with a standalone, wireless simulator of an adult patient Performing of an emergency assistance in case of airways obstruction and /or closure caused by allergic reactions, blockage of the lungs, swelling of the tongue, presence of a foreign object Performing of emergency first-aid in various critical situations: drug overdose, anaphylactic shock, hyperkalemia etc Addressing unforeseen complications in patient health caused by unknown circumstances Performance of the CPR and Basic Life Support procedures Complex training as an ambulance brigade Realistic simulation of driving Performing of intesive first-aid before hospitalization Patient transportation (positioning on stretcher, loading in the helicopter, arriving at the hospital) Video recording of exercise performance Complex training as an ambulance brigade Realistic simulation of flight Performing of intesive first-aid before hospitalization Patient transportation (positioning on stretcher, loading in the helicopter, arriving at the hospital) Video recording of exercise performance Emegency medical care outside of the hospital Emegency medical care outside of the hospital 37 38

21 Patient Care Patient Care ADAM NURSING JUNIOR NURSING Highly realistic manikin for a child 5-7 years old Отработка навыков по уходу за пациентами: Cleaining and dressing of wounds, pressure injuries, skin rupture and rashes. The care and maintenance of peripheral intravenous catheters, intubation tubes Performance of various basic gastroscopic, urological and gynecological procedures. Performance of patient state check-up Transportation of a bedridden patient Performance of urethral catheterization Performance of patient state chek-up The care and maintenance of peripheral intravenous catheters and intubation tubes NENA NURSING Performance of various basic gastroscopic, urological and gynecological procedures Using specialized child medical equipment Performance of urethral catheterization Hygiene care of a recumbent patient Intramuscular injections Performance of gastric washing, lavage, aspiration Treatments for various types of stoma (gastrostomy, colostomy, ileotomy) Highly realistic manikin for a child under 1 year old Articulation of all major joints The care and maintenance of peripheral intravenous catheters Performance of all neonatal care procedures, with or without use of real specialized instruments including possibility of integration with the real infant incubator Checking anterior fontanelle size, presence of testicles in the scrotum, checking of reflexes and neurological status, evaluation of physical development indices 39 40

22 Traumatology Unit Phantomes Trauma Imitation Paddings Arms Imita t ion ofan arm for practicing of intravenous, intra m uscular and subcutaneous injections; measuring blood pressure using a real cuff. Can be used as padding for different parts of the body Can use with manikin, robots-patient, and phantoms, as well as real people Options Fractures 1. Closed fracture of lower jaw 2. Closed fractures of orbits 3. Complicated fracture of the nose 4. Complicated fracture of ribs 5. Open fracture of humerus 6. An open fracture of the fibula 7. Closed fracture of the fibula 8. Closed fracture of radius 9. Open fracture of the finger 10. Complex fracture of the big toe Burns / Frostbites 11. Burns of 1,2 and 3 degrees 12. Burns 1 and 2 degrees 13. Burns of 1 degree 14. Radiation burns 15. Frostbite of the toes (2 degrees) 16. Frostbite of the toes (3 degrees) 17. Frostbite of the toes (4 degrees) 18. Frostbite of the fingers (2 degrees) 19. Frostbite of the fingers (3 degrees) 20. Frostbite of the fingers (4 degrees) 21. Frostbites of elbows 22. Frostbite of the knees Bites 23. A bitten wound (dog) 24. The snake s bite 25. Insect bite with allergies 50 possible options Can be used with robot-patient systems or phantoms in order to simulate bleeding Bruises / Injuries 26. The wound of the orbit with enucleation (wound of the eye) 27. Ear injury (rupture of ear tissues) 28. Head trauma small 29. Trauma of the head surface is moderate 30. Head trauma extensive 31. Injury to the neck 32. Teared nail 33. Bruised hand 34. Bruised leg 35. Superficial abrasion Cut wounds 36. Scalped wound of abdomen 37. Deep abdominal wound cut 38. A cut wound on a hand (glass) 39. Cut wound on a hand (glass) 40. Wounded wrist, resulted in tearing of a soft tissues 41. Deep cut wound of the foot with tearing of the little finger 42. Wound, resulted in arterial hemorrhage 43. Wound, resulted in venous bleeding 44. Cut a wound of a foot (puncture with a nail) 45. Lacerated Wound 46. A deep lacerated wound Bullet wounds 47. The entrance hole of a bullet wound (small caliber) 48. The entrance hole of a bullet wound (large caliber) 49. The bullet wound 50. Extensive shot wound Intravenous injections Intramuscular injections Hypodermic injections Measurement of a blood pressure Description Imitator of arm has a musculoskeletal structure and full venous access with a branched venous network (8 major veins) Veins are visible and available for palpation Intravenous injections can be performed on fingers veins, thumb veins, and intercarpal veins Palpation can be performed on fingers veins, thumb veins, and intercarpal veins Imitation of a bone structure and possibility to hit it with a needle Life-like resistance of a silicon skin Silicone skin can sustain multiple punctures and sustainable to rupture In the elbow bend, the following superficial veins are available: the lateral subcutaneous vein of the arm, the medial subcutaneous vein of the arm, the ulnar vein A silicon skin is resistant when performing venepuncture. Arterial pressure can be measured using the adapted medical equipment It is possible to measure systolic and diastolic pressure 41 42

23 Endovascular simulator Platforms ENSIM.EVS The simulator s software provides the highest level of detail of the anatomy. Simulation of the endovascular instruments physics, haptic feedback and imitations spreading of X-ray contrast liquids allows the trainee to understand fundamental the principles of work for different types of intervention and to improve already existing skills. Device Simulation More than 30 kinds of virtual endovascular instruments Identical to real C-arm control panel Haptic feedback and imitation of blood vessel resistance Real-time tracking of longitudinal movements and rotations of tools Virtual OR Suitable for radiology, cardiology, and neuroradiology training Using of DSA (Digital Subtraction Angiography) X-ray imagining in positive and negative A set of virtual hints and guides, step-by-step instructions Educational Features Individual user profiles Detailed automatic registration of all actions performed during exercise performance Course of basic skills training C-arm operating training Work with real endovascular instruments Work with a wide range of virtual instruments Customizable training courses Extensive educational content Complete operation room setup with real position of the surgical team (ENSIM.H.EVS) Standardize, structure and complement hands-on skills training ENSIM.B.EVS Compact size No specific requirements for installation Easy transportation Complete set of training modules Compact portable design which can easily and conveniently be placed on any table for training; the perfect solution e.g. in skills centers, workshops and seminars. ENSIM.S.EVS One-piece structure Wheels for easy transportation Different monitors for radiography and fluoroscopy Adjusting the height of the workspace Sophisticated and mobile design with a wheel cart and an electronically adjustable display and working height; the perfect solution for training rooms and simulation centers ENSIM.H.EVS Working with a realistic robot-patient Performing endovascular interventions as surgical team Anatomically correct placement of catheters on the robot-patient body for insertion of endovascular instruments ENSIM-EVS can be used to acquire as well as maintain endovascular skills, and is suitable for radiology, cardiology and neuroradiology training. It presents the user with real endovascular instruments and an extensive modules library. On top of that it has the possibility of different types of angiographic imaging, including X-ray with positive, negative and 3D mode, fluoroscopy, cineangiography and DSA (Digital Subtraction Angiography) for roadmapping. Complete operation room setup with real position of the surgical team; it designed for teamwork training and performance of surgical interventions at maximum level of realism 43 44

24 Endovascular simulator Library Of Modules 1. Balloon angioplasty and stenting Realistic X-Ray During the fluoroscopy, the X-ray image reflects the corresponding changes in the current projection of C-arm and patient position Carotid stenting 2. Brain interventions Renal stenting Coronary stenting Iliac stenting 3. Aneurism repair Femoral stenting Below the knee stenting Movement of blood vessels as a result of heartbeat and breathing leads to the corresponding changes in the X-ray image The spreading of the contrast agent through the vascular system can be tracked from the place of its administration to the system, which is determined by the current position of the catheter The intensity of the fluoroscopic image depends on the volume of the introduced contrast agent, the speed of input, the time passed since the moment of input Cerebral vessels stenting Embolization of intracranial aneurysms Ischemic stroke endovascular aneurism repair (EVAR) thoracic endovascular aneurism repair (TEVAR) Different position of the catheter 4. Base course Three access points (right radial, right femoral, left femoral) Simultaneous work with multiple access points Change the access point during the intervention Catheter training Guide wire training 5. Uterine fibroid embolization Embolization coils training Projections of coronary angiography Common angiography projections Advanced сoronary stenting Library of instruments In each exercise, several endovascular instruments can be used in order to complete the interventions. At the same time, the software does not limit the choice of the instrument within the framework of the intervention. During the simulation of endovascular interventions real endovascular instruments (catheters, guidewire,) are used as universal ones. More than 30 types of instruments are available in the virtual library, with the possibility of choosing from different categories 45 46

25 Endosurgery simulator Platforms ENSIM.LPR The simulator s software provides the highest level of detail of the patient anatomy; detailed simulation of the resistance of organs and instruments based on modern magnetic feedback provides realistic tactile perception when performing interventions. ENSIM.LPR can be used to acquire as well as maintain laparoscopic skills, making it a system suitable for trainees and students, as well as for doctors in residency training and a wide range of medical specialists. The educational platform Device Simulation Wireless universal imitators of laparoscopic instruments Magnetic haptic feedback for simulating the resistance of internal organs Tracking of longitudinal movements and rotations of tools Working with virtual and hardware elements of the laparoscopic stand (ENSIM.H.LPR) Virtual OR Three-dimensional anatomical atlas Presence of virtual hints, step-by-step instructions and video courses Addressing of complications caused by trainee actions or unforeseen circumstance Performing operations in the «Free Mode» Educational Features Individual user profiles Detailed automatic registration of all actions performed during exercise performance Course of basic skills training Additional suturing modules Extensive educational content Complete operation room setup with real position of the surgical team (ENSIM.H.EVS) Standardize, structure and complement hands-on skills training enhances knowledge and technical skills, and improves communicational skills and team work. Simulator can be integrated in any curriculum or training program. Suitable for individual- as well as team training ENSIM.B.LPR Compact size No specific requirements for installation Easy transportation Additional training modules can be installed later Compact portable design which can easily and conveniently be placed on any table for training; the perfect solution e.g. in skills centers, workshops and seminars ENSIM.S.LPR One-piece structure Wheels for easy transportation Different monitors for endoscope and instruments controls Adjusting the height of the workspace Sophisticated and mobile design with a wheel cart and an electronically adjustable display and working height; the perfect solution for training rooms and simulation centers ENSIM.H.LPR Working with a realistic robot-patient Performing endosurgical interventions as surgical team Apparatus imitation of Laparoscopic stand Complete operation room setup with real position of the surgical team; it designed for teamwork training and performance of surgical interventions at maximum level of realism 47 48

26 Endosurgery simulator Library Of Modules 1. Basic skills in endoscopic surgery 2. Certain important skills in laparoscopy 5. Diagnosis of abdominal cavity 6. Skills in gynecological surgery Control of camera with different viewing angles (0 ) Control of camera with different viewing angles (30 ) Hand coordination in space Instrument control skills Vessel clipping and capturing Movement of objects in space Movement of pins and objects on pins Endoscopic scissor handling (examitaion) Endoscopic scissor handling (training) Endo clip applicator handling Ovarian cyst Ectopic pregnancy Appendicitis Cholecystitis Perforated duodenal ulcer Tubal sterilization Tubotomy procedure in the isthmic of the right tube Tubotomy procedure in ampullar part of the right tube with active bleeding Tubotomy procedure in the isthmic of the left tube Tubotomy procedure in ampullar part of the left tube with active bleeding Instrument coordination in space Oophorectomy Electrocoagulation operating skills Movement of objects in space Capturing of objects in space 3. Complex of training tasks on suturing and knotting Square knot tying left hand Square knot tying right hand Surgical knot tying left hand Surgical knot tying right hand Interrupted (loop) suturing technique Interrupted (loop) suture for curved incision 4. Special critical skills of suturing and knotting Needle orientation in the needle holder Needle suturing left hand Needle suturing right hand Square knot tying on a thread without needle Surgical knot tying on a thread without needle Z-stitch overlaying Mattress suturing 7. Execution of laparoscopic appendectomy Acute phlegmatic appendicitis Acute appendicitis with exudate appendicitis Acute appendicitis in pregnant women Acute appendicitis with retrotic positioning Gangrenous appendicitis with effusion and local peritonitis Acute phlegmatic appenitocyte with local peritonitis 8. Small bowel acute adhesive obstruction: Acute intestinal obstruction, adhesion on ileum Acute intestinal obstruction, adhesion on jejunum 49 50

27 Endosurgery simulator Library Of Modules Realistic anatomy 9. Execution of total hysterectomy Total laparoscopic hysterectomy Partial hysterectomy 10. Sigmoid colon resection Cutting vessels, mobilization and intersection of the sigmoid colon Anastomosis Internal organs and abdominal cavity are modeled using footage from real surgeries Internal bleeding, that occurs during the exercise performance, leads to changes in the patient s condition, including possible death When performing coagulation or dissection, the tissues of the internal organs change and react accordingly. Fluids (from unaddressed bleeding and using of irrigation) are accumulated in the abdominal cavity and must be aspirated. Different viewing angles Three viewing angles (0, 30, 45 ) 11. Skills in laparoscopic cholecystectomy 12. Full procedure of laparoscopic cholecystectomy Use of different camera angles lead corresponding changes in the visualized area Traction and dissection of the peritoneum Dissection of structures in Calot s triangle Clipping and cutting of cystic artery and cystic duct Mobilization of the gallbladder Planned cholecystectomy with acute catarrhal cholecystitis Cholecystectomy with phlegmonic cholecystitis Urgent cholecystectomy with gangrenous cholecystitis with local peritonitis Library of instruments In each exercise, several instruments can be used in order to complete the interventions. At the same time, the software does not limit the choice of the instrument within the framework of the intervention. Change of endoscope view angles during the intervention 13. Hernioplasty 14. Splenectomy 15. Salpingo 16. Nephrectomy oophorectomy While using power tools, for example when coagulating, the trainee can adjusts the power and frequency of the discharge. More than 20 types of instruments are available in the virtual library, with the possibility of choosing from different categories 51 52

28 Bronchoscopy simulator Platforms ENSIM.BRS Device Simulation Work with real (adapted) bronchoscope Magnetic haptic feedback for simulating the resistance of internal organs Tracking of longitudinal movements and rotations of tools Working with virtual and hardware elements of the endoscopic stand (ENSIM.H.LPR) Virtual OR Three-dimensional anatomical atlas Studying of real rx-ray images Presence of virtual hints, step-by-step instructions and video courses Addressing of complications caused by trainee actions or unforeseen circumstance ENSIM.S.BRS One-piece structure Wheels for easy transportation Adjusting the height of the workspace Work with real (adapted) bronchoscope Instrument holder Sophisticated and mobile design with a wheel cart and an electronically adjustable display and working height; the perfect solution for training rooms and simulation centers The simulator s software provides the highest level of realism and detail of the lung anatomy; detailed simulation of the resistance of organs and instruments based on modern magnetic feedback provides realistic tactile perception when performing interventions. Educational Features Individual user profiles Detailed automatic registration of all actions performed during exercise performance Course of basic skills training Execution of different approach to performing interventions, depending on the patient s age group of the Extensive educational content Complete operation room setup with real position of the surgical team (ENSIM.H.WED) Standardize, structure and complement hands-on skills training ENSIM.H.WED Working with a realistic robot-patient Performing bronchoscopic, gastroenterological and colonoscopic interventions as surgical team Apparatus imitation of endoscopic stand Imitator of bedside monitor for monitoring of patient vital signs Complete operation room setup with real position of the surgical team; it designed for teamwork training and performance of surgical interventions at maximum level of realism ENSIM.BRS is the virtual reality simulator for teaching and training practical skills in bronchoscopy. Simulator can be used to acquire as well as maintain bronchoscopic skills, making it a system suitable for trainees and students, as well as for doctors in residency training. It is deal for training bronchoscopic procedures, including diagnostics with samples obtaining, bleeding arresting, foreign bodies removal, masses removal, stenting, bronchial lavage and mediastinal lymph nodes puncture

29 Bronchoscopy simulator Library Of Modules 1. Basic skills in bronchoscopy Realistic anatomy Bronchial tree and lungs are modeled on the basis of data from real patients The intensity of the image depends on the position of the endoscope camera, the power of illumination and the level of contamination of the lenses Handling of bronchoscope Knowledge of the bronchial tree anatomy Handling of bronchoscope (in bronchial tree anatomy) Endoscopic instrument handling Internal bleeding that occurs during the operation leads to changes in the patient s condition, including possible death 2. Diagnostic bronchoscopy 3. ТBNA 3D Anatomy Atlas Interactive model of the lung and bronchological tree Tracking the position of tools during the execution of an intervention Display of the target area on an interactive model and radiographic image Base diagnostic Base diagnostic Children procedures Exercises for training TBNA Type 1 Exercises for training TBNA Type 2 4. Therapeutic bronchoscopy Library of instruments In each exercise, several instruments (including one honed for the child s anatomy) can be used in order to complete the interventions. At the same time, the software does not limit the choice of the instrument within the framework of the intervention. Extraction of foreing objects Addresing of lung bleeding Endoloop-Assisted Polypectomy Stenosis of the trachea (stenting) During the exercise performance, universal imitators of endoscopic instruments are introduced through special ports of the bronchoscope More than 10 types of instruments are available in the virtual library, with the possibility of choosing from different categories Stenting Bronchoalveolar lavage stenosis of the trachea (dilatation) 55 56

30 Endoscopy Simulator Platforms ENSIM.GAS Device Simulation Work with real (adapted) gastroscope and colono scope Magnetic haptic feedback for simulating the resistance of internal organs Service screen for managing the elements of the virtual endoscopic stanf (S.GAS) Working with the hardware elements of the endoscopic rack (H.WED) ENSIM.S.GAS One-piece structure Wheels for easy transportation Adjusting the height of the workspace Work with real (adapted) gastroscope and colono scope Instrument holder The simulator s software provides the highest level of realism and detail of the esophagus, stomach and intestines ; detailed simulation of the resistance of organs and instruments based on modern magnetic feedback provides realistic tactile perception when performing interventions. Virtual OR Three-dimensional anatomical atlas Presence of virtual hints, step-by-step instructions and video courses Addressing of complications caused by trainee actions or unforeseen circumstance Use of different camera angles lead corresponding changes in the visualized area Educational Features Individual user profiles Detailed automatic registration of all actions performed during exercise performance Course of basic skills training Extensive educational content Complete operation room setup with real position of the surgical team (ENSIM.H.WED) Standardize, structure and complement hands-on skills training Sophisticated and mobile design with a wheel cart and an electronically adjustable display and working height; the perfect solution for training rooms and simulation centers ENSIM.H.WED Working with a realistic robot-patient Performing bronchoscopic, gastroenterological and colonoscopic interventions as surgical team Apparatus imitation of endoscopic stand Imitator of bedside monitor for monitoring of patient vital signs Complete operation room setup with real position of the surgical team; it designed for teamwork training and performance of surgical interventions at maximum level of realism ENSIM.GAS is the virtual reality simulator for teaching and training practical skills gastroenterological and colonoscopic. Simulator can be used to acquire as well as maintain existing skills, making it a system suitable for trainees and students, as well as for doctors in residency training. It is deal for training in different procedures, including diagnostics with samples obtaining, bleeding arresting, foreign bodies removal, masses removal, stenting etc 57 58

31 Endoscopy Simulator Library Of Modules Platforms 1. Basic skills 2. Diagnostic gastroscopy Realistic anatomy Esophagus, stomach and intestines are modeled on the basis of data obtained from real patients Handling of endoscope Endoscopic instrument handling Handling of gastroscope (in anatomy) The intensity of the image depends on the position of the endoscope camera, the power of illumination and the level of contamination of the lenses Internal bleeding that occurs during the operation leads to changes in the patient s condition, including possible death 3. Therapeutic gastroscopy 3D Anatomy Atlas Interactive model of the esophagus, stomach and intestines Balloon dilatation Bleeding adressing - Clipping Duodenum polypectomy Gullet bougienage Foreign objects removal Endoloop- Assisted foreign objects removal Tracking the position of tools during the execution of an intervention Display of the target area on an interactive model - Coagulation - Fluid administration 4. Diagnostic colonoscopy 5. Gastric hemorrhage Library of instruments Active bleeding Clipping In each exercise, several instruments (universal and strictly specialized) can be used in order to complete the interventions. At the same time, the software does not limit the choice of the instrument within the framework of the intervention. 6. Sigmoidoscopy 7. Therapeutic colonoscopy Polypectomy During the exercise performance, universal imitators of endoscopic instruments are introduced through special ports of the gastroscope and colonoscope More than 10 types of instruments are available in the virtual library, with the possibility of choosing from different categories 59 60

32 Hysteroscopy Simulator Platforms ENSIM.HYS The simulator s software provides the highest level of realism and detail of patient anatomy detailed imitators of instruments - based as well as magnetic feedback provides realistic tactile perception when performing interventions ENSIM.HYS is the virtual reality simulator for teaching and training practical skills hysteroscopy. Simulator can be used to acquire as well as maintain existing skills, making it a system suitable for trainees and Device Simulation Work with real (adapted) hysteroresectoscope Magnetic haptic feedback for simulating the resistance of internal organs Service screen for managing the elements of the virtual endoscopic stanf (S.HYS) Working with the hardware elements of the endoscopic rack (H.HYS) Virtual OR Three-dimensional anatomical atlas Presence of virtual hints, step-by-step instructions and video courses Addressing of complications caused by trainee actions or unforeseen circumstance Use of different camera angles lead corresponding changes in the visualized area Educational Features Individual user profiles Detailed automatic registration of all actions performed during exercise performance Course of basic skills training Extensive educational content Complete operation room setup with real position of the surgical team (ENSIM.H.HYS) Standardize, structure and complement hands-on skills training students, as well as for doctors in residency training. It is deal for training in different procedures, including diagnostics with samples obtaining, bleeding arresting, foreign bodies removal, masses removal, stenting etc ENSIM.B.HYS Compact size No specific requirements for installation Easy transportation Complete set of training modules Compact portable design which can easily and conveniently be placed on any table for training; the perfect solution e.g. in skills centers, workshops and seminars ENSIM.S.HYS One-piece structure Wheels for easy transportation Adjusting the height of the workspace Hysteropump service monitor Instrument holder Sophisticated and mobile design with a wheel cart and an electronically adjustable display and working height; the perfect solution for training rooms and simulation centers ENSIM.H.HYS Working with a realistic robot-patient Complete operation room setup with real position of the surgical team Apparatus imitation of endoscopic stand Imitator of bedside monitor for monitoring of patient vital signs Complete operation room setup with real position of the surgical team; it designed for teamwork training and performance of surgical interventions at maximum level of realism 61 62

33 Hysteroscopy Simulator Library Of Modules 1. Basic Skill Realistic anatomy Virtual anatomy modeled on the basis of data obtained from real patients Hysteroscopy pump use Camera (0 ) handling exercise Camera (30 ) handling exercise Biopsy sample obtaining Polypectomy (base) Resection of the intrauterine partition The intensity of the image depends on the position of the endoscope camera, the power of illumination and the level of contamination of the lenses Internal bleeding that occurs during the operation leads to changes in the patient s condition, including possible death 2. Clinical Hysteroscopy Hysteropump Indication of operating modes, pressure level in the cavity Diagnostic hysteroscopy 3. Extended resection Polypectomy (advanced) Hysteroscopic myomectomy with submucous uterine myoma Endometrial ablation Smooth adjustment of the rate of liquids irrigation and aspiration Control with the help of a service monitor (S.HYS) or a hardware simulator (H.HYS) Possibility of equipment mailfunction and concomitant complications in the patient s condition Library of instruments The specially adapted simulator of the hysteroresectoscope is used for a performance of exercises. In each exercise, several instruments can be used in order to complete the interventions. At the same time, the software does not limit the choice of the instrument within the framework of the intervention. During the exercise performance, universal imitators of endoscopic instruments are introduced through special ports of the hysteroresectoscope. More than 10 types of instruments are available in the virtual library, with the possibility of choosing from different categories 63 64

34 Dentistry ENSIM.STM Autonomous system for feeding and draining working fluid (does not require connection to the sewage system) Autonomous system for supplying working air (built-in compressor) Fully equipped doctor s and assistant s workplaces Realistic in appearance and tactile sensations mouth cavities, including cheeks, tongue, and palate Easily removable articulator of the jaw A set of reusable interchangeable jaws for implantology and surgery with silicone gums Watertight oral cavity with soft tongue A set of real dental instruments (therapy, surgery, implantology) Intraoral camera with the ability to record video and save photos Performing a sine-lifting operation Set of teeth (therapy, surgery, endodontics) A set of jaws for implantology A set of jaws for therapy A set of jaws for endodontics A set of jaws for removing teeth Performing various types of dental interventions, students receive and develop practical skills of using dental instruments of a doctor and an assistant in a fully equipped workplace, without potential harm to a real patient. Working with the real dental instruments provides a realistic feedback and helps to acquire the necessary skills in handling tools. For the simulator the model of the anatomically correct jaw (including silicone mask, mouth cavity with imitation of cheeks and soft tongue) with easily installed removable gums is realized. Simulator for working out basic practical skills in dentistry and maxillofacial surgery combines the functional advantages of stationary and mobile simulators, and also includes a complete set of necessary dental instruments. Equipped with an autonomous aspiration and water supply system, an intraoral camera and a monitor for displaying exercises. The wheelset provides ease of movement. Suitable for conducting open classes and seminars. The training complex also includes consumables that provide training on the simulator for 1 academic year. ENSIM.STM designed not only for dental students training at preclinical and clinical studying stages, but also for medical residents, graduate students, interns, doctors and dentist assistants to improve manual skills in all dentistry areas. Dental technicians can also use it training as a part of specialization and certification. Simulators provide an opportunity to master dental disorder treatment basics, to learn new dental care methods, to enhance dental instrument handling skills and to consolidate already existing theoretical knowledge

35 Neurosurgical simulator Platforms ENSIM.NEURO The simulator s software provides the highest level of realism and detail of patient anatomy, detailed imitators of instruments as well as magnetic feedback - all provides realistic tactile perception when performing interventions Device Simulation Using a realistically adapted simulator ventriculoscope Wireless universal imitators of laparoscopic instruments Magnetic haptic feedback for simulating the resistance of internal organs Service screen for selecting the input point and setting the tool position Virtual OR Three-dimensional anatomical atlas Presence of virtual hints, step-by-step instructions and video courses Addressing of complications caused by trainee actions or unforeseen circumstance Tracking of longitudinal movements and rotations of tools Instrument position is tracked and displayed using interactive 3D model of anatomical atlas Educational Features Individual user profiles Detailed automatic registration of all actions performed during exercise performance Course of basic skills training Execution of different approach to performing interventions, depending on the patient s age group Extensive educational content Standardize, structure and complement hands-on skills training ENSIM.B.NEURO Compact size No specific requirements for installation Easy transportation Complete set of training modules Compact portable design which can easily and conveniently be placed on any table for training; the perfect solution e.g. in skills centers, workshops and seminars ENSIM.S.NEURO One-piece structure Wheels for easy transportation Adjusting the height of the workspace Instrument holder Sophisticated and mobile design with a wheel cart and an electronically adjustable display and working height; the perfect solution for training rooms and simulation centers Library Of Modules Basic skills training ENSIM.NEURO is ideal for both basic and advanced training of neurosurgical skills. It features a wide range of clinical cases based on the clinical practice. Simulator can be used to acquire as well as maintain neurosurgery skills, making it a system suitable for trainees and students, as well as for doctors in residency training. Endoscopic ventriculocisternostomy of the third ventricle Resection of the colloid cyst Biopsy of tumor of the third ventricle 67 68

36 Ultrasonography Platforms ENSIM.USD Device Simulation Using of a realistic ultrasonic probe simulator with a trackball Using a real medical gel for ultrasound Haptic feedback when in contact with patient torso Anatomically correct phantom patient (torso) ENSIM.B.USD Compact size No specific requirements for installation Easy transportation Compact portable design which can easily and conveniently be placed on any table for training; the perfect solution e.g. in skills centers, workshops and seminars The simulator s software provides the highest level of realism and detail of patient anatomy, detailed imitators of instruments as well as haptic feedback - all provide realistic tactile perception when performing diagnostic ENSIM.USD features a wide range of clinical cases based on the clinical practice, and can be used to acquire as well as maintain practical skills in ultrasonography. Virtual Imaging Three-dimensional anatomical atlas Presence of virtual hints, step-by-step instructions and video courses Detailed histories of each clinical case Tracking the position of the ultrasonic sensor in real time Educational Features Individual user profiles Detailed automatic registration of all actions performed during exercise performance Execution of different approach to performing interventions, depending on the patient gender Standardize, structure and complement hands-on skills training The ultrasound scanning sensor imitator automatically detects the position of the ultrasound scanning sensor in relation to the patient, and the displayed ultrasound picture changes synchronous with the position and tilt angle of the sensor. ENSIM.S.USD One-piece structure Wheels for easy transportation Adjusting the height of the workspace Instrument holder Sophisticated and mobile design with a wheel cart and an electronically adjustable display and working height; the perfect solution for training rooms and simulation centers Library Of Modules Ultrasonic examination of the bladder and prostate (male) Ultrasound examination of the kidneys and adrenal glands Ultrasound examination of the thyroid gland Ultrasonic examination of the liver, gallbladder and bile ducts Ultrasound examination of the pancreas Ultrasound examination of the spleen Ultrasonic examination of the bladder, uterus and ovaries (female) Ultrasound examination of the aorta Ultrasound examination of the heart 69 70

37 Opinions on us Feedback Dmitry Medvedev Chairman of the Government of the Russian Federation «I was told that our simulators, our medical robots, which are being manufactured here in Tatarstan while generally, are on a world-class quality level, are still poorly purchased by the federal structure. They are still prefer to buy simulators produced by the foreign companies, while ours (medical simulators) - are at the same level of quality. This is why we need to formulate a task to support our manufacturer as well» Veronika Skvortsova Minister of Health of the Russian Federation Arai Hajime President of Juntendo University «It was deeply satisfying to see (the simulation center in Kazan equipped with Eidos-Medicine simulators), especially in the view of a new accreditation requirements for medical workers, as well as the task of implementing it as a tool, which medical workers will be required to use for the confirmation of their qualification in given field. This is why this simulation center should take on the role of creating a network of similar simulation training centers across the country and being baked by leading medical and scientific educational institutions» We were quite impressed by the quality of these unique simulators installed here at the Kazan Federal University (KFU); created by KFU graduates and employees of the Eidos-Medicine company. Creation of the similar simulation center in Japan, which will be equipped with the simulators produced in Kazan, is planned this autumn The equipment and technical solutions of the company are already well-known today not only to Russian medical specialists but also to foreign experts. Our medical simulators are already installed in specialized training medical simulation centers and at universities, and included as an important part of the educational process. mail@oooeidos.com Employees of Eidos-Medicine are frequent guests in the classrooms of universities and presentations. We are always attentive to the feedback and suggestions for improving or modifying our products. Each subsequent version of the software or the mechanical part is implemented based not only on our ideas but also on your wishes. Atsushi Yamada Doctor of Medical Sciences. Head of Diagnostic and Preoperative Medicine Program Juntendo University We were pleasantly surprised by the quality of the robot-patient design. The latest model (5th generation) demonstrates life-like realism in almost all elements, and have the potential for integration with various types of other simulation equipment. It is ideal for using in training classes or exhibit-like seminars! 71 72

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