TRAINING TOOLS THE MOST ADVANCED. ULTRASOUND

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1 THE MOST ADVANCED ULTRASOUND TRAINING TOOLS Introducing NYSORA ULTRASOUND SIMULATORS Developed by opinion leaders and educators, NYSORA ULTRASOUND SIMULATORS are the most anatomically accurate, tissue-like tools to learn point-of-care ultrasound and certify skills acquisition before approaching patients.

2 MS2-INT MS2-INF/PEC MS2-BAE UPPER EXTREMITY NERVE BLOCK SIMULATORS Open Breast Infraclavicular Visual SIMULATOR Pec Major M Rib Cage Pec Minor M Axillary Vessels Combined Infraclavicular/PEC Nerve Block SIMULATOR Interscalene Brachial Plexus & Supraclavicular Blocks SIMULATOR Middle and Anterior Scelene Muscles Infraclavicular fossa Learn the anatomy of the breast and tissue layers of importance in breast surgery and local anesthetic infiltration techniques Pectoralis major and minor muscles; Serratus muscles; Axillary artery Axillary vein; Cords of the brachial plexus; Clavicle; Coracoid process; Ribs 1-4 Breast anatomy; Sternocleidomastoid muscle Facilitates skills acquisition to perform Infraclavicular brachial plexus and PEC blocks Teaches ultrasound anatomy patterns recognition and needle-eye coordination Pectoralis major and minor muscles; Serratus muscles; Axillary artery and vein; Chords of the brachial plexus; Clavicle; Coracoid process; Ribs 1-4; Pleura and Chest Cavity Clavicle; Deltopectoral groove; Pectoralis muscle; Chest wall; Coracoid process; Shoulder; Deltoid muscle Accelerates skills acquisition to perform Interscalene and Supraclavicular plexus blocks. Teaches ultrasound brachial plexus anatomy patterns recognition and needle-eye coordination Anterior scalene muscle; Middle scalene muscle; Sternocleidomastoid muscle; Carotid artery; Internal jugular vein; Subclavian artery; Subclavian vein; Clavicle; Stellate ganglion; C2-C7; First rib; Clavicle; Brachial plexus; Superficial cervical plexus; Stellate ganglion thyroid Sternocleidomastoid muscle; Clavicle; Lateral neck; Chest wall; Thyroid notch AV PEC MAJOR PEC MINOR MEDIAL CORD MSM AA POSTERIOR CORD C5 TIP RIB LAT CORD C6 ASM C7

3 MS2-ABP Axillary Brachial Plexus SIMULATOR Chest Wall Axillary Fossa Facilitates knowledge and skills acquisition to perform Axillary Block Allows injection practice Teaches ultrasound axillary plexus anatomy patterns recognition and needle-eye coordination to safely guide needle insertion into axillary sheath. Radial nerve; Ulnar nerve; Median nerve; Musculocutaneous nerves; Axillary artery; Axillary Vein; Deltoid muscle; Biceps muscle; Coracobrachialis muscle Axillary fossa; Pectoralis muscle; Trapezus muscle; latissimus Biceps Brachialis muscle; Deltoid Muscle MCN MN AA AV UN dorsi muscle; RN CONJOINT TENDON MS2-MED Wrist Block SIMULATOR Carpal Tunnel Facilitates knowledge and skills acquisition to recognize ulnar and radial /arteries and perform ulnar and median nerve blocks. Allows injection practice Teaches ultrasound anatomy patterns recognition of median, ulnar nerves and arteries and needle-eye coordination for safe block performance. Radius, ulnar carpal bones; Radial and ulnar arteries; Median and ulnar nerves; Palmares longus; Radial Artery; Ulnar artery; Deep and supperficial muscles of the forearm Ulnar head; Radius; Ulna; Palmar crease; Tendons of wrist flexors; Thenar ligament; Veins; Hypothenar ligament MEDIAN NERVE ULNA RA MS2-SSC Suprascapular Nerve Block SIMULATOR Scapula Suprascapular M Facilitates knowledge and skills acquisition to perform Suprascapular nerve block for analgesia of the shoulder without phrenic nerve paralysis Teaches ultrasound anatomy pattern recognition for sciatic nerve, sciatic sheath, and needle-eye coordination Clavicle; Scapula; Humerus; Suprascapular nerves; Infraspinatus muscle; Supraspinatus muscle; Suprascapular artery; Trapezius muscle; Circumflex artery Scapula; Clavicle SCAPULA SS NERVE SS MUSCLE SS NOTCH

4 MS2-FEM LOWER EXTREMITY NERVE BLOCK SIMULATORS Femoral and Fascia Iliaca Blocks SIMULATOR ASIS Quadriceps M Femoral Crease Facilitates knowledge and skills acquisition to perform femoral nerve block and fascia iliaca block & lateral femoral cutaneous nerve (LFCN) blocks Femoral, obturator, lateral cutaneous nerves; Saphenous nerves; Fascia ilica; Facia lata; Iliopsoas muscle; Pectineus muscle; Sartorius muscle; Adductor muscles; Femoral artery; Femoral vein Inguinal crease; Anterior superior iliac spine; Proximal thigh; Hips Pubic tubercle; Inguinal Ligament; Femoral Crease LFCN FASCIA LATA ILIACUS MUSCLE FN FASCIA ILIATA FA MS2-POP Popliteal and IPAC Blocks SIMULATOR Semitendinosus M Biceps Femoris M Pop Fossa Crease Facilitates knowledge and skills acquisition to perform popliteal sciatic and IPAC blocks Teaches ultrasound anatomy pattern for sciatic nerve sheath, and needle-eye coordination Popliteal artery and vein; Common peroneal nerve; Tibial nerve; Semitendinosus muscle; Semimembranosus muscle; Biceps femoris muscle; Distal part of femur Popliteal fossa; Tendon of Biceps Femoris Muscle; Tendon of Semimembranosus Muscle; Popliteal Fossa; Popliteal Crease; Popliteal triangle TN PU PA CPN POPLITEAL SHEATH REVERBERATION ARTIFACT MS2-ADD Adductor/Saphenous Blocks SIMULATOR Vastus Lateralis M Adductor Longus M Facilitates knowledge and skills acquisition to perform femoral triangle and adductor canal block for analgesia of the knee Allows injection practice Teaches ultrasound anatomy pattern recognition for adductor canal, saphenous nerve, and needle-eye coordination Sartorius muscle; Vastus medialis muscle; Adductor canal; Femoral artery; Femoral vein; Saphenous nerve; Relevant fascial sheats Mid and distal thigh; Knee; Quadriceps Femoris muscle; Sartorius Muscle FASCIA VM SAPHEN NERVE SARTORIUS MUSCLE FA FV AM

5 Sciatic Transgluteal SIMULATOR Gluteus M Greater Trochanter MS2-STG Teaches ultrasound anatomy patterns recognition of gluteal muscles, sciatic nerve and ischial notch. Great trochanter; Ischial tuberosity; Sciatic nerve; Gluteus maximus SCIATIC NERVE GLUTEUS M Gluteus maximus; Gluteal crease; Femur Trochanter SCIATIC NOTCH MS2-ANK MS2-VAIJ Ankle Block SIMULATOR Superf Peroneal N Deep Peron Nerve Lat Malleolus VASCULAR ACCESS Vascular Access IJ SIMULATOR Sternocleidomastoid M Clavicle Teaches ultrasound anatomy patterns recognition for nerves around the ankle, and needle-eye coordination Tibial nerve; Peroneal nerves (superficial and deep); Sural nerve; Saphenous nerve; Posterior and anterior tibial artery and vein; Tibia Fibula; Medial malleolus Tibia; Lateral malleolus; Medial malleolus; Side of the foot; Dorsus of the foot Teaches ultrasound anatomy pattern recognition for internal jugular vein, and needle-eye coordination Sternocleidomastoid muscles; Carotid artery; Internal jugular vein; Subclavian artery; Clavicle; First rib; Thiroid Gland; Pleura Sternocleidomastoid muscles; Clavicle; Cricoid cartilage; Supraclavicular fossa; Neck; Mandible * Requires filling the vessels with fluid for best imaging. CORTEX MED. MALLEOLUS TIBIA CA IJ PTA PTV POST. TIBAL NERVE NEDLE SKIN MSM

6 MS2-PVT MS2-TAP MS2-VASC TORSO Paravertebral (PVT) and Erectores Spinae Blocks SIMULATOR Spinous Processes Optional Camera to Visually Confirm Correct Needle Placement Transverse Abdominis Plane SIMULATOR Umbilicus Facilitates acquisition of essential skills of using ultrasound Allows needle-target practice in plane and out of plane. Absolute must for anyone wanting to start utilizing point of care ultrasound T3-T8; Ribs 3-8; Paravertebral space; Pleura; Spinous processes; Vertebrae T3 to T8 Left and right inferior angle of scapula; Vertebra prominens; Spinous processes, Paravertebral muscles Optional Digital camera for visual confirmation of needle and catheter entry into the paravertebral space. VASCULAR ACCESS Subclavian Vein Cannulation SIMULATOR Coracoid Process Delto-pectoral groove Teaches ultrasound anatomy pattern recognition for abdominal muscles, fasciae, and needle-eye coordination Facilitates acquisition of essential skills of using ultrasound Allows needle-target practice in plane and out of plane Absolute must for anyone wanting to start utilizing point of care ultrasound Rectus abdominis; Transverse abdominis; Internal oblique; External oblique; Pectineus; Essential Sheaths Umbilicus; Rectus abdominis; Abdominal wall Allows learning imaging of the subclavian vein Realistically built to mimic challenging needle insertion Teaches skills in avoiding coracoid process for successful needle placement Coracoid process, clavicle, subclavian/axillary vein Subclavian space, shoulder girdle, clavicle * Requires filling the vessels with fluid fo best visualization and practice. ES TP RIBS PVS PLEURA TAP PECTORALIS MUSCLE SUBCL. VEIN FASCIA TAM TP ES EOM IOM VESSEL WALLS

7 TORSO (cont.) TAP and Quadratus Lumborum Blocks SIMULATOR MS2-QUA Ribs Mid-Axillary line Teaches ultrasound anatomy pattern recognition for TAP and Quadratus Lumborum, and needle-eye coordination Facilitates learning essential anatomy for TAP and QL blocks Allows training on injection techniques for TAP and QL Transverse abdominis muscles; Internal and external oblique muscles; Quadratus lumborum muscles; Latissimus dorsi muscles Umbilicus; Rectus abdominous LDM QL2 QLM QL3 QL1 IOM TAM ABDOMEN MS2-EPI MS2-TRN Epidural SIMULATOR L4/L5 ESSENTIAL TRAINER ULTRASOUND SIMULATOR Ultrasound Tissue Simulator (TM) Can be used to learn ultrasound anatomy pattern recognition for spine and neuraxial procedures. Facilitates learning of anatomy, identification of interspaces and placement of the needle in the epidural space with loss of resistance technique or ultrasound. Full size anatomical structures in easy to carry footprint. L1-L5; Sacrum; Epidural space; Spinal processes; Laminae; Articulate joints; Intervertebral space; Dura and Ligamentum Flavum Iliac crest Optional Digital camera for monitoring of needle and catheter entry into the epidural space. Absolute must for anyone wanting to start utilizing point of care ultrasound Allows needle-target practice in plane and out of plane Facilitates acquisition of essential skills of using ultrasound TISSUE ARTERY PRACTICE AP LAMINA SP Artery; Vein; Nerve Not applicable PRACTICE TISSUE AP LAMINA ARTERY MUSCLE BONE VEIN TIP INSIDE ARTERY Actual ULTRASOUND SIMULATORS image Actual ULTRASOUND SIMULATORS image

8 NYSORA ULTRASOUND SIMULATORS ABOUT US NYSORA ULTRASOUND SIMULATORS are manufactured in the EU and distributed by MedXPress.PRO. MedXPress.PRO is founded and managed by leaders in ultrasonography and education to develop products that improve patient safety. facilitate ultrasound skills knowledge acquisition, increase the educational experience and knowledge retention, and standardize training. DESIGN Each ULTRASOUND SIMULATOR utilizes TISSUE SIMULA- TOR Technology and optimizes the development of specific knowledge and skills using landmark and ultrasound guided procedural techniques. All models contain internal and external landmarks necessary to practice ultrasound visualization for point of care procedures. FOOTPRINT The system footprint is small to facilitate the utilization of multiple units simultaneously, making it ideal for workshops and simulation labs. Small footprint and standardized packing size allows easy storage and transport. EXPERT INPUT Each ULTRASOUND SIMULATOR has been reviewed by leaders in the field of Point-Of-Care ultrasound and has been approved to ensure that the relevant external and internal landmarks for taught procedures are included and accurate. EUROPE: Slachthuislaan 1, Bus Leuven, Belgium USA: 2581 Broadway, Suite 183 New York, NY info@medxpress.pro ULTRASOUND SIMULATORS are shipped with carry/storage base and case, cover protectors, convenient accessory storage tray, work surface tray, convenient laminated poster with instructions for use and care for each model. ML006 RevE