EMS Distributes Panasonic’s 3D Multiview Anatomy Image System — IMSH Video Interview

At IMSH 2015 Education Management Solutions (EMS) showcased their new distribution of Panasonic’s 3D Multiview Anatomy Image System – an impressive way to explore the realistic anatomy of cadavers in a simulated environment. Using 3d glasses, participants can continue to remove various layers of anatomy and move about the cadaver from all angles. This provides a realistic version of anatomy which 3d models can only imply, while reducing educational costs and simultaneously maintaining fidelity. The system can either be stand alone or built for network access depending on your learning needs. Watch our interview above to see how easy to use and effective the system really is!

panasonic 3d anatomy

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About the System:

The 3D Multiview Anatomy Image System, which includes 1,200 real cadaver images, helps to enhance any anatomy course by providing learners the ability to navigate efficiently through different bodily layers and structures in a three-dimensional space. The 3D Multiview Anatomy Image System provides learners (including residents, medical and nursing students) more autonomy in choosing different views, angles, and combinations of anatomical images than are possible in traditional cadaver-based instruction.

Learn more at the EMS SimulationIQ website today!

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Gaumard Births Newborn “Tory” Simulator at IMSH 2015

birthing simulator latest noelle

Stopping by the impressive Gaumard Booth at #IMSH2015, I had a chance to finally check out their Victoria Birthing Simulator and new Advanced Newborn Simulator: Tory. The Victoria is a “generation 2.0” of Gaumard’s famous line of Noelle Birthing Simulators, with realism upgrades that are easy to see. There are great improvements here that take the Gaumard birthing simulator to the next level.

Victoria’s engineering has redesigned the abdomen to provide for increased fidelity based off your scenario’s primary learning objectives. What this does is enable us to increase the realism of our scenarios by swapping out specific abdomen hardware specific to procedures such as normal childbirth, postpartum hemorrhage, c-section and more. There were lots of other new improvements including new CPR functionality, airway features, improved operating software, and quieter engineering.

Immediately clear to me was the improved range of limb motion on Victoria and Tory, with joints that now have seamless skin coverings, instead of the previous limited motion joints that looked very “manikin”. See these photos below for close ups of leg and arm joints:

victoria ob simulator skins

victoria birthing simulator up close

When you look at Tory side by side with his predecessor Baby Hal, it’s easy to see the increased level of realism due to the new engineering and skin:

gaumard tory vs hal

Victoria supports the widest range of medical diagnostic equipment of any tetherless maternal and neonatal simulator. Use a real fetal monitor, ECG monitor, defibrillator, pulse oximeter and automatic blood pressure monitor device. Care providers can set-up and operate real equipment, interpret critical information and follow protocols just as they would in real clinical situations.

The birthing baby of Victoria also added some great core functionality including the ability to program: crying sound, motion, cyanosis, heart and lung sounds.

Birthing Baby (Not Tory)

  • Full-term baby with unsurpassed realism and lifelike appearance
  • Anatomically correct with realistic proportions, size and weight
  • Innovative realistic skin
  • Realistic newborn articulation
  • “Care-in-Motion” tetherless technology
  • Baby can present the following signs of health or distress: – Heart and lung sounds – Movement – Crying – Cyanosis

If you are planning on doing a more advanced newborn scenario, then switching the baby to the Tory makes the most sense. The Tory is the updated version of the Baby Hal and also has clear improvements. Features of Tory includes:

  • Smooth full body skin with seamless joints
  • Palpable fontanelles
  • Human-like range of motion on legs, arms and waist
  • Bilateral IV arms and purlses
  • ECG monitoring using real electrodes
  • Urinary catherterization with interchangeable genitalia
  • Intraosseous access
  • Left IV leg
  • Heart and lung sounds
  • Ventilations / Compressions
  • Bilaterial blood pressure arms
  • Seizures & movement

I have heard that Victoria has continued to be successfully launched around the United States, and would love to hear your feedback of great new product over on Konsiderate.com – the home for medical simulation product ratings and reviews!

Learn more about Victoria on her Gaumard homepage (Tory Page coming soon).

“RealSpine” Surgical Simulator Provides High-Fidelity Procedure Training

real spine

I recently received some information about a new surgical simulator from “Real Spine” which caught my attention. Based on artificial materials, the simulator offers a great opportunity to practice interventions on the spine. Due to its realistic anatomical structures, soft tissues and intraoperative bleeding system the simulator is almost as realistic as a real patient. To me, the more task trainers specific to exact training procedures the better. number of specific task trainers on the market. The level of high-fidelity moulage inherent with this system is easy to see with the video below:

More About RealSpine from Their Website:

Simulation systems have become an integral part in many areas.  There are simulators for the training of pilots and especially for the training of future surgeons. They offer ranges from virtual simulators to mechatronic simulation systems that behave as realistic as a real patient. This includes RealSpine.  The idea of ​​developing a simulation system was created in 2010 at the Innovative Surgical Training Technologies (ISTT) at the Leipzig University of Applied Sciences (HTWK Leipzig).

In 2012 after an intensive cooperation between medical doctors and engineers the first prototype was presented.  In the coming years, the simulator has been steadily improved and extended by additional components.  He has realistic anatomical structures, soft tissues and intraoperative bleeding system.  This allows future surgeons to train interventions on the lumbar spine with real instrument and simulated complications, like an injury to the dura with cerebrospinal fluid flow, under realistic conditions without risking a patients’ life.  The structures of the simulator can be pulled, stretched, twisted, punched, cut, and milled.  The six bleeding points and the integrated system to control surgical bleeding allow an optimal control of the bleeding intensity including suctioning, plugging and bone wax.  Thus different levels of difficulty, from basic to advanced surgical procedures, can be simulated.

Another advantage of the simulator is its modular system.  The RealSpine training system consists of a base station and a training unit. The RealSpine base station is the platform to connect different types of training units, simulating different parts of the human spine.  The training unit can be exchanged by another in less than one minute.  All consumables such as anatomical parts, fluid blood and cerebros
pinal fluid are included in the training unit. Real Spine is unique in its form, so far there is no comparable system for the training on the lumbar spine.

realspine system

RealSpine Training Opportunities include:

  • Laminectomy
  • Flavectomy
  • Foraminotomy
  • Facetectomy
  • Removal of lumbar disc herniation
  • Discectomy
  • Preparation of interbody endplates
  • TLIF via interlaminar application
  • Dura suture
  • Duraplasty

About ISTT and RealSpine

RealSpine has been developed at the ISTT, part of the Leipzig University of Applied Sciences (HTWK Leipzig).  The ISTT is a team of young scientists from various disciplines, including physicians, engineers, educators, psychologists and computer scientists.  At ISTT we research and develop innovative solutions for surgical training. Essentially, this involves the development of innovative mechatronic simulation systems, innovative training operating rooms, innovative surgical training concepts, ergonomics and quality management in the operating room.  An important result of the research is the simulation system for the lumbar spine RealSpine, which is intended to improve the medical education and to increase patient safety.  RealSpine has been tested and validated by experienced surgeons and is used in workshops and courses in cooperation with the medical faculty at the University of Leipzig.

 To learn more, check out RealSpine.de today!

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iSimulate ALSi Patient Monitor Continues to Innovate Healthcare Simulation Space

simulation monitor healthcare

During IMSH 2014, iSimulate’s CEO Peter McKie introduced me to all the latest updates for their patient monitoring system, which can dramatically increase the realism of your low-fidelity manikins or standardized patients. With the option to purchase an ongoing licensing agreement, users can take full advantage of all these recent updates and those still yet to come. Watch the video to see why iSimulate’s ALSi has continued to innovate healthcare simulation:

What is ALSi?

ALSi provides an economical, highly advanced and realistic patient condition simulation package. It is so easy to use you’ll be up and running in less than two minutes and can act as a fully featured multi parameter monitor, AED & defibrillator.

Run off only two iPads, its simple setup makes it great for in-situ training. ALSi provides a super realistic simulation experience, enabling hi fidelity simulation even in low fidelity situations. 

iSimulate is the Platinum Sponsor of SimGHOSTS 2014 Australia, taking place June 25th-27th at the University of the Sunshine Coast.

Updates Available Now:

  • Scenarios Now Run in Line: Ability to add more annotations faster.
  • Timed Events: Build in a delay to changed vital signs before they take place.
  • New Waveforms: CO2 and a new range of wavelengths for ECG.
  • Improved Interface: Easier to see and manipulate the software.
  • Send Data to Second Screen: X-ray scans, data, and other forms can now be sent to the learner iPad.
  • Sounds: Import your own recorded sounds to add more fidelity to the learner environment

Watch the video to learn about pricing and purchasing options!

Looking to learn more about ALSi? Read and watch our comprehensive ALSi product breakdown with iPad screen capture technology so you can get a full understanding of the training opportunities that iSimulate provides.

And of course, for complete info and free trials of all their software, check out the iSimulate.com website for more on their products and services!

OtoSim Provides Otoscopy and Ophthalmoscopy Simulation Training Systems


Recently I had a chance to meet with the folks from OtoSim to learn more about their Otoscopy and Ophthalmoscopy Simulation Training Systems. I was really impressed by the level of realism and depth of learning that could take place with these devices. Watch the video below to learn more!

From the OtoSim website:

“OtoSim™ was developed by a renowned multi-disciplinary team of clinicians, educators, and engineers. Drs. Forte and Campisi recognized the deficiencies that exist in current-day otoscopic training, pioneered the OtoSim™ device to resolve the problem and proved its value through a scientific study. Enlisting commercialization support from MaRS Innovation and The Hospital for Sick Children (SickKids), the multi-disciplinary team engineered the device and developed the software to create OtoSim™”. The product was invented by Dr. Vito Forte – MD, FRCSC and Dr. Paolo Campisi – MSc, MD, FRCSC, FAAP.

OtoSimTM has been shown to improve the diagnostic accuracy of 3rd year medical students by 44%! OtoSimTM is an integrated system that interactively improves the accuracy of diagnosing pathologies of the ear through experiential learning in a realistic geometry.

About the OtoSim Otoscopy Trainer:

  • Realistic Ear Geometry:
    • Earform: realistic feel, shape, and composition with various ear canal complexities.
    • Tympanic Membrane: Unique optics enables OtoSimTM to project a 1cm wide image of the tympanic membrane—a realistic clinical scenario.
    • Combined with the use of an otoscope, the small image and narrow field of view caused by the speculum creates a realistic simulation
  • Content:
    • Proprietary database of over 200 high-resolution images of various ear pathologies.
    • Detailed educational descriptions
  • Software:
    • Landmarking function to highlight specific features to be viewed by the student through an otoscope, and encourages student-instructor interactions
    • Intuitive, easy-to-use graphic interface
  • Multiplexing Function:
    • Connect up to 6 OtoSim units at the same time to deliver a consistent message and efficiently use instructor time.


 About the OphthoSim™ Opthalmoscope Trainer:

  • The custom OphthoSim ophthalmoscope contains position-detecting hardware that enables the OphthoSim™ software to track the ophthalmoscope’s movement and orientation.
  • Tracked movements control the display of the appropriate retinal region through the OphthoSim™ Eye.

Realistic Eye Geometry

  • The OphthoSim™ Eye replicates the human eye’s magnification to provide realistic simulation.
  • The OphthoSim™ Eye’s iris can dilate and constrict to alter the field of view during an examination.
  • The OphthoSim™ can simulate saccades to replicate realistic examination scenarios by forcing students to re-orient.

OphthoSim™ Content

  • Training modules to practice ophthalmoscopy
  • Testing routines to rate diagnostic accuracy and efficiency
  • Retina images include:
    • Normal Retinas
    • Diabetic Retinopathy
    • Hypertensive Retinopathy
    • Papilledema
  • Detailed descriptions of each clinical scenario.

For more information visit http://otosim.com/ , be sure to tell them HealthySim sent you!

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Simulab TraumaMan Surgical Abdomen In-Situ Video @ LSU Health

surgical abdomen simulab

traumaman surgical abdomen

Continuing our video series on Simulab, this week we take a closer look at the TraumaMan in action with the newly released Surgical Abdomen system. We recently spent an afternoon with Dr. John Paige’s on-call surgical team while they did a mock trauma multiple stab-wound scenario in-situ in Operating Room 8 at LSU’s Interim Hospital in New Orleans. Watch this amazing video that takes you right into the TraumaMan abdomen of a high-stakes surgical training event:

John Paige, MD Associate Professor Clinical Surgery at LSU Health School of Medicine Department of Surgery, and Director of the American College of Surgeons Credit Institute Learning Center directs inter-professional education and team training utilizing high-fidelity manikins and Simulab products. Dr. Paige was apart of an AHRQ training grant from 2006-2008 where his team provided in-situ team training around Louisiana which helped develop the educational model we witnessed them still using now.

surgical training abdomen

“What we are doing here today is an in-situ simulation which brings the staff together from circulating nurses to scrub techs, nurse anesthesiologists, and surgeons to work together on team-work – which I think is a universal thing we can always continue to improve on. As well this training makes us more highly reliable and also helps to break down barriers and flatten hierarchy, which is what we like to preach.” John briefs the team about the scenario background: “The goal of this to talk about team-work skills and to work together. This is an older guy who was stabbed twice in the belly right at the Umbilicus. He was brought to room four where got 2 liters of fluid because he was hypotensive. He was initially resuscitated but now he has starting to go back down, and Dr. Mar has asked Fabien here to Xlap the patient”.

While the team preps, John talks to us about why Simulab is so helpful for this type of high-stakes team training: “What’s really great about the Simulab product is that you can do the tasks of the procedures, ie you can cut and you can put in a chest-tube much more easily. TraumaMan is useful for team-training because you are bringing the whole team in and you’re doing the actual procedure. For example we’re bringing in the post-graduate 2nd year residents and 3rd residents over at the center, alongside anesthesiologist residents as a way to get them some experience leading an x-lap, because while they get some real experience, they are not always the ones who get to be in charge. This is kind of their sign out, their final thing, this is the situational thing. And because you are training so many individuals, you are distributing the cost, and so its very reasonable because of that.

The team, lead by a 3rd year resident Fabien Grey, opens the patient’s abdomen to discover “a belly quite full of blood”. After suctioning for some time, she discovers there is an aortic injury right at the bifurcation. Communicating with her anesthesiologist, her assistant clamps the aorta, and then goes to work suturing the lacerated area. The level of realism of the Simulab TraumaMan product brings the tension way up as the surgeons must actually complete the procedure while working and communicating with the whole team. After the scenario concludes and before debriefing, the team remarks that the new TraumaMan Surgical Abdomen “felt real” and “mimics real trauma, almost to a T”.

Shortly afterwords, John’ simulation staff reset the scene with a second patient, still utilizing the same TraumaMan trainer. This time, however, the tasks necessary were a chest needle decompression and chest tube insertion. The level of realism is uncanny with the Simulab product, as when the needle is pulled a rush of air can be heard and the chest incision actually bled. Following this shorter scenario team participants shared that “this training was very worthwhile and also helped us build a lot more teamwork and cohesiveness as sometimes we only see the residents every few months, so it builds that teamwork and friendship because you have to be friends with the people you work with – especially when you are in close proximity when you are always are when working with a Trauma”.

LSU Health PGY3 Fabien Grey, who performed the surgery during the day’s training which utilized Simulab’s TraumaMan Surgical Abdomen said this about the training: “You know I’m a surgeon and I use my hands. When I start using my hands on the procedure my brain goes in a different way, which puts me in that frame of mind where it makes everything a lot more real”.

To learn more, visit the TraumaMan page on Simulab’s website and stay tuned for our next video covering all the features of this high-fidelity learning product!

ALSi From iSimulate Affordably Increases Medical Simulation Fidelity

isimulate alsi

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iSimulate has designed ALSi to reduce medical simulation equipment costs while increasing scenario fidelity. Recently I had a chance to talk with iSimulate representative and Sim Tech guru Chad Lukens at The Center for Innovation in Medical Simulation at the San Jose State University about the ALSi system, developed to affordably increase patient monitor fidelity for low and mid-range manikins, standardized patients, or task trainers.  Watch the video below for my interview and complete screen-captured product breakdown.

Be sure to fill out your details below to get more information and a $250 discount off your iSimulate purchase!

Product Features:

isimulate features

alsi features

  • Powerful Facilitator Monitor
  • Sophisticated, Realistic Vitals Monitor
  • Smart & Easy to use Scenario Builder
  • Over 50 ECG, BP and Sats Waveforms
  • Over 20 Additional Parameter Settings
  • Realistic Trending of Vitals over Time
  • Virtual Time
  • Countdown Timer
  • Defibrillator Mode
  • AED Mode
  • Instant CPR and PEA Simulation
  • Auto NIBP


Lance: Chad, what is iSimulate’s mission?

Chad: Our goal is to reduce the impact of a simulation lab program budget while increasing the effectiveness of your program. ALSi is a product based on the iPad platform which is designed to give you a top of the line high fidelity simulation that you have come to expect from your standard medical manikin manufacturers, with needing the costly manikin.  Simply, we can put patient vitals on everything – from low-fidelity to no-fidelity manikins that no longer work at all, or standardized patients and confederate patients acting out in the bed.

Lance: I would think it could work for with task trainers as well for increasing fidelity. Learners look to the patient monitor a lot for patient cues during healthcare simulations, like noticing the Sp02 has dropped, which can be provided by the ALSi system without needing the full expensive investment into high-fidelity manikins.

Chad: Exactly. You will get a higher ROI of your manikins because you can take low or mid fidelity manikins and make them high fidelity. The other key cost-saving point is that its not just a patient monitor, but an AED and a defibrillator as well.

Lance: Wow that will work well for EMS related scenarios or in-situ programs that need to quickly setup or teardown equipment.

Chad: Not only are these products physically smaller than a manikin, saving your Sim Tech from having to drag heavy equipment around, especially for those programs that have multiple sites. Setup time, you turn it on, connect it to the wifi and go. There’s no complicated working with the network to makE sure the manikin is connected to the laptop to the monitor to your control etc.. ALSi is very easy to use so you don’t have to be a Sim Tech to use the tablets.

Lance: Yes I was noticing that while playing around with the software that it is very comparable to using any other iPad software with a lot of sweeps or touches with an easy to follow generated user interface (GUI). The further opportunity here to pre-program, unlike cheap knockoff that might be just a patient monitors, here you not only have the opportunity to change vital signs on the fly but trend overtime, and most importantly, to pre-program these scenarios ahead of time so that you can increase the efficiency of this equipment and your program over time.  I know the cost associated with this product are tied to the learning engagement – can you explain that further?

Chad: Absolutely. Basically there is two parts to the program – there is the facilitator iPad program, which is free to download on the iTunes store, to as many iPads as you want. The only charge comes with the patient monitor license for the learner or student. So if you had a program with 10 facilitators, instead of them all trying to figure out who has the ALSi program and managing the logistics or hunting down who-has-what piece of equipment, they can all have access to the software.

Lance: That also increases the ability to afford this because some programs have already invested in iPad infrastructures.

Chad: Right, and at this time this kit is provided with unlimited updates so all updates for the life of that product are free.

alsi software

Watch the youtube video above from minute 5:33 to see the complete product breakdown demonstrating both the instructor and learner tablets.  I would suggest watching this video fullscreen so you can see the details of the captured iPad screens.

To get more information and a $250 discount off your purchase enter in your details below. This offer is only good for the next two weeks! This offer has expired!