Patient Simulator System HST series for physical examination skills training

CVC Insertion Simulator II

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Enhanced training in ultrasound guided CVC.
Axillary vein approach as well as internal jugular vein approach.
An introductory training block to acquire basics of ultrasound guided puncture.
Excellent image quality.

Learning from failures; various complications can be simulated.

Effective for cannulation training; the only simulator with anatomically correct junctions of the subclavian veins with the right internal jugular and SVC.

Three interchangeable pads for thorough training.

Production Supervision:

Akira Okada, M.D., F.A.C.S., President
Osaka Medical Center and Research Institute for Maternal and Child Health

Masahiro Tanabe, M.D., Ph.D., Director
Postgraduate and Continuing Medical Education Center Chiba University School of Medicine

Kinya Sando, M.D., Ph.D., Professor
Division of Human Dietetics
Graduate School of Human Science Osaka Shoin Women's University

Masanori Hoki, M.D., Ph.D.
Head of Nutrition Management Center, Head of Community Health Service Center

Chief Pediatric Surgeon
Division of Pediatric Surgery Rinku General Medical Center Izumisano Municipal Hospital



  • This simulator includes three interchangeable pads for the puncture area, landmark puncture pad, ultrasound puncture pad and transparent cannulation block.
  • The trainee will learn three skills: how to make a safer puncture, how to avoid possible complications that may accompany the puncture, how to insert the catheter into the correct position. When the procedure is performed incorrectly, the error will show immediately by feedback.
  • Each training pad, placed at the right upper breast and right half of the neck covering the puncturing sites and catheter routes is a precise, life-size model incorporating the anatomical structure of bones, veins, arteries and upper lung.
  • The landmark puncture pad is designed to provide training in safely puncturing the subclavian vein or internal jugular vein, and inserting a catheter into SVC. Carotid artery pulsation is palpable.
  • The ultrasound puncture pad allows training in internal jugular vein puncturing under ultrasound scanning. Clear scanning image facilitates understanding of how to distinguish vein from artery and perform safe puncture while watching an ultrasound monitor.
  • A transparent block for three-dimensional anatomical understanding also works as an effective training tool for developing guide wire insertion skills.


Skills & Training

Three CVC approaches with landmark method:

  • subclavian vein approach (a),
  • supraclavicular approach (b) and
  • internal jugular vein approach (c).

Ultrasound guided CVC from internal jugular vein and axillary approach.

Thorough procedure from puncture to cannulation

Anatomical learning

Complications indications:
  • Artery puncture
  • Pneumothorax
  • Mislodging/malposition



Set includes:

  • 1 male upper torso manikin
  • 1 landmark puncture pad
  • 1 ultrasound puncture pad
  • 1 transparent anatomical block
  • 1 introductory ultrasound training block
  • 1 skin for cannulation training
  • 1 red coloring power
  • 1 blue coloring power
  • 1 air bulb
  • 2 plastic jars
  • 1 irrigation bottle
  • 1 syringe
  • 1 sample needle



Manikin size:

40 x 41 x 21H cm, 2.2 kg

Packing size:

52 x 46 x 39 H cm, 9 kg

*Specifications are subject to change.

Replacement parts

Replacement parts:

  • 11347-119 landmark puncture pad (a set of 2)
  • 11347-170 ultrasound puncture pad ?(a set of 2)
  • 11347-210 introductory ultrasound training block (a set of 2)

Teknisk informasjon

The classification of lung sounds is based on the criteria of the American Thoracic Society.

36 cases are available for training. 34 cases include 2 versions -- with and without heart-sounds
NORMAL standard FINE CRACKES both lower area
  mildly weak   both lower and middle area
  mildly strong   whole thorax 1
  mildly rapid   whole thorax 2
  loud heart sounds WHEEZES upper and middle area
ABNORMAL weak: left lower area   around trachea and upper area1
  weak: left whole area   around trachea and upper area2 (polyphone)
  absent: left RHONCHI trachea and upper area
  weak: right lower area   trachea and upper area (polyphonic)
  weak: right lower area   with an inspiratory wheeze
  absent right   whole thorax
  weak: whole thorax MISCELLANEOUS
  bronchial sounds   squawk
COARSE CRACKELS right lower area MISCELLANEOUS pleural friction rub: left lower area
  both lower area   pleural friction rub: right lower and middle area
  right middle area   Hamman's sign
  left lower area   Vocal fremitus (palpable at both sides of the chest)
  both upper area    
  whole thorax    

Components & Specifications

Component Qty Measurements Packing size Specifications
LSAT model unit 1 32 x 35 x 62H cm 51 x 46 x 80 cm 10 kg Torso with rotary base
15 built-in speakers
8 ch. amplifier
PC 1 59 x 59 x 40 cm 15 kg Windows XP, 12ch.D/A
PCI board,mouse,
112keyboard, 15"TFT monitor
*Software & data installed
Amplifier 1 32 x 35 x 8H cm 46 x 46 x 15 cm 10 kg AC 120-240V
Speakers 2 62 x 41 x 40 cm
20 kg (incl. monitor)
T-shirt 1 free size

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