AAALT70202

Shoulder Injection Trainer - Ultrasound Guided (Light Skin Tone)

Skin Tone

Model

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The latest Ultrasound Guided Shoulder Injection Trainer allows trainees to acquire the key skills of using Ultrasound guidance to locate, inject and aspirate the 4 most commonly treated shoulder sites.

The novel echolucent material has properties comparable to human tissue, giving clear visualisation throughout a procedure. This material is a bespoke formulation for Limbs & Things ultrasound trainer ranges. Thorough testing was performed with popular ultrasound machines. (Image quality may vary on different ultrasound machines.)

The Synovial Fluid used with this product now contains a new preservative which is approved for use by EU cosmetic regulations which means that it is safe for extended skin contact.

We still recommend the use of gloves, as the pigments may stain skin and clothes.

Overview

Successful injection can be confirmed by visualising fluid entering the site or by aspirating fluid
Watertight and durable for repeated use
Echolucent material enables ultrasound imaging of the underlying landmarks

Realism

Discrete muscle and skin layers for a realistic needle feel
Echolucent material within the shoulder creates close to life ultrasound imaging
Volume of fluid in the Subdeltoid/Subacromial Bursa can be adjusted, from no fluid present up to fluid-filled distension to give training at a variety of skill levels
Nerve block functionality allows trainees to view and inject around the Suprascapular nerve
Synovial fluid has realistic colouring

Versatility

Injections from multiple approaches to allow for different preferences
Shoulder skins have been vigorously tested for repeated use, ensuring a longer life span for the product
Torso is compatible with both palpation guided and ultrasound guided Shoulder Injection modules
Watertight design to ensure extended life of product

Cleaning

Clean product with a damp cloth
Allow product to dry thoroughly before storing

Safety

This product is latex free
Package contains needles
Use the needles provided with the simulator, or near new needles of 21 gauge
Ultrasound module is extremely delicate, store securely in its protective box when not in use
Model conforms with ISO IEC 17050-1:2010 and FCC/CFR 47: Part 15, Sub Part B

Simulated Patient

Shoulder trainer can be used with a simulated patient

Anatomy

Internal anatomy:

Rotator cuff muscles (represented in one moulded piece)
Biceps sheath
Bicipital tendon
Deltoid muscle
Capsule representing:
- Coracohumeral ligament
- Superior glenohumeral ligament
- Coracoacromial ligament
- Transverse ligament

Product Contains

Light
Dark

Shoulder Module with Ultrasound Capability (Light Skin Tone)

Knävätska (250 ml)

Comparison	Palpation with Tablet	Palpation without Tablet	Ultrasound Guided
What's included	70200	70201	70202
Palpation Guided Shoulder Module (70212)	Yes	Yes	No
Ultrasound Shoulder Module (70213)	No	No	Yes
Shoulder Torso	Yes	Yes	Yes
Spare Shoulder Skin (Palp, 70210)	Yes	Yes	No
Android Tablet (with preloaded app)	Yes	No	No
2 x AA Batteries	Yes	Yes	No
Needle Set	Yes	Yes	Yes
Synovial Fluid (250ml, 70022)	No	No	Yes
Carry Case	Yes	Yes	Yes
Elbow	Yes	Yes	Yes
Ultrasound Gel	No	No	Yes

Equipment needed for procedures, not supplied with ultrasound shoulder trainer:

Linear Ultrasound Probe
Ultrasound Gel

References

Postgraduate Nursing

Adult-Gerontology Acute Care And Primary Care NP Competencies 2016, p.42 Primary care practice skills which includes, but is not limited to: • Joint aspiration and injection. Nurse Practitioner (NP) and Physician Assistant (PA) Rheumatology Curriculum Outline, American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ARHP), 2017, p.8 Perform procedures, as agreed upon by the supervising/collaborating rheumatologist and NP/PA: 2. Joint and soft tissue injections (adult) a. Indications and contraindications b. Large and medium joints (i.e., knee) ... e. Subacromial space

Physician Assistant

Nurse Practitioner (NP) and Physician Assistant (PA) Rheumatology Curriculum Outline, American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ARHP), 2017, p.8 Perform procedures, as agreed upon by the supervising/collaborating rheumatologist and NP/PA: 2. Joint and soft tissue injections (adult) a. Indications and contraindications b. Large and medium joints (i.e., knee) ... e. Subacromial space

Family Medicine

AAFP Residency Guidelines, Musculoskeletal and Sports Medicine, Reprint No. 265 (p.4): Indications, limitations, contraindications, and informed consent for office-based musculoskeletal procedures such as: a. Common joint aspirations b. Common joint injections c. Common injections for bursitis d. Common injections for tendinopathy

Rheumatology

Core Curriculum Outline for Rheumatology Fellowship Programs, American College of Rheumatology, 2015 "Demonstrtae competency in obtaining synovial fluid from diarthrodial joints, bursae, and tenosynovial structures."

Rheumatology Specialist Trainees

Royal Australasian College of Physicians, Rheumatology Advanced Training Curriculum, Royal Australasian College of Physicians, 2013, p.8 "be competent in the use of appropriate diagnostic and therapeutic procedures, including joint and soft tissue injection and aspiration."

Sports Medicine Specialist Trainees

ACSEP CURRICULUM, Australasian College of Sports and Exercise Physicians, 2017 Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic. Assessment: Direct Observation of Procedural Skills (DOPS): Subacromial joint space injection Acromioclavicular joint injection

Specialist GP Trainees

RAGCP Lifelong Learning Curriculum: Appropriate Procedures (2016): guided and unguided musculoskeletal injections (eg trigger point, joint, bursal, intra-articular, carpal tunnel, nerve blocks) The RACGP Curriculum for Australian General Practice 2011: Musculoskeletal Medicine, Royal Australian College of General Practitioners. Identify and acquire musculoskeletal procedural skill competency levels appropriate for the required service provision level, eg. if performing joint injections ensure skill competency level has been acquired.

Core Medical Training CMT 1-2

Specialty Training Curriculum For Core Medical Training August 2009 Joint Swelling, p 92-93

Specialist Rheumatology Trainees

Specialty Training Curriculum for Rheumatology, Joint Royal Colleges of Physicians Training Board, 2010, p.17 and 24

Specialist Trauma & Orthopaedics Trainees ST3-8

T&O Simulation Curriculum 2013 v 2, p.62

Specialist Sport & Exercise Medicine Trainees

Specialty Training Curriculum for Sport and Exercise Medicine August 2010, p.53

GP Training

http://www.gmc-uk.org/RCGP_Curriculum_modules_jan2016.pdf_64810573.pdf, p. 327

Clinical Radiology

Clinical Radiology Specialty Training Curriculum, The Royal College of Radiologists, 2019.