Limbs & Things 60251 User manual

User Guide:
Surgical Female Pelvic Trainer (SFPT)
Part No: 60251
limbsandthings.com
For more skills training products visit
Limbs & Things Ltd.
Sussex Street, St Philips,
Bristol, BS2 0RA, UK
E: [email protected]
T: [phone]
Notes
Part No: 065-645
Issue 1, February 2015
© 2015 Limbs & Things

Part No: 60251
The new Surgical Female Pelvic Trainer (SFPT) is a simulator for training in a wide range of
laparoscopic gynaecological surgical techniques and procedures. The uterus component can
be easily removed and replaced after use.
Skills Gained:
•Salpingectomy
•Salpingostomy
•Myomectomy
•Cystectomy
•Hysterectomy
•Oophorectomy
•Dissection down to and location of ureters
•Insertion and use of uterine manipulator
•Working with various gynaecology
instruments
•Identification of anatomical landmarks
- Uterus
- Vagina
- Cervix
- External Introitus
- Bladder
- Fallopian Tube
- Ovaries
- Broad Ligament
- Ureters
- Uterine Artery
- Ovarian Artery
- Pouch of Douglas
- Dunns Pouch
- Bowel and Sigmoid
- Ovarian Cyst
- Ectopic Pregnancy
- Fibroid
- Uterosacral Ligament
- Cardinal Ligament
- Abdominal Skin with realistic pressure
needed to insert Cannula
- Pelvic Floor with sympathetic features
You’ll Receive:
• 60252 1 SFPT Surgical Uterus
• 60253 1 SFPT Abdominal Skin Pad
• 60254 1 SFPT Perineum
• 1 Abdominal Support
• 1 Abdominal Shell
• 1 Bowel
Product Qualities:
- Insufflation of abdomen is represented
- Provides practice and role playing for
gynaecological perioperative teams
- Includes a realistic vaginal canal and
cervix for inspection, in which a uterine
manipulator can be used
- Compatible for use with harmonic
scalpels
- Realistic bleeding when arteries are cut
60256 SFPT Uterus (pack of 5)
60257 SFPT Uterus (pack of 10)
Consumables:
Surgical Female Pelvic Trainer (SFPT) Notes

Notes Components
The SFPT units will arrive with one uterus in situ, together with a blood bag packed under the
belly skin.
1 2 3
4 5 6
7 8
SFPT Bowel SFPT Abdominal Skin Pad
SFPT Perineum Blood Starter Kit SFPT Abdomen
SFPT Mock Blood Kit
(includes reservoir and pump)
Blunt Dispensing Needle and Syringe Complete SFPT
SFPT Uterus

Components in Situ
1 1
1
3
5
7
9
2
4
6
8
10
2
Ovarian Artery
Uterine Artery
3
Bowel
2
44
Uterers
7
5
Fallopian Tube
Ectopic
Fibroid
Uterus
6
8
9
Pelvic Ring
10
Bladder (hidden underneath)
11
12
Round Ligament
Broad Ligament
11
12
13
14
Ovary
Ovarian Cyst
13
14
Anatomy of the SFPT Uterus.
Adding / Replacing a New Uterus (contd.)
Make sure each hole is attached
10
Attach the pelvic ring clamp to keep the uterus
in place. Ensure that the Ovarian artery tubes
and the Uterus artery tubes come through the
bottom of the clamp
11
The Uterus is now fitted
11

Adding / Replacing a New Uterus (contd.)
Attach the vaginal part to the model by
pushing each vaginal tab into the securing
slots on the perineum
6
On the back of the uterus, locate the cardinal
and uterosacral ligaments in the lower part of
the pelvis (there are four ligaments in total,
two either side), and attach to the model using
the connectors
7
Press the white pegs firmly into the black
securing holes
8
Attach the uterus to the attachment points
around the perimeter
9
Undo three attachments of each side
1
Removing Abdomen to Access the Uterus
Unclip popper fasteners above the perineum
2
Holding both sides of the skin carefully lift
it free from base
3

Remove the label from the model
Preparing the Uterus on First Use
2
Remove paper wrapping from the uterus
3
Unscrew the 2 white turn screws on the top
of the pelvic clamp
1
Adding / Replacing a New Uterus (contd.)
With one hand holding the uterus and the
other holding the bowel, begin to gently pull
the bowel through the opening in the uterus
3
Keep pulling the bowel gently through until
just over half of the bowel is sitting in front
of the uterus
4
On the other side of the uterus, grasp the
vaginal end of the uterus and push gently
through the perineum
5

Removal of Used Uterus (contd.)
Grasping the end of the uterus with the other
hand pull free from the perineum
7
The uterus must then be separated from the
bowel which should remain attached to the
perineum. Grasp the bowel in one hand and
carefully pull the uterus section with the other hand.
8
Adding / Replacing a New Uterus
To fit a new uterus simply reverse the steps in the ‘Removal of used uterus’ section.
Unpack the new Uterus ready to fit to the SFPT
1
Feed the bowel through the opening in the
back of the uterus
2
Preparing the Uterus on First Use (contd.)
Unscrew the remaining white turn screw at
the bottom of the pelvic clamp
4
Remove the pelvic ring clamp
5
Carefully attach the uterus to the attachment
points around the perimeter
6
Place the pelvic ring clamp back on the
model, ensuring that the uterus tubes pass
underneath the clamp
7

Preparing the Uterus on First Use (contd.)
Attach the 3 white turn screws
8
The uterus is now fitted
9
Set up For Use
Before the product is used it is recommended that simulated blood is added to increase the
realism when conducting surgical procedures.
Removal of Used Uterus (contd.)
Carefully remove uterus from attachment
points around the perimeter
3
Locate the cardinal and uterosacral ligaments
in the lower part of the pelvis (there are four
ligaments in total, two either side)
4
Carefully remove ligaments, disconnect by
gently pulling from the connectors
5
Remove vagina end from perineum
6

Using the hand pump create pressure within
the blood bag which will force the blood
around the circuit and back out through the
ovarian artery tubing. Do not over pressurise.
Setting up the Blood Supply (contd.)
8
Then clamp off the larger tube when the
blood has reached the white clamp. The blood
system is now ready and primed.
9
Removal of Used Uterus
First undo the three white turn screws located
around the rim of the pelvis
1
Remove pelvic ring clamp
2
Adding Simulated Blood
Locate the fallopian tube with ectopic
pregnancy
1
Using the blunt dispensing tip supplied,
carefully inject 3ml of blood into the ectopic
pregnancy through the fimbriae end
2
For the fibroid, use 5ml of blood and using
the dispensing tip insert the blood in 5 spots
around the fibroid. Be aware that this can
take some force to inject into the fibroid due
to its dense fibrous nature
3
Both the fibroid and Ectopic Pregnancy are designed to have simulated blood added to them
to increase the realism when surgical removal is performed. To begin, mix up the blood
concentrate with the correct ratio of water (follow the instruction on the side of bottle).
1
23
54

Locate the two ‘out’ tubes labelled
‘Ovarian Artery’
Setting up the Blood Supply
1
Select the blood outlet tube
2
Attach both connectors at the ‘y’ end of
tube to both of the ‘out’ tubes
3
Setting up the Blood Supply (contd.)
Attach both of the ‘in’ tubes from the uterus
(uterine artery) to the connectors on the ‘y’
end of the blood reservoir
4
Half fill the blood reservoir with blood
5
Tip the blood reservoir until the blood has
pooled at the end nearest the outlet to the
uterine artery tubes.
6
Open the white clip on the tubes connected
to the ovarian arteries and place a cup under
the open end.
7