EIT100

Lumbar Epidural Injection and Lumbar Puncture Trainer

The Pharmabotics Lumbar Epidural Injection Trainer is designed to assist trainee anaesthetists and junior clinicians to learn safely the practice of making injections into the spinal lumbar area. It was made in collaboration with Dr B. Fischer, Consultant Anaesthetist, Alexanfra Hospital, Redditch, Birmingham, UK. Formerly chairman of ESRA (UK branch).

Key Skills

• Identify key anatomical landmarks i.e. Lumbar vertebrae, spinal processes
• Intraspinous spaces can be palpated below the skin
• Learn the loss of resistance technique upon entering the epidural space by using an injection of air or saline
• Practice withdrawal of fluid into the syringe
• Lumbar puncture technique
• Epidural catheter insertion via Seldinger Technique       
• Needle positioning and insertion

Features

• Left lateral or vertical position can be used 
• There are five lumbar vertebral bones embeddedwithin the ligamentum flavum that can be identified L1-L5. The iliac crest is visible
• A loss of Resistance Syringe is supplied with a Tuohy Needle that can be used to understand depth and loss of resistance  
• Uniquely, the trainer can be disassembled to show the location of where the needle has been placed by the trainee
• Realistic tissue layers replicate the tactile feedback from the skin, subcutaneous tissues, the intraspinous ligaments and the ligamentum flavum 
• If accidental dural puncture occurs, "cerebrospinal fluid" (simulated), will appear in the syringe
• Tactile and visual access to the lumbar spine epidural space and dural sac
• Spinal needles can be introduced and enter the dura mater and samples of fluid can be taken
• The skin will take >200 injections before needing replacement

Epidural Trainer Contents

• Ligamentum Flavum
• Lumbar Bones L1 - L5
• Skin Epidurmis (5mm as standard) + Muscle Layer
• Instrument Kit with Tuohy Needle and Loss of Resistance Syringe
• Fluid Filled Spinal Cords (short) pre-filled tubes supplied as standard (set of 5:6 inch/150mm)
• CD Rom instructions, available on request
• Weighs 1.9kg and easily portable

Extra long tubes for use with large groups when practising lumbar puncture techniques EIT108.

Replacement parts:
EIT100    The Epidural Trainer
EIT101    Replacement Skin for EITIOO
EIT102    Replacement Ligmentum Flavum + Intraspinal Space
ElT103    Fluid filling Kit (Export only) EIT104 Replacement 6 inch Spinal Tubes
EIT106    Muscle Layer for EIT100/200
EIT107    Instrument Kit
EIT108    Replacement 18 inch Extra Long Spinal Tubes
EIT100L  Epidural trainer with long Spinal tubes for Lumbar puncture
EIT200    Rick Skin Epidural Trainer
EIT201    Upgrade kit from EIT100
EIT202    Replacement Thick Skin pad

A NEW skin has been developed to take into consideration the need to practice skills while working on obese patients. It is available as a complete Thick Skin Trainer EIT200 and the replacement Thick Skin Pad is EIT202 To up-grade from an existing epidural Trainer please quote EIT201.

Lumbar Spinal Column
Consisting of the 5 lumbar vertebrae with intervertebral discs, sacrum with flap, coccyx, spinal nerves and dura mater of spinal cord. On flexible stand. 34 cm; 0.6 kg L