Gastrointestinal Endoscopy Simulation Models: Complete Simulation Model = Trainer (hardware) + Real Tissue Specimen (software)

Our simulation models use two components: a plastic trainer (hardware) used in conjunction with a disposable ex-vivo specimen (software). Some disposable specimens are hybrid models combining plastic, silicon with real tissue. These types of models are single-use disables cartridges. The use of cartridges allows an easy setup and exchange of simulation models even without pre-experience.

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Simulation Trainers (hardware) – used in conjunction with real tissue ex-vivo specimens

Which area of the GI tract … Name of Trainer Description Used commonly with which real tissue models …
(List of specimens see table 2 below)
Upper & lower GI EASIE-R 1 ... Basic simulation model with anatomically shaped cavity to facilitate a variety of specimens of the upper and lower GI tract
  • EMR/ESD
  • POEM
  • ERCP Native
  • EUS Complete
  • UGI Hemostasis
  • LGI Hemostasis
  • LGI Polypectomy
  • LGI Stricture
Upper & lower GI EASIE-R 2 ... Completely refined simulation model with flat bottom tray. This model contains a second bottom PEG board with adjustable alligator clamps to facilitate the use of organs of variable type, size and shape.
  • EMR/ESD
  • POEM
  • Balloon Enteroscopy
  • ERCP Native
  • UGI Hemostasis
  • Twisted Sleeve
  • Zenker’s
  • LGI Hemostasis
  • LGI Polypectomy
  • LGI Stricture
PEG Trainer ... Our PEG trainer includes a special lid with a rubber membrane to simulate the abdominal wall puncture for the PEG placement. The stomach is adjacent to the abdominal wall which facilitates transillumination.
  • PEG placement
ERCP Cartridge Model This tubular model is used with the ERCP cartridge (NeoPapilla ERCP specimen)
  • Advanced therapeutic ERCP
EUS Cartridge Model ... This tubular model is used with the EUS task trainer cartridge (EUS cartridge specimen)
  • Diagnostic Radial and Linear EUS
  • EUS-FNA
  • EUS core biopsy
Upper & Lower GI Thompson Endoscopic Skills Trainer (TEST)
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The Thompson Endoscopic Skills Trainer (TEST) is a portable training tool designed to assess and improve endoscopic skills. The first of its kind, the TEST is broken up into five task-oriented compartments, each of which develops a particular skill used in endoscopy. Capable of distinguishing among a wide range of skill levels, from novice to advanced endoscopist, the TEST is a safe, effective, and objective measure of ability. Additionally, as a training tool, the TEST may be used by beginner endoscopists to familiarize themselves with endoscopic maneuvering before proceeding to procedures inside patients, and by more advanced endoscopists to maintain their skills.
  • Skills task trainer to facilitate 5 important basic endoscopic skills including retroversion polypectomy, grasping and loop reduction
Lower GI Proctoscopy Simulator ... Simulation model of the anus to be used with anus/rectum cartridges
  • Proctoscopy cartridge

Real Tissue Ex-vivo Specimens (software)

Our specimens and trainer rentals are shipped express for on-time and fresh arrival. All specimens are shipped frozen and will require thawing and refrigerated storage upon arrival. Please be sure to include desired delivery date with your order.

Custom specimens are available! Please contact us if you are interested in a custom-made specimen for your hands-on workshop. Our email address is info@endosim.com. You may also fill out the custom specimen comment box at the bottom of the page.

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Which area of the GI tract … Name of Specimen Contains which organs… Used commonly for which procedure …
EMR/ESD ... Porcine ex-vivo esophagus-stomach-duodenum specimen
  • Diagnostic EGD
  • Endoscopic Mucosa Resection (EMR)
  • Endoscopic Submucosal Dissection (ESD)
  • Variceal band ligation
POEM Porcine ex-vivo esophagus-stomach-duodenum specimen with extra thick esophagus
  • POEM
Balloon Enteroscopy Porcine ex-vivo esophagus, stomach, duodenum and 6 feet of small bowel (ileum)
  • Single balloon enteroscopy
  • Double balloon enteroscopy
Stomach Defect Porcine ex-vivo esophagus-stomach-duodenum specimen with target perforations
  • Perforation closure (clips or suturing)
UGI Hemostasis Porcine ex-vivo esophagus-stomach-duodenum specimen with 6-8 bleeding vessels sutured into the anterior stomach wall Hemostasis in the upper GI tract:
  • Injection
  • Cautery
  • Clipping
  • Suturing
ERCP Native Biliary Porcine ex-vivo esophagus-stomach-duodenum-biliary tract-liver-gallbladder specimen. This complete biliary model contains the native (unaltered) biliary tract including major duodenal papilla, common bile duct, cystic duct, gallbladder, and intrahepatic ducts. Please note that the porcine major papilla does not have a common confluence of common bile duct and pancreatic duct. In the native porcine specimen, the pancreatic duct enters the duodenum at the minor papilla, separate from the common bile duct.
  • Diagnostic and therapeutic ERCP
  • One sphincterotomy per specimen
ERCP NeoPapilla Cartridge ... Cartridge (hybrid) ERCP model with porcine ex-vivo duodenum with an artificial major papilla made of chicken heart tissue. The artificial papilla allows access to the common bile duct and pancreatic duct. The exchange of the chicken heart allows the performance of multiple sphincterotomies in the same specimen. The chicken heart tissue can be exchanged within 30 seconds.
  • Diagnostic and therapeutic ERCP
  • Multiple spincterotomies in the same specimen
ERCP Diverticulum Specimen Ex-vivo porcine duodenum with a simulated diverticulum
  • ERCP in a simulated papilla in diverticulum location
EUS Complete Complete porcine ex-vivo upper GI tract model with esophagus, stomach, duodenum, liver, pancreas, and kidneys. The aorta can be perfused with a roller pump system to simulate Doppler.
  • Diagnostic and therapeutic EUS
  • EUS-FNA of artificial tumors in the esophagus, stomach and liver
  • EUS-FNA of pancreatic pseudocysts
  • EUS-guided cystogastrostomy
EUS Task Trainer EUS cartridge model with pancreatic cyst, esophageal tumors and gastric mass
  • Therapeutic EUS
  • EUS-FNA of target lesions
  • EUS-FNA of pancreatic pseudocysts
Twisted Sleeve Porcine ex-vivo esophagus-stomach-duodenum specimen with altered anatomy resembling the status post laparoscopic sleeve gastrectomy
  • Twisted sleeve model realistically simulates a gastric volvulus as a complication of laparoscopic sleeve gastrectomy
Zenker’s Cartridge task trainer with ex-vivo model of an artificial pharyngoesophageal diverticulum with a pharyngeal pouch
  • Zenker diverticulotomy
Roux-en-Y Gastric Bypass Porcine ex-vivo esophagus-stomach-duodenum specimen with altered anatomy resembling the status post laparoscopic Roux-en-Y gastric bypass. This model has the NeoPapilla attachment that allows sphincterotomy and therapeutic ERCP.
  • EGD and ERCP in Roux-en-Y Gastric Bypass Anatomy
Bovine colon EMR/ESD specimen Bovine ex-vivo colon specimen
  • EMR/ESD in the colon and rectum
Porcine colon EMR/ESD specimen Porcine ex-vivo colon specimen
  • EMR/ESD in the colon and rectum
Colonic stenosis/stricture Porcine ex-vivo colon specimen with simulated stenosis
  • Colon dilation and stent placement
LGI Hemostasis Porcine ex-vivo colon specimen with 6-8 bleeding vessels
  • Hemostasis in the colon or rectum
Porcine Colon Polyp specimen Porcine ex-vivo colon specimen with 6-8 bleeding vessels
  • Polypectomy in the colon
Bovine Colon Polyp specimen Bovine ex-vivo colon specimen with 6-8 bleeding vessels
  • Polypectomy in the colon
Proctoscopy ... Cartridge model of a porcine ex-vivo anus and rectum
  • Proctoscopy
  • Hemorrhoid ligation
  • Anal sphincter repair