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The Body Form 50130
This revolutionary "hands on" trainer for laparoscopic surgery, simulates conditions which are found in practice and which create technical and spatial problems commonly found in laparoscopic techniques.

Organs, vessels and other soft tissue structures are reproduced using proprietary simulation technology.

The rigid structure of the trainer is formed in the shape of the abdominal cavity in life size; this provides the framework for soft tissue assemblies such as the biliary system. The design of the abdominal cavity enables access into the abdominal space from points which would be necessary in life. The Body Form can be insufflated using a unique clamping system.

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Insufflation
This may be simulated by use of a frame (50172), which raises the abdominal wall. The flexible arm fixes under one of the 6 clamps according to the procedure that is required. An 11mm sleeve guides the 'scope through a trochar into the abdominal cavity. Strategically placed grommet holes receive L&T unique helix pegs when securing any of the soft tissue assembles.

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Abdominal Wall
A realistic abdominal wall represents the skin, fat and peritoneum layers. The strong flange around the bottom edge of the abdominal wall is covered by a retaining ring. Clips secure the ring in place and give a life like tension to the skin cover. There are two abdominal walls to choose from:
  • The 50120 has an opening to enable access for gynaecological and anal procedures. This is used in conjunction with the Insufflation Frame (50172) to simulate insufflation.

  • The 50105 abdominal wall can be clamped down to the metal base to form an airtight seal. This allows for the practice of Verres Needle or Hassan techniques for insufflation and for abdominal tamponade.

Abdominal Wall


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The Body Form Contents
  • female abdominal cavity in two sections.
  • soft tissue perineum and bowel.
  • soft tissue abdominal wall carrying a navel for gynaecological procedures.
  • liver with surgical gall bladder.
  • advanced surgical uterus with fallopian tubes and ovaries.
  • spleen and some superficial organs - no cavity.
  • fixing points for assemblies and organs.
  • metal base with flange and clamps.
  • frame for simulating insufflation.
  • universal ancillary kit.
  • tag gun
  • flexible arm with 'scope clamp.
  • strong carrying case with wheels.
  • overall size 640mm x 480mm x 200mm high.
Male option

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The Body Form can be presented as a male by exchanging the Female Pelvic Trainer rigid support for the Male Pelvic Trainer rigid support which carries the male perineum, testicles and penis.
Removable and replaceable anatomy:
All assemblies carry fixing points for corresponding location in the rigid structure of the abdominal cavity. All fluid-filled vessels can be fixed to a low pressure pump or a drip system, enabling continual fluid flow should the trainees procedure be inadequate.

When an operative procedure is completed the soft tissue assembly is removed; the cavity wiped clean as necessary and a new assembly can be put in place for the next trainee (or the original assembly can be repaired) and fixed back in place.
Assemblies for use in the Body Form  - General Surgery:
Assemblies for use in the Body Form  - Gynaecology:

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Much valuable practice can be gained on the Body Form modules for general surgery. Most of the modules have fluid-filled vessels that will bleed when cut. Great care has gone into achieving anatomical accuracy within the limitations of the materials used. All our materials are non-biological.
 
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Surgical Gall Bladder Pad (50127)
A single gall bladder with cystic artery attaches to the  the quadrate lobe of the Liver (50110). The right and left lobes of the liver are secured within the Body Form.

The pad can be easily linked to a liquid feed using the fitted luer lock.

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Hernia and Frame (50133)  Hernia (50109)    Frame (50169)
The Hernia Assembly and Frame is designed for the extra-peritoneal approach to an inguinal hernia.

The hernia assembly includes:
  • the testicular, external iliac and inferior epigastric arteries and veins
  • the vas deferens
  • lateral femoral cutnaeous nerve
  • linea alba, rectus muscle layer
  • peritoneum
  • a femoral and indirect hernia
  • hernia frame for use in the body form.

This model is designed for:

  • entry at the linea alba passage down beside the rectus muscle
  • identification of anatomy
  • hand over hand ‘removal’ of the hernae attachment of the mesh

The peritoneum is already released from the transoversalis fascia and is designed to be replaced when necessary.

The hernia can be repaired with mesh affixed by clips, staples, pins or sutures and can be replaced after the procedure, using the mechanism provided. 

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Nissan Fundoplication  Model (60380)
Never before has there been an accurate dynamic model for Nissan Fundoplication. Made from non-biological materials, it presents the structures and spatial problems which are met in this procedure.

Soft flimsy mesentery links the diaphragm, crura, liver, stomach and spleen. The oesophagus accommodates a bougie; the stomach is robust and floppy, soft but strong. Simulation of anterior posterior vagus nerve is present. The stomach is semi-replaceable; with careful removal of the sutures it will last a long time.

This model is designed to be used in The Body Form. The replaceable tissue (mesentery) is easily attached using the tag gun provided with the Body Form.

Fundoplication Model

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25 May 2000