Real Tissue Models™

Highest engagement surgical training

Accelerated technology development, testing, training and sales.

Customized pathology

Most Realistic  surgical modeling on the market

• Customized Pathology

• Responsive to all surgical energy

• Validated for skill assessment

• Providing highest surgeon engagement

LAPAROSCOPY MODELS:

TLH Model – 120gm – Includes moderate size uterus, cervix with V-care cup (alternative delineators on request), ovaries and fallopian tubes, cardinal-uterosacral ligaments, bladder, rectum, ureter and uterine artery, peritoneum.  Provides task specific training in hysterectomy, bilateral salpingoopherectomy, colpotomy, cuff closure with resuspension to uterosacral ligaments. 

Large TLH Model– 240 gm – Includes large uterus with all anatomic elements as seen in the TLH 120 gm model.

Surgical Excision of Stage 4 Endometriosis requires advanced skills deserving repetitive practice. The Gynesim modeling of deeply infiltrating endometriosis provides the only high fidelity simulation of this difficult disease.

LAPAROSCOPIC EXCISION OF DEEP INFILTRATING ENDOMETRIOSIS: bowel, bladder and ureter.

VAGINAL SURGERY MODELS:

Vaginal Hysterectomy Model – Includes uterus, bladder, ureter, uterine artery, cardinal and uterosacral ligaments. Supports vaginal hysterectomy including critical dissection of vesicovaginal septal and rectovaginal septal planes, peritoneal entry and cuff closure.

Sacrospinous Ligament Fixation Model - Transvaginal sacrospinous ligament resuspension includes vagina, rectum, bladder, ureter, urethra, labia, bilateral sacrospinous ligaments, coccygeus muscles, bony pelvis and peritoneum.

Mullerian Developmental Abnormality  Models – Pediatric transvaginal approach includes vagina, uterus, bladder, ureter, uterine artery, cardinal and uterosacral ligaments with various pathologies including OVHIRA, septate vagina, vaginal agenesis supporting surgical correction procedures.

4th Degree Obstetrical Tear Repair Model - perineal repair model includes 4th degree tear through vagina, perineal body, bulbospongiosis, external anal sphincter, rectal muscularis and endomucosal layers. Supports training in complex obstetrical repairs.

LAPAROTOMY MODELS:

Postpartum Bleeding and Hysterectomy Model - Uterus (with or without cesarean hysterectomy defect) with dilated cervix, vagina, internal iliac and uterine arteries, ureters, bladder, rectosigmoid, ovaries and fallopian tubes. Supports Bakri balloon placement, B-Lynch suture placement, Uterine artery ligation, hypogastric artery ligation, and hysterectomy.

OPERATIVE HYSTEROSCOPY MODELS:

Hysteroscopic Myomectomy Model - Includes Uterus with cervix, endometrial surface with bilateral ostia, and two to three fibroids (types 0-2) - standard wired to monopolar energy.

UROLOGY MODELS:

Prosthetic Urology Models - Glans, corpus, spongiosum, central tendon, suspensory ligament, Dartos and Bucks fascia, urethra, dorsal neurovascular bundle, prostate, bladder, vas deferens, scrotum with testes. Can include lower abdominal wall with anterior rectus sheath, with defined space of Retzius. Supports implant placement for erectile dysfunction and incontinence. Can be customized with pathology including Peyronie’s Disease.

Bladder Tumor Model - Male or female urethra, bladder with ureteral orifices and customized pathology. Supports cystoscopic resection of bladder tumors.

GI ENDOSCOPY MODELS

Colon polyp and Endoluminal Model -  Supports colonoscopy with excision of polyps, Endoscopic Mucosal Resection (EMR),  Endoscopic Submucosal Dissection (ESR) and Colonoscopy monitored lap sleeve resection. Includes rectum and continuous customized-length colon with customized endoluminal lesions - variably sized polypoid, sessile and minimally invasive lesions included.

Real Tissue Models™

• Hand constructed

• USDA inspected discard tissue

• Ethically sourced

• Clean handling

• Requires no special bio-disposal

• Used in conference rooms, classrooms, office spaces, homes and labs

Myomectomy Model – Includes uterus with 2x 5-7 cm fibroids (customized placement posterior, fundal or anterior), with adnexa and peritoneum.  Can be wired for monopolar surgical energy.  Provides task specific training in enuclation, multilayer defect closure, contained tissue removal.

Sacrospinous Ligament Resuspension Model - Includes presacral promontory with longitudinal ligament, ureters, sigmoid colon, presacral vessels, left and right common iliac vein and arteries, peritoneum, vaginal cuff with bladder, rectum and remnant uterine arteries. Supports colpopexy Y-mesh placement and presacral fixation and retroperitonealization of the mesh body.

Vaginal cuff closure Model – telescoping vagina, ureter, bladder, colo-rectal segment, peritoneum.  Supports repetitive cuff closures.

Enlarged Uterus Hysterectomy Model - >500gm uterus, cervix, vagina, bladder,ureter, uterine artery, rectum. Supports open hysterectomy.

Hysteroscopy D&C, endometrial resection/ablation Model  – Includes Uterus with cervix, endometrial surface with bilateral ostia.  Supports cervical dilation, diagnostic hysteroscopy with D&C as well as hysteroscopic endometrial resection or rollerball ablation.  If necessary can be wired for use with monopolar energy.

Turp, Laser ablation, Enucleation Model - Male urethra, bladder with hypertrophic posterior and lateral prostate lobes. Supports cystoscopic approach to excision/ablation of benign prostatic hyperplasia.

GENERAL SURGERY AND GASTROINTESTINAL SURGERY MODELS:

Laparoscopic/Robotic Ventral Hernia Model - Support laparoscopic/robotic ventral hernia repairs including lysis of adhesions, incarceration reduction, small bowel defect repair, sac excision, fascial defect closure and mesh placement including inlay and underlay with tacking as well as trans-abdominal suture fixation. Can be placed in various points of directional access for different skill levels.

Laparoscopic/Robotic Inguinal Hernia Model - Includes all relevant anatomy - vas deference, testicular vessels, ilioinguinal, iliohypogastric, genitofemoral, and lateral femoral cutaneous nerves, external iliac and inferior epigastric vessels. Support laparoscopic direct and indirect inguinal mesh hernia repairs including lysis of adhesions, incarceration reduction, bowel injury repair, mesh placement and fixation.

Laparoscopic Cholecystectomy Model - includes right liver lobe, gallbladder, hepatic, cystic and CBD with critical view of safety, cystic artery and transverse colon, duodenum. Supports laparoscopic cholecystectomy.

Laparoscopic Appendectomy Model - includes distal ileum, and cecum with appendix and mesoappendix. Supports laparoscopic appendectomy. Can be modified to provide for retroperitoneal dissection for retrocecal location.

Laparoscopic/Robotic Bariatric Models - Includes stomach, omentum, left liver lobe, duodenum and upper jejunal segment.Support laparoscopic partial/sleeve gastrectomy, simple Roux-en-Y and banding procedures.

CUSTOMIZED MODELS AND CUSTOMIZED PATHOLOGY

Gynesim can construct any anatomic or surgical procedural simulation model with any customized pathology.

Contact Gynesim regarding customizing models to support curricular goals or to highlight surgical technology.

Complete MIS Procedure Simulation Systems

Gynesim provides surgical training platforms to support open abdominal, laparoscopic, hysteroscopic, cystoscopic, endoscopic and transvaginal surgical approaches.

Procedure specific simulation models are loaded into the appropriate training platforms

Gynecase Surgical Simulation Platform: movable HD laparoscopic video camera, internal LED lights, HD monitor with flexible mount arm.  Supports laparoscopic, hysteroscopic, cystoscopic and trans-vaginal access for procedure specific simulation using all available Real Tissue Model cassettes.