Eidos Products Catalog

ONE STOP SHOP SOLUTIONS
W E H AV E A L L YO U R M E D I C A L T R A I N I N G
S I M U L ATO R S
D E R V I S D E M I RTA S
CEO EIDOS Netherlands
S I L F O N TA N G
S A L E S D E V E LO P E R
MEDICAL SCIENCE COMBINED WITH
HIGH TECHNOLOGY EQUIPMENT
• Russian, German and Netherlands leading universities
and research institutes’ involvement in research and
development
• Application of the latest medical educational
technologies
Products
Endovascular Pediatric surgery
Gynecology Laparoscopic surgery
Endourology Intensive care
Endoscopy Anesthesiology
Coloproctology Gastroenterology
Ambulance Pulmonology
Endovascular Pediatric surgery
Gynecology Laparoscopic surgery
Endourology Intensive care
Endoscopy Anesthesiology
Coloproctology Gastroenterology
Ambulance Pulmonology
ENSIM-S.EVS.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
ENDOVASCULAR INTERVENTIONS
Main advantages in comparison to the foreign analogues:
• Detailed models of virtual patient’s arterial system based on real

patients’ images and 3D models
• Unique own-developed mathematic model
• Realistic visualization
ANGIOGRAPHY
EDUCATIONAL AND PRACTICAL MODULES OF VIRTUAL SURGERY FOR ENSIM-
S.EVS.01
• Balloon angioplasty and stenting exercise complex
- Carotid stenting
It is required to perform carotid stenting during the exercise. This kind of intervention is of
endovascular-type procedures and is aimed at placement of a special tube (stent) into blocked
carotid artery by atherosclerosis, that is a systematic process of atherosclerotic plaques occurrence
on the arterial inner wall. These plaques consist of cholesterol, calcium and fibrous tissue.
For a given time it is required to perform the main stages of the intervention
that include preliminary diagnostic angiography, dilatation of a blocked part,
placement and opening of a stent or a balloon, control angiography, extraction of the instruments.
It is important not to break vessels’ integrity and not to exceed the quantity of contrast being injected.
- Renal stenting
It is required to perform renal stenting during the exercise. This method of endovascular
angioplasty includes renal artery opening by estuarine and non-estuarine stenosis,
renovascular hypertension and fibromuscular dysplasia by insertion of a plastic balloon catheter
and a special tube (stent). For a given time it is required to perform the main stages of the intervention
that include preliminary diagnostic angiography, dilatation of a blocked part, placement and opening
of a stent or a balloon, control angiography, extraction of the instruments.
ANGIOGRAPHY
S.EVS.01
- Coronary intervention
It is required to perform coronary intervention during the exercise. This procedure belongs to the
Coronary heart disease treatment and opens blocked artery by placing and opening of a special tube
(stent) in the narrowed part. For a given time it is required to perform the main stages of the intervention
that include preliminary diagnostic angiography, dilatation of a blocked part, placement and opening
of a stent or a balloon, control angiography, extraction of the instruments.
- Iliac stenting
It is required to perform iliac stenting during the exercise. The process of endovascular balloon
stented iliac arterial opening with placement of a special tube (stent) lets restore optimal blood supply
of femoral and iliac zones and blood supply to the lower extremities. For a given time it is required
to perform the main stages of the intervention that include preliminary diagnostic angiography,
dilatation of a blocked part, placement and opening of a stent or a balloon, control angiography,
extraction of the instruments. It is important not to break vessels’ integrity and not to exceed the quantity
of contrast being injected.
ANGIOGRAPHY
S.EVS.01
• С-arm movement and positioning
- Coronography projections
The knowledge of standard angiographic projections of coronal arteries is being tested:
-Right anterior oblique projection with a caudal angulation;
-Right anterior oblique projection with a cranial angulation;
-Left anterior oblique projection with a caudal angulation;
-Left anterior oblique projection with a cranial angulation;
-Left oblique projection without angulation;
-Right oblique projection without coagulation;
-Left oblique projection with a cranial angulation.
Each projection gives an opportunity to examine a separate arterial segment. The task is to get
Information on the state, anatomy, morphological structure and changes presence in coronal
arteries along with the accurate indication of affections’ localization and developmental character.
- Prevalent angiographic projections

The knowledge of four standard angiographic projections for a selected affected area is being tested:
-Frontal anterior projection;
-Back anterior projection;
-Right lateral projection;
-Left lateral projection.
The task is to get information on the state, anatomy, morphological structure
and changes presence in coronal arteries along with the accurate indication of affections’ localization
and developmental character.
ANGIOGRAPHY
ENSIM-S.GHS.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
GYNECOLOGY ANS HYSTEROSCOPY
•Realistic feedback force
•Real medical appliances
•Wide range of clinical cases based on the clinical practice
•Short terms of warranty service
HYSTEROSCOPY
S.GHS.01
•Diagnostic hysteroscopy
The module has 12 clinical cases of virtual patients with different kind of pathologies.
Activities on angled optics use, sharp image fixing and visualization of the whole cavity in a safe
Environment are being trained. In Diagnostic hysteroscopy window a clinical case is to be selected.
• Polypectomy
The module has 8 clinical cases with different directions and localizations.
The exercise gives an opportunity to train the first steps of operative hysteroscopy with the help of
snare and other instruments. Visualization, patient’s comfort level, safe procedure performing
and work with the liquid as well are the indicators of performance estimation. In Polypectomy
window a clinical case is to be selected.
• Submucosal fibroid ablation

The module has 8 clinical cases with different directions and localizations.
The exercise gives an opportunity to train the first steps of operative hysteroscopy with the help of
snare and other instruments. Visualization, patient’s comfort level, safe procedure performing
and work with the liquid as well are the indicators of performance estimation.
In Submucosal fibroid ablation window a clinical case is to be selected.
HYSTEROSCOPY
S.GHS.01
• Endometrium ablation
The module has 4 clinical cases of different uterine shapes.

The exercise gives an opportunity to train the technique of endometrium ablation regarding
all the positions of the instrument.
In Endometruim ablation window a clinical case is to be selected.
• Extended resection
The exercise gives an opportunity to train skills of ablation of a complicated fibroid
of I and II types, a big polyp, and intrauterine septum as well. Visualization, patient’s comfort level,
safe procedure performing and work with the liquid as well are the indicators
of performance estimation. In Extended resection window a clinical case is to be selected.
HYSTEROSCOPY
ENSIM-G.EDS.01 HYBRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
SURGERY
LAPAROSCOPY
ENSIM-G.EDS.01 HYBRID VIRTUAL SIMULATOR FOR
PRACTICAL SKILLS IN SURGERY
• Real position of the surgical team, completed access
• Robotic patient. Both general and surgical complications
• 5 universal trocars
• Team (communicative) training
• Surgical and anesthetic units imitation
• All advantages of the standard ENSIM-S.EDS.01 simulator
• SILS (single port surgery) skills training
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Basic studies of laparoscopic appliances use
- Control of a camera with different viewing angle (0°, 30°, 45°);

The task is to find several objects and capture them for a defined period. Angled laparoscopes (30 and 45 degrees)
are being used.
- Improvement of instruments coordination in space

For development of coordinated movements of right and left hands. The task is to catch the ball with
a selected instrument by right and left hands in turn and to place it into the box holding the box top by
the second hand. The balls are located throughout the whole area and are moving permanently.
- Vessels clipping and capturing

Artery clipping could be complicated because of the elasticity and fragility of the vessel. Duct located in the front
is limiting the access to it as well. Size of a zone being clipped and time for clipping could be changed by
an administrating instructor
- Endoscopic scissors handling

Endo-scissors handling skills training – incision of the tissue in the required direction within
the specified limits. Tissue is being clutched and strained in the required direction with a grasper and
is being incised with scissors.
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Basic studies of laparoscopic appliances use
- Endoclip applicator handling

The task is aimed at the basic skills of endoclip applicator handling in non-anatomical environment.
There are parallel vessels with blue-marked places for clips to be placed onto in the training room. For execution
of the exercise it is required to clip all the vessel in any order for a given time trying to apply clips correctly
herewith.
- Electrocoagulation operating skills training

The task is designed for development of initial skills of safe coagulation with a help of the endo-hook or dissector.
It is required to clutch a spherical object, pull it off and uncover a yellow bunche (commissures) connecting it to
the stake. Every bunch is to be intersected with the instrument in a sequential order. It is forbidden
to damage the sphere and main threads keeping the sphere.
- Moving and capturing of objects in space

The task is designed for development of coordinated hand movements and instrument rotation skills.
An object is to be caught, turned and placed according to the tip (contour color shadow within the room).
Objects are to be superimposed. 6 different objects are available.
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Certain significant laparoscopic skills:
- The task on pins’ movement
Pins are to be picked up and placed into holes.

A high complexity level and accordingly level of learned skills could be achieved due to the holes’ orientation,
their size regarding the pins, and pins’ fragility.
- The task on movement of the objects on pins
Pins with different color of the bases are located in the box. The task is to put every ring on the pin, the color
of both pin and ring should coincide. The rings could be located at every part of the room.
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Certain significant laparoscopic skills:

- Endoclip applicator handling
It is designed to develop main skills in handling of endoclip applicator in non-anatomical environment.
Vessel simulations are located at different heights in the training room. From time to time
small area that must be clipped is turning into blue. Time for the application of each clip
is limited. Purpose of the exercise is to clip as many vessels as possible, trying to apply clips correctly herewith.
- The task on possession of endoscopic scissors in training and exam mode

The task is designed for development of basic skills of handling of the endoscissors and both hands
coordination improvement. A tissue with marked closed contour is located in the centre of the training room.
The purpose of the exercise is to cut the tissue along the contour. The incision should be made so as
the tissue between branches is exactly inside the marked contour. For more precision work another instrument
should be used to hold the tissue. The exercise finishes automatically when incision is completed.
The following tips are available in the training mode: highlighting at incision out of the contour,
arrows on the instruments in case they disappear from the camera view, time-left messages. There are
no tips in the exam mode
LAPAROSCOPY
G.EDS.01 SIMULATOR
• The complex of training tasks on suturing and knotting
- Double knot tying for the right hand

The exercise is designed to develop skills of intracorporeal tying of a simple parallel knot with
two loops with the right hand. The needle with the thread already passed through the tissue is located
in the room. It is required to tie the knot with the right hand. Except for the total time limit of the exercise,
definite time is allotted for each knot, on the expiry of that time the knot is considered to be untied.
Scores are given for correctly tied knots; score is lowered for tying a knot different from task-required or
in case if the passage direction of loops was not changed.
- Double knot tying for the left hand

The exercise is designed to develop skills of intracorporeal tying of a simple parallel knot with
two loops with the left hand. The needle with the thread already passed through the tissue is located
in the room. It is required to tie the knot with the left hand. Except for the total time limit of the exercise,
LAPAROSCOPY
G.EDS.01 SIMULATOR
- Surgical knotting for the left hand
The exercise is designed to develop skills of intracorporeal surgeon's knotting with the right hand.
The needle with the thread already passed through the tissue is located
- Surgical knotting for the right hand

The exercise is designed to develop skills of intracorporeal surgeon's knotting with the right hand.
The needle with the thread already passed through the tissue is located
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Certain significant skills of suturing and knotting
- Surgical knot tying on a thread without the needle

The exercise is intended to develop skills of curved incision suturing. Make the required number of interrupted
sutures should be made following the tips (highlighting of grasping sites and the applied instrument, tracing of
correct motion trajectory of the instrument). Each suture is limited in time, on the expiry of the given period current
suturing is considered to be a failure, and all the objects are being brought to the initial state.
Scores are given for number of correct sutures.
- Z-stitch overlaying
The exercise is designed to develop skills of suturing in non-anatomical environment.
Make the required number of Z-sutures following the tips (highlighting of grasping sites and the applied instrument,
tracing of correct motion trajectory of the instrument). Each suture is limited in time, on the expiry
of the given period current suturing is considered to be a failure, and all the objects are being brought to the initial state.
- Mattress suture overlaying

The exercise is designed to develop skills of suturing in non-anatomical environment.
The required number of mattress sutures should be made following the tips (highlighting of grasping sites
and the applied instrument, tracing of correct motion trajectory of the instrument). Each suture is limited in time,
on the expiry of the given period current suturing is considered to be a failure, and all the objects are being
brought to the initial state. Scores are given for number of correct sutures.
LAPAROSCOPY
G.EDS.01 SIMULATOR
- Drill orientation of a needle in the needle holder

The task is designed to develop basic skills of needle manipulation.
It is required to grasp the needle by the highlighted instrument. Then use the second instrument
to grasp the thread, and manipulate the thread to place the needle into the set position
(semitransparent contour shadow of needle). This procedure must be performed the required number of times
within the exercise, each attempt is limited in time. Scores are given for the number
of correctly positioned needles.
- Needle-suturing with the right hand

The task is designed to develop skills of tissue suturing with the right hand.
A soft object with several prepared zones (circles) for sequential suturing is located in the room.
It is required to follow the displayed messages and to insert the needle into the circle at the inlet
and to take it out through the opposite circle. Suturing is performed the set number of times at the left and then
is repeated at the right. Scores are given for percent of correct sutures.
LAPAROSCOPY
G.EDS.01 SIMULATOR
- Needle-suturing with the left hand

The task is designed to develop skills of tissue suturing with the left hand.
A soft object with several prepared zones (circles) for sequential suturing is located in the room.
It is required to follow the displayed messages and to insert the needle into the circle at the inlet and to take it out
through the opposite circle. Suturing is performed the set number of times at the left and then
is repeated at the right. Scores are given for percent of correct sutures.
- Double knot tying on a thread without a needle

The task is designed to develop skills of knotting in non-anatomical environment.
The required number of double knots on a thread without a needle should be made following the tips
(highlighting of grasping sites and the applied instrument, tracing of correct motion trajectory of the instrument).
Each knot is limited in time, on the expiry of the given period current knotting is considered to be a failure,
and all the objects are brought to the initial state. Scores are given for number of correct knots.
LAPAROSCOPY
G.EDS.01 SIMULATOR
-Interrupted suturing
The exercise is designed to develop skills of suturing in non-anatomical environment. The required number
of interrupted sutures should be made following the tips (highlighting of grasping sites and the applied instrument,
tracing of correct motion trajectory of the instrument). Each suture is limited in time, on the expiry of the
given period current suturing is considered to be a failure, and all the objects are being brought to the initial state.
-Z-suturing
The exercise is designed to develop skills of Z-suturing. The required number of Z-sutures should be made
following the tips (highlighting of grasping sites and the applied instrument, tracing of correct motion
trajectory of the instrument). Each suture is limited in time, on the expiry of the given period current
suturing is considered to be a failure, and all the objects are being brought to the initial state.
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Practical skills of laparoscopic cholecystectomy
- Performing a full course of the operation of laparoscopic cholecystectomy

The task is designed to improve skills of laparoscopic cholecystectomy use in anatomical environment.
Main stages should be performed in the process of surgical intervention:
- Traction (access provision to the operated zone)
- Abdominal membrane incision;
- Clip application onto the cystic artery and the cystic duct, and their subsequent cut;
- Removal of the gallbladder from its bed and its mobilization;
- Aspiration-irrigation.
In case of any complications, it is required to eliminate them promptly
(clip the damaged vessel, coagulate bleeding, etc.)
- Traction and abdominal membrane insicion

During the task one of the stages of laparoscopic cholecystectomy is being exercised
in anatomical environment. It is required to perform traction for convenient bladder neck mobilization.
Commissures (if any) and abdominal membrane are to be incised along
the gallbladder bed’s anterior and posterior surfaces throughout one third of the body and neck.
In case of any complications, it is required to eliminate them promptly
(clip the damaged vessel, coagulate bleeding, etc.)
LAPAROSCOPY
G.EDS.01 SIMULATOR
- Dissection of the structures in Calot’s triangle

During the task one of stages of laparoscopic cholecystectomy is being exercised.
During the task execution it is required to incise abdominal membrane gradually starting
from the bladder neck to the choledochous duct, grasping and raising it with electrosurgical
hook or dissector, exposing thereby the Calot’s triangle area. In case of any complications,
it is required to eliminate them promptly (clip the damaged vessel, coagulate bleeding, etc.)
- Clipping and the intersection of the cystic duct and artery

During task execution it is required to apply 2-3 clips on the cystic artery first, and then to cut it
near the gallbladder wall (between the clipped sections). Apply clips onto the cystic duct and
cut it by scissors without coagulation. it is required to perform the task in accordance with the operation sequence
noted above to complete the exercise. In case of any complications, it is required to eliminate them promptly
(clip the damaged vessel, coagulate bleeding, etc.).
LAPAROSCOPY
G.EDS.01 SIMULATOR
- Gallbladder mobilization

It is required to separate the gallbladder from its bed and to remove it out of the abdominal cavity.
Hold the gallbladder and separate it from the liver using electrical tool. Then, after full separation,
use endobag-evacuator to remove the gallbladder. Coagulate bleeding on the liver, perform
aspiration-irrigation. It is required to perform the task carefully, trying to avoid bad errors
(excessive coagulation, etc). In case of any complications, it is required to eliminate
them promptly (clip the damaged vessel, coagulate bleeding, etc.)
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Laparoscopic appendectomy
- Complete laparoscopic appendectomy

It is required to perform laparoscopic appendectomy in anatomical environment.
It is required to perform all stages sequentially and carefully, trying to avoid bad errors
to complete the exercise.
If any complications occur, they should be eliminated.
• Total hysterectomy
- Total laparoscopic hysterectomy

The exercise is intended to enhance skills of total hysterectomy.
It is required in anatomical environment to remove the uterus together with uterine neck.
The surgery includes the following main stages:
- Cutting of ligaments and dissection of the urinary bladder;
- Uterine vessels hemostasis;
- Dissecting the uterus from vaginal walls away;
- Extraction of gross specimen;
- Tests of hemostasis.
It is required to perform all stages sequentially and carefully, trying to avoid bad errors
(surgery stages irregularity, excessive coagulation, etc.) to complete the exercise.
If any complications occur, they should be eliminated.
LAPAROSCOPY
G.EDS.01 SIMULATOR
• Skills for gynecological surgery
- Tubal sterilization
The exercise is designed to enhance skills of laparoscopic sterilization.
It is required to block fallopian tubes by applying clips with Filshie clip-applicator.
Use uterine manipulator to move uterus aside, apply clip to the tube, then move uterus to the other side,
and clip the second tube. Make all stages of the surgery carefully step by step,
avoid damaging organs and tissues. In case of complications, it is required to eliminate them promptly.
- Ectopic pregnancy
The exercise is designed to develop skills of laparosopic surgery at ectopic pregnancy.
It is required to perform all stages (fallopian tube incision, ovum extraction, removal of the ovum out of
the abdominal cavity) sequentially and carefully, trying to avoid bad errors
(surgery stages irregularity, excessive coagulation, etc.)
In case of complications, it is required to eliminate them promptly.
- Prophylactic oophorectomy
The exercise is intended to develop skills of oophorectomy.
It is required to separate the ovary from the tube, to remove it from the abdominal cavity
using endobag-evacuator, and to perform tests of hemostasis. In case of complications,
it is required to eliminate them promptly.
LAPAROSCOPY
ENSIM-S.ILE.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLIN
INTRALUMINAL ENDOSCOPY
Main advantages in comparison to foreign analogues:
•Realistic imitation of colonoscope and gastroscope
•Wide range of the clinical cases based on the real clinic practice
INTRALUMINAL ENDOSCOPY
S.ILE.01 SIMULATOR
Various educational and practical modules are implemented within the simulator :
• Diagnostic colonoscopy
The module is designed for training of practical skills of colon examination. During the training
trainee will learn how to handle the endoscope in a correct way, will learn the methods of a full detailed
examination, identification of different complicated anatomical cases and pathologies,
will try use of instruments for sampling of a tissue. Special attention is given to the technique of painless
colonoscopy and early cancer detection.
• Therapeutic colonoscopy
The module is designed for training of different practical skills in colon treatment. On full examination
trainee has to make polyp ablation, hemostasis, can find out diverticula or obstruction along with different
kind of pathologies. Having completed all the exercises trainee will learn how to identify the pathologies
in a correct way, make decision on treatment methods, arrest the occurring complications, use
different drugs and prescribe further treatment.
• Sigmoidoscopy
Exercises of that module are designed for examination of the rectum and sigmoid colon.
Main task is to find out and identify malignant tumors, to monitor their growth, stage detection
and further treatment. During the exercising the trainee meets the complicated anatomy,
bad examination preparation, different pathologies, necessity and reasonability of biopsy.
COLONOSCOPY
S.ILE.01 SIMULATOR
• Diagnostic gastroscopy
The module is designed to train the skills necessary for diagnostic of the upper gastrointestial
In a modeled environment. Different anatomy and clinical cases let see the number of various
complications, master the endoscope handling for their examination, learn how to take samples.
Special attention is given to screening and early cancer detection.
• Therapeutic gastoscopy
Exercises with different pathologies and complications to be operated are provided in this module.
With use of different instruments the complicated polyps are to be ablated, occurring bleedings
are to be clipped, stents are to be placed, etc. Complications and detailed statistics on the exercise
completion are provided.
• Gastric hemorrhage
The most widespread clinical cases of gastric hemorrhage occurrance are being
Covered. The exercise lets train skills of hemostasis and further actions when such kind
of complications occur during the intervention.
GASTROENTEROLOGY
ENSIM-S.BRS.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
BRONCHOSCOPY
•Realistic imitation of bronchoscope
BRONCHSCOPY
S.BRS.01 SIMULATOR
• Certain significant skills in bronchoscopy

The module contains exercises for training skills of handling the brochoscope,
safe possession of the instruments, teaching and testing the knowledge of the bronchial tree anatomy.
• Diagnostic bronchoscopy
12 exercises are based on real clinical cases help to train practical skills of safe examination, tissue
sampling, diseases and complications identification. The moderate sedation should be maintained
for the patient during the examination, vital parameters and oxygen supply are to be under control.
• Therapeutic bronchoscopy
12 exercise based on real clinical cases are ranged according their complexity level and are designed for
training of action course in emergency cases during the intervention, such as copious bleeding,
mucoid impaction occurrence, foreign body extraction and arrest of the complications during the
intervention.
BRONCHSCOPY
S.BRS.01 SIMULATOR
• Pediatric bronchoscopy
The module is designed for main clinical bronchoscopic cases of children anatomy
solution, helps to train practical skills of safe examination, tissue
sampling, diseases and complications identification, and lets train handling
of the bronchoscope and conducting the interventions according to the
child’s organism peculiarities.
BRONCHSCOPY
ENSIM-R.ALV.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN ARTIFICIAL
LUNG VENTILATION
•Clinical cases in pediatry
•Work with real electrocardiogram and defibrillator,

muscular response to the defibrillator discharge
•Work with real artificial lung ventilation apparatus
PULMONOLOGY
R.RAN.01 AND ENSIM-R.ALV.01
The respiratory system, the airways, the chest
•Fully independent right and left lungs

•Ventilation of the lung automatically leads to the appropriate sounds of breathing, chest excursion and pulmonary
gas exchange
•Apnea or hypoventilation, along with the low fraction of oxygen in the inspired gas mixture lead to corresponding
physiological changes: the hypercapnia, the hypoxemia, the decreased of the SpO2 and the tachycardia
•Ventilation of the lungs at a positive pressure or spontaneous ventilation restoration returns robot to the breath with
an appropriate amount of respiratory rate, assuming that the ‘patient’ doesn’t pass away from heart failure
• Chest floatation
•Airway resistance rate change
PULMONOLOGY
The stationary robot simulator of a patient, is designed to simulate a variety of clinical situations in a variety of fields,
starting from anesthesiology and intensive care to military medicine. Modules of the robot provides its integration to
any existing hybrid ENSIM simulator.
Distinctive characteristics of modules for robotic patient:
•Training of ‘Normal course of the anesthesia’
•Training of ‘Complications of the general character in the anesthesiology’
•Extremely realistically executed respiratory system - not just of the upper respiratory tract,
but of the lungs as well
•Pupils react to the light, as well as to the other factors, such as whether the patient
is conscious
•The unique pharmaceutics system - the robot recognizes not only the medicine,
but also the received dose; change of the vital parameters occurs correspondingly
• Possible use of medical appliances for defibrillation and ECG
INTENSIVE CARE/ANESTHESIOLOGY
The pharmacological library
•System of automatic recognition of input of drugs is more than 50 drugs,
including gaseous anesthetics
•Ability of the bolus or drop infusion
•Intake of the intravenous dose with automatic lose-dependent physiological
response to the drug
•Edition of the pharmacological library, the adding of new features
•Death of the patient because of the incorrect drug or its dose
INTENSIVE CARE / ANESTHESIOLOGY

ATEM.01 AMBULANCE SIMULATOR
•Real dimensions of the cabin
•Dynamic strain to a doctors’ team
•Various situations for emergency medical treatment
•Visits to the emergency situation sites
•Full control for exercises fulfillment by the doctors’

team from the instructor’s seat
AMBULANCE
Four different but mutually connected blocks of training and practical modules are implemented within the
simulator :
• Driver’s module (blue)
• Training module for health care delivery (green)
• Instructor’s module (yellow)
• Dynamic platform module (red)
AMBULANCE
• Training module for health care delivery (green)
It is designed for teaching and training of emergency doctors in a team for skills
of first aid in normal and extreme conditions.
Data from all the medical equipment and dummy is being tracked by the system
and they is being combined by the computer system of the instructor’s place.
With the help of the system you can monitor the doctors’ activities and tasks of
the critical situations, such as cardiac arrest.
The dynamic force is being given to the doctors, that can significantly complicate
the provision of assistance; this training is important for complex challenges, such
as resuscitation trolleys or resuscitation in the emergency mode
• Driver’s module (blue)

It is designed for training of ambulance drivers to create and maintain their
steady driving skills in the normal and critical conditions. The special effects in the
training complex are given to the driving course with the special signals. The
driver should find a balance between high-speed and accurate driving.
AMBULANCE
• Instructor’s module (yellow)
It is designed to define and monitor the progress of the exercise. The instructor
plays the role of manager and he determines type of a call, type of disease, route,
critical situation on the road leading to the emergency braking, critical situations
with the virtual patients requiring emergency medical measures, etc. The
automated system of the actions’ evaluating makes a list of training completion
and determines readiness of the medical team.
AMBULANCE
• Dynamic platform module (red)
The dynamic platform is designed to simulate the dynamic loads on the medical team and creates the effect of
acceleration at the beginning of the movement, braking, turns, climbs, descents, driving on uneven roads, creating
some difficulties for doctors.
All the medical equipment and dummy are being tracked by the system of the sensors and are being combined by
the computer system of the instructor’s place. With help of the system you can monitor the doctors’ activities and
tasks of the critical situations, such as cardiac arrest.
The dynamic force is being given to the doctors, that can significantly complicate the provision of assistance; this
training is important for complex challenges, such as resuscitation trolleys or resuscitation in the emergency mode.
AMBULANCE
ENSIM-S.COP.01 VIRTUAL SIMULATOR FOR
PRACTICAL SKILLS IN COLONOSCOPY
•Realistic colonoscope simulator
•Clinic cases based on real clinic practice
•Short terms of warranty service in comparison with foreign

analogues
COLONOSCOPY
ENSIM-G.COP.01 HYBRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
COLONOSCOPY
•Real position of the surgeon
•Robotic patient
•Team(communicative) training
• Working medical endoscopic appliances imitation
•Endoscopic stand imitation
COLONOSCOPY
ENSIM-S.GSR.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
GASTROENTEROLOGY
•Realistic imitation of gastroscope
GASTROENTEROLOGY
ENSIM-G.GSR.01 HYBRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
GASTROENTEROLOGY
•Robotic patients
•Working medical endoscopic appliances imitation
GASTROENTEROLOGY
ENSIM-G.BRS.01 HYBRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
BRONCHOSCOPY
•Robotic patients
•Working medical endoscopic appliances imitation
BRONCHOSCOPY
ENSIM-G.EVS.01 HYBRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
ENDOVASCULAR INTERVENTIONS
Main advantages in comparison to the foreign

analogues:
• Real position of the surgical team, completed

access
• Robotic patient
• 5 universal accesses
• Team training
• C-arm imitation
• All advantages of ENSIM-S.EVS.01 standard

simulator
ANGIOGRAPHY
ENSIM-G.GHS.01 HYBRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
GYNECOLOGY ANS HYSTEROSCOPY
analogues:
•Real position of the surgical team, completed

access
•Robotic patient
•Team (communicative) training
•Surgical and anesthetic units imitation
•All advantages of the standard ENSIM-S.GHS.01

simulator
HYSTEROSCOPY
ENSIM-B.EDS.01 VIRTUAL BASE SIMULATOR FOR PRACTICAL SKILLS IN SURGERY
• Real extractable wireless surgical appliances adapted for the

simulator
• Camera and appliances are insertable to any trocar
• Realistic visualization of viscera
• Full examination of the body cavity
• Full mobility of organs and tissues throughout a zone being

operated, traction implementation
• Operation methods are developed in collaboration with the

leading universities and clinics
• Short terms of the warranty service
LAPAROSCOPY
ENSIM-S.EDS.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN SURGERY
• Realistic feedback force
• Real extractable wireless surgical appliances adapted for the

simulator
• Camera and appliances are insertable to any trocar
• Realistic visualization of viscera
• Full examination of the body cavity
• Full mobility of organs and tissues throughout a zone being

operated, traction implementation
• Operation methods adopted in Russia (developed together

with the leading universities and clinics)
• Short terms of the warranty service in comparison to the

foreign analogues
LAPAROSCOPY
ENSIM-G.PES.01 HYDRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
PEDIATRIC SURGERY
Main advantages in comparison to

the foreign analogues:
• All advantages of ENSIM-G.EDS.01

hybrid simulator
• Surgical complications of the

pediatric surgery imitation
• General complications of the

pediatric surgery imitation
• 3 universal trocars
PEDIATRIC SURGERY/LAPAROSCOPY
LAP I
LAP BOX
LAP BOX pro
LAP VR LAP HYBRID
LAPAROSCOPY57
LAP BOX
Benefit at a glance:
 Small, light, portable, easy to carry and set up.
 Trainees’ performance can be recorded for later

assessment by the educators
 Flexibility to add more training modules
 Administration tool to monitor the training progress of

trainees Product Description:
 Low cost LAP-X box works as a traditional box trainer with a

recording software package, including database to
register different users.
LAPAROSCOPY58
LAP BOX pro
Product Description:
An innovative box trainer with possibilities of metrics

measurement and performance recording. LAP-X box
pro software can record the performance of users,
measure and provide instant feedbacks (scores) after
users’ performances.
Users’ results will be assessed twice. First time by the

program: the scores will be compared with the nominal
scores set by the professor/ administrator. The second time
by our specialist: the professor set the standard
performance for each task/exercises which will be the
benchmark and provide us a check list. The performance will
be remotely assessed accordingly.
LAPAROSCOPY59
LAP BOX pro
 Small, light, portable, easy to carry and set up.
 The only box trainer with metrics measurement, motivating trainees with instant feedbacks.
 Real haptic which result in more realistic and more sufficient training for tasks that are
unrealistically simulated in virtual reality environment such as: knot tying, suturing, needle
handling…
 Trainees’ performance can be recorded for later assessment by the educators at their
convenience, thus, saving the time they must spend per trainee.
 Administration tool to monitor the training progress of trainees
 Flexibility to change or add more training modules
 Possible to have assessment by a third party (Epona Medical) with checklist provided by the
educator.
 Low cost
LAPAROSCOPY60
LAP VR
Product Description:
LAP-X VR is an innovative virtual reality simulator for motor

skills training in a safe environment for different surgical
specialties.
LAP-X VR offers you an excellent training aid to standardize,

structure, and complement hands-on skills training in
surgical residency programs.
LAP-X VR provides a validated package of 5 curricula in

virtual reality environment of increasing difficulty to attain
proficiency skill levels in all surgical specialties, including
gynecology, urology, pediatric surgery, general surgery and
gastrointestinal surgery.
LAPAROSCOPY61
LAP VR
- Small, light, easy to carry and set up
- Intuitive: Easy to install and understand. The system is self-explanatory and does not require
third-party guidance.
- Administration tools for Professors to organize and standardize the training
- Effective educational platform for rule and knowledge training. The platform includes E-learning
content, exam questions, personal portfolio, and administration tools for educators that are easily
incorporated in each hospital’s training program and enable the standardizing of training in a
hospital/cluster/region.
- Possibility to connect with satellite hospitals to maintain the training program for trainees.
Trainees are able to continue the training at different locations.
- Worldwide competition between users from different hospitals/medical Universities
- Real surgical instruments are used. The training starts with the same instruments used in real
surgeries; narrowing the gap between training and real surgeries.
- Unlimited number of user registration
- Free software update, upgrade and module extension within the license period.
- Possibility to continue training with the system after the license expires
LAPAROSCOPY62
LAP HYBRID
LAP-X HYBRID is the combination of LAP-X box pro and LAP-X VR, thus
has all the benefits of these two systems.
Product Description
LAP-X HYBRID is a unique simulator that combine the functionality of a

virtual reality trainer and a box trainer.
Users can train on virtual reality mode (as LAP-X VR) at different levels:
Basic, novice, Intermediate, Advance and switch to box trainer mode
(LAP-X box pro) anytime (with the benefits of metrics measurement
and performance recording).
LAPAROSCOPY63
ENSIM-S.URL.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN UROLOGY
•Realistic feedback force
•Realistic medical appliances with minimum changes done
•Realistic endovideo camera
•Wide range of clinical cases based on the clinical practice
•Short terms of warranty service in comparison to the foreign equipment
ENDOUROLOGY
ENSIM-G.URL.01 HYBRID VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
UROLOGY

analogues:
•Real position of the surgical team, completed

access
•Robotic patient
•Team (communicative) training
•Surgical and anesthetic units imitation
• All advantages of the standard ENSIM-S.URL.01

simulator
ENDOUROLOGY
S.URL.01
Various educational and practical modules are implemented within the simulator :
• Basic endourological principles training
• Highlighting of certain significant skills in endourology
• Diagnostic endourology performance
• Interventions due to the urolithiasis
• Coarctation solution
• Basic principles of percutaneous nephrostomy performance
• Certain significant skills in percutaneous nephrostomy performance
ENDOUROLOGY
ENSIM-RP.01 ROBOT SIMULATOR PATIENT
ENSIM-RP.01 Robot simulator patient is designed for practicing skills and providing of medical assistance in case of
emergency
analogues:
• Exact reproduction of a skeletal and anatomical

structure of a human
• Realistic feedback force
• Wireless technology. Up to 6 hours of battery operation
• Is being supplied with fully functional wireless

computer that allows the instructor to monitor and make
adjustments remotely in the course of training
•Clinic cases based on real clinic practice
•Short terms of warranty service in comparison with

foreign analogues
HUMAN PATIENT SIMULATOR

Implementation of the following various clinical scenarios is possible for robot simulator patient:
8. Intoxication caused by organophosphates (insecticides)

1. Anaphylactic shock
9. Pneumonia accompanied with progressive septic shock
2. Angina accompanied with an asystole
10. Young men suffering from a strong asthmatic attack
3. Anterior myocardial infarction
11. Splenic rupture with pneumothorax
4. Asthmatic patient with pneumothorax
12. Thorax punctured wound
5. COPD with progressive respiratory failure 13. Subdural hematoma
6. Heart failure with lung edematization 14. Pressure pneumothorax and others
7. Inferior myocardial infarction
Choice of the scenario is being made in Standard clinical

scenarios menu by the instructor of trainee on his own manually.
Except the standard clinical scenario, complications for the

current case could be chosen.

Distinctive characteristics and unique features
•The robot is equipped with a model of human physiology
•The blinking is automatic and it depends on the physiological status
• The physiological reaction of pupils to the light.
• The pathological changes in intracranial pressure, ventriculostomy
Secretion
•The oral and nasopharyngeal suctioning of mucus and other fluids
•The simulation of the bleeding (from two points at the same time) is
possible from any of the four extremities and the trunk area. The blood
loss caused by bleeding gives adequate progressive change in the
physiology (the drop of the blood pressure, the tachycardia, etc.).
• The simulation of secretions: sweat, saliva, secretions from the ears
• The simulation of urination
Sounds
•Auscultation of breath sounds in 8 points in front (with the possibility of
an independent set of options of the sounds in 4 areas) and in 6 points
behind (irrespectively in 4 zones). Breath sounds are independent and are
related to ventilation of each lung
• Auscultation of heart sounds (irrespectively in 4 zones).
• Ausculation of intestinal peristalsis(irrespectively in 4 zones)
•The dummy has a speech, can say ‘yes’, ‘no’, some interjections, guttural
sounds, cough.

Cardiovascular system
•The model of the cardiovascular system automatically calculates the

dependent variables (the blood pressure, the heart rate) in response to
changes in the status of the cardiovascular system (the bleeding, the
intravenous infusion)
• Pulse is felt in 14 points - bilaterally on the carotid, radial, popliteal,
femoral, humeral, tibial artery and dorsal artery of the foot
• Pulse is only activated when you press on the corresponding point. Each
pulse palpation fact is being recorded for the further analysis by the
instructor / student
• The automatic model of myocard’s supply with the oxygen with the
development of a complete decompensated cardiovascular disease
physiological model
• The automatic calculation of the arterial and venous blood gases (PaO2,
PaCO2, PvO2, PvCO2 and pH) depending on the physiological state at the
moment
• An ideal evaluation of cardio-pulmonary reanimation due the result: "alive
/ dead": the correct performance of chest compression automatically leads
to cardiopulmonary bypass, cardiac output, central and peripheral blood
pressure, and the pulse of CO2 exhalation. Ineffective chest compression
leads to an inadequate cardiac output and blood circulation, as well as the
absence of exhaled CO2.

Monitoring
Monitoring of physiological parameters is possible both on the bedside

monitor and on the screen of the control computer. The monitoring of the
following parameters is being conducted:
•ECG in 5 derivations (4 waves), pulse, heart rate, pulse oximetry
plethysmogram
•Non-invasive measurement of the blood pressure
•Average arterial pressure.
•Blood temperature
•Body temperature
•Non-invasive blood pressure.
•Capnography (etC02)
•Sp02 (Saturation)

NENA SIM Neonatal Training
NENAsim –
Introducing world‘s most realistic baby simulator system
Realistic Anatomy Airway Management
NENAsim
Cardiovascular System Pulmonary System
Software features Other unique features

72
Extremely realistic features Control software to set up and
and movements control manikin’s behavior
Wi-Fi communication
between the baby and the Scenarios created by user or
software monitor accessed through scenario
library
Four components:
1. Baby simulator Sounds library of
2. Simulation software simulated heart, breath,
3. Carrying case bowel and bruit sounds
4. Charger with a stethoscope.

73
This video of NENAsim
demonstrates its movements:
Watch video here

(double here click to start the video)

74
Movement
Medical specifications Breathing patterns Other
• Eyes, eye lids and limbs • Both normal and abnormal • Torso motion
• Head and neck • Rapid breathing and panting • Body temperature
Realistic
• No visible artificial joints • Chest congestion • Abnormal fontanel
anatomy
• Vocal sounds
Intubation Other
• Endotracheal intubation • Gastric distension and intubation • Mask ventilation

• Nasotracheal and orotracheal • Fiberoptic Intubation
Airway intubation • Left and right mainstem intubation
Management • L.M.A. intubation
Lungs Variable breathing patterns Other
• Normal and pathological sounds • Rise and fall of the chest • Pneumothorax
• Variable and decreased lung • Bilateral abnormal breath sounds • See-saw respiration
Pulmonary
compliance • Diminished breath sounds and
System: unilateral crackles
• Needle biopsy

75
Medical specifications – cont.
Electrocardiography CPR Other
• Versatile ECG features – all • All relevant CPR features • Heart – normal and pathological
controllable via software • Resuscitation initiated through sounds
Cardio- • Adjustable parameters head tilt and chin lift • Blood pressure measurement via
vascular • Femoral and axillary pulse software
System synchronized with the ECG library • Defibrillation
Parameters: WI-FI: Other
• Simulation of several parameters • WI-FI communication between the • Chargeable battery with an
including: ECG, SpO2, CO2, ABP, baby simulator and the monitor average life of up to 4 hours
Software CVP, PAP, NIBP, TOF and others • Soundless engine operation
• When combined with stethoscope,
Features: • All controllable and adjustable it allows to hear the heart, breath • Touch screen operation with an
• New parameters addable as welll as bowel and bruit sounds appropriate device
• Scenarios created by user

Other or accessed through scenario library –
unique see example:
features:

76
Example scenario NENA sim

77
NENAsim: controller software

78
NENAsim: monitor software

79
ENSIM-R.RAN.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
REANIMATOLOGY
•Unique robotic patient
•Realistically created respiratory system
•Work with real electrocardiogram and defibrillator
•Possibility of anesthetic module use
INTENSIVE CARE
ENSIM-R.RAN.01 VIRTUAL SIMULATOR FOR PRACTICAL SKILLS IN
ANESTHESIOLOGY AND REANIMATOLOGY
•Unique robotic patient
•Realistically created respiratory system
•Work with real electrocardiogram
•Work with real defibrillator
•Work with real anesthesia-respiratory apparatus
INTENSIVE CARE / ANESTHESIOLOGY

C O N TA C T U S AT :
D E R V I S . D E M I RTA S @ E P O N A . C O M
S I L F O N . TA N G @ E P O N A . C O M

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ONE STOP SHOP SOLUTIONS

Main advantages in comparison to the foreign analogues:

• Detailed models of virtual patient’s arterial system based on real

• Unique own-developed mathematic model

• Balloon angioplasty and stenting exercise complex

- Prevalent angiographic projections

Main advantages in comparison to the foreign analogues:

•Realistic feedback force

•Real medical appliances

•Wide range of clinical cases based on the clinical practice

•Short terms of warranty service

• Submucosal fibroid ablation

The module has 4 clinical cases of different uterine shapes.

Main advantages in comparison to the foreign analogues:

• Real position of the surgical team, completed access

• Robotic patient. Both general and surgical complications

• Team (communicative) training

• Surgical and anesthetic units imitation

• All advantages of the standard ENSIM-S.EDS.01 simulator

• SILS (single port surgery) skills training

• Basic studies of laparoscopic appliances use

- Control of a camera with different viewing angle (0°, 30°, 45°);

- Improvement of instruments coordination in space

- Vessels clipping and capturing

- Endoscopic scissors handling

• Basic studies of laparoscopic appliances use

- Endoclip applicator handling

- Electrocoagulation operating skills training

- Moving and capturing of objects in space

• Certain significant laparoscopic skills:

- The task on pins’ movement

Pins are to be picked up and placed into holes.

- The task on movement of the objects on pins

• Certain significant laparoscopic skills:

- The task on possession of endoscopic scissors in training and exam mode

• The complex of training tasks on suturing and knotting

- Double knot tying for the right hand

- Double knot tying for the left hand

• The complex of training tasks on suturing and knotting

- Surgical knotting for the left hand

- Surgical knotting for the right hand

• Certain significant skills of suturing and knotting

- Surgical knot tying on a thread without the needle

- Mattress suture overlaying

• Certain significant skills of suturing and knotting

- Drill orientation of a needle in the needle holder

- Needle-suturing with the right hand

• Certain significant skills of suturing and knotting

- Needle-suturing with the left hand

- Double knot tying on a thread without a needle

• The complex of training tasks on suturing and knotting

• Practical skills of laparoscopic cholecystectomy

- Performing a full course of the operation of laparoscopic cholecystectomy

- Traction and abdominal membrane insicion

• Practical skills of laparoscopic cholecystectomy

- Dissection of the structures in Calot’s triangle

- Clipping and the intersection of the cystic duct and artery

• Practical skills of laparoscopic cholecystectomy

During the task one of stages of laparoscopic cholecystectomy is being exercised.

- Complete laparoscopic appendectomy

- Total laparoscopic hysterectomy

Main advantages in comparison to foreign analogues:

•Realistic imitation of colonoscope and gastroscope

•Short terms of warranty service