Surgical Sam for General Surgery Training (#4096)

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Overview:

Surgical Sam for General Surgery enables teams to train for scenarios in the emergency department and operating room.

It features realistic physiological functions including inflatable lungs, bleeding vessels, and simulated electrocautery response.

The model includes a thorax and abdomen with an intubatable airway, ventilatable lungs, liver and gallbladder, esophagus, stomach with attached mesentery membrane, small bowel with rooted mesentery, colon, and inferior vena cava.

Our Team Trainer Features:

• The liver and inferior vena cava have independent blood flow, and the model can simulate diffuse surgical bleeding in a fluid-tight abdominal cavity.
• Bleeder sites on the abdominal IVC are hidden by the small bowel and colon.
• Sensors in the bleeding liver respond to the simulated electrocautery pen, offering visual and auditory feedback.
• Hemorrhagic events at each bleeding site can be controlled remotely, supporting pre-planned scenarios and real-time clinical responses.
• A radial pulse can be simulated using a handheld bulb or the optional Beating Heart Controller with Pulse.

Contains:

• Surgical Sam General Surgery (#4096)
• Chest with Lungs (#4116) ventilatable
• Abdomen with Organs (#4117) with diffuse bleed
• Replaceable IVC with bleeder sites (#4110)
• Bleeding Liver with Gallbladder (#4111) and electrocautery effect
• Replaceable Stomach with Omentum (#4112)
• Replaceable Small Bowel with Rooted Mesentery (#4113) suture and staple compatible
• Replaceable Colon (#4121) suture and staple compatible
• Electrocautery Simulation Kit (#245)
• Simulated Succus Entericus (#215)
• Surgical Sam Incisable Skin (#4098) – 2 units
• Quick Start Curriculum (#32007) developed by Boston Children’s Hospital
• Surgical Sam Shipping Case (#4100)

Skills:

Airway & Respiratory Management

• Endotracheal intubation on a realistic pediatric trachea
• Ventilation of anatomically accurate, inflatable lungs
• Airway management during simulated emergent procedures

 Circulatory & Hemodynamic Management

• Recognition and management of simulated hemorrhage (liver, IVC, diffuse bleed)
• Control of active bleeding via direct surgical intervention or remote simulation controls
• Monitoring of simulated radial pulse and perfusion changes
• Hands-on experience with electrocautery and hemostasis techniques

Operative & Technical Surgical Skills

• Full midline incision and laparotomy procedures
• Redo laparotomy and emergent resternotomy (multi-discipline team training)
• Bowel repair (suturing and stapling of small bowel and colon)
• Vascular repair at the inferior vena cava (IVC)
• Identification and management of internal bleeding sites obscured by bowel
• Handling of realistic, fluid-filled bowel (succus entericus simulant)
• Use of surgical instruments in a realistic abdominal environment

 Team-Based & Crisis Management Skills

• OR team communication and coordination under simulated emergent conditions
• Leadership and role clarity during pediatric trauma or hemorrhagic shock events
• Interdisciplinary collaboration among surgery, anesthesia, and nursing teams
• Real-time decision making and situational awareness under pressure

Simulation-Specific & Technical Competencies

• Operation of remote-controlled bleed systems and hemodynamic responses
• Integration of electrocautery simulation with visual/auditory feedback
• Live response to learner interventions

Works With:

• IVC with bleeder sites (#4110)
• Stomach with Omentum (#4112)
• Small Bowel with Rooted Mesentery (#4113) suture and staple compatible
• Colon (#4121) suture and staple compatible
• Surgical Sam Incisable Skin x2 (#4098)
• Simulated Succus Entericus (#215)
• Blood Kit for Surgical Sam (#32046)
• Blood for Surgical Sam Bright Arterial Concentrate (#265)
• Blood for Surgical Sam Dark Venous Concentrate (#266)
• Beating Heart Controller (#1463)

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Effective pediatric critical care relies on training models that accurately replicate children’s anatomy and physiological responses during surgery.

We offer two pediatric surgical team trainers—Surgical Sam General Surgery and Surgical Sam for Cardiothoracic Surgery—developed in partnership with Boston Children’s Hospital. The modular system represents a 14-month-old infant and includes an intubatable airway, incision- and suture-compatible skin, and bilateral radial pulse. Emergent resternotomy and redo laparotomy scenarios have been repeatedly performed with both trainers by full OR teams as part of a multi-year study under the guidance of the BCH Simulator Program (SIMPeds) director and principal investigator, Peter Weinstock, MD, PhD.

These trainers support critical surgical steps and provide immersive simulations to improve performance, safety, and outcomes for infants. They are designed for multi-disciplinary team training scenarios.

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