Shoulder Injection Trainer – Palpation Guided (Light Skin Tone) (70200)

• Palpation of shoulder to find the four most common injection points
• Instant feedback for the trainee when a site is correctly located
• Suitable for postgraduate learning
• App features full 360-degree view of the underlying shoulder anatomy and injection sites to aid learning
• Simple Bluetooth connection between app and trainer
• Application language options:
• English (British)
• English (American)
• French
• German
• Mandarin
• Russian
• Spanish

• Discrete muscle and skin layers for realistic needle feel

• Injections from multiple approaches to allow for different preferences
• Shoulder Injection Trainer comes with two shoulder skins (one on the module, one spare), and cost effective replacement skins are available
• Shoulder skins have been vigorously tested for repeated use, ensuring a longer life span for the product
• Torso is compatible with both palpation guided and ultrasound guided Shoulder Injection modules

Internal anatomy:

• Clavicle
• Acromion
• Coracoid process
• Humerus

Injection sites on the shoulder:

• Acromioclavicular joint
• Glenohumeral joint
• Bicipital groove
• Subacromial space

• Shoulder trainer can be used with a simulated patient

• NOTE: Shoulder Trainer contains electronics, do not submerge product in water
• Remove batteries from unit before cleaning
• Clean product with a damp cloth
• Allow product to dry thoroughly before storing

• This product is latex free
• Package contains needles
• Use the needles provided with the simulator, or near new needles of 21 gauge
• This simulator contains electronics, do not inject shoulder with liquids or use near water
• If storing for long periods of time, remove the batteries from the product
• Model conforms with ISO IEC 17050-1:2010 and FCC/CFR 47: Part 15, Sub Part B

• Task Trainer

Adult-Gerontology Acute Care And Primary Care NP Competencies 2016, p.42 Primary care practice skills which includes, but is not limited to: • Joint aspiration and injection. Nurse Practitioner (NP) and Physician Assistant (PA) Rheumatology Curriculum Outline, American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ARHP), 2017, p.8 Perform procedures, as agreed upon by the supervising/collaborating rheumatologist and NP/PA: 2. Joint and soft tissue injections (adult) a. Indications and contraindications b. Large and medium joints (i.e., knee) … e. Subacromial space

Nurse Practitioner (NP) and Physician Assistant (PA) Rheumatology Curriculum Outline, American College of Rheumatology (ACR) and Association of Rheumatology Health Professionals (ARHP), 2017, p.8 Perform procedures, as agreed upon by the supervising/collaborating rheumatologist and NP/PA: 2. Joint and soft tissue injections (adult) a. Indications and contraindications b. Large and medium joints (i.e., knee) … e. Subacromial space

AAFP Residency Guidelines, Musculoskeletal and Sports Medicine, Reprint No. 265 (p.4): Indications, limitations, contraindications, and informed consent for office-based musculoskeletal procedures such as: a. Common joint aspirations b. Common joint injections c. Common injections for bursitis d. Common injections for tendinopathy

Core Curriculum Outline for Rheumatology Fellowship Programs, American College of Rheumatology, 2015 "Demonstrtae competency in obtaining synovial fluid from diarthrodial joints, bursae, and tenosynovial structures."

Royal Australasian College of Physicians, Rheumatology Advanced Training Curriculum, Royal Australasian College of Physicians, 2013, p.8 "be competent in the use of appropriate diagnostic and therapeutic procedures, including joint and soft tissue injection and aspiration."

ACSEP CURRICULUM, Australasian College of Sports and Exercise Physicians, 2017 Demonstrate proficient and appropriate use of procedural skills, both diagnostic and therapeutic. Assessment: Direct Observation of Procedural Skills (DOPS): Subacromial joint space injection Acromioclavicular joint injection

RAGCP Lifelong Learning Curriculum: Appropriate Procedures (2016): guided and unguided musculoskeletal injections (eg trigger point, joint, bursal, intra-articular, carpal tunnel, nerve blocks) The RACGP Curriculum for Australian General Practice 2011: Musculoskeletal Medicine, Royal Australian College of General Practitioners. Identify and acquire musculoskeletal procedural skill competency levels appropriate for the required service provision level, eg. if performing joint injections ensure skill competency level has been acquired.

The RCGP Curriculum: Professional & Clinical Modules, The Royal College of General Practitioners, 2016, p.327 . You may also consider attending courses offering joint injection training.

Specialist Training in Trauma and Orthopaedics Curriculum August 2015, p.43 and 52: "Shoulder: Investigations: Diagnostic and guided injections" "Elective General: Aspiration / injection shoulder joint"

Specialty Training Curriculum for Rheumatology, Joint Royal Colleges of Physicians Training Board, 2010 p.24 Practical procedures: to aspirate and inject joints competently using the appropriate techniques Competency is required in all of the following core procedures: o Shoulder: Joint: Glenohumeral joint, ACJ. Soft tissue: Sub-acromial bursa.

Specialty Training Curriculum for Sport and Exercise Medicine, Joint Royal Colleges of Physicians Training Board, August 2010, p.53 Skills (mandatory): Safely inject major joints including shoulder, elbow, knee and ankle

There are four main types of shoulder injections that can be taught with the palpation guided shoulder simulator:

• Glenohumeral joint injection, from both a posterior and anterior approach, used for pain relief in treating arthritis and frozen shoulder
• Subacromial space injection, used for pain relief of subacromial impingement, rotator cuff impingement or tendinosis
• Acromioclavicular joint injection, used for pain relief of osteolysis of the distal clavicle and osteoarthritis of the joint
• Bicipital groove injection, used for pain relief of biceps tendonitis

Yes, the Shoulder Trainer has an accompanying app which allows trainees to view expert guidance on best practise for joint injections. Instant feedback from the model will give positive reinforcement once the correct site is hit.

• Weight: 10.4 kg
• Width: 31 cm
• Height: 51 cm
• Length: 66 cm