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The Centre of Excellence for Simulation Education and Innovation

Patient Simulators

The Centre of Excellence for Simulation Education and Innovation (CESEI) at Vancouver General Hospital (VGH) represents a revolution in medical teaching. For decades, medicine has been taught on the apprenticeship model. With increasing demand for more medical school graduates, heightened concern for patient safety, and a need for better continuing education to keep practicing physicians up-to-date with new technology, this model is no longer appropriate.

CESEI is a high-tech classroom for medical students , physicians, nurses, Canadian Forces medical technicians and other health care workers. A key part of the medical education system in British Columbia, CESEI provides training at all levels: from basic skills for junior medical students to continuing medical education for experienced surgeons.

At CESEI, patient simulators, innovative teaching software, high-speed Internet connections and highly interactive technology offer a more efficient and effective teaching environment. The facilities provide students with more opportunities to learn, practice, and master procedures and skills in a virtual environment prior to patient contact.

HPS (by CAE)


At every level of patient care, hands-on experience is the best teacher. The Human Patient Simulator (HPS) - a computer-model-driven, full-sized mannequin - delivers that experience in true-to-life scenarios that swiftly change to meet instructors' goals. The ultra sophisticated and highly versatile HPS blinks, speaks and breathes, has a heartbeat and a pulse, and accurately mirrors human responses to such procedures as CPR, intravenous medication, intubation, ventilation, and catheterization. This is possible through a painstaking marriage of "high touch" with "high tech," this dramatically functional mannequin exhibits lifelike clinical signals. Add to this a profound array of intricately programmed systems - cardiovascular, pulmonary, pharmacological, metabolic, genitourinary (male and female), and neurological – and you have an easily controlled teaching laboratory where students can practice again and again, until the highest-quality patient care becomes second nature.* Note: Our HPS uses MUSE and TouchPro, the latest software interface for human patient simulators.

*Content and image from CAE.

SimMan 3G (by Laerdal)

Sim Man 3G

The SimMan 3G patient simulator is a patient simulator that features auto-reactiing pupils, autoomatic drug recognition, and wireless technology. Some of the features of the SimMan 3G include: quality CPR feedback, convulsions, bleeding and wounds, secretions, event recognition, vascular access, chest decompression & chest drain, etc. As with most patient simualtors, the SimMan 3G allows you to write medical scenarios, use pre-programmed scenarios, or run a case on-the-fly.*

*Content and image from Laerdal.

SimMan Essential (by Laerdal)

Sim Man Essential

The SimMan Essential patient simulator is a more basic version of the SimMan 3G. It features wireless technology as well as comprehensive clinical functionality to teach the core skills of airway, breathing, cardic, and curculation management. As with most patient simualtors, the SimMan Essential allows you to write medical scenarios, use pre-programmed scenarios, or run a case on-the-fly.*

*Content and image from Laerdal.

METIMan - Pre-Hospital (by CAE)


METIman is available in two models, one built specifically for nursing education and one for prehospital training. Both models are fully wireless with on-board fluid, pneumatic and electrical systems and are built tough to withstand a wide variety of real-life, indoor and outdoor learning environments. Each model comes with extensive clinical features and capabilities designed specifically for nurses and medics.*

*Content and image from CAE.

Emergency Care Simulator ECS (by CAE)


The ECS provides an anatomically correct, feature-rich mannequin, which allows for the physical demonstration of various clinical signs including bleeding, breathing, blinking eyes and convulsions. The human physiology models at the core of the ECS provide appropriate responses to treatment interventions, including airway and oxygenation management, fluid administration, defibrillation and the administration of drugs. Together, these systems deliver a realistic and objective training ground for learners to practice and perfect patient care without risk to real patients.*

*Content and image from CAE.

SimMan (by Laerdal)


SimMan® is a portable and advanced patient simulator for team training. SimMan® has realistic anatomy and clinical functionality. SimMan® provides simulation-based education to challenge and test students' clinical and decision-making skills during realistic patient care scenarios. SimMan® includes well-proven software and an interactive technologically advanced manikin allowing learners to practice the emergency treatment of patients. *

*Content and image from Laerdal.

Procedicus VIST™ (By Mentice)


Procedicus VIST™, Vascular Intervention System Trainer, reproduces the physics and physiology of the human cardiovascular system such that a person can learn to perform various procedures such as cardiac catheterisation. The simulator is a generalized solution to endovascular simulation. The initial content scenarios focus on coronary, carotid, renal intervention and stenting as well as pacemaker lead placement. This simulation is combined with a haptic interface to give the user a natural, correct way to interact with the simulation. In addition there is an instructional system coupled to the simulation that provides a framework for learning from the simulation.The training system consists of the software simulation of the cardiovascular system, the haptic interface device, the instructional system and two monitors, one for the synthetic x-ray and one for the instructional system. The simulation consists of modules replicating the hemodynamics, blood flow and dye contrast media mixing, and catheter-vasculature physical interaction. In addition, a module produces a synthetic x-ray image to replicate the fluoroscopic image used by interventional cardiologists to guide them during their work.*

*Content and image from Mentice



Harvey is the cardiopulmonary Patient Simulator. It is a proven system to teach bedside skills that transfer to real patients. This full-manikin realistically simulates nearly any cardiac disease at the touch of a button by varying blood pressure, pulses, heart sounds and murmurs. The simulator provides a comprehensive cardiology curriculum by realistically simulating 30 conditions. It is structured to begin with common, less complex conditions and progress to more rare and complex diseases. Findings include blood pressure, venous, arterial and precordial impulses, ascultation in multiple areas that varies with respiration when appropriate and breath sounds. "Harvey" may be used in any environment in which a patient may be examined. Small groups with stethophones may learn without an instructor by using the self-assessment slide programs. Larger groups may learn in a lecture hall by using stethophones for auscultation and video cameras and monitors or a projector for observing other physical findings. "Harvey" is used tot train medical students, residents, fellows, primary care physicians, physician assistants, nurses and para-professionals. Among students, it may be used effectively during each and every year of school, starting with the Introductory or Normal program for a beginning student. This is consistent with the goal of wedding basic sciences and clinical exposure throughout a student's education. In addiction, skills can only be learned and maintained with repetitive practice. Multiple studies have shown that the cardiovascular examination is a sensitive, highly specific and cost-effective skill. At the same time, national studies of Internal Medicine and Family Practice trainees have clearly demonstrated that cardiovascular bedside skills are sorely lacking. The solution suggested in these studies is repetitive practice through simulation technology and testing outcomes.*

*Content and image from Micheal S. Gordon Centre for Research in Medical Education.

SurgicalSIM (by CAE)


The METI SurgicalSIM brings together everything we know about medical education and the new standard curricula to deliver a revolutionary training tool. It is utilised to train surgical residences and fellows. It will increase the initial skill of the trainees and will allow them to enter an operating room with enough knowledge and skill to correctly manipulate the surgical tools and the patients tissue in a safe and efficient manor.*

  • Train basic skills in an abstract environment
  • Train surgical tasks in surgical anatomy
  • Based on patient gender, size and age
  • Learn respect for tissue
  • Port placement for reach
  • Camera position for proper visualization
  • Combining physiology and multimedia content to support training of Skills, Knowledge and Judgment*

*Content and image from CAE.

GI Mentor II (by Simbionix)

GIMentor II

The Simbionix GI Mentor II is the leading computerized, interactive medical training simulator for gastrointestinal endoscopy. Its unique hardware and software combine to produce a true-to-life sensation of performing real endoscopic procedures.This platform has improved force-feedback mechanism. The GI Mentor II has a full library of modules.

Insert an authentic endoscope, customized by Simbionix, into the specially designed GI Mentor II mannequin, and then simultaneously receive realistic visual feedback from the monitor and tactile sensations while performing the procedure.Switching between upper and lower procedures is convenient and easy. The GI Mentor II's streamlined mannequin is easily flipped from upper GI position to lower GI position and vice versa. A click of the mouse on the monitor screen selects the desired procedure or exercise.*

*Content and image from Simbionix

URO Mentor (by Simbionix)

URO Mentor

The Simbionix URO Mentor simulator is the hands-on training and practice opportunity for diagnostic and therapeutic procedures that is changing the face of endourology training. The URO Mentor provides a unique opportunity to work with a variety of scopes, tools and visual images on a true to life system that provides a look and feel that are so close to reality that at times it may be hard to distinguish the difference. Coordination games and basic tasks for review of anatomies provide the necessary introduction to the use of endourology scopes and tools. From these introductory exercises trainees move on to a variety of virtual patient cases, each with its own unique anatomy and pathologies. On the URO Mentor the safe practice of endourology procedures includes:

  • Simulation of cystoscopy and ureteroscopy procedures.
  • Use of both flexible and rigid scopes.
  • Performance of real-time fluoroscopy with simulation of C-arm control.
  • Identification of patient anatomy and correct tool insertion through changing of C-arm positioning.
  • Viewing of fluoroscopy image with injection of contrast agent*
*Content and image from Simbionix.

Mantis Duo (by Mimic)

Mantis Duo

The Mantis Duo is a truly unique two handed haptic system. With its ability to render large forces and accommodate various end effectors it is an ideal platform for a wide range of bimanual simulation applications, including open surgery and robotics. The thin tension-cables do not obscure the users view, allowing projected 3D virtual objects to be co-located with the users hands. With onboard processing capabilities, the Mantis Duo delivers high quality force feedback with little computational overhead to your host PC.

  • Two-handed haptic system with large workspace
  • Ideal haptics platform for wide range of applications, such as open surgery simulation and robotics
  • 520 MHz onboard microprocessor for superior haptics quality with little computational overhead to host PC
  • Robotic surgery simulation stereo viewing option
  • Back-projected stereo viewing option
  • Can be co-located with various display options such as LCDs, projectors, and auto-stereoscopic displays
  • Grip can be easily changed to fit different applications
  • Large number of I/O options to accomodate customized applications
  • Ethernet interface for fast data transfer and easy networking
  • Motor brakes for locking cables in place*
*Content and image from Mimic Technologies inc.

Pelvic ExamSIM (by CAE)

Pelvic ExamSIM

METI Pelvic ExamSIM: Creating an accurate perspective, providing educators with an accurate and proper method to teach pelvic examinations. For years, medical education has been forced to take blind approach to what is one of the most important and most commonly practiced examination procedures. It is impossible to accurately judge what one cannot see. The Pelvic ExamSIM uses patented Touch Sensitive Technology™ to provide educators with the first tool on the market to teach learners accurate pelvic examination procedures.*

*Content and image from CAE.