Setting up for surgical success
Setup and first use guide
STEP 1

Place case on a stable surface with the logo facing up.
Turn lock dials anti-clockwise (so the dials are vertical) .

STEP 2

Open the latches downwards.

STEP 3

Either remove the simulator from the case by unstrapping the velcro strip, or leave it inside the case.

STEP 4

Plug the usb cable into a laptop or tablet*.

STEP 5

Open your browser and visit web.symulus.app
(there is also a Windows app)

Click on “Select camera” and choose “HD camera”.

STEP 6

The endoscope camera should be inserted through the middle hole.  Adjust it or the model to get the best view.

Once it is set up you are ready for training. Remember that you can share recorded training sessions with trainees or trainers through the Symulus App . You can also use most video conferencing software to share your training.
Replacing the insert
STEP 1

Remove the scope from the model.

STEP 2

Release the model by unhooking the grey straps from the ‘M’ shaped hook at the back.

STEP 3

Now you can easily remove the model.

STEP 4

Then remove the skin cover

STEP 5

Now you can replace the esophageal insert.
Pull the lower-end out of the frame by pulling on the two tabs.

STEP 6

Now peel the insert off the frame.

STEP 7

When putting a new insert on it’s best to turn the rib cage over for easier access.

STEP 8

Then hook the top (anterior) end of the insert over the frame hooking on to the first groove.

STEP 9

Gently pull and hook it on the middle of the frame making sure it seats properly.

STEP 10

Now take the bottom (posterior) end of the insert (with the two tabs) and hook it in the lowest hook.

STEP 11

Replace the synthetic skin

STEP 12

Place the model back on the stand then pull the grey straps over the model and then hook them back on the ‘M’ shaped hooks at the back.

STEP 13

Reposition the camera through the middle hole and adjust as necessary.

Changing the rib cage or changing the skin
STEP 1

Remove the scope from the model.

STEP 2

Release the model by unhooking the grey straps from the ‘M’ shaped hook at the back.

STEP 3

Now you can easily remove the model.

STEP 4

Then remove the skin cover.
If you are changing the synthetic skin skip to STEP 11

STEP 5

Now you can remove the esophageal insert.
Pull the lower-end out of the frame by pulling on the two tabs.

STEP 6

Now peel the insert off the frame.
Then replace the rib cage.

STEP 7

When putting the insert back on it’s best to turn the rib cage over for easier access.

STEP 8

Then hook the top (anterior) end of the insert over the frame hooking on to the first groove.

STEP 9

Gently pull and hook it on the middle of the frame making sure it seats properly.

STEP 10

Now take the bottom (posterior) end of the insert (with the two tabs) and hook it in the lowest hook.

STEP 11

Install the synthetic skin.

STEP 12

Place the model back on the stand then pull the grey straps over the model and then hook them back on the ‘M’ shaped hooks at the back.

STEP 13

Reposition the camera through the middle hole and adjust as necessary.

Converting from closed to open surgery and back
STEP 1

Remove the scope from the model.

STEP 2

Release the model by unhooking the grey straps from the ‘M’ shaped hook at the back.

STEP 3

Now you can easily remove the model.

STEP 4

Then remove the skin cover.

STEP 5

Using a hairdryer heat the 4th and 5th ribs from both sides.

STEP 6

As ribs start to soften gently spread them apart

STEP 7

When sufficient separation is achieved place a support to keep ribs apart.

STEP 8

Once cooled remove the support

STEP 9

Fit an insert if needed

STEP 10

Fit the Open Practice skin

STEP 11

The model is now ready for Open Practice

STEP 12

To return to a Closed Practice model remove the skin and insert

STEP 13

Place the ribs in a heat-resistant container (e.g. measuring jug)

STEP 14

Fill with boiling water

STEP 15

Remove once the ribs return to their original shape

STEP 16

Let the ribs cool and dry. Then replace the insert and Closed Practice skin

Need more help?
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We want our simulators to be as easy to use and effective as possible. If you are having any difficulty, have any questions or have any suggestions for future improvements please get in touch.
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Waivers
1. Even the most accomplished performance on this surgical trainer in no way qualifies the user to perform any surgical procedure. Symulus makes no claims around expertise and accepts no responsibility for surgeries performed outside the user's scope of practice.
2. To control costs, Symulus silicone parts are currently hand-made and may have some slight variability in dimensions (eg esophageal wall thicknesses). We believe this does not significantly detract from its value and the skill development opportunities the model offers.