The T-D Box

The T-D Box

EMR/ESD

A solid training for physicians and nurses is essential for a succesfull procedure with a minimal complication risk.

Polypectomy, endoscopic mucosal resection (EMR), and endoscopic submucosaldissection (ESD) treatments have become increasingly effective and less invasive. Dedicated training is required for these advanced endoscopic techniques.

The TD-Box is designed for all EMR/ESD training configurations (colon/rectum/oesophagus/stomach). The metal plate and plug of the TD-Box are compatible with all popular electrocautery brands, so you can train with the same type of equipment you’ll ultimately use in surgery.

The result: a more realistic and valuable training,

STENTING

Oesophageal Stenting

Stenting is a routine procedure in most hospitals and indications are increasing for stent insertion in the oesophagus, and various other. parts of the GI tract. The number of available “indication-related expandable stents” is rising accordingly. Keeping abreast of new surgical technologies is one of the most challenging aspects of medicine today and as with any other procedure, exhaustive training in stenting is essential for both doctors and
perioperative nurses to promote optimal patient outcome.

The TD-box is designed for the training of all steps involved in most forms of upper GI stenting. Naturally, stenting is performed within the body. Utilising the transparent cover of the TD-Box with dry lab exercises augments comprehension of this procedure.

Duodenum Stenting

Stenting in all segments of the GI tract is performed on a regular basis in most hospitals. Indications for stenting are expanding and the number of “indication
related expandable stents” is rising accordingly. A solid training for physicians and nurses is essential for a successful procedure with the best clinical outcome.

The TD box is suitable for training of most stent indications and all steps involved while the transparent cover is useful for better understanding of this “dark” procedure.

FOREIGN BODY REMOVAL

Foreign Body Kit

The foreign-body kit contains all materials that are most often swallowed such as batteries, razor blades and part of toys.

The two sides of the kit, adult and children, have pre-shaped forms for easy categorising and storing your support materials. The foreign-body kit is designed
to support the foreign-body-removal training as described below.

Foreign Body Removal Training

The ingestion of foreign bodies (FB) is a common clinical problem and endoscopic removal is usually recommended. Accessories like nets, baskets, overtubes and graspers are continually being developed for the safe and quick removal of foreign bodies.

TD-box is designed for extensive and realistic training with all these instruments, and therefore is ideal for workshops and “hands on” sessions. The two types of covers provide a variety or training options, depending on the target audience and their experience.

BLEED & COMPLICATION MANAGEMENT

Bleeding

Numerous techniques have been developed to treat bleeding and perforations in the GI tract, the most common are mechanical haemostasis clips, variceal banding, argon plasma coagulation, probes and injection sclerotherapy. Mastering techniques for bleeding and complication management is essential to ensure the positive outcome of procedures.

The TD-Box is perfect for professional workshops that will provide invaluable training in complication management. It is designed for the training of all techniques mentioned and in different configurations, with or without electrocautery.

Perforation

A large scale of different techniques has been developed to treat bleeding and perforations in the total GI tract. Most common mechanical haemostasis clips, variceal banding, argon plasma coagulation, probes and injection
sclerotherapy.

Physicians and nurses should be 100% familiar with the materials used for bleed and complication management to ensure a positive outcome of the procedure. The TD box is designed for solid workshops and training on all techniques mentioned and can be used in different configurations with and without electrocautery.

ERCP

Stone Retrieval Balloons & Stone Extraction Baskets

Endoscopy departments treat patients daily for bile-duct disorders. A common example is a gallstone obstruction. Plastic or self-expandable stents can be placed to ensure the flow of bile from the bile duct.

The techniques of stone extraction, positioning of stents and the accompanying technical challenges (such as an emergency procedure for Lithotrypsia) can easily be practiced in the safe environment of simulation.

These techniques require specialist knowledge and skills to perform them, even for those experienced in endoscopy, training is required for continually evolving techniques, equipment and procedures before treatment of patients.

The TD-Box, the upper-GI model in combination with the biliary-tree kit, are ideal for flexible simulation sessions. Without the odour, hygiene issues and hassles of animal models and more conveniently than heavy, awkward simulation dummies.

The clear upper-GI model is particularly ideal for explaining procedures in group training sessions, everyone can see precisely where the endoscope is placed and how the equipment needs to be maneuverered. This also brings discussions of possible complications to life, and staff will be able to better explain the procedures to patients.