02-09-2026
ADA MED SUPPLY LIMITED
Article tag: Peripheral Puncture & Central Vein Cannula Mode BIX-L67A L67A
Model | BIX-L67A — Peripheral Puncture & Central Vein Cannula Model |
Summary | Adult right torso and arm model for PIVC and CVC training: internal jugular, subclavian, cephalic veins, Swan-Ganz floatation; replaceable skin and veins. (154 chars) |
Price | On request |
Type | Right half torso + right arm, anatomical landmarks |
Vascular Anatomy | Superior vena cava, internal jugular, subclavian, cephalic, basilic, median cubital veins |
Key Features | "Pop" puncture feedback, simulated blood filling, replaceable skin & vessels, Swan-Ganz floatation |
Audience | Nursing schools, hospital training centers, anesthesia & ICU departments |
Peripheral intravenous cannulation (PIVC) is the most common invasive procedure in hospitals — yet it fails far more often than most training curricula acknowledge. A clinical study of pediatric admissions found a 34.83% first-attempt PIVC failure rate, with each failed attempt meaning repeated pain, added complications, and delayed care (Aytenew et al., 2022). Across studies, first-attempt failure in adult and pediatric populations ranges from roughly 25% to 40%.
Central venous catheterization (CVC) is even higher-stakes. It is an advanced procedure with real complication risks — arterial puncture, pneumothorax, and catheter-related infections — and complication rates track directly with operator experience and the number of needle passes.
The implication for educators: procedural competence in venous access is not learned by watching. It is learned by repeated, realistic practice — and simulation is the only setting where trainees can practice until mastery without risk to a patient.
Evidence | Finding | Implication |
Barsuk et al., 2009 | A simulation-based mastery learning program increased residents' CVC insertion skill and decreased complications in the ICU (Crit Care Med 2009) | Deliberate simulation practice directly reduces real-patient complications |
Aytenew et al., 2022 | First-attempt PIVC failure reached 34.83%; training and experience were significant predictors (Afr Health Sci 2022) | Structured training on realistic models raises first-attempt success |
Cook et al., 2011 | Technology-enhanced simulation yields large skill gains — effect sizes 1.09–1.20 across 35,226 learners (JAMA 2011) | Simulation is one of the most effective known teaching modalities |
Smith et al., 2008 | Clinical skills decay within months without practice (Resuscitation 2008) | Venous-access skills need repeated refresher sessions |
The conclusion is direct: hospitals that invest in realistic venipuncture trainers see fewer failed attempts, fewer complications, and more confident practitioners.
The L67A replicates the right half of an adult torso with the right arm, with visible anatomical landmarks — clavicle, suprasternal notch, sternocleidomastoid muscle, pectoralis major, ribs, deltoid — so trainees practice on structures they can actually identify, not guess at.
Training Station | Anatomy & Skills |
Peripheral IV (PIVC) | Cephalic, basilic, median cubital veins — arm puncture and cannulation |
Central venous (CVC) | Internal jugular and subclavian veins — central line insertion |
Central approach | Superior vena cava catheterization |
Advanced procedures | Swan-Ganz floatation catheter insertion practice |
Every puncture delivers an authentic tactile cue — a distinct "pop" when the needle enters the vein — and the cervical and arm veins can be filled with simulated blood, so trainees learn to read flashback and position the catheter correctly. When performance degrades, the skin and vessels are replaceable, keeping the model at full fidelity for years of training.
1. Identify cephalic/basilic/median cubital veins on the arm landmarks.
2. Fill veins with simulated blood; puncture with correct angle and flashback check.
3. Cannulate and flush; instructor checklist: angle, flashback, thread, secure.
1. Palpate sternocleidomastoid triangle landmarks.
2. Puncture with the "pop" cue; verify flashback; thread the catheter to the superior vena cava.
3. Repeat until smooth, ≤2 needle passes.
1. Locate clavicle landmarks and puncture site.
2. Practice the subclavian angle of approach and catheter threading.
1. Advance the Swan-Ganz catheter through the CVC introducer.
2. Simulate floatation path to the pulmonary artery position; verify placement.
Refresher note: procedural skills decay within months (Smith et al., 2008) — schedule quarterly refresher stations for all vascular-access providers.
Skill | Standard |
Landmark identification | Correct anatomical identification before puncture |
First-attempt success | ≥80% target in training drills |
Needle passes per CVC | ≤2 (complications rise with passes — Barsuk et al., 2009) |
Aseptic technique | Sterile field maintained throughout |
Catheter position | Correct depth and flush confirmation |
Item | Frequency | Notes |
Simulated blood flush | After each session | Drain and rinse the vascular system |
Skin & vessel integrity | Check monthly | Replace when puncture leaks or "pop" is lost |
Anatomical landmarks | Per manual | Verify marking visibility |
Storage | Always | Dry, dust-free; follow manual storage |
Replaceable skin and vessels keep long-term training cost predictable — a recurring consumable, not a full-unit replacement.
Q1: What is the difference between L67A and L67B? A: L67A is the adult model — right torso + arm for adult PIVC and CVC (internal jugular, subclavian, cephalic) plus Swan-Ganz. L67B is the newborn model for neonatal PIVC and CVC training. Choose by the patient population you train.
Q2: Which vessels can be trained on the L67A? A: Peripheral: cephalic, basilic, and median cubital veins. Central: internal jugular, subclavian, and superior vena cava catheterization, plus Swan-Ganz floatation catheter insertion.
Q3: How does the simulated blood work? A: The cervical and arm veins can be filled with simulated blood so trainees observe flashback and confirm correct catheter placement. After sessions, flush and drain the system.
Q4: Can the model be used repeatedly without quality loss? A: Yes — the skin and veins are replaceable. When puncture sites leak or the "pop" feedback weakens, replace the skin/vessel set; the model continues at full fidelity.
Q5: Who should use this trainer? A: Nursing schools (PIVC fundamentals), hospital training centers, anesthesia and ICU departments (CVC and Swan-Ganz), and continuing-education programs for vascular-access teams.
Q6: What is the MOQ and delivery time? A: MOQ is 1 unit. Air freight: 7–10 business days; sea freight: 30–45 days. Email adacpr@adaanatomy.com for a quote.
Simulation-Based Mastery Learning Reduces Complications During Central Venous Catheter Insertion in a Medical Intensive Care Unit — Barsuk et al. (2009), Crit Care Med 37(10):2697–2701
Incidence of First Attempt Peripheral Intravenous Cannulation Failure and Its Predictors Among Children — Aytenew et al. (2022), Afr Health Sci 22(4):664–670
Technology-Enhanced Simulation for Health Professions Education: A Systematic Review and Meta-analysis — Cook et al. (2011), JAMA 306(9):978–988
Evaluation of Staff's Retention of ACLS and BLS Skills — Smith et al. (2008), Resuscitation 78(1):59–65
