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TissueDB/Simulators/IUD Insertion Simulator

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General Information

IUD insertion training using cervix and vaginal canal simulator in Nigeria
User testing of IUD insertion training in Nigeria using the cervix and vaginal canal simulator components.

This simulator enables nurses, midwives, and clinical officers to develop confidence and competence in maintaining aseptic technique in sounding the uterus, loading the IUD in the sterile package, setting the gauge to the sounded depth, and gently inserting and deploying the IUD as part of copper and hormonal IUD insertion procedures performed in low- to middle-income countries. The simulator contains three components: (1) nulliparous cervix, (2) parous cervix, and (3) vaginal canal with augmented feedback. Developed by Medical Makers as part of the STARS (Sexual and Reproductive Health and Rights) programme.

Field Details
Features and Basic Operation Not stated in source
Current Development Status First pass clinical
Estimated Build Time and Cost —, Approximately $10–12 USD (2026 US retail; cost-bearing items: pink modelling clay, 5V piezo buzzer, four alligator clips, one 9V battery)
Specialized Tools and Equipment Not stated in source
Version Not stated in source
Development Team Contact Information Medical Makers

The cervix models match published dimensions for nulliparous and primiparous women.[3] Average cervix width for nulliparous women: 2.6 cm (1.0 in); average length: 2.9 cm (1.1 in). Average cervix width for primiparous women: 2.8 cm (1.1 in); average length: 3.2 cm (1.3 in). The cervical os shapes simulate documented colposcopic appearances of nulliparous (round) and parous ("fish mouth") cervixes.[1]

The vaginal canal dimensions (4.5 cm diameter, 13.0 cm long) are based on published vaginal length measurements[2] and the opening diameter of a disposable pelvic speculum measured at a Ugandan hospital (4.5 cm).

Tissues

Tissue Qty Material Cost Notes
Cervix (nulliparous) 1 Oil-based modelling clay Light pink; 2.5 cm (1.0 in) diameter × 3.0 cm (1.2 in) long; pencil-formed round os
Cervix (parous) 1 Oil-based modelling clay Light pink; 3.0 cm (1.2 in) diameter × 3.0 cm (1.2 in) long; "fish mouth" os


Structural Parts

Part Name Qty Material Cost Notes
Paper 1 sheet Standard paper Vaginal canal body; rolled to 4.5 cm (1.8 in) diameter, 13.0 cm (5.1 in) long
Aluminum foil 1 piece Standard aluminum foil Feedback circuit lining inside vaginal canal
Alligator clips 2 Standard alligator clips Electrical connections for augmented feedback circuit
Tape As needed Standard tape Securing components during assembly
Buzzer 1 Electronic buzzer Audible signal when instrument contacts vaginal wall (augmented feedback)
9V battery 1 Standard 9V battery Power source for feedback circuit
Ruler 1 Standard ruler Measuring during construction
Scissors 1 pair Standard scissors Cutting paper and foil during construction


Build Instructions

Phase 1: Nulliparous Cervix

Step 1: Collect supplies

Light pink oil-based modelling clay, ruler, and pencil or chopstick.


Step 2: Form cervix cylinder

Roll pink clay into a cylinder 2.5 cm (1.0 in) in diameter and 3.0 cm (1.2 in) long.


Step 3: Create the os

Insert a pencil tip or chopstick through the center of the clay cylinder to simulate the smooth, rounded os of the nulliparous cervix.[1]


Step 4: Attach cervix to uterus simulator

Mount the Nulliparous Cervix model on the pegs of the 3D Printed Uterus Simulator.


Phase 2: Parous Cervix

Step 1: Collect supplies

Light pink oil-based modelling clay, ruler, and pencil or chopstick.


Step 2: Form cervix cylinder

Roll clay into a cylinder 3.0 cm (1.2 in) in diameter and 3.0 cm (1.2 in) long.


Step 3: Create the os

Use the tip of the pencil or chopstick to create the "fish mouth" appearance of the wider os of a parous cervix.[1]


Step 4: Attach cervix to uterus simulator

Mount the Parous Cervix model on the pegs of the 3D Printed Uterus Simulator.


Phase 3: Vaginal Canal with Augmented Feedback

Assembled IUD insertion simulator showing cervix mounted on 3D printed uterus with vaginal canal component.

Assembly instructions for the vaginal canal with augmented feedback circuit are demonstrated in the vaginal canal assembly video.

The vaginal canal is constructed from paper lined with aluminum foil, rolled to 4.5 cm (1.8 in) in diameter and 13.0 cm (5.1 in) long. Alligator clips connect the foil lining to a buzzer and 9V battery, creating a feedback circuit that produces an audible signal when an instrument contacts the vaginal wall.[2][3]




References

[3][1][2]

  1. 1.0 1.1 1.2 1.3 Atlas of Colposcopy: Principles and practice. World Health Organization. Available from: https://screening.iarc.fr/atlascolpodetail.php?Index=13&e=
  2. 2.0 2.1 2.2 Bates CK, Carroll N, Potter J. The challenging pelvic examination. J Gen Intern Med. 2011 Jun;26(6):651-7. doi: 10.1007/s11606-010-1610-8. PMID: 21225474; PMCID: PMC3101979.
  3. 3.0 3.1 3.2 Londero AP, Bertozzi S, Fruscalzo A, Driul L, Marchesoni D. Ultrasonographic assessment of cervix size and its correlation with female characteristics, pregnancy, BMI, and other anthropometric features. Arch Gynecol Obstet. 2011 Mar;283(3):545-50. doi: 10.1007/s00404-010-1377-5. PMID: 20145939.


Digital Resources


Simulator data
Alternative names Cervix and Vaginal Canal (with Augmented Feedback) Simulator



Simulator data
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