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Central Venous Access Simulation

CVA Simulation

This turnkey, mixed reality simulator is for practicing, learning, teaching and debriefing central venous access by the internal jugular, infraclavicular, supraclavicular and axillary approaches with and without ultrasound guidance. Designed for austere environments, it does not require wireless or internet access or wet fluids; accepts 110/220V, 50—60Hz. It can be unpacked and set up by a person unfamiliar with it and be operational in 5-7 minutes. The portable simulator fits inside a military-spec padded case with inbuilt wheels and telescoping pull-handle that meets airline checked luggage size limits (L+W+H=60”) and weighs less than 70 lbs.

CVA Component

For information about this simulation technologies, contact Sem Lampotang at
slampotang email


- Internal Jugular (IJ) Vein Access (Out-of-Plane/In-Plane/Oblique US-Guided, Landmark)
- Infraclavicular (aka Subclavian) Vein Access (Out-of-Plane/In-Plane US-Guided, Landmark)
- Supraclavicular Vein Access (Out-of-Plane/In-Plane US-Guided, Landmark)
- Axillary Vein Access (Out-of-Plane/In-Plane US-Guided)


CVA Component

- CT Scan-based 3D printed physical manikin
- Virtual model of the anatomy of the neck and upper chest
- Tracked interoperable instruments: needle, ultrasound probe, virtual camera
- Common SMARTS modular stand for use with other modular anatomies
- Automated scoring and replay system
- Instructional materials teach how to perform procedures on the simulator


CVA Technology

- Adheres to SMARTS (System of Modular Augmented Reality Tracking Simulators) rapid sim. development platform specs
- Quick-release placement and indexing of SMARTS-compliant anatomies to SMARTS platform
- Anatomically correct, based on medical imaging scans of a real human
- Precise sub-millimeter tracking of all events
- High-durability, skin-like replaceable skin patches


CVA Technology

- Adjustable difficulty levels (Easy/Medium/Hard)
- Adjustable view modes for realism and AARs
- Ultrasound probe with depth markers
- Anisotropy simulation for both needle and lung
- Vein compression
- Cognitive aids for probe and needle orientation
- Tactile feedback of bone and vein access
- Debriefing with instant replay of past procedure


- US Patent 9,626,805
- Other patents pending

CVA Simulator Demonstrations

Mixed reality simulation for placement of CVL needle (Patented) - Video


Mixed reality simulators training treatment for injured soldiers - Article
Residents test new simulator for safety - Article




Mixed Reality Simulation for Training Reservists and Military Medical Personnel in Subclavian Central Venous Access - Poster

Resources and Screenshots

One Page Fact Sheet - PDF
Informational Poster - PDF
CVA components - Image
CVA Screenshot (CVA stand) - Image
CVA Screenshot (top down) - Image
CVA Screenshot (angled and zoomed) - Image
CVA Screenshot (during procedure) - Image
CVA in Travel Case - Image