Chest Tube Simulator

Mixed-Reality Simulator of Chest Tube Insertion

This robust, turnkey, mixed-reality simulator simulates part of an anatomically correct thorax for practicing, learning, teaching and debriefing a chest tube thoracostomy procedure.

Designed for austere environments, this medical simulator does not require wireless or internet access or wet fluids and 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 50 lbs.

We can provide access to the simulator or copies of the simulator. Contact us for details.


  • 3D-printed physical thorax including ribs and pleural space
  • Virtual model of the anatomy of the heart, lungs, liver, and diaphragm
  • Tracked instruments: chest tube, Kelly clamp, finger tracker, and virtual camera controller
  • Common System of Modular Mixed and Augmented Reality Tracking Simulators (SMMARTS) modular stand with interoperable instruments for use with other modular anatomies
  • Automated checklist algorithm and replay system


  • Adheres to SMMARTS rapid simulator development platform (modular stand and SDK) specifications
  • Quick-release placement and indexing of SMMARTS-compliant anatomies to SMMARTS platform
  • Precise sub-millimeter tracking of all tracked tools
  • Skin-like replaceable inserts with muscle tissue can be rejuvenated in situ for indefinite reuse


  • Chest Tube Thoracostomy
  • Designed for future addition of pericardiocentesis

Illustration of chest tube sim

Illustration of chest tube sim showing the ribs


  • Adjustable view modes for realism and after action review
  • Cognitive aids for chest tube placement
  • Tactile feedback of ribs and pleura
  • Debriefing with replay of past procedures
  • Large left and right chest tube insertion zones
  • Capable of several tube placements on each side before rejuvenation is necessary




Chest Tube Insertion Mixed Reality Simulator

This video demonstrates the basic features of the new CSSALT chest tube insertion mixed reality simulator for practicing open chest tube placement.

Open Chest Tube Insertion on CSSALT MR Simulator

This video demonstrates the steps for inserting an open chest tube using the CSSALT mixed reality open chest tube simulator.