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Wounded Willy RS-601 and Damaged Debbie RS-602 Full body phantoms with traumas　     60 traumas and pathologies divided between Willy and Debbie Can be positioned realistically Human technical factors Unlimited repetition of views without human exposure Radiographs that permit evaluation of trainee performance Teaching/Training for civilian hospital ER's Anthropomorphic Phantoms for Military Training in Radiography A phantom is a "trade-off" between acceptable anatomic detail and unacceptable impact of artifacts on the image. WILLY and DEBBIE are based on several decades of experience with "trade-offs", variously driven toward one extreme or another. They yield human-like images, with human technical factors and with limited artifacts, (which are presented clearly as artifacts, not as anatomic detail). They are well balanced patient substitutes for basic training of radiologic technologists, particularly in military or emergency-room environments. Willy and Debbie Teaching/Training Capabilities They demonstrate and evaluate positioning and imaging techniques, including kVp, mAs, contrast, optical density, OFD and TFD. Their radiographs are optically equivalent to humans in density and contrast. Willy and Debbie Differences: The most obvious difference between them is in the complement of traumas and pathologies assigned to each. Another difference is that DEBBIE has female breasts, while WILLY has natural male chest contours. DEBBIE is fitted with a wig, while WILLY is bald. They are dressed in camos for military training and in jump suits for civilian training. Realism of Traumas and Pathologies There is no single, unique description of any of their traumas and pathologies. Rather, there are limitless variations among a broad range of casualties. The most meaningful judgments of the realism of trauma and pathologies are those based on long radiographic experience across the spectrum of casualties. Patrick Hale, Senior Radiologic Technologist at the UCLA Emergency Room and an RSD consultant, made those judgments with respect to WILLY and DEBBIE.   Dimensions The size and weight of PIXY are also used for WILLY and DEBBIE. They are small adults. Since technologists must learn to work with patients of all sizes and weights, a smaller phantom is as valid for training as a larger phantom, and positioning is facilitated. Each is 5 ft. 1 in. tall (156cm) and weighs 105 lbs. (48 kg). Anatomy WILLY and DEBBIE are articulated at the neck, shoulders, elbows, hips and knees. Fractures of the left shoulder and left hip are located in DEBBIE. To minimize handling problems, all other traumas of the arms and legs are located in WILLY and on the right side of DEBBIE. The articulations provide a broad range of positioning of capabilities, even the "frog position". Lungs Lungs are molded of durable materials with radiodensities matched to humans in a median respiratory state. Animal lungs matching the human in size and blood vessels are available, but they are oriented towards research rather than training.   Soft Tissues WILLY and DEBBIE have solid "soft tissues" that are hard and rigid. They cannot be palpated to locate traumas. However, radiological technologists are generally informed by the physician as to the views to be taken. The manual provides this information to instructions. Skeletons RSD-manufactured skeletons are used rather than natural human skeletons. The latter are generally unavailable and usually consist of an assortment of bones ranging from children to adults of ages for which osteoporosis becomes a factor. RSD skeletons are not to be confused with plastic skeletons for teaching anatomy. RSD skeletons are made to fit the soft-tissue molds precisely. They have spongiosa moldings within marrow cavities and outer, cortical bone. Both constituents meet the internationally-accepted standards for radiodensity and specific gravity.     LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).   HEAD  #  WILLY/  DEBBIE  Description  Side  External  Marking  1  WILLY  Metallic fragment in orbit  R  N  2  WILLY  Multiple fragments lower face  N/A  N  3  WILLY  Step deformity of intraorbital rim  L  B  4  WILLY  Seperated fracture of frontal zygomatic  suture  L  S  5  WILLY  Metallic foreign body over skull  N/A  N  6  WILLY  Mandible fracture with missing bone  N/A  O  7  DEBBIE  Depressed comminuted fracture of  zygomatic arch  L  S  8  DEBBIE  Mandibular fractures  R  S,B  9  DEBBIE  Cloudy maxillary sinus  L  N  10  DEBBIE  Fracture of nasal bones with mild  displacement  N/A  H Note: An axial duct is seen above. It is filled by a polycarbonate rod to assemble the head and neck to T1. When assembled, the duct artifact is barely visible. Anatomic and mechanical necks are interchangeable between WILLY and DEBBIE. Heads are interchangeable between WILLY and DEBBIE. LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). HEAD, Continued # WILLY/ DEBBIE Description Side External Marking 11,12  WILLY Displacement fracture of mandibular condyle L&R S ]   LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). NECKS  #  WILLY/  DEBBIE  Description  Side  External  Marking  13  E  C4, C5 Compression fracture  N/A  N  14  E  C7 Fractured by bullet  N/A  H  15  E  C-spine bullet anterior to trachea shadow  N/A  H Among the "trade-offs" required in these phantoms is that between anatomic fidelity and the ability to move the head into the broad range of views required in radiography. No mechanism can be designed for intervertebral motion without artifacts obliterating the radiographs. This problem has been solved by the use of two necks. One is a multi-articulated polycarbonate assembly which provides for nearly all commonly used views. An alternate, fully realistic neck is interchangeable with the mechanical neck. The cervical spine of this neck contains traumas. MECHANICAL NECK (FOAM FLESH REMOVED) ANATOMIC NECK   LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).   THORAX  #  WILLY/  DEBBIE  Description  Side  External  Marking  16  Willy  Fracture of lateral ribs 6 & 7  R  N  17  Willy  Mediolateral fracture of ribs 8 & 9  L  N  18  Willy  Multiple rib fractures, four metallic  fragments visible  R  N  19  Willy  12th rib fracture  R  N  20  Willy  Bullet in hemothorax overlaying 8th rib  L  H  21  Willy  Bullet overlying heart shadow  N/A  H  22  Willy  2 cm metallic fragment in mid chest  R  N  23  Willy  Bullet visible below costal margin under  11th rib  L  H  24  Willy  2 Bullets in LUQ  L  H  25,26  Willy  Shattered distal scapulae  R&L  H LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). THORAX, Continued  #  WILLY/  DEBBIE  Description  Side  External  Marking  27  DEBBIE  Widened mediastinum and pleural  effusion  N/A  N  28  DEBBIE  Chest tube, lung inflated  L  Tube  29  DEBBIE  Infiltrate  N/A  N   LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). ABDOMEN  #  WILLY/  DEBBIE  Description  Side  External  Marking  30  DEBBIE  Bullet in mid-abdomen  R  N  31  WILLY  Unstable fracture of L1  L  N  32  WILLY  Compression fracture of L5  R  N  33  DEBBIE  Metallic foreign body lateral to PSOAS  R  N  34  DEBBIE  Compression fracture of L4  L  H  35  DEBBIE  Metallic fragments - 2 midabdomen,  1 each in RLQ and LLQ  N/A  H  36  DEBBIE  Bullet in midabdomen  R  N  37  DEBBIE  Metallic fragments - 2 midabdomen  1 each: RLQ and LLQ  L  H  38  WILLY  ILIAC crest comminuted fracure with  metallic fragments  L  H   LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). PELVIS  #  WILLY/  DEBBIE  Description  Side  External  Marking  39  DEBBIE  Displaced fracture of pubic ramus  L  N  40  DEBBIE  Sacroiliac disruption, acetabular fracture  L  N  41  DEBBIE  Foreign body lateral to PSOAS  R  N  42  WILLY  Non-displaced pubis ramus fracture  N/A  N  43  WILLY  Superior and inferior pubic ramus  fracture  R  N  44  WILLY  Pelvis fracture with symphysis diastasis  and sacroiliac joint disruption  N/A  N  45  WILLY  Bullet in sacrum  N/A  N   LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). HIP JOINTS AND THIGHS  #  WILLY/  DEBBIE  Description  Side  External  Marking  46  WILLY  Shattered acetabulum  L  Latex "shorts"  47  WILLY  Shattered femoral head  L  Latex "shorts"  48  WILLY  Comminuted midshaft fracture  L  S  49  WILLY  Left femur comminuted fracture  12 cm above knee  L  S   LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). KNEES, LOWER LEGS, FEET  #  WILLY/  DEBBIE  Description  Side  External  Marking  50  DEBBIE  Proximal tibia fracture  L  S  51  WILLY  Comminuted fracture of tibia and fibula  R  S  52  WILLY  Displaced ankle fracture  R  S  53  DEBBIE  Minimally displaced distal tibia fracture  R  S  54  DEBBIE  Displaced fracture of calcaneus bone  R  N LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). SHOULDER AND ELBOW JOINTS LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). FOREARMS  #  WILLY/  DEBBIE  Description  Side  External  Marking  55  WILLY  Displaced fracture of radius and ulna  L    56  DEBBIE  Volar angulated distal radius and ulna  fracture  L    57  WILLY  Angulated comminuted fracture of  midshaft radius and ulna  R    58  DEBBIE  Minimally-displaced distal radius  fracture not involving wrist, offset bone  ends  L   LEGEND:  Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE). HANDS  #  WILLY/  DEBBIE  Description  Side  External  Marking  59  DEBBIE  3rd and 4th metacarpals shattered  L  Thickened,  back of hand       ORDERING INFORMATION RS-600 TEACHING / TRAINING PHANTOMS SYSTEM Includes:  RS-601 WOUNDED WILLY  RS-602 DAMAGED DEBBIE  RS-603 ANATOMIC NECK  RS-604 MECHANICAL NECK WITH FOAM FLESH NECK/1 EA. FOR WILLY & DEBBIE  RS-605 TRAUMAS AND PATHOLOGIES (-01 TO -59) RS-610 CUSTOM ITEMS Traumas and pathologies are divided between WILLY and DEBBIE in a way that minimizes interference between them. Some changes can be made in locations of each, or additional traumas and/or pathologies can be added or substituted for others. Ask about special requirements and pricing of changes. Changes cannot usually be retrofitted.

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