Wounded Willy RS-601 and Damaged Debbie RS-602
Full body phantoms with traumas

Anthropomorphic Phantoms for Military Training in Radiography

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

DESIGN PRINCIPLES FOR RADIOGRAPHIC TEACHING/TRAINING PHANTOMS

It is a universally-accepted fact of life that people cannot be subjected to diagnostic radiography for other than medially-necessary purposes. Observance of this principle rules out the use of patients for basic training in these procedures (but permitting the use of patients for advanced, supervised training).

The re-creation of the human body, in all of its immense complexity, represents overkill for radiographic training. One example of a widely-accepted divergence from precise reproduction of the human is use of transparent phantoms to combine the teaching of radiography with that of anatomy.

Whichever philosophy is pursued, the basic qualifiers of human substitutes are phantoms that yield radiographs resembling those of the human, taken with human technical factors, articulated to enable basic views to be presented, and with an appropriate level of human anatomy.

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 judgements 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 judgements 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.
Wounded Willy Damanged Debbie Skill Comparison

Click here to find out



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
#
1
2
3
4
5
6
7
8
9
10
WILLY/DEBBIE
WILLY
WILLY
WILLY
WILLY
WILLY
WILLY
DEBBIE
DEBBIE
DEBBIE
DEBBIE
Description
Metallic fragment in orbit
Multiple fragments lower face
Step deformity of intraorbital rim
Separated fracture of frontal zygomatic suture
Metallic foreign body over skull
Mandible fracture with missing bone
Depressed comminuted fracture of zygomatic arch
Mandibular fractures
Cloudy maxillary sinus
Fracture of nasal bones with mild displacement
Side
R
N/A
L
L
N/A
N/A
L
R
L
N/A
External Marking
N
N
B
S
N
O
S
S,B
N
H
Head and Neck Phantom X-Ray
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
#
11,12
WILLY/DEBBIE
WILLY
Description
Displacement fracture of mandibular condyle
Side
L&R
External Marking
S
Wounded Willy and Damaged Debbie skull X-ray


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
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)

MECHANICAL NECK
(FOAM FLESH REMOVED)
ANATOMIC NECK

ANATOMIC NECK
#
13
14
15
WILLY / DEBBIE
E
E
E
Description
C4, C5 Compression fracture
C7 Fractured by bullet
C-spine bullet anterior to trachea shadow
Side
N/A
N/A
N/A
External Marking
N
H
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
#
16
17
18
19
20
21
22
23
24
25, 26
WILLY / DEBBIE
WILLY
WILLY
WILLY
WILLY
WILLY
WILLY
WILLY
WILLY
WILLY
WILLY
Description
Fracture of lateral ribs 6 & 7
Mediolateral fracture of ribs 8 & 9
Multiple rib fractures, four metallic fragments visible
12th rib fracture
Bullet in hemothorax overlaying 8th rib
Bullet overlying heart shadow
2 cm metallic fragment in mid chest
Bullet visible below costal margin under 11th rib
2 Bullets in LUQ
Shattered distal scapulae
Side
R
L
R
R
L
N/A
R
L
L
R&L
External Marking
N
N
N
N
H
H
N
H
H
H
Phantom Chest X-Ray


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
Number
27
28
29
WILLY/DEBBIE
DEBBIE
DEBBIE
DEBBIE
Description
Widened mediastinum and pleural effusion
Chest tube, lung inflated
Infiltrate
Side
N/A
L
N/A
External Marketing
N
Tube
N
Chest X-Rays


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
Number
30
31
32
33
34
35


36
37


38
WILLY / DEBBIE
DEBBIE
WILLY
WILLY
DEBBIE
DEBBIE
DEBBIE


DEBBIE
DEBBIE


WILLY
Description
Bullet in mid-abdomen
Unstable fracture of L1
Compression fracture of L5
Metallic foreign body lateral to PSOAS
Compression fracture of L4
Metallic fragments - 2 midabdomen, 1 each in RLQ and LLQ

Bullet in midabdomen
Metallic fragments - 2 midabdomen, 1 each: RLQ and LLQ

ILIAC crest comminuted fracure with metallic fragments
Side
R
L
R
R
L
N/A


R
L


L
External Marking
N
N
N
N
H
H


N
H


H
Bullet X-Ray


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
#
39
40
41
42
43
44
45
WILLY / DEBBIE
DEBBIE
DEBBIE
DEBBIE
WILLY
WILLY
WILLY
WILLY
Description
Displaced fracture of pubic ramus
Sacroiliac disruption, acetabular fracture
Foreign body lateral to PSOAS
Non-displaced pubis ramus fracture
Superior and inferior pubic ramus fracture
Pelvis fracture with symphysis diastasis and sacroiliac joint disruption
Bullet in sacrum
Side
L
L
R
N/A
R
N/A
N/A
External Marking
N
N
N
N
N
N
N
Phantom Pelvis


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).

HIPS JOINTS AND THIGHS
#
46
47
48
49
WILLY / DEBBIE
WILLY
WILLY
WILLY
WILLY
Description
Shattered acetabulum
Shattered femoral head
Comminuted midshaft fracture
Left femur comminuted fracture 12 cm above knee
Side
L
L
L
L
External Marking
Latex "shorts"
Latex "shorts"
S
S
WILLY And DEBBIE Hip Joints and Thighs


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
#
50
51
52
53
54
WILLY / DEBBIE
DEBBIE
WILLY
WILLY
DEBBIE
DEBBIE
Description
Proximal tibia fracture
Comminuted fracture of tibia and fibula
Displaced ankle fracture
Minimally displaced distal tibia fracture
Displaced fracture of calcaneus bone
Side
L
R
R
R
R
External Marking
S
S
S
S
N
Knees,Lower Legs,Feet
Knees,Lower Legs,Feet


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
Wounded Willy and Damaged Debbie Shoulder

Wounded Willy and Damaged Debbie Elbow Joint


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
#
55
56
57
58
WILLY / DEBBIE
WILLY
DEBBIE
WILLY
DEBBIE
Description
Displaced fracture of radius and ulna
Volar angulated distal radius and ulna fracture
Angulated comminuted fracture of midshaft radius and ulna
Minimally-displaced distal radius fracture not involving wrist, offset bone ends
Side
L
L
R
R
External Marking
Forearms


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
#
59
WILLY / DEBBIE
DEBBIE
Description
3rd and 4th metacarpals shattered
Side
L
External Marking
Thickened, back of hand
Damaged Debbie and Wounded Willie Hand


Damaged Debbie 1 Damaged Debbie 2
Damaged Debbie 3 Damaged Debbie 4


ORDERING INFORMATION
RS-600 TEACHING / TRAINING PHANTOMS SYSTEM

Includes:
RS-601

RS-602

RS-603

RS-604

RS-605
WOUNDED WILLY

DAMAGED DEBBIE

ANATOMIC NECK

MECHANICAL NECK WITH FOAM FLESH NECK/1 EA. FOR WILLY & DEBBIE

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.
Charges cannot usually be retrofitted.
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