"KIP" Frequently Asked Questions

KIP was developed for learning and honing skills for proper needle placement for a variety of interventional techniques. KIP was not intended for radiopaque dye injection flow patterns. KIP has no hollow organs or vasculature.

Q: Who are the "likely users" for KIP? Q: Why is KIP's anatomy and feel (Tactile) feeback to needle pressure somewhat different than a live patient?

KIP is not a real person. He is also not a cadaver. Accordingly, he will have some limitations. It is best to think of KIP as a simulation tool where initial positioning of the needle, route to the site of interest, and actual practice routine can be perfected through repeated application.

Alternatives to KIP include:
  1. Practice on live patients - a real "no-no"
  2. Use of cadavers - expensive ($2,000 - $2,500) - messy - mal-odor - limits to usage before severe degradation
  3. Proceed without practice at all - not very wise
Q: How often can KIP be used?

Use KIP as often as you wish. KIP is asexual – it is designed for many (hundreds at least) needle sticks at the various points of access. Once a physician practices for a weekend at a symposium, they probably have the ability to proceed as they will be working on real patients in the future. If an individual buys KIP, s/he can use it as often as needed for practice, storing KIP in a closet between uses. KIP provides the individual with a tool at hand to use when there is desire to learn different sites, train a colleague, or hold a symposium. Entrepreneurial physicians or physician groups will find KIP to be an economical investment in the long run. Because KIP can be used over and over, he keeps on giving to the educational opportunity.

Q: How much expertise can one really gain from working with KIP?

There are always different skill levels associated with any hands-on process and there is no magic instance method of learning, so due diligence and honesty about one’s ability is needed. Like any thing in life, the more time one spends practicing, the better skill level achieved.

Q: My fluoro images don’t look like those in your promotional material?

The images in the PD Sheet were obtained with top-of-the-line commercially available mobile image intensifier system that was properly calibrated and positioned in relation to KIP. You are capable of similar quality given similar circumstances.

Q: The skin feels different than real skin, is that a problem?

The skin is not real and the feel is, of course, different for that reason. If you push the needle fast and hard, KIP’s tissues will push back. That is not a bad thing. You need to practice going slower and easier. If you push the needle that fast and hard on a real patient, you are being too rough and may hurt someone. Cosmetically, the skin color of KIP should not be an issue, either. In practice, the injection site is covered in Betadine and is not the way it really looks anyways. Caudal injections (caudal canal at the base of the spinal canal) are difficult to simulate exactly. The feel of putting the needle in is not as smooth as a live person. Also, tight muscle on a real person due to pain or fear can be rough if you push. Again, doctors need to go easier on their needle skills. Cadavers are not real, either, and one knows and accepts that fact when using a cadaver for practice. In fact, skeletal alignment in elderly patients is often difficult to access and navigate – and the physician makes adjustments. If you can successfully place the needle in KIP, you should be able to do that in live patients.

Q: The bones seem to have artificats in them and some ribs are missing?

The bones are synthetic and have synthetic artifacts. They are simulations of real bone, like all Alderson Phantoms. Any artifacts noticed do not diminish the usefulness of KIP as a guidance tool. Skeletal articulations that permit joint or spinal motions and ribs 2 to 9 were eliminated as superfluous in the design of KIP.
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