My Chester Chest™ does not look like the one on the website; mine does not have an arm. Is mine an earlier model?
Chester Chest™ has remained the same except for a design change of the detachable arm with the introduction of the New Advanced Arm in April of 2008. CHanges to the New Advanced Arm include: relocation of the exit site of the PICC to the upper arm, now supplied with a dual PICC, addition of 20g IV catheter and a recessed area with a palpable tissue-like cover to add an optional peripheral port. Chester Chest™ is not sold without an arm. Several companies have tried unsuccessfully to copy Chester Chest™ which is the original and still the best medical teaching model for vascular access devices!
What is included with a new Chester Chest™?
Chester Chest™ includes a life size torso with a real Implanted Vascular Access Device (port), tunneled central venous catheter (similar to a Hickman® catheter), 20g IV catheter, dual PICC and a recessed area with palpable tissue flap for an optional peripheral port. It also comes with an outer tissue flap 0405, difficult accessing inserts 420, 430 and 440, a tubing set with a simulated blood reservoir bag, simulated blood, a slightly raised external jugular opening for placement of an external jugular catheter, opening for the placement of a subclavian catheter, a detachable right arm, talc powder and a base. An optional carrying case is available.
Is there anything else I need to get for Chester Chest™?
An Optional Carrying Case 0401 is available if you plan to transport your model from one location to another. You can also order Chester Chest™ with the optional port and/or a triple lumen central catheter in either the subclavian or external jugular position.
We have had our Chester Chest™ for many years and it is looking very tired. Do you offer a refurbishing service?
We know that the purchase of training models is a significant investment. Realizing this VATA is proud to offer a refurbishing service, to new condition, for a "tired" and well used Chester Chest™, at about half the cost of a new one. Please call for information on returning your Chester Chest™. Once your model is received, it will be evaluated for needed refurbishing and you will receive an estimate, for your approval, before any refurbishing is started.
How do I use the three Difficult Accessing Inserts, 0420, 0430 & 0440 that come with Chester Chest™?
The Difficult Accessing Inserts 0420, 0430 & 0440 are used with the port to demonstrate different problems that can be encountered when accessing. The 0420 and 0430 are placed under the port to demonstrate a "wandering" or "tipping" port, respectively. The 0440 is placed over the port with the 0420 under the port to demonstrate a "deeply placed port".
If we have lost one or more of our Difficult Accessing Inserts, can they be purchased individually?
Yes, all three inserts are available individually.
Can you withdraw and infuse from the ports (chest and peripheral), tunneled central venous catheter (similar to a Hickman® catheter), 20g IV catheter and the dual PICC Line?
Yes, you can withdraw and infuse fluids from all the devices. When withdrawing you will get a simulated blood return.
Can I order Chester Chest™ with a triple lumen catheter?
On new orders, we will install a triple lumen catheter that you provide, in either the external jugular or subclavian position, at no additional charge. If you want to be able to infuse and withdraw from all the lumens, a Universal Catheter Connector will need to be purchased – 0418 for 5FR – 6FR catheter or 0454 for 7FR – 9.6FR.
The Outer Tissue Flap on our Chester Chest™ is getting small tears where we insert the Huber needles. What is causing this to happen?
There are several things that you can do to minimize tears:
These techniques are not used with patients and should not be used on Chester Chest™.
In formulating the material for the flap, we had a choice to either make the flap with a softer and more realistic "tissue-like" feel or unrealistically hard and tending never to "wear out". The more realistic feel was our choice. The Outer Tissue Flap will wear out over time and is replaceable.
- Do not palpate the port using the fingernail.
- Do not "rock" the needle back and forth to confirm that the needle tip has passed through the septum and is against the base of the port.
- Do not pull the Outer Tissue Flap back while the needle is in the port's septum to visually confirm the needle placement.
The Outer Tissue Flap 0405 is dirty and sticky. What should I do?
When you originally received your model, you also received instructions on the care of the Outer Tissue Flap and a container of cornstarch talc. The instructions advised cleaning the soft Outer Tissue Flap with alcohol and a non-linting cloth, allowing it to air dry. This should be followed by sprinkling the cornstarch talc on the Outer Tissue Flap and lightly wiping off the excess.
Can I order the model without the arm?
Chester Chest™ is not offered without the arm.
We use Peripheral Ports in our institution. Is there any way that care of these devices can be done on Chester Chest™?
Yes, all Chester Chest™ ordered since April 15, 2008 comes with the New Advanced Arm 2386/2387, which has a recessed area for attachment of the Optional Peripheral Port 0417. You can also upgrade your existing Chester Chest™ by purchasing the New Advanced Arm 2386/2387 which will fit all Chester Chest™ models.
Can I practice placing a PICC Line in Chester Chest™?
It is not possible to practice placing a PICC Line in Chester Chest™ You can practice and teach exit site care, dressings, and infusion and withdraw of the dual PICC line. If you wish to practice the placement of PICC Lines, you would use our model Peter Picc Line™ 0600.
When trying to withdraw fluid on one of the lines, I'm unable to get a "blood" return. What's wrong? (Note: The text below is for Chester Chest™ models which have two reservoir bags in the torso (Purchased prior to January 2001)
There are a couple of points to remember when trying to understand why you are not getting a "blood" return. On models purchased prior to January 2001, there is clear tubing on the backside with a "Y" set on the bottom with two back-check valves in the tubing set, to direct the flow of fluids. There are also two reservoir bags, one for infusions (supplied empty) and one for withdrawals (supplied with artificial blood). When you received your new model, you should have connected the artificial blood reservoir bag to the bottom "Y" tubing having a red stripe or red tape. The empty reservoir bag is attached to the other "Y" tubing without the red stripe or red tape. You then should have primed the tubing by withdrawing the air from the port and tunneled central venous catheter. Depending on the size of syringe used, it may take a couple of withdrawals to evacuate the air in the tubing set and prime the line with the "blood". If you are priming the system and notice you are somehow pulling air into the system, recheck all of your connections until you find the source of the air leak. If you are trying to withdraw fluid and you create a vacuum in the syringe, there is either a blockage in the line, the "blood" reservoir bag is empty or one of the back-check valves has failed. Inspect to see if there is a blockage and clear it or check to see if the "blood" reservoir bag is empty. If the "blood" reservoir bag is empty and the color of the fluid in the infusion reservoir is still realistic looking, switch the two bags. If no blockage is found and there is adequate "blood" in the reservoir bag, the back-check valves may have failed and conversion to the new one bag system is advised.
As many customers did not switch the reservoir bags, in January of 2001 we changed to a single "blood" reservoir bag system. You can upgrade your existing Chester Chest™ to the single bag system by purchasing the following part numbers – 0450 Three Way Parallel Tubing Set and 0451 and the Simulated blood reservoir bag for Chester Chest™ body.
When trying to withdraw fluid on one of the lines, I'm unable to get a "blood" return. What is wrong? (Note: The text below is for Chester Chest™ models with one reservoir bag in torso purchased after January 2001)
Models purchased after January 2001 were supplied with a single reservoir bag for infusions and withdrawals. On these models the top tubing set has three separate lines - one connected to the port, the second connected to the tunneled central venous catheter and the third being an extra line for use with a subclavian or external jugular catheter. You should have placed a cap on the end of the tunneled central venous catheter and primed the tubing by withdrawing the air from the port and tunneled central venous catheter. If you are priming the system and notice you are somehow pulling air into the system, recheck all of your connections until you find the source of the air leak. If you are trying to withdraw fluid and you create a vacuum in the syringe, there is either a blockage in the line or the "blood" reservoir bag is empty. Inspect to see if there is a blockage and clear it or check to see if the "blood" reservoir bag is empty. If the "blood" reservoir bag is empty, refill with simulated blood, using a large volume syringe. Do not over-fill the bag but leave room for fluid infusions.
When trying to infuse, resistance is felt and infusion is not possible. What is wrong? (Note: The text below is for Chester Chest™ models with two reservoir bags in the torso, purchased prior to January 2001)
Resistance felt when trying to infuse is caused by either blockage in the tubing, a failed back-check valve or a full infusion reservoir bag. Inspect to see if there is a blockage and clear it or check to see if the infusion reservoir bag is full. If the infusion reservoir bag is full and the "blood" reservoir bag is empty or near empty, switch the two bags. If none of the above causes are present, the back-check valve may have failed and conversion to the new, one bag system is advised.
When trying to infuse, resistance is felt and infusion is not possible. What is wrong? (Note: The text below is for Chester Chest™ models with one reservoir bag in torso purchased after January 2001)
Resistance felt when trying to infuse is caused by either blockage in the tubing or a full infusion reservoir bag. Inspect to see if there is a blockage and clear it, or check to see if the reservoir bag is full. If the reservoir bag is full and the color of the contained simulated blood is still realistic looking, carefully disconnect the reservoir bag, remove the excess fluid and reattach.
I need a replacement dual PICC Line. Can I install this myself?
Yes, you can do this replacement if you have one of the Universal Catheter Connectors – 0418 for 5-6FR catheters or 0454 for 7-9.6FR catheters.
What do I use to clean the model?
The hard surfaces should be cleaned with soap and water or alcohol. If you find your dressings are sticking too aggressively to the hard surfaces of the model, you can clean the area and apply a car wax as the model is made of fiberglass and this prevent the dressing from sticking too aggressively.
Can I place dressings on the model?
Dressings can be placed on all surfaces of the model but should be removed when training is completed. Do not leave on overnight.
How do I remove residual adhesive?
You can use any adhesive remover normally used on a patient to remove residual adhesive.
Are replacement parts available?
Yes, all parts on the model are available. See web site.
Is this model available in a darkly pigmented color?
Yes, 2402 is the product number for this model in a darkly pigmented color.
Is there a discount if I order several products?
VATA Product Discounts
VATA manufactured products are:
We offer discounts when 3 or more VATA manufactured products costing $250 or more are ordered at one time.
Order 3-5 VATA manufactured items - 10% discount
Order 6-10 VATA manufactured items - 15% discount
Order 11+ VATA manufactured items - 20% discount
- Arin Apron™ 0220
- Peter PICC Line™ 0600
- Seymour II 0910
- "Wilma" Wound Foot 0950
- "Stan" Stage IV Pressure Ulcer Model 0970
- "Pat" Pressure Ulcer Model 0980
- Venipuncture Training Aids 1352, 1353, 1354 and 1355
- Advanced Venipuncture Training Aid™ 1365, 1366
- NITA Newborn™ 1800
- New Advanced Arm 2386
- Chester Chest™ 2400
Non-VATA Products Discounts
We offer a discount of 5% when 3 or more non-VATA manufactured products are purchased at one time or when any number of non-VATA manufactured products are ordered with 3 VATA manufactured products. Please call for a quote when ordering more than 3 non-VATA manufactured products,