journal article·2026-01-16Open access

Development and Evaluation of a Reusable Self-Healing Ultrasound Phantom for Vascular Access

Carlo Saija, Jamie Dyer, Lisa Leung, Sachin Sabu, Iklef Bechar, Giulio Cerruti, Jonas Smits, Nicole Salgado Fernandez, Flavie Przybylski, Camille Benoist, Calum Byrne, Gregory Gibson, Antonia A. Pontiki, Steven E. Williams, Jonathan M. Behar, Richard James Housden, Eric Sejor, Kawal Rhode, Pierre Berthet-Rayne

Applied Sciences· Volume 16· Issue 2

Abstract

Ultrasound-guided femoral vascular access (UFVA) is a crucial step in cardiovascular intervention, yet training models remain costly, anatomically limited, or insufficiently durable. This research aimed to develop and evaluate a reusable, self-healing vascularised leg phantom in collaboration with clinicians. This bifurcating vascular model was cast in Plastisol using a customisable silicone mould design. The material exhibited a Shore OO hardness of 18.0 ± 2.2, a speed of sound of 1454 ± 15 m/s, an acoustic attenuation of 1.66 ± 0.02 × 106 kg/m2s, and healed 18G needle lesions within 3 h. Training capabilities were evaluated in a workshop involving 18 medical students: FVA times improved by more than 60% after 5 min of free practice. Qualitative feedback was collected from 31 medical educators via a seven-question Likert survey, with most reporting they would adopt the phantom for teaching. Phantoms cost £7.87 for materials, yet educators valued the models at £100–£500, underscoring its perceived utility. Compared to commercial alternatives, this in-house production approach reduced costs by 10–60 times, achieving comparable durability and anatomical fidelity. This study establishes a scalable, ultra-low-cost method for producing anatomically realistic, self-healing vascular phantoms, validated for effective skill acquisition in both educational and research settings.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Ultrasound in Clinical Applications · Anatomy and Medical Technology · Central Venous Catheters and Hemodialysis

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

School of Biomedical Engineering & Imaging Sciences, King’s College London, St Thomas Hospital, London SE1 7EH, UK

Caranx Medical, 400 Promenade des Anglais, 06200 Nice, France

St George’s Hospital, London SW17 0QT, UK

St Thomas Hospital, London SE1 7EH, UK

Faculty of Medicine and Health Sciences and Allied Health, University of Buckingham, Buckingham MK18 1EG, UK

Centre for Cardiovascular Science, University of Edinburgh, Edinburgh EH8 9YL, UK

Funding

Wellcome Centre for Medical Engineering at King’s College London · British Heart Foundation (BHF) Centre of Excellence at King’s College London · Department of Health and Social Care (DHSC) through the National Institute for Health and Care Research (NIHR) MedTech · Vitro Diagnostic Co-operative (MIC) Award for Cardiovascular Diseases to Guy’s and St Thomas’ NHS Foundation Trust in partnership with King’s College London · Caranx Medical, Nice, France · British Heart Foundation

References (53)

Show source-provided references
1. Basinger, H., and Hogg, J.P. (2023). Anatomy, Abdomen and Pelvis: Femoral Triangle. StatPearls.
2. Ultrasonography of the femoral vessels in the groin: Implications for vascular access10.1046/j.1365-2044.2000.01615-2.x ↗
3. Castro, D., Martin Lee, L.M., and Bhutta, B.S. (2023). Femoral Vein Central Venous Access. StatPearls.
4. Recommendations on the Use of Ultrasound Guidance for Central and Peripheral Vascular Access in Adults: A Position Statement of the Society of Hospital Medicine
5. Berry, C. (2025, February 04). How to Do Femoral Vein Cannulation, Ultrasound-Guided-Critical Care Medicine. MSD Manual Professional Edition. Available online: https://www.msdmanuals.com/en-gb/professional/critical-care-medicine/how-to-do-central-vascular-procedures/how-to-do-femoral-vein-cannulation,-ultrasound-guided.
6. Wagener, M., Boeddinghaus, J., Gaemperli, O., Räber, L., Nietlispach, F., Meier, P., Muller, O., Weilenmann, D., and Jeger, R. (2022). Trends in Coronary and Structural Heart Interventions in Switzerland over the Last 16 Years and Impact of COVID-19: Insights from the National Swiss PCI Survey. J. Clin. Med., 11.10.3390/jcm11247459 ↗
7. Trends in the epidemiology of cardiovascular disease in the UK10.1136/heartjnl-2016-309573 ↗
8. Homemade Phantoms Improve Ultrasound-Guided Vein Cannulation Confidence and Procedural Performance on Patients
9. Oh, E.J., Lee, J.H., Kwon, E.J., and Min, J.J. (2020). Simulation-based training using a vessel phantom effectively improved first attempt success and dynamic needle-tip positioning ability for ultrasound-guided radial artery cannulation in real patients. PLoS ONE, 15.10.1371/journal.pone.0234567 ↗
10. (2024, October 30). Vascular Access Ultrasound Phantom: 4 Vein Bifurcated with Deep Vein. Available online: https://simandskills.co.uk/products/vascular-access-ultrasound-phantom-4-vein-bifurcated-with-deep-vein.
11. (2024, October 30). Branched 4 Vessel Ultrasound Training Block Model. Available online: https://simandskills.co.uk/products/branched-4-vessel-ultrasound-training-block-model?pr_prod_strat=e5_desc&pr_rec_id=27019b57f&pr_rec_pid=6644917043369&pr_ref_pid=7641722552550&pr_seq=uniform.
12. (2024, October 30). Regional Anaesthesia Ultrasound Training Block Model. Available online: https://simandskills.co.uk/products/regional-anaesthesia-ultrasound-training-block-model.
13. (2024, October 30). Ultrasound Refill Fluid-Red-1 Litredefault Title. Available online: https://simandskills.co.uk/products/red-ultrasound-refill-fluid-blue-phantom?variant=39575558127785.
14. Roully, A. (2024, October 30). Leg Femoral and Saphenous Vein Venous Access Ultrasound Training Model with DVT Option. Available online: https://adam-rouilly.co.uk/product/abp067-leg-model-with-femoral-and-saphenous-vein-venous-access-for-ultrasound-training-no-dvt/.
15. (2024, October 30). Gen II Femoral Vascular Access and Regional Anaesthesia Ultrasound Training Model. Available online: https://simandskills.co.uk/products/gen-ii-femoral-vascular-access-and-regional-anesthesia-ultrasound-training-model?pr_prod_strat=e5_desc&pr_rec_id=eb747556b&pr_rec_pid=6904370659497&pr_ref_pid=6644441940137&pr_seq=uniform.
16. A Systematic Review of Simulation-Based Training in Vascular Surgery
17. Indigenously developed ultrasound phantom model versus a commercially available training model: Randomized double-blinded study to assess its utility to teach ultrasound guided vascular access in a controlled setting10.4103/JMU.JMU_48_21 ↗
18. Agar ultrasound phantoms for low-cost training without refrigeration10.1016/j.afjem.2015.09.003 ↗
19. A Cost-effective, Gelatin-Based Phantom Model for Learning Ultrasound-Guided Fine-Needle Aspiration Procedures of the Head and Neck10.7863/ultra.34.8.1479 ↗
20. Ultrasound-guided central venous access: A homemade phantom for simulation10.1017/S1481803500015335 ↗
21. A comparison of homemade vascular access ultrasound phantom models for peripheral intravenous catheter insertion10.1177/1129729820961941 ↗
22. Building Ultrasound Phantoms With Modified Polyvinyl Chloride: A Comparison of Needle Insertion Forces and Sonographic Appearance With Commercial and Traditional Simulation Materials10.1097/SIH.0000000000000302 ↗
23. Comparing commercial versus low-cost gelatinous phantoms for ultrasound-guided needle tracking: A randomized crossover trial, among emergency medicine residents
24. A Low-Cost, Reusable, Ballistic Gelatin Ultrasound Phantom for Simulation of Glenohumeral Intraarticular Injections10.1002/aet2.10081 ↗
25. Prolonging the Shelf Life of Homemade Gelatin Ultrasound Phantoms10.4103/JMU.JMU_179_21 ↗
26. Effects of Accelerated and Natural Ageing on Plasticized Polyvinyl Chloride (PVC)10.1016/S0141-3910(99)00094-4 ↗
27. A review on the durability of PVC sewer pipes: Research vs. practice10.1080/15732479.2019.1673442 ↗
28. Jawli, A., Aldehani, W., Nabi, G., and Huang, Z. (2024). Tissue-Mimicking Material Fabrication and Properties for Multiparametric Ultrasound Phantoms: A Systematic Review. Bioengineering, 11.10.3390/bioengineering11060620 ↗
29. Ceh, D., Peters, T.M., and Chen, E.C.S. (2015, January 22–25). Acoustic Characterization of Polyvinyl Chloride and Self-Healing Silicone as Phantom Materials. Proceedings of the SPIE Medical Imaging, Orlando, FL, USA.10.1117/12.2081449 ↗
30. Bioequivalent and Non-Aqueous Polyurethane Gel for Ultrasound Phantom10.1252/jcej.21we117 ↗
31. Rodgers, J.L., Jones, J., Bolleddu, S.I., Vanthenapalli, S., Rodgers, L.E., Shah, K., Karia, K., and Panguluri, S.K. (2019). Cardiovascular Risks Associated with Gender and Aging. J. Cardiovasc. Dev. Dis., 6.10.3390/jcdd6020019 ↗
32. The femoral vein diameter and its correlation with sex, age and body mass index—An anatomical parameter with clinical relevance10.1177/0268355518772746 ↗
33. The diameter of the common femoral artery in healthy human: Influence of sex, age, and body size10.1016/S0741-5214(99)70279-X ↗
34. Estimation of Average Speed of Sound Using Deconvolution of Medical Ultrasound Data10.1016/j.ultrasmedbio.2010.01.011 ↗
35. Comparison of ultrasound speed-of-sound of the lower extremity and lumbar muscle assessed with computed tomography for muscle loss assessment10.1097/MD.0000000000025947 ↗
36. Breast Density Assessment in Young Women with Ultrasound based on Speed of Sound: Influence of the Menstrual Cycle10.1097/MD.0000000000016123 ↗
37. Acoustic Characterization of Tissue-Mimicking Materials for Ultrasound Perfusion Imaging Research10.1016/j.ultrasmedbio.2021.09.004 ↗
38. Pediatric Intravenous Insertion in the Emergency Department10.1097/01.pec.0000186422.77140.1f ↗
39. Saija, C., Sabu, S., Leung, L., Lowe, E., Noor Al-Bahrani, A., Antonio, M., Herridge, M., Chowdhury, N.M., Gibson, G., and Byrne, C. (2024). Evaluation of a Three-Dimensional Printed Interventional Simulator for Cardiac Ablation Therapy Training. Appl. Sci., 14.10.3390/app14188423 ↗
40. Acoustic velocity and stability of tissue-mimicking echogenic materials for ultrasound training phantoms10.1007/s10853-024-09610-8 ↗
41. Soft Tissue Phantoms for Realistic Needle Insertion: A Comparative Study10.1007/s10439-015-1523-0 ↗
42. Speed of sound in rubber-based materials for ultrasonic phantoms10.1007/s40477-016-0204-7 ↗
43. Use of Silicone Materials to Simulate Tissue Biomechanics as Related to Deep Tissue Injury10.1097/01.ASW.0000460127.47415.6e ↗
44. Speed of sound and shear wave speed for calf soft tissue composition and nonlinearity assessment10.21037/qims-20-1321 ↗
45. Surgery for Obesity and Related Diseases: I. A Novel Approach to the Quantification of the Longitudinal Speed of Sound and Its Potential for Tissue Characterization10.1016/j.ultrasmedbio.2018.07.021 ↗
46. Midwestern University (2025, December 03). Femoral Vessels and Nerves: Central Venous Access and Regional Anesthesia, BPF1400 Series, Instructions and User Guide. Available online: https://www.midwestern.edu/documents/bp-femoral-model-user-guide.
47. Simulator training reduces radiation exposure and improves trainees’ performance in placing electrophysiologic catheters during patient-based procedures10.1016/j.hrthm.2012.04.015 ↗
48. Superiority of Simulator-Based Training Compared With Conventional Training Methodologies in the Performance of Transseptal Catheterization10.1016/j.jacc.2011.02.063 ↗
49. Lin, X.X., Li, M.D., Ruan, S.M., Ke, W.P., Zhang, H.R., Huang, H., Wu, S.H., Cheng, M.Q., Tong, W.J., and Hu, H.T. (2025). Autonomous robotic ultrasound scanning system: A key to enhancing image analysis reproducibility and observer consistency in ultrasound imaging. Front. Robot. AI, 12.10.3389/frobt.2025.1527686 ↗
50. Inverse-Reinforcement-Learning-Based Robotic Ultrasound Active Compliance Control in Uncertain Environments10.1109/TIE.2023.3250767 ↗
51. Autonomous Robotic Ultrasound Vascular Imaging System With Decoupled Control Strategy for External-Vision-Free Environments10.1109/TBME.2023.3279114 ↗
52. Investigating atherosclerotic plaque phantoms for ultrasound therapy10.1007/s40477-022-00658-3 ↗
53. Low-Cost Male Urogenital Simulator for Penile Implant Surgery Training: A 3D Printing Approach10.1186/s41205-024-00248-5 ↗