This_sources_sought_notice.docx

This sources sought notice is to determine the availability of cesarean section simulators that encompass all of the following characteristics:

-Simulator must be able to simulate a complete cesarean hysterectomy, abdominal incision and repair, uterine incision and repair, fetal extractions, post partum hemorrhage, operative vaginal delivery and complication of a cesarean section.

-Blood must excrete when incisions are made.

-Abdominal incision and repair should allow for low traverse c-section incision through skin, subcutaneous tissue, anterior rectus sheath and have ability to elevate the rectus sheath, penetrate the linea, enter the peritoneum, dilate the incision and insert a self-retaining retractor.

- Uterine incision and repair simulation should allow for: open abdominal wall with replaceable, modular uterus, location and practice of making and dilating low-transverse and vertical hysterotomy incisions, penetrating the amniotic membrane and engaging the presenting part.

- Fetal Extraction simulation should allow for: pregnant abdomen with low-traverse incision with a self-retaining retractor, uterus with a low traverse hysteronomy, enabling various extraction maneuvers and techniques including suction assist and forceps.

- Managing Complications simulation should allow for: previously-opened pregnant abdomen with a self-retaining retractor already in place, and an empty simulated postpartum uterus with a low transverse hysterotomy, enable training and repeated practice in the suture closure of hysterotomy incisions, control of post-C-section hemorrhage, allow repair of lacerated uterine artery, and application of B-Lynch compression suture, and enable two-layer bladder repair.

- Hysterectomy simulation should allow for: opened pregnant abdomen with a self-retaining retractor, and a replaceable, postpartum, partially-contracted uterus, contain a urethra, a hollow bladder, ureters and detailed representations of the uterine arteries which may contain pressurized artificial blood. The uterus and bladder should be replaceable after each hysterectomy. Access to the interior of the uterus should be possible through an artificial vagina. The model should allow for training in uterine packing and the placement a Bakri balloon.