Features : Subcutaneous injection sites on the volar forearm and lateral upper arm intramuscular injection site on the upper arm Arterial system including the radial and brachial arteries Suture and incision sites on both the upper arm and forearm Hemodialysis site on the forearm Arterial and Venous insert for IV and blood draw exercises, AV anastomosis and placement of AV grafts. Multi-layer surgical insert includes the skin, subcutaneous tissue, muscle, radial artery, and radial vein AV fistula insert that simulates a healed fistula for hemodialysis exercises. Multi-layer bicep insert that includes the skin, subcutaneous tissue, and muscle and allows incision and suturing exercises Durable skin that can be pierced in excess of 200 times with a 20 or 22 gauge needle Realistic tactile feedback for both surgical and arterial dan venous stick exercises Adjustable heart rate and pulse strength simulating a heart rate from 10 to 150 BPM Cephalic (antecubital), Basilic, Radial, and Ulnar veins as well as the radial and brachial arteries for infusion and blood draw. Rotating arm allowing dorsal and volar access along the length of the arm. Varying vessel palpability to simulate collapsed or bulging vessels New proprietary materials replicate of skin, subcutaneous, and muscle layers at all surgical sites. Upgraded inserts, skins, and vessels for improved tactile feedback micropump embedded within the shoulder generates variable heart rates and pulse strength. Easy to replace plug and-play inserts to allow quick change out between procedures Latex-free vessels with improved access for hassle free replacement