Products » Radiology » Wounded Willy and Damaged Debbie
The concept of grouping a large number of casualties in two teaching/training phantoms was originated by the Fleet Hospital & Operations Training Center, Camp Pendleton, California. WOUNDED WILLY and DAMAGED DEBBIE were designed and constructed by Radiology Support Devices, Inc. of Long Beach, California.
It is a universally-accepted fact of life that people cannot be subjected to diagnostic radiography for other than medically-necessary purposes. Observance of this principle rules out the use of patients for basic training in these procedures (but permitting the use of patients for advanced, supervised training).
The re-creation of the human body, in all of its immense complexity, represents overkill for radiographic training. One example of a widely-accepted divergence from precise reproduction of the human is the use of transparent phantoms to combine the teaching of radiography with that of anatomy.
Whichever philosophy is pursued, the basic qualifiers of human substitutes are phantoms that yield radiographs resembling those of the human, taken with human technical factors, articulated to enable basic views to be presented, and with an appropriate level of human anatomy.
A phantom is a “trade-off” between acceptable anatomic detail and unacceptable impact of artifacts on the image. WILLY and DEBBIE are based on several decades of experience with “trade-offs”, variously driven toward one extreme or another. They yield human-like images, with human technical factors and with limited artifacts, (which are presented clearly as artifacts, not as anatomic detail). They are well-balanced patient substitutes for basic training of radiologic technologists, particularly in military or emergency room environments.
They demonstrate and evaluate positioning and imaging techniques, including kVp, mAs, contrast, optical density, OFD and TFD. Their radiographs are optically equivalent to humans in density and contrast.
The most obvious difference between them is in the complement of traumas and pathologies assigned to each.
Another difference is that DEBBIE has female breasts, while WILLY has natural male chest contours. DEBBIE is fitted with a wig, while WILLY is bald. They are dressed in camos for military training and in jumpsuits for civilian training.
There is no single, unique description of any of their traumas and pathologies. Rather, there are limitless variations among a broad range of casualties. The most meaningful judgments of the realism of trauma and pathologies are those based on long radiographic experience across the spectrum of casualties.
Patrick Hale, Senior Radiologic Technologist at the UCLA Emergency Room and an RSD consultant, made those judgments with respect to WILLY AND DEBBIE.
Anatomic and mechanical necks are interchangeable between WILLY and DEBBIE.
Heads are interchangeable between WILLY and DEBBIE
Number | WILLY/DEBBIE | Description | Side | External Marking |
11,12 | WILLY | Displacement fracture of mandibular condyle | L&R | S |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Among the “trade-offs” required in these phantoms is that between anatomic fidelity and the ability to move the head into a broad range of views is required in radiography. No mechanism can be designed for intervertebral motion without artifacts obliterating the radiographs.
This problem has been solved by the use of two necks. One is a multi-articulated polycarbonate assembly which provides for nearly all commonly used views. There is no attempt at radiographic realism in this neck. An alternate, fully-realistic neck is interchangeable with the mechanical neck. The cervical spine of this neck contains traumas.
Number | WILLY/DEBBIE | Description | Side | External Marking |
13 | E | C4, C5 Compression fracture | N/A | N |
14 | E | C7 Fractured by bullet | N/A | H |
15 | E | C-spine bullet anterior to trachea shadow | N/A | H |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Number | WILLY/DEBBIE | Description | Side | External Marking |
16 | WILLY | Fracture of lateral ribs 6 & 7 | R | N |
17 | WILLY | Mediolateral fracture of ribs 8 & 9 | L | N |
18 | WILLY | Multiple rib fractures, four metallic fragments visible | R | N |
19 | WILLY | 12th rib frature | R | N |
20 | WILLY | Bullet in hemothorax overlaying 8th rib | L | H |
21 | WILLY | Bullet overlying heart shadow | N/A | H |
22 | WILLY | 2 cm metallic fragment in mid chest | R | N |
23 | WILLY | Bullet visible below costal margin under 11th rib | L | H |
24 | WILLY | 2 bullets in LUQ | L | H |
25,26 | WILLY | Shattered distal scapulae | L&R | H |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Number | WILLY/DEBBIE | Description | Side | External Marking |
27 | DEBBIE | Widened mediastinum and pleural effusion | N/A | N |
28 | DEBBIE | Chest tube, lung inflated | L | Tube |
29 | DEBBIE | Infiltrate | N/A | N |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Number | WILLY/DEBBIE | Description | Side | External Marking |
30 | DEBBIE | Bullet in mid-abdomen | N/A | H |
31 | WILLY | Unstable fracture of L1 | N/A | N |
32 | WILLY | Compression fracture of L5 | N/A | N |
33 | DEBBIE | Metallic foreign body lateral to PSOAS | R | N |
34 | DEBBIE | Compression fracture of L4 | N/A | H |
35 | DEBBIE | Metallic fragments – 2 mid-abdomen, 1 each in RLQ and LLQ | N/A | H |
36 | DEBBIE | Bullet in mid-abdomen | N/A | H |
37 | DEBBIE | Metallic fragments – 2 mid-abdomen 1 each: RLQ and LLQ | N/A | N |
38 | WILLY | ILIAC crest comminuted fracture with metallic fragments | R | B |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Number | WILLY/DEBBIE | Description | Side | External Marking |
39 | DEBBIE | Displaced fracture of pubic ramus | L | N |
40 | DEBBIE | Sacroiliac disruption, acetabular fracture | L | N |
41 | DEBBIE | Foreign body lateral to PSOAS | R | N |
42 | WILLY | Non-displaced pubic ramus fracture | N/A | N |
43 | WILLY | Superior and inferior pubic ramus fracture | R | N |
44 | WILLY | Pelvis fracture with symphysis diastasis and sacroiliac joint disruption | N/A | N |
45 | WILLY | Bullet in sacrum | N/A | N |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Number | WILLY/DEBBIE | Description | Side | External Marking |
46 | WILLY | Shattered acetabulum | L | Latex “shorts” |
47 | WILLY | Shattered femoral head | L | Latex “shorts” |
48 | WILLY | Comminuted midshaft fracture | L | S |
49 | WILLY | Left femur comminuted fracture 12 cm above knee | L | S |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Number | WILLY/DEBBIE | Description | Side | External Marking |
50 | DEBBIE | Proximal tibia fracture | L | S |
51 | WILLY | Comminuted fracture of tibia and fibula | R | S |
52 | WILLY | Displaced ankle fracture | R | S |
53 | DEBBIE | Minimally displaced distal tibia fracture | R | S |
54 | DEBBIE | Displaced fracture of calcaneus bone | R | N |
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Traumas and pathologies are listed below. External markings are: N (none), O (open wound), S (swelling), H (bullet or foreign body hole), B (bruise), Side (R.L.), E (WILLY or DEBBIE).
Number | WILLY/DEBBIE | Description | Side | External Marking |
55 | WILLY | Displaced fracture of radius and ulna | L | |
56 | DEBBIE | Volar angulated distal radius and ulna fracture | R | |
57 | WILLY | Angulated comminuted fracture of midshaft radius and ulna | R | |
58 | DEBBIE | Minimally displaced distal radius fracture not involving wrist, offset bone ends |
Number | WILLY/DEBBIE | Description | Side | External Marking |
59 | DEBBIE | 3rd and 4th metacarpals shattered | L | Thickened, back of hand |
Includes:
RS-601 WOUNDED WILLY
RS-602 DAMAGED DEBBIE
RS-603 ANATOMIC NECK
RS-604 MECHANICAL NECK WITH FOAM FLESH NECK/1 EA FOR WILLY & DEBBIE
RS-605 TRAUMAS AND PATHOLOGIES (-01 TO -59)
Traumas and pathologies are divided between WILLY and DEBBIE in a way that minimizes interference between them. Some changes can be made in locations of each, or additional traumas and/or pathologies can be added or substituted for others.
Ask about special requirements and pricing of changes.
Changes cannot usually be retrofitted.
Radiology Support Devices Inc. is recognized as the world leader of anthropomorphic phantoms for radiography and radiation therapy. Founded by Samuel W. Alderson widely acknowledged as the pioneer of Phantom technology, Radiology Support Devices continues today to be committed to the same principles of quality and excellence that was the foundation of Samuel’s vision of many years ago.
Radiology Support Devices Inc. is recognized as the world leader of anthropomorphic phantoms for radiography and radiation therapy.
Radiology Support Devices Inc. is recognized as the world leader of anthropomorphic phantoms for radiography and radiation therapy.