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Wounded Willy And Damaged Debbie

  • 60 traumas and pathologies divided between Willy and Debbie
  • Can be positioned realistically
  • Human technical factors
  • Unlimited repetition of views without human exposure
  • Radiographs that permit evaltuation of trainee performance
  • Teaching/training for civilian hospital ER's

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.

Design Principles for radiographic teaching training room

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.

Willy And Debbie Teaching/Training Capabilties

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.

WILLY AND DEBBIE DIFFERENCES:

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.

Realism of Traumas And Pathologies

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.

Dimensions

  • The size and weight of PIXY are also used for WILLY and DEBBIE. They are small adults. Since technologists must learn to work with patients of all sizes and weights, a smaller phantom is as valid for training as a larger phantom, and position is facilitated. Each is 5 ft. 1 in. tall (156 cm) and weights 105 lbs (48 kg).

Anatomy

  • WILLY and DEBBIE are articulated at the neck, shoulders, elbows, hips and knees. Fractures of the left shoulder and left hip are located in DEBBIE. To minimize handling problems, all other traumas of the arms and legs are located in WILLY and on the right side of DEBBIE. The articulations provide a broad range of positioning of capabilities, even the "frog position".

Lungs

  • Lungs are molded of durable materials with radiodensities matched to humans in a median respiratory state. Animal lungs matching the human in size and blood vessels are available, but they are oriented towards research rather than training.

Soft Tissues

  • WILLY and DEBBIE have solid "soft tissues" that are hard and rigid. They cannot be palpated to locate traumas. However, radiological technologists are generally informed by the physician as to the views to be taken. The manual provides this information to instructors.

Skeletons

  • RSD-manufactured skeletons are used rather than natural human skeletons. The latter are generally unavailable and usually consist of an assortment of bones ranging from children to adults of ages for which osteoporosis becomes a factor.

    RSD skeletons are not to be confused with plastic skeletons for teaching anatomy. RSD skeletons are made to fit the soft-tissue molds precisely. They have spongiosa moldings within marrow cavities and outer, cortical bone. Both constituents meet the internationally-accepted standards for radiodensity and specific gravity.

Legend

  • 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

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

Willie / Debbie

  • Willy
  • Willy
  • Willy
  • Willy
  • Willy
  • Willy
  • Debbie
  • Debbie
  • Debbie
  • Debbie

Description

  • Metallic fragment in orbit
  • Multiple fragments lower face
  • Step deformity of intraorbital rim
  • Separated fracture of frontal zygomatic suture
  • Metallic foreign body over skull
  • Mandible fracture with missing bone
  • Depressed comminuted fracture of zygomatic arch
  • Mandibular fractures
  • Cloudy maxillary sinus
  • Fracture of nasal bones with mild displacement

Side

  • R
  • N/A
  • L
  • L
  • N/A
  • N/A
  • L
  • R
  • L
  • N/A

External Marketing

  • N
  • N
  • B
  • S
  • N
  • O
  • S
  • S,B
  • N
  • H

Note

  • An axial duct is seen above. It is filled by a polycarbonate rod to assemble the head and neck to T1. When assembled, the duct artifact is barely visible.

Anatomic and mechanical necks are interchangeable between WILLY and DEBBIE.

Heads are interchangeable between WILLY and DEBBIE

 


 
NumberWILLY/DEBBIEDescriptionSideExternal Marking
11,12WILLYDisplacement fracture of mandibular condyleL&RS

 



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.

 

NumberWILLY/DEBBIEDescriptionSideExternal Marking
13EC4, C5 Compression fractureN/AN
14EC7 Fractured by bulletN/AH
15EC-spine bullet anterior to trachea shadowN/AH


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).


NumberWILLY/DEBBIEDescriptionSideExternal Marking
16WILLYFracture of lateral ribs 6 & 7RN
17WILLYMediolateral fracture of ribs 8 & 9LN
18WILLYMultiple rib fractures, four metallic fragments visibleRN
19WILLY12th rib fratureRN
20WILLYBullet in hemothorax overlaying 8th ribLH
21WILLYBullet overlying heart shadowN/AH
22WILLY2 cm metallic fragment in mid chestRN
23WILLYBullet visible below costal margin under 11th ribLH
24WILLY2 bullets in LUQLH
25,26WILLYShattered distal scapulaeL&RH

 



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).
 

 

NumberWILLY/DEBBIEDescriptionSideExternal Marking
27DEBBIEWidened mediastinum and pleural effusionN/AN
28DEBBIEChest tube, lung inflatedLTube
29DEBBIEInfiltrateN/AN

 



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).

NumberWILLY/DEBBIEDescriptionSideExternal Marking
30DEBBIEBullet in mid-abdomenN/AH
31WILLYUnstable fracture of L1N/AN
32WILLYCompression fracture of L5N/AN
33DEBBIEMetallic foreign body lateral to PSOASRN
34DEBBIECompression fracture of L4N/AH
35DEBBIEMetallic fragments – 2 mid-abdomen, 1 each in RLQ and LLQN/AH
36DEBBIEBullet in mid-abdomenN/AH
37DEBBIEMetallic fragments – 2 mid-abdomen
1 each: RLQ and LLQ
N/AN
38WILLYILIAC crest comminuted fracture with metallic fragmentsRB

 




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).

NumberWILLY/DEBBIEDescriptionSideExternal Marking
39DEBBIEDisplaced fracture of pubic ramusLN
40DEBBIESacroiliac disruption, acetabular fractureLN
41DEBBIEForeign body lateral to PSOASRN
42WILLYNon-displaced pubic ramus fractureN/AN
43WILLYSuperior and inferior pubic ramus fractureRN
44WILLYPelvis fracture with symphysis diastasis and sacroiliac joint disruptionN/AN
45WILLYBullet in sacrumN/AN

 



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).

NumberWILLY/DEBBIEDescriptionSideExternal Marking
46WILLYShattered acetabulumLLatex “shorts”
47WILLYShattered femoral headLLatex “shorts”
48WILLYComminuted midshaft fractureLS
49WILLYLeft femur comminuted fracture 12 cm above kneeLS

 




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).

NumberWILLY/DEBBIEDescriptionSideExternal Marking
50DEBBIEProximal tibia fractureLS
51WILLYComminuted fracture of tibia and fibulaRS
52WILLYDisplaced ankle fractureRS
53DEBBIEMinimally displaced distal tibia fractureRS
54DEBBIEDisplaced fracture of calcaneus boneRN

 




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).

NumberWILLY/DEBBIEDescriptionSideExternal Marking
55WILLYDisplaced fracture of radius and ulnaL 
56DEBBIEVolar angulated distal radius and ulna fractureR 
57WILLYAngulated comminuted fracture of midshaft radius and ulnaR 
58DEBBIEMinimally displaced distal radius fracture not involving wrist, offset bone ends  

 



NumberWILLY/DEBBIEDescriptionSideExternal Marking
59DEBBIE3rd and 4th metacarpals shatteredLThickened, 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.

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THE LEADER IN ANTHROPOMORPHIC PHANTOMS.

Radiology Support Devices Inc. is recognized as the world leader of anthropomorphic phantoms for radiography and radiation therapy. 

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