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How I do it: simple ad-hoc pulsatile pump model for realistic microsurgical training under pulsatile flow.
Richard Parvin1, Victor Gabriel El-Hajj2, Victor E Staartjes3
1Neuro- and Spine Center, Hirslanden Klinik St. Anna, St. Annastrasse 32, Lützelmatt 3, 6006, Lucerne, Switzerland.
Acta Neurochirurgica
|August 13, 2025
Summary
A new, low-cost pulsatile pump model (PPM) offers realistic microsurgical training without live animals. This innovative approach reduces animal use while enhancing surgical skill development through adjustable pulsatile flow.
Area of Science:
- Biomedical Engineering
- Surgical Education
Background:
- Microsurgical training traditionally relies on animal models, raising ethical and cost concerns.
- Developing realistic, animal-free training alternatives is crucial for advancing surgical education.
Purpose of the Study:
- To present a simple, cost-effective pulsatile pump model (PPM) for realistic microsurgical training.
- To demonstrate the PPM's utility in an animal-free training environment.
Main Methods:
- Construction of the PPM using readily available monitoring and infusion materials.
- Assembly of a closed-loop system with infusion pumps, pressure transducers, and various infusion components.
- Adjustment of pulsation frequency, flow, and pressure with continuous monitoring capabilities.
Main Results:
- The PPM successfully simulates pulsatile flow, crucial for realistic microsurgical practice.
- The model supports various microsurgical tasks, including microvascular repair, anastomosis, and aneurysm clipping.
- Adjustable parameters allow for tailored training scenarios.
Conclusions:
- The developed pulsatile pump model provides a near-realistic and adaptable training platform.
- This cost-effective, animal-free solution enhances microsurgical skill acquisition using accessible materials.

