The useful model relates to medicine, namely to urology, and can be used to teach work skills, as well as for additional practice of urologists of all levels. The simulator is intended for teaching percutaneous puncture of the renal pyelocaliceal system and other urological measures (for example, bougienage of the puncture passage, as a stage in percutaneous nephrostomy and nephrolithotripsy).;The technical result to be achieved by the present useful model consists in the manufacture of a medical simulator for the process of teaching percutaneous puncture of the renal pyelocaliceal system under ultrasound control under training conditions that are as close as possible to the natural process with the anatomical accuracy of manipulation of the operation in real time when increasing the accuracy of the puncture.;The specified technical result is achieved by the fact that in the urological simulator, made with the possibility of practicing the skills of puncture of the calyx-pelvic system of the human kidney under ultrasound control and representing a segment that repeats the shape of a part of the lumbar region of the human body, made of a polymer material based on a silicone composition with a hardness in the range from 15 Shore 00 to 20 Shore A, according to the utility model, inside segment 1 there is a cavity 5 filled with a gelatin-based composition. A model of the kidney 6 is integrated into the cavity 5 with a cup-pelvis system and a ureter 7, made of silicone rubber with a hardness in the range from 5 Shore 00 to 15 Shore 00. The ureter 7 has an outlet on the end surface of the cast segment 1 to provide the ability to supply fluid to the cup -lochan system of the kidney. The hardness of the gelatinous composition is in the range of 5 units. Shore 00 up to 15 units Shore A, and the speed of sound in the gelatinous composition is in the range of 1450-1600 m / s.;In addition, the specified technical result is achieved by the fact that a model of ribs 8 made of a composition based on a thermosetting resin is placed in the gelatinous composition.;The proposed simulator allows you to develop the skills of performing manipulations on the renal pyelocaliceal system (for example, percutaneous puncture of the renal pyelocaliceal system) under conditions as close as possible to the natural process with the anatomical accuracy of manipulation of the operation in real time.;In addition, the simulator is easy to manufacture, durable and reliable in operation, and allows manipulations to be carried out in conditions as close as possible to real ones (visual and tactile sensations).
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