The R42 Bariatric Skill Manikin addresses a critical gap in healthcare education: preparing professionals to care for bariatric and obese patients — a patient group growing rapidly worldwide. In 2022, 1 in 8 people lived with obesity, and obesity rates have more than doubled since 1990, making realistic bariatric training tools more important than ever.

High-Fidelity Realism R42 simulates a 145 kg (320 lbs) patient with exceptional realism. The manikin itself is lighter, and weights can be added to the limbs and torso to intensify training scenarios.

Advanced Airway Management Equipped with a standard Grade 2 airway (Grade 1 optional) for intubation and chest-movement practice. Compatible with ET tubes, i-gel (LMA), oropharyngeal airways, King LTD tubes and nasopharyngeal tubes. Also supports nasogastric feeding tube placement.

Realistic Skin, Fat and Tissue Structure Features cellulite-textured skin, a realistic pannus (sagging abdominal tissue) and natural skin folds that authentically reproduce the challenges of moving a bariatric patient and accessing key anatomical areas. The movable skin enables training for pressure sores, infections and skin conditions.

Realistic Limb Mobility and Positioning The limbs replicate the weight and movement limitations of bariatric patients — making R42 ideal for patient transfer, catheterization and critical care training. Educators can position the manikin for lithotomy, prone and operating-room scenarios.

Diverse Patient Representation Available in multiple skin tones, including a version with African patient features, supporting inclusive and diverse training. Includes realistic hair, eyebrows and eyelashes, realistic teeth, an anatomically accurate female genital structure for catheterization training, obesity-related restricted neck movement, and the ability to sit upright for patient-positioning training.

Comprehensive Clinical Scenarios

• IV and IM training: intravenous catheterization, simulated fluid and blood product administration, and intramuscular injection sites

• Wound care and skin conditions: realistic necrotic toes, pressure sores, varicose veins, and optional eczema and intertrigo

• Stoma care: a dedicated stoma site, plus wounds and skin irritations for more realistic patient-care simulations

Durable, Upgradeable Design A modular design that can be updated and expanded over time, adapting to the changing needs of bariatric care training. Built from recycled ABS plastic, steel and silicone for long service life and a sustainable training solution.

Ideal For Anesthesia training, fundamental nursing education, moving and handling / transfer training, operating-room training, and emergency medical services.

Trusted by Leading Institutions Since its 2024 launch, R42 has been used by institutions including Aston University (UK), Cooper Health (USA) and University Hospital Southampton (UK), and is distributed worldwide through global distributors such as Innosonian America and Simulaids UK.

For the full picture — detailed features, clinical scenarios, and the institutions that trust R42 — visit the dedicated R42 page.