The New Advanced Arm #2386 , which can be ordered to upgrade your existing Chester Chest, has a dual lumen 5FR PICC (Peripherally Inserted Central Catheter) exiting the basilic vein from the inner bicep area, which is currently the preferred placement. The basilic vein is slightly raised for easy identification. Posterior to the PICC insertion site is a recessed area for the placement of a peripheral port. (Optional port shown but not included - see part #0417 to order.) The base of the recessed area is made of soft material that permits the port to "float" when accessed. This area is covered with a removable tissue-like flap which, when placed over the port, provides the realistic feel of palpating and accessing. An additional feature of the new arm is a pre-positioned 20g IV catheter in the forearm. The New Advanced Arm has a greater degree of rotation and extension than our previous arm, just as you would experience on a patient when accessing the PICC or peripheral port. The dual PICC, 20g IV catheter and optional peripheral port are all attached to a simulated blood reservoir bag in the arm to permit the practice of "blood" withdrawal and fluid infusion. Cleansing, application of dressings and securement devices can also be demonstrated at all sites. The New Advanced Arm will fit all Chester Chest models. Length: 18" Sh. wt. 2.0 lbs.