Peripherally inserted Central Catheter(PICC)is considered to be a safe approach in placing a catheter in the central line and use of ultrasound guidance is recommended to reduce risk to patients.This simulator is the one and only model which provides training in full procedural skills from the needle insertion, manipulation of the PICC, to placement of the distal tip in the SVC. Both basilic and cephalic veins are prepared for access to set different levels of challenges in cannnulation. The ultrasound-able puncture site is replaceable. The mmovable shoulder allows for training in positioning of the arm to avoid possible malposition of the catheter. Anatomically correct bifurcation of the vein in the upper chest provides realistic resistance of its outer walls and enables simulators of complications such as malposition of the catheter into the jugular, the thoracodorsal or the subclavian. The simulator is ideal for hands-on training of residents, specialist nurses and radiographers.