Abstract: The following specification sets forth a parenteral nutrition trainer. The trainer specifically incorporates a water and stain resistant chest shield with adjustable straps. A storage pouch is fitted to the underside of the chest shield. The shield is formed in a bib-like manner in conjunction with adjustable straps. A training catheter is affixed to the chest shield to simulate an actual implanted catheter. The catheter exits the chest shield in a location where it would normally be used. The catheter is capped with a screw fitting closure that can be used in conjunction with a syringe for training purposes. The catheter extends a distance behind the shield to a plastic fluid receptacle. When not in use, the catheter tubing with its fluid receptacle can be coiled and placed in a storage pouch behind the shield or bib.

Abstract: The tunneling apparatus includes a body portion (A) with an elongated shaft (10) having a hollow passage (12) therethrough, a tube (B) slidably received on the shaft, and a syringe (C) connected with a trailing end of the hollow passage. The shaft has a blunt tip (14) with an outlet aperture (16) in fluid communication with the hollow shaft passage. The tube has a tapered leading end (30). In use, the tube is slidably received on the shaft with its tapered leading end adjacent the blunt tip and the syringe is filled with anesthesia. The shaft and tube are advanced under the patient's skin and, simultaneously, the syringe is operated to pump the anesthesia through the tip aperture to anesthetize the tissue adjacent the tip. After the subcutaneous tunnel is formed, the shaft and syringe are withdrawn leaving the tube below the skin to define the tunnel. A catheter is passed through the tube and the tube removed leaving the catheter subcutaneously positioned.