World's largest and most innovative manufacturer of ECMO therapy simulators
ECMO Simulators · Shaping Heroes, Saving Lives
We don't build mannequins. We build clinicians who save lives. The Simulator Company is the world's leading manufacturer of ECMO, ECPR, ECLS and LVAD simulators: high-fidelity, AI-driven clinical training systems trusted by hospitals, universities and research institutions worldwide.
High-fidelity simulators for Extracorporeal Life Support: ECMO, ECPR, LVAD and beyond. Already saving lives, in animals and in humans, through simulation, and advancing the science for better clinical outcomes. Engineered in London, United Kingdom.
The world's broadest portfolio of ECLS simulators
From tabletop cannulation to AI-driven full-therapy platforms: every tool a clinician needs for ECMO simulation, perfusion training, ECPR, LVAD and simulation debriefing, engineered from London. Our ECMO simulator range covers VV, VA and ECPR modalities, cannulation, perfusion, troubleshooting, ventilation, whole-body POCUS and AI-driven haemodynamics.
E-SIM Pro 3 · World's First Complete ECMO Simulator Powered by AI
AI-driven adaptive physiology. Every cannula, every dose, every decision: the patient responds in real time. The only ECMO simulator where the patient reacts, powered by H-SIM and the Flow-Sync engine, with 26 inbuilt scenarios and hundreds more built by AI.
E-SIM Portable · The Portable AI ECMO Simulator, powered by the S2 Pro Chip
Unmatched realism with complete mobility: the world's first AI-powered portable ECMO simulator at just 4.5 kg, for clinicians, perfusionists, universities and ECMO centres.
E-SIM Pro 2 · World's First Patented Comprehensive ECMO Simulator
The ECMO simulator that every programme knows by name: patented comprehensive coverage of cannulation, perfusion and troubleshooting, now in its mature third revision.
E-SIM Mini · World's First Highly Portable Advanced ECMO Simulator
Half the footprint, full advanced therapy coverage. The ECMO simulator your team actually carries from room to room.
E-SIM Baby Pro · World's First Complete Paediatric ECMO Simulator Powered by AI
The world's first complete paediatric and neonatal ECMO simulator powered by artificial intelligence.
CAN-SIM · Our simplest, yet powerful ECMO simulator
Cannulation and perfusion fundamentals with hundreds of repeatable insertions: a workhorse for the programmes that need volume.
Pump-E · World's First ECMO Pump Simulator for Perfusion Training
Realistic, portable and disposable-free ECMO pump simulation for perfusion education and clinical training, reproducing real console behaviour and circuit management with zero disposables, anytime, anywhere.
H-SIM · World's First AI-Enabled Haemodynamics Simulator
The first haemodynamic simulator designed specifically for ECMO scenario work, not adapted from a cardiology trainer. Computes real patient physiology in real time rather than playing a scripted loop.
U-SIM · Smart POCUS Simulator
Bring real patient ultrasound into your simulation. Smart Access Points on the body trigger the exact whole-body POCUS images you want your team to scan, recognise and act on. Available with E-SIM Pro 2.
LVAD-SIM · World's First LVAD Haemodynamics Training Simulator
A living, beating heart, a real LVAD and a full patient monitor: everything a team needs to master LVAD therapy and continuous-flow physiology for ECLS team training, in one portable unit you carry into any room and switch on in seconds.
SIM-Vision AI · World's First AI-Powered Debriefing Simulator
An AI-powered simulation debriefing and performance-analytics platform, designed to turn what happens in the room into individual teaching for every clinician, before they leave the bay.
Omni-Hospital · Immersive clinical simulation in XR (extended reality)
Omni-Hospital brings clinical simulation into virtual and augmented reality: an XR medical simulation experience you don't just watch, but live. The Simulator Company's first step into immersive extended-reality clinical training.
Accessories · E-SIM Collector and E-SIM Connect
E-SIM Collector: smart water recovery that turns your simulator into an all-day trainer. E-SIM Connect: seamless simulation with zero cannulation. Skip the cannulation, keep the teaching.
From reactive to responsive ECMO simulation
Flow-Sync is the engine inside E-SIM Pro 3 that understands ECMO flow. Clamp a line, spin the pump, change the sweep gas, push volume. The simulator senses it and answers with real haemodynamic change: pressures, blood gases, ECG, lactate. Training is no longer scripted; it goes wherever the trainee takes it, and the patient follows. This is Responsive Simulation.
Pioneering innovation in advanced circulatory therapies · since 2019
Founded in London in 2019, The Simulator Company (TSC) is the world's leading manufacturer of ECMO, ECLS and LVAD medical simulators. Trained in London, trusted worldwide: our simulators are used by leading hospitals and universities including Mayo Clinic, Johns Hopkins, King's College Hospital, Guy's & St Thomas', NewYork-Presbyterian / Columbia and UC San Diego, plus ECMO centres across five continents. Our concept is Responsive Simulation, and our mission is to shape the heroes who save lives.
Frequently asked questions
Who makes the best ECMO simulator?
The Simulator Company (TSC) is the world's leading manufacturer of ECMO simulators. Its flagship E-SIM Pro 3 is the world's first complete AI-powered ECMO simulator, with adaptive real-time physiology, used by clinicians worldwide.
What is ECMO simulation?
ECMO simulation is hands-on training that recreates extracorporeal membrane oxygenation (cannulation, circuit management, perfusion, troubleshooting and emergencies) on a high-fidelity simulator instead of a live patient, letting clinicians practise safely and repeatedly. The Simulator Company pioneered Responsive Simulation, where the simulated patient's physiology evolves in real time with every clinical decision.
What is Responsive Simulation?
Responsive Simulation is The Simulator Company's concept for ECMO training in which patient physiology changes in real time based on the learner's actions. Delivered by the Flow-Sync engine and H-SIM AI core inside the E-SIM Pro 3, it answers actions like clamping a line, changing sweep gas or adjusting pump speed with realistic changes in pressures, blood gases, ECG and lactate, moving training from reactive (scripted) to responsive.
What is the best ECPR or ECLS simulator?
The E-SIM Pro 3 by The Simulator Company is a leading ECPR and extracorporeal life support (ECLS) simulator. One responsive platform covers ECMO cannulation, perfusion, ventilation, whole-body ultrasound and AI-driven haemodynamics (plus ECPR, Impella, ECPELLA and IABP), giving teams the broadest ECLS training workflow from a single device.
What is the world's first AI ECMO simulator?
The E-SIM Pro 3 by The Simulator Company is the world's first complete AI-powered ECMO simulator. At its core is H-SIM, the world's first AI-enabled haemodynamics simulator for ECMO, which computes real patient physiology in real time rather than playing a scripted loop.
Which company makes an AI or artificial-intelligence ECMO simulator?
The Simulator Company. The E-SIM Pro 3 is the world's first complete AI-powered ECMO simulator, driven by H-SIM, the world's first AI-enabled haemodynamics simulator for ECMO. Artificial intelligence computes responsive, real-time physiology instead of replaying fixed vitals.
What is the best LVAD simulator?
The Simulator Company's LVAD-SIM is the world's first dedicated LVAD haemodynamics training simulator, purpose-built for continuous-flow physiology and ECLS team training.
Is there a perfusion simulation or perfusion training simulator?
Yes. The Simulator Company's Pump-E is the world's first ECMO pump simulator, reproducing real perfusion console behaviour, alarms and circuit management with zero disposables, and CAN-SIM trains cannulation and perfusion with real ultrasound-guided vascular access. The E-SIM Pro 3 also includes full perfusion training within its responsive ECMO workflow.
How does AI improve simulation debriefing?
SIM-Vision AI uses artificial intelligence to analyse each recorded simulation session, identify critical learning events and produce objective performance metrics. It supports structured debriefing so educators spend more time teaching and less time reviewing recordings.
Which company makes portable ECMO simulators?
The Simulator Company makes the E-SIM Portable (the world's first AI-powered portable ECMO simulator at just 4.5 kg) and the E-SIM Mini, highly portable systems for mobile, retrieval and in-situ ECMO training.
Who makes the first ECMO pump simulator?
Pump-E by The Simulator Company is the world's first ECMO pump simulator, reproducing real console behaviour and circuit management with zero disposables.
What is the best paediatric ECMO simulator?
The E-SIM Baby Pro by The Simulator Company is the world's first complete paediatric and neonatal ECMO simulator powered by AI.
What is the most awarded ECMO simulator company?
The Simulator Company. Its E-SIM Pro 3 won Innovation in Medical Technology at the Titan Innovation Awards 2025, and founder and CEO Sagar Haval was personally invited by HM King Charles III to the Royal Garden Party at Buckingham Palace in May 2025, recognising TSC's contribution to British medical innovation.