Founded in 1999, Spirit Creations, Inc. designs and distributes practice inhalers that help EMTs and clinical professionals learn proper metered-dose inhaler use. Its SpiritMD training inhalers simulate medication delivery without medication or saline and are safe for human use, with products manufactured in the United States under FDA and European standards. The company grew from president Eugene Scarberry’s long career in critical-care and cardiopulmonary medicine, including work on more than 38 granted patents and several emergency-airway and respiratory devices.
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IngMar MedicalFrom its Pittsburgh base, IngMar Medical has spent more than a quarter century building respiratory simulators and test lungs that let clinicians train on real ventilators while engineers and researchers evaluate respiratory devices. Its signature ASL 5000 breathing simulator can model patients from neonatal through adult, while the newer Aurora manikin brings that high-fidelity lung technology into hands-on ventilation training. Since 2024, IngMar Medical has been part of 3B Scientific and serves more than a thousand customer sites worldwide.PITTSBURGH, PA
East Coast Rescue SolutionsCreated by firefighters, East Coast Rescue Solutions makes forcible-entry and man-versus-machine training simulators while supplying fire departments with rescue equipment and customized instruction. Its team includes active FDNY and City of Atlanta firefighters and officers with Special Operations experience, bringing more than 100 years of combined professional experience to courses in areas such as forcible entry, firefighter survival and bailout procedures. The company says its products are proudly crafted in the USA.BABYLON, NY
PRESTAN Products, LLCFounded in 2004, PRESTAN Products makes CPR training manikins and AED trainers at its Solon, Ohio headquarters, with all of its CPR manikins designed and manufactured in the USA. Its equipment uses immediate CPR feedback to help instructors build students’ skills and confidence, and the company’s gender-inclusive female manikin addresses a longstanding gap in CPR training. PRESTAN now serves customers in more than 80 countries through four global warehousing facilities.SOLON, OH
Your Design MedicalFounded and run by a board-certified emergency physician with training in mechanical engineering and science education, Your Design Medical hand-builds medical simulation equipment in New York. The US-based company creates affordable, customized training tools—from suture pads and vascular trainers to ultrasound phantoms—for hands-on practice across medicine. Its owner makes the core products by hand rather than outsourcing mass production and has produced nearly 100,000 items over roughly 10 years.SEA CLIFF, NY