A complete simulation of the old’s arm, which is the one and only the visual and touch, thin skin, blood vessel partly hidden and partly visible. When students use the puncture practice, to cultivate their caring for the elderly, and has full patient in clinical work. Features: 1. Simulation of Asian elderly male right arm, thin skin more wrinkles, less subcutaneous fat, vessel tortuosity of poor elasticity, fine workmanship, increased the difficulty of puncture. 2. Anatomical structure is fine, the cephalic vein, basilic vein, median cubital vein, all vessels can puncture. 3. All blood vessels can be infusion, blood and other training. In this sense the successful resistance, were lost, with the simulation of blood is the blood returning. 4. And with the skin and blood vessels can be replace.