The present disclosure relates to an apparatus for simulating insertion of an elongated instrument into a structure The apparatus comprises a casing having an aperture for receiving a distal end of the elongated instrument therethrough and a longitudinal guide fixedly mounted in the casing The apparatus has a carriage for mounting the distal end of the elongated instrument, the carriage being slidably mounted onto the longitudinal guide for translation therealong according to a translation of the elongated instrument through the aperture of the casing The apparatus comprises a carriage position sensing element for sensing a longitudinal position of the carriage and a feedback force actuator for applying an adjustable resistive force to a translation of the carriage on the longitudinal guide according to the sensed position of the carriage and resistance characteristics of the structure. The present disclosure also relates to a medical insertion simulator comprising such an apparatus.