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Handling and Safety Precautions

These precautions should be strictly observed to ensure safe, long-term use of 

the product.

The following precautions should be especially adhered to:

○ Regarding the LM-107 Colonoscopy(Lower GI Endoscopy) Simulator TypeII: 
1. This product is made with special silicone rubber to simulate the texture of human skin, and excessive 
force may damage the products. So we recommend that it be handled as carefully as actual biological 
material.
2. Before using this product, be sure to apply a generous amount of endoscope lubricant to the inside of it. 
For details, refer to "3-1: How to apply lubricant" on page 6. An insufficient amount of lubricant may cause 
the endoscope to get stuck inside of the model, which could possibly break it.
3. Do not place objects on the main unit, as doing so may alter its shape.
4. Do not use thinner, benzine or other organic solvents on this product. Doing so may cause its color to 
fade or deform its shape.
5. Do not use oil-based inks, pencils, chalks, or paints on this product as they may cause permanent 
staining.
6. When transporting this product in its storage case, make sure the metal latches are closed. Also, if the 
storage case is tilted or experiences heavy shock, the case or model may break as a result.

Optional Items (sold separately)

○ Regarding the "LM-103A Simulated Polyp (for polypectomy)":
1. Please take care to follow the directions below so as to avoid mold growth or degeneration of the 
Simulated Polyp.  

1-1.  Please avoid storing the Simulated Polyp (for polypectomy) at a location with direct sunlight or a 
high temperature and always store in a refrigerator (between 2 and 10ºC, do not freeze). If it is stored at a 
temperature of over 30ºC, it may change in shape or degrade, rendering it unusable.
1-2.  Please use the Simulated Polyp as early as possible after it has been unsealed. KOKEN is not 
responsible for quality of Simulated Polyps that have already been unsealed.
1-3.  When taking out the Simulated Polyp, please use clean tweezers etc.
1-4.  If a Simulated Polyp has been taken out of the container, please do not put it back in the container.
1-5.  Do not leave a Simulated Polyp (for polypectomy) out of the container for a long period of time.  
The surface will become dry and hard, and it will not be possible to use it any longer.

Summary of Contents for Colonoscopy Lower GI Endoscopy Simulator Type II

Page 1: ...olonoscopy Lower GI Endoscopy Simulator TypeII Please read this instruction manual carefully to ensure correct use of the product and store it in a safe place for easy access KOKEN CO LTD 1 4 14 Korak...

Page 2: ...se permanent staining 6 When transporting this product in its storage case make sure the metal latches are closed Also if the storage case is tilted or experiences heavy shock the case or model may br...

Page 3: ...generation of the polyp Be careful not to spill the storage liquid or throw it away before using all the Simulated Polyps for polypectomy 2 When resecting a Simulated Polyp for polypectomy always use...

Page 4: ...exposed to UV light for a long period of time may cause it to deform or degrade When not in use keep it in the storage case in a flat area away from direct sunlight or UV light 1 The contents of this...

Page 5: ...ng the Model 3 1 How to apply lubricant 3 2 How to assemble the intestine 3 3 How to attach simulated polyps for observation 3 4 How to attach an optional LM 103A Simulated Polyp for polypectomy 3 5 C...

Page 6: ...bles actual biological material 2 Simulated polyps for observation can be attached to the ascending colon and descending colon for observational purposes 3 Laterally spreading tumors LST are replicate...

Page 7: ...transparent cover 14 Screw for transverse colon 15 Storage case 5 2 Components and Configuration Name 1 Main unit 2 Rectum sigmoid colon part 3 Descending colon part 4 Transverse colon part 5 Ascendin...

Page 8: ...fficult Use a lubricant specifically designed for endoscopes 3 1 How to apply lubricant Lubricant should be applied to the following four openings Applying lubricant 1 Remove the simulated peritoneal...

Page 9: ...remove them from the main unit 7 2 Detach colon connectors from these three points 3 Pull the ascending and descending colons upward to remove them from the main unit 7 2 Detach colon connectors from...

Page 10: ...ic flexure side connector Hepatic flexure side connector 8 4 Apply lubricant to the rectum sigmoid colon Insert lubricant from the anal region as well as the sigmoid colon connector opening After inse...

Page 11: ...olon Transverse colon and descending colon Male Female 9 7 Apply lubricant to the ascending colon Squeeze lubricant into the intestine After inserting a generous amount squish the intestine together s...

Page 12: ...he pin on the upper right section of the main unit then push holes in the descending colon s seat into the pins to attach the descending colon to the main unit 3 Align with the polyp attachment band P...

Page 13: ...ing colon to the main unit Ascending colon and transverse colon Male Female 11 4 Reconnect the disassembled ascending colon to the transverse colon Make sure to align notch marks on each connector 5 A...

Page 14: ...ng table to hold the model in place Absorption sheet Holding table Fixing pins 6 Attach the simulated peritoneal membrane sheet to the main unit Securing the model to the table Before using this model...

Page 15: ...le lateral position 1 Align holes on the side of the main unit with the holding table s fixing pins 13 How to attach the model to the holding table dorsal position 1 Align holes on the bottom of the m...

Page 16: ...1 Remove the polyp attachment band from the descending colon then insert the selected simulated polyp for observation into the polyp attachment hole Next re attach the polyp attachment band to cover t...

Page 17: ...lyp attachment hole and re attach the ascending colon to the main unit 15 Attaching a simulated polyp to the ascending colon 1 Remove the ascending colon from the main unit insert the selected polyp f...

Page 18: ...uction cable is included with this product Extra conduction cables are available as optional accessories if needed for the use of simulated polyps for polypectomies in both the ascending and descendin...

Page 19: ...eturn electrode attach it so both surfaces are in contact with the plate 2 Attach a return electrode on hand to cover the conduction cable for simulated polyps for polypectomies When using a dual type...

Page 20: ...ent hole then re attach the polyp attachment band to cover the flange 17 Attaching a simulated polyp for polypectomies to the descending colon 1 Remove the simulated peritoneal membrane sheet then rem...

Page 21: ...etween the Velcro and re attach the simulated peritoneal membrane sheet Simulated polyp for polypectomies in set position Intestine Polyp attachment band Conduction cable ring Velcro 18 4 Position the...

Page 22: ...nto the ascending colon s polyp attachment hole then re attach the ascending colon to the main unit 19 Attaching a simulated polyp for polypectomies to the ascending colon 1 Remove the simulated perit...

Page 23: ...ween the Velcro and re attach the peritoneum sheet 20 4 Position the conduction cable between the Velcro and re attach the peritoneum sheet Simulated polyp for polypectomies in set position Main unit...

Page 24: ...Transparent cover screws Transparent cover Transverse colon screw 21 3 5 Caring for the product after use Make sure to wash the Type II Colonoscopy Training Model after use as described below When wa...

Page 25: ...lange plate from the rectum sigmoid colon 5 Use hot or cold water to rinse the lubricant out of each colon piece and all other parts removed Wipe any remaining moisture from the parts then place them...

Page 26: ...x 5 kg 4 Specifications Product name Product No 1 Small intestine for Colonoscopy semi difficult type LM 107A 2 Small intestine for Colonoscopy easy type LM 107B 3 Ascending Colon for Colonoscopy LM 1...

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