Kyoto Kagaku HANA MW48, Instruction Manual

Page 1: ...ination Module Delivery Assistance Module Perineorraphy Module Uterine Involution Assessment Module Epidural Anethesia Tube Feeding Bedbathing Patient transfer and positioning Oral care oxygen management Suction nasal oral tracheostomy Intravenous injection Airway management intubation assistance Chest compression Airwaymanagement intubationassistance Optional Subcutaneous injection Intramuscular ...

Page 2: ...r use or any use not in accordance with the enclosed instructions is strongly discouraged The manufacturer cannot be held responsible for any accident or damage resulting from such use Please use this product carefully and refrain from subjecting to any unnecessary stress or wear Should you have any questions on this simulator please feel free to contact our distributor in your area or KYOTO KAGAK...

Page 3: ...2 Introduction Before use ...

Page 4: ... like paint thinner or alcohol to clean the skin as this will damage the manikin Do not mark on the manikin or other components with a pen or allow printed materials to come in contact with the surface Ink marks cannot be removed Even if the skin color of the manikin changes as it ages the quality of the performance is not affected Storing the manikin in a dark cool and dry space will help prevent...

Page 5: ... below B A G L C H M D I E J F K Ａ Ｂ Ｃ Ｄ Ｅ Ｆ Ｇ Ｈ Ｉ Ｊ Ｋ Ｌ Ｍ Main body Wig young Face mask young Teeth Injection pad medial vein Female genitalia Epidural anesthesia pad Irrigation bag drainage pump drainage hose lubricant for training models pajama talcum powder instruction manual 1 1 1 1 1 1 1 1 1 1 1 1 1 ...

Page 6: ...al cord 5 velament sheet 10 umbilical cords for omphalotomy 3 lubricants abdominal cover for delivery and cervical examination tray 1 1 1 1 1 1 1 1 1 ad ac ab aa ae a a a b a c a d a e a f a g a h a i af ag ah Delivery assistance module ai Set includes ...

Page 7: ... and Cervical Examination 1 1 1 1 1 1 1 1 1 1 c a c b c c c d d a db d c dd de d f cd cc cb ca dd da db dc Obstetric Examination Module Cervical Examination Module bc ba bb Ultrasound Examination Module ultrasound pregnant uterus phantom base for fetus ultrasound fetus demonstration model protection cover 1 1 1 1 b a bb b c bd Obstetric Examination Module Cervical Examination Module Ultrasound Exa...

Page 8: ...ment Module Perineorrhaphy module ea fc set of uterine inserts 4 variations supporting base abdominal cover for uterine involution assessment module 1 1 1 f a f b f c genitalia with skin 1 e a Uterine Involution Assessment Module Perineorrhaphy module ...

Page 9: ...8 Before you start Model Name of each part and functions Connector Drainage connector to irragation bag Mask young chest eye elilid tracheostomy Wig Chest arm waist genital unit chest cover ...

Page 10: ... Body transfer Bed bathing left hand Option IM Injections upper arm Subcutaneous injections u p p e r a r m Tube feeding nasal oral Catheterization Tube place confirmation tube placement Intubation assistance preparation of equipment auscultation fixation of tracheal tube S u c t i o n n a s a l o r a l Insertion of tracheostomy tube suction Urinary Catheterization procedure only Epidural placemen...

Page 11: ...raining skills Skills Intravenous injections and cannulation left median vein Partial bathing hand foot IV route care dorsal vein of left hand Bedbathing Oxygen mask IM Injections upper arm Subcutaneous injections upper arm ...

Page 12: ...ward 1 Put the wig on to the head noting the orientetion then fix it with the magnet at the forehead 2 Fix the wig with the magnets in front of right and left ears 3 Pull down the back side of the wig and t it to the manikin s back of the head 3 Maintenance Store the wig by following steps 1 Brush the wig after use 2 Insert the balled up papers to avoid deformation 3 Roll the tips of hairs inward ...

Page 13: ... of the mask in the three magnets in forehead and both ears 2 Remove one end of the band from the mask hole 2 Insert the salient part of the mask near the head 3 Insert the neck skin to body part 3 Hold up the mask from the neck side and remove 4 Insert both ends of the band to the band to the mask in the back of head 5 Insert the cover for tracheostomy ...

Page 14: ...l The cover is fixed by four magnets The cover can be removed by holding it upward Be careful not to pinch your finger between maternal body and the genitalia unit 2 Attach two nails of genitalia unit to two pits located under part of maternal body and push on the top of the unit to fix Preparation ...

Page 15: ... 1 Attached the supporting base for fetus ultrasound Put protection cover on the top 2 Attach ultrasound pregnant uterus phantom on the base The phantom can be set in four positions 3 Apply plenty of ultrasound gel directly to the pregnant uterus phantom Protection Cover ...

Page 16: ...sted on the back of this manual 1 Wipe off the gel completely with wet wipes not to leave the gel on the surface of the phantom and torso You can wash the phantom unit and the protection bowl with water Do not wash the body torso with water Fetus assessment and measurement BPD AC FL Estimate of fetus weight 3 After training Ultrasound Training ...

Page 17: ...16 Training Ultrasound Training ...

Page 18: ... the model The cover is fixed by four magnets The cover can be removed by holding it upward 2 Attach two nails of genitalia unit to two pits located under part of maternal body and push on the top of the unit to fix Be careful not to pinch your finger between maternal body and the genitalia unit ...

Page 19: ...e the fetus can be set either in cephalic presentation and head presentation 3 Set the fetus on the hole of the base The fetus can be set in either left or right Put the fetal head on this part Right side Left side 4 Set the abdominal cover then the setting is completed Obstetric Examination Module ...

Page 20: ...d conventional stethoscope can be used for training The doppler mode features fetal heart sounds umbilical blood flow as well as mixed sounds of fetal heart and umbilical blood flow Remote controller enables switch between sounds speakers and also setting sound volumes 2 妊婦内診トレーニング 実習 触 Palpation 3 妊婦内診トレーニング 後 片 付 け Clean the skin cover by wiping with a damp cloth using water or mild detergent LE...

Page 21: ...ed doppler stethoscope Name of each part Case ０ ５ Fetal Heart Rate 60 180 Sound Volume 0 100 Case selection Adjustment of HR Adjustment of Sound volume Internal speaker Connector for probes Switches Connector for AC Adapter Connector for external speaker ...

Page 22: ...21 Training Obstetric Examination Preparation 1 Insert the connector for probes to the C probe connector ２ Insert the AC adapter ３ Turn on the controller ...

Page 23: ...n be taken from internal speaker in simulated doppler stethoscope p19 Sound comes out when the sensor inside the fetus reacts How to change the setting 1 Select sound case At the time of delivery no sounds are included in case 0 to 5 When the switch is on the case number is set to 0 default How to change cases Case ０ ５ Case Selection ...

Page 24: ... 180bpm The value can be changed in 10bpm increments 130bpm is the default value applicable only in default case 0 How to change fetal heart rate Setting can be changed between 0 to 100 The value can be changed in 10 increments 50 is the default value How to set the sound volume １ Set the sound volume by pushing up and down buttons volume 0 100 up and down buttons ...

Page 25: ...24 Training Cervical Examination ...

Page 26: ...magnets The cover can be removed by holding it upward Setup 2 Attach two nails of genitalia unit to two pits located under part of maternal body and push on the top of the unit to fix Cervical Examination Be careful not to pinch your finger between maternal body and the genitalia unit ...

Page 27: ...raining Setup 3 Attach genital unit to the main body Make sure not to put it upside down Lubricants 1 Apply lubricants inside the genital unit genitalia and cervical dilatation modules Cervical Examination ...

Page 28: ...atation module Set the model fixation base to the cervical dilation module Be careful not to pinch your finger between maternal body and the genitalia unit Note Engage the edges on the holder and the holes on the maternal body and push the holder until clicking sound is heard Cervical Examination ...

Page 29: ...28 Training Cervical Examination ...

Page 30: ...dilation module with wet wipes Also these units are washable with water Apply the talcum powder after having been dried enough The cervix unit and the genitalia unit are made from special soft resin For storage cover them with included non woven bag and keep them in the storage box Caution Do not mark on the model and other components with pen nor leave printed materials contacted on surface Ink m...

Page 31: ...ds for ompalotomy velamen sheet vat and lubricant 4 Take out the umbilical cord for ompalotomy from the storage bag Reverse the tip of it to show the hook and engage it to the hook at the umbilical cord from the placenta 1 Setup 3 Insert the umbilical cord into the hole located at the center of the velamen sheet Fetus Placenta Umbilical Cord Umbilical Cord for Ompalotomy Velamen Sheet Vat Lubrican...

Page 32: ...om there 7 Fetus is ready for training Place the clip in the direction shown in above picturei Vaginal Delivery Assistance 6 Pinch the tip of umbilical cords for omphalotomy with the clip Put it back to the fetal abdomen and fix umbilical cords for omphalotomy to the abdomen by the plate with the white screw ...

Page 33: ...n the set Apply lubricant to it entirely including the velamen sheet and the placenta 1 Remove the abdominal cover from the body The abdominal cover and body are attached with four magnets The abdominal cover can be removed by lifting Assembly of the Maternal Body Lubrication Before training apply lubricant to the genitalia unit placenta and umbilical cord for omphalotomy Vaginal Delivery Assistan...

Page 34: ... of the maternal body 2 Attach two nails of genitalia unit to two pits located under part of maternal body and push on the top of the unit to fix Be careful not to pinch your finger between maternal body and the genitalia unit Vaginal delivery assistance Always put the placenta on the vat during the training ...

Page 35: ...34 Training Positioning Training can be done in three birth positions dorsal position lateral position and all four position Birth Positions ...

Page 36: ...ng tying and cutting of umbilical cord Perineal protection Delivery assistance Delivery of fetus Inspection of velamen and placenta Delivery of placenta 2 Vaginal Delivery Assistance training Vaginal Delivery Assistance ...

Page 37: ...ter and dry them well naturally After the components completely dried apply talcum powder to each of them 2 Pull back the top of the genitalia unit frame to remove from the body 2 Genitalia unit placenta and umbilical cord for omphalotomy are made of special soft resin It is required to store them either in the storage bag or on the vat after training If these parts are stored while touching with ...

Page 38: ... the genitalia unit and pull it towards you Change to the perineorraphy training unit Genitalia unit for perineorraphy Genitalia for cervical examination and delivery Perineorraphy Setup 1 Remove the abdominal cover from the model The cover is fixed by four magnets The cover can be removed by holding it upward ...

Page 39: ...s of genitalia unit to two pits located under part of maternal body and push on the top of the unit to fix 4 Attach the abdominal cover and the preparation is done Perineorraphy Be careful not to pinch your finger between maternal body and the genitalia unit ...

Page 40: ...ure thread 2 In order to exchange the genitalia skin Put the finger into the gap between the genitalia skin and the holder to remove it and attach the new skin Put the genitalia skin into the pit of the supporting holder Apply the talcum powder on the edge of skin to make it easy Put the skin from directions to the holder Ensure that he skin is sitting in the holder firmly Perineorraphy ...

Page 41: ...the model The cover is fixed by four magnets The cover can be removed by holding it upward 2 Attach two nails of genitalia unit to two pits located under part of maternal body and push on the top of the unit to fix Be careful not to pinch your finger between maternal body and the genitalia unit ...

Page 42: ...dule 1 Attached the supporting base for fetus ultrasound Put protection cover on the top 4 Attach the uterine unit to the hole 5 Attach the abdominal cover for uterine involution assessment to the model Uterine Involution Assessment ...

Page 43: ...abdominal cover can be wiped by water or neutral detergent After the cover is wiped apply talcum power on the surface Palpation of uterine fundus Measurement of funtal height 2 Training 3 After training Uterine Involution Assessment ...

Page 44: ...l and Anesthesia 1 Preparation Insert epidural pad on the back The pad is inserted at the time of delivery 2 Training Training in lateral position Only punctures and fixation of catheter are possible Water cannot be used ...

Page 45: ...ype lubricants may cause damages Do not leave the tapes on the manikin If the tape remains on the surface for long time it ma cause persisted stickiness 1 Training Training of tube insertion for feeding NG OG with the fowler s position Insertion of catheter NG OG is possible Training of tube fixation and dressing is possible Spray the lubricant included in the catheter to nasal and oral cavity Sho...

Page 46: ...oint motion exercise Bed bathing partial bathing Position change position holding patient transfer joint motion exercise Limbs fingers and toes with full articulation allow various patient postures for nursing care training Can be place in a sitting position Fingers can be bended and stretchd ...

Page 47: ...of denture Lift the molar side with both upper and lower dentures and take off Raise the upper denture forward can remove it Hole above area when holding the denture Setting of denture Put the denture one by one in the mouth cavity Fit the grove at the back of the denture of onto the gum and push them together firmly Oxygen inhalation ...

Page 48: ...ted sputum cannot be used 1 Apply lubricants to catheter nasal oral and tracheostomy parts Recommended tracheal tube is PORTEX tracheostomy tube II MY 102 12746 020 Other tubes may not t to the opening Use 10 14Fr suction catheter Use lubricant attached to the training model Do not use the gel type lubricant as it can remain inside and coagulate 2 Take off the plug for tracheotomy and apply the in...

Page 49: ...or injection was used use drainage tube instead of irrigation bag small The tip of the drainage tube should be put to a bucket Openings on the left forearm and the back of the hand allow training on intravenous injection and fixing the dressing materials Median vein on the left forearm which is fixing of the the puncture site allow training on confirmation of natural instillation Insert the connec...

Page 50: ... the drainage pump small connector to the tip of the tube which detach the irrigation bag Take out the injection pad median vein Fill the opening in the arm with tissue paper approx 2 sheets then drain water from the tube by squeezing the drainage pump After water drainage from the tube remove the tissue paper from the opening and wipe inside of the opening as well as the pad Dry the parts natural...

Page 51: ...onfirmation by auscultation fixation of the tracheal tube observation of the rise of chest compression Insertion of tracheal tubes For oral route airway spray enough lubricant in the mouth and the tracheal tube before inserting the tracheal tube The placement of the tube can be confirmed by auscultation or movement of thoracoabdominal area Recommended tools Macintosh laryngoscope Size No 4 Trachea...

Page 52: ...vity before training Wipe off the lubricant Wipe off the remaining lubricant completely with wet cloth which stuck to tracheal tube and oral cavity part Securement of tracheal tube Tape fixation and THOMAS fixation of tracheal tube Use the lubricant included in the set Do not leave the tapes on the model If the tapes remain on the model for long time its skin surface will become sticky with adhesi...

Page 53: ...ithout opening the attachment plate Otherwise it may cause a tear in the manikin skin The training of Intramuscular injection can be conducted on upper arm and gluteal The training of hypodermic injection can be conducted on upper arm femoral and gluteal Ensure to remove the shoulder thigh injection pads swiftly after use Otherwise the manikin skin may become persistent Discharge all water from th...

Page 54: ... 3 Squeeze the sponge until parts get completely dry reassemble them carefully 4 5 Do note pull or twist the sponge Excessive force may cause breakage Assemble the pads 1 Set the sponge on the convex side of the transparent back plate Grip the skin at the narrow end 2 Pushing the attachment plate inward put the edges of the skin between the attachment plate and the transparent back plate Attachmen...

Page 55: ...0 fetus model 11416 020 placenta 11416 030 10 umbilical codes for omphalotomy 11416 040 velamen sheets 11417 020 genitalia unit frame skin 11417 010 2 genitalia inserts perineorrhaphy 11418 020 1 set of uterine inserts 4 variations code name 11251 030 2 shoulder injection pads 11229 050 11415 010 11415 030 11416 010 11416 020 11416 030 11416 040 11417 020 11417 010 11418 020 MW48 Full Perinatal Pa...