KOKEN LM-109MA User manual

Male
Catheterizationand
EnemaSimulator
(Strap-ontype)

LM-109MA
InstructionManual
ThankyouforpurchasingtheMaleCatheterizationandEnemaSimulator(Strap-ontype).
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Koraku,Bunkyo-ku,Tokyo112-0004JAPAN
URL:http://www.kokenmpc.co.jp
E-mail:[email protected]
©2016-2020KOKENCO.,LTD.C-1-1025-1-01-06

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Handling and Safety Precautions
These precautions should be strictly observed in order to ensure safe,
long-term use of the product.
The following precautions should be observed particularly strictly:
1. Thissimulatorismadetohavethesamefeelasthatofalivingbody.Unduehandlingmaycause
breakageofthesimulator.
2. Thismodelhasadistinctiveodorresultingfromthematerialsitismadefromhoweverisnot
harmfultothebodyorindicateanyproblemwithquality.Thisdistinctiveodorwillweakenover
time.Theproductisalsocoatedinbabypowderatthetimeofmanufactureandthesmellof
babypowdermayremainontheproduct.
3. Thesimulatorreproducestheresistanceofthebulbarurethra.
 Wheninsertingthecatheter,ifthepenisisloweredtoananglelessthanabout60degrees,the
insertionofthecathetermaybedi󱐰cult.Accordingly,pleaseholdthepenisatanangleofabout
60degrees.
4. Whenyoupracticecleaningordisinfectingofthepubicarea,pleaseusewater.Useofalcohol
maycausebreakageofthesimulator.
 Useofcoloreddisinfectantliquidmaycausepigmenttobefixedtothesimulatorsothatthe
pigmentcannotberemoved.
5. Asforthelubricant,pleaseuseK-Ytmlubricatingjelly.PleasedonotuseK-Y®gel,asitmay
increasetheinsertionresistanceofthecatheter.
6. Pleasedonotuseoilylubricant(oliveoiletc.),alcohollubricant,andlubricantcontainingorganic
solvent.Thesemaycausebreakageofthesimulator.
7. Pleaseusecathetersof14Frand16Fr.
8. Pleasecheckthestateofthecatheterbeforeinsertingthecatheter.Pleasedonotuseacatheter
thatisdegradedordeformed.Suchacatheterisdi󱐰culttoinsert.
9.Wheninsertingthecatheter,pleaseapplythelubricanteachtime.
10.Ifitisdi󱐰culttoinsertthecatheter,pleaseincreasetheamountofthelubricanttobeapplied
oruseanothercatheter(firmsiliconecatheterorcatheterwiththinnerbaloonpartetc).The
simulatormaybreakifsuchacatheterisforcedtobeinserted.

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11.Whenindwellingthecatheter,pleaseinatetheballoonafterinsertingthecatheterapartfrom
theballoonendportionbyadistanceequaltoorgreaterthan23cm.Indwellingofthecatheter
inanintermediateofthevalvecausesthevalveandthecathetertobebroken.
12.Iftheinsertionofthecatheterisrepeatedapluralityoftimes,watermayaccumulateinthe
urethralcanal.Ifthesimulatorisusedinsuchastate,watermayleakthroughtheurethralexit.
Pleaseslantthesimulatorsuitablytodrainthewater.
13. Afteruse,pleasewashthesimulatorandthecatheterwellwithwater.Ifthelubricantdriesand
hardens,itmayinterferewiththeuseofthesimulator.
14.Pleasecheckthestateofthevalveateveryuse.Ifthevalveisbroken,itmaycausealeakageof
water.
15.Oilcomponentsmaycomeoutofthegenitalskin.Afteruse,pleasedonotkeepthegenitalskin
attachedtothesimulator.Pleasewrapitincookingpaper,gauze,etc.,putitintoanattached
reclosablepolybag,andkeepit.Foradetailedstoragemethod,pleaserefertothewashingand
storagemethodsonpage14.
16.Applycommerciallyavailablebabypowdertoreducefrictionifyoumindstickinessofthegenital
skinorafteritiswashedwithwaterfollowinguse.
17.Pleasecheckthestateofthegenitalskineverythreeyearsasareference,andexchangeit
accordingly.
18.Pleasedonotplaceobjectsonthesimulator.Otherwise,thesimulatormaybedeformed.
19. Pleasedonotkeepthesimulatorincontactwithprintedmatter.Print,suchasletters,may
transfertothesimulatorandbexedthere.
20.Whenstoringthesimulator,pleaseselectaplacethatisnotsubjecttodirectsunlightand
ultravioletrays.
21.Thisproductisintendedforuseinstandardoperatingenvironments.Donotuseitinheavy 
industrialsettings.
22.Thismodelusesurethanefoamforsomeofitsparts,andmaybesusceptibletodamagefrom
peststhatareattractedtourethanefoam(suchasinsectsintheantfamily).
 Whenstoringthismodel,ensurethatthoroughmeasuresaretakentopreventpestdamage
beforestoring.Thecompanywillnotbeinvolvedwithorheldliableforpestdamagethatoccurs
duringstorage.
1.Thecontentsofthisinstructionmanualaresubjecttochangewithoutnotice.
2.Thisinstructionmanualmaynotbereproducedinpartorinitsentiretywithoutpermission.
3.Pleasecontactthemanufacturerintheeventthatanyerrorsoromissionsarefoundinthecontentsof
thisinstructionmanual.
4.Thisproductshouldbeusedonlyasdescribedinthisinstructionmanual.Inparticular,theproduct
shouldnotbeusedinanywaythatcontravenestheprecautionsnotedintheinstructionmanual.

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Table of Contents
1. Outline and Features
2. Components and Conguration
3. Handling Method
4. Washing and Storage Methods
5. Specications
6. Replacement Parts (Sold Separately)

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1. Outline and Features
Outline
Thesimulatorcanbemountedonahumanbodyoradollsothataseriesoftechniquesregarding
catheterizationandenemacanbepracticed.Thefeelofthepenisiscloselysimilartothatofaliving
bodypenis.Ifacatheterizationcatheterisappropriatelyinserted,urine(water)owsout.
Features
・Thesimulatorisofanactualsizebywhichacatheterizationandglycerineenemaforanadult
malecanbepracticed.
・Sincethesimulatorisofastrap-ontype,itcanbemountedonahumanbodyoramodeldoll
sothatthepracticecanbeperformed.
・Bymountingthesimulatoronahumanbody,thefeelingofapatientcanbesimulated.
Also,bymountingthesimulatoronasimulationpatient,techniquescanbepracticedwhile
communicatingwiththesimulationpatient.
・Sincesoftandstretchablematerialsareusedforthepubicarea,theappearanceandfeelare
realistictogivepresencewhenpracticing.
・Aseriesoftechniquesofcatheterizationsuchasdisinfectingofapubicarea,andinsertingand
removingofacathetercanbepracticed.
・Techniquessuchaspeelingoftheforeskin,disinfectingandcleaningcanbeperformed.
・Themotionofthepenisisalsoclosetothatofalivingbodypenis.Thesimulatoriscongured
suchthatitisdi󱐰culttoinsertthecatheterifthepenisisnotraisedappropriately.
・Theattachedglycerineenematorcanbeinsertedthroughtheanustotherectum.Thisenables
thepracticefortheglycerineenema.

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2. Components and Conguration
1. Urethralpart
2. MaleGenitalskin
3. BladderValve(Male/Female)
4. O-ring
5. Strap-ontypeframe
6. Bladdertube
7. Strap-ontyperectumconnecting
 connector
8. Bagforirrigator
9. Tubeforirrigator
10.Draintube
11. Glycerineenemator
Storagebag
Instructionsmanual(thispamphlet)

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3. Handling Method
3-1AssemblingofSimulator
1. Pleaseconnectthebagforirrigatortothebladdertube,andputwaterintothebagfor 
 irrigator.Pleaseopenaclamp,llthebladdertubewithwater,closetheclamp,andattach
 thebladdervalvetothebagforirrigator.
2.Pleaseapplylubricanttothedistalendoftheglansandinsertitintothegenitalskin.
 Pleasecheckthattheglansisnottwistedandthenxtheurethralpartandthegenitalskin
 withhookandloopfasteners.
Checkwhether
ornottheglans
istwisted.

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3.Pleaseinserttheurethralpartofthegenitalskinintothestrap-ontypeframe.
4.Pleaseinsertthestrap-ontyperectumconnectingconnectorintothestrap-ontypeframe,
 andputtheanalportionofthegenitalskinonthestrap-ontyperectumconnecting
 connector.Aftertheconnectorisinserteddeepintotheanalportion,pleasetandxthe
 positionofthegenitalskintothestrap-ontypeframe.
5.PleaseinserttheO-ringintotheconnectoroftheurethralpart,andconnectittothebladder
 tube.

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6.Pleaseconnectthestrap-ontyperectumconnectingconnectortothedraintube.
3-2WearingMethod
1.Pleaseremovethefrontbeltandrearbeltfromthewaistbelt.
2.Pleasewearthewaistbeltandadjusttheadjusteraccordingtowaistsize.

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3.Pleasepassthefrontbeltthroughthewaistbelt,andtandxthepositionofthepubicarea
 withhookandloopfasteners.
4.Pleasepasstherearbeltthroughthewaistbelt,andxitwithhookandloopfastenerssuch
 thatthebeltsdonotcomeloose.
5.Whenperforminganenematechnique,pleaseremovethefrontbeltonce,tthepositionof
 theanustothebody,andadjustthelengthoftherearbeltrst.
CaseofCatheterization
CaseofEnema