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

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3-3InsertionofCatheterizationCatheter
1.Pleaseputwaterintothebagforirrigator,opentheclamp,andcheckwhetherornotthe 
 waterleaksfromthesimulator.
2.Pleaselowertheforeskin,exposetheglans,anderectthepenisatabout90degrees.
 *Whenpracticingthecleaningordisinfectingofthepubicarea,pleaseusewaterinsteadof
  disinfectionliquid.
3.Pleaseapplylubricantonthedistalendofthecatheterforabout4to5cmandinsertthe 
 catheter.Ifyoufeelresistance,pleaseslantthepenisforwardatabout60degrees,and 
 advancethecathetersuchthatyouslightlydrawthepenistoyourself.
*Intermediateresistancereproducesresistanceofthebulbarurethra.
 *Thesimulatorisconguredsuchthatitisdi󱐰culttoinsertthecatheterifthepenisis 
  loweredtoananglelessthanabout60degrees.
 *Ifitisdi󱐰culttoinsertthecatheter,pleasecheckthetechniquesandinsertitagain.Inthis
  case,pleaseremovemoisturefromthecatheterandincreasetheamountofthelubricant
  tobeapplied.Also,pleaseconsiderusingothertypesofcatheters(rmsiliconecatheteror
catheterwiththinnerbaloonpartetc).Thesimulatormaybebrokenifhecatheterisforced
tobeinserted.
About60degrees

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 *Ifitisdi󱐰culttoinsertthecatheter,pleaseusewatermixedwithasmallamount
(approx5%)ofsurfactant(neutraldetergent)asurine.
 *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fromtheurethral
  exit.Pleaseslantthesimulatorsuitablytodrainthewaterthroughtheexternalurethraexit.
4.Pleasechecktheoutowoftheurine(water).Ifurinedoesnotowout,thecathetermayfail
 topassthroughthevalve,theclampofthebagforirrigatormayfailtoopen,ortheamountof
 waterinthebagforirrigatormaybereducedtoasmallamount.
5.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atanintermediateofthevalvecausesthevalveandthecathetertobebroken.
6.Oncethecatheterisinserted,pleaseremovethemoisturefromitswettip,applythelubricant
 eachtime,andtheninsertthecatheter.Ifthelubricantisappliedwherewaterremains,the 
 lubricantslideseasilyo󱐯ofthecatheter.Thismakesitdi󱐰culttoinsertthecatheter.
3-4Enema
1. Pleaseprepareabucketetc.underadeskorabedandputthedistalendofthedraintubeinit.
2.Pleasetandxthepositionoftheanusofthestrap-ontypeframetothebody,andadjustthe
 lengthofthebelt.
3.Pleaseapplylubricanttothedistalendofaglycerineenemator,insertitintotheanus,andpour
 enemaliquid(water)intoit.Atthistime,pleaselowerthedistalendofthedraintubetoa 
 positionbelowtheanus.Otherwise,theenemaliquid(water)mayowbackwardandstain 
 clothing.
3-5Removal
1. Pleaseremovethefrontbeltfromthewaistbelt,removethewaistbelt,andremovethe
 strap-ontypeframe.

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2.Pleaseclosetheclampofthebagforirrigatorandremovethebagfromthebladdertube.
3.Pleaseremovethedraintubefromthestrap-ontyperectumconnectingconnector.
 *Pleasepayattentiontotheoutowofthewater.
4.Pleaseremovetheconnectorforconnectingtheurethralpartandthebladdertube.
 *Atthistime,pleasepayattentiontoalossoftheO-ring.
5.Pleaseremovethebladdervalvefromthebladdertube,anddrainthewaterinthetube.

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6.Pleaseremovethegenitalskinfromthestrap-ontypeframe.
 Atthistime,pleaseremoveslowlywhileholdingtheareaofthehookandloopfastenerso
 thatitdoesnotpeelo󱐯fromthegenitalskin.
7. Pleasepullthegenitalskinoutofthestrap-ontyperectumconnectingconnector, 
 andremovethestrap-ontyperectumconnectingconnectorfromthestrap-ontypeframe.
8.Pleaseremovetheurethralpartfromthegenitalskin.
9.Pleasewashtheurethralpart,thebladdervalve,thebladdertube,thegenitalskin, 
 andthestrap-ontyperectumconnectingconnectorwellwithwaterafteruse.

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4. Washing and Storage Methods
1. Pleaseushthelubricantthathasadheredtotheurethralpart,thebladdervalve,thebladder
 tube,etc.wellwithwater.Ifthelubricantdriesandhardens,itmayinterferewiththeuseof
 thesimulator.
2.Pleaseremovemoisturewell,drythesimulatorandthenputitintoastoragebag.
3.Oilcomponentsmaycomeoutofthegenitalskin.Afterusingthesimulator,pleasedonot
 keepthegenitalskinattachedtothemainbody.Pleasewrapitincookingpaper,gauze,
 etc.,putitintoanattachedreclosablepolybag,andkeepittherein.Pleasewrapthegenital
 skingentlysuchthatwrinklesarenotgeneratedonit.
4.Pleaseapplybabypowderthatiscommerciallyavailable,ifyoumindstickinessofthe
 genitalskin.
5. Asforstainsonthesimulator,pleaseuseneutraldetergentthatiswatereddownandwipe
 o󱐯thestainswithwetgauzeetc.
 *Pleasedonotusesolventssuchasthinnerandbenzene.

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5. Specications
6. Replacement Parts (Sold Separately)
Length Width Height Weight
MainBody
StorageBag
Approx.23cm Approx.13cm Approx.18cm Approx.0.7kg
Approx.21cm Approx.47cm Approx.24cm
Productname
Bagforirrigator(3pcs/set) LM-025J
Tubeforirrigator(3pcs/set) LM-025H
Productname ProductNo.
MaleGenitalskin LM-109MB
BladderValve(Male/Female) LM-109V
Glycerineenemator(withcap/5pcs) LM-0686