KOKEN LM-097B User manual

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Suction·Tube
Feeding Simulator
(Suction Training Model Type II + Tube Feeding Components)
LM-097B
Suction Training Model Type II LM-097
Tube Feeding Components LM-097C
InstructionManual
ThankyouforpurchasingtheLM-097BSuction·TubeFeedingSimulator.
Pleasereadthisinstructionmanualcarefullytoensurecorrectuseoftheproduct,
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]
©2012-2021KOKENCO.,LTD.C-1-995-1-01-06

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1
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modelismanufacturedtofeellikealivinghumanbodytothetouch.Forcefulorcareless
 handlingmaydamagethemodel.
2. Anysuctioncatheters,tracheostomycannula,andfeedingtubesusedfortrainingshouldbeused
 onlywiththemodel.Neverusetheseitemswithalivinghumanbody.
3. Neverputthesimulatedsputumprovidedasanaccessoryintohumanbody(eyesormouth).(The
 simulatedsputumismanufacturedfromamaterialusedforcosmetics,andismanufacturedusing
 materialsthatmeetTheJapaneseStandardsofCosmeticIngredients,aswellasSupplementtothe
 JapaneseCosmeticIngredientsCodex.)
4. Liquidleakagemayoccurwithimproperuse,anddirtythesurroundings.Pleasereadthe
 instructionmanualcarefullybeforeuse.Itisrecommendedthatthemodelbeusedinaplacethat
 willnotbedamagedifleakageoccurs,orontopofanabsorptivesheet.
5. Duringpracticeandclean-up,pleasemakesurethattheheadofthemodelisnotlowerthanthebody
whenthetubefeedingtankcontainswaterorotherliquids.Otherwise,leakagewilloccur.
6. Thisproductisintendedforuseinstandardoperatingenvironments.Donotuseitinheavyindustrial
settings.
7. 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.
Maintenance of the model after use
1. Donotplaceobjectsonthemodelmainbody,asthismaycausedeformation.
2. Tocleanthemodel,useaneutralsolventdilutedwithwater,orusewater,andwipethemodel
 withapieceofgauzemoistenedwiththesolventorwater.
 NOTE:Donotusethinner,benzeneorsimilarsolvents.
3. Storethemodelinalocationwhereitwillnotbeexposedtodirectsunlightorultravioletrays.
4. Anymarksmadeusingwater-basedandoil-basedpens,pencils,chalk,paint,etc.willpenetrateintothe
modelandcannotbeerased.Pleasebesurenevertousetheseitems.
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.

2
Table of Contents
1. Outline and Features
2. Components
3. Handling the Model
4. Caring for the Model
5. Specications

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1. Outline and Features
Outline
 Thismodelcanbeusedtopracticetheinsertionofsuctioncathetersintothenasalcavity,
oralcavityandtracheostomysite,aswellsuctionprocedures,nasogastrictubefeeding,and
gastrostomycareprocedures,routinelyappliedinthenursingandcaregivingelds.
 Thefacialregioncanbedividedintotwohalvesalongthemidline,allowingconrmationofthe
actualinsertionstatusofasuctioncatheterandfeedingtubes.
 Thetubefeedingcomponentscomewithaninternaltank,allowingnasogastrictubefeedingand
gastrostomymanagementusingactualliquids.Thetankhasadrainagefunction,sothereisno
needtoworryaboutoverowwhenthetankbecomesfull.
 Insertionofsuctioncathetersintothenasalcavity,oralcavityandtracheostomysiteand
suctioningpractice,whicharedonewiththeSuctionTrainingModelTypeII,canalsobe
performedwiththetubefeedingcomponentsattached.
 Thefollowingcathetersizescanbeusedwiththemodel.
Features
・ Suction Training Model Type II
 Siliconerubberisusedforthemodel,sothatstudentscanpracticewithanexteriorandfeelthat
areveryclosetothoseofalivinghumanbody.
 Thesimulatedsputumprovidedasanaccessorycanbeinsertedintothenasalcavity,oralcavity
ortrachea,fortraining.Thisallowsstudentstotraininthesamemannerastheactualprocedure,
andenablesmoree󱐯ectivesuctiontraining.(Viscosityofthesimulatedsputumcanbecontrolled
usingwater.)
・ Tube feeding components
 Insertionofthefeedingtubeallthewaytothegastricfunduscanbepracticed.Airbubble
soundscanbeheardandsuctionofgastricuidcanbeusedtoconrmtheinsertionofthetube.
Techniquescanalsobepracticedusingactualnutrientsolution,equivalenttoroutinenursing
caresettings.
 Themodelcanbetakenapartforveryeasymaintenance.Thetanksforliquidsarewashable,so
hygieneisnotaworry.
 Suctioncatheters 12Fr~16Fr
 Feedingtube 8Fr~16Fr
 Gastrostomytube 20Fr




Suction·Tube Feeding Simulator

4












2. Components
Suction Training Model Type II
 NamesoftheComponents Quantity
① SuctionTrainingModelTypeIImainbody 1
② Sideofface 1
③ Acrylicboardforthesideoftheface 1
④ Bronchus 1
⑤ Claspforbronchus 1
⑥
Tracheostomycannula(ExclusivelyforLifeSimulationModels)  1
⑦ Glycerin 1
⑧ Simulatedsputum 1
 Storagebag 1
 InstructionManual(thisdocument) 1
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2. Components
SuctionTrainingModel Type II
Namesofthe Components Quantity
SuctionTrainingModel Type II main body 1
Side of face 1
Acrylicboard forthe side of theface 1
Bronchus 1
Claspfor bronchus 1
Tracheostomy cannula(KOKENTrachealCannula PP
Single-Tube Type,13mm)
1
Glycerin 1
Simulatedsputum 1
Storagebag 1
InstructionManual(this document)1
※ ThestoragebagfortheSuctionTrainingModelTypeIIisnotincludedintheSuction・TubeFeedingSimulatorunit.
※ ThetracheostomycannulaisforusewithLifeSimulationModelsonly.Itisnottobeusedinhumans.

5









Tube feeding components
 NamesoftheComponents Quantity
① Body 1
② Backplate 1
③ Gastrostomytank 1
④ Tubefeedingtank 1
⑤ Insertionsupportpiece 1
 Storagebag 1
 InstructionManual(thisdocument) 1
-4-
Tube feedingcomponents
Namesofthe Components Quantity
Body 1
Back plate1
Gastrostomytank1
Tube feedingtank1
Insertionsupportpiece 1
Storagebag 1
InstructionManual(this document)1

6
3. Handling the Model
・Suction Training Model Type II
3-1. Connecting the bronchus and main body of the Suction Training Model Type II (when practicing
suctioning)
1)Fitthebronchusclaspontothebronchus.
2)InsertthebronchusintothetracheaofthemainbodyofSuctionTrainingModelTypeII.Withyour
ngers,tightenthebronchusclaspontheoverlappingparttosecuretothetracheaoftheSuction
TrainingModelTypeIImainbody.
3-2. Apply lubricant (glycerin) inside the nasal and oral cavities.
Applyseveraldropsoftheglycerinthatcomeswiththemodeltoapieceofgauzeorothersoftcloth,
andwiththatgauzespreadthelubricantwithintheentirenasalandoralcavities(tongueandoral
cavitywalls)sothatallsurfacesareslick.
TracheaofSuctionTrainingModel
TypeIImainbody
Withyourngers,tightenthebronchus
claspinthedirectionsindicatedbythe
arrows,tosecurethebronchustothe
mainbodyoftheSuctionTraining
ModelTypeII.
-5-
3. Handlingthe Model
SuctionTrainingModel Type II
3-1. Connectingthe bronchus andmainbody of theSuction Training ModelTypeII(when practicing
suctioning)
1) Fitthe bronchus claspontothe bronchus.
2) Insert thebronchusintothe tracheaofthe main body of SuctionTrainingModel Type II.Withyour
fingers, tightenthe bronchus clasponthe overlappingparttosecuretothe trachea of theSuction
Training ModelTypeIImainbody.
3-2. Applylubricant (glycerin) inside thenasal andoralcavities.
Applyseveral dropsofthe glycerin that comeswiththe modeltoapieceofgauze or othersoftcloth,
andwiththatgauze spread thelubricantwithinthe entire nasaland oral cavities (tongueand oral cavity
walls)sothatall surfacesare slick.
TracheaofSuction Training Model
Type II main body
With your fingers,tighten thebronchus
claspinthe directions indicatedbythe
arrows,tosecurethe bronchus to the
main body of theSuction Training
ModelTypeII.
-5-
3. Handlingthe Model
SuctionTrainingModel Type II
3-1. Connectingthe bronchus andmainbody of theSuction Training ModelTypeII(when practicing
suctioning)
1) Fitthe bronchus claspontothe bronchus.
2) Insert thebronchusintothe tracheaofthe main body of SuctionTrainingModel Type II.Withyour
fingers, tightenthe bronchus clasponthe overlappingparttosecuretothe trachea of theSuction
Training ModelTypeIImainbody.
3-2. Applylubricant (glycerin) inside thenasal andoralcavities.
Applyseveral dropsofthe glycerin that comeswiththe modeltoapieceofgauze or othersoftcloth,
andwiththatgauze spread thelubricantwithinthe entire nasaland oral cavities (tongueand oral cavity
walls)sothatall surfacesare slick.
TracheaofSuction Training Model
Type II main body
With your fingers,tighten thebronchus
claspinthe directions indicatedbythe
arrows,tosecurethe bronchus to the
main body of theSuction Training
ModelTypeII.
-5-
3. Handlingthe Model
SuctionTrainingModel Type II
3-1. Connectingthe bronchus andmainbody of theSuction Training ModelTypeII(when practicing
suctioning)
1) Fitthe bronchus claspontothe bronchus.
2) Insert thebronchusintothe tracheaofthe main body of SuctionTrainingModel Type II.Withyour
fingers, tightenthe bronchus clasponthe overlappingparttosecuretothe trachea of theSuction
Training ModelTypeIImainbody.
3-2. Applylubricant (glycerin) inside thenasal andoralcavities.
Applyseveral dropsofthe glycerin that comeswiththe modeltoapieceofgauze or othersoftcloth,
andwiththatgauze spread thelubricantwithinthe entire nasaland oral cavities (tongueand oral cavity
walls)sothatall surfacesare slick.
TracheaofSuction Training Model
Type II main body
With your fingers,tighten thebronchus
claspinthe directions indicatedbythe
arrows,tosecurethe bronchus to the
main body of theSuction Training
ModelTypeII.

7
3-3. Place the simulated sputum into the nasal cavity, oral cavity, and bronchus.
1)Beforestartingtraining,useaspoontoextractanamountofsimulatedsputumandplaceit
insectionswheresuctioningwillbepracticed.Setthesideofthefaceinplaceasshownbelow,
matchingittothehookandloopfasteners.
Note:Iftrainingisbeingperformedwiththesideofthefacesetinplace,attachthesideoftheface
withoutinstallingtheaccompanyingacrylicboard.
2)Tovisuallyconrmpositionofthesuctioncatheterswhenpracticingsuctioningofthenasalcavity,
attachtheacrylicboardforthesideofthefaceasshownbelowbeforethestartoftraining.
Note:Ensurethattheacrylicboardforthesideofthefaceisfacinginthecorrectdirection.
Note:Useasuctioncatheterthatis12–16Fr.
-6-
3-3. Place thesimulatedsputum into thenasal cavity, oral cavity,and bronchus.
1) Before starting training, useaspoontoextract an amount of simulatedsputum andplace it in sections
wheresuctioningwillbepracticed.Set thesideofthe face in placeasshown below, matching it to the
hook andloopfasteners [Or“Ve lcro”. Please confirmhereand theunderlined termsbelow].
Note:Iftrainingisbeing performedwiththe side of thefaceset in place, attach thesideofthe face
withoutinstallingthe accompanying acrylic board.
2) To visually confirmpositionofthe suctioncatheters when practicing suctioning of thenasal cavity,
attach theacrylic boardfor thesideofthe face as shownbelow before thestart of training.
Note:Ensurethatthe acrylic boardfor thesideofthe face is facing in thecorrect direction.
Note:Useasuction catheterthatis12–16 Fr.
Hook andloopfasteners
With side of
face attached
Hook andloopfasteners
With acrylic
boardattached
Hookandloopfasteners
-6-
3-3. Place thesimulatedsputum into thenasal cavity, oral cavity,and bronchus.
1) Before starting training, useaspoontoextract an amount of simulatedsputum andplace it in sections
wheresuctioningwillbepracticed.Set thesideofthe face in placeasshown below, matching it to the
hook andloopfasteners [Or“Ve lcro”. Please confirmhereand theunderlined termsbelow].
Note:Iftrainingisbeing performedwiththe side of thefaceset in place, attach thesideofthe face
withoutinstallingthe accompanying acrylic board.
2) To visually confirmpositionofthe suctioncatheters when practicing suctioning of thenasal cavity,
attach theacrylic boardfor thesideofthe face as shownbelow before thestart of training.
Note:Ensurethatthe acrylic boardfor thesideofthe face is facing in thecorrect direction.
Note:Useasuction catheterthatis12–16 Fr.
Hook andloopfasteners
With side of
face attached
Hook andloopfasteners
With acrylic
boardattached
Hookandloopfasteners

8
3-4. Set the tracheostomy cannula in place.
1)Thetracheostomycannulaprovidedasanaccessorycanbesetinplacetopracticesuctioningin
thebronchus.
※ ThetracheostomycannulaisforusewithLifeSimulationModelsonly.Itisnottobeusedinhumans.
2)Insertasuctioncathetertopracticesuctioning.
・ Suction・Tube Feeding Simulator/Tube Feeding Components
3-5. Set each tank in place. *(When practicing tube feeding and gastrostomy care.)
1)Placethebackplateonaatsurface,andsetthetubefeedingtankandgastrostomytankinthe
backplateintheordershownbelow.
2)Closethecocksonthedrainagetubesofthetubefeedingtankandgastrostomytank.
-7-
3-4. Setthe tracheostomy cannulainplace.
1) Thetracheostomy cannula provided as an accessory can be setinplace to practice suctioning in the
bronchus.
2) Insert asuction cathetertopracticesuctioning.
Suction·Tube FeedingSimulator/Tube FeedingComponents
3-5. Set eachtankinplace. *(When practicing tube feedingand gastrostomycare.)
1) Place theback plateonaflat surface, andset thetube feedingtankand gastrostomytankinthe back
plateinthe ordershown below.
2) Closethe cocksonthe drainage tubesofthe tube feedingtankand gastrostomytank.
Closethe cock by pressing together
with thefingers in thedirection
shown.
-7-
3-4. Setthe tracheostomy cannulainplace.
1) Thetracheostomy cannula provided as an accessory can be setinplace to practice suctioning in the
bronchus.
2) Insert asuction cathetertopracticesuctioning.
Suction·Tube FeedingSimulator/Tube FeedingComponents
3-5. Set eachtankinplace. *(When practicing tube feedingand gastrostomycare.)
1) Place theback plateonaflat surface, andset thetube feedingtankand gastrostomytankinthe back
plateinthe ordershown below.
2) Closethe cocksonthe drainage tubesofthe tube feedingtankand gastrostomytank.
Closethe cock by pressing together
with thefingers in thedirection
shown.
-7-
3-4. Setthe tracheostomy cannulainplace.
1) Thetracheostomy cannula provided as an accessory can be setinplace to practice suctioning in the
bronchus.
2) Insert asuction cathetertopracticesuctioning.
Suction·Tube FeedingSimulator/Tube FeedingComponents
3-5. Set eachtankinplace. *(When practicing tube feedingand gastrostomycare.)
1) Place theback plateonaflat surface, andset thetube feedingtankand gastrostomytankinthe back
plateinthe ordershown below.
2) Closethe cocksonthe drainage tubesofthe tube feedingtankand gastrostomytank.
Closethe cock by pressing together
with thefingers in thedirection
shown.
Closethecockbypressingtogether
withthengersinthedirectionshown.

9
3-6. Add water so that air bubbles can be heard when checking an insertion
Pour100mlofwaterintothetubefeedingtanksetinthebackplate.
Note:Becarefulnottoaddtoomuchwater,asthismaycauseleakageorbackow.
 Pleasemakesurethattheheadofthemodelisnotlowerthanthebodyoncewaterhasbeen
 pouredin.Otherwise,leakagewilloccur.
3-7. Connect Suction Training Model Type II and tube feeding body
1)JointhetubefeedingtankandtheesophagusoftheSuctionTrainingModelTypeIIasshown
below.
2)Coverwiththebody.Placethebodyonthebackplatesothatthethree
hookandloopfasteners
alignproperly.Pushdownlightlyonthebodysothatthehookandloopfasteners
adheretoeach
other.
-8-
3-6. Addwater so that airbubbles can be heardwhencheckinganinsertion.
Pour 100 ml of waterintothe tube feedingtankset in theback plate.
Note:Becareful nottoadd toomuchwater,asthismay causeleakageorback flow.
3-7. Connect SuctionTrainingModel Type II andtubefeedingbody.
1) Join thetubefeedingtankand theesophagus of theSuction Training ModelTypeIIasshown below.
2) Coverwiththe body.Place thebody on theback platesothatthe threehookand loop fastenersalign
properly. Push down lightly on thebody so that thehookand loop fastenersadheretoeachother.
Water 100 ml
Water 100 ml
Hook andloopfasteners
-8-
3-6. Addwater so that airbubbles can be heardwhencheckinganinsertion.
Pour 100 ml of waterintothe tube feedingtankset in theback plate.
Note:Becareful nottoadd toomuchwater,asthismay causeleakageorback flow.
3-7. Connect SuctionTrainingModel Type II andtubefeedingbody.
1) Join thetubefeedingtankand theesophagus of theSuction Training ModelTypeIIasshown below.
2) Coverwiththe body.Place thebody on theback platesothatthe threehookand loop fastenersalign
properly. Push down lightly on thebody so that thehookand loop fastenersadheretoeachother.
Water 100 ml
Water 100 ml
Hook andloopfasteners
-8-
3-6. Addwater so that airbubbles can be heardwhencheckinganinsertion.
Pour 100 ml of waterintothe tube feedingtankset in theback plate.
Note:Becareful nottoadd toomuchwater,asthismay causeleakageorback flow.
3-7. Connect SuctionTrainingModel Type II andtubefeedingbody.
1) Join thetubefeedingtankand theesophagus of theSuction Training ModelTypeIIasshown below.
2) Coverwiththe body.Place thebody on theback platesothatthe threehookand loop fastenersalign
p
roperly. Push down lightly on thebody so that thehookand loop fastenersadheretoeachother.
Water 100 ml
Water 100 ml
Hook andloopfasteners
Hookandloopfasteners

10
3)WrapthebeltontheshoulderofthebodyovertheshoulderoftheSuctionTrainingModelType
IIandtightenasshownbelow.AdjustthebeltsothatthereisnoslackbetweentheSuctionTraining
ModelTypeIIandthetubefeedingbody.
4)Attachtheinsertionsupportpiecetothesideofthelarynx,asshownbelow.Attachingthe
insertionsupportpiecemakesiteasierforthetubetoentertheesophagus.Afterattachingthe
insertionsupportpiece,setthesideofthefaceinplace.
Note:Whenusingtheacrylicboardforthesideoftheface,thereisnospecialneedtoattachthe
insertionsupportpiece.
3-8. Fitting the gastrostomy tube into the gastrostomy opening (*When practicing gastrostomy care.)
Note:Usea20-Frgastrostomytube.
Fitthegastrostomytubeinthegastrostomyopeningontheleftsideoftheabdomenofthebody.
Placeeachgastrostomytubewithreferencetoitsrespectivehandlingmethods.
*Wheninsertingagastrostomytubeintothegastrostomyopening,insertionwillbeeasierifasmall
amountoflubricant(glycerin)isputonthetipofthegastrostomytube.
-9-
3) Wrap thebeltonthe shoulder of thebody over theshoulderofthe SuctionTrainingModel Type II and
tightenasshown below. Adjust thebeltsothatthere is no slackbetween theSuction Training Model
Type II andthe tube feedingbody.
4) Attach theinsertion support piece to thesideofthe larynx,asshown below. Attachingthe insertion
support piece makesiteasierfor thetubetoenter theesophagus.After attachingthe insertionsupport
piece, setthe side of theface in place.
Note:Whenusing theacrylic boardfor thesideofthe face, thereisnospecial need to attach the
insertionsupport piece.
3-8. Fittingthe gastrostomytubeintothe gastrostomy opening (*When practicing gastrostomycare.)
Note:Usea20-Fr gastrostomytube.
Fitthe gastrostomytubeinthe gastrostomyopening on theleftsideofthe abdomenofthe body.
Place eachgastrostomy tube with referencetoits respectivehandlingmethods.
*Wheninserting agastrostomy tube into thegastrostomy opening, insertionw
illbeeasierifasmall
amountoflubricant(glycerin)isput on thetip of thegastrostomy tube.
Tighten
Loosen
Insertionsupport piece
-9-
3) Wrap thebeltonthe shoulder of thebody over theshoulderofthe SuctionTrainingModel Type II and
tightenasshown below. Adjust thebeltsothatthere is no slackbetween theSuction Training Model
Type II andthe tube feedingbody.
4) Attach theinsertion support piece to thesideofthe larynx,asshown below. Attachingthe insertion
support piece makesiteasierfor thetubetoenter theesophagus.After attachingthe insertionsupport
piece, setthe side of theface in place.
Note:Whenusing theacrylic boardfor thesideofthe face, thereisnospecial need to attach the
insertionsupport piece.
3-8. Fittingthe gastrostomytubeintothe gastrostomy opening (*When practicing gastrostomycare.)
Note:Usea20-Fr gastrostomytube.
Fitthe gastrostomytubeinthe gastrostomyopening on theleftsideofthe abdomenofthe body.
Place eachgastrostomy tube with referencetoits respectivehandlingmethods.
*Wheninserting agastrostomy tube into thegastrostomy opening, insertionw
illbeeasierifasmall
amountoflubricant(glycerin)isput on thetip of thegastrostomy tube.
Tighten
Loosen
Insertionsupport piece
-9-
3) Wrap thebeltonthe shoulder of thebody over theshoulderofthe SuctionTrainingModel Type II and
tightenasshown below. Adjust thebeltsothatthere is no slackbetween theSuction Training Model
Type II andthe tube feedingbody.
4) Attach theinsertion support piece to thesideofthe larynx,asshown below. Attachingthe insertion
support piece makesiteasierfor thetubetoenter theesophagus.After attachingthe insertionsupport
piece, setthe side of theface in place.
Note:Whenusing theacrylic boardfor thesideofthe face, thereisnospecial need to attach the
insertionsupport piece.
3-8. Fittingthe gastrostomytubeintothe gastrostomy opening (*When practicing gastrostomycare.)
Note:Usea20-Fr gastrostomytube.
Fitthe gastrostomytubeinthe gastrostomyopening on theleftsideofthe abdomenofthe body.
Place eachgastrostomy tube with referencetoits respectivehandlingmethods.
*Wheninserting agastrostomy tube into thegastrostomy opening, insertionw
illbeeasierifasmall
amountoflubricant(glycerin)isput on thetip of thegastrostomy tube.
Tighten
Loosen
Insertionsupport piece

11
3-9. Practice.
1)Putthemodelinthepositioninwhichpracticewillbedone.
Note:Pleaseusethismodelinpositionsfrom5°to<90°.Ifpracticeiscarriedoutwiththeheadof
 themodelplacedlowerthanthebody,orinananteexionoralateralposition,leakagewilloccur.
2)Puttheendofthedrainagetubeintothedrainagereceptacleorsink,andopenthecocksonthe
drainagetubesofthetubefeedingtankandgastrostomytank.Thecockscanbeopenedbypushing
thelipinthedirectionofthearrowbelow.
4. Caring for the Model
4-1. Caring for the tube feeding components
1)Afterconrmingthatnonutrientsolutionsorotherliquidsaredrainingfromthedrainagetube,
slowlyreturnthemodeltoahorizontalpositionandclosethecockoneachtube.
-10-
3-9. Practice.
1) Putthe modelinthe position in whichpracticewillbedone.
Note:Itisrecommended that this modelbeusedinpositions from 0° to <90°.Leakagemay occur
with body positionsof≥90°orinalateralposition.
2) Putthe endofthe drainage tube into thedrainagereceptacleorsink, andopenthe cocksonthe
drainage tubesofthe tube feedingtankand gastrostomytank. Thecocks canbeopenedbypushing the
lipinthe directionofthe arrowbelow.
4. Caring forthe Model
4-1. Caring forthe tube feedingcomponents
1) Afterconfirmingthatnonutrientsolutions or otherliquids aredrainingfromthe drainage tube,slowly
return themodel to ahorizontalpositionand closethe cock on each tube.
-10-
3-9. Practice.
1) Putthe modelinthe position in whichpracticewillbedone.
Note:Itisrecommended that this modelbeusedinpositions from 0° to <90°.Leakagemay occur
with body positionsof≥90°orinalateralposition.
2) Putthe endofthe drainage tube into thedrainagereceptacleorsink, andopenthe cocksonthe
drainage tubesofthe tube feedingtankand gastrostomytank. Thecocks canbeopenedbypushing the
lipinthe directionofthe arrowbelow.
4. Caring forthe Model
4-1. Caring forthe tube feedingcomponents
1) Afterconfirmingthatnonutrientsolutions or otherliquids aredrainingfromthe drainage tube,slowly
return themodel to ahorizontalpositionand closethe cock on each tube.

12
2)Releasetheshoulderbelt.
3)Takethebodyoffthebackplate.Removeslowly,makingsuretostartfromthehookandloop
fastenersonthelumbarsidewhileholdingthebackplatedown.Improperorderorroughhandling
maycauseleakage.
4)Withthecocksondrainagetubesclosed,removethetubefeedingtankandgastrostomytank
fromthebackplateandcarrytoasinkorotherplacewheretheycanbewashed.
Openthecocksonthedrainagetubesandwash.Forstubbornsmudges,washusinganeutral
detergent.
-11-
2) Releasethe shoulderbelt
3) Take thebody offthe back plate. Remove slowly,makingsuretostart from thehookand loop
fastenersonthe lumbar side while holdingthe back platedown. Improper orderorrough handling
maycause leakage.
4) With thecocks on drainage tubesclosed, remove thetubefeeding tank andgastrostomy tank from the
back plateand carry to asinkorother placewhere they canbewashed.
Open thecocks on thedrainagetubes andwash. Forstubbornsmudges,washusing aneutral
detergent.
Releasethe belt by pressing with the
fingersinthe directions of thearrows.
Releasethebeltbypressingwiththe
ngersinthedirectionsofthearrows.
-11-
2) Releasethe shoulderbelt
3) Take thebody offthe back plate. Remove slowly,makingsuretostart from thehookand loop
fastenersonthe lumbar side while holdingthe back platedown. Improper orderorrough handling
maycause leakage.
4) With thecocks on drainage tubesclosed, remove thetubefeeding tank andgastrostomy tank from the
back plateand carry to asinkorother placewhere they canbewashed.
Open thecocks on thedrainagetubes andwash. Forstubbornsmudges,washusing aneutral
detergent.
Releasethe belt by pressing with the
fingersinthe directions of thearrows.
-11-
2) Releasethe shoulderbelt
3) Take thebody offthe back plate. Remove slowly,makingsuretostart from thehookand loop
fastenersonthe lumbar side while holdingthe back platedown. Improper orderorrough handling
maycause leakage.
4) With thecocks on drainage tubesclosed, remove thetubefeeding tank andgastrostomy tank from the
back plateand carry to asinkorother placewhere they canbewashed.
Open thecocks on thedrainagetubes andwash. Forstubbornsmudges,washusing aneutral
detergent.
Releasethe belt by pressing with the
fingersinthe directions of thearrows.

13
5)Wipemarksorsmudgesfromthebodyandbackplatewithatowelorclothmoistenedwithwater.
4-2. Care for the Suction Training Model Type II
1)RemovethebronchusfromtheSuctionTrainingModelTypeIImainbodyasshownbelow.
2)Releasethelockonthebronchusclasp,andremovethebronchusfromthemainbodyofthe 
SuctionTrainingModelTypeII.
3)Removethecapsfromtheendsofthebronchus,andwashtheinsideofthebronchuswithwater.
-12-
5) Wipe marksorsmudges from thebody andbackplate with atowel or clothmoistened with water.
4-2. Care forthe SuctionTrainingModel Type II
1) Remove thebronchusfromthe SuctionTrainingModelTypeIImainbody as shownbelow.
2) Releasethe lock on thebronchusclap, andremovethe bronchus from themainbody of theSuction
Training ModelTypeII.
3) Remove thecapsfromthe ends of thebronchus, andwashthe inside of thebronchuswithwater.
Open theknobs on thebronchusclasp in the
directionofthe arrows showninthe figure,
andrelease thelock.
Thesimulated sputum is
water-based, andcan be
washed with water.
-12-
5) Wipe marksorsmudges from thebody andbackplate with atowel or clothmoistened with water.
4-2. Care forthe SuctionTrainingModel Type II
1) Remove thebronchusfromthe SuctionTrainingModelTypeIImainbody as shownbelow.
2) Releasethe lock on thebronchusclap, andremovethe bronchus from themainbody of theSuction
Training ModelTypeII.
3) Remove thecapsfromthe ends of thebronchus, andwashthe inside of thebronchuswithwater.
Open theknobs on thebronchusclasp in the
directionofthe arrows showninthe figure,
andrelease thelock.
Thesimulated sputum is
water-based, andcan be
washed with water.
Opentheknobsonthebronchusclaspin
thedirectionofthearrowsshowninthe
gure,andreleasethelock.
-12-
5) Wipe marksorsmudges from thebody andbackplate with atowel or clothmoistened with water.
4-2. Care forthe SuctionTrainingModel Type II
1) Remove thebronchusfromthe SuctionTrainingModelTypeIImainbody as shownbelow.
2) Releasethe lock on thebronchusclap, andremovethe bronchus from themainbody of theSuction
Training ModelTypeII.
3) Remove thecapsfromthe ends of thebronchus, andwashthe inside of thebronchuswithwater.
Open theknobs on thebronchusclasp in the
directionofthe arrows showninthe figure,
andrelease thelock.
Thesimulated sputum is
water-based, andcan be
washed with water.
Thesimulatedsputumis
water-based,andcanbe
washedwithwater.

14
  Length Width Height Weight
Mainbody  Approx.40cm/46cm Approx.28cm Approx.20cm Approx.1.4kg
5. Specications
4)Ifanysimulatedsputumremainsinthenasalcavityand/ororalcavityoftheSuctionTraining
ModelTypeIImainbody,wipeito󱐯withapieceofgauzeorsimilarmaterialmoistenedwithwater.
Forstubbornsmudges,washwithwater.
  Length Width Height Weight
Mainbody  Approx.37cm Approx.31cm Approx.20cm Approx.2.8kg
Tube feeding component
Suction Training Model Type II
(whenbronchusisinstalled)



Productname ProductNo.
Simulatedsputum(100gx5pcs) LM-0701
● Optional items
-13-
4) If anysimulatedsputum remainsinthe nasalcavityand/ororal cavityofthe SuctionTrainingModel
Type II main body,wipeitoff with apiece of gauzeorsimilar material moistenedwithwater.For
stubbornsmudges, wash with water.
5. Specifications
SuctionTrainingModel Type II
Tube feedingcomponent
Suction·Tube FeedingSimulator
Optional items
Length WidthHeight Weight
Main body 36 cm/45 cm
(whenbronchusisinstalled)30 cm 20 cm 1.4kg
Length WidthHeight Weight
Main body 32 cm 31 cm 20 cm 2.9kg
Length WidthHeight Weight
Main body 72 cm 31 cm 20 cm 4.2kg
When stored in bag75cm32cm20cm4.7 kg
ProductmaneProductNo.
Simulatedsputum (100 g, 5pcs)LM-0701
KokenCo.,Ltd.
1-4-14 Koraku,Bunkyo-ku, Tokyo112-0004,Japan




  Length Width Height Weight
Mainbody  Approx.72cm Approx.31cm Approx.20cm Approx.4kg
Whenstoredinbag  Approx.75cm Approx.32cm Approx.20cm Approx.5kg
Suction·Tube Feeding Simulator





