Kyoto Kagaku AbdoAbby User manual

ＭＷ43
”AbdoAbby” Abdominal
Examination Simulator
Production Supervision：
Takahiro Amano, M.D.
Vice Pres
ident, International University of Health and Welfare
Kyoko Arai,
Professor, School of Nursing, University of Shizuoka Instruction
Manual
Contents
Introduction
Manufacturerʼs note ····························P.1-2
P.3
P.4
●
●
Preparation
Unpack the torso unit/
Setting of the liver ································
····
Setting of the liver ································ P.5
Setting of the spleen·····························P.6
Setting of the kidneys ·························· P.7
Setting of the uterus and
lymphoma in the inguinal area ············· P.8
Setting of the simulated stethoscope
Set includes ·······································
P.9
Setting of bowel sounds and vascular bruits
······························································
······························································
P.10-11
●Training Sessions
Palpation and auscultation ·····················P.12
●After Training
Storage of the torso unit and organ parts
P.13
Do not mark on the product and its
components with a pen or allow printed
materials to come in contact with the
surface. Ink marks cannot be removed.
Caution
https://youtu.be/v-qKDvmsoeI
Movie Site
English Site

1
Manufacturerʼs NoteIntroduction
The Abdominal Examination Simulator is a realistic torso manikin for abdominal examination training.
The simulator facilitates effective hands-ontraining programs.
Read Before Use
This Abdominal Examination Simulator has been developed for the training of medical and allied
health professionals only. Any other 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 the product carefully and refrain from subjecting it to any unnecessary stress or
wear. Should you have any questions about this simulator, please feel freeto contact our distributor in
your area or KYOTO KAGAKU at any time. (Our contact address is on the back cover of this manual)
Features
Most realistic hands-on trainer for abdominal examination training.
Accurate landmarks and anatomy,
Interchangeable inserts of organs of different conditions.
Respiratory liver movements with a foot switch pedal.

2
Manufacturerʼs NoteIntroduction
DOs and DONʼTs
DOs DONʼTs
●Operate the system under the designated
circumstances
Power input: AC100V～230V plus or minus 10％, 50Hz/60Hz
Temperature range: between 0 degrees C and 40 degrees C
(no congelation)
Relative humidity; between 0％to 80％ (no condensation)
*Connecting to power source outside of the designated
range may lead to fire.
●Safe disposition
●
Handle the power plug and cord observing
following precautions
To avoid shoｒt circuit, do not run the simulator set above a
power receptacle.
● When the electric parts get warm or produce
smoke, immediately turn off the power and
unplug from the power source
Risk of fire. Contact your distributor or the manufacturer for
repair.
●Handle with care
The materials for the models are special compositions of soft
resin. Please handle them with utmost care at all times. The
manikin may be cleaned with a wet cloth if necessary, using
mildly soapy water or diluted detergent. Then apply talcum
powder.
●Storage
For storage, be sure to cover the torso manikin with the
included protection cover to prevent it from contacting other
resin items. The torso model may be deformed by contact
with other resin items for long time and they cannot be
repaired.
Remove the organ inserts from the torso manikin before
storage. Organ parts may be deformed irreversibly prolonged
by contact with the soft part of the torso unit.
Storing the manikin in a dark, cool and dry space will help
prevent the skin colors from fading and product from
becoming deformed.
Storage under the temperature above 50 degrees C may
reduce the performance quality of the simulator.
Even if the skin color of the manikin changes as it ages, the quality of the performance is not affected.
1. Clean the head of the plug periodically.
2. Plug in the plug to the outlet firmly to the end.
3. Always hold the plug when unplugging. Do not pull the cable.
4. Do not force to bend, twist the cable and avoid scratching
or cutting on it.
Failing to follow the above precautions can result in damage in
the plug and the cable, constituting risk of fire or shock.
●Do not disassemble or open electric or
precision components
Do not open up or disassemble the housing for electric parts
or precision components.
Refrain from opening up any lids, caps or covers for such
area, and never run the system while any of such covers are
open.
*Never disassembling the electric components, power plug
and cable as it may create a risk of fire, shock or injury.
Contact your distributor or the manufacturer for repair.
●Never wipe the product and components
with thinner or organic solvent
●Ink marks on the soft surface wonʼt be
removable
Donʼtmarkontheproductandcomponentswithpenor
leaveanyprintedmaterialsincontactwiththeirsurface.
●Do not give shocks
Theelectriccomponentsareprecisioninstruments. Strong
shocksorcontinuousvibrationmaycausebreakagesofits
internalstructure.
●Do not run the system continuously over 2
hours
Takeatleast30minutesshutdown,turningoffthepower,
every2hours.
●Do not wet the electric components
Donotpourorspillwaterorliquiddetergentoverthe
electriccomponents,powercableandpowerplug. Running
thesystemwhiletheelectriccomponentsarewetmay
createashockhazardorariskoffire.
● Do not handle the power plug with wet hands
Riskofshock.
●No fire
Donotputtheproductclosetofire.Itmayleadtodiscolor-
ationordeformationoftheproductaswellasshortcircuit,
creatingariskoffire.

Set IncludesPreparation
Before you start, ensure that you have all components listed below.
■
■
1 torso unit
b. 1 talcum powder
Set Includes
a
b
1 simulated stethoscope
1 controller
1 AC adapter
c
d
e
f
c.
d.
e.
f.
g. 1 set of the respiratory motion control unit h. 2 kidneys（hydronephrosis, cysts）
2 spleens（slightly enlarged,enlarged）
j. 4 livers（precirrhosis, cirrhosis, chronic
hepatitis,normal）
k. 2 inguinal lymph nodes (normal,
lymphoma)
l. 2 uterus （normal, fibroid）
g
h
j
k l
ij
4 storage cases
instruction manual
i.
At times liner sharing may be seen on the skin surface.
These are color shading due to the manufacturing process
and do not affect the strength or quality of the product.
Caution

4
●
Set the liver insert to the torso unit
●The torso manikin iscovered with the protection sheet
The torso manikin is by covered with the
non-woven protection sheet in the storage box. Take
out the torso manikin from the box and remove the
sheet.
*Please ensure that two people hold the torso
manikin as it is heavy.
*The protection sheet is to prevent the soft part from
contacting with other resin items.
Always cover the torso manikin with
the sheet and store in the box after the training.
normal
precirrhosis
chronic hepatitis
cirrhosis
Protection sheet
Unpack the torso unit/Setting of the liver
Preparation
1. Unpack the torso unit
1. Setting of the liver
Torso manikin
The name for each insert is shown on the handle.
Hold the handle of liver insert and insert it into the
cavity of torso manikin.

5
Setting of the liverPreparation
●Operation check of the control unit
Step on the foot switch of therespiratory
motion control unit to see whether the unit
works properly. The liver pusher comesout
when the pedal
is pressed down and it is
stowed when the pedal
is released.
*Do not fold or put the things on the tube of the
respiratory motion control unit as itmay cause
malfunction.
●Setting of the control unit
Hold thecontrol unit at the side slitsand set it
to the torso unit.
●The completed thesetup ofthe liver
Once the setting of the liver and the
control unit completed it should appear as
shown here.
*When you need to transfer the torso manikin,
you will need two people to hold it by its upper
and lower sides.
Do not hold the side slits of the respiratory
motion control unit to lift or transfer the torso
manikin.
2. Setting of the respiratory motion control unit
✕

6
1. Setting of the spleen
Preparation Setting of the spleen
●Remove the back cover
Remove the back cover (left side) of the torso
unit.
●Set the spleen
There is an arrow mark on the back of
each spleen inserts.
Orientate the spleen inserts sothat “←HEAD”
sign is directed toward the head side of the torso.
Two variations ofspleens as shown below
are included.
●The completed the setup of the spleen
Set the cover on the back to complete the setting
of the spleen.
head
head
head
enlarged
slightly enlarged
The torso manikin without a spleen unit
represents a person with healthy (normal)
spleen.

7
Preparation Setting of the kidneys
1. Setting of the kidneys
●Remove the back cover
Remove the back cover (right side) of the torso
unit.
●Set the kidneys.
There isan arrow mark onthe back of
each kidney inserts.
Orientate the kidney inserts so that “←HEAD”
sign is directed toward the head side of the
torso.
2variations of kidneys as shown below are
included.
●The completed setup of kidneys
Set the cover on the back to complete the setting
of the kidney.
hydronephrosis
cysts
head
head
head
The torso manikin without kidney units
represents a person with healthy (normal)
kidneys.

8
1. Setting of the uterus and lymphoma
in the inguinal area
Preparation Setting ofthe uterus and lymphoma
in the inguinal area
●Remove the setting base
Pull out the setting base for the uterus and
lymphoma from the lower side of the torso
unit. (In default setting, the uterus (normal)
is set on the setting base.)
●Setting ofthe uterus and lymphoma in
the inguinal area
Set the uterus and lymphoma.
Uterus andlymphoma have two
variations respectively, as shown below.
uterus
（normal）
uterus
（fibroid)
lymphoma（A）（ B）
lymphoma（A）
uterus（fibroid）
lymphoma（B）
●The completed the setup ofthe uterus
and lymphoma in the inguinal area
Set the setting base for the uterus and
lymphoma to the lower side of the torso unit
and complete the setting.
Caution
Due to the manufacturing process, a narrow slit
may occur on the surface of uterus(normal).
This slit is not a product defect and does not
affect the quality of palpation training.
Sometimes minor parting may occur at the joint
line of two different materials during the
training or handling. Usually such parting or
slit does not develop further and does not
affect the quality of the training. To avoid
parting, always handle the setting base with
utmost care.
Caution

9
Preparation Setting of the simulated stethoscope
1．Guide to the parts names of the simulated stethoscope
i. 1simulatedstethoscope・・・・１
j. 1controller・・・・・・・・・・・・・・・・１
k. 1ACadapter・・・・・・・・・・・・・・１
l. 1earpieces・・・・・・・・・・・・・・・・１
Jackfordatacable Siteselection
Caseselection
Volumecontrol
Casenumber(0-5)
Soundvolume(0-100)
MicroSDcard
※Donotremove
JackforACAdapter
Portfordataexport
Powerswitch
2.Connect the simulated stethoscope
●
●
Connect the data cable
Connect the data cable from the stethoscope
to the jack at the bottom of the controller.
Turn on the controller
Turn on the controller by sliding the power
switch. Two indicator windows show "−ーー".
Use of the ear piece
By connecting the ear piece, the
sounds same as the simulated
stethoscope can be listened to. ※A
normal ear piece an also be used.
Connect AC adapter
Connect the adapter to the jack at the side of the
controller. Then connect to a power source.
●
●
➡
➡
i
j
k
l
➡
Volume
Case
Please note
Verify that the lot numbers on the controller and
the AC adaptor are the same.
The lot number of the controller is at the bottom
of its rear side.

10
Setting of bowel sounds and
vascular bruits
050
0 00
1．Select auscultation site and case
Site selection view
1.Press and hold
the area to set
volume and cases.
2.Default values
3.Setting volume and
case
4.Press and hold
either one of the
areas to return to
the sites selection
view.
●Select an auscultation site
Four areas for auscultation: renal artery. aorta, CIA
bruits and bowel sounds.
To select a site press in a red circle .
Green light shows that the site is selected.
●Set cases for selected sites
1) Press and hold on the red circled area (for two
seconds) to enable case selection.(the drawing on the
right shows an example of renal artery area). Indicator
windows show default value of sound volume and case
number.
※default values: sound:50, case:000
※when renal artery area or ICA area is selected, bilateral
LED light up while setting the cases. This is not an
error.
2) Set the volume and case using ▼▲buttons
Then press and hold the red circled area for two second
to return to the site selection view.
Note：Selected cases are maintained until the main power
is turned off.
※See next page for case selection of each site.
bilateral selection is not
possible
Case/volume setting view
Preparation
×
×
① ② ③
〇
Aorta
Renal artery
Bowel sounds
CIA
① Renal artery, aorta and CIA can be selected simultaneously.
② Bilateral sites cannot be selected at the same time (renal artery sites and
CIA sites)
③ Site for bowel sounds can only be selected independently.
While the bowel sounds site is on, other sites are off)
Can be selected
simultaneously
This combination is
not possible

0 5 0
0 0 0
11
No.0 ;Normal bruits (No data in No.2-5)
No.0;Normal bruits (No data in No.2-5)
No.0;Normal bruits (No data in No.2-5)
No.0;Normal
No.1; Increased
No.2; Decreased
No.3; Obstruction
No.4; Ileus(Silent)
No.5;(No data)
○
○
○
1.Select one of the sites 2.Set volume
3.Select a case
4.Press and hold
to finish setting.
Or mine on to the
next site.
2．Setting for each auscultation area
●CIA
1)Press either left or right red circled area
for CIA site. The green indicator LED lights
up. To unselect, press the same area again.
※Only a unilateral site can be selected at one
time.
2)To set the volume and case, follow instruc-
tion 2)-3) for the renal artery area.
●Renal artery
1)Press either left or right red circled area
○
for renal artery site. The green indicator LED
lights up. To unselect, press the same area
again .※Only a unilateral site can be selected
at one time.
2)Press and hold the same site while the
LED is on. to set the volume and case.
3)To continue to set volume and cases for
another site. directly press the for the next
site without returning to the site selection
view.
●Aorta
1)To select the site, press the red circled area
for aorta. The green indicator LED lights up.
To unselect. press the same area again.
2)To set the volume and case, follow instruc-
tion 2)-3) for the renal artery area.
●Bowel sounds
1)To select the site, press the red circled area
for bowel sounds.
The green indicator LED lights up.
To unselect, press the same area again.
2)To set the volume and case, follow instruc-
tion 2)-3) for the renal artery area.
Renal artery area ;
Aorta area ;
CIA area ;
Bowel sounds ;
At the time of delivery, following data are installed.
(The information is also shown on the panel)
※ Sound data can be added to unused numbers. Ask your
distributor or Kyoto Kagaku for details.
Preparation Setting of bowel sounds and
vascular bruits
ー － －
ー － －
○
○

12
1. Palpation and auscultation
Training
Sessions
Palpation and auscultation
●Landmarks for palpation:
・Liver (precirrhosis, cirrhosis, chronic hepatitis、
normal）
*Step on the foot switch to simulate
respiratory motion.
・Spleen（slightly enlarged, enlarged,normal）
・Kidneys（hydronephrosis, cysts, normal）
・Inguinal lymph nodes (normal, lymphoma)
●Vascular bruits and bowel sounds for
auscultation:
・Renal bruit
・Aortic bruit
・Iliac artery bruit
・Bowel sounds
(Normal/Increase/Decrease/Obstruction/Ileus)
Foot switch of the respiratory
motion control unit
●Bony landmarks for palpation:
Lower rib cage, costal margin, xiphisternum,
Pubic crest, anterior superior iliac spine,
pelvis
The torso manikin without kidney/spleen units
kidneys/spleen.
Numbers are found in the cavity for the liver in
the torso, and at the back side of the controller
for simulated stethoscope,
Ensure to match the product ID (Lot number)
of the torso and the auscultation unit.
represents a person with healthy (normal)

13
After Training Storage of the torso unit and organ parts
1. Store the torso unit
●Remove the organ inserts from the torso
unit before storage.
*Organ inserts may be deformed irreversibly by
prolonged contact with the torso unit or other
resin items.
●Wipe off dirt, apply talcum powder and
cover with the protective sheet.
Clean with wet wipe or cloth, using mildly
soapy water and let it dry naturally. Apply
talcum powder when the surface of the torso
unit is dried.
Take off the respiratory motion control unit
from the torso unit. Cover the torso unit with
the protection sheet. Store the torso model
covered with the protection sheet in the
storage box.
h
i
j
j
kl
2. Store the organ inserts
h.
j.
2 kidneys（hydronephrosis, cysts）
2 spleens（slightly enlarged,enlarged）
4 livers（precirrhosis, cirrhosis, chronic
hepatitis,normal）
k. 2 inguinal lymph nodes (normal,
lymphoma)
l. 2 uterus （normal, fibroid）
i.

■ 本社・工場
〒612-8388 京都市伏見区北寝小屋町15番地
TEL：[phone]（直通）
FAX：[phone]
■ 東京支店
〒113-0033 東京都文京区本郷三丁目26番６号
NREG本郷三丁目ビル2階
TEL：[phone]（直通）
FAX：[phone]
Caution
The contents of the instruction manual are subject to change without prior notice.
No part of this instruction manual may be reproduced or transmitted in any form without permission from the manufacturer.
Please contact manufacturer for extra copies of this manual which may contain important updates and revisions.
Please contact manufacturer with any discrepancies in this manual or product feedback. Your cooperation is greatly appreciated.
URL http://www.kyotokagaku.com e-mail [email protected]
● ●
2022.02
モデル表面に印刷物などが直接触れないようにしてください。
樹脂にインクが吸収されて消えなくなります。
Do not let ink from pens, newspapers, product manual or other sources
contact the manikin. Ink marks on the manikin will be irremovable.
■ ■(World Wide)
本書の内容は、予告なしに変更することがあります。本書の内容の一部もしくは全部を当社に無断で複写・転載する
ことを禁じます。
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もしくは下記（株）京都科学まで御連絡ください。
・For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.