Kyoto Kagaku MW57 User manual

■Auscultation sites/ Cases・・・・・・・・・・
■Classification of lung sounds・・・・・・・・・
■Turning on the unit・・・・・・・・・・・・・
■Error indicator system・・・・・・・・・・・・
■Starting up the software
・・・・・・・・・・・
■Operation screen・・・・・・・・・・・・・・
■Multi-unit operation・・・・・・・・・・・・・
■Exiting the software・・・・・・・・・・・・・・
■Assembly・・・・・・・・・・・・・・・・・・・
■How to use the unit separately・・・・・・・・
■Trouble shooting list・・・・・・・・・・・・・
■Unable to start the main unit・・・・・・・・・
■Unable to select the unit・・・・・・・・・・・
■Error occurs during the session・・・・・・・・
■ How to switch to LAN connection mode ・・・・・
MW57 Pediatric Lung Sound Auscultation Trainer
Table of contents
Introduction
Preparation
Training
After Training
Trouble Shooting
■Before use / Features / Training skills・・・・・・
■DOs and DON'Ts・・・・・・・・・・・・・・・
■Set includes・・・・・・・・・・・・・・・・・
■Part names and functions・・・・・・・・・
P.1
P.2-3
P.4
P.5
P.9
P.10
P.11
P.12
P.13-14
P.15
P.16
P.17
P.6-7
P.8
P.18
P.19
P.20
P.21
P.22
Instruction
Manual
Caution
Do not mark on the model and its
components with a pen or leave printed
materials in contact with the model surface.
Ink marks on the model are not removable.
●Product Supervision
Yuki Okamatsu, MD
Director of Pediatric department,
Aso Iizuka Hospital
PediatricLungSoundAusculationTrainer

1
Introduction Before use
Features
■Before use
MW57 Pediatric Lung Sound Auscultation Simulator is designed for medical education training. Please do not use
the product for other purposes. Any other use not in accordance with the instructions on this manual as well as on
the help menu in the system is strongly discouraged. The manufacturer holds no responsibility for any accidents or
damages resulting from such use.
For questions regarding this simulator, please contact our distributor in your area or Kyoto Kagaku. The contact
information can be found on the back cover of this manual.
■Features
・Sounds are recorded from actual patients and are reproduced by using a high quality sound system.
・An actual stethoscope can be used.
・Sounds are distributed from five anterior and six posterior sites simultaneously.
・20 lung sound cases: with and without heart sounds.
・Up to five simulators can be controlled by one wireless tablet.
・The error indicator system facilitates maintenance of the system to keep “Pediatric LSAT” in its best condition.
■Skills
Pediatric lung sounds auscultation

2
Introduction
Supply voltage: AC100-240V 50/60Hz 450VA
Altitude: 2.000meters above sea-level
Environmental conditions: 5℃.to 40℃.
Relative humidity: Less than 80%(no condensation)
Overvoltage Category: 2
Pollution Degree: 2
Power cord supply: Do not use power supply cords other than the one included in the original set.
Clean-up: Clean the simulator with water or mild detergent. Clean the manikin with water or mild detergent and
coat with baby powder. Be careful not to apply water or detergent on the internal machinery.

3
Introduction DOs and DON'Ts
DOs and DONʼTs
DOsDONʼTs
Discoloration of the surface may occur after a long period of time.
Discoloration does not affect the function and performance of the
simulator.
●Operate the system under the designated
circumstances
Power input: AC100V～240V 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
To avoid shoｒt circuit, do not run the simulator set above a power
receptacle.
● Handle the power plugand cord observing
following precautions
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.
5. Unplug the power cord when the simulator is not in use.
6. Remove any dust that has accumulated on the power plug and
insert the plug completely into the power socket.
Failing to follow the above precautions can result in damage in the
plug and the cable, constituting risk of fire or shock.
● Whenthe electric parts get warmor 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.
Clean the manikin with water or mild detergent and coat with baby
powder. Be careful not to apply water or detergent on the internal
machinery.
Transport the simulator with caution. Hold the simulator by the handles
when transporting. Do not hold the simulator by the torso manikin.
●Storage
Store the simulator at room temperature, away from heat, moisture and
direct sunlight.
Storage under the temperature above 50 degrees C may reduce the
performance quality of the simulator.
●Use the simulator in quiet environment
●Follow the instructed shutting down procedures
Shut down the computer first. Do not turn off the power or unplug the
power cord without shutting down the program. Misuse may lead to
damages.
●Do not disassemble or open electric or precision
components
Do not remove or alter cable connections in the inner machinery.
Connection cables and their settings have been preset; changes to the
set up may lead to malfunctions or damages to the simulator.
Also, 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 disassemble 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discolorationor
deformationoftheproductaswellasshortcircuit,creatingariskoffire.
●Do not install other software onto the computer
It may lead to system malfunctions.

4
Introduction Set includes
■Set includes
Before you first use "Pediatric LSAT", ensure all components listed below are included in the unit.
A : 1 pediatric LSAT unit
（with respiratory torso manikin,
separable into 2 parts)
B: 1 control PC
1 power cable for control PC
C : 1 AC adapter
D : 1 power strip
E : 1 LAN cable ( 0.5m, 1.5m, 10m )
F：1 LAN adapter
G：1 LAN HUB/ AC adapter
H : 1 external speaker(1 sound cable incl.)
I : 1 Pediatric LSAT T-shirt
instruction manual
built-in help le of software operation
AB
C
H
D
E
F
G
I
0.5m, 1.5m, 10m
*Type and specs are subject to change.

5
Introduction Parts names and functions
■Unit PosteriorAnterior
LAN port
Speaker
Push to open
Light Light
Handle
Main power switch
Shelf for control PC
: Power is ON
: Power is OFF
NOTES Posterior and anterior sound can be played simultaneously.
Slider for adjusting the
volume of light intensity.
■Control PC
Power button
Touch-panel monitor
Power supply port
*Connect the power cable to the
port to charge the control PC.
Check the enclosed separate
manual about how to use of
the control PC.
*Type and specs are subject to change.
Side
Holeforcables

6
Installation of external speaker
Remove the cap of the hole for cables in the side panel.
Pass the cable of AC adapter through the hole then connect it
to the power cable at the upper area of the housing.
Connect the speaker and the sound output by the
sound cables for the speaker.
The jacks of the speaker are at its back. Pass the
power cable of the speaker through the hole on the
side panel and then connect it to the power strip.
Adjust the sound volume to the position indicated by
arrow marks.
Press the red circledarea to open. Find two fixing belts at the floor of the housing and unbuckle them.
2
３
４
1
Hole for cables
Hole for cables
Hole for cables
Cap
Speaker
*The position of the arrow
marks may vary depending
on the unit.
Posterior
Sound cable
Sound cable
Power cable
2 belts
White cable
Red jack
White jack
Red cable
▼ Inside
Preparation Assembly
Power strip
AC adapter
AC adapter Connectors
Power cable
Power cable
Power cable
Sound output
Sound output
Sound cable

7
Buckle and pull the belt tightly to secure the speaker in place.
5
Preparation
Ensure that the antennas are connected firmly to the main unit before use,or they
might come off accidentally.
CAUTION
Assembly

8
POINT The torso manikin is able to be separated.
Introduction How to use the unit separately
A
B
To separate : Push Bbutton
To attach : Push A knob
Detach connection cables
marked with red circles.
Connect unit to AC adapter to
start using.
AC adapter
1 2
3 4
Hold the simulator by the handles at both
sides when separating.
Keep the unit attached to base unless used separately.
NOTES

9
Introduction Auscultation sites Cases
■Auscultation sites
■Cases
PosteriorAnterior
1. trachea
2. upper right lung field
3. upper left lung field
20 lung sound cases
0. upper left lung eld
1. upper right lung eld
2. middle right lung eld
3. middle left lung eld
4. lower left lung field
5. lower right lung field
Normal
A01 standard
Coarse Crackles
C01 right lower area
C03 both lower area
C05 left lower area
C07 both upper area
C09 whole area
C11 right upper area
Wheezes
E01 trachea and upper area
E03 whole area
Miscellaneous continuous sounds
G01 stridors
Abnormal
B01 weak: left lower area
B03 weak: left whole area
B05 weak: right lower area
B07weak: right whole area
Fine Crackles
D01 both lower area
D03 whole area
Rhonchi
F01 trachea and upper area
F03whole area
Miscellaneous (combined cases)
H01 coarse crackles and rhonchi
H03 fine crackles and wheezes
4. lower left lung field
5. lower right lung field
0

10
Introduction Classification of lung sounds
■Classification of lung sounds
Normal
Abnormal
Coarse Crackles
Rhonchi
Fine Crackles
Miscellaneous
Continuous
Sounds
Miscellaneous
Play Lists
Wheezes
Adventitious
Sounds
Discontinuous
Sounds
Continuous Sounds
The American Thoracic Society developed a rational and clinically useful classication based on acoustic analysis of tape
recordings and introduced the nomenclature. With this approach, lung sounds are categorized as continuous (wheezes,
rhonchi, or stridor) or discontinuous (crackles). Crackles are further identied as ne or coarse. The terms “lung sounds”
and “breath sounds”are usually used synonymously.
Adventitious lung sounds are superimposed on the breath sounds in certain circumstances and usually indicate disease.
They are categorized as continuous (wheezes, rhonchi, or stridor) or discontinuous (crackles). Crackles are further
identied as ne or coarse.
Discontinuous adventitious lung sounds are intermittent, nonmusical, and brief (duration of less than 25ms) noises.
They may be ne crackles (relatively high-pitched sounds usually heard at the end of inspiration as air enters the acinar
unit) or coarse crackles (the low-pitched, bubbling sounds that result from the accumulation of secretions in larger
bronchi and trachea).
Continuous adventitious lung sounds are usually louder than the underlying breath sounds. The word
“continuous”in this context implies duration of more than 250ms rather than meaning a sound that continues
throughout the respiratory cycle. Continuous sounds may be wheezes, rhonchi, or stridor.
Adventitious sounds
Classication of
lung sounds
Discontinuous sounds
Continuous sounds

11
power strip
Audio cable
AC adapter
Turning on the unit
Outlet
Connect the power cable to the outlet.
Turn on the control system's main power.
Turn on the control PC power.
IMPORTANT
NOTES
1
3
Posterior
Main power
: Power is ON
: Power is OFF
Control PC power switch
Power cable port
Training
Check theseparate hardware
manual for details.
When starting up the system follow the sequence of actions
instructed below so that the wireless connection works correctly.
The unit may not work correctly when turned on with GLIIHUHQWorder.
Before starting, be sure to charge the battery of the control PC. In case that the
battery is low or empty, charge it by connecting the power cable of the control PC.
The system can be used with the control PC being connected to the power.
2
1
2

12
Training Error indicator system
Error indicator system
1
2
NOTES
When activating Simulator "Pediatric LSAT", errors are checked automatically.
Error indication results
After the error indication , the following screen shows up. Make sure that all results are normal.
If error was detected, contact your local distributor or Kyoto Kagaku with the error code.
Do not operate the control PC while the error indicator system is working.

13
Training Starting up the software
Check the connection of wireless systems
Check the icon of the wireless connection. * Default is set to wireless.
1
The softwares include help menu for how to use the simulator.
Tap the help menu for more details which are not described in this manual.
NOTES

14
Training Starting up the software
Selecting unit
Select units to operate
Start up simulation software
From top menu, select "Pediatric LSAT Simulation" or "Playlist Maker".
Tap the units to operate and then tap "OK."
"Playlist" of cases can be created.
To create a playlist,
1) Use the Playlist Maker. Select cases, set their sequence and running time for each, then name and save
the list.
2) Save a session as a playlist on Pediatric LSAT Simulation software. In the Playlist maker, data of recorded
playlists can be edited and modified.
2
3
Softwares
■Pediatric LSAT Playlist Maker
The button color indicatesthe status of each unit.
"Gray" : The units unselected.
Active (Power and WIFI are on)
Inactive
“Blue” : The units selected by this PC.
“Green” :The units already connected by
another PC and not available to this PC.
Above image shows the example of five
units operation. Only the units connected
to the PC appear on the screen.
Please wait until the next page shows up.
NOTES
simulator
■Pediatric LSAT Simulation Software
All functions of Pediatric LSAT are operated by this software.

15
Training Operation screen
Simulation Software
Error indication has been completed, the simulation software is ready to begin.
1
Unit number
Classication of
lung sounds
Cases
Case name
Control buttons
Save to playlist
Home
Help menu
Case information
Preferences on control PC’s monitor screen
Volume setting of respiratory sound
Volume setting of external speaker
Respiratory rate setting
heart sound ON/OFF
Heart rate
Blood pressure
Respiratory rate
Temperature
Light switch(ON/OFF)
Time lapse
Running time for
manual setting
Switch to display on main monitor screen (ON/OFF)
Switching
Playlist Maker
2
Add cases to playlistAdd cases to playlistAdd cases to playlistAdd cases to playlistAdd cases to playlistAdd cases to playlistAdd cases to playlistAdd cases to playlistName of playlistName of playlistName of playlistName of playlistName of playlistName of playlistName of playlistName of playlist
Delete a playlistDelete a playlistDelete a playlistDelete a playlistDelete a playlistDelete a playlistDelete a playlistDelete a playlist
Help leHelp leHelp leHelp leHelp leHelp leHelp leHelp le
HomeHomeHomeHomeHomeHomeHomeHome
Case explanationCase explanationCase explanationCase explanationCase explanationCase explanationCase explanationCase explanation
Delete a caseDelete a caseDelete a caseDelete a caseDelete a caseDelete a caseDelete a caseDelete a case
Scroll down playlistScroll down playlistScroll down playlistScroll down playlistScroll down playlistScroll down playlistScroll down playlistScroll down playlist
Scroll up playlistScroll up playlistScroll up playlistScroll up playlistScroll up playlistScroll up playlistScroll up playlistScroll up playlist
Copy a caseCopy a caseCopy a caseCopy a caseCopy a caseCopy a caseCopy a caseCopy a case
Open a playlistOpen a playlistOpen a playlistOpen a playlistOpen a playlistOpen a playlistOpen a playlistOpen a playlist
Create a new playlistCreate a new playlistCreate a new playlistCreate a new playlistCreate a new playlistCreate a new playlistCreate a new playlistCreate a new playlist
Overwrite and saveOverwrite and saveOverwrite and saveOverwrite and saveOverwrite and saveOverwrite and saveOverwrite and saveOverwrite and save
SaveSaveSaveSaveSaveSaveSaveSave
Case nameCase nameCase nameCase nameCase nameCase nameCase nameCase name Running timeRunning timeRunning timeRunning timeRunning timeRunning timeRunning timeRunning time
NoteNoteNoteNoteNoteNoteNoteNote
Cases to selectCases to selectCases to selectCases to selectCases to selectCases to selectCases to selectCases to select

16
Training Multi-unit operation
Control PC (A) Control PC (B)
IMPORTANT
Multi-unit operation
Up to 5 units can be operated by one control PC.
Setting process varies between unison operations and multiple case operations. For
details see incorporated HELP menu by tapping on the mark on the top right of the
screen.
For example, while units ♯3 and ♯5 are selected by control PC B, the control PC A cannot
select these units. To connect them to control PC A, these units need to be unselected by
control PC B.
One simulator unit (torso) can be selected by only one control PC at a time .
The connections are established in the order of selecting the units.

17
After Training Exiting the software
Turning off the control system's main power
Exit software
Tap on the "Home" icon at the right top.
"Do you want to exit?" message appears, select "Yes."
Control system's main power
: Power is ON
: Power is OFF
1
2
3
Tap on the "Exit" icon at the top menu.
"Do you want to exit?" message appears, select "Yes."

18
Trouble shooting Trouble shooting list
Unable to connect with wireless
or unstable connection
Unable to boot the main unit with
wireless connection
Network interference occurred.
There are physical obstructions for wireless
connection or control PC is too far from the unit.
Power cable of the unit is not connected.
Network interference occurred.
The main power of the unit is o󱐯.
Others
Clear the obstructions or close the control PC to
the unit.
→Case: Unable to Boot The Main Unit ( → P.19)
→ Case: Unable to Boot The Main Unit ( → P.19)
Connect the power cable.
Turn on the main power of the unit.
Cases Causes Solutions
Unable to select the units which
liked to boot
The session automatically shuts down
with the message of "Connection
Error", and then the connection
becomes unavailable.
The main power of the unit is o󱐯
Power cable of the unit is not connected.
Network interference occurred.
Network interference occurred.
The control PC does not correspond to the unit.
Others
→Case: Unable to Select The Units ( → P.20)
→Case: The Error Occurs During The Session
( → P.21)
Turn on the main power of the unit.
Connect the power cable.
Use the control PC corresponding to the unit.
Unable to hear the respiratory
sound from the manikin
Unable to hear the heart sound
from the manikin
Unable to hear the sound from
the external speaker
Volume setting of the respiratory sound is “0”
Volume setting of the heart sound is “0”
Volume setting of the external speaker is “0”
→Volume Setting of The Respiratory Sound
→Volume Setting of The Heart Sound
→Volume Setting of The External Speaker’s
Sound
Speaker connection may have problems.
Speaker connection may have problems.
Speaker connection may have problems.
→ Contact Us
→ Contact Us
→ Contact Us

19
Trouble shooting Unable to boot the main unit
Unable to boot the main unit
Attention
For the multi-unit operation, be sure the control PCʼs own main unit is turned on. The control PC is unable to
operate when its own main unit is turned off.
↓
How to switch to LAN connection mode : P.22
■Case:
The screen shows the sign below repetitively and does not work despite several trials.
■Cause and Solution 1:
1. The main units are not connected to power source.
→Connect the cable to power source and turn on the main unit.
2. The main units are not turned on.
→Turn on the main units.
3. Interference from other wireless network
→Follow the solution 2 below.
■Solution 2:
Tap “Cancel” to go back to the top page and try with LAN connection
mode.