Kyoto Kagaku MW29 User manual

MW29
Donotmarkonthemodelandother
componentswithpennorleaveprinted
materialscontactedonsurface.
Inkmarksonthemodelscannotbe
removed.
Caution
OralCareSimulatorAdvanced
Contents
●BeforeYouStar
SetIncludes
ManufacturerʼsNotes
●
●TrainingSession
●AfterTraining
OralCare
Suction
Preparation
P.２
P.3
P.11〜P.12
P.6〜P.7
P.3〜P.4
P.8〜P.10
P.10
● Introduction
P.１
P.5
CheckingtheConnections
SettinguptheHeadManikin
ChangingDentures
SettingofPatientConditions
Instruction
Manual

１
ManufacturerʼsNoteIntroduction
Besurenottodroporaddshocktothemanikin
anditscomponents,sincetheproductuses
specialresinsandheavy,suchshockmaycause
damagetotheproductsorenvironment.
Handlethemanikinandthecomponents
withcare.
Neveruseorganicsolventlikepaint
thinnertocleantheskin,asthiswill
damagethesimulator.
●
●
●
●
●
●
●
●Useclearwaterfortraining.
Donotuserealantisepticormedicineasitmay
stainintraoralcavityandabsorbedcolorwill
becomeirremovable.
Donotletinkfrompens,newspapers,
thismanualorothersourcescontactwith
themanikin,astheycannotbecleanedoff
themanikinskin.
Storageinadark,coolanddryspacewill
helppreventtheskincolorsfromfading
andproductfromdeforming
Constituentinthesimulatedresiduemay
separate.
Attimessomeconstituentinthesimulatedresidue,
suchasalcoholmaybeobserved,thoughthisdoes
notaffectthequalityandperformanceofthe
product.
Themanikinskinmaybecleanedwith
awetclothifnecessary,usingmildly
soapywaterordiluteddetergent.
Evenifcoloronitssurfacemightbe
changedacrosstheages,thisdoesnot
affectthequalityofitsperformance.
MW29OralCareSimulatorAdvancedisdesignedfortrainingofhealthcare
professionalstoacquireskillsintakingcareofpatientsʼoralhygiene.
Usageforanyotherpurposeorthewayofusenotdescribedinthismanualis
stronglydiscouraged.
Features
-Anatomicallycorrectoralcavity,trachea,esophagusandreplaceabledentures,
-Twovariationsofdentures:normal(healthy)andteethwithdisease
-Avarietyofpatientpositioning
-Trainingwithrealwater
DOsandDONʼTs

aaa
２
a
b
c
d
e
fg h i
j
BeforeYouStart SetIncludes
SetIncludes
Beforeyoustart,ensurethatyouhaveallcomponentslistedbelow.
Sponge-tippedswabs
１
１
１
２
１
１
１
１
a.
b.
c.
g.
h.
i.
f.
d.
e.
１
Head/neckmanikin
*Simulatedresidueisconsumable.
Base
Normaldenture
Denturewithtoothdisease
Simulatedresidue
Mirror
Toothbrush
Denturebrush
j. Casefordenture １
Instructionmanual

３
１
Preparation CheckingtheConnections
SettinguptheHeadManikin
CheckingtheConnections
1． Takeoutthehead/neckmanikinandthebasefromthe
carryingbag.Thehead/neckandbaseisassembledat
the time of delivery. Verify that two mini bottles for
tracheaandoneminibottlefortheesophagusarefirmly
attached.
1.Removethesealsonthesuctioncapsunderthebase.
2.Selecttheplacewheretosettheheadmanikinandputitthere.Pressdownthesuctioncupat
theheadsideontothetabletop.Thenturnthetwodialsatthenecksideclockwisetoanchor.
○Tabletoptraining.（Prepareatablewithsmoothsurface.)
[SecuringtheHead/NeckManikin]
3. Todisengage,releasethesuctioncupattheheadsidebyliftinguptheplatewithfinger,
andthenturnthedialscounterclockwisetoreleaseremainingsuctioncups.
*
２SettinguptheHeadManikin
Dirtanddustonthe
surfaceof thesuctioning
cupsweakentheirhold-
ingpower.
Cleantheirsurfacebefore 
setting-up.

[Positioning]
４
○Tabletoptraining
２
Preparation Setting-up
Preparation
1.TosetthemanikinatFowlerʼspositionorsittingposition,putapilloworatoweltosecure
theheadindesiredplace.
Spine Fowlerʼs Sitting
2.Rotatetheheadtoleftorrighttoadjusttheposition.
1
. Putthemanikinonthebadandadjustthebedʼsangle.
Supportthemanikinsecurelyinplacebyapilloworbyanassistantwhennecessary.
○Trainingonthebed.
Caution Torotatethehead,besureto
holdtheheadwithbothhand.
Becarefulnottoholdtheneck
area, so as not to pinch the
fingers.

５
３
Preparation SettingupandRemovingDentures
ChangingDentures
[Setting-upDentures]
Thesetincludesnormaldenturesanddentureswith
toothdisease.Selectthepartsaccordingtotraining
scenario.
Dentures(Normal) ToothDisease
1.Toattachthedenture,fitthegrooveatthebacktotheteethtothegumandpressthedenture.
Whensettingtheupperdenture,firstfixthefrontteethandthenfitthebackteeth.
Toattachthelowerdenture,firstputthedentureinplacetosurroundthetongue,thenpressdown
thefrontteethandfinallyfitandpressthebackteeth.
Caution
2. Toremovethedentures,firstliftand
disengagethebackteeth.
[Removal]
Becarefulnottocatchthemanikinʼstongueunderthedenture.
Donotlubricatethesurfaceofthedenturesasitmakesremoval
ofdenturesdifficult.

６
４
Preparation SettingofPatientConditions
SettingofPatientConditions
[PatientwithEndotrachealTube]
1.Besuretocoatthetubewithlubricant.
Insufficientlubricationmaycausechallengesininsertionofthetube.
Placetheendotrachealtubeinthemanikinʼsairwaytosimulate
apatientsreceivingventilation.
**Recommendedsizeonendotrachealtube:internaldiameter7.0mm
*BesuretouseauthenticKyotoKagakulubricant.
Trainingofintubationisnotintended.Theendtrachealtube
canbesetbyhandwithoutusingthelaryngoscopeorstylet.
2. Removethedentures.Insertthefingerintothemanikinʼs
oralcavityandfeeltolocatetheglottis.
3.Inserttheendotrachealtubeintotheairway.Insert
thetipofthetubeintotheglottisbythefinger.
4.Holdingthetubewiththefinger,insertthetube
intotheairway.
OralCavity
Tangue Glottis
EndotrachealTube
[SecuringtheTube]
Thetubecanbesecuredusingadhesivemedicaltapes.
Recommendedtaps
:3MTMMultiporeDrySurgicalTapeTM.
Donotleavethemanikinwithtapesadhered
onitsskin.Theadhesivematerialsmaybe
absorbedbyskinandmakeitsticky.
Caution
Note

７
1.Lubricatethecatheterrouteandthetubewell.Insufficientlubricationmaymaketheinsertionchallenging.
４SettingofthePatientConditions
*Recommendedcathetersize:14fr.
Cap
plug
Preparation SettingthePatientConditions
[Patientreceivingtubefeeding]
Placingafeedingtubeinnasalororalroutetosimulateapatientwithtubefeeding.
[Patientwithtracheostomy]
Placethecannulatothetracheostomyopeningtosimulateapatientwithtracheostomyventilation.
1.Removetheplugforthetracheostomyopening.Lubricatethetubeandtheinsideoftrachea.
*Sincethetracheostomyopeningisalreadymade,attimessometypesorsizesofcannulamaynotfitwell.
TracheostomyTubeII(internaldiameter8.0mm,externaldiameter11.0mm)isavailableasanoptionalpart.
Caution
BesuretousetheauthenticKyotoKagaku
lubricantfortraining,whichisavailableasan
optionalpart.Donotusegeltypelubricantas
itssubstancedriesandremaininthemanikin.
Sometimes,thecapofthe
TracheostomyTubeIImaycome
offduetolubricationandleftin
theairway.Whenitoccurswipe
offthelubricantand/orwater
bothfromthecapandinsideof
thetipofthecannulaandthen
replacethecap.

８
１
FoodResidue
Coatedtongue
Spacedarch
Isolatedtooth
Stomatitis
Missingteeth
Rootfracture
[ObservationoftheOralCavity]
OralCare
TrainingSession OralCare
[ObservationoftheOralCavity]
1.Setthedenturewithtoothdiseasetoperformobservationoftheoralcavity.
○ Apatientwithteeth/oralproblems
NormalToothDisease
*Applythesimulatedresidue
Atoothwithout
neighboringteeth
*Applythesimulatedresidue
Stumpofatooth
Astumpwithout
dentalcrown
Crowding
GingivalRecession
Non-DentalProblem
DentalProblem
DentalandOralProblems
2. Applythesimulatedresidueontheteethand/orthetonguetoperformobservation.
○Observationoffoodresidueandcoatedtongue.
Whenevernotinuse,ensuretoclosethecapofthetubeofthesimulatedresiduetoprevent
drying.
Caution

９
１
OralCare
TrainingSession OralCare
[CleaningoftheOralCavity]
1.Settheheadmanikintosimulatepositionsofpatientswithdifferentdegreeofrequirementsfor
assistance.Setinstrumentstosimulatepatientsundermedicalintervention.Applythesimulated
residuetopracticebrushingandcleaning.
2.
1.
[CareoftheDentures]
Donotusetoothpasteasitmay
damagetheparts.
Caution
Afterbrushingandcleaning,applywater(washfluid)totheoralcavityandcleanwhilesuction-
ingexcessliquid.Incasethatthesuctioningisunsuccessful,excessliquidflowsintothemini
bottlestoindicatethatliquidflowsintobronchioresophagus.
Practicehowtoremoveandattachdenturesas
wellashowtocleanthedenturesusingthe
denturebrush.

[Massaging]
10
1.Practicehowtoperformsalivaryglandsmassagetostimulatesecretion.
１
２
TrainingSession OralCare
Suction
[RemovalofTongueCoating]
1. Applythesimulatedresidueonthetongue
topracticecleaningusingaspongebrush
oratonguebrush.
OralCare
ParotidGland SubmaxillaryGland SublingualGland
1. Proceduresofnasal,oralandtracheostomysuctioncanbesimulated.
[Suctioning]
Suction

11
3.Removetheminibottlesbyturningclock-wise.Thenwashanddrythebottles.
１
Becarefulnottomisplacethescrews.
AfterTraining
AfterTraining
1.Removeallmedicalinstruments,medicaltape
andthedentures(seepage.5).
Incasethatthesimulatedresidueisused,
removeitcompletelyanddrythepartswell.
2.  Removethetwoscrewswhichconnecttheheadmanikinandthebasebyturningcounter-clockwise.
Thenremovetheheadmanikinfromthebase.
Note

AfterTraining
12
5. Replacethemini-bottleandthebottle.
6.Assembletheheadmanikinandthebaseandfixthemtogetherwithtwoscrews.Turnthescrew
clockwisetofasten.Thenreplacetheplugtothetracheostomyopening.
7. Storetheassembledheadinthestoragebag.
１
4. Removetheplugfortracheostomyopening.Washinsidewithrunningwater.Thendrytheparts
well
AfterTraining

2018.01
Donotmarkonthemodelandothercomponentswithpennorleaveprintedmaterialscontactedonsurface.
Inkmarksonthemodelscannotberemoved.
Forinquiriesandservice,pleasecontactyourdistributororKYOTOKAGAKUCO.,LTD.
11408-010
11408-020
11408-030
PartName
simulatedresidue
SimulatedResidue
normaldenture
NormalDenture DenturewithToothDisease
denturewithtoothdisease
11229-050
12746-020
PartName
lubricantfortrainingmodel
tracheostomytubeⅡ
LubricantforTrainingModel TracheostomyTubeII
Consumables
Optional
Parts
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.
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Kyoto Kagaku America Inc.
MainOfficeandFactories Americas