Kyoto Kagaku HANA MW48 User manual

MW48
Instruction
Manual
Full Perinatal Patient Care Simulator
Table of Contents
Introduction
■Before you start・ ・・・・・ ・・・・
■Safety precautions・・・・・・・・・・
■Handling・・・・・・・・・・・・・・
■Set includes・・・・・・・・・・・・・
■Functions of each
part・・・・・・・・・
■Training items・・・・・・・・・・・
Preparation
■Wigs attachment and detachment ・
■Detachment of mask・・・・・・
Training
■Ultrasound Examination Module・・
■Obstetric Examination Module・・・
■Cervical Examination Module・・・
■Delivery Assistance Module・・・・
■Perineorraphy Module・・・・・・
■Uterine Involution Assessment Module
■Epidural Anethesia・・・・・・・・
■Tube Feeding・・・・・・・・・・・・
■Bedbathing・・・・・・・・・・・
■Patient transfer and
positioning ・・・・・・・・
■ Oral care, oxygen management
・・・・・
■Suction(nasal, oral , tracheostomy）・・・
■Intravenous
injection・・・・・・・・・・・
■ Airway management/ intubation assistance/ Chest
compression
■ Airway management/ intubation assistance
■(Optional) Subcutaneous injection/
Intramuscular injection
P.1
P.2
P.3
P.4-7
P.8
P.9-10
P.13-
P.17-
P.26-
P.32-
P.39-
P.42-
P.45
P.46
P.47
P.47
P.48
P.49
P.50
P.52
P.53
P.54
P.11
P.12
HANA

1
Introduction Manufacturer's note
■Before use
The Full Perinatal Patient Care Simulator 〝Hana〞 is a training manikin which covers from
gestational to postnatal periods. This 〝Hana〞 has been developed for the training of medical
and paramedical 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 this product carefully and refrain from subjecting to any unnecessary stress or wear.
Should you have any questions on this simulator, please feel free to contact our distributor in
your area or KYOTO KAGAKU at any time.
(Our contact address is on the back cover of this manual)

2
Introduction Before use

3
Introduction Before use
Cautionindicatesthatafailuretoobservethespecifiedinstructionsmayresultinminorinjuriesor
materiallossandequipmentdamage.Besuretoobserveallthecautionstatements.
Besurenottodropthemanikinanditscompo-
nents,sincetheproductusesspecialresins.
● Handlethemanikinandthecomponents
withcare.
● Neveruseorganicsolventslikepaint
thinneroralcoholtocleantheskin,
asthiswilldamagethemanikin.
●Donotmarkonthemanikinorother
componentswithapenorallowprinted
materialstocomeincontactwiththe
surface.Inkmarkscannotberemoved.
● Eveniftheskincolorofthemanikin
changesasitages,thequalityofthe
performanceisnotaffected.
● Storingthemanikininadark,cooland
dryspacewillhelppreventtheskincolors
fromfadingandproductfrombecoming
deformed.
● Themanikinmaybecleanedwithawet
clothifnecessary,usingmildlysoapywater
ordiluteddetergent.
Caution

4
Before you start
Set includes
■Set includes
Before you start, ensure that you have all components listed below.
B
A
G
L
C
H
M
D
I
E
J
F
K
Ａ：
Ｂ：
Ｃ：
Ｄ：
Ｅ：
Ｆ：
Ｇ：
Ｈ：
Ｉ：
Ｊ：
Ｋ：
Ｌ：
Ｍ：
Main body
Wig(young)
Face mask (young)
Teeth
Injection pad (medial vein)
Female genitalia
Epidural anesthesia pad
Irrigation bag
drainage pump
drainage hose
lubricant for training models
pajama
talcum powder
instruction manual
1
1
1
1
1
1
1
1
1
1
1
1
1

5
Before you start
genitalia
fetus
placenta
umbilical cord
5 velament sheet
10 umbilical cords for omphalotomy
3 lubricants
abdominal cover for delivery and
cervical examination
tray
1
1
1
1
1
1
1
1
1
adacabaa ae
aa：
ab：
ac：
ad：
ae:
af:
ag:
ah:
ai:
af ag ah
Delivery assistance module
ai
Set includes

6
Before you start
fetus model
base for fetus
Simulated doppler stethoscope
AC adapter
genitalia unit
set of cervical dilation inserts (5 variations)
vagina unit
holder for cervical dilation inserts
3 lubricants
abdominal cover ( Obstetric and Cervical
Examination )
1
1
1
1
1
1
1
1
1
1
ca：
cb：
cc：
cd：
da：
db：
dc：
dd：
de：
df:
cdcccbca
dd
da db dc
Obstetric Examination Module
Cervical Examination Module
bcba bb
Ultrasound Examination Module
ultrasound pregnant uterus phantom
base for fetus ultrasound
fetus demonstration model
protection cover
1
1
1
1
ba：
bb：
bc：
bd：
Obstetric Examination Module
Cervical Examination Module
Ultrasound Examination Module
bd
de df
Set includes

7
Before you start
fa fb
Uterine Involution Assessment Module
Perineorrhaphy module
ea
fc
set of uterine inserts (4 variations)
supporting base
abdominal cover for uterine
involution assessment module
1
1
1
fa：
fb：
fc：
genitalia with skin 1
ea：
Uterine Involution Assessment ModulePerineorrhaphy module

8
Before you start
■Model
Name of each part and functions
Connector
Drainage connector to irragation bag
Mask
( young)
chest
eye, elilid
tracheostomy
Wig
Chest
arm
waist
genital unit
chest cover

9
Before you start
Tube feeding
(nasal/oral)
Training Skills
■Skills
Airway management, intubation assistance
Oral and denture care
Oxygen mask
Stomach pumping
Suction
Normal breast and nipple assessment
Chest compressions
Intravenous injections and cannulation
Genital care
Check procedures in case of amniorrhexis,
bleeding and lochia
IV route care
Cannula care
Others
・Abdominal and chest examination
・Inspection/palpation/auscultation/
percussion
・Body transfer
・Bed bathing
(left hand)
Option
IM Injections(upper arm)
Subcutaneous injections
(upper arm)
Tube feeding(nasal/oral)
Catheterization、Tube place
confirmation、tube placement
Intubation assistance
preparation of
equipment、auscultation、fixation of
tracheal tube
Suction(nasal/oral)
Insertion of tracheostomy tube,
suction Urinary Catheterization
( procedure only )
Epidural placement
Chest compression During pregnancy, childbirth,
puerperal care, perinatal
examination, ultrasound
examination, ultrasound
examination, cervical examination,
delivery assistance, perinatal tear,
puerperal assessment
During pregnancy,
childbirth, puerperal care

10
Before you start
Training skills
■Skills
Intravenous injections and
cannulation(left median vein)
Partial bathing(h and/foot)
IV route care(dorsal vein of left hand) Bedbathing
Oxygen mask IM Injections(upp er arm)
Subcutaneo us injectio ns (upp er ar m)

11
Preparation
Setting of the wig
1
2
Setting
Removal
Set the wig by the magnets at the forehead and in front of right and left ears.
1. Disengaging the magnet in front
of the ears.
2. Disengaging the magnet of the forehead
and slip the wig backward.
1. Put the wig on to the head noting
the orientetion then fix it with the
magnet at the forehead.
2. Fix the wig with the magnets in
front of right and left ears.
3. Pull down the back side of the wig and
t it to the manikin's back of the head.
3 Maintenance
Store the wig by following steps.
1. Brush the wig after use.
2. Insert the balledup papers to avoid deformation.
3. Roll the tips of hairs inward by hands.
4. Store the wig in a bag.
1
1
3
2
2

12
Preparation
How to change the mask (face)
1
2
Removal
Attachment
1. Remove the cover for tracheostomy
1. Cover the mask from the head side.
Attach the hole of the mask in the
three magnets in forehead and both
ears.
2. Remove one end of the band from the mask hole
2. Insert the salient part of
the mask near the head 3. Insert the neck skin to body
part
3. Hold up the mask from the neck side and remove
4. Insert both ends of the band
to the band to the mask in the
back of head
5. Insert the cover for
tracheostomy

13
Training
Ultrasound training
1 妊婦腹部触診トレーニング( 準備
Setup
1. Remove the abdominal cover from the model. The cover is fixed by four magnets. The cover can be removed by holding it
upward.
Be careful not to pinch your finger between maternal body and the genitalia unit
2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix
Preparation

14
Training
Ultrasound Training
1超音波検査トレーニング( 準備)
Setting of the module
1. Attached the supporting base for fetus ultrasound. Put protection cover on the top.
2. Attach ultrasound pregnant uterus phantom on the base. The phantom can be set in four
positions.
3. Apply plenty of ultrasound gel directly to the pregnant uterus phantom..
Protection Cover

15
Training
2 Ultrasound Training
Assessment of fetus and measurement
1. Place the probe on the phantom unit. The keys for
ultrasound unit are listed on the back of this manual
1. Wipe off the gel completely with wet wipes not to leave the gel on the surface of the phantom and torso.
You can wash the phantom unit and the protection bowl with water. Do not wash the body torso with
water.
●Fetus assessment and measurement
BPD AC
FL Estimate of fetus
weight
3 After training
Ultrasound Training

16
Training
Ultrasound Training

17
Training
Obstetric Examination Module
1 Preparation
Setup
1. Remove the abdominal cover from the model. The cover is fixed by four magnets. The cover can be
removed by holding it upward.
2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix
Be careful not to pinch your finger between maternal body and the genitalia unit

18
Training
Module setting
3. Set the fetal base to the model. Depending on the position of the base, the fetus can be set either
in cephalic presentation and head presentation
3. Set the fetus on the hole of the base. The fetus can be set in either left or right.
Put the fetal head on this part
Right side Left side
4. Set the abdominal cover then the setting is completed.
Obstetric Examination Module

19
Training
First maneuver Fourth maneuver
Pubic symphysis
CPD assessment (Leopoldʼs fifth maneuver)
The height fetal head against the pubic symphysis can
be changed by rotating the fetal unit to prepare
different scenarios for CPD assessment (Leopoldʼs fifth
maneuver)
Anatomically correct landmarks of maternal pelvis and fetal parts, and innovative material of the uterine unit
allow realistic palpation of the fetus. The uterine units can be freely oriented to represent different lies,
presentations and positions, also enables CPD assessment (Leopord's fifth maneuver)
Sounds recorded by the doppler and conventional stethoscope can
be used for training. The doppler mode features fetal heart sounds,
umbilical blood flow as well as mixed sounds of fetal heart and
umbilical blood flow. Remote controller enables switch between
sounds, speakers and also setting sound volumes.
2 妊婦内診トレーニング( 実習)触
Palpation
3妊婦内診トレーニング(後片付け)
Clean the skin cover by wiping with a damp cloth, using
water or mild detergent, LET THE TORSO DRY
NATURALLY, then spread talcum powder on the surface
before storing in a cool dry place.
Obstetric Examination
Training
After Training
■Leopold's maneuvers
Palpate parts of the fetus such as head, buttocks and
the trunk through the steps from the first to the
fourth maneuvers to assess fetal lie, presentation and
position as well as degree of fetal descent
Auscultation (Fetal Heart Sounds