Kyoto Kagaku MW14 User manual

Difficult Airway Management Simulator
Demonstration Model
MW14
●Introduction
Manufacturer’s Note
●Before You Start
●
●
Before training
●
Set Includes
DOs and DON’Ts
After Training
●
●
Training
Replacement of the Consumable Parts
Instruction
Manual
P. 2
P. 3
P. 1
P.4
P.16
P. 5
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
Preparation
Contents
Setting of DAM
Setting of DAM
P. 6
P. 7
P.8-P.10
P.11-P.15
Setting of DAM
Setting of DAM
(Tongue Edema)
(Laryngospasm)
(Degree of the mouth opening)
(Neck exibility)
Check points before training

Introduction
１
Features
●
・・
・
・
・
・
This D.A.M simulator Training Model 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 model 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)
DOs DON’Ts
DOs and DON’Ts
Manufacturer s note
Handle the manikin and the components with care.
Storage in a dark, cool space will help prevent the
skin colours from fading.
The manikin skin may be cleaned with a wet cloth,
if neccessary, using mildly soapy water or diluted
detergent.
Do not let ink from pens, newspapers, this manual
or other sources contact with the manikin, as they
cannot be cleaned o the manikin skin.
Never use organic solvent like paint thinner to clean
the skin, as this will damage the simulator.
’
-Anatomically correct airway
-Possible skills include: intubation with a laryngoscope, BVM ventilation, nasal intubation,
laryngeal mask ventilation, and use of a video laryngoscope
The D.A.M. Simulator provides a combination of controllable degree of mouth opening, changeable limit
of neck exibility, and the inatable tongue.
This model oers wide variations of experiences training with the Dicult Airway Management training.
-The upper front teeth are removable when excessive force is applied
Compact table-top design with uncompromised anatomy and a variety of DAM settings. Ideal for
demonstration of skills and devices.
Even if color on its surface might be changed across
the ages, this does not aect the quality of its
performance.

２
Set Includes
Before You Start Set includes
a. Torso body  1
b. Upper incisors 3
c. Lubricant
1
Before you start, ensure that you have all components listed below.
code name code name
Consumable
parts
11392-010
11393-020
11392-080
11229-050
Upper incisors (set of 10)
Lubricant 1
Face maskⅡ1
1 bag for model, instruction manual
Replacement tongueⅡ1
a
b
c
ｄ
11392-010 11393-020 11392-080 11229-050
d. Syringe(50mL) 1

3
１
Before training
3.Ready for training session.
Transparent tube
Jugular part (red)
Bronchi
Tongue
Caution
Check points before training
Check points before training
Incorrectinstallation
(*Thephotoistakenwhiletheheadisremoved
toallowtoseetheconditionclearly.)
If the parts enclosed in the dotted circle are
not correctly engaged with each other, the
tongue will fall out during training.
Tongue xing
part (white)
2. Then check whether the tongue xing part and the throat part are correctly installed.
Tongue
Thetongueiscorrectlyinstalled
Thepinisfixedtothejawside.
1. Open the mouth of the model to check the installation condition of the tongue.
(When the product is delivered, the tongue has already been installed on the model.)
Tongue xing
part (white)
Ensure that the tongue has not fallen out from the pin.

４
1
Preparation
Normal Rigid
Setting of DAM (Neck Flexibility)
Neck Flexibility
You can select either of two levels of difficulty: normal neck and rigid neck.
1. To conduct training for the normal condition, align the knobs to the position where you can see
the green seal as shown in the photo. Always set up the knobs on both sides identically to each
other.
2. To change the setting to the condition of difficulty in neck recurvation, turn the knob while
pulling it to align the foot of the triangle to the same direction as that of the receptacle parts
on the model. Push the knob until the green seal disappears. You can also lock the setting by
returning the position of the head to the direction indicated in the photo below.
the neck side the neck sidethe black knob the black knob
Change the range of motion of the neck with the black level-switching knobs on the both sides
of the neck of the model.
Turn the knobs while pulling them to the outside to adjust the depth to which the knobs are inserted.
Conduct any training after setting the knobs on both sides to the same setting.
If the knobs are set in dierent settings, it might cause breakage and/or failure.
the green seal
the green seal
Normal condition
(the insertion depth
of the neck is shallow.)
The triangles
intersect each
other.
The triangles
are positioned
in the same
direction.
Condition of rigid neck
(the insertion depth of
the neck is deep.)
the green seal
Caution

５
1
Preparation
Normal (easy) Intermediate Dicult
Setting of DAM
( Degree of the Mouth Opening )
Degree of the Mouth Opening
Set the mouth opening limitation with the black level-switching knob on the top of the head of the
model. Move the knob up or down while pulling it, and then release it on either of the indicated
level lines to lock the setting. You can select one of three levels of difficulty: Easy (Normal) [normal
condition], Intermediate [mouth opening difficulty level 1] and Difficult [mouth opening difficulty
level 2].
1. To conduct training for the normal condition, align the knob to the Easy (Normal) position.
2.To change the condition of the mouth opening difficulty level, move the knob up while pulling it,
and then release it on the Intermediate
position
[mouth opening difficulty level 1] or Difficult
position
[mouth opening difficulty level 2].

6
1
Normal Swollen
Preparation Setting of DAM
(Tongue Edema)
Tongue Edema
Syringe
connector
Tube from the model
Syringe
connector
Tube from the model
Rotate while pressing connector
Rotate connector counter-clockwise
To adjust the condition of the swollen tongue, inject/extract air to/from the tongue by using
the attached syringe to change the size of the tongue.
The size of the tongue can be set in two levels: normal tongue and swollen tongue.
1. To set the tongue to normal condition, do not inject air.
2. To simulate the condition of swollen tongue, intake 20mL of air into the attached syringe and
then connect it to the at tube located in the neck of the model. The syringe is provided with
a lock mechanism. Insert the tip of the syringe to the connector on the end of the tube and
then turn the syringe clockwise. After injecting the air into the tongue to simulate swollen
tongue condition, turn the syringe counter-clockwise to detach it from the tube.
3. To restore the tongue to the normal condition, connect an empty syringe to the tube by
using the procedure in the step 2 to extract the air in the tongue to restore the size of the
tongue to normal.
Connecting Detaching

７
1
Normal Laryngospasm
Preparation Setting of DAM
(Laryngospasm)
Laryngospasm
By pressing the pump on the end of the tube attached to the main body, you can simulate the
laryngospasm.
The condition returns to normal when the
pump is released.
* The photos show the tongue component that is detached from the model to allow visibility
of the condition.
Laryngospasm is simulated while the pump
is being pressed.
1. The condition of laryngospasm is simulated while the pump is being pressed. The condition
returns to normal when the pump is released.

Airway Opening Techniques
８
２
１
Training Training skills
Fixation of the model
Bag-Valve-Mask ventilation
True-to-life articulation allows for head-tilt/
chin-lift and jaw-thrust techniques.
Position the bag valve mask correctly to
conduct the training of bag ventilation.
You can check the air supply condition
with the rotation of the fan installed on
the tip of the bronchus.
Conduct any training on a table
with a at and smooth surface.
When removing the model,
detach the sucker installed
on the back of the base.
Turn the sucker xing knobs
installed in two positions on the
base of the model clockwise to
x the model on the table. Turn
them counter-clockwise to remove
the model.

Laryngeal mask ventilation
Intraoral Intubation with Laryngoscope
３
４
９
Training Training skills
Setting the head at "sning position", intubation
with laryngoscope can be performed.
Put enough lubricant to the model before inserting the tracheal tube.
For nasotracheal airway, spray the lubricant in the cavitas nasi and the tube. For oral route airway,
in the mouth and the tube.
Put enough lubricant to the laryngeal mask and the oral cavity before training.
Recommended laryngeal mask:
LMA
i-gel
Caution
Caution
4
4
type size
The upper incisors are removable with excess
force.
Recommended tools: Macintosh laryngoscope Size: No.3
Tracheal tube: 7.0, 7.5 mm (inside diameter)
Use the lubricant included in the set. Others like gel type may remain in the model
and become irremovable.

5
7
６
10
Training Training skills
Success-Failure Confirmation
Intubation by the Video Laryngoscope
Successful tube tip placement can be
conrmed with the rotation of the fan.
Put enough lubricant to the video laryngoscope
and the oral cavity before training.
Caution
Securing the Tracheal Tube
Do not leave the tapes on the model. If the tapes remain on the model for long time,
its skin surface will become sticky with adhesive of tapes.

１
11
２

Replacement of the
consumable parts
Upper Incisors
Upper Incisors
Tongue
Tongue
Turn the black knob to the normal position where
the green seal appears.
Move the black knob to the Easy (Normal) position.
Widen the mouth and then place the protruded
part behind the part where the incisor
component is installed into the groove on the
upper jaw.
1. Set the range of motion in neck recurvation to the normal condition. Then set the mouth opening
limitation to the Easy (Normal) condition.
(Refer to P. 4 and P. 5 respectively for the setting procedures.)
Then push up the incisor component toward
the front direction until you hear a "click" sound.
the green seal

２
12
Tongue
Replacement of the
consumable parts Tongue
3. Disconnect the transparent tube and bronchi part by pulling the bronchi part.Then disconnect the
tube for laryngospasm.
2. Remove the face mask from buttons at ears and then remove the mask from the head..
4. To remove the tongue, pull the tongue to one
side to expand the hole and remove from the pin.

２
13
Tongue
Replacement of the
consumable parts Tongue
Transparent
tube
Jugular part
(red)
Bronchi
Tongue
Slowly pull out the tongue component
from the throat with care. If it is pulled
out forcibly, it could break.
5. Disengage the lower part of the throat from the tongue xing part, then pull down the tongue
component to detach. It becomes easy to pull out the whole tongue component when the
tongue is pushed into the mouth while pulling it out.
Tongue xing
part (white)
Caution

２
14
Tongue
Replacement of the
consumable parts Tongue
Transparent
tube
Jugular part
(red)
Bronchi
Tongue
6. After conrming the tongue direction, insert half of it into the throat from the opening.
Insertion is more easily facilitated by applying training model lubricant on it.
7 . Push the tongue component into the throat from the throat side. Open the mouth, hold the
tongue when a certain portion of it comes into the oral cavity, then pull it until the tip of the
tongue touches the incisors. Ensure that the air bag installed in the tongue is not displaced.
8. Widen the lower part of the throat and engage it with the lower part of the tongue xing part.
Ensure that the entire perimeter is engaged properly.
Tongue xing
part (white)
Example of inappropriate installation
of tongue component
Airbagforsizechangesofthetongue
9. Hook one side of the hole on the tongue to the edge of the pin and pull the tongue in the opposite
direction to expand the hole. Once the hole is large enough, t the pin through the hole to secure
the tongue in place.
Pull in this direction
(when attaching)
Pull in this direction
(when removing)
tongue
hole
pin
pin
Plastic tube
Plastic tube
Upper view of the pin
Lower jaw
Lower jaw

２
３
15
Tongue
Replacement of the
consumable parts
Tongue
Face Mask
Face Mask
11. Set the mask on the face.
1. Take o the face mask.Then set the new mask
on the face and Fit the both of the ear holes on
the mask to the head of the model.
9. Connect the laryngospasm tube.
10. Connect the bronchus component.
12. Fit the both of the ear holes on the mask to
the head of the model.

16
After Training
After Training
Clean and remove the lubricant on the face with water or diluted detergent.
Talcum powder may be used on the face mask after use to preserve suppleness of the skin
and prevent it from being stained. Before storage, ensure that model is dry.

Don’t mark on the model and other components with pen or leave printed
materials contacted on their surface.
Ink marks on the models will be irremovable.
Caution
2018.04
URLhttp://www.kyotokagaku.come-mail[email protected]
■Main Office and Factory ■ LA Office ( for USA , CANADA and Mexico customers )
15 Kitanekoya-cho Fushimi-ku Kyoto 612-8388, Japan
Telephone : [phone]
Facsimile : 81-75-605-2519
3109 Lomita Boulevard, Torrance, CA 90505 ,USA
Telephone : [phone]
Facsimile : 1-310-325-8867
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 importantupdates and revisions.
Please contact manufacturer with any discrepanciesin this manualorproduct feedback. Your cooperation isgreatly appreciated.
・For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.
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