Kyoto Kagaku MW15 User manual

Ultrasound Guided Pericardiocentesis Simulator
MW15
●Introduction
Manufacturer’s Note
●Before You Start
Set Includes
Fill the Puncture Unit with Water [1]
Fill the Puncture Unit with Water [2]
DOs and DON’Ts
●After Training
●Training
Instruction
Manual
P. 2
P. 1
P. 1
P.4-P.8
P.9-P.12
P.3
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
Contents
P. 13
P.14-P.17
●Preparation
Conrm the Setting of Simulated
Heat and Liver

Introduction
１
Features
●
・・
・
・
・
・
This Ultrasound Guided Pericardiocentesis Simulator 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
Never use organic solvent like paint thinner to clean
the skin, as this will damage the simulator.
Even if color on its surface might be changed across
the ages, this does not aect the quality of its
performance.
・
Because the puncture site of the Pericardiocentesis pad is made of soft and delicate material, wipe with wet
wipes if it gets dirty. Do not apply too much pressure with a dry cloth or other material. The pad can also be
deformed and/or deteriorated if it is left in direct contact with other resin products for a long time.
’
Ultrasound Guided Pericardiocentesis Simulator can facilitates trainings in Pericardiocentesis .
The puncture sites are anatomically correct and reproduce r ealistic needle-tip resistance and sensation .
The upper torso manikin can be set in dierent position to learn patient positioning.
-Puncture site can be determined by ultrasound and palpation
-Feedback on successful/unsuccessful procedure
-Body torso for one-man training
-Excellent ultrasound image
-Anatomy includes: ribs, xiphisternum, heart, liver and soft tissue
Handling of
Pericardiocentesis
Pad
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.

code name
Consumable
parts
２
Before You Start Set includes
Set Includes
Before you start, ensure that you have all components listed below.
11394-010
11394-010
Pericardiocentesis pad (a pair)
c
j
j
a
a
e
f
o
d
r
b
h
i
g
Plastic jar (large)
Irrigation bottle
Spacer for the pericardiocentesis
puncture unut
Connection tube
(for pericardiocentesis and water supply)
Syringe(for pericardiocentesis)
1
1
1
1
1
1
1
1
1
2
a.
e.
f.
g.
h.
i.
j.
b.
c.
Pericardiocentesis pad
d.
Pillow
Upper torso manikin
(including the spacer)
Pericardiocentesis container
(including simulated heart and liver)
Connection tube
(for pericardiocentesis and water drain)
Instruction manual

３
１
1. The pericardiocentesis pad and the pericardiocentesis container are packed separately.
2. The simulated heart and liver are set in the pericardiocentesis container. Turn over the container
while supporting the contents with a hand to remove them from the container.
Ensure that the pin on the heart is engaged in the hole on the liver and that the heart can be
moved around the pin as a fulcrum. After checking, reset them into the container.
Preparation
Conrm the Setting of Simulated Heat and Liver
Conrm the Setting of Simulated
Heat and Liver
Pericardiocentesis pad
Pericardiocentesis container
Simulated heart Pin
Simulated liver

４
1
Training with the Irrigation bottle
1. Attach the pericardiocentesis pad to the pericardiocentesis container. The upper sides are indicated
by stickers. Align them in the same direction to engage them correctly, and then push the
pericardiocentesis pad against the container to seal it.
2.
Push the pericardiocentesis pad lock inward with both hands until you hear a "click" sound to
engage it securely. Similarly engage the lock on the other side.
Preparation
Pericardiocentesis pad
Pericardiocentesis
pad lock
Fill the Puncture Unit with Water
Fill the Puncture Unit with Water
Assembling of the pericardiocentesis puncture unit
Pericardiocentesis
container
Do not force the locks as this may break the locks. Before applying additional force,
ensure that the pad is correctly positioned on the container and well tted.
Caution
[1]
[1]
●

５
２
1. Put the upper torso manikin in spine position on the
positioning pillow. Thread two connection tubes
(a thick supply tube and a thin drainage tube) through
the hole in the neck of the manikin. First thread the
connecter of the supply tube and then thread the
drainage tube similarly.
2. Insert the pericardiocentesis unit upward along the attaching slot from the lower side of the
manikin to the middle of the slot. Connect the two connection tubes that are threaded
through the neck hole to the connectors located on top of the pericardiocentesis unit. There
are two connectors with dierent sizes. Connect each tube to the connector of the right size.
Push the connectors until you can hear a "click" sound.
Preparation
Water supply tube
(thick)
Water supply tube
(thick)
Water drainage tube
(thin)
Water dranage tube
(thin)
Connect the puncture unit and water tubes
Connector
Connector
Pericardiocentesis
container
Fill the Puncture Unit with Water
connection tubes
[1]

６
２
Preparation
Connect the puncture unit and water tubes
3. After connecting the tubes to the puncture
unit, push up the pericardiocentesis unit
until no gap is left between the unit and
the manikin.
4. Insert the spacer under the puncture unit
while slightly widening the lower part of
the manikin.
Both tubes are connected to the puncture unit.
Spacer
When inserting the spacer, align the concave part of the spacer to the convex part
of the manikin.
Attention
Fill the Puncture Unit with Water [1]

７
３
Preparation
Fill the puncture unit with water
3.Fill the puncture unit with water
Fillwater after setting the manikin in semi-sitting position to let the puncture unit
be fully lled with water.
Caution
Be sure to connect the tube and the
bottle securely. Otherwise the tube
may come o while lling water.
Caution
1. Use the positioning pillow to set the manikin to semi-sitting position for the training.
2. Connect the water supply tube (thick tube) to the
irrigation bottle. Close the tube cock on the
tube before ll the bottle with water.
(1) Pour 500 mL of water into the irrigation bottle using the included plastic jar.
Hang the irrigation bottle on the stand. Adjust the height of the stand so that the bottom
of the irrigation bottle comes at approximately 20 cm higher than the neck of the manikin.
Do not raise the irrigation bottle too high because it may apply excessive water pressure
to the pad.
Close the tube cock
approximately
20 cm
Fill the Puncture Unit with Water [1]

８
３
Preparation
Do not remove the check valve on the three-way tap. If it is removed, it becomes
impossible to aspire water while training.
Always set the cock of the three-way tap into the position that is indicated in the
upper right picture. If the cock is not in this position, it becomes impossible to
aspire water while training.
When no water comes out from the water
drainage tube even if the water is supplied
from the irrigation bottle, lift the water
supply tube so that water left in the tube
ow into the pad.
When this does not work, pour a small
amount of water into the irrigation bottle
and open the cock on the tube again .
Then conduct the procedure in step (3)
after seeing water owing out of the
drainage tube.
Caution
Caution
(2) After pouring water in the irrigation bottle, open the cock of the three-way tap on the water
drainage tube, and put the end of the water tube into the plastic cup.
(3) Open the cock on the water supply tube. The water in the irrigation bottle ows in the
puncture pad. The amount of water to ll the puncture unit is 500 mL. When water comes
out from the water drainage tube, close the cock on the water supply tube.
Set the cock of the three-way tap on the water drainage tube into the position that is
indicated in the picture below, and then remove the tube from the plastic cup. Now the
simulator is ready for training.
Open the cock
Open the cock
countercurrent
prevention valve
(check valve)
Fill the Puncture Unit with Water
Fill the puncture unit with water
[1]

９
1.心嚢穿刺用ケース内に水を注入します。
1
Preparation
Caution
Training without the Irrigation bottle
1. Put the pericardiocentesis container in lateral position on a at surface, then pour
approximately 500 mL of water into it. Ensure conrm that the simulated heart oats on
the water.
(1) The upper sides are indicated by stickers. Align them in the same direction to engage them
correctly, and then push the pericardiocentesis pad against the container to seal it.
Pericardiocentesis pad
Pericardiocentesis
pad rock
Pericardiocentesis
container
2. Install the pericardiocentesis pad to the pericardiocentesis container.
Be careful not to spill water when setting the locks.
(2) Push the pericardiocentesis pad lock inward with both hands until you hear a "click" sound to
engage it securely. Similarly engage the lock on the other side.
Fill the Puncture Unit with Water
Fill the Puncture Unit with Water
Fill the puncture unit with water
[2]
[2]
●

10
２
Preparation
Connect the puncture unit and tubes
1. Put the upper torso manikin in spine position on the attached positioning pillow. Thread two
connection tubes(a thick supply tube and a thin drainage tube) through the hole in the neck
of the manikin. First thread the connecter of the supply tube and then thread the drainage tube
similarly.Then close the tube cock on the water injection tube and the cock of the three-way tap
on the water drainage tube.
Water supply tube
(thick)
Water supply tube
(thick)
Water drainage tube
(thin)
Water drainage tube
(thin)
Connector
Connector
Pericardiocentesis
container
Close the tube cock on the water
supply tube Close the cock of the three-way tap on
the water drainage tube
2. Insert the pericardiocentesis unit upward along the attaching slot from the lower side of the
manikin to the middle of the slot. Connect the two tubes that are threaded through the neck
hole to the connector located on top of the pericardiocentesis pad. There are two connectors
with dierent sizes. Connect each tube to the connector of the right size. Push the connectors
until you can hear a "click" sound.
Fill the Puncture Unit with Water [2]

６
11
２
Connect the puncture unit and tubes
3. After connecting the tubes to the puncture
unit, push up unituntil no gap is left between
the unit and the manikin.
4. Insert the spacer under the puncture unit
while slightly widening the lower part of
the manikin.
The state that connected two tubes with the puncture unit
Spacer
When inserting the spacer, align the concave part of the spacer to the convex part
of the manikin.
Attention
Preparation Fill the Puncture Unit with Water [2]

12
３
Preparation
Fill the puncture unit with water
1. Use the positioning pillow to set the model to semi-sitting position for the training.
2. Connect the syringe lled with approximately 50 mL of water to the water supply tube. Open
the cock of the three-way tap on the water drainage tube and put the end of the tube into the
plastic cup.
2. Open the tube cock on the water supply tube and inject the water of the syringe into the
puncture unit. Inject water until water comes from the water drainage tube. Then close the
tube cock on the water supply tube and remove the syringe. And then
set the cock of the
three-way tap on the water drainage tube into the position that is indicated in the picture below,
and then remove the tube from the plastic cup. Now the simulator is ready for training.
Open the cock
Open the tube cock
In case no water ow out after injecting 50mL of water, rell the syringe and inject
additional water into the puncture unit. Always be sure to close the cock on the
water supply tube before removing the syringe. Otherwise, water in the unit will be
drained due to atmospheric pressure.
Caution
Fill the Puncture Unit with Water [2]

13
１
Training
Training
1. Set the model in semi-sitting position set using the positioning pillow to conduct the training.
・
For training the disinfection procedure of the puncture part, use water instead of
disinfectant.
Caution
* If you use a blood vessel custody needle thicker than 18G, the pad will deteriorate more
rapidly.
・
Do not mark the manikin or the pad.
・
Do not apply anesthesia. It might cause water leakage from the
pericardiocentesis
pad.
・
A 18G blood vessel custody needle is recommended for puncturing.

14
１
After Training
After Training
1. After training dispose the remaining water from the irrigation bottle. Remove the water
supply tube from the irrigation bottle.
Remove the positioning pillow and put the manikin in supine position on the table. Prepare
a container such as a bucket for discharged water. Put the end of two tubes in the container
so that the tube tips come lower than the manikin.
2. Open the tube cock on the water supply tube. Then, lift the tip of the water drainage tube
and open the three-way tap. Water ows out through the water supply tube. When the outow
of the water stops, tilt the manikin by lifting its bottom side to empty the remaining water in
the unit.
Open the tube cock

15
１
After Training
After Training
After discharging the water in the puncture unit, remove the unit from the upper torso manikin.
(1) Insert a nger into the gap between the
manikin and the spacer, then pull the spacer
upward while widening the opening.
Slide the pericardiocentesis unit caudally
to create a gap between the unit and the
manikin. Put a hand into the gap and slide
the unit down.
(2) Remove the two tubes connected to the puncture unit. Press the metal plate on the
connector to unlock the tube. Pull out two tubes from the hole on
the neck one by one.
After removing the tubes, slide the puncture pad further to remove
it from the manikin.
Press the metal plate
to unlock. Pull o the
tube with the
connector.
Water supply tube
(thick)
Water drainage tube
(thin)
Connector
Pericardiocentesis
container

16
１
After Training
After Training
Caution
Pericardiocentesis pad
Pericardiocentesis
pad lock
Pericardiocentesis
container
4. Place the removed puncture unit on a at surface, pull up the lock of the pericardiocentesis pad
using both hands and disengage the lock one by one. Similarly disengage
the lock on the other
side. After disengaging the two locks, remove the pericardiocentesis pad from the pericardiocentesis
container and then discharge the water left in the case.
5. Wipe o the moisture left on the pericardiocentesis pad and in the pericardiocentesis container.
The locks are engaged securely to prevent water leakage. For your safety, disengage the
locks one by one using both hands.

17
１
After Training
After Training
Attention
6. Turn over the container while supporting the contents to remove them from the container.
Wipe o the moisture left on the simulated heart and liver and dry them well. After they are
dried, reset the heart and liver. When the positioning pillow becomes wet, dry it naturally
before storage.
7. For storage, detach the pericardiocentesis pad from the pericardiocentesis container.
When the pericardiocentesis pad worn out by use,
replace it with new one to conduct the training.
Caution
Do not store the thoracentesis unit with the
pad and the container assembled and locked.
This may cause deterioration of the watertight
packing.
Pericardiocentesis pad
Pericardiocentesis pad lock
Pericardiocentesis container

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.
● ●