Kyoto Kagaku MW2A User manual

Contents
Genital Unit for MW2A (male)
/DOs and DON’Ts
Before you start
Training session
After training
P.1
P.12
P.2-P.3
P.4-P.5
P.6-P.11
●
Preparation
●
●
●
●
Catheterization/Enema
Set includes
Training session
FAQs
Instruction
manual
Attention Do not let ink from pens, newspapers, product
manual or other sources contact the manikin.
Ink marks on the manikin will be irremovable.

１
Set Includes
Before your first use, ensure that you have all components listed below.
Before you start Set includes
genital organ frame bladder holderurinary bladder reservoirvalve
male meatus male skin
Please read carefully before use
Genitalia organ unit
DOs and DON’Ts
Instruction manual
a.
b.
c.
d.
e.
f.
Irrigation bottle
Irrigation/drainage tubes
(total 3 pcs; 2 are attached with one clamp each)
Rectum unit
Lubricant
(total 3 pcs; one is incorporated in the genitalia
unit and two are for future replacement)
Female genitalia organ unit
Valve
1
1
1
1
3
3
・・
・
・
・
DOs DON’Ts
DOs and DON’Ts
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 necessary, using mildly soapy water or diluted
detergent.
Never use organic solvent like paint thinner to
clean the skin, as this will damage the simulator.
・
Please use the genuine lubricant included in the set.
Usage of other lubricants will cause damage to the
model in a short time as in the following cases:
- Jelly-type lubricants which remain in the model will
harden and cause damage to the valves.
- Water-soluble jelly-type lubricants will be washed
out during urethral catheterization, which will
decrease lubricating ability.
Do not let ink from pens, newspapers, product
manual or other sources contact the manikin.
Ink marks on the manikin will be irremovable.
(attached with a large metal clip 1)
(attached with a small
metal clip 1)

Preparation
１
２
Preparation (Catheterization/Enema)
Connection of Irrigation/drainage tubes
Connection of Irrigation/drainage tubes
1. Attach the irrigation/drainage tube with clamp to the connectors at the upper end of the urinary
bladder reservoir.
tube connectors
Irrigation tube
drainage tube
The clamp is near the
far end of the tube.
The clamp is near
the bladder reservoir.
to a bucket
urinary bladder
reservoir
connection to the irrigation bottle
clamp
clamp
tube connectors
Genitalia unit There are two tube connectors on the backside of the unit.
2. One of the tube connectors is for irrigation and the
clamp should be placed at the far end of the tube.
3. The other tube connector is for the drainage
and the clamp on the tube should be placed
around 20-30cm from the bladder.
The clamp is near the
far end of the tube.
The clamp is near
the bladder reservoir.
4. Connect the drain tube with no clamp to the
rectum unit.
When attaching the tubes to the unit,
please hold the unit with one hand while
inserting the tube to the port.
Caution

Preparation(Catheterization/Enema)
Connect the Irrigation bottle and ll the bladder with water
2. Close the clamp of irrigation tube before lling
the bottle with water. And open the clamp of
the drainage tube.
Preparation
Irrigation
tube
Drainage
tub
e
２
３
Irrigation tube
1. Connect the irrigation bottle to the irrigation tube
which has clamp at near the far end and put the
tip of drainage tubes for catheterization and enema
into the bucket.
3. Fill the irrigation bottle with simulated
urine (water). And open the clamp of the
drainage tube.
open the clamp
close the clamp
open the clamp

Training session
Training session
４
Training procedure
1. Sterilizing of meatus urethra.
2. Inserting the catheter
5. Removing the catheter
For training of sterilizing of meatus urethra,
use water instead of actual antiseptic.
3. I
nsert the catheter through the meatus urethra
holding the penis at about 90 degrees. During
the insertion, the resistance thatsimulates
prostate and external sphincter muscle will be felt.
4. When you feel resistance, lower the penis at
about 60 degrees, and insert the catheter while
pulling the penis toward you.
Discharge the water in the balloon before removing
the catheter. Inated balloon may cause breakage of
the valve.
The bladder reservoir needs to be relled after EACH successful catheterization.
In case water in the reservoir is low, water will not be ow out even when tip of the
catheter reached in the bladder reservoir.
Caution
Caution
Caution
Do not leave the tapes on the modelfor long time so that its surface willbe sticky with
adhesive of tapes.
Surgical tape can be used for training of catheterretainedinthebladder.
90°
60°
５㎝
Put the catheter in the tray, drip small quantity
of lubricant to its tip. Ensure that about 5cm
from the tip is coated by lubricant. Use the
lubricant included in the set.
１
Use 14-16Fr catheter for this model. Using larger catheter causes breakage of the valve.
Please use the genuine lubricant included in the set. Usage of other lubricants will cause
damage to the model in a short time as in the following cases:
Product code of the genuine lubricant is 11381-800.
- Water-soluble jelly-type lubricants will be washed out during urethral catheterization,
which will decrease lubricating ability.
- Jelly-type lubricants which remain in the model will harden and cause damage to the valves.

Manual bladder compression
Training session
Close the clamps on the irrigation tube and drainage tube for manual bladder compression session.
Training for enema
Do the training with left lateral position.
Use plenty amount of genuine lubricant for the training. Insucient lubrication may
cause the diculty in the proper training.
Enema tube cannot be inserted more than 7cm like real situation.
The clamp of the irrigation tube The clamp of the drainage tube
Training session
Caution
２
３
Close the clamp
５

Drainage of water
2. Detach the rectum unit for enema training. Loosen the metal clip (large) by tucking small wings together
with ngers and remove the rectum unit from the hook of the bladder reservoir. Detach from the connector.
After training After training
1. Close the clamp of the irrigation tube. Drain the water from the irrigation bottle and tube.
Caution
Always keep the clamp
open for storage.
１
６
Wash the rectum unit and let it dry naturally after the training sessions.
Drainage of water in the bladder reservoir
1. Disassemble the genitalia unit.
a) The genital organ frame and the bladder holder are xed with two notches and nail shaped
fasteners.To disengage the parts, lift the genital organ frame with ngers.
２

Drainage of water in the bladder reservoir
2. Remove the bladder reservoir from the bladder holder. Detach the irrigation and drainage tubes.
Then drain the water from the reservoir.
b) Remove the skin with the bladder holder from the outer frame. Then peel the skin from the
bladder holder.
After training After training
c) Find the metal clip (small) that holds the joint between the valve and the urethral tube. Loosen
the clip by tucking small wings together with ngers and pull out the urethral tube carefully.
２
７

Assembly for storage
Wipe of the valve and mail meatus
After training After training
Caution
Caution
1. After the training, wipe the valve and the urethral tube thoroughly.
1. After thoroughly cleaning and drying each part, insert the male meatus into the foreskin as shown
below. Pull the male meatus from the other end of the skin layer to adjust.
Be sure to remove all lubricant
thoroughly. Remaining lubricant
may make
the connection
slippery and make the urethral
part easy to come o.
The urethra parts are composed of
soft resin; please handle gently.
When the lubricant remains between
the skin and male meatus, remove
the urethral tube by pulling it with
peeling the foreskin of the penis.
Then wipe its surface and inside of
the foreskin.
Wipe the joint between the valve and the urethral tube to remove the lubricant, using mildly soapy
water and let it dry naturally. Remove the lubricant which remains in the urethral tube with cotton
swabs.
４
３
８

４
９
Assembly for storage
After training After training
3. Insert the projection at the bottom of the skin
in the lower hole of the bladder holder.
2. Set the bladder reservoir into the bladder holder.
Tightly press down the reservoir into the holder to leave no spaces on the bottom between the reservoir
and frame.
4. Attach the urethral tube to the valve.
valve
urethral tube
valve
5. Then insert the urethral tube to the valve, and
put the clip over it, holding the clip by tucking
small wings together with ngers.
Take note of the direction of the
tube and orient it so that the
projection on the tube faces
upward. Ensure to place the tube
securely over the connector of
the valve.
Caution
No space Remaining
space

Assembly for storage
After training After training
7. Set the bladder holder to the genital organ frame.
４
b) To t the upper side of the skin in the genital
organ frame, tuck the skin under the frame with
ngers.
c) Then engage the frame and holder by pushing
the corner of the genital organ frame forward
(to the abdomen side), until clicking sound is
heard.
Or, support the fasteners from the back side by
ngers and draw the genital organ frame over it
toward you.
a) Set the lower edge of bladder holder to the
stopper on the frame. Then, holding the frame
rmly, push the holder forward.
10
6. Put the skin over the bladder holder and insert two upper projections of the skin in two upper
holes of the bladder holder.

9. Secure the rectum unit with the metal clip.
Assembly for storage
After training After training
４
11
8. Connect the rectum unit.
Set the rectum unit to the tube connector of the genitalia unit. Then set it on the hook.
Set the rectum unit with correct
angle as shown in the picture.
Caution

Catheterization training
Enema Training
FAQ s
Cases
Water leakage
Water leakage
The valve is worn.
Clamps of the irrigation and/or
drainage tubes are closed.
Using a non-genuine lubricant
that is not included in the set.
Open the both clamps of irrigation
and drainage tubes.
Use the lubricant included in the set.
Use a catheter of the recommended
size of 14-16 Fr.
Fill water into the bladder reservoir
by using irrigation bottle.
Loose connection of the valve
and bladder reservoir or
meatus urethra.
Check the connection of the valve
and bladder or meatus urethra,
reconnect them tightly.
Ensure that the metal clips securing
the bladder or meatus urethra are
firmly in place.
Replace it with the new valve
Water does not
flow out when
the catheter is
inserted.
Valve is easily
damaged
Glycerin enema tube
can be inserted more
than 7cm. Connection of the genitalia
organ unit and rectum unit
is not correct.
Check the connection of the
genitalia organ unit and rectum
unit. Then set them steadily.
Ensure that the metal clips securing
the genitalia organ and rectum unit
are firmly in place.
Reason Solution
Cases Reason Solution
12
Trouble shooting
Trouble
shooting
Quick check-up before calling the customer service, when the you have problems in using the simulator.
Look in the “cases” section for a description of the problem to find a possible solution.
Water in the bladder reservoir
is low.
Using a catheter larger than the
recommended size.

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 important updates and revisions.
Please contact manufacturer with any discrepancies in this manual or product feedback. Your cooperation is greatly appreciated.
● ●
2015.05
replacement male skin Ⅱ
replacement male meatus (a set of 2)
11381-300
11381-410
11381-410
11381-510
11381-510
Consumable
parts
code
replacement valve for MW2A/B (a set of 6)
name
11381-300
11381-800
11381-800
lubricant
Do not let ink from pens, newspapers, product manual or other sources
contact the manikin. Ink marks on the manikin will be irremovable.
Caution
For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.
metal clips are
not included
＊