Kyoto Kagaku MW40 User manual

ObstetricTrainingSimulator
-completeset-
MW40
Contents
BeforeYouStart
SetIncludes/DOsandDONʼTs
ManufacturerʼsNote
Preparation
P.２
P.6〜P.9
P.10〜P.11
TrainingSessions
AfterTraining
P.３
P.12
Introduction P.１
Instruction
Manual
●
●
Caution
《Delivery Assistance》
●
●
Preparation（AssemblyofThighs） P.4〜P.5
●
●
●
Preparation P.13〜P.16
P.17
TrainingSessions
AfterTraining P.18
《Cervical Examination》
●
●
●
Preparation P.19〜P.20
P.21
TrainingSessions
AfterTraining P.21
《Perineorrhaphy》
●
●
●
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
HandlingandStorage

1
■
■
ManufacturerʼsNote
Introduction
TheObstetricTrainingSimulator‒completeset-isacomprehensivetrainingsetwith
theplatformofmaternalbodyfortraininginskillsincludingcervicalexamination,
deliveryassistanceandperinealrepair.
ThisObstetricTraining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)
Features
TrainingSkills
Readbeforeuse
○ True-to-lifetrainingexperienceindeliveryassistanceincludingperinealprotection,
deliveryoffetusandplacenta.
○ Genitalareaexcelsinelasticity,durabilityandresilience.
○ Anatomicallycorrectvaginalcanal,ischialspinesandpubicjointthatfacilitatetrainingwith
anatomicalunderstandingthroughdirectobservation,aswellaspalpation.
○ 5stagesofcervicaldilationcanbesetforpalpationbyinterchangeablemodules.
・Singleinterruptedsuture
・Verticalmattresssuture
Perineorrhaphy
○ Thematernalbodyservesasaplatformforanarrayofmidwiferyskillsindeliverystage,
includingcervicalexamination,deliveryassistance,perinealrepair(perineorrhaphy).
《DeliveryAssistance》 《PerinealRepair》
※ Besuretoreferthehandlingandstorageinstructionsonpage3andalwaysfollowthem.
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●
●
●
●
●
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Deliveryassistancefor
differentdeliverypositions
(dorsal,all-fours)
Perinealprotection,anal
sphincterprotection
Deliveryoffetus(forceps
delivery,vacuumextraction)
Clamping,tyingandcutting
oftheumbilicalcord
Deliveryofplacenta
Inspectionofvelamen
Procedureofurinarycatheterization
Speculumexamination
●
・Determinationofbishopscore
(cervixscore)usinglandmarksofthe
ischialspinesandthepubicsymphysis
CervicalExamination
《CervicalExamination》
●
・Assessmentofcervicaldilation
・Proceduresofurinecatheterization
・Procedurescervicalcytology

Before You StartSet Includes
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.
● 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.
● Evenifcoloronitssurfacemightbe
changedacrosstheages,thisdoesnot
affectthequalityofitsperformance.
● Storageinadark,coolanddryspacewill
helppreventtheskincolorsfromfading
andproductfromdeforming.
● Themanikinskinmaybecleanedwith
awetclothifnecessary,usingmildlysoapy
waterordiluteddetergent.
Set Includes
Beforeyoustart,ensurethatyouhaveallcomponentslistedbelow.
a. Pregnancytorso １
１
１
１
１
５
３
６
１
１
３
b. Genitaliaunit(for
pelvicexamination
anddeliveryassistance)
c. Fetus
d. Placenta
e. Umbilicalcord
f.Umbilicalcord
foromphalotomy
g. Velamensheet
l. Lubricant
n. Vat
m. Talcumpowder
o. Fittingpartsforthighs
１
１
５
h. Vaginaunit
j. Cervicaldilation
module
１
Genitaliaunit
(forperineorrhaphy)
i. Holderforcervical
dilationmodule
Instructionmanual
a
b
c
d
ef
k
j
l
m
g
h
i
n
o
k.
DOʼ sandDONʼ Ts
Thighsarenotattachedtothebodyatthetimeofreceipt.
2

3
Caution
○ Applytalcumpowderonthepartsbelow,coverthemwithincluded
non-wovenbagandstoretheminthestoragebox.
○
Maintainpropertemperature,humidityandavoiddirectsunlightofthe
storageroomofsimulators.
Besuretomonitortheindicationstickeronthestorageboxoftheproduct.
Storethesimulatorbelow60degreesC.
Changethestorageplaceimmidiately whenthetemperatureindicatorshowscolorcirclesasbelow.
*Thecolorcirclesareirreversible.
HandlingandStorage
PLEASEREAD:
○Donotletthepartscontactwithotherresinitemsandprintedmaterials.
Thesesoftmaterialofthepartsmaybedeformedbycontactwithotherresinitemsandmarked
bycontactwithprintedmaterialandtheycannotberepaired.
3F60 年 月貼付
60 65 70
3F60 年 月貼付
60 65 70
Before After
Genitaliaunit
(forpelvicexamand
deliveryassistance）
Umbilicalcord Vaginaunit
Genitaliaunit
（forperineorrhaphy）
Placenta
AFTERUSE:
Alwaysfollowthehandlingandstorageinstructionbelow,tokeepthematerialwithits
elasticityanddurability.

➡
➡
Ｌ
Ｒ
Fitting parts for thighs
Preparation Assembly of Thighs
Assembly of Thighs
1. Beforethefirstuse,thighsneedtobeattachedtothematernalbody.
Ensurethatyouhaveallnecessarycomponentsbelowandidentifyleft/rightmarkengravedin
theroundpitofeachthigh.
Plate
(white) Washer
Washer
Bolt
Flynut
Thigh(R)
Thigh(L)
Rightthigh Leftthigh
Maternalbody
*Forclearerunderstanding,
theabdominalcover,the
genitaliaunitandthecovers
forthepitsofthethighsare
removedinthephotosinthis
page.
2. Puttheboltattheleft/righthipjointareaofthematernalbodythroughtheopeningofthe
respectivethigh.Thenputtheplateandthewasherinthisorderandfixthemtogetherwiththefly
nutoverthewasher.
*Take not that the flat side of the washer faces the plate.
*Lift the thigh facilitates fastening the nut tightly.
*Be careful not to overtighten the nuts.
4

➡
➡
Preparation Assembly of Thighs
Assembly of Thighs
3. Attachthecoversforthepitsofthethighs.
Orientthecoverfittingthematch-marklines“―“onthewallsofthecoversandthepit.
4. Assemblebothlegswiththesameprocessto
completetheassembly.
*Spreadingincludedtalcumpowderfacilitate
insertingthecovers.
Match-marklineonthewallofthecover.
Match-marklineonthewallofthepit. *Thecoversarecommonforliftandright.
5

6
Preparation DeliveryAssistance
SettinguptheFetus
2. Takeouttheplacentafromthestoragebagtoattachumbilicalcord.Connectthescrewside
ofumbilicalcordtotheplacentaandturnitclockwisetofix.
Preparethefetus,placenta,umbilicalcord,umbilicalcordsforomphalotomy,velamensheet,
vatandlubricant.
4. Takeouttheumbilicalcordforomphalotomyfromthestoragebag.
Reversethetipofittoshowthehook,andengageittothehook
attheumbilicalcordfromtheplacenta.
1. SettinguptheFetus
3. Inserttheumbilicalcordinto
theholelocatedatthecenter
ofthevelamensheet.
Fetus Placenta UmbilicalCord
UmbilicalCord
forOmphalotomy
VelamenSheet Vat Lubricant

7
Preparation DeliveryAssistance
4. Loosenthewhitescrewtoremovetheplateonthefetalabdomen,andtakeouttheclipfromthere.
5. Pinchthetipofumbilicalcordsforomphalotomywiththeclip.Putitbacktothefetalabdomen,
andfixumbilicalcordsforomphalotomytotheabdomenbytheplatewiththewhitescrew.
6. Fetusisreadyfortraining.
※Placetheclipinthedirectionshownintheabovepicture.
SettinguptheFetus

8
Preparation DeliveryAssistance
2.Applylubricanttotheinternalsurface
ofthegenitaliaunit,too.
※Thegenitaliaunitcanbelubricated
afterattachingtothematernalbody.
Lubrication
1. Puttheassembledfetusinthevatincludedintheset.Applylubricanttoitentirelyincluding
thevelamensheetandtheplacenta.
Beforetraining,applylubricanttothegenitaliaunit,placenta,andumbilicalcords
foromphalotomycompletely.
1.Removetheabdominalcoverfromthebody.Theabdominalcoverandbodyareattached
withfourmagnets.Theabdominalcovercanberemoveditbylifting.
AssemblyoftheMaternalBody

9
Preparation DeliveryAssistance
3. Putbacktheabdominalcover
tothematernalbody,andset
thefetusinittocompleteset-up.
＊Alwaysputtheplacentaonthevat
duringthetraining.
AssemblyoftheMaternalBody
＊Becarefulnottopinchyourfingerbetweenthe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.

Training Delivery Assistance
BirthPositions
KeyFeatures
BirthPositions,KeyFeatures
・Directobservationofthemotionoffetusindeliverytounderstandthespatialrelationship
betweenpelvisandfetus.
Trainingcanbeconductedintwobirthpositions:dorsalandall-foursposition.
Dorsalposition All-foursposition
《KeyFeatures》
ischialspine ischialspine
pubicsymphysis
coccyx
pelvis
・Pelvishaspubicsymphysisandischialspines,whichfacilitatesunderstandingofthespatial
relationshipbetweenpelvisandfetus.
Stationzero,thelinethatconnectischialspines
canberecognized.
・Genitaliaunithasexcellentelasticityandresilienceandbirthcannelisoptimalsizeforthefetus,
whichallowstodeliverthefetusbyalittlepushingforceholdingthehandlelightly.
10

11
Training Trainingskills
DeliveryAssistance
○ Clamping,tyingandcuttingofumbilicalcord
○ Perinealprotection ○ Deliveryassistance
Trainingskills
○ Deliveryoffetus
○ Inspectionofvelamenandplacenta
○ Deliveryofplacenta

DeliveryAssistance
AfterTraining
AfterTraining
○ Removethegenitaliaunit
○ Disassemblingthefetus
○ Cleaningandstorage
1.
Lifttheabdominalcovertoremoveit
fromthematernalbody.
1. Disengagetheumbilicalcordandplacentainreverseorderofset-up.(SeeP.4-P.5)
1. Wipethelubricantleftonthefetus,umbilicalcord,placentaandgenitaliaunitawaywithwet
papertissue.Ifnecessary,washthembytapwater,anddrythemwellnaturally.Aftercompletely
driedthecomponents,applytalcumpowdertoeachofthem.
2. Pullbackthetopofthegenitaliaunitframe
toremovefromthebody.
2. Genitaliaunit,placentaandumbilicalcordfor
omphalotomyaremadeofspecialsoftresin.
Itisrequiredtostorethemeitherinthestoragebag
oronthevataftertraining.
※Ifthesepartsarestoredtouchingwithother
resinproductsorprintedmatter,thedentor
inkmightbeleftontheskin,andwillbecome
irremovable.
12

Preparation
Installationofcervicaldilation
moduletotheholder
1. Attachthecervicaldilationmoduletotheholder.Matchtheredpointofholder
withslitofcervicaldilationmodule
2. Theleverontheholderbecomesmovable
bypullingtheblackknobontheholder.
Descentofthefetalheadcanbeset
bymovingtheleverbackandforth.
※Descentoffetalheadissettablein
sevenphases.
※Note:Thecervicaldilationmoduleis
tobemountedonthetip(smallertip)
ofthestick,whichisoppositetothehandle.
Station−3 Station0
Station0
Station＋3
＋１〜＋３
−３〜−１
13
CervicalExamination

Preparation
1. Removetheabdominalcoverfromthebody
Theabdominalcoverandbodyareattachedwithfourmagnets.Theabdominalcovercanremoveit
bypulling.
Assemblyofthematernalbody
Note:Becarefulnottopinchthefingerbetweengenitaliaunitandmaternalbody.
2. Inserttwoprojectionsofthegenitaliaunitintheholesofthematernalbody.
Andpushtheupperpartofthegenitaliaunitintothematernalbody.
CervicalExamination
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3. Attachthecervixunittothematernalbodynotingitsorientation.
Attachtheabdominalcovertothematernalbodybymatchingthemagnetpositions.
Preparation
Assemblyofthematernalbody
Lubrication
CervicalExamination
1. Applythelubricanttotheinsideofthecervixunit,genitaliaandcervicaldilationmodule.
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CervicalExamination
Preparation
1. Attachtheholdertothematernalbody
Installationofcervicaldilationmodule
tothematernalbody
Settheholderwiththecervicaldilationmodule
tothematernalbody.
2. Attachtheabdominalcovertothematernalbodybymatchingthemagnetpositions.
※Note:Engagetheedgesontheholderand
theholesonthematernalbody,andpushthe
holderuntilclickingsoundisheard.
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Training/Features
Training/Features
《Features》
○ Changeofcervicaldilationmodule
Ischialspine Ischialspine
Coccys
Pelvis
・ Stationzero,thelinethatischialspines
canberecognized.
・Todeterminethefetalpositionispossible
byposteriorfontanelle.
Forthetrainingforpelvicexamination,
putonglovesandapplylubricanttofingers.
Cervicaldilationmodulehas
5variations
Unlocktheholderwithpullingtheblackknobonrightandleftofholder,thenremove
theholderfromthematernalbody.Changethecervicaldilationmodulesandsettheholderagain.
Nodilation
9cm
1-2cm 3-4cm
5-6cm
CervicalExamination
Preparation

CervicalExamination
AfterTraining
AfterTraining
○ Disassemblyofthemodel
1. Removetheabdominalcoverfromthematernalbody.
4. Cervixunitisremovedfromthematernalbody
withpullingtheupperpartofframeinfront.
Wipeoffthelubricantwithwetwipes.
2. Unlocktheholderwithpullingtheblackknob
onrightandleftofholder,thenremovetheholder
fromthematernalbody.
Wipeoffthelubricantwhichattachedtocervical
dilationmodulewithwetwipes.
3.
Pulloutthecervixunitinfrontwithholding
whiteframeonthecervixunit.
Wipeoffthelubricantwithwetwipes.
※Also,theseunitsarewashablewithwater.Applythetalcumpowderafterhavingbeendriedenough.
Thecervixunitandthegenitaliaunitaremade
fromspecialsoftresin.
Forstorage,coverthemwithincluded
non-wovenbagandkeeptheminthestoragebox.
Caution: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.
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