Kyoto Kagaku NCPR Simulator Plus User manual

Instruction
Manual
MW21
NCPR Simulator Plus
●Introduction
●Before you start
●
●
Training
Contents
Manufacturer’s Note P.1
DOs and DON’Ts P.1
Set includes/Conguration P.2
P.7-P.10
After training P.11-P.12
Preparation P.3-P.6
Do not mark on the model and other components
with pen or leave any printed materials contacted on
surface.Ink marks on the model cannot be removed.
Right Arm Installation Simulated Blood making
Umbilical blood preparation
Installation of Simulated blood tube
Injection of the Stomach Fluid (Water)
Injection of the Simulated Blood
Airway Management
Umbilical Catheterization NG/OG Tube Feeling
Airway Suction CPR
Veins Replacement
Intravenous Puncture Central Venousline Catheterization
Training Positioning keeping/ Assessment of Anterior Fontanel
Drainage of simulated blood, umbilical blood and stomach uid/
replacing skin mask

The simulator is designed for training in neonatal care.Do not use for improper purpose.
Please read the instruction carefully before use.
Do not use the system in a way other than here in after prescribed by manufacturer.
Introduction Manufacturer’s Note /
DOs and DON’Ts
* Even if color on its surface might be changed across the ages,this does not aect the quality of its performance.
１
Manufacturer’s Note
DOs and DON’Ts
DOs DON’Ts
Features
Training Skills
Provides training in regards to the routine procedure for umbilical catheterization
for both the operator and assistant.
Omphalotomy/ Catheter insertion/ Ligation with clip or string/ Placement
Model provides training for three types of punctures and catheterization procedures.
Landmark palpation access/ Transilluminator acceess
Intravenous Injection/Puncture
Central Venousline Catheterization
Umbilical Catheterization
Landmark Palpation/ Transillumination
NG/OG Tube Feeding
Airway Suction
CPR
Airway Management
・
Training Positioning Keeping/ Assessment of Anterior Fontanel
・
・
・
・
・
・
・
Do not mark on the model and other components
with pen or leave any printed materials contacted on
surface.Ink marks on the model cannot be removed.
Handle the manikin and the components with
utmost care at all times.
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.
Never use organic solvent like paint thinner to clean
the skin, as this will damage the simulator.
Do not leave the tapes or dressing materials onto
the manikin as the adhesive left on the surface will
become sticky.

Syringe
Lubricant
Plastic jar
Instruction manual
Neonatal model
Simulation blood tube (Red)
Simulation blood tube (Blue)
Simulation blood (swab type)
Conguration
Conguration
２
Ａ
Ｃ
Ｄ
Ｅ
Set Includes
Before your first use, ensure that you have all components listed below.
Before You Start Set includes
a
a
b
c
d
e
f
g
a
b
c
d
e
f
g
Arm for puncture and
catheter insertion
Bronchi
Stomach/
Esophagus
Umbilical Cord/
Blood storage bottle
Umbilical Cord Unit
Leg for puncture and
catheter insertion
Simulation blood
tubes
Ribs/Lung
Oral Cavity
*Right arm is not connected when shipped.

1.Remove the body skin. (The skin is fixed by six braces.)
３
Before Training Preparation
1Right Arm Installation
2.Lift the lung and rib and remove the umbilical part. 3. Attach the right arm to the shoulder at red circle.
4. Insert the two tubes from arm first, and attach the arm next. Turn the arm clockwise to fix.
5.Connect two tubes from the arm to each tube connector in the abdomen.
(The tube doesn’t designate the connector.)

４
Before Training Preparation
２Simulated Blood making
３Umbilical blood preparation
2. Draw the simulated blood to the syringe attached.
1.Put out the umbilical blood bottle from umbilical part. Open it to fill with the umbilical blood. Install
the umbilical bottle into the umbilical part.
1. Pour 1000mL of water into the plastic beaker. Put the simulated blood (swab type) into the beaker
and stir the water sufficiently to prepare the simulated blood.
Take care not to drop simuleted
blood on clothes as simuleted
blood stains can be very dicult
to remove.
Caution

2.Put the umbilical part in the body, and the lung and rib on it. Cover the model with the body skin.
Put the umbilical cord through the body skin hole first, and put the body skin on the body to fix by
six braces.
５
Before Training Preparation
４
Installation of Simulated blood tube
３
1.Install the simulated blood tube (blue) to the connecter of arm side on the right side of the body.
Install the red one to the other connector (on leg side).
2.Finished.
Umbilical blood preparation

1. Connect syringe to the red tube to inject the simulated blood, and open the blue cock on the tip of
blue tube. Put the tip of blue tube in the plastic jar, and keep injecting the simulated blood until the
blood ejects from the blue tube. Close the blue stop cock and remove the syringe when finished.
６
Before Training Preparation
６
Injection of the Stomach Fluid (Water)
５Injection of the Simulated Blood
1.Connect the syringe to the connector under infra-axillary of the left side of body to inject
the stomach fluid. The volume is approximately 5ml. Remove the syringe when finished.
Simulatorbloodtube
connector A
Rotate while pressing connector
syringe

Training
7
２
Intravenous Puncture/
Training Positioning keeping/
Assessment of Anterior Fontanel
Intravenous Puncture/
Central Venousline Catheterization
Central Venousline Catheterization
１
Landmark Palpation Transillumination
●●
Recommended needle size; 23G.-27G.
Training for the procedure from the puncture
to catheter insertion.
Training for the position keeping and changing
Palpating to assess the anterior fontanel
Training for puncture with the transillumination
guide.
Training Positioning keeping/ Assessment of Anterior Fontanel

Training
８
３Umbilical Catheterization
Umbilical Catheterization
Provides training for routine procedure of
umbilical catheterization
for both operator
and assistant.
Omphalotomy
Catheter insertion
Ligation with clip or string
Artery and Vein
are elaborated
Placement
●
●
●
●
●
●
４NG/OG Tube Feeding
NG/OG Tube Feeling
Air sounds can be heard with a stethoscope.
Training for the catheter insertion through
the nasogastric and orogastric tubes
The catheter placement by dressing
*Spray the attached lubricant
to the catheter, nasal and oral
cavity of model before practice.
Recommended catheter size; 5Fr.
Recommened Catheter Size; 16G 30cm

Training
９
５
Recommended catheter size; 5Fr.
Airway Suction
Airway Suction
６
CPR
CPR
*Use the lubricant to spray the catheter, nasal and oral cavity of model before practicing.
Training for the nasogastric and orogastric suction
Training for chest compression

Airway Management
●
●
Training
10
６Airway Management
Recommended device size
Preparing for Intubation
Spray the lubricant into the oral cavity and device before intubation practice.
Tube：2.0～3.0 mm
Blade：0
Training for the procedure of intubation with laryngoscope
Training for the assessment of intubation to the esophagus or one-lung or two-lung intubation
Bag-Valve-Mask ventilation

After Training
11
１
２Replacing skin mask
Drainage of Simulated blood, Umbilical blood and Stomach uid
Drainage of simulated blood and
umbilical blood,stomach uid /
replacing skin mask
1. Discharge the simulated blood from the blood tube
after practice.
1. Remove the skin mask from posterior part by lifting it.
2. Put the edge of mask on the gap of posterior head to cover the head when installing the face mask.
3. Refer to Preparation page regarding body skin replacement.
2. Remove the umbilical part and put out the
umbilical bottle to drain the simulated blood.
After that clean up the bottle and dry it up.
3. Connect the empty syringe to the connector
under infra-axillary of the left side to draw the
stomach uid.
Connect the empty syringe to the red tube connector to
draw the simulated blood after opening the blue cock.
*Repeat this drainage work until the tube is empty.

Veins Replacement
After Training
12
３Veins Replacement
1. Remove the leg skin and disconnect the tube from the connectors in femoral part to remove
the vein tube. When installing new tube, do the opposite order of processes.
Put the tube along the trench on the leg and foot. The vein tube goes to order of the inside of
the leg, the bottom of the foot and outside of the leg.
2. Replace the vein tube of the arm as well as the leg. Remove the arm skin to disconnect the
vein tube. This vein goes to hand and return to the shoulder side.
Replacing the vain tubes of the leg and arm

2016.10
■ ■(World Wide)
Kyoto Kagaku America Inc.
Caution
For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.
Do not mark on the model and other components with pen or leave any printed materials
contacted on
surface. Ink marks on the model cannot be removed.