Kyoto Kagaku Physiko User manual

Physical Assessmemt Model
Physiko
Instruction Manual

PhysicalAssessmentSimulator

Readme
Features
Systemconfiguration
Howtoconnecteachdevice
Howtousesoftware
Systemconfiguration（Volumeset）
Systemconfiguration(Pupilssensor&Listeningvolume)
Patientcases(Mode1)
Patientcaseseditor(Mode2)
・Creatingpatientcase
・Howtosave/deletethefile
・Opendata/Execution
・Continualexecution
Basicoperationinlearningcourse
BasicoperationinSkillstraining
Howtoquitsoftware
Ｑ＆Ａ
DOs and DONʼTs
P.1
P.2
P.2
P.3〜P.5
P.7
P.8
P.9
P.10
P.11
P.12
P.13
P.14・P.15
P.16〜P.20
P.21
P.22
P.23・P.24
P.25
必ずお読みください
Thisproductisdesignedfortraininginmedicaleducation.
Donotuseitforotherpurposes.
ReadNoteinusebeforeuseofmodel.
Ifyouhaveanyquestions,contactKyotoKagaku.
(Contactaddressisprintedonbackcover)
Handlethemodelcarefully.Excessiveforceorphysicalimpactmay
damagetheproductorresultinproblems.
Donotusethesysteminawayotherthanhereinafterprescribed.
Manufacturershallnotbeliablefordamagesorproblemscausedby
noncompliancewiththewritteninstruction.
Readme
Index
1
Start‑UpPC〜TopMenu

Pupils light sensors Speakers(Heart sounds, Lung sounds)
Speaker(Bowel sound)
Pulse generator ECG SensorsBlood pressure sensor
（Right arm）
ECG Sensors
Pulse generator
Cables to connect
PC MouseTerminal BoxECG electrocord
& lead
Sphygmomanometer
コネクタはこの向きに差します。
写真のマーキングは、わかりやすいように
画像を加工しています
■Terminal Box & Peripheral Device
■Mannequin
必ずお読みください
①
②
③ Physiko provides many cases for each procedure, which facilitates learning of the
features for each case.
Physiko facilitates learning of the basic procedure for physical assessment
comprehensively interfacing with PC.
Physiko facilitates practice for Pupil reflex, BP measurement(Right Arm), Pulsation
(Carotid artery, Radical artery), Auscultation (Lung and Heart sound) and ECG.
心拍数が表示されます。
カフ圧が高い場合。
血圧値が表示されます。
減圧速度が表示されます。
測定の進捗状況を表示します。
カフ圧が適正の場合。
心拍数が表示されます。
血圧値が表示されます。
心拍数が表示されます。
血圧値が表示されます。
息を吸っているとき
息を吐いているとき
Features
System Configuration Physiko consists of following internal functions
※ Specification and shape of devices are subject to change without notice.
2

Connecteachdeviceaccordingtothefollowinginstructionanddiagram.
・ConnectthepowercableofTerminalboxtotheoutlet(AC115V).
・ConnectPCtoTerminalboxbyUSBcable.
・ConnectthecablefromMannequin(96‑pinterminalcable)toTerminalbox.
・ConnectthecablefromtheSphygmomanometertotheTerminalbox.
（UsetheSphygmomanometerprovidedinkit）
・ConnectpowercablefromPCtooutletinTerminalbox.
※Itispossibletoconnectthecable"toECG"totheElectrocardiographicMonitoryouhave.
PayattentionnottomakeanimpactonthePCortheTerminalbox.
※ElectrocardiographicmonitormaynotbeabletoconnecttotheTerminalbox.
■Figuretoconnecteachdevice
USB
96‑pinteminalcable
toECG
ECGlead
Terminal
Box
AC115V
AC115V
PC
Mouse
Mannequin
Outlet
Sphygmomanometerprovidedinkit
Howtoconnecteachdevice①
3

AC100VIN
AC100VOUT血圧計/Cuff
電極/Electrode
モデル/Model
USB
V6V5V4V3V2V1
心電計/EGG
LLRLLARA
■BackSideofTerminalBox
■SideofTerminalBox
Connecteachcabletosuitableterminalcarefullyaccordingtothefigureofthebackside
ofTerminalBox.
Connecteachcabletosuitableterminalcarefullyaccordingtothefigureonside
ofTerminalBox.
※DonotusetheoutletinTerminalBoxforanotherelectricdevicesinceitisdesigned
forthePCprovidedinkit.
Howtoconnecteachdevice②
4
toECGMonitoryouhave toECGlead
toECGlead
toSphygmomanometertoSphygmomanometer
topower
ofPC
topower
ofPC tooutlettooutlet
toUSBteminalofPCtoUSBteminalofPC toMannequintoMannequin

高
/High
低
/Low
瞳孔収縮感度
/Contractedpupil
高
/High
低
/Low
瞳孔散大感度
/Dilatedpupil
感度/Sensitivity
高
/High
低
/Low
聞き取り感度
/Hearing
POWE R
Phisycal Assessment Model
M 55
■FrontsideofTerminalBox
Thepilotlamplightsup
wheneveryconnectionis
madecorrectlyandthe
powerofPCisturnedon.
Refertopage9regarding
howtoadjusttheseadjusters.
■TerminalsideofPC
※ThelayoutofterminalissubjecttochangeaccordingtothemodelofPC.
Howeverthewayofconnectionisnotchanged.
（USB）
（USB）
Howtoconnecteachdevice③
5
toTerminalBox
toMouse
YoumayconnecttoanyUSBconnectorsoftheTerminalsideofPC.

Physical Assessment Model Physiko
6
Howtousethesoftware

TurnonPCpowerbuttonafterfinishingconnectionfordevices.
←ThisiconshowsthemainpowerbuttonforPC.
Thesoftwareisstartedupautomaticallywhenthepoweristurnedon,andTopMenuisshown.
Ifthemessage "TheUSB‑BOXisnotconnected！" showsonthedisplay,checkthe
connectionofeachdevice.
Howtousesoftware 【Start‑UpPC〜TopMenu】
TopMenu
Start‑UpPC
ToShutdownthesoftware
andturnoffPC
Totheindividualexamination
skillstrainingmode
→P.22
→P.21
Topatientcaseseditormode
→P.14〜20
Tothepatientcasesmode
→P.10
Tosystemconfigurationto
adjust →P.8・9
7

EachvolumeforHeartsound,PupilslightsensorsandMicrophonecanbeadjustedon
thisscreen.
Afteradjustingeachitem,clicktheicon"Home"ontherighttopcorner
onthescreen.
SystemConfiguration
Howtousesoftware 【SystemConfiguration】
VolumeSet
※ThispageisTopManu.
Returnto
8
Thewindowonleftcanbeopenedby
clickingthe"VolumeSet"icon.
Adjustthevolumesuitablyasyouneed.
1.Movethesliderlefttorighttoadjust
eachvolume.Thevolumebecomeshigherby
movingittoright.Itbecomeslowerby
movingittoleft.
2.Click"Adopt"iconaftersettingeach
volume.
3.Click"Reset"icontomakethestatus
beforeshipment.
4.Click"Cancel"icontomakethestatus
before"Adopt".
5.Click"Using"toworkthemicrophone.

高
/High
低
/Low
瞳孔収縮感度
/Contractedpupil
瞳孔散大感度
/Dilatedpupil
感度/Sensitivity
高
/High
低
/Low
聞き取り感度
/Hearing
高
/High
低
/Low
瞳孔収縮感度
/Contractedpupil
瞳孔散大感度
/Dilatedpupil
感度/Sensitivity
高
/High
低
/Low
聞き取り感度
/Hearing
高
/High
低
/Low
高
/High
低
/Low
高
/High
低
/Low
瞳孔収縮感度
/Contractedpupil
瞳孔散大感度
/Dilatedpupil
感度/Sensitivity
高
/High
低
/Low
聞き取り感度
/Hearing
高
/High
低
/Low
■Sensitivitysettingforcontraction
ofthepupil
■Sensitivitysettingfordilation
ofthepupil
If"！"logoislighted,turnknobsagaincounterclockwiseuptoendandadjustthem
inordertolocatetheindicatorinthe"Normal"range.
Adjustlisteningvolumetomakethemouthmovewhenmicrophoneisused.
Adjustthevolumetolight"Audible"signwhenyouspeakintothemicrophoneand
"Inaudible"signwhenyoudon'tspeak.
Whenturningknobcounterclockwise,itbecomessensitivetoevensilentvoice,
andwhenturningclockwise,itbecomesinsensitive.
Howtousesoftware 【SystemConfiruration】
Howtoadjustthepupilslightsensors
Howtoadjustlisteningvolume
9
Adjustthepupilslightsensorsaccordingtothe
brightnessintheroominordertomakeanormal
pupilsreflex.
AdjusttheSensitivityknobonthefrontofthe
terminalboxinordertolocatetheindicatorin
the"Normal"range.
Normallytheknobissetina
counterclockwisestatus.Ifthepupils
feelsoverreacttobrightness,adjust
theknobclockwise.
Pupilsbecomeinsensitivetothelight.
Normallytheknobissetina
counterclockwisestatus.Ifthepupils
feelsunderreacttodarkness,adjustthe
knobclockwise.
Pupilsbecomesensitivetothedarkness.

Howtousesoftware 【Patientmode（Preset）】
Mode1（Patientcases）
10
Mode1providestwelvepre‑set
patientcaseswhichcanbe
chosentolearn.
Inthismodeusercannotchange
patientdataarbitrarily.
ChooseMode2(Patientcase
editor)onTopmenuwhenyou
createnewpatientandlearn
withthat.
Whenyouputcursoronthebaron
leftsideofthescreen,thedata
ofitspatientisshownonthe
rightsideofthescreen.
Whenyouclickthebarofthe
patientdata,itchangestothe
screenforthephysical
assessmentsession.(Ittakesa
littletimetochangescreen.)
Regardinghowtolearnthepatient
cases,refertopage16to20.

Click"N"ontheleftwhen
creatingpatientcasenewly.
Whenyouclickofeachcase,the
pulldownselectionisshown.
Choosetheitemyoulike.
Regardingthebloodpressure,click
or,orclickthenumberyou
changeandinputbykeyboard.
※YoucannotinputgreaternumbertoS4
thanS5's.
Howtousesoftware 【Patientcaseseditor】
Creatingpatientcase
■Howtoinputletterbykeyboard(InthecaseofJapaneseversionofPC)
Shift
半角／
全角
漢字
11
Alphabetinputmodeissetusually.Ifitisnot,switchtoalphabetmode
byfollowinginstruction.
toAlphabetinputmode

①
②
②
①
Whenyousavethecreatedfile,click
"Save"icon.
Whenthewindowisshownontheleft,
inputfilenametobykeyboardandclick
"Save"icon.
①
②
※Ifyounamedexistingfilename,thedialogue
isshown.Youmaychangethefilenametoresave
oroverwrite.
Whenyoudeletecreatedfile,click"Save"or
"Calldata".
Afterthewindowisshownliketheleft,click
thefilenameyoudeletelike,andclick
"Delete"icon.
①
②
Howtosavethefile
Howtodeletethefile
Howtousesoftware 【Patientcaseseditor】
12

①
②
Whenyouopenthesavedfile,
click"Calldata"bar.
Thewindowbelowisthenshown.
Click"Yes"ifyoudon'tsavethefile,
andopenanotherone.
Click"No"ifyousavethefile.
Next,opentheanotherone.
Clickthefilenameyouchooseinthewindowopened.
Nextclick"Open"icontoopenthefileyouchose.
Ifthereisunsavedfile,thewindowbelowwillbe
shown.
①
②
※Regardinghowtosavethefile,refertopage12.
Click"Yes"ifyoudon'tsavethefile,andexecuteanotherone.
Click"No"ifyousavethefile,andclick"Execution"aftersavingthefile.
※Regardinghowtosavethefile,refertopage12.
Clickthe"Execution"barontheleft,whenyouexecute"Createdfile"or"Openedfile".
Ifyouexecute"Unsavedfile",thewindowbelowwillbeshown.
Calldata
Execution
Howtousesoftware 【Patientcaseseditor】
13

①
③
②
④
Whenyouexecutefilescontinuously,
click"Continuousexecution"bar.
※Whenyouexecutethismode,itis
requiredthatmorethantwofiles
aresaved.
Youcanexecuteuptothreefiles
continuously.
Clickthefiletoexecuteonthewindowopened.
Nextclick"Choice"icontotransferthefileto
"Continuousexecutionpattern"box.
Repeattasktochooseuptothreefiles.
①
②
①②
Choosetheexecutingtimeaccordingtofollowingorder.
Clickthefilein"Continuousexecutionpattern"box
youchoosetheexecutingtimefor.
Nextyouclick"Executingtime",andchooseonefrom
fiveoptionsof"executingtime"youneed
inpull‑downmenu.
Repeattasktochooseproper"Executingtime"for
everyfileyouchose.
③
④
③④
※Ifyoudon'tchoose"Executingtime"forafile,
itwillbeoneminuteautomatically.
Howtousesoftware 【Patientcaseseditor】
Continuousexecution①
■Choiceoffiletoexecute
■Choiceoftheexecutingtime
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⑤
⑦
⑨
⑧
⑥
Clickthefileforwhichyouchangetheorder
toexecute.
Next,youchangetheorderoffilesbyclicking
"Up"or"Down".
⑤
⑥
Clickthefiletounlockthechoice.
Nextwhenyouclick"Unlock",thefileisunlocked
fromthechoice.
⑦
⑧
Click"Execution"afterfinishingconfiguration.⑨
※Ittakesatimeforthissystemtotransferthedata
totheterminalboxfromPCwhenyouchoosenextfile
inthecontinuousexecution.
Continuousexecution②
Howtousesoftware 【Patientcaseseditor】
■Changingtheorderoffilestoexecute
■Unlockingthechosenfile
■Execution
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Youcanchooseskilland
gotoeachcourse.
Youcanreturntopreviousmenu.
Howtousesoftware 【Patientcases】
Learningcourse
Basicoperationforlearningcourse①
WhenyougointoLearningcourse,thescreenbelowisshownfirst.
Chooseskillyouwouldliketolearnandclickit.
Thereare"Thepatientoverview"and"Detailsofthefindings"screensineach
learningcourse.Youcanswitchthescreenbyclickingtheiconontop‑left
inthescreen.
YoucanretruntoTopMenu
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Howtousesoftware 【Patientcases】
Basicoperationforlearningcourse②
Thereis"Interpretationoffindings"icononbottom‑rightin
each"Detailsoffindings"screen.Youcancheckwhatfindingisby
pressingthisicon.
TheexamplescreenisforPupilreflex.Thefigureoficonis
differentineachskill.
Thereis"Caseexplanation"icononbottom‑rightineach
"Detailsofthefindings"screen.Youcancheckwhatcaseisby
pressingthisicon.
(Itisblankin"Patientcaseeditor".)
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Howtousesoftware 【Patientcases】
BasicOperationinlearningcourse③
■OperationinECGlearning
InECGpasientscreen,youcanchoose
ECGwavebyclickingECGdisplay
surroundedinlineonleftfigure.
Youcanchoose"Indicate"or"Hide"in
ElectrodestatusonECGdetailscreen.
Youcanadjustvolumebyclickby"VolumeSetting"iconinsomecases.
→P.8 RefertoVolumesetting
ElectrodeStatus"Hide"ElectrodeStatus"Indicate"
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