Limbs & Things 60166 User manual

Basic Catheterisation Trainer
limbsandthings.com
r me sk train uc t Limbs & Things Ltd.
Sussex Street, St Philips
Bristol, BS2 0RA, UK
[email protected]
[phone]
Product No: 60166
Us e

2
This cost effective Value Set contains a basic version of each of the Male and Female
Catheterisation Trainers.
These basic versions do not contain suprapubic bungs (60168).
The Catheterisation Trainers allows the trainee to learn urinary catheterisation techniques. The
feel of the catheter passing along the urethra into the bladder corresponds closely to real life.
Basic Catheterisation Trainer
Ft
ckage suld
– Latex free
– Supple urethra and resistant sphincter providing realistic response
– Non drip valve
– Male anatomy: realistic meatus, flaccid penis and replaceable foreskin
– Female anatomy: partable labia with realistic urethral meatus and vaginal opening
– 1 litre fluid bag on stand provides pressurised fluid flow
– Syringe supplied with water-based lubricant to simulate proprietary local anaesthetic gel
– Reusable double-sleeve catheter packaging is supplied for teaching aseptic catheter handling
Sk
• Correct handling of male and female anatomy
• Aseptic catheterisation technique
• Catheter placement: accepts catheters from 14-16 French (male) and 12-16 French (female)
• Fluid management
Male
• 60152 Male Catheterisation Unit
• 60154 Catheterisation Foreskin (Pack of 3)
• 60161 Standard Bung
• 50185 Antifungal Agent Milton Sterilising Fluid
• 60160 Aseptic Catheterisation Sleeves (x2)
• 50183 Mock LA Gel with Syringe
• 60159 Male Catheterisation Sphincter Kit
• Pelvic shell
• Plastic kidney dish
• Drip tray with bag stand & 1litre fluid bag
• 14 French foley catheter (male)
• 2 litre jug
Female
• 60156 Female Catheterisation Unit
• 60154 Catheterisation Foreskin (Pack of 3)
• 60161 Standard Bung
• 50185 Antifungal Agent Milton Sterilising Fluid
• 60160 Aseptic Catheterisation Sleeves (x2)
• 50183 Mock LA Gel with Syringe
• 60162 Female Catheterisation Sphincter Kit
• Pelvic shell
• Plastic kidney dish
• Drip tray with bag stand & 1litre fluid bag
• 12 French foley catheter (female)
• 2 litre jug
60166

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Female Catheterisation Unit
Product No: 60156
Aseptic Catheterisation
Sleeves
Product No: 60160
Male Catheterisation Unit
Product No: 60152
Standard Bung
Product No: 60161
Mock LA Gel with Syringe
Product No: 50183
Female Catheterisation
Sphincter Kit - 60162
Male Catheterisation
Sphincter Kit - 60159
Catheterisation Foreskin (x3)
Product No: 60154
Antifungal Agent
Milton Sterilising Fluid (500ml)
Product No: 50185
Components
Note
Do not leave catheters
inserted in the Trainer
or attempt to remove a
catheter which has an
inflated balloon.
Catheterisation is a wet
process. Do not set up
the product near electrical
appliances or items
damaged by water.

4
Place the drip tray onto the work
surface
Place the pelvic base onto the drip tray
with the genitalia facing forwards
Screw the two parts of the metal fluid
bag stand together
Insert one end of the stand into the hole
at the back of the drip tray. Ensure that
the arm at the top of the stand is facing
forwards
Setting up the Trainer
1 2
3 4

5
Tighten the red turnscrew until the
stand is securely in position
Hang the fluid bag on the top of stand
Connect the fluid bag to the bladder
feed tube (with the white connector, at
the back of the catheterisation unit)
Open the cap on the top of the fluid
bag and place the air vent tube (tube
without connector, at the back of the
Catheterisation Unit) into the bag ensuring
the end is positioned at the very bottom
Should the connector fail to attach to the fluid bag the connector mechanism may
need resetting. See ‘Troubleshooting’ on page 14
5 6
7 8

6
Fill the 30ml bottle cap with Milton (x2)
Any air in the bladder will vent out of
the tube into the bag. When the air
bubbles stop, the bladder is completely
full. Top up the bag to the 1 litre mark to
provide realistic fluid pressure.
The Trainer is ready to use
Dispense 60ml into 1 litre of water in
the plastic jug
Fill the bag with water. The bladder will
start filling
9 10
11 12
Setting up the Trainer

7
Inject 1-2 ml of lubricant into the urethral
orifice
Squeeze some of the lubricant into the
syringe
The Trainer is now ready for catheter insertion
1 2
Preparing for catheterisation
The water-based lubricant is used to simulate sterile anaesthetic gel (Instillagel®)
which is used prior to catheterisation

8
Insert the syringe into the urethral opening
and inject
Fill the syringe with water
The catheter should be flushed through with water after each training session
as the gel can sometimes block the end of the catheter
1 2
Flushing lubricant out
At the end of each training session the urethra should be flushed through with
water, as lubricant can dry inside it and impair the catheterisation process. This
procedure can also be applied to a blocked urethra during use

9
Each Aseptic Catheterisation Sleeve consists of
2 parts: large (representing nonsterile outer
packaging) and small (representing sterile inner
packaging), as per normal catheter packaging
Open the inner sleeve by pulling apart
the VelcroTM tabs
Hold the sleeve at the seams and
squeeze it lightly so that it opens fully
Run the other hand down the seams so that
the sleeve opens fully all the way down
Using the Aseptic Catheterisation Sleeves
1 2
3 4
The Aseptic Catheterisation Sleeves are intended to simulate the sterile packaging urinary
catheters are supplied in. The sleeves are reusable, providing a cost effective solution for
repeatedly practising the aseptic technique required for urethral catheterisation

10
Hold the sleeve upright in a semi-open fist
and feed the catheter down into it
Place the sleeve on the work surface
and secure the VelcroTM tabs
With the outer sleeve flat on the work
surface, feed the inner sleeve into it
Seal the VelcroTM tabs.
The Aseptic Catheterisation Sleeve is
ready to use
Using the Aseptic Catheterisation Sleeves
5 6
7 8

11
Lift the tab.
Carefully remove the bung, whilst
holding down the surrounding perineal
skin, with thumb and index finger
Any kinks on the inside rim of the
opening should be straightened out
To replace the bung, carefully position
it in the opening, making sure that it is
properly engaged all the way round
Slowly ‘massage’ the bung in place by
using a circular rocking motion
Bung removal and fitting
1 2
3 4
NOTE
If the bung is difficult to fit apply a thin layer of water-based lubricant to the main
‘plug’ before fitting. Wipe off any excess after fitting

12
Disconnect the bladder feed tube Leave the air vent tube in place in the fluid
bag
Remove the Suprapubic Bung Using a large syringe, remove as much
water as possible. Wipe the inside of
the bladder with an absorbent cloth to
remove any remaining water. Failure
to do so may cause mould to build up,
which will impair the life of the product
Emptying the bladder
1 2
3 4
Should the connector fail to attach to the fluid bag the connector mechanism may
need resetting. See ‘Troubleshooting’ on page 14

13
To remove
• Grasp the Catheterisation Unit and gently pull it out from the pelvic base
• The top of the base may need to be lifted slightly to allow for clearance
To insert
• Gently push the Catheterisation Unit into the base. The Unit may need to be pushed
up slightly to clear the base plate
Changing the Catheterisation Units

14
Connector in the locked position, preventing items from being attached to it
Unlock the connector by depressing the metal clip
The connector is reset and ready to use when the pin pops out
Troubleshooting
1
2

15
Apply the supplied waterbased lubricant
to the glans of the penis.
Ensure the entire glans is coated
Ensure the correct orientation of the
foreskin
Carefully roll back half the proximal end
of the foreskin, and feed it over the
glans and onto the shaft of the penis
Push the foreskin back so that the opening
(distal end) is close to the tip of the glans.
Ensure the Foreskin fits smoothly over the penis.
The penis is now ready for
catheterisation
Attaching the foreskin
1 2
3 4

16
Place the Catheterisation Unit on the
work surface and remove the Bung
Peel the Skin away from the top of the
base and allow it to hang down over the
front of the Unit
Lift up the Skin at the back and release
it from the base
Hold the base down. Grip the Skin
securely around the connector and
gently pull it away from the bladder
Removing the sphincter
1 2
3 4

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NOTE: When separating the Skin
from the bladder, hold the Skin by
the thick reinforced area around
the connector
Push in the lugs on either side ...
... and on the back of the bladder to
separate it from the base
Push the fluid tube out of the slot at the
back of the base
5 6
7 8

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Push the valve housing up and behind
the pubic bone
Push the bladder up and out of the base
Make sure the bladder is completely
empty, then place it upside down on the
work surface
Using both thumbs, push the O ring out
of the groove ...
9 10
11 12
Removing the sphincter

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... and off the end of the urethral
connector
Turn the bladder back over and push
the urethral connector up into the
bladder
The sphincter should start coming out of
the connector
Continue to push until the sphincter is
free
13 14
15 16

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Replacing the sphincter
When inserting the new sphincter ensure that the end with the red valve faces outwards.
The male and female sphincters are easy to differentiate: the female sphincter (left
picture) is shorter in length than the male (right picture)
Lubricate the inside of the urethral
connector
Insert the sphincter into the connector
and push it in with your thumb
1
2 3