User Manual - Limbs and Things
Contents
1. 40 degrees C eFor clothe changing pajama size for 160cm approx 5 2 feet tall is recommended lt Don ts gt e Do not use pajamas with colorful dye or print Colors may transfer to the manikin skin and could be indelible e Do not soak the manikin in a water filled bath 2 E Oral and denture care 2 I Set up and detach of the dentures Both upper and lower dentures are fixed to the gums by two pins at the center and left side Detach the dentures p Hold dentures firmly and pull them out e Insert the pins into the holes W _ gt Upper dentures pull downward Lower dentures pull upward Attach the dentures Hold denture firmly Check the position of pins at the base of and holes on the gums Attach the dentures by inserting the pins into the holes Push the center and both ends of the dentures to the gum so that the dentures are held firmly 3 F Shampooing The natural human hair wig for SAKURA allows shampooing practice with actual shampoo conditioner brush and dryer 3 I Attach the wig Three magnet fasteners snaps at the forehead and in front of ears fix the wig to SAKURA head The wig edge with three magnets is the front of the wig 1 Put the wig in proper direction and fasten it at the center of the forehead 2 Fasten the snaps at the front of the ears 3 Pull the back of the wig lightly downward and fit it to the curve of the head 4 Complete 3 II Detach the wig 1 Det2. can be demonstrated 12 9 L Tracheosomy Care eThe tracheotomy opening is connected to the trachea 9 I Attach the Tracheotomy Plug Hold the brim of the tracheotomy plug and insert it firmly into the tracheotomy opening 9 II Detach the Tracheotomy Plug Hold the brim of the plug and pull it out 10 M Intramuscular injection DOs and DON Ts e Do not leave the shoulder thigh injection pads attached after each training sessions The attachment mark may remain on the surface e Discharge all water from the pads after each session Do not store the pads with water remain inside 10 I Attach and detach the IM injection pads for upper arms and thighs 1 Attach the pads Open the attachment plate of an injection pad and fix it to the injection site as shown in the pictures Attach an injection pad Upper arm IM injection to upper arm pad position Attach an injection pad to thigh Femoral IM injection pad position 2 Detach the upper arm femoral injection pad Open the attachment plate by hands and detach the pad from the manikin Please note Open the attachment plate wide enough Do not pull the pads without opening the attachment plate Otherwise it may cause a tear in the manikin skin 13 10 Il After training Cleaning and maintenance of IM injection pads for upper arm and femoral 1 Drainage of water 1 1 Pushing the attachment plate inward pull out the edge of the skin betwee
3. training 6 I Preparation 1 Take out the genitalia part from the manikin and set the rectum to the genitalia See page 8 2 Attach the larger built in tube to the joint at the tip of the rectum part Push it until it clicks Thinner tube is for urinary 3 Reattach the genitalia part to the manikin See page 9 4 Take out the injection pad from the left buttock with your fingers Attach the tip of the rectum drainage tube to the connector at the bottom of the pit on the left buttock 5 Prepare a bucket etc for drainage and put the tip of the drainage tube into the bucket 6 Ready for training 6 II Practice eUse a No 14 24Fr catheter for training ePut enough lubricant olive oil Vaseline silicon etc to the catheter e Use the catheter of intended size or thinner e Do not push in the catheter too hard Excessive force may cause breakage in the valve When the insertion does not go smoothly add lubricant to the catheter and relevant part and try again 6 III Cleaning Up 1 Water drainage from the tube 1 1 Take out the genitalia part See page 8 1 2 Detach the built in tube from the rectum part by pushing the button on the joint of the rectum Keep holding the tip of the tube so that the fluid won t flow out 1 3 Connect the drainage pump unit for rectum to the joint of the tip of the built in tube by pushing together until clicks 1 4 Squeeze the pump and drain water from the tube with the tip of the d
4. M75 Patient Care Simulator SAKURA Instruction Manual i ne 2A a He Do not leave this manual in contact with manikin skin Ink marks will be indelible due to pigment infiltration Cf KYOTO KAGAKU co rp rip M75 Patient Care Model SAKURA SAKURA is a MULTI PURPOSE training model for teaching hospital and learning hospital and community care procedures The model can sit upright without support Soft Life like materials and seamless limbs provide realistic hands on training Table of Contents Features 3 Dos and Don ts 3 Part names and functions 4 Specifications 5 Training items 5 Instruction for each training item 1 A Changing position in bed and Patient handling 5 B Passive exercise C Bed bathing D Clothe changing 2 E Oral and denture care 3 F Shampooing 4 G Gastric lavage 5 H Female urethral catheterization 8 10 6 I Enema and rectal irrigation 11 7 J Vaginal douche 12 8 K Stoma care 12 9 L Tracheotomy care 13 10 M Intramuscular injection ie 11 N Nasal canula transnasal catheter 15 12 O Foot bathing 15 13 P Postmortem care 15 14 Q Tube feeding Oral catheter 15 15 R Intravenous access 15 Features Lifelike model with full articulation The model can sit upright without support Realistic articulating jaw and removable dentures facilitate oral care training Easy set up and simple clean up for catheterization training Catheterization fluids are re
5. Postmortem Care eThe eyelids can be closed by fingers eThe fingers allow designated position eStuffing the auditory canals with cotton can be practiced eStuffing the nostrils and anus with cotton can be also practiced Do not stuff too much cotton 13 I Close the eyelids Hold the edge of an upper lid with the tip of your fingers and pull it down 13 II Return the eyes to open 1 Take out the eyeball with lids from the cavity on the face 2 Reattach the eyeball lid unit to the cavity noting the direction 14 Q Tube Feeding Oral catheter eUse a No 4 9Fr or thinner catheter for training 15 R Intravenous access e See the separate instruction manual for Strap on Venipuncture Trainer 15 M75 SAKURA Parts and product codes 11251 100 Male genitalia 11251 040 Femoral IM injection pads a pair 11251 010 11251 050 Gluteal IM injection pads a pair 11251 020 Dentures a set 11251 060 Female genitalia 11251 030 Upper arm IM injection pads a pair KYOTO KAGAKU CONTACT amp ORDERING INFORMATION Inquiries amp Ordering USA amp North America Telephone 8 1 75 605 2510 Facsimile 81 75 605 2519 URL http www kyotokagaku com Email rw kyoto kyotokagaku co jp Head Office Kyoto Kagaku Co Ltd 15 Kitanekoya cho Fushimi ku Kyoto Japan 612 8388 Kyoto Kagaku Co Ltd US Office 3109 Lomita Boulvard Torrance CA 90505 Telephone 1 310 325 8860 Facsimile 1 3 10 325 8867 16 Do not l
6. ach the magnets at the front of the ears Picture 2 above 2 Detach the magnet at the center of the forehead Picture 1 Lift and take out the wig backward when the fasteners get free 3 M SAKURA Wig maintenance Do not leave the wet wig after practice Tangled hairs may get hard and become difficult to untangle Follow the instruction below before storage in order to maintain the good condition 1 Rinse the wig well in water and comb it let it dry naturally avoiding direct sunlight or blow it a hair dryer 2 After the wig get dry comb it again 3 Putting silicon spray helps keep the hairs untangled 4 G Gastric Lavage eThe stomach is detachable connecting it to the esophagus provides passage from the oral cavity to the stomach eUse a No 11 19 Fr or thinner catheter for training lt After training gt Open thee Chest Cover The chest cover is fixed by joints around the edge of the chest cover one at the top one each on the both sides and three at the bottom 1 Press the center of the chest cover and disconnect the side joints by pulling the edge of the cover 2 Pull the chest cover downward detaching the joint at the top edge 3 Pull the chest cover upward detaching the joints at the bottom edge and take out the cover Detach the Stomach 1 Place the SAKURA chest upright to avoid the remaining fluid leaking 2 Hold the on touch joint between the esophagus and the stomach and disconnect it by pulling
7. apart See picture below 3 Discharge remaining water from stomach F ao pm T gt N Fa a y The one touch joint separates at this line Attach the stomach 1 Place the SAKURA chest upright to avoid the remaining fluid leaking 2 Noting the direction of the stomach hold the one touch connection at the end of the esophagus and at the top of the stomach and connect them by pushing together Attach the chest cover 1 Fit in the three joints at the bottom edge of the cover m 2 Fit in the joints at the side edges 3 Fit in the joint at the top edge 4 If the chest surface and the chest cover edge are uneven push the edge of the chest cover to make it flat 5 In case that there is gap around the edge of the chest cover joints near the gap may not be set properly Adjust the tip of each tenon to the hole and insert it firmly 5 H Female Urethral Catheterization e External water supply system facilitates uninterrupted session in urethral catheterization training e The design of the urinary bladder uterus and rectum allows simple maintenance and handling e The urinary bladder uterus and rectum can be easily detached by screw connecter for drainage e Interchangeable male genitalia not included in basic set is available as an option e Use a No 7 approx 13Fr Nelaton catheter or a 16Fr balloon catheter for training For male catheterization recommended _chatheter size is 16Fr or thinner 5 I Se
8. cessively frequent bending and stretching may cause breakage in the metal parts inside of the fingers due to metal fatigue and may lead to damage of the skin e For cleaning wipe the model with water or soup water If stain persists wipe with alcohol avoiding the colored parts like the eyebrows lips etc e Use lubricant cooking oil can be used for catheterization training e After use place talcum powder on the skin surface of the model to keep model in good condition preventing stain e Store the model away from high heat and direct sunlight Don ts e Don t mark on the models with pen or leave any printed materials in contact with their surface Ink marks on the models will be indelible due to pigment infiltration e Don t use actual medicines to model including the iodine etc e Do not force to open the mouth wider than intended It may damage the skin Name of Parts Tracheotomy opening Colostomy Eyes with eyelids Dentures Gluteal injection pads both sides Chest cover Female genitalia Head Set includes 1 Sakura manikin with wig dentures female genitalia stomach esophagus and a pair of gluteal injection pads Urinary bladder a pair of upper arm IM injection pads Uterus INGCCUU a pair of femoral IM injection pads 1 water bag and tube p 2 kinds of drain pumps and a drain tube i Inside of chest iew of female genitalia 1 pair of pajamas 1 set of Strap on Venipuncture Train
9. eave this manual in contact with manikin skin Ink marks will be indelible due to pigment infiltration
10. er Upper arm IM injection pads Strap on Venipuncture trainer Accessories 1 set a pair Femoral IM injection pads a pair Drainage pump for rectum Drainage pump for urinary bladder 3 Drainage tube Water bag tube Water bag Specifications Adult female life size Head limbs and chest Special soft resin Lumbar Rigid resin Internal frame SUS brass approx 18 kg Training items A Changing position in bed and Patient handling M Intramuscular injection B Passive exercise N Nasal canula transnasal catheter C Bed bathing O Foot bathing D Clothe changing P Postmortem care E Oral and denture care Q Tube feeding oral catheter F Shampooing R Intravenous access G Gastric lavage H Female urethral catheterization D Enema J Vaginal douche K Stoma care L Tracheostomy care 1 A Changing position in bed and Patient handling B Passive exercise C Bed bathing D Clothe changing e Limbs fingers and toes with full articulation allow various patient postures for nursing care training e SAKURA can be placed in a sitting position with no support e Seamless arms and legs provide true to life trainings in bed bathing and foot bathing training e Life like manikin skin surface realize realistic smooth movement of dry towel in bed bathing practice Dos and Don ts lt Dos gt eRead general Dos and Don ts on Page 3 before use eFor foot bathing use water NO WARMER THAN
11. er in the water bag runs short add some water to the bag with a beaker etc 5 II Handling after training session Cleaning up 1 Open the genitalia part following the instruction 5 I 1 on page 8 2 Detach the joint of the urinary bladder by pushing the button on the wall of the connector 3 Attach the drainage pump to the tip of the built in tube Please note When the connction doesn t go smoothly adjust the metal part of the connector by pushing the button at the side wall of the built in join See instruction 5 1 3 on page 8 4 Prepare a container such as a bucket and pour off the water from the water bag 5 Disconnect the water bag tube put the tip of the tube into the drained water container Then drain water from the tube by squeezing the drainage pump 6 After all water is discharger from the tube detach the tube connector at the right hip and reattach the injection pad Detache the drainage pump 7 Take out the urinary bladder from the genitalia by screwing counter clockwise 8 Take out the connector joint from the urinary bladder by screwing counter clockwise and drain the remaining water Dry well the parts naturally and attach the joint connector firmly by turning clockwise 9 Connect the urinary bladder to the genitalia and then the genitalia to the manikin following the instruction 5 I 4 on page 9 10 6 I Enema and Rectal Irrigation Use a No 14 outer diameter approx 7 5mm or thinner catheter for
12. n the attachment and the transparent back plate 1 2 Take off the skin carefully and detach the sponge and transparent back plate 1 3 Squeeze the sponge 1 4 After all parts get completely dry reassembly them carefully 2 Assembly the pads 2 1 Set the sponge on the convex side of the transparent back plate Put the skin from the narrow side 2 2 Pushing the attachment plate inward put the edges of the skin between the attachment plate and the transparent back plate 10 III Gluteal Injection Pads Insert a pad to the pit at the buttock either side so that the marks on the pad and the wall of the pit come to the same side Mark 2 Detach the pads Pull out the injection pad with your fingers 10 IV After training Cleaning up and maintenance of Gluteal Injection Pads 1 Pull out the sponge from the pit at the rear side of the pad Squeeze the sponge and dry it well naturally 2 After the sponge and the skin get completely dry put the sponge into the skin noting the direction so that the marks on the walls of the skin a d sponge come to the same side Mark 11 N Nasal canula transnasal catheter e The nasal passages are connected to the oral cavity allowing transnasal catheter placing practices e Use a No 6 12 Fr or thinner catheter for training 12 O Foot bathing eThe seamless legs allow foot bathing with water eThe toes can be flexed and stretched with internal metal fittings 13 P
13. rainage tube put in the bucket 1 5 When drainage is completed detach the drainage tube from the left buttock by pushing the button on the connector Reattach the injection pad to the left buttocks Detach the drainage pump unit form the rectum 2 Drain water from the rectum container 2 1 Take off the rectum from the genitalia Screw the rectum part counterclockwise and take it out from the genitalia part 2 2 Take out the joint connector from the rectum part by screwing counter clockwise Drain the water from the rectum part 2 3 Having dried the rectum part well naturally reassembly the parts the connector joint rectum the rectum part genitalia part and the manikin 2 4 Ready for storage or other types of training sessions 7 J Vaginal Douche 7 I Preparation 1 Take out the genitalia part See page 8 2 Connect the uterus to the genitalia See page 8 3 Reattach the genitalia part to the manikin 4 Ready for training 7 Il Cleaning Up 1 Detach the genitalia part from the manikin 2 Detach the uterus part while keeping the genitalia upside to avoid water flowing out 3 Drain water from the uterus dry it well and reattach it to rear side of the genitalia part 4 Reattach the genitalia to the manikin 5 Ready for storage or other type of training sessions 8 K Stoma Care The external appearance of the stoma artificial anus is shown on the abdomen Pouch replacement and other care procedures
14. tained in built in reservoirs and filled via ports in the hip Simulated stomach held inside of the manikin and accessed via the chest wall can be filled with fluids which can be extracted or for checking nasogastric tube placement A cleaning system is incorporated into the simulator for flushing urethra and rectum Removable basic intramuscular injection pads for upper arms thighs and hips Durable wig allowing hair combing brushing shampooing and blow drying Seamless arms and legs making the model more lifelike A male genitalia interchangeable with the female one is available as an option not included in the basic set The simulator is designed for training in medical diagnosis education Do not use it for other purposes Read the instructions carefully before use 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 instructions Please note Sometimes you may find remaining water remain in the hose of the newly delivered SAKURA model This is because of a water leakage test at manufacturer s factory and not a defect of the product and packing Dos and Don ts Dos e Handle the model carefully like an actual patient Excessive force or impact may damage the product or result in problems e Be careful of getting your fingers pinched e g by hard joint parts of the model e Handle the fingers with at most care Ex
15. tor at the both side of the genitalia the holes of the body 4 Insert the connector at the front end 5 Setting up the water bag 1 Connect the water bag tube to the water bag 2 Prepare a hook to hang the water bag The hook is not included in SAKURA set The height of the waterbag top is to be higher than the bladder and lower than 50cm from the bed table surface If the water bag position is too high excessive water pressure may cause leakage of the fluid from the valve 3 Fill the water bag with water and hang it on the hook 4 Take out the injection pad from the right hip Connect the tip of the water bag tube to the built in joint at the bottom of the pit for the injection pad Fix it firmly by pushing until a click sound heard Please note When the connection doesn t go smoothly adjust the metal part of the connector by pushing the button at the side wall of the built in join See instruction 5 1 3 on the opposite page 5 II While training ePut enough lubricant olive oil Vaseline silicon etc to the catheter e Use the catheter of intended size or thinner e Do not push in the catheter too hard Excessive force may cause breakage in the valve When the insertion does not go smoothly add lubricant to the catheter and relevant part and try again elt takes a couple of seconds until the bladder is filled enough water Wait for a while before starting first catheterization for each session after set up eWhen wat
16. tting up 1 Open the genitalia part 1 1 Detach the connectors at the both side of the genitalia while pushing the center of the part 1 2 Detach the connector at the front end by pulling the genitalia downward 1 3 Slide the genitalia upward and detaching the connector at the back end 2 Set up the urinary bladder uterus and rectum Connect the urinary bladder uterus and rectum on the inner side of the genitalia part as shown the pictures below The parts can be fixed by screwing up clockwise ay ee Urinary bladder amp uterus te se rectum 3 Connect water supply tube Ff 1 Find a built in water supply tube for urinary bladder There are two tubes inside of the SAKURA lumber The thinner one is for urinary 2 Attach the tube to the connector at the far end of the urinary bladder Fix it firmly by pushing the connector together until the click sound heard Please note Make sure that the metal button of on the side wall of the tube connector is pushed down properly Otherwise the tube may not be propery connected When the button is popped up push it back until the click sound heard Right position Wrong position 4 Setting up the genitalia 1 Place the genitalia at approx 4cm above front side and insert the tip of the connector at the back end 2 Slide the genitalia downward leaving no space between the body and genitalia 3 Insert the connec
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