Sakamoto Auscultation Simulator 2 M164-1 User Manual

Cardiac sound / breath sound simulator

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M164-1 Cardiac sound / Breath sound Simulator

SAKAMOTO Auscultation Simulator 2

User's Manual

1 Introduction ·································· 43

2 Product contents ··························· 44

3 Cautions on use ···························· 45

4 Product applications ······················· 47

5 Part names / Overall connection

diagram ······································· 49

6 Preparation ··································· 50

You can view this product's introductory page on our company's website by using either the following

URL or the QR code* at right.

●Sakamoto Model Corporation's Introductory page for the "SAKAMOTO Auscultation Simulator 2"

http://www.sakamoto-model.co.jp/product/nursing/m164/

* QR code is a registered trademark of Denso Wave Inc.

Table of contents

(Refer to the following page for a detailed Table of Contents.)

7 How to use ································· 54

8 Cleaning and storage ···················· 72

9 Frequently-asked questions ············ 74

10 Troubleshooting ··························· 75

11 Specifications ······························ 76

12 [[Appendix]] Auscultation Points and

Changes in Cardiac Sound ············· 77

13 ３

- 41 -

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Summary of Contents for Sakamoto Auscultation Simulator 2 M164-1

Page 1 You can view this product's introductory page on our company's website by using either the following URL or the QR code* at right. ●Sakamoto Model Corporation's Introductory page for the "SAKAMOTO Auscultation Simulator 2" http://www.sakamoto-model.co.jp/product/nursing/m164/ * QR code is a registered trademark of Denso Wave Inc.
Page 2: Table Of Contents
Table of contents Introduction Product contents Cautions on use Product applications 4-1 Outline of Functions ································································· 47 4-2 Training Examples ··································································· 48 Part names / Overall connection diagram Preparation How to use 7-1 Basic Tablet Operations ··························································· 54 7-2 Auscultation of Breathing Sound ················································ 55 7-3 Auscultation of Heart Sound ·····················································...
Page 3: Introduction
In addition, after reading the manual, keep it in a safe place where it can be referred to at any time later on. After purchasing the product, check the package contents carefully to make sure that nothing is missing or broken. If you notice any problems, contact Sakamoto Model. ■ About this user's manual ●...
Page 4: Product Contents
2 Product contents Tablet Body Router Chest cover Stethoscope External speaker * Double-head type Baby powder External speaker charging cable Tablet charging cable - 44 -...
Page 5: Cautions On Use
3 Cautions on use In order to use this product safely, be sure to observe the following. (Items which are particularly important are marked with "■".) ■ Body The body has a skin which is made of silicone, and inside the body are several mechanical parts which include precision devices.
Page 6 ● If you notice any problems when using the product, stop using it. If problems occur with the product during use, stop using it, turn off the power, and disconnect the power cable from the electrical outlet. Then contact Sakamoto Model. If you continue using the product, accidents may result.
Page 7: Product Applications
4 Product applications 4-1 Outline of Functions The Sakamoto Auscultation Simulator 2 lets you reproduce the characteristics of the breathing sounds and heart sounds inside the chest model by operating the model using the tablet. Below are descriptions of each function.
Page 8: Training Examples
4-2 Training Examples This section gives a brief explanation of the flow of training using the Auscultation Simulator 2. ● Example of training for checking breathing sound The breathing sound and breathing The trainee checks the breathing sound rate for the Auscultation Simulator 2 of the Auscultation Simulator 2.
Page 9: Part Names / Overall Connection Diagram
5 Part names / Overall connection diagram The names of each part and the overall connection diagram are given below. The overall connection diagram shows the product with the various parts connected in preparation for use. Refer to this diagram while carrying out the steps in "6 Preparation" (P.50). General electrical outlet Body power cable Body...
Page 10: Preparation
6 Preparation To prepare the product for use, connect the cables from the body to the router, turn on the power, and then enable the connections for the tablet and external speaker. ❶ Refer to "5 Part names / Overall connection diagram" (P.49) while making the connections.
Page 11 ❹ (Using the external speaker) Turn on the power switch of the external speaker. Bluetooth communication with the tablet will be enabled. The Bluetooth connection between the tablet and the external speaker is enabled at the time of purchase. <Wi-Fi connection is not enabled> ❶...
Page 12 ❷ Tap [Settings] on the tablet. Tap [Wi-Fi]. •For details on basic operation of the tablet, refer to "7-1 Basic Tablet Operations" (P.54). •The screen displays may differ slightly depending on the specifications of the tablet and the OS. その際、接続先（本製品のタブレット）の機器（OS）種別は“Android（アンドロイド）” ❸...
Page 13 ❹ Return to the home screen, and tap ["ちょうしん"くん]. - 53 -...
Page 14: How To Use
7 How to use This section explains the operating method for each function, and how to proceed with training. These explanations describe how to use the product once all of the steps listed in "6 Preparation" (PP.50 - 53) have been completed and the product has been turned on. 7-1 Basic Tablet Operations Operation of this product is carried out using the tablet.
Page 15: Auscultation Of Breathing Sound
7-2 Auscultation of Breathing Sound The tablet screen displays are taken from when the product was in development. They may differ slightly from actual displays, but the method of operation is the same. (All text is the same from this point onward.) Operating method ◆...
Page 16 ❸ Tap the rate which you would like to set. (The rate can be set within the range of 10 - 40 times per minute or 30 - 60 times per minute in increments of 5.) Tap the rate. The breathing sound will come from the airway and the left and right lungs of the body.
Page 17 Types of breathing sound that can be set This product has 12 different types of breathing sound to choose from as shown in the table below. List of "SAKAMOTO Auscultation Simulator 2" breathing sounds and their characteristics Tablet display name Major classification...
Page 18: Auscultation Of Heart Sound
7-3 Auscultation of Heart Sound ◆ Operating method ❶ Tap [Heart Sound] on the tablet screen. Be sure to carry out the next step (②), even if the heart sound which you would like to set is already selected (the button is highlighted) at this time. (This is because the setting is linked to the body operation.) ❷...
Page 19 ❸ Tap the rate which you would like to set. (The rate can be set within the range of 30 - 140 times per minute in increments of 10.) Tap the rate. The heart sound will come from the left and right cardiac base, the left edge of the sternum and the cardiac apex.
Page 20 Types of heart sound that can be set This product has 20 different types of heart sound to choose from as shown in the table below. List of "SAKAMOTO Auscultation Simulator 2" heart sounds and their characteristics Normal Mitral stenosis...
Page 21: Volume Adjustment And External Output
7-4 Volume Adjustment and External Output The following breathing sound and heart sound operations can be carried out at the [Volume] screen. * Turning sounds on and off (Breathing sound and heart sound can be switched separately.) * Adjusting sound volume (Each emitting location can be adjusted separately.) * Adjusting all volume settings at once * Switching sound output to tablet or external speaker ❶...
Page 22 〈Switching sound output for tablet (and external speaker)〉 Tap to switch between on and off •You can use "All Parts" to adjust all of the breathing sounds and heart sounds at the same time. •If the breathing sounds or heart sounds have been switched off, adjustment using the respective controls, switching the tablet output on and off and adjusting these sounds at the same time as other sounds will no longer be possible.
Page 23: Playing Sounds Independently From The Tablet
7-5 Playing Sounds Independently from the Tablet You can output breathing sounds and heart sounds from the tablet independently, without turning on the power for the body. The sounds can also be output from the external speaker. ❶ Turn on the power switch of the tablet. Tablet ❷...
Page 24 ❸ The same operations can be carried out as if the power for the body is turned on. (However no sounds will be output from the body.) •If the external speaker is turned on, the sounds will be output from the external speaker.
Page 25: Saving And Loading Memory Files
7-6 Saving and Loading Memory Files The setting values for all items which have been set using the tablet can be saved together as a single memory file. Up to five memory files can be saved, and the titles of each memory file can also be changed. Saving memory files ◆...
Page 26 ❹ To change the setting title, tap [Edit Title]. The setting title can also be changed afterwards. ❺ Tap the text box in the input screen. The keyboard will appear. ❻ Enter the new setting title, and then tap [OK]. The setting title will be changed.
Page 27 ❼ Tap [OK]. The settings will then be saved. Up to five different groups of settings can be saved. In addition, the settings cannot be saved onto external media such as a USB drive. ◆ Loading memory files ❶ Tap [My Settings] on the tablet screen. ❷...
Page 28 ❸ Tap the setting title for the loading source. Tap the setting title. ❹ Tap [OK]. The settings will then be loaded. Changing the setting titles ◆ To change a setting title after settings have been saved, carry out the following steps. ❶...
Page 29 ❷ Tap the setting title which you would like to change. Tap the setting title. ❸ Tap [Edit Title]. ❹ Tap the text box in the input screen. The keyboard will appear. - 69 -...
Page 30 ❺ Enter the new setting title, and then tap [OK]. The setting title will be changed. Tap [ ] to return to the previous screen without saving the setting title. ❻ Tap [ Do not tap [OK]! If you tap [OK], the setting will be overwritten, so tap [ ] here instead.
Page 31: Setting The Language
7-7 Setting the Language The language for tablet screen operations can be switched between Japanese, English, Chinese (Traditional) and Korean. ❶ Tap [Language]. ❷ Tap the language which you would like to set. Tap language. - 71 -...
Page 32: Cleaning And Storage
８ Cleaning and storage ■ Once training is finished Be sure to observe the following points when leaving the product after training is finished. (Be sure to read the instructions in "When storing for long periods" also.) ● Disconnect the power cables. When not using the product or when cleaning or storing it away, be sure to turn off the power switch for the body and disconnect the power cable.
Page 33 ■ When storing for long periods When not using the product for long periods, clean it carefully and store it away while being sure to observe the following. (Be sure to read the instructions in "Once training is finished" also.) ●...
Page 34: Frequently-Asked Questions
9 Frequently-asked questions The following table contains a list of frequently-asked questions and their answers. Question Answer Reference page Function Content Breathing rate value: ● When the "Breathing Sound" selection is "Tachypnea (Consonating rales)" or " "Tachypnea (shallow respiration)", the 7-2 Auscultation of What numbers can be set "...
Page 35: Troubleshooting
If the values are still Sound (P.58) different, there may be a problem with operation. If any problems are not fixed when the remedies given above are carried out, contact Sakamoto Model. - 75 -...
Page 36: Specifications
11 Specifications ■ Overall product Recommended ambient 5 – 40 ℃ temperature AC 100 – 240 V 50/60 Hz Power supply 15 W Power consumption Wi-Fi connection Distance between tablet and router should be 5 m or less distance (this may vary due to obstacles or signal status). Continuous 5 hours or less recommended operating time...
Page 37: Appendix]] Auscultation Points And Changes In Cardiac Sound
12 [[Appendix]] Auscultation Points and Changes in Cardiac Sound In this chapter we will explain in detail the changes in cardiac sound and the conditions of each disorder that can be learned by using "SAS2." 12-1 Auscultation Points The following 4 points are used to auscultate the heart using "SAS2." Left cardiac base Right cardiac base The left cardiac base is located on the left edge of...
Page 38: Changes In Cardiac Sound
12-2 Changes in Cardiac Sound We will auscultate the heart using the Auscultation Simulator. Only a single cardiac sound or cardiac murmur will be produced from the 4 auscultation points. However, as is the case when auscultating on an actual patient, the I sound and II sound spread mutually, and at the cardiac apex a I > II , at the cardiac base a I <...
Page 39 (4) Acceleration of II sound in cardiac apex when blood pressure is high When a stethoscope is applied to M, the relationship between the I sound and II sound becomes I < II which is similar to auscultation results of the cardiac base.
Page 40 (7) Aortic valve ejection murmur At A, the break-up sound heard immediately after the I sound is an ejection murmur. It can be heard due to the blood volume passing through the aortic valve and when the blood flow is fast.
Page 41 (10) Tricuspid insufficiency At T, a regurgitant murmur can be heard throughout early systole. This is due to tricuspid insufficiency. As a physical observation, the V wave increases during systole of neck veins, and murmur increases during expiration (Rivero Carvallo Sign). It is important to distinguish this from ventricular septal defect.
Page 42 (13) Aortic stenosis At A, during mid-systole, a rough ejection murmur can be heard. When the aorta is stiff from calculus due to old age arterial stiffness, the murmur can be quite large, but if the blood pressure is normal, the extent of stenosis can be considered light.
Page 43 (16) Atrial septal defect At P, an ejection murmur can be heard during early systole. Also, a fixed break-up II sound that does not change from breathing can be heard. This is relatively often seen in inherent heart disorders. In children, it is necessary to distinguish this from harmless murmur.
Page 44 (19) Acute mitral insufficiency At M, a murmur is acutely heard during early systole. In most cases, it occurs due to ruptured chordae tendineae accompanying a myocardial infarction. The patient suffers from acute congestive heart failure. The III sound is not so obvious. (20) Pulmonary insufficiency At P, an ejection murmur during systole and a regurgitant murmur during diastole can be heard.
Page 45 京都市左京区下鴨東高木町 34 34,Higashitakagicho,Shimogamo 〒606-0865 Sakyo-ku,KYOTO606-0865, JAPAN 075-701-1135 +81-75-701-1135 075-722-5638 +81-75-722-5638 http://sakamoto-model.co.jp http://sakamoto-model.co.jp E-Mail info@sakamoto-model.com E-Mail trade@sakamoto-model.com 製品の仕様及び外観は、改良のため予告なく変更 Product specifications and appearance are subject to することがあります。 change for improvement without notice.