Do not mark on the model and other components Caution with pen nor leave printed materials contacted on surface. Ink marks on the models cannot be removed. MW40 Obstetric Training Simulator -complete set- Instruction Manual Contents Introduction P.1 ● Manufacturerʼs Note P.2 Before You Start ● ...
Introduction Manufacturerʼs Note The Obstetric Training Simulator ‒complete set- is a comprehensive training set with the plat form of maternal body for training in skills including cervical examination, delivery assistance and perineal repair. ■ Features ○ The maternal body serves as a platform for an array of midwifery skills in delivery stage, including cervical examination, delivery assistance, perineal repair (perineorrhaphy). ○ Genital area excels in elasticity, durability and resilience. ○ Anatomically correct vaginal canal, ischial spines and pubic joint that facilitate training with anatomical understanding through direct observation, as well as palpation. ○ True-to-life training experience in delivery assistance including perineal protection, delivery of fetus and placenta. ○ 5 stages of cervical dilation can be set for palpation by interchangeable modules. ■ Training Skills 《Delivery Assistance》 《Cervical Examination》 《Perineal Repair》 Cervical Examination Delivery assistance for ● ● ● Perineorrhaphy Determination of bishop score different delivery positions ・ ・Single interrupted suture (dorsal, all-fours) (cervix score) using landmarks of the ・Vertical mattress suture ischial spines and the pubic symphysis Perineal protection, anal ●...
Before You Start Set Includes Set Includes Before you start, ensure that you have all components listed below. Thighs are not attached to the body at the time of receipt. Genitalia unit 1 1 d. Placenta 1 h. Vagina unit k. 1 a. Pregnancy torso (for perineorrhaphy) b. Genitalia unit (for 1 e. Umbilical cord i. Holder for cervical 1 1 l. Lubricant 3 dilation module pelvic examination f. Umbilical cord 3 m. Talcum powder 1...
Caution Handling and Storage PLEASE READ : Always follow the handling and storage instruction below, to keep the material with its elasticity and durability. AFTER USE: ○ Apply talcum powder on the parts below, cover them with included non-woven bag and store them in the storage box. Genitalia unit Genitalia unit (for pelvic exam and (for perineorrhaphy) delivery assistance) Placenta Umbilical cord Vagina unit ○ Do not let the parts contact with other resin items and printed materials. These soft material of the parts may be deformed by contact with other resin items and marked by contact with printed material and they cannot be repaired. ○ Maintain proper temperature, humidity and avoid direct sunlight of the storage room of simulators. Be sure to monitor the indication sticker on the storage box of the product. Store the simulator below 60 degrees C. Change the storage place immidiately when the temperature indicator shows color circles as below. *The color circles are irreversible. Before After 3F60 年 月貼付 3F60 年 月貼付...
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Preparation Assembly of Thighs Assembly of Thighs 1. Before the first use, thighs need to be attached to the maternal body. Ensure that you have all necessary components below and identify left /right mark engraved in the round pit of each thigh. Maternal body Thigh (R) Plate Washer Fly nut (white) Fitting parts for thighs *For clearer understanding, the abdominal cover, the R genitalia unit and the covers for the pits of the thighs are removed in the photos in this Thigh (L) page. Right thigh Left thigh 2. Put the bolt at the left/right hip joint area of the maternal body through the opening of the respective thigh. Then put the plate and the washer in this order and fix them together with the fly nut over the washer. Washer Bolt *Take not that the flat side of the washer faces the plate. *Lift the thigh facilitates fastening the nut tightly.
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Preparation Assembly of Thighs Assembly of Thighs 3. Attach the covers for the pits of the thighs. Orient the cover fitting the match-mark lines “―“ on the walls of the covers and the pit. Match-mark line on the wall of the cover. Match-mark line on the wall of the pit. *The covers are common for lift and right. *Spreading included talcum powder facilitate inserting the covers. 4. Assemble both legs with the same process to complete the assembly.
Preparation Delivery Assistance Setting up the Fetus 1. Setting up the Fetus Prepare the fetus, placenta, umbilical cord, umbilical cords for omphalotomy, velamen sheet, vat and lubricant. Fetus Placenta Umbilical Cord Umbilical Cord Velamen Sheet Lubricant for Omphalotomy 2. Take out the placenta from the storage bag to attach umbilical cord. Connect the screw side of umbilical cord to the placenta and turn it clockwise to fix. 3. Insert the umbilical cord into 4. Take out the umbilical cord for omphalotomy from the storage bag. the hole located at the center Reverse the tip of it to show the hook, and engage it to the hook of the velamen sheet. at the umbilical cord from the placenta.
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Preparation Delivery Assistance Setting up the Fetus 4. Loosen the white screw to remove the plate on the fetal abdomen, and take out the clip from there. 5. Pinch the tip of umbilical cords for omphalotomy with the clip. Put it back to the fetal abdomen, and fix umbilical cords for omphalotomy to the abdomen by the plate with the white screw. ※Place the clip in the direction shown in the above picture. 6. Fetus is ready for training.
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Preparation Delivery Assistance Lubrication Before training, apply lubricant to the genitalia unit, placenta, and umbilical cords for omphalotomy completely. 1. Put the assembled fetus in the vat included in the set. Apply lubricant to it entirely including the velamen sheet and the placenta. 2.Apply lubricant to the internal surface ※The genitalia unit can be lubricated of the genitalia unit, too. after attaching to the maternal body. Assembly of the Maternal Body 1.Remove the abdominal cover from the body.The abdominal cover and body are attached with four magnets.The abdominal cover can be removed it by lifting.
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Preparation Delivery Assistance Assembly of the Maternal Body 2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix. *Be careful not to pinch your finger between the maternal body and the genitalia unit. 3. Put back the abdominal cover to the maternal body, and set the fetus in it to complete set-up. *Always put the placenta on the vat during the training.
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Delivery Assistance Training Birth Positions Key Features Birth Positions, Key Features Training can be conducted in two birth positions: dorsal and all-fours position. Dorsal position All-fours position 《Key Features》 ・Direct observation of the motion of fetus in delivery to understand the spatial relationship between pelvis and fetus. ・Genitalia unit has excellent elasticity and resilience and birth cannel is optimal size for the fetus, which allows to deliver the fetus by a little pushing force holding the handle lightly. ・Pelvis has pubic symphysis and ischial spines, which facilitates understanding of the spatial relationship between pelvis and fetus. pubic symphysis ischial spine ischial spine coccyx pelvis Station zero, the line that connect ischial spines can be recognized.
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Delivery Assistance Training Training skills Training skills ○ Perineal protection ○ Delivery assistance ○ Delivery of fetus ○ Clamping, tying and cutting of umbilical cord ○ Delivery of placenta ○ Inspection of velamen and placenta...
After Training Delivery Assistance After Training ○ Remove the genitalia unit 1. Lift the abdominal cover to remove it 2. Pull back the top of the genitalia unit frame from the maternal body. to remove from the body. ○ Disassembling the fetus 1. Disengage the umbilical cord and placenta in reverse order of set-up. (See P.4-P.5) ○ Cleaning and storage 1. Wipe the lubricant left on the fetus, umbilical cord, placenta and genitalia unit away with wet paper tissue. If necessary, wash them by tap water, and dry them well naturally. After completely dried the components, apply talcum powder to each of them. 2. Genitalia unit, placenta and umbilical cord for omphalotomy are made of special soft resin. It is required to store them either in the storage bag or on the vat after training. ※If these parts are stored touching with other resin products or printed matter, the dent or ink might be left on the skin, and will become irremovable.
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Preparation Cervical Examination Installation of cervical dilation module to the holder 1. Attach the cervical dilation module to the holder. Match the red point of holder with slit of cervical dilation module ※Note: The cervical dilation module is to be mounted on the tip (smaller tip) of the stick, which is opposite to the handle. 2. The lever on the holder becomes movable by pulling the black knob on the holder. Descent of the fetal head can be set by moving the lever back and forth. ※Descent of fetal head is settable in seven phases. −3〜−1 Station 0 +1〜+3 Station −3 Station 0 Station +3...
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Preparation Cervical Examination Assembly of the maternal body 1. Remove the abdominal cover from the body The abdominal cover and body are attached with four magnets. The abdominal cover can remove it by pulling. 2. Insert two projections of the genitalia unit in the holes of the maternal body. And push the upper part of the genitalia unit into the maternal body. Note: Be careful not to pinch the finger between genitalia unit and maternal body.
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Preparation Cervical Examination Assembly of the maternal body 3. Attach the cervix unit to the maternal body noting its orientation. Attach the abdominal cover to the maternal body by matching the magnet positions. Lubrication 1. Apply the lubricant to the inside of the cervix unit, genitalia and cervical dilation module.
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Preparation Cervical Examination Installation of cervical dilation module to the maternal body Attach the holder to the maternal body Set the holder with the cervical dilation module to the maternal body. ※Note: Engage the edges on the holder and the holes on the maternal body, and push the holder until clicking sound is heard. 2. Attach the abdominal cover to the maternal body by matching the magnet positions.
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Cervical Examination Preparation Training / Features Training / Features For the training for pelvic examination, put on gloves and apply lubricant to fingers. Cervical dilation module has 5 variations No dilation 1-2cm 3-4cm 5-6cm 《Features》 ・Station zero, the line that ischial spines can be recognized. ・To determine the fetal position is possible by posterior fontanelle. Ischial spine Ischial spine Coccys Pelvis ○ Change of cervical dilation module Unlock the holder with pulling the black knob on right and left of holder, then remove the holder from the maternal body. Change the cervical dilation modules and set the holder again.
After Training Cervical Examination After Training ○ Disassembly of the model 1. Remove the abdominal cover from the maternal body. 2. Unlock the holder with pulling the black knob on right and left of holder, then remove the holder from the maternal body. Wipe off the lubricant which attached to cervical dilation module with wet wipes. 3. Pull out the cervix unit in front with holding 4. Cervix unit is removed from the maternal body with pulling the upper part of frame in front. white frame on the cervix unit. Wipe off the lubricant with wet wipes. Wipe off the lubricant with wet wipes. ※Also, these units are washable with water. Apply the talcum powder after having been dried enough. The cervix unit and the genitalia unit are made Caution: Do not mark on the model and from special soft resin. other components with pen nor leave printed For storage, cover them with included materials contacted on surface. non-woven bag and keep them in the storage box. Ink marks on the models cannot be removed.
Preparation Perineorrhaphy Change of genitalia units 1. Lift the abdominal cover to remove it from the maternal body. 2. Pull back the top of the genitalia unit frame to remove from the body. ○ Change to the genitalia unit for perineorrhaphy Genitalia unit for pelvic Genitalia unit examination and delivery assistance for perineorrhaphy...
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Preparation Perineorrhaphy Change of genitalia units 3. Insert two projections of the genitalia unit in the holes of the maternal body. And push the upper part of the genitalia unit into the maternal body. Note: Be careful not to pinch the finger between genitalia unit and maternal body. 4. Attach the abdominal cover.
Training Perineorrhaphy After Training Perineorrhaphy Repeated training in repairing the first-degree perineal tear. Single interrupted suture and vertical mattress suture are possible. After Training 1. Remove the sutures for next training 2. When necessary change or replace the genitalia units following the instruction on page 17-18.
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For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD. The contents of the instruction manual are subject to change without prior notice. No part of this instruction manual may be reproduced or transmitted in any form without permission from the manufacturer.
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ご使用の前に セット内容・使用上のご注意 セット内容 ご使用の前に、 構成品が全て揃っているかご確認ください。 ※脚は取り外して梱包されています。 1 d. 胎盤モデル 1 i. モデル固定ベース 1 m. タルカムパウダー 1 a. モデル本体 ( パフ付) (腹部カバー付) e. 臍帯 1 j. 子宮口開大度モデル 5 n. バット 1 f. 切断用臍帯 b. 外陰部ユニット 1 3 k. 外陰部ユニット 1 ...
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