Kyoto Kagaku MW2A, MW2B Instruction Manual

Genital Unit for MW2A (male)

Instruction
manual

Attention

Do not let ink from pens, newspapers, product
manual or other sources contact the manikin.
Ink marks on the manikin will be irremovable.

Contents

●

Before you start

Set includes

●

Preparation

Catheterization/Enema

●

Training session

Training session

●

After training

●

FAQs

/DOs and DON’Ts

P.1

P.2-P.3

P.4-P.5

P.6-P.11

P.12

Before you start

Set Includes

Before your first use, ensure that you have all components listed below.

Set includes
DOs and DON’Ts

Please read carefully before use

a.

Female genitalia organ unit
Valve

b.

(total 3 pcs; one is incorporated in the genitalia
unit and two are for future replacement)

c.

Irrigation bottle

Lubricant

d.

Rectum unit

e.

(attached with a large metal clip 1)

Irrigation/drainage tubes

f.

(total 3 pcs; 2 are attached with one clamp each)

Instruction manual

1

3

1

1

1

3

Genitalia organ unit

genital organ frame bladder holderurinary bladder reservoirvalve

male meatus male skin

(attached with a small
metal clip 1)

DOs and DON’Ts

DOs DON’Ts

Handle the manikin and the components with care.

・
・

Storage in a dark, cool space will help prevent the
skin colours from fading.

The manikin skin may be cleaned with a wet cloth,

・

if necessary, using mildly soapy water or diluted
detergent.

Do not let ink from pens, newspapers, product

・

manual or other sources contact the manikin.
Ink marks on the manikin will be irremovable.

Never use organic solvent like paint thinner to

・

clean the skin, as this will damage the simulator.

Please use the genuine lubricant included in the set.

・

Usage of other lubricants will cause damage to the
model in a short time as in the following cases:

- Jelly-type lubricants which remain in the model will
harden and cause damage to the valves.

-

Water-soluble jelly-type lubricants will be washed

out during urethral catheterization, which will

decrease lubricating ability.

１

Preparation

Preparation (Catheterization/Enema)

１

Connection of Irrigation/drainage tubes

1. Attach the irrigation/drainage tube with clamp to the connectors at the upper end of the urinary
bladder reservoir.

clamp

clamp

Genitalia unit

Connection of Irrigation/drainage tubes

connection to the irrigation bottle

The clamp is near the
far end of the tube.

Irrigation tube

drainage tube

to a bucket

There are two tube connectors on the backside of the unit.

The clamp is near
the bladder reservoir.

tube connectors

urinary bladder
reservoir

tube connectors

2.

One of the tube connectors is for irrigation and the

clamp should be placed at the far end of the tube.

The clamp is near the
far end of the tube.

3. The other tube connector is for the drainage
and the clamp on the tube should be placed
around 20-30cm from the bladder.

The clamp is near
the bladder reservoir.

4. Connect the drain tube with no clamp to the
rectum unit.

Caution

When attaching the tubes to the unit,
please hold the unit with one hand while
inserting the tube to the port.

２

Preparation

Connect the Irrigation bottle and ll the bladder with water

２

1.

Connect the irrigation bottle to the irrigation tube

which has clamp at near the far end and put the

tip of drainage tubes for catheterization and enema

into the bucket.

Preparation(Catheterization/Enema)

2.

Close the clamp of irrigation tube before lling

the bottle with water. And open the clamp of
the drainage tube.

Irrigation
tube

Drainage
tub

e

close the clamp

3. Fill the irrigation bottle with simulated
urine (water). And open the clamp of the
drainage tube.

Irrigation tube

open the clamp

open the clamp

３

Training session

Training session

１

Training procedure

1. Sterilizing of meatus urethra.

For training of sterilizing of meatus urethra,
use water instead of actual antiseptic.

2. Inserting the catheter

Put the catheter in the tray, drip small quantity
of lubricant to its tip. Ensure that about 5cm
from the tip is coated by lubricant.
lubricant included in the set.

Caution

nsert the catheter through the meatus urethra

3. I
holding the penis at about 90 degrees. During
the insertion, the resistance thatsimulates

prostate and external sphincter muscle will be felt.

Use 14-16Fr catheter for this model. Using larger catheter causes breakage of the valve.

Please use the genuine lubricant included in the set. Usage of other lubricants will cause
damage to the model in a short time as in the following cases:

- Jelly-type lubricants which remain in the model will harden and cause damage to the valves.

- Water-soluble jelly-type lubricants will be washed out during urethral catheterization,
which will decrease lubricating ability.

Product code of the genuine lubricant is 11381-800.

Use the

５㎝

4. When you feel resistance, lower the penis at
about 60 degrees, and insert the catheter while
pulling the penis toward you.

90°

Surgical tape can be used for training of catheter

Caution

5. Removing the catheter

Discharge the water in the balloon before removing
the catheter. Inated balloon may cause breakage of
the valve.

Caution

Do not leave the tapes on the modelfor long time so that its surface willbe sticky with
adhesive of tapes.

The bladder reservoir needs to be relled after EACH successful catheterization.
In case water in the reservoir is low, water will not be ow out even when tip of the
catheter reached in the bladder reservoir.

60°

retainedinthebladder

.

４

Training session

Manual bladder compression

２

Close the clamps on the irrigation tube and drainage tube for manual bladder compression session.

The clamp of the irrigation tube The clamp of the drainage tube

Training session

Close the clamp

Training for enema

３

Do the training with left lateral position.

Caution

Use plenty amount of genuine lubricant for the training. Insucient lubrication may
cause the diculty in the proper training.
Enema tube cannot be inserted more than 7cm like real situation.

５

After training After training

１

Drainage of water

1. Close the clamp of the irrigation tube. Drain the water from the irrigation bottle and tube.

2. Detach the rectum unit for enema training. Loosen the metal clip (large) by tucking small wings together
with ngers and remove the rectum unit from the hook of the bladder reservoir. Detach from the connector.
Wash the rectum unit and let it dry naturally after the training sessions.

Caution

Always keep the clamp
open for storage.

２

Drainage of water in the bladder reservoir

1. Disassemble the genitalia unit.
a) The genital organ frame and the bladder holder are xed with two notches and nail shaped

fasteners.To disengage the parts, lift the genital organ frame with ngers.

６

After training

After training

２

Drainage of water in the bladder reservoir

b) Remove the skin with the bladder holder from the outer frame. Then peel the skin from the
bladder holder.

c) Find the metal clip (small) that holds the joint between the valve and the urethral tube. Loosen
the clip by tucking small wings together with ngers and pull out the urethral tube carefully.

2. Remove the bladder reservoir from the bladder holder. Detach the irrigation and drainage tubes.
Then drain the water from the reservoir.

７

After training

After training

３

Wipe of the valve and mail meatus

1. After the training, wipe the valve and the urethral tube thoroughly.
Wipe the joint between the valve and the urethral tube to remove the lubricant, using mildly soapy
water and let it dry naturally. Remove the lubricant which remains in the urethral tube with cotton

swabs.

Caution

Be sure to remove all lubricant
thoroughly. Remaining lubricant
may make
slippery and make the urethral
part easy to come o.

When the lubricant remains between
the skin and male meatus, remove
the urethral tube by pulling it with
peeling the foreskin of the penis.

Then wipe its surface and inside of
the foreskin.

the connection

４

Assembly for storage

1. After thoroughly cleaning and drying each part, insert the male meatus into the foreskin as shown

below. Pull the male meatus from the other end of the skin layer to adjust.

Caution

The urethra parts are composed of
soft resin; please handle gently.

８

After training

After training

４

Assembly for storage

2. Set the bladder reservoir into the bladder holder.
Tightly press down the reservoir into the holder to leave no spaces on the bottom between the reservoir
and frame.

3. Insert the projection at the bottom of the skin

in the lower hole of the bladder holder.

No space Remaining

4. Attach the urethral tube to the valve.

space

Caution

Take note of the direction of the
tube and orient it so that the
projection on the tube faces
upward. Ensure to place the tube
securely over the connector of
the valve.

5. Then insert the urethral tube to the valve, and
put the clip over it, holding the clip by tucking
small wings together with ngers.

valve

valve

urethral tube

９

After training

Assembly for storage

４

6. Put the skin over the bladder holder and insert two upper projections of the skin in two upper
holes of the bladder holder.

After training

7.

Set the bladder holder to the genital organ frame.

a) Set the lower edge of bladder holder to the

stopper on the frame. Then, holding the frame

rmly, push the holder forward.

c) Then engage the frame and holder by pushing
the corner of the genital organ frame forward
(to the abdomen side), until clicking sound is
heard.

b) To t the upper side of the skin in the genital

organ frame, tuck the skin under the frame with

ngers.

Or, support the fasteners from the back side by
ngers and draw the genital organ frame over it
toward you.

10

After training

After training

４

Assembly for storage

8. Connect the rectum unit.
Set the rectum unit to the tube connector of the genitalia unit. Then set it on the hook.

Caution

Set the rectum unit with correct
angle as shown in the picture.

9. Secure the rectum unit with the metal clip.

11

Trouble
shooting

Quick check-up before calling the customer service, when the you have problems in using the simulator.
Look in the “cases” section for a description of the problem to find a possible solution.

Catheterization training

Trouble shooting

FAQ s

Cases

Water leakage

Water does not
flow out when
the catheter is
inserted.

Valve is easily
damaged

Reason Solution

The valve is worn.

Loose connection of the valve
and bladder reservoir or
meatus urethra.

Water in the bladder reservoir
is low.

Clamps of the irrigation and/or
drainage tubes are closed.

Using a non-genuine lubricant
that is not included in the set.

Using a catheter larger than the
recommended size.

Replace it with the new valve

Check the connection of the valve
and bladder or meatus urethra,
reconnect them tightly.

Ensure that the metal clips securing
the bladder or meatus urethra are
firmly in place.

Fill water into the bladder reservoir
by using irrigation bottle.

Open the both clamps of irrigation
and drainage tubes.

Use the lubricant included in the set.

Use a catheter of the recommended
size of 14-16 Fr.

Enema Training

Cases Reason Solution

Glycerin enema tube
can be inserted more
than 7cm.

Water leakage

Connection of the genitalia
organ unit and rectum unit
is not correct.

12

Check the connection of the
genitalia organ unit and rectum
unit. Then set them steadily.

Ensure that the metal clips securing
the genitalia organ and rectum unit
are firmly in place.

Caution

Do not let ink from pens, newspapers, product manual or other sources
contact the manikin. Ink marks on the manikin will be irremovable.

For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.

Consumable
parts

code

11381-300

11381-410

11381-510

11381-800

11381-300

name

replacement valve for MW2A/B (a set of 6)

replacement male skin Ⅱ

replacement male meatus (a set of 2)

lubricant

11381-510

metal clips are

＊

not included

11381-800

11381-410

● ●

URL http://www.kyotokagaku.com e-mail [e-mail]

■ Main Office and Factory ■

15 Kitanekoya-cho Fushimi-ku Kyoto 612-8388, Japan
Telephone : [phone]
Facsimile : 81-75-605-2519

LA Office ( for USA , CANADA and Mexico customers )

3109 Lomita Boulevard, Torrance, CA 90505 ,USA

Telephone : [phone]
Facsimile : 1-310-325-8867

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.
Please contact manufacturer for extra copies of this manual which may contain important updates and revisions.
Please contact manufacturer with any discrepancies in this manual or product feedback. Your cooperation is greatly appreciated.

2015.05