Production Supervision： Takahiro Amano, M.D. Vice President, International University of Health and Welfare Kyoko Arai, Professor, School of Nursing, University of Shizuoka

ＭＷ43

Abdominal Assessment Simulator

Instruction

Manual

Contents

Introduction

Manufacturer’s Note ···························· P.1 Before You Start···································· P.2 ●Preparation

Unpack the torso unit/ Setting of the liver ····························· P.3-4 Setting of the kidneys ························ P.5 Setting of the spleen ·························· P.6 Setting of the uterus and lymphoma at inguinal area ················ P.7 Setting of the simulated stethoscope ··························································· P.8 Setting of bowel sound and vascular bruit ··························································· P.9

●Training Sessions Palpation and auscultation ················ P.10

●After Training Storage of the torso unit and organ inserts ··························································· P.11

Do not mark on the product and its components with a pen or allow printed materials to come in contact with the surface. Ink marks cannot be removed.

Caution

1

Manufacturer’s Note Introduction

The Abdominal Assessment Simulator is a realistic torso manikin for abdominal assessment training. The simulator facilitates effective hands-on training programs.

Read Before Use

This Abdominal Assessment Simulator has been developed for the training of medical and paramedical professionals only. Any other use, or any use not in accordance with the enclosed instructions, is strongly discouraged. The manufacturer cannot be held responsible for any accident or damage resulting from such use. Please use the product carefully and refrain from subjecting to any unnecessary stress or wear. Should you have any questions on this simulator, please feel free to contact our distributor in your area or KYOTO KAGAKU at any time. (Our contact address is on the back cover of this manual)

Features Most realistic hands-on trainer for abdominal assessment training. Accurate landmarks and anatomy, Interchangeable inserts of organs of different conditions. Respiratory liver movements with a foot switch pedal.

Caution For storage be sure to cover the torso manikin

with the included protection cover to prevent from contacting other resin items. The torso model may be deformed by contact with other resin items for long time and they cannot be repaired.

Do not mark on the products and its components with a pen or allow printed materials to come in contact with the surface. Ink marks cannot be removed.

Storing the manikin in a dark, cool and dry space will help prevent the skin colors from fading and product from becoming deformed.

Take off the organ inserts from the torso manikin before storage. Organ parts may be deformed irreversibly prolonged by contact with the soft part of the torso unit.

Even if the skin color of the manikin changes as it ages, the quality of the performance is not affected.

The manikin may be cleaned with a wet cloth if necessary, using mildly soapy water or diluted detergent. Then apply talcum powder. Never use organic solvents like paint thinner to clean the skin, as this will damage the manikin.

2

Set Includes Preparation

Before you start, ensure that you have all components listed below.

■Box 1 ■Box 2 ■Box 3 ■Box 4

a. 1 male torso unit b. 1 talcum powder

Set Includes

c, 1 set of the respiratory motion control unit

d. 2 kidneys（hydronephrosis, cysts） e. 2 spleens（slightly enlarged、enlarged） f. 4 livers（precirrhosis, cirrhosis, chronic

hepatitis、normal） g. 2 inguinal lymph nodes (normal,

lymphoma) h. 2 uterus（normal, fibroid）

i. 1 simulated stethoscope j. 1 controller k. 1 AC adapter

a

b c

d

f

g h

e f

i

j

k

l. 4 storage cases m. 1 instruction manual

3

● Set the liver insert to the torso unit

●The torso manikin is covered with the protection sheet.

The torso manikin is by covered with the non-woven protection sheet in the storage box. Take out the torso manikin from the box and remove the sheet. *Be sure to hold the torso model by 2 people as it is heavy. *The protection sheet is to prevent the soft part from contacting with other resin items. Always cover the torso manikin with the sheet and store in the box after the training.

normal

precirrhosis

chronic hepatitis

cirrhosis

Protection sheet

Unpack the torso unit/ Setting of the liver

Preparation

1. Unpack the torso unit

1. Setting of the liver

Torso manikin

The name for each insert is shown on the handle. Hold the handle of liver insert and insert it into the cavity of torso manikin.

4

Setting of the liver Preparation

●Operation check of the control unit

Step on the foot switch of the respiratory motion control unit to see whether the unit works properly. The liver pusher come out when the pedal is pressed down and it is stowed when the pedal is released.

*Do not fold or put the stuff on the tube of the respiratory motion control unit as it may cause malfunction.

●Setting of the control unit

Hold the control unit at the side slits and set it to the torso unit.

●Completed the setting of the control unit

The setting of the liver and the control unit completed.

*Hold the upper and lower side of the torso model by 2 people when it needs to be transferred. Do not hold the side slits of the respiratory motion control unit to lift or transfer the torso manikin.

2. Setting of the respiratory motion control unit

✕

5

Preparation Setting of the kidneys

２、肝臓可動機構部の取り付け

1. Setting of the kidneys

● Remove the back cover.

Remove the back cover (right side) of torso unit.

● Set the kidneys.

There is the arrow mark on the backside of kidneys.

Orientate the kidney inserts so that “←HEAD” sign direct the head side of the torso.

2 variations of kidneys as shown below are included.

● Completed the setting of kidneys.

Set the cover on the back to complete the setting of the kidney.

hydronephrosis cysts

head

head

head

6

1. Setting of the spleen

Preparation Setting of the spleen

● Remove the back cover.

Remove the back cover (left side) of torso unit.

●Set the spleen

There is the arrow mark on the backside of spleen.

Orientate the spleen inserts so that “←HEAD” sign direct the head side of the torso.

2 variations of spleens as shown below are included.

●Completed the setting of spleen.

Set the cover on the back to complete the setting of spleen.

head

head

head

enlarged slightly enlarged

7

1. Setting of the uterus and lymphoma at Inguinal area

Preparation Setting of the uterus and

lymphoma at inguinal area

●Remove the setting base

Pull out the setting base for the uterus and lymphoma from the lower side of torso unit. (In original setting, the uterus(normal) is set on the setting base.)

●Setting of the uterus and lymphoma at inguinal area. Set the uterus and lymphoma. Uterus and lymphoma have 2 variations

respectively, as shown below.

uterus

（normal）

uterus

（fibroid） lymphoma（A）（B）

lymphoma（A）

uterus（fibroid）

lymphoma（B）

●Completed the setting of uterus and lymphoma at inguinal area Set the setting base for the uterus and lymphoma to the lower side of the torso unit and complete the setting.

8

Preparation Setting of the simulated stethoscope

Enter button

Control dial

Display

Output

Jack for simulated stethoscope Power switch

● Connect the AC adapter

● Connect the simulated stethoscope

Insert the plug of the simulated stethoscope to the jack on the controller.

Insert the plug firmly.

2. Connect the simulated stethoscope

i. 1 simulated stethoscope j. 1 controller k.1 AC adapter

i

j

k

1. Parts name of the simulated stethoscope

Jack for power

Insert the plug of AC adapter to the jack on the controller.

Plug the AC adapter to the outlet.

9

1. Setting of bowel sound and vascular bruit

Preparation Setting of bowel sound and vascular bruit

●Turn on the power

Display shows “Select the case” by turning on the power. The power switch is on the side of the controller.

●Setting of bowel sound and vascular bruit

Follow the below chart to set the sounds.

Select sounds 1. Bowel Sounds 2. Vascular Bruit

Enter button

Control dial

Power switch

Display

Aorta 1. On 2. Off Bowel Sounds

1. Normal 2. Subileus

Bowel Sounds: Normal Vol. Medium

Select 1 or 2 with the control dial

Set the volume with the control dial. （ Volume levels : low, medium and high）

Hold down the enter button to return the primal display.

Renal Artery 1. Left 2. Right 3. Off Bowel Sounds:

Subileus Vol. Medium

CIA 1. Left 2. Right 3. Off

Aorta：Off Renal Artery ：(R) CIA:(L) Vol.Medium

Set the volume with the control dial. （Volume levels : low, medium and high）

Display shows the selected case

Monitor shows the selected case.

Select 1 or 2 with the control dial

Select 1 to 3 with the control dial

Select 1 to 3 with the control dial

Hold down the enter button to back the primal display.

1 2

1

2

2

10

1. Palpation and auscultation

Training Sessions

Palpation and auscultation

● Landmarks for palpation:

・Liver (precirrhosis, cirrhosis, chronic hepatitis、normal）

*Step on the foot switch to simulate the respiratory motion. ・Spleen（slightly enlarged, enlarged, normal） ・Kidneys（hydronephrosis, cysts, normal） ・Inguinal lymph nodes (normal, lymphoma) ・Uterus（normal, fibroid）

●Vascular bruits and bowel sounds for auscultation:

・Renal bruit ・Aortic bruit ・Iliac artery bruit ・Bowel sound（normal/ subileus）

Foot switch of the respiratory motion control unit

● Bony landmarks for palpation: Lower rib cage, costal margin, xiphisternum, Pubic crest, anterior superior iliac spine, pelvis

11

After Training Storage of the torso unit and organ parts

1. Store the torso unit.

● Take off the organ inserts from the torso unit before storage.

*Organ inserts may be deformed irreversibly by

prolonged contact with the torso unit or other resin items.

●Wipe off dirt, apply talcum powder and cover with the protective sheet. Clean with wet wipe or cloth, using mildly

soapy water and let it dry naturally. Apply talcum powder when the surface of the torso unit is dried.

Take off the respiratory motion control unit from the torso unit. Cover the torso unit with the protection sheet. Store the torso model covered with the protection sheet in the storage box.

d

e

f

f

g h

2. Store the organ inserts.

d. 2 kidneys（hydronephrosis, cysts） e. 2 spleens（slightly enlarged、enlarged） f. 4 livers（precirrhosis, cirrhosis, chronic

hepatitis, normal） g. 2 inguinal lymph nodes (normal,

lymphoma) h. 2 uterus（normal, fibroid）