Caution Don’t mark on the model and other components
with pen or leave printed materials contacted on
their surface.
Ink marks on the models will be irremovable.

M93C

CVC placement pad

CVC Insertion Simulator Ⅲ

11347-400
Instruction
ManualTable of contents
Before you start
Manufacturer ’s note

Set includes
Dos and Don ’ts

CVC placement pad:Preparation
After a session

Introductory ultrasound training blockTransparent anatomical block
Troubleshooting

P.1
P.2
P.3
P.4〜P.10

P.9〜P.11
P.12
P.13~P.14
P.15

Before you start

Manufacturer ’s note

Manufacturer’s note
The simulator is designed for training in CVC procedures.
Any other use, or any use not in accordance with the enclosed instructions, is stronglydiscouraged.
Kyoto Kagaku Co., Ltd. cannot be held responsible for any accident or damage resulting fromsuch use.
Please use this simulator carefully and refrain from subjecting it to any unnecessary stress orwear.

●Features
The simulator comes with 2 kinds of training pads for relevant area and an introductory ultrasoundtraining block.
■ Transparent anatomical block○○

Facilitates three-dimensional anatomical understanding.
An effective training tool for developing guide wire insertion skills.

■ Introductory ultrasound training block○

An introductory ultrasound training block to acquire basics of ultrasound-guided venous access.

■ CVC placement pad○

Both landmark and ultrasound-guided CVC are possible.

○

Three possible accesses: subclavian (axillary), internal jugular and supraclavicular.

○

Improved frictionless tissue of the pad allows Seldinger technique and repeated insertion andwithdrawal of the catheter with less needle marks left on the surface of the pad.

○Training for prevention of mechanical complications, such as arterial puncture and pneumothorax.

○

Carotid artery pulsation is palpable.

○

Anatomically correct vein and artery relationship.

○

Veins collapse under light pressure of the probe.

○

Success and failure confirmation
・Jugular/artery puncture can be verified by the color of the aspired fluid and/or ultrasound image.
・Pneumothorax: Air is aspired to the syringe.
・Placement of the catheter can be confirmed by finding the wire in the vein pipe at SVC.

○

Close to human tissue material of the pad provides true-to-life sensation to the catheter.

１

Before you start

Set includes

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

JHKICLMＮA

BEDEFFGDG

A． male upper torso manikin ・・・・・・・・・・１

L．50ml syringe ・・・・・・・・・１

B． transparent anatomical block ・・・・・・・・１

M．2.5ml syringe ・・・ ・・・・・・１

C． skin for cannulation training ・・・・・・・・・１

N．sample needle ・・・・・・・・１

D． CVC placement pad ・・・・・・・・・・・・・２
E． vein tube (blue): 2type ・・ ・・・・・・・ each２
F． artery tube (transparent): 2type ・・・・ each２
G． vein pipe ・・・・・・・・・・・・・・・・・・・ ２
H． introductory ultrasound training block

REAL VESSELS・・・・・・・・・１
I． pulsation unit (for landmark technique) ・・・１
J． irrigation bottle (for UG technique)・・・・・・１
K． plastic jar・・・・・・・・・・・・・・・・・・・ １

２

instruction manualBefore you start

DOs and DON’Ts

DOs and DONʼTsDOsDONʼ TsDo not keep the tubes (vein/ artery) filled withwater.

Cover the surface of the CVC placement padwith plastic whenever possible to extended
exposure to air. Exposure to air acceleratematerial shrinkage of the pad and can shorten
its life.

Do not leave any water on the pad.
Never use the supplied needle for anythingother than the simulator.

Use new needles for training.
Recommended needle size: 23G or thinner

Do not use broken or bent needles for training.

The materials for the product are a special
composition of soft resin. Handle them withutmost care at all times.

Do not mark on the simulator with pen or leave
any printed materials in contact with their surface.
Ink marks on the surface will not be removable.

Clean the upper torso manikin with dry clothor wet soft cloth.

Never wipe the simulator with thinner or otherorganic solvent.

Store the training set at room temperature,away from heat, moisture and direct sunlight.

CVC placement pad Temporary storage method
CVC placement pad material simulates human tissue. More than 70% is water.
Be sure to keep the packing unopened until just before starting a session.
If you open the package by mistake:
1. Apply the film tightly against the surface, to make sure there is no space or air
trapped to cause evaporation of material moisture.
2. Put the pad in its original case.
3. Store it in a sealed container or in an
airtight bag that can be sealed.

or

4. Keep the pad upside down.

kZiploPoint
This is a temporary measure only.
Once the seal is broken, use the pad as soon as possible.

each pad in only a single session (one practice).
Caution Use
Do not open the package until just before a session.

３Preparation

CVC placement pad:Set the CVC placement pad１ Set the CVC placement pad
Prepare the CVC placement pad, 2 type of vein tube (blue), 2 type of artery tube (transparent)
and one vein pipe.
vein pipe
2 type of veintube (blue)

2 type ofartery tube (transparent)

CVC placement pad

1. Unpack the CVC pad.
Peel the film at the back of the case and remove the case.
*Keep the case and the film till throwing away the pad.

2. Attach the artery/vein tubes, matching the color of the tubes and the ports.
The ones with the clamp are to come to the neck side.

● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●CautionBe careful not to confuse the subclavian tubes (without the clamp) and jugular/carotid (with the clamp).

４

Preparation

CVC placement pad:Set the CVC placement pad

１ Set the CVC placement pad
3. Attach the vein pipe to the port.
vein tube (blue)
with the clamp
artery tube(transparent)with the clamp
artery tube (transparent)
without the clamp
vein tube (blue)
without the clamp

vein pipe

２ Attach the pulsation unit (for landmark technique)To use the pad for landmark technique, attach the pulsation unit to simulate carotid artery pulse.
1. Remove the cap at the rear side of the pad.
*Do not remove the cap when only
ultrasound-guided technique is planned
as training sessions.

５

2. Place the pulsation unit to the mounting
position on the torso manikin, at the bottomof the installation site for the pad.

Preparation

CVC placement pad:Attach the pulsation unit (for landmark puncture)
Set the pad on the torso

３ Set the pad on the torso
Set the assembled pad to the torso manikin.
1. Put the tubes through the hole of the
2. Open the cut of left shoulder and puthead side.
through the tubes. Place the pad into thetorso.

● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●CautionMake sure that the tubes are not folded or tucked between walls of the pad and the body torso.
The simulator doesn't work properly when the tubes are folded.

Fill the artery tube with simulated blood

４Open the clamp

2. Open the clamp of the artery tube (transparent).

1. Put the torso upright.

●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●

CautionPut the torso upright.
This is to avoid bubbles being caught in the tube.

Before start filling the fluid, ensure that the clamp is open.
Otherwise excessive pressure may cause damage to the pad.

６Open the clamp

CVC placement pad:Preparation

Fill the artery tube with simulated blood

４ Fill the artery tube with simulated blood

4. Then tilt the torso carefully and push thepiston slowly until the red fluid reaches tothe height of the clamp.

3. Fill the 50ml syringe with simulated blood(red fluid/landmark technique※clear water/ultrasound-guided technique)and connect the syringe tip to the connector at
the lower end of artery tube (transparent tube
from the right shoulder). Screw in the tip of thesyringe clockwise to the connector until it locks.
※ coloring material is available as an option.
Insert and turn clockwise
Syringe

Artery tube (transparent)
To padDetach

Close the clamp

Close the clamp when
the simulated blood
reaches to this line.

Close the clamp

5. When the tube has been filled by the red fluid,
close the clamp. Take off the syringe from thetube.
●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●

NoteEnsure that all tubes are fully filled with the fluid and no air bubbles remain inside.
By tilting the torso carefully, air can be removed.

７Preparation

CVC placement pad:Fill the vein tube with simulated blood(ultrasound-guided technique)

５ Fill the vein tube with simulated blood(ultrasound-guided technique)Open the clamp

1. Open the clamp of the vein tube (blue).

2. Put some water (around 5cm height) in theirrigation bottle. Connect the tip of the tube
from the bottle to the head end of the veintube (blue). Screw in the tip of the tube
clockwise to the connector until it locks.

3. Fill the 50ml syringe with simulated blood(clear water/ultrasound-guided technique)and connect the syringe tip to the connector
at the lower end of the vein tube (blue tubefrom the right shoulder). Screw in the tip of thesyringe clockwise to the connector until it locks.
※ coloring material is available as an option.

4. Push the piston of the syringe slowly until
the water flows out into the bottle. Take off
the syringe from the tube. Keep the bottle
connected while the simulator is in use.

5. Lay the simulator down and start training
session.
When the vessel tube is empty or bubbles are caught
inside, ultrasound images will not show properly.

●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●

CautionPut the torso upright.
This is to avoid bubbles being caught in the tube.

Before start filling the fluid, ensure that the clamp is open.
Otherwise excessive pressure may cause damage to the pad.

８

After a session
1

CVC placement pad:Remove the simulated blood from the tube

Remove the simulated blood from the tube

[Artery tube/ both landmark and ultrasound-guided technique]Open the clamp

2. Open the clamp of the artery tube.

1. Place the torso upright. Connect the empty 50ml
syringe to the connector at the lower end of theartery tube (transparent).
Insert and turn clockwise
Vessel tube
To padOpen the clamp

DetachSyringe

3. Pull the piston of the syringe slowly and drain
the fluid. To clean the tube, fill the tube with
uncolored water and discharge it again. Take
off the syringe from the tube.

９After a session

CVC placement pad:Remove the simulated blood from the tube

２ Remove the simulated blood from the tube

1. Place the torso upright. Connect the empty
50ml syringe to the connector at the lower endof the vein tube (blue).

2. Disconnect the tip of the tube from theirrigation bottle.

3. Connect the empty 50ml syringe to the lower
end of the vein tube (blue).
Drain the water by pulling with the piston of
the syringe slowly. Take off the syringe fromthe tube.

３ Detach the CVC placement pad

2. Remove the pad from the torso.

1. Open the cut of left shoulder and remove thetubes. Pull out the CVC placement pad frominferior side.

10

After a session

CVC placement pad:Detach the CVC placement pad
Detach the pulsation unit (for landmark technique)

４ Detach the pulsation unit (for landmark technique)
1. Ensure to put the cap to the port at the rearside of the pad after the session that uses
pulsation unit.

2 Remove the pulsation unit
from the torso.

11

Preparation

1

Introductory ultrasound training block“REAL VESSELS”

General information

This block facilitates training in basics of ultrasound guided punctures, before moving onto trainings withthe anatomical type ultrasound pad.
FeaturesVessel tube (curve)
2 simulated vessel lines: straight and curving.
Both lines are embedded on a slope to represent
the change from a shallow to deep location.
Shallow
Deep
Vessel wall yields under pressure of a needle tip.
Training items
How to get correct ultrasound images.
Probe manipulation.
Vessel tube (straight)
Basics for ultrasound-guided vessel access.

２ Preparation

Peel the protective sheet carefully.

３

Pour water into the wider slit in the container andfill it up to the line on the wall. Ensure thatshallower ends of vessels are fully under thewater surface.

Training and after a session

Spread ultrasound gel on the surface of the blockand begin training. When the needle tip is in thevessel, your syringe can collect water.
Add water to the container slit when necessary.

After use, wash off the gel completely with runningwater and dry well. Then, replace the protective
sheet before storage.

●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●

Caution

Do not leave paper, cloth or other materials except for the included protective sheet in contact
with the block surface. Such items may stick to the surface and lead to damages.

12Preparation

Transparent anatomical blockTransparent anatomical block
Carotid artery
Internal jugular vein
Holes forcatheter
insertion

Holes forcatheter
insertion
Clavicle

Subclavian arteryLeftsubclavian
vein

Subclavian vein

Lung

Skin

SVC

The transparent cannulation block is an effective educational model to facilitate
understanding of the relevant anatomical structures and is applicable to trainings incannulation by interchanging with the puncture pad.
Training items
Anatomical understanding● Learn the appropriate depth and angle of the needle for each approach.
● Handling and manipulation of the catheter (guide wire).
● Simulate the steps of the procedures.
●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●

Caution

Do not make any punctures at any site besides the prepared openings.
The transparent block is not designed to be filled with fluid.
● Do not pour any fluid or water into the openings on the cannulation block.
● Please handle the skin sheet with utmost care. Excessive strain may cause
breakage.
●●1317

Preparation

Transparent anatomical block:Set and detach the transparent block

１ Set and detach the transparent block● Set the transparent block

1. Place the transparent block to the cavity.

2. Now you can practice cannulation by observing
the catheter through the transparent block.

● Cover the block with the skin sheet

1. Cover the transparent block with the skin sheet.
Put the skin sheet over the pad so that the slitsof the skin sheet fit with the openings on the pad.

2. Now, the simulator is ready for cannulation
training. The slits in the skin sheet allow
trainees to remove it with the catheter
inserted in the pad.

● Detach the transparent block

1. Remove all needles and catheters from thesimulator. Remove the skin.

2. Remove the transparent block holding its frame.

14Troubleshooting
Quick check-up before calling the customer service. Use the table if you have problems using the simulator.
Look in this section for a description of the problem to find a possible solution.
（TEL ＋81-75-605-2510)

TroublePossible Reason

What to Do

The body torso with the pad is laid
down.

Put the torso upright.

One or more vessel tubes from thepad are folded.

Straighten the tubes.

The puncture pad is worn out.

Order new pads for replacement.

Heavy leakage frompuncture area.

The puncture pad is worn out.

Order new pads for replacement.

Carotid pulsation
does not work.

The tube of the pulsation unit isfolded in the pit.

Make the tube straight.

I cannot fill/discharge
the fluid to/from thevessel tubes properly.

Ultrasound image
is unclear.

The vessel tubes are not filled withwater/fluid or air bubbles are formedin the vessels.

Fully fill the vessels with water.

The puncture pad is worn out.

Order new pads for replacement.

Seal of the puncture
cap package is broken
unintended/by mistake.

Follow the temporary storage
method (page 3)

The puncture pad hasstrongly deformed.

Unfortunately deformed pad cannot
be recovered to its original shape.
Order new pads for replacement and;-not to open the package till justbefore the intended training session-avoid exposure to air-follow the temporary storage
method when necessity occurs

Dehydration
Over hydration

15CautionDo 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.

11347-240

CVC placement pad (a set of 2)11347-260

Pulsation unit (for CVC placement pad)11347-210

Introductory ultrasound training block REAL VESSELS (a set of 2)

CVC placement pad■(World Wide)

Pulsation unit

REAL VESSELS■

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.
2021.10