Caution Do not mark on the model and othercomponents with pen nor leave printedmaterials contacted on surface.
Ink marks on the models cannot be removed.

MW36

Vaginal Delivery Assistance Simulator
Instruction
ManualContents● Introduction

P.１

Manufacturerʼs Note
● Before You Start

P.２● Handling and Storage

P.３

Set Includes/ Precautions● Preparation● Training● After Training

P.４〜P.９
P.10〜P.11
P.12

Introduction

Manufacturerʼs Note

Vaginal Delivery Assistance Simulator has been developed for advancing the skillsin Midwifery, and facilitates the training in Vaginal Delivery Assistance.

■ Features○ The material of genitalia skin excels in elasticity, durability and resilience, and oﬀers
life-like realistic training skills from perineal protection to expulsion of fetus and placenta.
○ It facilitate acquiring of skills based on the anatomical knowledge by observing
the location of anatomically correct vaginal canal, ischia spine, pubic joint and pelvis.

■ Training Skills
・Delivery assistance for diﬀerent delivery positions (dorsal, all-fours)
・Perineal protection, anal sphincter protection
・Delivery of fetus (forceps delivery, vacuum extraction)
・Clamping, tying and cutting of the umbilical cord
・Delivery of placenta・Inspection of velamen
・Procedure of urinary catheterization

Read before use
Do not use this simulator for the other purpose. The manufacturer cannot be held
responsible for any accident or damage resulting from any other use, or any use notin accordance with the enclosed instructions.
※ The new soft resin is employed for one of materials, which excels in elasticity, durability
and resilience.The proper use and storage are required in accordance with the cautionsin P.3 of this manual.

1

Before You Start

Set Includes/ Precautions

Set Includes
Before you start, ensure that you have all components listed below.
a. maternal bodyabcheb. genitalia unitc. fetusd. placenta
e. umbilical cord
f. umbilical cords
for omphalotomy
g. velamen sheet
h. lubricant(150 lm)
i. talcum powder
j. vatk. Fitting parts for thighs
Instruction manual

１
１
１１
１
３
５
３
１
１
６gfd

iThighs are not attached to the body at the time of receipt.

jｋDOs and DONʻ Ts● Handle the manikin and the components
with care.

● Do not let ink from pens, newspapers,
this manual or other sources contact withthe manikin, as they cannot be cleaned off
the manikin skin.

● Storage in a dark, cool and dry space will
help prevent the skin colors from fadingand product from deforming.

● Never use organic solvent like paintthinner to clean the skin, as this will
damage the simulator.

● The manikin skin may be cleaned witha wet cloth if necessary, using mildly soapy
water or diluted detergent.

● Even if color on its surface might bechanged across the ages, this does notaffect the quality of its performance.

Be sure not to drop or add shock to the manikin
and its components, since the product uses
special resins and heavy, such shock may cause
damage to the products or environment.

2

Storage and Handling of Genitalia Unit, Placenta,

Precaution

and Umbilical cords for omphalotomy.

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 storage bagor in a vat .

genitalia unit

umbilical cords
for omphalotomy

placenta○ Do not hold the placenta by holding an umbilical cord.

×The placenta is to be sticked ﬁrmly on
the ﬂat place. Hold the placenta itself
to move it to the other place.

○ 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 storageroom 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 immediately when the temperature indicator shows color circles as below.
※The color circles are irreversible.
Before turned

After turned

3F60

年

月貼付

3F60

年

月貼付

60

65

70

60

65

70

3

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 bodyPlate(white)Thigh (R)

WasherFly nut

Fitting parts for thighs

ＬＲ

Right thigh*For clearer understanding,the abdominal cover, thegenitalia unit and the covers
for the pits of the thighs are
removed in the photos in thispage.

Thigh (L)Left thigh

2. Put the bolt at the left/right hip joint area of the maternal body through the opening of therespective thigh. Then put the plate and the washer in this order and ﬁx them together with the ﬂynut 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.
*Be careful not to overtighten the nuts.

4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 tocomplete the assembly.

5Preparation
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

Umbilical Cord
for Omphalotomy

Placenta

Velamen Sheet

Umbilical Cord

Vat

Lubricant2. Take out the placenta from the storage bag to attach umbilical cord. Connect the screw sideof umbilical cord to the placenta and turn it clockwise to ﬁx.

3. Insert the umbilical cord into
the hole located at the centerof the velamen sheet.

4. Take out the umbilical cord for omphalotomy from the storage bag.
Reverse the tip of it to show the hook, and engage it to the hookat the umbilical cord from the placenta.

6Preparation
Setting up the Fetus
5. Loosen the white screw to remove the plate on the fetal abdomen, and take out the clip from there.

6. 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.
7. Fetus is ready for training.

7Preparation
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 surfaceof the genitalia unit, too.

※The genitalia unit can be lubricatedafter attaching to the maternal body.

Assembly of the Maternal Body
1.Remove the abdominal cover from the body.The abdominal cover and body are attachedwith four magnets.The abdominal cover can be removed it by lifting.

8Preparation
Assembly of the Maternal Body
2. Attach two nails of genitalia unit to two pits located under part of maternal body, and pushon 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 coverto the maternal body, and set
the fetus in it to complete set-up.
＊Always put the placenta on the vat
during the training.

9Training

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 relationshipbetween 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

coccyxischial spine

pelvisStation zero, the line that connect ischial spines
can be recognized.

10

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

11After Training
After Training○ Remove the genitalia unit
1. Lift the abdominal cover to remove itfrom the maternal body.

2. Pull back the top of the genitalia unit frame
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 foromphalotomy are made of special soft resin.
It is required to store them either in the storage bagor on the vat after training.
※If these parts are stored touching with otherresin products or printed matter, the dent or
ink might be left on the skin, and will become
irremovable.

12Caution

Do not mark on the model and other components with pen
nor leave printed materials contacted on surface.
Ink marks on the models cannot be removed.

Code

Replacement

11415-030

parts

Name

genitalia unit
(for pelvic examinationand delivery assistance)

11416-030

10 umbilical cords
for omphalotomy

fetus

11416-040

5 velamen sheets

11416-020

placenta

11415-0203 lubricant (150ml)

fetus

placenta

5 velamen sheets

10 umbilical cords
for omphalotomy

Parts

Name

11416-010

genitalia unit
(for pelvic examinationand delivery assistance)

Optional

Code

Code

Name

11417-020

genitalia unit
(for perineorrhaphy)

3 lubricant (150ml)

genitalia unit
(for perineorrhaphy)

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.
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.
■(World Wide)■

Kyoto Kagaku America Inc.

2020.04