Full-Body
Pregnancy
Simulator II
LM-114H-CE
Instruction Manual
Thank you for purchasing the Full-Body Pregnancy Simulator II.
Please read this instruction manual carefully to ensure correct use of the product,and store it in a safe place for easy access.

Manufacturer:

KOKEN CO., LTD.
1-4-14 Koraku, Bunkyo-ku, Tokyo 112-0004 JAPANwww.kokenmpc.co.jp

EU Authorized Representative for KOKEN CO., LTD.:EC REPMDSS GmbH
Schiffgraben 4130175 Hannover, Germany
www.mdssar.com© 2021-2023 KOKEN CO.,LTD.

C-1-1043-4-02-01

10000Handling and Safety Precautions
These precautions should be strictly observed in order to ensure safe,
long-term use of the product.
The following precautions should be observed particularly strictly:
1. Please handle this model with the same care that you would exercise when working with ahuman body. Excessive force may damage the model.
2. Do not use oil-based inks, pencil, chalk, or paints on the model as they will soak into the materialand cannot be removed.
3. In caring for the model, do not clean the model with rubbing alcohol, thinners, benzene or othersimilar organic solvents.
4. Use glycerin to lubricate the models. Be sure to apply a sufficient amount of lubricant (glycerin)
to the model before use. Koken is not responsible for deterioration or damage occurring fromuse of lubricants other than glycerin. Use commercially available glycerin if you run out of theglycerin provided with the model.
5. Please do not use oily lubricant (baby oil, olive oil etc.), alcohol lubricant, and lubricant containing
organic solvent. These may cause breakage of the model.
6. Placing objects directly on top of the model or placing it on uneven surfaces may cause
deformation.
7. Store the model in a 0-50℃ environment, in a place where it will not be exposed to direct
sunlight or UV rays.
※ Storing the abdominal wall piece for an extended time in a high or low temperatureenvironment may cause the oil component to ooze out, causing deformation or discoloration. If
possible, store at 10-50℃ .
8. This model uses urethane foam for some of its parts, and may be susceptible to damage frompests that are attracted to urethane foam (such as insects in the ant family).
When storing this model, ensure that thorough measures are taken to prevent pest damage
before storing. The company will not be involved with or held liable for pest damage that occurs
during storage.
9. This product is intended for use in standard operating environments. Do not use it in heavy
industrial settings.
10. Please read these handling precautions for each part on the following pages.

111. About the AC Adapter
This model does not come with an AC adapter.
Please use an AC adapter with the following specifications.
EMC Directive

EMS: EN61000-6-1 or EN61000-6-2
EMI: EN61000-6-3
or EN61000-3-2 and EN61000-3-3
and EN55032 class B or EN55011 group1 class B

LV Directive:

EN62368

RoHS Directive:

EN IEC 63000

Rated Output :15VDC 1.2A

Rated Input :AC100 - 240V 50/60Hz

Plug Shape :Inner diameter ø2.1mm/Outer diameter ø5.5mm
Center minus

1. The contents of this instruction manual are subject to change without notice.
2. This instruction manual may not be reproduced in part or in its entirety without permission.
3. Please contact the manufacturer in the event that any errors or omissions are found in the contents ofthis instruction manual.
4. This product should be used only as described in this instruction manual. In particular, the productshould not be used in any way that contravenes the precautions noted in the instruction manual.

2

Table of Contents

1.

Overview, Features and Development....................................................... 4

2.

Name and Configuration of Each Model.................................................... 6

3.

Full-body Manikin Handling Precautions.................................................. 7

4.

Parts of the Full-body Manikin..................................................................... 7

5.

Using the Full-body Manikin........................................................................ 8

6.

Obstetric Abdominal Palpation Model Handling Precautions............ 107.

Parts of the Obstetric Abdominal Palpation Model...............................11

8.

Using the Obstetric Abdominal Palpation Model.................................. 12

9.

Caring for the Obstetric Abdominal Palpation Model.......................... 18

10.

Vaginal Examination Model Handling Precautions............................... 19

11.

Parts of the Vaginal Examination Model.................................................. 20

12.

Using the Vaginal Examination Model..................................................... 21

13.

Caring for the Vaginal Examination Model............................................. 25

14.

Obstetric Assistant Model Handling Precautions.................................. 26

15.

Parts of the Obstetric Assistant Model..................................................... 28

16.

Using the Obstetric Assistant Model......................................................... 29

17.

Caring for the Obstetric Assistant Model................................................. 37

18.

Perineal Suture Model Handling Precautions......................................... 38

19.

Parts of the Perineal Suture Model............................................................ 39

20.

Using the Perineal Suture Model............................................................... 40

21.

Puerperal Uterus Palpation Model Handling Precautions................... 42

22.

Parts of the Puerperal Uterus Palpation Model...................................... 43

23.

Using the Puerperal Uterus Palpation Model......................................... 44

24.

Caring for the Puerperal Uterus Palpation Model................................. 46

25.

List of Parts..................................................................................................... 46

26.

Specifications................................................................................................. 47

27.

Optional Items................................................................................................ 48

28.

Storing the Vaginal Examination Model, Obstetric Assistant Model,
and Perineal Suture Model.......................................................................... 49

29.

Precautions for Unpacking and Storing................................................... 50

3

1. Overview, Features and Development
Outline・ By interchanging various parts, procedures such as external examination of a pregnant
woman, internal examination during stages of delivery, practical obstetric assistance, perineal
suture of soft birth canal lacerations, palpation of the uterus fundus during the puerperal
period, and breast care can be practiced. Trainees can practice a series of techniques based on
the L.D.R. concept (Labor, Delivery, and Recovery) using a life size full-body model.
・ Each part is made with a special material to simulate the texture of human skin.
・ Obstetric assistance can be practiced on the model in either a supine or free-style position.

Features
Obstetric Abdominal Palpation Model・ Represents the 36th to 40th weeks of pregnancy.
・ Visual diagnosis, palpation and abdominal measurements (abdominal girth, fundal height)
according to the four types of Leopold’s Maneuvers, monitoring of fetal heartbeats, and breast
care can be practiced.
・ Changing the position and orientation of the fetus enables diagnosis in various fetal positions
and orientations, and diagnosis of stability and mobility of the fetal presenting part.
・ The fetal heartbeat can be adjusted between 80 and 180 bpm.
Vaginal Examination Model・ Bishop scores from the late stage of pregnancy to the onset of labor (cervical dilation,effacement, consistency and position) can be confirmed.
・ Made with a material that is more tear-resistant than the previous model, increasing its
durability.
・ Three models with varying degrees of cervical dilation are provided, together with a fulldilation model. These can be interchanged and the station can be adjusted, thereby allowing
the assessment of the progression of labor by means of a vaginal examination.
・ The full dilation model can be used to gauge orientation of the fetal head by palpation of thepositions of the sagittal sutures and posterior fontanel.
・ The vulva has a urethral orifice for inserting a urinary catheter.
Obstetric Assistant Model・ By changing between various positions, including supine, hands and knees, lateral, andstanding, the fetal model can be rotated according to each position, providing several
positions for obstetric assistant practice (Free-style delivery).
・ The obstetric model - vulva II is made with a highly elastic and durable material that
decreases resistance and reduces the amount of force needed to extract the fetus during
delivery, enabling smooth practice. (Use glycerin to lubricate.)
・ Protection of the perineum can be practiced.
・ Breech extraction can also be practiced as one type of emergency response.
• The head of the fetal model has been improved to create a more realistic shape and texture.
The neck moves flexibly so that the model can be seen from the posterior fontanelle during4

crowning. The structure and shape of the neck, corners of the mouth, and umbilical region,
where damage is most common, have been improved to reduce the risk of damage.
• The fetal head allows suction cups (soft type) to be used so that procedures such as vacuum
and forceps delivery can be practiced.
•

The umbilical cord of the new placenta model has improved durability, and enables theuse of Kocher forceps and umbilical cord clip. Moreover, the model can be used to simulate
nuchal cord, and can be attached to parts that are sold separately to practice tying andcutting the umbilical cord.

• The structure and material of the placenta has been improved, making it easier to remove
during delivery, and reducing the risk of damage.
Perineal Suture Model・ This model enables confirmation of the perineal laceration position and level of laceration,and practice in preparing for and performing a suture.
・ Use of forceps can also be practiced.
Puerperal Uterus Palpation Model・ Four kinds of puerperal uterus models are provided (normal and abnormal conditions
on the first day, normal conditions on the third day and on the fifth day). These can beinterchanged for diagnosis of progress in involution of the uterus through palpation andmeasurement of the abdominal area.
Breast Model・ This model enables basic training in breast care, including breast and nipple palpation,
inspection of breast mobility, and nipple massage.
・ Flexibility and mobility of the entire breast allows palpation of the mammary glands.

Development of the full body pregnancy simulator
The full body pregnancy simulator was developed by Dr. Mieko Hirasawa, Dr. Megumi
Matsuoka, Dr. Hiroko Ando, and Dr. Keiko Suzuki from 1997 to 1998 during a two-year
program funded by a Ministry of Education, Science, Sports and Culture Grant-in-Aid for
Scientific Research.
The aim of this research was to develop a model for training in inspection, diagnosis,
and care of expectant and nursing mothers, skills of which are essential in nursing andmidwifery. Specifically, the end result would be a practical simulator that allows flexible
practice of care and inspection of a pregnant or puerperal patient to match the training
purpose, including breast inspection and care, Leopold’s Maneuvers, fetal heartbeat
monitoring, urethral catheterization, vaginal examination at the onset of labor, cleaning of
external genitalia, and obstetric assistance in free-style position.

5

2. Name and Configuration of Each Model63. Full-body Manikin Handling Precautions
1. To clean smudges or marks, wipe with a moist gauze or similar material using water or aneutral solvent diluted with water.
*Do not clean the model with rubbing alcohol, thinners, benzene or other similar solvents.
2. Dropping the model or subjecting it to strong impact could cause damage.
3. Store the model in a place where it will not be exposed to direct sunlight or UV rays.

4. Parts of the Full-body Manikin

Fixing screws
Abdominal cover

3. Full-body Manikin Handling Precautions
1.

To clean smudges or marks, wipe with a moist gauze or similar material using water ora neutral solvent diluted with water.
*Do not clean the model with rubbing alcohol, thinners, benzene or other similarsolvents.

2.

Dropping the model or subjecting it to strong impact could cause damage.

3.

Store the model in a place where it will not be exposed to direct sunlight or UV rays.

Full-body manikin

4. Parts of the Full-body Manikin

75. Using the Full-body Mannequin
5. Using the Full-body Manikin5-1. Attaching the abdominal coverSet the abdominal
cover onthe full-body mannequin, affix it to the hook and loop
5-1. Attaching
the abdominal
cover
fasteners on the leg side, and secure it in place on the abdomen side with the fixing

Set the abdominal cover on the full-body manikin, affix it to the hook and loop fasteners onscrews. (The abdominal cover is used when practicing vaginal examination anddelivery.)the leg side, and secure it in place on the abdomen side with the fixing screws.

(The abdominal cover is used when practicing vaginal examination and delivery.)Affix to hook and loop
fasteners
Secure with fixing screws-8-8

5-2. Fixing the leg position
As shown in the diagram below, peel back the skin of the leg and pull the leg-fixing lever

5-2. Fixing
leg position
upwards
to fix itthein position.

As shown in the diagram below, peel back the skin of the leg and pull the leg-fixing
lever upwards to fix it in position.

(Both legs can be fixed into position in the same manner.)(Both legs can be fixed into position in the same manner.)

Leg-fixing lever

9-9-

6. Obstetric Abdominal Palpation Model Handling Precautions
1. Please handle this model with the same care that you would exercise when working with ahuman body. Excessive force may result in damage.
2. Dropping the model or subjecting it to a strong impact may cause damage.
3. The material of the abdominal wall piece has a distinct odor. This odor is not harmful to thehuman body and does not indicate poor quality. The distinct odor fades over time. There may
also be a smell of baby powder remaining on the product, as baby powder is applied to themodels during fabrication.
4. The abdominal wall piece may become sticky due to the oil component. Always wrap theabdominal part correctly in the protective sheet (provided as an accessory) and then place itin the storage bag. If it becomes too sticky after use or after washing, it may be difficult to set
the skin in place. In these cases, apply baby powder (provided as an accessory) liberally to theabdominal wall piece.
5. The skin may become sticky from the oil component in the abdominal wall piece. If thishappens, wash the skin in water to remove the oil before use. To prevent the oil from getting
onto the skin, always wrap the abdominal wall piece correctly in the protective sheet (provided
as an accessory) and then place it in the storage bag.
6. The abdominal wall piece may change its shape over a prolonged period. Check the shapeof the part about three years after purchase. If it is deformed to the extent that its function isaffected, consider replacing it.
7. Air bubbles or impressions in the abdominal wall piece that may remain from the fabrication
process do not affect the strength of the material, as the material used is tear-resistant.
8. Do not use oil-based inks, pencil, chalk, or paints on the model because they will soak into
the material and may cause permanent staining.
9. Do not use the model outdoors or in damp places; doing so may damage the model.
10. When excessive amount of air is injected into the amnion, the amnion may burst. Inject air
while checking the tension of the amnion by touching the abdomen of the model.
11. Placing objects directly on top of the models or placing them on uneven surfaces may cause
deformation.
12. Storing the model for an extended period in a high or low temperature environment or under
exposure to direct sunlight may cause the oil component in the abdominal wall piece to ooze
out, causing deformation or discoloration of the model. If possible, store the model at 10°
C to50°
C, away from direct sunlight.
13. When storing the Seitz method standard adjustment base and Seitz method plus adjustmentbase in the parts storage bag, always place them in the bags in which they came at the timeof purchase.

107. Parts of the Obstetric Abdominal Palpation Model

Skin II for obstetric abdominal
palpation model

Abdominal wall piece

Fetus model with amnion(with two-way stopcock)

Seitz method standard
adjustment base

Seitz method plus
adjustment baseFull-body manikin

118. Using the Obstetric Abdominal Palpation Model
8-1. Attaching the Seitz method adjustment base and fetus model with amnion
Place the Seitz method adjustment base on the abdomen of the full-body manikin, and set
the fetus model with amnion on the abdomen.

Seitz method standard adjustment base

Seitz method plus adjustment base
(Choose one to attach)12

8-2. Connecting the fetus model with amnion
Connect the extension cord for heartbeat generator of the heartbeat cord of the fetus modelwith amnion, then connect it to the shoulder panel.

Heartbeat cord

13

Extension cord forheartbeat generator

8-3. Explanation of the shoulder panel part

Enlargement of shoulder panel

Heartbeatvolume knob

Heart rate knob
The heart rate can be
adjusted between
80-180 bpm.

AC adapter connector

Heartbeat cord connector*Plug the AC adapter into an outlet, and insert the other end into the connector for the
AC adapter shown above.
This model does not come with an AC adapter.
Please see page 2 about the AC adapter.

14

8-4. Attaching the Skin II for obstetric abdominal palpation model and Abdominal wall piece(1) Set the abdominal wall piece in place, open the two-way stopcock and fill the amnion of
the fetus model with air. Inject air by pushing the rubber bladder about 30 times. If theabdominal wall piece slips out of place after filling the amnion with air, be sure to restore it
to the correct position.
*After setting the skin in place, adjust the volume of air in the amnion.
* The abdominal wall piece has an externalsurface and an internalsurfaceHeadside and a superiorend (towards the head) and an inferior end(towards the legs).
Be sure that it is orientated correctly.
Head side
The side with the navel isthe external surface.

Leg side

The side with the navel isthe external surface.

Leg side15

※ 羊膜インジケーターの使用方法は「P.16 8-5,羊膜インジケーターの使い方」を参照し(2) Placethe skin on the manikin only after aligning the underside of the nipples on the skin 		てください。
with the nipples on the surface of the manikin.
（２）表皮乳頭部の裏面と本体乳頭部の面を合わせてから表皮をセットします。

Skin
表皮
Undersideof the nipple
表皮乳頭の裏面
on the skin

本体乳頭部
Nipple※表皮止め用のマジックテープは肩に2カ所、本体側面に6カ所、下腹部に2カ所あります。
*For fixing the skin in place, two hook and loop fasteners are located on the shoulders, six on
the sides, and two on the lower part of the abdomen.

腹部になるべくしわが出来ないように、表皮を手で伸ばしながらマジックテープで固定しWhile smoothing down the skin with the hand to eliminate wrinkles on the abdomen, 		
てください。
secure it with the hook and loop fasteners.
(3) After setting the skin in place, adjust the volume of air in the amnion while palpating thetension of the amnion.
[REFERENCE]
As the volume of air in the amnion becomes larger, the situation where palpation is moredifficult can be simulated. Using a smaller volume of air simulates the situation where
palpation is easier. Adjust to suit the situation.
[CAUTION]
When excessive amount of air is injected into the amnion, the amnion may burst. Inject air
while checking the tension of the amnion by touching the abdomen of the model.

16- 15 -

(3) After setting the skin in place, adjust the volume of air in the amnion while palpating thetension of the amnion.
[REFERENCE]
As the volume of air in the amnion becomes larger, the situation where palpation is moredifficult can be simulated. Using a smaller volume of air simulates the situation where
palpation is easier. Adjust to suit the situation.
[CAUTION]
When excessive amount of air is injected into the amnion, the amnion may burst. Inject air
while checking the tension of the amnion by touching the abdomen of the model.

(4) When finishing
the amountofthe
airamountin the amnion,
close
the two-way
stopcockstopcock in(4) adjusting
When finishingadjustingof air in theamnion,close the two-way
inorder to avoid an air leak from the amnion.
order to avoid an air leak from the amnion.
this operation is not performed, the air in the amnion will deflate over time.
*If this operation is*Ifnot
performed, the air in the amnion will deflate over time.

before use is completed.
The setting before The
usesetting
is completed.
*Attach the skin to*Attach
the manikin
whenpracticing
nipplepracticing
massagenipple
or breastcare.or breast care.
the skin
to themanikin whenmassage17

9. Caring for the Obstetric Abdominal Palpation Model
9-1. Cleaning the main body(1) To clean smudges or marks off the main body, wipe with a towel or cloth moistened withwater.
９，妊婦腹部触診モデルお手入れ方法
washmain body.
９－１*Do
，母not
体の
洗浄the
方法
9-2.
Cleaning the skin（１）母体の汚れは、水で濡らしたタオルや布巾等で拭き取ってください。

※
本体
は水洗いしなdirty
いでくor
だsticky,
さい。 wash in water with a neutral solvent. After washing,(1)母If体theskinbecomes
wipe
offの
all洗theremainingwater with a dry gauze or similar soft cloth, and apply baby powder
９－２
，表皮
浄方
法
(accessory).
（１）表皮が汚れた場合やべたつきが生じた場合は、中性洗剤等を使用し、水洗いを行ってください。水洗い後は乾いたガーゼ等柔らかい布で水分を十分に拭き取り、ベ*Do
not clean the skin with rubbing alcohol, thinners, benzene or other similar solvents.
ビーパウダー（付属品）をつけてください。
(2)
Pat the skin down with baby powder (accessory) after use and when the skin becomes※消毒用アルコール、シンナー及びベンジン等の溶剤は使用しないでください。
oily.
（２）ご使用後、又は表皮に油分を感じたら、ベビーパウダー（付属品）をつけてくださ
9-3.い。
Cleaning the abdominal wall piece(1) If the abdominal wall piece becomes dirty, wipe with a moist gauze or similar soft material

９－３，腹壁の洗浄方法
using water or a neutral solvent diluted with water. Then apply baby powder (accessory)（１）腹壁が汚れた場合は、中性洗剤を水でうすめたもの又は水をガーゼ等の柔らかい
liberally to the piece.

布に染み込ませて拭き取ってください。その後、ベビーパウダー（付属品）を全体に*Do
not clean the abdominal wall piece with rubbing alcohol, thinners, benzene or other
まんべんなく塗布してください。

※similar
消毒用solvents.
ア ル コ ー ル 、シ ン ナ ー及び ベ ン ジ ン 等 の 溶 剤で の 洗 浄 は 、絶 対 に 行 わな いください。the fetus model with amnion and the Seitz method standard adjustment base
9-4.でCleaning
(1)，羊
To膜
clean
smudgesor、marks
off調
themodels,
９ －４
付き胎
児モデル
ザイツ法
整台
の洗浄wipe
方法 with a moist gauze or similar materialusing water or a neutral solvent diluted with water.
（１）モデルの汚れは、中性洗剤を水でうすめたもの又は水を使用し、濡れたガーゼ等

で拭き取ってください。
*Do
not clean the models with rubbing alcohol, thinners, benzene or other similar solvents.
※
毒用
アル
コール、
シンナwithー及baby
びベン
ジン等の
溶剤は使用
しなuse
いでand
くださwhenい。 the amnion(2)消Pattheamniondown
powder(accessory)after（２）ご使用後、又は羊膜に油分を感じたら、ベビーパウダー（付属品）をつけてくださ
becomes oily.

い。

(3) Remove the air from the amnion before storing the fetus model with amnion. When（３）Remove the air from the amnion before storing the fetus model with amnion. Whenremoving
air, open
the two-way
twistonthe
onbladderthe rubber
removing
air, open
the two-way
stopcockstopcock
and twist andthe valve
thevalve
rubberin a bladder in acounterclockwisemannerto loosenit.
counterclockwisemannerto loosenit.

1810. Vaginal Examination Model Handling Precautions
1. These models are made with a special material to simulate the texture of human skin. Pleasehandle these models with the same care that you would exercise when working with ahuman body. Pulling them with excessive force or subjecting them to a strong impact suchas dropping may cause damage.
2. The material of the models has a distinct odor. This odor is not harmful to the human bodyand does not indicate poor quality. The distinct odor fades over time. There may also be asmell of baby powder remaining on the product, as baby powder is applied to the models
during fabrication.
3. Wear disposable gloves when using the models.
4. Use glycerin to lubricate. Be sure to apply a sufficient amount of glycerin to the model before
use. Koken is not responsible for deterioration or damage occurring from use of lubricants
other than glycerin. When all the glycerin provided with the model has been used, please
replace it with commercially available glycerin.
5. Placing objects directly on top of the models or placing them on uneven surfaces may cause
deformation.
6. Do not use rubbing alcohol, thinners, benzene, or other organic solvents on the model;
doing so may cause damage.
7. Do not use oil-based inks, pencils, chalk, or paints on the model as they may cause
permanent staining.
8. If the surface becomes sticky after use or after washing, apply baby powder liberally to themodels to reduce friction.
9. The models may lose their shape after time. Check the shape of the models approximately
three years after purchase. If a model is deformed to the extent that its function is affected,
consider replacing it.
10. Air bubbles or impressions in the models that may remain from the fabrication process do
not affect the strength of the material because the material used is extremely tear-resistant.
11. Use a 14 Fr gauge or smaller urinary catheter. Be sure to apply glycerin before use.

19

11. Parts of the Vaginal Examination Model

Full-body manikin

Uterus fixing screw
Vaginal examination model - vulva

Uterus dilation model fixation base

Full uterus dilation model
3-4 cm Uterus dilation model

Fixing screws
1-2 cm Uterus dilation model

8-9 cm Uterus dilation model

Uterus dilation model base20

12. Using the Vaginal Examination Model
12-1. Attaching the vaginal examination model - vulva II
Place the vaginal examination model - vulva II, on the full-body manikin, and secure it in placewith the fixing screws. (Rotate the screws with a flat-head screwdriver.)12-2.  Removing the vaginal examination model - vulva II from the main body
Remove the fixing screws. Insert your index finger into the space under the anus of the vaginal
examination model - vulva II and pull it forward until it detaches.

2112-3.Applying lubricant
Using your finger, apply a generous amount of glycerin to the vaginal walls and vaginal cavity ofthe vaginal examination model – vulva II, and to the opening of the uterus dilation model thatwill be inserted.
*The application of inadequate glycerin may result in damage to the model. Be sure to apply agenerous amount.

12-4. Setting the 1-2 cm and 3-4 cm uterus dilation models in place
Loosen the uterus fixing screw and insert the uterus dilation model from the direction indicatedby the arrow until the model comes in contact with the uterus dilation model fixation plate.

Uterus fixing screw
Uterus fixing screw

Uterus fixing screw

Uterusdilationmodel
fixation
plate
Uterusdilation
fixation
plate
Uterus dilation
model
fixation
platemodelOnce the uterus dilation model has been inserted and contacts the uterus dilation model
fixation plate, align the line on the uterus dilation model with the line on the uterus dilation
model fixation plate. Then, tighten the uterus fixing screw to secure the model in place.

Uterus dilation model
fixation plate line
Align the lines

Align the linesAlign the lines

Uterus dilationUterus
model dilation model
fixation plate line
fixation plate line
Uterus dilation
model line

Uterus dilationUterus dilation
model line
model line

*The fixation point of the cervix is for reference only. The actual fixation point can be adjusted.
*Before removing the uterus dilation model from the uterus dilation model fixing plate, ensurethat the uterus fixing screw is loosened.

22

12-5. Setting the 8-9 cm uterus dilation model and full dilation model in place
1) These models are set in place in the same manner as the 1-2 cm and 3-4 cm uterus dilation
models, but have to be aligned with the orientation indicators in the bony birth canal.

Orientation indicators in the bony birth canal

Orientation indicators in the bony birth canal

2) Line up the uterus dilation model fixation plate line with the orientation indicator line in thebony birth canal to determine the position at which the cervix will be set.

Orientation indicator linein the bony birth canal

Align the lines

Orientation indicator linein the bony birth canal

Align the lines*The fixation point is for reference only. The actual fixation point can be adjusted.
*Before removing the uterus dilation model from the uterus dilation model fixing plate, ensurethat the uterus fixing screw is loosened.

23

12-6. Attaching the uterus dilation model fixation plate to the vaginal examination

５－６，子宮開大度モデル，子宮開大度モデル固定板を
開大度モデル固定板を内診モデル用外陰部Ⅱ型
固定板を内診モデル用外陰部Ⅱ型にセットする
内診モデル用外陰部Ⅱ型にセットするmodel - vulva II.
12-3.
Attaching
the uterus dilation model fixation base to the vaginal
両脇の扉部分開き、子宮開大度モデルの付いた子宮開大度モデル固定板をセッOpen the doors on both sides and set the uterus dilation model fixation plate in place with theexamination
model - vulva
トします。
uterus dilation model secured to it.

Open the doors on both sides and set the uterus dilation model fixation base in place withthe uterus dilation model secured to it.

子宮開大度モデルの付いた子宮開大度モデル固定板をセットして、両脇の扉を締めて固定します。
Set the uterus dilation model fixation plate in place with the uterus dilation model secured to it;

Set the uterus dilation model fixation base in place with the uterus dilation model secured to it,
then, close the doors to secure the plate in place.

and close the doors to secure the plate in place.

24- 10 -

13. Caring for the Vaginal Examination Model
13-1. Cleaning the main body(1) To clean smudges or marks off the main body, wipe with a towel or cloth moistened withwater.
*Do not wash the main body.

13-2. Cleaning the vaginal examination parts(1) To clean smudges or marks on the model, wipe with a moist cloth, gauze, or similar materialusing water or a neutral solvent diluted with water. Wipe off all the remaining water toprevent the metal parts from rusting. If the metal parts become rusted to the extent that
their function is affected, consider replacing them. After wiping off the smudges or marks,
apply baby powder liberally to the models.
*Do not clean the model with rubbing alcohol, thinners, benzene or similar solvents.
*Water remaining on the model may cause mold to develop. Make sure to completely wipe
off the water.
(2) Wrap the model in a commercial paper towel, gauze, or another cloth and place it in the resealable plastic bag provided as an accessory.
*Storing the models for an extended time in a high or low temperature environment
may cause deformation. Exposure to direct sunlight or ultraviolet rays may also cause thematerial to deteriorate or alter its shape or color. Store the model in a 0-50℃ environment,
in a place where it will not be exposed to direct sunlight or UV rays.
(3) The uterusdilation models and other components can be washed in water. After washing,wipe off all the remaining water with a soft, dry gauze or cloth.

25

14. Obstetric Assistant Model Handling Precautions
14-1. Obstetric model - vulva II and the umbilical cord kit (for tying and cutting)1.

This model is made with a special material to simulate the texture of human skin. Pleasehandle it with the same care that you would exercise when working with a human body.
Pulling it with excessive force or subjecting it to strong impact, such as dropping it, maycause damage.

2.

The material of this model has a distinct odor, which fades with time. This odor is notharmful to the human body and does not indicate poor quality. There may also be a baby
powder smell remaining on the product, as baby powder is applied to the models during
fabrication.

3.

Wear disposable gloves when handling the model.

4.

Use glycerin to lubricate the models. Be sure to apply a sufficient amount of lubricant(glycerin) to the model before use. Koken is not responsible for deterioration or damage
occurring from use of lubricants other than glycerin. Use commercially available glycerin if
you run out of the glycerin provided with the model.

5.

Placing objects directly on top of the models or placing them on uneven surfaces may result
in deformation.

6.

Do not use rubbing alcohol, thinners, benzene or other similar organic solvents on themodel, as doing so may cause damage.

7.

Do not use oil-based inks, pencil, chalk, or paints on the model as they will soak into thematerial and cannot be removed.

8.

If the surface becomes sticky after washing the model following use, generously apply baby
powder to the model to reduce friction.

9.

The model may lose its shape after a long period of time. Check the shape of the modelaround 3 years after purchase. If it is deformed to the extent that functioning is affected,
please consider ordering a replacement.

10. Air bubbles or impressions in the models that may remain from the fabrication process do
not affect the strength of the material, as the material used is highly tear-resistant.
11. This model is washable. After washing, wipe off the remaining water with a soft, dry gauze
or cloth, and pat baby powder all over the model. (Do not clean the model with rubbing
alcohol, thinners, benzene or other similar organic solvents.)
12. Storing the model for an extended time in a high or low temperature environment may
result in deformation. Exposure to direct sunlight or UV rays may also alter its shape or color.
Store the model in a 0-50℃ environment, in a place where it will not be exposed to direct
sunlight or UV rays.

26

13. Oil may leak from the model. For proper storage, wrap the model in paper towels, gauze, oranother type of cloth, and place it in the re-sealable plastic bag that came with the kit.

14-2. Fetal and placenta models
1.

Please handle this model with the same care that you would exercise when working with ahuman body. Excessive force may damage the model.

2.

When delivering the placenta, avoid pulling too strongly on the umbilical cord.

3.

Using the umbilical cord clip and hemostatic forceps on the umbilical cord connector may
cause it to tear. Use the umbilical cord clip and hemostatic forceps on the replaceableumbilical cord.

4.

Clamping the model with the base of the grip of hemostatic forceps may tear the model.
Avoid using the base of the grip.
Do not use the base of
the grip for clamping.

Placenta model – replaceable umbilicalcord  *Use the umbilical cord clip andhemostatic forceps on this part.

Umbilical cord connector*Do not use the umbilical cord clip and hemostatic forceps on this area.

5.

Wash smudges or marks off the model with water. To clean stubborn smudges or marks,
wash with a neutral solvent diluted with water. After washing, wipe off the remaining waterwith a soft, dry gauze or cloth.
*Do not clean the model with rubbing alcohol, thinners, benzene or other similar solvents.

6.

Dropping the model or subjecting it to strong impact could cause damage.

7.

Store the model in a place where it will not be exposed to direct sunlight or UV rays.

27

15. Parts of the Obstetric Assistant Model
Placenta model – replaceable umbilical cord
Umbilical cover

Placenta model

Fetal model

Full-body manikin

Obstetric model – vulva II
Fixing screws

28

16. Using the Obstetric Assistant Model
16-1. Attaching the obstetric model - vulva II，分娩介助モデル使用方法
Attach the obstetric model - vulva II to the full-body manikin, and secure it in place with the
分娩介助モデル使用方法
fixing(Aのflat-head
６－１，分娩介助モデル
用外screws.
陰部Ⅱ型
取り付けscrewdriver is required.)

分娩介助モデル用外陰部Ⅱ型を母体全身人形にセットして、専用固定ネジで分娩介－１，分娩介助モデル用外陰部Ⅱ型の取り付け
助モデル用外陰部Ⅱ型を止めます。（専用固定ネジは、マイナスドライバーで回せま娩介助モデル用外陰部Ⅱ型を母体全身人形にセットして、専用固定ネジで分娩介す。）
モデル用外陰部Ⅱ型を止めます。（専用固定ネジは、マイナスドライバーで回せま。）

16-2. Attaching the fetal model (LM-114A), placenta model (LM-114B) and placenta

６－２，胎児モデル（LM-114A）、胎盤モデル（LM-114B）、胎盤モデル交換用臍帯
model
－２，胎
LM
11付
4Aけ
）–、replaceable
胎盤モデル（Lumbilical
M-114B）、cord
胎盤モ(LM-114D)
デル交換用臍帯
（L児
M-モ1デ
14ル
D）（の
取-り
（LM-114D）の取け the replaceable umbilical cord and roll down the end with a hole until a ring appears.
１）胎盤モデル交換用臍帯の穴が開いている端をめくってください。
1.り付
Hold
String loop１）胎盤モデル交換用臍帯の穴が開いている端をめくってください。
リングが出てきます。
リングが出てきます。

Ring
リ
ング
リング

2. Roll down the place for attaching the umbilical cord to the placenta model until a clip
２）胎盤臍帯接合部分を中のクリップが見えるまで指で下げます。
appears.
２）胎盤臍帯接合部分を中のクリップが見えるまで指で下げます。

クリップ
クClip
リップ

- 29 - 29 -29（３）胎盤モデル交換用臍帯のリングをクリップに取り付けます。
3. （３）胎盤モデル交換用臍帯のリングをクリップに取り付けます。
Attachthe ring on the replaceable umbilical cord to the clip on the placenta model.

（３）胎盤モデル交換用臍帯のリングをクリップに取り付けます。

（４）めくった胎盤モデル交換用臍帯を元に戻し、胎盤臍帯接合部分で胎盤モデル交換
用臍帯を覆います。
4. （４）めくった胎盤モデル交換用臍帯を元に戻し、胎盤臍帯接合部分で胎盤モデル交換
Unfold the edges of the replaceable umbilical cord and cover it with the umbilical cord（４）めくった胎盤モデル交換用臍帯を元に戻し、胎盤臍帯接合部分で胎盤モデル交換
connectorof the placenta model.
用臍帯を覆います。
用臍帯を覆います。

（５）胎児から臍カバーを外し、臍カバーを胎盤モデル交換用臍帯の玉留め部分側に通します。

（５）胎児から臍カバーを外し、臍カバーを胎盤モデル交換用臍帯の玉留め部分側に
5. Pull out the umbilical cover from the fetal model and slide the umbilical cover towards the（５）胎児から臍カバーを外し、臍カバーを胎盤モデル交換用臍帯の玉留め部分側に通します。
knot on the replaceable umbilical cord.
通します。
玉留め部

- 30 -- 30 30- 30 -

玉留め部
玉Knot
留め 部

6. Clamp the clip on the fetal model to the knot on the replaceable umbilical cord.
（６）胎児のクリップで胎盤モデル交換用臍帯の玉留め部を挟みます。

（６）胎児のクリップで胎盤モデル交換用臍帯の玉留め部を挟みます。

（６）胎児のクリップで胎盤モデル交換用臍帯の玉留め部を挟みます。

（７）臍カバーを胎児に取り付けます。
7. （７）臍カバーを胎児に取り付けます。
Attach the umbilical cover to the fetal model.

（７）臍カバーを胎児に取り付けます。

※胎児と臍カバー接続部の内部構造
胎児の臍部分の内部には下図の様に溝があります。臍カバーのフランジ部分と溝※胎児と臍カバー接続部の内部構造*Internal structure of the fetal model and umbilical coverがはまる様に取り付けてください。
胎児の臍部分の内部には下図の様に溝があります。臍カバーのフランジ部分と溝※胎児と臍カバー接続部の内部構造
Theumbilical
regionin the diagram below. Slide
取り付
け前 of the fetal model has a groove, as
がはまる様に取り付けてください。
取shown
り付け後胎児の臍部分の内部には下図の様に溝があります。臍カバーのフランジ部分と溝the flange oftheumbilical
securely into the groove. 取り付け後
取り付
け前 coverがはまる様に取り付けてください。
臍カバー
After
Before attachment
取り付け前取りattachment
付け後臍カバー
Umbilical
臍カバcoverー
胎児臍側Fetal胎umbilical児臍側 region
胎児臍側(side)- 31 - 31 -- 31 -31

8. The assembly of the fetus, placenta, and umbilical cord is complete.
（８）胎児、胎盤、臍帯の取り付けが完了です。
（８）胎児、胎盤、臍帯の取り付けが完了です。

*Apply a generous amount of glycerin to the fetal and placenta models, and on the inside of※ 娩出させる時は、胎児モデルと胎盤モデル、及び外陰部の内側に十分グリセリン
the vulva when practicing delivery.
※ 娩出させる時は、胎児モデルと胎盤モデル、及び外陰部の内側に十分グリセリンを塗ってからご使用ください。
を塗ってからご使用ください。

lubricant１６－３，潤滑剤16-3.
の塗りApplying
方
１６－
３，潤滑剤
の塗りof
方glycerin to the inside of the obstetric model – vulva II; the body of
Applya generous
amount
分娩介助モデル用外陰部Ⅱ型の内側、胎児モデルの頭・肩を中心に体全体、胎盤モ
分娩介助モデル用外陰部Ⅱ型の内側、胎児モデルの頭・肩を中心に体全体、胎盤モ
the fetal model, especially the head and shoulders; and over the whole fetal side of the placenta
デルの胎児面全体にグリセリンを十分に塗ります。
デルの胎児面全体にグリセリンを十分に塗ります。
model.

32- 32 -- 32 -

16-4. Holding the fetal model
Hold
the
of 方
the head of the fetal model with your index finger to keep it from facing
１６－４，胎down
児モデ
ルback
の持ち
１６－４，胎児モデルの持ち方
胎児の頭が上を向かない様に、後頭部を人差し指で抑えて持ってください。
upwards. Hooking your middle finger over the shoulder of the fetus model will help you do so.
胎児の頭が上を向かない様に、後頭部を人差し指で抑えて持ってください。
中指を胎児の肩にかけると前屈しやすくなります。図は持ち方の一例です。
The figures below show one way to hold the model.
１６－４，胎中指を胎児の肩にかけると前屈しやすくなります。図は持ち方の一例です。
児モデルの持ち方

胎児の頭が上を向かない様に、後頭部を人差し指で抑えて持ってください。
中指を胎児の肩にかけると前屈しやすくなります。図は持ち方の一例です。

Hold the placenta model as if it is a round ball. Pulling the placenta out in this way will make
胎盤モデルは、胎盤全体を丸める様に把持して押し出すと胎盤娩出がしやすくなりま
胎盤モデルは、胎盤全体を丸める様に把持して押し出すと胎盤娩出がしやすくなります。図は持ち方の一例です。
placenta delivery easier. The figures below show one way to hold the model.
す。図は持ち方の一例です。
胎盤モデルは、胎盤全体を丸める様に把持して押し出すと胎盤娩出がしやすくなります。図は持ち方の一例です。

16-5. Tying and cutting the umbilical cord
The
cord
and
forceps can be used on the replaceable umbilical cord of
１
６帯－
５，umbilical
臍帯
の
結
紮
、clip
切
断
にhemostatic
ついて
１６－５，１
臍６
切の
断結
に
つい
て断
－の５結
，紮
臍、帯
紮
、切
について
胎盤モデル交換用臍帯は臍帯クリップ、止血鉗子が使用でき、切断も可能です。
the placenta model. The cord can also be cut.
胎盤モデル交換用臍帯は臍帯クリップ、止血鉗子が使用でき、切断も可能です。
胎盤モデル交換用臍帯は臍帯クリップ、止血鉗子が使用でき、切断も可能です。

You should only practice tying and cutting the umbilical cord on the replaceable umbilical cord.
Practicing these procedures on the umbilical cord connector will cause the model to break.
臍帯の結紮、切断は必ず胎盤モデル交換用臍帯で実施してください。
胎盤臍帯接合部分に実施するとモデルが破損してしまいます。
33

臍帯の結紮、切断は必ず胎盤モデル交換用臍帯で実施してください。
臍帯の結紮、切断は必ず-胎盤モデル交換用臍帯で実施してください。
- 33
胎盤臍帯接合部分に実施するとモデルが破損してしまいます。
胎盤臍帯接合部分に実施するとモデルが破損してしまいます。
- 33 -

胎盤モデル交換用臍帯

Placenta model – replaceable umbilical cord○○○

胎盤モデル交換用臍帯
胎盤モデル交換用臍帯

胎盤臍帯接合部分
Umbilical
cord connector

×
××

胎盤臍帯接合部分
胎盤臍帯接合部分

１６－６，臍帯切断後の胎児と臍帯の接続方法
Attachingthefetusumbilical
１６－16-6.
６，臍帯
切断後の
胎児
と臍and
帯のthe
接続
方法 cord after cutting the umbilical cord
臍帯を一回切断すると玉留め部がなくなってしまいますので、結束バンドで臍帯の端を
１６－６，臍帯切断後の胎児と臍帯の接続方法
Once the umbilical cord is cut, there will no longer be a knot on the umbilical cord, so tie the臍帯を一回切断すると玉留め部がなくなってしまいますので、結束バンドで臍帯の端を縛り、結束バンドを胎児のクリップで挟んでください。
臍帯を一回切断すると玉留め部がなくなってしまいますので、結束バンドで臍帯の端を縛り、結束バンドを胎児のクリップで挟んでください。
edge of the umbilical cord with a cable tie, and attach the clip on the fetus to the cable tie.
縛り、結束バンドを胎児のクリップで挟んでください。
（１）結束バンドで輪を作り、結束バンドの輪を胎盤モデル交換用臍帯に通します。
（１）結束バンドで輪を作り、結束バンドの輪を胎盤モデル交換用臍帯に通します。
1.（１）結束バンドで輪を作り、結束バンドの輪を胎盤モデル交換用臍帯に通します。
Create a loop with a cable tie and pass the replaceable umbilical cord through this loop.

（２）結束バンドをきつく縛ります。
2. Tighten the cable tie securely.
（２）結束バンドをきつく縛ります。
（２）結束バンドをきつく縛ります。

5～7mm

55-7mm～7mm
5～7mm- 34 -

34- 34 - 34 -

*Looping the cable tie too close to the edge of the umbilical cord may cause the cable tie to slip

※
ドに
で
縛りっ過た
に7バ
なmm
り過
ぎ臍
るthe
と、か
結
外れてしま
off.
Tighten
the
cable
tie
about
5端to
edge
of
umbilicalcord.
※ 結 束 バ ン ドで 縛 っ
た結
位束
置バ
がン
端
な
ぎ位
る置
とが
、結
束
ン
ドfrom
が
帯
ら束
外バ
れンthe
てドしが
ま臍帯から
※ 結う
束可
バ能
ン性
ドが
で縛
っま
たす
位。置
が
端
に5な
り7過
ぎる
と
、の
結余
束裕
バを
ン持
ドっ
がて
臍結
帯束
かバ
らン
外ドれ
あ
り
端
か
ら
～
m
m
程
度
でて
縛しっま
てく
う可能性があります。端から 5～7mm 程度の余裕を持って結束バンドで縛ってく
う可
能
性
が
あ
り
ま
す
。
端
か
ら
5
～
7
m
m
程
度
の
余
裕
を
持
っ
て
結
束
バ
ン
ド
で
縛
っ
て
く
ださい。
ださい。
ださい。
*Performing
this procedure when the umbilical cord is lubricated with glycerin will cause

※
リ
ンい
なて
ど
のる
潤状
滑
剤で
が取
つりい
状being
付束
け作
を行
うと、結束
バンWipeド off any
cable
tie
to
slip
off,
preventing
itけい
from
attached
to業
umbilical
cord.
※ グリセリンなどのthe
潤グ
滑
剤セ
がリ
つ
い
態
付て
作る業
を態
行でう取
とり
、結
バ
ンthe
ド
※ グリセ リンな どの潤滑剤がつ いている 状態で取り付け作業を行うと、結束バンド
がへ
滑の
って
臍で
帯きへ
が
ん
が滑ってしまい、lubricant
臍帯
取し
りま
付い
け、が
まの
せ取
んり。付
潤け
滑
剤で
なき
どま
をせ
拭
き。
取潤
っ滑
て剤
かな
らどを拭き取ってから
the
cord
beforeperforming
thisprocedure.
が滑ってonしまいumbilical、 臍 帯へ の取り
付け がで き ませ ん。潤
滑剤 な どを 拭き 取 っ てから付さけい
作。業を行ってください。
取り付け作業を行っ取てり
くだ
取り付け作業を行ってください。
*Size of the cable tie※ 結束バンドのサイ※
ズ結
に束
つバ
いン
てドのサイズについて
※Use
結束
バ
ンドtie
のサイズ
ついof
てabout 2 to 3 mm for attaching the umbilical cord. If you use a size
a
cable
aすに
width
臍結
帯束
接バ
続ンでドwith
使
る
束バ
ン3ド
バ度
ンの
ド幅
～ご
3m使
m用程
度さ
のものをご使用くださ臍帯接続で使用する
は用
、バ
ン結
ド幅
2～
mは
m 、程
もの2を
くだ
臍帯接続で使用する結束 バンドは、バンド幅 2～3mm 程度のものをご使用くださ
that
is。い
unsuitable,may
makedifficulttotieumbilical
cordorリprevent
サ
正
で難
な
いなとっ
、itた
臍
帯、を
りの
難
なッっプ
たでりヘ
、ッ
胎ド児
ップでヘtheッドclipを挟on the fetal
い 。 サイズが 適 正
でい
な
とイ
、ズ
臍が
帯適
をit縛
り
く
り
胎縛
児
クくthe
リ
をの
挟ク
い 。 サイ ズが 適 正で な い と 、 臍 帯を 縛 り 難くな っ たり 、 胎児 の ク リッ プ で ヘッ ド を挟い
能性がありますon。 to the cable tie headfromclamped
めない可能性がmodel
ありめ
まな
す。可being
めない可能性があります。

（３）縛った結束バンドの飛び出したテール部分を切ります。
３）縛った結束バンドの飛び出したテール部分を切ります。
（３）縛った結束バンドの飛び出したテール部分を切ります。
3. Cut the tail of the tightened cable tie near the head.
テール部分

テール部分
テール
部分
Tail

（４）結束バンドを取り付けた臍帯に胎児臍カバーを通します。
4. Pass the tied umbilical cord through the fetal umbilical cover.
４）結束バンドを取り付けた臍帯に胎児臍カバーを通します。
（４）結束バンドを取り付けた臍帯に胎児臍カバーを通します。

（５）結束バンドのヘッド部分を胎児のクリップで挟みます。
５）結束バンドのヘッド部分を胎児のクリップで挟みます。
5. Clamp the cable tie head with the clip on the fetal model（５）結束バンドのヘッド部分を胎児のクリップで挟みます。

- 35 -- 35 - 35 -35

6. Attach the umbilical cover to the fetus to complete the assembly.
（６）臍カバーを胎児に取り付けて完了です。

16-7. Using existing products
Delivery can be practiced using existing models: “Fetal Model LM-0633,” “Placenta Model LM-

６－７，既存製品の0634,”
使用にandついて for Tying and Cutting Umbilical Cords LM-101D” (sold separately). Please read“Parts
既存モデルの「胎児モデル LM-0633」、「胎盤モデル LM-0634」、「臍帯結紮切断パー
the instruction manuals of the existing models before using them with a full-body manikin.
ツ LM-101D」(別売品)を使用した娩出の演習も可能です。
既存のモデルと母体を組み合わせて使用する場合は既存モデルの取扱説明書をお読みください。

36- 36 -

17. Caring for the Obstetric Assistant Model
17-1. Cleaning the full-body manikin(1) To clean smudges or marks off the full-body manikin, wipe with a towel or cloth moistenedwith water.
*Do not wash the main bodywith water.

17-2. Cleaning the fetal model and placenta model
Both the fetal model and the placenta model can be washed normally in water.
After washing, wipe off all the remaining water with a soft, dry gauze or cloth.

17-3. Cleaning the obstetric model - vulva II
1.

Rub the surface lightly while washing off the lubricant (glycerin) applied during practicewith water.
* Do not clean the model with rubbing alcohol, thinners, benzene or other similar solvents.
*When washing the model, do not dig your nails into the surface or apply strong force. This
may result in damage.

2.

Wipe off the lubricant along with dirt or smudges, and all the remaining water with gauze
or a soft cloth. Then, pat baby powder all over the model.
*Water remaining on the model after washing may cause mold to develop. Make sure tothoroughly wipe off all the water.

3.

Wrap the model in a commercial paper towel, gauze or other cloth, and place it in the resealable plastic bag provided as an accessory.
*Storing the models for an extended period in a high or low temperature environment
may cause deformation. Exposure to direct sunlight or ultraviolet rays may also cause thematerial to deteriorate or alter its shape or color. Store the models in a 0-50℃ environment,
in a place where they will not be exposed to direct sunlight or UV rays.

37

18. Perineal Suture Model Handling Precautions
1.

Please handle this model with the same care that you would exercise when working with ahuman body. Excessive force may damage the model.

2.

Take care to avoid scratching or putting holes in the perineal suture model - vulva during
suture practice.

3.

Wash smudges or marks off the model with water. To clean stubborn smudges or marks,
wash with a neutral solvent diluted with water. After washing, wipe off all remaining waterwith a soft, dry gauze or cloth.
*Do not clean the model with rubbing alcohol, thinners, benzene or other similar solvents.

4.

Dropping the model or subjecting it to strong impact may cause damage.

5.

Store the model in a place where it will not be exposed to direct sunlight or UV rays.

38

19. Parts of the Perineal Suture Model

Fixing screws

3920. Using the Perineal Suture Model
20-1. Attaching the perineal suture model - vulva to the main unit
Line up the hook and loop fasteners on both sides of the perineal suture model to the hook andloop fasteners on the perineal suture model - vulva and set it in place.

4020-2. Attaching the perineal suture model - vulva to the full-body manikin
Insert the perineal suture model - vulva into the full-body manikin, and secure it in place withthe fixing screws. (Rotate the screws with a flat-head screwdriver.)20-3. Removing the perineal suture model vulva from the full-body manikin
Remove the fixing screws. Insert your index finger into the space under the anus of the perineal
suture model - vulva. While pushing down on the top of the main body with your right hand,pull the perineal suture model - vulva out towards you until it comes off.

41

21. Puerperal Uterus Palpation Model Handling Precautions
1.

Please handle this model with the same care that you would exercise when working with ahuman body. Excessive force may damage the model.

2.

Do not place objects on top of the abdominal skin. This may result in deformation.

3.

To clean smudges or marks, wipe with a moist gauze or similar material using water or aneutral solvent diluted with water.
*Do not clean the model with rubbing alcohol, thinners, benzene or other similar organic
solvents.

4.

Store the model in a place where it will not be exposed to direct sunlight or UV rays.

42

22. Parts of the Puerperal Uterus Palpation Model

Uterine involution(normal, day 3)
Uterine involution(normal, day 1)

Uterine involution(normal, day 5)
Uterine involution(normal, day 3)

Uterine involution(subinvolution)
Uterine involution(normal, day 1)

Uterine involution(normal,day 5)*The uterine involution model (normal, day 1) and the uterine involution
model(subinvolution)
Uterineinvolution The uterine involution model (subinvolution) is made of a softer
differ in degreeof hardness.
(subinvolution)material than the uterine involution model (normal, day 1).
Uterine involution model fixation baseUterine involution model fixation base43

23. Using the Puerperal Uterus Palpation Model
23-1. Placing the uterine involution model fixation base and the uterine involution models
Set the uterine involution model fixation base on the abdomen of the full-body manikin, then set
the uterine involution models for palpation on top.

Uterine involution model
fixation base

Select one from among the four types of the uterine involution models and set it in place.
*Make sure to apply baby powder before setting it in place.

44

23-2. Attaching the skin for the puerperal uterus palpation model
Align
the
full-bodywith
２３－２，産褥子
宮nipples
触診モon
デthe
ル用
表皮のmanikin
取り付け
方 the underside of the nipples on the skin, thenplace the skin on the manikin to fit the form. Secure it in place with the hook and loop fasteners
母体全身人形の乳頭部と表皮の乳頭部裏面をあわせて形状に沿って表皮をセットし、in 10 places on
manikin.
本体についている
10the
カ所のマジックテープで固定します。

*Place the skin on the manikin only after aligning the underside of the nipples on the skin

※表皮乳頭with
部のthe
裏面
と本体
頭nipples
部の面on
をthe
合わ
せてから表皮をセットします。
surfaceof乳themanikin.
表皮Skin
表皮乳頭の裏面
Undersideof the nipples
on the skin

本体乳頭部
Nipple※表皮止め用のマジックテープは肩に2カ所、本体側面に6カ所、下腹部に2カ所あります。
* For fixing the skin in place, two hook and loop fasteners are located on the shoulders, six※表皮を取り付けた状態で乳頭マッサージや乳房ケアの演習も可能です。
on the sides, and two on the lower part of the abdomen.

*Attach the skin to the manikin when practicing nipple massage or breast care.

２４，産褥子宮触診モデルお手入れ方法（１）モデルの汚れは、中性洗剤を水でうすめたもの又は水を使用し、濡れたガーゼ等

45
で拭き取ってください。
※消毒用アルコール、シンナー及びベンジン等の溶剤は使用しないでください。

24. Caring for the Puerperal Uterus Palpation Model
1. To clean smudges or marks, wipe with a moist gauze or similar material using water or a neutral
solvent diluted with water.
*Do not clean the model with rubbing alcohol, thinners, benzene or other similar solvents.
2. Pat the model down with baby powder (accessory) after use and when the skin becomes oily

25. List of Parts
Main unit

Obstetric abdominal
palpation parts

Vaginal examination
parts

Obstetric assistant parts

Full-body manikin(with an abdominal cover and ﬁxing screws)

Skin II for obstetric abdominal palpation model
Abdominal wall piece
Fetus model with amnion
Two-way stopcock (with Luer ﬁtting)Seitz method standard adjustment base
Seitz method plus adjustment base
Extension cord for heartbeat generator
Baby powder
Abdominal wall protective sheet
BaseParts storage bag

1
1
1
1
1
1
1
1
1
1

Uterus dilation model set (4 types)

1

Vaginal examination model - vulva II

Uterus dilation model base
Glycerin
Storage caseObstetric model - vulva II (primipara type) LM-101P(with a ﬁxing screw *1)
Fetal model
Placenta model

Replacement Umbilical cord for Placenta model(with Binding band x 2)

Perineal suture parts
Puerperal uterus
palpation parts

Other

1

Glycerin
Perineal suture model - vulva LM-0635(with 1 right laceration and 1 left laceration model)
Skin for puerperal uterus palpation model
Uterine involution model (4 types)
Uterine involution model ﬁxation base
Baby powder
Parts storage bag
Instruction Manual

3
1

1
1
1

1
1
1
1
1
1
1
1
1
1
1
1

*If the accessory parts storage bag becomes wet (for example, from water or rain), the dye on thelining may run and stain the contents.
*1: The fixing screws are the same for all models.

46

26. Specifications
Main unit

Product name

Quantity

Full-body manikin

1

LengthWidthApprox. 177 cm Approx. 44 cm

HeightApprox. 25 cm

WeightApprox. 17 kg

Obstetric Abdominal Palpation Model
Product name

Quantity

Skin II for obstetric abdominal
palpation model1

Approx. 670 g

Abdominal wall piece

1

Approx. 1.4kg

Fetus model with amnion

1

Seitz method standard adjustment

1

Approx. 26 cm

Approx. 33 cm

Approx. 12 cm

Approx. 630 g

Seitz method plus adjustment base1

Approx. 25 cm

Approx. 33 cm

Approx. 14 cm

Approx. 700 g

LengthWidth

HeightWeightbase

LengthWidthApprox. 21 cm

HeightApprox. 32 cm

Approx. 13 cm

WeightApprox. 3,500 g

Air supply tube (with rubber bladder and two-way stopcock ): Total length: 109cm

Puerperal Uterus Palpation Model
Product name

Puerperal uterus palpation modelskin

Quantity

Uterine involution(normal, day 1)
Uterine involution(subinvolution)
Uterine involution(normal, day 3)
Uterine involution(normal, day 5)

Uterine involution modelﬁxation base

Approx. 2 kg

1
1

Approx. 21 cm

Approx. 14 cm

Approx. 11 cm

Approx. 1 kg

1Approx. 21 cm

Approx. 14 cm

Approx. 11 cm

Approx. 470 g

1

Approx. 16 cm

Approx. 11 cm

Approx. 9 cm

Approx. 660 g

1

Approx. 14 cm

Approx. 7 cm

Approx. 7 cm

Approx. 470 g

1

Approx. 25 cm

Approx. 44 cm

Approx. 14 cm

Approx. 1 kg

Vaginal examination model
Product name

Quantity

LengthWidth

HeightWeight1

Approx. 19 cm

Approx. 17 cm

Approx. 15 cm

Approx. 2 kg

1

Approx. 5 cm

Approx. 4 cm

Approx. 14 cm

Approx. 100 g

1

Approx. 6 cm

Approx. 6 cm

Approx. 13 cm

Approx. 130 g

1

Approx. 8 cm

Approx. 8 cm

Approx. 15 cm

Approx. 240 g

Full dilation model for virtual reality
vaginal examination

1

Approx. 8 cm

Approx. 8 cm

Approx. 16 cm

Approx. 320 g

Uterus dilation model base1

Approx. 15 cm

Approx. 15 cm

Approx. 15 mm

Approx. 420 g

Uterus ﬁxing screw

1

Vaginal examination model - vulva II(with uterus dilation model ﬁxation plate)
1-2 cm uterus dilation model for virtual
reality vaginal examination
3-4 cm uterus dilation model for virtual
reality vaginal examination

8-9 cm uterus dilation model for virtual
reality vaginal examination47

Obstetric assistant model
Product name

Quantity

Size

Obstetric model - vulva II(primipara type)1

LengthApprox. 17 cm

Width
Approx. 17 cm

HeightApprox. 8 cm

WeightApprox. 600 g

F etal model

1

Head circumference
Approx. 30 cm

HeightApprox. 40 cm

WeightApprox. 2030 g

P l ac enta model

1

DiameterApprox. 19 cm

Umbilical
cord length
Approx. 51 cm

WeightApprox. 660 g

Replacement Umbilical cordfor Placenta model

1

Umbilical cord length
Approx. 65 cm

DiameterApprox. 1.4 cm

WeightApprox. 80 g

F i x i ng sc r ew

2

Perineal suture model
Product name

Quantity

LengthWidth

HeightWeightPerineal suture model vulva

1

Approx. 16 cm

Approx. 17 cm

Approx. 12 cm

Approx. 400 g

Perineal suture model(left laceration)

1

Perineal suture model(right laceration)

1

Approx. 6 cm

Approx. 10 cm

Approx. 5 cm

Approx.40 g

27. Optional Items
Product name

Model number

Skin II for obstetric abdominal palpation model

LM-101HVB

Vaginal examination model - vulva II

LM-101F

Abdominal wall piece

LM-101HVC

Obstetric model - vulva II (primipara type)LM-101P

Obstetric model - vulva II (multipara type)LM-101M

Obstetric model - vulva II (primipara & mutipara type)LM-101S

Umbilical cord kit(1 umbilical cord connector, 1 umbilical cord)

LM-101D

Umbilical cord for replacement(10 pcs)

LM-101E

Fetal model

LM-114A

Perineal suture model (5 left lacerations and 5 right lacerations)Umbilical coverLM-0636
LM-114F

Placenta model

LM-114B

Replacement Umbilical cord for Placenta model

LM-114D

48

28. Storing the Vaginal Examination Model, Obstetric Assistant
Model, and Perineal Suture Model
Upper compartment of the storage case
(optional items)(optional items)

Lower compartment of the storage case49

29. Precautions for Unpacking and Storing
Unpacking and storing the manikin must be carried out by at least 2 people.
Removing the product:
1. Remove the foam polystyrene packing blocks (3 pieces) from the cardboard box.
2. & 3. Remove the product while both people simultaneously hold the shoulders and knees.
The product may break if removed by only one person. While doing so, be careful to avoid pinching
your fingers or other parts of your body in the joints of the manikin such as the back of the knee.
Storing the product:
Hold the product as shown in 3, and gently place it in the cardboard box.

2

1

3

50