Female
Catheterization andEnema Simulator(Strap-on type)LM-109FA
Instruction Manual
Thank you for purchasing the Female Catheterization and Enema Simulator (Strap-on type).
Please read this instruction manual carefully to ensure correct use of the product,and store it in a safe place for easy access.

KOKEN CO., LTD.
1-4-14 Koraku, Bunkyo-ku, Tokyo 112-0004 JAPANURL:http://www.kokenmpc.co.jp
E-mail:customer@kokenmpc.co.jp© 2018-2020 KOKEN CO., LTD. C-1-1033-1-01-01

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. This simulator is made to have the same feel as that of a living body.  Undue handling may cause
breakage of the simulator.
2. This model has a distinctive odor resulting from the materials it is made from however is notharmful to the body or indicate any problem with quality. This distinctive odor will weaken overtime. The product is also coated in baby powder at the time of manufacture and the smell ofbaby powder may remain on the product.
3. When you practice cleaning or disinfecting of the pubic area, please use water.  Use of alcohol
may cause breakage of the simulator.
Use of colored disinfectant liquid may cause pigment to be fixed to the simulator so that thepigment cannot be removed.
4. As for the lubricant, please use K-Y tm lubricating jelly.  Please do not use K-Y®  gel, as it may
increase the insertion resistance of the catheter.
5. Please do not use oily lubricant (olive oil etc.), alcohol lubricant, and lubricant containing organicsolvent.  These may cause breakage of the simulator.
6. Please use catheters of 14Fr and 16Fr.
7. Please check the state of the catheter before inserting the catheter.  Please do not use a catheter
that is degraded or deformed.  Such a catheter is difficult to insert.
8.   When inserting the catheter, please apply the lubricant each time.
9. If it is difficult to insert the catheter, please increase the amount of the lubricant to be appliedor use another catheter (firm silicone catheter or catheter with thinner baloon part etc).  Thesimulator may break if such a catheter is forced to be inserted.
10. When indwelling the catheter, please inﬂate the balloon after inserting the catheter apart fromthe balloon end portion by a distance equal to or greater than 4 cm. Indwelling of the catheter
in an intermediate of the valve causes the valve and the catheter to be broken. Please provide amarker on the catheter before commencing training to ensure that the catheter tip is inserted bya distance equal to or greater than 4 cm before inflating the balloon.
4cm

Marker1

11. After use, please wash the simulator and the catheter well with water.  If the lubricant dries
and hardens, it may interfere with the use of the simulator.
12. Please check the state of the valve at every use.  If the valve is broken, it may cause a leakageof water.
13. Oil components may come out of the genital skin.  After use, please do not keep the genitalskin attached to the simulator.  Please wrap it in cooking paper, gauze, etc., put it into an
attached reclosable poly bag, and keep it.  For a detailed storage method, please refer to thewashing and storage methods on page 15.
14. Apply commercially available baby powder to reduce friction if you mind stickiness of thegenital skin or after it is washed with water following use.
15. The genital skin may deform over time. Please check the state of the genital skin every threeyears after purchase. If any deformation that could affect the function of the simulator isfound, consider replacing it with a new one.
16. You may observe air bubbles or darker areas in the genital skin. These were formed during
production; however, they do not affect the strength of the genital skin because it is made ofa material resistant to tearing.
17. Please do not place objects on the simulator.  Otherwise, the simulator may be deformed.
18. Please do not keep the simulator in contact with printed matter.  Print, such as letters, maytransfer to the simulator and be fixed there.
19. When storing the simulator, please select a place that is not subject to direct sunlight andultraviolet rays.
20. This product is intended for use in standard operating environments. Do not use it in heavy
industrial settings.
21. 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 thatoccurs during storage.

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.

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Table of Contents

1. Outline and Features
2. Components and Configuration
3. Handling Method
4. Washing and Storage Methods
5. Specifications
6. Replacement Parts (Sold Separately)31. Outline and Features
Outline
The simulator can be mounted on a human body or a doll so that a series of techniques regarding
catheterization and enema can be practiced. The feel of the labia and resistance of the catheter to
its insertion are closely similar to that of a living body.  If a catheterization catheter is appropriately
inserted, urine (water) flows out.

Features
・The simulator is of an actual size by which a catheterization and glycerine enema for an adultfemale can be practiced.
・Since the simulator is of a strap-on type, it can be mounted on a human body or a model dollso that the practice can be performed.
・By mounting the simulator on a human body, the feeling of a patient can be simulated.  
Also, by mounting the simulator on a simulation patient, techniques can be practiced while
communicating with the simulation patient.
・Since soft and stretchable materials are used for the pubic area, the appearance and feel are
realistic to give presence when practicing.
・A series of techniques of catheterization such as disinfecting of a pubic area, and inserting andremoving of a catheter can be practiced.
・Cleaning techniques can be performed.
・The attached glycerine enemator can be inserted through the anus to the rectum. This enables
the practice for the glycerine enema.

42. Components and Configuration1.

Female Urethral part

8. Bag for irrigator

2. Female Genital skin

9. Tube for irrigator

3. Bladder Valve (Male/Female)

10. Drain tube

4. O-ring

11. Glycerine enemator

5. Strap-on type frame (with belt)
6. Female strap-on type bladder tube

Storage bag

7.

Instructions manual (this pamphlet)

Strap-on type rectum connecting connector

53. Handling Method
3-1 Assembling of Simulator
1. Please connect the bag for irrigator to the female strap-on type bladder tube, and put water
into the bag for irrigator. Please open a clamp, fill the female strap-on type bladder tube
with water, close the clamp, and attach the bladder valve to the bag for irrigator.

2. Please insert the female strap-on type bladder tube into the strap-on type frame.

63. Please insert the O-ring into the connector of the female urethral part.

4. Please connect the female urethral part and the female strap-on type bladder tube while
adjusting their positions so that the female urethral part is fixed in the opening of thestrap-on type frame.

5. Please insert the strap-on type rectum connecting connector into the strap-on type frame.

76. Please connect the strap-on type rectum connecting connector to the drain tube.

7. Please put the anal portion of the female genital skin on the strap-on type rectumconnecting connector. After the connector is inserted deep into the anal portion, please fit
and fix the position of the female genital skin to the strap-on type frame.

8. Please insert the projection of the female urethral part into the urethral canal located on thereverse side of the female genital skin so that the projection is covered. Then fix the female
urethral part and the female genital skin with hook and loop fasteners.
Projection of the female urethral part

9. Please attach and fix the position of the female genital skin to the strap-on type frame.

83-2 Wearing Method
1. Please remove the front belt and rear belt from the waist belt.

Waist belt

Front belt

Rear belt

2. Please wear the waist belt and adjust the adjuster according to waist size.

3. Please pass the rear belt through the waist belt, and fit and fix the position of the pubic areawith hook and loop fasteners.

94. Please pass the front belt through the waist belt, and fix it with hook and loop fasteners suchthat the belts do not come loose.

Position of the model
during catheterization

Please adjust the position of the urethral canal on the person who (or the dollthat) has put on this model to the position of the urethral canal of the model.

5. When performing an enema technique, please remove the front belt once, fit the position of
the anus to the body, and adjust the length of the rear belt first.
Position of the model
during enema

Please adjust the position of the anus on the person who (or the doll that) has
put on this model to the position of the anus of the model.

103-3 Insertion of Catheterization Catheter
1. Please open the clamp for irrigator tube and check whether or not the water leaks from thesimulator.

* When practicing the cleaning or disinfecting of the pubic area, please use water instead ofdisinfection liquid.
2. Please apply lubricant on the distal end of the catheter for about 4 to 5 cm and insert thecatheter.
* If it is difficult to insert the catheter, please check the techniques and insert it again. In thiscase, please remove moisture from the catheter and increase the amount of the lubricant
to be applied. Also, please consider using other types of catheters (firm silicone catheter orcatheter with thinner baloon part etc). The simulator may be broken if he catheter is forced
to be inserted.
* If it is difficult to insert the catheter, please use water mixed with a small amount(approx 5%) of surfactant (neutral detergent) as urine.
* If the insertion of the catheter is repeated a plurality of times, water may accumulate in theurethral canal.
3. Please check the outﬂow of the urine (water). If urine does not ﬂow out, check the following:- Whether the catheter passes through the valve;- Whether the clamp for irrigator tube is open; and- The amount of water in the bag for irrigator is reduced to a small amount.
4. When indwelling the catheter, please inﬂate the balloon after inserting the catheter apartfrom the balloon end portion by a distance equal to or greater than 4 cm. Indwelling of thecatheter in an intermediate of the valve causes the valve and the catheter to be broken. Pleaseprovide a marker on the catheter before commencing training to ensure that the catheter tip
is inserted by a distance equal to or greater than 4 cm before inﬂating the balloon.
4cm

Marker115. Once the catheter is inserted, please remove the moisture from its wet tip, apply the lubricant
each time, and then insert the catheter. If the lubricant is applied where water remains, thelubricant slides easily off of the catheter. This makes it difficult to insert the catheter.
3-4 Enema
1. Please prepare a bucket etc. under a desk or a bed and put the distal end of the drain tube in it.
2. Please fit and fix the position of the anus of the strap-on type frame to the body, and adjust thelength of the belt.
Please refer to the position of the model during enema as shown in the Figure in Section 3-2 (5)on page 10.
3. Please apply lubricant to the distal end of a glycerine enemator, insert it into the anus, and pourenema liquid (water) into it. At this time, please lower the distal end of the drain tube to aposition below the anus. Otherwise, the enema liquid (water) may ﬂow backward and stain
clothing.
3-5 Removal
1. Please close the clamp of the bag for irrigator .

2. Please remove the belts and the strap-on type frame, and then remove the drain tube fromthe strap-on type rectum connecting connector.
* Please pay attention to the outﬂow of the water.

12

3. Please remove the female genital skin from the strap-on type frame with the female
urethral part, the female strap-on type bladder tube, and the strap-on type rectumconnecting connector connected. At this time, please remove slowly while holding the areaof the hook and loop fastener so that it does not peel off from the female genital skin.

4. Please remove the strap-on type rectum connecting connector from the female genital skin.

5. Please remove the female urethral part from the female genital skin.
At this time, please remove slowly while holding the area of the hook and loop fastener sothat it does not peel off from the female genital skin.

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6. Please remove the connector for connecting the female urethral part and the female strap-on
type bladder tube.
* At this time, please pay attention to a loss of the O-ring.

7. Please remove the bladder valve from the female strap-on type bladder tube, and drain thewater in the tube.

8. Please wash the female urethral part, the bladder valve, the female strap-on type bladdertube, the female genital skin, and the strap-on type rectum connecting connector well withwater after use.

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4. Washing and Storage Methods
1. Please ﬂush the lubricant that has adhered to the female urethral part, the bladder valve, thefemale strap-on type bladder tube, etc. well with water. If the lubricant dries and hardens, it
may interfere with the use of the simulator.
2. Please remove moisture well, dry the simulator and then put it into a storage bag.
3. Oil components may come out of the female genital skin. After using the simulator, please do
not keep the female genital skin attached to the main body. Please wrap it in cooking
paper,gauze, etc., put it into an attached reclosable poly bag, and keep it therein. Please wrap
the female genital skin gently such that wrinkles are not generated on it.

4. Please apply baby powder that is commercially available, if you mind stickiness of thefemale genital skin.
5. As for stains on the simulator, please use neutral detergent that is watered down and wipe
off the stains with wet gauze etc.
* Please do not use solvents such as thinner and benzene.

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5. Specifications
Product name

LengthWidth

HeightMain Body

Approx. 23 cm

Approx. 13 cm

Approx. 11 cm

Storage Bag

Approx. 21 cm

Approx. 47 cm

Approx. 24 cm

6. Replacement Parts (Sold Separately)
Product nameFemale Genital skin

Bladder Valve (Male/Female) (3pcs/set)
Bag for irrigator (3pcs/set)

Tube for irrigator (3pcs/set)

Glycerine enemator (with cap/5pcs)

Product No.
LM-109FB

LM-109V
LM-025J

LM-025H
LM-0686

16Weight

Approx. 0.6 kg