Colonoscopy(Lower GI Endoscopy)

Simulator TypeII
LM-107

Instruction Manual
Thank you for purchasing the Colonoscopy(Lower GI Endoscopy) Simulator TypeII.
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 								9999C-1-1017-1-01-02

Handling and Safety Precautions
These precautions should be strictly observed to ensure safe, long-term use of
the product.
The following precautions should be especially adhered to:○ Regarding the LM-107 Colonoscopy(Lower GI Endoscopy) Simulator TypeII:
1. This product is made with special silicone rubber to simulate the texture of human skin, and excessive
force may damage the products. So we recommend that it be handled as carefully as actual biologicalmaterial.
2. Before using this product, be sure to apply a generous amount of endoscope lubricant to the inside of it.
For details, refer to "3-1: How to apply lubricant" on page 6. An insufficient amount of lubricant may cause
the endoscope to get stuck inside of the model, which could possibly break it.
3. Do not place objects on the main unit, as doing so may alter its shape.
4. Do not use thinner, benzine or other organic solvents on this product. Doing so may cause its color tofade or deform its shape.
5. Do not use oil-based inks, pencils, chalks, or paints on this product as they may cause permanent
staining.
6. When transporting this product in its storage case, make sure the metal latches are closed. Also, if thestorage case is tilted or experiences heavy shock, the case or model may break as a result.

Optional Items (sold separately)○ Regarding the "LM-103A Simulated Polyp (for polypectomy)":1. Please take care to follow the directions below so as to avoid mold growth or degeneration of the
Simulated Polyp.
1-1. Please avoid storing the Simulated Polyp (for polypectomy) at a location with direct sunlight or ahigh temperature and always store in a refrigerator (between 2 and 10ºC, do not freeze). If it is stored at atemperature of over 30ºC, it may change in shape or degrade, rendering it unusable.
1-2. Please use the Simulated Polyp as early as possible after it has been unsealed. KOKEN is not
responsible for quality of Simulated Polyps that have already been unsealed.
1-3. When taking out the Simulated Polyp, please use clean tweezers etc.
1-4. If a Simulated Polyp has been taken out of the container, please do not put it back in the container.
1-5. Do not leave a Simulated Polyp (for polypectomy) out of the container for a long period of time.
The surface will become dry and hard, and it will not be possible to use it any longer.

11-6. Always store in the storage liquid. Storing it in other liquids will cause degeneration of the polyp.
Be careful not to spill the storage liquid or throw it away before using all the Simulated Polyps (forpolypectomy).
2. When resecting a Simulated Polyp (for polypectomy), always use a disposable electrode.
3. Be sure that no storage liquid gets in your eyes or mouth.

2

Handling and Safety Precautions
These precautions should be strictly observed to ensure safe, long-term use of
the product.
Caring for the model after use
1. After using this product, thoroughly flush out the lubricant with cold or hot water.
2. To clean the storage case, wipe with gauze or similar material moistened with water or a watereddown,mild detergent.
* Do NOT use thinner, benzine, or other solvents to clean the storage case.
3. Keeping this product in direct sunlight or exposed to UV light for a long period of time may cause it todeform or degrade. When not in use, keep it in the storage case in a flat area away from direct sunlight or
UV light.

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.

3

Table of Contents

1. Outline and Features
2. Components and Configuration
3. Handling the Model
3-1 How to apply lubricant
3-2 How to assemble the intestine
3-3 How to attach simulated polyps (for observation)
3-4 How to attach an optional LM-103A Simulated Polyp (for polypectomy)
3-5 Caring for the product after use
4. Specifications
5. Optional Items (sold separately)41. Outline and Features
OutlineThis training model is used to confirm methods of insertion and orientation for a colonoscope.
Attaching optional parts also enables treatment-related training such as polyp incision andhemostasis, as well as small intestine insertion training using a balloon endoscope.

Features
1. This product is made with special silicone rubber for a realistic feel and appearance during 		observation. Inner content also closely resembles actual biological material.

2. Simulated polyps (for observation) can be attached to the ascending colon and descending
colon for observational purposes.

3. Laterally spreading tumors (LST) are replicated in the ascending colon.

4. Attaching the optional "Simulated Polyps (for polypectomies)" enables various types of 		endoscopic treatment-related training as well, such as snare polypectomies, and hemostasis 		using a clip.
* Simulated polyps can be attached to ascending and descending colons.

5. Attaching the optional "Small Intestine" enables training such as insertion methods for 		
double or single balloon enteroscopies, and shortened operations (folding techniques).

5

2. Components and Configuration
2.

Components and Configuration

6

11
4

5

3

1

2

10

7

8

12

9

13

14

15
Name

Name

14

1
Main unit
Main unit
2
Rectum/sigmoid colon part
Rectum/sigmoid colon part3
Descending colon part
Descending colon part
4
Transverse colon part
Transverse
part
5 colon
Ascendingcolon part
Ascending
colon
part
6
Simulated polyps (for observation):
Simulated
polyps(for observation):
7
Conduction
cable for Simulated Polyps (for polypectomy)
Conduction
cable
8
Polyp attachment band
Polyp attachment
band
9Flangeplate
Flange plate10
Holding table
Holding11
table Simulated peritoneal membrane sheet
12
Screwsmembrane
for flange plate
Simulated peritoneal
sheet
13 flange
ScrewsScrews forplatefor transparent cover
14 transparent
Screw fortransverse colon
Screws forcover
15transverse
Storagecase
Screw for
colon

15

Storage case

1
2
3
4
5
6
7
8
9
10
11
12
13

-5-

6

* Before using this product, be sure to apply a generous amount ofendoscope lubricant to the inside of it. An insufficient amount of lubricant
will increase resistance between the scope and intestine, making insertion
more difficult.
3. Handling
Model* Use a the
lubricantspecifically designed for endoscopes.
3. Handling the Model
3-1 * How
apply
lubricant
Beforetousing
this product,be sure to apply a generous amount of endoscope lubricant to the* Before using this product, be sure to apply a generous amount of

Lubricantappliedto thefour
openings.
endoscopelubricantto theamountinsideofit. An insufficientamountof lubricant
insideshouldof it.
An be
insufficientoffollowing
lubricantwill
increase
resistance
between the scope andwill increase resistance between the scope and intestine, making insertion
intestine,
making insertion more difficult.
more
difficult.
* Use
a lubricant
specificallyforendoscopes.
endoscopes.
*    Usea lubricant
specifically designed
designed forAscending/transverse
colon connection

Anal
tolubricant
apply lubricant
3-1 How3-1
to How
apply

regionLubricantLubricant
should beappliedthe following
four openings.
shouldbe toappliedto the following
four openings.

AnalregionAscending/transverse
colon connection

Sigmoid/descending
colon connection

Sigmoid/descending
colon connection

Descending/transverse
colon connection

Descending/transverse
colon connection

 Applying○ Applyinglubricant
lubricant Applying lubricant
Remove theperitoneal
membranesheet.
1. 1.Remove
thesimulated
simulated
peritoneal
membranesheet.
1. Remove the simulated peritoneal membrane sheet.

-6-

7

-6-

2. Detachcolon
fromthese
thesethree
three
points.
2. Detachcolonconnectors
connectors frompoints.

3. Pullascending andand descending
colonsupwardto removethem themfrom themain
3. Pullthetheascendingdescending
colonsupwardto removefromtheunit.
main unit.

8-7-

4. Apply lubricant to the rectum/sigmoid colon.
4. Apply lubricant to the rectum/sigmoid colon.
4. Insert
Applylubricanttotothe
therectum/sigmoid
rectum/sigmoid
colon.the sigmoid colon connector opening. After inserting
Apply lubricant
lubricantcolon.
Insert lubricant fromfrom thethe anal
anal region
region as
aswellwellasas the sigmoid colon connector opening.
Insertlubricantthe
region
asas
well
asas
thethesigmoidcolon
connector
opening.
Insertlubricantafrom
fromtheanalanal
regionwell
sigmoidcolon
connector
opening.
Afterinsertinggenerousamount,squishtheintestinesothat
the lubricant
a generous
amount,squish amount,the intestine
togetherso that together
the lubricant
spreads
all the way through it.
insertingagenerous
squishtheintestine
together
so
that
the
lubricantAfterinsertingagenerousamount,squishtheintestine
together
so
that
the
lubricantspreads all the way through it.
spreads all
spreads
all thethewaywaythroughthroughit.it.
Sigmoid colon connector
SigmoidSigmoidcolon
colonconnector
connector

5.
5.
5.

Apply
lubricanttoto
thetransverse5.
Applylubricantthetransversecolon.
colon.
Apply
lubricantto thetransverse
colon.
Insertlubricantfromthesplenic
andhepatic flexure connector sides. After inserting a
Apply lubricant to the transverse colon.
Insertlubricantfromthesplenic
splenic
andhepatic
hepatic
flexureconnector
sides.
After
insertingInsertlubricant
from
the
and
flexureconnector
sides.
After
insertinggenerousamount,squishthe intestine
togetherso thatthe lubricant
spreads
all the a a generous
Insertlubricantfromthe splenicand hepaticsides.
Afterallinsertingagenerousamount,squishthe intestine
togetherflexureso thatconnector
the lubricant
spreads
theway throughit. theamount,squishintestine
togetherso thatthe lubricant
all the spreads
way throughit.
generousamount,squish theintestine
togetherso thatspreads
the lubricant
all theway throughit.

way through it.

Splenic flexure side connector
Splenic flexure side connector

Hepatic flexure side connector
Hepatic flexure side connector

Splenic flexure side connector

Hepatic flexure side connector

6. Apply lubricant to the descending colon.
6. 6.
Apply
lubricantto thedescending
colon.
Apply
lubricantthedescending
Squeezelubricanttointo
theintestine.colon.
After inserting a generous amount, squish the
Squeezelubricantintothetheintestine.
Afterinsertinga generous
amount,intestine
togetherlubricantspreads
all theway throughit. squish the
6. Apply
lubricanttoso
thethatdescending
colon.
Squeezethetheintestine.
Afterinsertinggenerousamount,intestine lubricant
together into
so thatlubricantspreads
all atheway throughit. squish the intestine together
Squeeze lubricant into the intestine. After inserting a generous amount, squish thesothat thetogether
lubricantso
spreads
all theway throughit. all the way through it.
intestinethat thelubricantspreads

-8-8-

9

-8-

7. Apply lubricant to the ascending colon.
7.
Apply
to
colon.
7.
Applylubricant
lubricantto thethe ascending
ascendingcolon.
7. Squeeze
Applylubricanttotheascendingcolon.
lubricantinto
the intestine.
After inserting a generous amount, squish theintestine
together
so
that
the
lubricantspreads
thewaythroughit. theSqueezelubricantinto
intestine.
insertingaamount,squishthe
Squeeze
intothetheintestine.
AfterAfterinsertinga allgenerousamount,squishintestine
Squeezelubricant
lubricantintotheintestine.
Afterinsertinga generous
generousamount,squishthe together
intestine
together
so
that
the
lubricantspreads
alltheway
throughit.
intestine together so that the lubricant spreads all the way through it.
so that the lubricant spreads all the way through it.

3-2 How to assemble the intestine
3-2How
to assemble theintestine
3-2 3-2How
theintestine
intestine
Howtotoassemble
assemble the Assembling
the lubricatedintestinethelubricatedintestine Assembling
Assemblingthelubricatedintestine○
Assemblingthelubricatedintestine
1. Reconnect the disassembled descending colon to the rectum/sigmoid colon and1.
Reconnectthe
1. transverse
Reconnectcolon.
the disassembled
disassembled descending
descending colon
colon toto thethe rectum/sigmoid
rectum/sigmoid colon
colon andand
1.
Reconnectthedisassembled
descending
colon
to
the
rectum/sigmoid
colon
and transverse colon.
transverse
transverse colon.
colon.

Transversecolon
colonandandTransverse
colon
and
Transverse
descending
colon
descending
colon
descending colon

Rectum/sigmoid
Rectum/sigmoidcolon
Rectum/sigmoid colon
colon
and
descending
colon
and
descendingcolon
and descending colon* Maketo align
notchmarks
marks onconnector.
Make
sure
to
align
notch
marks
each
connector.
* **Make
sure
to
notch
on
each
connector.
Makesuresure
toalign
align
notch
marks
oneacheachconnector.

FemaleFemaleFemale

Male
Male
Male

-- 9
- 99 --

10

2. Connect the polyp attachment band to the pin on the upper right section of the main unit, then

2. Connect the polyp attachment band to the pin on the upper right section of the main
push thenholespushin theholes
descending
seat into
the pins
to attachthepins
descending
colon
unit,
in thecolon's
descending
colon'sseat
into theto attachthe to the main
descending
colon to the main unit
unit.
Polyp attachment band

3. Align
withthethepolyp
polyp attachment
attachment band,
3. Align
with
band,

- 10
11-

4. Reconnect
thedisassembled
colontotothe
thetransverse
transverse
colon.
4. Reconnect
thedisassembled ascending
ascending colon
colon.
4. Reconnect the disassembled ascending colon to the transverse colon.
4. Reconnect the disassembled ascending colon to the transverse colon.

Ascending colon andtransverse colon
Ascending colon and* Make sure to transversealign notchmarks on each connector.
colon*  Maketo align
notchmarks on each connector.
* Makesure sure
toAscending
align
notch
colonmarks
and on each connector.
Femaletransverse colon

Female* Make sure to align notch marks on each connector.
MaleFemaleMale
Male

5. As shown below, push holes in the ascending colon's seat into the pins to attach theascending colon to the main unit.
5. As shown below, push holes in the ascending colon's seat into the pins to attach theascendingcolon
to the5. As shown
below,
pushmainholesunit.
in the ascending colon's seat into the pins to attach the ascending colon
5. As shown below, push holes in the ascending colon's seat into the pins to attach theto the maincolonunit. to the main unit.
ascending- 11 -

11- - -11
12

6. Attach the simulated peritoneal membrane sheet to the main unit.
6. Attach the simulated peritoneal membrane sheet to the main unit.
6. Attachthethesimulated
peritoneal
membrane
sheet
to the6. Attachsimulated peritoneal
membranesheet tothe mainunit.main unit.

 Securing the model to the table
Before using this model, fasten the holding board to a table with belts.
We also recommend placing an absorption sheet under the model to keep the table clean.
 Securing
the
table
○ Securing
themodelmodel toto
thethetable
 Securing
themodel tothetable
Beforeusing
thismodel,
fastentheholding
towitha tableBefore using this model, fasten the holding
boardboard
to a tablebelts.with belts.
Beforeusing
thismodel,
fastentheholding
board
to
a
table
with belts.
We also recommend placing an absorption sheet under the model
to keep the table clean.
We
also
recommend
placinganabsorption
sheet
under
the
model
to
keep
the table
clean. the table clean.
We also recommend placing an absorption sheet under the model
to keep
Holding
table
Holding
Holding
table
table
Absorption sheet

How to attach fixing pins

Absorption sheet
Absorption sheet

How to attach fixing pins

Attach two fixing pins to the holding table to hold the model in place.
Attach two fixing pins to the holding table to hold the model in place.

How to attach fixing pins
How to attach fixing pins
Attach two fixing pins to the holding table to hold the model in place.
Attach two fixing pins to the holding table to hold the model in place.

Fixing pins
Fixing pins
Fixing pins

13

- 12 -

HowHow
to attachtheto thetheholding
holding
table(dorsalposition)
to attachthemodelmodel totable
(dorsalposition)
How to attach the model to the holding table (dorsal position)
HowAlign
attach
model
to of
the
holding
table(dorsalposition)
1.
holes
on
bottom
ofthe
the
main
unit
with
the
holding
table's
1.to
Alignholestheon thethebottom
main
unit
with
the
holding
table's
fixingfixing
pins. pins.
1. Align holes on the bottom of the main unit with the holding table's fixing pins.
1. Align holes on the bottom of the main unit with the holding table's fixing pins.

2. Run the belts under the table, then fasten their buckles and tighten them down.
2. Runthebelts
beltsunder
under thefastentheirtheirbucklesand tighten
them down.
2. Runthethetable,table,thenthenfastenbucklesand tighten
them down.
2. Run the belts under the table, then fasten their buckles and tighten them down.

How to attach the model to the holding table (lateral position)
HowHow
to attachthemodelto thethe holding
table(lateralposition)toattachmodel
table(lateralposition)
HowAlign
to attach
the
model
to
holding
table(lateralposition)
1.
holes
onthe
the
side toof theholding
main
unit
with
the
holding
table's fixing pins.
1. Align holes on the side of the main unit with the holding table's fixing pins.
1. Align
holesonon thethe sideunit
withthetheholding
table's
fixing fixing
pins. pins.
1. Align
holes
sideofofthethemain
main
unit
with
holding
table's- 13 - 13 14- 13

3-3 How to attach simulated polyps (for observation)
Select from the simulated polyps (for observation) below and attach them to the designated areas

3-3 How to attach simulated polyps (for observation)on theascendingcolon anddescending
colon.
Selectfromthe simulated
polyps(for observation)
below and attach them to thedesignated areas on the ascending colon and descending colon.
Variants
3-3 How to attach simulated polyps (for observation)
Select from the simulated polyps (for observation) below and attach them to thedesignated areas on the ascending colon and descending colon.
Variants

SessilePedunculated

 Attaching a polyp to the descending
colonPedunculated
Sessile○ Attaching a polyp to the descendingcolon
1. Remove the polyp attachment band from the descending colon, then insert the
1. Remove simulated
the polyp attachment
band
from the descending
colon,attachment
then insert the
selected
simulated
selected
polyp(fordescending
observation)
into the polyp
hole.
Next,
 Attaching a polypto thecolon
re-attachthe polyp
attachment
band
to
cover
theNext,
polypre-attachflange.
1. (forRemovethe polyp
band
from
thehole.
descending
colon,
thenpolyp
observation)
intoattachment
the polyp
attachment
theinsert
polyptheattachment band
selected simulated polyp (for observation) into the polyp attachment hole. Next,
to cover re-attach
the polypthe
flange.
polyp attachment band to cover the polyp flange.

PolypPolypattachment
holeattachment
hole

Intestine
Simulated polyp (for observation) in set
position- 14 -

Intestine

Simulated polyp (for observation) in set
15
position- 14 -

a asimulated
polyptoto
ascending Attaching○ Attaching
simulated polypthetheascendingcoloncolon
1. 1.
Removecolonfromfromthe
the
main
unit,
insertselected(for
Removethethe ascending
ascending colon
main
unit,
insertthe theselectedpolyppolyp(for observation)
intoobservation) into the polyp attachment hole, and re-attach the ascending colon to the
the
polyp
main
unit.attachment hole, and re-attach the ascending colon to the main unit.

Intestine

Simulated polyp (for observation) in set
position- 1516-

3-4 How to attach an optional LM-103A Simulated Polyp (for polypectomy)[Caution]
Be sure to disconnect the conduction cable from the model when not using (attaching) any
simulated polyp (for polypectomies) in order to avoid any electrical hazards.
○ Attaching the return electrode
1. Use the Velcro on the back of the main unit to attach the conduction cable with the plate side
facing the main unit. When using simulated polyps (for polypectomies) in both the ascending anddescending colons, you should attach the two plates side-by-side to the Velcro on the back of themain unit as shown in the lower right illustration below.

3-4 How to attach an optional LM-103A Simulated Polyp (for polypectomies)* Note that only one conduction cable is included with this product. Extra conduction cables are Attaching the return electrodeavailable as optional accessories if needed for the use of simulated polyps (for polypectomies) in both

1. Use the Velcro on the back of the main unit to attach the conduction cable forthe ascending
and descending
colons.
simulated
polyps(for polypectomies),with the plate side facing the main unit.

VelcroUsing one conduction cable

Plate side of the conduction cable forPlate side of the conduction cablesimulated polyps (for polypectomies)

Using two conduction cables

2. Attach a return electrode on hand to cover the conduction cable for simulated polyps(for polypectomies).
* When using a dual-type return electrode, attach it so both surfaces are in contact withthe plate..

17

2. Attach a return electrode which you might have to cover the plate of the conduction cable.
When using simulated polyps (for polypectomies) in both the ascending and descending colons, you

2. Attach a return electrode on hand to cover the conduction cable for simulated polyps
should attach the return electrode so that it is in contact with the two plates as shown in the lower(for polypectomies).
illustrations below.

* When using a dual-type return electrode, attach it so both surfaces are in contact with
When using a dual-type return electrode, attach it so both surfaces are in contact with the plate.
the *plate..

Using one conduction cable- 16 -

Using two conduction cables

2. Attach a return electrode on hand to cover the conduction cable for simulated polyps(for polypectomies).
* When using a dual-type return electrode, attach it so both surfaces are in contact with the plate.

18

○ Attaching simulated
a simulated polyp (forpolypectomies) to theto
descendingcolon
 Attaching
Attaching aa simulated polyp
polyp (for(for polypectomies)
polypectomies) to thethe descending
descending colon
colon
1. Remove thesimulated
simulated peritoneal membrane
sheet, then thenremove the polypattachment
band from1.
1. Remove
Remove thethe simulated peritoneal
peritoneal membrane
membrane sheet,sheet, then remove
remove thethe polyp
polyp attachment
attachment
band
from the colon.
descending colon.
the descending
band
from the descending colon.

2.
simulated
polyp
(for
polypectomies)
the
metal
2. Inserta
simulated polypintointo
the conduction
cable'scable's
metal ring.
2. Insert
Insertpolyp(for(forpolypectomies)
polypectomies)
into
the conduction
conduction
cable's
metal ring.
ring.
a asimulated

3.
3. Insert
Insert thethe simulated
simulated polyp
polyp (for(for polypectomies)
polypectomies) into
into thethe descending
descending colon's
colon's polyp
polypattachment
hole,
then
re-attachthepolypattachment
band
to
cover
the
flange.
3. Insert the simulated
polyp(for polypectomies)
into the descending
attachment hole.
attachment
hole, thenre-attachthe polyp attachment
band tocolon's
cover polypthe flange.

-- 17
17 --

19

4. Re-attach the polyp attachment band to cover the flange.

Polyp attachment band
Polyp attachment band

Conduction cable ringIntestine

Conduction cable ringIntestine

Simulated polyp (for polypectomies) in set
position
Simulated polyp (forpolypectomies) in set
position

4. Position the conduction cable between the Velcro and re-attach the simulated
5. Position the conduction cable between the Velcro and re-attach the simulated peritoneal
peritoneal
membranesheet.
4. Position
theconduction
cable between the Velcro and re-attach the simulated
membranesheet.
peritoneal membrane sheet.

VelcroVelcro- 18 20- 18

 Attachinga simulated(forpolypectomies)
the ascendingcolon○ Attachinga simulated polyp
polyp (forpolypectomies)
to theto
ascendingcolonAttaching
Attaching aa simulated
simulated polyp
polyp (for(for polypectomies)
polypectomies) toto thethe ascending
ascending colon
colon
1. Removethesimulated
peritoneal
membranesheet,
andremovetheascendingcolon
1. Removethe simulatedperitoneal
peritoneal membrane
sheet,
andremove thethe
ascending coloncolonfrom the1.
themembranesheet,
and1. Remove
Removethe simulated
simulated
peritoneal
membranesheet,
and remove
removeascending colonfromthe mainunit with thetransverse
colon still
attached
to it. theascending
from
unit
with
transverse
colon
maintheunitwith thetransverse
still attached
it. attachedfromthemain
main
unitwith thethecolontransverse
colontostill
still
attached to
toit.
it.

2. Insert a simulated polyp (for polypectomies) into the conduction cable's metal ring.
2. Insert
simulated polyp
polypintointo
the theconduction
cable's
metal ring.
2.
aaasimulated(forpolypectomies)
cable'smetal
2. Insert
Insertsimulated
polyp(for(forpolypectomies)
polypectomies)
into
the conduction
conduction
cable's
metal ring.
ring.

3. Insert the simulated polyp (for polypectomies) into the ascending colon's polyp attachment hole,

3. Insert the simulated polyp (for polypectomies) into the ascending colon's polyp
3.
the
polyp
(for
colon's
3. Insert
Insertthe simulated
simulated
polyp(for polypectomies)
polypectomies)
into thetheascendingcolon's polyp
polypthen re-attach
the ascendingcolon
tomain unit.into
attachment
hole,
then
re-attachthetheascendingcolon
toascending
the main unit.
attachment
hole,
then
re-attachtheascending
colon
to
the
main
unit.
attachment hole, then re-attach the ascending colon to the main unit.

- 19 -- 19
19 --

21

4. Position
cablebetween
between
Velcrore-attachthe peritoneum
4. Positionthe
theconduction
conduction cable
thetheVelcroand andre-attachthe peritoneum
sheet. sheet.

VelcroConduction cable ringIntestine
Main
unit

Simulated polyp (for polypectomies) in set
position22- 203-5 Caring for the product after use
sure forto washType II after
Colonoscopy
3-5 Make
Caringthe theproduct
use Training Model after use as described below.
* Whenwashingrubbing motion,
make sure
not touseuseyourasfingernails.
Doing
so mayMakesure towashthethemodelType in
II aColonoscopy
Training
Model
after
described
below.
3-5
Caringfortheproduct
after
use
3-5
Caringfortheproductafteruse* Whenmodel
in a rubbing motion, make sure not to use yourcrackwashing
the model,thecausing
damage.
fingernails.
Doing
so
may
the model,
causing
damage.
Make
Type
II IIcrack
Colonoscopy
Training
Model
Makesure
suretotowash
washthetheType
Colonoscopy
Training
Modelafter
afteruseuseasasdescribed
describedbelow.
below.
1.
Removethetransparent
cover'sscrews,thenremovethecoveritself.
* 1.
Whenwashing
the
model
in
a
rubbingmotion,
make
sure
not
to
use
your
* Whenwashing
the model ina rubbingmotion,sure
to useyour
Removethe transparent
cover'sscrews,then makeremovethenotcover
itself.
fingernails.
fingernails.Doing
Doingsosomay
maycrack
crackthethemodel,model,causing
causingdamage.
damage.
1.1. Remove
Removethe
thetransparent
transparentcover's
cover'sscrews,
screws,thenthenremove
removethethecovercoveritself.
itself.

Transparent cover screws
Transparent
Transparentcover
coverscrews
screwsTransparent coverTransparent
Transparentcover
cover

2. Remove the ascending colon and descending colon from the main unit.

2.2. Removetheascending
colon
from
the
main
unit.
Removetheascendingcolon
anddescending
descendingcolon
colon
from
the
main
unit.
2. Removethe
ascendingcolon
colonand
and
descending
from
the
main
unit.

Removethetransverse
colon'sscrew,
thenremovethetransverse
colon
from
the main
3.3.
transverse
colon'sscrew,
thenremove
the
colon
from
3. Remove
Removethethetransverse
colon'sscrew,
thenremovethetransverse
transverse
colon
fromthethemain
main
unit.
unit.
unit.
3. Remove the transverse colon's screw, then remove the transverse colon from the main unit.

Transverse
colon
screw
Transverse
colon
screw
Transverse
colon
screw

- -21
21- -23- 21 -

4. Remove
platescrews,
screws,thenremovethe rectum/sigmoid
colon
andplate
flange4. Removethe
theflange
flange platethenremovethe rectum/sigmoid
colon andflangefrom theplate from the main unit.
4. Removemain unit.the flange plate screws, then remove the rectum/sigmoid colon and flange
Removeplate fromthe
theflange
main plate
unit. from the rectum/sigmoid colon.
Remove the flange plate from the rectum/sigmoid colon.

Remove the flange plate from the rectum/sigmoid colon.
Flange plate screws
Flange plate screws

Flange plate
Flange plate

5. Use hot or cold water to rinse the lubricant out of each colon piece and all other parts
5. Use hot or cold water to rinse the lubricant out of each colon piece and all other parts removed.
removed. Wipe any remaining moisture from the parts, then place them in an area
5. Use hot or cold water to rinse the lubricant out of each colon piece and all other parts
away
from
direct sunlightdrythecompletely.
Wipe anyremainingmoistureto
fromparts, then place them in an area away from direct sunlight toremoved. Wipe any remaining moisture from the parts, then place them in an area
dry completely.
awayfrom direct sunlight to dry completely.

- 22 -

24- 22

4. Specifications
		LengthWidth

HeightWeightMain model unit 		Approx. 33 cm

Approx. 46 cm

Approx. 21 cm

Approx. 2.9 kg

Holding board		

Approx. 27 cm

Approx. 44 cm

Approx. 9 cm

Approx. 1.4 kg

Case		

Approx. 40 cm

Approx. 53 cm

Approx. 35 cm

Approx. 5 kg

Total weight: Approx. 10 kg * Accessories included

5. Optional items (sold separately)
Product nameProduct No.

1 Small intestine for Colonoscopy (semi-difficult type)LM-107A

2 Small intestine for Colonoscopy (easy type)LM-107B

3 Ascending Colon for Colonoscopy

LM-107C

4 Descending Colon for Colonoscopy

LM-107D

5 Conduction cable

LM-107E

6 Simulated Polyp (for polypectomy): 5 countLM-103A※ Pedunculated only.
※ Refrigeration is required for this product (store between 2 and 10 deg. C, do not freeze).

25