MaleCatheterizationand EnemaSimulator
LM-109M
Instruction Manual
Thank you for purchasing the Male Catheterization and Enema Simulator.
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© 2016-2020 KOKEN CO., LTD. C-1-1024-1-01-06

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. The simulator reproduces the resistance of the bulbar urethra.
When inserting the catheter, if the penis is lowered to an angle less than about 60 degrees, theinsertion of the catheter may be difficult. Accordingly, please hold the penis at an angle of about
60 degrees.
4. 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.
5. 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.
6. Please do not use oily lubricant (olive oil etc.), alcohol lubricant, and lubricant containing organic
solvent. These may cause breakage of the simulator.
7. Please use catheters of 14Fr and 16Fr.
8. 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.
9. When inserting the catheter, please apply the lubricant each time.
10. 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). The
simulator may break if such a catheter is forced to be inserted.

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11. 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 23 cm. Indwelling of the catheter
in an intermediate of the valve causes the valve and the catheter to be broken.
12. If the insertion of the catheter is repeated a plurality of times, water may accumulate in theurethral canal. If the simulator is used in such a state, water may leak through the urethral exit.
Please slant the simulator suitably to drain the water.
13. After use, please wash the simulator and the catheter well with water. If the lubricant dries andhardens, it may interfere with the use of the simulator.
14. Please check the state of the valve at every use. If the valve is broken, it may cause a leakage ofwater.
15. Oil components may come out of the genital skin. After use, please do not keep the genital skinattached to the simulator. Please wrap it in cooking paper, gauze, etc., put it into an attachedreclosable poly bag, and keep it. For a detailed storage method, please refer to the washingand storage methods on page 15.
16. Apply commercially available baby powder to reduce friction if you mind stickiness of thegenital skin or after it is washed with water following use.
17. Please check the state of the genital skin every three years as a reference, and exchange it
accordingly.
18. Please do not place objects on the simulator. Otherwise, the simulator may be deformed.
19. Please do not keep the simulator in contact with printed matter. Print, such as letters, maytransfer to the simulator and be fixed there.
20. When storing the simulator, please select a place that is not subject to direct sunlight andultraviolet rays.
21. This product is intended for use in standard operating environments. Do not use it in heavy
industrial settings.
22. 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 imitates the shape of the urethral canal peculiar to a male. A catheterization catheter
is inserted according to a suitable technique to reach the bladder. This causes urine (water) toflow out. The feel of the penis is closely similar to that of a living body penis. Techniques such as
disinfecting of surroundings of the urethral exit and cleaning of the pubic area can be performed.
The main body can be separated at an exact middle so that the shape of the urethral canal, theinsertion state of the catheter, and the anatomical positional relationship can be studied.

Features
・The simulator is of an actual size by which a catheterization and glycerine enema for an adultmale can be practiced.
・Since soft and stretchable materials are used for the pubic area, the appearance and the feelare realistic to give presence when practicing.
・A series of techniques of catheterization, such as disinfecting of the pubic area, inserting, fixing,
and removing of a catheter, can be practiced.
・The simulator is shaped to imitate the bending of the scrotal-angled portion of the urethralcanal and the bulbar urethra. That is, the simulator is configured such that it is difficult to insertthe catheter if the penis is not appropriately raised.
・Techniques, such as peeling of the foreskin, disinfecting and cleaning, can be performed.
・The motion of the penis is also close to that of a living body penis. This enables the practice offixing the penis.
・The main body can be separated, and the urethral canal and bladder are transparent. This
enables instruction for checking the insertion state of the catheter into the urethral canal andthe balloon in the bladder.
・By exchanging the prostate, the urethral stricture due to hypertrophy can be reproduced.
・The attached a glycerine enemator can be inserted through the anus to the rectum. This
enables the practice for the glycerine enema.

4２，部品名称と構成
①尿道部品
②陰部表皮
2. Components and Configuration③陰部フレーム
④本体
⑤膀胱
⑥膀胱弁
1. Urethral part11. Bag for irrigator⑦Ｏリング
2. Male Genital skin
12. Tube for irrigator⑧直腸プレート⑨膀胱チューブ
3. Pubic Area Frame
13. Stand for lateral decubitus⑩直腸接続コネクタ
4. Main body
14. Prostate (usual)⑪イルリガートルバッグ
5. Bladder
15. Prostate (hypertrophy)⑫イルリガートルチューブ
6. Bladder Valve (Male/Female)
16. Drain tube⑬側臥位用スタンド⑭前立腺（通常）
7. O-ring
17. Glycerine enemator⑮前立腺（肥大）
8. Rectal plate⑯排液チューブ
9. Bladder tube
Storage bag⑰グリセリン浣腸専用器
10. Rectum connecting connector
Instructions manual (this pamphlet)
収納バッグ
取扱説明書（本書）
④②

③

①⑧

⑤
⑥

⑨

⑦
⑩
⑭
⑬

⑪⑯
⑮

⑫-5-5⑰

3. Handling the Model
3-1 Assembly of Simulator
1. Please connect the bag for irrigator with the bladder tube, and put water into the bag for 		irrigator. Please open a clamp, fill the bladder tube with water, close the clamp, and attach
the bladder valve to it.

2. Please attach the O-ring to a connector of a urethral part, and connect it to the bladder tube.

63. Please attach the genital skin to the pubic area frame.

4. Please apply lubricant to the distal end of the glans and insert it into the genital skin.
Please check whether or not the glans is twisted and then fix the urethral part and the genitalskin with hook and loop fasteners.

Check whether
or not the glans
is twisted.

5. Please separate the main body into right and left parts, and fit and fix the pubic area frame tothe right part of the main body.

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6. Please attach the bladder to the bladder tube, and fit and fix the bladder to the hook and 		loop fasteners of the right part of the main body.

7. Please cover the connector for connecting the urethral part and the bladder tube with theprostate. When covering the connector with the prostate (hypertrophy), please stretch andextend a constricted portion of the prostate by hand, and attach the prostate such that theprostate clamps the connector.

Stretch and expand theconstricted portion andclamp the tube.

88. Please connect the rectum connecting connector with the drain tube.

9. Please insert the rectum connecting connector from the rear side of the genital skin.

10. Please fit and fix the rectal plate to the right part of the main body.

11. Please attach the right and left parts to close and fix the main body, and check whether thepubic area frame is fixed to the main body.

912. When performing a catheterization, please hang the bag for irrigator at a position higher 		than that of the simulator main body. If the bag is hung at a lower position,water dose not flow out.

13. When performing an enema, please prepare a bucket etc. under a desk or a bed and put thedistal end of the drain tube in it.
3-2 Insertion of Catheterization Catheter
1. Please open the clamp of the tube for irrigator and check whether or not the water leaks 		
from the simulator.

2. Please lower the foreskin, expose the glans, and erect the penis at about 90 degrees.
* When practicing the cleaning or disinfecting of the pubic area, please use water instead of		 disinfection liquid.

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3. Please apply lubricant on the distal end of the catheter for about 4 to 5 cm and insert the 		catheter. If you feel resistance, please slant the penis forward at about 60 degrees, and 		advance the catheter such that you slightly draw the penis to yourself.
about 60
degrees.

* Intermediate resistance reproduces resistance of the bulbar urethra.
* The simulator is configured such that it is difficult to insert the catheter if the penis is 				 lowered to an angle less than about 60 degrees.
* If it is difficult to insert the catheter, please check the techniques and insert it again. In this		 case, 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		 or catheter with thinner baloon part etc). The simulator may be broken if the 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 the		 urethral canal.		 If the simulator is used in such a state, water may leak through the urethral exit. Please		 slant the simulator suitably to drain the water through the external urethral exit.
4. Please check the outflow of the urine (water). Please check the following if the urine does 		
not flow out.
・Does the catheter pass through the valve?
・Is the clamp of the tube for irrigator open?
・Has the amount of the water in the bag for irrigator decreased to a small amount?
5. When you check the insertion state of the catheter or the indwelling state of the balloon, 		
please separate the main body into the right and left parts to be used. In this case, please 		check whether the pubic area frame is firmly fixed to the right part of the main body.

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* When indwelling the catheter, please inflate the balloon after inserting the catheter apart		 from the balloon end portion by a distance equal to or greater than 23 cm. Inflating the 				 balloon in an intermediate of the valve may cause the valve and the catheter to be broken.

6. 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, the lubricant slides easily off of the catheter.
This makes it difficult to insert the catheter.
3-3 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 insert the stand for lateral decubitus in the groove of the left part of the main body,and fix the main body in the left lateral decubitus.

3. Please apply lubricant to the distal end of a glycerine enemator, insert it into the anus, andpour enema liquid (water) into it. At this time, please lower the distal end of the drain tube
to a position below the anus. Otherwise, the enema liquid (water) may flow backward.

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3-4 Removal
1. Please separate the main body and remove the rectal plate.

2. Please remove the pubic area frame from the main body, and remove the prostate, the 		bladder, and the rectum connecting connector.
* Please pay attention to the outflow of the water.

3. Please close the clamp of the tube for irrigator and remove the bladder tube.

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4. Please remove the connector for connecting the bladder tube with the urethral part.
* At this time, please pay attention to a loss of the O-ring.

5. Please remove the bladder valve from the bladder tube, and drain the water in the tube.

6. Please remove the genital skin from the pubic area frame, and remove the urethral part fromthe genital skin.
At this time, please remove slowly while holding the area of the hook and loop fastener so thatit does not peel off from the genital skin.

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4. Washing and Storage Methods
1. Please flush the lubricant that has adhered to the urethral part, the bladder valve, the bladdertube, 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 genital skin. After using the simulator, 			
please do not keep the 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 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 the genitalskin.
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. 25 cm

Approx. 39 cm

Approx. 21 cm

Storage Bag

Approx. 29 cm

Approx. 53 cm

Approx. 32 cm

6. Replacement Parts (Sold Separately)
Product nameProduct No.

Male Genital skinLM-109MB

Bag for irrigator (3pcs/set)

LM-025J

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

Glycerine enemator (with cap/5pcs)

LM-109V

LM-025H
LM-0686

16Weight

Approx. 2.3 kg