Virtual Reality
Vaginal Exam
Model II
LM-095N
Instruction Manual
Thank you for purchasing the Virtual Reality Vaginal Exam Model 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							
©2015-2023 KOKEN CO.,LTD. C-1-1018-1-01-05

9999

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 model is made of a special material with a feel similar to that of the human body. Please 		handle it with the same care that you would exercise when working with a human body. Pulling
it with excessive force or su­bjecting it to a strong impact, for example if dropped, could cause
damage to the model.
2. The material of the vulva for vaginal exam II has a distinct odor. This odor is not harmful to thehuman body and does not indicate poor quality. The distinct odor fades with time. There may
also be a smell of baby powder remaining on the product, as baby powder is applied during
fabrication.
3. Use glycerin to lubricate. Be sure to apply a sufficient amount of lubricant (glycerin) to the model
before practicing. Koken is not responsible for deterioration or damage to the model occurringfrom use of lubricants other than glycerin. When the glycerin provided runs out, use commerciallyavailable glycerin.
4. Placing objects directly on top of the model or placing the model on uneven surfaces may cause
deformation.
5. Do not use rubbing alcohol, thinners, or benzin or other organic solvents on the model, as doing
so may cause damage.
6. Do not use oil-based inks, pencil, chalk, or paints on the model, as they will soak into the modeland cannot be removed.
7. If the surface becomes increasingly sticky or after washing the model with water after practicing,
apply baby powder all over the vulva for vaginal exam II to reduce friction
8. The vulva for vaginal exam II may become deformed due to aging. Check the shape of the model
about 3 years after purchase. If it is deformed to the extent that function is affected, consider
replacing the vulva for vaginal exam II.
9. Air bubbles or impressions in the vulva for vaginal exam II that may remain from during
fabrication do not affect the strength of the material, as the material used is tear-resistant.

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10. Dropping the model or trakSTAR, or subjecting them to strong impact, could cause damage.
11. Be careful not to excessively bend or twist the finger sensor cables, and avoid stepping on them.
Such actions could cause the cables to break. Cables cannot be repaired once they have broken.
12. When connecting the finger sensors to the trakSTAR, and when disconnecting them, be sure to
hold the main body of the connector. Attaching or removing the connector by pulling on thecables themselves could cause the cables to break.
13. Attaching the finger sensors with long fingernails could damage the finger sacks.
14. Be sure to apply baby powder to the inside of the gloves before attaching the finger sensors andputting on the gloves.
15. Wear disposable gloves when practicing.
16. The gloves provided are made of natural rubber. In rare cases, natural rubber may cause allergic
reactions. Please read the cautions printed on the glove packaging before use.
17. The model itself is not lubricated, so before practicing vaginal examinations, be sure to apply asufficient amount of glycerine to both the model and to the trainee’s gloved fingers.
18. The Virtual Reality Vaginal Exam Model may react to magnetic fields, causing the model tomalfunction. When using the Virtual Reality Vaginal Exam Model, keep computers and objects
that generate magnetic fields at least 1 m away from the base that secures the main body.
19. Persons within a 1-meter radius of the model, including the trainee, should remove any metallic
objects (rings, necklaces, cellular telephones, etc.) about their person before starting to practice.
Metallic objects may cause malfunction.
20. To prevent malfunction of the Virtual Reality Vaginal Exam Model, be sure to place the base that
secures the main body on the upper level of the plastic wagon provided as an accessory, andplace the trakSTAR on the lower level.
21. Before practicing, check to make sure that the stoppers on the casters of the plastic wagon havebeen set in the ON (locked) position.
22. The model and images displayed on the computer do not match perfectly. The images simply
allow an instructor to recognize the general area being palpated by the trainee during the
Vaginal examination being practiced on the model.
23. When not in use, the model should be stored in a location where it is not exposed to direct
sunlight or ultraviolet rays. Using the model in a high-temperature environment can cause
deformation, discoloration, and breakdowns.

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Handling and Safety Precautions
These precautions should be strictly observed in order to ensure safe, long-term
use of the product.
Caring for the model after use
1. The vulva for vaginal exam II can be removed from the main body by unscrewing the exclusive
screws. Wipe off dirt using a material such as a moist cloth or gauze with water or a neutral
solvent diluted with water. Sufficiently wipe off the water to prevent the metal parts from rusting.
If the metal parts become rusted to the extent that function is affected, consider replacing them.
After wiping off the dirt, apply baby powder all over the model. (Do not clean the model withrubbing alcohol, thinners, or benzin or other organic solvents.)
2. Oil may leak from the vulva for vaginal exam II. Wipe off oil using a material such as a moist clothor gauze with water or a neutral solvent diluted with water.
3. The dilated uterus models and fetal head model can simply be washed with water. After washingwith water, sufficiently wipe off the water with a soft cloth, such as dry gauze.
4. To clean the main body, wash the interior with water, leaving the exclusive screws installed tokeep water from getting inside the main body. (If the exclusive screws are not installed, water
may get inside the main body through the screw holes.)5. To clean the finger sensors, disconnect them from the trakSTAR and use a neutral detergent
diluted with water to remove any dirt. Wipe off stubborn dirt with a material such as gauze
dipped in disinfecting ethanol. Do not use solvents such as thinners or benzin. Clean only thefinger sack part of the finger sensor.
6. Storing the models for an extended time in high- or low-temperature environments may cause
deformation. Exposure to direct sunlight or ultraviolet rays may also cause the material todeteriorate, deform, or discolor. Store the model in an environment at 0-50℃ , in a location where
it will not be exposed to direct sunlight or ultraviolet rays.
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
Before Use

1. Outline and Features............................................................................................ 5
2. Names of Parts and Configuration Diagram....................................................6
3. Installing and Uninstalling the Application on the Computer.....................81） System Requirements...................................................................................82） Setting up the Virtual Reality Vaginal Exam Model................................83） Installing the Application...........................................................................12
4） Installing the Application (other methods)............................................23
5） Uninstalling the Application......................................................................23

How to Use
4. Setting Up and Exiting the Virtual Reality Vaginal Exam Model...............24
1） Setting up the Virtual Reality Vaginal Exam Model..............................24
2） Launching the Application Menu.............................................................24
3） Launching Applications..............................................................................24
4） Exit...................................................................................................................24
5. Fetal Head Rotation 3D Graphics Operation..................................................25
1） Launching the Fetal Head Rotation 3D Graphics Application............25
2） Animation Operation...................................................................................25
3） Viewpoint Operation...................................................................................26
6. Setting Up the Virtual Vaginal Exam...............................................................28
7. Handling of the Virtual Reality Vaginal Exam Model...................................30
1） Applying Lubricant......................................................................................30
2） Setting the Uterus dilation model in Place.............................................30
8． Basic Operation of the Virtual Vaginal Exam...............................................33
1） Launching the Virtual Vaginal Exam........................................................33
2） Explanation of Menus..................................................................................33
3） Operation of Functions...............................................................................35
		(1) Adjusting the displayed image..................................................................35
		(2) Changing the viewpoint..............................................................................39
		(3) Measurement.................................................................................................41
9． Detailed Configuration of the Virtual Vaginal Exam..................................44
1） Operation Environment Setup..................................................................442） Adjusting the Position of the Model........................................................48

Other
10. Model Configuration Chart...............................................................................53
11. Specifications......................................................................................................544

1. Outline and Features
OutlineThe Virtual Reality Vaginal Exam Model makes it possible to see images of the actual movementsof the fingers inside the vagina when practicing vaginal examinations, something that has notpreviously been possible. Instructors can now show trainees specifically how the two fingers
should be moved when performing an examination, and can check that the trainee is moving
their fingers properly.

Features1. Sensors attached to the fingers make it possible to measurement and display distances between
the two fingers and the distance moved by the fingers.
2. A line connecting the ischial spines (zero station) can be displayed.
3. The material used for the model closely approximates that of real tissue. The cervix and otherstructures can be checked under highly realistic conditions.
4. The images are three-dimensional and can be freely moved on the computer, enabling checking
from any direction.
5. Bishop scores from the late stage of pregnancy to the beginning of labor (cervical dilation,effacement, consistency and position) can be confirmed.
6. Three models with varying degrees of uterus opening dilation are provided, along with modelsof the fetal head. These can be interchanged and the degree of engagement can be adjusted,making it possible to gauge the progression of labor by means of vaginal examination.
7. The fetal head models can be used to gauge rotation of the fetal head by varying positions of thesagittal sutures and posterior fontanel.
8. Rotation of the fetus at the time of delivery can be checked by means of three-dimensional
animation.

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2. Names of Parts and Configuration Diagram

Main body

Vulva for vaginal exam II

Exclusive screws

Base for securing main bodyFinger sensors(for index finger and second finger)

trakSTAR

USB cable

Power cable

1~2 cm uterus dilation model

3~4 cm uterus dilation model

8~9 cm uterus dilation model

Fetal head model

Base for uterus dilation model

Baby powder

Glycerine

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Gloves

Plastic wagon

Product key

Product CD

Cloth cover*Finger sensors are available in three finger sizes: S, M and L. The S, M and L finger sack sizes are equivalent to surgicalglove sizes 6, 7 and 8.
* trakSTAR is a trademark of Ascension Technology Corporation.

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3. Installing and Uninstalling the Application on the Computer
1) System Requirements
Please ensure that the computer to be used meets the following requirements.
■ Computer specifications
・ Operating system: Windows 8 (32/64-bit version)/Windows 8.1 (32/64-bit version)/Windows 10(64-bit version)* Also runs on Windows XP (Service Pack 2 or newer version), Vista (32-bit version), 7 (32/64-bit
version), but please note that operating system support has ended.
・ CPU: Pentium 4 (at least 1 GHz recommended) or newer processer
・ Memory: 512 MB (at least 1 GB recommended)・ Graphics card: Desktop: GeForce 4 or higher recommended
Note: GMA X3100 (Intel GL960, GM965, etc.) or higher recommended・ USB ports: 2 ports (these are used to connect the trakSTAR and product key when operating
the model)*Three USB ports are required if the computer does not have an internal CD drive and an
external CD drive is connected via USB.
*The .NET Framework 3.5 program (or newer version) is required when using this software.
The.NET Framework 3.5 can be installed during installation of this software. (In this case, anInternet connection will be required. See note on p. 12 (4)*)2) Setting up the Virtual Reality Vaginal Exam Model*Dropping the model or trakSTAR, or subjecting them to strong impact, could cause damage. Handle
these items with caution.
*Before installing the software, be sure to connect the model as shown below.

(1) Referring to the instruction manual that comes packaged with the product, assemble the plastic
wagon.

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(2) Place the base for securing the main body on the upper level of the plastic wagon, and secure
the main body in place. Set the sides of the main body against the reference positions for attaching
to the base, and turn the knob to fix it in place.

Position for attachment

Position for attachment(3) Set the trakSTAR on the lower level of the plastic wagon, and insert the cable coming from themain body base into the terminal labeled "Transmitter” on the trakSTAR.

(4) Connect the finger sensors to “Sensors” 1 and 2 on the trakSTAR.
*Be careful not to excessively bend or twist the finger sensor cables, and avoid stepping on them. Suchactions could cause the cables to break.
*Connect the finger sensor for the index finger to terminal 1, and the finger sensor for the second
finger to terminal 2.

9*Follow the outlines below when connecting and disconnecting the finger sensors.
< Connecting >Hold the part of the connector circled in blue in the figure below, and connect it to the trakSTAR.

< Disconnecting >Hold the part of the connector circled in blue in the figure below, and disconnect it from the
trakSTAR.

*When connecting the finger sensors to the trakSTAR, and when disconnecting them, be sure to
hold the main body of the connector. Attaching or removing the connector by pulling on the cable
could cause the cable to break.

10(5) Connect the USB cable to the computer. The USB cable connects to the terminal labeled “USB”
at the back of the trakSTAR.

*The Virtual Reality Vaginal Exam Model will not function if the USB cable is inserted into any location
other than the USB port on the computer to which the cable was connected at the time of installation.
Decide in advance, which USB port is to be used for connecting the USB cable before starting
installation.

(6) Connect the power cable to the back of the trakSTAR, and plug the cable into an electricaloutlet. Do not turn on the power at this point.

113) Installing the application(1) After connecting the model, turn the computer on and insert the product CD into the computer.

(2) When the product CD is opened, the screen shown in the figure below is displayed. Double-clickon [940041 ＿ RevE].

(3) Double-click on [Setup.exe] to run.

(4) The following screen appears. Click [Accept]. (Depending on your computer Setup, the figure
below may be skipped and Screen (5) may appear, in which case, proceed with installation from
Step (5) below.)

Click here
*If .NET Framework is not installed, click [Accept] while connected to the Internet to have it install
automatically. If the computer is not connected to the Internet, the message shown below willappear on the screen. In this case, connect the computer to the Internet and click [Retry].

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Click here(5) The following screen appears. Click [Next].

Click here(6) Select “Just me” and click [Next].

Select “Just me”
Click here13

(7) The following screen appears. Click [Next].

Click here

(8) The Installation screen appears, and installation commences.

(9) When message appears on the screen whether you wish to install or not, please click [Install].

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(10) The following screen appears. Click [Next].

Click here(11) The following screen appears. Click [Close].

Click here(12) Turn on the power to the trakSTAR.

Power switch(13) Please insert the product key to USB port on the computer.

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(14) When the product CD folder is opened, the folders shown in the figure below will appear on
the screen. Double-click on [English] or [Japanese] to select the language to be displayed when
operating the Virtual Reality Vaginal Exam Model.

(15) When the language is selected, the following screen appears. Double-click on [Setup.msi] torun.

(16) When Setup.msi is run, the Virtual Reality Vaginal Exam Model installer launches. Click on [Next].

Click here(17) The folder selection screen will appear.

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○ [Folder] edit box
Specify the installation destination. Write a new installation destination to change the installation
folder.

○ Change user radio button
Select whether to allow only the user performing the installation or all users who uses thecomputer to use the Virtual Reality Vaginal Exam launch shortcut created during installation.

(18) Click [Next] to move to the Confirm Installation screen. Click on [Next].

Click here(19) The Installation screen appears, and installation commences.

(20) A User Account Control confirmation dialog box will appear during installation (immediately
after installation starts). Click [Yes] to return to the Installation screen and restart installation.

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Click here(21) After completing installation, the Installation Complete screen appears. Click the [Close] button
to close the screen and complete installation.

Click here(22) When installation ends, shortcuts are created on the Start Menu and on the Desktop.

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デスクトップ

スタートメニュー(23) To install the driver of the product key, enter “Windows key + R”. When the following screen) 製品キーのドライバーをインストールします。インストールのために「Windows
キー+R」を入力
appears, enter “cmd”.
して、表示された画面に「cmd」と入力します。

(24) After the product CD is opened, haspdinst.exe file appears.
haspdinst.exe ファイルが入っています。
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ご使用の前にァイルを CMD 画面にドラッグ＆ドロップすると、下図下線部分のように、自動的(24) 製品
CDdropを開くとファイルが入っています。
Dragandthehaspdinst.exe
haspdinst.exe
file to the CMD screen so that a password is automatically entered
力されます。自動的に入力されたパスの後ろに「 -i」を入力して Enter キーを
as shown in the underlined part in the figure below. Enter “ -i” behind the password and press theルが実行され、下図のように完了のダイアログが表示されます。
haspdinst.exe
CMD 画面にドラッグ＆ドロップすると、下図下線部分のように、自動的Enter
key to runファイルを
the installation.
After completing the installation, a dialogue box indicating that theにそのパスが入力されます。自動的に入力されたパスの後ろに「 -i」を入力して Enter キーを押すとインストールが実行され、下図のように完了のダイアログが表示されます。

operation has been completed successfully is displayed as shown in the figure below.

※ 「-i」の前にスペースを入力していない場合はインストールが実行されず、下図のように*If you do not insert a space before “-i”, the installation is not run. The message “Operation
スペースを入力していない場合はインストールが実行されず、下図のように「Operation successfully completed.」と表示されません。
ssfully completed.」と表示されません。
successfullycompleted”
is not displayed
and the following screen appears instead.
※ 「-i」を入力しEnter キーを押すと
PC 再起動の指示が表示される場合があります。その場合Enter キーを押すと*IfPC
再起動の指示が表示される場合があります。その場合PCを再起動し、１．から再度インストールを行ってください。
youenter “-i” and press the Enter key, a PC restart instruction may appear. In this case, restart the１．から再度インストールを行ってください。
PC andinstall again from step 1.
もしインストール中に下図のようなエラーが発生した場合には、既存のインストールされたドラ
イバーをアンインストールしてから再インストールする必要があります。

中に下図のようなエラーが発生した場合には、既存のインストールされたドラ
ンストールしてから再インストールする必要があります。

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※ 「-i」の前にスペースを入力していない場合はインストールが実行されず、下図のように※ 「-i」の前にスペースを入力していない場合はインストールが実行されず、下図のように「Operation
successfullycompleted.」と表示されません。
「Operation
successfullycompleted.」と表示されません。
※ 「-i」を入力しキーを押すとPC 再起動の指示が表示される場合があります。その場合※ 「-i」を入力しEnterEnter
キーを押すとPC 再起動の指示が表示される場合があります。その場合
PC を再起動し、１．から再度インストールを行ってください。
PC を再起動し、１．から再度インストールを行ってください。
If an error occurs during the installation as shown in the figure below, uninstall the installed driver
もしインストール中に下図のようなエラーが発生した場合には、既存のインストールされたドラ
and try again. (See p. 21, “Deleting the driver”)
もしインストール中に下図のようなエラーが発生した場合には、既存のインストールされたドラ
イバーをアンインストールしてから再インストールする必要があります。
イバーをアンインストールしてから再インストールする必要があります。

19 19(25) After completing the installation, right-click the shortcut icon created on the desktop, and thenselect properties.

(26) Check the “Run this program as administrator” box.

Click this box

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用の前に

Deleting the driver
ドライバーの削除方法(1) To delete the driver,enter “Windows key + R”. When the following screen appears, enter “cmd”.
ドライバーの削除のために、「Windows
キー+R」を入力して、表示された画面に「cmd」と入力します。
ご使用の前にドライバーの削除方法(1) ドライバーの削除のために、「Windows キー+R」を入力して、表示された画面に「cmd」と入力し
ます。

削除方法
削除のために、「Windows キー+R」を入力して、表示された画面に「cmd」と入力しhaspdinst.exe ファイルを CMD 画面にドラッグ＆ドロップすると、下図下線部分のように、自動的にそのパスが入力されます。自動的に入力されたパスの後ろに「 -purge -r」を入力して(2) Drag and drop the haspdinst.exe file to the CMD screen so that a password is automaticallyEnter キーを押すと削除が実行され、下図のように完了のダイアログが表示されます。

as shown
in the underlined
part in the figure below. Enter “ -purge -r” behind the password(2)entered
haspdinst.exe
ファイルを
CMD 画面にドラッグ＆ドロップすると、下図下線部分のように、自動的にそのパスが入力されます。自動的に入力されたパスの後ろに「-purgea -r」を入力してandpress the Enter key to delete the driver. After the deletion is complete,dialogue box indicatingEnter キーを押すと削除が実行され、下図のように完了のダイアログが表示されます。
ファイルを CMD 画面にドラッグ＆ドロップすると、下図下線部分のように、自動that the operation has been completed successfully is displayed as shown in the figure below.
スが入力されます。自動的に入力されたパスの後ろに「 -purge -r」を入力して押すと削除が実行され、下図のように完了のダイアログが表示されます。

製品 CD に入っているドライバー削除ツールの aksinstdel_windows.exe をダブルクリックで実行してください。(3) 製品 CD に入っているドライバー削除ツールの aksinstdel_windows.exe をダブルクリックで実行してください。

(3) Double-click
on “aksinstdel_windows.exe”
of the driver deletion tool included in the product
入っているドライバー削除ツールのaksinstdel_windows.exe
をダブルクリックで実
い。
CD.

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20

20

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ご使用の前に(4) 下図のような画面が表示されたら、「Y」を押して続行します。

(4) When the screen shown in the figure below appears, click “Y”.

After the driver has been deleted, install the driver again.
(5)(5)ドライバーの削除が完了したら、ドライバーを再インストールしてください。

21

224) Installing the application (other methods)※ Install the application using this procedure if installation using the procedure described in
Section (3) “Installing the application” on p. 12 is unsuccessful.
(1) Open the product CD, and double-click on [940041 ＿ RevE].

(2) Double-click on “Install.msi”.

(3) The same screen as shown in Section 3)-(7) “Installing the application” on (p. 14) will appear.
Click [Next] to run installation from step (5) (p. 13).

5) Uninstalling the application(1) Display the [Programs and Functions] screen from [Uninstall the program] on the Control Panel.

(2) Select “Virtual Reality Vaginal Exam Model” from the list of installed programs, and uninstall the
program.

(3) Delete [3D Guidance driveBAY(Rev E)] in the same way.

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4. Setting Up and Exiting the Virtual Reality Vaginal Exam Model
1) Setting up the Virtual Reality Vaginal Exam Model
Connect the base for securing the main body, the main body, the trakSTAR, finger sensors,
computer, and product key according to the instructions in Section 2 on p. 8, “Setting up the Virtual
Reality Vaginal Exam Model,” and turn the computer on.
2) Launching the application menu
Launch the Virtual Reality Vaginal Exam Model menu from the Start menu or the desktop shortcut.

* The product key must be connected to a USB port for the application to launch. If it is not connected,
the following dialog box will appear, and the application will fail to launch.

3) Launching applications
Follow the instructions starting on p. 21 or p. 29 to launch the “Fetal Head Rotation 3D Graphics” or“Virtual Vaginal Exam” applications.
4) Exit(1) Exit the “Fetal Head Rotation 3D Graphics” or “Virtual Vaginal Exam” application and return to
the Menu screen. (It may take a short time for the Menu screen to appear.)(2) Click the [Exit] button on the Menu screen to exit the program.
(3) Turn off the computer and trakSTAR

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5. Fetal Head Rotation 3D Graphics Operation
1）Launching the Fetal Head Rotation 3D Graphics application
After launching the menu by following the instructions on p. 20, click the [Fetal Head Rotation 3D
Graphics] button to launch the Fetal Head Rotation 3D Graphics application.

2) Animation operation
Animation operations are performed using the menu at the bottom of the screen. We will divide
our explanation into two general areas: the button area; and the playback adjustment area.

Playback adjustment area

Button area

(1) Button area
End button

Initialize Viewpoint button

Switch Viewpoint button

End button
Switch Viewpoint button

Initialize Viewpoint button
Play / Pause button

Play / Pause button

Switch Zero Station Display button

Switch Head Position button

This closes the fetal head rotation 3D graphics application and returns theuser to the menu.
Each time this button is pressed, the user is switched through ﬁve ﬁxed
points of view, in sequential order:(1) View from the feet of the main body(2) View from the right side of the main body(3) View from the left side of the main body(4) View from the abdomen of the main body(5) View from the back of the main body Back to (1)Each time this is pressed, the view returns to the ﬁxed viewpoint (1) (fromthe feet of the main body).
Pressing this whento

Stop button
Switch 0 Station Display button
Switch Head Position button

Stop button

is displayed starts playback. The button changes

during playback, and pressing the button again pauses playback.

This stops playback.
This turns the 0 Station display on and oﬀ.
This switches between the No. 1 head position and the No. 2 head position,but only when animation is stopped. There is no eﬀect if this button ispressed while the animation is playing or paused.

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(1) Feet of mainbody(2) Right sideof main

(1) Feet ofbody
main
body

(3) Left side of main body(2) Right sideof mainbody(4) Abdomenside ofmain body(4) Abdomenside of(3) Left side of main bodymain body(5) Back side of
main
body
(5) Backside ofmain body(2) Playback adjustment area
(1) Feet of main(2) Right sideof main

during playback / Total playback time
Time during playbackTime/ Totalplayback time
body
body

(4) Abdomenside ofmain body“Playback position” track bar(3) Left side of main body

“Playback position” track bar(5) Back side ofmain
body speed” track bar"Playback"Playback speed” track bar

Time during playback / Total
playback time

This shows the total playback time of the animation, and the time during"Playback speed” track bar“Playbacktrack bar
Time during playback / Total
This showsplayback.
thetotalposition”
playbacktime of the animation,and the time during“Playbackposition”
track
bar
The
current
playback
timeisindicatedbythepositionof the , with the
playback time
playback.
left end of the track bar representing the start of the animation, and the“Playback position” track bar
The current
playbacktime is indicatedposition of the , with theright
end representing
the end ofby
thetheanimation.
left end ofThethecurrent
track bar
representing
the
start
the
animation,
theplayback time can be changedofby
dragging
the andwiththeright end representing
the end of the animation.
left mouse button.
Time during
playback / Total
This shows the total playback time of the animation, and the time during"Playback speed” track bar, withtheThecurrent playback
speed
is indicatedby
bydragging
the positionof the with
The current
playbacktime canbe changed
thethe
playback time
playback.
left
end
of
the
track
bar
representing
slow
playbackatapproximately
leftThemousebutton.
“Playback position” track bar
thecurrent
playbacktime is speed,
indicatedthepositionof the , with
one-tenthof normal
andby
the
right
end representing
normal"Playback speed” track bar, with theTheleft
current
speed
isindicatedbythepositionoftheend playback
ofplayback
the trackbar
representing
the
start
of
the
animation,andthespeed.
leftright
endendofThethetrack bar
representing
slow
playback
at approximately
representing
theendof theanimation.
current
playback
speed
can
be changedby dragging
thewith theThe current
playback
time
can
be
changedbydragging
the
with
the
one-tenthofnormalspeed,
and
the
right
end
representing
normalleft mouse button.
left mousebutton.
playback
speed.
"Playback speed” track bar
Thecurrent
playbackspeed
speed iscan
indicatedby the positionof the the, with the
The current playback
be changedby dragging
with theleft end of the track bar representing slow playback at approximately
left mouse button.
one-tenth of normal speed, and the right end representing normal
3) Viewpoint operation
playback speed.
The viewpoint can be changedmouse
dragging
key presses
in combination.
Dragging
Theusing
current
playback
speed canand
be changedby dragging
thewith theleft mousebutton.while dragging with the right mouse button zooms inwith the left mouse button rotates
the view,
Time during playback / Total playback timeand out. Dragging with the left mouse button while holding down the [SHIFT] key results in parallel
movement.
Drag direction(1) Dragging with the left mouse button: Rotation

Rotates around an axis
perpendicular to thedrag direction

Rotates around an axis
perpendicular to the
Rotatesaroundan axisdragdirection

Drag direction
Drag direction

perpendicular to thedrag direction26

(2) The view rotates perpendicular to the drag direction.

Dragging upwardzooms inDrag direction: upward

Dragging upwardzooms inDrag direction: upward
Drag direction: downward

Dragging downward
zooms out

Drag direction: downward

Dragging downward
zooms out(3) Dragging with the left mouse button while holding down the [SHIFT] key: Parallel movement
The image moves
parallel to the dragdirection
The image moves
parallel to the dragdirection

Drag direction
Drag direction27

6. Setting Up the Virtual Vaginal Exam
(1) To set up the Virtual Reality Vaginal Exam Model, connect the base for securing the main body,the main body, trakSTAR, finger sensors, computer, and product key according to the instructions in
Section 2 on p. 8, “Setting up the Virtual Reality Vaginal Exam Model.”(2) Turn on the power to the trakSTAR.

SwitchWhen the power is turned on, the lamp lights orange.
After a short time, the lamp begins to blink green.

(3) Attach the finger sacks of the sensors to the fingers, ensuring that the sensor parts are over thefingernails. After the finger sacks are in place, apply baby powder to the sacks.
Sensor parts(4) After the finger sacks are in place, put on the glove. Make sure to apply a sufficient amount ofbaby powder inside the glove before putting it on.

* These gloves are made with natural rubber. Natural rubber may cause allergic reactions. Please readthe cautions printed on the glove packaging before use.

28

(5) When the Virtual Vaginal Exam application is launched, the finger sensors are displayed in green
on the computer screen as shown below. The fingers on the screen move in accordance with theactual movement of the finger sensors. See Section 1 on p. 29 “Launching the Virtual Vaginal Exam”
for instructions on launching the Virtual Vaginal Exam application.

29

7. Handling of the Virtual Reality Vaginal Exam Model*This model is made of a special silicone rubber with a feel similar to that of the human body. Pleasehandle it with the same care that you would exercise when working with a human body.

1) Applying lubricant
Using a finger, apply a generous amount of glycerin to the vaginal walls and vaginal cavity ofthe vulva for vaginal exam II, and to the uterus opening of the uterus dilation model that will beinserted.

Vaginal walls

Vaginal cavity

Uterus dilation model2) Setting the uterus dilation model in place
Set the uterus dilation model on the plate that secures it in place, and tighten the uterus fixing
screw to secure the uterus dilation model in place.
(1) Setting the 1~2 cm and 3~4 cm uterus dilation models in place.
Tighten the uterus ﬁxing
screw to secure the uterus
dilation model in place.

Insert the uterus dilation model from thedirection indicated by the arrow, until theuterus dilation model comes in contact withthe plate that secures it in place.

Secure the uterus
dilation model

Insert the uterus dilation model until it comes in

Align the line on the uterus dilation model with thecontact with the plate that secures it in place.

plate that secures the model, to secure it in place.

*Before removing the uterus dilation model from the uterus dilation model fixing plate, ensure thatthe uterus fixing screw is loosened.

30

(2) Setting the 8~9 cm uterus dilation model and fetal head model in place
These models are set in place in the same way 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 canalLine up the line on the plate securing the uterus
dilation model with the orientation indicatorline inside the bony birth canal to determine theposition at which the uterus will be set.

(3) Installing the vulva for vaginal exam II
Open the doors on both sides of the vulva for vaginal exam II, and set in place the plate that has theuterus dilation model secured to it. After setting it in place, close the doors to secure the plate inplace.

*The Virtual Reality Vaginal Exam Model may react to magnetic fields, causing the model to malfunction.
When using the Virtual Reality Vaginal Exam Model, keep computers and objects that generate magnetic
fields at least 1 meter away from the base that secures the main body.

31

*Persons within a 1-meter radius of the model, including the trainee, should remove any metallic objects(rings, necklaces, cellular telephones, etc.) about their person before starting to practice. Metallic objects
may cause malfunction.
*To prevent malfunction of the Virtual Reality Vaginal Exam Model, be sure to place the base that securesthe main body on the upper level of the plastic wagon provided as an accessory, and place the trakSTAR
on the lower level.
*Before practicing, check to make sure that the stoppers on the casters of the plastic wagon have been set
in the ON (locked) position.
*When not in use, the model should be stored in a location where it is not exposed to direct sunlight or
ultraviolet rays. Using the model in a high-temperature environment can cause deformation, discoloration,and breakdowns.

32

8. Basic Operation of the Virtual Vaginal Exam１）Launching the Virtual Vaginal Exam
Check that the trakSTAR is turned on, and launch the Virtual Vaginal Exam by clicking the [Virtual
Vaginal Exam] button from the menu launched following the instructions on p. 20.
When the “Virtual Vaginal Exam” application is started, the trakSTAR lamp, which was blinking
green, lights orange for a short time and then starts blinking green again. After that, the lightchanges to a steady green display, indicating that the application can now be used.

When the “Virtual Vaginal Exam” application first starts, the lamp lights orange,
then changes to blinking green, and then green.
*When the examination training session is over, exit the “Virtual Vaginal Exam” application on thecomputer before turning off the trakSTAR power.

2) Explanation of menus
There are four items on the menu bar: Vaginal Examination; Display; Setup; and About. The
functions of each of these are shown below.

◯ Vaginal Examination

Exit
Exit

This exits the Virtual Vaginal Exam application.
This exits the Virtual Vaginal Exam application.

◯ Display

When the various dialog boxes are displayed,
When the various dialog boxes are displayed,
check marks are displayed to the left of the items.
check marks are displayed to the left of the items.

33

Select Images

This turns the Select Images dialog box display on and oﬀ.
The Select Images dialog box is used when changing the display of the fetus,
pelvis and other elements. For detailed information, see Section 8 -3) -(1) -(a),Setup Of Image Details“ Select Images,” on p. 31.

This turns the Setup Of Image Details dialog box display on and oﬀ.
The Setup Of Image Details dialog box is used when making changes todetailed aspects of the display, such as the transparency or color of the fetus,

pelvis or other elements. For detailed information, see Section 8-3) -(1) -(b),Viewpoint“Setup Of Image Details,” on p. 33.

This turns the Viewpoint dialog box display on and oﬀ.
The Viewpoint dialog box is used when changing the viewpoint.

For detailed information, see Section 8 -3) -(2), “ Changing the viewpoint,”
on p. 35.

Measurement

This turns the Measurement di alog box display on and oﬀ.
The Measurement dialog box is used when carrying out distancemeasurements.
For detailed information, see Section 8 -3) -(3), “ Measurement, ”on p. 37.

◯ Setup

Operation Environment

This turns the Operation Environment d ialog box display on and oﬀ.
The Operation Environment dialog box is used when conﬁguring various
settings, such as the position and color of the light source, the amount ofviewpoint movement, and sensor -related parameters. For detailed

information, see Section 9 -1), “ Operation Environment settings, ” on p. 40.
Whole Adjustment
Of ModelThis turns the Whole Adjustment Of Model dialog box display on and oﬀ.
The Whole Adjustment Of Model dialog box is used when adjusting the positionof the overall model. Fo r detailed information, see Section 9 -2) -(1), “ Whole
Adjustment Of Model,” on p. 44.

Individual Adjustment
Of ModelThis turns the Individual Adjustment Of Model dialog box display on and oﬀ.
The Individual Adjustment Of Model dialog box is used when adjusting theposition of an individual model. For detailed information, see Section 9 -2) -(2),“ Individual Adjustment Of Model ,” on p. 46.

◯ About

Version Information

This displays a dialog box showing information about the application and the version.

34

y on /oﬀ

3) Operation of functions
This section explains how to adjust the displayed image, change viewpoints, and measurement the
distance between two points.
（1）Adjusting the displayed image
There are two ways to change the display status of the model: simple Setup, for which the SelectImages dialog box is used; and detailed Setup, for which the Setup Of Image Details dialog box isused.
Simple Setup such as turning displays on or off are done using the Select Images dialog box, whilemore detailed Setup such as specifying the transparency of the model and the color in which themodel is displayed are adjusted using the Setup Of Image Details dialog box.
(a) Select Images
Selecting “Display” and then "Select Images” on the menu displays the Select Images dialog box.
This can be used to make simple adjustments to the display status of the model.
The following parameters can be adjusted.
◯ Display on/off for each model◯ Uterus model selection◯ Fetus orientation selection◯ Light source position selection◯ Initialization of all Setup
Fetus orientation selection

Fetus orientation selection

Initialization of all settings

Initialization of all settings

Display on /oﬀ

Uterus model selection

electionLight source position selection

Light source position selection◯ Display on/off for each modelThis turns the model display on and off for individual models. When the menu item is checked, thedisplay is on, and when the menu item is unchecked, the display is off.
This item applies to the fetus, pelvis, uterus and finger models, and can also be used to turn the 0
Station display on and off.
The display of theuterus is turned oﬀ.

The display of theuterus is turned oﬀ.

35◯ Uterus model selection
This is used to select the uterus model used. Four models are available for selection: the 1~2 cm
uterus dilation model; the 3~4 cm uterus dilation model; the 8~9 cm uterus dilation model; andthe fetal head model. If the 8~9 cm uterus dilation model or the fetal head model is selected,
orientation of the fetus can also be selected.
Changing from the1~2cm
uterus dilation modelto the 8~9 cm uterus
dilation model◯ Fetus orientation setting
There are eight orientations that can be selected for the fetus: A; RA; RT; RP; P; LP; LT; and LA. Thisfeature is only available if the 8~9 cm uterus dilation model or the fetal head model has been
selected.

Changing from A to RA◯ Light source position selection
The light source position can be selected from among four preset positions.

Changing from
Pattern 1 to Pattern 2

The light source positions, Pattern 1 through Pattern 4, are as indicated below.
Pattern 1

Pattern 2

Pattern 1

Right foot, abdomen side

Pattern 3

Right foot, back side

Pattern 2
Pattern 4

Pattern 3

Pattern 4

36

Left foot, abdomen side
Left foot, back side◯ Initialization of all Setup
This initializes all of the Setup for the “Select Images”, “Setup Of Image Details”, "Viewpoint","Operation Environment", "Whole Adjustment Of Model" and "Individual Adjustment Of Model”
dialog boxes, returning them to the state in which the product was shipped. When the [Initializationof All Setup] button is clicked, a final confirmation dialog box is displayed. Click [Yes] to proceedwith initialization, or [No] to cancel.

(b) Setup Of Image Details
The "Setup Of Image Details" dialog box is displayed by selecting “Display” and then “Setup Of
Image Details” from the menu. This dialog box can be used to adjust the display status of themodel.
The following items can be adjusted:◯ Transparency Setting on/off◯ Transparency level◯ Color◯ Display Type
Color

Transparency level
Transparency
Setting on/oﬀ
Transparency
level

Color

Transparency Setting on/oﬀ

DisplayType

DisplayType◯ Transparency Setting on/off
This is used to select whether the model is displayed in a transparent display. If this item is checked,
the model is displayed at the transparency level set in the corresponding Setup. If this item isunchecked, the transparency function is disabled and the model is displayed in a non-transparent
display. Setting the transparency level to 100% has the same effect as not putting a check mark bythis item.
Uterus transparency
is oﬀ.

Uterus transparency
is oﬀ.

37

◯ Transparency level
This sets the degree of transparency for the model display. The smaller the value, the moretransparent the display.

Changing the transparencyof the uterus

Changing the transparencyof the uterus

Changing the transparency◯ Colorof the uterus

The color in which the model is displayed is set using the "Color Setting" dialog box.

Changing the color inwhich the pelvis is
Changing
displayed the color inwhich the pelvis isdisplayedChanging the color inwhich the pelvis isdisplayed◯ Display Type

This is used to set the type of display used for the model. The model can be shown in a wireframe
display (using lines), or as a cross-section (4 types: left, right, front, back).
The uterus is shown ina wireframe display.

The uterus is shown ina wireframe
Thedisplay.
uterus is shown ina wireframe display.

-section: Left

Cross -section: Right

Cross -section: Front

Cross -section: Back-section: Left Cross -section:Cross
Cross -section:Cross
Front
Left -section: Right
Cross -section: Right-section: Front Cross -section:
CrossBack-section: Back38

（2）Changing the viewpoint
The orientation, size, and position of the displayed model can be varied using the mouse or othercontrols to make it easier to view.

(a) Mouse operation
To look at the model from a different viewpoint, the mouse is dragged on the screen. The left
mouse button is used to rotate the image, while the right mouse button is used to zoom in or zoom
out. Dragging with the left mouse button while holding down the [SHIFT] key results in parallel
movement.
◯ Dragging with the left mouse button: Rotation
Rotatesaround an
Rotates
Rotates aroundaround ananaxis
perpendicularaxis perpendicularperpendicular to
to
axis
to
the
drag
directionthedragdirection
the drag direction

Dragdirection
Drag
Drag direction
direction◯ Dragging with the right mouse button: zoom in / zoom out

Dragging
upwardDragging
Dragging upward
upwardzooms
zooms in
in
zooms
in
Drag
Drag direction:
direction: upward
upwardDragdirection:
upwardDrag
Drag direction:
direction: downward
downward
Drag
direction:
downward

Dragging
downward
Dragging
Dragging downward
downward
zooms
out
zooms
out
zooms out

◯ Dragging with the left mouse button while holding down the [SHIFT] key: Parallel movement

The
image moves
The
The image
image moves
moves
parallelparallel toto thethe drag
dragparallel
to
the
drag
direction.
direction.
direction.

Directionof dragging
Direction
Direction ofof dragging
dragging39

(b) Viewpoint dialog box
The Viewpoint dialog box is used for parallel movement of the viewpoint, and for zooming in andout. The [Reset Viewpoint] button is used to return to the initial viewpoint. There is no item in theViewpoint dialog box for rotating the viewpoint, so this should be done using the mouse.

Parallel movement up

Parallel movement down

Parallel movement left

Parallel movement right

Parallel movement up

Parallel movement down
Zoom out

Parallel movement left

Zoom out

Reset Viewpoint

Reset Viewpoint

Zoom in
Parallel movement right

Zoom in(c) Key operation
Key operation can be used to rotate the viewpoint, and to zoom in and out. This is used when theoperator’s dominant hand is occupied, making it difficult to use the mouse. The viewpoint cannot
be moved parallel using
the keys,so the image should be adjusted in advanceso that the portion
RotateupwardZoomout
of primary interest is in the center of the display.
Rotate to the leftRotate upward

ZoominZoomout
Rotate to the right

Rotate downward

Rotate to the leftRotate downwardZoominRotate to the right40

（3）Measurement
Distance measurement is carried out using the "Measurement" dialog box, which is displayed by
selecting “Display” and then "Measurement" from the menu. With this function, two measurement
points are registered, and the distance between them is displayed in centimeter units, to a precisionof one decimal place (1 millimeter).
Measurement mode selection[ Measurement ] or [Entey] button[Delete] button
Measurement mode selection
Measurement mode selection[ Measurement ] or [Entey] button[ Measurement ] or [Entey] button[Delete] button[Delete] button

The following two different methods are used to register measurement points, depending on themode selected.
◯ Between two fingers◯ Single-finger movement distance(a) Measuring between two fingers
This function measurements the distance between the two fingers to which the sensors areattached. Positions of the fingers at the point at which measurement is carried out are used as themeasurement points. When “Between two fingers” is selected as the measurement mode, the text
on the [Measurement] button in the "Measurement" dialog box reads "Measurement”.
The text on the buttonchanges to "Measurement".
The text on the button
The text on the buttonchanges to "Measurement".
changes to "Measurement".

Move your fingers to the site you want to measurement. While the fingers are moving, temporary
measurement points are displayed at the tips of the two fingers, and a dotted line is displayed
between the measurement points.
Dotted line display
Dotted line display
Dotted line display

41

Clicking on the [Measurement] button (or pressing the M key on the keyboard) registers the
positions of the two fingers at that point in time as the measurement points. The registeredmeasurement points are displayed in a different color from the temporary measurement points,
and a solid line is displayed between the measurement points. The distance between the twopoints is displayed in centimeter units, to one decimal place.

(b) Single-finger movement distanceThis measurements the distance moved by either of the two fingers to which the sensors areattached. The starting and ending points are registered as the measurement points.
When “Single-finger movement distance” is selected as the measurement mode, the text on the[Measurement] button in the "Measurement" dialog box reads "Entry". Buttons are displayed forselecting the finger to be used for measurement.

The text on the
buttonThe
text on the button

Select the sensor
used.
Selectthe sensor used.

changes to"Entry".
The text
on the buttonchangesto"Entry".

Select the sensor used.

changes to"Entry".

Move the finger with the sensor selected for use to the starting point of the location that you wantto measurement. Clicking on the [Entry] button (or pressing the M key on the keyboard) registers
the measurement point. At this point, the text on the [Entry] button changes to [Measurement].
Next, move your finger to register the ending point. A dotted line is displayed between the starting
point and your finger.

r the measurement
Register the measurement
point.starting point.
Register the measurement
starting point.

Move yourﬁnger.

Move yourﬁnger. yourMoveﬁnger.

42

A dotted line isA displayed.
dotted line is displayed.

A dotted line is displayed.

Clicking on the [Measurement] button (or pressing the M key on the keyboard) after moving
your finger to the ending point registers the ending point and displays the distance between thestarting and ending points.

Each time a measurement is made, the result is displayed on the screen as a cumulative display.
The [Delete] button can be used to delete results.

Deleting ameasurement
point

43

9. Detailed Configuration of the Virtual Vaginal Exam
If required, the Operation Environment can be configured and the model display position adjusted.

１) Operation Environment Setup
To configure the operation Environment for the application, select "Setup" and then "Operation
Environment" from the menu, and use the "Operation Environment Setup" dialog box that isdisplayed.
The updated Setup are reflected when the [Apply] button is clicked. To close the dialog box at thesame time that the updated Setup are applied, click the [OK] button.
If the dialog box is closed using the [Cancel] button or the [X] button before the updated Setup are
applied, the Setup will be returned to their previous values.

(1) Light source position
This is used to set the position of the light source.
In the notations on the Setup window, “Left” and “Right” correspond to the X axis direction, while“Up” and “Down” correspond to the Y axis direction, and “Forward” and “Backward” correspondto the Z axis direction. The initial viewpoint is on the + side of the Z axis (the “front” of the setting
screen).
Enter the position by either clicking on "Light Source Position Setting Diagram”, or by entering thevalues in “Light Source Position Setting Values”. A value may be entered within a range of -1 to 1.

Current light source position

Up

Up

Right

Left

Back

Down

Front
Down

Light Source Position Setting Diagram

Light Source Position Setting Values44(2) Light source color
The color of the light source is set using the three primary colors: the red component (R); the green
component (G); and the blue component (B). Values can be either increased or decreased using thespin buttons next to the component displays, or the color can be selected directly by clicking on[Select Color] to display the "Color Setup” dialog box. The "Adjust All Components" spin button canbe used to increase or decrease R, G and B values all at the same time.
R component

Adjusts the R component

Ad justs all components
Selects color

R component

Ad justs all components

Adjusts the R component

Selects color

The following presents an overview of the light source color, ambient color and background color.
・Light source color: This is the color of the light source itself. Parts which become brighter when
the light strikes the model are affected.
・Ambient color: Parts which become shadowed when the light strikes the model are affected.
・Background color: This is the color of the background.
Light source color: White
Ambient color: Black
Background color: Black

Light source color: Red

Ambient color: Red

45

Background color: Red

(3) Operation Environment
Configuring operations and displays"Travel Amount” is used to set the Travel Amount when the viewpoint is operated using the mouse,keyboard or the "Viewpoint" dialog box. The larger the value that is set,
the greater the amount of change in the viewpoint for the same operation (the distance that themouse is dragged, the number of presses of a key on the keyboard or the number of times the
button is clicked in the dialog box).
"Curved Surface" is used to specify whether the surface of the model is displayed smoothly.
If "Smooth" is selected, the surface is displayed as a smooth surface.
"Display Sides" is used to specify whether the surface of the model surface is shown on both sides.
This is used if it is difficult to see the model when displayed as a cross-section.

Travel Amount
Curved Surface

Curved Surface

SmoothFlat

Display Sides

Both sides

Front only

Display Sides(4) Sensors
Configuring the sensors.
"Operation Mode" is used to set the number of sensors to be used.
"Offset” (*1) is used to adjust position of the finger or fingers displayed on the screen. When the
X, Y and Z parameters of “Offset” are 0, the sensor is at the reference position. Entering numericvalues for X, Y and Z and moving the reference point to the ball of the finger (the part that does thepalpation) enables fine adjustment of offset between the display and fingertip (*2).
This is also used for fine adjustment if there is an offset compared with the display caused by factors
such as the way that the fingertip sensor is attached to the finger.
The direction of the fingertip is the negative (-) direction of the Z axis, and is set in millimeter units.
"Communication" is used to set the number of the COM port to which the sensor is connected.
If this setting has been changed, the sensor has to be reset using "Reset Communication”.

46

Operation Mode
Operation Mode
Oﬀset
Oﬀset
Communication
Communication

The ﬁnger is displayed on theassumptionthat the sensor
Theﬁnger is displayedon thewill be
attached onthat
thetheﬁngernailside.beassumption
sensor will
attached on the ﬁngernail side.

*1. "Offset" refers to the position of a certain data element expressed as a difference (distance) froma reference point. With this model, the sensor part of the finger sack serves as the data position.
*2. Entering numeric values for X, Y and Z to move the reference point to the ball of the finger (thepart that does the palpation) enables fine adjustment of offset between the display and fingertip.

Reference point when X, Y and Z are 0
Reference point when X, Y and Z are 0

Numeric values are entered for X, Y

and Z tovalues
move thepoint
Numeric
arereference
entered for
X, Y to theballZofﬁnger.
and
tothe
move
thereference point to theball of the ﬁnger.

(5) Display ColorThis is used to set display colors and sizes for items other than the model (axes, measurement
points, etc.).
"Adjust Position" is used to adjust the color and thickness of the axes displayed when the model
position is adjusted. The reference axes are the axes displayed at the reference position (0, 0, 0)
using dotted lines. The axis for adjustment is the axis displayed in the center of the model using asolid line. This is the axis that is going to be adjusted.
"Measurement" is used to set the color of dots that are displayed during measurement, as wellas the thickness of line segments. Registration points are points that are registered during themeasurement.

47

Reference axis

Axis for

Position adjustment

adjustment

Measurement

Reference axis

Axis for

Position adjustment

adjustment

ResultRegistration point

Measurement

ResultRegistration point

２) Adjusting the position of the model
Model position adjustment is a function that allows fine adjustment of the position of the overallmodel, or of individual positions. There are two adjustment methods: with "Whole Adjustment Of
Model”, the position of the model as a whole is set altogether; while with "Individual Adjustment Of
Model”, individual positions of the model are set.

(1) Whole Adjustment Of Model
The overall position of the model is adjusted altogether using the "Whole Adjustment Of Model”
dialog box, which is displayed by selecting "Setup" and then "Whole Adjustment Of Model” fromthe menu.
"Model Position" is the general term used for the distance moved from the reference position, theangle rotated, and the enlargement or reduction scale. "Reference position" refers to the initial
position of the model, right after the application has been started and before any adjustment has
been carried out.

Movement setting

Overall scale setting

Rotation setting
Movement setting

Rotation setting

Individual scale setting
Overall scale setting

Initialize

Initialize

Individual scale setting
Cancel

Apply

Apply

Cancel48

◯ Movement settingThis moves the model as a whole from the reference position. The movement distance can be
specified for each of the X, Y and Z axis directions.

Movement
Movement

Reference position
Reference position

Movement

Reference position◯ Rotation settingThis rotates the model as a whole, assuming the coordinate axes of the reference position are in thecenter of the overall model. The angle can be specified individually around the X, Y and Z axis, andthe result will be rotated in the sequence of X axis → Y axis → Z axis.

Y axisrotation
Y axisrotation
Y axisrotation

X axis rotation
X axis rotation
X axis rotation

Z axisrotation
Z axisrotation
Z axisrotation◯ Scale settingThis enlarges or reduces the size of the overall model. Setup can be specified individually for the X,
Y and Z axis directions, or the scale can be set for the model as a whole.

Reduction in the X, Y
Reductionin theX, Y
and Z axis
directions
and Z axis directions
Reduction in the X, Y
and Z axis directions

Enlargement in the
Enlargementin theX axis direction
X axis direction
Enlargement in the
X axis direction49◯ Initialization
Clicking on the [Initialize] button resets all the Setup entered for the Whole Adjustment Of Model,
including movement, rotation and scale, and returns to the reference position.
◯ Apply
The [Apply] button is used to reflect the results after adjustments are made. If the [X] button isclicked to close the dialog box without first clicking the [Apply] button, values will return to thevalues used prior to adjustment. This has the same effect as clicking the [Cancel] button.
◯ CancelThis returns the model to the state just after the "Whole Adjustment Of Model” dialog box wasdisplayed, and ends the adjustment. If the [Apply] button was clicked during the adjustment andthe updated model position was displayed, it returns to that state.
(2) Individual Adjustment Of Model
Individual model positions are adjusted using the "Individual Adjustment Of Model” dialog box,
which is displayed by selecting "Setup" and then "Individual Adjustment Of Model” from the menu.

Model for adjustment

Fetus orientation setting

Movement setting

Scale setting

Rotation setting

Initialize

Apply

Cancel◯ Model for adjustment
The model for which the position is to be adjusted is selected using the “Model for Adjustment”
pull-down menu. If the fetus 8~9 cm uterus dilation model and fetal head model are selected, or
the uterus 8~9 cm uterus dilation model and fetal head model are selected, the “Fetus Orientation
Setting” pull-down menu is enabled, and orientation of the fetus can be selected. The positions ineach direction of the fetus 8~9 cm uterus dilation model and fetal head model, and of the uterus
8~9 cm uterus dilation model and the fetal head model can be specified.
If the model to be adjusted is not displayed, the following Setup need to be entered in the "SelectImages” dialog box in order to display the model.
・Display on/off in the "Select Images" dialog box: This must be set to "On” for all models.
・Match Uterus Model: This is used if adjusting the uterus.
・Match Orientation: This is used if adjusting the 8~9 cm uterus dilation model of the fetus or
uterus, or the fetal head model.

50◯ Fetus orientation setting
Fetus orientation is selected from among A, RA, RT, RP, P, LP, LT and LA, using the "Orientation” pulldown menu. The orientation can be selected only if the fetus 8~9 cm uterus dilation model and thefetal head model have been selected as the model targeted for adjustment, or if the uterus 8~9 cm
uterus dilation model and the fetal head model have been selected as the model for adjustment.
◯ Movement settingThis moves models separately from the reference position. The movement distance can be
specified for each of the X, Y and Z axis directions.

Moving thepelvis in the X
axis direction
MovingtheMovingthepelvisin intheXX
pelvistheaxis
directionaxis direction◯ Rotation settingThis rotates the model, assuming the coordinate axes of the reference position are in the center ofthe model. The angle can be specified individually around the X, Y and Z axis, and the result will berotated in the sequence of X axis → Y axis → Z axis.

X axis

Y axisrotation
X axisX axisrotationrotationrotation
Y axis
Y axisrotationrotation

Z axisrotation

Z axisZ axisrotationrotation◯ Scale settingThis enlarges or reduces the size of the overall model. Setup can be specified individually for the X,
Y and Z axis directions, or the scale can be set for the model as a whole.

Reduction in the X, Y

Enlargement in the

Reduction in the X, Y

Enlargement in theand Z axis directions

XX
axis
directionaxis direction
Enlargementin theX axis direction

andZ axis directions
Reductionin the X, Y

and Z axis directions51

◯ Initialization
Clicking on the [Initialize] button resets all of the Setup entered for the model for adjustment,
including movement, rotation and scale, and returns to the reference position.
◯ Apply
The [Apply] button is used to reflect the results after adjustments are made. If the [X] button isclicked to close the dialog box without first clicking the [Apply] button, values will return to thosevalues used prior to adjustment. This has the same effect as clicking the [Cancel] button.
◯ CancelThis returns the model to its state just after the "Individual Adjustment Of Model” dialog box wasdisplayed, and ends the adjustment. If the [Apply] button was clicked during the adjustment andthe updated model position was displayed, it returns to that state.

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10. Model Configuration Chart

Main body

Item

Quantity
1

Vulva for vaginal exam II

1

Exclusive screws

2

Base for securing main body1

Finger sensor for index ﬁnger (*)

1

Finger sensor for second ﬁnger (*)

1

USB cable

1

1~2 cm uterus dilation model1

trakSTAR

1Power cable1

3~4 cm uterus dilation model

1

8~9 cm uterus dilation model

1

Base for uterus dilation model

1

Glycerine

1

Fetal head model

1

Baby powder

1

Gloves3

Product key

1

Product CD

1

Plastic wagon

1

Cloth cover1

Instruction manual (this manual)1* Finger sensors are available in three sizes: S; M; and L. Finger sacks will be provided in
the size specified when purchasing the Virtual Reality Vaginal Exam Model II.

53

11. Specifications

54