MW48
Full Perinatal Patient Care Simulator

HANA

Instruction
ManualTable of Contents
Introduction
P.1■ Before you start・ ・・・・・ ・・・・
P.2
■ Safety precautions・・・・・・・・・・
P.3■ Handling・・・・・・・・・・・・・・■ Set includes・・・・・・・・・・・・・ P.4-7
P.8■ Functions of eachpart・・・・・・・・・
P.9-10■ Training items・・・・・・・・・・・

Preparation■ Wigs attachment and detachment ・■ Detachment of mask・・・・・・

P.11
P.12

■ Ultrasound Examination Module・・■ Obstetric Examination Module・・・■ Cervical Examination Module・・・■ Delivery Assistance Module・・・・■ Perineorraphy Module・・・・・・■ Uterine Involution Assessment Module■ Epidural Anethesia・・・・・・・・■ Tube Feeding・・・・・・・・・・・・■ Bedbathing・・・・・・・・・・・■ Patient transfer andpositioning・・・・・・・・■ Oral care, oxygen management・・・・・■ Suction(nasal, oral , tracheostomy）・・・■ Intravenous
injection・・・・・・・・・・・■ Airway management/ intubation assistance/ Chest

P.13P.17P.26P.32P.39P.42-■ Airway management/ intubation assistance■ (Optional) Subcutaneous injection/

P.53

Training

compression

Intramuscular injection

P.45
P.46
P.47
P.47
P.48
P.49
P.50
P.52

P.54

Introduction

Manufacturer's note

■Before use

The Full Perinatal Patient Care Simulator 〝Hana〞 is a training manikin which covers fromgestational to post­natal periods. This 〝Hana〞 has been developed for the training of medical
and paramedical professionals only. Any other use, or any use not in accordance with theenclosed instructions, is strongly discouraged. The manufacturer cannot be held responsible forany accident or damage resulting from such use.

Please use this product carefully and refrain from subjecting to any unnecessary stress or wear.
Should you have any questions on this simulator, please feel free to contact our distributor inyour area or KYOTO KAGAKU at any time.

(Our contact address is on the back cover of this manual)1Introduction

Before use

2

Introduction

Before use

CautionCaution indicates that a failure to observe the speciﬁed instructions may result in minor injuries ormaterial loss and equipment damage. Be sure to observe all the caution statements.

● Handle the manikin and the components
with care.

●Do not mark on the manikin or othercomponents with a pen or allow printed
materials to come in contact with thesurface. Ink marks cannot be removed.

● Storing the manikin in a dark, cool anddry space will help prevent the skin colors
from fading and product from becoming
deformed.

● Never use organic solvents like paintthinner or alcohol to clean the skin,as this will damage the manikin.

● The manikin may be cleaned with a wet
cloth if necessary, using mildly soapy wateror diluted detergent.

● Even if the skin color of the manikinchanges as it ages, the quality of theperformance is not affected.

Be sure not to drop the manikin and its components, since the product uses special resins.

3

Before you start

Set includes■ Set includes
Before you start, ensure that you have all components listed below.
A

B

C

D

E

F

G

H

I

J

K

L

M
Ａ ： Main body
Ｂ ： Wig(young)
Ｃ ： Face mask (young)
Ｄ ： Teeth
Ｅ ： Injection pad (medial vein)
Ｆ ： Female genitalia
Ｇ ： Epidural anesthesia pad
Ｈ ： Irrigation bag
Ｉ ： drainage pump
Ｊ ： drainage hose
Ｋ ： lubricant for training models
Ｌ ： pajama
Ｍ ： talcum powder
instruction manual

4

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

Before you start

Set includes

Delivery assistance module
aa

ab

ac

ad

af

ag

ah

ai

ae

a a ： genitalia
a b ： fetus
a c ： placenta
a d ： umbilical corda e : 5 velament sheeta f : 10 umbilical cords for omphalotomya g : 3 lubricantsa h : abdominal cover for delivery andcervical examinationa i : tray

5

1
1
1
1
1
1
1
1
1

Before you start

Set includes

Ultrasound Examination Module
ba

bb

bc

bd

cc

cd

Obstetric Examination Modulecacb

Cervical Examination Module
da

db

dc

Ultrasound Examination Moduleb a ： ultrasound pregnant uterus phantom
b b ： base for fetus ultrasoundb c ： fetus demonstration modelb d ： protection cover

dd

de

df

Obstetric Examination Modulec a ： fetus modelc b ： base for fetus
c c ： Simulated doppler stethoscopec d ： AC adapter

1
1
1
1

1
1
1
1

Cervical Examination Moduled a ： genitalia unit
d b ： set of cervical dilation inserts (5 variations)d c ： vagina unit
d d ： holder for cervical dilation inserts
d e ： 3 lubricantsd f : abdominal cover ( Obstetric and CervicalExamination )
6

1
1
1
1
1
1

Before you start

Perineorrhaphy moduleea

Uterine Involution Assessment Module
fa

fb

fc

Perineorrhaphy module

e a ： genitalia with skin

Uterine Involution Assessment Module

f a ： set of uterine inserts (4 variations)f b ： supporting basef c ： abdominal cover for uterine
involution assessment module

1

7

1
1
1

Before you start

Name of each part and functions
Wig■Modeleye, elilid

Mask( young)tracheostomy
chest

Chest
arm

chest coverConnector
Drainage connector to irragation bag

waist
genital unit

8

Before you start■ Skills

Training Skills

Intravenous injections and cannulation
Genital care
Check procedures in case of amniorrhexis,
bleeding and lochia

Normal breast and nipple assessment
Chest compressions
Tube feeding(nasal/oral)

Airway management, intubation assistance
Oral and denture care
Oxygen mask
Stomach pumping
SuctionEpidural placement

During pregnancy,
childbirth, puerperal care

OthersIV route care
Cannula care(left hand)

OptionIM Injections(upper arm)
Subcutaneous injections(upper arm)・Abdominal and chest examination
・Inspection/palpation/auscultation/
percussion
・Body transfer
・Bed bathing

Tube feeding(nasal/oral)

Catheterization、Tube place
confirmation、tube placement

Suction(nasal/oral)
Insertion of tracheostomy tube,
suctionUrinary Catheterization

Intubation assistance

Chest compression

During pregnancy, childbirth,
puerperal care, perinatal
examination, ultrasoundexamination, ultrasoundexamination, cervical examination,delivery assistance, perinatal tear,puerperal assessment

preparation ofequipment、auscultation、fixation oftracheal tube

9( procedure only )Before you start

Training skills■ Skills

Intravenous injections andcannulation(left median vein)

IV route care(dorsal vein of left hand)

Partial bathing(h and/foot)Oxygen mask

Bedbathing

IM Injections(upp er arm)
Subcutaneo us injectio ns (upp er ar m)

10

Preparation

1

Setting of the wig

Setting

Set the wig by the magnets at the forehead and in front of right and left ears.

1. Put the wig on to the head noting
the orientetion then fix it with themagnet at the forehead.
2. Fix the wig with the magnets infront of right and left ears.
3. Pull down the back side of the wig andt it to the manikin's back of the head.

2

1

2

3

Removal

1. Disengaging the magnet in frontof the ears.
2. Disengaging the magnet of the forehead
and slip the wig backward.

1

3

MaintenanceStore the wig by following steps.
1. Brush the wig after use.
2. Insert the balled­up papers to avoid deformation.
3. Roll the tips of hairs inward by hands.
4. Store the wig in a bag.

112

Preparation

1

How to change the mask (face)Removal

1. Remove the cover for tracheostomy

2. Remove one end of the band from the mask hole

3. Hold up the mask from the neck side and remove

2

Attachment

1. Cover the mask from the head side.
Attach the hole of the mask in thethree magnets in forehead and bothears.

4. Insert both ends of the bandto the band to the mask in theback of head

2. Insert the salient part ofthe mask near the head

5. Insert the cover fortracheostomy

12

3. Insert the neck skin to bodypartTraining

1

Ultrasound training

Preparation
妊婦腹部触診トレーニング(
準備

Setup
1. Remove the abdominal cover from the model. The cover is fixed by four magnets. The cover can be removed by holding it
upward.

2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix

Be careful not to pinch your finger between maternal body and the genitalia unit

13

Training

Ultrasound Training

1 超音波検査トレーニング( 準備)
Setting of the module
1. Attached the supporting base for fetus ultrasound. Put protection cover on the top.

Protection Cover

2. Attach ultrasound pregnant uterus phantom on the base. The phantom can be set in four
positions.

3. Apply plenty of ultrasound gel directly to the pregnant uterus phantom..

14

Training

2

Ultrasound Training

Ultrasound Training

Assessment of fetus and measurement● Fetus assessment and measurement

1. Place the probe on the phantom unit. The keys forultrasound unit are listed on the back of this manual

BPD

FL

3

AC

Estimate of fetus
weightAfter training

1. Wipe off the gel completely with wet wipes not to leave the gel on the surface of the phantom and torso.
You can wash the phantom unit and the protection bowl with water. Do not wash the body torso withwater.

15

Training

Ultrasound Training

16

Training

1

Obstetric Examination Module

Preparation

Setup
1. Remove the abdominal cover from the model. The cover is fixed by four magnets. The cover can beremoved by holding it upward.

2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix

Be careful not to pinch your finger between maternal body and the genitalia unit

17

Training

Obstetric Examination Module

Module setting
3. Set the fetal base to the model. Depending on the position of the base, the fetus can be set either
in cephalic presentation and head presentation

Put the fetal head on this part

3. Set the fetus on the hole of the base. The fetus can be set in either left or right.

Right side

Left side

4. Set the abdominal cover then the setting is completed.

18

Training

2

Obstetric Examination

Training
妊婦内診トレーニング(
実習)触Palpation

Anatomically correct landmarks of maternal pelvis and fetal parts, and innovative material of the uterine unit
allow realistic palpation of the fetus. The uterine units can be freely oriented to represent different lies,
presentations and positions, also enables CPD assessment (Leopord's fifth maneuver)■Leopold's maneuvers

Palpate parts of the fetus such as head, buttocks andthe trunk through the steps from the first to thefourth maneuvers to assess fetal lie, presentation andposition as well as degree of fetal descent

CPD assessment (Leopoldʼs fifth maneuver)

The height fetal head against the pubic symphysis canbe changed by rotating the fetal unit to prepareFirst maneuver

different scenarios for CPD assessment (Leopoldʼs fifth
maneuver)Pubic symphysis

Auscultation (Fetal Heart Sounds
Sounds recorded by the doppler and conventional stethoscope canbe used for training. The doppler mode features fetal heart sounds,
umbilical blood flow as well as mixed sounds of fetal heart andumbilical blood flow. Remote controller enables switch between
sounds, speakers and also setting sound volumes.

3

妊婦内診トレーニング(
後片付け)
After Training

Clean the skin cover by wiping with a damp cloth, using
water or mild detergent, LET THE TORSO DRY
NATURALLY, then spread talcum powder on the surface
before storing in a cool dry place.

19

Fourth maneuver

Training

Obstetric Examination

Setting of simulated doppler stethoscope
Name of each part
Switches

Case ( ０～５）

Case selection

Fetal Heart Rate（60~180）

Adjustment of HR

Sound Volume（0~100）

Adjustment of Sound volume

Internal speaker

Connector for probes

20

Connector forConnector for

AC Adapter

external speakerTraining

Obstetric Examination①Preparation
1 Insert the connector for probes to the C probe connector.

２．Insert the AC adapter

３．Turn on the controller21

Training

Obstetric Examination②Training
1 . Set the fetus training model to Hana

２．By putting the probe near fetal heart, thesound can be taken from internal speaker insimulated doppler stethoscope. (p19)※Sound comes out when the sensor inside thefetus reacts.

③How to change the setting
How to change cases
1 Select sound case

※At the time of delivery, no sounds are included in case 0 to 5
※When the switch is on the case number is set to 0(default)

Case Selection

Case ( ０～５）22Training

Obstetric Examination

How to change fetal heart rate
1Change the heart rate by pushing up and down buttons※Setting can be changed between 60­180bpm※The value can be changed in 10bpm
increments※130bpm is the default value.
※applicable only in default case 0

up and down buttons

Fetal Heart Rate(60~180）

How to set the sound volume
１．Set the sound volume by pushing up and down buttons.
※Setting can be changed between 0 to 100※The value can be changed in 10 increments※50 is the default value

up and down buttons

volume（0~100）23

Training

Cervical Examination24

Training

Cervical Examination

Setup
1. Remove the abdominal cover from the model. The cover is fixed by four magnets. The cover can be removed by holding it upward.

2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix

Be careful not to pinch your finger between maternal body and the genitalia unit

25

Training

Cervical Examination

Setup
3. Attach genital unit to the main body. Make sure not to put it upside down.

Lubricants
1. Apply lubricants inside the genital unit, genitalia and cervical dilatation modules.

26

Training

Cervical Examination

Attachment of cervical dilatation module
1. Attachment of cervical dilation module to the main bodySet the model fixation base to the cervicaldilation module.
※Note: Engage the edges on the holder andthe holes on the maternal body, and push
the holder until clicking sound is heard.

Be careful not to pinch your finger between maternal body and the genitalia unit27

Training

Cervical Examination28

Training

3

Cervical Examination

After the training○ Disassembly of genital unit

1. Remove the abdominal cover from the maternal
body
Unlock the holder with pulling the black knob
on right and left of holder, then remove theholder from the maternal body. Wipe off the
lubricant which attached to cervical dilation
module with wet wipes.

3. Pull out the cervix unit in front with holding
white frame on the cervix unit.
Wipe off the lubricant with wet wipes.

4. Cervix unit is removed from the maternal bodywith pulling the upper part of frame in front.
Wipe off the lubricant with wet wipes.

※Also, these units are washable with water. Apply the talcum powder after having been driedenough.
The cervix unit and the genitalia unit are madefrom special soft resin.
For storage, cover them with included
non-woven bag and keep them in the storagebox.

Caution: Do not mark on the model andother components with pen nor leave printed
materials contacted on surface.
Ink marks on the models cannot be removed.

29

Training

1

Vaginal Delivery AssistancePreparation

Setup of the fetus
1. Setup

Prepare the fetus, placenta, umbilical cord, umbilical cords for ompalotomy, velamen sheet, vat and lubricant

Fetus

Umbilical Cord for Ompalotomy

Placenta

Velamen Sheet

Umbilical Cord

Vat

Lubricant2. Take out the placenta from the storage bag to attach umbilical cord. Connect the screw side of umbilical cord to theplacenta and turn it clockwise to fix.

3. Insert the umbilical cord into the holelocated at the center of the velamen sheet

4. Take out the umbilical cord for ompalotomy from the storage bag.
Reverse the tip of it to show the hook, and engage it to the hook at theumbilical cord from the placenta

30

Training

Vaginal Delivery Assistance

Setup
5. Loosen the white screw to remove the plate on the fetal abdomen, and take out the clip from there

6. Pinch the tip of umbilical cords for omphalotomy with the clip. Put it back to the fetal abdomen,
and fix umbilical cords for omphalotomy to the abdomen by the plate with the white screw※Place the clip in the direction shown in above picturei
7. Fetus is ready for training.

31

Training

Vaginal Delivery AssistanceLubrication
Before training, apply lubricant to the genitalia unit, placenta, and umbilical cord foromphalotomy.
1. Put the assembled fetus in the vat included in the set. Apply lubricant to it entirely including thevelamen sheet and the placenta

2. Apply lubricant to the internal surface of thegenitalia unit, too※The genitalia unit can be lubricated after
attaching to the maternal body

Assembly of the Maternal Body
1. Remove the abdominal cover from the body. The abdominal cover and body are attached with four magnets.
The abdominal cover can be removed by lifting32

Training

Vaginal delivery assistance

Assembly of the maternal body
2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the
top of the unit to fix* Be careful not to pinch your finger between maternal body and the genitalia unit

3. Put back the abdominal cover to thematernal body, and set the fetus tocomplete setup.
* Always put the placenta on the vat
during the training

33

Training

Birth Positions

Positioning
Training can be done in three birth positions: dorsal position, lateral position, and all four position34

Training

2

Vaginal Delivery AssistanceVaginal Delivery Assistance training○ Perineal protection○ Delivery assistance○ Delivery of fetus○ Clamping tying and cutting of umbilical cord

○ Delivery of placenta○ Inspection of velamen and placenta

35

Training

3

Vaginal Delivery Assistance

After Training○ Removal of genitalia unit
1. Lift the abdominal cover to remove
from the maternal body

2. Pull back the top of the genitalia unit frame
to remove from the body

○ Disassembly of fetus
1. Disengage the umbilical cord and placenta in reverse order to setup○ Clean and storage
1. Wipe the lubricant left on the fetus, umbilical cord, placenta and genitalia unit away with
wet paper tissue. If necessary, wash them by tap water, and dry them well naturally. Afterthe components completely dried, apply talcum powder to each of them.

2. Genitalia unit, placenta and umbilical cord for omphalotomy are made of special soft resin. It is required
to store them either in the storage bag or on the vat after training.
* If these parts are stored while touching with other resin products or printed matter, the dent
or ink might be left on the skin, and will become irremovable.

36

10

Training

Perineorraphy

Setup

1.. Remove the abdominal cover from the model. The cover is fixed by four magnets.
The cover can be removed by holding it upward

2. Remove the genitalia unit for cervical assessment and delivery training. Hold the upper frame of the genitalia unit and pull
it towards you.

Change to theperineorraphy
training unit.

Genitalia for cervicalexamination anddelivery

Genitalia unit for perineorraphy37

Training

Perineorraphy

Exchange of genitalia unit
3. Attach two nails of genitalia unit to two pits located under part ofmaternal body, and push on the top of the unit to fix

Be careful not to pinch your finger between maternal body and the genitalia unit

4. Attach the abdominal cover and the
preparation is done38Training

2

Perineorraphy

Training

Suture training of the first-degree perineal tear.
・Single interrupted suture・Vertical mattress suture3

After Training

1. Training can be continued by removing the suture thread.
2. In order to exchange the genitalia skin, Put the finger into the gap between the genitalia skinand the holder to remove it, and attach the new skin. Put the genitalia skin into the pit of the
supporting holder. Apply the talcum powder on the edge of skin to make it easy. Put the skinfrom directions to the holder. Ensure that he skin is sitting in the holder firmly.

39

Training

Uterine Involution Assessment

Preparation
Setup
1. Remove the abdominal cover from the model. The cover is fixed by four magnets. The cover can be removed
by holding it upward.

2. Attach two nails of genitalia unit to two pits located under part of maternal body, and push on the top of the unit to fix

Be careful not to pinch your finger between maternal body and the genitalia unit40

Training

Uterine Involution Assessment

3. Setting of the module
1. Attached the supporting base for fetus
ultrasound. Put protection cover on the top.

4. Attach the uterine unit to the hole

5. Attach the abdominal cover for uterine
involution assessment to the model.

41

Training

2

Uterine Involution Assessment

Training

Measurement of funtal height

Palpation of uterine fundus

3

After training

1. The dirt in the abdominal cover can be
wiped by water or neutral detergent. Afterthe cover is wiped, apply talcum power on
the surface.

42

Training

1

Epidural and Anesthesia

Preparation

Insert epidural pad on the back.
(The pad is inserted at the time of delivery)2

Training

Training in lateral position
Only punctures and fixation of catheter are possible※Water cannot be used43

Training

1

Tube Feeding

Training

Training of tube insertion for feeding (NG, OG) with the fowler's position. Insertion of catheter(NG,OG) is possible. Training of tube fixation and dressing is possible. Spray the lubricant included in thecatheter to nasal and oral cavity. Shortage of lubricant will make insertion difficult.

Caution・12Fr Catheter is recommended for training.
・Please use the lubricant included in the set. Usage of other Jelly­type lubricants

may cause damages.

2

After the training

Remove the tapes and catheter after the training. Wipe the lubricant on the catheter and skin by wet
tissue.

Caution・Do not leave the tapes on the manikin. If the tape remains on the surface for longtime, it ma cause persisted stickiness.

44

Training

Bed bathing, partial bathing, position change,
position holding, patient transfer, joint motion
exercise

Bed bathing, partial bathing

Position change, position holding, patient transfer, joint motion exercise
・ Limbs, fingers and toes with full articulation allow
various patient postures for nursing care training.
・ Can be place in a sitting position
・ Fingers can be bended and stretchd

45

Training

Oral care and oxygen inhalation

Oral Care
Oral care training in various patient settings
・Brushing (with denture)■ Detachment of denture
Lift the molar side with both upper and lower dentures and take off.
Raise the upper denture forward can remove it.

※Hole above area when holding the denture■ Setting of denture
Put the denture one by one in the mouth cavity. Fit the grove at the back of the denture of onto thegum and push them together firmly.

Oxygen inhalation46

Training1

Suction(nasal/oral/tracheostomy)

Suctionnasal/ oral/ tracheostomy※Simulated sputum cannot be
used

1. Apply lubricants to catheter, nasal, oral, and tracheostomy parts.

・Use 10­14Fr. suction catheter
・Use lubricant attached to the training model. Do not use the gel­type
lubricant as it can remain inside and coagulate.
2. Take off the plug for tracheotomy and apply the included lubricant

to the tracheotomy tube then insert it to the hole.
Training in changing gauze and cleansing the tube can also be
performed.
Caution2

Recommended tracheal tube is PORTEX tracheostomy tube II MY-102
12746-020. Other tubes may not t to the opening.

After training

1. Remove the catheter or tracheotomy tube. Afterremoving tracheotomy tube, set the plug to thetracheotomy tube.
2. Wipe off the remaining lubricant completely
with wet cloth which stuck to catheter,
tracheotomy tube, nose and oral cavity part.

47

Training

1

Intravenous injection

Preparation

2. Connection of drainage tube
Among the connectors in the right side of the model, attach the irrigation bag(small) to thewhite drainage connector. Then open the tube cock. In case lots of water for injection was used,
use drainage tube instead of irrigation bag(small). The tip of the drainage tube should be put toa bucket.

Insert the connector

Drainage Connector to ]attach irrigation bag(small)2

Training

・Openings on the left forearm and the back of the hand allow training on intravenous
injection and fixing the dressing materials.
・Median vein on the left forearm which is fixing of the the puncture site allow
training on confirmation of natural instillation48

Training

Intravenous injection

3 After Training

Drainage

Close the clamp of the irrigation bag which connnecting the body and detach the joint of theirrigation bag by pushing the button on at the end of the tube. Then Attach the drainage pump(small connector) to the tip of the tube which detach the irrigation bag.

Take out the injection pad (median vein).
Fill the opening in the arm with tissue paper (approx.2 sheets), then drain water from the tube bysqueezing the drainage pump. After water drainage from the tube, remove the tissue paper from the opening andwipe inside of the opening as well as the pad. Dry the parts naturally and reassemble for storage.

49

Training

1

Airway Opening Techniques
Preparation and assistance of intraoral intubation
Chest compression

Training

Training in assistance of tracheal intubation is possible, allowing
training in perioperative or ICU scenarios-preparation of devices ‒oral airway intubation (laryngoscope, video laryngoscope), confirmation
by auscultation, fixation of the tracheal tube ‒observation of the rise of chest compression

Insertion of tracheal tubes

For oral route airway, spray enough lubricant in the mouth and the tracheal tube before inserting thetracheal tube.

CautionRecommended tools: Macintosh laryngoscope Size: No.4
Tracheal tube: 7.0, 7.5 mm (inside diameter)
Use the lubricant included in the set. Others like gel type may remain in the model andbecome irremovable.

Confirmation of successful intubation
The placement of the tube can be confirmed by
auscultation or movement of thoracoabdominal
area.

50

Training

Airway Opening Techniques
Preparation and assistance of intraoral intubation
Chest compression

Intubation by the video laryngoscope
Spray enough lubricant to the video laryngoscope
and the oral cavity before training.

CautionUse the lubricant included in the set

Securement of tracheal tube
Tape fixation and THOMAS fixation oftracheal tube

2

Caution

After training

Wipe off the lubricant
Wipe off the remaining lubricant completely
with wet cloth which stuck to tracheal tube
and oral cavity part.

51

Do not leave the tapes on the model. If
the tapes remain on the model for longtime, its skin surface will become sticky
with adhesive of tapes.

Training

1< Option >Intramuscular injection
Hypodermic injection

Preparation

Attachment and detachmentof Intramuscular pads

Attachment● Attachment
The shape of each pad is thesame. Open the attachment plateof an injection pad and fix it to
the injection site as shown in the
pictures.

Position

固定用板● Detachment
Open the attachment plate by hand and detach the pad from the manikin.
Open the attachment plate wide enough. Do not pull the pads without opening the attachment
plate. Otherwise, it may cause a tear in the manikin skin.

Caution2

Ensure to remove the shoulder/thigh injection pads swiftly after use. Otherwise the
manikin skin may become persistent.
Discharge all water from the pads after each session. Do not store the pads with waterremaining inside.

Training

The training of Intramuscular injection can be
conducted on upper arm and gluteal.
The training of hypodermic injection can be
conducted on upper arm, femoral and gluteal.
CautionIntramuscular injection needleof 21-23G and hypodermic
injection needle of 24-27G arerecommended for training.

52

< Option >Intramuscular injection
Hypodermic injection

Training

3

After training

Upper arm and femoral
injectoin pads
● Detachment of pads
Attachment plate
Spongeskin

1. Push the attachment plate inward, pull out the edge of the skin between the attachment andtransparent back plate.
2. Take off the skin carefully and remove the sponge and transparent back plate.
3. Squeeze the sponge until parts get completely dry, reassemble them carefully.
4.Caution
5.

Do note pull or twist the sponge. Excessive force may cause breakage.

Assemble the pads
1. Set the sponge on the convex side of the transparent back plate. Grip the skin at the narrowend.
2. Pushing the attachment plate inward, put the edges of the skin between the attachment plate
and the transparent back plate.

53

MW48
Full Perinatal Patient Care Simulator

HANA
Replacement
Parts

Code

11406-040
11229-050
11415-020
11415-010
11415-030
11416-010
11416-020
11416-030
11416-040
11417-020
11417-010
11418-020

Name

wig
lubricant for training models
lubricant for MW35/36/40
cervical dilation inserts
genitalia unit
fetus model
placenta
10 umbilical codes for omphalotomy
velamen sheets
genitalia unit (frame, skin)
2 genitalia inserts(perineorrhaphy))
1 set of uterine inserts (4 variations)

11406-040

11229-050

11229-050

11415-010

11415-030

11416-010

11416-020

11417-020

11417-010

11416-030

11416-040

11418-020

Optional parts

code

11251-030

name2 shoulder injection pads
11251-030

2020/03