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

KOKEN CO., LTD.
1-4-14 Koraku, Bunkyo-ku, Tokyo 112-0004 JAPANURL:http://www.kokenmpc.co.jp
E-mail:customer@kokenmpc.co.jp© 2018-2020 KOKEN CO., LTD. C-1-1032-1-01-01

10000Handling and Safety Precautions
These precautions should be strictly observed in order to ensure safe,
long-term use of the product.
The following precautions should be observed particularly strictly:
1. This simulator is made to have the same feel as that of a living body. Undue handling may cause
breakage of the simulator.
2. This model has a distinctive odor resulting from the materials it is made from however is notharmful to the body or indicate any problem with quality. This distinctive odor will weaken overtime. The product is also coated in baby powder at the time of manufacture and the smell ofbaby powder may remain on the product.
3. When you practice cleaning or disinfecting of the pubic area, please use water. Use of alcohol
may cause breakage of the simulator.
Use of colored disinfectant liquid may cause pigment to be fixed to the simulator so that thepigment cannot be removed.
4. As for the lubricant, please use K-Y tm lubricating jelly. Please do not use K-Y® gel, as it may
increase the insertion resistance of the catheter.
5. Please do not use oily lubricant (olive oil etc.), alcohol lubricant, and lubricant containing organicsolvent. These may cause breakage of the simulator.
6. Please use catheters of 14Fr and 16Fr.
7. Please check the state of the catheter before inserting the catheter. Please do not use a catheter
that is degraded or deformed. Such a catheter is difficult to insert.
8. When inserting the catheter, please apply the lubricant each time.
9. If it is difficult to insert the catheter, please increase the amount of the lubricant to be appliedor use another catheter (firm silicone catheter or catheter with thinner baloon part etc). The
simulator may break if such a catheter is forced to be inserted.
10. When indwelling the catheter, please inﬂate the balloon after inserting the catheter apart fromthe balloon end portion by a distance equal to or greater than 4 cm. Indwelling of the catheter
in an intermediate of the valve causes the valve and the catheter to be broken. Please provide amarker on the catheter before commencing training to ensure that the catheter tip is inserted bya distance equal to or greater than 4 cm before inflating the balloon.
4cm

Marker1

11. After use, please wash the simulator and the catheter well with water. If the lubricant dries andhardens, it may interfere with the use of the simulator.
12. Please check the state of the valve at every use. If the valve is broken, it may cause a leakage ofwater.
13. Oil components may come out of the genital skin. After use, please do not keep the genital skinattached to the simulator. Please wrap it in cooking paper, gauze, etc., put it into an attachedreclosable poly bag, and keep it. For a detailed storage method, please refer to the washing andstorage methods on page 15.
14. Apply commercially available baby powder to reduce friction if you mind stickiness of the genitalskin or after it is washed with water following use.
15. The genital skin may deform over time. Please check the state of the genital skin every three
years after purchase. If any deformation that could affect the function of the simulator is found,consider replacing it with a new one.
16. You may observe air bubbles or darker areas in the genital skin. These were formed during
production; however, they do not affect the strength of the genital skin because it is made of amaterial resistant to tearing.
17. Please do not place objects on the simulator. Otherwise, the simulator may be deformed.
18. Please do not keep the simulator in contact with printed matter. Print, such as letters, maytransfer to the simulator and be fixed there.
19. When storing the simulator, please select a place that is not subject to direct sunlight andultraviolet rays.
20. This product is intended for use in standard operating environments. Do not use it in heavy
industrial settings.
21. This model uses urethane foam for some of its parts, and may be susceptible to damage frompests that are attracted to urethane foam (such as insects in the ant family).
When storing this model, ensure that thorough measures are taken to prevent pest damage
before storing. The company will not be involved with or held liable for pest damage that occurs
during storage.

1. The contents of this instruction manual are subject to change without notice.
2. This instruction manual may not be reproduced in part or in its entirety without permission.
3. Please contact the manufacturer in the event that any errors or omissions are found in the contents ofthis instruction manual.
4. This product should be used only as described in this instruction manual. In particular, the productshould not be used in any way that contravenes the precautions noted in the instruction manual.

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Table of Contents

1. Outline and Features
2. Components and Configuration
3. Handling Method
4. Washing and Storage Methods
5. Specifications
6. Replacement Parts (Sold Separately)31. Outline and Features
OutlineA catheterization catheter is inserted according to a suitable technique to reach the bladder. Thiscauses urine (water) to ﬂow out. The feel of the labia and resistance of the catheter to its insertion areclosely similar to that of a living body. Techniques such as disinfecting of surroundings of the urethralexit and cleaning of the pubic area can be performed. The main body can be separated at an exact
middle so that the shape of the urethral canal, the insertion state of the catheter, and the anatomical
positional relationship can be studied.

Features
・The simulator is of an actual size by which a catheterization and glycerine enema for an adultfemale can be practiced.
・Since soft and stretchable materials are used for the pubic area, the appearance and the feelare realistic to give presence when practicing.
・A series of techniques of catheterization, such as disinfecting of the pubic area (with water),
inserting, fixing, and removing of a catheter, can be practiced.
・Inserting a catheter from the urethral canal using an appropriate technique causes urine (water)
to flow out in the same manner as actually occurs when a catheter is inserted into the bladderof a patient.
・Cleaning techniques can be performed.
・The main body can be separated, and the urethral canal and bladder are transparent. This
enables instruction for checking the insertion state of the catheter into the urethral canal andthe balloon in the bladder.
・The attached a glycerine enemator can be inserted through the anus to the rectum. This
enables the practice for the glycerine enema.

42. Components and Configuration1.

Female Urethral part11. Bag for irrigator

2. Female Genital skin

12. Tube for irrigator

3. Female Pubic Area Frame

13. Stand for lateral decubitus

4. Main body

14. Drain tube

5. Bladder15. Glycerine enemator

6. Bladder Valve (Male/Female)7.

O-ring8. Female Rectal plate

Storage bag
Instructions manual (this pamphlet)

9. Bladder tube
10. Rectum connecting connector

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

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

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

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

Projection of the female urethral part

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

6. Please attach the bladder to the bladder tube and then place them within the main body.

7

These hook and loop
fasteners are not used for thefemale catheterization andenema model.

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

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

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

810. Please attach the right and left parts to close and fix the main body, and check whether thefemale pubic area frame is fixed to the main body.

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

12. When performing an enema, please prepare a bucket etc. under a desk or a bed and put thedistal end of the drain tube in it.

93-2 Insertion of Catheterization Catheter
1. Please open the clamp of the tube for irrigator and check whether or not the water leaks
from the simulator.

* When practicing the cleaning or disinfecting of the pubic area, please use water instead ofdisinfection liquid.
2. Please apply lubricant on the distal end of the catheter for about 4 to 5 cm and insert thecatheter.
* If it is difficult to insert the catheter, please check the techniques and insert it again.
In this case, please remove moisture from the catheter and increase the amount of thelubricant to be applied. Also, please consider using other types of catheters (firm silicone
catheter or catheter with thinner baloon part etc). The simulator may be broken if thecatheter is forced to be inserted.
* If it is difficult to insert the catheter, please use water mixed with a small amount(approx 5%) of surfactant (neutral detergent) as urine.
* If the insertion of the catheter is repeated a plurality of times, water may accumulate in theurethral canal.
3. Please check the outﬂow of the urine (water). If urine does not ﬂow out, check the following:- Whether the catheter passes through the valve;- Whether the clamp for irrigator tube is open; and- The amount of water in the bag for irrigator is reduced to a small amount.

10

4. When you check the insertion state of the catheter or the indwelling state of the balloon,
please separate the main body into the right and left parts to be used. In this case, pleasecheck whether the pubic area frame is firmly fixed to the right part of the main body.

* When indwelling the catheter, please inﬂate the balloon after inserting the catheter apartfrom the balloon end portion by a distance equal to or greater than 4 cm. Indwelling of thecatheter in an intermediate of the valve causes the valve and the catheter to be broken.
Please provide a marker on the catheter before commencing training to ensure that thecatheter tip is inserted by a distance equal to or greater than 4 cm before inﬂating theballoon.
4cm

Marker

5. Once the catheter is inserted, please remove the moisture from its wet tip, apply the lubricant
each time, and then insert the catheter.
If the lubricant is applied where water remains, the lubricant slides easily off of the catheter.
This makes it difficult to insert the catheter.

113-3 Enema
1. Please prepare a bucket etc. under a desk or a bed and put the distal end of the drain tube in it.
2. Please insert the stand for lateral decubitus in the groove of the left part of the main body,and fix the main body in the left lateral decubitus.

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

3-4 Removal1. Please close the clamp of the tube for irrigator.

122. Please separate the main body and remove the female rectal plate.

3. Please remove the female pubic area frame from the main body, and remove the bladderand the rectum connecting connector.
* Please pay attention to the outﬂow of the water.

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

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

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

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

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

155. Specifications
Product name

LengthWidth

HeightMain Body

Approx. 25 cm

Approx. 39 cm

Approx. 21 cm

Storage Bag

Approx. 29 cm

Approx. 53 cm

Approx. 32 cm

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

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

Tube for irrigator (3pcs/set)

Glycerine enemator (with cap/5pcs)

Product No.
LM-109FB

LM-109V
LM-025J

LM-025H
LM-068616

WeightApprox. 2.2 kg