Caution

MW65

Do not mark on the product and its

components with pen nor leave printed
materials contacted on surface.
Ink marks on the models cannot be removed.

Advanced Obstetric and Birthing Simulator

Instruction
ManualContents● Introduction

P.１● Before You Start

P.２

Manufacturerʼs Note
Set Includes / DOs and DONʼTs●Precaution

Handling and Storage● Preparation

Names of Parts
Assemble the Thighs
Prepare the Fetus
Set up the Maternal Body
Lubrication● Training Sessions

Training Skills● After Training

Remove Lubricant
Storage

P.３
P.４～P.12

P.13
P.14～P16

IntroductionManufacturerʼs Note

MW65 Advanced Obstetric and Birthing Simulator is a comprehensive training set
with the plat form of maternal body for training in skills including cervicalexamination, delivery assistance and perineal repair.
■ Features○ Realistic reproduction of the cervix allows for pelvic examination in accordance with theprogress of delivery.
○ The ability to perform various techniques (McRoberts position, Woods screw method, etc. )in fetal malposition, and shoulder dystocia makes it ideal for a variety of workshops andtraining courses.
○ Combination of modules offers a variety of skills training.

○ Ad justable difficulty levels by changing the size of the bony birth canal in 3 steps.

■ Training Skills○ Delivery

・Pelvic examination ・Normal delivery ・Delivery of placenta & umbilical cord
・Handling of shoulder dystocia and fetal malposition
・Vacuum extraction ・Forceps delivery ・Breech delivery○ Treatment of the fetus

・Umbilical cord entanglement ・Umbilical cord clamping and cutting
・Palpation of the anterior/posterior fontanel ・Suctioning procedures through mouth & nose
○ Options (to be released)
・Fetus ultrasound examination (uses US-7a SPACEFAN-ST)
・Postpartum uterine palpation
・Cervical cytology (pap smear)
Read before use

MW65 Obstetric Training Simulator has been developed for the training of medical andparamedical professionals only. Any other use, or any use not in accordance with theenclosed instructions, is strongly discouraged. The manufacturer cannot be held responsible
for any accident or damage resulting from such use. Please use this product carefully andrefrain from subjecting to any unnecessary stress or wear. Should you have any questions on
this simulator, please feel free to contact our distributor in your area or KYOTO KAGAKU atany time. (Our contact address is on the back cover of this manual)※ Be sure to refer and follow the handling and storage instructions on page 3.

1

Before You Start

Set Includes

Set Includes
The components come in two boxes.
Before you start, ensure that all items listed below are ready.
k.
b.

b.

g.

h.

j.

m.

a.
d.
e.

f.

a. Fetus１(with umbilical cord fixation clips)
b. Thighc. Placentad. Umbilical cordfor omphalotomye. Umbilical cord

２１

３１l.

i.

c.

k. Maternal body

１l. Skin cover holder

１※The skin cover is not affixed to the torso. Take carewhen removing the model from storage box.

m. Clamps

f. Velamen sheet

g. Lubricant（500ml）１２※The type of clamps is subject to change without notice.

h. Bottle for lubricant １
i. Talcum powder
j. １Towel

１Instruction manual

DOs and DONʼTs● Handle the manikin and the components● Do not let ink from pens, newspapers, thismanual or other sources contact with themanikin, as they cannot be cleaned off themanikin skin.

with care.

Be sure not to drop or add shock to the productand its components, since the product uses
special resins and heavy, such shock may cause

damage to the product or environment.

● Storage in a dark, cool and dry space
will help prevent the skin colors fromfading and product from deforming.

● Never use organic solvent like paintthinner to clean the skin, as this will
damage the product● The manikin skin may be cleaned witha wet cloth if necessary, using mildly soapy
water or diluted detergent.

● Even if color on its surface might bechanged across the ages, this does notaffect the quality of its performance.

２Precautions

Handling and Storage

Precautions:■ Handling and storage of skin cover, uterine unit, placenta and umbilical cords.
They are made of special soft resin with excellent elasticity, resilience and durability.
Read the following precautions to ensure good handling and storage.

Skin cover

Birth canal unit

Placenta○ Do not hold the placenta by umbilical cord.
Placenta placed on a smooth surface
tends to stick. Lift the edge of theplacenta before moving it.

Umbilical cords for omphalotomy

×○ Avoid contacting with other resin products and printed material.

These parts may deform if stored in contact with other resin products and may getirremovable ink mark by contacting printed material.

○ Maintain proper temperature, humidity and avoid direct sunlight of the storage
room of simulators.

Always pay attention to the temperature indication sticker on the storage box and store thesimulator below 60 ℃.

Change the storage place immediately when color circles on the sticker change as below.
※The color signs are irreversible.
BeforeAfter3F60YearMonth3F60YearMonth606570606570３

Preparation

Names of Parts

Names of parts
Maternal body

Birth canal unit
CoccyxThighsFixing hooks for optional modules

Cover

Birth canal adjust lever（Difficulty in 3 levels）
Skin cover holder

Skin cover heightadjust knob (2 levels)
Fixing base board

Birth canal unit
Pubis
FixtureOs uteri

Fetus
Fetus
Umbilical cordfor omphalotomy

Umbilical cord
Placenta
Velamen sheet

４Preparation

Assembly of Thighs

Assemble the Thighs

Thighs are removed from the body and packaged separately.
Follow the instructions below to assemble.

２. Remove the thigh cover.
Insert one finger and pull the cover out.

１. Thighs are common to both sides.
The pat can be attached to either side.
Maternal bodyThighs
３. Align the bolt on the thigh with the nut
on the torso.

４. Turn the bolt to fix the thigh.
※Pay attention not to overtighten.

５. Attach thigh cover.
Repeat the same process with the other thigh.

※Please note that the covers are of a certain
heading.
narrow〇
５widewide×

narrow

Preparation

Preparation of the Fetus

Prepare the fetus & umbilical cord
1. Preparation of the fetus
Prepare the fetus, placenta, umbilical cord (normal & for omphalotomy) and velamen sheet.

Fetus

Placenta

Umbilical Cord for Omphalotomy

Velamen Sheet

Umbilical Cord

2. Attach umbilical cord to the placenta. Connect the screw side of umbilical cord with theplacenta and turn it clockwise to ﬁx.

3. Insert the umbilical cord
into the hole in the center ofthe velamen sheet.

4. Reverse the tip of umbilical cord for omphalotomy to release thehook, and attach it to umbilical cord.

６Preparation

Preparation of the Fetus

Attach the umbilical cord
５. Loosen the screw in the abdomen of the fetus and take out the clip inside.
※If the clip is difficult to take out, hold the fetus abdomen downwards and the clip will fall out.

umbilical cord fixing screwclip

６. Thread the umbilical cord through fixing screw, then clip the tip.

clip

umbilical cord fixing screw
umbilical cord for omphalotomy

7. Insert the clip back to the abdomen of thefetus and tighten the screw.

8.The fetus is ready.

※When tightening, if the clip hits the fixing screw, it cannot be tightened completely.
※Adjust the clip direction to avoid hitting fixing screw.

７Preparation

Set up the Maternal Body

Skin cover height setting
Set the height of skin cover to match delivery, antenatal palpation, etc.
1.Lift the skin cover and remove the packing cushion.

※Do not dispose the cushion as it will be reused for storage.

2. Insert the skin cover holder into the recesses of torso and pull the two knobs on either side
upwards or downwards to adjust the height (2 levels).

※The holder should be fixed at the point where it "clicks" into place.

➡

②

➡

①

Adjustable

Fixed in position.

Caution:
Do not lift the torso by the skin cover holder.
Fixing parts will be damaged.

×８Preparation

Set up the Maternal Body

Skin cover height setting
Attach the skin cover to the torso. (The skin was not attached to the torso when packed. )３. Switch the birth canal adjust lever to Wide.
（Slide the lever inwards to unlock. ）➡

➡

５．Remove the fixings and lift the uterus unit upwards to remove.
※Do not lose the 2 fixings.

➡

６．Match the Velcro of the skin and torso to fasten.

9➡

➡

４．Push the ➡ pointed parts to unlock thebirth canal unit.

Preparation

Set up the Maternal Body

Skin cover height setting
7. Attach the uterus unit to the torso and recover the skin.

The holder and skin are indicated by 〇 , which should be covered to match.

8. Skin cover height setting is complete.

Delivery（High）

Postpartum uterine palpation（Low）*The palpation part is optional

10Preparation

Set up the Maternal Body

Adjust the difficulty
１．Adjust the birth canal space.
Slide the lever inwards to unlock the coccyx.
The space in the birth canal can be set in 3 (difficulty) levels by changing the angle of the coccyx.
After setting, slid the lever outwards to fix it in place.

➡

➡

Wide➡
Narrow

NormalWideNarrow

Caution:Don`t perform vacuum extraction
procedures in the difficulty of Narrow,
which may cause damage on thepubes and the os uteri.
The Narrow birth canal setting
represents shoulder dystocia, thefetus can`t be extracted without rightprocedures. Avoid pushing or pullingof the fetus as this may cause damage.

When training on a table etc., use theclamps to fasten the body.

11Preparation

Lubrication

Apply lubricant
Apply sufficient lubricant to the fetus and the placenta, the velamen and the inner side of
the uterine unit before training.

1. Place the fetus with placenta on a towel and apply lubricant.
Apply lubricant to the whole fetus and the velamen over the placenta.

2. Apply lubricant to the genitalia of skin cover and the uterus unit.
※To apply to the uterus unit, turn the skin over. (No need to remove the skin covercompletely. )Caution：If lubricant gets into the gap (➡pointed area)
between the birth canal unit and the bodyduring the training sessions, the birth canalunit may slip during delivery, resulting in
failure of the procedures.
When the birth canal unit slips, remove theunit and wipe off the lubricant in the gap.

➡

12

Training
Sessions

Training Skills

Delivery〇 Delivery

・Internal pelvic examination ・Normal delivery ・Clamping, tying and cutting of umbilical cord
・Delivery assistance ・Delivery of placenta and umbilical cord ・Inspection of velamen and placenta
・Handling of shoulder dystocia, abnormal fetal position ・Vacuum extraction・Forceps delivery ・Breech delivery ・Delivery of the placenta ・Perineal and anal protection
Reproduction of realistic fetal rotation in normal delivery. (The skin cover is removed just toillustrate. ）Internal rotation of the head

Restitution

Internal rotation of the shoulders

External rotation of the head

Caution:Inspection of velamen and placenta

Palpation of the anterior fontanel

Set the difficulty for shoulder dystocia

Don`t perform suctioning proceduresin the difficulty of Narrow, which may
cause damage on the pubes and the osuteri.
The difficulty of Narrow is assumed asshoulder dystocia, the delivery can`tbe performed without rightprocedures. Avoid pushing or pullingof the fetus as this may cause damage.
Narrow

Suction delivery

Delivery position
It can be performed in the lithotomy or McRoberts position by changing the angle of the thighs.

McRoberts position

Lithotomy position13

After Training

Remove Lubricant

Remove lubricant○ Remove the skin cover and the uterus unit.

➡

2. Push➡ pointed parts to unlock the birth canal unit.

➡

1. Untie the Velcro of the skin and the holder.

➡

３. Remove the fixings and lift the uterus unit upwards for removal.
※Do not lose the fixings.

４. Remove the skin （Set the birth canal to Narrow to make space between skin cover and the coccyx
for smooth removal. ) Untie the Velcro of the skin and the torso.

○ Disassemble the fetus.
Revert the process of assembling to remove the placenta, umbilical cord. (See P6～P7）

14

After Training

Remove Lubricant

Remove lubricant○ Cleaning up and storage

1. Wipe off lubricant on the skin cover, fetus, umbilical cord, velamen and the birth canal unit with awet wipe.
The parts can be rinsed off with tap water but should be dried thoroughly. Apply talcum powder
after drying.

Fetus

Placenta

Umbilical cord

Birth canal unit

Maternal body（Aroud the coccyx）

Skin cover（front）

15Skin cover（back）

After Training

Storage

Storage
The skin cover, birth canal unit, placenta and umbilical cords are made of special soft resin withexcellent elasticity, resilience and durability.
Caution: Avoid contacting with other resin products and printed material.

The soft material of the parts may deform or, absorb ink on printed material and can`t be cleaned.
1. Store the placenta and the umbilical cords in the non-woven fabric provided.

2. Store the birth canal unit assembled with the torso.
It may deform if stored separately with the torso.

３．Store the skin covered with the torso with the Velcro unfastened.

Ensure that the Velcro part is not bent when storing in the case.

×➡

16〇

Replacement Parts

Caution

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

CodeRepalcement
Parts

Name11458-010 Replacement skin cover 11416-030
11458-030

Fetus

11416-040

11416-020

Placenta

11415-040

Replacement skin coverFetus

10 umbilical cords for omphalotomy

CodeOptional
Parts

NormalCode

5 velamen sheetsName

10 umbilical cords
for omphalotomy

5 velamen sheets

Lubricant (500ml)
without bottle

Placenta

Lubricant (500ml) without bottleName

11458-040

Postpartum Uterine Palpation Module

11458-050

Cervical Cytology Module (Pap smear)

11458-060

Fetus Ultrasound Examination Phantom

Abnormal

Postpartum Uterine
Palpation Module

Cervical Cytology
Module (Pap smear)

Fetus UltrasoundExamination Phantom※ Coming soon.

Contact Us

Kyoto Kagaku Worldwide

For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.

■ Worldwide Inquiries and Orders
Kyoto Kagaku Head Oﬃce and Factories:
TEL：+81-75-605-2510

FAX：+81-75-605-2519

15 Kitanekoya-cho, Fushimi-ku, Kyoto, 612-8388, JAPAN■ USA, Canada, and South America
Kyoto Kagaku America Inc.
TEL：1-310-325-8860

FAX：1-310-325-8867 3109

Lomita Boulevard, Torrance, CA 90505-5108, USA■ Europe, Russia & Africa

Kyoto Kagaku Europe GmbH.
TEL： +49-69-5060-28160De-Saint-Exupery-Str.10, 60549 Frankfurt, Germany■ Greater China Area
Hong Kong Representative Office
TEL：+86-852-3978-1365

FAX：+86-852-3978-1199

Level 23, One Island East, 18 Westlands Road, Island East,Hong Kong2022.10