Caution

Do not mark on the model and othercomponents with pen nor leave printed
materials contacted on surface.
Ink marks on the models cannot beremoved.

MW29

Oral Care Simulator AdvancedInstruction
ManualContents● Introduction
Manufacturerʼs Notes● Before You Star
Set Includes

P.１
P.２

● Preparation
Checking the Connections
Setting up the Head Manikin
Changing Dentures
Setting of Patient Conditions

P.3
P.3〜P.4
P.5
P.6〜P.7● Training Session
Oral CareSuction● After Training

P.8〜P.10
P.10
P.11〜P.12

Introduction

Manufacturerʼs Note

MW29 Oral Care Simulator Advanced is designed for training of health care
professionals to acquire skills in taking care of patientsʼ oral hygiene.
Usage for any other purpose or the way of use not described in this manual isstrongly discouraged.
Features-Anatomically correct oral cavity, trachea, esophagus and replaceable dentures,-Two variations of dentures: normal (healthy) and teeth with disease-A variety of patient positioning-Training with real water

DOs and DONʼTs● Handle the manikin and the components
with care.

● Never use organic solvent like paintthinner to clean the skin, as this will
damage the simulator.

Be sure not to drop or add shock to the manikin
and its components, since the product uses
special resins and heavy, such shock may cause
damage to the products or environment.

● Do not let ink from pens, newspapers,
this manual or other sources contact withthe manikin, as they cannot be cleaned oﬀ
the manikin skin.

● The manikin skin may be cleaned witha wet cloth if necessary, using mildly
soapy water or diluted detergent.

● Storage in a dark, cool and dry space will
help prevent the skin colors from fadingand product from deforming● Even if color on its surface might bechanged across the ages, this does not
aﬀect the quality of its performance.

● Use clear water for training.

● Constituent in the simulated residue may
separate.

Do not use real antiseptic or medicine as it may
stain intraoral cavity and absorbed color will
become irremovable.

At times some constituent in the simulated residue,
such as alcohol may be observed, though this does
not aﬀect the quality and performance of theproduct.

１

Before You Start

Set Includes

Set IncludesBefore you start, ensure that you have all components listed below.

aajbcdfghi

ea. Head/neck manikin

１g. Sponge-tipped swabs

２b. Base

１h. Toothbrush１c. Normal denture１

i. Denture brush

１d. Denture with tooth disease１

j. Case for denture１e. Simulated residue

１f. Mirror

１

Instruction manual* Simulated residue is consumable.

２

Preparation

Checking the Connections
Setting up the Head Manikin

１ Checking the Connections
1．Take out the head/neck manikin and the base from thecarrying bag. The head/neck and base is assembled at
the time of delivery. Verify that two mini bottles fortrachea and one mini bottle for the esophagus are ﬁrmlyattached.

２ Setting up the Head Manikin○ Table top training.（ Prepare a table with smooth surface.)[Securing the Head/Neck Manikin]
1. Remove the seals on the suction caps under the base.
2. Select the place where to set the head manikin and put it there. Press down the suction cup at
the head side onto the table top. Then turn the two dials at the neck side clockwise to anchor.

3. To disengage, release the suction cup at the head side by lifting up the plate with ﬁnger,
and then turn the dials counter clockwise to release remaining suction cups.
* Dirt and dust on thesurface of the suctioning
cups weaken their holding power.
Clean their surface before
setting-up.

３

Preparation

Setting-up

２ Preparation[Positioning]○ Table top training
1. To set the manikin at Fowlerʼs position or sitting position, put a pillow or a towel to secure
the head in desired place.

SpineFowlerʼsSitting

2. Rotate the head to left or right to adjust the position.

Caution

To rotate the head, be sure to
hold the head with both hand.
Be careful not to hold the neckarea, so as not to pinch theﬁngers.

○ Training on the bed.
1. Put the manikin on the bad and adjust the bedʼs angle.
Support the manikin securely in place by a pillow or by an assistant when necessary.

４Preparation

Setting up and Removing Dentures

３ Changing Dentures[Setting-up Dentures]
The set includes normal dentures and dentures withtooth disease. Select the parts according to training
scenario.

Dentures (Normal)

Tooth Disease

1. To attach the denture, ﬁt the groove at the back to the teeth to the gum and press the denture.
When setting the upper denture, ﬁrst ﬁx the front teeth and then ﬁt the back teeth.

To attach the lower denture, ﬁrst put the denture in place to surround the tongue, then press down
the front teeth and ﬁnally ﬁt and press the back teeth.

Caution[Removal]

Be careful not to catch the manikinʼs tongue under the denture.
Do not lubricate the surface of the dentures as it makes removalof dentures diﬃcult.

2. To remove the dentures, ﬁrst lift anddisengage the back teeth.

５Preparation

Setting of Patient Conditions

４ Setting of Patient Conditions[Patient with Endotracheal Tube]

Place the endotracheal tube in the manikinʼs airway to simulatea patients receiving ventilation.

1. Be sure to coat the tube with lubricant.

Insuﬃcient lubrication may cause challenges in insertion of the tube.
*Be sure to use authentic Kyoto Kagaku lubricant.
** Recommended size on endotracheal tube: internal diameter 7.0mm

Note

Training of intubation is not intended. The endtracheal tube
can be set by hand without using the laryngoscope or stylet.

2. Remove the dentures. Insert the ﬁnger into the manikinʼsoral cavity and feel to locate the glottis.
3. Insert the endotracheal tube into the airway. Insert
the tip of the tube into the glottis by the ﬁnger.
4. Holding the tube with the ﬁnger, insert the tube
into the airway.

Endotracheal Tube

TangueOral Cavity[Securing the Tube]
The tube can be secured using adhesive medical tapes.
Recommended taps
: 3M TM Multipore Dry Surgical Tape TM.

Caution

Do not leave the manikin with tapes adheredon its skin. The adhesive materials may beabsorbed by skin and make it sticky.

６Glottis

Preparation

Setting the Patient Conditions

４ Setting of the Patient Conditions[Patient receiving tube feeding]
Placing a feeding tube in nasal or oral route to simulate a patient with tube feeding.
1. Lubricate the catheter route and the tube well. Insuﬃcient lubrication may make the insertion challenging.
* Recommended catheter size: 14fr.

plug[Patient with tracheostomy]
Place the cannula to the tracheostomy opening to simulate a patient with tracheostomy ventilation.
1. Remove the plug for the tracheostomy opening. Lubricate the tube and the inside of trachea.
* Since the tracheostomy opening is already made, at times some types or sizes of cannula may not ﬁt well.
Tracheostomy Tube II (internal diameter 8.0mm, external diameter11.0mm) is available as an optional part.

CautionBe sure to use the authentic Kyoto Kagaku
lubricant for training, which is available as anoptional part. Do not use gel type lubricant as
its substance dries and remain in the manikin.

Sometimes, the cap of theTracheostomy Tube II may comeoﬀ due to lubrication and left in
the airway. When it occurs wipe
oﬀ the lubricant and/or water
both from the cap and inside of
the tip of the cannula and thenreplace the cap.

７CapTraining Session

Oral Care

１ Oral Care
[Observation of the Oral Cavity]○ A patient with teeth/ oral problems
1. Set the denture with tooth disease to perform observation of the oral cavity.
Dental and Oral Problems
Tooth Disease

NormalSpaced arch

Missing teeth
Stomatitis

Food Residue*Apply the simulated residue

Isolated toothA tooth without
neighboring teethCoated tongue*Apply the simulated residue

Root fracture

Crowding

Stump of a tooth

Gingival Recession

A stump without
dental crownDental Problem
Non-Dental Problem[Observation of the Oral Cavity]○ Observation of food residue and coated tongue.
2. Apply the simulated residue on the teeth and/or the tongue to perform observation.

Caution

Whenever not in use, ensure to close the cap of the tube of the simulated residue to prevent
drying.

８

Training Session

Oral Care

１ Oral Care
[Cleaning of the Oral Cavity]
1. Set the head manikin to simulate positions of patients with diﬀerent degree of requirements forassistance. Set instruments to simulate patients under medical intervention. Apply the simulated
residue to practice brushing and cleaning.

2. After brushing and cleaning, apply water (wash ﬂuid) to the oral cavity and clean while suctioning excess liquid.

[Care of the Dentures]

1. Practice how to remove and attach dentures aswell as how to clean the dentures using thedenture brush.

Caution９

Do not use tooth paste as it maydamage the parts.

Training Session

Oral CareSuction

１ Oral Care
[Removal of Tongue Coating]
1. Apply the simulated residue on the tongue
to practice cleaning using a sponge brushor a tongue brush.

[Massaging]
1.Practice how to perform salivary glands massage to stimulate secretion.

Parotid GlandSubmaxillary Gland２ Suction[Suctioning]
1. Procedures of nasal, oral and tracheostomy suction can be simulated.

10

Sublingual GlandAfter Training
１ After Training
1. Remove all medical instruments, medical tapeand the dentures (see page.5).
In case that the simulated residue is used,remove it completely and dry the parts well.

2. Remove the two screws which connect the head manikin and the base by turning counter-clockwise.
Then remove the head manikin from the base.

Note

Be careful not to misplace the screws.

3. Remove the mini bottles by turning clock-wise. Then wash and dry the bottles.

11

After Training
１ After Training
4. Remove the plug for tracheostomy opening. Wash inside with running water. Then dry the partswell

5. Replace the mini-bottle and the bottle.

6. Assemble the head manikin and the base and ﬁx them together with two screws. Turn the screw
clockwise to fasten. Then replace the plug to the tracheostomy opening.

7. Store the assembled head in the storage bag.

12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.

Part Name

Consumables

11408-010

simulated residue

11408-020

normal denture

11408-030

denture with tooth disease

Simulated Residue

OptionalParts

Normal Denture

Denture with Tooth Disease

Part Name
11229-050

lubricant for training model

12746-020

tracheostomy tube Ⅱ

Lubricant for Training Model

Tracheostomy Tube II

For inquiries and service, please contact your distributor or KYOTO KAGAKU CO., LTD.
The contents of the instruction manual are subject to change without prior notice.
No part of this instruction manual may be reproduced or transmitted in any form without permission from the manufacturer.
Please contact manufacturer for extra copies of this manual which may contain important updates and revisions.
Please contact manufacturer with any discrepancies in this manual or product feedback. Your cooperation is greatly appreciated.
■ Main Oﬃce and Factories (World Wide)■ Americas

Kyoto Kagaku America Inc.

2018.04