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

Caution

MW53

Strap-on Male Catheterization / Enema Simulator
MW54

Strap-on Female Catheterization / Enema Simulator
MW55

Strap-on Male/Female Catheterization / Enema Simulator

Instruction
ManualContentsTo keep good condition and for a long time, Lubricate
the urethra and the valve with the included
maintenance catheter before every training session.
For more information about the preparation procedure,
access our web site via following QR code to learn
details.
(Sounds and subtitles is in Japanese.)https://www.kyotokagaku.com/jp/video/mw55.html







Introduction------------------------- P.1
Manufacturer’s note
Does and Don’ts
Before your start --------------------P.2
Preparation--------------------------P.3-7
Urinary catheterization
Enema
Training session---------------------P.8-10
Procedure for catheterization
Procedure for enema
After training------------------------P11-14
After training（Catheterization)
After training（Enema）
After training (Pants)
Replacement of parts---------------P15
Foreskin
Cleaning and reassembly（Only female）---------------------P16-19
Trouble shooting-------------------- P20

Introduction

Manufacturer’s Notes

Manufacturer’s Notes
MW53, MW54, MW55 Strap-on Catheterization / Enema simulators; Male, Female and Pair set respectively,
are trainers for skills in urinary catheterization and enema.
They have been developed for the training of medical and allied health professionals only. Any other use,
or any use not in accordance with the enclosed instructions, is strongly discouraged. The manufacturer
cannot be held responsible for any accident or damage resulting from such use. Please use the productcarefully and refrain from subjecting it to any unnecessary stress or wear. Should you have any questions
about this simulator, please feel free to contact our distributor in your area or KYOTO KAGAKU at any
time. (The contact address is on the back cover of this manual)
FEATURES
 Basic skills of urinary catheterization and enema, can be practiced through hybrid simulation with SP or
hands-on training using a full body manikin.
 Strap-on feature allows trainees to experience the patient’s role in a simulated manner.
 Strap-on Male Catheterization / Enema Simulator allows for retraction of foreskin for disinfection of themeatus.
 Soft female genitalia for realistic simulation training.
 Successful catheterization is confirmed by flowing out of simulated urine water)
 Training with a balloon catheter is possible.
 Real glycerin can be used for enema training.

Dos and Don’ts

Dropping or giving a strong impact may
cause damage.

Do not write on the product with a ballpoint pen
or felt-tip pen.
The ink will be absorbed and will become
irremovable

Do not place printed objects on thesurface of the product.
Do not allow printed objects to come into
direct contact with the surface of the product.
Ink will be absorbed by the material and become
irremovable.

Wipe off any dirt with water or a neutral
detergent.
For cleaning, wipe off any dirt with water or a neutral
detergent, dry it well and apply talcum powder.
Never use organic solvent such as paint thinner.
such as thinner

Keep away from high temperatureand humidity.
Store avoiding high temperature, humidity or direct
sunlight.

The surface may discolor.
The surface of the product may discolor over time,
though it does not affect quality of training.

Drain the water after use.
After use, be sure to drain the water in the tubing.
Remaining water may cause moldgrowth ,discoloration or malfunction of the product.

Keep dry.
After use, dry the product body thoroughly in a wellventilated place before storing it.
Storing in a damp condition can encourage thegrowth of mold.

Handle with care.

1

BeforeYou Start

Set Includes

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

e

a

b

d
c

f

The above picture shows components of MW55 set.

MW53 Strap-on Male Catheterization /Enema Simulator
MW54 Strap-on Female Catheterization /Enema Simulator

MW55 Strap-on Male/Female
Catheterization /Enema Simulator
a.
b.
c.
d.
e.
f.
g.

a.

2 simulator unit
(male and female, 1 each )2 water reservoir bag
2 drainage tube
2 strap(attached to the simulator unit)
2 holder pants
2 lubricant
2 maintenance catheter
1 instruction manual

b.
c.
d.
e.
f.
g.

2

1 simulator unit
(male or female)
1 water reservoir bag
1 drainage tube
1 strap(attached to the simulator unit)
1 holder pants
1 lubricant
1 maintenance catheter
1 instruction manualPreparation

1)

Urinary Catheterization

Set up the Water Reservoir

Common instruction for MW53, MW54 and MW55.

1.Fill the water reservoir bag with water
Hook the water reservoir bag on the IV pole,close the clamp on the tube, and fill the bag with
about 400cc of water.
Keep the height difference between the water
reservoir bag and the simulator unit 60cm.If thereservoir bag is set too high, water may leakfrom the urethral meatus.

2.Connect the water reservoir bag andthe simulator unit
Connection:

Insert the tube plug (white) at the tip of the tube
from the water reservoir bag into the socket(white) on the upper side of the simulator unit,
and turn it clockwise until they click. (Connect
white and white)
To disengage the connection, turn the tube plugcounterclockwise and pull it out.

Attention!

Turn clockwise

Do not push the socket on the simulator unit into inside of the unit.
Once the socket gets stuck inside the unit, connection with the tube will
become difficult.

3.Water supply
Open the clamp on the tube to start supplying
water to the simulator unit.

3

Preparation
2)

Urinary Catheterization

Lubrication

Common instruction for MW53, MW54 and MW55.
Attention!

Lubricate the urethra and the valve using theincluded maintenance catheter.
Be sure to lubricate the parts following this
instruction before every training session to keepusing the simulator in its best condition.

1. Apply lubricant on the maintenancecatheterPour some lubricant on the tray and coat the
5cm of the head of the maintenance catheter.
Be sure to use only the included lubricant.

2. Insert the maintenance catheter
In order to lubricate the urethra and the valve
thoroughly inside the unit, slightly turn thecatheter right and left while inserting it. Insert thecatheter penetrates the valve and until waterflows out through the catheter.

Attention!

As male urethra is longer than female’s, uselarger amount of lubricant.
When the amount of the lubricant is insufficientresistance to the catheter will become stronger.
When it occurs, apply some more lubricant.

For more information about the preparation
procedure check the below video. (InJapanese)https://www.kyotokagaku.com/jp/video/mw55.html3.Cleaning of the maintenance catheter
Wash all the lubricant remaining in both in andoutside the catheter. If some lubricant remains,wash it using neutral detergent.
After washing, remove the excess of water and
let it dry before storage.

4

Preparation

Urinary Catheterization

Wearing the Simulator
Common instruction for MW53, MW54 and MW55.

1.Wear the simulator holder pants
Adjust the waist size with the thread.

2. Wear the simulator
The simulator unit has two straps attached.
Introduce both legs through the strap to wear thephantom.

3.Adjust the simulator's position
There are areas with Velcro tape on the backside of the unit and in the front of the pants.
Make both Velcro areas match to adjust and fix
the simulator position. In case the strap is tootight or too loose, adjust it with the buckle on

Right side

the right side.

5

Preparation

1)

Urinary Catheterization

Set up the Water Reservoir

Common instruction for MW53, MW54 and MW55.

1.Fill the water reservoir bag with water
Hook the water reservoir bag on the IV pole,close the clamp on the tube, and fill the bag with
about 400cc of water.
Keep the height difference between thewater reservoir bag and the simulator unit
60cm.If the reservoir bag is set too high, water
may leak from the urethral meatus.

2.Connect the water reservoir bag andthe simulator unit
Connection:

Insert the tube plug (white) at the tip of the tube
from the water reservoir bag into the socket(white) on the upper side of the simulator unit,
and turn it clockwise until they click. (Connect
white and white)
To disengage the connection, turn the tube plugcounterclockwise and pull it out.

Attention!

Turn clockwise

Do not push the socket on the simulator unit into inside of the unit.
Once the socket gets stuck inside the unit, connection with the tube will
become difficult.

3.Water supply
Open the tube cock to start supplying water to thesimulator unit.

4.Prepare the urinal
Prepare a urine collector for the practice.

6

Preparation

1)

Enema

Set up the Water Reservoir

Common instruction for MW53, MW54 and MW55.

1.Connect the drainage tube bag and thesimulator unit
Connection:
Turn clockwise

Insert the tube plug (black) at the tip of thedrainage tube into the socket (black) on the lower
side of the simulator unit, and turn it clockwise
until they click. (Connect black and black)To disengage the connection, turn the tube plugcounterclockwise and pull it out.

2.Wear the simulator unit
Wear the simulator holder pants and set up
the simulator unit. (See P.3)

3.Introduce the tip of the tube in abucket.
Injected enema fluid comes out through thetube into the bucket.

7

Training
SessionMale Urinary Catheterization

Training Procedures for Male Urinary Catheterization
1.Sterilize the meatus urethra
Retract the foreskin to disinfect the urethral meatus.
In case the foreskin doesn't slide smoothly, apply
some of the included lubricant into the inner part of
the foreskin. For meatus urethra disinfection training,use only water instead of real antiseptic.

2.Lubricate the catheter
On a tray, pour some of the included lubricant on thecatheter to lubricate the first 5cm approx. from the endof the catheter. Be sure to use only the included
lubricant .

Attention!

Use only the included lubricant.
Since jelly type lubricants would be weakened byhaving contact with water, using this kind of
lubricants may give stress to the internal parts(valves) with each catheter insertion and canlead to shorter life of the parts.
Use 16Fr catheters.
Using larger catheters causes
valves.

breakages of the

3．Catheter insertion

Insert the catheter through the meatus urethra
holding the penis at about 90 degrees. During theinsertion, the resistance that simulates the prostateand sphincter muscle will be felt. When thisresistance is felt, lower the penis to at about 60
degrees, to insert the catheter smoothly.
When the tip of the catheter reaches the proper
place, the water (urine) will flow out to be received
with a urinal. The catheter can be inserted
approx.20cm.
A balloon catheter placement also can be practiced.
Advance the catheter 3cm from the place thewater starts flowing out before inflating theballoon. If the balloon is inflated in a place too close
to the valve, there will be risk of valve breakage

4.Remove the catheter
When the catheter is removed, the water flow willstop. Refill the water reservoir bag as much as
needed.

8

Pleasenote

Make sure to lubricate thoroughly theurethra and valve by inserting themaintenance catheter coated withenough lubricant.
In case of using a balloon catheter,
use one with a balloon capacity of
10ml maximum. If the balloon is
inflated more than 10ml the innerparts of the simulator may get broken.

Training
SessionFemale Urinary Catheterization

Training Procedures for Male Urinary Catheterization
1.Sterilize the meatus urethra
For meatus urethra disinfection training, use only
water instead of real antiseptic.

2.Lubricate the catheter
On a tray, pour some of the included lubricant on thecatheter to lubricate the first 5cm approx. from the endof the catheter. Be sure to use only the included
lubricant .

Attention

Use only the included lubricant.
Since jelly type lubricants would lose lubrication
ability by having contact with water, using thiskind of lubricants may give stress to the internal
parts (valves) with each catheter removal andcan lead to shorter life of the parts.
Use 16Fr catheters.
Using larger catheters causes
valves.

breakages of the

3．Catheter insertion

Insert the catheter. When the tip of the catheter
reaches the proper place, the water (urine) will flowout to be received with a urinal. The catheter can beinserted approx.10cm and no further.
A balloon catheter placement also can be practiced.
Advance the catheter 3cm from the place thewater starts flowing out before inflating theballoon. If the balloon is inflated in a place too close
to the valve, there will be risk of valve breakage

Pleasenote

4.Remove the catheter
When the catheter is removed, the water flow willstop. Refill the water reservoir bag as much as
needed.

9Make sure to lubricate thoroughly theurethra and valve by inserting themaintenance catheter coated with enoughlubricant.
In case of using a balloon catheter, use
one with a balloon capacity of 10ml
maximum. If the balloon is inflated morethan 10ml the inner parts of the simulator
may get broken.

Training
Session

Enema

Training Procedures for Enema
Common instruction for MW53, MW54 and MW55.

1.Patient positioning
Perform the training on left lateral position.

2．Lubricate the enema device
On a tray, pour some of the included lubricant on
the nozzle of the enema device to lubricate thefirst 5cm approx. from the tip. Be sure to use only
the included lubricant .

Use only the included lubricant.

Attention!

Since jelly type lubricants would lose lubrication ability by having contact with water, using thiskind of lubricants may give stress to the internal parts (valves) with each time of removal andcan lead to shorter life of the parts.

3.Inject the enema solution
Insert the nozzle 5cm and inject the enema
solution. The nozzle will hit the anterior rectal wallwith approx. 7cm of insertion and cannot be
advanced further.

10After Training

Urinary Catheterization

Drain Water
Common instruction for MW53, MW54 and MW55.

1. Close the clamp on the tube
Close the clamp of thewater reservoir bag's

tube.

2. Unplug the tube from the simulator
Turn the white plug counterclockwise and pull it todetach it from the simulator.

Disconnect: turn counter-clockwise

3. Drain the residual water (simulated
urine)
Place a piece of dry cloth over the meatus, thentilt the simulator unit towards the meatus todischarge the residual water (simulated urine).

11After Training

Urinal Catheterization

Drain Water

4 ． Pull off the simulator unit and theholder pants.
Pull of the simulator unit and then the holding
pants.

5．Drain water from the simulator unit
and dry it
Lubricate 5cm from the tip of the maintenancecatheter. Then insert the it into the meatus todischarge the residue water thoroughly from thesimulator. And then dry the simulator well.

12After Training

Enema

Drain Enema Fluid
Common instruction for MW53, MW54 and MW55.

1.Close the clamp on the drainage tube
Close the clamp on the drainage tube .

2． Pull off the simulator unit and theholder pants.
Pull of the simulator unit and then the holding
pants.

3．Close the clamp on the connection
tube and unplug the drainage tube.
Close the clamp on the short connection tube of
the simulator unit. Then disconnect theplug(black) by turning it counterclockwise.
Disconnect:turn
counter-clockwise

4．Open the clamps and drain fluid
Open both clamps, on the connection tube and thedrainage tube and drain the fluid.

13

EnemaAfter Training

Holder Pants
Drain enema Fluid
5．Wash the tubing with water
Using a syringe (not included), inject some waterfrom the rectum. Repeat the process if necessary.

6．Drain water from the tubing
Using the syringe, inject some air from the rectum
into the tubing to drain the water.
Then dry the simulator unit well.

Wash the Holding Pants
1．Remove the sponge from the holder
pants
spongeA block of sponge is placed in the meshbag attached inside of the holder pants.
Remove the sponge before washing the pants.

2．Washing
Wash the holding pants following the laundrysymbols on the label. Use water no hotter than
40 degrees C, and use mild mode of a laundrymachine（milder than standard mode of ahome use laundry machine）Hang dry avoiding
direct sunlight.

14

Replacementof Parts

Foreskin

Replacement of Foreskin

1. Remove the foreskin
Remove the foreskin.
In case that the lubrication under the foreskin is
insufficient, roll up the foreskin for smooth
removal.

Don’t force when pulling the foreskin as

Cautionit may get deformed or torn.

2．Attach the new foreskin
Apply small amount of included lubricant to theinner surface of the foreskin.
Put the foreskin over the penis and slid it down.

15

Cleaning andReassembly

Strap-on Female
Catheterization/Enema Simulator

Female simulator unit requires cleaning with disassembly after use to remove catheter lubricant.
This process is not necessary for the male simulator unit.

1．Disassembly
Unscrew the four screws under the straps to remove the back panel.

Bladder side

Rectal side

Before disassembly

After removing the panel

Be sure to keep the removed screws.

2．Remove the skin1) Disengage the skinfrom the tube bypulling the skin of the
bladder side.

2) Raise the internal
parts to separate
them from the skin.

3) Remove the skin bypulling the rectal sideof the skin.

4) Lift the internal
parts to separate
them from the skin.

16

Cleaning andReassembly

Strap-on Female
Catheterization/Enema Simulator

3．Cleaning
Wipe off the lubricant from the inside of the simulator unit using a piece of cloth or paper towel with diluted
neutral detergent. Don’t use organic solvent such as paint thinner.

4．Reassemble skin and the internal parts
1) Verify that the projections at the backside of the meatus part are accommodated in the openings of theinternal panel.

Meatus part

2) Put the two projections at the backside of the skin into the openings in the internal panel to anchor theskin in place.

3) Attach the tube of the rectal side (connection tube) to the internal parts.
The cylindrical cover is attached to the connection
tube at the rectal side to prevent the tube from slippingoff. Fit this cylindrical part into the indent in the internal
panel.

17

Cleaning andReassembly

Strap-on Female
Catheterization/Enema Simulator4) Attach the skin over the internal parts.
Be sure to insert the projective portion at the rectal side firmly through the opening of the internal panel.
Bladder side

Rectal side

5．Reassemble the simulator unit
1) Noting the direction, attach the back panel to the simulator unit.
Applying the talcum powder on the surface of the skin helps smooth reassembling.

Rectal side

Bladder side2) Fix the panel with four screws.
Fasten the screws following the order shown below.

1

2

4

3

18

Cleaning andReassembly

Strap-on Female
Catheterization/Enema Simulator

Place the back panel on to the simulator unit and press them firmly before screwing.
Fasten the screws following the order shown in the previous page.

The first screw is to be fastened only lightly at the
beginning.

故障かな？
修理依頼前の確認と思ったら
At times, the skin or the back panel may move out of their original position while working with screws.
When it occurs, fit them by pulling or pushing the parts gently as shown below.

After fixing the forth screw, tighten the first screw. Stop screwing when it stops turning.

*Stop screwing when it stops turning. Do Not Force.

Push the back panel as shown in the picture left tosee if the screws are fully anchored.

Find loose screw heads and screw them in.

19Trouble
Shooting

Trouble Shooting

Quick check-up before calling the customer service
Use the table when you have problems using the system.
Look in this section for a description of the problem to find a possible solution

Urinal Catheterization
ProblemPossible Cause

Water doesn’t flow out when

Clamp on the tube from the water

catheter reached in the bladder.

What to Do

reservoir bag is closed.

Open the clamp.

Water leaks from the meatus
when

the

simulator

unit

is

connected to the water reservoir

Internal part is worn out.

Request repair for your distributor
or Kyoto Kagaku.

bag and the clamp is open.

Enema
ProblemPossible Cause

Enema fluid doesn’t flow out
when injecting enema.
Enema

fluid

leaks

What to Do

Clamp on the drainage tube and/or the connection tube isOpen the clamp(s).

closed.
fromsimulator unit when injected.

theInternal part is worn out.

20

Request repair for your distributor
or Kyoto Kagaku.

Caution

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

Consumables
Part Name
11381-800

Lubricant11434-020

Foreskin (Replacement part for Male)lubricant(for catheterization, enema）

Foreskin(Replacement part for Male))

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 the manufacturer for extra copies of this manual which may contain important updates
and revisions. Please contact the manufacturer for any discrepancies in this manual or productfeedback. Your cooperation is greatly appreciated.

2022.0321