Customers

Practical and technical skills
that can be taught with PHYSIKO

Set Includes

General Hospital

Medical School

1

Laptop PC

1

Skills Training
Individual assessment
skills training

1

Set of clothes

1

Wired Microphone1

Foot switch for ECG

1

Instruction manual

A great companion to learn and teachphysical assessment skills
required in various professions

１

Mode 1
Scenario Training Modewith 12 pre-installed patients２

Depending on each examination procedure, you can

We have carefully selected 12 diﬀerent patient scenarios

repeatedly train indispensable evaluation methods andoften met in the medical ﬁeld and incorporated theirpoints while considering the case.

individual representative complaints. Additionally, thismode covers important learning points that allow you tolearn to properly judge the probability of major diseases

Physiko Plus

1

Terminal box
Sphygmomanometer unit

■ PHYSIKO's 4 Modes

M55C Physical Assessment Simulator

1

Adult Whole Body Model

Size

Approx.155 cm

WeightApprox.24kg

Power Consumption

70W

Materials

Soft resin, Hard resin Latex FreePower Consumption

AC100-240V 50/60Hz

Optional Parts

Nursing School
Userʼs Experience

11354-299-01

Plastic Wig

MW1

Pitting Edema Simulator

MW50

Strap-on Venipuncture Trainer

MW55

Catheterization Simulator
Strap-on (pair)that should not be overlooked.

Physiko is an ideal simulator for physical assessment, and also very easy to set up incomparison with other high ﬁdelity simulators.

Related Products

Physiko is very useful educational product for new medical staﬀ such as nurses
and care workers in hospitals.

Mode 2
Patient Case Editor

３

Physiko +Learning to Listen

４

Users can create new simulated patients by selecting from a

9 Modules challenging students to compare often-mixed-up

large variety of built-in options. Not only can these new

cardiac cases to facilitate an even deeper understanding ofsimulated patients be created from over 44 diﬀerent medicalcase speciﬁc characteristics.

conditions, but also from diﬀerent genders, ethnicities andage groups.

Product Supervision

Toyoaki Yamauchi, MD, ND, PhD Professor
Department of Nursing Graduate School of Medicine Nagoya University

We are educating the basics of physical assessment with Physiko from early stages
in medical education. (Physiko is used in almost all schools of medicine in Japan.)
By repeatedly listening to heart sounds that are easy to be mistaken, it becomes
possible for the students to distinguish them.
There are competitions held between nursing schools in China. At these events
Physiko is being used since the lung sounds and heart sounds in Physiko arefrom real patients and are very educational.

Physiko Plus is an excellent option for fundamental skills training of medical students:
The realistic auscultation training of lung and heart sounds, the palpation of pulse, theECG feature as well as the blood pressure feature but also the overall possibilities ofphysical assessment simulations make up a great trainer for undergraduate students.

MW25

MW26

Patient Care Simulator "Yaye" Basic Patient Simulator "Keiko"

MW10

Cardiology Patient Simulator "K"

MW28

Lung Sound Auscultation
Trainer "LSAT" ver.2

Distributor:

Address: De-Saint-Exupery-Str.10, 60549 Frankfurt, GERMANY
WEB: www.kyotokagaku.com
MAIL: rw-kyoto@kyotokagaku.co.jp
TEL: +49-69-5060-28160
Head Office & Factory:
15 Kitanekoya-cho, Fushimi-ku, Kyoto 612-8388, JAPAN2400

Sold overunits worldwide&
used inOSCEPhysical Assessment using PHYSIKOSkills Training■ Assessment items that can be learned with Physiko
Auscultation of Heart Sounds
Auscultation is possible in each valve area:

It is possible to learn how to correctly

A (aortic valve area), P (pulmonary valve area),read & interpret the electrocardiogram.

What's going on?

With the microphone which comes with the set,
Physiko can be used for interview andT (tricuspid valve area), and M (mitral valve area).

instructor

Stomach achepersonates the patient responses using a

Suﬀocating

communication

With Physiko, you will deepen your understandingof the auscultation position and the overall case.

training.

The

microphone (included) and these are played

6 cases of normal, 7 cases of arrhythmia, and 4● Physiko Plus is equipped for the most common

Itemdetermine the correct auscultation position.

● Great for self studying

Ca s eHeart sound auscultation /Palpation of Pulse
performed

Pre-installed Scenarios

wave by clicking ECG display● Clavicle and ribs are palpapble in order tobedesigned by freepik

the correct position of electrodes● In ECG patient screen, you can choose the ECG● Students can use their own stethoscope.

canComprehensive
judgement● Clavicle & ribs can be palpated → useful to learn

Sounds from real patientsdiagnosis

What are decisive pointsof assessment?

Unconcious

ECG recording method - 12-lead ECG

Pulse

What are the patientʼs main
complaints and what should
be doubted?

Chest Pain

through Physiko's animated mouth.

cases of heart diseases can be simulated.

Mode 2

You can perform scenario trainings assuming a clinical site as if students were seeing an actual patient.

Interview / Communication

ECG Simulation

Mode 1■ Scenario Training

Pulse diagnosisin

S2 Split (−) HR60

Aortic stenosis

Atrial ﬁbrillation

S2 Split (＋)
S3 gallop
S4 gallop
S3 and S4 gallop
Innocent murmur

Mitral regurgitation

Arterial ﬂutter

Mitual stenosis

Premature ventricular contraction(single)

Aortic regurgitation

Ventricular ﬂutter

Sinus tachycardia

Ventricular ﬁbrillation

Sinus bradycardia● PossibletoattachcommerciallyavailableItemelectrocardiograph● Placement of electrodes can be checked andcontrolled by the instructor by using a pedal

ECG Simulation

switch. Electrocardiograph wave patterns will be

NormalVentricular ﬂutter

Atrial ﬁbrillation

Ventricular ﬁbrillation

Atrial ﬂutter

Myocardial infarction (acute stage)

Premature ventricular contraction

Myocardial infarction (subacute stage)

Ventricular tachycardia

Myocardial infarction (chronic stage)shown on the screen subsequently.

17 cases

synchronization with heart sounds. The pulse canbe palpated at the left and right carotid arteries aswell as the radial arteries.

Illness

Case

Chest Pain

Abdominal Pain

10 casesUnconcoiusStuﬀy FeelingPupillary Reﬂex

Auscultation of Lung Sounds
Auscultation is possible in each of the lung ﬁeld

By shining with a penlight, you can inspect theareas (bronchi, upper and lower lung ﬁelds) in 5

size of the pupil, measure it, and see the lightplaces anterior and 4 places posterior. With

reﬂex. Simulation of normal, mydriasis, miosis, etc.

Physiko, you will deepen your understanding ofis possible.

Auscultation of Lung Sounds(Anterior / Posterior)Communication

Pupillary Light Reﬂex● Direct light reﬂex and indirect light reﬂex can be checked.
of the room.

● Clavicle & ribs can be palpated → useful tolearn the correct auscultation position

Item

Case
NormalCoarse crackles

BreathWeak in the left lung

Fine Crackles

SoundsAbsent in the right lungWheezes

Bronchial breathing

Rhonchi

8 cases

Item

C a seNormalPupillary

Pupillary dilation

Light Reﬂex

Pupillary constriction
Bilateral asymmetry

Pupillary Reﬂex

4 casesIntercostal Muscle Ache26, Female

Ileus

19, Male

Diarrhea

36, Female

Brain Hypertension

84, Female

Pneumonia

66, Male

Chronic Obstructive Lung Disease(COPD)

70, MalePulmonic Failure

73, MaleHeart Failure

21, Female

AnemiaCase: Myocardial Infarction● Futhermore: tachycardia● Normal heart sounds● Eyes are normal● Normal abdominal sounds ● Note: Low pulse pressure● Normal blood pressure● Breathing is slightly increased ● ECG shows ischemic changes
When you hear "chest pain," myocardial infarction, dissecting aortic aneurysm, andpulmonary infarction must come to my mind. In myocardial infarction, seizures are likely to
be induced when suddenly active or when exposed to cold stimuli. It is important to search
for risk factors such as age, history of hypertension, and environment. By the way, it should
be remembered that about 30 to 50% of people do not complain of chest pain even if they
have myocardial infarction.

MODE1

MODE2

12 patient scenario training modes

Patient Case Editor● Typical complaints and symptoms of patients encountered in● Diﬀerent pathologies can be combined to createownpatient scenarios● Newly created patient scenarios can be saved & accessedanytime.

comparing it with the normal case.

ECG Simulation

S4・S5) can be simulated and changes in Korotkoﬀ

obstruction can be auscultated.

Lung Infarction

28, Male● There is always one normal case included in the list of cases, so

Pre-installed cases as well as arbitrary settings (S1・Intestinal peristaltic sounds as well as ileus &Dissecting Aortic Aneurysm

76, Female

A case of a 58 years old, male patientthat students can understand each pathology more clearly by

Blood Pressure

Auscultation of Bowel Sounds

Myocardial Infarction

55, Malecan study in a comprehensive and well-balanced manner.

● Students can use their own stethoscope● Anterior & posterior auscultation possible

58, Male

For E xa m p le :58 year old male. Early on a cold winter Monday morning, on his way to work,
he suddenly put his hand on his chest and fell painfully.

the medical ﬁeld are divided into four categories so that students● You can adjust the settings to the surrounding brightness

Sounds from real patients

Case

Auscultation of Heart Sounds

the auscultation position and the overall case. The
major lung sound classiﬁcations can be heard.

Age & Gender

Auscultation of Bowel Sounds

sounds can be checked in sync with the heartbeat.

Physiko +■ Learing to listen mode
9 Modules challenging students to compare
often-mixed-up cardiac cases to facilitate an even deeper
understanding of case speciﬁc characteristics.

Blood PressureSounds from real patients● Students can use their own stethoscope.

● Designed for medical students to deepen their knowledge of● An error message will appear if the cuﬀ is not attachedcardiac abnormalities by teaching them to anticipate, describe

correctly.
● If the decompression speed is too fast, or if the

Palpation of Pulse

message will appear.
● The blood pressure can be freely set from zero to a

Item

Case
NormalAbdominal
Pathologies

Increased
Decreased
Obstruction
Ileus

5 cases● Cases where S5 isn't present can be recreatedHeart Rhythms

and identify the ﬁndings in each module.

pressurization is too strong, an alarm will sound / an error

maximum of 200

9 Modules

Item
Blood Pressure
Measurement

C a seArbitrary setting● Students' performance and test results are recorded and can be

Heart Sound

tracked to show development over time.
● Instructors can track and see results of all students - students
can observe their own records.

Collaboration with: University of Illinois at Chicago

Heart Murmurs

Module 1

Sinus Tachycardia vs. Atrial Fibrillation

Module 2

PVC vs. Artial Fibrillation

Module 3

Physiologic Split S2 vs. S3 Gallop

Module 4

Physiologic Split S2 vs. S4 Gallop

Module 5

S3 Gallop vs. S4 Gallop

Module 6

Mitral regurgitation vs. Flow Murmur

Module 7

Aortic Stenosis vs. Flow Murmur

Module 8

Aortic Stenosis vs. Mitral Regurgitation

Module 9

Aortic Regurgitation vs. Mitral Stenosis

Physical Assessment using PHYSIKOSkills Training■ Assessment items that can be learned with Physiko
Auscultation of Heart Sounds
Auscultation is possible in each valve area:

It is possible to learn how to correctly

A (aortic valve area), P (pulmonary valve area),read & interpret the electrocardiogram.

What's going on?

With the microphone which comes with the set,
Physiko can be used for interview andT (tricuspid valve area), and M (mitral valve area).

instructor

Stomach achepersonates the patient responses using a

Suﬀocating

communication

With Physiko, you will deepen your understandingof the auscultation position and the overall case.

training.

The

microphone (included) and these are played

6 cases of normal, 7 cases of arrhythmia, and 4● Physiko Plus is equipped for the most common

Itemdetermine the correct auscultation position.

● Great for self studying

Ca s eHeart sound auscultation /Palpation of Pulse
performed

Pre-installed Scenarios

wave by clicking ECG display● Clavicle and ribs are palpapble in order tobedesigned by freepik

the correct position of electrodes● In ECG patient screen, you can choose the ECG● Students can use their own stethoscope.

canComprehensive
judgement● Clavicle & ribs can be palpated → useful to learn

Sounds from real patientsdiagnosis

What are decisive pointsof assessment?

Unconcious

ECG recording method - 12-lead ECG

Pulse

What are the patientʼs main
complaints and what should
be doubted?

Chest Pain

through Physiko's animated mouth.

cases of heart diseases can be simulated.

Mode 2

You can perform scenario trainings assuming a clinical site as if students were seeing an actual patient.

Interview / Communication

ECG Simulation

Mode 1■ Scenario Training

Pulse diagnosisin

S2 Split (−) HR60

Aortic stenosis

Atrial ﬁbrillation

S2 Split (＋)
S3 gallop
S4 gallop
S3 and S4 gallop
Innocent murmur

Mitral regurgitation

Arterial ﬂutter

Mitual stenosis

Premature ventricular contraction(single)

Aortic regurgitation

Ventricular ﬂutter

Sinus tachycardia

Ventricular ﬁbrillation

Sinus bradycardia● PossibletoattachcommerciallyavailableItemelectrocardiograph● Placement of electrodes can be checked andcontrolled by the instructor by using a pedal

ECG Simulation

switch. Electrocardiograph wave patterns will be

NormalVentricular ﬂutter

Atrial ﬁbrillation

Ventricular ﬁbrillation

Atrial ﬂutter

Myocardial infarction (acute stage)

Premature ventricular contraction

Myocardial infarction (subacute stage)

Ventricular tachycardia

Myocardial infarction (chronic stage)shown on the screen subsequently.

17 cases

synchronization with heart sounds. The pulse canbe palpated at the left and right carotid arteries aswell as the radial arteries.

Illness

Case

Chest Pain

Abdominal Pain

10 casesUnconcoiusStuﬀy FeelingPupillary Reﬂex

Auscultation of Lung Sounds
Auscultation is possible in each of the lung ﬁeld

By shining with a penlight, you can inspect theareas (bronchi, upper and lower lung ﬁelds) in 5

size of the pupil, measure it, and see the lightplaces anterior and 4 places posterior. With

reﬂex. Simulation of normal, mydriasis, miosis, etc.

Physiko, you will deepen your understanding ofis possible.

Auscultation of Lung Sounds(Anterior / Posterior)Communication

Pupillary Light Reﬂex● Direct light reﬂex and indirect light reﬂex can be checked.
of the room.

● Clavicle & ribs can be palpated → useful tolearn the correct auscultation position

Item

Case
NormalCoarse crackles

BreathWeak in the left lung

Fine Crackles

SoundsAbsent in the right lungWheezes

Bronchial breathing

Rhonchi

8 cases

Item

C a seNormalPupillary

Pupillary dilation

Light Reﬂex

Pupillary constriction
Bilateral asymmetry

Pupillary Reﬂex

4 casesIntercostal Muscle Ache26, Female

Ileus

19, Male

Diarrhea

36, Female

Brain Hypertension

84, Female

Pneumonia

66, Male

Chronic Obstructive Lung Disease(COPD)

70, MalePulmonic Failure

73, MaleHeart Failure

21, Female

AnemiaCase: Myocardial Infarction● Futhermore: tachycardia● Normal heart sounds● Eyes are normal● Normal abdominal sounds ● Note: Low pulse pressure● Normal blood pressure● Breathing is slightly increased ● ECG shows ischemic changes
When you hear "chest pain," myocardial infarction, dissecting aortic aneurysm, andpulmonary infarction must come to my mind. In myocardial infarction, seizures are likely to
be induced when suddenly active or when exposed to cold stimuli. It is important to search
for risk factors such as age, history of hypertension, and environment. By the way, it should
be remembered that about 30 to 50% of people do not complain of chest pain even if they
have myocardial infarction.

MODE1

MODE2

12 patient scenario training modes

Patient Case Editor● Typical complaints and symptoms of patients encountered in● Diﬀerent pathologies can be combined to createownpatient scenarios● Newly created patient scenarios can be saved & accessedanytime.

comparing it with the normal case.

ECG Simulation

S4・S5) can be simulated and changes in Korotkoﬀ

obstruction can be auscultated.

Lung Infarction

28, Male● There is always one normal case included in the list of cases, so

Pre-installed cases as well as arbitrary settings (S1・Intestinal peristaltic sounds as well as ileus &Dissecting Aortic Aneurysm

76, Female

A case of a 58 years old, male patientthat students can understand each pathology more clearly by

Blood Pressure

Auscultation of Bowel Sounds

Myocardial Infarction

55, Malecan study in a comprehensive and well-balanced manner.

● Students can use their own stethoscope● Anterior & posterior auscultation possible

58, Male

For E xa m p le :58 year old male. Early on a cold winter Monday morning, on his way to work,
he suddenly put his hand on his chest and fell painfully.

the medical ﬁeld are divided into four categories so that students● You can adjust the settings to the surrounding brightness

Sounds from real patients

Case

Auscultation of Heart Sounds

the auscultation position and the overall case. The
major lung sound classiﬁcations can be heard.

Age & Gender

Auscultation of Bowel Sounds

sounds can be checked in sync with the heartbeat.

Physiko +■ Learing to listen mode
9 Modules challenging students to compare
often-mixed-up cardiac cases to facilitate an even deeper
understanding of case speciﬁc characteristics.

Blood PressureSounds from real patients● Students can use their own stethoscope.

● Designed for medical students to deepen their knowledge of● An error message will appear if the cuﬀ is not attachedcardiac abnormalities by teaching them to anticipate, describe

correctly.
● If the decompression speed is too fast, or if the

Palpation of Pulse

message will appear.
● The blood pressure can be freely set from zero to a

Item

Case
NormalAbdominal
Pathologies

Increased
Decreased
Obstruction
Ileus

5 cases● Cases where S5 isn't present can be recreatedHeart Rhythms

and identify the ﬁndings in each module.

pressurization is too strong, an alarm will sound / an error

maximum of 200

9 Modules

Item
Blood Pressure
Measurement

C a seArbitrary setting● Students' performance and test results are recorded and can be

Heart Sound

tracked to show development over time.
● Instructors can track and see results of all students - students
can observe their own records.

Collaboration with: University of Illinois at Chicago

Heart Murmurs

Module 1

Sinus Tachycardia vs. Atrial Fibrillation

Module 2

PVC vs. Artial Fibrillation

Module 3

Physiologic Split S2 vs. S3 Gallop

Module 4

Physiologic Split S2 vs. S4 Gallop

Module 5

S3 Gallop vs. S4 Gallop

Module 6

Mitral regurgitation vs. Flow Murmur

Module 7

Aortic Stenosis vs. Flow Murmur

Module 8

Aortic Stenosis vs. Mitral Regurgitation

Module 9

Aortic Regurgitation vs. Mitral Stenosis

Physical Assessment using PHYSIKOSkills Training■ Assessment items that can be learned with Physiko
Auscultation of Heart Sounds
Auscultation is possible in each valve area:

It is possible to learn how to correctly

A (aortic valve area), P (pulmonary valve area),read & interpret the electrocardiogram.

What's going on?

With the microphone which comes with the set,
Physiko can be used for interview andT (tricuspid valve area), and M (mitral valve area).

instructor

Stomach achepersonates the patient responses using a

Suﬀocating

communication

With Physiko, you will deepen your understandingof the auscultation position and the overall case.

training.

The

microphone (included) and these are played

6 cases of normal, 7 cases of arrhythmia, and 4● Physiko Plus is equipped for the most common

Itemdetermine the correct auscultation position.

● Great for self studying

Ca s eHeart sound auscultation /Palpation of Pulse
performed

Pre-installed Scenarios

wave by clicking ECG display● Clavicle and ribs are palpapble in order tobedesigned by freepik

the correct position of electrodes● In ECG patient screen, you can choose the ECG● Students can use their own stethoscope.

canComprehensive
judgement● Clavicle & ribs can be palpated → useful to learn

Sounds from real patientsdiagnosis

What are decisive pointsof assessment?

Unconcious

ECG recording method - 12-lead ECG

Pulse

What are the patientʼs main
complaints and what should
be doubted?

Chest Pain

through Physiko's animated mouth.

cases of heart diseases can be simulated.

Mode 2

You can perform scenario trainings assuming a clinical site as if students were seeing an actual patient.

Interview / Communication

ECG Simulation

Mode 1■ Scenario Training

Pulse diagnosisin

S2 Split (−) HR60

Aortic stenosis

Atrial ﬁbrillation

S2 Split (＋)
S3 gallop
S4 gallop
S3 and S4 gallop
Innocent murmur

Mitral regurgitation

Arterial ﬂutter

Mitual stenosis

Premature ventricular contraction(single)

Aortic regurgitation

Ventricular ﬂutter

Sinus tachycardia

Ventricular ﬁbrillation

Sinus bradycardia● PossibletoattachcommerciallyavailableItemelectrocardiograph● Placement of electrodes can be checked andcontrolled by the instructor by using a pedal

ECG Simulation

switch. Electrocardiograph wave patterns will be

NormalVentricular ﬂutter

Atrial ﬁbrillation

Ventricular ﬁbrillation

Atrial ﬂutter

Myocardial infarction (acute stage)

Premature ventricular contraction

Myocardial infarction (subacute stage)

Ventricular tachycardia

Myocardial infarction (chronic stage)shown on the screen subsequently.

17 cases

synchronization with heart sounds. The pulse canbe palpated at the left and right carotid arteries aswell as the radial arteries.

Illness

Case

Chest Pain

Abdominal Pain

10 casesUnconcoiusStuﬀy FeelingPupillary Reﬂex

Auscultation of Lung Sounds
Auscultation is possible in each of the lung ﬁeld

By shining with a penlight, you can inspect theareas (bronchi, upper and lower lung ﬁelds) in 5

size of the pupil, measure it, and see the lightplaces anterior and 4 places posterior. With

reﬂex. Simulation of normal, mydriasis, miosis, etc.

Physiko, you will deepen your understanding ofis possible.

Auscultation of Lung Sounds(Anterior / Posterior)Communication

Pupillary Light Reﬂex● Direct light reﬂex and indirect light reﬂex can be checked.
of the room.

● Clavicle & ribs can be palpated → useful tolearn the correct auscultation position

Item

Case
NormalCoarse crackles

BreathWeak in the left lung

Fine Crackles

SoundsAbsent in the right lungWheezes

Bronchial breathing

Rhonchi

8 cases

Item

C a seNormalPupillary

Pupillary dilation

Light Reﬂex

Pupillary constriction
Bilateral asymmetry

Pupillary Reﬂex

4 casesIntercostal Muscle Ache26, Female

Ileus

19, Male

Diarrhea

36, Female

Brain Hypertension

84, Female

Pneumonia

66, Male

Chronic Obstructive Lung Disease(COPD)

70, MalePulmonic Failure

73, MaleHeart Failure

21, Female

AnemiaCase: Myocardial Infarction● Futhermore: tachycardia● Normal heart sounds● Eyes are normal● Normal abdominal sounds ● Note: Low pulse pressure● Normal blood pressure● Breathing is slightly increased ● ECG shows ischemic changes
When you hear "chest pain," myocardial infarction, dissecting aortic aneurysm, andpulmonary infarction must come to my mind. In myocardial infarction, seizures are likely to
be induced when suddenly active or when exposed to cold stimuli. It is important to search
for risk factors such as age, history of hypertension, and environment. By the way, it should
be remembered that about 30 to 50% of people do not complain of chest pain even if they
have myocardial infarction.

MODE1

MODE2

12 patient scenario training modes

Patient Case Editor● Typical complaints and symptoms of patients encountered in● Diﬀerent pathologies can be combined to createownpatient scenarios● Newly created patient scenarios can be saved & accessedanytime.

comparing it with the normal case.

ECG Simulation

S4・S5) can be simulated and changes in Korotkoﬀ

obstruction can be auscultated.

Lung Infarction

28, Male● There is always one normal case included in the list of cases, so

Pre-installed cases as well as arbitrary settings (S1・Intestinal peristaltic sounds as well as ileus &Dissecting Aortic Aneurysm

76, Female

A case of a 58 years old, male patientthat students can understand each pathology more clearly by

Blood Pressure

Auscultation of Bowel Sounds

Myocardial Infarction

55, Malecan study in a comprehensive and well-balanced manner.

● Students can use their own stethoscope● Anterior & posterior auscultation possible

58, Male

For E xa m p le :58 year old male. Early on a cold winter Monday morning, on his way to work,
he suddenly put his hand on his chest and fell painfully.

the medical ﬁeld are divided into four categories so that students● You can adjust the settings to the surrounding brightness

Sounds from real patients

Case

Auscultation of Heart Sounds

the auscultation position and the overall case. The
major lung sound classiﬁcations can be heard.

Age & Gender

Auscultation of Bowel Sounds

sounds can be checked in sync with the heartbeat.

Physiko +■ Learing to listen mode
9 Modules challenging students to compare
often-mixed-up cardiac cases to facilitate an even deeper
understanding of case speciﬁc characteristics.

Blood PressureSounds from real patients● Students can use their own stethoscope.

● Designed for medical students to deepen their knowledge of● An error message will appear if the cuﬀ is not attachedcardiac abnormalities by teaching them to anticipate, describe

correctly.
● If the decompression speed is too fast, or if the

Palpation of Pulse

message will appear.
● The blood pressure can be freely set from zero to a

Item

Case
NormalAbdominal
Pathologies

Increased
Decreased
Obstruction
Ileus

5 cases● Cases where S5 isn't present can be recreatedHeart Rhythms

and identify the ﬁndings in each module.

pressurization is too strong, an alarm will sound / an error

maximum of 200

9 Modules

Item
Blood Pressure
Measurement

C a seArbitrary setting● Students' performance and test results are recorded and can be

Heart Sound

tracked to show development over time.
● Instructors can track and see results of all students - students
can observe their own records.

Collaboration with: University of Illinois at Chicago

Heart Murmurs

Module 1

Sinus Tachycardia vs. Atrial Fibrillation

Module 2

PVC vs. Artial Fibrillation

Module 3

Physiologic Split S2 vs. S3 Gallop

Module 4

Physiologic Split S2 vs. S4 Gallop

Module 5

S3 Gallop vs. S4 Gallop

Module 6

Mitral regurgitation vs. Flow Murmur

Module 7

Aortic Stenosis vs. Flow Murmur

Module 8

Aortic Stenosis vs. Mitral Regurgitation

Module 9

Aortic Regurgitation vs. Mitral Stenosis

Physical Assessment using PHYSIKOSkills Training■ Assessment items that can be learned with Physiko
Auscultation of Heart Sounds
Auscultation is possible in each valve area:

It is possible to learn how to correctly

A (aortic valve area), P (pulmonary valve area),read & interpret the electrocardiogram.

What's going on?

With the microphone which comes with the set,
Physiko can be used for interview andT (tricuspid valve area), and M (mitral valve area).

instructor

Stomach achepersonates the patient responses using a

Suﬀocating

communication

With Physiko, you will deepen your understandingof the auscultation position and the overall case.

training.

The

microphone (included) and these are played

6 cases of normal, 7 cases of arrhythmia, and 4● Physiko Plus is equipped for the most common

Itemdetermine the correct auscultation position.

● Great for self studying

Ca s eHeart sound auscultation /Palpation of Pulse
performed

Pre-installed Scenarios

wave by clicking ECG display● Clavicle and ribs are palpapble in order tobedesigned by freepik

the correct position of electrodes● In ECG patient screen, you can choose the ECG● Students can use their own stethoscope.

canComprehensive
judgement● Clavicle & ribs can be palpated → useful to learn

Sounds from real patientsdiagnosis

What are decisive pointsof assessment?

Unconcious

ECG recording method - 12-lead ECG

Pulse

What are the patientʼs main
complaints and what should
be doubted?

Chest Pain

through Physiko's animated mouth.

cases of heart diseases can be simulated.

Mode 2

You can perform scenario trainings assuming a clinical site as if students were seeing an actual patient.

Interview / Communication

ECG Simulation

Mode 1■ Scenario Training

Pulse diagnosisin

S2 Split (−) HR60

Aortic stenosis

Atrial ﬁbrillation

S2 Split (＋)
S3 gallop
S4 gallop
S3 and S4 gallop
Innocent murmur

Mitral regurgitation

Arterial ﬂutter

Mitual stenosis

Premature ventricular contraction(single)

Aortic regurgitation

Ventricular ﬂutter

Sinus tachycardia

Ventricular ﬁbrillation

Sinus bradycardia● PossibletoattachcommerciallyavailableItemelectrocardiograph● Placement of electrodes can be checked andcontrolled by the instructor by using a pedal

ECG Simulation

switch. Electrocardiograph wave patterns will be

NormalVentricular ﬂutter

Atrial ﬁbrillation

Ventricular ﬁbrillation

Atrial ﬂutter

Myocardial infarction (acute stage)

Premature ventricular contraction

Myocardial infarction (subacute stage)

Ventricular tachycardia

Myocardial infarction (chronic stage)shown on the screen subsequently.

17 cases

synchronization with heart sounds. The pulse canbe palpated at the left and right carotid arteries aswell as the radial arteries.

Illness

Case

Chest Pain

Abdominal Pain

10 casesUnconcoiusStuﬀy FeelingPupillary Reﬂex

Auscultation of Lung Sounds
Auscultation is possible in each of the lung ﬁeld

By shining with a penlight, you can inspect theareas (bronchi, upper and lower lung ﬁelds) in 5

size of the pupil, measure it, and see the lightplaces anterior and 4 places posterior. With

reﬂex. Simulation of normal, mydriasis, miosis, etc.

Physiko, you will deepen your understanding ofis possible.

Auscultation of Lung Sounds(Anterior / Posterior)Communication

Pupillary Light Reﬂex● Direct light reﬂex and indirect light reﬂex can be checked.
of the room.

● Clavicle & ribs can be palpated → useful tolearn the correct auscultation position

Item

Case
NormalCoarse crackles

BreathWeak in the left lung

Fine Crackles

SoundsAbsent in the right lungWheezes

Bronchial breathing

Rhonchi

8 cases

Item

C a seNormalPupillary

Pupillary dilation

Light Reﬂex

Pupillary constriction
Bilateral asymmetry

Pupillary Reﬂex

4 casesIntercostal Muscle Ache26, Female

Ileus

19, Male

Diarrhea

36, Female

Brain Hypertension

84, Female

Pneumonia

66, Male

Chronic Obstructive Lung Disease(COPD)

70, MalePulmonic Failure

73, MaleHeart Failure

21, Female

AnemiaCase: Myocardial Infarction● Futhermore: tachycardia● Normal heart sounds● Eyes are normal● Normal abdominal sounds ● Note: Low pulse pressure● Normal blood pressure● Breathing is slightly increased ● ECG shows ischemic changes
When you hear "chest pain," myocardial infarction, dissecting aortic aneurysm, andpulmonary infarction must come to my mind. In myocardial infarction, seizures are likely to
be induced when suddenly active or when exposed to cold stimuli. It is important to search
for risk factors such as age, history of hypertension, and environment. By the way, it should
be remembered that about 30 to 50% of people do not complain of chest pain even if they
have myocardial infarction.

MODE1

MODE2

12 patient scenario training modes

Patient Case Editor● Typical complaints and symptoms of patients encountered in● Diﬀerent pathologies can be combined to createownpatient scenarios● Newly created patient scenarios can be saved & accessedanytime.

comparing it with the normal case.

ECG Simulation

S4・S5) can be simulated and changes in Korotkoﬀ

obstruction can be auscultated.

Lung Infarction

28, Male● There is always one normal case included in the list of cases, so

Pre-installed cases as well as arbitrary settings (S1・Intestinal peristaltic sounds as well as ileus &Dissecting Aortic Aneurysm

76, Female

A case of a 58 years old, male patientthat students can understand each pathology more clearly by

Blood Pressure

Auscultation of Bowel Sounds

Myocardial Infarction

55, Malecan study in a comprehensive and well-balanced manner.

● Students can use their own stethoscope● Anterior & posterior auscultation possible

58, Male

For E xa m p le :58 year old male. Early on a cold winter Monday morning, on his way to work,
he suddenly put his hand on his chest and fell painfully.

the medical ﬁeld are divided into four categories so that students● You can adjust the settings to the surrounding brightness

Sounds from real patients

Case

Auscultation of Heart Sounds

the auscultation position and the overall case. The
major lung sound classiﬁcations can be heard.

Age & Gender

Auscultation of Bowel Sounds

sounds can be checked in sync with the heartbeat.

Physiko +■ Learing to listen mode
9 Modules challenging students to compare
often-mixed-up cardiac cases to facilitate an even deeper
understanding of case speciﬁc characteristics.

Blood PressureSounds from real patients● Students can use their own stethoscope.

● Designed for medical students to deepen their knowledge of● An error message will appear if the cuﬀ is not attachedcardiac abnormalities by teaching them to anticipate, describe

correctly.
● If the decompression speed is too fast, or if the

Palpation of Pulse

message will appear.
● The blood pressure can be freely set from zero to a

Item

Case
NormalAbdominal
Pathologies

Increased
Decreased
Obstruction
Ileus

5 cases● Cases where S5 isn't present can be recreatedHeart Rhythms

and identify the ﬁndings in each module.

pressurization is too strong, an alarm will sound / an error

maximum of 200

9 Modules

Item
Blood Pressure
Measurement

C a seArbitrary setting● Students' performance and test results are recorded and can be

Heart Sound

tracked to show development over time.
● Instructors can track and see results of all students - students
can observe their own records.

Collaboration with: University of Illinois at Chicago

Heart Murmurs

Module 1

Sinus Tachycardia vs. Atrial Fibrillation

Module 2

PVC vs. Artial Fibrillation

Module 3

Physiologic Split S2 vs. S3 Gallop

Module 4

Physiologic Split S2 vs. S4 Gallop

Module 5

S3 Gallop vs. S4 Gallop

Module 6

Mitral regurgitation vs. Flow Murmur

Module 7

Aortic Stenosis vs. Flow Murmur

Module 8

Aortic Stenosis vs. Mitral Regurgitation

Module 9

Aortic Regurgitation vs. Mitral Stenosis

Customers

Practical and technical skills
that can be taught with PHYSIKO

Set Includes

General Hospital

Medical School

1

Laptop PC

1

Skills Training
Individual assessment
skills training

1

Set of clothes

1

Wired Microphone1

Foot switch for ECG

1

Instruction manual

A great companion to learn and teachphysical assessment skills
required in various professions

１

Mode 1
Scenario Training Modewith 12 pre-installed patients２

Depending on each examination procedure, you can

We have carefully selected 12 diﬀerent patient scenarios

repeatedly train indispensable evaluation methods andoften met in the medical ﬁeld and incorporated theirpoints while considering the case.

individual representative complaints. Additionally, thismode covers important learning points that allow you tolearn to properly judge the probability of major diseases

Physiko Plus

1

Terminal box
Sphygmomanometer unit

■ PHYSIKO's 4 Modes

M55C Physical Assessment Simulator

1

Adult Whole Body Model

Size

Approx.155 cm

WeightApprox.24kg

Power Consumption

70W

Materials

Soft resin, Hard resin Latex FreePower Consumption

AC100-240V 50/60Hz

Optional Parts

Nursing School
Userʼs Experience

11354-299-01

Plastic Wig

MW1

Pitting Edema Simulator

MW50

Strap-on Venipuncture Trainer

MW55

Catheterization Simulator
Strap-on (pair)that should not be overlooked.

Physiko is an ideal simulator for physical assessment, and also very easy to set up incomparison with other high ﬁdelity simulators.

Related Products

Physiko is very useful educational product for new medical staﬀ such as nurses
and care workers in hospitals.

Mode 2
Patient Case Editor

３

Physiko +Learning to Listen

４

Users can create new simulated patients by selecting from a

9 Modules challenging students to compare often-mixed-up

large variety of built-in options. Not only can these new

cardiac cases to facilitate an even deeper understanding ofsimulated patients be created from over 44 diﬀerent medicalcase speciﬁc characteristics.

conditions, but also from diﬀerent genders, ethnicities andage groups.

Product Supervision

Toyoaki Yamauchi, MD, ND, PhD Professor
Department of Nursing Graduate School of Medicine Nagoya University

We are educating the basics of physical assessment with Physiko from early stages
in medical education. (Physiko is used in almost all schools of medicine in Japan.)
By repeatedly listening to heart sounds that are easy to be mistaken, it becomes
possible for the students to distinguish them.
There are competitions held between nursing schools in China. At these events
Physiko is being used since the lung sounds and heart sounds in Physiko arefrom real patients and are very educational.

Physiko Plus is an excellent option for fundamental skills training of medical students:
The realistic auscultation training of lung and heart sounds, the palpation of pulse, theECG feature as well as the blood pressure feature but also the overall possibilities ofphysical assessment simulations make up a great trainer for undergraduate students.

MW25

MW26

Patient Care Simulator "Yaye" Basic Patient Simulator "Keiko"

MW10

Cardiology Patient Simulator "K"

MW28

Lung Sound Auscultation
Trainer "LSAT" ver.2

Distributor:

Address: De-Saint-Exupery-Str.10, 60549 Frankfurt, GERMANY
WEB: www.kyotokagaku.com
MAIL: rw-kyoto@kyotokagaku.co.jp
TEL: +49-69-5060-28160
Head Office & Factory:
15 Kitanekoya-cho, Fushimi-ku, Kyoto 612-8388, JAPAN2400

Sold overunits worldwide&
used inOSCECustomers

Practical and technical skills
that can be taught with PHYSIKO

Set Includes

General Hospital

Medical School

1

Laptop PC

1

Skills Training
Individual assessment
skills training

1

Set of clothes

1

Wired Microphone1

Foot switch for ECG

1

Instruction manual

A great companion to learn and teachphysical assessment skills
required in various professions

１

Mode 1
Scenario Training Modewith 12 pre-installed patients２

Depending on each examination procedure, you can

We have carefully selected 12 diﬀerent patient scenarios

repeatedly train indispensable evaluation methods andoften met in the medical ﬁeld and incorporated theirpoints while considering the case.

individual representative complaints. Additionally, thismode covers important learning points that allow you tolearn to properly judge the probability of major diseases

Physiko Plus

1

Terminal box
Sphygmomanometer unit

■ PHYSIKO's 4 Modes

M55C Physical Assessment Simulator

1

Adult Whole Body Model

Size

Approx.155 cm

WeightApprox.24kg

Power Consumption

70W

Materials

Soft resin, Hard resin Latex FreePower Consumption

AC100-240V 50/60Hz

Optional Parts

Nursing School
Userʼs Experience

11354-299-01

Plastic Wig

MW1

Pitting Edema Simulator

MW50

Strap-on Venipuncture Trainer

MW55

Catheterization Simulator
Strap-on (pair)that should not be overlooked.

Physiko is an ideal simulator for physical assessment, and also very easy to set up incomparison with other high ﬁdelity simulators.

Related Products

Physiko is very useful educational product for new medical staﬀ such as nurses
and care workers in hospitals.

Mode 2
Patient Case Editor

３

Physiko +Learning to Listen

４

Users can create new simulated patients by selecting from a

9 Modules challenging students to compare often-mixed-up

large variety of built-in options. Not only can these new

cardiac cases to facilitate an even deeper understanding ofsimulated patients be created from over 44 diﬀerent medicalcase speciﬁc characteristics.

conditions, but also from diﬀerent genders, ethnicities andage groups.

Product Supervision

Toyoaki Yamauchi, MD, ND, PhD Professor
Department of Nursing Graduate School of Medicine Nagoya University

We are educating the basics of physical assessment with Physiko from early stages
in medical education. (Physiko is used in almost all schools of medicine in Japan.)
By repeatedly listening to heart sounds that are easy to be mistaken, it becomes
possible for the students to distinguish them.
There are competitions held between nursing schools in China. At these events
Physiko is being used since the lung sounds and heart sounds in Physiko arefrom real patients and are very educational.

Physiko Plus is an excellent option for fundamental skills training of medical students:
The realistic auscultation training of lung and heart sounds, the palpation of pulse, theECG feature as well as the blood pressure feature but also the overall possibilities ofphysical assessment simulations make up a great trainer for undergraduate students.

MW25

MW26

Patient Care Simulator "Yaye" Basic Patient Simulator "Keiko"

MW10

Cardiology Patient Simulator "K"

MW28

Lung Sound Auscultation
Trainer "LSAT" ver.2

Distributor:

Address: De-Saint-Exupery-Str.10, 60549 Frankfurt, GERMANY
WEB: www.kyotokagaku.com
MAIL: rw-kyoto@kyotokagaku.co.jp
TEL: +49-69-5060-28160
Head Office & Factory:
15 Kitanekoya-cho, Fushimi-ku, Kyoto 612-8388, JAPAN2400

Sold overunits worldwide&
used inOSCECustomers

Practical and technical skills
that can be taught with PHYSIKO

Set Includes

General Hospital

Medical School

1

Laptop PC

1

Skills Training
Individual assessment
skills training

1

Set of clothes

1

Wired Microphone1

Foot switch for ECG

1

Instruction manual

A great companion to learn and teachphysical assessment skills
required in various professions

１

Mode 1
Scenario Training Modewith 12 pre-installed patients２

Depending on each examination procedure, you can

We have carefully selected 12 diﬀerent patient scenarios

repeatedly train indispensable evaluation methods andoften met in the medical ﬁeld and incorporated theirpoints while considering the case.

individual representative complaints. Additionally, thismode covers important learning points that allow you tolearn to properly judge the probability of major diseases

Physiko Plus

1

Terminal box
Sphygmomanometer unit

■ PHYSIKO's 4 Modes

M55C Physical Assessment Simulator

1

Adult Whole Body Model

Size

Approx.155 cm

WeightApprox.24kg

Power Consumption

70W

Materials

Soft resin, Hard resin Latex FreePower Consumption

AC100-240V 50/60Hz

Optional Parts

Nursing School
Userʼs Experience

11354-299-01

Plastic Wig

MW1

Pitting Edema Simulator

MW50

Strap-on Venipuncture Trainer

MW55

Catheterization Simulator
Strap-on (pair)that should not be overlooked.

Physiko is an ideal simulator for physical assessment, and also very easy to set up incomparison with other high ﬁdelity simulators.

Related Products

Physiko is very useful educational product for new medical staﬀ such as nurses
and care workers in hospitals.

Mode 2
Patient Case Editor

３

Physiko +Learning to Listen

４

Users can create new simulated patients by selecting from a

9 Modules challenging students to compare often-mixed-up

large variety of built-in options. Not only can these new

cardiac cases to facilitate an even deeper understanding ofsimulated patients be created from over 44 diﬀerent medicalcase speciﬁc characteristics.

conditions, but also from diﬀerent genders, ethnicities andage groups.

Product Supervision

Toyoaki Yamauchi, MD, ND, PhD Professor
Department of Nursing Graduate School of Medicine Nagoya University

We are educating the basics of physical assessment with Physiko from early stages
in medical education. (Physiko is used in almost all schools of medicine in Japan.)
By repeatedly listening to heart sounds that are easy to be mistaken, it becomes
possible for the students to distinguish them.
There are competitions held between nursing schools in China. At these events
Physiko is being used since the lung sounds and heart sounds in Physiko arefrom real patients and are very educational.

Physiko Plus is an excellent option for fundamental skills training of medical students:
The realistic auscultation training of lung and heart sounds, the palpation of pulse, theECG feature as well as the blood pressure feature but also the overall possibilities ofphysical assessment simulations make up a great trainer for undergraduate students.

MW25

MW26

Patient Care Simulator "Yaye" Basic Patient Simulator "Keiko"

MW10

Cardiology Patient Simulator "K"

MW28

Lung Sound Auscultation
Trainer "LSAT" ver.2

Distributor:

Address: De-Saint-Exupery-Str.10, 60549 Frankfurt, GERMANY
WEB: www.kyotokagaku.com
MAIL: rw-kyoto@kyotokagaku.co.jp
TEL: +49-69-5060-28160
Head Office & Factory:
15 Kitanekoya-cho, Fushimi-ku, Kyoto 612-8388, JAPAN2400

Sold overunits worldwide&
used in

OSCE