Caution

Do not mark on the model and its components
with a pen or leave printed materials incontact with the model surface. Ink marks on
the model are not removable.

ＭＷ71
Pediatric Physical Examination Simulator
Instruction
Manual● Introduction
Product Features and Warnings ------------------------- P.1
DOs and DON'Ts --------------------------------------------- P.2
Before Use ---------------------------------------------------- P.3● Auscultation, TP & BP Measurement
Auscultation Site (Heart Sounds) ----------------------- P.4
Auscultation Site (Lung Sounds) ------------------------ P.5
Auscultation Site (Bowel Sounds) ---------------------- P.6
Temperature Measurement ----------------------------- P.7
Blood Pressure Measurement --------------------------- P.8● Simulated Stethoscope
Connection and Preparation ----------------------------- P.9-10
After Use ------------------------------------------------------ P.11
Setup Before Use ------------------------------------------- P.12
TOP screen --------------------------------------------------- P.13
Auscultate ---------------------------------------------------- P.14
Auscultate and listen to Vocalizations ----------------- P.15
Change case and volume --------------------------------- P.16-17● Device settings
About the Device Setting Screen ------------------------ P.18
Touch Panel Calibration ----------------------------------- P.19
Blood Pressure Calibration -------------------------------- P.20
● Simulated Thermometer
Each part name, Operation method, and Display ----- P.21
Changing the Last Displayed Temperature Setting --- P.22
Changing the Setting Time --------------------------------- P.23
Battery Replacement ----------------------------------------- P.24

Introduction

Product Features and Warnings

Introduction

Thank you for purchasing our "Pediatric Physical Examination Simulator".

This is a full-body simulator designed to represent a one-year-old infant that can be used for vital
sign measurement and physical examination training.

Features●Preparation before starting vital sign measurement and physical examination.
●Simulate various situations such as sitting, holding the patient on your lap, etc.
●Can be exposed to cry signals.
●Physical examination items：

Palpation of the osseous portal, observation of the eyelids, observation of the nasal/ear cavity,
observation of the oral cavity, auscultation of the heart, auscultation of breath, auscultation of the bowels●Vital Signs
Respiration measurement, heart rate measurement, body temperature measurement, bloodpressure measurement

Do not use this product for any purpose other than its intended use. We are not responsible for any

damage or accident caused by using the product in a manner other than that described in the instruction
manual.

● Do not apply pressure or physically strike

Caution● The surface may change color over time.

equipment or model.

The body of the model may become

Do not physically strike model body or

discolored over time. This should not have aneffect on its use.

equipment. Doing so may cause damage.
● Do not write on the model with any form of● Store out of high temperatures and highIf applied, the ink will absorb and will

After use, avoid storing product in areas of highink (ie: ballpoint pen, marker, etc.).

humidity.

not disappear.

temperature, high humidity, or in direct sunlight.

Doing so may cause deformation, discoloration,or malfunction.

● Do not place printed materials on the model● Wipe with neutral detergent or alcohol.

surface.

Wipe the model with water or neutral detergent for

Do not allow printed matter, etc., to come instains, or with alcohol if stains are difficult to

direct contact with the model surface.

remove, and keep baby powder applied.

Ink will be absorbed by the resin and will not

Never use organic solvents such as thinner.

disappear.

1

Introduction

DOs and DON'Ts

Before using the product, be sure to read the "Safety Precautions" for proper use.
The precautions shown here are important safety information and must be observed.
■This mark indicates a degree of danger or damage that may result from improper use.

Warning
CautionIndicates a potentially hazardous situation that could result in burns, injury, fire, or
electric shock if the product is handled improperly.
Indicates a potentially hazardous situation that may result in deformation or damage
to the model or parts if mishandled.

■This mark indicates the type of matter to be observed.
Indicates that the following behavior is prohibited with regards to this machine, e.g.,
the left figure "disassembly is prohibited" is shown.
This mark indicates "mandatory" items that must be performed. In the left figure,"must be observed" is shown.

●Use the supplied adapter and power cord.
Use of an adapter or power cord other than the
supplied one is very dangerous and may cause
fire or electric shock.
Do not use the supplied AC adapter for otherproducts.
Doing so may cause malfunction or fire.

●Unplug the power plug from the outlet when not inuse.

Burns, injury, electric shock due to insulation
deterioration, and electrical fire may result.

●Do not plug or unplug the power plug with wet
hands.

Doing so may cause electric shock.

●Never disassemble or modify the product.

Doing so may cause fire, electric shock, or
injury.
For repair, contact your dealer or Kyoto
Kagaku .

If an abnormality occurs●Do not forcibly bend, twist, or damage the power
cord.

Doing so may damage the power
cord, resulting in fire or electric shock.

●Do not use the product with a power supply ot
her than the specified power supply.

Failure to do so may cause malfunction or fire.

●Hold the power plug by the main unit. Pull thepo wer plug out and in securely.

Pulling on the cord may damage the plug orcord, resulting in fire or electric shock.

●Keep fire away from the product.

Doing so may cause deformation or
discoloration of the main unit, short-circuit in
the electrical system, or other fire hazards.

If the model main unit, control box, etc. becomes hot or smoke is generated, immediately
turn off the power to the main unit and unplug the power plug from the outlet.

If you notice any abnormal condition, such as an unusual odor, take immediate action andcontact your dealer or Kyoto Kagaku Co.,Ltd2

Before Use

Before Use

Set contents and names of parts
Before use, please check that all components are present.

a

c

b

e

d

f

g
h
j

i

a. Body

1c. Designated AC adapter

1b. Simulated stethoscoped. Designated blood pressure cuff
e. Designated Simulated
Sphygmomanometerf. Designated Simulated Stethoscopeg. Designated Simulated
Thermometer

k

ｊ

1

1

1
1
1

3

h. Adjustment screwdriver1

j. Clothing (top and bottom)

1i. Wigk. hatInstruction manual111Auscultation
TP Measurement
BP Measurement

Auscultation Site (Heart Sound)

Auscultation site (heart sound)
Using a simulated stethoscope, the heart sounds can be auscultated in the following positions.

4Auscultation
TP Measurement
BP Measurement

Auscultation Site (Lung Sound)

Auscultation site (lung sound)
Using a simulated stethoscope, the lung sounds can be auscultated in the following positions.
Anterior

Posterior

5Auscultation
TP Measurement
BP Measurement

Auscultation Site (Bowel Sounds)

Auscultation site (bowel sounds)
Using a simulated stethoscope, the bowel sounds can be auscultated in the following positions.

6Auscultation
TP Measurement
BP Measurement

Temperature Measurement

TP Measurement
Temperature measurement can be taken in the following positions using a simulated thermometer.

7

Auscultation
TP Measurement
BP Measurement

Blood Pressure Measurement

Auscultation site Korotkoff
Using a simulated sphygmomanometer, blood pressure can be measured and Korotkoff sounds canbe auscultated at the following locations.

8Simulated
Stethoscope

Connection and Preparation

Name of each part of the dedicated controller

Connector for DesignatedConnector for DesignatedSimulated Stethoscope

Simulated Sphygmomanometer

Internal Speaker

Power Switch

Touch Screen

Power Jack

Connection method●Designated Simulated Stethoscope

Connect the cable of the stethoscope to theconnector on the side of the designatedcontroller. Align the ▲ mark on the connector

on the side of the designated controller with the➡ mark on the cable connection of thedesignated stethoscope and insert the cable.

●Designated Simulated Sphygmomanometer

Insert the fitting at the end of the tube leading

to the designated cuff into the connector on theside of the designated controller until it clicks
into place.

*Only the simulated stethoscopecan be connected.

9Output for External SpeakerSimulated
Stethoscope

Connection and Preparation

Connection method●Designated Simulated Sphygmomanometer
Twist the connection at the end of the tubing
leading from the designated cuff to theconnector at the top of the designated bloodpressure cuff.

●Connect the dedicated AC adapter to the power
jack on the back of the designated controller.

●Plug the designated AC adapter into an outlet
and press the power switc h on the back of thedesignated controller.

10Simulated
Stethoscope

Connection and Preparation

How to disconnect●Turn the power switch OFF.

Remove the power jack from the back of
the designated controller.

●Removing the DesignatedDuplicate Sphygmomanometer
Hold the metal part (inside the □ mark) andpush it in the direction of the arrow to disconnect.

●Removing the special stethoscope

Hold the cable connection of the designatedstethoscope near the ← mark (inside the □ mark)and pull it toward the cable to disconnect it.

11

Simulated
Stethoscope

Setup Before Use

Setting the language to display●Language Selection

When you turn on the power, the screen on theright will appear.

Select the language you will be using.

*Settings will take effect upon reboot.

Language reconfiguration●To change the set language, press the

button to display the device setting screen.

*Please refer to p.13 for the function of each button.

● In the device settings screen, press the Language
button on the device setting screen.

● Press the desired language to reset thelanguage. Settings will take effect upon reboot.
※if you make a mistake in the language setting,press

to set the language again.

12

Simulated
Stethoscope

TOP Screen

A

D

C

G
H
I
*The Back button appears only in
Device Settings and Vital Settings.

F

B

E
SymbolName

Description
Selects the type of sound to be played.

A

Playback Sound Selection Button

The selected sound is played by placing the stethoscope over thecorresponding auscultation site. The case set to the left of theplayback sound selection button is displayed.

B

Vocalization button

C

Front/Rear Switch ButtonD

Auscultation site

E

Case Settings button

F

Vital set value display

Play the selected Vocalization case.
While the button is ON, the case is repeatedly played back.
Switches between front and rear view of the body.
The auscultation site lights up in different colors (heart sound: red,lung sound: blue, blood pressure: green, bowel sound: purple).
Moves to the Case Settings screen.
You can change the case, heart rate, blood pressure, volume, etc.
Displays the currently set vital values.
Moves to the device settings screen.

G

Device Settings button

Used when calibration of blood pressure values and touch screen
is required.

H

Vital set value Display/Hide Button

I

Back button

Press the button to hide the displayed vital settings. Press the button
again to display the vital settings.

Returns to the previous screen.

The Back button is only displayed in Device Settings and Vital Settings.

13

Simulated
Stethoscope

Auscultate

To auscultate the heart soundA heart sound can be auscultated by placing thestethoscope on the auscultation site where thecolor lights up.
The auscultation site on the screen lights up red.

To auscultate the lung soundA lung sound can be auscultated by placing thestethoscope on the auscultation site where the color
lights up.
The auscultation site on the screen lights up blue.

Press thebutton, change to the rear display.

To auscultate the bowel soundA bowel sound can be auscultated byplacing the stethoscope on the auscultationsite where the color lights up.
The auscultation site on the screen lights up

14

Simulated
Stethoscope

Auscultate and Listen to Vocalization

To auscultate Korotkov's sounds
Auscultate the Korotkov's sound by applying thestethoscope to the auscultation site where thecolor lights up.
*The auscultation site on the screen lights up
purple.
*Please do this while the designated bloodpressure cuff is attached to the main unit of themodel and connected to the designated simulated
stethoscope.

To listen to Vocalization
Press the Vocalization button to listen to
Vocalization .

*The Vocalization area on the screen lights uporange.

About Audio Playback• When external speakers are connected to the external speaker output jack on the back of thecontroller, multiple people can listen to the sound during auscultation. →(Refer to the figure
on p. 9 for the connection instructions).

• Vocalization cannot be heard through the external speaker.

15

Simulated
Stethoscope

Changing Cases and Volume

Press "Vital Settings" on the TOP screen to change the case. The volume can be changed. However,the changed setting values are not saved. All values will return to their default settings when the poweris turned off.

Change of heart sound cases
HR (heart rate) can be changed within thefollowing range：

80 to 150 *Default setting: 110*The set value can be changed in units of 20.
*HR (heart rate) is linked to the pulse rate of bloodpressure measurement.

Heartbeat cases can be selected from the following.
◆ Normal◆ Functional Murmur◆ Ventricular septal defectChange of lung sound cases
PR (respiratory rate) can be changed within thefollowing range:

20 to 40 *Default setting: 30*The setting value can be changed in units of 10.
Lung sound cases can be selected from the following.
◆ Normal◆ Pneumonia: coarse crackle◆ Asthma: Wheeze

Bowel sound case
Bowel sounds are "normal" only.

16

Simulated
Stethoscope

Changing Cases and Volume

Blood pressure cases
SBP (systolic blood pressure) can be changed within
the following range:
80 to 110 *Default setting: 90*The setting value can be changed in units of 10.
DBP (diastolic blood pressure) can be changed within
the following range:
40 to 70 *Default setting: 60*The setting value can be changed in units of 10.

Types of Vocalizations
Vocalizations can be selected from the following:◆Woken-up voice◆Hungry◆Sleepy◆Stimulation/Excitement

Volume settingThis controller changes the volume of the internal
speaker of the main unit and has the following range:

0 to 10 *Default setting: 5*The set value can be changed in units of 1.

Simulated stethoscope changes the volume of thesimulated stethoscope and has the following range:

0 to 10 *Default setting: 5*The set value can be changed in units of 1.

17

Device settings

About the Device Setting Screen

Calibration
Device settings allow you to change the calibration and language of the touch screen and sphygmomanometer.

●Press the Device Settings button on
the TOP screen.

●Select the item to be changed.

● Touch Panel Calibration

Used when there is a discrepancy in the response position of the touch panel. ⇒See p.19
● Blood Pressure Calibration
This is used when there is a discrepancy between the pressure gauge of the
sphygmomanometer and the set value. ⇒See p.20
● Language

Used to switch the selected language to another language. ⇒See p.12

18

Device settings

Touch Panel Calibration

Touch Panel Calibration
Touch panel calibration is performed when the touch panel does not respond to touch, or when the
response position is misaligned.

●Select "Start."●Touch the four touch points that appear
sequentially on the screen.

● When all points are touched, aconfirmation screen will appear,
To complete → Press "OK".

To adjust again → Press "RETRY" and Start
over from the device setting screen.

19

Device settings

Blood Pressure Calibration

Blood Pressure Calibration
Calibration of the dedicated simulated sphygmomanometer should be performed in thefollowing circumstances:• The auscultation site is lit purple on the touch panel, but the Korotkoff sound cannot be
auscultated.

• The Korotkoff sound can be auscultated, but there is a large deviation from the set value.
Calibration should be performed with the dedicated simulated sphygmomanometerattached to the model body and connected to the dedicated simulated stethoscope.
●Select "Start."●Follow steps (1) through (4) below to calibrate
the simulated sphygmomanometer.

Calibration Procedure
1 . Once the cuff pressure is pressurized to about 220 Hg.
↓
2. Decompress the cuff pressure to 200 mmHg and press "200" on the screen while maintaining
200 mmHg.
↓
3. Decompress the cuff pressure to 100 mmHg, and press "100" on the screen while maintaining
100 mmHg.
↓
4. Decompress the cuff pressure to 40 mmHg, and while maintaining 40 mmHg, press "40" on
the screen.
↓
5.When steps ① through ④ are completed, press "OK" to complete the adjustment.
20

Simulated
Thermometer

Each part name, Operation method,and Display● Explanation and operation of each partPowerbuttonTemperature sensor

LCD display

Power button：

When pressed, the thermometer will turn on and "UN1" will appear on the
LCD display. The power will be turned off.

LCD display：

Displays body temperature and the status of the thermometer.

Temperature Sensor：

When the thermometer is properly attached to the model body (in theaxillary region), the body temperature measurement will begin.
Default setting:

20 seconds to display final body temperature
Final temperature 36.8°C

The time until final temperature display and final temperature display
settings can be changed.

"UN1"

The power is turned on.

"-L-"

The temperature sensor is attached to the axillary area and measurement has started.

When the number is rising, the temperature sensor is attached to the axillary area"（number）℃" and measurement is in progress. When measurement is completed, the final
temperature is displayed and a buzzer sounds.

"ERR"

The temperature sensor is not properly attached to the axillary area.
If the incorrect installation continues for more than 10 seconds, the ERR is displayedwith a buzzer.
However, if the temperature sensor is correctly attached again before the ERR isdisplayed, the measurement display will start.

"Low"

It is displayed when the built-in battery is getting very low.

● Others

If no action is taken for 60 seconds after the power is turned on, "Power Off" will be
automatically selected. After "- L-" is displayed, "ERR" will be displayed if the thermometer is notproperly attached to the model for more than 10 seconds. When "ERR" is displayed, press the power
button again to take the measurement.
21

Simulated
Thermometer

Changing the Last Displayed
Temperature Setting

How to change the temperature setting
To change the set value of the last displayed body temperature, follow the procedure below.
●Loosen the screws marked with zeros in the photo on
the right with a screwdriver and remove the lid.

●Use the supplied special screwdriver to turn the"temperature setting switch" (marked with a circle in thephoto on the right) to change the temperature displayed on
the display.
Refer to the figure below for the relationship between theset value and the number.
*Changes in settings will take effect upon restart.

Setting the Displayed Body Temperature

0
35.5℃

1
36.0℃

2
36.5℃

3
36.8℃

4
37.1℃

5
37.4℃

6
37.7℃

7
38.0℃

8
38.3℃

9
38.6℃

A
38.9℃

B
39.2℃

C
39.5℃

D
39.8℃

E
41.0℃

F
42.0℃

If you have difficulty in setting up, please consult your dealer or Kyoto Kagaku Co., Ltd

22

Simulated
Thermometer

Changing the Setting TimeHow to change the setting
To change the time until the final display temperature is displayed, follow the procedure below.

●Loosen the screws marked with zeros in the right photowith a screwdriver and remove the lid.

●Use the supplied special screwdriver to change the timeby sliding the "time setting switch" in the square on theright picture.

Refer to the figure below for the relationship between
the setting value and the switch.

＊ The change of the setting becomes effective when

the driver is rebooted.

●After changing the setting, attach the lid and tighten thescrews to return the driver to its original state.

Set time till display

Time till display
20sec.

Time till display
40sec.

Time till display
60sec.

Time till display
120sec.

If you have difficulty in setting up, please consult your dealer or Kyoto Kagaku Co., Ltd

23

Simulated
Thermometer

Battery Replacement

How to replace batteries
To replace the battery, follow the procedure below. The model number of the coin cellbattery to be used is CR2032.

●Loosen the screws marked with zeros in the right photowith a screwdriver and remove the lid.

●Insert the tip of a tool such as a flat-blade screwdriver into

the position shown in the photo (→) and remove the battery bypulling it up.

Please be careful not to damage the metal parts used to fix

the battery.

24

Simulated
Thermometer

Battery Replacement

How to replace batteries● Insert new batteries.

Insert batteries into the battery folder from an angle.
The positive side of the battery should be on the top.

● Push the battery in.

Push the battery in firmly until it
stops.

● After replacing the battery, attach the lid and tighten
the screws to return the watch to its original condition.

If you have difficulty in setting up, please consult your dealer or Kyoto Kagaku Co., Ltd

025

Caution

Do not allow printed matter or other objects to come in directcontact with the model surface.

Ink will be absorbed by the resin surface and will not disappear.

If you have any questions or problems with this product, please contact your local distributor or Kyoto
Kagaku Co.Ltd.

■ USA, Canada, and South America

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： +49-69-5060-28160
De-Saint-Exupery-Str.10, 60549 Frankfurt, Germany■ Worldwide Inquiries and Orders
TEL：+81-75-605-2510

FAX：+81-75-605-2519

15 Kitanekoya-cho, Fushimi-ku, Kyoto, 612-8388, JAPAN2023.10