3B SCIENTIFIC 1023010 [P93SPC-S] Manuale del proprietario

Marca: 3B SCIENTIFIC

Modello: 1023010 [P93SPC-S]

Tipo: Manuale del proprietario

INSTRUCTION MANUAL

CATHETERIZATION SIMULATOR P93

1023008 1023009 1020231

1020232 1020842 1023010

CATHETERIZATION SIMULATOR P93

2 CATHETERIZATION SIMULATOR | Content

Introduction .........................................................................................................................................................................................................................................................................3

Delivery Contents ..............................................................................................................................................................................................................................................................4

Functions ..............................................................................................................................................................................................................................................................................6

Assembly ..............................................................................................................................................................................................................................................................................7

Putting in the genital inserts .......................................................................................................................................................................................................................................7

Filling the bladder – Preparation for the PRO version: .........................................................................................................................................................................................7

Filling of the bladder (Basic and Pro).........................................................................................................................................................................................................................8

Emptying the bladder ....................................................................................................................................................................................................................................................8

Adjusting the constriction of the urethra ..................................................................................................................................................................................................................9

Disassembly ......................................................................................................................................................................................................................................................................11

Disassembly of the genital inserts ..........................................................................................................................................................................................................................11

Cleaning and Care .......................................................................................................................................................................................................................................................... 12

Technical Data ..................................................................................................................................................................................................................................................................12

Imprint ................................................................................................................................................................................................................................................................................12

CONTENT

CATHETERIZATION SIMULATOR P93

3 CATHETERIZATION SIMULATOR | Introduction

You have acquired a catheterization simulator with basic features (Basic) or advanced features (PRO). It can be used to simulate the steps to correctly carry

out catheterization in men or women. Standard procedures as part of professional training for nurses and everyday clinical practice can be taught and

improved.

INTRODUCTION

Basicversion (m/f) PROversion (m/f)

CATHETERIZATION SIMULATOR P93

DELIVERY CONTENTS

Basic (m) 1020232 Basic (f) 1020231

Basic (s) 1020842 PRO (m) 1023009

PRO (f) 1023008 PRO (s) 1023010

4 CATHETERIZATION SIMULATOR | Delivery Contents

CATHETERIZATION SIMULATOR P93

Genital insert, male

Genital insert, female

Base, basic version

Replacement

sponges

Drainage tube

Talcum

powder

Reservoir bottle

Ventilation tube with

locking clip

PB-S 1020842

Genital insert, male

Genital insert, female

Abdomen PRO

Abdominal wall

with puncture site

Replacement sponges

Locking clip for

drainage tube

Support rod PRO

Drainage tube with Y-connector

Talcum powder

Reservoir bottle

Ventilation tube with locking clip

PSPC-S 1023010

5 CATHETERIZATION SIMULATOR | Delivery Contents

CATHETERIZATION SIMULATOR P93

FUNCTIONS

The Basic version offers a simplified and clear demonstration of bladder

catheterisation. Thanks to an anatomically realistic lower body with

removable abdominal wall, the PRO version enables very practical

practice of transurethral catheterisation and suprapubic catheter

management.

Both gender inserts provide a very realistic experience in inserting

catheters, since the relevant structural features with regard to the length

and the route of the urethra have been taken into account. The male

genital insert also offers 3-levels of urethral constriction.

The soft outer genital parts – labia for the female insert and foreskin for

the male insert – are flexible and offer realistic handling.

Students can practice preparing the models in sterile conditions, and

are given support while introducing the catheter (e.g. the labia are kept

spread apart) and teaching features are highlighted.

The transparent bladder can be filled via a 500 ml reservoir bottle and

checked visually to ensure the catheter has been correctly placed. If the

catheter is correctly inserted, fluid starts to flow out automatically. The

outflow can be controlled manually using a locking clip.

Basic version PRO version

Area of application Simplified presentation and

demonstration

Representation, demonstration

and realistic exercises

Basic body Schematic metal base Anatomically correct replica of an

abdomen.

Removable abdominal wall

Suprapubic catheter Not represented Abdominal wall with puncture site

for practising suprapubic catheter

exchange and supply

Genital inserts Male or female; the set also

includes flexible labia or foreskin

Male or female; the set also

includes flexible labia or foreskin

6 CATHETERIZATION SIMULATOR | Functions

CATHETERIZATION SIMULATOR P93

ASSEMBLY

Putting in the genital inserts

• The genital inserts can be put in by way of a magnetic connector, both

into the main body in the PRO version and into the metal base of the

basic version.

• First, pass the connection tube of the bladder through the opening of

the metal base or of the basic body.

• Then put the upper edge of the genital insert into the recess (PRO

version) or on to the beveled surface (basic version).

• The entire genital insert should click into place.

• Please ensure that the genital inserts are placed centrally and are fully

engaged. In the PRO version, this can be seen when the insert is totally

flush with the basic body.

Filling the bladder

Preparation for the PRO version:

• Screw the stand supplied into the body (in the basic version, the stand

is already integrated).

• To do this, loosen the nut and the crinkle washer from the stand thread

• Now insert the stand rod from the top into the hole provided.

• Slide the rod into the opening until it can go no further, and make sure

that the rod comes through the opposite opening on the underside of

the basic body.

• Now place the corrugated washer over the threads of the support rod.

• Put the nut on the thread, fix it with the fingers and screw the stand

rod into the nut. Screw in the rod until it is sufficiently tight, then stop. It

should be possible to turn the stand rod further.

View from belowTop view

View from belowView from below

7 CATHETERIZATION SIMULATOR | Assembly

CATHETERIZATION SIMULATOR P93

Filling of the bladder (Basic and Pro)

• First check that all the individual parts of the genital insert are fitting

correctly. The transparent bladder must be firmly screwed to the

base plate of the genital insert. On the PRO version, the bladder must

be screwed to the base plate of the abdominal wall instead when

practicing suprapubic catheter exchange.

• Insert the reservoir bottle by pushing the cap of the reservoir bottle

sideways into the retaining clip of the stand or the support rod for the

Basic or PRO version respectively.

• Connect the right (top view) tube connector of the bladder to the

reservoir bottle.

• In the Basic version, connect the left tube connector to the bleed tube.

The open end of the bleed tube is inserted through the hole on the

metal stand. In the PRO version, the bleed tube is connected using a

single connector to the reservoir bottle.

• Fill the reservoir bottle with enough liquid (fill volume 500 ml) through

the opening centrically located at the bottom surface of the reservoir

bottle. Make sure that the locking clip to the ventilation tube of the

reservoir bottle is fastened.

• After checking that all the connections are correctly in place, open the

locking clip on the ventilation tube.

• The system will then automatically fill up to the correct fluid level

(completely full bladder).

• The upper locking clip needs to stay open during all the training session.

Suprapubic catheter exchange:

For suprapubic catheter exchange, sufficient bladder filling is essential.

If the bladder volume is insufficient, the required filling volume of 300ml

can be achieved retrogradely on the PRO version via the suprapubic

catheter. Since the filling volume of the transparent bladder is 200 ml,

100 ml goes into the reservoir bottle to create the required overpressure

in the system. When filling, the lower locking clip on the drain hose

should remain closed and the upper locking clip open.

Emptying the bladder

• Once the simulation has been completed, the residual liquid should be

drained out as much as possible.

• To do this, open the locking clip and empty the liquid via the open end

of the drain hose (position the end of the hose well below the bladder).

• Disconnect the fully emptied reservoir bottle from the bladder.

• Disconnect the bleed tube from the bladder.

• Remove the genital insert from the basic body or from the metal base.

Make sure that the open ends of both tubes are always above the level

of the bladder.

• Hold the genital insert so that the genitals are facing upwards.

• Unscrew the genital part or abdominal wall from the transparent

bladder so that you can lock it firmly and securely with one hand

• Empty the bladder by pouring out the liquid.

8 CATHETERIZATION SIMULATOR | Assembly

CATHETERIZATION SIMULATOR P93

Adjusting the constriction of the urethra

• The male genital insert has 3 urethra constriction settings in the pars

membranosa: “Open”, “partly constricted” and “totally constricted”.

• On the right side of the bladder stem (top view) there is a metal pin and

an adjustment slide.

• Pull the metal pin out slightly, thereby releasing the pressure from the

adjustment slide. Pull firmly on the metal pin; it is held in place firmly by

spring tension.

• Now push the adjustment slide to the desired position.

• From the “open” position, the adjustment slide can be pushed to the

next lowest position without pressing the metal rod. A clear “click”

sound confirms that the next position has been locked into place.

• To go to the next highest position (e.g. from “Full constriction” to “Part

constriction”) the metal pin must, however, always be pulled.

Metal pin and adjustment slide

3 levels of urethral constriction

“Open” - “Partial constriction” - “Full constriction”

9 CATHETERIZATION SIMULATOR | Assembly

Advice:

Before starting a training session, a pre lubricated catheter should be fully inserted into the bladder for a good lubrication of the entire urethra.

This is needed only for the training with the male insert.

Open Partial constriction Full constriction

CATHETERIZATION SIMULATOR P93

Note:

Both silicone and PVC catheters can be used. When using balloon catheters, we recommend the size, CH 14, or otherwise, catheter size 16.

Catheters with straight and rounded tips should be used.

Advice:

According to the guidelines for correct catheterization, even during the simulation, lubricating gel (not included) should be placed into the urethra

to ensure that the catheter can be inserted smoothly. Alternatively, some lubricating gel can be placed on the tip of the catheter.

Urethra constriction Catheter size (balloon catheter) Catheter size

“Open" 14 CH 16 CH

“Partial constriction” 12 CH 14 CH

“Full constriction” -- --

10 CATHETERIZATION SIMULATOR | Assembly

CATHETERIZATION SIMULATOR P93

Disassembly of the genital inserts

• To ensure that the areas that come into contact with liquid during the

simulation can be cleaned and dried without leaving residue, the genital

inserts can be taken apart.

• To do this, pull both the skin of the male and female inserts forwards.

• Remove the small sponge insert below the genitals. If it has absorbed a

lot of liquid, it can be wrung out.

• Now screw off the bladder in an anticlockwise direction.

• Remove the gray sphincter silicone insert. Attention: Do not use sharp

objects and take care if you have long fingernails; there is a risk of

tearing!

• Remove the white plastic insert (it is preferable to reach into the circular

openings with 2 fingers, or lift the model so that the genital insert falls

out).

• Remove the skin-colored pelvic floor insert.

• Remove as much moisture residue as possible with a dry cloth.

• Place all the individual parts to dry in a well-ventilated place away from

direct sunlight.

• Once dry, all parts can be put back together in reverse order.

DISASSEMBLY

11 CATHETERIZATION SIMULATOR | Disassembly

CATHETERIZATION SIMULATOR P93

The surface of the simulator can be cleaned with a damp cloth, or rinsed under running water. All soft elastic parts may also be cleaned in the case of

severe soiling with a solution of mild soap and water. Please ensure that all parts are completely dry before storing. A little talcum powder should be sprin-

kled on the dry soft elastic parts before storage (sprinkle on and distribute evenly by rubbing). To prepare the model for a sterile preparation during the

simulation, we recommend the use of clear liquids (e.g. water for simulation purposes). If colored disinfectants are applied, remove them as soon as possi-

ble after the simulation to avoid permanent stains.

Dimensions:

Simulator Basic (H x W x D) 36 x 11 x 26.5 cm

Simulator PRO (H x W x D) 50 x 42 x 30 cm

Weight Basic: approx. 2.3 kg

Weight PRO: approx. 3.5 kg

Operating temperature 10°C to +60°C

Storage temperature -20°C to +60°C

Female genitals insert for P93 PRO/BASIC 1020233

Male genitals insert for P93 PRO/BASIC 1020234

Reservoir bottle P93 (upgrade solution) 1024233

Catheterization Simulator Set BASIC dark skin 1023323