KOKEN LM-083 Manuel utilisateur

ESD (ENDOSCOPIC SUBMUCOSAL DISSECTION)

TRAINING MODEL

with storage case

LM-083

Instruction Manual

Thank you very much for purchasing our ESD Training Model.

Please carefully read this instruction manual for a proper use and

keep this instruction manual at hand.

 Table of Contents 

1. Outline

2. Characteristics

3. Composition

4. How to Fix Dissected Stomach

How to fix the belt

5. Precaution for Use

6. How to Clean up

7. Specifications

C-1-961-1-01-04

- 1 -

1. Outline

This resinoid model respresent almost similar figure of human stomach, and can be used

for the training of ESD. Considering the operability of endoscope, the transition part,

from esophagus to stomach is made of soft resin. By setting a real dissected stomach

of porcine at the area where ESD is supposed to be executed, very similar feeling of

human stomach wall can be recognized using endoscope.

2. Characteristics

(1) The training can be started simply with the combination of this resinoid model and

dissected porcine stomach.

(2) Very realistic and similar feeling to the actual treatment.

(3) Perforatoin procedure which never be performed during the actual treatment can be

experienced while recognizing the risk of treatment with realistic feeling.

3. Name of part and structure

Stomach Model

Model Case

Metal plates

for fitting

dissected

stomach

(９kinds)

Furniture Case

Electrode

Fixing belt

Lid (9kinds)

- 2 -

4. How to Fix Dissected Stomach

Caution: Since plate for fixation have sharp-edged part, please pay your attention not

to be stuck fingers.

4-1. Stick the electrode on a metal plate for fitting dissected stomach.

4-2. Get out the fixing band through the metal plate for fitting dissected stomach.

4-3. Put the front side (marked) of the dissected stomach on the metal plate for fitting

dissected stomach. * Please make sure the electrode adheres to the dissected

stomach.

Front side (marked) Back side（mucous membrane）

Mark

- 3 -

4-4. In order to fix the dissected stomach with the metal plate for fitting dissected stomach,

push it against the needle of the metal fitting plate. Using the hollow of the injection

needle case.

Pull the dissected stomach and fix the dissected stomach with the metal fitting plate to

the needle on the diagonal line in the same manner as above.

There are eight needles in total. Fix them all.

Make sure that the dissected stomach adheres to the metal plates for fitting

dissected stomach.

- 4 -

4-5. Put the metal plate fitting the dissected stomach of 4-4. with the stomach model,

using the fixing belt.

How to fix the belt

In case of No.1 through 2, and 5 through 8 In case of No.3

In case of No.4 In case of No.9

- 5 -

4-6. Install the stomach model with the model case.

- 6 -

KOKEN CO.,LTD http://www.kokenmpc.co.jp

1-4-14 Koraku, Bunkyo-ku, Tokyo 112-0004 JAPAN

Email: customer@kokenmpc.co.jp

5. Precaution for Use

When you insert the endoscope, please be sure to use lubricant such as silicone spray

and glycerin etc.

6. How to Clean up

・ Please wipe the inside of case with a wet cloth.

・ When you wash the stomach model, please take it out and wash it with a neutral

detergent. Please dry it enough after washing.

・ Please wash the metal fittings for dissected stomach in the same manner as the

stomach model. Be careful not to stick your finger etc. with the needle when you

wash them.

7. Specifications

Model case (aluminum-made） 1 unit

Stomach model (silicone rubber, polyurethane resin) 1 unit

Metal plates for fitting dissected stomach (stainless steel) 1 pc for each kind (9 pcs)

Fixing belt (1cm width x 50cm length, both-sided Velcro) 2 pcs

Circle-cutting electrode 1 pc

Instruction manual 1 copy

DVD for installation method of resected porcine stomach 1 copy

Storage case 240 (L) x 315 (W) x 225 (H) mm

Weight 2.5 kg

Electrode used for ESD Training Model

One (1) pc of exclusive electrode for ESD Training Model (applicable for electrode code

with clip (P code)) is attached with the model but this electrode is not sold separately.

Please use the electrode currently used at your site by processing for ESD Training

Model. However reusable type electrode cannot be used since it does not fit with the

opening shape of training model. Please use disposable type without fail.

Processing Example

①Mono-polar type without code(Ex.: 1149 manufactured by 3M）

②Mono-polar type with code （Ex.: 1149C manufactured by 3M, CONMED made, etc.）

＊ ③Partible type without code

（Ex： NESSYΩ manufactured by ERBE、MAJ-897 manufactured by Olympus, etc.）

*Basically “Partible type” is not recommendable since the electricity may not be turn on stably.

(There will be some possibility of error sound). It is desirable to use “mono-polar type” but if you need to

use “Partible type”, it may be used by holding gauze soaked with saline solution between porcine slice and an

electrode.

7cm

Cut the electrode at the

connecting side into 7x7cm

7cm

Cut the electrode at the

connecting side with code into

7x7cm same as above

7cm

Cut the electrode at the

connecting side into 7x7cm

same as above

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