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Sakamoto Auscultation Simulator
Sakamoto Auscultation Simulator 800,000yen By reproducing various symptoms, supports practice of auscultation with a feeling of being in a clinical situation. Sakamoto Auscultation Simulator reproduces life-like cardiac sounds and breath sounds of patients with a computer. It is an educational model designed for improving the auscultation skill in which characteristic cardiac and breath sounds in various diseases can be distinctly heard with a stethoscope by checking their sites.

Specifications
Weight Main unit 4.2 kg, box 1.5 kg
Size Main unit
H500 mm x W550 mm x D230 mm
Box H89 mm x W160 mm x D230 mm
* Use your own personal computers (WindowsXP or later models) by installing SAKAMOTO AUSCULTATION SIMULATOR from a CD-ROM.
*
For SAKAMOTO AUSCULTATION SIMULATOR to be effective, your computer must have:

CPU/pentiumIII/800MHz or faster
Memory/128 MB or greater
Hard disc/empty space 780 MB or greater
USB port
16 bit color display unit/capable of displaying SVGA (800 x 600)
OS/WindowsXP

List of data
Breath sound
Major Category
Minor Category
Disease
1.

Normal alveolar br eath sound

Normal
2.

Ntermittent rales
(moist rales)

Fine crackles

Interstitial pneumonia , pulmonary fibrosis /pulmonary edema
3.

Intermittent rales
(moist rales)

Coarse crackles

Pulmonary edema , pneumonia , alveolar effusion
4.

Continuous rales
(dry rales)

Low pitched rhonchi(sonorous rhonchi)

Stenosis of middle-large bronchi , bronchial secretion
5.

Continuous rales
(dry rales)

High pitch rhonchi,wheeze

Bronchiolar stenosis , brochial asthma
6.

Continuous rales
(dry rales)

High pitch rhonchi,wheeze

Bronchiolar stenosis , brochial asthma
7.

Tachypnea

Consonating rales

Nervous dyspnea
8.

Intensified bronchovesicular sounds

Resting dyspnea
9.

Continuous rales
(dry roles)+
intermittent rales
(moist roles)

High pitch rhonchi,wheeze+fine crackles

Cardiac asthma
10.

Continuous rales
(dry rales)

High pitch rhonchi,wheeze+prolonged exhalation

Bronchial asthma
11.

Abnormal respiratory pattern

Tachypnea
(shallow respiration)

Central hyperpnea (midbrain disorder) hyperventilation syndrome
12.

Abnormal respiratory pattern

Kussmaul respiration

Diabetic ketoacidosis , uremia

Cardiac sounds
1. Normal (no splitting of the second sound) 8. Mid-systolic clicks 15. Subaortic stenosis
2. Normal (split second sound) 9. Mitral escape clicks /murmur 16. Atrial septal defect
3. Abnormal split second sound 10. Tricuspid insufficiency 17. Ventricular septal defect
4. Increased apical second sound in hypertension 11. Mitral stenosis 18. Pulmonary stenosis
5. Apical fourth sound 12. Mitral insufficiency 19. Acute mitral insufficiency
6. Innocent murmur 13. Aortic stenosis 20. Pulmonary insufficiency
7. Aortic ejection sound 14. Aortic insufficiency

Learning through practice with a sense of reality Realistic auscultatory sounds
Sternum and soft touch of the skin
Seven built-in speakers (volume adjustable) provide true-to-life experience of hearing cardiac and breath sounds of actual patients by applying a stethoscope.
Reproduction of complicated cases is possible by combinations of 20 cases of cardiac sounds and 12 cases of breath sounds.
Differences in auscultatory sounds can be confirmed realistically by the use of a personal computer (Windows). Practical clinical settings and the sense of being in a real situation make training optimal for the acquisition of auscultation skill.
Adjustable to details Presentation of case profiles
The heart rate and respiratory rate are adjustable.
The volume of cardiac and breath sounds is adjustable in each region (cardiac and pulmonary regions) or all regions. Fine adjustment of the settings enables trainees to experience diverse cases in near actual situations.
Presentation of case profiles and points of attention with graphs facilitates understanding of characteristics of each disease.
Practice can be repeated anywhere including the hospital, school, seminars, and home. It is an instrument for medical education that also serves for improving the skill of in-the-field auscultation of emergency first responders. Recommended for overseas and domestic medical educational organizations and training centers

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