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    1.Listed library: Library list(PDF)

    2.Product Brochure (PDF)

    3.When listening to our sounds, use Kikuzo speaker

     

    Member registration is here.

    • iPax

      A case of iPax ,Normal heart sounds

      Function for pulse while taking auscultation will be activated. Using two Kikuzo to examine auscultation and palpation. Connect a stereo L/R converter to the device, and connect Kikuzo to each of the L/R. The pulse wave is output from the L side. You can feel the pulse on the silicon surface by increasing the volume of the L side.





      Tap the area on the anterior illustration. The chestpiece icon will move to that area and sound will be played.

      Use earphones to listen to the sound.

      When the auscultation sound stops, press the refresh mark in the lower left corner.

      This system is patented by Telemedica in Japan and the United States.

      • Are you sure to Zoom out?

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      HR

       PR QR-iPax !

      Now you can distribute auscultation sounds to your students! 

       

      Read the QR code to listen to the sound of Aortic Stenosis.

      You can listen to the diamond-shaped murmur not only at 2RSB but also at the cervical.

       

       

      For more information, please click here.

       

    聴診会員ライブラリ利用登録変更

    →more

    「Auscultation member library」How to operate
    • 「 」Press to play auscultation sound
    • 「」Press to display "Detailed information"
    • 「Detailed information」At the inner「 」「 」Press to switch slides
    • 「Detailed information」Press the slide inside to enlarge.

    Free to use「Auscultation member library」!


    The more you use a Kikuzo speaker, the more you acquire auscultation skills.

    荒川規矩男先生

    Supervisor

    Dr. Tsunekazu Takashina

    (MD.PhD, FACC, FAHA)

    The cardiology patient simulator "K" was developed in 1993. In 1997, its educational effectiveness of this study was reported in CARDIOLOGY. Even today, most of the university medical schools and medical colleges in Japan as well as many foreign countries have been using this simulator for their educational activities.

    The advancement in diagnostic instruments using high technology has been remarkable in the last few decades. However, there is a tendency for many clinicians to become too dependent on these highly sophisticated instruments and to forget the importance of bedside clinical skills.

    I believe that we have an excellent inborn sensor to recognize "organ language" and are able to detect minor changes of physical findings, such as heart sounds or murmurs of heart diseases.
    The Kikuzo speaker is used as an exciting teaching tool, whenever and wherever the self-learning of auscultation is needed. Please start with normal heart sounds and advance to each case at your own pace. So, you will be able to recognize various abnormal sounds and murmurs. The "Kikuzo" will be a great auscultation aide for you.

    Auscultation is an important skill for clinical practice.

    Supervisor

    Dr. Takeshi Saraya

    (Kyorin University School of Medicine, Department of Respiratory Medicine)

    Physicians can use the stethoscope whenever they want, which is an indispensable tool for discovering the etiologies and/or patients’ disease status even after the timing of modern technologies were applied.
    Furthermore, auscultation itself can give preferable emotional effects with the confidence for patients.
    Physicians should image the lung sounds for individual respiratory diseases just before performing auscultation.
    Learning of auscultation skills for discriminating respiratory diseases needs consideration for specific lung sounds in accordance with the anatomic location.

    In this regard, the “kikuzo and its website” will provide an important and useful lung sounds for physicians, which can clearly and reproducibly learn the representative and/or essential lung sounds in general practice.

    Auscultation is not done with the ears, but between the ears.

    Supervisor

    Dr.Chiaki Hidai

    (MD, PhD, Nihon University School of Medicine)

    I remember 35 years ago when I first realized, “I have finally grasped the art of auscultation!” As a new intern I was assigned to the cardiology ward where one of my tasks was to listen to the chest sounds of a patient with five different cardiac conditions: mitral valve stenosis, mitral valve regurgitation, aortic valve stenosis, aortic valve regurgitation, and tricuspid valve regurgitation. But all I heard was a whirring sound and had no idea what it was. From that day on, every morning when I went to the ward, I spent dozens of minutes auscultating her chest. One day, about 10 days later, I suddenly heard several distinct sounds. I was able to differentiate the sound of mitral stenosis from that of aortic regurgitation. Auscultation is not something that can be understood by attempting it once. Listening carefully over and over again is what turns a noise into meaningful sounds. It is said that auscultation is not done with the ears, but between the ears. I encourage everyone to train what lies between the ears by listening carefully again and again.

    Airway of healthy person and airway and auscultation sound of bronchial asthma patient

    健康な人の気道

    Healthy people airways

    The airway lumen is smooth and inflamed and constricted.
    The auscultation sound is smooth and no stenosis can be heard.

    Diastolic rumble, Presystolic murmur

    00:00/00:00

    Airway of patients with bronchial asthma

    Chronic inflammation roughens lumen and causes stenosis In auscultation, a whistling sound is heard due to airway narrowing, and a snoring sound is heard due to secretions such as sputum.

    Wheezes

    00:00/00:00

    Rhonchi

    00:00/00:00

    Information


    • January 11, 2023

      Regular Maintenance Notification on January 25th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • December 13, 2022

      Regular Maintenance Notification on December 21st from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • November 17, 2022

      Regular Maintenance Notification on November 30th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • October 11, 2022

      Regular Maintenance Notification on October 26th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • September 29, 2022

      The mp3 players on library are now displayed after “open”. This change will reduce the loading time of the library page. *If it does not display well, please reload your browser by “Ctrl + f5”.

    • September 14, 2022

      Regular Maintenance Notification on September 28th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • August 16, 2022

      Regular Maintenance Notification on August 31st from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • August 03, 2022

      Temporary Maintenance Notification :on August 4th from 4:00PM ~ 4:30PM (JST), a Temporary system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • August 01, 2022

      THE CASE of this month ‘28 y.o. marathoner’ released.(August, 2022)

    • July 31, 2022

      iPax auscultation playback system has been upgraded. This update makes iPax auscultation more clinical.

    • July 12, 2022

      Regular Maintenance Notification on July 27th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • July 05, 2022

      Notice of My Page Closing :My Page will be closed for a while from July 7, 17:00 (JST) for system adjustment. We apologize for inconvenience.

    • June 22, 2022

      Regular Maintenance Notification on June 29th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • May 26, 2022

      Login method changed. The new method reduces the number of input information. In addition, if you cannot log in, such as when the input information is incorrect, an code is automatically issued to your email. You can log in by entering the verification code on the displayed page.

    • May 14, 2022

      [Case study on May,2022] This case is a 30 year-old man with chest pain. Please log in and use it.

    • May 13, 2022

      Regular Maintenance Notification on May 25th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • April 28, 2022

      Modify the display of the auscultation site button and the login page design.

    • April 24, 2022

      Regular Maintenance Notification On April 27th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • March 11, 2022

      Regular Maintenance Notification On March 30th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • March 02, 2022

      「System failure Recovery Report」 The mail system failure was restored on March 2 at 4:45 PM (Japan time). We sincerely apologize for the inconvenience. We will make efforts to prevent recurrence in the future.

    • March 02, 2022

      「About Problems with New Registration, Password Change, and Browser Change」 At 9:00 (Japan time) , March 2, 2022, we confirmed that new registration, password change, browser change, and re-sending of registration confirmation email are not available due to a mail system failure. We apologize for the inconvenience. We are working urgently to recover from the failure.

    • February 01, 2022

      Regular Maintenance Notification On February 24th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • January 25, 2022

      Regular Maintenance Notification On January 26th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance period.

    • December 09, 2021

      Regular Maintenance Notification On December 22th from 6PM ~ 7PM (JST), a regular system maintenance will be performed. Please note that you may not be able to use this system during the maintenance time.

    • November 17, 2021

      Regular Maintenance Notification This system undergoes regular maintenance on last Wednesday of every month and this month's maintenance is scheduled on Wednesday, November 24th from 6PM ~ 7PM (JST). Please note that you may not be able to use this system during the above maintenance period.

    • October 20, 2021

      Regular Maintenance Notification This system undergoes regular maintenance on the last Wednesday of every month from 6PM ~ 7 PM (JST). This month's maintenance is on October 27th 6PM ~ 7PM. Please note that you may not be able to use this system during the above maintenance period.

    • September 21, 2021

      System Maintenance Announcement: System maintenance will be performed on September 29, 2021 6PM ~ 7PM (JST). Therefore, this site will be temporarily unavailable.

    • July 26, 2021

      System Maintenance Notice Kikuzosound.com and iPax services will be temporarily unavailable due to system maintenance. Maintenance date: Monday, August 9, 2021 6PM ~ 7PM (JST) (Expected to take about 10 minutes during this period)

    • June 29, 2021

      System Maintenance Notice Kikuzosound.com and iPax services are temporarily unavailable due to system maintenance. Maintenance date: Wednesday, July 7, 2021 6PM ~ 7PM (JST)

    • April 09, 2021

      Blood Pressure Exercises (for iPax) released.

    • March 04, 2021

      Ausculaide Cases (for iPax) released.

    • December 17, 2020

      Added language switching function to Japanese.

    • June 01, 2020

      Kikuzosound.com released.

    • August 05, 2021

      The auscultation education system (iPax) and auscultation speaker (Kikuzo) were patented in the United States.

    To list

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