TOMOKO Plus combines a realistic patient form with an intuitive tablet-based control system, allowing instructors to configure different patient conditions and clinical findings quickly and easily.

The simulator is specifically designed for training in physical assessment, vital signs measurement, auscultation, pulse assessment, respiratory assessment, blood pressure measurement, pulse oximetry, ECG interpretation, and pupillary reflex assessment.

Key Features

1. Easy-to-Use Tablet-Based Simulation Control

TOMOKO Plus is designed for quick setup and straightforward operation.

Training can be started simply by turning on the system and accessing the dedicated tablet interface.

The touchscreen control system allows instructors to:

• Select and configure simulation scenarios
• Adjust patient parameters
• Display detailed simulation information
• Save simulation settings
• Conduct training without complicated equipment setup
• Use the system in multiple languages

This allows instructors to focus on clinical teaching rather than complex simulator configuration.

2. Comprehensive Physical Assessment Training

TOMOKO Plus supports training across eight major physical assessment areas, allowing learners to practice systematic patient assessment and interpretation of clinical findings.

Respiratory Rate Assessment

Learners can assess the patient’s respiratory rate and identify different respiratory conditions.

Selectable respiratory rates:

• 10 breaths/min
• 15 breaths/min
• 20 breaths/min
• 25 breaths/min
• 30 breaths/min
• 35 breaths/min
• 40 breaths/min

This enables instructors to create different respiratory assessment scenarios.

ECG Training

The simulator supports ECG assessment with 9 selectable case examples.

This allows learners to practice recognizing and interpreting different ECG findings within a patient-assessment scenario.

Cardiac Auscultation

TOMOKO Plus provides 20 cardiac sound cases for auscultation training.

Learners can use a stethoscope to identify and interpret different cardiac sounds, supporting the development of systematic cardiovascular assessment skills.

Pulse Palpation

Learners can assess palpable pulse characteristics with selectable pulse rates ranging from:

30–140 beats/min

The adjustable pulse rate allows instructors to create scenarios representing different patient conditions.

Breath Sound Assessment

The simulator provides 12 selectable breath-sound cases, enabling learners to practice respiratory auscultation and recognize differences in simulated respiratory findings.

Pulse Oximetry

TOMOKO Plus supports SpO₂ assessment with selectable oxygen saturation levels of:

• 80%
• 90%
• 99%

This allows learners to practice interpreting oxygen saturation measurements as part of a complete patient assessment.

Pupillary Reflex Assessment

The simulator provides 4 types of pupillary reflex conditions, allowing learners to practice examination of the pupils and interpretation of simulated neurological findings.

Blood Pressure Measurement

Blood pressure assessment can be performed using the dedicated sphygmomanometer.

The simulator supports a systolic pressure range of:

80–200 mmHg

and a diastolic pressure range of:

50–120 mmHg

This allows learners to practice proper blood pressure measurement technique and clinical interpretation.

Clinical Skills Supported

M103 TOMOKO Plus supports practical training in:

• Physical assessment
• Vital signs assessment
• Respiratory rate measurement
• Breath sound auscultation
• Cardiac auscultation
• Pulse palpation
• Blood pressure measurement
• Pulse oximetry
• ECG assessment
• Pupillary reflex examination
• Patient condition assessment
• Clinical observation and interpretation

Simulation & Scenario Management

The tablet-based system allows instructors to configure and save simulation settings, making TOMOKO Plus suitable for structured classroom teaching, skills-lab sessions, assessment activities, and scenario-based simulation.

Different patient findings can be selected to allow learners to perform a systematic physical assessment and interpret the findings as part of a clinical case.

The availability of multiple languages further supports its use in international healthcare education environments.

Included Accessories

The M103 TOMOKO Plus package includes dedicated equipment for physical assessment training, including:

• Tablet PC
• Control Box
• Exclusive Bedside Monitor
• Stethoscope
• Exclusive Sphygmomanometer
• Exclusive ECG Electrodes with Leads
• Penlight
• Exclusive Pulse Oximeter
• Pajamas
• Baby Powder

These accessories provide the equipment required to perform the main assessment procedures supported by the simulator.

Technical Specifications

The official SAKAMOTO MODEL specifications list the height as 160 cm and total weight as 26 kg, including approximately 15 kg for the body and 11 kg for accessories.

Ideal Applications

M103 TOMOKO Plus is suitable for:

• Nursing Schools & Colleges
• Medical Schools
• Universities
• Nursing Skills Laboratories
• Clinical Simulation Centers
• Teaching Hospitals
• Healthcare Training Institutions
• Clinical Skills Assessment Centers
• Continuing Professional Development Programs

Key Educational Benefits

Realistic Clinical Assessment

Provides a structured environment where learners can repeatedly practice physical assessment techniques without risk to real patients.

Scenario-Based Learning

Instructors can modify patient findings to create different assessment scenarios and encourage clinical reasoning.

Objective Skills Development

Students can practice standardized assessment procedures and develop consistency in clinical examination techniques.

Integrated Vital Signs Training

Combines multiple assessment parameters—including respiratory rate, pulse, blood pressure, SpO₂, ECG, cardiac sounds, breath sounds, and pupillary reflexes—within one training platform.

Simple Instructor Operation

The dedicated tablet interface provides an intuitive method for setting and controlling simulation parameters without complicated configuration.