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    <loc>https://kotobuki-medical.myshopify.com/</loc>
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  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/standard-vtt</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/Kotobuki-102.jpg?v=1683016285</image:loc>
      <image:title>VTT Standard Type【VTT-STD】</image:title>
      <image:caption>Medical forceps complete a ligature in the VTT Standard Type. Despite the strength of the knot, the tissue doesn&apos;t tear. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/layered-tissue-pad</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/Kotobuki-113.jpg?v=1683016186</image:loc>
      <image:title>VTT Double Layer Model【VTT-DBL】</image:title>
      <image:caption>An incision is made on the Double Layer Type with an electrocautery pencil and forceps. The white muscular layer is pulled back to reveal soft red tissue slightly scorched by the thermal spread.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/tumor-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/Kotobuki-112.jpg?v=1683016303</image:loc>
      <image:title>VTT Tumor Model【VTT-TMI】</image:title>
      <image:caption>One white, dense tumor and its surrounding soft tissue are resected from the VTT Tumor Type using medical forceps and an electrocautery pencil. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/vessel-dissection-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/VSI001.png?v=1683016313</image:loc>
      <image:title>VTT Vessel Dissection Model【VTT-VSI】</image:title>
      <image:caption>An electrocautery pencil separates the white synthetic vessel from softer tissue below. Despite the spark of heat, minimal smoke is created.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/composite-tumor</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/VTT-CMPBluntDissection.jpg?v=1683016175</image:loc>
      <image:title>VTT Composite Tumor Model【VTT-CMP】</image:title>
      <image:caption>An incision in the Composite Tumor Model is opened to reveal the synthetic tumor inside. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/mucosa-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/Kotobuki-229_1.jpg?v=1683016216</image:loc>
      <image:title>VTT Mucosa Model【VTT-MCS】</image:title>
      <image:caption>A cutaway side view of the VTT Mucosa Model, which has been injected with lesion-raising VTT Injection Solution. The raised lesion presents as a pocket of blue gel beneath the mucosal layer. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/injection-solution</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/595610736156738339_850ee127-3e38-4ec9-a81c-df6f128436aa.jpg?v=1768971369</image:loc>
      <image:title>VTT Injection Solution【VTT-INJ】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/rbm2-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/RBM2-Cut.jpg?v=1683016168</image:loc>
      <image:title>VTT RBM2 Model【VTT-RBM2】</image:title>
      <image:caption>The RBM2 Model cut in half to reveal blue lymph nodes and orange vessel structures. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/training-tripod</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/VKT-TPD-NT_01.jpg?v=1684283956</image:loc>
      <image:title>VTT Fixing Tray (Four-Pincer Type)【VTT-TPD-NT】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/rbc-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/20230823_KOTOBUKI_18405.jpg?v=1742277205</image:loc>
      <image:title>VTT RBC Model【VTT-RBC】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/gastric-mucosa</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/VTT-MCG-10.jpg?v=1708492396</image:loc>
      <image:title>VTT Gastric Mucosa Model【VTT-MCG】</image:title>
      <image:caption>A surgical endoscope resects a circular section of the Gastric Mucosa Model. Blue injection solution drips out of the incision over the simulated gastric wall. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/cholecystectomy</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/VTT_30ee7227-12ad-452e-8991-4e63c306eac0.jpg?v=1742277269</image:loc>
      <image:title>VTT Cholecystectomy Model【VTT-GB00001】</image:title>
      <image:caption>Gloved hand uses blunt dissection to reveal the orange-dyed gallbladder artery of a synthetic model.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/right-lobectomy</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/Right-Lobectomy-Model.jpg?v=1681451373</image:loc>
      <image:title>VTT Right Lobectomy Model【VTT-LUN00001】</image:title>
      <image:caption>Right Lobectomy Model against a white background with the right upper lobe, the right middle lobe, and the right lower lobe all visible. Vessels and lymph nodes are also visible. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/left-lobectomy</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/Left-Lobectomy-Tactile-Reaction.jpg?v=1683016086</image:loc>
      <image:title>VTT Left Lobectomy Model【VTT-LUN00002】</image:title>
      <image:caption>Gloved hands test the tearing resistance of the Left Lobectomy Model. Some tissue can be seen tearing near the orange-dyed aortic ventricle. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/g-master</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/800_G-Master.jpg?v=1682561878</image:loc>
      <image:title>The G-Master ESD Training System【GM001】</image:title>
      <image:caption>KOTOBUKI Medical&apos;s endoscopic submucosal dissection (ESD) training system. The unit is black and open-air, with a rotatable setting wheel that holds plant-based gastric mucosa tissue models. A spatula and tube sit at the other side for endoscopic entry.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/omni-trainer</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/omni_001.jpg?v=1698905516</image:loc>
      <image:title>Omni-Trainer【TB-OMNI-001】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/soft-swirl-pad</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/IMGP1523.jpg?v=1683016130</image:loc>
      <image:title>Soft Training Pad Swirl【TRP-UZSS】</image:title>
      <image:caption>Demonstration of the Soft Training Pad Swirl&apos;s flexibility and tear resistance. The soft silicon stretches liberally when pulled up using inserted thread.</image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/swirl-pad</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/TrainingPadSwirlSutures.jpg?v=1683016140</image:loc>
      <image:title>Training Pad Swirl</image:title>
      <image:caption>Multiple types of ligature knots performed on the Training Pad Swirl. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/mini-training-pads</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/MiniTrainingPadInAction.jpg?v=1683016098</image:loc>
      <image:title>Mini Training Pad Set【TRP-MN1】</image:title>
      <image:caption>Laparoscopic ligature training performed on a miniature silicon suture pad. One trocar holds the thread while the other braces against the soft, red silicon. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/laparo-training-binder</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/15G070716_01_880x660_0f14f5a2-d202-4d1d-ae29-27d002856b03.jpg?v=1683016077</image:loc>
      <image:title>Laparo Training Binder（Navy Blue or Pink）【LTB1】</image:title>
      <image:caption>The Laparo Training Binder is laid flat on a desk. Both the clear laparoscopic wall and the setting base are tilted at a 45 degree angle to the left. An iPad rests on the laparoscopic wall in vertical position. Two silicon suture pads rest in vertical positions on the setting base. Two closed A4 binders stand upright to the side as for size comparisons.  </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/lm-suture-training</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/products/LM-DKT1-1.jpg?v=1681888826</image:loc>
      <image:title>LM Suture Model Kit</image:title>
      <image:caption>A pink, synthetic vaginal stump model made of fabric and foam is propped at an angle on a silver base. </image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/laparoscopic-suture-set</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/TRP-OSA-01.jpg?v=1682997480</image:loc>
      <image:title>Training Pad Recommended Set A【TRP-OSA】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/gyno-laparo-box</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/GLT01-01.jpg?v=1684131308</image:loc>
      <image:title>Gynecologic Laparo Box【GLT01】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/enucleation-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/800_VTT-ENU_000.jpg?v=1684820443</image:loc>
      <image:title>VTT Enucleation Model【VTT-ENU】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/standard-laparoscopic-training-box</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/RPT-K1-01.jpg?v=1699251007</image:loc>
      <image:title>Standard Laparoscopic Training Box【RPT-K1】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/suture-endoscopic-training-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/000-SuTURE.jpg?v=1699252551</image:loc>
      <image:title>SuTURE Endoscopic Training Model【GM-SuTURE-01】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/hernia-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/VTT-TAPP_004.jpg?v=1705567913</image:loc>
      <image:title>VTT Inguinal Hernia Model【VTT-TAPP】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/laparoscopic-distal-gastrectomy-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/VTT-LDG_004.jpg?v=1705643114</image:loc>
      <image:title>VTT Laparoscopic Distal Gastrectomy Model【VTT-LDG】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/lower-anterior-resection-model</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/VTT-LAR_005.jpg?v=1742277233</image:loc>
      <image:title>VTT Lower Anterior Resection Model【VTT-LAR】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/high-vision-mini-camera-set</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/ESET-CAM-02.jpg?v=1711698898</image:loc>
      <image:title>HD Mini-Camera</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/etep-optima-suture-practice-pad</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/TRP-CSS2-001.jpg?v=1716787436</image:loc>
      <image:title>Dr. Imamura&apos;s eTEP Optima Suture Practice Pad【TRP-CSS2】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/omni-trainer-and-etep-pad-set</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/2024-09-20_104523.png?v=1726802287</image:loc>
      <image:title>Set of Omni-Trainer and Dr. Imamura&apos;s eTEP Optima Suture Practice Pad【TB-OM-SETB】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/omni-trainer-and-etep-pad-set-copy</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/omni_004.jpg?v=1698905515</image:loc>
      <image:title>Set of Omni-Trainer, Dr. Imamura&apos;s eTEP Optima Suture Practice Pad and High Vision Mini-Camera【TB-OM-SETA】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/counter-polar-cable</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/07_VTT_tray_tripod.jpg?v=1776235160</image:loc>
      <image:title>Counter-Polar Cable【VCBL】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/thoraco-box</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/TRC1-01.jpg?v=1737358046</image:loc>
      <image:title>Thoraco Box【TRC1】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/stand-for-hernia-model-ih-tr-01</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/DJI_20250409133656_0266_D.jpg?v=1745202129</image:loc>
      <image:title>Stand for Hernia Model【IH-TR-01】</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/training-needle-holder-curved-left</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/RJK-TIN-03.jpg?v=1778752473</image:loc>
      <image:title>Training Needle Holder – Curved Left</image:title>
      <image:caption></image:caption>
    </image:image>
  </url>
  <url>
    <loc>https://kotobuki-medical.myshopify.com/products/training-maryland-forceps</loc>
    <lastmod>2026-06-04T10:45:33+09:00</lastmod>
    <changefreq>daily</changefreq>
    <image:image>
      <image:loc>https://cdn.shopify.com/s/files/1/0314/5636/2540/files/RMK-BL1-01_025c8bb0-85bc-4e27-a6b8-0ccd527b6f2e.jpg?v=1779166184</image:loc>
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      <image:caption></image:caption>
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