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30

Chapter 3  Preparation and Inspection

EVIS EXERA TJF TYPE 160VR OPERATION MANUAL

Attaching the biopsy valve

If a biopsy valve is not properly connected to the instrument 
channel port, it can reduce the efficacy of the endoscope’s 
suction system and may cause patient debris to leak or spray 
from the endoscope.

Attach the biopsy valve to the instrument channel port of the endoscope (see 
Figure 3.14). Confirm that the biopsy valve fits properly.

Figure 3.14

Biopsy valve

Instrument 
channel port

Summary of Contents for EVIS EXERA TJF-160VR

Page 1: ...Refer to the endoscope s companion manual the OLYMPUS TJF TYPE 160VR REPROCESSING MANUAL for reprocessing information INSTRUCTIONS EVIS EXERA DUODENOVIDEOSCOPE OLYMPUS TJF TYPE 160VR...

Page 2: ......

Page 3: ...e handling 7 Chapter 1 Checking the Package Contents 8 Chapter 2 Instrument Nomenclature and Specifications 10 2 1 Nomenclature 10 2 2 Endoscope functions 12 2 3 Specifications 14 Chapter 3 Preparatio...

Page 4: ...YPE 160VR OPERATION MANUAL Chapter 5 Troubleshooting 63 5 1 Troubleshooting guide 63 5 2 Withdrawal of the endoscope with an abnormality 67 5 3 Returning the endoscope for repair 69 Appendix 71 System...

Page 5: ...meaning s of the symbol s shown on the package with the components the back cover of this instruction manual and or this instrument are as follows Refer to instructions Endoscope TYPE BF applied part...

Page 6: ...ther official institutions such as academic societies on endoscopy follow that standard Before starting endoscopy and endoscopic treatment thoroughly evaluate its properties purposes effects and possi...

Page 7: ...ualifications The operator of this instrument must be a physician or medical personnel under the supervision of a physician and must have received sufficient training in clinical endoscopic technique...

Page 8: ...risk cause equipment damage or reduce performance Spare equipment Be sure to prepare another endoscope to avoid that the examination will be interrupted due to equipment failure or malfunction Repair...

Page 9: ...tion control forcibly or abruptly Never forcefully pull twist or rotate the angulated bending section Patient injury bleeding and or perforation can result It may also become impossible to straighten...

Page 10: ...rcefully The covering of the bending section may stretch or break and cause water leaks Turn the video system center OFF before connecting or disconnecting the videoscope cable from the electrical con...

Page 11: ...Examples of inappropriate handling Details on clinical endoscopic technique are the responsibility of trained specialists Patient safety in endoscopic examinations and endoscopic treatment can be ensu...

Page 12: ...damage If the instrument is damaged a component is missing or you have any questions do not use the instrument immediately contact Olympus This instrument was not disinfected or sterilized before shi...

Page 13: ...6 Channel plug MH 944 Operation manual Reprocessing manual AW channel cleaning adapter MH 948 Biopsy valve MB 358 10 pcs Air water valve MH 438 2 pcs Suction valve MH 443 2 pcs Mouthpiece MB 142 2 pcs...

Page 14: ...L Chapter 2 Instrument Nomenclature and Specifications 2 1 Nomenclature Universal cord Air pipe Light guide Product name and serial number Electrical contacts 1 Suction connector 2 S cord connector mo...

Page 15: ...ing length Insertion tube Distal end Biopsy valve MB 358 Guidewire fixing function color blue Guidewire fixing function mark Distal cover MAJ 311 8 Suction valve MH 443 9 Air water valve MH 438 7 UP D...

Page 16: ...videoscope cable The endoscope contains a memory chip that stores information about the endoscope and communicates this information to the video system center CV 160 For more details refer to the ins...

Page 17: ...en selecting the functions also refer to the instruction manual for the video system center 15 Elevator channel plug This plug is used for connection of the washing tube to clean and disinfect the ele...

Page 18: ...ment Operating environment Ambient temperature 10 40 C 50 104 F Relative humidity 30 85 Atmospheric pressure 700 1060 hPa 0 7 1 1 kgf cm2 10 2 15 4 psia Transportation and storage environment Ambient...

Page 19: ...nd outer diameter 13 5 mm Distal end enlarged 1 Air water nozzle 2 Objective lens 3 Light guide lens 4 Instrument channel outlet 5 Forceps elevator 6 Guidewire locking groove 7 Elevator wire 8 Hook 9...

Page 20: ...Applied standard IEC 60601 1 2 2001 This instrument complies with the standards listed in the left column CISPR 11 of emission Group 1 Class B This instrument complies with the EMC standard for medica...

Page 21: ...n Chapter 5 Troubleshooting If this instrument malfunctions do not use it Return it to Olympus for repair as described in Section 5 3 Returning the endoscope for repair Using an endoscope that is not...

Page 22: ...personal protective equipment such as eye wear face mask moisture resistant clothing and chemical resistant gloves before each use Refer to the respective instruction manuals for each piece of equipm...

Page 23: ...boot and the insertion tube near the boot for bends twists or other irregularities 3 Inspect the external surface of the entire insertion tube including the bending section and the distal end for dent...

Page 24: ...the midpoint of the bending section and a point 20 cm from the distal end Push and pull gently to confirm that the junction between the bending section and the insertion tube is not loose 7 Inspect t...

Page 25: ...during an examination Inspection for smooth operation 1 Confirm that both the UP DOWN and RIGHT LEFT angulation locks move all the way in the F direction 2 Turn the UP DOWN and RIGHT LEFT angulation c...

Page 26: ...e of the bending section is roughly stabilized when the RIGHT LEFT angulation control knob is released 3 Confirm that the bending section straightens out when the RIGHT LEFT angulation lock is turned...

Page 27: ...gure 3 5 3 3 Preparation and inspection of accessories Clean and disinfect or sterilize the air water valve suction valve biopsy valve and distal cover as described in the endoscope s companion reproc...

Page 28: ...t deformed or cracked see Figures 3 6 and 3 7 3 Check for excessive scratching or tears in the air water valve s seals see Figure 3 6 Figure 3 6 Figure 3 7 The air water and suction valves are consuma...

Page 29: ...rregular abnormal or damaged valve can reduce the efficacy of the endoscope s suction system and may leak or spray patient debris or fluids posing an infection control risk 1 Confirm that the slit and...

Page 30: ...nd of the endoscope Only the distal cover MAJ 311 can be used with TJF 160VR If the TJF 160VR is used in combination with a wrong distal cover it may fall off the distal end during the examination Con...

Page 31: ...or equipment damage Placing the mouthpiece in the patient s mouth before the procedure prevents the patient from biting and or damaging the endoscope s insertion tube 1 Confirm that the mouthpiece is...

Page 32: ...two metal ridges on the underside of the suction valve with the two holes in the suction cylinder 2 Attach the suction valve to the suction cylinder of the endoscope see Figures 3 12 and 3 13 Confirm...

Page 33: ...water valve to the air water cylinder of the endoscope see Figure 3 13 2 Confirm that the valve fits properly without any bulging of the skirt Figure 3 13 The air water valve may stick at first but it...

Page 34: ...nnected to the instrument channel port it can reduce the efficacy of the endoscope s suction system and may cause patient debris to leak or spray from the endoscope Attach the biopsy valve to the inst...

Page 35: ...from cracks or pinholes when high frequency cauterization treatment is performed Never use a distal cover with cracks or pinholes but replace it with a new one Do not put silicone oil olive oil or pro...

Page 36: ...hown in Figure 3 15 Figure 3 15 2 Gently hold the covering of the bending section as close to the distal end as possible see Figure 3 16 Hold the top end of the distal cover with the metal insert see...

Page 37: ...n Figure 3 17 Figure 3 17 4 While maintaining the condition obtained in Step 3 pressing the distal cover turn the top end of the distal cover clockwise until it stops as shown in Figure 3 18 5 After t...

Page 38: ...een the distal end of the endoscope and the distal cover at the two positions indicated by the arrows in Figure 3 19 Figure 3 19 7 Confirm that the part of the distal cover indicated by an arrow and t...

Page 39: ...2 and that the white ring of the distal end is not covered by the distal cover as shown in Figure 3 22 Stroke the distal cover with your fingers and pay attention that the distal cover is not put over...

Page 40: ...f cracks wrinkles or pinholes 13 While observing the forceps elevator at the distal end of the endoscope move the elevator control lever slowly several times all the way in both the U direction and to...

Page 41: ...er s connection adapter when detaching the connection adapter from the endoscope Spilled water could splash on the equipment and it may cause equipment malfunction Prepare and inspect the light source...

Page 42: ...connector and water supply connector see Figure 3 25 4 Confirm that the water container s connection adapter fits properly and that the water container s connection adapter cannot be rotated Figure 3...

Page 43: ...irectly at the distal end of the endoscope while the examination light is ON Otherwise eye injury may result 1 Turn ON the video system center light source and video monitor and inspect the endoscopic...

Page 44: ...to a depth of 10 cm and confirm that no air bubbles are emitted when the air water valve is not operated 3 Cover the hole in the air water valve with your finger and confirm that air bubbles are cont...

Page 45: ...urns to its original position slowly after water feeding remove the air water valve and moisten the seals with sterile water During the inspection place the distal end of the endoscope in a beaker or...

Page 46: ...Place the container of sterile water and the endoscope on the same height For the inspection adjust the suction pressure to the same level as it will be during the procedure 2 Immerse the distal end...

Page 47: ...o therapy accessory through the biopsy valve Confirm that the endo therapy accessory extends smoothly from the distal end and that a foreign object does not come out 2 Extend the endo therapy accessor...

Page 48: ...re of the distal end of the endoscope may exceed 41 C 106 F and reach 50 C 122 F due to intense endoscopic illumination Surface temperatures over 41 C 106 F may cause mucosal burns Always use the mini...

Page 49: ...f the angulation control mechanism is not functioning properly Continued use of the endoscope under these conditions could result in patient injury bleeding and or perforation If an abnormal endoscopi...

Page 50: ...this vapor continues to interfere with the examination remove the endoscope wipe the distal end of the endoscope with a lint free cloth moistened with 70 ethyl or isopropyl alcohol reinsert the endos...

Page 51: ...ctly and it may slip off or fall off the distal end during the examination Continuing the examination after the distal cover has fallen off may cause patient injury It could also result in thermal inj...

Page 52: ...end Avoid forcible or excessive angulation as this imposes load on the wire controlling the bending section This may cause stretching or tearing of the wire and may impair the action of the bending s...

Page 53: ...ient debris or fluids posing an infection control risk If the biopsy valve is left uncapped during the procedure debris or fluids could leak or spray from it posing an infection control risk When the...

Page 54: ...OPERATION MANUAL 1 Cover the air water valve s hole to feed air from the air water nozzle at the distal end see Figure 4 3 2 Depress the air water valve to feed water onto the objective lens see Figu...

Page 55: ...the biopsy valve posing an infection control risk When aspirating attach the cap to the main body of the biopsy valve The uncapped biopsy valve can reduce the efficacy of the endoscope s suction syst...

Page 56: ...s When inserting or withdrawing an endo therapy accessory confirm that its distal end is closed or completely retracted into the sheath Slowly insert or withdraw the endo therapy accessory straight in...

Page 57: ...e injector is extended from the distal end of the endoscope The needle could damage the instrument channel if extended inside the channel or if the injector is inserted or withdrawn while the needle i...

Page 58: ...he UP DOWN and RIGHT LEFT angulation knobs stationary 4 Confirm that the tip of the endo therapy accessory is closed or retracted into its sheath and insert the endo therapy accessory slowly and strai...

Page 59: ...ontrol risk If the endo therapy accessory cannot be withdrawn from the endoscope close the endo therapy accessory and or retract it into its sheath then carefully withdraw both the endoscope and the e...

Page 60: ...locking groove and cannot be fixed at the distal end of the endoscope The guidewire goes deep inside the patient s body and patient injury bleeding and or perforation can result The outer surface of t...

Page 61: ...articularly while performing papillotomy Do not manipulate the elevator control lever and or endo therapy accessory without closely viewing the endoscopic image as patient injury bleeding and or perfo...

Page 62: ...uidewire to the proximal end of the guidewire type endo therapy accessory and advance the guidewire until it reaches the desired position while observing the endoscopic image and X ray images 2 When t...

Page 63: ...assistant function of the guidewire fixation may not function effectively due to the position of the distal end of the endoscope and the papilla because the guidewire comes off the guidewire locking...

Page 64: ...to insert the endo therapy accessory carefully without moving the guidewire from the desired position High frequency cauterization If the intestines contain a flammable gas replace it with air or a n...

Page 65: ...gical unit and electrosurgical accessories as described in their instruction manuals The application of high frequency current may interfere with the endoscopic image This is normal and does not indic...

Page 66: ...ope in the carrying case Always clean disinfect or sterilize the endoscope after removing it from the carrying case If the endoscope is not cleaned disinfected or sterilized the patient might be infec...

Page 67: ...and may result in more severe equipment damage If any parts of the endoscope fall off inside the patient body due to equipment damage or failure stop using the endoscope immediately and retrieve the p...

Page 68: ...er valve is damaged Replace it with a new one No water feeding The air pump is not operating Press the LOW MED or HIGH button on the light source as described in the light source s instruction manual...

Page 69: ...he suction valve cannot be attached The suction valve is damaged Replace it with a new one An incorrect suction valve is used Use a correct suction valve Liquid leaks out from the biopsy valve The bio...

Page 70: ...the elevator wire channel is dirty Clean and disinfect or sterilize the elevator wire channel as described in the REPROCESSING MANUAL whose cover lists the model of your endoscope Guidewire cannot be...

Page 71: ...rities are suspected immediately contact Olympus Forcibly withdrawing the endoscope or endo therapy accessory may cause patient injury bleeding and or perforation When the endoscopic image appears on...

Page 72: ...nitor 2 Turn the video system center and light source OFF and then ON again If the endoscopic image appears or the frozen image restored follow the procedure of Step 2 and below in When the endoscopic...

Page 73: ...l risk to each person who handles the endoscope within the hospital or at Olympus Before returning the endoscope for repair contact Olympus With the endoscope include a description of the malfunction...

Page 74: ...70 Chapter 5 Troubleshooting EVIS EXERA TJF TYPE 160VR OPERATION MANUAL...

Page 75: ...ent are listed below Some items may not be available in some areas New products released after the introduction of this instrument may also be compatible for use in combination with this instrument Fo...

Page 76: ...U 2 Videoscope cable EXERA MAJ 843 Videoscope cable 100 MH 976 EVIS video system center CV 100 140 EVIS EXERA video system center CV 160 EVIS EXERA light source CLV 160 EVIS universal light source CLV...

Page 77: ...l accessories See next page Cleaning and disinfection equipment Ultrasonic cleaner KS 2 ENDOSONIC Channel cleaning brush BW 20T Leakage tester MB 155 Channel opening cleaning brush MH 507 Washing tube...

Page 78: ...B 46Q 1 Endoscope Disposable cytology brush GRASPING FORCEPS Rat tooth Basket type Flower basket type TJF 160VR BC 23Q 24Q FG 14P 1 FG 18Q 1 22Q 1 23Q 1 FG 301Q Endoscope DISPOSABLE GRASPING FORCEPS F...

Page 79: ...pe Hard TJF 160VR PR 5Z 1 1 PR 7Q 1 PR 11Q 1 128Q 1 1 PR 108Q 1 Endoscope CANNULA Slitted Short tapered Long tapered With ball tip TJF 160VR PR 126Q 1 1 326Q 1 2 PR 109Q 1 113Q 1 1 309Q 2 313Q 1 2 PR...

Page 80: ...232Q PR 233Q 1 PW 6P 1 Endoscope WASHING PIPE BILIARY DRAINAGE TUBE Retro jet 7 Fr 10 Fr 12 Fr 7 Fr 7 Fr 8 5 Fr 10 Fr 12 Fr TJF 160VR PW 8Q 1 PBD 3Z 1 1 4Z 1 1 6Z 1 1 PBD 7Z 1 1 PBD 210R 1 210Z 1 End...

Page 81: ...CATHETER Pigtail type type Reverse type TJF 160VR PBD 21Z 1 25Z 1 PBD 22Z 1 26Z 1 PBD 23Z 1 27Z 1 B7 2Q 1 2LA 1 B5 2Q 2LA B 230Q A B 1 Endoscope MEASURING DEVICE GUIDE CATHETER Straight type TJF 160VR...

Page 82: ...e Push pull type Pull type TJF 160VR KD 4Q 1 5Q 1 16Q 1 to 26Q 1 30Q 1 KD 27Q 1 KD 6Q 1 28Q 1 29Q 1 KD 7Q 1 8Q 1 9Q 1 Endoscope PAPILLOTOMY KNIFE WIRE GUIDED TYPE DISPOSABLE PAPILLOTOMY KNIFE WIRE GUI...

Page 83: ...type Pull type clever cut TJF 160VR KD 211Q 1 KD 301Q 1 321Q KD 401Q 1 421Q KD 411Q 1 431Q Endoscope PRECUTTING KNIFE SINGLE USE TRIPLE LUMEN NEEDLE KNIFE Needle type Flat type TJF 160VR KD 10Q 1 KD...

Page 84: ...refore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment Radiated emissions CISPR 11 Class B This instrument s RF emissions are very low and are...

Page 85: ...al original condition feeding the facilities or hospital environment Surge IEC 61000 4 5 Differential mode 0 5 1 kV Common mode 0 5 1 2 kV Same as left Mains power quality should be that of a typical...

Page 86: ...2 2001 However under electromagnetic environment that exceeds its noise level electromagnetic interference may occur on this instrument Electromagnetic interference may occur on this instrument near...

Page 87: ...le RF communications equipment such as cellular phones should be used no closer to any part of this instrument including cables than the recommended separation distance calculated from the equation ap...

Page 88: ......

Page 89: ...reproduced or distributed without the express written permission of OLYMPUS MEDICAL SYSTEMS CORP OLYMPUS is a registered trademark of OLYMPUS CORPORATION Trademarks product names logos or trade names...

Page 90: ...wer Singapore 248373 Fax 6834 2438 Telephone 6834 0010 Room 1202 NCI Tower A21 Jianguomenwai Avenue Chaoyang District Beijing 100022 PRC Fax 10 6569 3545 Telephone 10 6569 3535 117071 Moscow Malaya Ka...

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