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Olympus EVIS EXERA II Скачать руководство пользователя страница 66

62

Chapter 4 Operation

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

4.1

Insertion

Holding and manipulating the endoscope

The control section of the endoscope is designed to be held in the left hand. The
air/water and suction valves can be operated using the left index finger. The
UP/DOWN angulation control knob can be operated using the left thumb. The
right hand is free to manipulate the insertion tube and the RIGHT/LEFT
angulation control knob (see Figure 4.1, the GIF-N180 has only the UP/DOWN
angulation control knob).

Figure 4.1

Insertion of the endoscope

• The shape and size of the nasal cavity and its suitability for

transnasal insertion may vary from patient to patient. No
endoscope, including this one, can always be inserted
transnasally with all patients. Before proceeding, always be
sure to confirm that transnasal insertion is possible with the
patient. Otherwise, operator and/or patient injury can result,
or the endoscope could become lodged and be difficult to
withdraw.

• Transnasal insertion of the endoscope should be performed

carefully. If resistance to insertion is felt, or the patient
reports pain, stop insertion immediately. Otherwise, operator
and/or patient injury can result or the endoscope could
become lodged and be difficult to withdraw.

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Содержание EVIS EXERA II

Страница 1: ...information USA CAUTION Federal law restricts this device to sale by or on the order of a physician INSTRUCTIONS EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE OLYMPUS GIF TYPE N180 OLYMPUS GIF TYPE Q180...

Страница 2: ......

Страница 3: ...te handling 11 Chapter 1 Checking the Package Contents 12 Chapter 2 Instrument Nomenclature and Specifications 16 2 1 Nomenclature 16 2 2 Endoscope functions 22 2 3 Specifications 24 2 4 Attaching the...

Страница 4: ...TYPE 180 Series OPERATION MANUAL Chapter 5 Troubleshooting 79 5 1 Troubleshooting guide 79 5 2 Withdrawal of the endoscope with an abnormality 83 5 3 Returning the endoscope for repair 86 Appendix 87...

Страница 5: ...g 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 Single...

Страница 6: ...ct including the esophagus stomach and duodenum Use the EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE GIF Q180 GIF H180 for endoscopy and endoscopic surgery within the upper digestive tract including the...

Страница 7: ...in its place and perform the endoscopy and endoscopic treatment only after obtaining the consent of the patient Even after starting the endoscopy and endoscopic treatment continue to evaluate the pot...

Страница 8: ...efer to the System chart in the Appendix to confirm that this instrument is compatible with the ancillary equipment being used Using incompatible equipment can result in patient or operator injury and...

Страница 9: ...ction 5 1 Troubleshooting guide on page 79 If the irregularity is still suspected after inspection contact Olympus Prohibition of improper repair and modification This instrument does not contain any...

Страница 10: ...ary while the patient wears a metallic object it may cause burns on the patient in areas around the metallic object Do not strike bend hit pull twist or drop the endoscope s distal end insertion tube...

Страница 11: ...ying a pretreatment agent through a tube insert the tube into the same path as the path planned for the endoscope insertion Otherwise the treatment will have no effect The effects of the pretreatment...

Страница 12: ...Never insert or withdraw the endoscope s insertion tube use endo therapy accessories while the image is magnified Patient injury bleeding and or perforation can result only when using the image magnif...

Страница 13: ...o not touch the electrical contacts inside the electrical connector CCD damage may result Do not apply shock to the distal end of the insertion tube particularly the objective lens surface at the dist...

Страница 14: ...ion Otherwise the insertion tube may be damaged for endoscopes with flexibility adjustment only To check the electromagnetic influence from other equipment any equipment other than this instrument or...

Страница 15: ...equired or with prolonged suction time may cause bleeding and or lesions The endoscope has not been designed for use in retroflexed observation in parts of the body other than the stomach Performing r...

Страница 16: ...em for 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 befo...

Страница 17: ...Chapter 1 Checking the Package Contents 13 EVIS EXERA II GIF CF PCF TYPE 180 Series OPERATION MANUAL GIF N180 Endoscope GIF Q180 GIF H180 Endoscope Endoscope CF Q180AL I CF H180AL I PCF Q180AL I...

Страница 18: ...s Channel plug MH 944 Suction valve MH 443 2 pcs Air water valve MH 438 2 pcs Chain for water resistant cap MAJ 1119 Mouthpiece MB 142 for GIF Q180 GIF H180 2 pcs Biopsy valve MB 358 10 pcs Suction cl...

Страница 19: ...her than the USA and CAN Channel opening cleaning brush MH 507 Biopsy valve MB 358 10 pcs Suction cleaning adapter MH 856 Auxiliary water tube MAJ 855 for endoscopes with auxiliary water feeding only...

Страница 20: ...TION MANUAL Chapter 2 Instrument Nomenclature and Specifications 2 1 Nomenclature GIF N180 Universal cord Contact pins Product name and serial number Light guide Air pipe 5 Electrical connector 4 Endo...

Страница 21: ...Bending section 11 Insertion tube limit mark 10 Instrument channel 9 Air water valve MH 438 8 Suction valve MH 443 7 UP DOWN angulation lock 6 UP DOWN angulation control knob Distal end Boot 14 Color...

Страница 22: ...F PCF TYPE 180 Series OPERATION MANUAL GIF Q180 GIF H180 Universal cord Contact pins Product name and serial number Light guide Air pipe 5 Electrical connector 4 Endoscope connector 2 S cord connector...

Страница 23: ...limit mark 10 Instrument channel 9 Air water valve MH 438 8 Suction valve MH 443 7 UP DOWN angulation lock 6 UP DOWN angulation control knob Distal end Biopsy valve MB 358 Boot 14 Color code Air water...

Страница 24: ...Q180AI CF H180AL CF H180AI PCF Q180AL PCF Q180AI Universal cord Contact pins Product name and serial number Air pipe 5 Electrical connector 4 Endoscope connector 2 S cord connector mount 1 Suction co...

Страница 25: ...ent channel 9 Air water valve MH 438 8 Suction valve MH 443 7 UP DOWN angulation lock 6 UP DOWN angulation control knob Distal end Biopsy valve MB 358 Boot 14 Color code Air water cylinder Suction cyl...

Страница 26: ...e video system center via the 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 and...

Страница 27: ...e fitting of the chain for water resistant cap here Do not connect the S cord of the electrosurgical unit here 16 RIGHT LEFT angulation lock except GIF N180 Turning this lock in the F direction frees...

Страница 28: ...adheres to mucous membrane in the patient s body cavity When the auxiliary water inlet is not being used make sure that it is covered by the auxiliary water inlet cap 2 3 Specifications Environment Op...

Страница 29: ...rtion tube outer diameter 4 9 mm Working length 1100 mm Instrument channel Channel inner diameter 2 mm Minimum visible distance 2 mm from the distal end Direction from which endo therapy accessories e...

Страница 30: ...nnel outlet Insertion tube outer diameter 8 8 mm Working length 1030 mm Instrument channel Channel inner diameter 2 8 mm Minimum visible distance 3 mm from the distal end Direction from which endo the...

Страница 31: ...nnel outlet Insertion tube outer diameter 9 8 mm Working length 1030 mm Instrument channel Channel inner diameter 2 8 mm Minimum visible distance 3 mm from the distal end Direction from which endo the...

Страница 32: ...ength L 1680 mm I 1330 mm Range of the flexibility adjustment The rigidity in the most rigid condition is about twice that in the most flexible condition Instrument channel Channel inner diameter 3 7...

Страница 33: ...ngth L 1680 mm I 1330 mm Range of the flexibility adjustment The rigidity in the most rigid condition is about twice that in the most flexible condition Instrument channel Channel inner diameter 3 7 m...

Страница 34: ...th L 1680 mm I 1330 mm Range of the flexibility adjustment The rigidity in the most rigid condition is about twice that in the most flexible condition Instrument channel Channel inner diameter 3 2 mm...

Страница 35: ...ndards listed in the left column CISPR 11 of emission Group 1 Class B This instrument complies with the EMC standard for medical electrical equipment edition 2 IEC 60601 1 2 2001 However when connecti...

Страница 36: ...onnected from the endoscope and allow patient debris to spray The chain for water resistant cap and water resistant cap itself cannot be ultrasonically cleaned doing so could damage them The water res...

Страница 37: ...in for water resistant cap 1 Confirm that the chain for water resistant cap is free from cracks flaws wear deformation or other damages see Figure 2 1 2 Align the notch on the connecting plate with th...

Страница 38: ...onnector mount or the chain connector of the GIF N180 and can be smoothly rotated Figure 2 2 Figure 2 3 The instructions on the remaining pages of this manual are given under the assumption that the c...

Страница 39: ...in 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 on page 86 Using an endoscope...

Страница 40: ...sistant clothing and chemical resistant gloves before each use Refer to the respective instruction manuals for each piece of equipment Paper towels Trays Lint free cloths Personal protective equipment...

Страница 41: ...ges swelling scratching holes sagging transformation bends adhesion of foreign bodies dropout of parts any protruding objects or other irregularities 4 Holding the insertion tube gently with one hand...

Страница 42: ...lens and light guide lens at the distal end of the endoscope s insertion tube for scratching cracks stains or other irregularities 8 Inspect the air water nozzle at the distal end of the endoscope s...

Страница 43: ...tment ring can be turned smoothly when the insertion tube is straight If the insertion tube is coiled into a too small diameter the flexibility adjustment ring may not operate smoothly This does not i...

Страница 44: ...on control knob are loose and or not smooth or the bending section does not angulate smoothly the bending mechanism may be abnormal In this case do not use the endoscope because it may be impossible t...

Страница 45: ...ective neutral positions as shown in Figure 3 6 confirm that the bending section returns smoothly to an approximately straight condition except GIF N180 Figure 3 6 4 When the UP DOWN angulation contro...

Страница 46: ...aightens out when the UP DOWN angulation lock is moved all the way in the F direction and the UP DOWN angulation control knob is released Inspection of the RIGHT LEFT angulation mechanism except GIF N...

Страница 47: ...del of your endoscope Inspection of the air water and suction valves Confirm that the top hole of the air water valve is not blocked see Figure 3 8 If the hole is blocked air is fed continuously and p...

Страница 48: ...nspected before each use Replace it with a new one if irregularities are observed during the following inspection An irregular abnormal or damaged valve can reduce the efficacy of the endoscope s suct...

Страница 49: ...water feeding only 1 Confirm that the auxiliary water inlet cap attached to the endoscope connector has no dents cracks or other irregularities see Figure 3 12 2 If irregularities are observed replace...

Страница 50: ...els only Do not use a mouthpiece that is damaged deformed or reveals other irregularities Doing so may cause patient injury and or equipment damage Placing the mouthpiece in the patient s mouth before...

Страница 51: ...swelling of the valves seals which will impair valve function Attaching the suction valve 1 Align the two metal ridges on the underside of the suction valve with the two holes in the suction cylinder...

Страница 52: ...tach the air water valve to the air water cylinder of the endoscope see Figure 3 16 2 Confirm that the valve fits properly without any bulging of the skirt Figure 3 16 The air water valve may stick at...

Страница 53: ...ndoscope Attach the biopsy valve to the instrument channel port of the endoscope see Figure 3 17 Confirm that the biopsy valve fits properly Figure 3 17 Attaching the auxiliary water inlet cap for end...

Страница 54: ...described in their respective instruction manuals Connection of the endoscope and ancillary equipment Firmly connect the suction tube from the suction pump to the suction connector on the endoscope c...

Страница 55: ...rk 1 on the endoscope connector and push it in until it stops see Figure 3 20 Figure 3 20 6 Turn the connector of the videoscope cable clockwise until it stops see Figure 3 20 7 Confirm that the mark...

Страница 56: ...the auxiliary water inlet cap for endoscopes with auxiliary water feeding only see Figure 3 22 10 Connect the auxiliary water tube to the auxiliary water inlet on the endoscope connector and turn it c...

Страница 57: ...ies If the object cannot be seen clearly wipe the objective lens using a clean lint free cloth moistened with 70 ethyl or isopropyl alcohol Inspection of remote switch All remote control switches shou...

Страница 58: ...s immersed less than 10 cm below the surface of the sterile water a small amount of air bubbles may be emitted from the air water nozzle even when the air water valve is not operated This does not ind...

Страница 59: ...the efficacy of the endoscope s suction system and may leak or spray patient debris or fluids posing an infection control risk 1 Place the container of sterile water and the endoscope on the same hei...

Страница 60: ...the luer port on the MAJ 855 includes a one way valve to prevent backflow do not use the MAJ 855 without the luer port in place otherwise backflow of contaminated material may occur and equipment dama...

Страница 61: ...tube during an examination leave it attached until the endoscope is precleaned If the auxiliary water tube is detached before precleaning water remaining in the auxiliary water channel may be spilled...

Страница 62: ...f 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 minimum level of illuminat...

Страница 63: ...with any bleeding When withdrawing the endoscope observe the inside of the nasal cavity to ensure that there is no bleeding Even when the endoscope has been withdrawn without bleeding do not allow th...

Страница 64: ...o occur again at which time it may not return to the normal condition In this case stop the examination immediately and slowly withdraw the endoscope while viewing the endoscopic image Otherwise patie...

Страница 65: ...e flexibility as necessary according to the case region and patient s condition during an examination If you are unsure of the appropriate flexibility of the insertion tube set it to the most flexible...

Страница 66: ...Figure 4 1 Insertion of the endoscope The shape and size of the nasal cavity and its suitability for transnasal insertion may vary from patient to patient No endoscope including this one can always be...

Страница 67: ...t from accidentally loosing dental prosthesis make sure that the patient removes them before the examination Do not apply olive oil or products containing petroleum based lubricants e g vaseline These...

Страница 68: ...ations shown in the Accessories for CF PCF models only table in the Appendix on page 91 1 If necessary apply a medical grade water soluble lubricant to the insertion tube 2 Insert the insertion tube o...

Страница 69: ...you are changing the insertion tube s flexibility stop changing the flexibility and restore the optimal field of view Moving the flexibility adjustment ring without a clear endoscopic image may cause...

Страница 70: ...and suction If the sterile water level in the water container is too low then air not water will be supplied In this case turn the airflow regulator on the light source OFF and add sterile water to t...

Страница 71: ...endoscope is cold dew condensation may form on the surface of the objective lens and the endoscopic image may appear cloudy In this case increase the temperature of the sterile water in the water cont...

Страница 72: ...o the mucous membrane In addition patient fluids could leak or spray from the biopsy valve posing an infection control risk When aspirating attach the cap to the main body of the biopsy valve The unca...

Страница 73: ...t cap attached to the auxiliary water inlet Otherwise patient debris or fluids that back flowed may drip out of the auxiliary water inlet 1 Attach a syringe containing sterile water or the water tube...

Страница 74: ...n the endoscopic image which could cause serious patient injury and or equipment damage The minimum visible distance depends on the type of endoscope being used Refer to Section 2 3 Specifications on...

Страница 75: ...e the instrument channel and or cause patient injury When using an injector be sure not to extend or retract the needle from the catheter of the injector until the injector is extended from the distal...

Страница 76: ...pray patient debris or fluids posing an infection control risk 1 Select endo therapy accessories compatible with the instrument from the System chart in the Appendix Refer to the accessories instructi...

Страница 77: ...piece of gauze around the accessory and the biopsy valve during withdrawal Do not withdraw the endo therapy accessory if the tip is open or extended from its sheath patient injury bleeding perforatio...

Страница 78: ...cauterization treatment Otherwise fire or explosion could result Not all parts of the endoscope are electrically insulated When applying high frequency current there is a danger of unintentional diat...

Страница 79: ...endoscopic image Keep an appropriate distance between the target and the endoscope s distal end and always use the lowest power output possible Before inserting or withdrawing the laser probe return...

Страница 80: ...refully Therefore always prepare wire cutters in advance 1 When using the image magnification function of the video system center CV 180 release the function 2 Aspirate accumulated air blood mucus or...

Страница 81: ...e with the auxiliary water tube connected to the auxiliary water inlet attach the clip of the auxiliary water tube to the universal cord for endoscopes with auxiliary water feeding only see Figure 4 6...

Страница 82: ...ying case cannot be cleaned disinfected or sterilized Clean and disinfect or sterilize the endoscope before placing it in the carrying case Do not attach the water resistant cap when transporting the...

Страница 83: ...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...

Страница 84: ...air water 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...

Страница 85: ...ew one The 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...

Страница 86: ...a new one The auxiliary water inlet cap is incorrectly installed Install the auxiliary water inlet cap correctly Irregularity description Possible cause Solution Endo therapy accessory does not pass t...

Страница 87: ...Turn all equipment OFF except the video system center light source and monitor 2 When using the image magnification function of the video system center release the function 3 When using an endo thera...

Страница 88: ...system center CV 180 3 When using an endo therapy accessory close the tip of the endo therapy accessory and or retract it into its sheath Then withdraw the endo therapy accessory slowly 4 Aspirate ac...

Страница 89: ...herapy accessory slowly while the tip of the endo therapy accessory is closed and or retracted into its sheath 5 When using an endoscope with the flexibility adjustment function set the insertion tube...

Страница 90: ...n control 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 malf...

Страница 91: ...instrument 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 instru...

Страница 92: ...only Videoscope cable 100 MH 976 3 EVIS video system center CV 140 3 EVIS universal light source CLV U40 Videoscope cable EXERA MAJ 843 3 EVIS EXERA video system center CV 160 3 EVIS EXERA light sourc...

Страница 93: ...agulation unit 1 PSD 60 ENDOPLASMA APC probe MAJ 1011 1 MAJ 1012 1 Position detecting probe MAJ 1300 for CF PCF models only Endoscope position detecting unit UPD Mouthpiece for GIF models only Sclerot...

Страница 94: ...4 OER A 4 Channel plug MH 944 AW channel cleaning adapter MH 948 Leakage tester MB 155 Single use channel cleaning brush BW 201T Water resistant cap MH 553 Channel opening cleaning brush MH 507 Inject...

Страница 95: ...EXERA II CV 140 CV 160 CV 180 GIF N180 GIF Q180 GIF H180 CF Q180AL I CF H180AL I PCF Q180AL I applicable not applicable Endoscope Mouthpiece Sclerotherapy balloon Sclerotherapy tube MB 142 MA 474 MD 6...

Страница 96: ...FB 13Q 1 FB 28R 1 CF H180AL FB 7U 1 FB 13U 1 FB 28U 1 CF H180AI FB 7U 1 FB 13Q 1 FB 28R 1 PCF Q180AL FB 7U 1 FB 28U 1 PCF Q180AI FB 7U 1 FB 28R 1 Endoscope Biopsy forceps fenestrated Elongated cups w...

Страница 97: ...ted cups Alligator jaws and rat tooth with needle swinging type elongated cups Standard type GIF N180 FB 52K 1 FB 19KR 1 GIF Q180 FB 53K 1 FB 54K 1 FB 55K 1 FB 25KR 1 GIF H180 FB 53K 1 FB 54K 1 FB 55K...

Страница 98: ...24KR 1 FB 53KR 1 FB 54KR 1 FB 55KR 1 CF Q180AL CF Q180AI CF H180AL CF H180AI PCF Q180AL PCF Q180AI Endoscope Disposable biopsy forceps Alligator jaws step Alligator jaws step with needle Oval Oval wit...

Страница 99: ...G 7U 1 FG 9U 1 CF H180AL FG 7U 1 FG 9U 1 CF H180AI FG 7U 1 FG 9U 1 PCF Q180AL FG 6U 1 FG 8U 1 PCF Q180AI FG 6U 1 FG 8U 1 Endoscope Grasping forceps Rat tooth with alligator jaws W shape jaw Basket typ...

Страница 100: ...FG 46U 1 FG 600U FS 5U 1 CF Q180AI FG 46U 1 FG 600U FS 5Q 1 CF H180AL FG 46U 1 FG 600U FS 5U 1 CF H180AI FG 46U 1 FG 600U FS 5Q 1 PCF Q180AL FG 46U 1 FG 600U FS 5U 1 PCF Q180AI FG 46U 1 FG 600U FS 5Q...

Страница 101: ...Q180AI HX 5QR 1 HX 201UR 135 HX 20Q 1 1 Endoscope Ligating device Injection needle Disposable injection needle Heat probe GIF N180 NM 8L 1 NM 9L 1 NM 201L GIF Q180 HX 400U 30 NM 4L 1 NM 5L 1 NM 6L 1 N...

Страница 102: ...H180AL MH 466 1 MH 591 1 MH 597 1 MAJ 293 1 CF H180AI MH 466 1 MH 591 1 MH 597 1 MAJ 293 1 PCF Q180AL MH 464 1 MH 589 1 MH 595 1 MAJ 291 1 PCF Q180AI MH 464 1 MH 589 1 MH 595 1 MAJ 291 1 Endoscope Dis...

Страница 103: ...1 SD 6U 1 SD 9U 1 SD 11U 1 SD 12U 1 SD 13U 1 PCF Q180AL SD 5U 1 SD 6U 1 SD 9U 1 SD 11U 1 SD 12U 1 SD 13U 1 PCF Q180AI SD 5U 1 SD 6U 1 SD 9U 1 SD 11U 1 SD 12U 1 SD 13U 1 Endoscope Polypectomy snare Di...

Страница 104: ...U 25 SD 230U 20 CF H180AI SD 210U 10 SD 221U 25 SD 230U 20 PCF Q180AL SD 210U 10 SD 221U 25 SD 230U 20 PCF Q180AI SD 210U 10 SD 221U 25 SD 230U 20 Endoscope Hot biopsy forceps Disposable hot biopsy fo...

Страница 105: ...tion Therefore 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...

Страница 106: ...commercial 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...

Страница 107: ...60601 1 2 2001 However under electromagnetic environment that exceeds its noise level electromagnetic interference may occur on this instrument Electromagnetic interference may occur on this instrume...

Страница 108: ...and mobile 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 equ...

Страница 109: ...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...

Страница 110: ...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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