Olympus EVIS EXERA II, Руководство по эксплуатации, Страница: 65 / 94

Chapter 4 Operation
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EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL
 Insertion of wire-guided type EndoTherapy accessories
1.
When only the guidewire is extended from the endoscope’s distal end,
slowly move the elevator control lever in the “
U” direction until the
operator feels heavy with the papilla observed in the gray-colored area of
the endoscopic image shown in the Figure 4.4 on page 58 (for center lock,
see Figure 4.5 on page 58). Alternatively, when only the guidewire is
extended from the endoscope’s distal end, slowly move the elevator control
lever in the “
U” direction until the operator feels heavy with the papilla
observed in the left side area of the endoscopic image shown in the Figure
4.6 on page 59 (for side lock, see Figure 4.7 on page 59).
2.
Hold the elevator control lever stationary so that it can no longer move
forward in the “
U” direction. Then insert a wire-guided type EndoTherapy
accessory slowly from the proximal end of the guidewire while observing the
endoscopic and X-ray images.
3.
When the tip of the wire-guided type EndoTherapy accessory comes in
contact with the forceps elevator, move the elevator control lever in the
opposite direction of the “
U” direction to lower the forceps elevator while
observing the endoscopic image.
4.
While observing endoscopic and X-ray images, an operator and an
assistant should work together to insert the EndoTherapy accessory
carefully without moving the guidewire from the desired position.
High-frequency cauterization treatment
• Performing treatment while the intestines are filled with a
flammable gas could result in an explosion, fire, and/or
serious patient injury. If the intestines contain a flammable
gas, replace it with air or a nonflammable gas such as CO
2
before performing high-frequency treatment.
• Not all parts of the endoscope are electrically insulated.
When applying high-frequency current, there is a danger of
unintentional diathermy burns. Always wear electrically
insulating, chemical-resistant gloves.