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Olympus GIF XP160 Скачать руководство пользователя страница 37

Chapter 3 Preparation and Inspection

33

EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL

3.1

Preparation of the equipment

Prepare the equipment shown in Figure 3.1 (for compatibility, see the “System
chart” in the Appendix) and 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
equipment.

Figure 3.1

• Paper towels

• Trays

• Lint-free cloths

• Personal protective equipment

Video monitor

Video system center

Light source

Suction pump

Water container

Endoscope

Endo-therapy accessories

Mouthpiece

(for GIF models only)

Auxiliary water tube
(for endoscopes with

auxiliary water feeding only)

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Содержание GIF XP160

Страница 1: ...this device to sale by or on the order of a physician INSTRUCTIONS EVIS EXERA GASTROINTESTINAL VIDEOSCOPE OLYMPUS GIF TYPE XP160 OLYMPUS GIF TYPE 160 OLYMPUS GIF TYPE Q160 OLYMPUS GIF TYPE 1TQ160 OLY...

Страница 2: ......

Страница 3: ...opriate handling 7 Chapter 1 Checking the Package Contents 9 Chapter 2 Instrument Nomenclature and Specifications 12 2 1 Nomenclature 12 2 2 Endoscope functions 22 2 3 Specifications 24 Chapter 3 Prep...

Страница 4: ...TYPE 160 Series OPERATION MANUAL Chapter 5 Troubleshooting 70 5 1 Troubleshooting guide 70 5 2 Withdrawal of the endoscope with an abnormality 74 5 3 Returning the endoscope for repair 76 Appendix 77...

Страница 5: ...s The 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...

Страница 6: ...than their intended uses Applicability of endoscopy and endoscopic treatment If there is an official standard on the applicability of endoscopy and endoscopic treatment that is defined by the hospital...

Страница 7: ...er qualifications 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 techni...

Страница 8: ...sent an infection control 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 fail...

Страница 9: ...y be damaged and could cause patient injury burns bleeding and or perforations It could also cause parts of the endoscope to fall off inside the patient Never perform angulation control forcibly or ab...

Страница 10: ...esult Do 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 t...

Страница 11: ...ta from being backed up on it When data are lost or damaged contact Olympus Electromagnetic interference may occur on this instrument near equipment marked with the following symbol or other portable...

Страница 12: ...ION MANUAL Inserting withdrawing and using endo therapy accessories without a clear endoscopic image may cause burns or perforation Inserting or withdrawing the endoscope feeding air applying suction...

Страница 13: ...s missing or you have any questions do not use the instrument immediately contact Olympus This instrument was not disinfected or sterilized before shipment Before using this instrument for the first t...

Страница 14: ...r GIF XP160 1 pc each Biopsy valve MB 358 10 pcs Air water valve MH 438 2 pcs Suction valve MH 443 2 pcs Suction cleaning adapter MH 856 Operation manual Forceps Suction Plug T Plug MH 405 for GIF XTQ...

Страница 15: ...Chapter 1 Checking the Package Contents 11 EVIS EXERA GIF CF PCF TYPE 160 Series OPERATION MANUAL...

Страница 16: ...er 2 Instrument Nomenclature and Specifications 2 1 Nomenclature GIF XP160 GIF 160 GIF Q160 5 Electrical connector 1 Suction connector 2 S cord connector mount Universal cord Product name and serial n...

Страница 17: ...MH 443 7 UP DOWN angulation lock 6 UP DOWN angulation control knob 16 RIGHT LEFT angulation control knob 15 RIGHT LEFT angulation lock 14 Color code 13 Remote switches 12 Bending section 10 Instrument...

Страница 18: ...F 1TQ160 CF Q160L I CF Q160S Universal cord 17 Auxiliary water inlet 1 Suction connector 3 Air supply connector 5 Electrical connector 4 Endoscope connector 3 Water supply connector Auxiliary water in...

Страница 19: ...MH 443 7 UP DOWN angulation lock 6 UP DOWN angulation control knob 16 RIGHT LEFT angulation control knob 15 RIGHT LEFT angulation lock 14 Color code 13 Remote switches 12 Bending section 10 Instrument...

Страница 20: ...MANUAL GIF XTQ160 Universal cord 17 Auxiliary water inlet 1 Suction connector 3 Air supply connector 5 Electrical connector 4 Endoscope connector 3 Water supply connector Auxiliary water inlet cap MA...

Страница 21: ...ngulation lock 6 UP DOWN angulation control knob 16 RIGHT LEFT angulation control knob 15 RIGHT LEFT angulation lock 14 Color code 13 Remote switches 12 Bending section 10 Instrument channel port 11 I...

Страница 22: ...MANUAL CF Q160AL I Universal cord 17 Auxiliary water inlet 1 Suction connector 3 Air supply connector 5 Electrical connector 4 Endoscope connector 3 Water supply connector Auxiliary water inlet cap M...

Страница 23: ...lation lock 6 UP DOWN angulation control knob 16 RIGHT LEFT angulation control knob 15 RIGHT LEFT angulation lock 14 Color code 13 Remote switches 12 Bending section 10 Instrument channel port 11 Inse...

Страница 24: ...PCF TYPE 160 Series OPERATION MANUAL PCF 160AL I Universal cord 1 Suction connector 3 Air supply connector 5 Electrical connector 3 Water supply connector Air pipe Light guide Product name and serial...

Страница 25: ...lation lock 6 UP DOWN angulation control knob 16 RIGHT LEFT angulation control knob 15 RIGHT LEFT angulation lock 14 Color code 13 Remote switches 12 Bending section 10 Instrument channel port 11 Inse...

Страница 26: ...doscope 5 Electrical connector This connector connects the endoscope to the video system center via the videoscope cable The endoscope contains a memory chip that stores information about the endoscop...

Страница 27: ...d to quickly determine the compatibility of endo therapy accessories The endoscope can be used with endo therapy accessories that have the same color code 15 RIGHT LEFT angulation lock Turning this lo...

Страница 28: ...p section the insertion tube has the softest condition To decrease the flexibility turn the ring so that the numbers are aligned with the mark 3 corresponds to the stiffest condition In the section be...

Страница 29: ...ged 1 Air water nozzle 2 Light guide lens 3 Objective lens 4 Instrument channel outlet Insertion tube outer diameter 5 9 mm Working length 1030 mm Instrument channel Channel inner diameter 2 mm Minimu...

Страница 30: ...nozzle 2 Light guide lens 3 Objective lens 4 Instrument channel outlet Insertion tube outer diameter 8 6 mm 9 5 mm Working length 1030 mm Instrument channel Channel inner diameter 2 8 mm Minimum visi...

Страница 31: ...uide lens 3 Objective lens 4 Instrument channel outlet 5 Auxiliary water channel Insertion tube outer diameter 11 3 mm Working length 1030 mm Instrument channel Channel inner diameter 3 7 mm Minimum v...

Страница 32: ...uide lens 3 Objective lens 4 Instrument channel outlet 5 Auxiliary water channel Insertion tube outer diameter 12 9 mm Working length 1030 mm Instrument channel Channel inner diameter 6 0 mm Minimum v...

Страница 33: ...lens 4 Instrument channel outlet 5 Auxiliary water channel Insertion tube outer diameter 12 8 mm 13 2 mm Working length L 1680 mm I 1330 mm S 730 mm Instrument channel Channel inner diameter 3 7 mm M...

Страница 34: ...3 Objective lens 4 Instrument channel outlet Insertion tube outer diameter 12 8 mm 11 5 mm Flexibility adjustment range The flexibility in the stiffest condition is about twice that in the softest co...

Страница 35: ...dards 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 connectin...

Страница 36: ...hooting If the irregularity is still suspected after consulting Chapter 5 contact Olympus Damage or irregularity may compromise patient or user safety and may result in more severe equipment damage Us...

Страница 37: ...uch 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 equipment Figure 3 1 Paper towels Tray...

Страница 38: ...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 den...

Страница 39: ...orm the test with the insertion tube at both its most flexible and most rigid settings for endoscopes with flexibility adjustment only Figure 3 3 6 Gently hold the midpoint of the bending section and...

Страница 40: ...ty of the endoscope insertion and manipulation of the endoscope may cause patient pain and or injury 2 Confirm that the flexibility adjustment ring can be turned smoothly when the insertion tube is st...

Страница 41: ...use the endoscope because it may be impossible to straighten the bending section during an examination Inspection for smooth operation 1 Confirm that both the UP DOWN and RIGHT LEFT angulation locks m...

Страница 42: ...ghtens out automatically 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...

Страница 43: ...ding only as described in the endoscope s companion reprocessing manual Inspection of the air water and suction valves 1 Confirm that the holes of the valves are not blocked see Figures 3 7 and 3 8 2...

Страница 44: ...consumable item that should be inspected before each use Replace it with a new one if irregularities are observed by following inspection An irregular abnormal or damaged valve can reduce the efficac...

Страница 45: ...es with auxiliary water feeding only Inspect the auxiliary water inlet cap for dents cracks or other irregularities Inspection of the auxiliary water tube for endoscopes with auxiliary water feeding o...

Страница 46: ...ient injury and 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 th...

Страница 47: ...the suction valve 1 Align the 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...

Страница 48: ...should operate smoothly after it is depressed a few times Attaching the biopsy valve If a biopsy valve is not properly connected to the instrument channel port it can reduce the efficacy of the endosc...

Страница 49: ...cause equipment malfunction Prepare and inspect the light source video system center video monitor water container suction pump and endo therapy accessories as described in their respective instructio...

Страница 50: ...le EXERA or the videoscope cable 100 with mark 1 on the endoscope connector and push it in until it stops see Figure 3 17 Figure 3 17 5 Turn the connector of the videoscope cable clockwise until it st...

Страница 51: ...8 Open the auxiliary water inlet cap for endoscopes with auxiliary water feeding only see Figure 3 19 9 Connect the auxiliary water tube to the auxiliary water inlet on the endoscope connector and tu...

Страница 52: ...oscopic image may freeze or other irregularities may occur during examination and may cause patient injury bleeding and or perforation Depress every remote control switch and confirm that the specifie...

Страница 53: ...he insertion tube is 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 operate...

Страница 54: ...lve leaks replace it with a new one A leaking biopsy 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 P...

Страница 55: ...udes a one way valve to prevent backflow do not use the MAJ 855 without this connector in place otherwise backflow of contaminated material may occur and equipment damage or patient injury may result...

Страница 56: ...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 57: ...perature 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 th...

Страница 58: ...e of the endoscope under these conditions could result in patient injury If an abnormal endoscopic image function occurs and returns to its normal condition by itself the endoscope has malfunctioned I...

Страница 59: ...amination If you are unsure of the appropriate flexibility of the insertion tube set it to the softest condition Continuing the examination while the insertion tube is set to an inappropriate degree o...

Страница 60: ...LEFT angulation control knob see Figure 4 1 Figure 4 1 Insertion of the endoscope To prevent the patient from accidentally biting the insertion tube during an examination it is strongly recommended th...

Страница 61: ...the splinting tube if required and apply the lubricant to it for CF PCF models only 4 Insert the distal end of the endoscope through the opening of the mouthpiece then from the mouth to the pharynx w...

Страница 62: ...ry can result If the endoscopic image moves suddenly or is lost while you are changing the insertion tube s flexibility stop changing the insertion tube s flexibility and restore the optimum field of...

Страница 63: ...its softest condition Otherwise endoscope damage may result Air water feeding and suction Before using a syringe to inject liquid through the biopsy valve detach the valve s cap from the main body Th...

Страница 64: ...valve s hole to feed air from the air water nozzle at the distal end see Figure 4 4 2 Depress the air water valve to feed water onto the objective lens see Figure 4 4 Figure 4 4 Suction Avoid aspirat...

Страница 65: ...ge see Figure 4 4 Performing both air feeding and suction at the same time sometimes makes it easier to remove water droplets from the objective lens surface Auxiliary water feeding for endoscopes wit...

Страница 66: ...le distance so that the endo therapy accessory remains visible in the endoscopic image If the distal end of the endoscope is placed closer than its own minimum visible distance the position of the acc...

Страница 67: ...pe Do not insert endo therapy accessories forcibly or abruptly Otherwise the endo therapy accessory may extend from the distal end of the endoscope abruptly which could cause patient injury bleeding a...

Страница 68: ...h and insert the endo therapy accessory slowly and straight into the slit of the biopsy valve Do not open the tip of the endo therapy accessory or extend the tip of the endo therapy accessory from its...

Страница 69: ...ion Take care not to cause tissue trauma Withdraw the endo therapy accessory slowly while the tip of the endo therapy accessory is closed and or retracted into its sheath Use of non flammable gases fo...

Страница 70: ...their instruction manuals The application of high frequency current may interfere with the endoscopic image This is normal and does not indicate a malfunction Laser cauterization Performing treatment...

Страница 71: ...3 Withdrawal of the endoscope If the endoscope cannot be withdrawn from the patient smoothly do not attempt to forcibly withdraw it leave it inside the patient and immediately contact Olympus Forcibly...

Страница 72: ...iliary water tube connected to the auxiliary water inlet attach the clip of the auxiliary water tube to the universal cord for endoscopes with the auxiliary water feeding only see Figure 4 5 Figure 4...

Страница 73: ...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 endoscope to avoid damage to the endosco...

Страница 74: ...he instrument may compromise patient or user safety 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 sto...

Страница 75: ...tion manual The 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 sourc...

Страница 76: ...ocess the suction valve and attach it again The suction valve is damaged Replace it with a new one The suction valve cannot be attached The suction valve is damaged Replace it with a new one An incorr...

Страница 77: ...t cap is worn out Replace it with a new one The auxiliary water inlet cap is incorrectly installed Install the auxiliary water inlet cap correctly Irregularity description Possible cause Solution An e...

Страница 78: ...or endo therapy accessory may cause patient injury bleeding and or perforation When the endoscopic image appears on the monitor 1 Turn OFF all equipment except the video system center light source and...

Страница 79: ...s 3 Turn OFF the video system center the light source and the monitor 4 When using an endo therapy accessory withdraw the endo therapy accessory slowly while the tip of the endo therapy accessory is c...

Страница 80: ...n the hospital or at Olympus Olympus is not liable for any injury or damage which occurs as a result of repairs attempted by non Olympus personnel Before returning the endoscope for repair contact Oly...

Страница 81: ...nstrument 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 instrum...

Страница 82: ...2 CV 140 EVIS universal light source CLV U20 U40 Water container MH 884 MH 970 3 MAJ 901 MAJ 902 3 Splinting tube for CF PCF models only Mouthpiece for GIF models only Sclerotherapy balloon for GIF mo...

Страница 83: ...leaning and disinfection equipment Channel plug MH 944 Endoscope washer EW 30 4 Endoscope reprocessor 4 OER OER A 5 Auxiliary water tube MAJ 855 for endoscopes with auxiliary water feeding only Ultras...

Страница 84: ...160 GIF Q160 GIF 1TQ160 GIF XTQ160 CF Q160L I CF Q160AL I PCF 160AL I CF Q160S applicable not applicable Endoscope Mouthpiece Sclerotherapy balloon Sclerotherapy tube Forceps suction plug MB 142 MA 4...

Страница 85: ...U 1 CF Q160AI FB 7U 1 FB 13Q 1 FB 28R 1 PCF 160AL FB 7U 1 FB 28U 1 PCF 160AI FB 7U 1 FB 28R 1 CF Q160S FB 11K 1 FB 13E 1 FB 25K 1 Endoscope BIOPSY FORCEPS Fenestrated Elongated cups with needle With n...

Страница 86: ...ed cups Standard type GIF XP160 FB 52K 1 FB 19KR 1 GIF 160 FB 53K 1 FB 54K 1 FB 55K 1 FB 25KR 1 GIF Q160 FB 53K 1 FB 54K 1 FB 55K 1 FB 25KR 1 GIF 1TQ160 FB 53K 1 FB 54K 1 FB 55K 1 FB 25KR 1 GIF XTQ160...

Страница 87: ...winging type Elongated cups Alligator jaws and rat tooth with needle Swinging type Elongated cups GIF XP160 GIF 160 FB 24KR 1 FB 53KR 1 FB 54KR 1 FB 55KR 1 GIF Q160 FB 24KR 1 FB 53KR 1 FB 54KR 1 FB 55...

Страница 88: ...220K FB 230K FB 240K GIF Q160 FB 210K FB 220K FB 230K FB 240K GIF 1TQ160 FB 212U FB 222U FB 232U FB 242U GIF XTQ160 FB 212U FB 222U FB 232U FB 242U CF Q160L FB 212U FB 222U FB 232U FB 242U CF Q160I FB...

Страница 89: ...50L 1 FG 21L 1 FG 32L 1 GIF Q160 FG 6L 1 FG 8L 1 48L 1 50L 1 FG 21L 1 FG 32L 1 GIF 1TQ160 FG 7L 1 FG 9L 1 48L 1 50L 1 FG 21L 1 FG 32L 1 GIF XTQ160 FG 7L 1 FG 9L 1 48L 1 50L 1 FG 21L 1 FG 32L 1 CF Q160...

Страница 90: ...4L 1 FG 16L 1 FG 45L 1 GIF Q160 FG 42L 1 47L 1 49L 1 FG 4L 1 FG 16L 1 FG 45L 1 GIF 1TQ160 FG 42L 1 47L 1 49L 1 FG 4L 1 FG 16L 1 FG 45L 1 GIF XTQ160 FG 42L 1 47L 1 49L 1 FG 4L 1 FG 16L 1 FG 45L 1 CF Q...

Страница 91: ...U 1 PCF 160AI FG 46U 1 FG 600U FS 5Q 1 CF Q160S FG 46L 1 FG 600U FS 3L 1 FS 5L 1 Endoscope WASHING PIPE MEASURING DEVICE Standard type Spray type Straight type Bendable type GIF XP160 PW 2L 1 PW 6P 1...

Страница 92: ...20Q 1 PCF 160AL HX 6UR 1 HX 200U 135 HX 20U 1 PCF 160AI HX 5QR 1 HX 200U 135 HX 20Q 1 CF Q160S HX 5QR 1 HX 200L 135 HX 20L 1 HX 21L 1 1 1 These accessories may not be available in some area Endoscope...

Страница 93: ...MH 591 1 MH 597 1 MAJ 293 1 CF Q160AI MH 466 1 MH 591 1 MH 597 1 MAJ 293 1 PCF 160AL MH 464 1 MH 589 1 MH 595 1 MAJ 291 1 PCF 160AI MH 464 1 MH 589 1 MH 595 1 MAJ 291 1 CF Q160S MH 466 1 MH 591 1 MH...

Страница 94: ...160AL SD 5U 1 SD 6U 1 SD 9U 1 11U 1 SD 12U 1 13U 1 PCF 160AI SD 5U 1 SD 6U 1 SD 9U 1 11U 1 SD 12U 1 13U 1 CF Q160S SD 5L 1 SD 6L 1 SD 9L 1 11L 1 SD 12L 1 13L 1 Endoscope POLYPECTOMY SNARE DISPOSABLE P...

Страница 95: ...D 221U 25 SD 230U 20 PCF 160AL SD 210U 10 SD 221U 25 SD 230U 20 PCF 160AI SD 210U 10 SD 221U 25 SD 230U 20 CF Q160S SD 210L 10 SD 221L 25 SD 230U 20 Endoscope HOT BIOPSY FORCEPS DISPOSABLE HOT BIOPSY...

Страница 96: ...on 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 a...

Страница 97: ...mmercial 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 ty...

Страница 98: ...0601 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 instrument...

Страница 99: ...d 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 equat...

Страница 100: ......

Страница 101: ...SYSTEMS CORP All rights reserved No part of this publication may be reproduced or distributed without the express written permission of OLYMPUS MEDICAL SYSTEMS CORP OLYMPUS is a registered trademark o...

Страница 102: ...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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