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5.1 Precaution for operation

45

UCR INSTRUCTION MANUAL

Ch.5

Chapter 5

Operation

This chapter explains the workflow of endoscopic observation using the endoscopic CO

2

 regulation 

unit.
The operator of the endoscopic CO

2

 regulation unit must be a physician or medical personnel under 

the supervision of a physician and must have received sufficient training in clinical endoscopic 
technique. This manual, therefore, does not explain or discuss clinical endoscopic procedures. It only 
describes basic operation and precautions related to the operation of the endoscopic CO

2

 regulation 

unit.

When using the lens cleaning sheath, follow the instructions given in the manual for the lens cleaning 
sheath.

WARNING

• The  CO

2

 gas is normally emitted through the small hole in the endoscope’s 

air/water valve. Persons in the operating room may be affected if the CO

2

 

concentration in the operating room increases. Be sure to ensure ventilation of the 
room.

• If an irregularity is observed or the gas flow indicator illuminates red, immediately 

stop using the endoscopic CO

2

 regulation unit and take the following actions:

Close the gas cylinder valve.

Withdraw the endoscope from the patient slowly as described in the 
endoscope’s instruction manual.

• During use, always stop the device like light source from supplying air. If “Stop” is 

not selected, a mixture of air and CO

2

 may be supplied into the patient body.

• After an examination is completed, turn OFF the endoscopic CO

2

 regulation unit. If 

the unit is not turned OFF after an examination, the unit may continue to supply gas 
when the gas supply button is pressed by mistake. In such a case, the CO

2

 gas 

cylinder may be emptied, and the ambient CO

2

 concentration may increase.

5.1

Precaution for operation

Содержание UCR

Страница 1: ...n Please Read Before Use 5 Chapter 1 Checking the Package Contents 13 Chapter 2 Instrument Nomenclature 17 Chapter 3 Installation and Connection 25 Chapter 4 Inspection 35 Chapter 5 Operation 45 Chapt...

Страница 2: ......

Страница 3: ...MAJ 1741 22 2 5 Optional components 23 Chapter 3 Installation and Connection 25 3 1 Installation workflow 25 3 2 Installation of the endoscopic CO2 regulation unit 26 3 3 Connecting a CO2 gas cylinder...

Страница 4: ...g and water feeding 49 5 5 After use 50 Disconnecting the CO2 gas cylinder 50 Disconnecting the medical gas pipeline 51 Chapter 6 Reprocessing Storage Disposal and Transportation 53 6 1 Reprocessing 5...

Страница 5: ...Contents iii UCR INSTRUCTION MANUAL Specifications 69 EMC information 73...

Страница 6: ...iv Contents UCR INSTRUCTION MANUAL...

Страница 7: ...t the locations shown below If the labels or symbols are missing or illegible contact Olympus UCR CO2 regulation unit Labels and Symbols UDI label The UDI label is required by some countries regulatio...

Страница 8: ...anufacturer FUSES T2AH250V Timer Only the exclusive hose and adapter can be connected Only the exclusive cable can be connected CE marking MEDICAL DEVICE ENDOSCOPIC CO2 REGULATION UNIT MODEL OLYMPUS U...

Страница 9: ...Labels and Symbols 3 UCR INSTRUCTION MANUAL Cylinder hose PIN MAJ 1080 Cylinder hose DIN MAJ 1081 Cylinder hose ISO MAJ 1082 Caution refer to instructions Caution refer to instructions...

Страница 10: ...gas tube MAJ 1816 Gas tube ID indications on tags are shown as follows Back cover of this instruction manual HIGH MAJ 1741 MED MAJ 1742 LOW MAJ 1816 Symbol Description Manufacturer Authorized represen...

Страница 11: ...y only when its potential benefits are greater than its risks Fully explain to the patient the potential benefits and risks of the endoscopy endoscopic treatment and endoscopic surgery as well as any...

Страница 12: ...difficulty of endoscopy endoscopic treatment and endoscopic surgery This manual does not explain or discuss endoscopic procedures Instrument compatibility Refer to the System chart on page 67 to confi...

Страница 13: ...affect the cardiac function of the patient Accordingly always adhere to the following points Never apply the endoscope connected to this endoscopic CO2 regulation unit to the heart or any area near t...

Страница 14: ...s not explosion proof The concentration of oxygen is high Oxidizing agents such as nitrous oxide N2O are present in the atmosphere Flammable gases are present in the atmosphere Flammable liquids are n...

Страница 15: ...rical safety do not use this instrument with any of the following medical electrical equipment Medical electrical equipment that has not been approved for safe use in combination with this instrument...

Страница 16: ...art gas supply This will not only empty the CO2 gas cylinder but may also increase the CO2 concentration in the environment Use the endoscopic CO2 regulation unit only under the conditions described i...

Страница 17: ...onment Use in combination with the upper lower gastrointestinal endoscope WARNING Over insufflating the lumen may cause patient pain injury bleeding gas embolism and or perforation Anytime you observe...

Страница 18: ...insufflation warning light or alarm Although the insufflator is equipped with these functions it does not always prevent gas embolism inasmuch as this depends on the patient and the condition of the...

Страница 19: ...s missing or you have any questions do not use the instrument immediately contact Olympus 1 1 Checking the package contents Endoscopic CO2 regulation unit UCR Endoscopic CO2 regulation unit UCR Access...

Страница 20: ...Olympus items are optional items which may also be purchased separately Cylinder hose for UHI 3 PIN MAJ 1080 Cylinder hose for UHI 3 DIN MAJ 1081 Cylinder hose for UHI 3 ISO MAJ 1082 Medical gas pipe...

Страница 21: ...uld be returned to Olympus directly after installation Low flow gas tube MAJ 1742 Extra low flow gas tube MAJ 1816 Low flow gas tube MAJ 1742 Extra low flow gas tube MAJ 1816 Cylinder hose for UHI 3 P...

Страница 22: ...rench should be returned to Olympus directly after installation Cylinder hose for UHI 3 DIN MAJ 1081 Cylinder hose for UHI 3 ISO MAJ 1082 1 1 The endoscopic CO2 regulation unit is compatible with the...

Страница 23: ...panel 2 1 Symbols and descriptions Symbol Description Symbol Description Power ON OFF Gas source pressure Start CO2 gas outlet Stop Type BF applied part Symbol Description Symbol Description CO2 gas i...

Страница 24: ...18 2 2 Front panel UCR INSTRUCTION MANUAL Ch 2 2 2 Front panel 3 1 2 4 5 6 7...

Страница 25: ...top green LED is illuminated 4 Start stop switch Press the start stop switch in the Stop mode to light up the start indicator and start the gas supply Pressing the switch during gas supply extinguishe...

Страница 26: ...20 2 3 Rear panel UCR INSTRUCTION MANUAL Ch 2 2 3 Rear panel 1 2 3 4 5 6...

Страница 27: ...Potential equalization terminal In case of equipotential connect this terminal to a potential equalization busbar of the electrical installation 4 AC power inlet Connect the power cord here 5 CO2 gas...

Страница 28: ...Ch 2 2 4 Gas tube MAJ 1741 No Nomenclature Description 1 Instrument side connector Connect to the CO2 gas outlet on the front panel of the endoscopic CO2 regulation unit 2 Tube 3 Water container side...

Страница 29: ...the gas cylinder and cylinder hose 3 Pin Insert to the guide hole of the adapter of the CO2 gas cylinder 4 Hose 5 Connector Use the supplied wrench to connect this connector to the CO2 gas inlet on t...

Страница 30: ...ption 1 Connector Connect the medical gas pipeline hose here 2 Connector Use the supplied wrench to connect this connector to the CO2 gas inlet on the rear panel of the endoscopic CO2 regulation unit...

Страница 31: ...rument See the installation workflow in Figure 3 1 below Follow each step of the workflow before using the endoscopic CO2 regulation unit 3 1 Installation workflow 1 Install the instrument Section 3 2...

Страница 32: ...ions etc In addition oil impurities etc may penetrate the interior of the endoscopic CO2 regulation unit and impede proper CO2 gas insufflation CAUTION If the cylinder hose is damaged replace it with...

Страница 33: ...egulation unit by Olympus personnel during installation The enclosed nut cover will be fixed during the installation when the cylinder hose and the endoscopic CO2 regulation unit are connected by Olym...

Страница 34: ...e of about 17 2 N m 1 8 kgf m Figure 3 2 5 When using the cylinder hose MAJ 1081 MAJ 1082 use the supplied wrench to attach the cylinder hose s adapter to a gas cylinder filled with CO2 gas Figure 3 3...

Страница 35: ...00 kPa Use MAJ 1084 for NIST type fittings and MAJ 1085 for DISS type fittings Do not use any other hoses than those specified NOTE Olympus does not sell medical gas pipeline hoses Use an appropriate...

Страница 36: ...ument is connected has adequate electrical capacity that is larger than the total power consumption of all connected equipment If the capacity is insufficient fire can result or a circuit breaker may...

Страница 37: ...unit and electrosurgical unit Otherwise malfunction of the equipment may result 1 Confirm that the endoscopic CO2 regulation unit is OFF 2 Connect the power cord of the endoscopic CO2 regulation unit...

Страница 38: ...enous sets a trocar veress needle etc Always use the provided gas tube MAJ 1741 MAJ 1742 MAJ 1816 Non Olympus tubes may impair the performance and lead to incorrect operation Never attempt to alter th...

Страница 39: ...Connect the instrument side connector end of the gas tube to the CO2 gas outlet of the endoscopic CO2 regulation unit by turning it clockwise Figure 3 7 2 Connect the other connector of the gas tube...

Страница 40: ...water container and endoscope UCR INSTRUCTION MANUAL Ch 3 Connect the equipment such as the water container MAJ 902 and endoscope as described in their instruction manuals 3 7 Connecting the water co...

Страница 41: ...Chapter 7 Troubleshooting If the irregularity is still observed after consulting Chapter 7 contact Olympus Damage or irregularity may compromise patient or user safety and may result in more severe eq...

Страница 42: ...gas tube is not used so it therefore does not need inspection 2 Confirm that the endoscopic CO2 regulation unit turns ON normally on page 38 3 Confirm that a gas cylinder or the medical gas pipeline a...

Страница 43: ...procedure for packing O ring which is included with the cylinder hose for UHI 3 MAJ 1080 WARNING If the medical gas pipeline adapter is damaged replace it with a new one Inspect the packing inside the...

Страница 44: ...ew one Inspection of the power supply CAUTION If the power indicator does not light up the instrument may be damaged Immediately turn the endoscopic CO2 regulation unit OFF disconnect the power plug f...

Страница 45: ...irm that the supply pressure remains unchanged CAUTION The gas pressure display displays not the remaining amount of the CO2 gas but the supply pressure Always have a CO2 gas cylinder available in cas...

Страница 46: ...e medical gas pipeline system to confirm that the supply pressure is at the specified level 3 Press the start stop switch to stop the gas supply 1 Disconnect the gas tube from the CO2 gas outlet of th...

Страница 47: ...supplied the gas tube may be clogged Replace the gas tube with a new one 5 Cover the port on the water container side connector of the gas tube with a clean fingertip and confirm that the gas flow in...

Страница 48: ...3 1 Confirm that the light source stops supplying air 2 Press the start stop switch to start gas supply 3 Immerse the distal end of the connected endoscope in sterile water and operate the endoscope s...

Страница 49: ...f the power indicator remains lit after this instrument has been turned OFF do not use this instrument unplug the power cord from the power outlet and contact Olympus 1 Press the power switch to turn...

Страница 50: ...44 4 6 Inspection of the endoscopic CO2 regulation unit UCR INSTRUCTION MANUAL Ch 4...

Страница 51: ...endoscope s air water valve Persons in the operating room may be affected if the CO2 concentration in the operating room increases Be sure to ensure ventilation of the room If an irregularity is obser...

Страница 52: ...r 4 on page 35 3 Turn the endoscopic CO2 regulation unit ON on page 47 4 Select the gas supply source on page 47 5 Select the timer setting on page 48 6 Operate the endoscopic CO2 regulation unit 1 Se...

Страница 53: ...selection switch on the rear panel to the Cylinder mode See Figure 5 1 2 The gas pressure display shows the gas supply pressure of the CO2 cylinder If the supply pressure drops below the minimum requi...

Страница 54: ...ally stop feeding gas as the set time elapses NOTE See below the available timer settings Select OFF to negate the automatic gas function Table 5 1 Slide the timer switch to select the timer setting F...

Страница 55: ...CO2 regulation unit is combined with the Gas tube MAJ 1741 the Low flow gas tube MAJ 1742 or Extra low flow gas tube MAJ 1816 the gas flow rate is approximately equivalent to that when the airflow pre...

Страница 56: ...and may cause difficulty in breathing if inhaled Disconnecting the CO2 gas cylinder 5 5 After use 1 Close the gas cylinder valve by turning it clockwise Figure 5 4 2 Disconnect the water container si...

Страница 57: ...iner MAJ 902 3 Disconnect the Gas tube MAJ 1741 Low flow gas tube MAJ 1742 or Extra low flow gas tube MAJ 1816 from the CO2 gas outlet of this instrument 4 Press the start stop switch of the endoscopi...

Страница 58: ...52 5 5 After use UCR INSTRUCTION MANUAL Ch 5...

Страница 59: ...CO2 regulation unit and accessories below This section is based on the requirements of ISO 17664 NOTE Reprocess the water container MAJ 902 as described in the instruction manual for the water contain...

Страница 60: ...es Medical agents may enter the endoscopic CO2 regulation unit and accessories through the ventilation grills and or the gaps and may cause a fire and or equipment damage Use a surface disinfectant cl...

Страница 61: ...regulation unit and accessories These methods will damage them Do not wipe the external surface with hard or abrasive wiping material The surface will be scratched When patient debris enters a hole o...

Страница 62: ...er s instructions regarding concentration drying temperature contact time use life and expiration date The surface disinfectant cleaner shown in Table 6 2 was used for validation Table 6 2 Surface dis...

Страница 63: ...e signs of deterioration or notice any other evidence of deterioration contact Olympus Crack appears on the panel or the Power switch Discoloration on the panel or the top cover Peeling of the labels...

Страница 64: ...al resistant gloves 1 1 Long sleeve gloves are recommended to prevent skin exposure Chemicals used for reprocessing Surface disinfectant cleaner Refer to Section 6 2 Surface disinfectant cleaner on pa...

Страница 65: ...on unit and accessories 2 If patient debris directly or indirectly adheres to this instrument and accessories refer to Disinfection on page 60 Otherwise be sure to follow the next step 3 If disinfecti...

Страница 66: ...urer Failure to do so may adversely affect the human body or this instrument After wiping with a moistened lint free cloth dry the endoscopic CO2 regulation unit and accessories thoroughly before usin...

Страница 67: ...moistened lint free cloth 6 Ensure that the surfaces are completely wet for the contact time instructed by the surface disinfectant cleaner manufacturer 7 If any surface of the endoscopic CO2 regulat...

Страница 68: ...xposed to direct sunlight X rays radio activity or strong electromagnetic radiation e g near microwave medical treatment equipment short wave medical treatment equipment MRI radio equipment or cellula...

Страница 69: ...endoscopic CO2 regulation unit or any of its components such as fuses be sure to observe your national and local laws and guidelines When transporting the endoscopic CO2 regulation unit and accessorie...

Страница 70: ...64 6 8 Transportation UCR INSTRUCTION MANUAL Ch 6...

Страница 71: ...power switch is not set to ON Set the power switch to ON The indicators on the front panel do not light The power cord plug is not connected Connect the power cord plug The power switch is not set to...

Страница 72: ...alve of the CO2 gas cylinder is closed Open the valve The CO2 cylinder is running out of gas Replace the cylinder with a new one The cylinder hose or the medical gas pipeline adapter is not connected...

Страница 73: ...If combinations of equipment other than those shown below are used the full responsibility should be assumed by the medical treatment facility Such combinations do not only not allow the equipment to...

Страница 74: ...er container MAJ 902 Endoscopic CO2 regulation unit UCR LC S190 10 F LC S190 10 0 LC S190 10 30 Lens cleaning sheath Cylinder hose DIN MAJ 1081 ISO MAJ 1082 150 series EVIS 140 series EVIS EXERA 145 1...

Страница 75: ...n Within 10 Frequency 50 60 Hz Frequency fluctuation Within 1 Hz Input 40 VA Fuse rating 2 A 250 V Fuse size 5 20 mm Size Dimensions 130 W 156 H 334 D mm housing dimensions Weight 4 9 kg Applicable ga...

Страница 76: ...n power cord Degree of protection against electrical shock of applied part Type BF applied part Gas tube MAJ 1741 Low flow gas tube MAJ 1742 Extra low flow gas tube MAJ 1816 EMC Applied standard IEC 6...

Страница 77: ...for return and or collection systems available in your country UDI label Indication The UDI label is required by some countries regulations regarding the identification of a medical device also known...

Страница 78: ...e length 1000 mm Tube external diameter 9 mm Flow rate Using this tube the gas flow rate is approximately equivalent to the airflow pressure level High of the light source Item Specification Tube leng...

Страница 79: ...for its internal function 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 e...

Страница 80: ...EC 61000 4 2 Contact 8 kV Air 2 4 8 15 kV Contact 2 4 6 kV Air 2 4 8 kV Same as left Floors should be made of wood concrete or ceramic tile that hardly produces static If floors are covered with synth...

Страница 81: ...battery 40 UT 60 dip in UT for 5 cycle 70 UT 30 dip in UT for 25 cycle 50 Hz 30 cycle 60 Hz Phase angle causing voltage dips 0 70 UT 30 dip in UT for 25 cycle 0 UT 100 dip in UT for 250 cycle 50 Hz 30...

Страница 82: ...separation distance Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m 6V ISM b...

Страница 83: ...and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measu...

Страница 84: ...pment could result Test frequency MHz Band MHz Modulation 1 1 The carrier shall be modulated using a 50 duty cycle square wave signal Maximum power W Immunity test level V m 385 380 390 Pulse modulati...

Страница 85: ...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 86: ...United Kingdom Fax 01702 465677 Telephone 01702 616333 438B Alexandra Road 03 07 12 Alexandra Technopark Blk B Singapore 119968 Fax 6834 2438 Telephone 6834 0010 A8F Ping An International Financial C...

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