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Olympus UHI-3 Скачать руководство пользователя страница 4

Contents

ii

4.6

Inspection of UHI-3 operation when using a veress needle/trocar..

40

Chapter 5

Operation.................................................................. 41

5.1

Relief mode .....................................................................................

42

5.2

Inserting the veress needle .............................................................

44

5.3

Insufflation.......................................................................................

44

5.4

Automatic suction............................................................................

46

5.5

Smoke evacuation (optional foot switch [MH-317] required)...........

49

5.6

Automatic exhaust ..........................................................................

51

5.7

Resetting the CO

2

gas volume indicator .........................................

52

5.8

After use..........................................................................................

52

Chapter 6

Care, Storage and Disposal .................................... 54

6.1

General policy .................................................................................

54

6.2

Precautions .....................................................................................

55

6.3

Compatible reprocessing methods and chemical agents................

56

6.4

Cleaning of the UHI-3 main body, foot switch, cylinder hose and
medical gas pipeline adaptor ..........................................................

57

6.5

Storage of the UHI-3 main body, foot switch, cylinder hose and
medical gas pipeline adaptor ..........................................................

58

6.6

Cleaning the insufflation tube (MAJ-590) and suction tube (MAJ-591)
prior to sterilization ..........................................................................

58

6.7

Sterilization of the insufflation tube (MAJ-590) and suction tube
(MAJ-591) .......................................................................................

59

6.8

Storage of the insufflation tube (MAJ-590), suction tube (MAJ-591)

60

6.9

Disposal ..........................................................................................

60

Chapter 7

Troubleshooting ...................................................... 61

7.1

Troubleshooting guide ....................................................................

61

7.2

Alarm functions ...............................................................................

65

7.3

Returning the high flow insufflation unit for repair ...........................

67

Appendix........................................................................................

68

System chart ............................................................................................

68

Specifications ............................................................................................

71

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Содержание UHI-3

Страница 1: ...USA CAUTION Federal law restricts this device to sale by or on the order of a physician INSTRUCTIONS HIGH FLOW INSUFFLATION UNIT UHI 3...

Страница 2: ......

Страница 3: ...2 5 Optional components 21 Chapter 3 Installation and Connection 23 3 1 Installation of the UHI 3 main unit 23 3 2 Connecting to an AC mains supply 24 3 3 Connecting a CO2 gas cylinder 25 3 4 Connecti...

Страница 4: ...ods and chemical agents 56 6 4 Cleaning of the UHI 3 main body foot switch cylinder hose and medical gas pipeline adaptor 57 6 5 Storage of the UHI 3 main body foot switch cylinder hose and medical ga...

Страница 5: ...abels and symbols are attached to the instrument at the locations shown below If labels or symbols are missing or illegible contact Olympus UHI 3 main unit Symbol mark Refer to instructions Serial num...

Страница 6: ...FFLATION UNIT UHI 3 CYLINDER HOSE PIN FOR UHI 3 MAJ 1080 Name plate Symbol mark Refer to instructions Name plate SUPPLY CO2 GAS FOR MEDICAL USE ONLY NEVER USE OTHER KINDS OF GASES USE WITH OLYMPUS PRO...

Страница 7: ...Labels and Symbols 3 HIGH FLOW INSUFFLATION UNIT UHI 3 Back cover of this instruction manual Manufacturer Authorized representative in the European Community...

Страница 8: ...safely and effectively Before use thoroughly review this manual and the manuals of all equipment which will be used during the procedure and use the instruments as instructed Keep this and all relate...

Страница 9: ...ons given in Chapter 6 Improper and or incomplete reprocessing or storage can present an infection control risk cause equipment damage or reduce performance Repair and modification This instrument doe...

Страница 10: ...osion proof Never install or operate it in the presence of flammable gases Supply medical grade CO2 gas only Never use other kinds of gas Using gases other than CO2 gas may result in fire poisoning co...

Страница 11: ...device argon enhanced coagulator or other gas supply devices simultaneously both instruments become a source of supply for gas Accordingly the desired pressure in the abdomen is reached in a shorter t...

Страница 12: ...ongly recommends the use of a disposable filter in the CO2 supply line between the UHI 3 and the patient even when the relief mode will not be used To reduce the risk of electric shock do not remove t...

Страница 13: ...equipment damage To avoid complications monitor patient parameters such as endotidal CO2 electrocardiogram body temperature etc while using the UHI 3 Metabolic Acidosis and resultant cardiac irregula...

Страница 14: ...ion of UHI 3 operation when using a veress needle trocar As defined by the international safety standard IEC 60601 1 medical electrical equipment is classified into the following types Type CF applied...

Страница 15: ...ately contact Olympus This equipment was not disinfected or sterilized before shipment Before using this equipment for the first time reprocess it according to the instructions given in Chapter 6 Insu...

Страница 16: ...age Contents HIGH FLOW INSUFFLATION UNIT UHI 3 1 2 Optional items FOOT SWITCH MH 317 MEDICAL GAS PIPELINE ADAPTOR NIST FOR UHI 3 MAJ 1084 MEDICAL GAS PIPELINE ADAPTOR DISS FOR UHI 3 MAJ 1085 ADAPTOR F...

Страница 17: ...apter 2 Instrument Nomenclature 2 1 Symbols and descriptions Power switch CO2 INSUFFLATION connector CO2 SUCTION control pinch valve CYLINDER PRESSURE ABDOMINAL PRESSURE section Power ON OFF Abdominal...

Страница 18: ...ter 2 Instrument Nomenclature HIGH FLOW INSUFFLATION UNIT UHI 3 FLOW RATE section VOLUME section START STOP FOOTSWITCH connector CO2 GAS INLET Flow rate High mode Medium mode Low mode Total volume use...

Страница 19: ...Chapter 2 Instrument Nomenclature 15 HIGH FLOW INSUFFLATION UNIT UHI 3 Others Alternating current Circuit breaker Equipotential terminal Refer to instructions...

Страница 20: ...ATION UNIT UHI 3 2 2 Front panel Front panel 1 POWER switch 2 Abdominal pressure control switches 3 Flow mode selector 4 Flow rate control switches 5 RESET switch 6 CO2 suction control pinch valve 7 C...

Страница 21: ...lected the flow rate can be set within a range of 1 1 to 19 L min When HIGH is selected the flow rate can be set within a range of 20 to 35 L min 5 RESET switch This switch is pressed to reset the VOL...

Страница 22: ...nal pressure indicator 4 Warning lamp for excessive pressure 5 Set flow rate indicator 6 Actual flow rate indicator 7 Warning lamp for tube obstruction 8 Volume indicator 9 Bar graph for flow rate 10...

Страница 23: ...vity 8 Volume indicator This indicator shows the volume of gas used 9 Bar graph for flow rate This graph shows the current flow rate 10 Lamp for flow mode indication These lamps light when the corresp...

Страница 24: ...acuation Connect the power cord here This connector is provided for system expansion Circuit breakers These breakers prevent short circuiting Equipotential terminal In the case of equipotential connec...

Страница 25: ...MH 317 Use the supplied wrench to connect to the CO2 gas inlet on the rear panel of the UHI 3 Yoke Hose This yoke connects the cylinder hose to the gas cylinder Pin Packing Connector Connect this conn...

Страница 26: ...UHI 3 MEDICAL GAS PIPELINE ADAPTOR NIST FOR UHI 3 MAJ 1084 MEDICAL GAS PIPELINE ADAPTOR DISS FOR UHI 3 MAJ 1085 Use the supplied wrench to connect to the CO2 gas inlet on the rear panel of the UHI 3 C...

Страница 27: ...cart must be of adequate strength and size to safely hold it Position the patient port of the insufflator and as much of the associated tubing as is practical above the insufflation site to prevent pa...

Страница 28: ...e force to the power cord such as bending straining twisting or squeezing Do not use a 3 pin plug to 2 pin plug adapter as this will not properly ground the UHI 3 Always use the power cord provided wi...

Страница 29: ...nd normal insufflation may become impossible Only open the CO2 gas cylinder valve after correctly connecting the UHI 3 and the CO2 gas cylinder Opening the CO2 gas cylinder valve before correctly conn...

Страница 30: ...rench to attach the cylinder hose to the CO2 gas inlet on the rear panel of the UHI 3 Tighten with a force of 24 5 N m 2 5 kgf m see Figure 3 2 Figure 3 2 3 When using the cylinder hose for UHI 3 MAJ...

Страница 31: ...akage Never lubricate the connecting sections of the UHI 3 the adaptor and the medical gas pipeline with grease oil etc This could result in grease oil or other foreign matter entering the UHI 3 imped...

Страница 32: ...he adaptor to the hose for medical gas pipeline see Figure 3 4 3 Connect the hose to the CO2 gas connector of the medical gas pipeline Figure 3 4 3 5 Connecting the foot switch MH 317 The connector se...

Страница 33: ...are supplied non sterile Always sterilize before the first and each subsequent use Before removing the filter from the package inspect the package for damage If the package has been previously opened...

Страница 34: ...ee Figure 3 6 When you use a filter place the filter between the insufflation tube and the filter connecting tube see Figure 3 7 Insufflation tube MH 397 can be used However it will supply a smaller q...

Страница 35: ...meter connector see Figure 3 8 2 Attach the sterilized small luer lock connector to the patient side of the tube see Figure 3 8 Figure 3 8 3 If required use the Y shaped connector extension tube to br...

Страница 36: ...he way into the groove of the CO2 suction control pinch valve on the front panel of the UHI 3 see Figure 3 10 To prevent the tube from collapsing there must be at least 10 cm between the differential...

Страница 37: ...lso refer to the instruction manual of the UES 40 or the SonoSurg G2 Incorrect usage or equipment connection may compromise the functionality and performance of this feature and could lead to equipmen...

Страница 38: ...34 Chapter 3 Installation and Connection HIGH FLOW INSUFFLATION UNIT UHI 3 Figure 3 12 Aeration cable MAJ 877 UHI 3 UES 40 Interactive cable MAJ 877 UHI 3 SonoSurg G2...

Страница 39: ...nt damage This instrument was not disinfected or sterilized before shipment Before using this instrument for the first time reprocess it according to the instructions given in Chapter 6 Care Storage a...

Страница 40: ...lose the gas cylinder s valve and confirm that the supply pressure remains unchanged If the indicator drops down gas is leaking Check the connection of the cylinder hose again If the indicator continu...

Страница 41: ...STOP switch Inspection of alarm functions 1 Set the insufflation mode to LOW and press the start switch 2 Block the CO2 insufflation connector with your hand 3 Confirm that the tube obstruction warnin...

Страница 42: ...spect the packing inside the yoke for scratches cracks or other damage 4 3 Inspection of the medical gas pipeline adaptor MAJ 1084 1085 If the medical gas pipeline adaptor or the hose for the medical...

Страница 43: ...he relief mode is not activated Olympus highly recommends the use of a disposable filter If the tubes are damaged replace with new tubes If water drops remain on inside the tubes they may cause damage...

Страница 44: ...tion tube connect the insufflation tube directly to the CO2 gas feed connector and begin insufflation If the problem no longer exists the filter is damaged do not use it Replace it with a new filter 1...

Страница 45: ...r a prolonged period of time without a CO2 insufflation connection the decompressing devices may freeze Under these conditions operation of the UHI 3 unit including insufflation may be impossible Neve...

Страница 46: ...enhanced coagulator or other gas supply devices carefully read and understand the following before using When performing laparoscopy using the insufflator and a laser device argon enhanced coagulator...

Страница 47: ...ed make sure relief mode is set to OFF When relief mode is set to ON the relief function will operate if an additional veress needle or trocar etc is inserted due to the momentarily high abdominal pre...

Страница 48: ...correctly Figure 5 1 5 3 Insufflation Adjust the flow rate setting in accordance with the abdominal cavity volume For children whose abdominal cavity volume is small insufflation at a high flow rate m...

Страница 49: ...ensures that only CO2 gas is insufflated see Figure 5 2 Press the START switch and feed at least 2 L of gas Figure 5 2 3 Connect the luer lock connector attached to the insufflation tube to the veres...

Страница 50: ...the following before using When performing laparoscopy using the insufflator and a laser device argon enhanced coagulator or other gas supply devices simultaneously both instruments become a source of...

Страница 51: ...maintain the selected abdominal pressure Confirm that the suction tube is securely connected so that it will not become dislodged during use If the suction tube is detached from the suction control pi...

Страница 52: ...he suction function from activating either disconnect the suction tube close the stopcock on the trocar to which the suction tube is connected or press the STOP switch When the abdominal pressure exce...

Страница 53: ...ody temperature and other parameters Also observe the volume indicator to monitor the amount of CO2 gas used during the operation Confirm that the suction tube is securely attached If the suction tube...

Страница 54: ...3 6 Connecting the insufflation tube and suction tube 2 Insert the connector of the foot switch MH 317 into the foot switch connector on the UHI 3 s rear panel until a click is heard see Figure 5 3 F...

Страница 55: ...le In this case further supply of CO2 gas will increase the abdominal pressure When the pedal of the foot switch for UES 40 MAJ 1258 or SonoSurg G2 MAJ 51 is pressed the exhaust function of the UHI 3...

Страница 56: ...e that the CO2 gas cylinder s valve is closed then release any residual CO2 gas remaining inside the UHI 3 Finally disconnect the cylinder hose Otherwise there is a danger of significant gas leakage D...

Страница 57: ...insufflation mode and perform insufflation 2 After the UHI 3 enters the stop mode turn the power switch OFF 3 When the wall supply is connected disconnect the hose on the facility side first 4 Discon...

Страница 58: ...ollow all national and local hospital guidelines and policies A specific individual or individuals in the unit should be responsible for reprocessing equipment It is highly desirable that a trained ba...

Страница 59: ...ould reduce the efficacy of sterilization Patient debris and reprocessing chemicals are hazardous Wear protective equipment to guard against dangerous chemicals and potentially infectious material Dur...

Страница 60: ...brands that have been tested for compatibility with the insufflation tube suction tube and luer lock connectors Do not reuse detergent solutions Excessive detergent foaming can prevent fluid from ade...

Страница 61: ...hem Do not autoclave or gas sterilize the equipment Doing so will cause equipment damage Never expose electrical contact points system connector foot switch connector and AC inlet to fluids as this wi...

Страница 62: ...3 horizontally on a stable level surface 3 Store the equipment at room temperature in a dry well ventilated environment Do not store in direct sunlight 4 Store the wrench with the cylinder hose 5 Coil...

Страница 63: ...using the cleaning gun or a syringe 3 Ultrasonically clean all tubing and connectors at 38 47 kHz for 5 minutes For details on operation of the ultrasonic cleaner refer to its instruction manual Rinsi...

Страница 64: ...be thoroughly cleaned and dried as outlined in Section 6 6 Cleaning the insufflation tube MAJ 590 and suction tube MAJ 591 prior to sterilization Residual moisture inhibits sterilization 6 8 Storage o...

Страница 65: ...o purchase a replacement 7 1 Troubleshooting guide UHI 3 main unit Problem Possible cause Solution UHI 3 is not supplied with power The power cord is not connected Connect power cord The power switch...

Страница 66: ...cock is closed Open stopcock The trocar s stopcock is closed Open stopcock The veress needle is not correctly inserted Withdraw and insert veress needle correctly The veress needle is defective Replac...

Страница 67: ...clogged Remove foreign matter Improper connection to pinch valve Connect correctly Smoke evacuation is not possible The start switch is not pressed Press start switch The low insufflation mode is sele...

Страница 68: ...ropriate treatment Tube obstruction warning sounds continually The insufflation tube is collapsed Correct the collapsed area The veress needle s stopcock is closed Open the stopcock The trocar s stopc...

Страница 69: ...ed pressure in the abdomen is reached in a shorter time than when a pneumoperitoneum device is used alone Be careful that the abdomen does not become over pressurized The laser device argon enhanced c...

Страница 70: ...connected approximately 10 seconds later the automatic suction function will start working Suction will continue until the abdominal pressure drops to the set pressure When relief mode is set to ON ac...

Страница 71: ...cylinder valve is opened replace the cylinder with a new one as outlined in Section 3 3 Connecting a CO2 gas cylinder 3 When the medical gas pipeline is connected improper hose connection or pressure...

Страница 72: ...sed with this instrument are listed below New products released after the introduction of this instrument may also be compatible for use in combination with instrument For further details contact Olym...

Страница 73: ...hese items are shipped with MAJ 590 or MH 397 CO2 cylinder Insufflation tube MAJ 590 High flow insufflation unit UHI 3 Disposable filter Filter connecting tube Luer lock connector These items are ship...

Страница 74: ...SonoSurg G foot switch MAJ 51 Foot switch MAJ 1259 Foot switch MAJ 1258 Aeration cable MAJ 877 High flow insufflation unit UHI 3 Electrosurgical Unit UES 40 SonoSurg generator SonoSurg G2 Aeration ca...

Страница 75: ...cifications Operating environment Storage Temperature 10 40 C 50 104 F Relative humidity 30 85 Atmospheric pressure 700 1060 hPa Storage environment Ambient temperature 25 to 70 C 13 to 158 F Relative...

Страница 76: ...400 kPa lower limit 343 2 kPa 3 5 kgf cm2 Hose for medical gas pipeline is required to comply with ISO 5359 NIST or DISS Supply pressure indications Five steps by LEDs 5 above 4 5 MPa 4 3 5 to 4 4 MPa...

Страница 77: ...indications Set pressure indication Abdominal pressure bar graph Green lights to show the abdominal pressure setting 1 point indication during operation mode the indication will blink Abdominal press...

Страница 78: ...ore above the set pressure relief the gas through the internal channel until the abdominal pressure readout reaches the set pressure Flow rate control As long as there is a difference between abdomina...

Страница 79: ...ion mode Inoperative when the abdominal pressure is below 3 mmHg Classification electro medic al equipment Type of protection against electric shock Class I 3 pin power cord Degree of protection again...

Страница 80: ...rd length 4000 mm Protection against fluid ingress IEC 60529 IPX8 except for connector section Protection against hazard of ignition IEC 60601 1 AP equipment Weight 2 1 kg Size 159 4 mm W 184 7 mm D 6...

Страница 81: ...LATION UNIT UHI 3 Medical gas pipeline adaptor NIST for UHI 3 MAJ 1084 Medical gas pipeline adaptor DISS for UHI 3 MAJ 1085 Item Specification Hose length 450 mm Compatible connector MAJ 1084 NIST ISO...

Страница 82: ......

Страница 83: ...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 84: ...r Valley Road 12 01 04 Valley Point Office Tower Singapore 248373 Fax 6834 2438 Telephone 6834 0010 Room 1202 NCI Tower A12 Jianguomenwai Avenue Chaoyang District Beijing 100022 PRC Fax 10 6569 3545 T...

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