Olympus GIF 160 Gastrointestinal Videoscope

Olympus GIF 160 Gastrointestinal Videoscope
INSTRUCTIONS
EVIS EXERA GASTROINTESTINAL VIDEOSCOPE
OLYMPUS GIF TYPE XP160
OLYMPUS GIF TYPE 160
OLYMPUS GIF TYPE Q160
OLYMPUS GIF TYPE 1TQ160
OLYMPUS GIF TYPE XTQ160
EVIS EXERA COLONOVIDEOSCOPE
OLYMPUS CF TYPE Q160L/I
OLYMPUS CF TYPE Q160AL/I
OLYMPUS PCF TYPE 160AL/I
EVIS EXERA SIGMOIDOVIDEOSCOPE
OLYMPUS CF TYPE Q160S
Refer to the endoscope’s companion manual, the “REPROCESSING MANUAL” whose
cover lists the model of your endoscope, for reprocessing information.
USA: CAUTION: Federal law restricts this device to sale by or on the order of a
physician.
Contents
Contents
Symbols.........................................................................................
1
Important Information — Please Read Before Use....................
2
Intended use ............................................................................................
2
Applicability of endoscopy and endoscopic treatment .............................
2
Instruction manual ....................................................................................
3
User qualifications ....................................................................................
3
Instrument compatibility ...........................................................................
3
Reprocessing before the first use/reprocessing and storage after use.....
4
Spare equipment ......................................................................................
4
Repair and modification ...........................................................................
4
Signal words .............................................................................................
4
Warnings and cautions .............................................................................
5
Examples of inappropriate 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
Preparation and Inspection ....................................
32
3.1
Preparation of the equipment..........................................................
33
3.2
Inspection of the endoscope ...........................................................
34
3.3
Preparation and inspection of accessories .....................................
39
3.4
Attaching accessories to the endoscope ........................................
43
3.5
Inspection and connection of ancillary equipment ..........................
45
3.6
Inspection of the endoscopic system ..............................................
48
Operation .................................................................
53
4.1
Insertion ..........................................................................................
56
4.2
Using endo-therapy accessories.....................................................
62
4.3
Withdrawal of the endoscope..........................................................
67
4.4
Transportation of the endoscope ....................................................
68
Chapter 3
Chapter 4
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
i
Contents
Chapter 5
ii
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
System chart ............................................................................................
77
EMC information........................................................................................
92
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Symbols
Symbols
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 part
Manufacturer
Authorised representative in the European Community
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
1
Important Information — Please Read Before Use
Important Information — Please Read
Before Use
Intended use
These instruments have been designed to be used with an Olympus video
system center, light source, documentation equipment, video monitor,
endo-therapy accessories (such as a biopsy forceps) and other ancillary
equipment.
Use the GIF-XP160, GIF-160, GIF-Q160, GIF-1TQ160, GIF-XTQ160 for
endoscopy and endoscopic surgery within the upper digestive tract (including
the esophagus, stomach and duodenum).
Use the CF-Q160L/I, CF-Q160AL/I, PCF-160AL/I for endoscopy and endoscopic
surgery within the lower digestive tract (including the anus, rectum, sigmoid
colon, colon and ileocecal valve).
Use the CF-Q160S for endoscopy and endoscopic surgery within the lower
digestive tract (including the anus, rectum and sigmoid colon).
Do not use these instruments for any purpose other 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’s administration or other official
institutions such as academic societies on endoscopy, follow that standard.
Before starting endoscopy and endoscopic treatment, thoroughly evaluate its
properties, purposes, effects, and possible risk (their natures, extent and
probability). Perform endoscopy and endoscopic treatment only when its
potential benefits are greater than its risks.
Fully explain to the patient the potential benefits and risks of the endoscopy and
endoscopic treatment as well as any examination/treatment methods that can be
performed 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 potential benefits and risks, and immediately stop the
endoscopy/treatment and take proper measures if the risks to the patient
become greater than the potential benefits.
2
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Important Information — Please Read Before Use
Instruction manual
This instruction manual contains essential information on using this instrument
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
equipment as instructed.
Note that the complete instruction manual set for this endoscope consists of this
manual and the “REPROCESSING MANUAL” whose cover lists the model of
your endoscope. It also accompanied the endoscope at shipment.
Keep this and all related instruction manuals in a safe, accessible location.
If you have any questions or comments about any information in this manual,
please contact Olympus.
User 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 technique. This manual, therefore, does not explain or
discuss clinical endoscopic procedures. For details on the clinical endoscopic
procedures, the physician and operator are requested to form judgments from
their viewpoints as specialists.
Instrument compatibility
Refer 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/or equipment damage.
This instrument complies with EMC standard for medical electrical equipment;
edition 2 (IEC 60601-1-2: 2001). However, when connected with an instrument
that complies with EMC standard for medical electrical equipment; edition 1
(IEC 60601-1-2: 1993), the whole system complies with edition 1.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
3
Important Information — Please Read Before Use
Reprocessing before the first use/reprocessing and
storage after use
This instrument was not cleaned, disinfected or sterilized before shipment.
Before using this instrument for the first time, reprocess it according to the
instructions given in the endoscope’s companion manual, the “REPROCESSING
MANUAL” whose cover lists the model of your endoscope.
After using this instrument, reprocess and store it according to the instructions
given in the endoscope’s companion reprocessing manual. Improper and/or
incomplete reprocessing or storage can present 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 failure or malfunction.
Repair and modification
This instrument does not contain any user-serviceable parts. Do not
disassemble, modify or attempt to repair it; patient or operator injury and/or
equipment damage can result. This instrument is to be repaired by Olympus
technicians only.
Signal words
The following signal words are used throughout this manual:
Indicates a potentially hazardous situation which, if not
avoided, could result in death or serious injury.
Indicates a potentially hazardous situation which, if not
avoided, may result in minor or moderate injury. It may also
be used to alert against unsafe practices or potential
equipment damage.
4
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Important Information — Please Read Before Use
Indicates additional helpful information.
Warnings and cautions
Follow the warnings and cautions given below when handling this instrument.
This information is to be supplemented by the warnings and cautions given in
each chapter.
•
After using this instrument, reprocess and store it according
to the instructions given in the endoscope’s companion
reprocessing manual. Using improperly or incompletely
reprocessed or stored instruments may cause patient
cross-contamination and/or infection.
•
Do not strike, bend, hit, pull, twist, or drop the endoscope’s
distal end, insertion tube, bending section, control section,
universal cord, or endoscope connector of the endoscope
with excessive force. The endoscope may 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 abruptly. Never
forcefully pull, twist or rotate the angulated bending section.
Patient injury, bleeding and/or perforation can result. It may
also become impossible to straighten the bending section
during an examination.
•
Never insert or withdraw the endoscope’s insertion tube while
the bending section is locked in position. Patient injury can
result.
•
Do not touch the light guide of the endoscope connector
immediately after removing it from the light source because it
is extremely hot. Operator or patient burns can result.
•
Never perform flexibility adjustment, operate the bending
section, feed air or perform suction, insert or withdraw the
endoscope’s insertion tube without viewing the endoscopic
image. Never use endo-therapy accessories without viewing
the endoscopic image. Patient injury can result.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
5
Important Information — Please Read Before Use
6
•
Never perform flexibility adjustment, operate the bending
section, feed air or perform suction, insert or withdraw the
endoscope’s insertion tube while the image is frozen. Never
use endo-therapy accessories while the image is frozen.
Patient injury can result.
•
Regardless of the flexibility of the endoscope’s insertion tube,
never insert or withdraw it with excessive force. Otherwise,
patient injury could result.
•
Do not pull the universal cord during an examination. The
endoscope connector will be pulled out from the output
socket of the light source and the endoscopic image will not
be visible.
•
Do not coil the insertion tube or universal cord into a diameter
of less than 12 cm. Equipment damage can result.
•
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 the distal end. Visual
abnormalities may result.
•
Do not twist or bend the bending section with your hands.
Equipment damage may result.
•
Do not squeeze the bending section forcefully. The covering
of the bending section may stretch or break and cause water
leaks.
•
Turn the video system center OFF before connecting or
disconnecting the videoscope cable from the electrical
connector on the endoscope. Turn the switch ON or OFF
only when the videoscope cable is connected to both the
video system center and electrical connector on the
endoscope. Failure to do so can result in equipment damage,
including destruction of the CCD.
•
The endoscope’s remote switches cannot be removed from
the control section. Pressing, pulling or twisting them with
excessive force can break the switches and/or may cause
water leaks.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Important Information — Please Read Before Use
•
If remote switch 1 does not return to the OFF position after
being pressed strongly from the side, gently pull the switch
upwards to return it to the OFF position.
•
Do not hit or bend the electrical contacts on the endoscope
connector. The connection to the light source may be
impaired and faulty contact can result.
•
Do not attempt to bend the endoscope’s insertion tube with
excessive force. Otherwise, the insertion tube may be
damaged.
•
Do not attempt to bend the endoscope’s insertion tube with
excessive force unless flexibility is at the stiffest position.
Otherwise, the insertion tube may be damaged.
•
The endoscope contains a memory chip that stores
information about the endoscope and communicates this
information to the CV-160. Although the memory chip is
durable, damage will prevent data 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 and mobile RF (Radio Frequency) communications
equipment such as cellular phones. If electromagnetic
interference occurs, mitigation measures may be necessary,
such as reorienting or relocating this instrument, or shielding
the location.
Examples of inappropriate handling
Details on clinical endoscopic technique are the responsibility of trained
specialists. Patient safety in endoscopic examinations and endoscopic treatment
can be ensured through appropriate handling by the physician and the medical
facility. Examples of inappropriate handling are given below;
•
Over-insufflating the lumen may cause patient pain and/or perforation.
•
Applying prolonged suction with the distal end in contact with the
mucosal surface may cause bleeding or suction lesions.
•
Retroflexing the endoscope within the esophagus or duodenal bulb may
cause mucosal trauma or impaction of the endoscope (for GIF models
only).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
7
Important Information — Please Read Before Use
8
•
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 or
operating the bending section without a clear endoscopic image may
cause patient injury.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 1 Checking the Package Contents
Chapter 1 Checking the Package
Contents
Match all items in the package with the components shown below. Inspect each
item 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 before shipment.
Before using this instrument for the first time, reprocess it according to the
instructions given in the endoscope’s companion manual, the “REPROCESSING
MANUAL” whose cover lists the model of your endoscope.
Endoscope
Channel cleaning brush
(BW-20T)
Channel cleaning brush
(BW-17K for GIF-XTQ160 only)
Injection tube (MH-946)
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
9
Chapter 1 Checking the Package Contents
Channel-opening cleaning
brush (MH-507)
Mouthpiece
(MA-474, MB-142 for
GIF-XP160, 1 pc. each)
Suction valve
(MH-443, 2 pcs.)
Suction cleaning adapter
(MH-856)
Forceps Suction Plug (T-Plug)
(MH-405 for GIF-XTQ160 only)
Instruction Manual
(Forceps Suction Plug,
for GIF-XTQ160 only)
10
AW channel cleaning
adapter (MH-948)
Mouthpiece (MB-142 for GIF-160,
GIF-Q160, GIF-1TQ160,
GIF-XTQ160, 2 pcs.)
Water-resistant cap
(MH-553)
Biopsy valve
(MB-358, 10 pcs.)
Air/water valve
(MH-438, 2 pcs.)
Channel plug (MH-944)
Auxiliary water tube
(MAJ-855 for endoscopes with
auxiliary water feeding only)
Operation manual
Instructions (Leaflet type, for
CF-Q160AL/I, PCF-160AL/I only)
Reprocessing manual
Instructions
(Leaflet type, for
GIF-XTQ160 only)
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 1 Checking the Package Contents
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
11
Chapter 2 Instrument Nomenclature and Specifications
Chapter 2 Instrument Nomenclature
and Specifications
2.1
Nomenclature
 GIF-XP160, GIF-160, GIF-Q160
Universal cord
1. Suction connector
5. Electrical connector
2. S-cord connector mount
Air pipe
3. Air supply connector
3. Water supply connector
Light guide
Product name and serial number
Electrical contacts
4. Endoscope connector
12
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
9. Air/water valve (MH-438)
8. Suction valve (MH-443)
7. UP/DOWN angulation lock
6. UP/DOWN angulation control knob
16. RIGHT/LEFT angulation
control knob
Control
section
15. RIGHT/LEFT angulation lock
Grip section
Suction cylinder
Air/water cylinder
14. Color code
Boot
Biopsy valve (MB-358)
10. Instrument channel port
11. Insertion tube limit mark
Working length
Distal end
13. Remote switches
Top view
12. Bending section
Insertion tube
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
13
Chapter 2 Instrument Nomenclature and Specifications
 GIF-1TQ160, CF-Q160L/I, CF-Q160S
Universal cord
17. Auxiliary water inlet
1. Suction connector
5. Electrical connector
Auxiliary water inlet cap
(MAJ-215)
Air pipe
2. S-cord connector mount
3. Air supply connector
3. Water supply connector
Light guide
Product name and serial number
Electrical contacts
4. Endoscope connector
14
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
9. Air/water valve (MH-438)
8. Suction valve (MH-443)
7. UP/DOWN angulation lock
6. UP/DOWN angulation control knob
16. RIGHT/LEFT angulation
control knob
15. RIGHT/LEFT angulation lock
Grip section
Control
section
Suction cylinder
Air/water cylinder
14. Color code
Boot
Biopsy valve (MB-358)
10. Instrument channel port
11. Insertion tube limit mark
Working length
Distal end
13. Remote switches
Top view
12. Bending section
Insertion tube
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
15
Chapter 2 Instrument Nomenclature and Specifications
 GIF-XTQ160
Universal cord
17. Auxiliary water inlet
1. Suction connector
5. Electrical connector
Auxiliary water inlet cap
(MAJ-215)
Air pipe
2. S-cord connector mount
3. Air supply connector
3. Water supply connector
Light guide
Product name and serial number
Electrical contacts
4. Endoscope connector
16
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
9. Air/water valve (MH-438)
8. Suction valve (MH-443)
7. UP/DOWN angulation lock
6. UP/DOWN angulation control knob
16. RIGHT/LEFT angulation
control knob
Suction cylinder
15. RIGHT/LEFT angulation lock
Control
section
Air/water cylinder
Grip section
Biopsy valve
(MB-358)
14. Color code
Boot
Forceps Suction Plug
(T-Plug) (MH-405)
10. Instrument channel port
11. Insertion tube limit mark
Working length
Distal end
13. Remote switches
Top view
12. Bending section
Insertion tube
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
17
Chapter 2 Instrument Nomenclature and Specifications
 CF-Q160AL/I
Universal cord
17. Auxiliary water inlet
1. Suction connector
5. Electrical connector
Auxiliary water inlet cap
(MAJ-215)
Air pipe
2. S-cord connector mount
3. Air supply connector
3. Water supply connector
Light guide
Product name and serial number
Electrical contacts
4. Endoscope connector
18
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
9. Air/water valve (MH-438)
8. Suction valve (MH-443)
7. UP/DOWN angulation lock
6. UP/DOWN angulation control knob
16. RIGHT/LEFT
angulation control
knob
15. RIGHT/LEFT angulation lock
Control
section
Suction cylinder
Air/water cylinder
Grip section
14. Color code
Mark
18. Flexibility adjustment ring
Biopsy valve (MB-358)
Mark
10. Instrument channel port
Boot
11. Insertion tube limit mark
Working length
Insertion tube
Distal end
13. Remote switches
Top view
12. Bending section
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
19
Chapter 2 Instrument Nomenclature and Specifications
 PCF-160AL/I
Universal cord
1. Suction connector
5. Electrical connector
2. S-cord connector mount
Air pipe
3. Air supply connector
3. Water supply connector
Light guide
Product name and serial number
Electrical contacts
4. Endoscope connector
20
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
9. Air/water valve (MH-438)
8. Suction valve (MH-443)
7. UP/DOWN angulation lock
6. UP/DOWN angulation control knob
16. RIGHT/LEFT
angulation control
knob
15. RIGHT/LEFT angulation lock
Control
section
Suction cylinder
Air/water cylinder
Grip section
14. Color code
Mark
18. Flexibility adjustment ring
Biopsy valve (MB-358)
Mark
10. Instrument channel port
Boot
11. Insertion tube limit mark
Working length
Insertion tube
Distal end
13. Remote switches
Top view
12. Bending section
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
21
Chapter 2 Instrument Nomenclature and Specifications
2.2
Endoscope functions
1. Suction connector
This connector connects the endoscope to the suction tube of the suction
pump.
2. S-cord connector mount
This mount connects the endoscope with the Olympus electrosurgical unit
via the S-cord. The S-cord conducts leakage current from the endoscope to
the electrosurgical unit. To connect the S-cord, refer to the instruction
manual for the electrosurgical unit.
3. Water supply connector and air supply connector
These connectors connect the endoscope to the water container via the
water container tube, to supply water to the distal end of the endoscope.
4. Endoscope connector
This connector connects the endoscope to the output socket of the light
source and transmits light from the light source to the endoscope.
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 endoscope and communicates this information to the
video system center CV-160. For more details, refer to the instruction
manual of the CV-160.
6. UP/DOWN angulation control knob
When this knob is turned in the “ U” direction, the bending section moves
UP; when the knob is turned in the “D ” direction, the bending section
moves DOWN.
7. UP/DOWN angulation lock
Moving this lock in the “F ” direction frees angulation. Moving the lock in
the opposite direction locks the bending section at any desired position.
8. Suction valve (MH-443)
This valve is depressed to activate suction. The valve is used to remove any
fluid, debris, flatus or air from the patient.
9. Air/water valve (MH-438)
The hole in this valve is covered to insufflate air and the valve is depressed
to feed water for lens washing. It also can be used to feed air to remove any
fluid or debris adhering to the objective lens.
22
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
10. Instrument channel port
The instrument channel port functions as:
− channel for the insertion of endo-therapy accessories
− suction channel
− fluid feed channel (from a syringe via the biopsy valve)
11. Insertion tube limit mark
This mark shows the maximum point to which the endoscope may be
inserted into the patient’s body.
12. Bending section
This section moves the distal end of the endoscope when the UP/DOWN
and RIGHT/LEFT angulation control knobs are operated.
13. Remote switches 1 to 4
The functions of the remote switches 1 to 4 can be selected on the video
system center. When selecting the functions, refer to the instruction manual
for the video system center.
14. Color code
This code is used to quickly determine the compatibility of endo-therapy
accessories. The endoscope can be used with endo-therapy accessories
that have the same color code.
• Blue:
GIF-XP160
• Yellow:
GIF-160, GIF-Q160, PCF-160AL/I
• Orange:
GIF-1TQ160, GIF-XTQ160, CF-Q160L/I/S,
CF-Q160AL/I
15. RIGHT/LEFT angulation lock
Turning this lock in the “F ” direction frees angulation. Turning the lock in
the opposite direction locks the bending section at any desired position.
16. RIGHT/LEFT angulation control knob
When this knob is turned in the “R ” direction, the bending section moves
RIGHT; when the knob is turned in the “ L” direction, the bending section
moves LEFT.
17. Auxiliary water inlet (for endoscopes with auxiliary water feeding only)
This inlet is connected to the auxiliary water tube. Feed water from this inlet
through the auxiliary water channel when necessary, (e.g. when blood
adheres to mucosa 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.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
23
Chapter 2 Instrument Nomenclature and Specifications
18. Flexibility adjustment ring (for CF-Q160AL/I, PCF-160AL/I only)
Turn this ring to adjust the flexibility of the insertion tube.
When the “z” mark on the ring is aligned with the “ ” mark at the bottom of
the grip 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 between “z” and
“3”, insertion tube flexibility can be changed gradually regardless of the
positions of other index markings (“1” and “2”).
2.3
Specifications
Operating environment
Operating
Ambient temperature
10 – 40°C (50 – 104°F)
environment
Relative humidity
30 – 85%
Atmospheric
pressure
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
24
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
Specifications
 Endoscope functions
Model
Optical
system
GIF-XP160
Field of view
Direction of view
Depth of field
Insertion tube
120°
Forward viewing
3 – 100 mm
Distal end outer
diameter
Distal end enlarged
ø 5.9 mm
1. Air/water nozzle
2. Light guide lens
3. Objective lens
4. Instrument channel outlet
UP
3.
1.
RIGHT
LEFT
2.
4.
DOWN
Insertion tube outer
diameter
Working length
Instrument
Channel inner
channel
diameter
Minimum visible
distance
ø 5.9 mm
1030 mm
ø 2 mm
3 mm from the distal end
Direction from which
endo-therapy
accessories enter
and exit the
endoscopic image
Air flow rate
25 cm3/s
Note: Standard when CLV-160 (high air
pressure) is used.
Bending
section
Total length
Angulation range
UP 180°, DOWN 90°,
RIGHT 100°, LEFT 100°
1345 mm
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
25
Chapter 2 Instrument Nomenclature and Specifications
Model
GIF-160
Optical
Field of view
system
Direction of view
GIF-Q160
140°
Forward viewing
Depth of field
Insertion tube
Distal end outer
diameter
Distal end enlarged
3 – 100 mm
ø 8.6 mm
ø 9.8 mm
1. Air/water nozzle
2. Light guide lens
3. Objective lens
4. Instrument channel outlet
1.
UP
2.
RIGHT
LEFT
3.
4.
DOWN
Insertion tube outer
diameter
Instrument
channel
ø 8.6 mm
ø 9.5 mm
Working length
1030 mm
Channel inner
diameter
ø 2.8 mm
Minimum visible
distance
3 mm from the distal end
Direction from which
endo-therapy
accessories enter
and exit the
endoscopic image
Air flow rate
25 cm3/s
Note: Standard when CLV-160 (high air
pressure) is used.
Bending
section
Total length
26
Angulation range
UP 210°, DOWN 90°,
RIGHT 100°, LEFT 100°
1345 mm
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
Model
GIF-1TQ160
Optical
Field of view
system
Direction of view
140°
Forward viewing
Depth of field
Insertion
Distal end outer
tube
diameter
Distal end enlarged
3 – 100 mm
ø 10.9 mm
1. Air/water nozzle
2. Light guide lens
3. Objective lens
4. Instrument channel outlet
5. Auxiliary water channel
1.
RIGHT
3.
2.
Insertion tube outer
diameter
UP
5.
LEFT
4.
DOWN
ø 11.3 mm
Working length
1030 mm
Instrument
Channel inner diameter
ø 3.7 mm
channel
Minimum visible
distance
4 mm from the distal end
Direction from which
endo-therapy
accessories enter and
exit the endoscopic
image
Air flow rate
25 cm3/s
Note: Standard when CLV-160
(high air pressure) is used.
Bending
section
Total length
Angulation range
UP 210°, DOWN 90°,
RIGHT 100°, LEFT 100°
1340 mm
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
27
Chapter 2 Instrument Nomenclature and Specifications
Model
GIF-XTQ160
Optical
Field of view
system
Direction of view
Depth of field
Insertion
Distal end outer
tube
diameter
Distal end enlarged
140°
Forward viewing
3 – 100 mm
ø 12.9 mm
1. Air/water nozzle
2. Light guide lens
3. Objective lens
4. Instrument channel outlet
5. Auxiliary water channel
1.
RIGHT
3.
2.
Insertion tube outer
diameter
UP
5.
LEFT
4.
DOWN
ø 12.9 mm
Working length
1030 mm
Instrument
Channel inner diameter
ø 6.0 mm
channel
Minimum visible
distance
5 mm from the distal end
Direction from which
endo-therapy
accessories enter and
exit the endoscopic
image
Air flow rate
25 cm3/s
Note: Standard when CLV-160
(high air pressure) is used.
Bending
section
Total length
28
Angulation range
UP 200°, DOWN 90°,
RIGHT 100°, LEFT 100°
1360 mm
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
Model
CF-Q160L/I
Optical
Field of view
system
Direction of view
140°
Forward viewing
Depth of field
Insertion tube
CF-Q160S
3 – 100 mm
Distal end outer
ø 12.8 mm
diameter
Distal end
1. Air/water nozzle
enlarged
2. Light guide lens
3. Objective lens
4. Instrument channel outlet
5. Auxiliary water channel
3.
UP
1.
5.
RIGHT
LEFT
4.
DOWN
Insertion tube
outer diameter
Working length
ø 12.8 mm
ø 13.2 mm
L: 1680 mm
S: 730 mm
I: 1330 mm
Instrument
channel
Channel inner
diameter
Minimum visible
distance
2.
ø 3.7 mm
5 mm from the distal end
Direction from
which
endo-therapy
accessories enter
and exit the
endoscopic
image
Air flow rate
25 cm3/s
Note: Standard when CLV-160 (high air
pressure) is used.
Bending
section
Total length
Angulation range
UP 180°, DOWN 180°,
RIGHT 160°, LEFT 160°
L: 2000 mm
I: 1650 mm
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
S: 1040 mm
29
Chapter 2 Instrument Nomenclature and Specifications
Model
CF-Q160AL/I
Optical
Field of view
system
Direction of view
140°
Forward viewing
Depth of field
Insertion tube
3 – 100 mm
3 – 100 mm
ø 12.8 mm
ø 11.3 mm
1. Air/water nozzle
1. Air/water nozzle
2. Light guide lens
2. Light guide lens
3. Objective lens
3. Objective lens
4. Instrument
channel outlet
4. Instrument
channel outlet
Distal end outer
diameter
Distal end enlarged
PCF-160AL/I
5. Auxiliary water
channel
1.
UP
3.
UP
3.
5. RIGHT
RIGHT
4.
diameter
2.
4.
ø 12.8 mm
2.
DOWN
ø 11.5 mm
Flexibility
The flexibility in the stiffest condition is about
adjustment range
twice that in the softest condition.
Working length
Instrument
channel
LEFT
LEFT
DOWN
Insertion tube outer
1.
Channel inner
diameter
Minimum visible
distance
L: 1680 mm
I: 1330 mm
ø 3.7 mm
ø 3.2 mm
5 mm from the distal end
Direction from which
endo-therapy
accessories enter
and exit the
endoscopic image
Air flow rate
25 cm3/s
Note: Standard when CLV-160 (high air
pressure) is used.
Bending
section
Total length
Angulation range
UP 180°, DOWN 180°,
RIGHT 160°, LEFT 160°
L: 2005 mm
I: 1655 mm
30
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
Medical
Device
This device complies with the
requirements of Directive 93/42/EEC
Directive
concerning medical devices.
Classification: Class II a
EMC
Applied standard;
IEC 60601-1-2: 2001
This instrument complies with the
standards 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 connecting to an
instrument that complies with the EMC
standard for medical electrical
equipment; edition 1 (IEC 60601-1-2:
1993), the whole system complies with
edition 1.
Year of
manufacture
Degree of
protection
2312345
The last digit of the year of manufacture
is the second digit of the serial number.
TYPE BF applied part
against
electric shock
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
31
Chapter 3 Preparation and Inspection
Chapter 3 Preparation and Inspection
Before each case, prepare and inspect this instrument as instructed below.
Inspect other equipment to be used with this instrument as instructed in their
respective instruction manuals. Should the slightest irregularity be suspected, do
not use this instrument and see Chapter 5, “Troubleshooting”.
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.
32
•
Using an endoscope that is not functioning properly may
compromise patient or operator safety and may result in
more severe equipment damage.
•
This instrument was not cleaned, disinfected or sterilized
before shipment. Before using this instrument for the first
time, reprocess it according to the instructions given in the
endoscope’s companion manual, the “REPROCESSING
MANUAL” whose cover lists the model of your endoscope.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
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.
Video monitor
Video system center
Light source
Water container
Suction pump
Endoscope
Endo-therapy accessories
• Paper towels
• Trays
Mouthpiece
(for GIF models only)
• Lint-free cloths
Auxiliary water tube
(for endoscopes with
auxiliary water feeding only)
• Personal protective equipment
Figure 3.1
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
33
Chapter 3 Preparation and Inspection
3.2
Inspection of the endoscope
Clean and disinfect or sterilize the endoscope as described in its companion
reprocessing manual. Then remove the water-resistant cap from the endoscope
connector.
Inspection of the endoscope
1.
Inspect the control section and the endoscope connector for excessive
scratching, deformation, loose parts or other irregularities.
2.
Inspect the 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 dents, bulges, 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, carefully run your fingertips
over the entire length of the insertion tube in both directions (see Figure
3.2). Confirm that no objects or metallic wire protrude from the insertion
tube. Also confirm that the insertion tube is not abnormally rigid.
Figure 3.2
34
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
5.
Using both hands, bend the insertion tube of the endoscope into a
semicircle. Then, moving your hands as shown by the arrows in Figure 3.3,
confirm that the entire insertion tube can be smoothly bent to form a
semicircle and that the insertion tube is pliable. When inspecting
endoscopes with flexibility adjustment, perform 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 a point 20 cm from the
distal end. Push and pull gently to confirm that the border between the
bending section and the insertion tube is not loose.
7.
Inspect the objective 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 insertion
tube for dents, bulges, swelling or other irregularities.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
35
Chapter 3 Preparation and Inspection
Inspection of the flexibility adjustment mechanism
(for CF-Q160AL/I, PCF-160AL/I only)
1.
Confirm that the index markings (“z”, “1”, “2”, “3”) on the flexibility
adjustment ring and the “ ” mark at the bottom of the grip section are
clearly visible (see Figure 3.4).
Figure 3.4
Do not use the endoscope if the markings are not clearly
visible. If the operator is uncertain of the flexibility 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 straight.
If the insertion tube is coiled with a small diameter, the
flexibility adjustment ring may not operate smoothly. This
does not indicate a malfunction.
3.
36
Set the insertion tube to the softest and stiffest conditions, respectively. In
each case, hold the insertion tube with two hands between 30 and 50 cm
from the distal end, and bend it gently as shown in Figure 3.5. Confirm that
the actual flexibility varies according to the flexibility adjustment settings.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
Figure 3.5
Inspection of the bending mechanisms
Perform the following inspections while the bending section is straight.
If the movement of the UP/DOWN angulation lock,
RIGHT/LEFT angulation lock and their angulation control
knobs 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 to straighten the bending section during
an examination.
 Inspection for smooth operation
1.
Confirm that both the UP/DOWN and RIGHT/LEFT angulation locks move
all the way in the “F ” direction.
2.
Turn the UP/DOWN and RIGHT/LEFT angulation control knobs slowly in
each direction until they stop. Confirm that the bending section angulates
smoothly and correctly and that maximum angulation can be achieved.
3.
Turn the UP/DOWN and RIGHT/LEFT angulation control knobs slowly to
their respective neutral positions as shown in Figure 3.6. Confirm that the
bending section returns smoothly to an approximately straight condition.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
37
Chapter 3 Preparation and Inspection
Figure 3.6
 Inspection of the UP/DOWN angulation mechanism
1.
Move the UP/DOWN angulation lock all the way in the opposite direction of
the “F ” mark. Then turn the UP/DOWN angulation control knob in the
“ U” or the “D ” direction until it stops.
2.
Confirm that the angle of the bending section is roughly stabilized when the
UP/DOWN angulation control knob is released.
3.
Confirm that the bending section straightens 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
38
1.
Turn the RIGHT/LEFT angulation lock all the way in the opposite direction of
the “F ” mark. Then turn the RIGHT/LEFT angulation control knob in the
“R ” or the “ L” direction until it stops.
2.
Confirm that the angle of the bending section is roughly stabilized when the
RIGHT/LEFT angulation control knob is released.
3.
Confirm that the bending section straightens out automatically when the
RIGHT/LEFT angulation lock is turned in the “F ” direction and the
RIGHT/LEFT angulation control knob is released.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
3.3
Preparation and inspection of accessories
Clean and disinfect or sterilize the air/water valve, suction valve, biopsy valve
and auxiliary water tube (for endoscopes with auxiliary water feeding 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.
Confirm that the valves are not deformed or cracked (see Figures 3.7 and
3.8).
3.
Check for excessive scratching or tears in the air/water valve’s seals (see
Figures 3.7 and 3.8).
Hole
Spring
Seals
Skirt
Hole
Air/water valve (MH-438)
Figure 3.7
Spring
Skirt
Hole
Suction valve (MH-443)
Figure 3.8
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
39
Chapter 3 Preparation and Inspection
•
The air/water and suction valves are consumables. If the
inspection of the air/water or suction valve reveals any
irregularities, use new valves.
•
Only air/water valve MH-438 and suction valve MH-443
should be used with this endoscope.
Inspection of the biopsy valve
The biopsy valve is a 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 efficacy
of the endoscope’s suction system, and may leak or spray
patient debris or fluids, posing an infection-control risk.
1.
Confirm that the slit and hole on the biopsy valves have no splits, cracks,
deformation, discoloration or other damage (see Figure 3.9).
Abnormal
Normal
Slit
Discoloration
Hole
Cap
Main body
Splits, Cracks
Figure 3.9
2.
40
Attach the cap to the main body (see Figure 3.10).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
Slit
Cap
Main body
Figure 3.10
Inspection of the auxiliary water inlet cap (for endoscopes
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 only)
Inspect the auxiliary water tube for cracks, scratches, flaws and other damage
(see Figure 3.11).
Clip
Luer port
Auxiliary water tube
Figure 3.11
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
41
Chapter 3 Preparation and Inspection
Inspection of the mouthpiece (for GIF models 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 the
procedure prevents the patient from biting and/or damaging
the endoscope’s insertion tube.
1.
Confirm that the mouthpiece is free from cracks, deformation or
discoloration (see Figure 3.12).
Opening
Main body
Outer flange
Figure 3.12
2.
42
Using your fingers, check for excessive scratching or other irregularities on
all surfaces of the mouthpiece (see Figure 3.12).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
3.4
Attaching accessories to the endoscope
The air/water valve and the suction valve do not require
lubrication. Lubricants can cause 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.
2.
Attach the suction valve to the suction cylinder of the endoscope (see
Figures 3.13 and 3.14). Confirm that the valve fits properly without any
bulging of the skirt.
Skirt
Suction cylinder
Side view
Two metal ridges
Suction cylinder
Two holes
Bottom view
Top view
Figure 3.13
The suction valve will make a whistling noise when it is dry;
this does not indicate a malfunction.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
43
Chapter 3 Preparation and Inspection
Attaching the air/water valve
Attach the air/water valve to the air/water cylinder of the endoscope (see Figure
3.14). Confirm that the valve fits properly without any bulging of the skirt.
Air/water valve
Suction valve
Skirt
Suction cylinder
Air/water cylinder
Figure 3.14
The air/water valve may stick at first, but it 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 endoscope’s
suction system and may cause patient debris to leak or spray
from the endoscope.
Attach the biopsy valve to the instrument channel port of the endoscope (see
Figure 3.15). Confirm that the biopsy valve fits properly.
Biopsy valve
Instrument
channel port
Figure 3.15
44
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
3.5
Inspection and connection of ancillary
equipment
Inspection of ancillary equipment
•
Attach the water container to the specified receptacle on the
trolley or the light source. If the water container is attached
anywhere else, water may drip from the water container’s
water supply tube, and equipment malfunction can result.
•
Take care not to spill water from the water container’s
connection adapter when detaching the connection adapter
from the endoscope. Spilled water could splash on the
equipment, and may 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 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 connector. If the suction
tube is not attached properly, debris may drip from the tube
and can present an infection control risk, cause equipment
damage and/or reduce performance.
When using the GIF-XP160, use the videoscope cable
EXERA (MAJ-843). This endoscope is not compatible with
the videoscope cable 100 (MH-976).
1.
If any ancillary equipment is ON, turn it OFF.
2.
Insert the endoscope connector completely into the output socket of the light
source.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
45
Chapter 3 Preparation and Inspection
3.
Connect the water container’s connection adapter to the air supply
connector and water supply connector (see Figure 3.16).
(1)
(2)
(3)
(4)
Air supply connector
Water supply connector
Water container’s connection adapter
Endoscope connector
Figure 3.16
4.
Align the mark on the videoscope cable EXERA or the videoscope cable
100 with mark 1 on the endoscope connector and push it in until it stops
(see Figure 3.17).
Mark 2 (yellow)
Mark (yellow)
Mark 1 (yellow)
Figure 3.17
46
5.
Turn the connector of the videoscope cable clockwise until it stops (see
Figure 3.17).
6.
Confirm that the mark on the videoscope cable is aligned with mark 2 on the
endoscope connector.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
7.
Connect the suction tube from the suction pump to the suction connector on
the endoscope connector (see Figure 3.18).
Suction pump
Suction tube
Figure 3.18
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 turn it clockwise until it stops
(for endoscopes with auxiliary water feeding only, see Figure 3.19).
Auxiliary water tube
Auxiliary water inlet
Auxiliary water inlet cap
Endoscope connector
Figure 3.19
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
47
Chapter 3 Preparation and Inspection
3.6
Inspection of the endoscopic system
Inspection of the endoscopic image
Turn ON the video system center, light source and video monitor and inspect the
endoscopic image as described in their respective instruction manuals.
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 should be checked to work
normally even when they are not expected for use. The
endoscopic 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 specified functions
work normally.
Inspection of the air feeding function
48
1.
Set the airflow regulator on the light source to “High”, as described in the
light source’s instruction manual.
2.
Immerse the distal end of the insertion tube in sterile water to a depth of
10 cm and confirm that no air bubbles are emitted when the air/water valve
is not operated.
3.
Cover the hole in the air/water valve with your finger and confirm that air
bubbles are continuously emitted from the air/water nozzle.
4.
Uncover the hole in the air/water valve and confirm that no air bubbles are
emitted from the air/water nozzle.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
If a stream of air bubbles is emitted from the air/water nozzle
even though the air/water valve is not being operated and the
distal end of the insertion tube is 10 cm or more below the
surface of the sterile water, an irregularity in the air feeding
function may be suspected. If the endoscope is used while
air is continuously being fed, over-insufflation and patient
injury may result.
If air bubbles are emitted from the air/water nozzle, remove
and reattach the air/water valve correctly, or replace it with
another one. If this fails to stop air bubbles from being
emitted, do not use the endoscope, as there may be a
malfunction. Contact Olympus.
When the distal end of the 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 operated. This
does not indicate a malfunction.
Inspection of the objective lens cleaning function
Use sterile water only. Using non-sterile water may cause
patient cross-contamination and infection.
1.
Keep the air/water valve’s hole covered with your finger and depress the
valve. Observe the endoscopic image and confirm that water flows on the
entire objective lens.
2.
Release the air/water valve. Observe the endoscopic image and confirm
that the emission of water stops and that the valve returns smoothly to its
original position.
3.
While observing the endoscopic image, feed air after feeding water by
covering the hole in the air/water valve with your finger. Confirm that the
emitted air removes the remaining water on the objective lens and clears the
endoscopic image.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
49
Chapter 3 Preparation and Inspection
•
When the air/water valve is depressed for the first time, it
may take a few seconds before water is emitted.
•
If the air/water valve returns to its original position slowly after
water feeding, remove the air/water valve and moisten the
seals with sterile water.
•
During the inspection, place the distal end of the endoscope
in a beaker or other container so that the floor does not get
wet.
Inspection of the suction function
50
•
If the suction valve does not operate smoothly, detach it and
reattach it, or replace it with a new one. If the endoscope is
used while the suction valve is not working properly, it may
be impossible to stop suction, which could cause patient
injury. If the reattached or replaced suction valve fails to
operate smoothly, the endoscope may be malfunctioning;
stop using it and contact Olympus.
•
If the biopsy valve 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.
Place the container of sterile water and the endoscope on the same height.
For the inspection, adjust the suction pressure to the same level as it will be
during the procedure.
2.
Immerse the distal end of the insertion tube in sterile water with the
endoscope’s instrument channel port at the same height as the water level
in the water container. Press the suction valve and confirm that water is
continuously aspirated into the suction bottle of the suction pump.
3.
Release the suction valve. Confirm that suction stops and the valve returns
to its original position.
4.
Depress the suction valve and aspirate water for one second. Then, release
the suction valve for one second. Repeat this several times and confirm that
no water leaks from the biopsy valve.
5.
Remove the distal end of the endoscope from the water. Depress the
suction valve and aspirate air for a few seconds to remove any water from
the instrument channel.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 3 Preparation and Inspection
Inspection of the instrument channel
Keep your eyes away from the distal end when inserting
endo-therapy accessories. Extending the endo-therapy
accessory from the distal end could cause eye injury.
1.
Insert the endo-therapy accessory through the biopsy valve. Confirm that
the endo-therapy accessory extends smoothly from the distal end.
2.
Confirm that the endo-therapy accessory is withdrawn smoothly from the
biopsy valve.
Inspection of the auxiliary water feeding function (for
endoscopes with auxiliary water feeding only)
•
Use sterile water only. Using non-sterile water may cause
patient cross-contamination and infection.
•
Note that the luer port on the MAJ-855 includes 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.
1.
Attach a syringe containing sterile water or the water tube from a water
pump to the luer port of the auxiliary water tube (see Figure 3.20). Feed
water and confirm that water is emitted from the auxiliary water channel at
the distal end of the insertion tube.
2.
Make sure that no water leaks at the connection between the connecting
end of the auxiliary water tube and the auxiliary water inlet.
3.
Make sure that no water leaks at the connection between the luer port of the
auxiliary water tube and the syringe or the water tube.
4.
Disconnect the water tube from the water pump or the syringe from the luer
port of the auxiliary water tube. Make sure that no water leaks from the luer
port of the auxiliary water tube and/or the distal end of the insertion tube.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
51
Chapter 3 Preparation and Inspection
If the auxiliary water channel is used for feeding water, never
disconnect the auxiliary water 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 on
the surrounding equipment. This could cause damage to
and/or malfunction of the equipment.
Syringe or water tube
from a water pump
Auxiliary water tube
Luer port
Connecting end
Figure 3.20
52
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
Chapter 4 Operation
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 technique. This manual, therefore, does not explain or
discuss clinical endoscopic procedures. It only describes basic operation and
precautions related to the operation of this instrument.
•
Wear personal protective equipment to guard against
dangerous chemicals and potentially infectious material
during operation. During operation, wear appropriate
personal protective equipment, such as eye wear, face mask,
moisture-resistant clothing, and chemical-resistant gloves
that fit properly and are long enough so that your skin is not
exposed.
•
The temperature 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 the minimum
level of illumination, minimum time and suitable distance
necessary for adequate viewing. Whenever possible, avoid
close stationary viewing and do not leave the distal end of the
endoscope close to the mucous membrane for a long time.
•
Whenever possible, do not leave the endoscope illuminated
before and/or after an examination. Continued illumination
will cause the distal end of the endoscope to become hot and
could cause operator and/or patient burns.
•
Turn the video system center ON to operate the light source’s
automatic brightness function. When the video system center
is OFF, it cannot operate the light source’s automatic
brightness function, and the light intensity is set to the
maximum level. In this case, the distal end of the endoscope
can become hot and could cause operator and/or patient
burns.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
53
Chapter 4 Operation
•
Never insert or withdraw the endoscope under any of the
following conditions. Otherwise, patient injury can result.
− Insertion or withdrawal while the endo-therapy accessory
extends from the distal end of the endoscope.
− Insertion or withdrawal while the bending section is locked
in position.
− Insertion or withdrawal with excessive force, or forcible
insertion or withdrawal.
•
If any of the following phenomena occur during an
examination, immediately stop the examination and withdraw
the endoscope from the patient as described in Section 5.2,
“Withdrawal of the endoscope with an abnormality”.
− If any abnormality is suspected with the functionality of
the endoscope.
− If the endoscopic image on the video monitor disappears
or freezes unexpectedly.
− If the angulation control mechanism is not functioning
properly.
− If the flexibility adjustment ring becomes jammed.
Continued use of the endoscope under these conditions
could result in patient injury.
54
•
If an abnormal endoscopic image/function occurs and returns
to its normal condition by itself, the endoscope has
malfunctioned. In this case, stop using the endoscope
because the abnormality can occur again and may not return
to its normal condition. Therefore, stop the examination
immediately and slowly withdraw the endoscope while
viewing the endoscopic image. Otherwise, patient injury can
result.
•
Never insert or withdraw the endoscope’s insertion tube or
perform flexibility adjustment while the endo-therapy
accessory extends from the distal end of the endoscope.
Patient injury can result.
•
Regardless of the flexibility of the endoscope’s insertion tube,
it can cause patient injury if it is forcibly inserted, withdrawn
and/or twisted with excessive force. It is generally believed
that an endoscope with a stiffer insertion tube can control the
intestines more easily provided that it is used properly.
However, it should be noted that such an endoscope, if used
improperly, is more likely to cause patient pain and/or injury
than an endoscope with a softer insertion tube.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
•
The flexibility of the insertion tube of the CF-Q160AL/I can be
adjusted to less than, equal to or more than that of the
CF-Q140L/I. The flexibility of the insertion tube of the
PCF-160AL/I can be adjusted in equal to or more than that of
the PCF-140L/I. The insertion tube of the endoscope should
be adjusted to the appropriate flexibility for each case.
Always confirm the flexibility of the insertion tube by holding
the insertion tube with two hands before inserting it into the
patient, and adjust the 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 softest condition. Continuing
the examination while the insertion tube is set to an
inappropriate degree of flexibility may cause patient pain
and/or injury.
Set the brightness of the light source to the minimum
necessary to perform the procedure safely. If the endoscope
is used for a prolonged period at or near maximum light
intensity, vapor may be observed in the endoscopic image.
This is caused by the evaporation of organic material
(remaining blood, moisture in stool, etc.) due to heat
generated by the light guide near the light guide lens. If this
vapor continues to interfere with the examination, remove the
endoscope, wipe the distal end of the endoscope with a
lint-free cloth moistened with 70% ethyl or isopropyl alcohol,
reinsert the endoscope and continue the examination.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
55
Chapter 4 Operation
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).
Figure 4.1
Insertion of the endoscope
56
•
To prevent the patient from accidentally biting the insertion
tube during an examination, it is strongly recommended that
a mouthpiece be placed in the patient’s mouth before
inserting the endoscope (for GIF models only).
•
Do not apply olive oil or products containing petroleum-based
lubricants (e.g. vaseline). These products may cause
stretching and deterioration of the bending section’s
covering.
•
Do not allow the insertion tube to be bent within a distance of
10 cm or less from the junction of the boot. Insertion tube
damage can occur (see Figure 4.2).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
> 10 cm
Figure 4.2
1.
If necessary, apply a medical-grade, water-soluble lubricant to the insertion
tube.
2.
Place the mouthpiece between the patient’s teeth or gums, with the outer
flange on the outside of the patient’s mouth (for GIF models only).
3.
Insert the insertion tube of the endoscope into 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, while viewing the
endoscopic image. Do not insert the insertion tube into the mouth beyond
the insertion tube limit mark (for GIF models only).
5.
Always view the endoscopic image when passing the distal end of the
endoscope from the anus to the rectum. Do not insert the insertion tube into
the anus beyond the insertion tube limit mark (for CF/PCF models only).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
57
Chapter 4 Operation
Angulation of the distal end
1.
Operate the angulation control knobs as necessary to guide the distal end
for insertion and observation.
2.
The endoscope’s angulation locks are used to hold the angulated distal end
in position.
•
When passing an endo-therapy accessory through the
instrument channel while the angulation is locked, the angle
of the distal end may change. When it is necessary to keep
the angulation stationary, hold the angulation control knobs in
place with your hand.
•
When operating the UP/DOWN or RIGHT/LEFT angulation
lock, hold the angulation control knob stationary with your
finger. If this is not done, the angulation will change.
Flexibility adjustment (for CF-Q160AL/I, PCF-160AL/I only)
58
•
Do not change the insertion tube’s flexibility rapidly.
Otherwise, patient pain and/or injury 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
view. Changing the flexibility without a clear endoscopic
image may cause patient pain and/or injury.
•
If the patient complains of pain, while you are changing the
insertion tube’s flexibility, stop changing the insertion tube’s
flexibility, and ensure the safety of the patient.
•
If the flexibility of the insertion tube must be made stiffer
during an examination, confirm that there are no loops or
excessive bends in the insertion tube (using fluoroscopy, if
necessary) before increasing its stiffness. If the force
required to turn the flexibility adjustment ring is greater during
the procedure than it was when inspecting the endoscope, it
may mean that the insertion tube is excessively bent inside
the patient. In this case, straighten the insertion tube as
much as possible before attempting to increase the stiffness.
Failure to do so may cause patient pain and/or injury.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
1.
Before inserting or withdrawing the endoscope, set the insertion tube to an
appropriate level of flexibility by turning the flexibility adjustment ring as
required (see Figure 4.3).
Stiffer
Softer
Figure 4.3
2.
When changing the insertion tube’s flexibility during a procedure, turn the
flexibility adjustment ring slowly, and closely monitor the position of flexibility
index marking, the endoscopic image and the patient’s condition.
Whenever the endoscope is not in use, set the insertion tube
to 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. Then insert
the syringe straight into the valve and inject the liquid. If the
cap is not detached and/or the syringe is not inserted
straight, the biopsy valve could be damaged, which could
reduce the efficacy of the endoscope’s suction system, and
may leak or spray patient debris or fluids, posing an
infection-control risk.
•
If the biopsy valve is left uncapped during the procedure,
debris or fluids could leak or spray from it, posing an infection
control risk. When the valve is uncapped, place a piece of
sterile gauze over it to prevent leakage.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
59
Chapter 4 Operation
 Air/water feeding
If the sterile water level in the water container is too low, then
air, not water, will be supplied. In this case, turn OFF the
airflow regulator on the light source and add more sterile
water to the water container.
1.
Cover the air/water 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).
Suction valve
Air/water valve
Figure 4.4
 Suction
•
60
Avoid aspirating solid matter or thick fluids; channel or valve
clogging can occur. If the suction valve clogs and suction
cannot be stopped, disconnect the suction tube from the
suction connector on the endoscope connector. Turn the
suction pump OFF, detach the suction valve and remove
solid matter or thick fluids.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
•
When aspirating, maintain the suction pressure at the lowest
level necessary to perform the procedure. Excessive suction
pressure could cause aspiration of and/or injury to 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 uncapped 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.
During the procedure, take notice that the suction bottle does
not fill completely. Aspirating fluids into a full bottle may
cause the suction pump to malfunction.
Depress the suction valve to aspirate excess fluid or other debris obscuring the
endoscopic image (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 with auxiliary
water feeding only)
Use sterile water only. Using non-sterile water may cause
patient cross-contamination and infection.
1.
•
Never disconnect the auxiliary water tube from the auxiliary
water inlet 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 on the equipment. This could
cause damage and/or malfunction of the equipment.
•
When the auxiliary water tube is not connected to the
auxiliary water inlet, be sure to have the auxiliary water inlet
cap attached to the auxiliary water inlet. Otherwise, patient
debris etc. that back flowed may drip out of the auxiliary
water inlet.
Attach a syringe containing sterile water or the water tube from a water
pump to the luer port of the auxiliary water tube. Feed water.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
61
Chapter 4 Operation
2.
When disconnecting the syringe or the water tube from the water pump
during examination, disconnect it directly from the luer port but leave the
auxiliary water tube itself attached.
Observation of the endoscopic image
Refer to the light source’s instruction manual for instructions on how to adjust the
brightness.
4.2
Using endo-therapy accessories
For more information on combining the endoscope with particular endo-therapy
accessories, refer to the “System chart” in the Appendix and the instruction
manuals of the accessories. Refer to the instruction manuals of the accessories
for instructions on how to operate the accessories.
62
•
When using endo-therapy accessories, keep the distance
between the distal end of the endoscope and the mucous
membrane greater than the endoscope’s minimum visible
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 accessory cannot be seen in the endoscopic
image, which could cause serious injury and/or equipment
damage. The minimum visible distance depends on the type
of endoscope being used. Refer to Section 2.3,
“Specifications”.
•
When inserting or withdrawing an endo-therapy accessory,
confirm that its distal end is closed or completely retracted
into the sheath. Slowly insert or withdraw the endo-therapy
accessory straight into/from the slit of the biopsy valve.
Otherwise, the biopsy valve may be damaged and pieces of it
could fall off.
•
If the insertion or withdrawal of endo-therapy accessories is
difficult, straighten the bending section as much as possible
without losing the endoscopic image. Inserting or
withdrawing endo-therapy accessories with excessive force
may damage the instrument channel or endo-therapy
accessories cause some parts to fall off and/or cause patient
injury.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
•
If the distal end of an endo-therapy accessory is not visible in
the endoscopic image, do not open the distal end or extend
the needle of the instrument. This could cause patient injury,
bleeding, perforation and/or equipment damage.
•
When using a biopsy forceps with a needle, confirm that the
needle is not bent excessively. A bent needle could protrude
from the closed cups of the biopsy forceps. Using such a
biopsy forceps could damage 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 end of the endoscope. The needle
could damage the instrument channel if extended inside the
channel, or if the injector is inserted or withdrawn while the
needle is extended.
Insertion of endo-therapy accessories into the endoscope
•
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 and/or perforation.
•
When using the endo-therapy accessory with the cap of the
biopsy valve detached, it is easier to insert the accessory.
But, as a result, it can reduce efficacy of the endoscope’s
suction system, and may leak or spray patient debris or
fluids, posing an infection control risk. When not using the
endo-therapy accessory, attach the cap to the main body of
the biopsy valve.
•
When the cap of the biopsy valve is detached, it may cause
patient debris or fluids to leak or spray from the endoscope,
posing an infection control risk. When the valve is uncapped,
place a piece of sterile gauze over it to prevent leakage.
•
Do not let the endo-therapy accessory ‘hang down’ from the
biopsy valve. Doing so can create a space between the
accessory and the valve’s slit or hole and/or damage the
valve, which can reduce the efficacy of the endoscope’s
suction system, and may leak or spray patient debris or
fluids, posing an infection-control risk.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
63
Chapter 4 Operation
•
Hold the part which is close to the biopsy valve of the
endo-therapy accessory, and insert it straight, slowly, and
little by little to the biopsy valve. Otherwise, the endo-therapy
accessory and/or biopsy valve could be damaged. This 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.
Select endo-therapy accessories compatible with the instrument from the
“System chart” in the Appendix. Also refer to the instruction manuals of the
endo-therapy accessories.
2.
Hold the UP/DOWN and RIGHT/LEFT angulation knobs stationary.
3.
Confirm that the tip of the endo-therapy accessory is closed or retracted into
its sheath and insert the endo-therapy accessory slowly and straight into the
slit of the biopsy valve.
4.
•
Do not open the tip of the endo-therapy accessory or extend
the tip of the endo-therapy accessory from its sheath in the
instrument channel. The instrument channel and/or the
endo-therapy accessory may become damaged.
•
Hold the endo-therapy accessory close to the biopsy valve
and insert it straight into the biopsy valve using slow, short
strokes. Otherwise, the endo-therapy accessory could bend
or break.
Hold the endo-therapy accessory approximately 4 cm from the biopsy valve
and advance it slowly and straight into the biopsy valve using short strokes
while observing the endoscopic image.
When the tip of the endo-therapy accessory extends
approximately 1 cm from the distal end of the endoscope, the
accessory appears in the endoscopic image.
Operation of endo-therapy accessories
Operate the endo-therapy accessory according to the directions given in its
instruction manual.
64
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
Withdrawal of endo-therapy accessories
•
Do not withdraw the endo-therapy accessory if the tip is open
or extended from its sheath; patient injury and/or instrument
damage may occur.
•
Withdraw the endo-therapy accessory slowly and straight out
of the biopsy valve. Otherwise, the valve’s slit and/or hole
could be damaged. This can reduce the efficacy of the
endoscope’s suction system, and may leak or spray patient
debris or fluids, posing an infection-control risk.
•
If the endo-therapy accessory cannot be withdrawn from the
endoscope, close the endo-therapy accessory and/or retract
it into its sheath, carefully withdraw both the endoscope and
the endo-therapy accessory together under endoscopic
observation. 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 (for CF/PCF models only)
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 non-flammable gas such as CO2
before performing high-frequency or laser cauterization.
Using CO2 during endoscopic examinations of the colon and
rectum, etc. may reduce post-examination pain.
When a non-flammable gas is used, only water containers MH-970 or MAJ-902
may be used with the endoscope. Carefully follow their instruction manuals.
High frequency cauterization
•
If the intestines contain a flammable gas, replace it with air or
a non-flammable gas such as CO2 before performing high
frequency cauterization. Otherwise, fire or explosion could
result.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
65
Chapter 4 Operation
•
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.
•
To avoid patient injury and/or damage to the endoscope,
never emit high frequency current before confirming that the
electrode section of the high frequency endo-therapy
accessory is extended from the distal end of the endoscope
in the endoscopic image. Also confirm that the electrode
section of the electrosurgical accessory and the mucous
membrane in the vicinity of the target area are at an
appropriate distance from the distal end of the endoscope.
Prepare, inspect and connect the electrosurgical unit and electrosurgical
accessories as described in 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
66
•
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 non-flammable gas such as CO2
before performing laser cauterization.
•
To avoid patient injury and/or damage to the endoscope, do
not start laser radiation before confirming that the tip of the
laser probe appears in the proper position in the 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 the
UP/DOWN and RIGHT/LEFT angulation control knobs to
their neutral positions (see Figure 3.6) so that the bending
section will be straight. If it is bent, the instrument channel
and/or the laser probe may be damaged.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
•
Allow the tip of the laser probe to cool down before pulling it
in the channel. If the laser probe is withdrawn while hot,
channel damage may occur.
•
Do not use a damaged laser probe. A laser probe with a
damaged sheath or distal end may cause patient injury
and/or equipment damage.
Prepare, inspect and connect the laser unit and laser probe as described in their
instruction manuals.
4.3
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
withdrawing the endoscope may cause patient injury.
1.
Aspirate accumulated air, blood, mucus or other debris by depressing the
suction valve.
2.
Turn the UP/DOWN and RIGHT/LEFT angulation locks to the “F
direction to release them.
3.
Carefully withdraw the endoscope while observing the endoscopic image.
4.
When the splinting tube is used, withdraw it from the patient’s anus (for
CF/PCF models only).
5.
Remove the mouthpiece from the patient’s mouth (for GIF models only).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
”
67
Chapter 4 Operation
4.4
Transportation of the endoscope
Transporting within the hospital
1.
Set the insertion tube to the softest condition (for CF-Q160AL/I,
PCF-160AL/I only).
2.
When carrying the endoscope 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 the auxiliary water feeding only, see
Figure 4.5).
Clip
Figure 4.5
3.
When carrying the endoscope by hand, loop the universal cord, hold the
endoscope connector together with the control section in one hand and hold
the distal end of the insertion tube securely, but gently without squeezing, in
the other hand (see Figure 4.6).
Figure 4.6
68
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 4 Operation
Transporting outside the hospital
Transport the endoscope in the carrying case.
Always clean, disinfect or sterilize the endoscope after
removing it from the carrying case.
•
The carrying 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
endoscope, to avoid damage to the endoscope caused by
changes in air pressure.
•
Before putting the endoscope in the carrying case, always
make sure that the insertion tube is set to the softest
condition. Putting the endoscope in the carrying case while
the insertion tube is stiff could damage the endoscope
(for CF-Q160AL/I, PCF-160AL/I only).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
69
Chapter 5 Troubleshooting
Chapter 5 Troubleshooting
If the endoscope is visibly damaged, does not function as expected or is found to
have irregularities during the inspection described in Chapter 3, “Preparation and
Inspection”, do not use the endoscope. Contact Olympus.
Some problems that appear to be malfunctions may be correctable by referring
to Section 5.1, “Troubleshooting guide”. If the problem cannot be resolved by the
described remedial action, stop using the endoscope and send it to Olympus for
repair.
Olympus does not repair accessory parts. If an accessory part becomes
damaged, contact Olympus to purchase a replacement.
•
Never use the endoscope on a patient if an abnormality is
suspected. Damage or irregularity in the 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, stop using the
endoscope immediately and retrieve the parts in an
appropriate way.
If any abnormality in the function of the endoscope and/or endoscopic image is
suspected during use, stop the examination immediately and carefully withdraw
the endoscope from the patient as described in Section 5.2, “Withdrawal of the
endoscope with an abnormality”.
5.1
Troubleshooting guide
The following table shows the possible causes of and countermeasures against
troubles that may occur due to equipment setting errors or deterioration of
consumables.
Troubles or failures due to other causes than those listed below should be
serviced. As repair performed by persons who are not qualified by Olympus
could cause patient or user injury and/or equipment damage, be sure to contact
Olympus for repair.
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EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 5 Troubleshooting
Endoscope functions
 Angulation
Irregularity
Possible cause
description
Solution
Resistance is
The angulation lock(s) is
Rotate angulation lock(s) in the
encountered when
rotating angulation
(are) engaged.
“F
” direction.
control knob(s).
 Air/water feeding
Irregularity
description
No air feeding.
Possible cause
Solution
The air pump is not
Press the LOW, MED or HIGH
operating.
button on the light source as
described in the light source’s
instruction manual.
The air/water valve is
Replace it with a new one.
damaged.
No water feeding.
The air pump is not
Press the LOW, MED or HIGH
operating.
button on the light source as
described in the light source’s
instruction manual.
There is no sterile water
in the water container.
Fill 2/3 with sterile water.
The air/water valve is
damaged.
Replace it with a new one.
The air/water valve is
The air/water valve is
Remove the air/water valve.
sticky.
dirty.
Reprocess the air/water valve and
then attach it again.
The air/water valve is
damaged.
Replace it with a new one.
An incorrect air/water
valve is used.
Use a correct air/water valve.
The air/water valve is
Replace it with a new one.
The air/water valve
cannot be attached.
damaged.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
71
Chapter 5 Troubleshooting
 Suction
Irregularity
description
Possible cause
The suction is absent or
The biopsy valve is not
insufficient.
attached properly.
The biopsy valve is
Solution
Attach it correctly.
Replace it with a new one.
damaged.
The suction pump is not
Adjust the suction pump’s setting
set properly.
as described in its instruction
manual.
The suction valve is
Replace it with a new one.
damaged.
The suction valve is
The suction valve is
Remove the suction valve.
sticky.
dirty.
Reprocess the suction valve and
attach it again.
The suction valve is
damaged.
Replace it with a new one.
The suction valve
The suction valve is
Replace it with a new one.
cannot be attached.
damaged.
An incorrect suction
Use a correct suction valve.
valve is used.
Liquid leaks out from
The biopsy valve is
the biopsy valve.
damaged.
The biopsy valve is not
attached properly.
Replace it with a new one.
Attach it correctly.
 Image quality or brightness
Irregularity
description
Possible cause
Solution
There is no video
image.
Not all power switches
are ON.
Turn ON all the power switches.
An image is not clear.
The objective lens is
dirty.
Feed water to remove mucus, etc.
An image is excessively
dark or bright.
The light source is not
set properly.
Adjust the light source’s setting as
described in its instruction
manual.
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EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Chapter 5 Troubleshooting
 Flexibility adjustment (for CF-Q160AL/I, PCF-160AL/I only)
Irregularity
description
Possible cause
Too difficult to turn the
The insertion tube is
flexibility adjustment
ring.
looped.
Solution
Straighten the insertion tube.
 Auxiliary water feeding (for endoscopes with auxiliary
water feeding only)
Irregularity
description
Possible cause
The auxiliary water inlet
cap is leaking.
The auxiliary water inlet
cap is worn out.
Replace it with a new one.
The auxiliary water inlet
Install the auxiliary water inlet cap
cap is incorrectly
installed.
correctly.
Solution
 Endo-therapy accessories
Irregularity
description
Possible cause
Solution
An endo-therapy
An incompatible
Refer to the “System chart” in the
accessory does not
pass through the
endo-therapy accessory
is being used.
Appendix and select a compatible
endo-therapy accessory.
Possible cause
Solution
instrument channel
smoothly.
 Others
Irregularity
description
The remote switch does
not work.
The wrong remote
switch is operated.
Operate the correct remote
switch.
The remote switch
Set the remote switch function
function has been set
improperly.
correctly as described in the video
system center’s instruction
manual.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
73
Chapter 5 Troubleshooting
5.2
Withdrawal of the endoscope with an
abnormality
If an abnormality occurs while the endoscope is in use, take a proper measure
as described in either “When the endoscopic image appears on the monitor” or
“When the endoscopic image does not appear on the monitor or the frozen
image cannot be restored” below. After withdrawal, return the endoscope for
repair as described in Section 5.3, “Returning the endoscope for repair”.
If the endoscope or endo-therapy accessory cannot be
withdrawn from the patient smoothly, do not attempt to
forcibly withdraw it. If any irregularities are suspected,
immediately contact Olympus. Forcibly withdrawing the
endoscope or endo-therapy accessory may cause patient
injury, bleeding and/or perforation.
When the endoscopic image appears on the monitor
74
1.
Turn OFF all equipment except the video system center, light source and
monitor.
2.
When using an endo-therapy accessory, withdraw the endo-therapy
accessory slowly while the tip of the endo-therapy accessory is closed
and/or retracted into its sheath.
3.
Aspirate accumulated air, blood, mucus or other debris by depressing the
suction valve.
4.
When using an endoscope with the flexibility adjustment function, set the
insertion tube to its softest condition (for CF-Q160AL/I, PCF-160AL/I only).
5.
Turn the UP/DOWN and RIGHT/LEFT angulation locks to the “F
direction to release them.
6.
Carefully withdraw the endoscope while observing the endoscopic image.
7.
When the splinting tube is used, withdraw it from the patient’s anus (for CF
models only).
8.
Remove the mouthpiece from the patient’s mouth (for GIF models only).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
”
Chapter 5 Troubleshooting
When the endoscopic image does not appear on the monitor
or the frozen image cannot be restored
1.
Turn OFF all equipment except the video system center, the light source
and the monitor.
2.
Turn the video system center and light source OFF and then ON again. If
the endoscopic image appears or the frozen image is restored, follow the
procedure of Step 2. and below “When the endoscopic image appears on
the monitor” on page 74.
When the endoscopic image still does not appear or the frozen image
cannot be restored, perform the following steps.
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 closed
and/or retracted into its sheath.
5.
When using an endoscope with the flexibility adjustment function, set the
insertion tube to the softest condition (for CF-Q160AL/I, PCF-160AL/I only).
6.
Turn the UP/DOWN and RIGHT/LEFT angulation locks to the “F
direction to release them.
7.
Turn the UP/DOWN and RIGHT/LEFT angulation control knobs to their
respective neutral positions (see Figure 3.6). Release the angulation control
knobs and carefully withdraw the endoscope.
8.
When the splinting tube is used, withdraw it from the patient’s anus (for CF
models only).
9.
Remove the mouthpiece from the patient’s mouth (for GIF models only).
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
”
75
Chapter 5 Troubleshooting
5.3
Returning the endoscope for repair
Thoroughly clean and high-level disinfect or sterilize the
endoscope before returning it for repair. Improperly
reprocessed equipment presents an infection control risk to
each person who handles the endoscope within 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 Olympus. With the
endoscope, include a description of the malfunction or damage and the name
and telephone number of the individual at your location who is most familiar with
the problem. Also include a repair purchase order.
When returning the endoscope for repair, follow the instructions given in
“Transporting outside the hospital” on page 69.
76
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
Appendix
System chart
The recommended combinations of equipment and accessories that can be
used with this 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 instrument. For further
details, contact Olympus.
If combinations of equipment other than those shown below
are used, the full responsibility is assumed by the medical
treatment facility.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
77
Appendix
Suction pumps
Auxiliary water tube
(MAJ-855 for endoscopes with
auxiliary water feeding only)
KV-4
KV-5
SSU-2
Videoscope cable
EXERA (MAJ-843)
GIF-XP160
GIF-160
GIF-Q160
GIF-1TQ160
GIF-XTQ160
CF-Q160L/I
CF-Q160AL/I
PCF-160AL/I
CF-Q160S
Videoscope cable 100∗1
(MH-976∗4, MD-148∗4)
Sclerotherapy
balloon (for GIF
models only)
EVIS EXERA video system
center (CV-160)
EVIS video system center∗1
(CV-100∗2, CV-140)
Mouthpiece (for
GIF models only)
Splinting tube
(for CF/PCF models only)
EVIS universal light source
(CLV-U20/U40)
EVIS EXERA light
source (CLV-160)
78
∗1
not compatible with GIF-XP160
∗2
CV-100 is not compatible with GIF-Q160, GIF-1TQ160,
GIF-XTQ160, CF-Q160L/I, CF-Q160AL/I, CF-Q160S
∗3
Use a non-flammable gas
∗4
not available in some areas
∗5
not compatible with GIF-XTQ160
Water container
(MH-884/MH-970∗3/MAJ-901/MAJ-902∗3)
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
Biopsy valve (MB-358)
Forceps suction plug
(T-Plug) (MH-405 for
GIF-XTQ160 only)
Endo-therapy accessories
Electrosurgical units
See next page.
Electrosurgical accessories
UES-20/30
See next page.
PSD-20/30
Sclerotherapy tube
(for GIF models only)
Cleaning and disinfection equipment
Auxiliary water tube
(MAJ-855 for endoscopes
with auxiliary water
feeding only)
∗4
Channel plug (MH-944) Endoscope washer (EW-30)
∗4
Endoscope reprocessor
(OER/OER-A∗5)
Maintenance
unit (MU-1)
AW channel cleaning
adapter (MH-948)
Suction cleaning
adapter (MH-856)
Ultrasonic cleaner
(KS-2/ENDOSONIC)
Channel cleaning
brush (BW-20T)
Leakage tester
(MB-155)
Injection tube
(MH-946)
Channel-opening
cleaning brush (MH-507)
Water-resistant
cap (MH-553)
Channel cleaning
brush (BW-17K for
GIF-XTQ160 only)
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
79
Appendix
 EVIS EXERA video system center/EVIS video system
centers
Videoscope cable
Videoscope cable 100
EXERA
Endoscope
CV-100
CV-140
CV-160
GIF-XP160
–
–
{
GIF-160
{
{
{
GIF-Q160
–
{
{
GIF-1TQ160
–
{
{
GIF-XTQ160
–
{
{
CF-Q160L/I
–
{
{
CF-Q160AL/I
–
{
{
PCF-160AL/I
{
{
{
CF-Q160S
–
{
{
{ applicable
– not applicable
 Accessories (for GIF models only)
Mouthpiece
Sclerotherapy balloon
Sclerotherapy
tube
Forceps
suction plug
Endoscope
MB-142
MA-474
MD-689
MD-692
ST-E1
MH-405
GIF-XP160
{
{
–
–
{
–
GIF-160
{
–
{
–
{
–
GIF-Q160
{
–
–
{
{
–
GIF-1TQ160
{
–
–
{
{
–
GIF-XTQ160
{
–
–
–
–
{
{ applicable
– not applicable
 Accessories (for CF/PCF models only)
Splinting tube
Endoscope
ST-C3
ST-C3S
ST-C5
ST-C8∗1
CF-Q160L/I
{
{
–
{
CF-Q160AL/I
{
{
–
{
PCF-160AL/I
–
–
{
–
CF-Q160S
–
–
–
–
{ applicable
– not applicable
∗1 This accessory may not be available in some areas.
80
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
 Endo-therapy accessories
BIOPSY FORCEPS
(Fenestrated)
BIOPSY FORCEPS
Single side open
With needle
Alligator jaws
Standard
–
–
FB-15K-1
FB-19K-1/21K-1
GIF-160
FB-11K-1
–
–
FB-25K-1
GIF-Q160
FB-11K-1
–
–
FB-25K-1
GIF-1TQ160
FB-11K-1
FB-13K-1
FB-15K-1
FB-25K-1
GIF-XTQ160
FB-11K-1
FB-13K-1
FB-15K-1
FB-25K-1
CF-Q160L
FB-7U-1
FB-13U-1
–
FB-28U-1
CF-Q160I
FB-7U-1
FB-13Q-1
–
FB-28R-1
CF-Q160AL
FB-7U-1
FB-13U-1
–
FB-28U-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
GIF-XP160
BIOPSY FORCEPS (Fenestrated)
Elongated cups
With needle
Rat tooth
Alligator jaws
–
FB-34K-1
–
–
GIF-160
FB-24K-1
FB-23K-1
FB-37K-1
FB-36K-1
GIF-Q160
FB-24K-1
FB-23K-1
FB-37K-1
FB-36K-1
GIF-1TQ160
FB-24K-1
FB-50K-1
FB-37K-1
FB-36K-1
GIF-XTQ160
FB-24K-1
FB-51K-1
FB-37K-1
FB-36K-1
CF-Q160L
FB-24U-1
FB-50U-1
FB-37U-1
–
CF-Q160I
FB-24Q-1
FB-50Q-1
FB-37U-1
–
CF-Q160AL
FB-24U-1
FB-50U-1
FB-37U-1
–
CF-Q160AI
FB-24Q-1
FB-50Q-1
FB-37U-1
–
PCF-160AL
FB-24U-1
–
FB-37U-1
–
PCF-160AI
FB-24Q-1
–
FB-37U-1
–
CF-Q160S
FB-24E-1
FB-50K-1
FB-37K-1
FB-36K-1
with needle
Endoscope
GIF-XP160
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
81
Appendix
ROTATABLE
BIOPSY FORCEPS
BIOPSY FORCEPS (Fenestrated)
(Fenestrated)
Alligator jaws and
rat tooth
(Swinging type)
Alligator jaws and
rat tooth
(Swinging type/
Alligator jaws and
rat tooth with
needle
Standard type
Elongated cups)
(Swinging type/
Elongated cups)
–
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
FB-53K-1
FB-54K-1
FB-55K-1
FB-25KR-1
CF-Q160L
FB-53U-1
FB-54U-1
FB-55U-1
–
CF-Q160I
FB-53Q-1
FB-54Q-1
FB-55Q-1
–
CF-Q160AL
FB-53U-1
FB-54U-1
FB-55U-1
–
CF-Q160AI
FB-53Q-1
FB-54Q-1
FB-55Q-1
–
PCF-160AL
FB-53U-1
FB-54U-1
FB-55U-1
–
PCF-160AI
FB-53Q-1
FB-54Q-1
FB-55Q-1
–
CF-Q160S
FB-53K-1
FB-54K-1
FB-55K-1
FB-25KR-1
Endoscope
GIF-XP160
82
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
ROTATABLE BIOPSY FORCEPS (Fenestrated)
Elongated cups
with needle
Alligator jaws and
rat tooth
(Swinging type)
Alligator jaws and
rat tooth
(Swinging type/
Alligator jaws and
rat tooth with
needle
Elongated cups)
(Swinging type/
Elongated cups)
Endoscope
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-55KR-1
GIF-1TQ160
FB-24KR-1
FB-53KR-1
FB-54KR-1
FB-55KR-1
GIF-XTQ160
FB-24KR-1
FB-53KR-1
FB-54KR-1
FB-55KR-1
CF-Q160L
–
–
–
–
CF-Q160I
–
–
–
–
CF-Q160AL
–
–
–
–
CF-Q160AI
–
–
–
–
PCF-160AL
–
–
–
–
PCF-160AI
–
–
–
–
CF-Q160S
FB-24KR-1
FB-53KR-1
FB-54KR-1
FB-55KR-1
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
83
Appendix
DISPOSABLE BIOPSY FORCEPS
Alligator jaws-step
Alligator jaws-step
with needle
Oval
Oval with needle
Endoscope
GIF-XP160
FB-211K
FB-221K
FB-231K
FB-241K
GIF-160
FB-210K
FB-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-212U
FB-222U
FB-232U
FB-242U
CF-Q160AL
FB-212U
FB-222U
FB-232U
FB-242U
CF-Q160AI
FB-212U
FB-222U
FB-232U
FB-242U
PCF-160AL
FB-210U
FB-220U
FB-230U
FB-240U
PCF-160AI
FB-210U
FB-220U
FB-230U
FB-240U
CF-Q160S
FB-210K
FB-220K
FB-230K
FB-240K
84
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
GRASPING FORCEPS
Alligator jaws
Rat tooth
Covered tips
Sharp tooth
–
FG-14P-1
FG-20P-1
–
GIF-160
FG-6L-1
FG-8L-1/48L-1/
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-21L-1
FG-32L-1
GIF-XTQ160
FG-7L-1
FG-21L-1
FG-32L-1
CF-Q160L
FG-7U-1
FG-9U-1
–
–
CF-Q160I
FG-7U-1
FG-9U-1
–
–
CF-Q160AL
FG-7U-1
FG-9U-1
–
–
CF-Q160AI
FG-7U-1
FG-9U-1
–
–
PCF-160AL
FG-6U-1
FG-8U-1
–
–
PCF-160AI
FG-6U-1
FG-8U-1
–
–
CF-Q160S
FG-7L-1
FG-21L-1
FG-32L-1
Endoscope
GIF-XP160
FG-9L-1/48L-1/
50L-1
FG-9L-1/48L-1/
50L-1
FG-9L-1/48L-1/
50L-1
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
85
Appendix
GRASPING FORCEPS
Rat tooth with
alligator jaws
W shape jaw
Basket type
Tripod type
FG-4L-1
FG-17K-1
–
FG-4L-1
FG-16L-1
FG-45L-1
FG-4L-1
FG-16L-1
FG-45L-1
Endoscope
GIF-XP160
GIF-160
GIF-Q160
–
FG-42L-1/47L-1/
49L-1
FG-42L-1/47L-1/
49L-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-Q160L
–
–
FG-16U-1
FG-45U-1
CF-Q160I
–
–
FG-16U-1
FG-45U-1
CF-Q160AL
–
–
FG-16U-1
FG-45U-1
CF-Q160AI
–
–
FG-16U-1
FG-45U-1
PCF-160AL
–
–
FG-16U-1
FG-45U-1
PCF-160AI
–
–
FG-16U-1
FG-45U-1
FG-4L-1
FG-16L-1
FG-45L-1
CF-Q160S
86
FG-42L-1/47L-1/
49L-1
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
GRASPING
FORCEPS
SINGLE USE
GRASPING
FORCEPS
SURGICAL
SCISSORS
LOOP CUTTER
Pentapod type
Tripod type
–
–
–
–
GIF-160
FG-46L-1
FG-600U
FS-3L-1
FS-5L-1
GIF-Q160
FG-46L-1
FG-600U
FS-3L-1
FS-5L-1
GIF-1TQ160
FG-46L-1
FG-600U
FS-3L-1
FS-5L-1
GIF-XTQ160
FG-46L-1
FG-600U
FS-3L-1
FS-5L-1
CF-Q160L
FG-46U-1
FG-600U
–
FS-5U-1
CF-Q160I
FG-46U-1
FG-600U
–
FS-5Q-1
CF-Q160AL
FG-46U-1
FG-600U
–
FS-5U-1
CF-Q160AI
FG-46U-1
FG-600U
–
FS-5Q-1
PCF-160AL
FG-46U-1
FG-600U
–
FS-5U-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
GIF-XP160
WASHING PIPE
MEASURING DEVICE
Standard type
Spray type
Straight type
Bendable type
GIF-XP160
PW-2L-1
PW-6P-1
M1-2K∗1
M2-4K∗1
GIF-160
PW-1L-1
PW-5L-1
M1-2K∗1
M2-4K∗1
GIF-Q160
PW-1L-1
PW-5L-1
M1-2K∗1
M2-4K∗1
GIF-1TQ160
PW-1L-1
PW-5L-1
M1-2K∗1
M2-4K∗1
GIF-XTQ160
PW-1L-1
PW-5L-1
M1-2K∗1
M2-4K∗1
CF-Q160L
PW-1V-1
PW-5V-1
M1-2U∗1
M2-3U∗1
CF-Q160I
PW-1V-1
PW-5V-1
M1-2U∗1
M2-3U∗1
CF-Q160AL
PW-1V-1
PW-5V-1
M1-2U∗1
M2-3U∗1
CF-Q160AI
PW-1V-1
PW-5V-1
M1-2U∗1
M2-3U∗1
PCF-160AL
PW-1V-1
PW-5V-1
M1-2U∗1
M2-3U∗1
PCF-160AI
PW-1V-1
PW-5V-1
M1-2U∗1
M2-3U∗1
CF-Q160S
PW-1H-1
PW-5L-1
M1-2K∗1
M2-4K∗1
Endoscope
∗1 These accessories may not be available in some area.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
87
Appendix
CLIP FIXING
DEVICE
DISPOSABLE CLIP
FIXING DEVICE
–
–
–
–
GIF-160
HX-5LR-1
HX-200L-135
HX-20L-1
HX-21L-1∗1
GIF-Q160
HX-5LR-1
HX-200L-135
HX-20L-1
HX-21L-1∗1
GIF-1TQ160
HX-6UR-1
HX-200L-135
HX-20L-1
HX-21L-1∗1
GIF-XTQ160
HX-6UR-1
HX-200L-135
HX-20L-1
HX-21L-1∗1
CF-Q160L
HX-6UR-1
HX-200U-135
HX-20U-1
–
CF-Q160I
HX-5QR-1
HX-200U-135
HX-20Q-1
–
CF-Q160AL
HX-6UR-1
HX-200U-135
HX-20U-1
–
CF-Q160AI
HX-5QR-1
HX-200U-135
HX-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
LIGATING DEVICE
Endoscope
GIF-XP160
∗1 These accessories may not be available in some area.
DISPOSABLE
INJECTION NEEDLE
INJECTION
NEEDLE
HEAT PROBE
NM-8L-1/9L-1
NM-201L
–
GIF-160
NM-4L-1 to 7L-1
NM-200L/201L
CD-21Z/120U
GIF-Q160
NM-4L-1 to 7L-1
NM-200L/201L
CD-21Z/120U
GIF-1TQ160
NM-4L-1 to 7L-1
NM-200L/201L
CD-11Z/110U
GIF-XTQ160
NM-4L-1 to 7L-1
NM-200L/201L
CD-11Z/110U
CF-Q160L
NM-4U-1
–
CD-11Z/110U
CF-Q160I
NM-4U-1
–
CD-11Z/110U
CF-Q160AL
NM-4U-1
–
CD-11Z/110U
CF-Q160AI
NM-4U-1
–
CD-11Z/110U
PCF-160AL
NM-4U-1
–
CD-21Z/120U
PCF-160AI
NM-4U-1
–
CD-21Z/120U
CF-Q160S
NM-4L-1 to 7L-1
–
CD-11Z/110U
Endoscope
GIF-XP160
88
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
DISTAL ATTACHMENT
Straight
Oblique
Straight with rim
Oblique with rim
–
–
–
–
Endoscope
GIF-XP160
∗1
∗1
∗1
MH-593
MAJ-289∗1
GIF-160
MH-462
MH-587
GIF-Q160
MH-463∗1
MH-588∗1
MH-594∗1
MAJ-290∗1
GIF-1TQ160
MH-464∗1
MH-589∗1
MH-595∗1
MAJ-291∗1
GIF-XTQ160
MH-466∗1
MH-591∗1
MH-597∗1
MAJ-293∗1
CF-Q160L
MH-466∗1
MH-591∗1
MH-597∗1
MAJ-293∗1
CF-Q160I
MH-466∗1
MH-591∗1
MH-597∗1
MAJ-293∗1
CF-Q160AL
MH-466∗1
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-597∗1
MAJ-293∗1
DISTAL
ATTACHMENT
DISPOSABLE DISTAL ATTACHMENT
Endoscope
GIF-XP160
–
–
–
GIF-160
MAJ-295∗1
–
D-206-01∗1
GIF-Q160
MAJ-296∗1
D-201-11304∗1
D-206-04∗1
GIF-1TQ160
MAJ-297∗1
D-201-12704∗1
–
∗1
–
GIF-XTQ160
–
D-201-14304
CF-Q160L
–
D-201-14304∗1
–
–
D-201-14304∗1
–
–
D-201-14304
∗1
–
CF-Q160AI
–
D-201-14304∗1
–
PCF-160AL
MAJ-297∗1
D-201-12704∗1
–
∗1
∗1
–
D-201-14304∗1
–
CF-Q160I
CF-Q160AL
PCF-160AI
CF-Q160S
MAJ-297
–
D-201-12704
∗1 These accessories may not be available in some area.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
89
Appendix
 Electrosurgical accessories
POLYPECTOMY SNARE
Crescent
Hexagonal
Oval
Mini-oval
GIF-XP160
SD-7P-1
SD-8P-1
–
–
GIF-160
SD-5L-1
SD-6L-1
SD-9L-1/11L-1
SD-12L-1/13L-1
GIF-Q160
SD-5L-1
SD-6L-1
SD-9L-1/11L-1
SD-12L-1/13L-1
GIF-1TQ160
SD-5L-1
SD-6L-1
SD-9L-1/11L-1
SD-12L-1/13L-1
GIF-XTQ160
SD-5L-1
SD-6L-1
SD-9L-1/11L-1
SD-12L-1/13L-1
CF-Q160L
SD-5U-1
SD-6U-1
SD-9U-1/11U-1
SD-12U-1/13U-1
CF-Q160I
SD-5U-1
SD-6U-1
SD-9U-1/11U-1
SD-12U-1/13U-1
CF-Q160AL
SD-5U-1
SD-6U-1
SD-9U-1/11U-1
SD-12U-1/13U-1
CF-Q160AI
SD-5U-1
SD-6U-1
SD-9U-1/11U-1
SD-12U-1/13U-1
PCF-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 POLYPECTOMY SNARE
Oval with spike
Mini oval with spike
Oval
Mini-oval
–
–
–
–
GIF-160
SD-16L-1
SD-17L-1
SD-210L-25
SD-210L-15
GIF-Q160
SD-16L-1
SD-17L-1
SD-210L-25
SD-210L-15
GIF-1TQ160
SD-16L-1
SD-17L-1
SD-210L-25
SD-210L-15
GIF-XTQ160
SD-16L-1
SD-17L-1
SD-210L-25
SD-210L-15
CF-Q160L
SD-16U-1
SD-17U-1
SD-210U-25
SD-210U-15
CF-Q160I
SD-16U-1
SD-17U-1
SD-210U-25
SD-210U-15
CF-Q160AL
SD-16U-1
SD-17U-1
SD-210U-25
SD-210U-15
CF-Q160AI
SD-16U-1
SD-17U-1
SD-210U-25
SD-210U-15
PCF-160AL
SD-16U-1
SD-17U-1
SD-210U-25
SD-210U-15
PCF-160AI
SD-16U-1
SD-17U-1
SD-210U-25
SD-210U-15
CF-Q160S
SD-16L-1
SD-17L-1
SD-210L-25
SD-210L-15
Endoscope
GIF-XP160
90
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
DISPOSABLE POLYPECTOMY
Extra mini-oval
Crescent
Oval (With spiral)
–
SD-221L-25
–
GIF-160
SD-210L-10
SD-221L-25
SD-230U-20
GIF-Q160
SD-210L-10
SD-221L-25
SD-230U-20
GIF-1TQ160
SD-210L-10
SD-221L-25
SD-230U-20
GIF-XTQ160
SD-210L-10
SD-221L-25
SD-230U-20
CF-Q160L
SD-210U-10
SD-221U-25
SD-230U-20
CF-Q160I
SD-210U-10
SD-221U-25
SD-230U-20
CF-Q160AL
SD-210U-10
SD-221U-25
SD-230U-20
CF-Q160AI
SD-210U-10
SD-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
GIF-XP160
HOT BIOPSY
FORCEPS
DISPOSABLE HOT BIOPSY FORCEPS
DIATHERMIC
CUTTER
Alligator jaws-step
Oval
Needle type
–
–
–
–
GIF-160
FD-1L-1
FD-210U
FD-230U
KD-1L-1
GIF-Q160
FD-1L-1
FD-210U
FD-230U
KD-1L-1
GIF-1TQ160
FD-2L-1
FD-210U
FD-230U
KD-1L-1
GIF-XTQ160
FD-2L-1
FD-210U
FD-230U
KD-1L-1
CF-Q160L
FD-2U-1
FD-210U
FD-230U
–
CF-Q160I
FD-2U-1
FD-210U
FD-230U
–
CF-Q160AL
FD-2U-1
FD-210U
FD-230U
–
CF-Q160AI
FD-2U-1
FD-210U
FD-230U
–
PCF-160AL
FD-1U-1
FD-210U
FD-230U
–
PCF-160AI
FD-1U-1
FD-210U
FD-230U
–
CF-Q160S
FD-2L-1
FD-210U
FD-230U
KD-1L-1
Endoscope
GIF-XP160
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
91
Appendix
EMC information
This model is intended for use in the electromagnetic environments specified
below. The user and the medical staff should ensure that it is used only in these
environments.
 Magnetic emission compliance information and
recommended electromagnetic environments
Emission standard
RF emissions
CISPR 11
Compliance
Group 1
Guidance
This instrument uses RF (Radio Frequency) energy only 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 emissions are very low and are not likely to
cause any interference in nearby electronic equipment.
Class A
This instrument’s harmonic emissions are low and are not likely to
Main terminal
conducted emissions
CISPR 11
Harmonic emissions
IEC 61000-3-2
Voltage
fluctuations/flicker
emissions
cause any problem in the typical commercial power supply connected
to this instrument.
Complies
This instrument stabilizes its own radio variability and has no affect
such as flicker in lighting apparatus.
IEC 61000-3-3
92
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
 Electromagnetic immunity compliance information and
recommended electromagnetic environments
Immunity test
IEC 60601-1-2
test level
Electrostatic
discharge (ESD)
Contact:
±2, ±4, ±6 kV
IEC 61000-4-2
Air:
±2, ±4, ±8 kV
Compliance level
Same as left
Guidance
Floors should by be made of wood, concrete,
or ceramic tile that hardly produces static. If
floors are covered with synthetic material that
tends to produce static, the relative humidity
should be at least 30%.
Electrical fast
±2 kV
transient/burst
for power supply lines
IEC 61000-4-4
±1 kV
Same as left
Mains power quality should be that of a typical
commercial (original condition feeding the
facilities) or hospital environment.
for input/output lines
Surge
Differential mode:
IEC 61000-4-5
±0.5, ±1 kV
Same as left
Mains power quality should be that of a typical
commercial or hospital environment.
Common mode:
±0.5, ±1, ±2 kV
Voltage dips, short
interruptions and
voltage variations
on power supply
input lines
IEC 61000-4-11
< 5% UT
Same as left
(> 95% dip in UT)
Mains power quality should be that of a typical
commercial or hospital environment. If the
user of this instrument requires continued
operation during power mains interruptions, it
for 0.5 cycle
40% UT
(60% dip in UT)
is recommended that this instrument be
powered from an uninterruptible power supply
for 5 cycle
or a battery.
70% UT
(30% dip in UT)
for 25 cycle
< 5% UT
(> 95% dip in UT)
for 5 seconds
Power frequency
(50/60 Hz)
magnetic field
3 A/m
Same as left
It is recommended to use this instrument by
maintaining enough distance from any
equipment that operates with high current.
IEC 61000-4-8
UT is the AC mains power supply prior to application of the
test level.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
93
Appendix
 Cautions and recommended electromagnetic environment
regarding portable and mobile RF communications
equipment such as cellular phones
Immunity test
IEC 60601-1-2
test level
Compliance
level
Guidance
Formula for recommended separation distance
(V1=E1=3 according to the compliance level)
Conducted RF
3 Vrms
IEC 61000-4-6
(150 kHz – 80 MHz)
Radiated RF
3 V/m
(80 MHz – 2.5 GHz)
IEC 61000-4-3
94
3 V (V1)
d = 3.5
------V1
P
3 V/m (E1)
3.5
d = ------E1
P
7
d = -----E1
P
80 MHz – 800 MHz
800 MHz – 2.5 GHz
•
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).
•
This instrument complies with the requirements of
IEC 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 instrument
near a high-frequency electrosurgical equipment and/or other
equipment marked with the following symbol:
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
Appendix
 Recommended separation distance between portable and
mobile RF communications equipment and this instrument
Separation distance according to frequency of transmitter (m)
(calculated as V1=3 and E1=3)
Rated maximum output
power of transmitter
P (W)
150 kHz – 80 MHz
80 MHz – 800 MHz
800 MHz – 2.5 GHz
d = 1.2 P
d = 1.2 P
d = 2.3 P
0.01
0.12
0.12
0.23
0.1
0.38
0.38
0.73
1
1.2
1.2
2.3
10
3.8
3.8
7.3
100
12
12
23
The guidance may not apply in some situations.
Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
Portable 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 equation applicable
to the frequency of the transmitter.
EVIS EXERA GIF/CF/PCF TYPE 160 Series OPERATION MANUAL
95
©2003 OLYMPUS MEDICAL 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 of OLYMPUS CORPORATION.
Manufactured by
2951 Ishikawa-cho, Hachioji-shi, Tokyo 192-8507, Japan
Fax: (042)646-2429 Telephone: (042)642-2111
Distributed by
3500 Corporate Parkway, P.O. Box 610 Center Valley, PA
18034-0610, U.S.A.
Fax: (484)896-7128 Telephone: (484)896-5000
One Corporate Drive, Orangeburg, N.Y. 10962, U.S.A.
Fax: (845)398-9444 Telephone: (845)398-9400
5301 Blue Lagoon Drive, Suite 290 Miami, FL 33126-2097, U.S.A.
Fax: (305)261-4421 Telephone: (305)266-2332
(Premises/Goods delivery) Wendenstrasse 14-18, 20097 Hamburg, Germany
(Letters) Postfach 10 49 08, 20034 Hamburg, Germany Telephone: (040)237730
KeyMed House, Stock Road, Southend-on-Sea, Essex SS2 5QH, United Kingdom
Fax: (01702)465677 Telephone: (01702)616333
117071, Moscow, Malaya Kaluzhskaya 19, bld. 1, fl.2, Russia
Fax: (095)958-2277 Telephone: (095)958-2245
Room 1202, NCI Tower, A21 Jianguomenwai Avenue Chaoyang
District Beijing 100022 PRC
Fax: (10)6569-3545 Telephone: (10)6569-3535
8F, Hyundai Marines Bldg., 646-1, Yeoksam-Dong, Kangnam-Gu, Seoul 135-080 Korea
Fax: (02)6255-3499 Telephone: (02)1544-3200
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Fax: 6834-2438 Telephone: 6834-0010
31 Gilby Road, Mount Waverley, VIC., 3149, Australia
Fax: (03)9543-1350 Telephone: (03)9265-5400
GE1015 07
Printed in Japan 20060801 *0000
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