Olympus BF User manual
INSTRUCTIONS
EVIS EXERA BRONCHOVIDEOSCOPE
OLYMPUS BF TYPE 160
OLYMPUS BF TYPE P160
OLYMPUS BF TYPE 1T160
OLYMPUS BF TYPE XT160
OLYMPUS BF TYPE 3C160
EVIS EXERA BRONCHOFIBERVIDEOSCOPE
OLYMPUS BF TYPE MP160F
OLYMPUS BF TYPE XP160F
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 ............................................................................ 4
Reprocessing before the first use/reprocessing and storage after use .... 4
Repair and modification ........................................................................... 4
Signal words.............................................................................................. 5
Warnings and cautions ............................................................................. 5
Precaution for disappeared or frozen endoscopic image.......................... 8
Examples of inappropriate handling ......................................................... 9
Chapter 1 Checking the Package Contents............................ 10
Chapter 2 Instrument Nomenclature and Specifications ...... 12
2.1 Nomenclature.................................................................................. 12
2.2 Endoscope functions....................................................................... 14
2.3 Specifications .................................................................................. 15
Chapter 3 Preparation and Inspection .................................... 24
3.1 Preparation of the equipment.......................................................... 25
3.2 Inspection of the endoscope ........................................................... 26
3.3 Preparation and inspection of accessories ..................................... 27
3.4 Attaching accessories to the endoscope ........................................ 30
3.5 Inspection and connection of ancillary equipment .......................... 33
3.6 Inspection of the endoscopic system .............................................. 35
Chapter 4 Operation ................................................................. 37
4.1 Insertion .......................................................................................... 39
4.2 Using endo-therapy accessories..................................................... 42
4.3 Withdrawal of the endoscope.......................................................... 49
4.4 Transportation of the endoscope .................................................... 50
BF TYPE 160 Series OPERATION MANUAL
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Contents
Chapter 5 Troubleshooting ...................................................... 51
5.1 Troubleshooting guide .................................................................... 52
5.2 Withdrawal of the endoscope with an abnormality.......................... 55
5.3 Returning the endoscope for repair................................................. 56
Appendix........................................................................................ 57
System chart ............................................................................................ 57
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BF 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
Lot number
Do not reuse.
Use by (expiration date)
Sterilization lot number
Sterilized using irradiation
Manufacturer
Authorised representative in the European Community
BF TYPE 160 Series OPERATION MANUAL
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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 biopsy forceps) and other ancillary
equipment for endoscopy and endoscopic surgery within the airways and
tracheobronchial tree.
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 medical administration or other official
institutions such as academic societies on endoscopy or pulmonology, 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 the 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.
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BF TYPE 160 Series OPERATION MANUAL
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
Important Information — Please Read Before Use
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.
BF TYPE 160 Series OPERATION MANUAL
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Important Information — Please Read Before Use
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.
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.
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.
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BF TYPE 160 Series OPERATION MANUAL
Signal words
Important Information — Please Read Before Use
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.
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.
• Never perform electrosurgery with the
• After using this instrument, reprocess and store it according
• Do not strike, bend, hit, pull, twist, or drop the endoscope’s
BF-3C160/MP160F/XP160F, because the distal ends of
these instruments are not insulated. Patient injury can result.
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.
distal end, insertion tube, bending section, control section,
universal cord, or endoscope connector with excessive force.
The endoscope may be damaged and could cause patient
injury, such as burns, bleeding, and/or perforation. It could
also cause parts of the endoscope to fall off inside the
patient.
BF TYPE 160 Series OPERATION MANUAL
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Important Information — Please Read Before Use
• Never perform angulation forcibly or suddenly. Never
• Never operate the bending section, perform suction, insert or
• Never insert or withdraw the endoscope while the
forcefully pull or twist the angulated bending section. Patient
injury, bleeding and/or perforation can result. It may also
become impossible to straighten the bending section during
use and/or to withdraw this instrument from the patient.
Particular caution is required in the tracheal bifurcation
region.
withdraw the endoscope’s insertion tube without viewing the
endoscopic image. Patient injury can result.
endoscope’s bending section is locked in position. When
withdrawing the endoscope, the bending section should
follow the form of the body cavity as much as possible.
Otherwise, patient injury, bleeding and/or perforation can
result. It may also become impossible to straighten the angle
during use and/or to withdraw this instrument from the
patient.
• Never use endo-therapy accessories without viewing the
endoscopic image. Patient injury can result.
• Never operate the bending section, perform suction, insert or
withdraw the endoscope’s insertion tube while the image is
frozen. Patient injury can result.
• Never use endo-therapy accessories while the image is
frozen. 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 insert or withdraw the insertion tube suddenly, abruptly
or with excessive force. Patient injury, bleeding and/or
perforation can result.
• Be sure to prepare another endoscope to avoid that the
examination be interrupted due to equipment failure or
malfunction.
• When the endoscopic image does not appear on the monitor,
the CCD may have been damaged. Turn the video system
center OFF immediately. Continued power supply in such a
case will cause the distal end to become hot and could cause
operator and/or patient burns.
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BF TYPE 160 Series OPERATION MANUAL
Important Information — Please Read Before Use
• 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 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.
• 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.
• Do not attempt to bend the endoscope’s insertion tube with
excessive force. 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.
BF TYPE 160 Series OPERATION MANUAL
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Important Information — Please Read Before Use
Precaution for disappeared or frozen endoscopic image
• If the endoscopic image unexpectedly disappears or the
frozen image cannot be restored during an examination,
immediately stop using the instrument and withdraw the
endoscope from the patient. Continued use of the endoscope
in such condition may cause patient injury, bleeding and/or
perforation.
• Follow the precautions given below. Otherwise, the
endoscopic image may disappear unexpectedly or the frozen
image may not be restored during the examination.
− Connect the endoscope connector, videoscope cable and
video system center completely. Otherwise, faulty contact
can result.
− Do not bend, hit or twist the insertion section, control
section, universal cord and endoscope connector. The
endoscope may be damaged and water leaks and/or
breakage of internal parts like CCD cable can result.
− Before inserting the endoscope, place the mouthpiece in
the patient’s mouth in order to prevent the patient from
biting the insertion section. Biting the insertion section
may result in breakage of the CCD cable or light guide.
− Before immersing the endoscope, always attach the
water-resistant cap. Otherwise, water will enter the
endoscope and may cause short of the internal circuit.
This may result in breakage of the switch and CCD.
− If bubbles emerge from the endoscope continuously
during leakage test, do not use the endoscope. Water
may enter from the hole and short the internal circuit. This
may result in breakage of the switch and CCD.
• 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.
• Do not touch the electrical contacts inside the electrical
connector. CCD damage may result.
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BF TYPE 160 Series OPERATION MANUAL
Important Information — Please Read Before Use
• 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.
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.
• Applying prolonged suction with the distal end in contact with the
mucosal surface may cause bleeding or suction lesions.
• The endoscope has not been designed for use in retroflexed
observation. Performing retroflexed observation in a narrow lumen may
make it impossible to straighten the angle of the bending section and/or
withdraw the endoscope from the patient.
• Inserting, withdrawing and using endo-therapy accessories without a
clear endoscopic image may cause burns or perforation.
• Inserting or withdrawing the endoscope, applying suction or operating
the bending section without a clear endoscopic image may cause
patient injury.
BF TYPE 160 Series OPERATION MANUAL
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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.
Channel cleaning brush
(BW-15B, not for
BF-3C160/XP160F)
Suction cleaning adapter
(MAJ-222)
Endoscope
Channel cleaning brush
(BW-7B, for
BF-3C160/XP160F)
Suction connector
cleaning brush
(BW-15SH, for
BF-3C160/XP160F)
Single-use suction valve
(MAJ-209, 20 pcs)
Channel-opening
cleaning brush
(MH-507)
Single-use biopsy valve
(MAJ-210, 20 pcs)
Mouthpiece
(MA-651, 2 pcs)
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Water-resistant cap
(MH-553)
BF TYPE 160 Series OPERATION MANUAL
Operation manual Reprocessing manual
Chapter 1 Checking the Package Contents
BF TYPE 160 Series OPERATION MANUAL
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Chapter 2 Instrument Nomenclature and Specifications
Chapter 2 Instrument Nomenclature
and Specifications
2.1 Nomenclature
Water-resistant cap (MH-553)
2. Electrical connector
Universal cord
Venting connector
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Serial number
Electrical contacts
Light guide
BF TYPE 160 Series OPERATION MANUAL
1. Endoscope connector
Chapter 2 Instrument Nomenclature and Specifications
4. Single-use
suction valve
(MAJ-209)
3. UP/DOWN angulation
control lever
Control section
Suction cylinder
Slit
5. Single-use
biopsy valve
(MAJ-210)
Instrument channel
6. Instrument channel port
7. Color code
Boot
Insertion tube/working length
9. Remote switches
BF TYPE 160 Series OPERATION MANUAL
Top view
Suction cylinder
9. Remote switches
Distal end
8. Bending section
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Chapter 2 Instrument Nomenclature and Specifications
2.2 Endoscope functions
1. 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.
2. 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.
3. UP/DOWN angulation control lever
When this lever is turned in the “U” direction, the bending section moves
UP; when the lever is turned in the “D” direction, the bending section moves
DOWN.
4. Single-use suction valve (MAJ-209)
This valve is depressed to activate suction. The valve is used to remove any
fluid and debris that obstruct the visual field.
5. Single-use biopsy valve (MAJ-210)
Accessories may be inserted through the slit in this valve. A syringe may be
inserted for the introduction of fluids.
6. Instrument channel port
This channel port functions as:
− channel for the insertion of endo-therapy accessories
− suction channel
− fluid feed channel (from a syringe via the biopsy valve)
The BF-1T160 instrument channel has an inner diameter of
ø 2.8 mm, but only endo-therapy accessories with an outer
diameter of ø 2.6 mm (green) should be used. If the
endo-therapy accessories with an outer diameter of
ø 2.8 mm (yellow) are used, the instrument may be
damaged.
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BF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
7. 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 : BF-160, BF-P160, BF-MP160F
• Green : BF-1T160
•Yellow : BF-XT160
• White : BF-3C160, BF-XP160F
Some BF-3C160 does not have color code. If you use
endo-therapy accessories with the BF-3C160, refer to the
“System chart” in the Appendix for help in selecting
compatible endo-therapy accessories.
8. Bending section
This section moves the distal end of the endoscope when the UP/DOWN
angulation control lever is operated.
9. 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.
2.3 Specifications
Operating environment
Operating
environment
The BF-MP160F/XP160F differ from a general videoscope.
The endoscopic image is transmitted to the control section by
the image guide and converted into an electrical signal with
the CCD in the control section.
Ambient temperature 10 – 40°C (50 – 104°F)
Relative humidity 30 – 85%
Air pressure 700 – 1060 hPa
(0.7 – 1.1 kgf/cm
(10.2 – 15.4 psia)
2
)
BF TYPE 160 Series OPERATION MANUAL
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Chapter 2 Instrument Nomenclature and Specifications
Specifications
Model BF-160
Optical
system
Insertion tube Distal end outer diameter ø5.3mm
Field of view 120°
Direction of view Forward viewing
Depth of field 3 – 100 mm
Distal end enlarged 1. Objective lens
2. Light guide lens
3. Instrument channel outlet
3.
2.
Insertion tube outer
diameter
Working length 600 mm
Instrument
channel
Bending
section
Total length 870 mm
Channel inner diameter ø2.0mm
Minimum visible distance 3 mm from the distal end
Direction from which
endo-therapy accessories
enter and exit the
endoscopic image
Angulation range
UP 180°, DOWN 130°
UP
DOWN
ø5.2mm
2.
1.
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BF TYPE 160 Series OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
Model BF-P160
Optical
system
Insertion tube Distal end outer diameter ø4.8mm
Field of view 120°
Direction of view Forward viewing
Depth of field 3 – 100 mm
Distal end enlarged 1. Objective lens
2. Light guide lens
3. Instrument channel outlet
3.
2.
Insertion tube outer
diameter
Working length 600 mm
Instrument
channel
Bending
section
Total length 870 mm
Channel inner diameter ø2.0mm
Minimum visible distance 3 mm from the distal end
Direction from which
endo-therapy accessories
enter and exit the
endoscopic image
Angulation range
UP 180°, DOWN 130°
UP
DOWN
ø4.9mm
2.
1.
BF TYPE 160 Series OPERATION MANUAL
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