Olympus Evis Lucera GIF-260 User manual

INSTRUCTIONS

EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE

OLYMPUS GIF-N260 OLYMPUS GIF-XP260 OLYMPUS GIF-XQ260 OLYMPUS GIF-Q260 OLYMPUS GIF-H260 OLYMPUS GIF-H260Z

EVIS LUCERA COLONOVIDEOSCOPE

OLYMPUS CF-Q260AL/I OLYMPUS CF-Q260DL/I OLYMPUS CF-H260AL/I OLYMPUS CF-H260AZL/I OLYMPUS PCF-Q260AL/I

Refer to the endoscope’s companion manual, the “REPROCESSING MANUAL” whose cover lists the model of your endoscope, for reprocessing information.

Contents

Symbols......................................................................................... 1

Important Information — Please Read Before Use.................... 2

Intended use ............................................................................................ 2

Applicability of endoscopy and endoscopic treatment .............................. 3

Instruction manual .................................................................................... 3

User qualifications .................................................................................... 4

Instrument compatibility ........................................................................... 4

Reprocessing before the first use/reprocessing and storage after use..... 5

Spare equipment ...................................................................................... 5

Maintenance management ....................................................................... 5

Prohibition of improper repair and modification ........................................ 5

Signal words.............................................................................................. 6

Warnings and cautions ............................................................................. 6

Examples of inappropriate handling.......................................................... 12

Chapter 1 Checking the Package Contents............................ 13

Chapter 2 Instrument Nomenclature and Specifications ...... 18

2.1 Nomenclature.................................................................................. 18

2.2 Endoscope functions....................................................................... 30

2.3 Specifications.................................................................................. 33

2.4 Attaching the chain for water-resistant cap (MAJ-1119) ................. 46

Chapter 3 Preparation and Inspection .................................... 49

3.1 Preparation of the equipment.......................................................... 50

3.2 Inspection of the endoscope ........................................................... 52

3.3 Preparation and inspection of accessories ..................................... 58

3.4 Attaching accessories to the endoscope ........................................ 62

3.5 Inspection and connection of ancillary equipment .......................... 65

3.6 Inspection of the endoscopic system .............................................. 69

Chapter 4 Operation ................................................................. 75

4.1 Insertion .......................................................................................... 79

4.2 Using endo-therapy accessories..................................................... 88

4.3 Withdrawal of the endoscope.......................................................... 94

4.4 Transportation of the endoscope .................................................... 95

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Contents

Chapter 5 Troubleshooting ...................................................... 97

5.1 Troubleshooting guide .................................................................... 97

5.2 Withdrawal of the endoscope with an abnormality.......................... 102

5.3 Returning the endoscope for repair................................................. 105

Appendix........................................................................................ 107

System chart ............................................................................................ 107

EMC information........................................................................................ 133

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

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

Authorized representative in the European Community

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

Intended use

These instruments have been designed to be used with an Olympus video

system center, light source, endoscope position detecting unit (for CF-Q260DL/I

only), magnification controller (for CF-H260AZL/I only), documentation equipment, monitor, endo-therapy accessories such as a biopsy forceps and

other ancillary equipment.

Use the EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE GIF-N260 for

transoral or transnasal endoscopy and endoscopic surgery within the upper

digestive tract (including the esophagus, stomach and duodenum).

Use the EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE GIF-XP260,

GIF-XQ260, GIF-Q260, GIF-H260, GIF-H260Z for endoscopy and endoscopic

surgery within the upper digestive tract (including the esophagus, stomach and duodenum).

Use the EVIS LUCERA COLONOVIDEOSCOPE CF-Q260AL/I, CF-H260AL/I, PCF-Q260AL/I, CF-H260AZL/I, CF-Q260DL/I for endoscopy and endoscopic

surgery within the lower digestive tract (including the anus, rectum, sigmoid

colon, colon and ileocecal valve).

Do not use these instruments for any purpose other than their intended uses.

Select the endoscope to be used according to the objective of the intended procedure based on the full understanding of the endoscope’s specifications and

functionality as described in this instruction manual.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

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.

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.

 Terms used in this manual

Special light observation:

This is an observation using filtered light.

NBI (Narrow Band Imaging) observation:

This is a special light observation using the narrow band observation light.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

Normal light observation (WLI (White Light Imaging) observation):

This is the ordinary observation using the RGB light.

User qualifications

If there is an official standard on user qualifications to perform endoscopy and

endoscopic treatment that is defined by the medical administration or other

official institutions, such as academic society on endoscopy, follow that standard. If there is no official qualification standard, the operator of this instrument must

be a physician approved by the medical safety manager of the hospital or person

in charge of the department (department of internal medicine, etc.).

The physician should be capable of safety performing the planned endoscopy

and endoscopic treatment following guidelines set by the academic societies on

endoscopy, etc., and considering the difficulty of endoscopy and endoscopic treatment. This manual does not explain or discuss endoscopic procedures.

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 the EMC standard for medical electrical

equipment; edition 2 (IEC 60601-1-2: 2001). However, when connected with 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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

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.

Maintenance management

The probability of failure of the endoscope and ancillary equipment increases as

the number of procedures performed and/or the total operating hours increase.

In addition to the inspection before each procedure, the person in charge of medical equipment maintenance in each hospital should inspect the items

specified in this manual periodically. An endoscope with which an irregularity is

suspected should not be used, but should be inspected by following Section 5.1, “Troubleshooting guide” on page 97. If the irregularity is still suspected after

inspection, contact Olympus.

Prohibition of improper 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.

Equipment which has been disassembled, repaired, altered, changed or

modified by persons other than Olympus’ own authorized service personnel is excluded from Olympus’ limited warranty and is not warranted by Olympus in

any manner.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

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.

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

• Before endoscopy, remove any metallic objects (watch,

• Do not strike, bend, hit, pull, twist, or drop the endoscope’s

to the instructions given in the endoscope’s companion reprocessing manual whose cover lists the model of your

endoscope. Using improperly or incompletely reprocessed or

stored instruments may cause patient cross-contamination and/or infection.

glasses, necklace, etc.) from the patient. If performing

high-frequency cauterization treatment becomes necessary

while the patient wears a metallic object, it may cause burns on the patient in areas around the metallic object.

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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

• When performing transnasal insertion of the GIF-N260, please follow the cautions below.

− The shape and size of the nasal cavity and its suitability

for transnasal insertion may vary from patient to patient.

No endoscope, including this one, can always be inserted transnasally with all patients. Before proceeding, always

be sure to confirm that transnasal insertion is possible

with the patient by always considering both the size of the patient’s nasal cavity as well as the size of the

endoscope’s insertion tube. Otherwise, operator and/or

patient injury can result or the endoscope could become lodged and be difficult to withdraw.

− Transnasal insertion is accompanied by the risk of

inflammation of the nasal cavity. If this happens, the nasal passage will be constricted, making it more difficult to

withdraw the endoscope. In this case, do not use force to

withdraw the endoscope because patient injury such as

bleeding or perforation may result.

− Transnasal insertion is accompanied by the risk of

bleeding in the nasal cavity. Be sure to be prepared to

deal with any bleeding. When withdrawing the endoscope, observe the inside of the nasal cavity to

ensure that there is no bleeding. Even when the

endoscope has been withdrawn without bleeding, do not allow the patient to blow his or her nose strongly because

this could cause it to start bleeding.

− Before transnasal insertion, apply the appropriate

pretreatment and lubrication to the patient to enlarge the

nasal cavity. Otherwise, operator and/or patient injury can

result or the endoscope could become lodged and be difficult to withdraw. When applying a pretreatment agent

through a tube, insert the tube into the same path as the

path planned for the endoscope insertion. Otherwise, the treatment will have no effect. The effects of the

pretreatment agent and lubricant will decrease the longer

the procedure lasts. Apply the pretreatment agent or lubricant as required during the procedure

when withdrawal seems to be difficult.

– for example,

− Transnasal insertion of the endoscope should be

performed carefully. If resistance to insertion is felt, or the

patient reports pain, stop insertion immediately.

Otherwise, operator and/or patient injury can result or the endoscope could become lodged and be difficult to

withdraw.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

• Never perform angulation control forcibly or abruptly. Never

• Never insert or withdraw the endoscope’s insertion tube while

• Never perform flexibility adjustment, operate the bending

− If it becomes impossible to withdraw the transnasally inserted endoscope, pull its distal end out of the mouth,

cut the flexible tube using wire cutters, and after ensuring

that the cut section will not injure the body cavity or nasal cavity of the patient, withdraw the endoscope carefully.

Therefore, always prepare wire cutters in advance.

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.

the bending section is locked in position. Patient injury,

bleeding and/or perforation can result.

section, feed air or perform suction, insert or withdraw the

endoscope’s insertion tube, or use endo-therapy accessories without viewing the endoscopic image. Patient injury,

bleeding and/or perforation can result.

• Never perform flexibility adjustment, operate the bending

section, feed air or perform suction, insert or withdraw the endoscope’s insertion tube, or use endo-therapy accessories

while the image is frozen. Patient injury, bleeding and/or

perforation can result.

• Regardless of the flexibility of the endoscope’s insertion tube, never insert or withdraw the insertion tube abruptly or with

excessive force. Patient injury, bleeding and/or perforation

can result.

• The bending section will never bend to the RIGHT or LEFT direction but to the UP or DOWN direction. To insert or

withdraw, operate the endoscope by considering the direction

in which the bending section is angulated. Never apply excessive force to the RIGHT or LEFT direction when

inserting or withdrawing the endoscope. Patient injury,

bleeding and/or perforation can result (for GIF-N260 only).

• Never insert or withdraw the endoscope’s insertion tube, use endo-therapy accessories while the image is magnified.

Patient injury, bleeding and/or perforation can result (when

using the GIF-H260Z, CF-H260AZL/I or using the image magnification function of the video system center).

• 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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

• 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.

• If it is difficult to insert the endoscope, do not forcibly insert

the endoscope; stop the endoscopy. Forcible insertion can

result in patient injury, bleeding and/or perforation.

• When combining the endoscope with a splinting tube, there is

the risk of perforation or bleeding due to entanglement of the mucous membrane, or of the tube to become separated from

the endoscope and remaining in the body. Before use, be

sure to read the instruction manual for the splinting tube to fully understand its characteristics.

• Do not rely on the NBI imaging modality alone for primary

detection of lesions or to make a decision regarding any

potential diagnostic or therapeutic intervention.

• 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 with 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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

• Turn the video system center OFF before connecting or

• The endoscope’s remote switches cannot be removed from

• If remote switch 1 does not return to the OFF position after

• Do not hit or bend the electrical contacts on the endoscope

disconnecting the videoscope cable from the electrical connector on the endoscope. Turn the video system center

ON or OFF only when the videoscope cable is connected to

both the video system center and the electrical connector on the endoscope. Failure to do so can result in equipment

damage, including destruction of the CCD.

the control section. Pressing, pulling or twisting them with excessive force can break the switches and/or may cause

water leaks.

being pressed strongly from the side, gently pull the switch upwards to return it to the OFF position.

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 its flexibility is set to the most-rigid

position. Otherwise, the insertion tube may be damaged (for endoscopes with flexibility adjustment only).

• Do not pull the magnification control cable 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. The magnification control cable will

be pulled out from the endoscope’s zoom connector and the

endoscopic image will not zoom in or out (for CF-H260AZL/I only).

• Turn the magnification controller OFF before connecting or

disconnecting the magnification control cable from the

endoscope’s zoom connector. Failure to do so can result in equipment damage (for CF-H260AZL/I only).

• Do not pull the UPD cable 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. The UPD cable will be pulled out from the UPD

scope connector and the scope model will not be visible (for

CF-Q260DL/I only).

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

• Turn the endoscope position detecting unit (UPD) OFF

before connecting or disconnecting the UPD cable from the UPD scope connector. Turn the UPD ON or OFF only when

the UPD cable is connected to the UPD scope connector.

Failure to do so can result in UPD damage (for CF-Q260DL/I only).

• To check the electromagnetic influence from other equipment

(any equipment other than this instrument or the components

that constitute this system), the system should be observed to verify its normal operation in the configuration in which it

will be used.

• 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.

This endoscope contains a memory chip that stores

information about the endoscope and communicates this information to the video system center CV-260SL, CV-260.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Important Information — Please Read Before Use

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 described below;

• Over-insufflating the lumen may cause patient pain, injury, bleeding and/or perforation.

• Applying suction with the distal end in prolonged contact with the

mucosal surface, with higher suction pressure than required or with

prolonged suction time may cause bleeding and/or lesions.

• The endoscope has not been designed for use in retroflexed observation in parts of the body other than the stomach. Performing

retroflexed observation in a narrow lumen may make it impossible to

straighten and/or withdraw the endoscope. Retroflexed observation in

parts of the body other than the stomach should be performed only when the usefulness of doing so is determined to be greater than the

risk that is posed to the patient.

• Inserting, withdrawing and using endo-therapy accessories without a

clear endoscopic image may cause patient injury, burns, bleeding and/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, bleeding and/or perforation.

EVIS LUCERA GIF/CF/PCF TYPE 260 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 described in the endoscope’s companion manual, the “REPROCESSING MANUAL” whose cover lists the model of your endoscope.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 1 Checking the Package Contents

GIF-N260

GIF-XP260, GIF-XQ260, GIF-Q260, GIF-H260

Endoscope

GIF-H260Z

Endoscope

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

CF-Q260AL/I, CF-H260AL/I, PCF-Q260AL/I

CF-H260AZL/I

Chapter 1 Checking the Package Contents

Endoscope

CF-Q260DL/I

Endoscope

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 1 Checking the Package Contents

Channel cleaning brush (BW-20T) Water-resistant cap (MH-553)

Injection tube (MH-946)

Channel-opening cleaning brush (MH-507)

Suction valve (MH-443) (2 pcs)

Biopsy valve (MB-358) (10 pcs)

Auxiliary water tube (MAJ-855) (for GIF-H260Z only)

Suction cleaning adapter (MH-856)

AW channel cleaning adapter (MH-948)

Air/water valve (MH-438) (2 pcs)

Mouthpiece (MB-142 for GIF-XQ260, GIF-Q260, GIF-H260, GIF-H260Z) (2 pcs)

Channel plug (MH-944)

Chain for water-resistant cap (MAJ-1119)

Mouthpiece (MA-474, MB-142 for GIF-N260, GIF-XP260) (1 pc each)

Operation manual

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Reprocessing manual

Instructions (leaflet type, for endoscopes with flexibility adjustment only)

Chapter 1 Checking the Package Contents

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Chapter 2 Instrument Nomenclature

and Specifications

2.1 Nomenclature

 GIF-N260

5. Electrical connector

Air pipe

Universal cord

1. Suction connector

26. Chain connector

3. Air supply connector

Light guide

3. Water supply connector

Product name and serial number

Electrical contacts

4. Endoscope connector

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

8. Suction valve (MH-443)

9. Air/water valve (MH-438)

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

Grip section

14. Color code

Boot

Suction cylinder

Air/water cylinder

Biopsy valve (MB-358)

10. Instrument channel

Control section

Top view

Instrument channel port

11. Insertion tube limit mark

Working length

13. Remote switches

12. Bending section

Insertion tube

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Distal end

Chapter 2 Instrument Nomenclature and Specifications

 GIF-XP260, GIF-XQ260, GIF-Q260, GIF-H260

1. Suction connector

5. Electrical connector

Air pipe

Light guide

5. Electrical connector

26. Chain connector (for GIF-XP260 only)

Universal cord

3. Air supply connector

3. Water supply connector

Product name and serial number

Electrical contacts

4. Endoscope connector

1. Suction connector

2. S-cord connector mount (except GIF-XP260)

Air pipe

3. Air supply connector

3. Water supply connector

Light guide

Product name and serial number

Electrical contacts

4. Endoscope connector

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

8. Suction valve (MH-443)

9. Air/water valve (MH-438)

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

16. RIGHT/LEFT angulation control knob

15. RIGHT/LEFT angulation lock

Grip section

14. Color code

Boot

Suction cylinder

Control section

Air/water cylinder

Biopsy valve (MB-358)

10. Instrument channel

Instrument channel port

11. Insertion tube limit mark

Working length

13. Remote switches

Top view

Insertion tube

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Distal end

12. Bending section

Chapter 2 Instrument Nomenclature and Specifications

 GIF-H260Z

Universal cord

1. Suction connector

5. Electrical connector

Air pipe

Light guide

19. Auxiliary water inlet

Auxiliary water inlet cap (MAJ-215)

2. S-cord connector mount

3. Air supply connector

3. Water supply connector

Product name and serial number

Contact pins

4. Endoscope connector

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

18. Zoom lever

16. RIGHT/LEFT angulation control knob

15. RIGHT/LEFT angulation lock

Chapter 2 Instrument Nomenclature and Specifications

8. Suction valve (MH-443)

Suction cylinder

Air/water cylinder

9. Air/water valve (MH-438)

Control section

Top view

Grip section

14. Color code

Boot

13. Remote switches 1 to 4

Biopsy valve (MB-358)

10. Instrument channel

Instrument channel port

11. Insertion tube limit mark

Working length

Distal end

12. Bending section

Insertion tube

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

 CF-Q260AL, CF-Q260AI, CF-H260AL, CF-H260AI,

PCF-Q260AL, PCF-Q260AI

Universal cord

5. Electrical connector

Air pipe

Light guide

1. Suction connector

2. S-cord connector mount

3. Air supply connector

3. Water supply connector

Product name and serial number

Electrical contacts

4. Endoscope connector

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

8. Suction valve (MH-443)

9. Air/water valve (MH-438)

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

16. RIGHT/LEFT angulation control knob

15. RIGHT/LEFT angulation lock

Grip section

14. Color code

Mark

17. Flexibility adjustment ring

Suction cylinder

Control section

Air/water cylinder

Biopsy valve (MB-358)

10. Instrument channel

Instrument channel port

Marks

Boot

11. Insertion tube limit mark

Working length

13. Remote switches

Top view

Insertion tube

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Distal end

12. Bending section

Chapter 2 Instrument Nomenclature and Specifications

 CF-H260AZL, CF-H260AZI

Mark3

22. Seal ring

Front view of the zoom scope connector

5. Electrical connector

Air pipe

Light guide

Electrical contacts

Universal cord

1. Suction connector

2. S-cord connector mount

20. Zoom connector

21. Water-resistant cap (MAJ-583)

3. Air supply connector

3. Water supply connector

Product name and serial number

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

4. Endoscope connector

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

18. Zoom lever

16. RIGHT/LEFT angulation control knob

15. RIGHT/LEFT angulation lock

Chapter 2 Instrument Nomenclature and Specifications

9. Air/water valve (MH-438)

8. Suction valve (MH-443)

Suction cylinder

Control section

Grip section

14. Color code

Mark

17. Flexibility adjustment ring

Boot

Air/water cylinder

Biopsy valve (MB-358)

10. Instrument channel

Instrument channel port

Marks

11. Insertion tube limit mark

Working length

13. Remote switches

Top view

Insertion tube

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Distal end

12. Bending section

Chapter 2 Instrument Nomenclature and Specifications

 CF-Q260DL, CF-Q260DI

Mark

22. Seal ring

Front view of the UPD scope connector

5. Electrical connector

Air pipe

Light guide

Electrical contacts

Universal cord

1. Suction connector

2. S-cord connector mount

23. UPD scope connector

24. Water-resistant cap (MAJ-942)

3. Air supply connector

3. Water supply connector

Product name and serial number

4. Endoscope connector

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

16. RIGHT/LEFT angulation control knob

Chapter 2 Instrument Nomenclature and Specifications

9. Air/water valve (MH-438)

8. Suction valve (MH-443)

Suction cylinder

15. RIGHT/LEFT angulation lock

Grip section

14. Color code

17. Flexibility adjustment ring

Mark

Air/water cylinder

Biopsy valve (MB-358)

10. Instrument channel

Instrument channel port

Marks

Boot

11. Insertion tube limit mark

Working length

Control section

13. Remote switches

Top view

Insertion tube

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Distal end

12. Bending section

Chapter 2 Instrument Nomenclature and Specifications

2.2 Endoscope functions

1. Suction connector

Connects the endoscope to the suction tube of the suction pump.

2. S-cord connector mount (except GIF-N260, GIF-XP260)

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. Connect the fitting of the chain for

water-resistant cap to this mount as required (see Section 2.4 on page 46).

3. Water supply connector and air supply connector

Connects the endoscope to the water container via the water container tube, to supply water to the distal end of the endoscope.

4. Endoscope 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

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-260SL, CV-260. For more details, refer to the instruction manual

of the CV-260SL, CV-260.

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.

10. Instrument channel

The instrument channel functions as:

− channel for the insertion of endo-therapy accessories

− suction channel

− fluid feed channel (from a syringe via the biopsy valve)

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

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 (the GIF-N260 has

only the UP/DOWN angulation control knob).

13. Remote switches 1 to 4

The functions of remote switches 1 to 4 can be selected on the video system

center. When selecting the functions, also 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-N260, GIF-XP260

• Yellow: GIF-XQ260, GIF-Q260, GIF-H260, GIF-H260Z,

CF-Q260AL/I, CF-H260AZL/I, PCF-Q260AL/I,

CF-Q260DL/I

• Orange: CF-H260AL/I

15. RIGHT/LEFT angulation lock (except GIF-N260)

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 (except GIF-N260)

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. Flexibility adjustment ring (for endoscopes with flexibility adjustment 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 is most flexible. To decrease the flexibility,

turn the ring so that the numbers are aligned with the “ ” mark (“3”

corresponds to the most-rigid condition). As the ring is turned from “z” to “3”, the insertion tube’s flexibility gradually decreases.

18. Zoom lever (for GIF-H260Z, CF-H260AZL/I only)

Moving this lever toward “ T” magnifies the monitor image (close-up

observation). Moving the lever toward “W ” reduces the monitor image

(wide-angle observation).

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

19. Auxiliary water inlet (for GIF-H260Z only)

Connect the auxiliary water tube here. Feed water from this inlet through the

auxiliary water channel when necessary, (e.g. when blood adheres to mucous membrane 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.

20. Zoom connector (for CF-H260AZL/I only)

This connector connects the endoscope to the magnification controller via the magnification control cable.

21. Water-resistant cap (MAJ-583) (for CF-H260AZL/I only)

This cap is attached to the zoom connector for protection against water

penetration. If you purchase a water-resistant cap separately, attach its

chain to the endoscope.

22. Seal ring (for CF-H260AZL/I only)

This ring protects the zoom connector against water penetration when the

water-resistant cap (MAJ-583) is attached.

23. UPD scope connector (for CF-Q260DL/I only)

This connector connects the endoscope to the endoscope position detecting unit (UPD) via the UPD cable.

24. Water-resistant cap (MAJ-942) (for CF-Q260DL/I only)

This cap is attached to the UPD scope connector for protection against

water penetration. If you purchase a water-resistant cap separately, attach

its chain to the endoscope.

25. Seal ring (for CF-Q260DL/I only)

This ring protects the UPD scope connector against water penetration when the water-resistant cap (MAJ-942) is attached.

26. Chain connector (for GIF-N260, GIF-XP260 only)

This connector connects the fitting part of the chain for water-resistant cap

as required. Do not connect the S-cord of the electrosurgical unit.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

2.3 Specifications

Environment

Chapter 2 Instrument Nomenclature and Specifications

Operating

environment

Transportation and

storage

environment

Ambient temperature 10 – 40°C

Relative humidity 30 – 85%

Atmospheric pressure 700 – 1060 hPa

Ambient temperature –47 to 70°C

Relative humidity 10 – 95%

Atmospheric pressure 700 – 1060 hPa

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Specifications

 Endoscope functions

Model

GIF-N260

∗

Optical system Field of view

Direction of view Forward viewing

Depth of field 3 – 100 mm

Insertion tube Distal end outer diameter ø4.9mm

Distal end enlarged 1. Air/water nozzle

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT LEFT

Insertion tube outer

diameter

Working length 110 0 m m

Instrument

channel

Channel inner diameter

Minimum visible distance 3 mm from the distal end

∗2

ø5.2mm

120

DOWN

ø2mm

4.2.

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

Air flow rate

Note: Standard when CLV-260 (high

air pressure) is used.

Bending section Angulation range

Total length 1420 mm

NBI observation

∗3

UP 210

25 cm

°, DOWN 120°

Available

∗1 GIF-N260 cannot be used to perform high-frequency cauterization or laser

cauterization.

∗2 Normal value

∗3 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model

Optical system Field of view

Direction of view Forward viewing

Depth of field 3 – 100 mm

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

∗

4.2.

GIF-XP260

120°

ø5mm

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT LEFT

DOWN

Insertion tube outer

diameter

Working length 1030 mm

Instrument

channel

Air flow rate

Bending section Angulation range

Total l e ngth 1350 mm

NBI observation

Channel inner

diameter

Minimum visible

distance

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

∗3

∗2

Note: Standard when CLV-260 (high air

pressure) is used.

ø6.5mm

ø2mm

3 mm from the distal end

25 cm

°, DOWN 90°,

UP 210

RIGHT 100°, LEFT 100°

Available

∗1 GIF-XP260 cannot be used to perform high-frequency cauterization or

laser cauterization.

∗2 Normal value

∗3 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model GIF-XQ260

Optical system Field of view

Direction of view Forward viewing

Depth of field 3 – 100 mm

140°

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

Insertion tube outer

diameter

Working length 1030 mm

Instrument

channel

Channel inner

diameter

Minimum visible

distance

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

∗1

ø9mm

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT LEFT

DOWN

ø9mm

ø2.8mm

3 mm from the distal end

4.3.

Air flow rate

Note: Standard when CLV-260 (high air

pressure) is used.

Bending section Angulation range

RIGHT 100°, LEFT 100°

Total length 1350 mm

NBI observation

∗2

UP 210

25 cm3/s

°, DOWN 90°,

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model GIF-Q260

Optical system Field of view

Direction of view Forward viewing

Depth of field 3 – 100 mm

140°

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

Insertion tube outer

diameter

Working length 1030 mm

Instrument

channel

Channel inner

diameter

Minimum visible

distance

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

∗1

ø9.2mm

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT LEFT

DOWN

ø9.2mm

ø2.8mm

3 mm from the distal end

4.3.

Air flow rate

Note: Standard when CLV-260 (high air

pressure) is used.

Bending section Angulation range

RIGHT 100°, LEFT 100°

Total l e ngth 1350 mm

NBI observation

∗2

UP 210

25 cm3/s

°, DOWN 90°,

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model GIF-H260

Optical system Field of view

Direction of view Forward viewing

Depth of field 3 – 100 mm

140°

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

Insertion tube outer

diameter

Working length 1030 mm

Instrument

channel

Channel inner

diameter

Minimum visible

distance

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

∗1

ø9.8mm

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT LEFT

DOWN

ø9.5mm

ø2.8mm

3 mm from the distal end

4.3.

Air flow rate

Note: Standard when CLV-260 (high air

pressure) is used.

Bending section Angulation range

RIGHT 100°, LEFT 100°

Total length 1350 mm

NBI observation

∗2

UP 210

25 cm3/s

°, DOWN 90°,

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model GIF-H260Z

Optical system Field of view 140° (WIDE position)

75° (TELE position)

Direction of view Forward viewing

Depth of field 7 – 100 mm (WIDE position)

1.5 – 3 mm (TELE position)

(The focus range is switchable.)

Insertion tube Distal end outer diameter ø 10.8 mm

Distal end enlarged 1. Air/water nozzle

2. Light guide lens

3. Objective lens

4. Instrument channel

5. Auxiliary water channel

RIGHT

DOWN

Insertion tube outer

diameter

Working length 1030 mm

Instrument

channel

Air flow rate

Bending section Angulation range UP 210°, DOWN 90°,

Total l e ngth 1350 mm

NBI observation

Channel inner diameter

Minimum visible distance 4 mm from the distal end

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

∗2

∗1

Note: Standard when CLV-260 (high

air pressure) is used.

ø 10.5 mm

ø2.8mm

(in WIDE position)

25 cm

RIGHT 100°, LEFT 100°

Available

LEFT

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model CF-Q260AL CF-Q260AI

Optical system Field of view

Direction of view Forward viewing

Depth of field 4 – 100 mm

140°

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

Insertion tube outer

diameter

Working length 1680 mm 1330 mm

Range of the flexibility

adjustment

Instrument

channel

Channel inner

diameter

Minimum visible

distance

∗1

ø 12.2 mm

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT LEFT

DOWN

ø12mm

The rigidity in the most-rigid condition is

about twice that in the most-flexible

condition.

ø3.2mm

4 mm from the distal end

2.4.

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

Air flow rate

Note: Standard when CLV-260 (high air

pressure) is used.

Bending section Angulation range

RIGHT 160°, LEFT 160°

Total length 2005 mm 1655 mm

NBI observation

∗2

UP 180

30 cm3/s

°, DOWN 180°,

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model CF-Q260DL CF-Q260DI

Optical system Field of view

Direction of view Forward viewing

Depth of field 5 – 100 mm

140°

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

Insertion tube outer

diameter

Working length 1680 mm 1330 mm

Range of the flexibility

adjustment

Instrument

channel

Channel inner

diameter

Minimum visible

distance

∗1

ø12.2mm

2. Light guide lens

3. Objective lens

4. Instrument channel

RIGHT LEFT

DOWN

ø12.4mm

The rigidity in the most-rigid condition is

about twice that in the most-flexible

condition.

ø3.2mm

5 mm from the distal end

2.4.

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

Air flow rate

Note: Standard when CLV-260 (high air

pressure) is used.

Bending section Angulation range

RIGHT 160°, LEFT 160°

Total l e ngth 2005 mm 1655 mm

NBI observation

∗2

UP 180

30 cm3/s

°, DOWN 180°,

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model CF-H260AL CF-H260AI

Optical system Field of view

Direction of view Forward viewing

Depth of field 5 – 100 mm

140°

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

Insertion tube outer

diameter

Working length 1680 mm 1330 mm

Range of the flexibility

adjustment

Instrument

channel

Channel inner

diameter

Minimum visible

distance

∗1

ø 13.2 mm

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT LEFT

DOWN

ø 12.9 mm

The rigidity in the most-rigid condition is

about twice that in the most-flexible

condition.

ø3.7mm

4 mm from the distal end

2.4.

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

Air flow rate

Note: Standard when CLV-260 (high air

pressure) is used.

Bending section Angulation range

RIGHT 160°, LEFT 160°

Total length 2005 mm 1655 mm

NBI observation

∗2

UP 180

30 cm3/s

°, DOWN 180°,

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model CF-H260AZL CF-H260AZI

Optical system Field of view

Direction of view Forward viewing

Depth of field 7 – 100 mm (WIDE position)

Insertion tube Distal end outer diameter ø 13.6 mm

Distal end enlarged 1. Air/water nozzle

140° (WIDE position)

° (TELE position)

2 – 3 mm (TELE position)

(The focus range is switchable)

2. Light guide lens

3. Objective lens

4. Instrument channel

RIGHT LEFT

DOWN

2.4.

Insertion tube outer

diameter

Working length 1680 mm 1330 mm

Range of the flexibility

adjustment

Instrument

channel

Air flow rate

Bending section Angulation range

Channel inner diameter

Minimum visible distance 4 mm from the distal end

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

ø 12.9 mm

The rigidity in the most-rigid condition

is about twice that in the most-flexible

condition.

∗1

Note: Standard when CLV-260 (high

air pressure) is used.

ø3.2mm

(in WIDE position)

30 cm

UP 180

RIGHT 160°, LEFT 160°

°, DOWN 180°,

Total l e ngth 2005 mm 1655 mm

NBI observation

∗2

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model PCF-Q260AL PCF-Q260AI

Optical system Field of view

Direction of view Forward viewing

Depth of field 5 – 100 mm

140°

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

Insertion tube outer

diameter

Working length 1680 mm 1330 mm

Range of the flexibility

adjustment

Instrument

channel

Channel inner

diameter

Minimum visible

distance

∗1

ø11.3mm

2. Light guide lens

3. Objective lens

4. Instrument channel

RIGHT LEFT

DOWN

ø11.3mm

The rigidity in the most-rigid condition is

about twice that in the most-flexible

condition.

ø3.2mm

5 mm from the distal end

2.4.

Direction from which

endo-therapy

accessories enter and

exit the endoscopic

image

Air flow rate

Note: Standard when CLV-260 (high air

pressure) is used.

Bending section Angulation range

RIGHT 160°, LEFT 160°

Total length 2005 mm 1655 mm

NBI observation

∗2

UP 180

30 cm3/s

°, DOWN 180°,

Available

∗1 Normal value

∗2 For more details, refer to the instruction manual of the CV-260SL.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Medical

Device

Directive

EMC Applied standard;

IEC 60601-1-2: 2001

Year o f

manufacture

2612345

This device complies with the requirements

of Directive 93/42/EEC concerning medical

devices.

Classification: Class II a

This instrument complies with the standards

listed in the left column.

CISPR 11 of emission:

Group 1, Class A

(CF-Q260DL/I only)

Group 1, Class B

(except CF-Q260DL/I)

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.

The last digit of the year of manufacture is

the second digit of the serial number.

Degree of

protection

against

electric shock

TYPE BF applied part

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

2.4 Attaching the chain for water-resistant cap (MAJ-1119)

• Do not lift the endoscope by the chain for water-resistant cap. Otherwise, operator and/or patient injury can result, or the

endoscope and/or water-resistant cap may be damaged

when the fitting part comes off the S-cord connector mount or the chain connector of the GIF-N260 and GIF-XP260.

• Only connect the fitting to the S-cord connector mount or the

chain connector of the GIF-N260 and GIF-XP260.

Connecting the fitting to the suction connector may impair the

connection of the suction tube to the suction connector. It may also cause the suction tube to become disconnected

from the endoscope and allow patient debris to spray.

• The chain for water-resistant cap and water-resistant cap

itself cannot be ultrasonically cleaned; doing so could damage them. The water-resistant cap with the chain can

only be ultrasonically cleaned if connected to endoscopes

that are being cleaned in an endoscope reprocessor (such as OER, OER-A) with an ultrasonic cleaning phase.

• When attaching the water-resistant cap to the electrical

connector, do not pinch the chain for water-resistant cap

between the electrical connector of the endoscope and the water-resistant cap. Otherwise, equipment damage may

result.

• The chain for water-resistant cap and water-resistant cap

cannot be Ethylene oxide gas sterilized; doing so may damage them. If the water-resistant cap is connected to the

endoscope by the chain, be sure to remove the chain and the

water-resistant cap from the endoscope before Ethylene oxide gas sterilization.

• The chain for water-resistant cap and water-resistant cap

cannot be steam sterilized (autoclaved); doing so can

damage them severely.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Notch

Chapter 2 Instrument Nomenclature and Specifications

Chain part

Connecting plate

Figure 2.1

To ensure that you do not forget to attach the water-resistant

cap, it is recommended that you connect it to the

endoscope’s S-cord connector mount or the chain connector of the GIF-N260 and GIF-XP260 using the chain for

water-resistant cap.

Fitting part

Hole

1. Confirm that the chain for water-resistant cap is free from cracks, flaws,

wear, deformation or other damages (see Figure 2.1).

2. Align the notch on the connecting plate with the pin on the venting connector

of water-resistant cap (MH-553, see Figure 2.2).

3. Place the connecting plate over the venting connector (see Figure 2.2).

4. Confirm that the connecting plate is securely attached to the foot of the

venting connector and can be smoothly rotated (see Figure 2.2).

5. Place the hole on the fitting part over the endoscope’s S-cord connector

mount or the chain connector of the GIF-N260 and GIF-XP260 (see Figure

2.3).

6. Confirm that the fitting part is securely attached to the foot of the S-cord

connector mount or the chain connector of GIF-N260 and GIF-XP260 and

can be smoothly rotated.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Connecting plate

Venting connector

Water-resistant cap

Figure 2.2

Notch

Fitting part

Hole

S-cord connector mount or chain connector

Figure 2.3

The instructions on the remaining pages of this manual are

given under the assumption that the chain for water-resistant

cap is detached from the endoscope.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

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. If any irregularities are suspected after

inspection, follow the instructions as described in Chapter 5, “Troubleshooting”.

If this instrument malfunctions, do not use it. Return it to Olympus for repair as described in Section 5.3, “Returning the endoscope for repair” on page 105.

• 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 as described

in the endoscope’s companion manual, the “REPROCESSING MANUAL” whose cover lists the model of

your endoscope.

EVIS LUCERA GIF/CF/PCF TYPE 260 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.

Monitor

Video system center

Water container

UPD cable (for CF-Q260DL/I only)

Light source

Magnification controller cable (for CF-H260AZL/I only)

Magnification controller (for CF-H260AZL/I only)

Suction pump

Endoscope

Endoscope position detecting unit (for CF-Q260DL/I only)

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Endo-therapy accessories

Chapter 3 Preparation and Inspection

Mouthpiece (for GIF models only)

Water pump (OFP) or a syringe (for GIF-H260Z only)

• Paper towels • Trays • Lint-free cloths • Personal protective equipment

Auxiliary water tube (for GIF-H260Z only)

Figure 3.1

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

3.2 Inspection of the endoscope

Clean and disinfect or sterilize the endoscope as described in the

“REPROCESSING MANUAL” whose cover lists the model of your endoscope.

Then remove the water-resistant cap from the endoscope connector.

Inspection of the endoscope

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

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).

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Chapter 3 Preparation and Inspection

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 junction between the

bending section and the insertion tube is not loose.

7. Inspect the objective lens and light guide 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 abnormal swelling, bulges, dents or other irregularities.

Inspection of the flexibility adjustment mechanism (for endoscopes with flexibility adjustment only)

Confirm that the marks (“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

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

2. Confirm that the flexibility adjustment ring can be turned smoothly when the

insertion tube is straight.

3. Set the insertion tube to the most-flexible and most-rigid conditions,

respectively. In each case, hold the marks of 30 and 50 cm of the insertion

tube with two hands, and bend it gently as shown in Figure 3.5. Confirm that the actual flexibility changes according to the flexibility adjustment setting.

Do not use the endoscope if the marking 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.

If the insertion tube is coiled into a too small diameter, the flexibility adjustment ring may not operate smoothly. This

does not indicate a malfunction.

30 cm

50 cm

Figure 3.5

Inspection of the zoom lever (for GIF-H260Z and CF-H260AZL/I only)

Move the zoom lever slowly in each direction unit it stops. Confirm that it moves smoothly and correctly.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

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 (except GIF-N260).

• If the movement of the UP/DOWN angulation lock and its

angulation control knob 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 (for GIF-N260 only).

Chapter 3 Preparation and Inspection

 Inspection for smooth operation

1. Confirm that both the UP/DOWN and RIGHT/LEFT angulation locks move

all the way in the “F ” direction (the GIF-N260 has only the UP/DOWN angulation lock).

2. Turn the UP/DOWN and RIGHT/LEFT angulation control knobs slowly in

each direction until they stop, and return them to their respective neutral

positions (the GIF-N260 has only the UP/DOWN angulation knob). Confirm that the bending section angulates smoothly and correctly, that maximum

angulation can be achieved and that the bending section returns to its

respective neutral positions.

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Chapter 3 Preparation and Inspection

3. When the UP/DOWN and RIGHT/LEFT angulation control knobs are turned

to their respective neutral positions as shown in Figure 3.6, confirm that the

bending section returns smoothly to an approximately straight condition (except GIF-N260).

Figure 3.6

4. When the UP/DOWN angulation control knob is turned to its neutral position

as shown in Figure 3.7, confirm that the bending section returns smoothly to an approximately straight condition (for GIF-N260 only).

Figure 3.7

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

 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 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

(except GIF-N260)

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 when the RIGHT/LEFT

angulation lock is turned in the “F ” direction and the RIGHT/LEFT angulation control knob is released.

EVIS LUCERA GIF/CF/PCF TYPE 260 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 as described in the endoscope’s companion

reprocessing manual, the “REPROCESSING MANUAL” whose cover lists the model of your endoscope.

Inspection of the air/water and suction valves

Confirm that the top hole of the air/water valve is not blocked (see Figure 3.8). If the hole is blocked, air is fed continuously

and patient pain, bleeding and/or perforation can result.

1. Confirm that the holes of the valves are not blocked (see Figures 3.8 and

3.9).

2. Confirm that the valves are not deformed or cracked (see Figures 3.8 and

3.9).

3. Check for excessive scratching or tears in the air/water valve’s seals (see

Figure 3.8).

Hole

Spring

Seals

Air/water valve (MH-438)

Figure 3.8

Skirt

Hole

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Figure 3.9

Chapter 3 Preparation and Inspection

Spring

Skirt

Hole

Suction valve (MH-443)

The air/water and suction valves are consumables. If the

inspection of the air/water or suction valve reveals any

irregularities, use new valves.

Inspection of the biopsy valve

The biopsy valve is a consumable that should be inspected before each use. Replace it with a new one if irregularities

are observed during the 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 valve have no splits, cracks,

deformation, discoloration or other damage (see Figure 3.10).

Normal Abnormal

Slit

Hole

Cap

Main body

Discoloration

Splits, cracks

Figure 3.10

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Chapter 3 Preparation and Inspection

2. Attach the cap to the main body (see Figure 3.11).

Slit

Cap

Figure 3.11

Main body

Inspection of the auxiliary water inlet cap (for GIF-H260Z only)

Confirm that the auxiliary water inlet cap attached to the endoscope

connector has no dents, cracks or other irregularities (see Figure 3.12).

2. If irregularities are observed, replace it with a new one as described in

“Attaching the auxiliary water inlet cap (for GIF-H260Z only)” on page 64.

Auxiliary water inlet

Endoscope connector

Auxiliary water inlet cap

Figure 3.12

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Inspection of the auxiliary water tube (for GIF-H260Z only)

Inspect the auxiliary water tube for cracks, scratches, flaws and other damage

(see Figure 3.13).

Chapter 3 Preparation and Inspection

Clip

Figure 3.13

Luer port

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 3.14).

Opening

Main body

Figure 3.14

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Outer flange

Chapter 3 Preparation and Inspection

2. Using your fingers, check for excessive scratching or other irregularities on

all surfaces of the mouthpiece (see Figure 3.14).

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

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 Figure

3.15). Confirm that the valve fits properly without any bulging of the skirt.

Also confirm that the valve cannot be rotated.

Two metal ridges

Figure 3.15

Skirt

Side view

Bottom view Top view

The suction valve will make a whistling noise when it is dry;

this does not indicate a malfunction.

Suction cylinder

Two holes

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Attaching the air/water valve

Attach the air/water valve to the air/water cylinder of the endoscope (see

Figure 3.16).

2. Confirm that the valve fits properly without any bulging of the skirt.

Air/water valve

Air/water cylinder

Chapter 3 Preparation and Inspection

Suction valve

Skirt

Suction cylinder

Figure 3.16

The air/water valve may stick at first, but it should operate smoothly after it is depressed a few times.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

Attaching the biopsy valve

Attach the biopsy valve to the instrument channel port of the endoscope (see

Figure 3.17). Confirm that the biopsy valve fits properly.

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.

Biopsy valve

Instrument channel port

Figure 3.17

Attaching the auxiliary water inlet cap (for GIF-H260Z only)

If the auxiliary water inlet cap is not attached, attach the fitting ring to the

auxiliary water inlet on the endoscope connector (see Figure 3.18).

Fitting ring

Auxiliary water inlet

Endoscope connector

Figure 3.18

Auxiliary water inlet cap

EVIS LUCERA GIF/CF/PCF TYPE 260 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 it may cause equipment malfunction.

Prepare and inspect the light source, video system center, monitor, magnification controller (for CF-H260AZL/I only), endoscope position detecting unit (for

CF-Q260DL/I only), water container, suction pump and endo-therapy

accessories as described in their respective instruction manuals.

The NBI observation is available when the EVIS LUCERA

video system center CV-260SL and the EVIS LUCERA

xenon light source CLV-260SL are used with the endoscope.

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 damage and/or reduce suction capability.

When using the GIF-H260, GIF-H260Z, CF-H260AL/I and

CF-H260AZL/I, use the videoscope cable LUCERA (MAJ-1154). These endoscopes are not compatible with the

videoscope cable 200 (MH-977).

1. If any ancillary equipment is ON, turn it OFF.

2. Insert the endoscope connector completely into the scope socket (output

socket when using the CLV-U20/U40) of the light source.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

3. Connect the water container’s connection adapter to the air supply

connector and water supply connector (see Figure 3.19).

4. Confirm that the water container’s connection adapter fits properly and that

it cannot be rotated.

(1) (2) (3) (4)

Water container’s connection adapter

Air supply connector

Water supply connector

Endoscope connector

5. Align the mark on the videoscope cable LUCERA or the videoscope cable

Mark 2 (gray)

Figure 3.19

200 with mark 1 on the endoscope connector and push it in until it stops

(see Figure 3.20).

Mark (gray)

Mark 1 (gray)

Figure 3.20

6. Turn the connector of the videoscope cable clockwise until it stops (see

Figure 3.20).

7. Confirm that the mark on the videoscope cable is aligned with mark 2 on the

endoscope connector.

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Chapter 3 Preparation and Inspection

8. Align the notch on the endoscope plug of the magnification control cable

with mark 3 on the zoom connector of the endoscope and push the

endoscope plug into the zoom connector until it stops (see Figure 3.21 for CF-H260AZL/I only).

Mark 3 (protrusion)

Notch

Endoscope plug

Figure 3.21

If force is used on the magnification control cable, the

endoscope is designed to detach at the endoscope plug, not

at the endoscope connector (for CF-H260ZL/I only).

9. Align the notch on the endoscope plug of the UPD cable with mark 3 on the

UPD scope connector of the endoscope and push the endoscope plug into the UPD scope connector until it stops (see Figure 3.22 for CF-Q260DL/I

only).

Mark 3 (protrusion)

Notch

Position detecting connector

Figure 3.22

If force is used on the UPD cable, the endoscope is designed to detach at the endoscope plug, not at the endoscope

connector (for CF-Q260DL/I only).

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

10. Connect the suction tube from the suction pump to the suction connector on

the endoscope connector (see Figure 3.23).

Figure 3.23

11. Open the auxiliary water inlet cap (see Figure 3.24 for GIF-H260Z only).

Suction pump

Suction connector

Suction tube

12. Connect the auxiliary water tube to the auxiliary water inlet on the

endoscope connector and turn it clockwise until it stops (see Figure 3.24 for GIF-H260Z only).

Auxiliary water tube

Auxiliary water inlet

Endoscope connector

Figure 3.24

Auxiliary water inlet cap

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

3.6 Inspection of the endoscopic system

Inspection of the endoscopic image

Do not stare directly at the distal end of the endoscope while the examination light is ON. Otherwise, eye injury may result.

1. Turn the video system center, light source, monitor, magnification controller

(for CF-H260AZL/I only) and endoscope position detecting unit (for

CF-Q260DL/I only) ON and inspect the WLI endoscopic image as described

in their respective instruction manuals.

2. Confirm that light is output from the endoscope’s distal end.

3. While observing the palm of your hand, confirm that the WLI endoscopic

image is free from noise, blur, fog or other irregularities.

4. Angulate the endoscope and confirm that the WLI endoscopic image does

not momentarily disappear or displays any other irregularities.

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

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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

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.

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, there may be an irregularity in the air feeding function. If the endoscope is used while air is

continuously 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 a new 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. Non sterile water may cause patient

cross-contamination and/or infection.

• 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.

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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

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 from the objective lens and clears

the endoscopic image.

Inspection of the suction function

• 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.

Chapter 3 Preparation and Inspection

• 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 and suction channels.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

Inspection of the instrument channel

1. Insert the endo-therapy accessory through the biopsy valve. Confirm that

the endo-therapy accessory extends smoothly from the distal end. Also

make sure that no foreign objects come out of the distal end.

2. Confirm that the endo-therapy accessory is withdrawn smoothly from the

biopsy valve.

Inspection of the zoom function (for GIF-H260Z only)

When using the video system center CV-260SL, select the “WLI observation mode” as indicated in the instruction manual of the video system center.

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.

2. Move the zoom lever toward “ T” until it stops and confirm that the image

of an object located about 2 mm from the distal end is clearly visible.

3. Move the zoom lever toward “W ” until it stops and confirm that the image

of an object located at about 20 mm from the distal end is clearly visible.

4. While observing the palm of your hand, move the zoom lever toward “ T”

and confirm that the endoscopic image changes smoothly the wide-angle

image into the magnified image.

5. While observing the palm of your hand, turn the zoom lever toward “W ”

and confirm that the endoscopic image changes smoothly the magnified image into the wide-angle image.

Inspection of the zoom function (for CF-H260AZL/I only)

When using the video system center CV-260SL, select the “WLI observation

mode” as indicated in the instruction manual of the video system center.

2. If the magnification controller is OFF, turn it ON and set the speed mode as

described in its instruction manual.

3. Move the zoom lever toward “ T”. After about 3 seconds, confirm that the

image of an object located about 2 mm from the distal end is clearly visible.

4. Move the zoom lever toward “W ”. After about 3 seconds, confirm that the

image of an object located at about 20 mm from the distal end is clearly

visible.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 3 Preparation and Inspection

5. While observing the palm of your hand, move the zoom lever toward “ T”

and confirm that the endoscopic image changes smoothly the wide-angle

image into the magnified image.

6. While observing the palm of your hand, move the zoom lever toward “W ”

and confirm that the endoscopic image changes smoothly the magnified image into the wide-angle image.

• Immediately after turning the magnification controller ON, a

widest angle image will be observed.

• If the endoscope is stored at a lower temperature than room

temperature, the speed of the magnification control could be slow. In this case, wait for a moment until the endoscope

reaches room temperature and check the magnification

control function again.

Inspection of the auxiliary water feeding function (for GIF-H260Z only)

• Use sterile water only. Non-sterile water may cause patient

cross-contamination and/or 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

the luer port 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 3.25). 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 from the connection between the connecting

end of the auxiliary water tube and the auxiliary water inlet.

3. Make sure that no water leaks from the connection between the luer port of

the auxiliary water tube and the syringe or 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 at the luer

port of the auxiliary water tube and/or the distal end of the insertion tube.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

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

Luer port

Auxiliary water tube

Connecting end

Figure 3.25

Inspection of the endoscope position detecting function (for CF-Q260DL/I only)

If the endoscope position detecting unit is turned OFF, turn it ON. Inspect “scope

model” as described in the position detecting unit’s instruction manual.

The scope model may not be displayed depending on the

endoscope’s position. Operate the endoscope position detecting unit as described in its instruction manual.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

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 the procedure. 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.

Chapter 4 Operation

• The temperature of the distal end of the endoscope may

exceed 41°C and reach 50°C due to intense endoscopic illumination. Surface temperatures over 41°C 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 a 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 (when using the light source other than CLV-260SL, CLV-260).

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

• Never insert or withdraw the endoscope under any of the

following conditions. Otherwise, patient injury, bleeding and/or perforation can result.

− While the endo-therapy accessory extends from the distal

end of the endoscope.

− While the bending section is locked in position.

− Insertion or withdrawal with excessive force, or forcible

insertion or withdrawal.

− While the image is magnified (when using the GIF-H260Z,

CF-H260AZL/I or using the image magnification function

of video system center CV-260SL, CV-260).

• Transnasal insertion is accompanied by the risk of

inflammation of the nasal cavity. If this happens, the nasal passage will be constricted, making it more difficult to

withdraw the endoscope. In this case, do not use force to

withdraw the endoscope because patient injury such as

bleeding or perforation may result.

• Transnasal insertion is accompanied by the risk of bleeding in the nasal cavity. Be sure to be prepared to deal with any

bleeding. When withdrawing the endoscope, observe the

inside of the nasal cavity to ensure that there is no bleeding. Even when the endoscope has been withdrawn without

bleeding, do not allow the patient to blow his or her nose

strongly because this could cause it to start bleeding.

• Before transnasal insertion, apply the appropriate pretreatment and lubrication to the patient to enlarge the

nasal cavity. Otherwise, operator and/or patient injury can

result or the endoscope could become lodged and be difficult to withdraw. When applying a pretreatment agent through a

tube, insert the tube into the same path as the path planned

for the endoscope insertion. Otherwise, the treatment will have no effect. The effects of the pretreatment agent and

lubricant will decrease the longer the procedure lasts. Apply

the pretreatment agent or lubricant as required during the procedure

difficult.

– for example, when withdrawal seems to be

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

• The bending section will never bend to the RIGHT or LEFT

direction but to the UP or DOWN direction. To insert or withdraw, operate the endoscope by considering the direction

in which the bending section is angulated. Never apply

excessive force to the RIGHT or LEFT direction when inserting or withdrawing the endoscope. Patient injury,

bleeding and/or perforation can result (for GIF-N260 only).

• If any of the following phenomena occurs 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” on

page 102.

− If any abnormality is suspected with the functionality of the endoscope.

− If the endoscopic image on the monitor disappears or

freezes unexpectedly.

− If the angulation control knob is locked.

− If the angulation control mechanism is not functioning

properly.

− If the zoom malfunctions (when using the GIF-H260Z, CF-H260AZL/I or using the image magnification function

of video system center CV-260SL, CV-260).

− If the flexibility adjustment ring becomes jammed (for endoscopes with flexibility adjustment only).

Continued use of the endoscope under these conditions

could result in patient injury, bleeding and/or perforation.

• If an abnormal endoscopic image or function is observed, but

quickly corrects itself, the endoscope may have malfunctioned. Continuous use of such an endoscope may

cause the abnormality to occur again, at which time it may

not return to the normal condition. In this case, stop the examination immediately and slowly withdraw the endoscope

while viewing the endoscopic image. Otherwise, patient

injury, bleeding and/or perforation can result.

• Never perform flexibility adjustment while the endo-therapy accessory extends from the distal end of the endoscope.

Patient injury, bleeding and/or perforation can result (for

endoscopes with flexibility adjustment only).

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Chapter 4 Operation

• Regardless of the flexibility of the endoscope’s insertion tube, it can cause patient injury, bleeding and/or perforation if it is

forcibly inserted, withdrawn and/or twisted with excessive

force. It is generally believed that an endoscope with a more-rigid insertion tube is easier to manipulate in the

intestines if used properly. However, it should be noted that

such an endoscope, if used improperly, is more likely to cause patient pain, injury, bleeding and/or perforation than an

endoscope with a more flexible insertion tube (for

endoscopes with flexibility adjustment only).

• The flexibility of the insertion tube of the CF-Q260AL/I can be adjusted to less than, equal to or more than that of the

CF-240L/I. The range of the flexibility adjustment of the

CF-Q260AL/I is equal to that of the CF-240AL/I. The flexibility of the insertion tube of the CF-Q260DL/I can be

adjusted to less than, equal to or more than that of the

CF-240L/I and CF-Q240L/I. The range of the flexibility

adjustment of the CF-Q260DL/I is equal to that of the CF-240DL/I.

The flexibility of the insertion tube of the CF-H260AL/I and

CF-H260AZL/I can be adjusted to less than, equal to or more than that of the CF-Q240L/I and CF-Q240ZL/I. The range of

the flexibility adjustment of the CF-H260AL/I and

CF-H260AZL/I is equal to the CF-Q240AL/I. The flexibility of the insertion tube of the PCF-Q260AL/I can

be adjusted to less than, equal to or more than that of the

PCF-240L/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

most-flexible condition. Continuing the examination while the

insertion tube is set to an inappropriate degree of flexibility may cause patient pain, injury, bleeding and/or perforation

(for endoscopes with flexibility adjustment only).

• The endoscopic image may be disturbed while switching

observation modes. Therefore, do not perform an endoscopic operation or treatment while switching the observation mode.

Otherwise, injury in the body cavity may result.

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Chapter 4 Operation

• Set the brightness of the light source to the minimum level

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 (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 with a lint-free cloth moistened with 70% ethyl

or isopropyl alcohol, reinsert the endoscope and continue the

examination.

• The color tone and brightness of the NBI observation is

different from the WLI observation. Use the NBI observation

only when fully understanding the feature.

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 and the zoom lever 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, the GIF-N260 has only the

UP/DOWN angulation control knob).

Figure 4.1

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Chapter 4 Operation

Insertion of the endoscope

• The distal end and insertion tube diameter of the GIF-XP260

is smaller than for other GIF models, but this does not mean that its design assumes an insertion method other than

transoral insertion. Do not attempt transnasal insertion, as

this may cause injury, bleeding or perforation inside the nasal cavity.

• The shape and size of the nasal cavity and its suitability for

transnasal insertion may vary from patient to patient. No

endoscope, including this one, can always be inserted

transnasally with all patients. Before proceeding, always be sure to confirm that transnasal insertion is possible with the

patient by always considering both the size of the patient’s

nasal cavity as well as the size of the endoscope’s insertion tube. Otherwise, operator and/or patient injury can result, or

the endoscope could become lodged and be difficult to

withdraw.

• Transnasal insertion of the endoscope should be performed carefully. If resistance to insertion is felt, or the patient reports

pain, stop insertion immediately. Otherwise, operator and/or

patient injury can result or the endoscope could become lodged and be difficult to withdraw.

• 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).

• To prevent the patient from accidentally loosing dental

prosthesis, make sure that patient removes them before the examination (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 Figures 4.2 and 4.3).

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

> 10 cm

Figure 4.2

Endoscopes with flexibility adjustment

Chapter 4 Operation

> 10 cm

Figure 4.3

 For GIF models

1. Move the zoom lever toward “W ” until it stops so that the widest possible

angle is shown in the endoscopic image (for GIF-H260Z only).

2. If necessary, apply a medical-grade, water-soluble lubricant to the insertion

tube.

3. Place the mouthpiece between the patient’s teeth or gums, with the outer

flange on the outside of the patient’s mouth.

In case of transnasal insertion (for GIF-N260 only), the mouthpiece is not

used.

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.

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Chapter 4 Operation

 For CF/PCF models

To determine the correct splinting tube to be used with the endoscope, select one of the combinations shown in the

“System chart” in the Appendix.

1. Move the zoom lever toward “W ” until it stops so that the widest possible

angle is shown in the endoscopic image (for CF-H260AZL/I only).

2. If necessary, apply a medical-grade, water-soluble lubricant to the insertion

tube.

3. Insert the insertion tube of the endoscope into the splinting tube if required,

and apply lubricant to the splinting tube.

4. 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.

Angulation of the distal end

Avoid forcible or excessive angulation, as this imposes load on the wire controlling the bending section. This may cause

stretching or tearing of the wire, which could impair the

movement of the bending section.

1. Operate the angulation control knobs as necessary to guide the distal end

for insertion and observation (the GIF-N260 has only the UP/DOWN

angulation control knob).

2. The endoscope’s angulation locks are used to hold the angulated distal end

in position (the GIF-N260 has only the UP/DOWN angulation lock).

• 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 (the GIF-N260 has only the UP/DOWN

angulation control knob).

• 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 (the

GIF-N260 has only the UP/DOWN angulation control knob).

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Chapter 4 Operation

Flexibility adjustment (for endoscopes with flexibility adjustment only)

• Do not change the insertion tube’s flexibility abruptly.

Otherwise, patient pain, injury, bleeding and/or perforation

can result.

• If the endoscopic image moves suddenly or is lost, while you

are changing the insertion tube’s flexibility, stop changing the

flexibility and restore the optimum field of view. Moving the

flexibility adjustment ring without a clear endoscopic image

may cause patient pain, injury, bleeding and/or perforation.

• If the patient complains of pain, while you are changing the

insertion tube’s flexibility, stop changing the flexibility and

ensure the safety of the patient.

• If the rigidity of the insertion tube has to be increased during

an examination, confirm that there are no loops or excessive bends in the insertion tube (using fluoroscopy or endoscope

position detecting unit for CF-Q260DL/I, if necessary) before

increasing its rigidity. 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 rigidity. Failure to do so

may cause patient pain, injury, bleeding and/or perforation.

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 4.4).

Rigid Flexible

Figure 4.4

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Chapter 4 Operation

Air/water feeding and suction

2. When changing the insertion tube’s flexibility during a procedure, turn the

flexibility adjustment ring slowly, and closely monitor the position of the

flexibility index marking, the endoscopic image and the patient’s condition.

Whenever the endoscope is not in use, set the insertion tube

to its most-flexible condition. Otherwise, endoscope damage

may result.

• If the sterile water level in the water container is too low, then

air, not water, will be supplied. In this case, turn the airflow regulator on the light source OFF and add sterile water to the

water container until it reaches the specified water level.

• If air/water feeding does not stop, turn the airflow regulator

on the light source OFF and replace the air/water valve with a new one.

• 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.

• If the endoscope is cold, dew condensation may form on the

surface of the objective lens, and the endoscopic image may appear cloudy. In this case, increase the temperature of the

sterile water in the water container to between 40 – 50°C

(104 – 122°F) and then use the endoscope.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Air/water feeding

Cover the air/water valve’s hole to feed air from the air/water nozzle at the

distal end (see Figure 4.5).

2. Depress the air/water valve to feed water onto the objective lens (see Figure

4.5).

Chapter 4 Operation

Suction valve

Air/water valve

Figure 4.5

 Suction

• Avoid aspirating solid matter or thick fluids; instrument

channel, suction channel or suction 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.

• 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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

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 4.5).

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 GIF-H260Z only)

Use sterile water only. Non-sterile water may cause patient

infection.

• If the auxiliary water channel is used for feeding water, 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 surrounding 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 or fluids that back flowed may drip out of the auxiliary

water inlet.

1. 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.

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.

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Chapter 4 Operation

Observation of the endoscopic image

Do not rely only on the NBI observation modality for primary

detection of lesions or to make a decision regarding any potential diagnostic or therapeutic intervention.

Refer to the light source’s instruction manual for instructions on how to adjust the brightness.

Operating the zoom function (for GIF-H260Z, CF-H260AZL/I only)

Refer to the magnification controller’s instruction manual for the operation of

the magnification controller (for CF-H260AZL/I only).

2. Before insertion or withdrawal of the endoscope, move the zoom lever

toward “W ” so that the widest possible angle is shown in the endoscopic

image.

3. When magnifying the endoscopic image, move the zoom lever toward “ T”

and move the distal end of the endoscope closer to the object you wish to observe.

• While the endoscopic image is magnified, objects at a

distance from the distal end of the endoscope may be out of focus. This is not a malfunction; move the distal end closer to

the object you wish to observe.

• The CV-260SL and CV-260 indicates “the scale display” on a

monitor. Refer to the instruction manual of the CV-260SL and CV-260 for details of the “the scale display” function.

Operating the endoscope position detecting function (for CF-Q260DL/I only)

Refer to the endoscope position detecting unit’s instruction manual for instructions on how to operate the endoscope position detecting unit.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

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 accessories instruction manuals for operating instructions.

• Do not use the GIF-N260 and GIF-XP260 for high-frequency

cauterization or laser cauterization treatment. Otherwise, patient injury or equipment damage may result.

• 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 patient injury and/or

equipment damage. The minimum visible distance depends

on the type of endoscope being used. Refer to Section 2.3, “Specifications” on page 33.

• 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.

• 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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

• When using endo-therapy accessories, always use the

widest possible angle. When the image is magnified, it may not be possible to see the position of the accessory in the

endoscopic image. This could cause patient injury, bleeding

and/or perforation (when using the GIF-H260Z, CF-H260AZL/I or using the image magnification function of

video system center CV-260SL, CV-260).

• When using a distal attachment, the distal end of the

endoscope becomes longer and its outer diameter is larger. Handle the endoscope carefully so as not to cause

perforation or other patient injury. When performing the

endoscopic treatment using this equipment, take extra care.

• When a distal attachment is mounted on the endoscope, do

not angulate the endoscope abruptly. This could cause

patient injury, such as mucous membrane damage.

• Do not inflate air or a non-flammable gas excessively into the

patient. This could cause gas embolism.

• Do not switch the observation mode while using an

endo-therapy accessory. Otherwise, injury, burns, bleeding or perforation in the body cavity may result.

• 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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

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.

• It is easier to insert an endo-therapy accessory into the

instrument channel port if the biopsy valve’s cap is detached from the main body (see Figure 3.11 on page 60). As a result,

the open 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. When not using an endo-therapy accessory, attach the cap to the main

body of the biopsy valve.

• When the biopsy valve’s cap is detached from the main body,

it may cause patient debris or fluids to leak or spray from the endoscope, posing an infection-control risk. When the biopsy

valve’s cap has to be detached, 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.

• When inserting an endo-therapy accessory, hold it close to

the biopsy valve and insert it slowly and straight into 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. Refer to the accessories instruction

manuals for operating instructions.

2. Hold the UP/DOWN and RIGHT/LEFT angulation knobs stationary (the

GIF-N260 has only the UP/DOWN angulation knob).

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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

• Do not open the tip of the endo-therapy accessory or extend

the tip of the endo-therapy accessory from its sheath while

the accessory is 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.

4. Hold the endo-therapy accessory approximately 4 cm from the biopsy valve

and advance it slowly and straight it 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 will appear in the endoscopic image.

• When the accessory appears in the endoscopic image, it

may also reflect the light from the endoscope and/or cast its

shadow in the endoscopic image. This does not indicate a malfunction (for GIF-N260 and GIF-XP260 only).

Operation of endo-therapy accessories

Operate the endo-therapy accessory according to the directions given in its

instruction manual.

Withdrawal of endo-therapy accessories

• Patient debris might spray when the endo-therapy

accessories are withdrawn from the biopsy valve. To prevent this, hold a piece of gauze around the accessory and the

biopsy valve during withdrawal.

• Do not withdraw the endo-therapy accessory if the tip is open

or extended from its sheath; patient injury, bleeding,

perforation 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.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

Use of non-flammable gases (for CF/PCF models only)

• If the endo-therapy accessory cannot be withdrawn from the endoscope, close the endo-therapy accessory and/or retract

it into its sheath, then 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.

Performing treatment while the intestines is filled with a flammable gas could result in an explosion, fire and/or

serious patient injury. If the intestines contains a flammable

gas, replace it with air or a non-flammable gas such as CO before performing high-frequency treatment or laser

cauterization treatment.

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 treatment (except GIF-N260 and GIF-XP260)

• If the intestines contains a flammable gas, replace it with air or a non-flammable gas such as CO

high-frequency cauterization treatment. Otherwise, fire or

explosion could result.

• 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.

before performing

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

• Never emit high-frequency current before confirming that the

distal end of the high-frequency endo-therapy accessory is in the endoscope’s field of view. Also confirm that the electrode

section and the mucous membrane in the vicinity of the target

area are at an appropriate distance from the distal end of the endoscope. If the high-frequency current is emitted while the

distal end of the endo-therapy accessory is not visible or too

close to the distal end of the endoscope, patient injury, bleeding and/or perforation as well as equipment damage

can result.

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 does not indicate a malfunction.

Laser cauterization treatment (except GIF-N260 and GIF-XP260)

• Performing treatment while the intestines is filled with a

flammable gas could result in an explosion, fire and/or serious patient injury. If the intestines contains a flammable

gas, replace it with air or a non-flammable gas such as CO

before performing laser cauterization treatment.

• To avoid patient injury, burns, bleeding and/or perforation as

well as damage to the endoscope, do not activate 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 on page 56) so that the

bending section will be straight. If it is bent, the instrument channel and/or the laser probe may be damaged.

• Allow the tip of the laser probe to cool down before pulling it

back into the instrument channel. If the laser probe is

withdrawn while hot, channel damage may occur.

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Chapter 4 Operation

• 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 blood unexpectedly adheres to the surface of the insertion

tube of the withdrawn endoscope, carefully check the

condition of the patient.

• If it becomes impossible to withdraw the transnasally inserted endoscope, pull its distal end out of the mouth, cut the

flexible tube using wire cutters, and after ensuring that the cut

section will not injure the body cavity or nasal cavity of the patient, withdraw the endoscope carefully. Therefore, always

prepare wire cutters in advance.

1. Move the zoom lever toward “W ” so that the widest possible angle is

shown in the endoscopic image (for GIF-H260Z and CF-H260AZL/I only).

2. When using the image magnification function of video system center

CV-260SL, CV-260, release the function.

3. Aspirate accumulated air, blood, mucus or other debris by depressing the

suction valve.

4. Turn the UP/DOWN and RIGHT/LEFT angulation locks to the “F ”

direction to release them (the GIF-N260 has only the UP/DOWN angulation lock).

5. Carefully withdraw the endoscope while observing the endoscopic image.

When the splinting tube is used, withdraw both the endoscope and the

splinting tube together from the patient’s anus (for CF/PCF models only).

6. Carefully withdraw the endoscope while observing the endoscopic image.

Remove the mouthpiece from the patient’s mouth (for GIF models only).

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

4.4 Transportation of the endoscope

Transporting within the hospital

Set the insertion tube to the softest condition (for endoscopes with flexibility adjustment 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 (see Figure 4.6 for GIF-H260Z only).

Chapter 4 Operation

Clip

Figure 4.6

3. When carrying the endoscope by hand, loop the universal cord, hold the

endoscope connector 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 4.7).

Figure 4.7

EVIS LUCERA GIF/CF/PCF TYPE 260 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. If the endoscope is not

cleaned, disinfected or sterilized, it could pose an

infection-control risk.

• 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 most-flexible

condition. Putting the endoscope in the carrying case while the insertion tube is rigid could damage the endoscope (for

endoscopes with flexibility adjustment only).

EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL

Olympus Evis Lucera GIF-260 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

INSTRUCTIONS

EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE

EVIS LUCERA COLONOVIDEOSCOPE

Contents

Symbols

Intended use

Applicability of endoscopy and endoscopic treatment

Instruction manual

User qualifications

Instrument compatibility

Reprocessing before the first use/reprocessing and storage after use

Spare equipment

Maintenance management

Prohibition of improper repair and modification

Signal words

Warnings and cautions

Examples of inappropriate handling

Chapter 1 Checking the Package Contents

Chapter 2 Instrument Nomenclature and Specifications

2.1 Nomenclature

 GIF-XP260, GIF-XQ260, GIF-Q260, GIF-H260

 GIF-H260Z

 CF-H260AZL, CF-H260AZI

 CF-Q260DL, CF-Q260DI

2.2 Endoscope functions

1. Suction connector

2. S-cord connector mount (except GIF-N260, GIF-XP260)

3. Water supply connector and air supply connector

4. Endoscope connector

5. Electrical connector

6. UP/DOWN angulation control knob

7. UP/DOWN angulation lock

8. Suction valve (MH-443)

9. Air/water valve (MH-438)

10. Instrument channel

11. Insertion tube limit mark

12. Bending section

13. Remote switches 1 to 4

14. Color code

15. RIGHT/LEFT angulation lock (except GIF-N260)

16. RIGHT/LEFT angulation control knob (except GIF-N260)

17. Flexibility adjustment ring (for endoscopes with flexibility adjustment only)

18. Zoom lever (for GIF-H260Z, CF-H260AZL/I only)

19. Auxiliary water inlet (for GIF-H260Z only)

20. Zoom connector (for CF-H260AZL/I only)

21. Water-resistant cap (MAJ-583) (for CF-H260AZL/I only)

22. Seal ring (for CF-H260AZL/I only)

23. UPD scope connector (for CF-Q260DL/I only)

24. Water-resistant cap (MAJ-942) (for CF-Q260DL/I only)

25. Seal ring (for CF-Q260DL/I only)

26. Chain connector (for GIF-N260, GIF-XP260 only)

2.3 Specifications

Environment

Specifications

Direction of view Forward viewing

Insertion tube Distal end outer diameter ø4.9mm

Working length 110 0 m m

Minimum visible distance 3 mm from the distal end

ø5.2mm

ø2mm

Total length 1420 mm

Available

Direction of view Forward viewing

120°

ø5mm

Working length 1030 mm

Total l e ngth 1350 mm

ø6.5mm

ø2mm

3 mm from the distal end

Available

Direction of view Forward viewing

140°

Working length 1030 mm

ø9mm

ø9mm