Olympus GIF 180 Instructions

INSTRUCTIONS

EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE

OLYMPUS GIF TYPE N180 OLYMPUS GIF TYPE Q180 OLYMPUS GIF TYPE H180

EVIS EXERA II COLONOVIDEOSCOPE

OLYMPUS CF TYPE Q180AL/I OLYMPUS CF TYPE H180AL/I OLYMPUS PCF TYPE Q180AL/I

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

USA: CAUTION: Federal law restricts this device to sale by or on the order of a

physician.

Contents

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 .... 4

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

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

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

Signal words ............................................................................................. 5

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

Examples of inappropriate handling .......................................................... 11

Chapter 1 Checking the Package Contents............................ 12

Chapter 2 Instrument Nomenclature and Specifications ...... 16

2.1 Nomenclature.................................................................................. 16

2.2 Endoscope functions....................................................................... 22

2.3 Specifications .................................................................................. 24

2.4 Attaching the chain for water-resistant cap (MAJ-1119) ................. 32

Chapter 3 Preparation and Inspection .................................... 35

3.1 Preparation of the equipment.......................................................... 36

3.2 Inspection of the endoscope ........................................................... 37

3.3 Preparation and inspection of accessories ..................................... 43

3.4 Attaching accessories to the endoscope ........................................ 47

3.5 Inspection and connection of ancillary equipment .......................... 50

3.6 Inspection of the endoscopic system .............................................. 53

Chapter 4 Operation ................................................................. 58

4.1 Insertion .......................................................................................... 62

4.2 Using endo-therapy accessories..................................................... 70

4.3 Withdrawal of the endoscope.......................................................... 76

4.4 Transportation of the endoscope .................................................... 77

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Contents

Chapter 5 Troubleshooting ...................................................... 79

5.1 Troubleshooting guide .................................................................... 79

5.2 Withdrawal of the endoscope with an abnormality.......................... 83

5.3 Returning the endoscope for repair................................................. 86

Appendix........................................................................................ 87

System chart ............................................................................................ 87

EMC information........................................................................................ 101

EVIS EXERA II GIF/CF/PCF TYPE 180 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

Single use only

Lot number

Manufacturer

Authorized representative in the European Community

EVIS EXERA II GIF/CF/PCF TYPE 180 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, documentation equipment, video monitor,

endo-therapy accessories such as a biopsy forceps and other ancillary

equipment.

Use the EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE GIF-N180 for

transoral or transnasal endoscopy and endoscopic surgery within the upper

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

Use the EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE, GIF-Q180,

GIF-H180 for endoscopy and endoscopic surgery within the upper digestive tract

(including the esophagus, stomach and duodenum).

Use the EVIS EXERA II COLONOVIDEOSCOPE CF-Q180AL/I, CF-H180AL/I,

PCF-Q180AL/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 EXERA II GIF/CF/PCF TYPE 180 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.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Important Information — Please Read Before Use

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 societies 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 safely 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 EMC standard for medical electrical equipment; edition 2 (IEC 60601-1-2: 2001). However, when connected with an instrument

that complies with EMC standard for medical electrical equipment; edition 1

(IEC 60601-1-2: 1993), the whole system complies with edition 1.

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.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

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 79. If the irregularity is still suspected after

inspection, contact Olympus.

Important Information — Please Read Before Use

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.

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.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Important Information — Please Read Before Use

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

Indicates additional helpful information.

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.

• Before endoscopy, remove any metallic objects (watch,

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

high-frequency cauterization becomes necessary while the patient wears a metallic object, it may cause burns on the

patient in areas around the metallic object.

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

distal end, insertion tube, bending section, control section, universal cord, or endoscope connector of the endoscope

with excessive force. The endoscope may be damaged and

could cause patient injury, burns, bleeding and/or

perforations. It could also cause parts of the endoscope to

fall off inside the patient.

• When performing transnasal insertion of the GIF-N180,

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. Otherwise, operator and/or patient injury

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

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Important Information — Please Read Before Use

− 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.

− 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.

• Never perform angulation control forcibly or abruptly. Never forcefully pull, twist or rotate the angulated bending section.

Patient injury, bleeding and/or perforation can result. It may

also become impossible to straighten the bending section

during an examination.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Important Information — Please Read Before Use

• Never insert or withdraw the endoscope’s insertion tube

• Never perform flexibility adjustment, operate the bending

• Regardless of the flexibility of the endoscope’s insertion tube,

while 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.

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.

never insert or withdraw the insertion tube abruptly or with

excessive force. Patient injury, bleeding and/or perforation

can result.

• 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 (only

when using the image magnification of the video system center CV-180).

• 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.

• 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 becoming 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.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Important Information — Please Read Before Use

• For reasons described below, do not rely on the NBI∗1

imaging modality alone for primary detection of lesions or to

make a decision regarding any potential diagnostic or

therapeutic intervention.

− It has not been demonstrated to increase the yield or

sensitivity of finding any specific mucosal lesion including

colonic polyps or Barrett’s esophagus.

− It has not been demonstrated to aid in differentiating

establishing the presence or absence of dysplasia or

neoplastic changes within mucosa or mucosal lesions.

∗1 NBI stands for Narrow Band Imaging. For more details, refer

to the instruction manual of the CV-180.

• 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.

• Turn the video system center OFF before connecting or

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 endoscope’s remote switches cannot be removed from

the control section. Pressing, pulling or twisting them with

excessive force can break the switches and/or may cause water leaks.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Important Information — Please Read Before Use

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

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

• Do not attempt to bend the endoscope’s insertion tube with

• To check the electromagnetic influence from other equipment

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.

excessive force. Otherwise, the insertion tube may be

damaged.

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).

(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-160 and CV-180.

EVIS EXERA II GIF/CF/PCF TYPE 180 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 EXERA II GIF/CF/PCF TYPE 180 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 EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

GIF-N180

GIF-Q180, GIF-H180

Chapter 1 Checking the Package Contents

Endoscope

CF-Q180AL/I, CF-H180AL/I, PCF-Q180AL/I

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Endoscope

Chapter 1 Checking the Package Contents

Packaged for the USA and CAN

Single use channel cleaning brush (BW-201T) (3 pcs)

Injection tube (MH-946)

Water-resistant cap (MH-553)

Chain for water-resistant cap (MAJ-1119)

Biopsy valve (MB-358) (10 pcs)

Suction cleaning adapter (MH-856)

AW channel cleaning adapter (MH-948)

Channel plug (MH-944)

Single use channel-opening cleaning brush (MAJ-1339) (3 pcs)

Suction valve (MH-443) (2 pcs)

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

Auxiliary water tube (MAJ-855 for endoscopes with auxiliary water feeding only)

Operation manual

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Mouthpiece (MB-142 for GIF-Q180, GIF-H180) (2 pcs)

Reprocessing manual

Mouthpiece (MA-474, MB-142 for GIF-N180) (1 pc each)

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

Packaged for countries other than the USA and CAN

Channel cleaning brush (BW-20T)

Chapter 1 Checking the Package Contents

Injection tube (MH-946)

Water-resistant cap (MH-553)

Channel-opening cleaning brush (MH-507)

Suction cleaning adapter (MH-856)

Auxiliary water tube (MAJ-855 for endoscopes with auxiliary water feeding only)

AW channel cleaning adapter (MH-948)

Biopsy valve (MB-358) (10 pcs)

Mouthpiece (MB-142 for GIF-Q180, GIF-H180) (2 pcs)

Channel plug (MH-944)

Suction valve (MH-443) (2 pcs)

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

Mouthpiece (MA-474, MB-142 for GIF-N180) (1 pc each)

Operation manual

Reprocessing manual

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

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Chapter 2 Instrument Nomenclature

and Specifications

2.1 Nomenclature

 GIF-N180

Universal cord

5. Electrical connector

Air pipe

Light guide

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

1. Suction connector

15. Chain connector

3. Air supply connector

3. Water supply connector

Product name and serial number

Contact pins

4. Endoscope connector

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

Chapter 2 Instrument Nomenclature and Specifications

9. Air/water valve (MH-438)

8. Suction valve (MH-443)

Control section

Suction cylinder

Grip section

14. Color code

Boot

13. Remote switches 1 to 4

Air/water cylinder

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 EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

 GIF-Q180, GIF-H180

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

Contact pins

4. Endoscope connector

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

17. RIGHT/LEFT angulation control knob

16. RIGHT/LEFT angulation lock

Chapter 2 Instrument Nomenclature and Specifications

9. Air/water valve (MH-438)

8. Suction valve (MH-443)

Control section

Suction cylinder

Grip section

14. Color code

Boot

13. Remote switches 1 to 4

Air/water cylinder

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 EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

 CF-Q180AL, CF-Q180AI, CF-H180AL, CF-H180AI,

PCF-Q180AL, PCF-Q180AI

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 EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

7. UP/DOWN angulation lock

6. UP/DOWN angulation control knob

17. RIGHT/LEFT angulation control knob

16. 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

18. Flexibility adjustment ring

Mark

Air/water cylinder

Biopsy valve (MB-358)

10. Instrument channel

Marks

Boot

11. Insertion tube limit mark

Instrument channel port

Working length

Insertion tube

13. Remote switches 1 to 4

Distal end

12. Bending section

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

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-N180)

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 32).

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-160 and CV-180. For more details, refer to the instruction manual of the CV-160 or CV-180.

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 EXERA II GIF/CF/PCF TYPE 180 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-N180 has

only the UP/DOWN angulation control knob).

13. Remote switches 1 to 4

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

system center. When selecting the functions, 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:

•Yellow:

• Orange:

GIF-N180

GIF-Q180, GIF-H180, PCF-Q180AL/I

CF-Q180AL/I, CF-H180AL/I

15. Chain connector (for GIF-N180 only)

Connect the fitting of the chain for water-resistant cap here. Do not connect the S-cord of the electrosurgical unit here.

16. RIGHT/LEFT angulation lock (except GIF-N180)

Turning this lock in the “F ” direction frees angulation. Turning the lock in

the opposite direction locks the bending section at any desired position.

17. RIGHT/LEFT angulation control knob (except GIF-N180)

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.

18. 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 the 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.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

19. Auxiliary water inlet (for endoscopes with auxiliary water feeding 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.

2.3 Specifications

Environment

Operating

environment

Transportation and

storage

environment

Ambient temperature 10 – 40°C (50 – 104°F)

Relative humidity 30 – 85%

Atmospheric pressure 700 – 1060 hPa

(0.7 – 1.1 kgf/cm

(10.2 – 15.4 psia)

Ambient temperature –47 to 70°C (–52.6 to 158°F)

Relative humidity 10 – 95%

Atmospheric pressure 700 – 1060 hPa

(0.7 – 1.1 kgf/cm

(10.2 – 15.4 psia)

)

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Specifications

 Endoscope functions

Chapter 2 Instrument Nomenclature and Specifications

Model

Optical system Field of view 120°

Direction of view Forward viewing

Depth of field 3 – 100 mm

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

RIGHT

Insertion tube outer

diameter

Working length 1100 mm

Instrument

channel

Air flow rate

Bending

section

Total length 1420 mm

∗

NBI

Channel inner

diameter

Minimum visible

distance

Direction from which

endo-therapy

accessories enter

and exit the

endoscopic image

Note: Standard when CLV-180 (high air

pressure) is used.

Angulation range

GIF-N180

ø4.9mm

2 mm from the distal end

UP 210°, DOWN 120°

DOWN

ø4.9mm

ø2mm

25 cm

Available

∗1

LEFT

∗1 GIF-N180 cannot be used to perform high-frequency cauterization or laser

cauterization.

∗2 NBI stands for Narrow Band Imaging. For more details, refer to the

instruction manual of the CV-180.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

Chapter 2 Instrument Nomenclature and Specifications

Model GIF-Q180

Optical system Field of view 140°

Direction of view Forward viewing

Depth of field 3 – 100 mm

Insertion tube Distal end outer

diameter

Distal end enlarged 1. Air/water nozzle

ø8.8mm

2. Light guide lens

3. Objective lens

4. Instrument channel outlet

Instrument

channel

Air flow rate

RIGHT

3. DOWN

Insertion tube outer

diameter

ø8.8mm

Working length 1030 mm

Channel inner

diameter

Minimum visible

distance

3 mm from the distal end

ø2.8mm

Direction from which

endo-therapy

accessories enter

and exit the

endoscopic image

25 cm

Note: Standard when CLV-180 (high air

pressure) is used.

LEFT

Bending

section

Angulation range UP 210°, DOWN 90°,

RIGHT 100°, LEFT 100°

Total length 1345 mm

NBI

∗1

Available

∗1 NBI stands for Narrow Band Imaging. For more details, refer to the

instruction manual of the CV-180.

EVIS EXERA II GIF/CF/PCF TYPE 180 Series OPERATION MANUAL

+ 80 hidden pages

Olympus GIF 180 Instructions

Specifications and Main Features

Frequently Asked Questions

User Manual

INSTRUCTIONS

EVIS EXERA II GASTROINTESTINAL VIDEOSCOPE

EVIS EXERA II 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-Q180, GIF-H180

2.2 Endoscope functions

1. Suction connector

2. S-cord connector mount (except GIF-N180)

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. Chain connector (for GIF-N180 only)

16. RIGHT/LEFT angulation lock (except GIF-N180)

17. RIGHT/LEFT angulation control knob (except GIF-N180)

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

19. Auxiliary water inlet (for endoscopes with auxiliary water feeding only)

2.3 Specifications

Environment

Specifications

Direction of view Forward viewing

Working length 1100 mm

Total length 1420 mm

ø4.9mm

2 mm from the distal end

UP 210°, DOWN 120°

ø4.9mm

ø2mm

Available

Direction of view Forward viewing

ø8.8mm

ø8.8mm

Working length 1030 mm

3 mm from the distal end

ø2.8mm

Total length 1345 mm

Available