Olympus GIF XP10 User manual
PUS
GIF
,,,,XP
OES
GASTROINTESTINAL
WARNING
The user of this equipment should be thoroughly trained in the applicable
procedure. Furthermore, failure to read and thoroughly understand the
contents of this instruction manual may result in
patient and/or user. It is essential to follow the instructions contained
this and other manuals which pertain to any equipment and accessories
used in conjunction with the procedures. Possible injuries related to
endoscopic procedures may include perforation,
shock, hemorrhage, infection, explosion, etc.
Failure to follow these instructions may also result in damage to
malfunction of the instrument.
FIBERSCOPE
sefious injury to the
in
eleflrical burns and
andlor
IMPOR
The Olympus GIF-XPIO has been designed for endoscopic diagnosis and treatment within the upper digestive
tract including esophagus, stomach and duodenum. Do not use the instrument for any purpose other than its
intended application.
Please read this entire manual carefully before using the instrument. It contains pertinent information on
the proper care and handling of your new fiberscope. Although fiberscopes by nature are delicate instruments,
proper handling and cleaning, as described in this manual, will greatly reduce the need for costly repair and
prolong the life of your new instrument.
This manual describes the recommended procedure for preparing and inspecting the equipment prior to use,
It does not describe how an actual procedure is to be performed in detail.
a beginner with endoscopic technique and the medical aspects of
should be used only by physicians who have received thorough previous training in the art of flexible endoscopy.
TANT
Nor does it attempt to acquaint
gastroenterologicaI endoscopy. This instrument
The safety and performance of an endoscopic system depends not only on the fiberscope but also on any ancil-
it
lary equipment used with it. To insure compatibility,
with this fiberscope.
lf you have any questions about the operation, safety or any of the material contained in this manual, please
con tact your Olympus representative or the nearest Olympus office.
is recommended that you use only Olympus accessories
UPON RECEIVING THE EQUIPMENT
Hold
fiberscope
with
both
hands.
Please check each item in the set against the list of standard components found in Section
if there are any missing or defective parts. Refer to the following sections on
MAIN SPECIFICATIONS AND
3.
Contact Olympus
NOMENCLATURE to become acquainted with the name and function of each part of the instrument. Review
the instrument preparation, inspection and
cleaning/disinfecting procedures carefully. The fiberscope should be
disinfected prior to its initial use.
The fiberscope and accessories should be removed from the carrying case and stored asdescribed in Section
Storage.
The carrying case is not intended to be used for storage of the equipment. Retain the carrying case
6-4
only for shipping or transporting the instrument.
.P$
Remove the
ETO
cap (venting cap) from the fiberscope and store in an appropriate place.
PRIOR TO USE
In addition to thoroughly reading this manual, refer also to the instruction manuals supplied with your light
source, electrosurgical unit, accessories and other ancillary equipment.
CAUTION:
The GIF-XP10 is a precision instrument. Its design incorporates many features to insure patient safety.
cular, the angulation system is constructed to provide smooth response and maximal angulation of the distal tip
when normal force is applied to the angulation control knobs. Excessive pressure applied to the angulation
control knobs will result in damage to the fiberscope and may cause patient injury.
Before introducing the instrument into the patient be certain that the angulation control locks are in the "Free"
("F")
position and that the distal tip moves without resistance. If abnormal resistance is encountered when
introducing the instrument or when operating the angulation mechanism, DO NOT USE THE INSTRUMENT.
Contact your Olympus representative or the nearest Olympus office.
In parti-
CONTENTS
1
.
FEATURES . MAIN SPECIFICATIONS
.........................
1
1-1
1-2
2
.
NOMENCLATURE
.
3
STANDARD SET
.
4
PREPARATION INSPECTION
4-1
4-2
4-3
4-4
4-5
4-6
5 .
OPERATING THE FIBERSCOPE
5-1
5-2
5-3
5-4
6-1
6-2
6-3
6-4
Features
Main Specifications
.............................................
.........................................
..........................................
.
Preparation of Fiberscope
Preparation and Inspection of Light Source
Preparation and Inspection of Suction Device
Preparation and Inspection of Biopsy Forceps
Inspection of the Fiberscope
Inspection of the Endoscopic System
Preparation for Use
l nsertion and Observation
Biopsy
Withdrawing the Fiberscope
Cleaning. Disinfection. Sterilization
Cautions
Cleaning. Disinfection and Sterilization Procedures
Storage
..............................................
............................................
............................................
1
.....................................
................................
.................................
.....................
...................
...................
...............................
.........................
.............................
.....................................
.................................
...............................
..........................
................
1
2
4
5
5
5
6
6
7
8
10
10
11
13
13
14
15
17
26
8 .
ENDOSCOPIC PHOTODOCUMENTATION
8-1
8-2
8-3
9
.
TROUBLESHOOTING GUIDE
.
10
ENDOSCOPIC SYSTEM CHART
Still Photography
CCTV
Cinematography
..............................................
......................
......................................
........................................
................................
.............................
28
28
29
30
31
34
I
FEATURESeMAIN SPECIFICATIONS
I-1
Features
The
1-2
Main Specifications
GIF-XP10
a wide-angle lens system. As one of the waterproof OES series fiberscopes it can be completely
immersed allowing total cleaning and disinfection.
2
mm instrument channel for maximum versatility and performance.
is a forward viewing upper G.I. fiberscope featuring high-resolution optics with
mm insertion tube incorporates a
Its 7.9
Optical System
Distal End
Bending Section
Insertion Tube
Working Length
Total Length
l nstrument
Channel
Biopsy Forceps
Photo
Documentation
Field of view
Direction of view
Depth of field
Outer diameter 7.9 mm
Range of tip bending Up 21
Maximum deflection
Outer diameter 7.9 mm
Inner diameter
Minimum visible distance
Still
CCTV Olympus OTV-E
Cine C-mount adapters available
1
00°
0"
(Forward viewing)
3
-
100
mm
oO,
Down
90'
Right
loo0,
Left
100'
240'
1,025
mm
1,345 mm
2
mm
3
mm from distal end
Olympus SC16-4, OM-I
(with adapter)
N
&
NOMENCLATURE
Water Container Connector
7
Electrical Contact
7
Fiberscope
Mates
*
This
and must be removed from
fiberscope before immersing.
Adapter
w~th Light Source Adapter
adapter
is
not waterproof
Light Guide Connector Section
Electrical Contact
S-Cord Connector Mount
Accepts S-cord (safety cord) or
S-P
cord (safety and patient cord)
to conduct leakage current from
fiberscope to
surgical unit.
Suction Connector
Olyrnpus electro-
/
!/
------/
/ /
/
\
Accepts
tester.
€TO
Cap
Must be installed for ETO gas sterilization and
aeration and removed prior to immersion and
clinical examination.
The cap must also be installed in the event
tion (shipment, return
Venting Connector
ETO
cap or leakage
(venting cap)
for
repairs, etc.).
of
\
Universal Cord
Contains light guide fiber
bundle, air, water and suction channels, and electrical
wiring for automatic exposure system
transporta-
UPIDOWN Angulatio
Controls corresponding tip deflection.
Control Section
Eyepiece Section
Eyepiece
8
Diopter Adjustment Ring
Adjusts the eyepiece to observer's
diopter for clear vision.
Cover for air insufflation; depress
to activate water for lens washing.
When this knob is turned in
(clockwise) direction, bending sec-
tion moves freely. When turned
counterclockwise, bending section
Distal End
Light Guides Objective Lens
h
Instrument Channel (for acces-
\
sories and suction)
is stabilized.
"F"
Color Code (Blue)
Indicates channel diameter.
'
\
/
rl
Semi-Disposable Biopsy Valve
Insertion Tube
3
O
STANDARDSET
Fiberscope
@
Fiberscope Adapter (AC10-S)
@
Biopsy Forceps (FB-21
@
Mouthpiece (Bite guard) (MB-142)
@
Mouthpiece for Child (MA-474)
@
Lens Cleaner (MA-2)
a
ETO
@
All-Channel Irrigator (CW-1) wl30cc syringe
..........................
............
K)
................
............
..................
Cap (Venting cap) (ME-1
56)
..........
...........
...
1
@
Channel Cleaning Brush (BW-ST) 1
1
@
Channel Cleaning Adapter (MB-19)
2
0
AW (Air/Water) Channel Cleaning Adapter
2
2
1
1 (MA-922)
1
(MB-107)
@
Lubricant (Silicone oil)(MB-146)
@
Semi-Disposable Biopsy Valve (spare)
@
Distal ~~~d (MB-214)
............
..........
...........................
............
.........................
...................
1
1
1
.20
3
,*"aL*
';,,,.,\+'
I
Accidentally closing the fiberscope in
the carrying case
j
:
the instrument, necessitating an expen-
j
sive repair.
m
.............................................................
Instruction manuals
are invaluable for staff
training and should be
retained for future reference.
'
The fiberscope is a precision instrument requiring the utmost care
in handling and storage.
will
severely damage
4-1
Preparation of Fiberscope
Remove fiberscope from storage area. Remove protective caps from the eyepiece and light
guide. Attach the fiberscope adapter
(AC10-S) to the light guide connector section.
n
To prevent shock
or electrical hazard,
make sure light
source, electrosurgical unit, suction
device, etc. are properly grounded.
4-2
Preparation and Inspection of Light Source
r
I
/Liclht Source Adapter
L
To AC outlet
__C
//====-EL=
Earth term~nal
(2-core cord)
-
Preparation
a
Plug the power cord (3-core cord) into a properly grounded hospital grade AC outlet.
t
When using a power cord with a 2-core cord, securely connect the ground wire to an
earth terminal. Do not connect to a gas pipe or it may cause explosion.
@
Make sure the Light Source Adapter (AC10-L) has been attached to the output socket of the
light source.
.r$
Adapters
@
Fill water container approximately 213 full using distilled water. Tighten cap securely and
attach to hanger on side of light source.
+
Empty water container and dry thoroughly after the last examination of the day.
Check proper exposure settings for photography
!
inspection
Inspect the light source according to its instruction manual.
AC10-S
and
AC10-L
must always be used with
OES
fiberscopes.
Carts and stands
must be of adequate
size and strength to
support load.
To prevent operator
shock and damage
he equipment,
4-3
Preparation and Inspection of Suction Device
@
Connect the power cord of suction device to the
-
earth terminal
The suction device must be in safe and proper working condition.
@
lnspect the suction device following its operating manual.
@
Connect the suction tube to the suction device and to the suction connector on the light
guide section of the fiberscope.
@
Turn on suction device. Suction is controlled by the fiberscope's suction valve.
see page
5)
following its operating manual.
AZ
mains (and the ground wire to the
4-4
I
Preparation and Inspection of Biopsy Forceps
l
nspecting forceps operation
Open
-
-
Close
I)
Preparation
Select proper biopsy forceps for fiberscope being used. (Refer to the System Chart, page
*
Always have spare forceps available.
Inspection
Biopsy forceps should be inspected before each use
@
Form a loop in the biopsy forceps approximately 20cm in. diameter. Make sure that the
forceps cups open and close smoothly when the handle is lightly operated.
@
Inspect snares, etc., following individual instruction manuals.
@
If there
etc., the item should be replaced with a new one.
8
*
is
any irregularity in the operation or external appearance of a forceps, snare,
Replace bent or kinked accessories.
All Olympus accessories have been designed and manufactured with utmost care. Due
to the delicate nature of the
safe nor economical to repair endoscopic accessories. In the interest of patient safety,
policy
is
Olympus'
individuals should not be attempted.
to replace rather than repair these items. Repair by unauthorized
small precision parts involved,
!
it
is
considered neither
35.)
Any accessory which
its
along
will be difficult to pass through the
fiberscope, and must be replaced.
.............................................................
shaft will not operate smoothly,
is
kinked or bent
4-5
Inspection
of
the Fiberscope
Before each use, the instrument should be inspected according to the following procedure.
Should the slightest irregularity or abnormality be suspected, do not use the fibersco~e
but contact the nearest Olympus authorized service center.
El
@
Inspect the surface of the insertion tube visually for any dents, bulges, or other irregula-
rities.
@
Run your finger tips over the whole length of the insertion tube checking for any protruding
objects, internal looseness, or other irregularities.
@
Operate the angulation control knobs slowly and to the limit in each direction. Make sure
the bending section bends smoothly and correctly and that maximum deflection can be
achieved. Simultaneously
any irregularity.
@
Operate the angulation locks and
locks are engaged.
('F'
@
Position).
Inspect the rubber covering of the bending section for small holes, breaks, or other irregularities.
a$
Do not bend or twist the bending section by hand.
a
@
Using clean gauze lightly moistened with
surfaces.
@
Plug the light guide connector into the AC10-L Light Source Adapter mounted on the light
source. Turn on light source and adjust light level.
@
Turn the diopter adjustment ring until the fiber pattern
if an object approximately 15mm away from the objective lens can be visualized clearly.
-&
Do not use abrasive cleaners on lens surfaces or lenses will be scratched.
Inspection
p
Pass the biopsy forceps through the channel to confirm smooth passage.
inspect the outer surface of the bending section visually for
check that the bending section is stabilized when the
Also check that the knobs rotate freely when the locks are released
70%
alcohol wipe all electrical contacts and lens
is
clearly focused. Check to see
of
the Instrument Channel
...........................................................
j
:
j
Do not let distal end strike a hard sur-
j
face as this may crack the objective lens.
;
.
............................*...*.......................
9;
;
.a
:
bundles.
...........................................................
:
and advance using repeated, short
stroltes.
...........................................................
I
I
Inspecting optical system
Check universal cord for any damage (i.e. breaks, cracks, twisted or crushed area) and the
light guide connector, eyepiece and control section for loose connections
i
If
forceps do not pass smoothly, do not
I
1
force! Damage will occur to both biopsy
I
forceps and instrument channel.
..........................................................
4-6
water tuh
Inspection
-7
~iant Source
,
Air feeding
9
Water feedincr
(lens cleanins)
of
the Endoscopic System
Preparation
a
Connect the water container and suction line to the fiberscope.
@
Plug the light guide connector into the output socket.
@
Switch on the light source and suction device.
lnspection of the Air Feeding Mechanism
a
Place distal end of fiberscope in water to a depth of
with finger tip and confirm that air is emitted from the airlwater nozzle.
@
Remove finger from valve and confirm that no air is emitted from airlwater nozzle. At a
depth of less than
However, this does not indicate a malfunction.
lnspection of the Water Feeding (Lens Cleaning) Mechanism
a
Depress the airlwater valve completely and confirm that water
airlwater nozzle. Release the valve and make sure water feeding ceases.
-i$
At the first depression it will take a few seconds before water is emitted.
@
To clear the field of view following lens washing, feed air
lnspection of Suction Mechanism
10
10
cm. Cover the airlwater valve hole
cm beneath the water's surface a small amount of air may be emitted.
is
emitted through the
................................................................
L-
Do not use-a needle or
other sharp object to
remove debris from
water nozzle. The noz-
rnav
1
...............................................................
Cleaning the airlwater valve
tion valve
Washing
I
zle
pryed ioose.
be deformed or
r
Thoroughly
an
open faucet while
moving piston.
wash
and
under
air/
suc-
L
Dip the distal end in tap water and depress the suction valve. Make sure water is aspirated.
Release the valve and make sure the valve returns to its original position and that aspira-
tion ceases.
.f$
Ensure that the suction device to be used
4
if
the airlwater or suction valves fail to function smoothly, clean as illustrated
is
in safe and proper working condition.
at
right.
@
(Lubrication)
Apply a small amount
of lubricant
Brightness control knob
Inspection of the Automatic Exposure
@
Mount camera on fiberscope in the following manner:
o
Roughly align the yellow dots on camera and instrument eyepiece.
Rotate camera slightly until it seats.
Continue rotating clockwise (approximately
@
Manually adjust light source brightness to minimum light output
@
Hold the distal end of the fiberscope to within 1 cm of a white piece of paper and depress
the camera's shutter release. A momentary increase in light intensity should be noted.
@
Repeat the above procedure, holding the distal end of the fiberscope at 2 cm and 5 cm from
paper. Flash duration should increase with distance.
*
If the automatic exposure system fails to function as described, refer to Section
"TROUBLESHOOTING GUIDE".
@
Remove camera by rotating counterclockwise.
@
Disconnect the light guide connector from the light source.
s
If the light guide connector is simply pulled from the output socket, AC10-S fiberscope
adapter will remain in the
If the light guide connector is pulled from the output socket while depressing release knob
on top of the
Ibp
Electrical contacts may be cleaned using a cotton-tipped applicator moistened with
alcohol. Be sure to turn off light source before cleaning the electrical contacts on the
AC10-L
AC10-L adapter, both the fiberscope and fiberscope adapter will be released.
adapter.
AC10-L light source adapter.
System
118
turn) until camera locks into place.
.............................................................
Take care not to drop or knock.
9,
Loading...