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Olympus OSF User manual

INSTRUCTIONS

SIGMOIDOVIDEOSCOPE

OLYMPUS OSF TYPE V60

Refer to the endoscope’s companion manual, the “OLYMPUS OSF TYPE V60 ENDOSCOPE REPROCESSING MANUAL” for reprocessing information.
USA: CAUTION: Federal law restricts this device to sale by or on the order of a physician.

Contents

Contents
Symbols......................................................................................... 1
Important Information — Please Read Before Use.................... 2
Intended Use ............................................................................................ 2
Applicability of Endoscopy and Endoscopic Treatment ........................... 2
Instruction Manual..................................................................................... 3
User Qualifications ................................................................................... 3
Instrument Compatibility ........................................................................... 3
Reprocessing and Storage ....................................................................... 3
Spare Equipment ...................................................................................... 4
Repair and Modification ........................................................................... 4
Signal Words ............................................................................................ 4
Warnings and Cautions ............................................................................ 4
Chapter 1 Checking the Package Contents............................ 7
1.1 Checking the Package Contents..................................................... 7
Chapter 2 Instrument Nomenclature and Specifications ...... 10
2.1 Nomenclature.................................................................................. 10
2.2 Endoscope Functions ..................................................................... 12
2.3 Specifications.................................................................................. 14
Chapter 3 Preparation and Inspection .................................... 17
3.1 Preparation of the Equipment ......................................................... 17
3.2 Preparation and Inspection of the Endoscope ................................ 18
3.3 Preparation and Inspection of Accessories..................................... 21
3.4 Attaching Accessories to the Endoscope........................................ 23
3.5 Preparation, Inspection and Connection of Ancillary Equipment .... 25
3.6 Inspection of the Endoscopic System ............................................. 28
Chapter 4 Operation ................................................................. 31
4.1 Insertion .......................................................................................... 32
4.2 Using Endo-Therapy Accessories................................................... 36
4.3 Withdrawal of the Endoscope ......................................................... 41
4.4 Transportation of the Endoscope.................................................... 41
i
Contents
Chapter 5 Troubleshooting ...................................................... 43
5.1 Troubleshooting Guide.................................................................... 43
5.2 Returning the Endoscope for Repair............................................... 46
Appendix........................................................................................ 48
System Chart ........................................................................................... 48
ii
OSF TYPE V60 OPERATION MANUAL

Symbols

Symbols
The meaning(s) of the symbol(s) shown on the package with the components,
the back cover of this instruction manual and/or this instrument are as follows:
Refer to instructions.
Endoscope.
Type BF applied part.
Hot
Manufacturer
Authorized representative in the European Community
1
Important Information — Please Read Before Use
Important Information — Please Read Before Use

Intended Use

This instrument has been designed to be used with an Olympus Video System
Center, Documentation Equipment, Display Monitor, Endo-Therapy Accessories
(such as a Forceps) and other ancillary equipment for endoscopy and endoscopic surgery within the lower digestive tract (including the anus, rectum
and sigmoid colon).
Do not use this instrument for any purpose other than its intended 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.
2
OSF TYPE V60 OPERATION MANUAL

Instruction Manual

This instruction manual contains essential information on using this instrument
safely and effectively. Before use, thoroughly review this manual and the
manuals of all equipment, which will be used during the procedure and use the instrument as instructed. Note that the complete instruction manual set for this
endoscope consists of this manual and the “OLYMPUS OSF TYPE V60
ENDOSCOPE REPROCESSING MANUAL” which also accompanied the endoscope at shipment.
Keep this and all related instruction manuals in a safe, accessible location.
If you have any questions or comments about any information in this manual, please contact Olympus.

User Qualifications

Important Information — Please Read Before Use
The operator of this instrument must be a physician or medical personnel under the supervision of a physician and must have received sufficient training in
clinical endoscopic technique. This manual, therefore, does not explain or
discuss clinical endoscopic procedures.

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 injury or equipment damage.

Reprocessing and Storage

This instrument was not disinfected or sterilized before shipment. Before using
this instrument for the first time, reprocess it according to the instructions given in the endoscope’s companion manual, the “OLYMPUS OSF TYPE V60
ENDOSCOPE REPROCESSING MANUAL”.
After using this instrument, reprocess and store it according to the instructions given in the above manual. Improper and/or incomplete reprocessing or storage
can present an infection control risk, cause equipment damage or reduce
performance.
3
Important Information — Please Read Before Use

Spare Equipment

Be sure to prepare another endoscope to avoid that the examination will be
interrupted due to equipment failure or malfunction.

Repair and Modification

This instrument does not contain any user-serviceable parts. Do not
disassemble, modify or attempt to repair it; patient or user injury and/or equipment damage can result.
Some problems that appear to be malfunctions may be correctable by referring
to Chapter 5, “Troubleshooting”. If the problem cannot be resolved using the information in Chapter 5, contact Olympus.

Signal Words

The following signal words are used throughout this manual:

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.
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.
• Never insert or withdraw the endoscope’s Insertion Tube
while the Angulation Locks are fixed. Patient injury can result.
4
OSF TYPE V60 OPERATION MANUAL
Important Information — Please Read Before Use
• Do not strike, bend, hit, pull, twist, or drop the endoscope’s distal end, insertion tube, bending section, control section,
universal cord, or endoscope connector of the endoscope
with excessive force. The endoscope may be damaged and could cause patient injury, burns, bleeding and/or
perforations. It could also cause parts of the endoscope to fall
off inside the patient.
• Never perform angulation control forcibly or abruptly. Never forcefully pull, twist or rotate the angulated bending section.
Patient injury, bleeding and/or perforation can result. It may
also become impossible to straighten the bending section during an examination.
• Never perform angulation control, air feed control, suction
control or insertion/withdrawal of the endoscope’s Insertion
Tube without viewing the endoscopic image. Patient injury can result.
• Do not operate the Bending Section, feed air or apply suction, insert or withdraw the endoscope’s Insertion Tube
while the image is frozen. This could result in patient injury.
• Do not touch the Light Guide immediately after removing it
from the Light Source because it is extremely hot.
• Do not pull the Universal Cord. The Endoscope Connector
Section 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.
• To avoid damage to the CCD, do not touch the electrical
contacts inside the Electrical Connector.
• Do not apply shock to the Distal End of the Insertion Tube,
particularly the Objective Lens surface of the Distal End. Vision abnormalities may result.
• Do not twist or bend the Bending Section by hand.
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 power switch OFF when
attaching or detaching the Electrical Connector. Failure to do
this can result in equipment damage, including destruction of the CCD.
5
Important Information — Please Read Before Use
• The Remote Switch cannot be removed from the Control
• If the Remote Switch does not return to the OFF position
• Do not hit or bend the Electrical Contacts on the Endoscope
Details on clinical endoscopic technique are the responsibility of trained
specialists. Patient safety in endoscopic examinations and endoscopic treatment can be ensured through appropriate handling by the physician and the medical
facility. Examples of inappropriate handling are given below.
• Over-insufflating the lumen may cause patient pain and/or perforation.
• Using improperly or incompletely reprocessed or stored instruments may cause patient cross-contamination and infection.
Section of the endoscope. Pressing or pulling it with
excessive force can break it.
after being pressed strongly from the side, gently tug the switch upwards to return it to the OFF position.
Connector Section. The connection to the Light Source may
be impaired and faulty contact can result.
• Applying prolonged suction with the Distal End in contact with the
mucosal surface may cause bleeding or suction lesions.
• Retroflexing the endoscope within colon may cause mucosal trauma or
impaction of the endoscope.
• Inserting and using Endo-Therapy Accessories without a clear endoscopic image may cause burns or perforation.
• Patient injury may be caused by; inserting or withdrawing the
endoscope, feeding air or applying suction without a clear endoscopic
image; withdrawing the endoscope with the angulation controls locked; forcefully pulling, twisting or rotating the angulated Bending Section.
6
OSF TYPE V60 OPERATION MANUAL

Chapter 1 Checking the Package Contents

Chapter 1 Checking the Package
Contents

1.1 Checking the Package Contents

Match all items in the package with the components shown below. Inspect each
item for damage. If the instrument is damaged, a component is missing or you
have any questions, do not use the instrument; immediately contact Olympus. This instrument was not disinfected or sterilized before shipment. Before using
this instrument for the first time, reprocess it according to the instructions given
in the endoscope’s companion manual, “OLYMPUS OSF TYPE V60 ENDOSCOPE REPROCESSING MANUAL”.
7
Chapter 1 Checking the Package Contents
Biopsy Valve (MB-358, 2 pcs.)
Endoscope
All-Channel Irrigator with 30 cm Syringe (CW-3)
Channel-opening Cleaning Brush (MH-507)
Instruction Manual (Operation)
3
(30 ml)
Channel Cleaning Brush (BW-20T)
Lubricant (Silicon Oil) (MB-146) AW Channel Cleaning Adapter
Instruction Manual (Reprocessing)
Channel Cleaning Adapter (MB-19)
(MB-107)
8
OSF TYPE V60 OPERATION MANUAL
Chapter 1 Checking the Package Contents
9

Chapter 2 Instrument Nomenclature and Specifications

Chapter 2 Instrument Nomenclature
and Specifications

2.1 Nomenclature

The endoscope’s Main Body is illustrated with its valves detached.
Water Resistant Cap (MAJ-639)
Venting Connector
Symbol Mark ( )
To the Video System Center
Universal Cord
13. Electrical Connector
Serial No.
Symbol Mark ( )
Water Resistant Cap Holder
Symbol Mark ( )
Symbol Mark ( )
12. Water Container Connector
Air Pipe
Light Guide
10. Suction Connector
14. S-Cord Connector Mount
10
OSF TYPE V60 OPERATION MANUAL
11. Endoscope Connector
Chain
Top View
Chapter 2 Instrument Nomenclature and Specifications
1. UP/DOWN Angulation Control Knob
2. RIGHT/LEFT Angulation Control Knob
3. RIGHT/LEFT Angulation Lock
Grip Section
6. Color Code (Yellow)
5. Suction Valve (MB-197)
7. Remote Switch
4. Air/Water Valve (MB-196)
Control Section
Suction Cylinder
Air/Water Cylinder
Biopsy Valve (MB-358)
<Non-Sterile>
Top V i e w
8. Instrument Channel Port
Boot
Working Length
Insertion Tube
Distal End
9. Bending Section
11
Chapter 2 Instrument Nomenclature and Specifications

2.2 Endoscope Functions

1. UP/DOWN Angulation Control Knob
When turned in the “ U” direction, the Bending Section moves UP; when
turned in the “ D” direction, the Bending Section moves DOWN.
2. RIGHT/LEFT Angulation Control Knob
When turned in the “R ” direction, the Bending Section moves RIGHT; when turned in the “ L” direction, the Bending Section moves LEFT.
3. RIGHT/LEFT Angulation Lock
Turning the Lock in the “F ” direction frees angulation. Turning it in the
opposite direction locks the Bending Section at any desired position.
4. Air/Water Valve (MB-196)
Cover the Hole to insufflate air. Depress the Air/Water Valve to feed water
for lens washing. If necessary, feed air to remove any remaining fluid or debris adhering to the Objective Lens.
5. Suction Valve (MB-197)
Depress the Suction Valve to activate suction. Used to remove any remaining fluid or debris adhering to the Objective Lens.
6. Color Code (Yellow)
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.)
7. Remote Switch
The Remote Switch sends the image to the Video Printer. Refer to the instruction manual of the Video System Center for further details.
8. Instrument Channel Port
Functions as: Channel for insertion of Endo-Therapy Accessories; Suction
Channel; fluid feed channel (from a syringe via the Biopsy Valve).
9. Bending Section
Moves the Distal End of the endoscope when the UP/DOWN and
RIGHT/LEFT Angulation Control Knobs are operated.
10. Suction Connector
Connects to the Suction Tube.
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OSF TYPE V60 OPERATION MANUAL
Chapter 2 Instrument Nomenclature and Specifications
11. Endoscope Connector
Connects to the Output Socket of the Video System Center, receives the
lamp light from the Video System Center through the Light Guide and transfers the light internally.
12. Water Container Connector
Accepts the Water Container’s Water Supply Tube.
13. Electrical Connector
Connect to the Video System Center.
14. S-Cord Connector Mount
Connects to the S-cord to conduct leakage current from the endoscope to
the Olympus Electrosurgical Unit. To connect the S-cord, refer to the
instruction manual for the Olympus Electrosurgical Unit.
13
Chapter 2 Instrument Nomenclature and Specifications

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
2
(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)
)
2
)
14
OSF TYPE V60 OPERATION MANUAL
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