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Olympus OSF User manual

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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.
12
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
Specifications
Endoscope Functions
Model OSF-V60
Optical System Field of View
Chapter 2 Instrument Nomenclature and Specifications
145°
Direction of View Forward Viewing
Depth of Field 3 to 100 mm
Insertion Tube Distal End Outer
Diameter
Distal End enlarged 1. Air/Water Nozzle
Insertion Tube Outer
Diameter
Working Length 730 mm
Instrument Channel Channel Inner
Diameter
Minimum Visible
Distance
Direction from which
Endo-Therapy
Accessories enter
and exit the
endoscopic image
Air Flow Rate
Bending Section Angulation Range
ø12.2mm
2. Light Guide Lens
3. Objective Lens
4. Instrument Channel
3.
UP
RIGHT
4.
DOWN
ø11.3mm
ø3.2mm
6 mm from the Distal End
25 cm
UP 180°
DOWN 180
RIGHT 160
LEFT 160
3
1.
LEFT
2.
/s
°
°
°
Total L engt h 1070 mm
15
Chapter 2 Instrument Nomenclature and Specifications
Year of manufacture
Degree of protection
against electric
shock
2912345
The last digit of the year of
manufacture is given in the second
digit of the serial number.
TYPE BF applied part
16
OSF TYPE V60 OPERATION MANUAL

Chapter 3 Preparation and Inspection

Chapter 3 Preparation and Inspection
• Before each case, prepare and inspect this instrument as
instructed below. Inspect other equipment that is used with this instrument as instructed in their respective instruction
manuals. Should the slightest irregularity be suspected, do
not use this instrument and see Chapter 5, “Troubleshooting”. If the irregularity is still suspected after
consulting Chapter 5, contact Olympus. Damage or
irregularity may compromise patient or user safety and may
result in more-severe equipment damage.
• This instrument was not disinfected or sterilized before shipment. Before using this instrument for the first time,
reprocess it according to the instructions in the endoscope’s
companion manual, the “OLYMPUS OSF TYPE V60 ENDOSCOPE REPROCESSING MANUAL”.

3.1 Preparation of the Equipment

Refer to the “System Chart” in the Appendix for a listing of equipment that is
compatible with this instrument. Prepare the instrument, compatible ancillary
equipment, paper towels, trays, lint-free cloths and personal protective equipment, such as eye wear, a face mask, moisture-resistant clothing and
chemical-resistant gloves, for the particular case. Refer to the respective
instruction manual for each piece of equipment.
17
Chapter 3 Preparation and Inspection
Display Monitor
Water Container
• Paper Towels • Trays • Personal Protective Equipment • Lint-free Cloths
Video System Center
Suction Pump
Endo-Therapy Accessory
Biopsy Valve
Endoscope
Figure 3.1

3.2 Preparation and Inspection of the Endoscope

Clean and disinfect or sterilize the endoscope as described in the endoscope’s companion manual, the “OLYMPUS OSF TYPE V60 ENDOSCOPE
REPROCESSING MANUAL”.
Inspection of the Endoscope
1.
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.
18
OSF TYPE V60 OPERATION MANUAL
Chapter 3 Preparation and Inspection
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.
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 at the Distal End of the endoscope’s Insertion
Tube for scratching, cracks, stains, gaps around the lens 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.
19
Chapter 3 Preparation and Inspection

Inspection of the Bending Mechanisms

Perform the following inspections while the Bending Section is straight.
Inspection for Smooth Operation
1. Confirm that RIGHT/LEFT Angulation Lock is in the “F ” position.
2. Turn the UP/DOWN and RIGHT/LEFT Angulation Control Knobs slowly in
each direction until they stop. Confirm that the Bending Section angulates
smoothly and correctly and that maximum angulation can be achieved.
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.
3. Turn the UP/DOWN and RIGHT/LEFT Angulation Control Knobs slowly to
their respective neutral positions. Confirm that the Bending Section returns smoothly to an approximately straight condition.
Inspection of the RIGHT/LEFT Angulation Mechanism
1. Turn the RIGHT/LEFT Angulation Lock 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.
20
OSF TYPE V60 OPERATION MANUAL
Chapter 3 Preparation and Inspection

3.3 Preparation and Inspection of Accessories

Clean and disinfect or sterilize the Air/Water Valve (MB-196), Suction Valve
(MB-197) and Biopsy Valve (MB-358) as described in the endoscope’s
companion manual, “OLYMPUS OSF TYPE V60 ENDOSCOPE REPROCESSING MANUAL”.
Inspection of the Air/Water and Suction Valves
Visually inspect the Air/Water and Suction Valves (see Figures 3.4 and 3.5).
1. Confirm that the Holes are not blocked.
2. Confirm that the valves are not deformed or cracked.
3. Check for excessive scratching or tears in the valve’s Seals.
Figure 3.4
Hole
Skirt
Seals
Hole
Air/Water Valve (MB-196)
Skirt
Hole
Suction Valve (MB-197)
Figure 3.5
• The Air/Water and Suction Valves are consumables. If
inspection of the Air/Water or Suction Valve reveals any
irregularity, use new valves.
21
Chapter 3 Preparation and Inspection
Inspection of the Biopsy Valve
1. Confirm that the slit and hole on the Biopsy Valves have no splits, cracks,
deformation, discoloration or other damage (see Figure 3.6).
• Only Air/Water Valve (MB-196) and Suction Valve (MB-197) should be used with this endoscope. These valves are not
designed for use with models other than this scope and
10/20/30/100/130/200/230 Series endoscopes.
The Biopsy Valve is a consumable item that should be inspected before each use. Replace it with a new one if
irregularities are observed by 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.
Normal Abnormal
Slit
Hole
Cap
Figure 3.6
Main body
Splits, Cracks
2. Attach the cap to the main body as shown in Figure 3.7.
Slit
Discoloration
22
Cap
Figure 3.7
OSF TYPE V60 OPERATION MANUAL
Main body
Chapter 3 Preparation and Inspection

3.4 Attaching Accessories to the Endoscope

Attaching the Suction Valve
1.
Apply a small amount of lubricant to the Moving Surface (see Figure 3.8).
2. Align the Gutter on the underside of the Suction Valve with the Metal Pin in
the Suction Cylinder.
3. Attach the Suction Valve to the Suction Cylinder of the endoscope (see
Figures 3.8 and 3.9). Confirm that the valve fits properly without bulging of
the Skirt.
Skirt
Moving Surface
Gutter
Figure 3.8
Side View
Suction Cylinder
Bottom View
Metal Pin
Top View
The Suction Valve will make a whistling noise when it is dry; this does not indicate a malfunction.
23
Chapter 3 Preparation and Inspection
Attaching the Air/Water Valve
Apply a small amount of lubricant to the Seals. Attach the Air/Water Valve to the
Air/Water Cylinder of the endoscope (see Figure 3.9). Confirm that the valve fits properly without bulging of the Skirt.
Air/Water Valve (MB-196)
Suction Valve (MB-197)
Skirt
Suction Cylinder
Air/Water Cylinder
Figure 3.9
The Air/Water Valve may ‘stick’ at first, but it should operate
smoothly after it is depressed a few times.
Attaching the Biopsy Valve
Attach the Biopsy Valve to the Instrument Channel Port of the endoscope (see
Figure 3.10). Confirm that the Cap fits properly without bulging.
Biopsy Valve
Instrument Channel Port
Assembled
24
Assembled
Figure 3.10
OSF TYPE V60 OPERATION MANUAL
Chapter 3 Preparation and Inspection

3.5 Preparation, Inspection and Connection of Ancillary Equipment

Preparation and Inspection of Ancillary Equipment
Attach the Water Container (MD-431) to the specified
receptacle. If the Water Container is attached anywhere else, water may drip from the Water Container’s Water Supply
Tube, and can impair the performance of the equipment.
Only Water Container (MD-431) should be used with this
endoscope. This Water Container is not designed for use with models other than this endoscope and
10/20/30/100/130/200/230 Series endoscopes.
Prepare and inspect the Video System Center, Display Monitor, Water Container,
Suction Pump and Endo-Therapy Accessories according to their respective
instruction manuals.
Connection of the Endoscope and Ancillary Equipment
• Firmly connect the Suction Tube to the Suction Connector. If the Suction Tube is attached improperly there is a danger
that fluid may drip from the tube, which can impair the
performance of the equipment.
• Do not attach or remove the Endoscope Connector with your finger on the Water Resistant Cap Holder (as shown in
Figure 3.11), to avoid damaging it.
Figure 3.11
25
Chapter 3 Preparation and Inspection
1. After confirming that the Video System Center’s power switch is OFF, insert
the Endoscope Connector completely into the Output Socket of the Video
System Center (see Figure 3.12).
• Connect this endoscope to the Video System Center (CV-60), which is a combined light source and video device.
Figure 3.12
2. Connect the Water Container Connection Adapter to the Water Container
Connector as shown in Figure 3.13.
Endoscope Connector
Water Container’s Water Supply Tube
Figure 3.13
Suction Connector
Water Container Connector
Water Container Connection Adapter
Assembled
3. Connect the Suction Tube from the Suction Pump to the Suction Connector
on the Endoscope Connector (see Figure 3.14).
26
OSF TYPE V60 OPERATION MANUAL
Chapter 3 Preparation and Inspection
Suction Pump
Suction Tube
To t h e S uc ti o n Connector on the endoscope
(KV-4, SSU-2)
Figure 3.14
Securing the Water Resistant Cap (MAJ-639)
Before operating the endoscope, secure the Water Resistant Cap to the
Endoscope Connector (see Figure 3.15).
Figure 3.15
Water Resistant Cap (MAJ-639)
27
Chapter 3 Preparation and Inspection

3.6 Inspection of the Endoscopic System

Inspection of the Endoscopic Image
Turn the power switches of the Video System Center and Display Monitor ON, and inspect the endoscopic image as described in their respective instruction
manuals.
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
If a stream of air bubbles comes out of 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 water, the air feeding function is still
operating. If the endoscope is used while air is continuously being fed, over-insufflation and patient injury may result.
1. Turn ON the switch of the airflow regulator on the Video System Center,
following the instructions given in the Video System Center’s instruction
manual.
28
2. Immerse the Distal End of the Insertion Tube in sterile water to a depth of
10 cm. Confirm that no air bubbles are emitted when the Air/Water Valve is not operated.
3. With the Distal End immersed to a depth of 10 cm, cover the Hole in the
Air/Water Valve with your finger and confirm that air bubbles are
continuously emitted from the Air/Water Nozzle.
OSF TYPE V60 OPERATION MANUAL
Chapter 3 Preparation and Inspection
4. Uncover the Hole in the Air/Water Valve and confirm that no air bubbles are
emitted from the Air/Water Nozzle.
• 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.
• If no air bubbles are emitted after correctly inserting or
exchanging the Air/Water Valve, the endoscope is operating
correctly.
Inspection of the Objective Lens Cleaning Function
1.
Keep the Air/Water Valve’s Hole covered with your finger and depress the
Air/Water Valve. Confirm that water is fed through the Air/Water Nozzle by
observing the endoscopic image.
2. Release the valve. Observe the endoscopic image and confirm that water
feeding 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 air
feeding dries the Objective Lens and clears the endoscopic image.
• When the Air/Water Valve is depressed for the first time, it
may take a few seconds before water is emitted.
• During the inspection, place the Distal End of the endoscope
in a beaker or other container so that the floor does not get wet.
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.
29
Chapter 3 Preparation and Inspection
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.
• 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.
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 Channel.
Inspection of the Instrument Channel
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.
Insert the Endo-Therapy Accessory through the Biopsy Valve. Confirm that the
Endo-Therapy Accessory extends smoothly from the Distal End.
30
OSF TYPE V60 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.
• Anytime you suspect an abnormality in an endoscope
function, stop the examination immediately and slowly
remove it while viewing the endoscopic image. Using a
defective endoscope may cause patient injury.
• If the endoscopic image on the Display Monitor should
unexpectedly disappear or freeze during an examination, and
cannot be restored, turn the Video System Center power
switch OFF and then ON again. If the image still does not appear, stop the examination immediately, turn the Video
System Center OFF, turn the RIGHT/LEFT Angulation Lock
in the “F ” direction. Then, without touching the Angulation Control Knobs or Angulation Locks, slowly withdraw the
endoscope from the patient. If an Endo-Therapy Accessory is
being used, withdraw it in the safest possible manner before withdrawing the endoscope.

Chapter 4 Operation

• If the angulation control mechanism or any other part of the
system is not functioning properly, stop the procedure
immediately; free the Angulation Locks and do not operate the Angulation Control Knobs unless absolutely necessary.
Then carefully withdraw the endoscope while observing the
endoscopic image.
• If the endoscope or Endo-Therapy Accessory cannot be
withdrawn from the patient smoothly, do not attempt to
forcibly withdraw it. If any irregularities are suspected,
immediately contact Olympus. Forcibly withdrawing the endoscope or Endo-Therapy Accessory may cause patient
injury, bleeding and/or perforation.
31
Chapter 4 Operation

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 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).
• Use personal protective equipment to guard against
dangerous chemicals and potentially infectious material. During operation, wear appropriate personal protective
equipment, such as eye wear, a face mask,
moisture-resistant clothing and chemical-resistant gloves that fit properly and are long enough so that your skin is not
exposed.
32
Figure 4.1
OSF TYPE V60 OPERATION MANUAL

Insertion of the Endoscope

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.
1. If necessary, apply a medical-grade, water-soluble lubricant to the Insertion
Tube.
2. Always view the endoscopic image when passing the Distal End of the
endoscope from the anus to the rectum.
Do not allow the Insertion Tube to bend in a radius of 10 cm
or less at the junction of the Boot. Insertion Tube damage can occur (see Figure 4.2).
Chapter 4 Operation
Must be 10 cm or more
Figure 4.2
Angulation of the Distal End
If the angulation control mechanism or any other part of the
system is not functioning properly, stop the procedure
immediately; free the Angulation Locks and do not operate the Angulation Control Knobs unless absolutely necessary.
Then carefully withdrawn the endoscope while observing the
endoscopic image. If the endoscope cannot be withdrawn
from the patient smoothly, do not attempt to forcibly withdraw it; leave it inside the patient and immediately contact
Olympus. Forcibly withdrawing the endoscope may cause
patient injury.
33
Chapter 4 Operation
Air and Water Feeding and Suction
Operate the Angulation Control Knobs as necessary to guide the Distal End for insertion and observation.
• The endoscope’s RIGHT/LEFT Angulation Lock is used to
hold the angulated Distal End in position. When passing an Endo-Therapy Accessory through the channel while the
angulation is locked, the Angulation Control Knobs should be
held in place to help maintain the angle of the Distal End. When it is necessary to maintain angulation, hold the
Angulation Control Knobs in place with your finger.
• When operating the RIGHT/LEFT Angulation Lock, hold the
Angulation Control Knob stationary with your finger. If this is
not done, the angulation will change.
• 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.
Air and Water Feeding
• Confirm that the Hole in the Air/Water Valve is not clogged.
This could make it impossible to stop air feeding.
• If the water flow does not appear in the endoscopic image
while you are depressing the Air/Water Valve, release the valve and inspect the water level in the Water Container.
34
• If the sterile water level in the Water Container is too low,
then air, not water, will be supplied. In the case, turn the
airflow regulator switch on the Video System Center to OFF and add more sterile water to the Water Container.
Otherwise, patient injury could occur.
OSF TYPE V60 OPERATION MANUAL
Chapter 4 Operation
• If sterile water cannot be fed even though there is enough
sterile water in the Water Container, the endoscope or other
equipment may not be working properly. Stop the procedure
immediately and contact Olympus.
Clean the Objective Lens by covering the Air/Water Valve’s Hole to feed air from
the Air/Water Nozzle in the Distal End or depress the Air/Water Valve to feed water onto the Objective Lens (see Figure 4.3).
Suction Valve
Air/Water Valve
Figure 4.3
Suction
• Avoid aspirating solid matter or thick fluids; channel or valve
clogging can occur. If the Suction Valve clogs and aspiration
cannot be turned off, disconnect the Suction Tube from the Suction Connector on the Endoscope Connector. Stop the
procedure and withdraw the endoscope from the patient
while viewing the endoscope image.
• 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.
During the procedure, make sure that the Suction Bottle does not fill completely or overflow. Aspirating fluids into a full
bottle can damage the Suction Pump.
35
Chapter 4 Operation
Observation of the Endoscopic Image
Depress the Suction Valve while covering the Air/Water Valve’s Hole to aspirate excess fluid or other debris obscuring the endoscopic image (see Figure 4.3).
Performing both air feeding and suction at the same time
sometimes makes it easier to remove water droplets from the Objective Lens surface.
The temperature of the Distal End of the endoscope may exceed 41°C (106°F) and reach 50°C (122°F) due to intense
endoscopic illumination. Surface temperatures over 41°C
(106°F) may cause mucosal burns. Always use the minimum level of illumination 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.
Refer to the Video System Center’s instruction manual for instructions on how to adjust the brightness.
4.2 Using Endo-Therapy Accessories
For more information on combining the endoscope with particular Endo-Therapy
Accessories, refer to the instruction manuals for those accessories.
• 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 injury and/or equipment damage. The minimum visible distance depends on the type
of endoscope being used. Refer to Section 2.3,
“Specifications”.
36
OSF TYPE V60 OPERATION MANUAL
Chapter 4 Operation
• 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 an Endo-Therapy Accessory cannot be withdrawn from the
endoscope, close the tip of the Endo-Therapy Accessory or
retract the tip of the Endo-Therapy Accessory into its sheath
and slowly withdraw the endoscope while observing the endoscopic image.
• 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.
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.
• When using the Endo-Therapy Accessory with the cap of the
Biopsy Valve detached, it is easier to insert the accessory.
But, as a result, it can reduce efficacy of the endoscope’s suction system, and may leak or spray patient debris or
fluids, posing an infection control risk. When not using the
Endo-Therapy Accessory, attach the cap to the main body of the Biopsy Valve.
• When the cap of the Biopsy Valve is detached, it may cause
patient debris or fluids to leak or spray from the endoscope,
posing an infection control risk. When the valve is uncapped, place a piece of sterile gauze over it to prevent leakage.
37
Chapter 4 Operation
• 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.
• Hold the part which is close to the Biopsy Valve of the
Endo-Therapy Accessory, and insert it straight, slowly, and little by little to 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.
• When using a Biopsy Forceps with needle, confirm that the
needle is not bent excessively. The excessively bent needle could come out from closing cups of the Biopsy Forceps.
Using such a Biopsy Forceps could damage an instrument
channel.
• When using an injector, be sure not to extend or retract the needle from the catheter of the injector until the injector
comes out from the Distal End of the endoscope. It could
damage the instrument channel to extend the needle inside the channel or to insert or withdraw the injector while the
needle is coming out.
1. Refer to the “System Chart” in the Appendix to determine instrument
compatibility.
2. While holding the UP/DOWN and RIGHT/LEFT Angulation Knobs
stationary, slowly insert the Endo-Therapy Accessory through the Slit of the
biopsy valve.
• If significant resistance is encountered and insertion is very difficult, straighten the Bending Section as much as possible
without losing the endoscopic image. Inserting Endo-Therapy
Accessories with excessive force may damage the endoscope and/or cause patient injury.
38
OSF TYPE V60 OPERATION MANUAL
Chapter 4 Operation
• Confirm that the tip of the Endo-Therapy Accessory is closed
or retracted into its sheath and slowly insert the Endo-Therapy Accessory into the biopsy valve. Do not open
the tip of the Endo-Therapy Accessory or extend the tip of the
Endo-Therapy Accessory from its sheath while inserting the Endo-Therapy Accessory into 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.
3. Hold the Endo-Therapy Accessory approximately 4 cm from the biopsy
valve and slowly advance it into the biopsy valve using slow, short strokes.
When the tip of the Endo-Therapy Accessory extends approximately 1 cm from the Distal End of the endoscope,
the accessory appears in the endoscopic image.
Operation of Endo-Therapy Accessories
Operate the Endo-Therapy Accessory according to the directions given in its
instruction manual.
Withdrawal of Endo-Therapy Accessories
Withdraw the Endo-Therapy Accessory slowly while the tip of the Endo-Therapy Accessory is closed and/or retracted into its sheath.
• 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.
• Do not withdraw the Endo-Therapy Accessory if the tip is
open or extended from its sheath; patient injury and/or
instrument damage may occur. If the Endo-Therapy
Accessory cannot be withdrawn from the endoscope,
carefully withdraw both the endoscope and the Endo-Therapy Accessory together under endoscopic
observation. Take care not to cause tissue trauma.
39
Chapter 4 Operation

Use of Non-Flammable Gases

High Frequency Cauterization
Performing treatment while the intestines are filled with a
flammable gas could result in an explosion and/or serious patient injury. If the intestines contain a flammable gas,
replace it with air or a non-flammable gas such as CO
before performing high-frequency cauterization.
Using CO2 gas during endoscopic examinations of the colon and rectum, etc., may reduce post-examination pain.
Only Gas Adapter (MAJ-422) should be used when a non-combustible gas is being used. When using this Gas Adapter, please follow its instruction manual.
2
• If the intestines contain a flammable gas, replace it with air or
a non-flammable gas such as CO
frequency cauterization. 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.
• To avoid patient injury and/or damage to the endoscope,
never emit high frequency current before confirming that the
electrode section of the high-frequency Endo-Therapy Accessory is extended from the Distal End of the endoscope
in the endoscopic image. Also confirm that the electrode
section of the Electrosurgical Accessory and the mucous membrane in the vicinity of the target area are at an
appropriate distance from the Distal End of the endoscope.
Prepare, inspect and connect the Electrosurgical Unit and Electrosurgical Accessories as described in their instruction manuals.
before performing high
2
40
The application of high frequency current may interfere with
the endoscopic image. This is normal and does not indicate a malfunction.
OSF TYPE V60 OPERATION MANUAL

4.3 Withdrawal of the Endoscope

1. Aspirate the accumulated air, blood, mucous or other debris by depressing
the Suction Valve.
2. Turn the RIGHT/LEFT Angulation Lock to the “F ” position to release it.
3. Slowly withdraw the endoscope while observing the image.
4.4 Transportation of the Endoscope
Transporting Within the Hospital
Do not touch the Light Guide immediately after removing it from the Light Source because it is extremely hot (see Figure
4.5).
Chapter 4 Operation
Figure 4.4
Do not lift the Endoscope Connector by the Water Resistant
Cap, to avoid damage to the Chain and the Water Resistant
Cap Holder (see Figure 4.4).
41
Chapter 4 Operation
When carrying the endoscope by hand, hold the Endoscope Connector together
with the Control Section in one hand and hold the Distal End of the Insertion
Tube securely, but lightly without squeezing, in the other hand as shown in Figure 4.5.
Light Guide
Figure 4.5
Transporting Outside the Hospital
Transport the endoscope in the Carrying Case.
• The Carrying Case cannot be cleaned or disinfected. Clean
and disinfect or sterilize the endoscope before placing it in
the Carrying Case. Disinfect or sterilize the endoscope again before use.
• Do not attach the Water Resistant Cap when transporting the
endoscope, to avoid damage to the endoscope caused by
changes in the air pressure.
42
OSF TYPE V60 OPERATION MANUAL
Chapter 5 Troubleshooting
If the endoscope is visibly damaged, does not function as expected or is found to
have other irregularities during the inspection described in Chapter 3, “Preparation and Inspection”, do not use the endoscope. Contact Olympus.
Some problems that appear to be malfunctions may be correctable by referring
to Section 5.1, “Troubleshooting Guide”. Should you fail to correct the problem even after taking the described remedial action, stop using the endoscope and
send it to Olympus for repair.
Olympus does not repair accessory parts. If an accessory part becomes damaged, contact Olympus to purchase a replacement.
• Never use the endoscope on a patient if an abnormality is
suspected. Damage or irregularity in the instrument may
compromise patient or user safety and may result in more-severe equipment damage.

Chapter 5 Troubleshooting

• If any parts of the endoscope fall off inside the patient body
due to equipment damage or failure, stop using the
endoscope immediately and retrieve the parts in an appropriate way.

5.1 Troubleshooting Guide

Functions
Angulation
Irregularity
Description
Resistance when
rotating Angulation
Control Knob.
Possible Cause Solution
Angulation Lock
engaged.
Rotate Angulation Lock in the
“F ” direction as described in 3.
in Section 2.2, “Endoscope
Functions”.
43
Chapter 5 Troubleshooting

Air/Water Feeding

Irregularity
Description
No air or water feeding. Air pump is not
No water feeding. Air pump is not
Sticky Air/Water Valve. Air/Water Valve is dirty. Remove the Air/Water Valve.
Air/Water Valve cannot
be attached.
Possible Cause Solution
Turn on the airflow regulator on
operating.
Air/Water Valve is
damaged.
operating.
No sterile water in
Water Container.
Air/Water Valve is
damaged.
No lubricant. Apply a small amount of lubricant
Air/Water Valve is
damaged.
Improper Air/Water
Valve is used.
the Video System Center as
described in the Video System
Center’s instruction manual.
Replace it with a new Air/Water
Val ve.
Turn on the airflow regulator on
the Video System Center as
described in the Video System
Center’s instruction manual.
Fill 2/3 full with sterile water.
Replace it with a new Air/Water
Val ve.
Reprocess the Air/Water Valve
and then attach it again.
to the Seals.
Replace it with a new Air/Water
Val ve.
Use a proper Air/Water Valve.
44
Air/Water Valve is
damaged.
OSF TYPE V60 OPERATION MANUAL
Replace it with a new Air/Water
Val ve.

Suction

Chapter 5 Troubleshooting
Irregularity
Description
Absent or insufficient
suction.
Sticky Suction Valve. Suction Valve is dirty. Remove the Suction Valve and
Suction Valve cannot be
attached.
Possible Cause Solution
Biopsy Valve is not
attached properly.
Biopsy Valve is
damaged.
Improper Suction Pump
setting.
Suction Valve is
damaged.
No lubricant. Apply a small amount of lubricant
Suction Valve is
damaged.
Suction Valve is
damaged.
Improper Suction Valve
is used.
Reattach the Biopsy Valve.
Replace it with a new Biopsy
Valv e.
Adjust the Suction Pump’s setting
as described in its instruction
manual.
Replace it with a new Suction
Valv e.
then attach it again.
to the Moving Surface.
Replace it with a new Suction
Valv e.
Replace it with a new Suction
Valv e.
Use a proper Suction Valve.
Image Quality or Brightness
Irregularity
Description
No endoscopic image. Power switches not ON. Turn ON the power switch.
Image is not clear. Dirty Objective Lens. Feed water to remove mucous,
Excessively dark or
bright images.
Possible Cause Solution
etc.
Improper Video System
Center setting.
Adjust the Video System Center’s
setting as described in its
instruction manual.
45
Chapter 5 Troubleshooting

Endo-Therapy Accessories

Irregularity
Description
Endo-therapy
Accessory does not
pass through the
Instrument Channel
smoothly.
Possible Cause Solution
An incompatible
Endo-Therapy
Accessory is being
used.
Refer to the “System Chart” in the
Appendix and select a compatible
Endo-Therapy Accessory. Confirm
that the Color Code on the
Endo-Therapy Accessory
matches that on the endoscope.
5.2 Returning the Endoscope for Repair
Thoroughly clean and high-level disinfect or sterilize the
endoscope before returning it for repair. Improperly reprocessed equipment presents an infection control risk to
each person who handles the endoscope within the hospital
or at Olympus.
Olympus is not liable for any injury or damage which occurs
as a result of repairs attempted by non-Olympus personnel.
Before returning the endoscope for repair, contact Olympus. With the
endoscope, include a description of the endoscope malfunction or damage and the name and telephone number of the individual at your location who is most
familiar with the endoscope problem. Also include a repair purchase order.
When returning the endoscope for repair, follow the instructions given in “Transporting Outside the Hospital” in Section 4.4, “Transportation of the
Endoscope”.
46
OSF TYPE V60 OPERATION MANUAL
Chapter 5 Troubleshooting
47

Appendix

Appendix

System Chart

The recommended combinations of equipment and accessories that can be used with this instrument are listed below. New products released after the
introduction of this instrument may also be compatible for use in combination
with this instrument. For further details, contact Olympus.
If combinations of equipment other than those shown below are used, the full responsibility is assumed by the medical
treatment facility.
Video System Center (CV-60)
Suction Pump
Gas/Water Valve (MD-410)
Suction Pump (KV-4, SSU-2)
Gas Adapter (MAJ-422)
48
Water Container (MD-431)
OSF TYPE V60 OPERATION MANUAL
Biopsy Valve (MB-358)
Electrosurgical Units
Appendix
Endo-Therapy Accessories
See next page.
Channel Cleaning Adapter (MB-19)
AW Channel Cleaning Adapter (MB-107)
UES-10/20
PSD-10/20
Cleaning and Disinfection Equipment
Leakage Tester (MB-155)
Channel Cleaning Brush (BW-20T)
Electrosurgical Accessories
See next page.
All-Channel Irrigator with 30 cm Syringe (CW-3)
3
(30 ml)
Ultrasonic Cleaner (KS-2)
Channel-opening Cleaning Brush (MH-507)
Maintenance Unit (MU-1)
49
Appendix

Endo-Therapy Accessories

BIOPSY FORCEPS
Alligator Type
Endoscope
OSF-V60 FB-11K-1 FB-24E-1 FB-36K-1 FB-23K-1
Rat Tooth with
Alligator Jaws
(Swing Type)
Endoscope
OSF-V60 FB-53K-1 to 55K-1 FB-25K-1 FB-37K-1 FB-25KR-1
ROTATABLE
BIOPSY FORCEPS
Rat Tooth with
Alligator Jaws
(Swing Type)
Ellipsoid
with Needle
BIOPSY FORCEPS
Fenestrated Rat Tooth Fenestrated
Fenestrated with
Needle
Alligator Jaws
CYTOLOGY BRUSH
Standard Type With Sheath
Fenestrated
with Needle
ROTATABLE
BIOPSY FORCEPS
Endoscope
OSF-V60 FB-53KR-1 to
55KR-1
GRASPING
FORCEPS
Alligator Jaws
Endoscope
OSF-V60 FG-6L-1
50
OSF TYPE V60 OPERATION MANUAL
FB-24KR-1 BC-2J BC-9L
Appendix
GRASPING FORCEPS
Rat Tooth Basket Type
Endoscope
OSF-V60 FG-8L-1 FG-16L-1 FG-21L-1 FG-32L-1
Rubber Tips
(Non-latex)
Sharp Tooth
GRASPING FORCEPS
Rat Tooth with
Alligator Jaws
Endoscope
OSF-V60 FG-42L-1/47L-1 FG-45L-1 FG-46L-1 FS-1K
SURGICAL
SCISSORS
Endoscope
OSF-V60 FS-3L FS-5L-1 1E-1L PW-1H-1
WASHING PIPE
Spray Type Straight
Tripod Type Pentapod Type
LOOP
CUTTER
ROTATABLE CLIP
FIXING DEVICE
MAGNETIC
EXTRACTOR
LIGATING DEVICE
SUTURE CUTTING
FORCEPS
WASHING PIPE
Standard Type
MEASURE
Endoscope
OSF-V60 PW-5L-1 HX-5LR-1 HX-20L-1 M1-2K
51
Appendix
MEASURE
INJECTOR
Bendable
Endoscope
OSF-V60 M2-3U/4K NM-1K/4L-1 to 7L-1 NM-18L to 20L CD-20Z
DISPOSABLE
INJECTOR
HEAT PROBE
Electrosurgical Accessories
ELECTROSURGICAL SNARE
Crescent Hexagonal Oval Mini Oval
Endoscope
OSF-V60 SD-5L-1 SD-6L-1 SD-9L-1/11L-1 SD-12L-1/13L-1
ELECTROSURGICAL SNARE
Oval with Thorn
Mini Oval with
Thorn
DISPOSABLE ELECTROSURGICAL
SNARE
Oval Mini Oval
Endoscope
OSF-V60 SD-16L-1 SD-17U-1 SD-210L-25 SD-210L-15
DISPOSABLE
ELECTRO-
SURGICAL SNARE
Extra Mini Oval Ball Point Suction Type
Endoscope
OSF-V60 SD-210L-10 CD-1L/2L CD-3L FD-1L-1
COAGULATION ELECTRODE
HOT BIOPSY
FORCEPS
52
OSF TYPE V60 OPERATION MANUAL
Appendix
DISPOSABLE HOT
BIOPSY FORCEPS
Endoscope
OSF-V60 FD-5L KD-1L-1
ELECTRO-
SURGICAL KNIFE
Needle Type
53
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