Olympus X-Press V, StarTip V User Manual

Single Use Cannula V

Single Use Cannula V

Taper (PR-V435Q)

Standard (PR-V416Q)

Short taper (PR-V418Q)

Slit (PR-V427Q)

Ball Tip (PR-V223Q)

Taper (PR-V434Q)

Short taper (PR-V414Q)

Long taper (PR-V420Q)

The V-System is a complete system that integrates Olympus endoscopes and EndoTherapy devices. The revolutionary
V-System design offers the option of guidewire manipulation by the physician or the assistant, allows easier exchange
of catheters, and enhances cannulation capability.

The convenient C-Hook allows the device handle to be attached to the endoscope’s control section, putting
it within easy reach of the endoscopist. With the device handle right at hand, the endoscopist can maneuver
the guidewire, inject contrast media, and manipulate the handle — all while keeping a grip on the scope
control section.

The exclusive V-Marking is located on the proximal side of the sheath. When this marking reaches the
channel port on the scope’s control section, it indicates that the device tip has reached the distal end of
the scope and the V-Groove forceps elevator may be lowered. When withdrawing the device from the
scope, the same marking indicates when to raise the elevator to lock the guidewire.

C-Hook

Now endoscopists have the option to
manipulate guidewires and devices.

V-Marking

Indicates when to raise and lower
the V-Groove forceps elevator.

The Innovative V-System Design Lets You Proceed
with Confidence and Efficiency

The Innovative V-System Exchange Capability Makes
Olympus' ERCP Cannulae Even More Efficient

Excellent visibility under
fluoroscopy

The platinum marking at the distal
end ensures that the tip is clearly
visible under fluoroscopy.

Wide selection of cannulae

A full line-up of 8 models of different
tip designs and diameters is available
to meet every clinical requirement.

Smooth cannulation of
even minor or
constricted papilla

The X-PressV’s cross-cut round
tip is not only ideally suited for
smooth cannulation of the papilla
of Vater, but is also equally effective
for cannulation of the minor or
constricted papilla.

Expanded guidewire
compatibility

Compatible with guidewires of
various sizes.

Comprehensive distal
marking system

Cannulation depth is indicated by
markings at 3mm intervals at the
distal end.

Single-use design for
convenience and reliability

All the cannulae in this line are
designed for single use only.

Standard position of

X-PressV cannula

During guidewire

insertion or fluid injection

Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer.

Shinjuku Monolith, 3-1 Nishi-Shinjuku 2-chome, Shinjuku-ku, Tokyo 163-0914, Japan

Postfach 10 49 08, 20034 Hamburg / Wendenstrasse 14-18, 20097 Hamburg, Germany

6100 Blue Lagoon Drive, Suite 390 Miami, Florida 33126-2087, U.S.A

Keymed House, Stock Road, Southend-on-Sea, Essex SS2 5QH, England

491B River Valley Road #12-01/04,Valley Point Office Tower,Singapore 248373

Room 1520-1527, Ocean Centre, 5 Canton Road, Tsimshatsui, Kowloon, Hong Kong

Room.1401, East Tower, Gong Yuan No6 Royal Palace, No6 Gon YuanXijie, JianGuoMenNei, DongCheng District, Beijing, 100005, China

117071, Moscow, Malaya Kaluzhskaya 19, bld. 1, fl.2, Russia

31 Gilby Road, Mount Waverley, VIC., 3149, Australia

2 Corporate Center Drive, Melville, N.Y. 11747-3157, U.S.A.

Spacifications

Model Distal tip diameter Portion DiameterShape of the distal end

1700mm

Working length Compatible guidewire

PR-V414Q

PR-V416Q

PR-V418Q

PR-V420Q

PR-V427Q

PR-V434Q

PR-V435Q

PR-V223Q

2.1mm

2.0mm

1950mm

0.89mm(0.035inch)

0.89mm(0.035inch)

0.64mm(0.025inch)

0.64mm(0.025inch)

0.89mm(0.035inch)

0.89mm(0.035inch)

0.64mm(0.025inch)

0.89mm(0.035inch)

Short taper

Standard

Short taper

Long taper

Slit

Taper

Taper

Ball Tip

4.5Fr

4.0Fr

3.5Fr

3.5Fr

2.5Fr

4.0Fr

3.5Fr

6.0Fr

Printed in Japan F1086SB-3-0804

Single Use 3-Lumen Extraction Balloon V

B

The guidewire and injection lumens are separated to
ensure smoother passage of the guidewire. Additionally,
contrast media can be injected without removing the
guidewire. Two models are available — one with the
injection port located above the balloon and the other
with the injection port located below the balloon.

Triple-lumen design allows for
easy passage of the guidewire

The balloon catheter sheath is manufactured from a
special material that allows it for improved insertion
into the papilla, ensuring smoother guidewire passage,
and facilitating contrast injection. The tapered design
— 7 Fr. catheter at the proximal end tapers to 5 Fr. at
the distal end — enables an easy approach to the bile
duct and accommodates a 0.035" guidewire.

Easier cannulation
and tapered sheath design

Multiple balloon sizing

Injection Lumen

0.035" Guidewire Lumen

Air Lumen

The balloon can be inflated to
one of three diameters— 8.5mm,

11.5mm, and 15mm. The balloon size can
be easily adjusted to suit the requirements
and conditions of each case so there is
no need to change catheters during
the procedure.

Reliable, Efficient Stone Extraction with the Multi-Size Balloon Design, Th
Manufactured from a Special Material That Allows for Easier Cannulation,

Tr iple Lumen, Multi Size Balloon with
Revolutionary V-System Exchange Capability for More
Precise Balloon Inflation and Efficient Stone Extraction

V-Marking

The exclusive V-Marking is located on the proximal side of the sheath. When
this marking reaches the channel port on the scope’s control section, it indicates
that the device tip has reached the distal end of the scope and the V-Groove
forceps elevator may be lowered. When withdrawing the device from the scope,
the same marking indicates when to raise the elevator to lock the guidewire.

The V-System is a complete system that integrates Olympus endoscopes and EndoTherapy devices. The revolutionary
V-System design offers the option of guidewire manipulation by the physician or the assistant, allows easier exchange
of catheters, and enhances cannulation capability.

The V-Sheath allows the endoscopist complete device control or, if preferred,
device control may be given to the assistant. The unique device design allows
the guidewire sheath and injection sheath/handle to be separated. This forked
sheath design allows either the endoscopist or the assistant to control the device.

V-Sheath

The Innovative V-System Design Lets You Proceed
with Confidence and Efficiency

V-System device replacement procedure

C-Hook

The convenient C-Hook allows the device handle to be attached to the
endoscope’s control section, putting it within easy reach of the endoscopist.
With the device handle right at hand, the endoscopist can maneuver the
guidewire, inject contrast media, and manipulate the handle — all while keeping
a grip on the scope control section.

Indicates when to raise and lower
the V-Groove forceps elevator.

Device control by the endoscopist
or the assistant.

Confirm the position of the V-Marking

on the V-System EndoTherapy accessory.

Now endoscopists have the option to
manipulate guidewires and devices.

When the V-Marking is completely visible

above the instrument channel port, lift the

forceps elevator to lock the guidewire.

The guidewire is now locked

into the V-Groove.

Completely remove the device.

B

The guidewire and injection lumens are separated to
ensure smoother passage of the guidewire. Additionally,
contrast media can be injected without removing the
guidewire. Two models are available — one with the
injection port located above the balloon and the other
with the injection port located below the balloon.

Triple-lumen design allows for
easy passage of the guidewire

The balloon catheter sheath is manufactured from a
special material that allows it for improved insertion
into the papilla, ensuring smoother guidewire passage,
and facilitating contrast injection. The tapered design
— 7 Fr. catheter at the proximal end tapers to 5 Fr. at
the distal end — enables an easy approach to the bile
duct and accommodates a 0.035" guidewire.

Easier cannulation
and tapered sheath design

Dual radiopaque bands
for position confirmation

The 15mm syringe also has markings at 8.5mm and 11.5mm.
This makes it possible to inflate to three balloon sizes using
only one syringe.(This is not pre-measured)

Three pre-measured syringes for reliable inflation

Multiple balloon sizing

Injection Lumen

0.035" Guidewire Lumen

Air Lumen

For easy confirmation of balloon
position during fluoroscopy, two
radiopaque bands are
incorporated — one at the distal
end of the balloon and one at
the proximal end.

Three pre-measured, clearly marked syringes enable precise inflation
of each balloon to the desired size. Much easier and much more
reliable than using a single syringe with different markings,
the pre-measured syringes allow inflation of the balloon
quickly and accurately without having to visually
check the markings on the syringe.

The balloon can be inflated to
one of three diameters— 8.5mm,

11.5mm, and 15mm. The balloon size can
be easily adjusted to suit the requirements
and conditions of each case so there is
no need to change catheters during
the procedure.

Reliable, Efficient Stone Extraction with the Multi-Size Balloon Design, Three Pre-Measured Syringes, and The Sheath is
Manufactured from a Special Material That Allows for Easier Cannulation, Exchange and Injection of Contrast Media.

Tr iple Lumen, Multi Size Balloon with
Revolutionary V-System Exchange Capability for More
Precise Balloon Inflation and Efficient Stone Extraction