Pentax EG29-i10c Instructions For Use Manual

Instructions for Use
PENTAX Medical Video Upper GI Scope EG29-i10c
Operation
EG29 - i10c
For cleaning, high-level disinfection, and sterilization of the product after use, refer to the
separate Instructions for Use (Reprocessing) with the model name of the endoscope.
Instructions for Use
procedures and handling precautions, on using this endoscope safely and effectively. Before use, fully
understand the contents of, and properly follow, this IFU and the instruction manuals of all equipment that
are going to be used in combination. Do not use this endoscope for any purpose other than its intended
use.
In addition, review and fully understand the contents of the separate IFU for reprocessing (hereinafter
referred to as “IFU (Reprocessing)”). Inappropriate use of the product may result in damage to the
equipment or injuries, including, but not limited to, burns, electric shock, perforation, infection, and
bleeding.
This IFU does not describe specific endoscopic procedures. The specific procedures should be determined
according to the discretion of a medical professional.
If you have any questions or concerns about any information in this IFU, contact your local PENTAX Medical
service facility.
The content of the IFU may be changed without prior notice.
Unauthorized reproduction of any part of this IFU is prohibited.
Keep this IFU and all related instruction manuals in a safe, accessible location.
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Signal words and symbols
Signal words
The following signal words are used throughout this IFU.
Warning
Caution
Indicates a situation that could result in death or serious injury if not avoided.
Indicates a potentially hazardous situation that could result in minor or moderate
injury or damage to equipment if not avoided.
Note Indicates supplementary or useful information regarding use.
Symbols Symboles
The meaning(s) of the symbol(s) on the endoscope, accessories, and/or on their packaging are as follows:
Symbol Description
Caution Attention
Year of Manufacture Année de fabrication
Type BF applied part Partie appliquee du type BF
Do not re - use Ne pas reutiliser
Follow the Instructions for Use Suivre les instructions d’utilisation
Serial Number Numero de serie
Manufacturer Fabricant
Authorized representative in the European Community Representant autorise dans I’Union europeenne
This product complies with the applicable standards harmonised under the Directive 93/42 / EEC and Directive 2011 / 65EU. Ce produit est conformé aux normes harmonisées au titre de la Directive 93/42 / CEE et la Directive 2011 / 65EU
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Contents
Instructions for Use
Signal words and symbols
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Important information: Please read before use
Product summary
Intended use
Application
Classification
Specifications
Compatible products
Reprocessing before initial use/Reprocessing / Storage after use
General warnings and cautions
Maintenance management
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1 Package contents
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1-1. Package contents
2 Nomenclature and functions
2-1. Control body and insertion portion
2-2. Scope connector
3 Preparation and inspection
3 - 1. Preparation of the equipment
3 - 2. Inspection of the endoscope
3 - 3. Inspection of accessories and attachment to the endoscope
3 - 4. Inspection and connection of ancillary equipment to the endoscope
3 - 5. Inspection of the endoscopic system
4 Directions for use
4 - 1. Preparation immediately before insertion of the endoscope
4 - 2. Insertion and observation
4 - 3. Using an endoscopic device
4 - 4. Using a nonflammable gas
4 - 5. Laser cauterization
4 - 6. Electrosurgery
4 - 7. Withdrawal of the endoscope
4 - 8. Care after use
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5 Troubleshooting
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5 -1. Troubleshooting guide
5 -2. Withdrawal of an endoscope with an abnormality
5 - 3. Returning the endoscope for repair
Disposal
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Electromagnetic compatibility (EMC)
Electromagnetic disturbances
Endoscope specifications
System chart
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Important information: Please read before use
Product summary
This endoscope is inserted transorally. It visualizes subjects under illumination of the LED (light emitting
diode) at the distal end of the endoscope with a solid -state image sensor located at the distal end of the
endoscope and provides images for observation of the target anatomy through the images reproduced on
the video monitor via the video processor.
It can be used with endoscopic devices which are introduced from the instrument channel inlet of the
control body.
The endoscope also allows for angulation operation of the bending sections via operation of the angulation
control knob; air/ water feeding from the distal end of the endoscope via operation of the air/water feeding
valve; and suction through the channel at the end of the endoscope via operation of the suction control
valve.
Intended use
The PENTAX Medical Video Upper GI Scope EG29 - i10c is intended to provide optical visualization of (via
a video monitor), and therapeutic access to, the upper gastrointestinal tract. This anatomy includes, but is
not restricted to, the organs; tissues; and subsystems: esophagus, stomach, and duodenum.
This endoscope is introduced via the mouth when indications consistent with the need for the procedure
are observed in adult and pediatric patient populations.
Application
Medical purposes Provide images for observation, diagnosis, visualization, and treatment.
Patient population
Intended anatomical area Upper gastrointestinal tract (esophagus, stomach) duodenum
User qualifications
Location of use A medical facility (including the place where the high frequency generator is used)
Patients who are considered suitable for the application of this endoscope by the physicians (pediatric to adult patients).
Physicians (Experts who have been approved by the endoscopic medical safety administrator at each medical facility. If the eligibility requirements are defined by an official body, such as a government entity and / or an academic society, follow such requirements). Specific training to use this endoscope is not required of personnel who have been trained to use other endoscopes of this type.
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Classification
Degree of protection against electric shock for the applied parts
Degree of protection against water IPX7
Mode of operation Continuous operation
TYPE BF applied part (when connected to a compatible PENTAX Medical video processor)
Specifications
Environment
Ambient temperature 10 to 40 ºC
Operating environment
Storage / transportation environment
Software version
Refer to the back cover for the software version by model(s).
Relative humidity 30 to 85 %RH
Air pressure 700 to 1,060 hPa
Ambient temperature -20 to 60 ºC
Relative humidity 10 to 85 %RH
Air pressure 700 to 1,060 hPa
Endoscope specifications
For details, refer to “Endoscope specifications” (p. 89).
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Compatible products
This section describes the equipment that can be used in combination with this endoscope. For more
details, refer to “System chart” (p. 90).
For the equipment used in combination during cleaning/ high - level disinfection/sterilization, refer to the
separate IFU (Reprocessing) of this endoscope.
The combinations of equipment and accessories that can be used with this product are listed below.
Prior to use, the product must be prepared and inspected according to its IFU.
Warning
PENTAX Medical does not warrant compatibility with unlisted products. If products are not
listed, contact the manufacturer of the equipment or accessory to confirm the compatibility and
instructions for use with PENTAX Medical products.
Note
• When this endoscope is used in combination with other equipment, depending on how it is
connected, it may result in malfunction and/or unforeseen events to patients and/or medical
professionals. Pre- use operation checks and risk management associated with such changes
are recommended, particularly when the equipment used in combination is changed, added,
or upgraded.
• Some products are not available depending on the sales region. For details, contact your local
PENTAX Medical service facility.
Video processor
Video processor models that can be connected with these endoscopes are shown below. For instructions
on video processor operation, refer to the IFU of the video processor.
Model Name Brand Name
EPK- i5500c PENTAX Medical
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Endoscopic device
Category Model Name Brand Name
Biopsy Forceps
Retrieval Basket
Injection Needle
Electro - Surgical Snare
Electro - Surgical Knife
Electro - Surgical Hemostasis Forceps
Spray Catheter
KW - D1816
KW - D2416T
KH - D2416T
KA - D2416T
KB - D2416T
KA1815S
KA2415S
KH2415S
KH2418CS
KS1022CS
KW1815S
KW1818CS
KW2215S
KW2218CS
KW2415R
KW2415S
GB - D1819L020
GB - D2415L030
GB - D2419L020
GB - D2423L035
NI - D1816 - T2304
NI - D1816 - T2305
NI - D1816 - T2306
NI - D1816 - T2308
NI - D2416 -T2304
NI - D2416 -T2306
NI - D2423 -T2305
NI - D1816 - T2504
NI - D1816 - T2505
NI - D2416 -T2504
NI - D2416 -T2505
NI - D2416 -T2506
DO - D2416 -15
DO - D2416 -20
DO - D2416 -25
DH - D2416 -15
DH - D2423- 20
DH - D2416 - 25
DO - D2618
DN - D2718A
DC - D2618
DP - D2518
DP - D2622
DN - D2718B
H - S2518
HS - D2618
HDB2418W
TJ - D2418PB
TJ1817WS
TJ2417WS
PENTAX Medical
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Other ancillary equipment
For instructions, refer to the respective manual provided with each equipment.
Category Description Model Name Brand Name
Irrigation Pump
CO² Insufflator EGA - 501P
High Frequency Generator VIO Series
EGA Series
EGA - 500P
VIO 300D
VIO 200S
PENTAX Medical
ERBE
Reprocessing before initial use/Reprocessing/Storage after use
Reprocessing before the initial use
Warning
The endoscope identified in this IFU is a reusable semi- critical device.
Since it endoscope and accessories are packaged non- sterile, they must be cleaned and high
level disinfected, or cleaned and sterilized according to the separate IFU (Reprocessing) of this
product before initial use as well as after each procedure and after repair. Insufficient reprocessing
may increase the risk of cross contamination.
Note
The wording "high- level disinfection" in this IFU defines the disinfection of the endoscope and the
accessories with a completely virucidal disinfectant.
Reprocessing
Warning
When using an endoscope and its accessories on patients with Creutzfeldt- Jakob disease (CJD)
or variant Creutzfeldt- Jakob disease (vCJD), use only dedicated instruments and equipment. The
instruments and equipment used on these patients must be discarded so that they can NOT be
used again on another patient. The pathogenic agents that cause this disease, which are called
“prions”, can NOT be destroyed or inactivated using the cleaning, disinfection, and sterilization
methods presented in this IFU. Please consult the guidelines that apply to your country or region
for more detailed information regarding the handling of prion- contaminated instruments.
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Storage after use
Warning
Observe the following guidelines. Failure to do so may result in contamination of the endoscope
with bacteria or pose a risk of infection to patients and/or users.
– Ensure that all removable accessories, such as air/ water feeding valve, suction control
valve, inlet seal, and cleaning adapter are removed from the endoscope when storing.
– Do NOT store the endoscope in areas of high humidity or high temperature.
– Do NOT store the endoscope, its components, and accessories in the carrying case.
– Ensure that the endoscope, its components, and accessories are completely moisture -
free before storage.
– Before the next use, the endoscope, its components, and accessories that have been
stored inappropriately or for a prolonged period of time must be subjected to appropriate
cleaning, high - level disinfection, and / or sterilization processes according to the separate
IFU (Reprocessing).
Caution
Observe the following precautions when storing the endoscopes, its accessories, or device.
Failure to do so may result in damage to property.
– Endoscope insertion portion, umbilical cord, and endoscopic devices should be kept as
straight as possible during storage.
– Keep away from chemicals, direct sunlight, or ultraviolet rays.
– Do NOT store the endoscope and its accessories in such a way that they might be
damaged due to contact with other devices.
Note
It is recommended to store the endoscope hanging down straight in a well- ventilated room or
cabinet dedicated for endoscope storage.
For storage after use, also refer to the separate IFU (Reprocessing) of this endoscope.
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General warnings and cautions
Warning
• The medical facility should determine whether or not to conduct an endoscopic examination
in patients determined to have lowered immunity.
• Do NOT use this endoscope with equipment other than those that have been specified for
combined use. Doing so may result in damage to the endoscope and patient injury.
• Do NOT drop the endoscope onto a hard surface or subject it to severe impact. This applies
particularly to the distal tip lens. Doing so may negatively impact image quality.
• Ensure to attach/connect an appropriate device to the connectors of the scope connector
such suction nipple, air/ water port, water jet port, or venting connector according to the IFU.
Incorrect connection or inappropriate use may result in unforeseen events.
• Always check the endoscopic image during endoscope angulation, air/ water feeding, and
suctioning, use of endoscopic devices, and endoscope insertion and withdrawal. Ensure that
these operations are performed in the normal (non- frozen, non -magnified) mode. Endoscope
peration in the freeze or magnification mode may result in damage to the endoscope and/or
patient injury.
• Do NOT forcefully insert and withdraw the endoscope. Doing so may result in patient injuries,
including bleeding and perforation.
• Do NOT perform retroflexed observations inside a narrow lumen. Doing so may cause patient
injury or make it impossible to withdraw the endoscope.
• After using operational/cleaning accessories (e.g., forceps, needles, snares, brushes, etc.)
with the endoscope, carefully check that all accessories are intact and that no parts have fallen
off and become lodged within the endoscope’s instrument/suction channel. Furthermore,
ensure that any endoscopic devices (e.g., clips, stents, etc.) passed through the channel
are accounted for after use. If the instrument / suction channel becomes blocked or clogged
due to the accumulation of debris, an accessory that can NOT be removed, or other cause,
do NOT attempt to correct the blockage or continue to use the endoscope. In such a case,
contact your local PENTAX Medical service facility to have the endoscope repaired. The use
of an endoscope with a blocked internal channel may result in ineffective reprocessing and/
or the introduction of debris and / or device components into a patient during a subsequent
procedure, posing a risk of cross contamination.
• This product is intended to be used in the electromagnetic environment specified by
"Electromagnetic disturbances". Using the product in an unintended environment may result
in incorrect exposure control of the light emitted from distal end of the endoscope due to
electromagnetic interference.
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Caution
• Users as well as the assisting personnel should always wear protective equipment (e.g.,
gloves, goggles, masks, medical gowns, etc.) to minimize the risk of cross contamination, as
patient's body fluids may be dispersed from instrument components such as the instrument
channel inlet and the suction control valve.
• Do NOT forcefully attach an accessory to the endoscope. Doing so may result in damage to
the endoscope.
• Do NOT excessively twist, rotate, or bend any of the insertion portions, strain relief boots, or
umbilical cord. Doing so may damage the endoscope.
• Do NOT hit the remote buttons with hard objects or pull or twist them. Doing so may cause
internal damage to the endoscope that may lead to water leaks.
• Do NOT attach or remove the scope connector of the endoscope while the power of the
video processor is turned on. Doing so may damage the endoscope.
• Electromagnetic interference may occur with equipment labeled with the following symbol
or near mobile RF communication equipment such as mobile phones. If electromagnetic
interference occurs, reorient or relocate the endoscope or shield the location of use.
Maintenance management
The service life of this endoscope is 6 years after date of shipment with the following conditions.
• Perform inspection before use, care after use, storage, and replacement of consumables according to
this IFU.
• Have a specialist specified by PENTAX Medical perform repairs and at least annual periodic inspections.
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Package contents
Package contents
1-1. Package contents
Check the package contents according to the separate Standard Accessories List provided with this
product. For detail picture of the contents/accessories, refer to Figure 1.1 and 1.2.
If there are any damaged or missing components, do not use the endoscope. Immediately contact your
local PENTAX Medical service facility.
 Endoscope
EG29 - i10c
Figure 1.1
 Accessories
Inlet Seal (OF - B190)
(Installed)
Cleaning Adapter (OF - G17) Cleaning Adapter for Water Jet
Figure 1.2
Ventilation Cap (OE- C28) Venting Connector Adapter (OE- C29)
Connector (OE - C20)
Cleaning Adapter
(OF - B153)
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 Accessories
Silicone Oil (OF - Z11) Irrigation Tube (OF - B113) O Ring Set (OF -B192*)
* For Air/ Water Feeding Valve (OF- B188)
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Package contents
Check Valve Sets (OE- C15) O Ring Set (OF - B127**)
** For Suction Control Valve (OF - B120)
Cleaning Brush (CS5522A) Bite Block (OF-Z5) Water Jet Check Valve Adapter
Air/ Water Feeding Valve (OF - B188)
(Installed)
 Others
Suction Control Valve (OF- B120)
(Installed)
Cleaning Brush (CS - C13A)
(OE - C12) (Installed)
Water Jet Connector Cap (OF- B118)
(Installed)
IFU (Operation; this document) IFU (Reprocessing) Standard Accessories List
Figure 1.2
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2
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2
Nomenclature and functions
2-1. Control body and insertion portion
Nomenclature and functions
1
10
3
9
 Alternative view
1
2
4
Control Body
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5
10
12
11
Insertion Portion
(Endoscope
components that
come into direct contact with the
patient.)
Distal End
Bending Section
Figure 2.1
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6
8
Insertion Tube
1. Remote Buttons 1- 4
Functions assigned to each button can be remotely controlled by pressing each of the remote buttons.
Functions of the remote buttons 1- 4 are assigned from the video processor.
Refer to the IFU of the video processor for assignment of functions to each remote button.
2. Up / Down Angulation Control Knob
By turning in the “▲U” direction, the bending section moves upwards.
By turning in the “▲D” direction, the bending section moves downwards.
3. Up / Down Angulation Lock Lever
By turning counterclockwise, upward/downward bending of the bending section is locked.
By turning in the “F ►” direction, the bending lock is released.
4. Right /Left Angulation Control Knob
By turning in the “▲R” direction, the bending section moves to the right.
By turning in the “▲L” direction, the bending section moves to the left.
5. Right /Left Angulation Lock Knob
By turning counterclockwise, right / left bending of the bending section is locked.
By turning in the “F ►” direction, the bending lock is released.
6. Suction Cylinder
Attach the suction control valve (OF- B120).
7. Suction Control Valve (OF- B120)
Attach to the suction cylinder. Depress it to suction fluids or air through the instrument channel of the
endoscope.
8. Air / Water Feeding Cylinder
Attach the air/water feeding valve (OF - B188) or the optionally available gas/ water feeding valve (OF-
B194).
9. Air / Water Feeding Valve (OF-B188)
Attach to the air/water feeding cylinder. Covering the hole on the valve button feeds air to the air/ water
nozzle at the distal end of the endoscope. Depressing the valve button feeds water to the air/ water
nozzle at the distal end of the endoscope.
10. Strain Relief Boot
The strain relief boot protects the connecting parts.
11. Instrument Channel Inlet
The instrument channel inlet is an inlet for endoscopic devices. Attach the inlet seal (OF- B190).
12. Inlet Seal (OF - B190)
The inlet seal is attached to the instrument channel inlet to avoid fluid / air leakage.
13. Model Name Label
The model name label shows the model name, minimum instrument channel width, and other related
information.(Figure 2.2)
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Nomenclature and functions
EG29-i10c
Figure 2.2
Minimum Instrument Channel Width
3.2
Model Name
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2-2. Scope connector
2
Model Name Country of Origin
Nomenclature and functions
 Alternative view
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Scope Connector
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Serial Number Date of Manufacture
Water Jet Connector Cap (OF - B118)
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Umbilical Cord
17
15
Electrical ContactsManufacturer Label
Figure 2.3
14. Suction Nipple
Connect the suction tube on the suction source to the suction nipple.
15. Air/ Water Port
Connect the air/ water feeding hose on the water bottle assembly to the air/ water port.
16. Water Jet Port
Attach a water jet check valve adapter (OE- C12).
1 7. Water Jet Check Valve Adapter (OE- C12)
Use it by attaching to the water jet port.
Connect the irrigation tube (OF- B113) to send sterile water from a syringe or irrigation pump to the
water jet nozzle at the distal end of the endoscope.
When an irrigation tube is not connected, close it with the water jet connector cap (OF- B118).
18. Venting Connector
Attach the ventilation cap (OE- C28) or leakage tester via the venting connector adapter (OE - C29)
here.
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Before use, the endoscope, accessories, video processor, and other components must be prepared and
carefully inspected according to the IFU. Any equipment used in combination with the endoscope must also
be prepared and inspected according to the respective instruction manuals.
Always perform pre - use inspection before each use.
Preparation and inspection
Refer to “5 -1. Troubleshooting guide” (p. 76) for assistance in diagnosing an endoscope malfunction. If the
problem persists after troubleshooting or there is an apparent failure, do not use the endoscope. Send it for
repair according to “5- 3. Returning the endoscope for repair” (p. 80).
Warning
• Always perform pre - use inspection before each use. NEVER use an endoscope with a suspected
abnormality. Doing so may result in malfunction, endoscope damage, and / or injury to the patient
and / or user.
• Ensure that another endoscope is also prepared to avoid interruption of the procedure due to
endoscope failure or unforeseen events.
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Preparation and inspection
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3
3-1. Preparation of the equipment
Prepare the endoscope, accessories, ancillary equipment, and protective equipment. Refer to the
“Compatible products” to prepare the ancillary equipment as necessary and to the IFU provided with the
video processor for its inspection.
 Endoscope
 Accessories
Preparation and inspection
Air/ Water Feeding Valve (OF - B188) Suction Control Valve (OF- B120) Inlet Seal (OF- B190 or OF - B215*)
* Optional item
Irrigation Tube (OF - B113) Water Jet Check Valve Adapter (OE- C12) Silicone Oil (OF- Z11)
Water Jet Connector Cap (OF- B118) Bite Block (OF-Z5)
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 Ancillary Equipment
Video Processor Monitor Water Bottle Assembly
Endoscopic Device Gas / Water Feeding Valve (OF- B194*)
* Optional item
3
Gas Adapter (OF - G11*)
* Optional item
Suction Source
Irrigation Pump (EGA- 500P)
 Protective Equipment (example)
Gloves Goggles Mask Medical Gown
 Other Equipment
Gauze, sterile water, container for sterile water, etc.
Figure 3.1
CO² Insufflator (EGA - 501P)
Preparation and inspection
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3-2. Inspection of the endoscope
Prepare an endoscope that has been reprocessed according to the procedure specified in the separate
IFU(Reprocessing) of this endoscope.
Warning
• NEVER disassemble or modify the endoscope. Doing so may impair its original functionality
and possibly result in serious injury to the patient and /or user.
• NEVER use an endoscope with any abnormality. Doing so may result in endoscope damage,
detachment of parts into the patient’s body cavity, malfunction during use, and / or injury to
the patient and / or user.
• Use only sterile water for inspection. Failure to do so may result in contamination of the
endoscope with waterborne bacteria and other microorganisms. Do NOT use water that has
been left uncovered for a prolonged period of time.
Preparation and inspection
• Do NOT excessively twist, bend, or rotate any of the strain relief boots on the instrument (See
Figure 3.2 (A) and (B)) to identify the strain relief boots). Doing so may result in instrument
damage. Pay special attention to the careful handling of the strain relief boot of the insertion
portion (See Figure 3.2 (A)) of the endoscope, because it has a small diameter and is more
likely to suffer damage due to mishandling.
• When carrying the endoscope, do NOT grasp or carry it only by its umbilical cord or insertion
portion. Moreover, do NOT squeeze or forcefully bend the bending section. (Figure 3.3) Doing
so may result in equipment damage.
Figure 3.2
(A)
Do Not Twist or Rotate
(B)
Do Not Forcefully Bend
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Bending Section
Do Not Forcefully Bend
Figure 3.3
Note
In case the endoscope is hot / cold immediately after cleaning, high -level disinfection, and/ or
sterilization, wait until it returns to room temperature before using it. Lens fogging, which will
result in blurry images, might result from abrupt changes in environmental temperature.
Carrying the endoscope by hand
When carrying the endoscope by hand, loosely loop the umbilical cord and insertion portion, hold the
control body and the scope connector in gloved hand, and hold insertion portion (near the bending
section) in the other gloved hand as shown in Figure 3.4.
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Preparation and inspection
Figure 3.4
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3
(1)
(2)
(6)
(5)
Inspection of the entire endoscope
Warning
NEVER use the endoscope with any abnormality in function. Doing so may result in endoscope
damage, detachment of parts into the patient’s body cavity, endoscope malfunction during
use, and / or injury to the patient and / or user.
Caution
Clear images can NOT be obtained if there is any foreign material attached to the objective
lens or light guides. Water vapor from the foreign material may be released in response to
heating by the light passing through these components, obscuring the image.
Preparation and inspection
1. Check the entire surface of the endoscope for any visible adhered material.
2. Check the entire surface of the insertion portion for abnormalities such as wrinkles, scars, sharp
edges, clouding of the surface, dents, catching, protrusions, attachment of foreign materials,
detachment of parts, etc.
3. Check the surface of the adhesive bands on both ends of the bending section for abnormalities
such as scratches, clouding, and peeling. With clean gauze, lightly wipe the surface of the adhesive
bands to ensure that there is no catching and/or attachment of the adhesive to the gauze.
Bending Section
Magnified View
(1)
Figure 3.5
4. Check the case of the distal end of the endoscope (especially around the periphery of the instrument
channel) for any abnormalities such as deformation or chipping.
(1)
(1) Adhesive Bands
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(1) Objective Lens
(2) Light Guides
(4)
(3)
Figure 3.6
5. Check the objective lens at the distal end of the endoscope and the light guides for any abnormalities
such as attachment of foreign material, scratches, or chipping, and ensure that there is no gap on
the periphery of the lens.
6. Ensure that there are no scratches, clouding, or peeling on the surface of the adhesive glue around
the objective lens at the distal end of the endoscope and that it has a glossy surface.
(2)
(3) Air/ water Nozzle
(4) Case
(5) Instrument Channel
(6) Water Jet Nozzle
7. Gently clean the objective lens and light guides with clean gauze or a cotton- tip applicator moistened
(5)
(1)
with 70% – 90% medical grade ethyl or isopropyl alcohol. Check that there is no attachment of the
adhesive to the gauze.
8. Check the air/ water nozzle at the distal end of the endoscope for any abnormalities such as
clogging, dents, deformations, chipping, etc.
9. Using both hands, form an arch with the insertion tube as shown in Figure 3.7. Slide the insertion
tube in the direction of the arrows in Figure 3.7, and check that the entire insertion tube can be bent
smoothly and easily to form an arch.
Approx. 30 cm
Approx. 20 cm
Figure 3.7
3
10. Check the entire surface of the umbilical cord for abnormalities such as wrinkles, scars, sharp
edges, clouding of the surface, catching, protrusions, attachment of foreign materials, detachment
of parts, etc.
11. Check the control body, scope connector, and electrical contacts for abnormalities such as
scratches, deformities, loose parts, etc. Pay special attention when checking the parts shown in
the Figure 3.8. Using a clean lint- free cloth, gently hold these parts and move them in various
directions to ensure that there are no abnormalities such as looseness.
(2)
(4)
(3)
(1) Suction Cylinder & Air/ Water
Feeding Cylinder
(2) Instrument Channel Inlet
(3) Water Jet Port
(4) Air/ Water Port
(5) Suction Nipple
Preparation and inspection
Figure 3.8
25
12. Check the electrical contacts for any attachment of foreign materials such as residual chemical
solution, water deposit, sebum, dust and gauze lint, etc.
Note
In case there are any attachment of foreign material or the endoscope has been left unused
for a prolonged period of time, wipe the electrical contacts with gauze moistened with
70% – 90% medical grade ethyl or isopropyl alcohol. After wiping, dry the electrical contacts
sufficiently.
13. Ensure that the electrical contacts are sufficiently dry.
3
Inspection of the angulation mechanism
Ensure that there is nothing near the bending section that would hinder its operation, and inspect the
angulation mechanism while the insertion portion is kept straight.
Preparation and inspection
Inspection of bending function
Warning
Do NOT use an endoscope that can NOT be smoothly angulated, can NOT be fully angulated
in any direction, or has excessive play in the angulation control lever. Use of an endoscope
with any of these conditions may result in damage to the device, malfunction during use,
and / or patient injury.
1. Turn the up / down angulation lock lever and right / left angulation lock knob in the “F ►” direction
until they stop to release the lock of the angulation control knobs.
26
Figure 3.9
2. Turn the up/down and right/ left angulation control knobs slowly in each direction until they stop,
and return them to their original position. Check that the angulation control knobs operate smoothly
with no roughness or catching.
Figure 3.10
3. Check that the bending section angulates in the direction in which the angulation control knobs are
turned and that the maximum angulation can be achieved.
UP
RIGHT
Figure 3.11
4. Turn the angulation control knobs back to the neutral position. Check that the bending section
returns to a straight orientation.
DOWN
LEFT
DOWN LEFT
Neutral Position
UP RIGHT
3
Preparation and inspection
Figure 3.12
27
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