Welch Allyn Fl-100 User Manual
Thank you for purchasing the Welch Allyn FL-100 Intubating
Fiberscope and Light Source. The operating and maintenance
instructions found in this manual should be followed to ensure
many years of reliable service. Please read these instructions
thoroughly before attempting to use your new instrument.
TABLE OF CONTENTS
Conventions ...................................................................................................................... 2
General Precautions........................................................................................................ 2
Symbols .............................................................................................................................. 2
Components ...................................................................................................................... 3
Nomenclature and Function ............................................................................................ 4
Fiberscope ...................................................................................................................... 4
Light Source .................................................................................................................... 5
Accessories........................................................................................................................ 6
Photographic Equipment .................................................................................................. 6
Preparation and Inspection for Use ................................................................................ 7
Inspection of Light Source .............................................................................................. 7
Inspection of Fiberscope.................................................................................................. 8
Preparation Prior to Insertion of Fiberscope.................................................................... 10
Operation ............................................................................................................................ 11
Pretreatment.................................................................................................................... 11
Insertion and Withdrawal ................................................................................................ 11
Care after Use .................................................................................................................... 12
Important Instructions...................................................................................................... 12
Care after Each Procedure................................................................................................ 12
Pre-cleaning at the Examination Room .......................................................................... 12
Cleaning at the Work Room ............................................................................................ 13
Enzymatic Cleaning Solution .......................................................................................... 15
Cleaning of Accessories .................................................................................................. 16
Schematics ........................................................................................................................ 17
Internal Schematics of a Welch Allyn Endoscope .......................................................... 17
Internal Schematic of the Welch Allyn FL-100 Intubating Fiberscope ............................ 18
Internal Schematic Showing Complete Cleaning/Disinfecting System............................ 18
Disinfection and Sterilization............................................................................................ 19
High-level Disinfection .................................................................................................... 19
Compatible Disinfecting Solutions .................................................................................. 21
Disinfection of Accessories.............................................................................................. 21
Sterilization and Aeration ................................................................................................ 22
Care During Storage.......................................................................................................... 24
Servicing ............................................................................................................................ 25
Care and Maintenance Tips .............................................................................................. 25
Leakage Tester Instructions.............................................................................................. 27
Dry Test, Stage I.............................................................................................................. 27
Wet Test, Stage II ............................................................................................................ 28
Specifications .................................................................................................................... 29
1
CONVENTIONS
GENERAL PRECAUTIONS
The user of the FL-100 instrument should be thoroughly trained in the techniques of upper airway endoscopy.
This instrument is specifically designed to assist endotracheal intubation as well as diagnosis in the Upper
Airway. Do not use the FL-100 for any purpose other than that for which it is designed.
This manual describes the procedures for inspecting and preparing the instrument for use. It does not describe
the performance of an endoscopic procedure or any of the medical aspects of endotracheal intubation. This
instrument should only be used by physicians or practitioners trained in its use.
Failure to read and understand the material contained in this manual could result in patient injury. Also, failure
to follow the instructions provided herein could result in malfunction and/or damage to the instrument.
This manual contains instructions on the maintenance and reprocessing of the FL-100. Every effort has been
made to ensure that the listed disinfecting and sterilizing solutions and/or processes are compatible with this
instrument and are effective. Since infection control practices are constantly changing, Welch Allyn recommends
that the user remain aware of the latest practices and any federal, local, or hospital regulations pertaining to this
very important issue.
SYMBOLS
WARNING: Indicates a potentially hazardous situation which, it not avoided, could result in
death or serious injury.
CAUTION: Indicates a potentially hazardous situation which, if not avoided, may result in
minor or moderate injury or property damage.
NOTE: Indicates a potentially hazardous situation which, if not avoided, may result in property damage. Also,
advises owner/operator about important information on the use of this equipment.
CAUTION: Federal Law (U.S.A.) restricts this device to sale by/to or on the order of a
physician or other appropriately licensed medical professional.
2
COMPONENTS
Welch Allyn
RL-100
LENS CLEANER
Description Components/Qty. Accessories/Qty.
Fiberscope 65300 FL-100 Intubating
Fiberscope (1)
Light Adaptor 650031-3
Welch Allyn ACMI Adaptor (1)
65017 WAACMI
65004
Olympus CLK-3
65005
Olympus CLK-4
65010
Olympus ILK-3
65011 Machida
65014 Pentax
65016 Wolf
65018 Storz
Cap 650008 Eyepiece Cap (1)
Vent Cap 650028 ETO Vent Cap & Tag (1) 65012 each
Cleaner 650007 Lens Cleaner (1) 65304 each
Valve 653014 Rubber Suction Control 65304 each
Valves (3)
Seal 310183 Rubber Inlet Seals (10) 31039 (5)
Brushes 653012 Long 65302 Brush Set
653011 Short (Long, short and
653010 Suction Cylinder suction cylinder)
Cap 653013 Suction Cylinder 65303 each
Closure Cap (1)
49500 Welch Allyn
Light Source
65009 Leakage
Tester
3
NOMENCLATURE AND FUNCTION
FIBERSCOPE
Diopter Adjustment Ring
Accommodates differences in eyesight
Immersible Mark
Green line indicates that
it is totally immersible
Diopter Position Marks (White)
Marks must align to ensure
proper focus for assistant’s
observerscope or camera
Deflection Control Lever
Deflects the distal end of
insertion tube 130° up or down
Suction Control Valve
Allows for aspiration through
the accessory/suction channel
Eyepiece
Ocular Lens
Anti-reflection multi-layer
coated optics for clean,
sharp image
Suction Nipple
Allows for attachment to external
suction device
Rubber Inlet Seal
Allows accessories to be passed
through, while preventing fluids and
air to escape
Accessory/Suction Channel Inlet
Allows biopsy forceps and other
accessories to be introduced
Umbilical Cable
Distal End
Accessory/
Suction Channel
Light Guides
Objective Lens
Bending Section
Insertion Tube
Diameter: 3.5 mm
Working length: 600 mm
ETO Vent Cap (Red)
Vents endoscope interior to equalize internal and
external pressure
Note: See sterilization section for use
Venting Connector
Seats ETO vent cap and leakage tester
Light Guide
The Welch Allyn sleeve part number 650031-3 is
standard and comes attached to instrument. Other
adaptor sleeves for other manufacturer’s light
sources are also available (see page 3).
4
LIGHT SOURCE
FRONT
Power Switch
Light Control Knob
Fan Grill
Fuse Drawer
AC Power Input
Lamp Access
Knob
BACK
5
ACCESSORIES
WELCH ALLYN LIGHT SOURCE (49500) CLEANING BRUSHES
White Bristle Flexible Shaft
CAUTION: It is strongly recommended that only Welch Allyn accessories be used with the
Welch Allyn FL-100 Intubating Fiberscope. Other accessories may adversely affect the performance of the fiberscope. If a unique or highly specialized accessory from another source
is required, please contact Welch Allyn to arrange a test of its compatibility before using it
with the Welch Allyn FL-100 Intubating Fiberscope.
Proximal End
Long (653012)
Short (653011)
Suction Cylinder
(653010)
PHOTOGRAPHIC EQUIPMENT
The Welch Allyn FL-100 Intubating Fiberscope is equipped with a universal eyepiece that will accommodate
most camera adaptors.
6
PREPARATION AND INSPECTION FOR USE
Prior to use, the endoscope, Iight source and accessories must be carefully inspected for cleanliness and proper
function to determine that they are appropriate for patient use.
INSPECTION OF LIGHT SOURCE
Please refer to the operating manual of your Welch Allyn Light Source for complete instructions.
CAUTION: Verify that the supply voltage matches the voltage range indicated on the rear
of the Welch Allyn Light Source.
To prevent temporary blinding, turn power on only after the fiber optic bundle is plugged in
and the intensity control knob is set to the minimum position.
The fiber optic bundle port is hot when fiber optic bundle is removed.
1. With the power switch in OFF position, plug light source into a properly grounded hospital grade receptacle.
Welch Allyn light sources are equipped with a hospital grade plug and grounding conductor.
2. The standard Welch Allyn adaptor sleeve included on
FL-100 allows connection to and light transmission
from any Welch Allyn Iight source.
3. Depending upon the manufacturer, model and/or
type of light source to be used, an adaptor may be
needed to make a complete connection between the
source of illumination and the Welch Allyn FL-100
fiberscope. This depends on the manufacturer,
model and/or type of light source. For assistance,
please contact your local Welch Allyn distributor or
service facility.
4. Connect the endoscope light guide plug to the light
source.
5. Turn on the light source to check for proper functioning.
NOTE: Be sure that the correct adaptor is being used for light sources other than Welch Allyn.
WARNING: The risk of thermal injury exists whenever fiber optic instruments are used
with high intensity light sources.
The risk of injury is greatest:
• When a high intensity light source, such as the Welch Allyn HI•Lux lamp, is used.
• During close stationary observation and/or prolonged close contact with mucosa.
• When the fiberscope is advanced slowly through a narrow lumen.
Close stationary viewing should be avoided and the level of illumination should be limited
to the level necessary for adequate visualization.
7
INSPECTION OF FIBERSCOPE
Before proceeding, the Welch Allyn FL-100 fiberscope
should be tested for water-tight integrity (example: tear
in the accessory/suction channel). To perform this test,
see the “Leakage Test Instructions” section (page 27).
1. INSPECTION OF THE INSERTION TUBE
a) Check the entire surface of the insertion
tube to assure that abnormal conditions such
as bite marks, wrinkles and dents are not
present. Any indentation in the flexible shaft
of the fiberscope can cause damage to the
fiber optics and internal mechanisms of the
fiberscope.
b) Check the umbilical cable for outward signs
of damage such as buckling, pinch marks, etc.
CAUTION: Do not use any fiberscope with outward signs of damage. An outwardly damaged
fiberscope may cause malfunction during a procedure and further damage the scope.
Leakage Tester
c) Be sure the entire fiberscope is clean and has been subjected to either a high-level disinfection or
sterilization process before each patient use.
NOTE: The distal end of the fiberscope must be protected against damage from impact. Never apply excess
force such as twisting or severe bending of the flexible portion of the fiberscope.
2. INSPECTION OF DEFLECTION CONTROL
To assure smooth articulation, slowly manipulate the deflection control lever. Be sure that a full and
appropriate range of deflection is possible.
CAUTION: If the deflection control lever is not operating smoothly, this may indicate
internal damage to the fiberscope. To avoid the possibility of further damage or malfunction during a procedure, never use the fiberscope if the deflection control lever is not
operating smoothly.
8
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