OP TELESCOPE, ATTACHMENT, ADAPTER Instructions

Contents 1 General information... 5 1.1 Upon delivery... 6 1.2 Manufacturer... 7 2 Terminology... 8 3 Technical data... 10 4 Compatible components... 11 5 Before use... 15 5.1 Inspection and testing... 15 6 Use... 17 6.1 Preparation... 17 6.2 Video connection... 19 6.3 Procedure... 20 6.4 After use... 22 7 Reprocessing... 24 7.1 Cleaning... 25 7.2 Maintenance... 26 8 Repair... 28

General information

1 General information Intended use WA33036A OP telescope for use in percutaneous nephroscopy and cystoscopy. WA33039A Attachment for use in conjunction with the WA33036A OP telescope. WA33024A Adapter for use in conjunction with the WA33036A OP telescope and a LUS probe. •• Do not use it for any other purpose. Medical use This product is to be used only in a medical facility by trained medical personnel. NOTE Instruction manual set The complete instruction manual set for this product consists of this product-specific instruction manual (delivered together with this product) and the system-related instruction manual, entitled “System Guide Endoscopy” (supplied separately). Immediately contact an Olympus representative if either manual is missing or lost. Keep the instruction manual set in a safe, accessible location. WARNING Read all instruction manuals thoroughly Before use, read this manual, the System Guide Endoscopy, and the manuals for all other equipment which will be used during the procedure. An insufficient understanding of the dangers, warnings, cautions, and information in these manuals can result in death, serious injury, or equipment damage.

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General information Medical Device Directive (Europe) This product complies with the require­ments of Directive 93/42/ EEC concern­ing medical devices.

1.1 Upon delivery Inspect immediately •• Make sure that the shipping case contains all of the items listed below. •• Contact your Olympus representative or an authorized service center if any items are missing or damaged. Contents WA33036A •• OP telescope WA33036A •• Attachment A3342 •• 3 sealing caps A4558 •• 3 valves A00001A •• Sealing rings, set A00482A •• Instruction manual Contents WA33039A •• Attachment WA33039A •• 4 sealing caps O0201 •• Instruction manual Contents WA33024A •• Adapter WA33024A •• 4 sealing caps A0463 •• 4 valves A00001A •• Instruction manual Unpacking •• Remove the product from the packaging. Do not use the packaging for routine storage.

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General information

1.2 Manufacturer Olympus Winter & Ibe GmbH Kuehnstr. 61 22045 Hamburg Germany

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Terminology

2 Terminology OP telescope WA33036A

1) 2) 3) 4)

Light-guide connector Eyepiece cup Locking ring Working channel

Attachment WA33039A

1) Locking cone 2) Instrument stopcock 3) Sealing cap

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Terminology Adapter WA33024A

1) 2) 3) 4) 5)

Locking cone Cover Insert with sealing cap Connecting tube Valve

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Technical data

3 Technical data OP telescope Working channel diameter... 14.3 Fr. (for instruments with a maximum diameter of 4 mm) Outer diameter ... 22 Fr. Direction of view...30°

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Compatible components

4 Compatible components WARNING Risk of injury to the patient and/or user Use only compatible equipment as listed in this section. If other combinations are used, the full responsibility is assumed by the user. Future products may also be compatible. For further details contact an Olympus representative.

WA33039A

WA33036A WA33024A

A3342

WA33024A

WA02958A

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Compatible components

WA03200A

WA33036A

WA33035A WA33037A WA33036A

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Compatible components

WA33036A A22051A, A22052A, A22053A, A22054A, A22055A

WA33036A

MH-999E AR-T10E AR-T12E AR-T10EA AR-T12EA AR-TF08E AR-TL08E AR-TF2 AR-TL AR-T2 AR-TZ AR-TX2 OTV-S6H-1F OTV-S6H-1L OTV-S7H-F08E OTV-S7H-L08E

WA33039A WA63810A, WA63813A, WA63815A, WA63817A, WA63819A

A3342

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Compatible components Attachment / Adapter

Sealing cap / Valve

Inner diameter

WA33024A

A0463 A00001A

3.1 mm -

WA33039A

O0201

2.8 mm

A3342

A4558 A000010A

1.8 mm -

A0463

O0201

A4558

A00001A

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Before use

5 Before use WARNING Infection control risk Properly reprocess the product before first and each subsequent use following the instructions in this manual and in the System Guide Endoscopy. Improper and/or incomplete reprocessing can cause infection of the patient and/or medical personnel. CAUTION Risk of damaging the instrument This telescope is a precise optical device. Make sure that this product is handled with extreme care.

5.1 Inspection and testing Inspecting the product

Visually inspect the product. Make sure that it has: -- no corrosion -- no dents -- no scratches •• Make sure that the adapter’s sealing cap and valve are not damaged. •• Make sure that the attachment’s sealing cap is not damaged. Check image quality A piece of writing held at approximately 10 mm from the objective lens must be clearly visible through the telescope.

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Before use Damaged product If the product is damaged or does not function properly, contact an Olympus representative or an authorized service center.

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Use

6 Use Before use Make sure that the product has been properly reprocessed, inspected, and tested.

6.1 Preparation Light-guide cable

•• Connect the telescope’s light-guide connector to a compatible Olympus light-guide cable. •• Connect the light-guide cable to a compatible Olympus light source.

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Use Adapters on the light-guide connector

Olympus OES 4000, Storz Wolf Olympus OES Pro, ACMI

Light-guide adapters allow the telescope to be connected to lightguide cables of various manufacturers. Olympus recommends the use of an Olympus light-guide cable and an Olympus light source. Only this combination will guarantee optimum illumination of the endoscopic image and excellent color reproduction. Connect the attachment or adapter to the OP telescope

•• Turn the OP telescope’s locking ring so that the arrow on the locking ring is aligned with the arrow on the underside of the OP telescope. •• Connect the attachment or adapter to the OP telescope’s locking ring so that the arrow on the attachment or adapter is aligned with the small arrrow on the locking ring.

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Use •• Turn the OP telescope’s locking ring to fasten the attachment or adapter. Connect the outer sheath or irrigation port to the OP telescope.

•• Insert the OP telescope’s distal end into the outer sheath or irrigation port. •• Advance the outer sheath or irrigation port in proximal direction until it clicks into position. Connect the irrigation tubing •• Close all stopcocks. •• Connect the irrigation tubing to the irrigation stopcocks.

6.2 Video connection Use of a clamping video adapter •• Connect the video adapter to the OP telescope’s eyepiece cup. •• Refer to the video adapter’s instruction manual.

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Use

6.3 Procedure Insert the OP telescope into the outer sheath

•• Refer to the outer sheath’s instruction manual. Use of an LUS probe

•• Attach the WA33024A adapter to the OP telescope (refer to the chapter “Preparation” on page 17). •• Refer to the A02958A guiding adapter’s instruction manual. •• Insert the probe attached to the guiding adapter into the WA33024A adapter and advance it. •• Insert the guiding adapter into the WA33024A adapter’s connecting tube.

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Use Use of a hand instrument

•• Attach the WA33039A or A3342 attachment to the OP telescope (refer to the chapter “Preparation” on page 17). •• In case of a hand instruments with jaws, close the jaws. •• Insert the hand instrument’s distal end into the attachment’s sealing cap. •• Open the instrument stopcock (only for WA33039A). •• Advance the hand instrument until its distal end becomes visible on the endoscopic picture. CAUTION Risk of damaging the instrument (only for WA33039A) Do not close the instrument stopcock when a surgical instrument is inserted. WARNING Injury and damage from thermal exposure. Light sources emit large amounts of energy. As a result: -- The light-guide connector and the telescope’s distal end become extremely hot. -- The light energy is concentrated in a relatively small area. Risks:

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Use -- Thermal injury to the patient’s tissue (e.g. from prolonged exposure to the intense illumination in cavities with small lumens, or if the telescope’s distal end is placed into close proximity with the tissue). -- Burns to the patient’s or user’s skin. -- Burns or thermal damage to surgical equipment (e.g. surgical drapes, plastic materials, etc.). Countermeasures: -- Avoid prolonged exposure to intense illumination. -- Use the minimum level of illumination necessary to satisfactorily illuminate the target area. -- Do not place the telescope’s distal end or the light-guide connector on the patient’s skin, on flammable materials, or on heat-sensitive materials. -- Do not touch the telescope’s distal end or the light-guide connector.

-- Turn the light source off when detaching the telescope from the light-guide cable. -- Allow the telescope and the light-guide cable to cool down after use. Procedure. •• Perform the procedure.

6.4 After use Withdrawing the instrument •• In case of hand instruments with jaws, close the jaws. •• Withdraw the hand instrument or LUS probe from the OP telescope. •• Close all stopcocks. 22