Operational Manual
104 Pages
Preview
Page 1
English
EVE Processor
VP-4400
OPERATION MANUAL (Ver. 1.2*) Thank you for purchasing our product. The system is constructed so that only our service engineers are able to install it; installation must be performed by our service engineers.
Important Safety Information
Important Safety Information 1. Intended Use This product is intended to be used in combination with FUJINON medical Endoscope, light source, monitor, recorder and various peripherals for observation, diagnosis, endoscopic treatment, and image recording. Never use this product for any other purposes.
2. Safety Read and understand this manual carefully before use. Use the product by following the provided instructions. Items important for the safe use of the product are summarized in Chapter 1 “Safety.” Safety precautions associated with individual operations or procedures are provided separately, indicated by “
WARNING” and “
CAUTION.”
3. Warning Items that must be observed to prevent bodily harm when performing endoscopy and electrosurgery are identified by “
WARNING” and “
CAUTION.” Perform
procedures correctly by reading and understanding the warning information carefully.
WARNING Improper use or operation of the equipment may injure patients, physicians, or people in the vicinity. Read and understand this manual carefully before operating this system.
Improper operations that will damage the equipment are identified by “CAUTION.”
2
Important Safety Information
4. About Clinical Procedures This manual assumes that the product will be used by medical specialists who have received proper training in endoscopic procedures. It does not provide information about clinical procedures. Regarding clinical procedures, use proper clinical judgment.
5. High Voltage The equipment contains high-voltage parts. Peopel other than service personnel must not touch these parts.
6. Foreign Matters and Liquid Foreign matters, water and chemicals entering the equipment may cause a fire or electric shock. If liquid has entered the equipment, disconnect the power plug from the receptacle and contact your local dealer or FUJINON representative.
7. Maintenance The equipment will wear out and degrade after repeated use for a long period. Have it checked by specialists once every six months or each time the cumulative lit time of the XL-4400 arrives at 300 hours. Also have it checked if there is anything wrong with the equipment. Do not disassemble or modify the equipment.
8. Loss of Function If an image disappears during examination, reset Note the processor and the light source. If the image is still not displayed, turn the processor and the light source off, and then straiten the bending portion to unlock and release the angle knobs. Pull out the Endoscope slowly. If a live image is not displayed after image freezing is cancelled during examination, reset Note the processor and the light source. If the live image is still not displayed, turn the processor and the light source off, and then straiten the bending portion to unlock and release the angle knobs. Pull out the Endoscope slowly. If an image is suddenly discolored during examination, reset Note the processor and the light source. If the image is not recovered, turn the processor and the light source off, and then straiten the bending portion to unlock and release the angle knobs. Pull out the Endoscope slowly. [Note] Reset: turning a processor and a light source off, and turning on again after 5 seconds, and then lighting the lump by pressing the lamp button.
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Important Safety Information Contents
Contents Important Safety Information...................................................................................... 2 Preface ........................................................................................................................ 6 Conventions Used in This Manual ............................................................................. 6 Chapter 1
Safety .................................................................................................. 1-1
Chapter 2
Composition of VP-4400 and System Configuration ............................ 2-1 2.1 Composition of VP-4400 .............................................................. 2-2 2.2 Standard System Configuration................................................... 2-3 2.3 Extended System Configuration .................................................. 2-4
Chapter 3
Names and Functions of Parts ............................................................ 3-1 3.1 Front Panel .................................................................................. 3-2 3.2 Rear Panel .................................................................................... 3-4 3.3 Side Panel .................................................................................... 3-7 3.4 Indication Marks ......................................................................... 3-7 3.5 Data Display on Observation Screen .......................................... 3-8
Chapter 4
Installation and Checking of EPX-4400 System ................................... 4-1 4.1 Installing and Connecting the Equipment ................................... 4-2 4.2 Installing the Endoscope and Water Tank ................................... 4-2 4.3 Operation Check of Light Source ................................................ 4-3 4.4 Testing the Emergency Lamp ...................................................... 4-6 4.5 Operation Check of Processor ..................................................... 4-9 4.6 Adjusting the Image Quality ..................................................... 4-10 4.7 Registering and Calling Ajustment Value ................................... 4-12 4.8 Registering the Patient Data ...................................................... 4-13 4.9 Selecting the Patient Data ......................................................... 4-13
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Important Safety Information Contents
Chapter 5
Method of Use .................................................................................... 5-1 5.1 Preparing the Equipment ............................................................. 5-2 5.2 Connecting the Endoscope and Equipment ................................ 5-4 5.3 Supplying Power to the Equipment ............................................. 5-6 5.4 Inspecting the Endoscope ........................................................... 5-6 5.5 Lighting the Lamp ....................................................................... 5-7 5.6 Adjusting the Brightness ............................................................ 5-8 5.7 Switching the Iris Modes ............................................................ 5-8 5.8 Switching the Shutter Speed ....................................................... 5-9 5.9 Switching the Image Emphasis .................................................. 5-10 5.10 Data Display Operation ............................................................. 5-10 5.11 Starting the Inspection .............................................................. 5-13 5.12 Finishing the Inspection ............................................................ 5-14
Chapter 6
Image Recording ................................................................................. 6-1 6.1 How to Print a Picture on the Video Printer .................................. 6-2 6.2 Printing the Image on the Digital Printer .................................... 6-12 6.3 How to Record a Picture with the Video Cassette Recorder ....... 6-19 6.4 How to Record Images on a Memory Card ................................ 6-20
Chapter 7
Storage and Maintenance ................................................................... 7-1 7.1 Care after Use .............................................................................. 7-2 7.2 Storage ........................................................................................ 7-3 7.3 Relocation ................................................................................... 7-4
Chapter 8
Troubleshooting ................................................................................. 8-1 8.1 Troubleshooting ......................................................................... 8-2 8.2 Error messages ............................................................................ 8-4
Appendix ................................................................................................... Appendix-1 Main Specification ................................................................ Appendix-2 Warranty and After-Sales Service ........................................ Appendix-10 Disposal of Electric and Electronic Equipment ..................... Appendix-11 Index .................................................................................... Appendix-12
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Important Safety Information Preface
Preface This manual describes how to use Processor “VP-4400.” The VP-4400 is used in combination with the “XL-4400” light source, the EVE 400 System Scope, 530/590 Series Scope, monitor, cart and printer, etc. Seven series of Endoscopes (400, 410, 420, 450, 470, 485 and 490) for the EVE 400 System Scope may be used, depending on the specifications. For information on how to use the Endoscope and peripherals, refer to the respective operation manuals.
Conventions Used in This Manual This manual uses the following conventions to make it easy to understand operations. General conventions Convention
Meaning Indicates a potential danger that may harm to people.
WARNING
Explains the dangerous conditions that may cause to death or serious accident unless it is avoided.
CAUTION
Explains the conditions that may cause to light or medium injury unless it is avoided.
CAUTION
Explains the conditions that may damage to equipment unless it is avoided.
(1), (2), (3), ...
Consecutive numbers in operating procedures indicate the sequence of successive operations.
[Note]
Indicates a comment or supplementary information. Indicates a reference.
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Chapter 1 Safety
Chapter 1
Safety
This chapter summarizes the information necessary for safe use of the EVE system.
1-1
Chapter 1 Safety
Chapter 1 Safety 1. Precautions in Using Endoscope 1) Inspection before use Make sure to check the equipment before use according to the procedures provided in this manual, to avoid unexpected accidents, and take full advantages of the equipment’s capabilities. In particular, errors in images may cause false diagnosis when diagnosis is conducted. Do not use any equipment in which errors have been found as a result of the inspection. 2) Combination of equipment This product is used in combination with peripherals. To avoid electric shock, do not use peripherals that are not specified in the “Section 2.1 Usable Equipment on EPX-4400 System” (page 2-2) of the EPX-4400 System Installation Manual. 3) Maintenance The equipment will wear out and degrade after repeated use for a long period. Have it checked by specialists once every six months or each time the cumulative lit time of the XL-4400 arrives at 300 hours. Also have it checked if there is anything wrong with the equipment. Do not disassemble or modify the equipment. 4) Temperature at distal end When the Endoscope projects light at high brightness for an extended time, the temperature may exceed 41°C at the distal end. Turn off the lamp when you hang the Endoscope on the cart hanger. 5) Electromagnetic wave hindrance This product may show noises on the monitor under the effect of electromagnetic waves. Be sure to turn off the device that will generate electromagnetic waves, or to keep such a device away from the medical equipment. 6) Handling of Endoscope Pull on rubber gloves when handling an Endoscope to prevent infection and static charges.
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Chapter 1 Safety
2. Software Version Software is used to control the VP-4400. The operation procedure therefore differs depending on the software versions. This operation manual describes the operation of Ver.1.100 to 1.199. To confirm the software version, hold down the
key and press the
key. The
version is shown under the heading “Main CPU Ver.” on the screen.
3. Disposal This product uses vanadium and lithium batteries. Follow the legal procedures when discarding the product. Consult the store where you purchased the product for details.
4. “
Warning” and “
Caution” Messages Appearing in Individual Chapters
Chapter 4 Preparation and Inspection of EPX-4400 System 4.3 Operation Check of Light Source It may damage your eyes. Do not look at the lamp directly while the lamp is lighting. Do not look at the illumination light of the Endoscope directly. Chapter 5 Method of Use 5.2 Connecting the Endoscope and Equipment Touching the LG connector with hands immediately after use of the Endoscope may cause to burn. Do not touch the LG connector tip until it will be cooled down (5 minutes). Endoscope may be adhered to mucous membrane, resulting in damage to the mucous membrane. Set a suction pressure at 53kPa or less. It may damage the eyes. Do not look at the lamp while the lamp is lighting. 5.5 Lighting the Lamp It may damage your eyes. Do not look at the lamp directly while the lamp is lighting. Do not look at the illumination light of the Endoscope directly. 5.12 Finishing the Inspection Touching the LG connector with hands immediately after use of the Endoscope may cause to burn. Do not touch the LG connector tip until it will be cooled down (5 minutes).
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Chapter 1 Safety
1-4
Chapter 2 Composition of VP-4400 and System Configuration
Chapter 2
Composition of VP-4400 and System Configuration
This chapter describes the composition of the VP-4400 set and system configuration.
2.1 Composition of VP-4400 .............................................. 2-2 2.2 Standard System Configuration ................................... 2-3 2.3 Extended System Configuration .................................. 2-4
2-1
Chapter 2 Composition of VP-4400 and System Configuration
Chapter 2 Composition of VP-4400 and System Configuration 2.1 Composition of VP-4400 The VP-4400 consists of the following items. [Note] Figures in parentheses indicate quantities.
Memory Card (1) Socket Protection Cap CAP-201 (1) Processor VP-4400 (1) Memory Card Slot Protective Cap CAP-204 (1)
Keyboard DK-4400E (1)
Operation Manual VP-4400 (1) DK-4400E (1)
2-2
Interface Cable CC1-9R3 (1)
EPX-4400 System Installation Manual (1)
Chapter 2 Composition of VP-4400 and System Configuration
2.2 Standard System Configuration The standard system configuration is the minimum configuration normally required for endoscopy. This system allows observation (diagnosis), biopsy and image recording to be performed on the monitor.
Water Tank WT-2
Light Source XL-4400
Processor VP-4400
LCD Monitor CDL1904A CDL1566A RadiForce R12 (NANAO)
Endoscope 400 System 530/590 Series
Connecting Cable CC1-9R3 (attached with VP-4400)
Data Keyboard DK-4400E
Cart PC-310
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Chapter 2 Composition of VP-4400 and System Configuration
2.3 Extended System Configuration You can extend the EPX-4400 system by connecting various equipment to the standard system configuration. Extension makes the following possible. Endoscopic treatment Ultrasonography through the forceps channel Recording of Video images Printout of still image Recording of still image
Sonoprobe System
Ultrasonic Processor SU-7000
Light Source XL-4400 Water Tank WT-2
Processor VP-4400 Endoscope 400 System 530/590 Series
Data Keyboard DK-4400E
Cart PC-310
2-4
Chapter 2 Composition of VP-4400 and System Configuration
LCD Monitor CDL1904A CDL1566A RadiForce R12 (NANAO)
Video Monitor PVM-14L2MD (SONY)
Printer UP-51MD (SONY) UP-55MD (SONY) UP-21MD (SONY) CP900UM (120V) (MITSUBISHI ELECTRIC) CP900E (230V) (MITSUBISHI ELECTRIC) CP900DW (MITSUBISHI ELECTRIC)
VCR DSR-20MD (SONY)
Electrosurgical Instrument ICC 200 (ERBE)
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Chapter 2 Composition of VP-4400 and System Configuration
2-6
Chapter 3 Names and Functions of Parts
Chapter 3
Names and Functions of Parts
This chapter describes the names and functions of VP-4400 as well as the composition.
3.1 Front Panel .................................................................. 3-2 3.2 Rear Panel .................................................................... 3-4 3.3 Side Panel .................................................................... 3-7 3.4 Indication Marks ......................................................... 3-7 3.5 Data Display on Observation Screen ........................... 3-8
3-1
Chapter 3 Names and Functions of Parts
Chapter 3 Names and Functions of Parts 3.1 Front Panel
1
2
3
4
5
6
7
8
9
15
14
13
12
11
10
530/590 Series Scope Connector Socket Used to connect the 530/590 Series Scope connector of the Endoscope.
400 System Scope Connector Socket Used to connect the connector of the 400 system scope.
Color Button (COLOR) Used to display the color menu. “4.6 Adjusting the Image Quality” (page 4-10)
Display Button (DISPLAY) Turns ON/OFF the display of the date or patient data on the observation screen. “5.10.1 Turning ON/OFF the Data Display” (page 5-10) Image Emphasis Button (TONE) Used to emphasize pictures of blood vessels. “5.9 Switching the Image Emphasis” (page 5-10)
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Chapter 3 Names and Functions of Parts
Iris Mode Button (IRIS) Used to switch between AVE and PEAK. “5.7 Switching the Iris Modes” (page 5-8) Shutter Speed Button (SHUTTER) Displays the shutter speed selection menu suitable for the types of Endoscope. Switches the electronic shutter speed. “5.8 Switching the Shutter Speed” (page 5-9) Memory Card Access Lamp Displays the status of the memory card. When mounted: Lights up in green. During communication: Flashes in orange. Memory Card Slot A slot through which the memory card (CF type) for recording images is inserted. Power Button Used to turn ON/OFF the power supply. It lights up when the power is ON.
Reset Button (RESET) Used to reset the indicator for the number of recorded still images. “5.10.2 Resetting the Counter” (page 5-11) During the adjustment of image quality, pressing this button resets the value to that at the time of shipment from the factory. “4.6 Adjusting the Image Quality” (page 4-10) Inspection Button (STANDBY) Used to turn the power to the Endoscope ON and OFF. Power to the Endoscope ON: Turns ON in blue. Power to the Endoscope OFF: Turns ON in orange. Cursor Button Moves the cursor up, down, right and left on the setup screen. The cursor button is also used to increase and decrease adjustment values on the setup screen and to switch the setup contents. White Balance Button (AWB) Used to adjust the white balance of images of the Endoscope, if necessary. Network Access Lamp Used to display the connection status of the network. When connected: Lights up in green. During communication: Flashes in orange.
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Chapter 3 Names and Functions of Parts
3.2 Rear Panel
16
17
18
19
21
20
22
23
24 25
26 36
35
34
33
32
31
30
29
28
27
Fuse Holder Use two fuses.
Potential Equalzation Terminal Connects to the equipotential plug.
Interface Cable Terminal Used to connect to the XL-4400 light source using the interface cable.
Video Terminal Outputs a composite video signal.
S Video Terminal Outputs an image signal by separating into Y signal for brightness and C signal for color.
RGB1 Terminal Terminal to output an NTSC/PAL image in the form of R, G, B and SYNC.
RGB2 Terminal A The terminal is an image output terminal that can be selected for NTSC/PAL or ProgressiveScan.
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Chapter 3 Names and Functions of Parts
RGB2 Terminal B Terminal to select NTSC/PAL or progressive-scan image.
DVI Terminal Terminal to connect the LCD monitor via a monitor cable. Digital image signals are output from this terminal. Ethernet Terminal Terminal to make a connection to the network.
Digital Printer Terminal Outputs signals to the digital printer.
RS-232C Terminal B Terminal to communicate with peripherals.
RS-232C Terminal A Terminal to provide communications with peripherals.
Keyboard Terminal Used to connect to the data keyboard, DK-4400E.
Card Reader Terminal Terminal to connect a magnetic card reader.
Foot Switch Terminal Terminal to connect the foot switch FS1.
1394 Terminal Terminal to connect VCR with a DV terminal.
Remote Terminal 2b Outputs a trigger signal to control peripherals. Pressing the FR switch or RC switch of the Endoscope outputs the signal.
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Chapter 3 Names and Functions of Parts
Remote Terminal 2a Outputs a trigger signal to control peripherals. Pressing the FR switch or RC switch of the Endoscope outputs the signal. Remote Terminal 1 Outputs a trigger signal to control peripherals. Signals are output when the FR switch is pressed on the Endscope. Power Cord
3-6
Chapter 3 Names and Functions of Parts
3.3 Side Panel <Left side>
37
<Right side>
37
Ventilation Holes Ventilation holes. Keep holes 10 mm or more away from each of the sides.
3.4 Indication Marks Symbols
Location
Meanings
Symbols
Location
Meanings
Front Panel Rear Panel
Type BF applied part (IEC 60601-1)
Rear Panel
Class I device (IEC 60601-1)
Rear Panel
Alternating current
Rear Panel
Code
Rear Panel
Fuse
Rear Panel
Date of manufacture
Rear Panel
Serial number
Rear Panel
Consult accompaanying documents
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Chapter 3 Names and Functions of Parts
3.5 Data Display on the Observation Screen The data display superimposed on the observation screen looks as follows:
Electric magnification
VCR display ( : Recording, ||: Pause, Nondisplay: Stop) Number of recordable pieces (Displayed with 99 pieces or less) Note 1 (M: Memory) Number of recorded still images Note 2
Brand name Date Time Timer
FUJINON 2004/01/25 12:10:45 000:00
M99 F19 *1.5 AVE 1/200 N F A1 NH
Iris mode Shutter speed Focus meter
Endoscope status
Image emphasis - option board - noise reduction Note3 Memory position
Procedure Name of doctor Name of hospital
Colonoscopy Dr. Fuji FUJINON HP
59 M 1944-08-16 12345678901 Fuji Taro
Age, Sex Date of birth Patient ID Name of patient
Note 1 The “Number of recordable pieces” displays the number of pieces that can be recoded in the memory card or main unit memory, whichever is smaller. Note 2 The “Number of recorded still image” displays the number of trigger switch operation times. Note 3 The following characters are used for display. B: Blood vein ON N: Noise reduction ON H: Hyper tone ON Whether or not to display data on the observation screen is switched by making a setting. The data displayed is somewhat different depending on the settings. Even when the data is not displayed, the number of recorded still images, Endoscope status, and patient ID can be displayed. DK-4400E Operation Manual “3.6.2 Setting Data Display on the Observation Screen” (page 3-24)
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Chapter 4 Installation and Checking of EPX-4400 System
Chapter 4
Installation and Checking of EPX-4400 System
This chapter describes the preparation and operation check necessary to use the EPX-4400 system for the first time and to use a new Endoscope. For the procedure to be taken for daily inspection, see “Chapter 5 Method of Use.”
4.1 Installing and Connecting the Equipment.................... 4-2 4.2 Installing the Endoscope and Water Tank ................... 4-2 4.3 Operation Check of Light Source ................................. 4-3 4.4 Testing the Emergency Lamp ....................................... 4-6 4.5 Operation Check of Processor ..................................... 4-9 4.6 Adjusting the Image Quality ..................................... 4-10 4.7 Registering and Calling Adjustment Value ................. 4-12 4.8 Registering the Patient Data ...................................... 4-13 4.9 Selecting the Patient Data .......................................... 4-13
4-1
Chapter 4 Installation and Checking of EPX-4400 System
Chapter 4 Installation and Checking of EPX-4400 System 4.1 Installing and Connecting the Equipment Install the EPX-4400 system according to “Chapter 3 Installation of EPX-4400 System” in the Installation Manual for the EPX-4400 System. [Note] If the battery in the processor discharges, it may impede the clock function displayed on the monitor (the clock may lose time). If the processor has been left unused for more than three months, turn ON the power to the processor to charge the battery for about three hours. (You don’t have to connect the Endoscope or turn ON the lamp.)
4.2 Installing the Endoscope and Water Tank
CAUTION Causes failure or error. Connect/disconnect the Endoscope after turning the power OFF. Wait for 5 seconds or more before turning the power ON again. Do not touch the electric contacts directly. If the contacts of the Endoscope are moist, dry the contacts before connecting them. [Note] Before connecting/disconnecting the Endoscope, turn OFF the power to the processor or press the inspection button and make sure that the button turns orange to prevent failure or error. [Note] Connecting the Endoscope with moisture on the contacts will cause a failure or malfunction, for example, image defects. If a scope connector socket is not connected to the Endoscope, cover the socket with the included protection cap (CAP-201) to protect the contact. (1) Install the Endoscope when the power is turned OFF or when the Inspection button turns orange. Insert the LG connector until it stops. (2) Remove the protection cap from the connector socket to be connected, and connect the EVE connector.
4-2
Chapter 4 Installation and Checking of EPX-4400 System
<530/590 series scope> In alignment with the EVE connector index, rotate the connector clockwise while pressing it gently. <400 system scope> In alignment with the EVE connector index, insert the connector until it clicks. [Note] Cover the unused scope connector socket with the protection cap. (3) Hook the water supply tank, filled with water, on the cart. [Note] Fill the water tank with sterilized water and change the water every day. (4) Connect the connector of the water supply tank to the Endoscope.
4.3 Operation Check of Light Source
CAUTION It may damage your eyes. Do not look at the lamp directly while the lamp is lighting. Do not look at the illumination light of the Endoscope directly.
(1) Turn on the power to the cart and the light source. The Power button will light up.
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Chapter 4 Installation and Checking of EPX-4400 System
(2) Make sure that “NORM” is lit for the air supply indicator.
(3) Check the lamp lit hours. If the pictogram for lamp lit hours turns ON in green, the lamp is available. The indicator shows the cumulative lit time. The indicator moves to the right as the time is elapsing. (three steps = approximately 100 hours) If the utmost right-hand side indicator turns ON and the lamp lit hour pictogram is flashing ON and OFF in orange, the cumulative lit time has exceeded 300 hours.
If the cumulative lit time exceeds 300 hours while the lamp is lit, the pictogram for lamp lit hours flashes ON and OFF in orange, and “Please exchange XENON Lamp” appears on the screen. “Please exchange XENON Lamp.”
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Chapter 4 Installation and Checking of EPX-4400 System
(4) Turn on the power to the processor in the same manner. The Power button lights up. The Inspection button lights up in blue. The observation screen will be displayed on the
2004/01/25 12:10:45
F00 AVE 1/60
monitor.
(5) Press the Lamp button of the light source. The main lamp turns ON. The pictogram for lamp lit hours turns OFF, and the pictogram for brightness level turns ON in green. [Note] If the emergency lamp alarm flashes, stop using the system. XL-4400 Operation Manual “5.5 Duration for the Replacement of Lamp” (p.5-6).
(6) Leave the distal end of the Endoscope in the air, press the air/ water button, and make sure that water comes out of the nozzle. [Note] Watch the direction that the water comes out.
(7) Dip the distal end of the Endoscope in the water, close the center hole on the air/water button with a finger, and make sure that air comes out of the nozzle. Then, take your finger off the hole and make sure that the air does not come out of the nozzle.
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Chapter 4 Installation and Checking of EPX-4400 System
(8) Apply your palm against the distal end of the Endoscope, and make sure that the indicator level of the light source changes when you move your hand toward and away from the distal end.
4.4 Testing the Emergency Lamp (1) Press the menu key
on the keyboard.
Main menu will appear.
(2) Using the
and
keys, place the cursor over “5. EMG
Lamp test” and “Yes,” and then press the
4-6
key..
Menu 1.Control 2.Data 3.Switch 4.Information 5.EMG. Lamp test 6.Monitor Setup 7.Reset
No No No No No No No
Yes Yes Yes Yes Yes Yes Yes
Menu 1.Control 2.Data 3.Switch 4.Information 5.EMG.Lamp test 6.Monitor Setup 7.Reset
No No No No No No No
Yes Yes Yes Yes Yes Yes Yes
Chapter 4 Installation and Checking of EPX-4400 System
The test mode is activated, and the emergency lamp alarm of the light source flashes in orange.
(3) Press the Lamp button of the light source, and turn the emergency lamp ON.
(4) Make sure the emergency lamp alarm of the light source lights up and yellow light is seen through the ventilation port.
(5) Press the Lamp button and turn the emergency lamp OFF.
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Chapter 4 Installation and Checking of EPX-4400 System
(6) Using the
key on the keyboard, place the cursor on
“No,” and then press the
key..
The test mode is released.
(7) Press the
key..
The observation screen will reappear.
(8) Turn off the power to the light source. This completes the test.
4-8
Menu 1.Control 2.Data 3.Switch 4.Information 5.EMG.Lamp test 6.Monitor Setup 7.Reset
2004/01/25 12:10:45
No No No No No No No
Yes Yes Yes Yes Yes Yes Yes
F00 AVE 1/60
Chapter 4 Installation and Checking of EPX-4400 System
4.5 Operating Check of Processor (1) Make sure that data is displayed on the observation screen of the monitor.
2004/01/25 12:10:45
F00 AVE 1/60
[Note] If data is not displayed, press the display button.
(2) Apply your palm against the distal end of the Endoscope, and make sure that the hand image is displayed on the observation screen.
(3) Press FR switch of Endoscope, and make sure that the image comes to a standstill.
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Chapter 4 Installation and Checking of EPX-4400 System
4.6 Adjusting the Image Quality The color button is used to adjust the image quality. Brightness and color tone can be adjusted in nine steps, from -4 to +4. The setting (DEFAULT) at delivery from the factory is “0”. 1. Black level (MASTER BLACK)
To adjust brightness and contrast.
2. Red level (RED LEVEL)
To adjust red color.
3. Green level (GREEN LEVEL)
To adjust green color.
4. Blue level (BLUE LEVEL)
To adjust blue color.
5. Hue of red (R-HUE)
To adjust red hue.
6. Chroma (CHROMA)
To adjust chroma.
7. Gamma level (GAMMA)
To adjust gradation.
8. Contour (DETAIL HI.)
To emphasize fine blood vessels.
9. Contour (DETAIL LOW)
To emphasize structures (polyp, etc.).
10. Blood Vessel Emphasis (BLV)
To adjust the emphasis intensity.
11. Reset (RESET)
To return all settings to DEFAULT.
Table 4.1
Relationship between adjustment values and image quality.
Black level Red level Green level Blue level Red hue Chroma Gamma level Hi. Contour Lo. Blood vein
Low number Dark shadow Cyan emphasis Magenta emphasis Yellow emphasis Close to magenta Chroma goes down. High contrast Soft image Less noise Weak emphasis
Color menu
Color Menu -4 +4 01.Black Level --------0 02.Red Gain --------0 03.Green Gain --------0 04.Blue Gain --------0 05.R-Hue M --------- Y 0 06.Chroma Gain --------0 07.Gamma --------0 08.Detail Hi. --------0 09.Detail Lo. --------0 10.BLV Off Lo Mid Hi 11.RESET No Yes
4-10
High number Light shadow Red emphasis Green emphasis Blue emphasis Close to yellow Chroma goes up. Low contrast Sharp image More noise Strong emphasis
Chapter 4 Installation and Checking of EPX-4400 System
(1) Apply your palm or something against the distal end of the Endoscope.
(2) Press the Color button. The color menu will appear.
(3) Pressing the
and
buttons, place the cursor on an item to
be adjusted.
(4) Pressing the
and
buttons, adjust the level.
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Chapter 4 Installation and Checking of EPX-4400 System
(5) Pressing the
and
buttons, place the cursor on the next
item.
(6) Similarly, pressing the
and
buttons, adjust the level.
[Note] To set the adjustment value back to the default, place the cursor on “11. Reset,” select “Yes,” and then press the Reset button on the front panel.
(7) After performing the adjustments, press the Color button to return to the observation screen.
4.7 Registering and Calling Adjustment Value You can register up to five different patterns of the above adjusted values in “Section 4.6 Adjusting the Image Quality” as doctor pages. Registered doctor pages can be called later. “Section 5.5 Setting the Doctor Page” (page 5-6) of DK-4400E Operation Manual
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Chapter 4 Installation and Checking of EPX-4400 System
4.8 Registering the Patient Data Register patient data. DK-4400E Operation Manual “Chapter 4 Setting Patient Data”
4.9 Selecting the Patient Data (1) Press the patient key
on the keyboard.
The data selection screen will appear.
(2) Using the
and
data and then press the
keys, place the cursor on the patient key..
The selected patient data will appear on the observation screen.
Patient List 01.YAMADA TARO 02.HIGUCHI MITSURU 03.SUZUKI SHIGEO : : 22.TAKEUCHI SHINJI Next Page : No Yes Clear All Files : No Yes
A123456 A123457 A123458 : : A123480
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Chapter 4 Installation and Checking of EPX-4400 System
4-14
Chapter 5 Method of Use
Chapter 5
Method of Use
This chapter describes how to use the EPX-4400 system for daily inspection.
5.1 Preparing the Equipment ............................................. 5-2 5.2 Connecting the Endoscope and Equipment ................. 5-4 5.3 Supplying Power to the Equipment ............................. 5-6 5.4 Inspecting the Endoscope ........................................... 5-6 5.5 Lighting the Lamp ........................................................ 5-7 5.6 Adjusting the Brightness ............................................ 5-8 5.7 Switching the Iris Modes............................................. 5-8 5.8 Switching the Shutter Speed ....................................... 5-9 5.9 Switching the Image Emphasis .................................. 5-10 5.10 Data Display Operation ............................................. 5-10 5.10.1 Turning ON/OFF the Data Display .................. 5-10 5.10.2 Resetting the Counter ..................................... 5-11 5.10.3 Entering Comments ......................................... 5-11 5.10.4 Starting/Stopping the Timer ............................ 5-12 5.11 Starting the Inspection .............................................. 5-13 5.12 Finishing the Inspection ............................................ 5-14 5.12.1 Finishing the First Inspection .......................... 5-14 5.12.2 Starting/Finishing the Second Inspection or Later ............................................................ 5-15 5.12.3 Finishing All Inspections ................................ 5-16
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Chapter 5 Method of Use
Chapter 5 Method of Use 5.1 Preparing the Equipment (1) Turn off the power to the light source, processor and cart.
(2) Move the cart equipped with the EPX-4400 system to the place where it is used. Lock the caster of the cart.
(3) Plug the power cord from the cart into a protective earth receptacle.
(4) Mount the suction bottle on the suction unit.
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Chapter 5 Method of Use
(5) Hook the water supply tank approx. 80% full of water on the cart. [Note] Change the sterilized water in the water tank every day.
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Chapter 5 Method of Use
5.2 Connecting the Endoscope and Equipment
CAUTION Touching the LG connector with hands immediately after use of the Endoscope may cause to burn. Do not touch the LG connector tip until it will be cooled down (5 minutes). Endoscope may be adhered to mucous membrane, resulting in damage to the mucous membrane. Set a suction pressure at 53 kPa or less. It may damage the eyes. Do not look at the lamp while the lamp is lighting.
CAUTION It may cause failure or error. Connect/disconnect the Endoscope after turning the power OFF. Wait for 5 seconds or more before turning the power back to ON. Do not touch the electric contacts directly with your hand. Prevent the contacts from exposure to xylocaine spray, etc. Dry the moistened contacts of Endoscope before connecting the Endoscope to the processor.
[Note] Before connecting/disconnecting the Endoscope, turn OFF the power to the processor or press the inspection button and make sure that the button turns orange to prevent failure or error. [Note] Connecting the Endoscope with moisture on the contacts will cause a failure or malfunction, for example, image defects. If a scope connector socket is not connected to the Endoscope, cover the socket with the included protection cap (CAP-201) to protect the contact. (1) When the power to the processor has been turned OFF or when the Inspection button has turned orange, you can install the Endoscope. Insert the LG connector until it stops. (2) Remove the protection cap from the connector socket to be connected, and connect the EVE connector.
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Chapter 5 Method of Use
<530/590 Series Scope> In alignment with the EVE connector index, rotate the connector clockwise while pressing it softly. <400 system scope> In alignment with the EVE connector index, insert the connector until it clicks.until it clicks. [Note] Cover the unused scope connector socket with the protection cap. (3) Connect the water tank connector to the Endoscope.
(4) Connect the suction unit and the suction connector of the Endoscope with the suction tube.
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Chapter 5 Method of Use
5.3 Supplying Power to the Equipment Turn on the power to the cart, light source and processor in that order. When the power to the processor is turned ON, the Inspection button is lit in blue.
5.4 Inspecting the Endoscope Inspect the following items according to the operation manual of the Endoscope and the processor. Insertion portion (Distal end, bending portion and flexible portion) Bending mechanism Air/water supply, suction and forceps channel FR switch
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5.5 Lighting the Lamp
CAUTION It may damage your eyes. Do not look at the lamp directly while the lamp is lighting. Do not look at the illumination light of the Endoscope directly.
Press the the Lamp button of light source. [Note] Stop using when the emergency light alarm flashes. XL-4400 Operation Manual “5.5 Duration for the Replacement of Lamp”(p.5-6).
If the lamp lit hour pictogram is flashing ON and OFF in orange and LED of the utmost right-hand side indicator turns, the cumulative lit time has exceeded 300 hours.
If the lamp comes to the end of its life during the check, the pictogram for lamp lit hours flashes ON and OFF in orange. After the check is completed, replace the main lamp.
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5.6 Adjusting the Brightness Adjust with the Brightness adjustment button to obtain the appropriate brightness for an object. Press
to make the image brighter. Press
to make the
image darker. The brightness adjustment level varies in the range of -8 to +8.
5.7 Switching the Iris Modes Press the Iris mode button to select the ALC (automatic light control) mode to control the screen brightness. The VP-4400 system has two metering modes: AVE to control the brightness on the general screen and PEAK to control the brightness in the highlight area. When the power is turned on, the system is set at the average metering mode.
The two modes appear alternately each time the Iris mode button is pressed.
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M99 F10 AVE
M99 F10 PEAK
The AVE is suitable for a screen that does not have
The PEAK is suitable for a screen that has some
that much difference in brightness.
high brightness parts.
Chapter 5 Method of Use
5.8 Switching the Shutter Speed (1) Press the Shutter speed button. The shutter speed selecting screen will be displayed.
485
490
400, 410, 420, 450, 470
Shutter speed
Shutter speed
Shutter speed
N 30 60 100
N 60 100 200
N 60 100 200
S (Z) 100 200 400
S (Z) 100 200 400
S (Z) 100 200 400
590
530
Shutter speed
Shutter speed
N 60 100 200
N 60 100 200
S (Z) 100 200 400
S 100 200 400
Different items are displayed, depending on the models of the Endoscope. N and S represent shutter speeds when the scope button and foot switch are pressed. Pressing a switch again sets the shutter speed back to the speed with N pressed. N: When the power is turned ON or when the check starts S: Scope button or foot switch is used as the shutter button [Note] When an optical enlargement scope is connected, the indication of S changes to Z on the display. The same operation as that of the OM Mode in the Control Menu is activated by pressing
on the keyboard, in addition to pressing the shutter button.
“Section 3.6 Setting Inputting and Outputting of the Processor” (page 3-19) of DK-4400E Operation Manual (2) Press the Shutter speed button. Return to the observation screen and the selected shutter speed is displayed on the upper right of the observation screen.
M99 F10 AVE 1/60 A1 SB
[Note] If no operation is made for about 6 seconds, the observation screen will appear automatically.
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Chapter 5 Method of Use
5.9 Switching the Image Emphasis Each time the Image emphasis button is pressed, the image emphasis can be switched between ON and OFF. When the button is turned ON, the blood vessel is displayed in deep color. When it is turned OFF, it is displayed in the original color. The image emphasis is set to OFF when the power is turned on or the check starts.
5.10 Data Display Operation 5.10.1 Turning ON/OFF the Data Display While the observation screen is displayed, the patient data display is turned on/off each time the Display button is pressed. [Note] When the power is turned on, data will appear.
Data ON
Data OFF (when STATUS is selected) M99 F00 AVE 1/60
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M99 F00 AVE 1/60
59 M 1944-08-16 12345678901 YAMADA TARO Data to be displayed is somewhat different depending on the settings. Even when data nondisplay has been selected, partial data (number of recorded still images, Endoscope status, and patient ID) can be displayed. “Section 3.6.2 Setting Data Display on the Observation Screen” (page 3-24) of DK-4400E Operation Manual
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5.10.2 Resetting the Counter Pressing the Reset button resets the number of recorded still images, displayed on the observation screen, to 00.
5.10.3 Entering Comments Comments can be entered on the observation screen. (1) Press the comment key
.
The procedure disappears from the observation screen, and then the cursor appears.
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_ Dr AKIBA FUJINON HP
(2) Enter the comment and then press the
key..
The comment is set.
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M99 F00 AVE 1/60
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M99 F00 AVE 1/60
[Note] Before the comment has been set, pressing the
key
cancels the entry, and the procedure reappears. TEST DATA_ Dr AKIBA FUJINON HP
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5.10.4 Starting/Stopping the Timer You can start and stop the timer on the observation screen. (1) Press the timer key
.
The timer starts, and the observation screen is displayed.
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(2) Press the
key..
The timer stops.
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(3) To reset the timer, press the
key while pressing the
key..
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(4) To eliminate the display, reset the time, and then press the key while pressing the
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key..
M99 F00 AVE 1/60
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M99 F00 AVE 1/60
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M99 F00 AVE 1/60
59 M 1944-08-16 12345678901 YAMADA TARO