VP-4450HD Processor Operation Manual Ver 2.0 Oct 2010

Important Safety Information

Important Safety Information For the USA Market - CAUTION: US law restricts the sale of this device to or on the order of a physician.

1. Intended Use This product is intended to be used in combination with a FUJIFILM or FUJINON medical Endoscope, light source, monitor, recorder and various peripherals for observation, diagnosis, endoscopic treatment, and image recording in medical facilities under the management of physicians. Never use this product for any other purposes.

2. Safety Read and understand this manual carefully before using the product according to the instructions given. Items important for the safe use of the system are summarized in Chapter 1 “Safety.” Safety precautions associated with individual operations or procedures are provided separately by “ WARNING” or “ CAUTION.”

3. Warning Items that must be observed in particular for the safety when performing endoscopy and electrosurgery are identified by “ WARNING” and “ CAUTION.” Read and understand the precautions carefully to ensure that procedures are performed correctly.

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 the equipment. Improper operations that will damage the equipment only are indicated by “CAUTION.”

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. Proper clinical judgment should be exercised for all clinical procedures.

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Important Safety Information

5. About the Difference of Color Tone When FICE is activated, the color tone and brightness may differ from those of the usual viewing image. When using FICE, please use it after sufficiently understanding the difference between the color tone and brightness of the usual viewing image and FICE image.

6. High Voltage This product has high voltage portions. No one except service personnel should touch the inside.

7. Foreign Matter and Liquid Foreign matter, water and chemicals entering the equipment may cause a fire or electric shock. In such a case, stop using the equipment immediately, disconnect the power plug from the power outlet, and consult your local dealer.

8. Maintenance The equipment will wear out and deteriorate after repeated use over a long period. The equipment is required to be inspected by specialists once every six months or when the cumulative lighting time of the XL-4450 reaches 500 hours. Also, the equipment is required to be inspected if any problem is found in the equipment. Do not disassemble or modify the equipment. For the inspection, consult your local dealer. [Note] Even though the cumulative time of lamp use does not yet reach 500 hours, if the amount of light emitted from the main lamp (Xenon) decreases, replace the main lamp with a new one immediately.

9. Loss of Function If an image disappears 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 straighten the bending portion to unlock and release the angle knobs. Move your hand away from the knob and pull out the Endoscope slowly. If a live image is not displayed after freeze mode is cancelled 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 straighten the bending portion to unlock and release the angle knobs. Move your hand away from the knob and 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 straighten the bending portion to unlock and release the angle knobs. Move your hand away from the knob and pull out the Endoscope slowly. [Note] Reset: Turn the power to the processor and the light source off, and after more than five seconds, turn them on again, and then, light the lamp by pressing the Lamp button.

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Contents

Contents Important Safety Information ...2 Preface ...6 Conventions Used in This Manual...6 Chapter 1

Safety ... 1-1

Chapter 2

Components and System Configuration of VP-4450HD ... 2-1 2.1

Components of VP-4450HD ... 2-2

2.2 2.3

Standard System Configuration ... 2-3 Extended System Configuration ... 2-4

Chapter 3

Name and Function of Each Part ... 3-1 3.1 Front Panel ... 3-2 3.2 Rear Panel... 3-5 3.3 Side Panel ... 3-7 3.4 Socket Protection Cap ... 3-8 3.5 Indication Marks... 3-9 3.6 Data Display on the Observation Screen... 3-10 3.7 Displaying FICE Set... 3-16 3.8 Patient Info. + Scope Info. Dialog... 3-18

Chapter 4

Preparation and Inspection of the System ... 4-1 4.1 Installing and Connecting the Equipment ... 4-2 4.2 Installing the Endoscope and Water Tank ... 4-2 4.3 4.4 4.5 4.6 4.7 4.8 4.9

Chapter 5

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Operation Check of Light Source... 4-4 Testing the Emergency Lamp... 4-7 Operating Check of Processor ... 4-10 Adjusting the Image Quality ... 4-11 Registering and Calling Adjustment Value ... 4-13 Registering the Patient Information ... 4-13 Calling up the Patient Information ... 4-13

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 Turning On/Off Structure Emphasis ... 5-9 5.8 Turning On/Off FICE ... 5-10 5.9 Turning On/Off the Tone ... 5-11 5.10 Setting the Color Adjustment ... 5-12

Contents

5.11 Switching the Shutter Speed... 5-12 5.12 Switching the Iris Mode ... 5-14 5.13 Adjusting the Electronic Zoom ... 5-15 5.14 Data Display Operation ... 5-16 5.15 Starting the Examination ... 5-18 5.16 Finishing the Examination... 5-19 Chapter 6

Image Recording ... 6-1 6.1 Method of Controlling the Color Printer ... 6-2 6.2 Printing the Image with the Color Printer (Remote System) ... 6-2 6.3 Printing the Image with the Color Printer (RS232C System) .. 6-10 6.4 Printing the Image with the Digital Printer ... 6-15 6.5 How to Record/Print Images on a CF Memory Card ... 6-25

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 ... 8-5

Appendix ...Appendix-1 Main Specification ...Appendix-2 Software Used in this Product ...Appendix-8 After-Sales Service ...Appendix-9 Disposal of Electric and Electronic Equipment...Appendix-10 Index ...Appendix-11

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Preface

Preface This manual describes how to use Processor “VP-4450HD.” The VP-4450HD is used in combination with the “XL-4450” light source, 400 System Scope, 500 System Scope, monitor, cart and printer, etc. The usable 400 system scopes include the 410, 450 or 470 scopes (only scopes manufactured in 2004 or later). For details, refer to the VP-4450HD/XL-4450 Installation Manual, “2.1 Equipment Using in Combination” (page 2-2). 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 for ease of understanding. General conventions Convention

Meaning Indicates a potential danger that may cause harm to people.

WARNING

Explains the dangerous situations that may cause a death or serious accident if not avoided.

CAUTION

Explains the situations that may cause slight or moderate levels of injury if not avoided.

CAUTION

Explains situations that may cause to damage to equipment if not avoided.

(1), (2), (3), ...

Consecutive numbers in operating procedures indicate the order in which successive steps in the procedure should be taken.

[Note]

Indicates a comment or supplementary information. Indicates a reference.

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Chapter 1

Safety

This chapter summarizes the information necessary for safe use of this system.

1-1

Chapter 1 Safety

Chapter 1 Safety 1. Precautions for Use 1) Inspection before use Make sure to inspect the equipment before use according to the procedures provided in this manual, to avoid unexpected accidents, and take full advantage of the equipment’s capabilities. In particular, errors in images may cause false diagnosis. If the inspection result shows any abnormality, do not use the equipment. 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 VP-4450HD/XL-4450 Installation Manual, “2.1 Equipment Using in Combination” (page 2-2). 3) Maintenance The equipment will wear out and deteriorate after repeated use over a long period. The equipment is required to be inspected by specialists once every six months or when the cumulative lighting time of the XL-4450 reaches 500 hours. Also, the equipment is required to be inspected if any problem is found in the equipment. Do not disassemble or modify the equipment. For details on inspection, consult your local dealer. [Note] Even though the cumulative time of lamp use does not yet reach 500 hours, if the amount of light emitted from the main lamp (Xenon) decreases, replace the main lamp with a new one immediately. 4) Temperature at distal end When the Endoscope projects light at high brightness over an extended time, the temperature may exceed 41°C at the distal end. When you hang the Endoscope on the cart hanger, turn the lamp off. Rated value of XL-4450 Xenon Lamp LMP-002 is 300W.

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Chapter 1 Safety

5) Electromagnetic interference This equipment has been tested and found to comply with the limits for medical devices defined in EN 60601-1-2:2001. These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. However, it is possible that it may cause harmful interference to other devices in the vicinity, if it is installed and used in accordance with the instructions. Also, there is no guarantee that interference will not occur in a particular installation. Therefore, if this equipment does cause harmful interference to other devices, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: • Change the orientation or position of any affected device. • Increase the spacing between devices. • Consult the manufacturer or dealer of the device. Noise may appear on the monitor of this equipment due to the effect of electromagnetic waves. In this case, turn off the device emitting the electromagnetic waves or move the device away from this equipment. 6) Handling of Endoscope Wear rubber gloves when handling the Endoscope to prevent infection and electrostatic discharge.

2. Software Version Software is used to control the VP-4450HD. Therefore, the control method differs depending on the version of the software being used. This instruction manual describes operation of Ver. 2.000 to 2.099. The version is shown under the heading “Software” displayed on the screen by pressing the [Shift] and [Note] keys at the same time.

3. Disposal This product has components that contain a lithium manganese dioxide battery and other materials that may cause environmental pollution. Follow the legal procedures when discarding the product. For details, consult your local dealer.

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Chapter 1 Safety

4. “ WARNING” and “ CAUTION” Messages Appearing in Individual Chapters Chapter 4 Installation and Checking of System 4.3 Operation Check of Light Source To avoid damage to eyes, do not look at the lamp directly while the lamp is lit. Do not look at the light emitted from the distal end 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 a burn. Do not touch the LG connector tip until it has cooled down (approximately 5 minutes). The Endoscope may adhere to the mucous membrane, resulting in damage to the mucous membrane. Set the suction pressure of the suction unit at 53 kPa or less. To avoid damage to eyes, do not look at the lamp directly while the lamp is lit. 5.5 Turning on the Lamp To avoid damage to eyes, do not look at the lamp directly while the lamp is lighting. Do not look directly at the light from the Endoscope. 5.16 Finishing the Examination 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 has cooled down (approximately 5 minutes).

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Chapter 2

Components and System Configuration of VP-4450HD

This chapter describes the components and system configuration of the VP-4450HD.

2.1 Components of VP-4450HD ...2-2 2.2 Standard System Configuration ...2-3 2.3 Extended System Configuration ...2-4

2-1

Chapter 2 Components and System Configuration of VP-4450HD

Chapter 2 Components and System Configuration of VP-4450HD 2.1 Components of VP-4450HD The VP-4450HD consists of the following items. [Note] The figure in parentheses indicates the quantity.

Socket Protection Cap CAP-201 (1) CAP-202 (1) Interface Cable CC1-9R3 (1)

Processor VP-4450HD (1)

CF Memory Card (1)

Data Keyboard DK-4450E (1)

Operation Manual VP-4450HD (1) DK-4450E (1)

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Memory Card Slot Cover (1)

Power cord (1)

VP-4450HD/XL-4450 Installation Manual (1)

Chapter 2 Components and System Configuration of VP-4450HD

2.2 Standard System Configuration The standard system configuration is the minimum configuration required for general endoscopy.

Water Tank WT-2

Light source XL-4450

Processor VP-4450HD

LCD Monitor CDL1909A CDL1576A RADIANCE24 (NDS)

Endoscope The 500 system scopes The 400 system scopes

Interface Cable CC1-9R3 (provided with VP-4450HD)

Data Keyboard DK-4450E

Cart

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Chapter 2 Components and System Configuration of VP-4450HD

2.3 Extended System Configuration This system can be extended by connecting various peripherals to the standard system configuration. Extension makes the following possible. • Endoscopic treatment • Ultrasonography • Printing of still images • Recording of still images

Ultrasonic Processor SU-7000

Sonoprobe system

Water Tank WT-2

Light Source XL-4450

Processor VP-4450HD Endoscope The 500 system scopes The 400 system scopes

Data Keyboard DK-4450E

Cart

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Chapter 2 Components and System Configuration of VP-4450HD

[Note] For details on the connections of peripherals other than listed here, consult your local dealer.

Electrosurgical Unit ICC 200 (ERBE)

LCD Monitor CDL1909A CDL1576A RADIANCE24 (NDS)

Printer UP-55MD (SONY) UP-21MD (SONY) CP900UM (120V) (MITSUBISHI) CP900E (230V) (MITSUBISHI) CP900DW (MITSUBISHI)

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Chapter 2 Components and System Configuration of VP-4450HD

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Chapter 3

Name and Function of Each Part

This chapter describes the names and functions of the VP-4450HD.

3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8

Front Panel ...3-2 Rear Panel...3-5 Side Panel ...3-7 Socket Protection Cap ...3-8 Indication Marks...3-9 Data Display on the Observation Screen...3-10 Displaying FICE Set...3-16 Patient Info. + Scope Info. Dialog...3-18

3-1

Chapter 3 Name and Function of Each Part

Chapter 3 Name and Function of Each Part 3.1 Front Panel

1

2

3

4

5

6

7

8

9

10

11

16

15

14

13

12

1 500 System Scope Connector Socket

Used to connect the 500 system scope connector.

2 400 System Scope Connector Socket

Used to connect the 400 system scope connector. 3 Scope Button

Used to turn the power to the Endoscope ON and OFF. Power to the Endoscope ON: The EXAM. indicator lamp lights up in blue. Power to the Endoscope OFF: Press and hold the Scope button for about 2 seconds. When the DETACH indicator lamp lights up in orange, the Endoscope can be removed. While the DETACH indicator lamp is flashing in orange, do not remove the Endoscope. [Note] In order to turn OFF the Endoscope, press and hold the Scope button for about 2 seconds. While the DETACH indicator lamp is flashing in orange, do not remove the Endoscope before this lamp lights up. 4 Structure Emphasis Button

Used to turn the structure emphasis function ON/OFF. “5.7 Turning On/Off Structure Emphasis” (page 5-9)

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Chapter 3 Name and Function of Each Part

5 Tone Button

Used to turn the tone function ON/OFF. “5.9 Turning On/Off the Tone” (page 5-11) 6 FICE Button

Used to turn FICE ON/OFF. “5.8 Turning On/Off FICE” (page 5-10) 7 Iris Mode Button

Used to switch the iris mode between AUTO, PEAK, and AVE. “5.12 Switching the Iris Mode” (page 5-14) 8 Shutter Speed Button

Used to switch the shutter speed between NORM. and HIGH. “5.11 Switching the Shutter Speed” (page 5-12) 9 Network Access Indicator Lamp

Displays the connection status of the network. • When connected: Lights up in green. • During communication: Flashes in orange. • When the communication fails: Lights up in orange. [Note] When “Not used” is selected for “Network” in the Peripheral Setup screen, the lamp does not flash or light up. 10 CF Memory Card Access Indicator Lamp

Displays the status of the CF memory card. • When the card is not inserted: Flashes in blue. • When the card is inserted: Lights up in green. • During communication: Flashes in orange. • When the communication fails: Lights up in orange. [Note] When “Not used” is selected for “CF Card” in the Peripheral Setup screen, even if the CF memory card is inserted, the lamp does not flash or light up. 11 Power Button

Used to turn the power supply ON/OFF. It lights up when the power is ON.

12 CF Memory Card Slot

A slot through which the CF memory card for recording images is inserted. 13 Cursor Button

Adjusts the electronic zoom. “5.13 Adjusting the Electronic Zoom” (page 5-15) This button is also used to adjust red and blue levels.

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Chapter 3 Name and Function of Each Part

14 Color Adjustment Indicator

Displays the red and blue levels adjusted by the

Cursor button.

15 Color Adjustment Button

Adjusts the color. “4.6 Adjusting the Image Quality” (page 4-11) 16 Reset Button

With “Reset Button Setup”, the reset function or timer start/stop function can be assigned. DK-4450E Operation Manual, “3.1 Setting the Hospital Name, Date and Time” (page 3-2) <Reset function> Used to reset the exposure counter. “5.14.1 Resetting the Counter” (page 5-16) While the observation screen is displayed, pressing and holding this button for about 2 seconds resets the color adjustment value to the factory default. “4.6 Adjusting the Image Quality” (page 4-11) <Timer start/stop function> Starts/stops the timer. While the timer is displayed, pressing and holding this button for about 2 seconds resets the timer and clears the display. “5.14.3 Starting/Stopping the Timer” (page 5-17)

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