EVIS EXERA II Duodenovideoscope TJF-Q180 Cleaning Guide

ENDOSCOPE CLEANING GUIDE for EVIS EXERA II Duodenovideoscope TJF-Q180V

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WARNING: This guide is a summary of the steps necessary to properly reprocess your TJF-Q180V. Follow the detailed steps instructed in the latest ENDOSCOPE REPROCESSING MANUAL for the TJF-Q180V. Leakage Testing

IMPORTANT ∙ Wear appropriate personal protective equipment. ∙ Meticulous cleaning is essential for effective disinfection/sterilization. ∙ Be sure to reprocess all removable parts (e.g. valves) as described in the reprocessing manual.

Manual Cleaning

Venting connector

1

Maintenance unit (MU-1)

2

CAUTION If a leak is detected, the endoscope must be repaired. Follow the manufacturer’s instructions.

3

4

While Immersed: Detergent solution

Water

Leakage tester (MB-155)

Precleaning Before leakage testing, “reprocess” the scope as described in the reprocessing manual.

∙ Ensure that the Water Resistant Cap (MH-553) is attached. ∙ Detach all accessories from the endoscope. ∙ T  urn on air source, depress the pin inside the connector cap and confirm that air is emitted and that both the connector cap and venting connector are dry. ∙ A  ttach the leakage tester to the water resistant cap‘s venting connector.

∙ Immerse entire endoscope in water. ∙ Observe for approximately 30 seconds while deflecting the bending section of the endoscope by turning the UP/DOWN and RIGHT/LEFT angulation control knobs, then observe for an additional 30 seconds while raising and lowering the forceps elevator. ∙ Confirm that there are no continuous air bubbles.

∙ R  emove the endoscope from the water. ∙ T  urn air source off and detach the leakage tester from air source. ∙ W  ait 30 seconds, or until the bending section covering contracts to its pre-expansion size. ∙ D  etach the leakage tester.

∙ Immerse the endoscope in the detergent solution. ∙ Clean all external surfaces, especially the air/water nozzle opening and the objective lens on the distal end. Ensure that all surfaces of the distal end are thoroughly cleaned.

Manual Cleaning 5

While Immersed: Guidewirelocking Channel-opening groove cleaning brush (MH-507, MAJ-1339 or b BW-412T)

a Forceps elevator recess

6 ∙ Lower the forceps elevator. ∙ Brush the forceps elevator and elevator recess.

While Immersed:

Forceps elevator

a) Insert the brush into the forceps elevator recess and pull it out. Repeat three times. b) Brush the guidewire-locking groove.

While Immersed:

∙ Raise the forceps elevator. Brush the forceps elevator and elevator recess. a) Brush the back of the forceps elevator and the elevator recess and pull the brush out. b) Insert the brush into the forceps elevator recess, rotate the brush one full revolution, and pull out.

a

Forceps elevator recess

Forceps elevator

7

b

∙ Lower and raise the forceps elevator in the detergent solution three times. ∙ Clean the bristles in the detergent solution. ∙  Brush the distal end until no debris is observed.

8

While Immersed:

While Immersed:

Channel cleaning brush (BW-20T) / Channel cleaning brush part of the single use combination cleaning brush (BW-412T)

Channel cleaning brush (BW-20T) / Channel cleaning brush part of the single use combination cleaning brush (BW-412T)

∙ B  rush from the suction cylinder to the distal end of the insertion section. ∙ Repeat until no debris is observed.

9

∙ B  rush from the suction cylinder to the endoscope connector. ∙ Repeat until no debris is observed.

Channel-opening cleaning brush (MH-507, MAJ-1339 or BW-412T)

∙ Insert the brush into the suction cylinder and instrument channel port, and rotate the brush one full revolution. ∙ Repeat until no debris is observed.

Manual Cleaning 10

While Immersed:

11

While Immersed: b

Suction Cleaning Adapter (MH-856)

12

13

While Immersed:

Single use soft brush (MAJ-1888)

Guidewire-locking groove

Distal tip

Forceps elevator

Single use soft brush (MAJ-1888)

Single use soft brush (MAJ-1888) Forceps elevator

b

While Immersed:

Groove

Forceps elevator Forceps elevator

a

Groove

∙ Confirm that the forceps elevator is lowered. ∙ Aspirate the detergent solution for 30 seconds. ∙ While aspirating, raise and lower the forceps elevator three times.

∙ Brush the forceps elevator and elevator recess with the single use soft brush. a) Brush the guidewire-locking groove with three strokes. b) Brush both grooves with three strokes each. ∙ Clean the bristles in the detergent solution.

∙ R  aise the forceps elevator. ∙ B  rush the whole back side of the forceps elevator three times. ∙ C  lean the bristles in the detergent solution.

∙ ∙ ∙ ∙

Insert the brush head slowly into the groove under the forceps elevator. R  otate the brush three revolutions. P  ull the brush out slowly and clean the bristles in the detergent solution. L  ower and raise the forceps elevator in the detergent solution three times.

Manual Cleaning 14

While Immersed:

Detergent solution

15

While Immersed:

16

While Immersed:

30 ml syringe Suction port

Injection Tube (MH-946)

17

While Immersed:

18

30 ml syringe

While Immersed: Water

Channel Plug (MH-944)

Forceps elevator is raised.

Forceps elevator is lowered.

∙ C  onfirm that the forceps elevator is raised. ∙ Insert the tip of the 30 ml syringe into the forceps elevator recess. ∙ Flush the recess with 30 ml of detergent solution.

∙ Lower the forceps elevator. ∙ Insert the tip of the 30 ml syringe into the forceps elevator recess. ∙ Flush the recess with 30 ml of detergent solution. ∙ Repeat steps 13 through 15 until no debris is observed.

∙ A  ttach the channel plug and injection tube to the endoscope. ∙ Attach a 30 ml syringe to the air/water channel port of the injection tube. ∙ Flush the channel with 90 ml of detergent solution by pumping the syringe at least three times.

∙ W  ipe external surfaces of the endoscope and accessories while they are immersed in detergent solution.

∙ Rinse the endoscope and accessories.

∙ L  eave the endoscope and accessories immersed in detergent solution for the time recommended by the detergent manufacturer. ∙ Remove the endoscope and accessories from the solution.

Manual Cleaning 19

While Immersed: Injection Tube (MH-946)

Suction port Channel Plug (MH-944)

30 ml syringe

∙ Attach a 30 ml syringe to the injection tube‘s suction channel port. ∙ Flush the channel with 90 ml of water by pumping the syringe at least three times. ∙ Move the syringe to the air/water channel port of the injection tube. ∙ Flush the channel with 90 ml of water by pumping the syringe at least three times.

20 30 ml syringe Channel plug

Injection tube

∙ R  emove the endoscope and accessories from the water. ∙ C  over the distal end and the control section with sterile, lint-free cloths. ∙ A  ttach the syringe to the suction channel port of the injection tube and flush the suction channel with 90 ml of air by pumping the syringe at least three times. ∙ M  ove the syringe to the air/water channel port of the injection tube and flush the air/water channel with 90 ml of air by pumping the syringe at least three times. ∙ D  etach accessories from the endoscope.

21

∙ Dry all external surfaces. ∙ Inspect all items for residual debris. Repeat the entire cleaning procedure until all debris is removed.

This sheet is a quick reference guide only. For detailed reprocessing instructions, please refer to the appropriate reprocessing manual.

Postbox 10 49 08, 20034 Hamburg, Germany Wendenstrasse 14–18, 20097 Hamburg, Germany Phone: +49 40 23773-0, Fax: +49 40 233765 www.olympus-europa.com

E0428400 · 1000 · 03/16 · PR · ED