olympus_cf_and_pcf_type_x190_series_evis_exera_iii_.pdf
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OPERATION MANUAL
INSTRUCTIONS
Symbols
1
Important Information — Please Read Before
Use
2
Chapter 1
Checking the Package Contents
13
EVIS EXERA lll GASTROINTESTINAL VIDEOSCOPE
Chapter 2
Instrument Nomenclature and
Specifications
19
OLYMPUS GIF-XP190N
OLYMPUS GIF-H190
OLYMPUS GIF-HQ190
OLYMPUS GIF-1TH190
Chapter 3
Preparation and Inspection
33
Chapter 4
Operation
71
Chapter 5
Troubleshooting
99
EVIS EXERA lll COLONOVIDEOSCOPE
OLYMPUS CF-H190L/I
OLYMPUS CF-HQ190L/I
OLYMPUS PCF-PH190L/I
OLYMPUS PCF-H190L/I
Appendix
Refer to the endoscope’s companion manual, the “REPROCESSING MANUAL” with your
endoscope model listed on the cover, for reprocessing information.
USA: CAUTION: Federal law restricts this device to sale by or on the order of a physician.
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Contents
Contents
Symbols .............................................................................................................................. 1
Important Information — Please Read Before Use ......................................................... 2
Intended use .......................................................................................................................... 2
Applicability of endoscopy and endoscopic treatment ........................................................... 2
Instruction manual ................................................................................................................. 3
User qualifications ................................................................................................................. 4
Instrument compatibility ......................................................................................................... 4
Reprocessing before the first use/reprocessing and storage after use ................................. 4
Spare equipment ................................................................................................................... 4
Maintenance management .................................................................................................... 5
Prohibition of improper repair and modification ..................................................................... 5
Signal words .......................................................................................................................... 5
Warnings and cautions .......................................................................................................... 6
Precautions for transnasal insertion for GIF-XP190N ......................................................... 10
Precautions for disappeared or frozen endoscopic image ................................................... 11
Examples of inappropriate handling .................................................................................... 12
Chapter 1 Checking the Package Contents ....................................... 13
1.1
Checking the package contents list ..................................................................... 13
Packaged items for the Americas, Europe, Australasia, Middle East, and Africa ............... 14
Packaged items for countries other than the Americas, Europe, Australasia, Middle East,
and Africa ............................................................................................................................ 16
Chapter 2 Instrument Nomenclature and Specifications .................. 19
2.1
Nomenclature and functions ................................................................................. 19
Control section, insertion section ......................................................................................... 20
Endoscope connector .......................................................................................................... 24
2.2
Specifications ......................................................................................................... 26
Environment ........................................................................................................................ 26
Function list ......................................................................................................................... 27
Specifications ....................................................................................................................... 28
Chapter 3 Preparation and Inspection ................................................ 33
3.1
The workflow of preparation and inspection ....................................................... 33
3.2
Preparation of the equipment ................................................................................ 35
3.3
Inspection of the endoscope ................................................................................. 36
Inspection of the endoscope ................................................................................................
Inspection of the passive bending section ...........................................................................
Inspection of the flexibility adjustment mechanism ..............................................................
Inspection of the bending mechanisms ...............................................................................
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39
39
40
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3.4
Inspection of accessories ...................................................................................... 44
Inspection of the air/water and suction valves .....................................................................
Inspection of the biopsy valve (MB-358) .............................................................................
Inspection of the single use biopsy valve (MAJ-1555) ........................................................
Inspection of the auxiliary water inlet cap (MAJ-215) ..........................................................
Inspection of the auxiliary water tube (MAJ-855) ................................................................
Inspection of the mouthpiece (MA-474 or MB-142) (for transoral insertion only) ................
3.5
44
45
46
46
47
47
Attaching accessories to the endoscope ............................................................. 48
Attaching the suction valve ..................................................................................................
Attaching the air/water valve ...............................................................................................
Attaching the biopsy valve ...................................................................................................
Attaching the auxiliary water inlet cap .................................................................................
48
49
50
51
3.6
Inspection of ancillary equipment ........................................................................ 51
3.7
Connection of the endoscope and ancillary equipment ..................................... 52
Connection to the light source .............................................................................................
Connection of the water container .......................................................................................
Connection of the suction tube ............................................................................................
Connection of the auxiliary water tube ................................................................................
3.8
52
53
54
55
Inspection of the endoscopic system .................................................................. 56
Inspection summary ............................................................................................................
Inspection of the endoscopic image ....................................................................................
Inspection of the focus switching function ...........................................................................
Inspection of the remote switches .......................................................................................
Inspection of the air-feeding function ...................................................................................
Inspection of the objective lens cleaning function ...............................................................
Inspection of the suction function ........................................................................................
Inspection of the instrument channel ...................................................................................
Inspection of the auxiliary water feeding function ................................................................
Inspection of the endoscope position detecting function .....................................................
56
57
59
61
62
63
65
67
68
69
Chapter 4 Operation ............................................................................. 71
4.1
Precautions ............................................................................................................. 71
4.2
Insertion .................................................................................................................. 76
Holding and manipulating the endoscope ...........................................................................
Insertion of the endoscope ..................................................................................................
Observation of the endoscopic image .................................................................................
Focus switching ...................................................................................................................
Angulation of the distal end .................................................................................................
Flexibility adjustment ...........................................................................................................
Insertion of the endoscope using the endoscope position detecting unit ............................
Air/water feeding and suction ..............................................................................................
4.3
Using EndoTherapy accessories .......................................................................... 89
Insertion of EndoTherapy accessories into the endoscope .................................................
Operation of EndoTherapy accessories ..............................................................................
Withdrawal of EndoTherapy accessories ............................................................................
Use of nonflammable gases ................................................................................................
High-frequency cauterization treatment ...............................................................................
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77
81
81
82
83
84
84
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93
93
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4.4
Withdrawal of the endoscope ................................................................................ 95
4.5
Transportation of the endoscope .......................................................................... 97
Transporting within the hospital ........................................................................................... 97
Transporting outside the hospital ......................................................................................... 98
Chapter 5 Troubleshooting .................................................................. 99
5.1
Troubleshooting ..................................................................................................... 99
5.2
Troubleshooting guide ......................................................................................... 100
Angulation ..........................................................................................................................
Air/water feeding ................................................................................................................
Suction ...............................................................................................................................
Image quality or brightness ...............................................................................................
Flexibility adjustment .........................................................................................................
Auxiliary water feeding ......................................................................................................
EndoTherapy accessories .................................................................................................
Endoscope position detecting ............................................................................................
Other ..................................................................................................................................
5.3
Withdrawal of the endoscope with an irregularity ............................................ 105
Withdrawal when the WLI and NBI endoscopic images appear on the monitor ................
Withdrawal when either the WLI or the NBI endoscopic image does not appear
on the monitor ....................................................................................................................
Withdrawal when no endoscopic image appears on the monitor or a frozen image
cannot be restored .............................................................................................................
Withdrawal when the focus setting cannot be switched ....................................................
5.4
100
100
101
102
103
103
103
104
104
105
107
107
108
Returning the endoscope for repair ................................................................... 110
Appendix ............................................................................................... 111
Combination equipment ................................................................................................ 111
System chart ....................................................................................................................... 111
Reprocessing equipment .................................................................................................... 114
Compatible video system center ......................................................................................... 115
Compatible light source ...................................................................................................... 115
Compatible accessories ...................................................................................................... 116
Compatible EndoTherapy accessories ............................................................................... 117
Compatible electrosurgical accessories ............................................................................ 128
EMC information ............................................................................................................ 134
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Symbols
Symbols
The meaning(s) of the symbol(s) shown on the component packaging, the back cover of the instruction
manual, and/or the instrument are as follows:
Symbol
Description
Refer to instructions.
Endoscope
TYPE BF applied part
Single use only
Lot number
Manufacturer
Authorized representative in the European Community
Serial number
GIF/CF/PCF-190 Series OPERATION MANUAL
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Important Information — Please Read Before Use
Important Information — Please Read Before Use
Intended use
This instrument is intended to be used with an Olympus video system center, endoscope position
detecting unit (for CF-HQ190L/I), light source, documentation equipment, monitor, EndoTherapy
accessories (such as a biopsy forceps), and other ancillary equipment for endoscopy and endoscopic
surgery.
The EVIS EXERA III GASTROINTESTINAL VIDEOSCOPE GIF-XP190N is indicated for use
transorally or transnasally within the upper digestive tract (including the esophagus, stomach, and
duodenum).
The EVIS EXERA III GASTROINTESTINAL VIDEOSCOPE GIF-H190, GIF-HQ190, GIF-1TH190 are
indicated for use within the upper digestive tract (including the esophagus, stomach, and duodenum).
The EVIS EXERA III COLONOVIDEOSCOPE CF-H190L/I, CF-HQ190L/I, PCF-PH190L/I,
PCF-H190L/I are indicated for use within the lower digestive tract (including the anus, rectum, sigmoid
colon, colon, and ileocecal valve).
Do not use this instrument for any purpose other than its intended use. Select the endoscope to be
used according to the objective of the intended procedure based on the full understanding of the
endoscope’s specifications and functionality as described in this instruction manual.
Applicability of endoscopy and endoscopic treatment
If there are official standards on the applicability of endoscopy and endoscopic treatment that are
defined by the hospital’s administrators or other official institutions, such as academic societies on
endoscopy, follow those standards. Before starting endoscopy and endoscopic treatment, thoroughly
evaluate its properties, purposes, effects, and possible risks (their nature, extent, and probability).
Perform endoscopy and endoscopic treatment only when its potential benefits are greater than its
risks.
Fully explain to the patient the potential benefits and risks of the endoscopy and endoscopic treatment
as well as any examination/treatment methods that can be performed in its place, and perform the
endoscopy and endoscopic treatment only after obtaining the consent of the patient.
Even after starting the endoscopy and endoscopic treatment, continue to evaluate the potential
benefits and risks, and immediately stop the endoscopy/treatment and take proper measures if the
risks to the patient become greater than the potential benefits.
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Important Information — Please Read Before Use
Instruction manual
This instruction manual contains essential information on using this instrument safely and effectively.
Before use, thoroughly review this manual and the manuals of all equipment that will be used during
the procedure and use the equipment as instructed.
Note that the complete instruction manual set for this endoscope consists of this manual and the
“REPROCESSING MANUAL” with your endoscope model listed on the cover. It also accompanied the
endoscope at shipment.
Keep this and all related instruction manuals in a safe, accessible location.
If you have any questions or comments about any information in this manual, contact Olympus.
Terms used in this manual
NBI (Narrow Band Imaging) observation:
This is optical-digital observation using narrowband light.
Normal light observation (or WLI (White Light Imaging) observation):
This is observation using white light.
Normal focus mode (for GIF-HQ190, CF-HQ190L/I):
In this observation mode, the focusing position of the endoscope is optically shifted to a
normal position. At this position, a wider focusing depth can be obtained.
Near focus mode (for GIF-HQ190, CF-HQ190L/I):
In this observation mode, the focusing position of the endoscope is optically shifted to a
near position. At this position, a close-up image can be obtained.
Focus switching (for GIF-HQ190, CF-HQ190L/I):
This is an action to switch the focusing position between the normal focus mode and the
near focus mode.
Image sensor:
The image sensor is a device that converts light into electrical signals.
GIF/CF/PCF-190 Series OPERATION MANUAL
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Important Information — Please Read Before Use
User qualifications
If there are official standards for user qualifications to perform endoscopy and endoscopic treatment
that are defined by the hospital’s medical administrators or other official institutions, such as academic
societies on endoscopy, follow those standards. If there are no official qualification standards, the
operator of this instrument must be a physician approved by the medical safety manager of the
hospital or person in charge of the department (department of internal medicine, etc.).
The physician should be capable of safely performing the planned endoscopy and endoscopic
treatment following guidelines set by the academic societies on endoscopy, etc., and considering the
difficulty of endoscopy and endoscopic treatment. This manual does not explain or discuss endoscopic
procedures.
Instrument compatibility
Refer to “Combination equipment” on page 111 to confirm that this instrument is compatible with the
ancillary equipment being used. Using incompatible equipment can result in patient or operator injury
and/or equipment damage.
This instrument complies with the EMC standard for medical electrical equipment, edition 2
(IEC 60601-1-2: 2001) and edition 3 (IEC 60601-1-2: 2007). However, when connected with an
instrument that complies with the EMC standard for medical electrical equipment, edition 1
(IEC 60601-1-2: 1993), the whole system complies with edition 1.
Reprocessing before the first use/reprocessing and
storage after use
This instrument was not reprocessed before shipment. Before using this instrument for the first time,
reprocess it according to the instructions given in the endoscope’s companion “REPROCESSING
MANUAL” with your endoscope model listed on the cover.
After using this instrument, reprocess and store it according to the instructions given in the
endoscope’s companion reprocessing manual. Improper and/or incomplete reprocessing or storage
can pose an infection control risk, cause equipment damage, or reduce performance.
Spare equipment
Be sure to prepare another endoscope to avoid interruption of the examination due to equipment
failure or malfunction.
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Important Information — Please Read Before Use
Maintenance management
The probability of failure of the endoscope and ancillary equipment increases as the number of
procedures performed and/or the total operating hours increase. In addition to the inspection before
each procedure, the person in charge of medical equipment maintenance in each hospital should
inspect the items specified in this manual periodically. An endoscope with an observed irregularity
should not be used, but should be inspected by following Section 5.2, “Troubleshooting guide”. If the
irregularity is still observed after inspection, contact Olympus.
Prohibition of improper repair and modification
This instrument does not contain any user-serviceable parts. Do not disassemble, modify, or attempt to
repair it; patient or operator injury and/or equipment damage may result.
Equipment that has been disassembled, repaired, altered, changed, or modified by persons other than
Olympus’ own authorized service personnel is excluded from Olympus’ limited warranty and is not
warranted by Olympus in any manner.
Signal words
The following signal words are used throughout this manual:
WARNING
Indicates a potentially hazardous situation which, if 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. It may also be used to alert against unsafe practices or potential
equipment damage.
NOTE
Indicates additional helpful information.
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Important Information — Please Read Before Use
Warnings and cautions
Follow the warnings and cautions given below when handling this endoscope. This information is to be
supplemented by the warnings and cautions given in each chapter.
WARNING
• After using this endoscope, reprocess and store it according to the instructions
given in the endoscope’s companion “REPROCESSING MANUAL” with your
endoscope model listed on the cover. Using improperly or incompletely
reprocessed or stored instruments may cause patient cross-contamination and/or
infection.
• Before endoscopy, remove any metallic objects (watch, glasses, necklace, etc.)
from the patient. Performing high-frequency cauterization treatment while the
patient is wearing metallic objects may cause burns on the patient in areas around
the metallic objects.
• Do not strike, hit, or drop the endoscope’s distal end, insertion tube, bending
section, control section, universal cord, or endoscope connector. Also, do not bend,
pull, or twist the endoscope’s distal end, insertion tube, bending section, control
section, universal cord, or endoscope connector with excessive force. The
endoscope may be damaged and could cause patient injury, burns, bleeding,
and/or perforations. It could also cause parts of the endoscope to fall off inside the
patient.
• Never perform angulation control forcibly or abruptly. Never forcefully pull, twist, or
rotate the angulated bending section. Patient injury, bleeding, and/or perforation
may result due to unintended retroflexion of the bending section. It may also
become impossible to straighten the bending section during an examination.
• Never insert or withdraw the endoscope’s insertion section while the bending
section is locked in position. Patient injury, bleeding, and/or perforation may result.
• Never perform flexibility adjustment, operate the bending section, feed air or
perform suction, insert or withdraw the endoscope’s insertion section, or use
EndoTherapy accessories without viewing the endoscopic image or while the
endoscopic image is frozen. Patient injury, bleeding, and/or perforation may result.
• Regardless of the flexibility of the endoscope’s insertion tube, never insert or
withdraw the insertion section abruptly or with excessive force. Patient injury,
bleeding, and/or perforation may result.
• If it is difficult to insert the endoscope, do not forcibly insert the endoscope; stop the
endoscopy. Forcible insertion can result in patient injury, bleeding, and/or
perforation.
• When using the electronic zoom function of the video system center, never insert or
withdraw the endoscope’s insertion section or use EndoTherapy accessories while
the image is magnified. Patient injury, bleeding, and/or perforation can result.
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Important Information — Please Read Before Use
WARNING
• For GIF-HQ190, CF-HQ190L/I
Never insert or withdraw the endoscope’s insertion section while the focus setting
is set to the near focus mode. Patient injury, bleeding, and/or perforation can result.
• Do not touch the light guide on the endoscope connector immediately after
removing it from the light source because it is extremely hot. Operator or patient
burns can result.
• If the endoscopic image becomes dimmer during the procedure, it may indicate that
blood or mucus is adhering to the light guide lens on the distal end of the
endoscope or that the light guide lens has been discolored. Immediately withdraw
the endoscope from the patient, remove blood or mucus, and confirm that the light
guide lens has no irregularities to use it again. If you continue to use the endoscope
with its obstructed or discolored light guide lens, the temperature at the distal end
may rise, which may cause patient injury or operator and/or patient burns.
• When the endoscopic image does not appear on the monitor, the image sensor
may have been damaged. Turn the video system center OFF immediately.
Continued power supply in such a case will cause the distal end to become hot and
could cause operator and/or patient burns.
• Do not rely on the NBI observation mode alone for primary detection of lesions or to
make a decision regarding any potential diagnostic or therapeutic intervention.
• For CF-HQ190L/II
The endoscope position detecting unit (UPD-3) is designed only to assist the
insertion of an endoscope. Never insert the endoscope into the patient’s body by
observing only the endoscope position display on the endoscope position detecting
unit. Be sure to observe the endoscopic image and insert the endoscope while
confirming the safety. If the endoscope is inserted without observing the
endoscopic image, patient injury, bleeding, and/or perforation can result.
• For CF-HQ190L/I
The endoscope position detecting unit (UPD-3) generates AC magnetic fields. To
prevent critical effects on patients, be sure to adhere to the following:
Never use the endoscope position detecting unit on a patient with a pacemaker.
The AC magnetic fields generated by the endoscope position detecting unit may
cause malfunction or damage to the pacemaker, exerting critical effects to the
cardiac function of the patient.
Never use the endoscope position detecting unit on pregnant women or women
observed of being pregnant. Never use the endoscope position detecting unit
close to pregnant women or women observed of being pregnant. The effects of
the AC magnetic field generated by the endoscope position detecting unit on the
unborn baby have not yet been determined.
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Important Information — Please Read Before Use
WARNING
• For endoscopes with passive bending function
Be sure to check that the passive bending section bends smoothly by touching it
with your hands before inserting the endoscope into the patient. If any irregularity is
observed on the distal end motion of the endoscope, immediately stop using the
endoscope and withdraw it from the patient. Patient injury, bleeding, and/or
perforation may result.
• For CF/PCF models except PCF-PH190L/I
When combining the endoscope with a splinting tube, there is a risk of perforation
or bleeding due to entanglement of the mucous membrane, or of the tube
separating from the endoscope and remaining in the body. Before use, be sure to
read the instruction manual for the splinting tube to fully understand its
characteristics.
• During endoscopic treatment, keep the insertion section and the bending section
as straight as possible. If there is a loop or a bend on the insertion section or the
bending section, the operation cannot be performed as intended, and patient injury,
bleeding, and/or perforation can result.
CAUTION
• Do not pull the universal cord during an examination. The endoscope connector will
be pulled out from the output socket of the light source and the endoscopic image
will disappear.
• Do not coil the insertion tube or universal cord with a diameter of less than 12 cm.
Equipment damage may result.
• Do not attempt to bend or twist the endoscope’s insertion section with excessive
force regardless of its flexibility. The insertion section may be damaged.
• Do not apply shock to the distal end of the insertion section, in particular the
objective lens surface at the distal end. An abnormal endoscopic image may result.
• Do not twist or bend the bending section with your hands. Equipment damage may
result.
• Do not squeeze the bending section forcefully. The covering of the bending section
may stretch or break and cause water leakage.
• Turn the video system center ON only when the endoscope connector is connected
to the light source. In particular, confirm that the video system center is OFF before
connecting or disconnecting the endoscope connector. Failure to do so can result
in equipment damage, including destruction of the image sensor.
• The endoscope’s remote switches cannot be removed from the control section.
Pressing, pulling, or twisting them with excessive force can break the switches
and/or cause water leakage.
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Important Information — Please Read Before Use
CAUTION
• If remote switch 1 does not return to the OFF position after being pressed strongly
from the side, gently pull the switch upwards to return it to the OFF position.
• Do not hit or bend the electrical contacts on the endoscope connector. The
connection to the light source may be impaired and a faulty contact can result.
• If endoscope’s suction is insufficient, select another suction system without using
the endoscope and use it according to the directions given in its instruction manual.
Otherwise, a proper endoscopic image may not appear on the monitor.
• Electromagnetic interference may occur on this endoscope near equipment
marked with the following symbol or other portable and mobile RF (Radio
Frequency) communications equipment, such as cellular phones. If
electromagnetic interference occurs, mitigation measures may be necessary, such
as reorienting or relocating this endoscope, or shielding the location.
• To check the electromagnetic interference from other equipment (any equipment
other than this endoscope or the components that constitute this system), the
system should be observed to verify its normal operation in the configuration in
which it will be used.
NOTE
• All endoscopes listed on the front cover contain a memory chip that stores
information about the endoscope and communicates this information to the video
system center CV-190.
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Important Information — Please Read Before Use
Precautions for transnasal insertion for GIF-XP190N
When performing transnasal insertion with the GIF-XP190N, follow the cautions below.
WARNING
• The shape and size of the nasal cavity and its suitability for transnasal insertion
may vary from patient to patient. No endoscope, including the GIF-XP190N, can
always be inserted transnasally into all patients. Before proceeding, always be sure
to confirm that transnasal insertion is possible with the patient by considering both
the size of the patient’s nasal cavity as well as the size of the endoscope’s insertion
section. Patient injury can result or the endoscope could become lodged and
difficult to withdraw.
• Transnasal insertion is accompanied by the risk of inflammation of the nasal cavity.
If this happens, the nasal passage will be constricted, making it more difficult to
withdraw the endoscope. In this case, do not use force to withdraw the endoscope
because patient injury, bleeding, and/or perforation may result.
• Transnasal insertion is accompanied by the risk of bleeding in the nasal cavity. Be
sure to be prepared to deal with any bleeding. When withdrawing the endoscope,
observe the inside of the nasal cavity to ensure that there is no bleeding. Even
when the endoscope has been withdrawn without bleeding, do not allow the patient
to blow his or her nose strongly because this could cause it to start bleeding.
• Before transnasal insertion, apply the appropriate pretreatment and lubrication to
the patient to enlarge the nasal cavity. Otherwise, patient injury can result or the
endoscope could become lodged and difficult to withdraw. When applying a
pretreatment agent through a tube, insert the tube into the same path as the path
planned for the endoscope’s insertion. Otherwise, the treatment will have no effect.
The effects of the pretreatment agent and lubricant will decrease the longer the
procedure lasts. Apply the pretreatment agent or lubricant as required during the
procedure — for example, when withdrawal seems to be difficult.
• Transnasal insertion of the endoscope should be performed carefully. If resistance
to insertion is felt, or the patient reports pain, stop the insertion immediately. Patient
injury can result or the endoscope could become lodged and difficult to withdraw.
• A patient’s sneezing may bend the endoscope forcefully, and it may damage the
endoscope. This could cause patient bleeding and perforation, and the endoscope
could become lodged and difficult to withdraw. If any irregularity is observed, stop
using the endoscope and withdraw it from the patient safely.
• If it becomes impossible to withdraw the transnasally inserted endoscope, pull its
distal end out of the mouth, cut the flexible tube using wire cutters, and after
ensuring that the cut section will not injure the body cavity or nasal cavity of the
patient, withdraw the endoscope carefully. Therefore, always prepare wire cutters
in advance.
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Important Information — Please Read Before Use
Precautions for disappeared or frozen endoscopic image
WARNING
• If the endoscopic image disappears unexpectedly or the frozen image cannot be
restored during an examination, immediately stop using the endoscope and
withdraw it from the patient as described in Section 5.3, “Withdrawal of the
endoscope with an irregularity”. Inserting or withdrawing the endoscope, using
EndoTherapy accessories, performing flexibility adjustment, performing suction,
feeding air, or performing angulation control under these conditions could result in
patient injury, bleeding, and/or perforation.
• Follow the precautions given below. Otherwise, the endoscopic image may
disappear unexpectedly or the frozen image may not be restored during the
examination.
Connect the endoscope connector to the light source completely by pushing the
video connector until it clicks. Otherwise, a faulty contact can result.
Do not bend, hit, pull, or twist the insertion section, bending section, control
section, universal cord, and endoscope connector. The endoscope may be
damaged, and water leakage and/or breakage of internal parts like the cable
can result.
Before connecting the endoscope connector to the light source, confirm that the
endoscope connector, including the electrical contacts, is completely dry and
clean. If the endoscope is used with the electrical contacts wet and/or dirty, the
endoscope and light source may malfunction.
If air bubbles emerge from the endoscope continuously during the leakage test,
do not use the endoscope. Water may enter the endoscope and cause a short
circuit. This may result in image sensor damage.
CAUTION
• Turn the video system center ON only when the endoscope connector is connected
to the light source. In particular, confirm that the video system center is OFF before
connecting or disconnecting the endoscope connector. Failure to do so can result
in equipment damage, including destruction of the image sensor.
• Do not hit or bend the electrical contacts on the endoscope connector. The
connection to the light source may be impaired and a faulty contact can result.
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Important Information — Please Read Before Use
Examples of inappropriate handling
Details on clinical endoscopic technique are the responsibility of trained specialists. Patient safety in
endoscopic examinations and endoscopic treatment can be ensured through appropriate handling by
the physician and the medical facility. Examples of inappropriate handling are described below.
WARNING
• Over-insufflating the lumen may cause patient pain, injury, bleeding, and/or
perforation.
• Applying suction with the distal end in prolonged contact with the mucosal surface,
with higher suction pressure than required, or with prolonged suction time may
cause bleeding and/or lesions.
• The endoscope has not been designed for use in retroflexed observation in parts of
the body other than the stomach. Performing retroflexed observation in a narrow
lumen may make it impossible to straighten the angle of the bending section and/or
withdraw the endoscope from the patient. Retroflexed observation in parts of the
body other than the stomach should be performed only when its usefulness is
determined to be greater than the risk that is posed to the patient. Also, do not
operate the endoscope forcibly in retroflexed observation.
• Inserting, withdrawing, and using EndoTherapy accessories without a clear
endoscopic image may cause patient injury, burns, bleeding, and/or perforation.
• Inserting or withdrawing the endoscope, feeding air, applying suction, or operating
the bending section without a clear endoscopic image may cause patient injury,
bleeding, and/or perforation.
• For reasons described below, do not rely on the NBI*1 observation mode alone for
primary detection of lesions or to make a decision regarding any potential
diagnostic or therapeutic intervention.
NBI has not been demonstrated to increase the yield or sensitivity of finding any
specific mucosal lesion, including colonic polyps or Barrett’s esophagus.
*1
12
Narrow Band Imaging. For more details, refer to the instruction manual for
the video system center CV-190.
GIF/CF/PCF-190 Series OPERATION MANUAL
Page 19
1.1 Checking the package contents list
Chapter 1
1.1
Checking the Package
Contents
Ch.1
Checking the package contents list
Match all items in the package with the components shown below. Inspect each item for damage. If the
endoscope is damaged, a component is missing, or you have any questions, do not use the items;
immediately contact Olympus.
Endoscope
GIF-XP190N, PCF-PH190L/I
GIF-H190, GIF-HQ190, GIF-1TH190
CF-H190L/I, CF-HQ190L/I, PCF-H190L/I
GIF/CF/PCF-190 Series OPERATION MANUAL
13
Page 20
1.1 Checking the package contents list
Packaged items for the Americas, Europe, Australasia,
Middle East, and Africa
Items for all endoscope models
Ch.1
Single use combination cleaning
brush (BW-412T, 3 pcs)
Injection tube (MH-946)
Channel plug (MH-944)
AW channel cleaning adapter
(MH-948)
Suction cleaning adapter (MH-856)
ETO cap (MB-156)
Single use biopsy valve
(MAJ-1555, 10 pcs)
Instruction manual for MAJ-1555
Operation manual
Reprocessing manual
14
GIF/CF/PCF-190 Series OPERATION MANUAL
Page 21
1.1 Checking the package contents list
Items for specific endoscope models
GIF-XP190N
GIF-H190, GIF-HQ190, GIF-1TH190
Endoscopes with auxiliary water
feeding
Ch.1
Mouthpiece
(MA-474, MB-142, 1 pc each)
Mouthpiece (MB-142, 2 pcs)
Auxiliary water tube (MAJ-855)
Endoscopes with flexibility
adjustment
Instructions (leaflet type)
GIF/CF/PCF-190 Series OPERATION MANUAL
15
Page 22
1.1 Checking the package contents list
Packaged items for countries other than the Americas,
Europe, Australasia, Middle East, and Africa
Items for all endoscope models
Ch.1
Channel cleaning brush (BW-20T)
Injection tube (MH-946)
Channel plug (MH-944)
Channel-opening cleaning brush
(MH-507)
AW channel cleaning adapter
(MH-948)
Suction cleaning adapter (MH-856)
ETO cap (MB-156)
Biopsy valve (MB-358, 10 pcs)
Operation manual
Reprocessing manual
16
GIF/CF/PCF-190 Series OPERATION MANUAL
Page 23
1.1 Checking the package contents list
Items for specific endoscope models
GIF-XP190N
GIF-H190, GIF-HQ190, GIF-1TH190
Endoscopes with auxiliary water
feeding
Ch.1
Mouthpiece
(MA-474, MB-142, 1 pc each)
Mouthpiece (MB-142, 2 pcs)
Auxiliary water tube (MAJ-855)
Endoscopes with flexibility
adjustment
Instructions (leaflet type)
GIF/CF/PCF-190 Series OPERATION MANUAL
17
Page 24
1.1 Checking the package contents list
Ch.1
18
GIF/CF/PCF-190 Series OPERATION MANUAL
Page 25
2.1 Nomenclature and functions
Chapter 2
Instrument Nomenclature
and Specifications
The instrument nomenclature, functions, and specifications are described in this chapter.
2.1
Nomenclature and functions
GIF/CF/PCF-190 Series OPERATION MANUAL
Ch.2
19
Page 26
2.1 Nomenclature and functions
Control section, insertion section
6
Endoscope model: all models
4
3
5
Ch.2
2
1
8
9
Endoscope model: except
GIF-HQ190, CF-HQ190L/I
10
11
Endoscope model:
GIF-HQ190, CF-HQ190L/I
12
20
11
GIF/CF/PCF-190 Series OPERATION MANUAL
7