olympus_enf_type_vq_rhino-laryngofiberscope_instruc.pdf
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INSTRUCTIONS
RHINO-LARYNGO VIDEOSCOPE
OLYMPUS ENF TYPE VQ
(For PAL type only)
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Contents
Contents
Symbols.........................................................................................
1
Important Information — Please Read Before Use....................
2
Intended use ............................................................................................
2
Applicability of endoscopy ........................................................................
2
Instruction manual.....................................................................................
3
User qualifications ....................................................................................
3
Instrument compatibility ...........................................................................
3
Reprocessing before the first use/reprocessing and storage after use.....
4
Spare equipment ......................................................................................
4
Maintenance management .......................................................................
4
Prohibition of improper repair and modification ........................................
4
Signal words..............................................................................................
5
Warnings and cautions .............................................................................
5
Precaution for disappeared or frozen endoscopic image..........................
11
Examples of inappropriate handling..........................................................
12
Chapter 1
Checking the Package Contents............................
13
Chapter 2
Instrument Nomenclature and Specifications ......
14
2.1
Nomenclature..................................................................................
14
2.2
Endoscope functions.......................................................................
16
2.3
Specifications..................................................................................
17
Preparation and Inspection ....................................
20
3.1
Preparation of the equipment..........................................................
21
3.2
Inspection of the endoscope ...........................................................
22
3.3
Inspection and connection of ancillary equipment ..........................
25
3.4
Inspection of the endoscopic system ..............................................
27
Operation .................................................................
28
4.1
Insertion ..........................................................................................
31
4.2
Withdrawal of the endoscope..........................................................
34
Reprocessing: General Policy................................
35
5.1
Notes for cleaning, disinfection, and sterilization ............................
35
5.2
Precautions .....................................................................................
36
Chapter 3
Chapter 4
Chapter 5
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Contents
Chapter 6
Recommended Reprocessing Methods
and Chemical Agents ..............................................
39
6.1
Compatibility summary....................................................................
39
6.2
Detergent solution ...........................................................................
42
6.3
Disinfectant solution ........................................................................
43
6.4
Rinsing water ..................................................................................
44
6.5
Automatic cleaning/disinfection.......................................................
44
6.6
Ethylene oxide gas sterilization.......................................................
45
Cleaning, Disinfection, and Sterilization
Procedures ...............................................................
47
7.1
Required reprocessing equipment ..................................................
48
7.2
Cleaning, disinfection, and sterilization procedures ........................
51
7.3
Precleaning .....................................................................................
53
7.4
Transportation of the endoscope ....................................................
55
7.5
Leakage testing...............................................................................
56
7.6
Manual cleaning ..............................................................................
61
7.7
Disinfection .....................................................................................
64
7.8
Rinsing and drying after disinfection ...............................................
66
7.9
Automatic cleaning/disinfection.......................................................
68
7.10 Sterilization .....................................................................................
69
Chapter 7
Chapter 8
Storage and Disposal ..............................................
70
8.1
Storage ...........................................................................................
70
8.2
Storage of reprocessing equipment and the leakage tester
(WA23070A) ...................................................................................
71
8.3
Transporting outside the hospital ....................................................
71
8.4
Disposal ..........................................................................................
71
Troubleshooting ......................................................
72
9.1
Troubleshooting guide ....................................................................
72
9.2
Withdrawal of the endoscope with any irregularity..........................
74
9.3
Returning the endoscope for repair.................................................
75
Appendix........................................................................................
76
System chart ............................................................................................
76
EMC information........................................................................................
79
Chapter 9
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Symbols
Symbols
The meaning(s) of the symbol(s) shown on the component packaging, the back
cover of this instruction manual, and/or this instrument are as follows:
Refer to instructions.
TYPE BF applied part
Endoscope
Manufacturer
Authorized representative in the European Community
RHINO-LARYNGO VIDEOSCOPE OLYMPUS ENF TYPE VQ
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Important Information — Please Read Before Use
Important Information — Please Read
Before Use
Intended use
This instrument has been designed to be used with an Olympus video system
center, light source, documentation equipment, monitor, and other ancillary
equipment for endoscopic diagnosis within the ear, nasal lumens and airway
anatomy.
Do not use this instrument for any purpose other than its intended use.
Applicability of endoscopy
If there is an official standard on the applicability of endoscopy that is defined by
the hospital’s administration or other official institutions such as academic
societies on endoscopy, follow that standard. Before starting endoscopy
thoroughly evaluate its properties, purposes, effects, and possible risks (their
natures, extent, and probability). Perform endoscopy only when its potential
benefits are greater than its risks.
Fully explain to the patient the potential benefits and risks of the endoscopy as
well as any examination methods that can be performed in its place, and perform
the endoscopy only after obtaining the consent of the patient.
Even after starting the endoscopy continue to evaluate the potential benefits and
risks, and immediately stop the endoscopy 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
instruments as instructed.
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,
please contact Olympus.
NBI (Narrow Band Imaging) observation
This is a special observation using the narrow band observation light.
User qualifications
If there is an official standard on the qualification of endoscopy that is defined by
the medical administration or other official institutions such as the academic
society on endoscopy, follow the standard. If there is no official qualification
standard, 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 otorhinolaryngology, etc.). The medical safety manager of the
hospital or person in charge of the department should select a physician who is
performing the planned endoscopy safely by following the official guidelines set
by the academic society of endoscopy, etc.
Instrument compatibility
Refer to the “System chart” in the Appendix to confirm that this instrument is
compatible with the ancillary equipment being used. Using incompatible
equipment can result in patient injury and/or equipment damage.
This instrument complies with the EMC standard for medical electrical
equipment; edition 2 (IEC 60601-1-2: 2001). However, when connecting 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 (see “EMC information” on page 79 for EMC compliance level).
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Important Information — Please Read Before Use
Reprocessing before the first use/reprocessing and
storage after use
This instrument was not cleaned, disinfected, or sterilized before shipment.
Before using this instrument for the first time, reprocess it according to the
instructions given in Chapter 5, “Reprocessing: General Policy” through Chapter
7, “Cleaning, Disinfection, and Sterilization Procedures”.
After using this instrument, reprocess and store it according to the instructions
given in Chapter 5, “Reprocessing: General Policy” through Chapter 8, “Storage
and Disposal”. Improper and/or incomplete reprocessing or storage can present
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.
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 that an irregularity is
observed should not be used, but should be inspected by following Section 9.1,
“Troubleshooting guide” on page 72. 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 user injury and/or
equipment damage can result. Some problems that appear to be malfunctions
may be correctable by referring to Chapter 9, “Troubleshooting”. If the problem
cannot be resolved using the information in Chapter 9, contact Olympus.
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.
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Important Information — Please Read Before Use
Signal words
The following signal words are used throughout this manual:
Indicates a potentially hazardous situation which, if not
avoided, could result in death or serious injury.
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.
Indicates additional helpful information.
Warnings and cautions
Follow the warnings and cautions given below when handling this instrument.
This information is to be supplemented by the warnings and cautions given in
each chapter.
•
Push the video connector until it clicks into the video system
center, then confirm that the video connector is securely
attached by pulling it gently. Improper connection will
damage the CCD. A damaged CCD will display no image
and make the distal end hot, which could cause operator
and/or patient burns.
•
After using this instrument, reprocess and store it according
to the instructions given in Chapter 5, “Reprocessing:
General Policy” through Chapter 8, “Storage and Disposal”.
Using improperly or incompletely reprocessed or stored
instruments may cause patient cross-contamination and/or
infection.
•
Failure to properly clean and sterilize endoscopic equipment
after each procedure can compromise patient safety. To
minimize the risk of transmitting diseases from one patient to
another, after each procedure the endoscope and the
equipment must undergo thorough manual cleaning followed
by sterilization, following the description in Chapter 7,
“Cleaning, Disinfection, and Sterilization Procedures”.
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Important Information — Please Read Before Use
6
•
Never insert or withdraw the endoscope’s insertion tube while
the angulation is locked. Patient injury and/or equipment
damage can result.
•
Never perform angulation control forcibly. Never forcefully
pull, twist, or rotate the angulated bending section. Patient
injury can result.
•
Never insert or withdraw the endoscope’s insertion tube
forcibly and press it forcefully against the walls of internal
organs, as trauma may occur and/or equipment damage may
result.
•
Never perform angulation control, insertion/withdrawal of the
endoscope without viewing the endoscopic image. Patient
injury can result.
•
Never operate the bending section, insert or withdraw the
endoscope’s insertion tube while the image is frozen. Patient
injury, bleeding, and/or perforation can result.
•
The shape and size of the nasal cavity and its suitability for
transnasal insertion may vary from patient to patient. No
endoscope, including this one, can always be inserted
transnasally into all patients. Before proceeding, always be
sure to confirm that transnasal insertion is possible with the
patient. Otherwise, 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 such as
bleeding 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.
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Important Information — Please Read Before Use
•
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 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 insertion immediately. Otherwise, patient injury can
result or the endoscope could become lodged and difficult to
withdraw.
•
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.
•
Do not strike, bend, hit, pull, twist, or drop the endoscope’s
distal end, insertion tube, bending section, and control
section with excessive force. The endoscope may be
damaged and could cause patient injury, such as burns,
bleeding, and/or perforation. It could also cause parts of the
endoscope to fall off inside the patient.
•
When the endoscopic image does not appear on the monitor,
the CCD 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 touch the metal plug of the light guide connector
immediately after removing it from the light source because it
is extremely hot. Operator or patient injury can result.
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Important Information — Please Read Before Use
•
Although the illumination light emitted from the endoscope’s
distal end is required for endoscopic observation it may also
cause alteration of living tissues such as protein denaturation
of living tissue and perforation of the tissue by inappropriate
use.
Observe the following warnings on the illumination.
− Always set the minimum required brightness.
Please note that the brightness of the image on a monitor
may differ from the actual brightness at the distal end of
the endoscope.
− Pay special attention to the brightness level setting of the
light source, particularly when operating the electrical
shutter function of a video system center. When using a
light source and video system center that are compatible
with the light source’s automatic brightness control
function, make sure to use this function. The automatic
brightness control function can keep the illumination light
properly. Refer to the instruction manuals for the light
source and the video system center for further details.
− Do not continue observation in the proximity to tissue or
keep the distal end of the endoscope in contact with living
tissue for a long time.
− When the endoscope will not be used for a long period, be
sure to turn OFF the light source or activate the light
shield function (standby mode, etc.) so that the
endoscope is not illuminated unnecessarily.
•
8
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.
Carefully withdraw the endoscope from the patient and
remove blood or mucus to restore optimum illumination and
to ensure the safety of the examination. If you continue to
use the endoscope with its obstructed distal end, the
temperature at the distal end may rise and cause mucosal
burns to the patient. It may also cause patient and/or
operator injury.
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Important Information — Please Read Before Use
•
Generally reprocessing agents∗1 are aggressive and might
effect the distal end of the endoscope when the inner lenses
mist up, resulting in a foggy video image. Any further use of
the endoscope under this condition might lead to the lens
coming off. Before inserting the endoscope into a patient,
check that the video image is clear, and if necessary wipe the
outer surface of the lens at the distal end with a soft cloth. If a
foggy image appears, stop using the endoscope immediately.
•
For reasons described below, do not rely on the NBI∗2
imaging modality alone for primary detection of lesions or to
make a decision regarding any potential diagnostic or
therapeutic intervention.
− It has not been demonstrated to increase the yield or
sensitivity of finding any specific mucosal lesion.
− It has not been demonstrated to aid in differentiation or
establishing the presence or absence of dysplasia or
neoplastic changes within mucosa or mucosal lesions.
•
Be sure to prepare a secondary endoscope to avoid that the
examination be interrupted due to equipment failure or
malfunction of the primary endoscope.
∗1
Contact Olympus for the names of specific brands that have
been tested for compatibility with the endoscope.
∗2
NBI stands for Narrow Band Imaging. For more details, refer
to the instruction manual for the video system center CV-180
or OTV-S7Pro.∗3
∗3
This product may not be available in some areas.
•
Do not pull the universal cord during an examination. The
light guide connector will be pulled out from the output socket
of the light source and the endoscopic image will not be
visible.
•
Do not pull the video cable during an examination. The
endoscopic image may not be visible anymore.
•
Do not coil the insertion tube, universal cord, or video cable
into a diameter of less than 10 cm. Equipment damage can
result.
•
Do not apply shock to the distal end of the insertion tube,
particularly the objective lens surface at the distal end.
Visual abnormalities may result.
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Important Information — Please Read Before Use
•
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 it may
cause water leaks.
•
Do not insert the video connector while the electrical contacts
are wet and/or dirty. The endoscopic image may not be
visible.
•
The endoscope’s remote switches cannot be removed from
the control section. Pressing or pulling them with excessive
force can break the switches and/or may cause water leaks.
•
Do not attempt to bend the endoscope’s insertion tube with
excessive force. Otherwise, the insertion tube may be
damaged.
•
Be sure that this instrument is not used adjacent to or
stacked with other equipment (other than the components of
this instrument or system) to avoid electromagnetic
interference.
•
Electromagnetic interference may occur on this instrument
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 instrument, or shielding
the location.
•
This endoscope contains a memory chip that stores
information about the endoscope and communicates this
information to the video system center CV-180 or
OTV-S7Pro∗1.
∗1 This product may not be available in some areas.
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Important Information — Please Read Before Use
Precaution for disappeared or frozen endoscopic
image
•
If the endoscopic image unexpectedly disappears or the
frozen image cannot be restored during an examination,
immediately withdraw the endoscope from the patient.
Continued use of the endoscope in such condition may
cause patient injury, such as 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 video connector to the video system center
completely by pushing the video connector into the video
system center until it clicks. Otherwise, faulty contact can
result.
− Make sure that the video connector and its electrical
contacts are completely dry before connecting the video
connector to the video system center. Wet contacts could
cause the equipment to malfunction.
− Do not bend, hit, or twist the insertion section, control
section, universal cord, and video connector. The
endoscope may be damaged and water leaks and/or
breakage of internal parts like the CCD cable can result.
− If air bubbles emerge from the endoscope continuously
during the leakage test, do not use the endoscope. Water
may enter the instrument and cause a short circuit. This
may result in breakage of the switch and CCD.
•
Turn the video system center OFF before connecting or
disconnecting the video connector to/from the video system
center. Turn it ON or OFF only when the video connector is
connected to the video system center. Failure to do so can
result in equipment damage, including destruction of the
CCD.
•
Do not hit or bend the electrical contacts on the video
connector. The connection to the video system center may
be impaired and 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 can be ensured through
appropriate handling by the physician and the medical facility. Examples of
inappropriate handling are given below:
Inserting or withdrawing the endoscope or operating the bending section
without a clear endoscopic image may cause patient injury, bleeding, and/or
perforation.
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Chapter 1 Checking the Package Contents
Chapter 1 Checking the Package
Contents
Match all items in the package with the components shown below. Inspect each
item for damage. If the instrument is damaged, a component is missing or you
have any questions, do not use the instrument; immediately contact Olympus.
This instrument was not cleaned, disinfected, or sterilized before shipment.
Before using this instrument for the first time, reprocess it according to the
instructions given in Chapters 5, “Reprocessing: General Policy” through 7,
“Cleaning, Disinfection, and Sterilization Procedures”.
Endoscope
ETO cap (MB-156)
Instruction manual
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Chapter 2 Instrument Nomenclature and Specifications
Chapter 2 Instrument Nomenclature
and Specifications
2.1
Nomenclature
5. ETO Cap
1. Light guide connector
Universal cord
4. Venting connector
Serial number
Light guide
Video cable
3. UP mark
Electrical contacts
2. Video connector
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Chapter 2 Instrument Nomenclature and Specifications
7. UP/DOWN angulation lock
6. UP/DOWN angulation
control lever
Control section
9. Remote switches
Boot
Insertion tube/working length
Flexible tube
Distal end
9. Remote switches
RHINO-LARYNGO VIDEOSCOPE OLYMPUS ENF TYPE VQ
8. Bending section
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Chapter 2 Instrument Nomenclature and Specifications
2.2
Endoscope functions
1. Light guide connector
This connector connects the endoscope to the output socket of the light
source and transmits light from the light source to the endoscope.
2. Video connector
This connector connects the endoscope to the output socket of the video
system center so that the endoscopic image become visible.
The endoscope contains a memory chip that stores information about the
endoscope and communicates this information to the video system center
CV-180 or OTV-S7Pro∗1. For more details, refer to the instruction manual
for the CV-180 or OTV-S7Pro∗1.
∗1 This product may not be available in some areas.
3. UP mark
When the video connector is connected to the video system center, this
mark is facing upward.
4. Venting connector
Attach the ETO cap or leakage tester here.
5. ETO Cap
The ETO cap must be installed prior to ethylene oxide gas sterilization and
aeration and removed prior to immersion or clinical examination. The cap
must also be attached when the endoscope is transported outside the
hospital (shipment, return for repairs, etc.).
6. UP/DOWN angulation control lever
When turned in the “U” direction, the bending section moves UP; when
turned in the “D” direction, the bending section moves DOWN.
7. UP/DOWN angulation lock
Pushing this lever in the “F ” direction frees angulation. Pushing the lever
in the opposite direction locks the bending section at any desired position.
8. Bending section
This bending section moves the distal end of the endoscope when the
UP/DOWN angulation control lever is operated.
9. Remote switches “1” to “4”
The functions of remote switches “1” to “4” can be selected on the video
system center. When selecting functions, refer to the instruction manual for
the video system center.
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Chapter 2 Instrument Nomenclature and Specifications
2.3
Specifications
Environment
Operating
environment
Ambient temperature
10 – 40°C (50 – 104°F)
Relative humidity
30 – 85%
Atmospheric pressure
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
Transportation and
storage
environment
Ambient temperature
–47 to 70°C (–52.6 to 158°F)
Relative humidity
10 – 95%
Atmospheric pressure
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
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Chapter 2 Instrument Nomenclature and Specifications
Specifications
Endoscope
Model
Optical system
ENF-VQ
Direction of view
Insertion tube
90°
Field of view
0° (Forward viewing)
Depth of field
5 – 50 mm
Distal end outer
diameter
ø 3.9 mm
Distal end enlarged
1. Objective lens
2. Examination light outlet
UP
1.
2.
2.
DOWN
Bending section
Flexible tube outer
diameter
ø 3.6 mm
Working length
300 mm
Angulation range
UP 130°, DOWN 130°
Total length
528 mm
NBI∗1
Available
∗1 NBI stands for Narrow Band Imaging. For more details, refer to the
instruction manual for the video system center CV-180 or OTV-S7Pro∗2.
∗2 This product may not be available in some areas.
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Chapter 2 Instrument Nomenclature and Specifications
Medical Device
Directive
EMC
(For PAL type only)
This device complies with the
requirements of Directive 93/42/EEC
concerning medical devices.
Classification: Class II a
Applied standard;
IEC 60601-1-2: 2001
This instrument complies with the
standards listed in the left column.
CISPR 11 of emission:
Group 1, Class B
This instrument complies with the
EMC standard for medical electrical
equipment; edition 2 (IEC 60601-1-2:
2001). However, when connecting to
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.
Year of manufacture
2001234
The last digit of the year of
manufacture is the second digit of the
serial number.
Degree of protection
against electric
shock
TYPE BF applied part
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Chapter 3 Preparation and Inspection
Chapter 3 Preparation and Inspection
Before each case, prepare and inspect this instrument as instructed below.
Inspect other equipment to be used with this instrument as instructed in their
respective instruction manuals. If this instrument malfunctions, do not use it.
Return it to Olympus for repair as described in Section 9.3, “Returning the
endoscope for repair” on page 75. If any irregularity is observed after inspection,
follow the instructions given in Chapter 9, “Troubleshooting”.
20
•
Using an endoscope that is not functioning properly may
compromise patient or operator safety and may result in
more severe equipment damage.
•
This instrument was not cleaned, disinfected, or sterilized
before shipment. Before using this instrument for the first
time, reprocess it according to the instructions given in
Chapter 5, “Reprocessing: General Policy” through Chapter
7, “Cleaning, Disinfection, and Sterilization Procedures”.
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Chapter 3 Preparation and Inspection
3.1
Preparation of the equipment
Prepare the equipment shown in Figure 3.1 (for compatibility, see the “System
chart” in the Appendix) and personal protective equipment, such as eye wear,
face mask, moisture-resistant clothing, and chemical-resistant gloves, before
each use. Refer to their respective instruction manuals for each piece of
equipment.
Endoscope
Monitor
• Paper towels
Light source
• Trays
• Lint-free cloths
Video system center
• Personal protective equipment
Figure 3.1
RHINO-LARYNGO VIDEOSCOPE OLYMPUS ENF TYPE VQ
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Chapter 3 Preparation and Inspection
3.2
Inspection of the endoscope
Clean and disinfect or sterilize the endoscope as described in Chapter 5,
“Reprocessing: General Policy” through Chapter 7, “Cleaning, Disinfection, and
Sterilization Procedures”.
Inspection of the endoscope
1.
Inspect the control section, video connector, and light guide connector
section for excessive scratching, deformation, or other irregularities.
2.
Inspect the boot and the insertion tube near the boot for bends, twists, or
other irregularities.
3.
Inspect the external surface of the entire insertion tube for dents, bulges,
swelling, peeling, or other irregularities.
4.
Holding the insertion tube gently with one hand, carefully run your fingertips
over the entire length of the insertion tube in both directions. Inspect for any
protruding objects or other irregularities. Also confirm that the insertion tube
is not abnormally rigid (see Figure 3.2).
Figure 3.2
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RHINO-LARYNGO VIDEOSCOPE OLYMPUS ENF TYPE VQ