UHI-4 HIGH FLOW INSUFFLATION Instructions Feb 2012.pdf
Page 1
INSTRUCTIONS
HIGH FLOW INSUFFLATION UNIT
UHI-4
Page 3
Contents
Contents
Labels and Symbols .....................................................................
1
Important Information — Please Read Before Use....................
5
Intended use ............................................................................................
5
Instruction manual ....................................................................................
5
User qualifications ....................................................................................
5
Instrument compatibility ...........................................................................
6
Reprocessing and storage .......................................................................
6
Repair and modification ...........................................................................
6
Signal words..............................................................................................
7
Dangers, warnings, and cautions .............................................................
7
Summary of Equipment Function..............................................................
15
Chapter 1
Checking the Package Contents............................
17
1.1
Checking the package contents......................................................
17
1.2
Optional items .................................................................................
18
Device Nomenclature ..............................................
21
2.1
Symbols and descriptions ...............................................................
21
2.2
Front panel......................................................................................
24
2.3
Rear panel ......................................................................................
28
2.4
Optional components ......................................................................
30
Installation and Connection ...................................
32
3.1
Installation work flow.......................................................................
32
3.2
Installation of the UHI-4 main unit...................................................
34
3.3
Connecting a CO2 cylinder .............................................................
35
3.4
Connecting the medical gas pipeline adapter (MAJ-1084/1085) ....
39
3.5
Connecting the foot switch (MAJ-1939) ..........................................
40
3.6
Connecting the Electrosurgical Unit (ESG-400, UES-40) or the
SonoSurg generator (USG-400, SonoSurg-G2) .............................
41
Connecting the Light Source (CLV-190, CLV-S190) or the
Video system center (OTV-S190) ...................................................
48
3.8
Connecting to an AC mains supply.................................................
52
3.9
Connecting the insufflation tube and suction tube ..........................
54
Chapter 2
Chapter 3
3.7
HIGH FLOW INSUFFLATION UNIT UHI-4
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Contents
Chapter 4
Inspection.................................................................
60
4.1
Inspection work flow........................................................................
60
4.2
Inspection of the cylinder hose for
(MAJ-1080/1081/1082/1985/1986) .................................................
62
4.3
Inspection of the medical gas pipeline adapter (MAJ-1084/1085) ..
62
4.4
Inspection of the insufflation tube (MAJ-590) and suction tube
(MAJ-591) .......................................................................................
63
4.5
Inspection of the smoke evacuation foot switch (MAJ-1939) ..........
64
4.6
Turning power ON...........................................................................
64
4.7
Inspection of the gas supply and caution for insufficient gas
supply function ................................................................................
64
4.8
Inspection of insufflation .................................................................
66
4.9
Inspection of alarm function ............................................................
67
4.10 Inspection of UHI-4 operation when using a veress needle/trocar..
68
4.11 Power OFF......................................................................................
68
Chapter 5
ii
Operation..................................................................
69
5.1
Operating steps...............................................................................
71
5.2
Power supply ..................................................................................
73
5.3
Selecting the cavity mode ...............................................................
74
5.4
Setting the cavity pressure..............................................................
75
5.5
Setting the flow rate ........................................................................
76
5.6
Selecting the smoke evacuation mode ...........................................
77
5.7
Selecting the display mode .............................................................
78
5.8
Insufflation.......................................................................................
80
5.9
Smoke evacuation system/function.................................................
81
5.10 Automatic smoke evacuation system/function (when using the
electrosurgical generator or the ultrasonic generator) ....................
83
5.11 Resetting the CO2 volume indicator................................................
86
5.12 Steps after use ................................................................................
86
5.13 Relief mode .....................................................................................
90
5.14 Automatic suction function ..............................................................
92
5.15 User mode ......................................................................................
94
HIGH FLOW INSUFFLATION UNIT UHI-4
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Contents
Chapter 6
Care, Storage, and Disposal...................................
97
6.1
General policy .................................................................................
97
6.2
Precautions .....................................................................................
98
6.3
Compatible reprocessing methods and chemical agents ...............
100
6.4
Required reprocessing equipment ..................................................
103
6.5
Cleaning, disinfection, and sterilization procedures........................
104
6.6
Cleaning of the high flow insufflation unit, foot switch,
cylinder hose and medical gas pipeline adapter .............................
105
Storage of the high flow insufflation unit, foot switch,
cylinder hose and medical gas pipeline adapter .............................
106
Cleaning the insufflation tube (MAJ-590) and suction tube
(MAJ-591) prior to sterilization ........................................................
107
Disinfecting the insufflation tube (MAJ-590), the suction tube
(MAJ-591) .......................................................................................
109
6.10 Rinsing the insufflation tube (MAJ-590), suction tube (MAJ-591)...
109
6.11 Sterilization of the insufflation tube (MAJ-590) and suction tube
(MAJ-591) .......................................................................................
111
6.7
6.8
6.9
6.12 Storing the insufflation tube (MAJ-590), the suction tube (MAJ-591) 113
6.13 Disposal ..........................................................................................
Chapter 7
113
Troubleshooting ...................................................... 114
7.1
Troubleshooting guide ....................................................................
114
7.2
Alarm functions ...............................................................................
118
7.3
Returning the high flow insufflation unit for repair...........................
120
Appendix ....................................................................................... 121
System chart ............................................................................................
121
Specifications ............................................................................................
124
EMC information .......................................................................................
132
HIGH FLOW INSUFFLATION UNIT UHI-4
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Contents
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HIGH FLOW INSUFFLATION UNIT UHI-4
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Labels and Symbols
Labels and Symbols
Safety-related labels and symbols are attached to the device at the locations
shown below.
If labels or symbols are missing or illegible, contact Olympus.
HIGH FLOW INSUFFLATION UNIT (UHI-4)
Electrical rating plate
CSA marking
CE marking
Crossed-out wheeled bin’ symbol
Potential equalization
terminal
Instruction manual
reference mark
Serial number plate
CO2 gas inlet
Maximum supply pressure rating
Fuse rating
16.2MPa
Serial number
Manufacturer name
HIGH FLOW INSUFFLATION UNIT UHI-4
1
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Labels and Symbols
CYLINDER HOSE (PIN) FOR UHI-3 (MAJ-1080)
Name plate
Caution
SUPPLY CO2 GAS FOR MEDICAL USE ONLY.
NEVER USE OTHER KINDS OF GASES.
USE WITH OLYMPUS PRODUCTS.
NEVER CONNECT WITH OTHER UNIT.
Name plate
2
HIGH FLOW INSUFFLATION UNIT UHI-4
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Labels and Symbols
CYLINDER HOSE (DIN) FOR UHI-3 (MAJ-1081)
CYLINDER HOSE (ISO) FOR UHI-3 (MAJ-1082)
Name plate
Caution
SUPPLY CO2 GAS FOR MEDICAL USE ONLY.
NEVER USE OTHER KINDS OF GASES.
USE WITH OLYMPUS PRODUCTS.
NEVER CONNECT WITH OTHER UNIT.
Caution
SUPPLY CO2 GAS FOR MEDICAL USE ONLY.
NEVER USE OTHER KINDS OF GASES.
USE WITH OLYMPUS PRODUCTS.
NEVER CONNECT WITH OTHER UNIT.
Name plate
HIGH FLOW INSUFFLATION UNIT UHI-4
3
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Labels and Symbols
Back cover of this instruction manual
Manufacturer
Authorized representative in the European Community
4
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
Important Information — Please Read
Before Use
Intended use
This instrument has been designed for insufflation of abdominal cavity and
provides automatic suction and smoke evacuation to facilitate laparoscopic
observation, diagnosis and treatment.
Do not use this device for any other purpose.
Instruction manual
This instruction manual contains essential information on using this device safely
and effectively. Before use, thoroughly review this manual and the manuals of all
equipment which will be used during the procedure and use the devices 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.
Terms used in this manual
Wall mains outlet
An electrical outlet that has a terminal used exclusively for grounding.
User qualifications
If there is an official standard on the qualification for endoscopy and endoscopic
surgery that is defined by the medical administration or other official institutions
such as the academic society for endoscopic surgery, follow that standard. If
there is no official qualification standard, the operator of this equipment must be
a physician approved by the medical safety manager of the hospital or person in
charge of the department (department of surgery, etc.). The medical safety
manager of the hospital or person in charge of the department should select a
physician who is capable of safely performing the planned endoscopy and
endoscopic surgery by following the official guidelines set by the academic
society on endoscopic surgery, etc., and consider the difficulty of endoscopy and
endoscopic surgery.
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
Instrument compatibility
Refer to the “System chart” in the Appendix to confirm that this device is
compatible with the ancillary equipment being used.
Using incompatible equipment can result in patient injury and/or equipment
damage.
This system complies with EMC standard for medical electrical equipment,
edition 3 (IEC 60601-1-2: 2007). However, when connected to equipment that
complies with EMC standard for medical electrical equipment, edition 1
(IEC 60601-1-2: 1993), the whole system complies with edition 1.
Reprocessing and storage
This device was not disinfected or sterilized before shipment. Before using this
device for the first time, reprocess it according to the instructions given in
Chapter 6, “Care, Storage, and Disposal”.
After using this device, reprocess and store it according to the instructions given
in Chapter 6.
Improper and/or incomplete reprocessing or storage can present an infection
control risk, cause equipment damage or reduce performance.
Repair and modification
This device 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 7, “Troubleshooting”.
If the problem cannot be resolved using the information in Chapter 7, contact
Olympus.
6
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
Signal words
The following signal words are used throughout this manual:
Indicates an imminently hazardous situation which, if not
avoided, will result in death or serious injury.
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.
Dangers, warnings, and cautions
Follow the dangers, warnings and cautions given below when handling this
device.
This information is to be supplemented by the dangers, warnings and cautions
given in each chapter.
•
The UHI-4 is not explosion-proof. Never install or operate it in
the presence of flammable gases.
•
Supply medical grade CO2 gas only. Never use other kinds of
gas. Using gases other than CO2 gas may result in fire,
poisoning, complications, etc. Use of non-medical grade, oil
polluted CO2 might result in a malfunction of the insufflation
pressure control stage, causing a serious patient risk. Use
the hose for cylinder or adapter for medical gas pipeline as
described in this instruction manual to connect the CO2 gas
cylinder or medical gas pipeline.
•
Use of this device for cavity distention is contraindicated
whenever endoscopy is contraindicated. See the operator’s
manual of your endoscope for absolute and relative the
contraindications.
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
•
This device is contraindicated for hysteroscopic insufflation,
i.e., it must not be used for intrauterine distention.
•
Strictly observe the following precautions. Failure to do so
may place the patient and medical personnel in danger of an
electric shock.
When the high flow insufflation unit is used to examine a
patient, do not allow metal parts of the endoscope or its
accessories to touch metal parts of other system
components. Such contact may cause unintended current
flow to the patient.
Keep fluids away from all electrical equipment. If fluids are
spilled on or into the high flow insufflation unit, stop
operation of the unit immediately and contact Olympus.
Do not prepare, inspect or use this high flow insufflation
unit with wet hands.
•
Never install and operate the high flow insufflation unit.
in locations where:
The concentration of oxygen is high;
Oxidizing agents (such as nitrous oxide (N2O)) are
present in the atmosphere;
Flammable gases are present in the atmosphere;
Flammable liquids are near.
Otherwise, explosion or fire may result because the high flow
insufflation unit is not explosion-proof.
8
•
Position the patient port of the insufflator and as much of the
associated tubing as is practical above the insufflation site,
so that any patient fluids inadvertently entering the tubing do
not drain back into the insufflator via gravity.
•
Always keep the gas cylinder in the upright position. Fasten
the cylinder to a wall or another stable structure to prevent it
from toppling. If the gas cylinder is placed horizontally or in
an inclined position, liquefied CO2 may be transmitted into
the insufflation channel inside the UHI-4 and normal
insufflation may become impossible.
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
•
To prevent gas embolism caused by intra-abdominal
over-pressurization from the combined use of an insufflator
and a laser device, argon-enhanced coagulator or other gas
supply devices, carefully read and understand the following
before using:
When performing endoscopic using an insufflator and a
laser device, argon-enhanced coagulator or other gas
supply devices simultaneously, both devices become a
source of supply for gas. Accordingly, the desired
pressure in the abdomen is reached in a shorter time than
when a pneumoperitoneum device is used alone. In these
cases, be careful that the cavity does not become
over-pressurized.
The laser device, argon-enhanced coagulator and other
gas supply devices are not equipped to monitor the cavity
pressure (automatic termination of insufflation, warning
light or alarm). Although the insufflator is equipped with
these functions, it does not always prevent gas embolism
inasmuch as this depends on the patient and the
condition of the infected area. We ask that the physicians
make a suitable judgment from a professional standpoint
himself.
If the insufflator emits a caution (caution light or alarm) for
cavity over-pressurization, quickly open the stopcock or
valve of the trocar.
Then, reduce the amount of outflow from the laser device,
argon-enhanced coagulator, or other gas supply device.
If use is continued while the alarm sounds, there is a risk
of gas embolism due to cavity over-pressurization.
•
The automatic and relief functions may not work to relieve an
overflow of gas depending on the capabilities of the
connected suction device/equipment. In this event, reduce
the amount of overflow from the laser and gas supply
devices, or open the cock of the tracar and the valves. Also
keep in mind that this device alone does not perform the
function of suctioning the gas; be sure to connect this device
to the suction device/equipment through the suction tube.
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
10
•
When relief mode is set to ON, cavity gas and/or body fluids
(e.g., blood) can flow backward into and potentially
contaminate the equipment. To prevent this, Olympus
strongly recommends the use of a disposable filter in the
CO2 supply line between the UHI-4 and the patient. Olympus
recommends filter type PALL OR01H (0.2 m, hydrophobic)
or equivalent filters; contact Olympus for further details.
•
If a filter is not used and fluid (e.g., blood) flows back into the
insufflation tube, make sure that it does not enter the UHI-4.
Should any fluids enter the UHI-4, immediately terminate its
use and contact Olympus.
•
Olympus strongly recommends the use of a disposable filter
in the CO2 supply line between the UHI-4 and the patient
even when the relief mode will not be used.
•
To reduce the risk of electric shock, do not remove the cover
of the insufflator.
•
To prevent operator shock and instrument damage, keep
liquids away from all electrical equipment. If fluid enters the
high flow insufflation unit, stop operation immediately and
contact Olympus.
•
Always use the UHI-4 as outlined in this instruction manual.
Improper use will not only impair functions and prevent
optimum performance, but may cause equipment damage
and/or complications. Before each use, always inspect the
equipment as outlined in this instruction manual.
•
To prevent electric shock hazards, the housing of the UHI-4
must be grounded. Always connect the power cord plug to a
properly grounded hospital grade AC outlet (wall mains
outlet).
•
Use this device in an environment equipped to accommodate
open surgery and have the hospitalization plan prepared in
case any problem occurs that may not be resolved by
performing endoscopic surgery.
•
Prepare spare CO2 cylinders for quick replacement if the
cylinder used during the procedure should run out.
•
To ensure that the operation can be completed without
complication in the case of a malfunction, prepare a spare
UHI-4 unit as a backup.
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
•
During use, especially when a high gas flow rate is selected,
a large volume of CO2 will be used. Persons in the operating
room, may be affected if the CO2 concentration in the
operating room increases. Be sure to ensure ventilation of
the room.
•
Only use the UHI-4 under the conditions described in
“Operating environment” in the Appendix. Use under other
conditions may not only impair normal performance, but may
also result in equipment damage.
•
To avoid complications, monitor patient parameters such as
endotidal CO2, electrocardiogram, body temperature, etc.,
while using the UHI-4.
– Reference
1) Norman J, Atkinson SA: The effect of cardiac
sympathetic blockade on the relationship between
cardiac output and carbon dioxide tension in the
anesthetized dog. Br J Anaesth 42: 592 – 602, 1970
2) Scott, D. B. and Julian, D. G.: Observations on
cardiac arrhythmias during laparoscopy.
Br. Med. J.,1: 411 – 413, 1972.
3) Smith, I., Benzie, R. J., Gordon, N. L. M., et al.:
Cardiovascular effects of peritoneal insufflation of
carbon dioxide for laparoscopy. Br. Med. J., 3: 410 –
411, 1971.
4) Lenz, R. J., Thomas, T. A. and Wilkins, D. G.:
Cardiovascular changes during laparoscopy: Studies
of stroke volume and cardiac output using impedance
cardiography. Anaesthesia, 31: 4 – 12, 1976.
5) Ishizaki, Y., Bandai, Y., Shimomura, K., et al.: Safe
intra-abdominal pressure of carbon dioxide
pneumoperitoneum during laparoscopic surgery.
Surgery, 114: 549 – 554, 1993.
•
Metabolic Acidosis and resultant cardiac irregularity.
Prolonged cavity pressures greater than 20 mmHg should be
avoided. This can cause any of the following:
Decreased respiration with compromised
diaphragmatic excursion
Decreased venous return
Decreased cardiac output
Acidosis
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
12
•
Excessive flow rates and/or pressures may result in an
excessive absorption of CO2 and/or gas embolism. The
cavity can be adequately distended using a maximum
pressure of 20 mmHg. It is seldom necessary to use a cavity
pressure greater than 20 mmHg. Little intravasation should
occur at these levels. Pressures over 20 mmHg are rarely
necessary and will increase the amount and the rapidity of
intravasation of gas. Adequate respiration helps avoid
problems related to CO2.
•
Idiosyncratic reactions. Patients with sickle cell disease or
pulmonary insufficiency may have an increased risk of
metabolic imbalance related to excessive CO2 absorption.
•
Other possible complications include CO2 embolization,
hypothermia and carbonic acid irritation of the diaphragm.
Direct access of insufflated CO2 to the vascular system (e.g.,
through an open vessel in the intra-abdominal cavity, or an
improperly inserted veress needle) may result in gas
embolism.
•
When using the two high flow insufflation units
simultaneously on a single region of a single patient, make
sure to set an identical pressure to the two insufflators.
•
Operative procedures should only be performed with
insufflators capable of flow rates of at least 4 – 10 L/min.
Insufflators with lower maximum flow rates should only be
used for diagnostic procedures.
•
In endoscopic procedures which use gas insufflation, venous
gas embolism is a very rare (approximately 1 in
10,000 cases) but potentially serious complication that may
occur. Its occurrence is signaled by cardiovascular collapse
(sudden, severe hypotension), and a precordial murmur. If
gas embolism is observed during a procedure, discontinue
gas insufflation and place the patient in a left lateral and a
slight Trendelenburg position.
•
Use of ACCESSORIES, transducers and cables other than
those specified in this manual above may not comply with
EMC.
•
EQUIPMENT or SYSTEM should not be used adjacent to or
stacked with other equipment to avoid the influence of EMC.
•
Use of the ACCESSORY, transducer or cable with ME
EQUIPMENT and ME SYSTEMS other than those specified
in this manual may result in increased EMISSIONS or
decreased IMMUNITY of the EQUIPMENT or SYSTEM.
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
•
Do not supply gas for a long time without connecting the
insufflation tube to the patient. The pressure reducer may
structurally freeze, resulting in inability of the functions
including insufflation.
•
Before using a veress needle and trocar, inspect the items as
outlined in Section 4.10, “Inspection of UHI-4 operation when
using a veress needle/trocar”.
•
This device requires consideration of electromagnetic
compatibility (EMC), as well as installation and initial setup
procedures in accordance with this manual.
•
Electromagnetic interference may occur on this device 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 device, or shielding the
location.
•
Do not touch the electrical contacts inside the high flow
insufflation unit’s connectors. Otherwise, equipment damage
and/or malfunction can occur.
•
Do not use a pointed or hard object to press the buttons on
the front panel. This may damage the buttons.
•
Do not apply excessive force to the connectors. Otherwise, a
failure of an electrical contact may result in a malfunction.
•
Turn the high flow insufflation unit OFF before connecting or
disconnecting cables. Equipment damage or malfunction can
result.
•
Clean and vacuum dust the ventilation grills using a vacuum
cleaner, when necessary. Otherwise, the high flow
insufflation unit may break down and get damaged from
overheating.
•
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.
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
•
As defined by the international safety standard
(IEC 60601-1), medical electrical equipment is classified into
the following types: Type CF applied part (the device can
safely be applied to any part of the body, including the heart),
and Type B/BF applied part (the device can safely be applied
to any organ except the heart). Which part of the body the
endoscope or accessories can safely be applied to depends
on the classification of the equipment to which the devices
are connected. Before beginning the procedure, review the
current leakage classification type of each device that you
will use for the procedure.Classification types are clearly
specified on the devices and in the devices’ instruction
manuals.
Symbol
Classification
Type CF applied part
Type BF applied part
Type B applied part
14
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
Summary of Equipment Function
This instrument is designed to feed CO2 inside the abdominal cavity during
endoscopic surgery. The functions of the high flow insufflation unit described
below are enabled only when the specified equipment is connected. For
additional details on ancillary equipment, refer to their specific instruction
manual.
Cavity mode
Two modes including “Standard” and “Small” can be selected according to the
cavity size (see Section 5.3, “Selecting the cavity mode” on page 74).
Adjustment of the cavity pressure
The pressure inside the cavity can be set in the range between 3 and 25 mmHg
(or max. 15 mmHg in the Small cavity mode (see Section 5.4, “Setting the cavity
pressure” on page 75).
Adjustment of the gas flow rate
The CO2 flow rate can be set in the range from 0.1 – 45 l/min. (or max. 10 l/min.
in the Small cavity mode). Three flow rate modes including “High”, “Medium” and
“Low” can be selected with a one-touch operation (see Section 5.5, “Setting the
flow rate” on page 76).
Display mode
The items of information displayed on the front panel can be limited as required
by the user (see Section 5.7, “Selecting the display mode” on page 78).
Relief mode
When the cavity pressure exceeds the set value by 5 mmHg or more, the relief
mode is activated to open the channels inside the instrument and release the
internal gas until the cavity pressure drops to the set value. The relief mode can
be set to ON or OFF as required (see Section 5.13, “Relief mode” on page 90).
Default set value is OFF.
Smoke evacuation
When the MAJ-1939 foot switch for smoke evacuation (optional) is used, the
smoke and mist generated inside the cavity can be exhausted while maintaining
the cavity pressure constant (see Section 5.9, “Smoke evacuation
system/function” on page 81).
HIGH FLOW INSUFFLATION UNIT UHI-4
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Important Information — Please Read Before Use
Automatic exhaust
The smoke evacuation operation can be interlocked with the output of the
processing unit such as the ESG-400 or USG-400 (see Section 5.10, “Automatic
smoke evacuation system/function (when using the electrosurgical generator or
the ultrasonic generator)” on page 83).
16
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Chapter 1 Checking the Package Contents
Chapter 1 Checking the Package
Contents
1.1
Checking the package contents
Match all items in the package with the components shown below. Inspect each
item for damage.
If the device is damaged, a component is missing or you have any questions, do
not use the device; immediately contact Olympus.
This equipment was not disinfected or sterilized before shipment. Before using
this equipment for the first time, reprocess it according to the instructions given
in Chapter 6.
High flow insufflation unit (UHI-4)
Tube with green line
Y-shaped connector
Power cord
Small diameter tube
(transparent)
Extension tube
Instruction manual
Differential diameter
connector
Small luer-lock
connector
Suction tube (MAJ-591)
Tube
(transparent)
Filter connecting
tube
Nut cover
(For European market)
Large luer-lock connector
Insufflation tube (MAJ-590)
HIGH FLOW INSUFFLATION UNIT UHI-4
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Chapter 1 Checking the Package Contents
1.2
Optional items
SMOKE EVACUATION FOOT SWITCH (MAJ-1939)
SMOKE EVACUATION FOOT SWITCH
Access information
CYLINDER HOSE (PIN) FOR UHI-3 (MAJ-1080)
Cap
Access information
HOSE FOR CYLINDER
Wrench
For European market, the wrench is supplied for installation of the unit by an
Olympus sales representative or service engineer only.
The wrench will be returned to Olympus directly after installation.
18
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Chapter 1 Checking the Package Contents
CYLINDER HOSE (DIN) FOR UHI-3 (MAJ-1081)
CYLINDER HOSE (ISO) FOR UHI-3 (MAJ-1082)
Cap1
Cap2
Wrench (large)
HOSE FOR CYLINDER
Wrench (small)
Access information
For European market, the wrench (small) is supplied for installation of the unit by
an Olympus sales representative or service engineer only.
The wrench (small) will be returned to Olympus directly after installation.
MEDICAL GAS PIPELINE ADAPTER (NIST) FOR UHI-3
(MAJ-1084)
MEDICAL GAS PIPELINE ADAPTER (DISS) FOR UHI-3
(MAJ-1085)
ADAPTER FOR MEDICAL GAS PIPELINE
Wrench
Access information
For European market, the wrench is supplied for installation of the unit by an
Olympus sales representative or service engineer only.
The wrench will be returned to Olympus directly after installation.
HIGH FLOW INSUFFLATION UNIT UHI-4
19
Page 26
Chapter 1 Checking the Package Contents
Cylinder hose with switch over valve (PIN) (MAJ-1985)
Cylinder hose with switch over valve (DIN) (MAJ-1986)
T-nut
(5 pcs)
CYLINDER HOSE WITH SWITCH
OFER VALVE (PIN) (MAJ-1985)
CYLINDER HOSE WITH SWITCH
OFER VALVE (DIN) (MAJ-1986)
30 mm Wrench
Crinkle washer
(5 pcs)
Clamping hook
Plain washer
(5 pcs)
19 mm Wrench
(For Europe market only)
Screw
(5 pcs)
Allen key
Instruction
manual
It can be compatible with mobile workstation
WM-NP2/WM-DP2 only.
Gas preheater set (WA58670A)
20
Gas preheater (GSH-2)
Power cord
Heat exchanger (WA58671A)
Silicone tube (2 pcs)
Tube adapter
Instruction manual
HIGH FLOW INSUFFLATION UNIT UHI-4