bf-f260_bronchovideoscope_operation_manual_dec_2006.pdf
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INSTRUCTIONS
EVIS LUCERA BRONCHOVIDEOSCOPE
OLYMPUS BF TYPE F260
Refer to the endoscope’s companion manual, the “REPROCESSING MANUAL” whose
cover lists the model of your endoscope, for reprocessing information.
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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 ....................................................................................
3
Instrument compatibility ............................................................................
4
Reprocessing before the first use/reprocessing and storage after use ....
4
Spare equipment ......................................................................................
4
Maintenance management .......................................................................
4
Prohibition of improper repair and modification.........................................
5
Signal words .............................................................................................
5
Warnings and cautions .............................................................................
5
Precaution for disappeared or frozen endoscopic image..........................
10
Examples of inappropriate handling .........................................................
11
Chapter 1
Checking the Package Contents............................
12
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
Preparation and inspection of accessories .....................................
25
3.4
Attaching accessories to the endoscope ........................................
30
3.5
Inspection and connection of ancillary equipment ..........................
34
3.6
Inspection of the endoscopic system ..............................................
36
Operation .................................................................
40
4.1
Insertion ..........................................................................................
42
4.2
Using endo-therapy accessories.....................................................
45
4.3
Withdrawal of the endoscope..........................................................
53
4.4
Transportation of the endoscope ....................................................
54
Chapter 3
Chapter 4
BF TYPE F260 OPERATION MANUAL
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Contents
Chapter 5
ii
Troubleshooting ......................................................
55
5.1
Troubleshooting guide ....................................................................
56
5.2
Withdrawal of the endoscope with an abnormality..........................
59
5.3
Returning the endoscope for repair.................................................
61
Appendix........................................................................................
62
System chart ............................................................................................
62
EMC information........................................................................................
68
BF TYPE F260 OPERATION MANUAL
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Symbols
Symbols
The meaning(s) of the symbol(s) shown on the package with the components,
the back cover of this instruction manual and/or this instrument are as follows:
Refer to instructions.
Caution
Endoscope
TYPE BF applied part
Lot number
Do not reuse.
Use by (expiration date)
Sterilization lot number
Sterilized using irradiation
Manufacturer
Authorized representative in the European Community
Serial number
BF TYPE F260 OPERATION MANUAL
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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, endo-therapy
accessories (such as biopsy forceps) and other ancillary equipment for
endoscopy and endoscopic surgery within the airways and tracheobronchial
tree.
Do not use this instrument for any purpose other than its intended use.
Applicability of endoscopy and endoscopic treatment
If there is an official standard on the applicability of endoscopy and endoscopic
treatment that is defined by the medical administration or other official
institutions such as academic societies on endoscopy or pulmonology, follow
that standard. Before starting endoscopy and endoscopic treatment, thoroughly
evaluate its properties, purposes, effects, and possible risk (their natures, 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 the 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.
2
BF TYPE F260 OPERATION MANUAL
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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 which 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” whose
cover lists the model of your endoscope. Both manuals accompany 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, please contact Olympus.
Terms used in this manual
AFI (Auto-Fluorescence Imaging) observation
This is one special light observation method and features the use of blue
illumination.
WLI (White Light Imaging) observation
This is a normal observation method using the standard RGB illumination.
User qualifications
If there is an official standard on user qualifications to perform endoscopy and
endoscopic treatment that is defined by the medical administration or other
official institutions such as academic societies on endoscopy or pulmonology,
follow that 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 internal
medicine, etc.). The physician should be capable of safely performing the
planned endoscopy and endoscopic treatment by following guidelines set by
academic societies on endoscopy, etc., and considering the difficulty of
endoscopy and endoscopic treatment.
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Important Information — Please Read Before Use
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 or operator injury and/or equipment damage.
This instrument complies with 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 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 68 for EMC compliance
level).
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 the endoscope’s companion manual, the “REPROCESSING
MANUAL” whose cover lists the model of your endoscope.
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 present an infection control risk, cause
equipment damage or reduce performance.
Spare equipment
Be sure to prepare another endoscope to avoid that the examination will be
interrupted due to equipment failure or malfunction.
Maintenance management
The probability of failure of endoscope and ancillary equipment increase as the
total operation cause and/or 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 which an irregularity is suspected should not be
used, but should be inspected by following Section 5.1, “Troubleshooting guide”
on page 56. If the irregularity is still suspected after inspection, contact Olympus
before use.
4
BF TYPE F260 OPERATION MANUAL
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Important Information — Please Read Before Use
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 can result. Equipment which 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:
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.
•
Do not perform laser cauterization treatment under AFI
observation. Otherwise, the noise hinders the observation of
the treated region, and injury, burns, bleeding or perforation
in the body cavity may result.
•
After using this instrument, reprocess and store it according
to the instructions given in the endoscope’s companion
reprocessing manual. Using improperly or incompletely
reprocessed or stored instruments may cause patient
cross-contamination and/or infection.
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Important Information — Please Read Before Use
6
•
Before endoscopy, remove any metallic objects (watch,
glasses, necklace, etc.) from the patient. If performing
high-frequency cauterization treatment becomes necessary,
while the patient wears a metallic object, it may cause burns
on the patient in areas around the metallic object.
•
Do not strike, bend, hit, pull, twist, or drop 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, such as burns, bleeding, and/or perforation. It could
also cause parts of the endoscope to fall off inside the
patient.
•
Never perform angulation forcibly or suddenly. Never
forcefully pull or twist the angulated bending section. Patient
injury, bleeding and/or perforation can result. It may also
become impossible to straighten the bending section during
use and/or to withdraw this instrument from the patient.
Particular caution is required in the tracheal bifurcation
region.
•
Never insert or withdraw the endoscope while the
endoscope’s bending section is locked in position. When
withdrawing the endoscope, the bending section should
follow the form of the body cavity as much as possible.
Otherwise, patient injury, bleeding and/or perforation can
result. It may also become impossible to straighten the
bending section during use and/or to withdraw this
instrument from the patient.
•
Never use endo-therapy accessories, operate the bending
section, perform suction, insert or withdraw the endoscope’s
insertion tube without viewing the endoscopic image. Patient
injury can result.
•
Never use endo-therapy accessories, operate the bending
section, perform suction, insert or withdraw the endoscope’s
insertion tube, while the image is frozen. Patient injury can
result.
•
Never insert or withdraw the insertion tube suddenly, abruptly
or with excessive force. Patient injury, bleeding and/or
perforation can 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.
BF TYPE F260 OPERATION MANUAL
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Important Information — Please Read Before Use
•
When the endoscopic image (WLI observation mode or AFI
observation mode) does not appear on the monitor, the CCD
may have been damaged. Turn the video system center OFF
immediately. Continuing power supply in such a case will
cause the distal end to become hot and could cause operator
and/or patient burns.
•
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 with all patients. Before proceeding, always be
sure to confirm that transnasal insertion is possible with the
patient. Otherwise, operator and/or patient injury can result or
the endoscope could become lodged and be 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.
•
Before transnasal insertion, apply the appropriate
pretreatment and lubrication to the patient to enlarge the
nasal cavity. Otherwise, operator and/or patient injury can
result or the endoscope could become lodged and be difficult
to withdraw. 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, operator and/or
patient injury can result or the endoscope could become
lodged and be difficult to withdraw.
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Important Information — Please Read Before Use
•
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 touch the light guide of the endoscope connector
immediately after removing it from the light source because it
is extremely hot. Operator or patient burns can result.
•
Do not rely on the AFI imaging modality alone for primary
detection of lesions or to make a decision regarding any
potential diagnostic or therapeutic intervention.
•
Generally reprocessing agents1 are aggressive and might
effect the distal end of the endoscope. When the effect
progresses, fogging of the inner lenses might appear, which
result in a foggy video image. Any further use of the
endoscope under this condition might lead to parts of the
endoscope (e.g. lens) to come off.
Before inserting the endoscope to a patient, make sure that
there is no fogging by checking the video image, and by
wiping the outer surface of the lens at the distal end of the
endoscope with a soft cloth. In case fogging appears, please
stop using the endoscope immediately.
1 Contact Olympus for the names of specific brands that have
been tested for compatibility with the endoscope.
8
•
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 not
be visible.
•
Do not coil the insertion tube or universal cord into a diameter
of less than 12 cm. Equipment damage can result.
•
Do not attempt to bend the endoscope’s insertion tube with
excessive force. Otherwise the insertion tube may be
damaged.
•
Do not touch the electrical contacts inside the electrical
connector. CCD damage may 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.
BF TYPE F260 OPERATION MANUAL
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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 cause water
leaks.
•
Turn the video system center OFF before connecting or
disconnecting the videoscope cable from the electrical
connector on the endoscope. Turn the video system center
ON or OFF only when the videoscope cable is connected to
both the video system center and the electrical connector on
the endoscope. Failure to do so can result in equipment
damage, including destruction of the CCD.
•
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 may cause
water leaks.
•
Do not hit or bend the electrical contacts on the endoscope
connector. The connection to the light source may be
impaired and faulty contact can result.
•
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-260SL.
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Important Information — Please Read Before Use
Precaution for disappeared or frozen endoscopic
image
•
If the endoscopic image unexpectedly disappears or a frozen
image cannot be restored during an examination,
immediately stop using the instrument and withdraw the
endoscope from the patient. Continued use of the endoscope
in such condition may cause patient injury, bleeding and/or
perforation.
•
Follow the precautions given below when handling the
instrument. Otherwise, the endoscopic image may disappear
unexpectedly or the frozen image may not be restored during
the examination.
Connect the endoscope connector, videoscope cable and
video system center. Otherwise, faulty contact can result.
Do not bend, hit or twist the insertion section, control
section, universal cord and endoscope connector. The
endoscope may be damaged and water leaks and/or
breakage of internal parts like the CCD cable can result.
Before inserting the endoscope, place the mouthpiece in
the patient’s mouth in order to prevent the patient from
accidentally biting the insertion section. Biting the
insertion section may result in breakage of the CCD cable
or light guide as well as damage to the insertion tube.
Before immersing the endoscope, always attach the
water-resistant cap (MH-553). Otherwise, water will enter
the endoscope and may cause a short circuit. This may
result in CCD damage.
If 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 CCD damage.
•
10
Turn the video system center OFF before connecting or
disconnecting the videoscope cable from the electrical
connector on the endoscope. Turn the switch ON or OFF
only when the videoscope cable is connected to both the
video system center and electrical connector on the
endoscope. Failure to do so can result in equipment damage,
including destruction of the CCD.
BF TYPE F260 OPERATION MANUAL
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Important Information — Please Read Before Use
•
Do not touch the electrical contacts inside the electrical
connector. CCD damage may result.
•
Do not hit or bend the electrical contacts on the endoscope
connector. The connection to the light source may be
impaired and faulty contact can result.
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 given below.
•
Applying prolonged suction with the distal end in 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. Performing retroflexed observation in a narrow lumen may
make it impossible to straighten the bending section and/or withdraw the
endoscope from the patient. In case the patient moves due to coughing
and other reasons while the endoscope is angulated in the narrow
lumen, the bending section of the endoscope may be pushed into the
lumen and be retroflexed. Pretreatment to control patient’s coughing
reflex and other possible unexpected moves is the responsibility of
trained specialists.
•
Inserting, withdrawing and using endo-therapy accessories without a
clear endoscopic image may cause patient injury, bleeding, burns and/or
perforation.
•
Inserting or withdrawing the endoscope, applying suction 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 disinfected or sterilized before shipment.
Before using this instrument for the first time, reprocess it according to the
instructions given in the endoscope’s companion manual, the “REPROCESSING
MANUAL” whose cover lists the model of your endoscope.
Endoscope
Channel cleaning brush
(BW-15B)
Single-use suction
valve
(MAJ-209, 20 pcs)
Channel-opening cleaning
brush (MH-507)
Single-use biopsy
valve
(MAJ-210, 20 pcs)
Suction cleaning adapter
(MAJ-222)
Mouthpiece
(MA-651, 2 pcs)
12
Water-resistant cap
(MH-553)
Operation manual
BF TYPE F260 OPERATION MANUAL
Reprocessing manual
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Chapter 1 Checking the Package Contents
BF TYPE F260 OPERATION MANUAL
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Chapter 2 Instrument Nomenclature and Specifications
Chapter 2 Instrument Nomenclature
and Specifications
2.1
Nomenclature
Water-resistant cap (MH-553)
Venting connector
Universal cord
2. Electrical connector
Serial number
Contact pins
1. Endoscope connector
Light guide
14
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Chapter 2 Instrument Nomenclature and Specifications
4. Single-use
suction valve
Suction cylinder
3. UP/DOWN angulation
control lever
10. Identification mark for STERRAD® 200/NX
material compatibility
Slit
Control section
5. Single-use
biopsy valve
Instrument channel
6. Instrument
channel port
7. Color code
Boot
9. Remote switches
Insertion tube/working
length
Suction cylinder
Distal end
8. Bending section
9. Remote switches
Top view
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Chapter 2 Instrument Nomenclature and Specifications
2.2
Endoscope functions
1. Endoscope 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. Electrical connector
This connector connects the endoscope to the video system center via the
videoscope cable. The endoscope contains a memory chip that stores
information about the endoscope and communicates this information to the
video system center CV-260SL. For more details, refer to the instruction
manual of the CV-260SL.
3. UP/DOWN angulation control lever
When this lever is turned in the “U” direction, the bending section moves UP.
When the lever is turned in the “D” direction, the bending section moves
DOWN.
4. Single-use suction valve (MAJ-209)
This valve is depressed to activate suction. The valve is used to remove any
fluid and debris that obstruct the visual field.
5. Single-use biopsy valve (MAJ-210)
Accessories may be inserted through the slit in this valve. A syringe may be
inserted for the introduction of fluids.
6. Instrument channel port
This channel port functions as:
channel for the insertion of endo-therapy accessories
suction channel
fluid feed channel (from a syringe via the biopsy valve)
7. Color code
This code is used to quickly determine the compatibility of endo-therapy
accessories. The endoscope can be used with endo-therapy accessories
that have the same color code.
Blue:
16
BF-F260
BF TYPE F260 OPERATION MANUAL
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Chapter 2 Instrument Nomenclature and Specifications
8. Bending section
This section moves the distal end of the endoscope when the UP/DOWN
angulation control lever is operated.
9. Remote switches
The functions of the remote switches 1 to 4 can be selected on the video
system center. When selecting the functions, refer to the instruction manual
for the video system center.
10. Identification mark for STERRAD® 200/NX material compatibility
This mark indicates that this endoscope has material compatibility with the
STERRAD® 200/NX Sterilization System. The endoscope without this
mark is not applicable to STERRAD® 200/NX.
2.3
Specifications
Environment
Operating
environment
Ambient temperature
10 – 40C (50 – 104F)
Relative humidity
30 – 85%
Atmospheric pressure
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
Standard storage
Ambient temperature
environment (e.g.
Relative humidity
within the hospital)
Atmospheric pressure
5 – 40C (41 – 104F)
10 – 95%
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
Transportation
Ambient temperature
environment
Relative humidity
(conditions during
Atmospheric pressure
transportation and
short-term storage)
–47 to 70C (–52.6 to 158F)
10 – 95%
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
BF TYPE F260 OPERATION MANUAL
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Chapter 2 Instrument Nomenclature and Specifications
Specifications
Model
BF-F260
Optical system Field of view
120
Direction of view
Forward viewing
Depth of field
Insertion tube
3 – 100 mm
Distal end outer
diameter
Distal end enlarged
ø 5.5 mm
1. Objective lens
2. Light guide lens
3. Instrument channel outlet
UP
3.
2.
2.
1.
DOWN
Instrument
channel
Insertion tube outer
diameter
ø 5.4 mm
Working length
600 mm
Channel inner
diameter
ø 2.0 mm
Minimum visible
distance
3 mm from the distal end
Direction from which
endo-therapy
accessories enter
and exit the
endoscopic image
Bending
section
Angulation range
Total length
18
BF TYPE F260 OPERATION MANUAL
UP 180, DOWN 130
870 mm
Page 22
Chapter 2 Instrument Nomenclature and Specifications
Medical
Devices
Directive
This device complies with the requirements
of Directive 93/42/EEC concerning medical
devices.
Classification: Class II a
EMC
Applied standard;
IEC 60601-1-2: 2001
IEC 60601-1-2: 2007
This instrument complies with the standard
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) and
edition 3 (IEC 60601-1-2: 2007).
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
2612345
The last digit of the year of manufacture is
given in the second digit of the serial
number.
Degree of
protection
against
electric shock
BF TYPE F260 OPERATION MANUAL
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 any irregularities are suspected after inspection, follow the instruction as
described in Chapter 5, “Troubleshooting”.
If this instrument malfunctions, do not use it. Return it to Olympus for repair as
described in Section 5.3, “Returning the endoscope for repair” on page 61.
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 the
endoscope’s companion manual, the “REPROCESSING
MANUAL” whose cover lists the model of your endoscope.
BF TYPE F260 OPERATION MANUAL
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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 the respective instruction manuals for each piece of
equipment.
Monitor
Endo-therapy
accessories
Video system center
Light source
Suction pump
Videoscope cable
Biopsy valve
Mouthpiece
Suction valve
Endoscope
• Paper towels
• Trays
• Lint-free cloths
• Personal protective equipment
Figure 3.1
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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 its companion
reprocessing manual. Then remove the water-resistant cap from the endoscope
connector.
Inspection of the endoscope
1.
Inspect the control section and the endoscope connector for excessive
scratching, deformation, loose parts or other irregularities.
2.
Confirm that the instrument channel port does not rotate or turn by
attempting to rotate or turn the instrument channel port in a
counterclockwise direction as shown in Figure 3.2. If the instrument channel
port is able to be rotated or turned, do not use the endoscope and return it to
Olympus for repair.
Figure 3.2
3.
Visually inspect the rubber part around the instrument channel port. Figure
3.3 depicts the rubber part in a normal and abnormal condition. Lifting of the
rubber part is abnormal. If the rubber part is lifted from the molding part as
shown in Figure 3.3, (abnormal condition) do not use the endoscope and
return it to Olympus for repair.
The rubber
part lifted
Abnormal
(The rubber part lifted)
Rubber part
Normal
Figure 3.3
4.
22
Inspect the boot and the insertion tube near the boot for bends, twists or
other irregularities.
BF TYPE F260 OPERATION MANUAL