OLYMPUS

OLYMPUS Scopes Broncho System

BF-series BRONCHOVIDEOSCOPE Operation Manual Oct 2013

Operation Manual

103 Pages

File Type: PDF

File Size: 4MB

File Name: bf-series_bronchovideoscope_operation_manual_oct_20.pdf

Available for download

Page 1

OPERATION MANUAL

INSTRUCTIONS

Symbols

Important Information — Please Read Before

Use

Chapter 1

Checking the Package Contents

EVIS LUCERA ELITE BRONCHOVIDEOSCOPE

Chapter 2

Instrument Nomenclature and

Specifications

OLYMPUS BF-XP290

OLYMPUS BF-P290

OLYMPUS BF-Q290

OLYMPUS BF-H290

OLYMPUS BF-1TQ290

Chapter 3

Preparation and Inspection

Chapter 4

Operation

Chapter 5

Troubleshooting

Appendix

Refer to the endoscope’s companion manual, the “REPROCESSING MANUAL” with your

endoscope model listed on the cover, for reprocessing information.

Page 3

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 .......................................................................................................... 6

Precautions for disappeared or frozen endoscopic image ................................................... 11

Examples of inappropriate handling .................................................................................... 12

Chapter 1 Checking the Package Contents ....................................... 13

1.1

Checking the package contents ............................................................................ 13

Packaged items for Europe, Middle East, and Africa .......................................................... 14

Packaged items for countries other than Europe, Middle East, and Africa ......................... 15

Chapter 2 Instrument Nomenclature and Specifications .................. 17

2.1

Nomenclature and functions ................................................................................. 17

Control section, insertion section ......................................................................................... 18

Endoscope connector .......................................................................................................... 22

2.2

Specifications ......................................................................................................... 24

Environment ........................................................................................................................ 24

Specifications ....................................................................................................................... 24

Chapter 3 Preparation and Inspection ................................................ 29

3.1

The workflow of preparation and inspection ....................................................... 29

3.2

Preparation of the equipment ................................................................................ 31

3.3

Inspection of the endoscope ................................................................................. 32

Inspection of the endoscope ................................................................................................ 32

Inspection of the bending mechanism ................................................................................. 35

Inspection of the insertion tube rotation mechanism ........................................................... 37

3.4

Inspection of accessories ..................................................................................... 38

Inspection of the suction valve (MAJ-207) or single use suction valve (MAJ-209) ..............

Inspection of the biopsy valve (MD-495) .............................................................................

Inspection of the single use biopsy valve (MAJ-210) ...........................................................

Inspection of the mouthpiece (MA-651) ...............................................................................

BF-290 Series OPERATION MANUAL

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Contents

3.5

Attaching accessories to the endoscope ............................................................. 42

Attaching the suction valve (MAJ-207) or the single use suction valve (MAJ-209) ............. 42

Attaching the biopsy valve (MD-495) or single use biopsy valve (MAJ-210) ....................... 43

3.6

Inspection of ancillary equipment ........................................................................ 44

3.7

Connection of the endoscope and ancillary equipment ..................................... 44

Connection to the light source ............................................................................................. 44

Connection of the suction tube ............................................................................................ 45

3.8

Inspection of the endoscopic system .................................................................. 46

Inspection summary ............................................................................................................

Inspection of the ancillary equipment ..................................................................................

Inspection of the endoscopic image ....................................................................................

Inspection of the remote switches .......................................................................................

Inspection of the water feeding function ..............................................................................

Inspection of the suction function ........................................................................................

Inspection of the instrument channel ...................................................................................

Chapter 4 Operation ............................................................................. 53

4.1

Precautions ............................................................................................................. 53

4.2

Insertion .................................................................................................................. 56

Holding and manipulating the endoscope ...........................................................................

Insertion of the endoscope ..................................................................................................

Observation of the endoscopic image .................................................................................

Angulation of the distal end .................................................................................................

Operation of the insertion tube rotation ...............................................................................

Feeding fluids ......................................................................................................................

Suction .................................................................................................................................

4.3

Using EndoTherapy accessories .......................................................................... 62

Insertion of EndoTherapy accessories into the endoscope .................................................

Operation of EndoTherapy accessories ..............................................................................

Withdrawal of EndoTherapy accessories ............................................................................

High-frequency cauterization treatment ...............................................................................

Argon plasma coagulation (APC) ........................................................................................

Laser cauterization ..............................................................................................................

Ultrasonic observation .........................................................................................................

Bronchoalveolar lavage .......................................................................................................

4.4

Withdrawal of the endoscope ................................................................................ 73

4.5

Transportation of the endoscope .......................................................................... 74

Transporting within the hospital ........................................................................................... 74

Transporting outside the hospital ......................................................................................... 74

BF-290 Series OPERATION MANUAL

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Contents

Chapter 5 Troubleshooting .................................................................. 75

5.1

Troubleshooting ..................................................................................................... 75

5.2

Troubleshooting guide ........................................................................................... 76

Image quality or brightness .................................................................................................

Water feeding ......................................................................................................................

Suction .................................................................................................................................

EndoTherapy accessories ...................................................................................................

Others ..................................................................................................................................

5.3

Withdrawal of the endoscope with an irregularity .............................................. 80

Withdrawal when the WLI and NBI endoscopic images appear on the monitor .................. 80

Withdrawal when either the WLI or the NBI endoscopic image does not appear

on the monitor ...................................................................................................................... 81

Withdrawal when no endoscopic image appears on the monitor or a frozen image

cannot be restored ............................................................................................................... 81

5.4

Returning the endoscope for repair ..................................................................... 82

Appendix ................................................................................................. 83

Combination equipment .................................................................................................. 83

System chart ........................................................................................................................ 83

Reprocessing equipment ..................................................................................................... 85

Compatible EndoTherapy accessories ................................................................................ 86

EMC information .............................................................................................................. 92

BF-290 Series OPERATION MANUAL

iii

Page 6

Contents

BF-290 Series OPERATION MANUAL

Page 7

Symbols

The meaning(s) of the symbol(s) shown on the component packaging, the back cover of the instruction

manual, and/or the instrument are as follows:

Symbol

Description

Refer to instructions.

Caution

Endoscope

TYPE BF applied part

Single use only

Lot number

Use by (expiration date)

Sterilization lot number

Sterilized using irradiation

Manufacturer

Authorized representative in the European Community

Serial number

BF-290 Series OPERATION MANUAL

Page 8

Important Information — Please Read Before Use



Intended use

This instrument is intended to be used with an Olympus video system center, light source,

documentation equipment, monitor, EndoTherapy accessories (such as a biopsy forceps), and other

ancillary equipment for endoscopy and endoscopic surgery.

This instrument is indicated for use within the airways and tracheobronchial tree.

Do not use this instrument for any purpose other than its intended use.

Select the endoscope to be used according to the objective of the intended procedure based on the full

understanding of the endoscope’s specifications and functionality as described in this instruction

manual.



Applicability of endoscopy and endoscopic treatment

If there are official standards on the applicability of endoscopy and endoscopic treatment that are

defined by the hospital’s administrations or other official institutions, such as academic societies on

endoscopy, follow those standards. Before starting endoscopy and endoscopic treatment, thoroughly

evaluate its properties, purposes, effects, and possible risks (their nature, extent, and probability).

Perform endoscopy and endoscopic treatment only when its potential benefits are greater than its

risks.

Fully explain to the patient the potential benefits and risks of the endoscopy and endoscopic treatment

as well as any examination/treatment methods that can be performed in its place, and perform the

endoscopy and endoscopic treatment only after obtaining the consent of the patient.

Even after starting the endoscopy and endoscopic treatment, continue to evaluate the potential

benefits and risks, and immediately stop the endoscopy/treatment and take proper measures if the

risks to the patient become greater than the potential benefits.

BF-290 Series OPERATION MANUAL

Page 9

Important Information — Please Read Before Use



Instruction manual

This instruction manual contains essential information on using this instrument safely and effectively.

Before use, thoroughly review this manual and the manuals of all equipment that will be used during

the procedure and use the equipment as instructed.

Note that the complete instruction manual set for this endoscope consists of this manual and the

“REPROCESSING MANUAL” with your endoscope model listed on the cover. It also accompanied the

endoscope at shipment.

Keep this and all related instruction manuals in a safe, accessible location.

If you have any questions or comments about any information in this manual, contact Olympus.

 Terms used in this manual

NBI (Narrow Band Imaging) observation:

This is optical-digital observation using narrowband light.

Normal light observation (or WLI (White Light Imaging) observation):

This is observation using RGB illumination.

Image sensor:

The image sensor is a device that converts light into electrical signals.



User qualifications

If there are official standards for user qualifications to perform endoscopy and endoscopic treatment

that are defined by the hospital’s medical administrators or other official institutions, such as academic

societies on endoscopy, follow those standards. If there are no official qualification standards, the

operator of this instrument must be a physician approved by the medical safety manager of the

hospital or person in charge of the department (department of internal medicine, etc.).

The physician should be capable of safely performing the planned endoscopy and endoscopic

treatment following guidelines set by the academic societies on endoscopy, etc., and considering the

difficulty of endoscopy and endoscopic treatment. This manual does not explain or discuss endoscopic

procedures.

BF-290 Series OPERATION MANUAL

Page 10

Important Information — Please Read Before Use



Instrument compatibility

Refer to “Combination equipment” on page 83 to confirm that this instrument is compatible with the

ancillary equipment being used. Using incompatible equipment can result in patient or operator injury

and/or equipment damage.

This instrument complies with the EMC standard for medical electrical equipment, edition 2

(IEC 60601-1-2: 2001) and edition 3 (IEC 60601-1-2: 2007). However, when connected with an

instrument that complies with the EMC standard for medical electrical equipment, edition 1

(IEC 60601-1-2: 1993), the whole system complies with edition 1.



Reprocessing before the first use/reprocessing and

storage after use

This instrument was not reprocessed before shipment. Before using this instrument for the first time,

reprocess it according to the instructions given in the endoscope’s companion “REPROCESSING

MANUAL” with your endoscope model listed on the cover.

After using this instrument, reprocess and store it according to the instructions given in the

endoscope’s companion reprocessing manual. Improper and/or incomplete reprocessing or storage

can pose an infection control risk, cause equipment damage, or reduce performance.



Spare equipment

Be sure to prepare another endoscope to avoid interruption of the examination due to equipment

failure or malfunction.



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 following regulations, guidelines, etc. required of

you. An endoscope with an observed irregularity should not be used, but should be inspected by

following Section 5.2, “Troubleshooting guide”. If the irregularity is still observed after inspection,

contact Olympus.

BF-290 Series OPERATION MANUAL

Page 11

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 may result.

Equipment that has been disassembled, repaired, altered, changed, or modified by persons other than

Olympus’ own authorized service personnel is excluded from Olympus’ limited warranty and is not

warranted by Olympus in any manner.



Signal words

The following signal words are used throughout this manual:

WARNING

Indicates a potentially hazardous situation which, if not avoided, could result in

death or serious injury.

CAUTION

Indicates a potentially hazardous situation which, if not avoided, may result in minor

or moderate injury. It may also be used to alert against unsafe practices or potential

equipment damage.

NOTE

Indicates additional helpful information.

BF-290 Series OPERATION MANUAL

Page 12

Important Information — Please Read Before Use



Warnings and cautions

Follow the warnings and cautions given below when handling this endoscope. This information is to be

supplemented by the warnings and cautions given in each chapter.

WARNING

• After using this endoscope, reprocess and store it according to the instructions

given in the endoscope’s companion “REPROCESSING MANUAL” with your

endoscope model listed on the cover. Using improperly or incompletely

reprocessed or stored instruments may cause patient cross-contamination and/or

infection.

• Before endoscopy, remove any metallic objects (watch, glasses, necklace, etc.)

from the patient. Performing high-frequency cauterization treatment while the

patient is wearing metallic objects may cause burns on the patient in areas around

the metallic objects.

• Do not strike, hit, or drop the endoscope’s distal end, insertion tube, bending

section, control section, universal cord, or endoscope connector. Also, do not bend,

pull, or twist the endoscope’s distal end, insertion tube, bending section, control

section, universal cord, or endoscope connector with excessive force. The

endoscope may be damaged and could cause patient injury, burns, bleeding,

and/or perforations. It could also cause parts of the endoscope to fall off inside the

patient.

• Never perform angulation control forcibly or abruptly. Never forcefully pull, twist, or

rotate the angulated bending section. Patient injury, bleeding, and/or perforation

may result. It may also become impossible to straighten the bending section during

an examination.

• Never insert or withdraw the endoscope’s insertion section while the bending

section is locked in position. Patient injury, bleeding, and/or perforation may result.

• Never operate the bending section, perform suction, insert or withdraw the

endoscope’s insertion section, rotate the insertion section, or use EndoTherapy

accessories while no endoscopic image is observed or the endoscopic image is

frozen. Patient injury, bleeding, and/or perforation may result.

• Never insert, withdraw, or rotate the endoscope’s insertion section with excessive

force or while an optimum field of view cannot be obtained. Patient injury, bleeding,

and/or perforation may result. If it is difficult to insert the endoscope, do not forcibly

insert the endoscope; stop the endoscopy. Forcible insertion can result in patient

injury, bleeding, and/or perforation.

• Never insert or withdraw the insertion section abruptly or with excessive force.

Patient injury, bleeding, and/or perforation may result.

BF-290 Series OPERATION MANUAL

Page 13

Important Information — Please Read Before Use

WARNING

• Do not touch the light guide on the endoscope connector immediately after

removing it from the light source because it is extremely hot. Operator or patient

burns can result.

• 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 through improper

usage. Observe the following warnings for illumination.

 Always set the minimum required brightness. The brightness of the image on a

monitor may differ from the actual brightness at the distal end of the endoscope.

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 the

automatic brightness control function. This function can better maintain the

illumination level. Refer to the instruction manual for the light source and the

video system center for further details.

 Always maintain a suitable distance necessary for adequate viewing while using

the minimum level of illumination for the minimum amount of time. Do not use

close stationary viewing or leave the distal end of the endoscope close to the

mucous membrane for a long time without necessity.

 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.

• Do not connect the endoscope connector while the electrical contacts are wet

and/or dirty, which may result in an electric shock, causing severe damage to the

endoscope and compromising patient and/or operator safety.

• If the endoscopic image becomes dimmer during the procedure, it may indicate that

blood or mucus is adhering to the light guide lens on the distal end of the

endoscope or that the light guide lens has been discolored. Immediately withdraw

the endoscope from the patient, remove blood or mucus, and confirm that the light

guide lens has no irregularities to use it again. If you continue to use the endoscope

with its obstructed or discolored light guide lens, the temperature at the distal end

may rise, which may cause patient injury or operator and/or patient burns.

• When the endoscopic image does not appear on the monitor, the image sensor

may have been damaged. Turn the video system center OFF immediately.

Continued power supply in such a case will cause the distal end to become hot and

could cause operator and/or patient burns.

• Do not rely on the NBI observation mode alone for primary detection of lesions or to

make a decision regarding any potential diagnostic or therapeutic intervention.

BF-290 Series OPERATION MANUAL

Page 14

Important Information — Please Read Before Use

WARNING

• When performing transnasal insertion with the endoscope, follow the warnings

below.

 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 by considering both

the size of the patient’s nasal cavity as well as the size of the endoscope’s

insertion section. Patient injury can result or the endoscope could become

lodged and difficult to withdraw.

 Transnasal insertion is accompanied by the risk of inflammation of the nasal

cavity. If this happens, the nasal passage will be constricted, making it more

difficult to withdraw the endoscope. In this case, do not use force to withdraw

the endoscope because patient injury, bleeding, and/or perforation may result.

 Transnasal insertion is accompanied by the risk of bleeding in the nasal cavity.

Be sure to be prepared to deal with any bleeding. When withdrawing the

endoscope, observe the inside of the nasal cavity to ensure that there is no

bleeding. Even when the endoscope has been withdrawn without bleeding, do

not allow the patient to blow his or her nose strongly because this could cause it

to start bleeding.

 Before transnasal insertion, apply the appropriate pretreatment and lubrication

to the patient to enlarge the nasal cavity. Otherwise, patient injury can result or

the endoscope could become lodged and difficult to withdraw. When applying a

pretreatment agent through a tube, insert the tube into the same path as the

path planned for the endoscope’s insertion. Otherwise, the treatment will have

no effect. The effects of the pretreatment agent and lubricant will decrease the

longer the procedure lasts. Apply the pretreatment agent or lubricant as

required during the procedure – for example, when withdrawal seems to be

difficult.

 Transnasal insertion of the endoscope should be performed carefully. If

resistance to insertion is felt, or the patient reports pain, stop the insertion

immediately. Patient injury can result or the endoscope could become lodged

and difficult to withdraw.

 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.

• When using the electronic zoom function of the video system center, never insert or

withdraw the endoscope the endoscope’s insertion section or use EndoTherapy

accessories while the image is electronically zoomed. Patient injury, bleeding,

and/or perforation can result.

BF-290 Series OPERATION MANUAL

Page 15

Important Information — Please Read Before Use

WARNING

• The bending section will only bend to the UP or DOWN direction. To insert or

withdraw, operate the endoscope by considering the direction in which the bending

section is angulated. Never apply excessive force to the RIGHT or LEFT direction

when inserting or withdrawing the endoscope. Patient injury, bleeding, and/or

perforation can result.

CAUTION

• Do not pull the universal cord during an examination. The endoscope connector will

be pulled out from the output socket of the light source and the endoscopic image

will disappear.

• Do not coil the insertion tube or universal cord with a diameter of less than 12 cm.

Equipment damage may result.

• Do not attempt to bend or twist the endoscope’s insertion section with excessive

force. The insertion section may be damaged.

• Do not apply shock to the distal end of the insertion section, in particular the

objective lens surface at the distal end. Visual abnormalities may result.

• If the endoscope is dropped or the distal end of the endoscope receives a hard

impact, the endoscope may be damaged even if no visible damage of the lens on

the distal end can be found. In this case, stop using the endoscope, and contact

Olympus.

• Do not twist or bend the bending section with your hands. Equipment damage may

result.

• Do not squeeze the bending section forcefully. The covering of the bending section

may stretch or break and cause water leakage.

• Do not put or press the endoscope connector on the insertion section when

transporting or reprocessing. The insertion section may be damaged.

• Turn the video system center ON only when the endoscope connector is connected

to the light source. In particular, confirm that the video system center is OFF before

connecting or disconnecting the endoscope connector. Failure to do so can result

in equipment damage, including destruction of the image sensor.

• The endoscope’s remote switches cannot be removed from the control section.

Pressing, pulling, or twisting them with excessive force can break the switches

and/or cause water leakage.

• Do not hit or bend the electrical contacts on the endoscope connector. The

connection to the light source may be impaired and a faulty contact can result.

BF-290 Series OPERATION MANUAL

Page 16

Important Information — Please Read Before Use

CAUTION

• Electromagnetic interference may occur on this endoscope near equipment

marked with the following symbol or other portable and mobile RF (Radio

Frequency) communications equipment, such as cellular phones. If

electromagnetic interference occurs, mitigation measures may be necessary, such

as reorienting or relocating this endoscope, or shielding the location.

• When using an endotracheal tube with the endoscope, select the tube that gives a

sufficient gap between the insertion section of the endoscope and itself. A narrow

gap may make it difficult for a patient to breathe and/or damage the endoscope.

• Before inserting the endoscope with an endotracheal tube into the patient, confirm

that the insertion section of the endoscope can be inserted into the endotracheal

tube smoothly by running it back and forth over the entire length of the insertion

section and that the tube does not damage the endoscope. Any protrusions may

damage the bending section cover or strip the external surface of the insertion

section. When using lubrication, make above confirmation before applying

lubrication.

• To check the electromagnetic interference from other equipment (any equipment

other than this endoscope or the components that constitute this system), the

system should be observed to verify its normal operation in the configuration in

which it will be used.

NOTE

• This endoscope contains a memory chip that stores information about the

endoscope and communicates this information to the video system center CV-290.

• When the endoscope gets strong static electricity, noise may be observed in the

endoscopic image. This does not indicate a malfunction.

BF-290 Series OPERATION MANUAL

Page 17

Important Information — Please Read Before Use



Precautions for disappeared or frozen endoscopic image

WARNING

• If the endoscopic image disappears unexpectedly or the frozen image cannot be

restored during an examination, immediately stop using the endoscope and

withdraw it from the patient as described in Section 5.3, “Withdrawal of the

endoscope with an irregularity”. Continued use of the endoscope under this

condition could result in patient injury, bleeding, and/or perforation.

• Follow the precautions given below. Otherwise, the endoscopic image may

disappear unexpectedly or the frozen image may not be restored during the

examination.

 Connect the endoscope connector to the light source completely by pushing the

endoscope connector until it clicks. Otherwise, a faulty contact can result.

 Do not bend, hit, pull, or twist the insertion section, bending section, control

section, universal cord, and endoscope connector. The endoscope may be

damaged, and water leakage and/or breakage of internal parts like the image

sensor cable can result.

 Before connecting the endoscope connector to the light source, confirm that the

endoscope connector, including the electrical contacts, is completely dry and

clean. If the endoscope is used with the electrical contacts wet and/or dirty, the

endoscope and light source may malfunction.

 If air bubbles emerge from the endoscope continuously during the leakage test,

do not use the endoscope. Water may enter the endoscope and cause a short

circuit. This may result in image sensor damage.

 When inserting the endoscope through the mouth, place the mouthpiece

(MA-651) in the patient’s mouth as necessary before inserting the endoscope to

prevent the patient from accidentally biting the insertion section. Biting the

insertion section may result in a break in the cable or malfunction of the light

guide.

BF-290 Series OPERATION MANUAL

Page 18

Important Information — Please Read Before Use



Examples of inappropriate handling

Details on clinical endoscopic technique are the responsibility of trained specialists. Patient safety in

endoscopic examinations and endoscopic treatment can be ensured through appropriate handling by

the physician and the medical facility. Examples of inappropriate handling are described below.

• Applying 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 angle of

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. Retroflexed observation should be

performed only when the usefulness of doing so is determined to be greater than the risk that

is posed to the patient.

• Inserting, withdrawing, and using EndoTherapy accessories without a clear endoscopic

image may cause patient injury, burns, bleeding, and/or perforation.

• Inserting or withdrawing the endoscope, rotating the insertion section, applying suction, or

operating the bending section without a clear endoscopic image may cause patient injury,

bleeding, and/or perforation.

BF-290 Series OPERATION MANUAL

Page 19

1.1 Checking the package contents

Chapter 1

1.1

Checking the Package

Contents

Ch.1

Checking the package contents

Match all items in the package with the components shown below. Inspect each item for damage. If the

endoscope is damaged, a component is missing, or you have any questions, do not use the items;

immediately contact Olympus.

 Endoscope

BF-XP290, BF-P290

BF-Q290, BF-H290, BF-1TQ290

BF-290 Series OPERATION MANUAL

Page 20

1.1 Checking the package contents



Packaged items for Europe, Middle East, and Africa

 Accessories

Ch.1

Mouthpiece (MA-651, 2 pcs)

Sterilization cap (MAJ-1538)

Suction cleaning adapter

(MAJ-222)

Single use biopsy valve

(MAJ-210, 20 pcs (1 box))

Single use suction valve

(MAJ-209, 20 pcs (1 box))

Single use combination cleaning

brush (BW-411B, 3 pcs)

Single use single-ended

cleaning brush

(BW-400B, 3 pcs for BF-XP290)

Operation manual

Reprocessing manual

BF-290 Series OPERATION MANUAL

Page 21

1.1 Checking the package contents



Packaged items for countries other than Europe, Middle

East, and Africa

 Accessories

Ch.1

Mouthpiece (MA-651, 2 pcs)

Sterilization cap (MAJ-1538)

Suction cleaning adapter

(MAJ-222)

Biopsy valve

(MD-495, 10 pcs (1 set))

Suction valve

(MAJ-207, 10 pcs (1 set))

Channel cleaning brush

(BW-15B except BF-XP290)

Channel-opening cleaning brush

(MH-507)

Suction connector cleaning brush

(BW-15SH for BF-XP290)

Single use single-ended

cleaning brush

(BW-400B, 3 pcs for BF-XP290)

Operation manual

Reprocessing manual

BF-290 Series OPERATION MANUAL

Page 22

1.1 Checking the package contents

Ch.1

BF-290 Series OPERATION MANUAL

Page 23

2.1 Nomenclature and functions

Chapter 2

Instrument Nomenclature

and Specifications

The instrument nomenclature, functions, and specifications are described in this chapter.

2.1

Nomenclature and functions

BF-290 Series OPERATION MANUAL

Ch.2

Page 24

2.1 Nomenclature and functions



Control section, insertion section

Ch.2

Insertion tube rotation ring

Top view

BF-290 Series OPERATION MANUAL

Page 25

2.1 Nomenclature and functions

No.

Nomenclature

Description

UP/DOWN angulation

control lever

When this lever is operated in the “U” direction, the bending section moves UP;

when the lever is operated in the “D” direction, the bending section moves DOWN.

Single use suction

valve (MAJ-209) or

suction valve

(MAJ-207)

The suction valve is depressed to activate suction. The valve is also used to remove

any fluid or debris adhering to the objective lens.

Control section

Operates the endoscope, such as controlling angulation.

Single use biopsy valve This valve is attached to the instrument channel port, and an EndoTherapy

(MAJ-210) or

accessory can be inserted or a syringe can be attached.

biopsy valve (MD-495)

Instrument channel

inlet

Ch.2

An EndoTherapy accessory can be inserted into this port. The instrument channel

inlet is connected to the instrument channel outlet on the distal end via the

instrument channel.

The instrument channel functions are as follows:

• Channel for the insertion of EndoTherapy accessories

• Suction channel

• Fluid feed channel (from a syringe via the biopsy valve)

Instrument channel

port

Attach the biopsy valve to this port.

Color code

This color code and numeral show the compatibility of EndoTherapy accessories.

• White: BF-XP290

• Blue: BF-P290, BF-Q290, BF-H290

• Yellow: BF-1TQ290

The endoscope can be used with EndoTherapy accessories that have the same

color code. For more information on combining the endoscope with particular

EndoTherapy accessories, refer to “Combination equipment” on page 83 and the

instruction manuals for the compatible accessories.

Boot

Protects the junction between the insertion tube and control section from bending.

Insertion section

This section is inserted into the patient body cavity. It can be rotated to the left and

right at angles up to 120 respectively on the control section by rotating the insertion

tube rotation ring.

Distal end

The objective lens and light guide lens are on this distal end.

Bending section

The bending section moves the distal end of the endoscope when the UP/DOWN

angulation control lever is operated.

Insertion tube

Connects the control section and bending section.

Remote switches 1 to 4 The functions of the remote switches 1 to 4 can be selected on the video system

center. Refer to the instruction manual for the video system center when setting

these functions.

Suction cylinder

Attach the suction valve to this cylinder.

BF-290 Series OPERATION MANUAL

Page 26

2.1 Nomenclature and functions

Ch.2

Insertion tube rotation ring

Top view

BF-290 Series OPERATION MANUAL

OLYMPUS

OLYMPUS Scopes Broncho System

BF-series BRONCHOVIDEOSCOPE Operation Manual Oct 2013

Available for download in the BioClinical Services library

If you already belong to a hospital with access, please login via your intranet.

bf-series_bronchovideoscope_operation_manual_oct_20.pdf

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