cv-290_evis_lucera_elite_instructions_may_2013.pdf
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INSTRUCTIONS
EVIS LUCERA ELITE VIDEO SYSTEM CENTER
Labels and Symbols
1
Important Information — Please Read Before
Use
3
Summary of Equipment Functions
12
Chapter 1
Checking the Package Contents
15
Chapter 2
Nomenclature and Functions
17
Chapter 3
Installation and Connection
35
Chapter 4
Function setup
99
Chapter 5
Inspection
197
Chapter 6
Operation
213
Chapter 7
Function
235
Chapter 8
Care, Storage, and Disposal
333
Chapter 9
Troubleshooting
335
OLYMPUS CV-290
Appendix
357
for 220 – 240 V
models only
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Contents
Contents
Labels and Symbols .......................................................................................................... 1
Important Information — Please Read Before Use ......................................................... 3
Intended use ..........................................................................................................................
Applicability of endoscopy and endoscopic treatment ...........................................................
Instruction manual .................................................................................................................
User qualifications .................................................................................................................
Instrument compatibility .........................................................................................................
Repair and modification .........................................................................................................
Signal words ..........................................................................................................................
Dangers, warnings, and cautions ..........................................................................................
3
3
4
7
7
7
8
8
Summary of Equipment Functions ................................................................................ 12
Displaying the endoscopic images on the monitor ..............................................................
Optical-digital observations ..................................................................................................
Adjusting the endoscopic images ........................................................................................
Recording images ................................................................................................................
Entering patient data ............................................................................................................
Customizing the operations .................................................................................................
Operation of ancillary equipment .........................................................................................
12
12
13
13
14
14
14
Chapter 1 Checking the Package Contents ....................................... 15
1.1
Checking the package contents ............................................................................ 15
Chapter 2 Nomenclature and Functions ............................................ 17
2.1
Symbols and descriptions ..................................................................................... 17
2.2
Front panel .............................................................................................................. 20
2.3
Rear panel ............................................................................................................... 22
2.4
Keyboard ................................................................................................................. 24
2.5
Side panels .............................................................................................................. 30
2.6
Videoscope cable EVIS LUCERA ELITE (MAJ-1911) ........................................... 31
2.7
Monitor .................................................................................................................... 32
Endoscopic image screen ................................................................................................... 32
Setting display (e.g.) ............................................................................................................ 34
Chapter 3 Installation and Connection ............................................... 35
3.1
Precautions for installation and connection ........................................................ 35
3.2
Installation workflow .............................................................................................. 36
3.3
Installation of the equipment ................................................................................. 37
Installation on the mobile workstation (WM-NP2, WM-DP2, WM-NP1, WM-DP1,
or WM-WP1) ........................................................................................................................ 38
Installation in another location ............................................................................................. 39
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3.4
Fitting of accessories ............................................................................................. 40
Scope cable holder (MAJ-1466) .......................................................................................... 40
White cap set (MAJ-941) ..................................................................................................... 41
3.5
Connection of the light source .............................................................................. 43
Compatible light sources ..................................................................................................... 43
CLV-290SL, CLV-290 ........................................................................................................... 43
CLV-260SL, CLV-260NBI, CLV-260 ..................................................................................... 45
3.6
Connection of the monitor ..................................................................................... 46
Compatible monitors ............................................................................................................
OEV261H ............................................................................................................................
OEV191H ............................................................................................................................
OEV181H ............................................................................................................................
OEV191 ...............................................................................................................................
46
46
48
52
54
3.7
Connection of the keyboard .................................................................................. 56
3.8
Connection of the video recorder (DVR) .............................................................. 57
Compatible video recorders .................................................................................................
IMH-20 .................................................................................................................................
IMH-10 .................................................................................................................................
Other DVRs .........................................................................................................................
3.9
57
58
60
62
Connection of the video printer ............................................................................ 65
Compatible video printers ....................................................................................................
OEP-5 ..................................................................................................................................
OEP-4 ..................................................................................................................................
OEP-3 ..................................................................................................................................
Another video printer ...........................................................................................................
65
66
68
70
72
3.10 Connection of endoscope position detecting unit .............................................. 74
Compatible endoscope position detecting units .................................................................. 74
UPD-3 .................................................................................................................................. 74
UPD ..................................................................................................................................... 76
3.11 Connection of the ultrasound center .................................................................... 78
Compatible ultrasound centers ............................................................................................
EU-ME1 ...............................................................................................................................
EU-M2000 ...........................................................................................................................
EU-M30S .............................................................................................................................
EU-C2000 ............................................................................................................................
78
78
80
82
83
3.12 Connection of the foot switch ............................................................................... 84
3.13 Connection of the flushing pump ......................................................................... 85
Compatible flushing pumps ................................................................................................. 85
3.14 Connection of the server ....................................................................................... 86
3.15 Connection of equipment having the LINK-IN and LINK-OUT terminals ........... 87
CLV-290SL, CLV-290 ........................................................................................................... 88
CLV-260SL, CLV-260NBI, CLV-260 ..................................................................................... 90
3.16 Installation of the CV interface converter (MAJ-1916) ........................................ 92
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3.17 Connection to the AC mains power supply ......................................................... 95
When the mobile workstation (WM-NP2, WM-DP2, WM-NP1, WM-DP1, or WM-WP1)
is used ................................................................................................................................ 96
When a mobile workstation other than the WM-NP2, WM-DP2, WM-NP1, WM-DP1, or
WM-WP1 is used or when no mobile workstation is used ................................................... 97
Chapter 4 Function setup .................................................................... 99
4.1
Setup list ................................................................................................................. 99
4.2
Basic operation of the system setup .................................................................. 100
Displaying the system setup screen ..................................................................................
Editing the system setup ...................................................................................................
Saving the system setup to the portable memory ..............................................................
Loading the system setup from the portable memory ........................................................
4.3
100
103
105
106
System setup (system) ........................................................................................ 107
“Date/comment” tab ........................................................................................................... 108
“Operation” tab ................................................................................................................... 110
“Record setting” tab ............................................................................................................ 112
“Printer” tab ......................................................................................................................... 114
“Output format” tab ............................................................................................................. 116
“PIP/NR” tab ....................................................................................................................... 118
“Release time H” tab ........................................................................................................... 119
“Release time S” tab .......................................................................................................... 121
4.4
System setup (Peripheral settings) .................................................................... 122
“Peripheral (1)” tab ............................................................................................................ 123
“Peripheral (2)” tab ............................................................................................................ 127
4.5
Basic operation of the user settings .................................................................. 129
Displaying the user settings screen ...................................................................................
Editing and newly registering user settings .......................................................................
Deleting the user settings ..................................................................................................
Saving the user settings to the portable memory ..............................................................
Loading the user settings from the portable memory ........................................................
4.6
User settings (basic setup) ................................................................................. 144
“Release 1” tab ..................................................................................................................
“Release 2” tab ..................................................................................................................
“PIP/POP” tab ....................................................................................................................
“Enhancement” tab ............................................................................................................
“Color enhance” tab ...........................................................................................................
“Contrast/IHb” tab ..............................................................................................................
“Observation 1” tab ............................................................................................................
“Observation 2” tab ............................................................................................................
4.7
129
131
135
136
140
145
146
147
149
151
152
153
155
User settings (switch presets) ............................................................................ 159
“Scope switch” tab .............................................................................................................
“Front panel” tab ................................................................................................................
“Keyboard” tab ...................................................................................................................
“Foot switch” tab ................................................................................................................
Setting value of custom switch function .............................................................................
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161
162
163
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4.8
User settings (OSD customization) ..................................................................... 167
“OSD” tab ..........................................................................................................................
“Custom disp 1” tab ...........................................................................................................
“Custom disp 2” tab ...........................................................................................................
“Custom disp 3” tab ...........................................................................................................
4.9
167
170
171
172
User settings (UPD) .............................................................................................. 173
“Model” tab ........................................................................................................................ 173
“View” tab .......................................................................................................................... 175
“Screen” tab ....................................................................................................................... 177
4.10 User settings (color tone) .................................................................................... 178
4.11 Security settings for administrators ................................................................... 179
Basic operation of the security settings .............................................................................
“Account” tab .....................................................................................................................
“User” tab ...........................................................................................................................
“Target menu” tab ..............................................................................................................
“Admin” tab ........................................................................................................................
179
182
183
184
185
4.12 Secure user registration ...................................................................................... 186
Displaying the user ID .......................................................................................................
Editing and registering new user IDs .................................................................................
Deleting a user ID ..............................................................................................................
Saving a user ID to the portable memory ..........................................................................
Loading the user ID from the portable memory .................................................................
186
189
191
191
193
4.13 Password ............................................................................................................... 194
Chapter 5 Inspection .......................................................................... 197
5.1
Precautions of inspection .................................................................................... 197
5.2
Inspection workflow ............................................................................................. 198
5.3
Inspection of the power supply ........................................................................... 199
5.4
Inspection of the examination light .................................................................... 200
5.5
Monitor display inspection .................................................................................. 200
5.6
Inspection of the automatic brightness adjustment function .......................... 201
5.7
Inspection of the monitor display ....................................................................... 202
5.8
Inspection of the freeze function ........................................................................ 203
5.9
Inspection of the release function ...................................................................... 204
5.10 Inspection of the PIP/POP function .................................................................... 204
5.11 Inspection of the custom switches ..................................................................... 205
5.12 Inspection of the optical-digital observation function ...................................... 205
Confirming the available observation mode ......................................................................
Inspection of NBI observation ............................................................................................
Inspection of AFI observation ............................................................................................
Inspection of IRI observation .............................................................................................
206
208
209
210
5.13 Inspection of power off ........................................................................................ 211
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Chapter 6 Operation ........................................................................... 213
6.1
Precautions for operation .................................................................................... 213
6.2
Operation workflow .............................................................................................. 215
6.3
Connection of an endoscope .............................................................................. 216
EVIS 290 series videoscope .............................................................................................. 217
EVIS Videoscope except for EVIS 290 series and ultrasound videoscope ....................... 218
6.4
Turning the video system center and the ancillary equipment ON ................. 219
6.5
White balance adjustment ................................................................................... 220
6.6
AFI color balance adjustment ............................................................................. 222
6.7
Call of user settings ............................................................................................. 226
6.8
Patient data ........................................................................................................... 229
Entering patient data .......................................................................................................... 229
Editing and deleting patient data ....................................................................................... 231
6.9
Observation and recording of the endoscopic image ...................................... 232
6.10 Termination of the operation ............................................................................... 232
Chapter 7 Function ............................................................................. 235
7.1
Basic operation of the menu list ......................................................................... 235
7.2
Logging in ............................................................................................................. 237
7.3
Brightness adjustment ........................................................................................ 238
Iris mode ............................................................................................................................ 238
Brightness .......................................................................................................................... 239
Automatic gain control (AGC) ............................................................................................ 240
7.4
Image enhancement ............................................................................................. 241
Image enhancement ..........................................................................................................
Color enhancement mode .................................................................................................
Contrast mode ...................................................................................................................
Noise reduction ..................................................................................................................
7.5
241
243
244
245
Color tone adjustment ......................................................................................... 245
Color tone level adjustment ............................................................................................... 245
7.6
Zooming the image .............................................................................................. 247
Electronic zoom function ................................................................................................... 247
7.7
Changing the endoscopic image screen ........................................................... 248
Freeze ...............................................................................................................................
Two screens display (PIP and POP displays) ...................................................................
Image size .........................................................................................................................
Focus .................................................................................................................................
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254
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7.8
Changing the displayed text information ........................................................... 256
Clearing characters from the screen .................................................................................
Cursor ................................................................................................................................
Displaying the endoscope information window ..................................................................
Displaying the custom switch information window .............................................................
Arrow pointer .....................................................................................................................
Stopwatch ..........................................................................................................................
Displaying the IHb chart screen .........................................................................................
Displaying the hardware information .................................................................................
7.9
256
258
258
260
262
264
265
267
Changing the observation mode ......................................................................... 268
Changing the observation mode (“WLI”, “NBI”, “AFI”, and “IRI”) .......................................
Confirm the available optical-digital observation ...............................................................
NBI observation .................................................................................................................
AFI observation .................................................................................................................
IRI observation ..................................................................................................................
NBI color mode ..................................................................................................................
268
268
269
270
271
272
7.10 Recording the frozen image (releasing) ............................................................. 273
7.11 Recording and playing back the frozen image (portable memory or
internal buffer) ...................................................................................................... 274
Inserting the portable memory into the portable memory port ...........................................
Removing the portable memory from the portable memory port .......................................
Formatting the portable memory .......................................................................................
Checking the portable memory ..........................................................................................
Remaining capacity indicator of the memory .....................................................................
Recording the frozen image to the memory ......................................................................
Basic operation on thumbnail screen ................................................................................
Operation on the image screen (playback and printing) ....................................................
Generating, printing, and storing the annotation images ...................................................
Deleting the data including a folder ...................................................................................
Transferring the unsent images .........................................................................................
Image files and folders ......................................................................................................
Playing back the images using the personal computer .....................................................
276
277
278
279
280
281
281
286
289
292
294
295
297
7.12 Remotely controlling the video recorder ............................................................ 299
7.13 Remotely controlling the video printer ............................................................... 302
Setting the number of sheets to be printed and the number of images on the
print sheet .......................................................................................................................... 306
Printer lock ......................................................................................................................... 308
7.14 Recording on the image filing system ................................................................ 309
7.15 Remotely controlling the monitor ....................................................................... 310
Image source of the monitor .............................................................................................. 310
FLIP function ...................................................................................................................... 311
7.16 Remotely controlling the UPD-3 .......................................................................... 312
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7.17 Presetting, calling, saving, and loading patient data ........................................ 313
Displaying the “Select patient” screen ...............................................................................
Newly registering and editing patient data .........................................................................
Deleting patient data ..........................................................................................................
Calling patient data ............................................................................................................
Saving patient data to the portable memory ......................................................................
Loading patient data from the portable memory ................................................................
313
314
316
318
319
322
7.18 Other functions ..................................................................................................... 325
Assigning functions to the custom switches ......................................................................
Locking the keyboard ........................................................................................................
Reset .................................................................................................................................
Displaying the color bar and the 50% white screen ...........................................................
Selecting the mode of character input from the keyboard .................................................
Confirming and editing data of the endoscope ..................................................................
System reset ......................................................................................................................
325
325
326
327
328
328
331
Chapter 8 Care, Storage, and Disposal ............................................ 333
8.1
Care ....................................................................................................................... 333
8.2
Storage .................................................................................................................. 334
8.3
Disposal ................................................................................................................ 334
Chapter 9 Troubleshooting ................................................................ 335
9.1
Troubleshooting ................................................................................................... 335
9.2
Troubleshooting guide ......................................................................................... 335
9.3
Returning the video system center for repair .................................................... 356
Appendix ............................................................................................... 357
Combination equipment ................................................................................................ 357
System chart ...................................................................................................................... 357
Specifications ................................................................................................................ 360
Environment ...................................................................................................................... 360
Specifications ..................................................................................................................... 361
Default settings list ........................................................................................................ 366
System setup ..................................................................................................................... 366
User settings ...................................................................................................................... 368
Security settings for administrators ................................................................................... 372
Security ........................................................................................................................... 373
Security level ..................................................................................................................... 373
Initial value of the password .............................................................................................. 373
EMC information ............................................................................................................ 374
Index ............................................................................................................................... 379
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Labels and Symbols
Labels and Symbols
Safety-related labels and symbols are attached on the locations shown below. If labels or symbols are
missing or illegible, contact Olympus.
Rear panel
Electric rating
The product name, rated voltage, and frequency are shown.
EVIS LUCERA ELITE
VIDEO SYSTEM CENTER
MODEL OLYMPUS CV-290
POWER INPUT 100 – 240 V
50/60 Hz 150 VA
For 100 – 240 V models
Indicates to see the instruction
manual for the cable to be
connected.
EVIS LUCERA ELITE
VIDEO SYSTEM CENTER
MODEL OLYMPUS CV-290
POWER INPUT 220 – 240 V
50/60 Hz 150 VA
For 220 – 240 V models
CE marking
(for 220 – 240 V models only)
SCV
Manufacturer name
Potential equalization terminal
Serial number plate
CV-290 INSTRUCTION MANUAL
Crossed-out wheeled bin’ symbol
(for 220 – 240 V models only)
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Labels and Symbols
Front panel
Dry the video connector before insertion.
Back cover of this instruction manual
Symbol
Description
Manufacturer
Authorized representative in the European Community
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Important Information — Please Read Before Use
Important Information — Please Read Before Use
Intended use
This video system center has been designed to be used with OLYMPUS endoscopes, light sources,
monitors, EndoTherapy accessories, and other ancillary equipment for endoscopic diagnosis,
treatment, and video observation. Do not use this video system center 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 hospital’s administration or other official institutions such as academic societies on
endoscopy, 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 any examination/treatment methods that can be performed in its place, and perform the
endoscopy and endoscopic treatment only after obtaining the consent of the patient.
Even after starting the endoscopy and endoscopic treatment, continue to evaluate the potential
benefits and risks, and immediately stop the endoscopy/treatment and take proper measures if the
risks to the patient become greater than the potential benefits.
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Important Information — Please Read Before Use
Instruction manual
This instruction manual contains essential information on using the video system center 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.
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
Light source:
The light source provides light and electrical signals to the endoscope. It also provides
electrical signals to the video system center.
Video printer:
The video printer is a device that prints the frozen video image.
Hospital grade power outlet:
The hospital grade power outlet is a wall AC mains power outlet socket having the
exclusive terminal for grounding.
Isolation transformer:
The isolation transformer is a safety device that is used to isolate the noninsulated
equipment with potentially high leakage currents to decrease the possibility of electric
shock.
Automatic brightness adjustment:
The automatic brightness adjustment automatically adjusts the intensity of the light emitted
from the light source so that the endoscopic image will be maintained at constant
brightness even if the distance between the distal end of the endoscope’s insertion tube
and the subject changes.
Image sensor (CCD):
The image sensor (CCD) is a device that converts light into electrical signals.
Iris:
The iris function is used to electrically measure the brightness of an endoscopic image to
obtain a control signal for the purpose of automatic light adjustment.
Color adjustment:
Color adjustment adjusts the color balance and the chroma on the monitor.
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Important Information — Please Read Before Use
Freeze:
The freeze function creates a stationary view of the moving image.
Release:
The release function is used to capture and record an endoscopic image.
Edge enhancement:
Edge enhancement is an image processing technique that electronically sharpens the
edges of an image.
Structure enhancement:
Structure enhancement is an image processing technique that electronically emphasizes
the detailed patterns and edges of an image to increase sharpness.
AGC (automatic gain control):
AGC is used to increase the brightness of an endoscopic image electrically when the
brightness of the image is dark because the distance between the endoscope’s distal end
and the object is too long.
IHb (index of hemoglobin):
IHb is the value calculated with the formula IHb = 32 × log2 (R/G) (where R is the
brightness of Red in an image and G is the brightness of Green in an image). The IHb
value increases as the image becomes reddish.
Adaptive IHb color enhancement:
Adaptive IHb color enhancement is an image processing technique that emphasizes the
differences of colors in images to clarify the color tones.
IHb distribution:
IHb distribution represents the average IHb value of an image by displaying the IHb values
of image pixels using simulated colors.
PIP (Picture in Picture):
The PIP function displays the image of the endoscopic live image and the image of an
external device on the monitor simultaneously, where one image is embedded into the
other image.
POP (Picture out Picture):
The POP function displays the image of the endoscopic live image and the image of an
external device side by side on the monitor simultaneously.
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Important Information — Please Read Before Use
Annotation:
A recorded frozen image is displayed with comments and a title. Up to 4 images can be
displayed on the monitor at once.
Portable memory:
A digital medium for storage of images, etc.
Internal buffer:
This is buffer space to store the frozen images, patient data, and user settings data.
Wash out:
Wash out is the inability to see details in the endoscopic image due to excessive
brightness.
Correction:
Correction is an image processing technique that corrects deviation of color positions in an
image by estimating the original colors in those positions.
SDTV:
Standard Definition Television. This is a format used in standard video systems.
HDTV:
High Definition Television. This is a format for high resolution video transmission featuring
higher definition than the standard SDTV format.
Normal light observation (WLI = White Light Imaging):
This is observation using white light.
Optical-digital observation:
This is observation using filtered light.
NBI (Narrow Band Imaging) observation:
This is optical-digital observation using narrowband light.
AFI (Auto-Fluorescence Imaging) observation:
This is optical-digital observation using blue light.
IRI (Infra-Red Imaging) observation:
This is optical-digital observation using infra-red light.
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Important Information — Please Read Before Use
Custom switch:
The custom switch is a general term for the buttons, keys, and switches to which functions
can be assigned: “CUSTOM” button 1 and 2 on the front panel, “CUSTOM” key A, B, C,
and D on the keyboard, remote switch 1, 2, 3, 4, and 5 on the endoscope and remote
switch 1 and 2 on the foot switch.
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 standard. If there are no official qualification standards, the
operator of this instrument must be a physician approved by the medical safety manager of the
hospital or person in charge of the department (department of internal medicine, etc.).
The physician should be capable of safely performing the planned endoscopy and endoscopic
treatment following guidelines set by the academic societies on endoscopy, etc., and considering the
difficulty of endoscopy and endoscopic treatment. This manual does not explain or discuss endoscopic
procedures.
Instrument compatibility
Refer to “ System chart” on page 357 to confirm that the video system center is compatible with the
ancillary equipment being used. Using incompatible equipment can result in patient injury or equipment
damage and makes it impossible to obtain the expected functionality.
This instrument complies with the EMC standard for medical electrical equipment; edition 3
(IEC 60601-1-2: 2007), edition 2 (IEC 60601-1-2: 2001). 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.
Repair and modification
The video system center does not contain any user-serviceable parts. Do not disassemble, modify or
attempt to repair it; patient or operator injury, equipment damage and/or the impossibility to obtain the
expected functionality can result. Some problems that appear to be malfunctions may be correctable
by referring to Chapter 9, “Troubleshooting”. If the problem cannot be resolved using the information in
Chapter 9, contact Olympus. This instrument is to be repaired by Olympus technicians only. Olympus
is not liable for any injury or damage which occurs as a result of repairs attempted by non-Olympus
personnel.
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Important Information — Please Read Before Use
Signal words
The following signal words are used throughout this manual:
DANGER
Indicates an imminently hazardous situation which, if not avoided, will result in
death or serious injury.
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.
Dangers, warnings, and cautions
Follow the dangers, warnings and cautions given below when handling the video system center. This
information is to be supplemented by the dangers, warnings, and cautions given in each chapter.
DANGER
• As a TYPE BF applied part, the endoscope connected to this video system center
must never be applied directly to the heart. Leakage current from the TYPE BF
applied part may be dangerous and cause ventricular fibrillation or otherwise
seriously affect the cardiac function of the patient. Accordingly, always adhere to
the following points.
Never apply the endoscope connected to this video system center to the heart
or any area near the heart.
Never allow an EndoTherapy accessory or another endoscope applied to or
near the heart to come in contact with the endoscope connected to this video
system center.
• Strictly observe the following precautions. Failure to do so may place the patient
and medical personnel in danger of an electric shock.
When the video system center 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
unit, stop operation of the video system center immediately and contact
Olympus.
Do not prepare, inspect, or use the video system center with wet hands.
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Important Information — Please Read Before Use
DANGER
• Never install and operate the video system center 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.
An explosion or a fire may result because the video system center is not
explosion-proof.
WARNING
• In case of video system center failure or malfunction, always keep another video
system center in the room ready for use.
• Never insert anything, including EndoTherapy accessories into the ventilation grills
of the video system center. It can cause damage to the video system center and/or
an electric shock.
• Although the illumination light emitted from the endoscope’s distal end is required
for endoscopic observation and treatment, it may also cause alteration of living
tissues such as protein denaturation of liver tissue and biological tissue and
perforation of the intestines by inappropriate use. Observe the following warnings
on the 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 an endoscope.
When the video system center is used with a light source compatible with
automatic brightness control function, be sure to use this function. The
automatic brightness control function can keep the illumination light adjusted
properly. Refer to the instruction manual for the light source for details.
Do not continue observation in proximity to tissue or keep the distal end of the
endoscope in contact with living tissue for a long time. It may cause patient
burns.
When discontinuing the use of the endoscope, be sure to turn the light source
OFF or extinguish the examination lamp by pushing the lamp button.
• The video system center may interfere with other medical electronic equipment
used in combination with it. Before use, refer to the Appendix to confirm the
compatibility of the video system center with all equipment to be used.
• Do not use the video system center in any place where it may be subject to strong
electromagnetic radiation (for example, in the vicinity of a microwave therapeutic
equipment, MRI, wireless set, short-wave therapeutic equipment, cellular/portable
phone, etc.). This may impair the performance of the video system center.
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Important Information — Please Read Before Use
WARNING
• Do not rely on the optical-digital observation method alone for primary detection of
lesions or for a decision regarding any potential diagnostic or therapeutic
intervention.
• To display endoscopic images, connect the output terminal of the video system
center directly to the monitor. Do not make the connection via any ancillary
equipment. Images may disappear during observation depending on the condition
of the ancillary equipment.
• The SDI signal is transmitted by daisy-chaining (chaining in a row) several devices.
If one of the devices is turned OFF, the SDI signal is not transmitted to the rest of
them.
CAUTION
• Do not use a pointed or hard object to press the buttons on the front panel and/or
keyboard. This may damage the buttons.
• Do not touch the electrical contacts inside the video system center’s connectors.
Equipment damage and/or malfunction can occur.
• Do not apply excessive force to the video system center and/or other instruments
connected. Equipment, damage and/or malfunction can occur.
• Turn the video system center OFF before connecting or disconnecting the
endoscope. Otherwise, the CCD may be damaged, and images may not be
displayed.
• Clean and vacuum dust from the ventilation grills using a vacuum cleaner, when
necessary. Otherwise, equipment damage and/or malfunction can occur.
• Be sure that the video system center is not used adjacent to or stacked with other
equipment (other than the components of the video system center or system) to
avoid electromagnetic interference.
• Electromagnetic interference may occur to the video system center when it is
placed near equipment marked with the following symbol or other portable and
mobile RF communications equipment such as cellular phones. If radio
interference occurs, mitigation measures may be necessary, such as reorienting or
relocating the video system center or shielding the location.
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Important Information — Please Read Before Use
NOTE
As defined by the international safety standard (IEC 60601-1:2007), medical
electrical equipment is classified into the following types: TYPE CF applied part
(the instrument can safely be applied to any part of the body, including the heart),
and TYPE B/BF applied part (the instrument can safely be applied to any organ
except the heart). The part of the body that an endoscope or electrosurgical
accessory can safely be applied to depends on the classification of the equipment
to which the instruments are connected. Before beginning the procedure, check the
current leakage classification type of each instrument to be used for the procedure.
Classification types are clearly specified in the instruments’ instruction manuals.
Symbol
Classification
TYPE CF applied part
TYPE BF applied part
TYPE B applied part
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Summary of Equipment Functions
Summary of Equipment Functions
Some of the functions of the video system center described below are enabled only when the required
equipment is connected to the video system center. For more details, refer to the instruction manuals
for the video system center and the other instruments connected.
Displaying the endoscopic images on the monitor
• The endoscopic images from the endoscope connected to the video system center can be
displayed on the monitor.
• The endoscopic image and other external images can be displayed on the same monitor at
the same time.
See “ Two screens display (PIP and POP displays)” on page 249.
• Either a standard-definition (SDTV) monitor or high-definition (HDTV) monitor can be used.
Optical-digital observations
NBI, AFI, and IRI observation is available.
See Section 7.9, “Changing the observation mode” on page 268
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Summary of Equipment Functions
Adjusting the endoscopic images
Images can be adjusted to enable clear and convenient observation.
• Adjustment of the image color
See “ Color tone level adjustment” on page 245.
• Changing the brightness
See “ Brightness” on page 239.
• Changing the iris mode
See “ Iris mode” on page 238.
• Changing the contrast mode
See “ Contrast mode” on page 244.
• Enhancement of edge lines and patterns of the images
See “ Image enhancement” on page 241.
• Changing the image size
See “ Image size” on page 254.
• Enlargement of the images
See “ Electronic zoom function” on page 247.
Recording images
• The endoscopic image can be recorded on the portable memory.
See Section 7.10, “Recording the frozen image (releasing)” on page 273.
See Section 7.11, “Recording and playing back the frozen image (portable memory or
internal buffer)” on page 274.
• The endoscopic image can be recorded on the recording device connected to the video
system center, and the recorded images can be played back.
See Section 7.10 on page 273.
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Summary of Equipment Functions
Entering patient data
• The patient data such as name, sex, etc. can be entered and displayed on the monitor with
the endoscopic image.
See Section 6.8, “Patient data” on page 229.
See Section 7.17, “Presetting, calling, saving, and loading patient data” on page 313.
• Up to 50 sets of patient data can be stored before an examination.
See Section 7.17 on page 313.
• Up to 50 sets of patient data can be stored on the portable memory. These patient data can
be copied to another CV-290.
See Section 7.17 on page 313.
• Capturing patient data from the image filing system can skip entering procedures of the
patient data.
Customizing the operations
Remote switch settings and other functions such as iris mode, image enhancement, etc. for up to 20
sets of patient data can be stored.
See Section 4.5, “Basic operation of the user settings” on page 129.
The system setup and user settings can be copied to another CV-290 using the portable memory.
See Section 4.2, “Basic operation of the system setup” on page 100.
See Section 4.5, “Basic operation of the user settings” on page 129.
Operation of ancillary equipment
• Digital video recorder
See Section 7.12, “Remotely controlling the video recorder” on page 299.
• Video printer
See Section 7.13, “Remotely controlling the video printer” on page 302.
• Image filing system
See Section 7.14, “Recording on the image filing system” on page 309.
• Monitor
See Section 7.15, “Remotely controlling the monitor” on page 310.
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1.1 Checking the package contents
Chapter 1
1.1
Checking the Package
Contents
Checking the package contents
Match all items in the package with the components shown below. Inspect each item for damage. If the
video system center is damaged, a component is missing, or you have any questions, do not use the
video system center; immediately contact Olympus.
Video system center
EVIS LUCERA ELITE video system center (CV-290)
Accessories
Keyboard (MAJ-1924)
SDI cable (MAJ-1951)
(For Europe)
SDI cable (MAJ-1912)
(For countries other than Europe)
Videoscope cable
EVIS LUCERA ELITE (MAJ-1911)
Portable memory (MAJ-1925)
Scope cable holder (MAJ-1466)
White cap set (MAJ-941)
Power cord
Foot holder (MAJ-1433, 4 pcs.)
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Ch.1
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1.1 Checking the package contents
Accessories
Cable color sheet
Instruction manual
Ch.1
16
CV-290 INSTRUCTION MANUAL