GF-UC240 and GF240P-AL5 ULTRASONIC GASTROVIDEOSCOPE Instructions July 2014.pdf
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INSTRUCTIONS
ULTRASONIC GASTROVIDEOSCOPE
OLYMPUS GF TYPE UC240P-AL5
OLYMPUS GF TYPE UCT240-AL5
CAUTION : Balloons Used with This Product Contain Natural Rubber Latex, Which May Cause Allergic Reactions.
USA: CAUTION: Federal law restricts this device to sale by or on the order of a
physician.
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Contents
Contents
Symbols.........................................................................................
1
Important Information — Please Read Before Use....................
3
Intended use ............................................................................................
3
Applicability of endoscopy and endoscopic treatment .............................
3
Instruction manual.....................................................................................
4
User qualifications ....................................................................................
4
Instrument compatibility ...........................................................................
4
Reprocessing and storage ........................................................................
5
Maintenance management .......................................................................
5
Prohibition of improper repair and modification ........................................
5
Repair and modification ............................................................................
6
Signal words .............................................................................................
6
Warnings and cautions .............................................................................
6
Chapter 1
Checking the Package Contents............................
10
1.1
Standard components.....................................................................
10
1.2
Optional components ......................................................................
12
Instrument Nomenclature and Specifications ......
14
2.1
Nomenclature..................................................................................
14
2.2
Endoscope functions.......................................................................
16
2.3
Specifications..................................................................................
18
Preparation and Inspection ....................................
21
3.1
Preparation of the equipment..........................................................
21
3.2
Preparation and inspection of the endoscope.................................
23
3.3
Preparation and inspection of accessories .....................................
25
3.4
Attaching accessories to the endoscope ........................................
28
3.5
Preparation, inspection and connection of ancillary equipment......
30
3.6
Inspection of the endoscopic system ..............................................
34
3.7
Preparation and inspection of the balloon.......................................
37
Operation .................................................................
41
4.1
Insertion ..........................................................................................
42
4.2
Observation of the ultrasound image ..............................................
46
4.3
Using endo-therapy accessories.....................................................
48
4.4
Withdrawal of the endoscope..........................................................
52
4.5
Transportation of the endoscope ....................................................
53
Chapter 2
Chapter 3
Chapter 4
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Contents
Chapter 5
Reprocessing: General Policy................................
54
5.1
Instructions......................................................................................
54
5.2
Precautions .....................................................................................
55
Chapter 6
Compatible Reprocessing Methods and Chemical
Agents ...................................................................... 58
6.1
Compatibility summary....................................................................
58
6.2
Detergent solution ...........................................................................
60
6.3
Disinfectant solution ........................................................................
60
6.4
Rinsing water ..................................................................................
61
6.5
ETO gas sterilization .......................................................................
61
6.6
Steam sterilization (autoclaving) of accessories .............................
63
Cleaning, Disinfection and Sterilization
Procedures ..............................................................
65
7.1
Required reprocessing equipment ..................................................
65
7.2
Cleaning, disinfection and sterilization procedures .........................
75
7.3
Precleaning .....................................................................................
77
7.4
Leakage testing...............................................................................
82
7.5
Manual cleaning ..............................................................................
86
7.6
High-level disinfection .....................................................................
99
7.7
Rinsing after high-level disinfection.................................................
101
7.8
Sterilization .....................................................................................
104
7.9
Cleaning, disinfection and sterilization
procedures for reusable parts and reprocessing equipment...........
105
Chapter 7
Chapter 8
Cleaning and Disinfection Equipment ................... 111
Chapter 9
Storage and Disposal .............................................. 113
9.1
Storage ...........................................................................................
113
9.2
Disposal ..........................................................................................
113
Chapter 10 Troubleshooting ...................................................... 114
10.1 Troubleshooting guide ....................................................................
114
10.2 Returning the endoscope for repair.................................................
119
Appendix........................................................................................ 121
ii
System chart ............................................................................................
121
Inspection of the endoscope after cleaning, disinfection or sterilization in
accordance with IEC 60601-2-37 ..............................................................
128
Acoustic output tables ...............................................................................
130
EMC information........................................................................................
132
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Symbols
Symbols
The meaning(s) of the symbol(s) shown on the package, the back cover of this
instruction manual and/or this instrument are as follows:
Refer to instructions.
Caution
TYPE BF applied part
Serial number
IPX7
Ingress protection rating (except for connectors)
Lock the ultrasonic connector
Release the ultrasonic connector
Ultrasonic endoscope
Single use only
Do not resterilize
Use by (expiration date)
Sterilized using ethylene oxide
Sterilization lot number
Lot number
Non-sterile
Keep away from sunlight
Keep dry
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Symbols
Do not use if package is damaged
Contains or Presence of Natural Rubber Latex
Date of manufacture
Manufacturer
Authorized representative in the European Community
2
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Important Information — Please Read Before Use
Important Information — Please Read
Before Use
Intended use
This instrument has been designed to be used with the diagnostic ultrasound
system ProSound SSD-5500/SSD-5000/SSD-4000/SSD-5/SDD-10/F75
(ALOKA CO., LTD.), EVIS video system center, Olympus light source,
documentation equipment, video monitor, endo-therapy accessories (such as
aspiration biopsy needles) and electrosurgical unit.
This instrument is designed for endoscopic real-time ultrasound imaging, for
performing endoscopic ultrasound (EUS) guided fine needle aspiration (FNA)
and for endoscopic surgery within the upper digestive tract.
Do not use this instrument for any purpose other than its intended use.
Applicability of endoscopy and endoscopic treatment
If there is an official standard on the applicability of endoscopy and endoscopic
treatment that is defined by the 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 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.
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Important Information — Please Read Before Use
Instruction manual
This instruction manual contains essential information on using this instrument
safely and effectively. Before use, thoroughly review this manual and the
manuals of all equipment which will be used during the procedure and use the
equipment as instructed.
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
Elastography:
Mode for displaying the relative elasticity information of a tissue using
color images.
For more details, refer to the instruction manual for the ultrasound
instrument for which elastography is available.
User qualifications
The operator of this instrument must be a physician or medical personnel under
the supervision of a physician and must have received sufficient training in
clinical endoscopic technique. This manual, therefore, does not explain or
discuss clinical endoscopic procedures.
Instrument compatibility
Refer to “System chart” in the Appendix to confirm that this instrument is
compatible with the ancillary equipment being used. Using incompatible
equipment can result in patient injury or equipment damage.
This instrument complies with EMC standard for medical electrical equipment,
edition 2 (IEC 60601-1-2: 2001) and edition 3 (IEC 60601-1-2: 2007). However,
when connected with an instrument that complies with EMC standard for medical
electrical equipment; edition 1 (IEC 60601-1-2: 1993), the whole system
complies with edition 1.
4
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Important Information — Please Read Before Use
Reprocessing and storage
This instrument was not disinfected or sterilized before shipment. Before using
this instrument for the first time, reprocess it according to the instructions given
in Chapter 7, “Cleaning, Disinfection and Sterilization Procedures”.
After using this instrument, reprocess and store it according to the instructions
given in Chapters 5 through 8. Improper and/or incomplete reprocessing or
storage can present an infection control risk, cause equipment damage or
reduce performance.
The balloons are disposable, and are intended for a single use only; a new one
must be used for each patient. Do not attempt to reuse or re-sterilize a balloon.
Maintenance management
The probability of failure of the endoscope and ancillary equipment increases as
the number of procedures performed and/or the total operating hours increase.
In addition to the inspection before each procedure, the person in charge of
medical equipment maintenance in each hospital should inspect the items
specified in this manual periodically. An endoscope with an observed irregularity
should not be used, but should be inspected by following Section 10.1,
“Troubleshooting guide” on page 114. If the irregularity is still observed after
inspection, contact Olympus.
Prohibition of improper repair and modification
This instrument does not contain any user-serviceable parts. Do not
disassemble, modify, or attempt to repair it; patient or operator injury and/or
equipment damage can 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.
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Important Information — Please Read Before Use
Repair and modification
This instrument does not contain any user-serviceable parts. Do not
disassemble, modify or attempt to repair it; patient or user injury and/or
equipment damage can result.
Some problems that appear to be malfunctions may be correctable by referring
to Chapter 10, “Troubleshooting”. If the problem cannot be resolved using the
information in Chapter 10, contact Olympus.
Signal words
The following signal words are used throughout this manual:
Indicates a potentially hazardous situation which, if not
avoided, could result in death or serious injury.
Indicates a potentially hazardous situation which, if not
avoided, may result in minor or moderate injury. It may also
be used to alert against unsafe practices or potential
equipment damage.
Indicates additional helpful information.
Warnings and cautions
Follow the warnings and cautions given below when handling this instrument.
This information is to be supplemented by the warnings and cautions given in
each chapter.
6
•
Never insert or withdraw the endoscope’s insertion tube while
the bending section is locked in position. Patient injury can
result.
•
Never perform angulation control, feed air, perform suction or
insert/withdrawal the endoscope’s insertion tube without
viewing the endoscopic image. Patient injury can result.
•
Do not touch the light guide of the endoscope connector
immediately after removing it from the light source because it
is extremely hot. Operator or patient injury can result.
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Important Information — Please Read Before Use
•
Before each use or after a change of viewing modes/settings,
check to ensure the view observed through the endoscope
provides a live image (rather than a stored one) and has the
correct image orientation. Otherwise, patient injury, bleeding,
and/or perforation could result.
•
Never operate the bending section, feed air or perform
suction, insert or withdraw the endoscope’s insertion tube
while the image is frozen. Patient injury can result.
•
This endoscope is not intended for fetal use.
•
If any irregularity in the ultrasound image is observed, turn
the ultrasound center OFF immediately. Continued
ultrasound radiation will cause the distal end to become hot
and could cause operator and/or patient burns.
•
Elastography*1 uses the pulsation of a living body.
Intentional pressurization is not necessary. Compression
onto the tissue by operating the bending section, inserting or
withdrawing the endoscope may cause tissue damage,
bleeding or perforation.
1 Elastography is not available with the diagnostic
ultrasound system (Hitachi Aloka Medical, Ltd.) in
Canada.
•
Do not pull the universal cord. The endoscope connector will
be pulled out from the output socket of the light source and
the endoscopic image will not be visible.
•
Do not coil the insertion tube, universal cord or ultrasonic
cable into a diameter of less than 12 cm. Equipment damage
can result.
•
Do not touch the electrical contacts inside the electrical
connector. CCD damage may result.
•
Do not apply shock to the distal end of the insertion tube,
particularly the ultrasonic transducer and the objective lens
surface at the distal end. Visual abnormalities may result.
•
Do not twist or bend the bending section with your hands.
Equipment damage may result.
•
Do not squeeze the bending section forcefully. The covering
of the bending section may stretch or break and cause water
leaks.
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Important Information — Please Read Before Use
•
Turn the EVIS video system center OFF before connecting or
disconnecting the videoscope cable from electrical connector
on the endoscope. Turn the EVIS video system center ON or
OFF only when the videoscope cable is connected to both
the video system center and electrical connector on the
endoscope. Failure to do so can result in equipment damage,
including destruction of the CCD.
•
The endoscope’s remote switches cannot be removed from
the control section. Pressing or pulling them with excessive
force can break the switches.
•
Do not hit or bend the electrical contacts on the endoscope
connector. The connection to the light source may be
impaired and faulty contact can result.
•
Do not touch the electrical contacts in the ultrasonic
connector.
•
Do not attempt to bend the endoscope’s insertion tube with
excessive force. Otherwise the insertion tube may be
damaged.
•
Do not pull, twist or tightly coil the ultrasonic cable. Noise can
develop in the ultrasound image.
•
Electromagnetic interference may occur on this instrument
near equipment marked with the following symbol or other
portable and mobile RF (Radio Frequency) communications
equipment such as cellular phones. If electromagnetic
interference occurs, mitigation measures may be necessary,
such as reorienting or relocating this instrument, or shielding
the location.
Details on clinical endoscopic technique are the responsibility of trained
specialists. Patient safety in endoscopic examinations and endoscopic treatment
can be ensured through appropriate handling by the physician and the medical
facility. Examples of inappropriate handling are given below.
8
•
Over-insufflating the lumen may cause patient pain and/or perforation.
•
Using improperly or incompletely reprocessed or stored instruments
may cause patient cross-contamination and infection.
•
Applying prolonged suction with the distal end in contact with the
mucosal surface may cause bleeding or suction lesions.
•
Retroflexing the endoscope within the esophagus or duodenal bulb may
cause mucosal trauma or impaction of the endoscope.
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Important Information — Please Read Before Use
•
Inserting and using endo-therapy accessories without a clear
endoscopic view may cause burns or perforation.
•
Patient injury may be caused by:
inserting or withdrawing the endoscope, feeding air or
applying suction without a clear endoscopic image
withdrawing the endoscope with the angulation controls
locked
forcefully pulling, twisting or rotating the angulated
bending section
To prevent unnecessary patient exposure to ultrasonic radiation, follow the
“as-low-as-reasonably achievable” (ALARA) principal when using Acoustic
Imaging ultrasonic equipment. Freeze the image whenever you are not actively
viewing the “live” ultrasonic image. When the equipment is in the FREEZE
mode, no ultrasonic energy is emitted into the patient.
Natural rubber latex medical alert
Balloons used with this instrument contain natural rubber latex which may cause
allergic reactions.
Do not use the balloon on a latex-sensitive patient. Instead, perform the
procedure using “The sterile de-aerated water immersion method” described in
Section 4.2, “Observation of the ultrasound image”, in Chapter 4, “Operation”.
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Chapter 1 Checking the Package Contents
Chapter 1 Checking the Package
Contents
1.1
Standard components
Match all items in the package with the components shown below. Inspect each
item for damage. If the instrument is damaged, a component is missing or you
have any questions, do not use the instrument; immediately contact Olympus.
This instrument was not disinfected or sterilized before shipment. Before using
this instrument for the first time, reprocess it according to the instructions given
in Chapter 7, “Cleaning, Disinfection and Sterilization Procedures”.
10
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Chapter 1 Checking the Package Contents
Endoscope
Mouthpiece
(MB-142, 2 pcs)
Balloon
(MAJ-213)
Injection tube
(MH-946)
Channel plug
(MAJ-621)
Balloon applicator
(MAJ-675)
Cleaning adapter for instrument channel port
(MAJ-350)
Channel cleaning brush
(BW-20T)
Suction cleaning adapter
(MH-856)
Channel cleaning brush
(BW-7L, 2 pcs1)
Single use single-ended
cleaning brush
(BW-400L, 3 pcs1)
Biopsy valve
(MAJ-853, non-sterile, 10 pcs)
Channel-opening cleaning brush
(MH-507)
Air/water channel cleaning adapter
(MAJ-629)
Water-resistant cap
(MH-553)
Washing tube (MH-974)
Water-resistant cap
(MAJ-896)
Instruction manual
1 These products may not be available in some areas.
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Chapter 1 Checking the Package Contents
1.2
Optional components
The items listed below is optional, and may be purchased from Olympus.
Balloon 3
Balloon 3 is shipped sterile in sets of 20 pieces, enclosed in a resealable
package. The correct model to be used with this endoscope is listed in Table 1.1
below.
Endoscope
Balloon 3
GF-UC240P-AL5, GF-UCT240-AL5
MAJ-249
Table 1.1
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Chapter 1 Checking the Package Contents
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Chapter 2 Instrument Nomenclature and Specifications
Chapter 2 Instrument Nomenclature
and Specifications
2.1
Nomenclature
Universal cord
Ultrasonic cable
2. Suction connector
1. Ultrasonic connector
3. Air supply connector
3. Water supply connector
4. Endoscope
connector
5. S-cord connector
mount
Product number
and serial number
6. Electrical
connector
Electrical contact points
Air pipe
Water-resistant cap
14
Light guide
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Chapter 2 Instrument Nomenclature and Specifications
9. UP/DOWN
angulation lock
10. Elevator channel plug
8. UP/DOWN angulation
control knob
7. Elevator
control lever
Suction cylinder
12. Suction valve (MAJ-1443)
13. Air/water valve (MAJ-1444)
Air/water cylinder
14. RIGHT/LEFT angulation
control knob
Control section
15. RIGHT/LEFT angulation lock
18. Color code
Biopsy valve (MAJ-853)
<non-sterile>
16. Instrument channel port
Boot
Ultrasonic
transducer
Insertion tube
limit mark
Distal end
17. Bending section
Balloon water
supply port is
in the groove
Nozzle
Objective
lens
Balloon
attachment
groove
Forceps
elevator
Light guide
lens
Instrument
channel
outlet
Insertion tube
Working length
Detail of distal end
11. Remote switches
Top view
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Chapter 2 Instrument Nomenclature and Specifications
2.2
Endoscope functions
1. Ultrasonic connector
The ultrasonic connector connects the endoscope to the diagnostic
ultrasound system.
2. Suction connector
The suction connector connects the endoscope to the suction tube of the
suction pump.
3. Water supply connector and air supply connector
The water supply connector and the air supply connector connect the
endoscope to the water container via the water container tube to supply
water and pressurized air at the distal end of the endoscope.
4. Endoscope connector
The endoscope connector connects the endoscope to the output socket of
the light source and transmits light from the light source to the endoscope.
5. S-cord connector mount
The S-cord connector mount connects the endoscope with the Olympus
electrosurgical unit via the S-cord. The S-cord conducts leakage current
from the endoscope to the electrosurgical unit. The S-cord conducts
leakage current from the endoscope to the electrosurgical unit. To connect
the S-cord, refer to the instruction manual for the electrosurgical unit.
6. Electrical connector
The electrical connector connects the endoscope to the EVIS video system
center via the videoscope cable.
7. Elevator control lever
When this lever is turned in the “ U” direction, the forceps elevator is
raised. When turned in the opposite direction, the forceps elevator is
lowered.
8. UP/DOWN angulation control knob
When turned in the “ U” direction, the bending section moves UP; when
turned in the “D ” direction, the bending section moves DOWN.
9. UP/DOWN angulation lock
Pushing this lever in the “F ” direction frees angulation. Pushing the lever
in the opposite direction locks the bending section at any desired position.
10. Elevator channel plug
The elevator channel plug is used for connection of the washing tube to
clean and disinfect the elevator wire channel.
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Chapter 2 Instrument Nomenclature and Specifications
11. Remote switches 1 to 4
The functions of the remote switches 1 to 4 can be selected on the EVIS
video system center. When selecting the functions, refer to the instruction
manual for the EVIS video system center.
12. Suction valve
The suction valve is depressed to the first stage to activate suction. The
valve is also used to remove any fluid or debris adhering to the objective
lens.
The suction valve is depressed completely to activate suction of the water
from the balloon through the balloon channel.
13. Air/water valve
The hole in the air/water valve is covered to insufflate air and the valve is
depressed to the first stage to feed water for lens washing. It also can be
used to feed air to remove any fluid or debris adhering to the objective lens.
The valve is depressed completely to fill the balloon with sterile water
through the balloon channel.
14. RIGHT/LEFT angulation control knob
When turned in the “R ” direction, the bending section moves RIGHT;
when turned in the “ L” direction, the bending section moves LEFT.
15. RIGHT/LEFT angulation lock
Turning the lock in the “F ” direction frees angulation. Turning the lock in
the opposite direction locks the bending section at any desired position.
16. Instrument channel port
The instrument channel port functions as:
channel for the insertion of endo-therapy accessories
suction channel
de-aerated water feed channel (from the water supply unit
via the biopsy valve)
17. Bending section
The bending section moves the distal end of the endoscope when the
UP/DOWN and RIGHT/LEFT angulation control knobs are operated.
18. Color code
The color code is used to quickly determine the compatibility of
endo-therapy accessories. The endoscope can be used with endo-therapy
accessories that have the same color code.
• Yellow:
GF-UC240P-AL5
• Orange:
GF-UCT240-AL5
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Chapter 2 Instrument Nomenclature and Specifications
2.3
Specifications
Environment
Operating
environment
Transportation
and storage
environment
18
Ambient
temperature
10 – 40C (50 – 104F)
Relative humidity
30 – 85%
Atmospheric
pressure
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
Ambient
temperature
–47 to 70C (–52.6 to 158F)
Relative humidity
10 – 95%
Atmospheric
pressure
700 – 1060 hPa
(0.7 – 1.1 kgf/cm2)
(10.2 – 15.4 psia)
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Chapter 2 Instrument Nomenclature and Specifications
Specifications
Endoscope functions
Model
Optical
system
GF-UC240P-AL5
Field of view
100
Direction of view
55 forward oblique
Depth of field
Insertion tube
3 – 100 mm
Distal end outer
diameter
ø 14.2 mm
ø 14.6 mm
Insertion tube outer
diameter
ø 11.8 mm
ø 12.6 mm
Working length
Instrument
channel
GF-UCT240-AL5
Channel inner
diameter
1250 mm
ø 2.8 mm
ø 3.7 mm
Minimum visible
distance
6 mm
Direction from which
endo-therapy
accessories enter
and exit the
endoscopic image
Air flow rate
20 cm3/s
Note: Standard when CLV-260 (high air
pressure) is used.
Bending
section
Angulation range
Total length
UP 130, DOWN 90
RIGHT 90, LEFT 90
1555 mm
Ultrasonic functions
Display mode
B-mode, M-mode, D-mode,
Flow-mode, Powerflow-mode
Scanning method
Electrical curved linear array
Scanning direction
Parallel to the insertion direction
Frequency
5, 6, 7.5, 10 MHz
Focusing point
Maximum 4 focusing points are available.
(between F1 to F16)
Scanning range
180
Contacting method
Balloon method
Sterile de-aerated water immersion method
Transducer surface max.
temperature
43C >
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Chapter 2 Instrument Nomenclature and Specifications
General safety
standard for medical
electrical equipment
IEC 60601-1: 2005
Medical Devices
Directive
0197
EMC
Applied standards;
IEC 60601-1-2: 2001
IEC 60601-1-2: 2007
IEC 60601-2-37: 2007
The whole instrument can contact
live bodies of operators or patients.
This device complies with the
requirements of Directive 93/42/EEC
concerning medical devices.
Classification: Class II a
This instrument complies with the
standards listed in the left column.
CISPR 11 of emission:
Group 1, Class A
This instrument complies with the
EMC standard for medical electrical
equipment, edition 2 (IEC 60601-1-2:
2001) and edition 3 (IEC 60601-1-2:
2007). However, when connecting to
an instrument that complies with the
EMC standard for medical electrical
equipment; edition 1 (IEC 60601-1-2:
1993), the whole system complies
with edition 1.
Year of manufacture
1012345
The year of manufacture is given in
the second digit of the serial number.
Degree of protection
against electric
shock
Ingress protection
rating
20
TYPE BF applied part
IPX7
This instrument complies with the
standards for medical electrical
equipment: IEC 60601-1:2005
IEC 60601-2-37:2007.
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Chapter 3 Preparation and Inspection
Chapter 3 Preparation and Inspection
3.1
•
Before each case, prepare and inspect this instrument as
instructed below. Inspect other equipment used with this
instrument as instructed in their respective instruction
manuals. Should the slightest irregularity be suspected, do
not use this instrument and see Chapter 10,
“Troubleshooting”. If the irregularity is still suspected after
consulting Chapter 10, contact Olympus. Damage or
irregularity may compromise patient or user safety and may
result in more severe equipment damage.
•
This instrument was not disinfected or sterilized before
shipment. Before using this instrument for the first time,
reprocess it according to the instructions given in Chapter 7,
“Cleaning, Disinfection and Sterilization Procedures”.
Preparation of the equipment
Prepare the equipment shown in Figure 3.1 (for compatibility, see “System chart”
in the Appendix) and personal protective equipment, such as eye wear, face
mask, moisture-resistant clothing and chemical-resistant gloves, before each
use. Refer to the respective instruction manuals for each piece of equipment.
ULTRASONIC GASTROVIDEOSCOPE GF-UC240P-AL5/GF-UCT240-AL5
21
Page 26
Chapter 3 Preparation and Inspection
Diagnostic ultrasound system
ProSound SSD-5500/SSD-5000
/SSD-4000/SSD-5/SSD-10/F75
(ALOKA CO., LTD.)
Video monitor
Mouthpiece
Biopsy valve
(MAJ-853)
Video system center
Light source
Endo-therapy accessories
Suction pump
Water container
Balloon
Balloon applicator
Endoscope
Water supply unit
(for ultrasonic endoscope)
• Paper towels
• Trays
• Lint-free cloths
• Personal protective equipment
Figure 3.1
22
ULTRASONIC GASTROVIDEOSCOPE GF-UC240P-AL5/GF-UCT240-AL5