Olympus EVIS EXERA II Operation Manual
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Olympus EVIS EXERA II Operation Manual

Duodenovideoscope
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INSTRUCTIONS
EVIS EXERA II DUODENOVIDEOSCOPE
OLYMPUS TJF TYPE Q180V
Refer to the endoscope's companion manual, the "OLYMPUS TJF TYPE Q180V
REPROCESSING MANUAL", for reprocessing information.
USA: CAUTION: Federal law restricts this device to sale by or on the order of a
physician.

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Summary of Contents for Olympus EVIS EXERA II

  • Page 1 EVIS EXERA II DUODENOVIDEOSCOPE OLYMPUS TJF TYPE Q180V Refer to the endoscope’s companion manual, the “OLYMPUS TJF TYPE Q180V REPROCESSING MANUAL”, for reprocessing information. USA: CAUTION: Federal law restricts this device to sale by or on the order of a...

  • Page 3: Table Of Contents

    Inspection and connection of ancillary equipment ......Inspection of the endoscopic system ..........Chapter 4 Operation ..............Insertion ..................Using EndoTherapy accessories ............ Withdrawal of the endoscope............Transportation of the endoscope ............ EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 4 Withdrawal of the endoscope with an irregularity......Returning the endoscope for repair..........Chapter 6 Inspection Schedule Related to Forceps Elevator Inspection after each patient procedure.......... Inspection before each patient procedure........Annual inspection................Appendix..................System chart .................... EMC information..................EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 5: Symbols

    Refer to instructions. Caution Endoscope TYPE BF applied part Single use only Lot number Manufacturer Authorized representative in the European Community Serial number EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 6: Important Information - Please Read Before Use

    Important Information — Please Read Before Use Intended use This instrument has been designed to be used with an Olympus video system center, light source, documentation equipment, monitor, EndoTherapy accessories (such as a biopsy forceps), and other ancillary equipment for endoscopy and endoscopic surgery within the duodenum.

  • Page 7: Instruction Manual

    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. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 8: Instrument Compatibility

    Spare equipment Be sure to prepare another endoscope to avoid interruption of the examination due to equipment failure or malfunction. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 9: Maintenance Management

    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: Indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury.

  • Page 10: Warnings And Cautions

    • 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. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 11 Do not coil the insertion tube or universal cord with a diameter of less than 12 cm. Equipment damage can result. • Do not attempt to bend the endoscope’s insertion section with excessive force. Otherwise, the insertion section may be damaged. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 12 (any equipment other than this instrument 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. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 13: Examples Of Inappropriate Handling

    1 Narrow Band Imaging. For more details, refer to the instruction manual for the video system center CV-180. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 14: Chapter 1 Checking The Package Contents

    Match all items in the package with the components shown below. Inspect each item for damage. If the instrument is damaged, a component is missing, or you have any questions, do not use the instrument; immediately contact Olympus. This instrument was not disinfected or sterilized before shipment.
  • Page 15 Air/water valve (MH-944) adapter (MH-948) (MH-443, 2 pcs) (MH-438, 2 pcs) Biopsy valve Single use soft brush (MB-358, 10 pcs) (MAJ-1888, 5pcs) Operation manual Reprocessing manual Instructions (caution for locking the guidewire) EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 16: Chapter 2 Instrument Nomenclature And Specifications

    1. Suction connector 5. Electrical connector 2. S-cord connector mount Air pipe 3. Air supply connector 3. Water supply connector Product name (model) and serial number Light guide Contact pins 4. Endoscope connector EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 17 Instrument channel port Boot 11. Insertion section limit mark Insertion section 12. Forceps elevator 14. Remote switches 1 to 4 Guidewire locking function mark Distal end 13. Bending section Top view Insertion tube EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 18: Endoscope Functions

    Connects the endoscope to the suction tube of the suction pump. 2. 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. To connect the S-cord, refer to the instruction manual for the electrosurgical unit.
  • Page 19 18. Elevator control lever When this lever is moved in the “ U” direction, the forceps elevator is raised. When the lever is turned in the opposite direction, the forceps elevator is lowered. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 20: Specifications

    –47 to 70C (–52.6 to 158F) environment Relative humidity 10 – 95% (conditions during Atmospheric 700 – 1060 hPa transportation and pressure (0.7 – 1.1 kgf/cm short-term storage) (10.2 – 15.4 psia) EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 21 Airflow rate 25 cm Note: Standard when CLV-180 (high air pressure) is used. Bending Angulation range UP 120, DOWN 90, section RIGHT 110, LEFT 90 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 22 The last digit of the year of manufacture is the second digit of the serial number. Degree of TYPE BF applied part protection against electric shock 1 For more details, refer to the instruction manual for the CV-180. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 23: Attaching The Chain For Water-Resistant Cap (Maj-1119)

    • The chain for water-resistant cap and the water-resistant cap itself cannot be steam sterilized (autoclaved); doing so can damage them severely. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 24 Confirm that the connecting plate is securely attached to the foot of the venting connector and can be smoothly rotated (see Figure 2.2). Connecting plate Notch Venting connector Water-resistant cap Figure 2.2 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 25 The instructions on the remaining pages of this manual are given under the assumption that the chain for water-resistant cap is detached from the endoscope. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 26: Chapter 3 Preparation And Inspection

    Should any irregularity be observed after inspection, follow the instructions as described in Chapter 5, “Troubleshooting”. If this instrument malfunctions, do not use it. Return it to Olympus for repair as described in Section 5.3, “Returning the endoscope for repair” on page 70.

  • Page 27: Preparation Of The Equipment

    Monitor Video system center Light source Water container Suction pump Endoscope Mouthpiece EndoTherapy accessories • Lint-free cloths • Personal protective equipment Figure 3.1 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 28: Inspection Of The Endoscope

    (see Figure 3.2). Confirm that no objects or metallic wire protrude from the insertion section. Also, confirm that the insertion tube is not abnormally rigid. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 29 Inspect the air/water nozzle at the distal end of the endoscope’s insertion section for abnormal swelling, bulges, dents, or other irregularities. Inspect the guidewire-locking groove of the forceps elevator for stains. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 30 When the UP/DOWN and RIGHT/LEFT angulation control knobs are turned to their respective neutral positions as shown in Figure 3.4, confirm that the bending section returns smoothly to an approximately straight condition. Figure 3.4 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 31 Perform the following inspections while the bending section is straight.  Inspection for smooth operation Move the elevator control lever slowly all the way in the opposite direction of the “ U” direction. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 32: Preparation And Inspection Of Accessories

    Confirm that the holes of the valves are not blocked (see Figure 3.6 and 3.7). Confirm that the valves are not deformed or cracked (see Figure 3.6 and 3.7). EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 33 Figure 3.6 Spring Skirt Hole Suction valve (MH-443) Figure 3.7 The air/water and suction valves are consumables. If the inspection of the air/water or suction valve reveals any irregularity, use new valves. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 34 (see Figure 3.8). Normal Abnormal Discoloration Slit Hole Splits, cracks Main body Figure 3.8 Attach the cap to the main body (see Figure 3.9). Slit Main body Figure 3.9 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 35 Confirm that the mouthpiece is free from cracks, deformations, or discoloration (see Figure 3.10). Using your fingers, check all surfaces of the mouthpiece for scratches, cracks, or other irregularities (see Figure 3.10). Opening Outer flange Main body Figure 3.10 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 36: Attaching Accessories To The Endoscope

    Side view Suction cylinder Two metal ridges Two holes Bottom view Top view Figure 3.11 The suction valve will make a whistling noise when it is dry; this does not indicate a malfunction. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 37 Attach the biopsy valve to the instrument channel port of the endoscope (see Figure 3.13). Confirm that the biopsy valve fits properly. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 38: Inspection And Connection Of Ancillary Equipment

    EndoTherapy accessories as described in their respective instruction manuals. The NBI observation mode is available when the video system center CV-180 and the light source CLV-180 are used with the endoscope. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 39 Confirm that the water container’s connection adapter fits properly and that it cannot be rotated (see Figure 3.14 (4)). Air supply connector Water supply connector Water container’s connection adapter Endoscope connector Air supply channel Metal tip Water supply channel Figure 3.14 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 40 Confirm that the mark on the videoscope cable is aligned with mark 2 on the endoscope connector. Connect the suction tube from the suction pump to the suction connector on the endoscope connector (see Figure 3.16). Suction pump Suction connector Suction tube Figure 3.16 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 41: Inspection Of The Endoscopic System

    The endoscopic image may freeze, or other irregularities may occur during examination and may cause patient injury, bleeding, and/or perforation. Depress every remote switch and confirm that the specified functions work normally. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 42 10 cm below the surface of the sterile water, a small amount of air bubbles may be emitted from the air/water nozzle even when the air/water valve is not operated. This does not indicate a malfunction. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 43 If the biopsy valve leaks, replace it with a new one. A leaking biopsy valve can reduce the efficacy of the endoscope’s suction system and may leak or spray patient debris or fluids, posing an infection control risk. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 44 Move the elevator control lever in the opposite direction of the “ U” direction and confirm that the forceps elevator is lowered. Confirm that the EndoTherapy accessory can be withdrawn smoothly from the biopsy valve. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 45: Chapter 4 Operation

    In this case, the distal end of the endoscope can become hot and could cause operator and/or patient burns (when using the light source CLV-160, CLV-U40). EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 46 Stop the examination immediately and slowly withdraw the endoscope while viewing the endoscopic image. Otherwise, patient injury, bleeding, and/or perforation can result. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 47 • The color tone and brightness of the NBI observation mode is different from the WLI observation mode. Use the NBI observation mode only after fully understanding its features. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 48: Insertion

    • To prevent the patient from accidentally loosening a dental prosthesis, make sure that the patient removes it before the examination. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 49 Insert the distal end of the endoscope through the opening of the mouthpiece, then from the mouth to the pharynx while viewing the endoscopic image. Do not insert the insertion section into the mouth beyond the insertion section limit mark. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 50 This could reduce the efficacy of the endoscope’s suction system, and may leak or spray patient debris or fluids, posing an infection control risk. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 51 Cover the air/water valve’s hole to feed air from the air/water nozzle at the distal end (see Figure 4.3). Depress the air/water valve to feed water onto the objective lens (see Figure 4.3). Suction valve Air/water valve Figure 4.3 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 52 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. Refer to the light source’s instruction manual for instructions on how to adjust the brightness. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 53: Using Endotherapy Accessories

    Do not switch between WLI observation mode and NBI observation mode while using an EndoTherapy accessory. The endoscopic image may be disturbed while switching between WLI observation mode and NBI observation mode. This could cause patient injury, bleeding, and/or perforation. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 54 U” direction to lower the forceps elevator. • If the forceps elevator cannot be lowered while using an EndoTherapy accessory, stop the procedure immediately and contact Olympus without changing the position of the instrument. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 55 This can damage the valve, which can reduce the efficacy of the endoscope’s suction system and may leak or spray patient debris or fluids, posing an infection control risk. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 56 Confirm that the accessory appears in the endoscopic image. Manipulate the elevator control lever to adjust the height of the elevator. Operation of EndoTherapy accessories Operate the EndoTherapy accessory according to the directions given in its instruction manual. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 57 Manipulate the elevator control lever and the insertion section of the endoscope slowly while viewing the papilla when locking the guidewire at the distal end of the endoscope. Otherwise, patient injury, bleeding, and/or perforation may result. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 58  The outer surface of the guidewire becomes damaged, ripped, or torn, and pieces of the outer surface might fall into the patient’s body. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 59 When the EndoTherapy accessory passes through the groove, it removes the guidewire from the groove. If the guidewire is still stuck in the guidewire-locking groove, contact Olympus without changing the position of the instrument. • The maximum angle of the forceps elevator is slightly...
  • Page 60  If the position of the distal end of the endoscope and the papilla is not appropriate for the assist function of the guidewire locking (refer to “NOTE” on page 60). EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 61 4.5 m or more. Using a guidewire with a length of 4.5 m or more, wire-guided type EndoTherapy accessories can be exchanged without using the assist function of the guidewire locking. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 62 Figure 4.6 (for side lock, see Figure 4.7). Figure 4.4 Guidewire Guidewire-locking grove Figure 4.5 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 63 Withdraw the EndoTherapy accessory slowly while holding the elevator control lever stationary so that the elevator and guidewire do not move forward to the “ U” direction. Observe the endoscopic and X-ray images while withdrawing the accessory. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 64 (see Figure 4.8). Guidewire Guidewire Papilla Papilla (b) X-ray image when a locking is (a) X-ray image when a locking is not effective effective Guidewire Guidewire Forceps elevator Forceps elevator Figure 4.8 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 65 • Not all parts of the endoscope are electrically insulated. When applying high-frequency current, there is a danger of unintentional diathermy burns. Always wear electrically insulating, chemical-resistant gloves. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 66: Withdrawal Of The Endoscope

    Turn the UP/DOWN and RIGHT/LEFT angulation locks to the “F ” direction to release them. Carefully withdraw the endoscope while observing the endoscopic image. Remove the mouthpiece from the patient’s mouth. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 67: Transportation Of The Endoscope

    Before putting the endoscope in the carrying case, always make sure that the forceps elevator is not raised. Putting the endoscope in the carrying case while the forceps elevator is raised could damage the endoscope. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 68: Chapter 5 Troubleshooting

    Some problems that appear to be malfunctions may be correctable by referring to Section 5.1, “Troubleshooting guide”. If the problem cannot be resolved by the described remedial action, stop using the endoscope and send it to Olympus for repair. Olympus does not repair accessory parts. If an accessory part becomes damaged, contact Olympus to purchase a replacement.
  • Page 69 Replace it with a new one. damaged. The air/water valve An incompatible air/water Use a compatible air/water valve. cannot be valve is used. attached. The air/water valve is Replace it with a new one. damaged. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 70 An image is An incompatible video Use a compatible video system abnormal. system center is being center. used. An incompatible light Use a compatible light source. source is being used. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 71 Operate the correct remote switch. does not work. operated. The remote switch function Set the remote switch function has been set incorrectly. correctly as described in the video system center’s instruction manual. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 72: Withdrawal Of The Endoscope With An Irregularity

    Turn the UP/DOWN and RIGHT/LEFT angulation locks in the “F ” direction to release them. Carefully withdraw the endoscope while observing the endoscopic image. Remove the mouthpiece from the patient’s mouth. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 73 Turn the UP/DOWN and RIGHT/LEFT angulation control knobs to their respective neutral positions (see Figure 3.4 on page 26). Release the angulation control knobs and carefully withdraw the endoscope. Remove the mouthpiece from the patient’s mouth. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 74: Returning The Endoscope For Repair

    Olympus. Before returning the endoscope for repair, contact Olympus. With the endoscope, include a description of the malfunction or damage and the name and telephone number of the individual at your location who is most familiar with the problem.

  • Page 75: Chapter 6 Inspection Schedule Related To Forceps Elevator

    Use of an endoscope from which debris was not sufficiently removed in the manual cleaning process may pose an infection control risk. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 76: Inspection Before Each Patient Procedure

    “REPROCESSING MANUAL”. If residual foreign materials such as debris is still observed after the repeated reprocessing, do not use the endoscope, and send it to Olympus for repair. Use of an endoscope with residual foreign materials for a patient procedure may pose an infection control risk.

  • Page 77: Appendix

    For further details, contact Olympus. If combinations of equipment other than those shown below are used, full responsibility is assumed by the medical treatment facility. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 78 EVIS video system center EVIS EXERA II video system center (CV-140) video system center (CV-160) (CV-180) EVIS universal light source EVIS EXERA II light source EVIS EXERA light source (CLV-U40) (CLV-160) (CLV-180) EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 79 Water container accessories (MAJ-901) Refer to the following pages. PSD-60 Argon plasma coagulation unit APC probe  (MAJ-1011 , MAJ-1012) ENDOPLASMA Mouthpiece (MB-142)  These products may not be available in some areas. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 80  Video system center Endoscope CV-140 CV-160 CV-180    TJF-Q180V  compatible – not compatible  Light source Endoscope CLV-U40 CLV-160 CLV-180    TJF-Q180V  compatible – not compatible EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 81 FG-20P-1 FG-44NR-1 FG-403Q Disposable grasping forceps Disposable rotatable grasping forceps (Wire-guided type) Flower basket type Basket type Flower basket type Basket type Endoscope FG-V401QR, FG-V402QR, FG-V411Q, FG-V412Q, TJF-Q180V FG-V421PR FG-V422PR FG-V431P FG-V432P EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 82 Endoscope 1 PR-109Q-1 1 PR-110Q-1 PR-113Q-1, TJF-Q180V PR-24Q-1 PR-130Q PR-112Q-1, PR-309Q, PR-310Q PR-313Q 1 These accessories are not compatible with guidewires with a diameter of ø 0.64 mm (0.025 inch) or more. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 83 Spray type Endoscope 1 PR-23Q, PR-231Q PW-5V-1, TJF-Q180V PR-233Q PR-V223Q PW-6P-1 1 PR-232Q 1 These accessories are not compatible with guidewires with a diameter of ø 0.64 mm (0.025 inch) or more. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 84 Single use nasal biliary drainage tube drainage tube (5 Fr., 6 Fr., 7 Fr.) (7 Fr., 5 Fr.) Reverse  type  type Reverse  type Pigtail  type Endoscope PBD-23Z, TJF-Q180V PBD-V811W PBD-V812W PBD-V813W PBD-27Z EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 85  short type Pigtail type 7Fr. 7Fr., 8.5Fr., 10Fr. Endoscope TJF-Q180V PBD-V814W PBD-V803W PBD-230 PBD-234 Biliary balloon Balloon catheter Guide catheter dilator Endoscope B7-2LA, B5-2LA, B-230Q-A, TJF-Q180V B-400N MD-984 B-230Q-B, B-V231P-A, B-V231P-B EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 86 Endoscope KD-211Q, KD-301Q, KD-401Q, TJF-Q180V KD-210Q KD-V211M KD-321Q KD-421Q Disposable triple lumen sphincterotome Single use triple lumen needle knife Pull type (Clever Cut) Endoscope KD-411Q, KD-431Q, TJF-Q180V KD-441Q KD-V441M KD-V451M KD-V411M, KD-V431M EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 87 Appendix Disposable guidewire Endoscope G-240-2527S, G-240-2527A, G-V210-3545S, G-V210-3545A, G-240-2545S, G-240-2545A, TJF-Q180V G-V210-3527S G-V210-3527A G-240-3527S, G-240-3527A, G-240-3545S G-240-3545A EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...

  • Page 88: Emc Information

    Voltage Complies This instrument stabilizes its own radio variability and has no effect, fluctuations/flicker such as flicker in lighting apparatus. emissions IEC 61000-3-3 EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 89 It is recommended to use this instrument by (50/60 Hz) maintaining enough distance from any magnetic field equipment that operates with high current. IEC 61000-4-8 Definition: is the a.c. mains voltage prior to application of the test level. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 90 Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. • Electromagnetic interference may occur in the vicinity of high-frequency electrosurgical equipment and/or other equipment marked with the following symbol: EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 91 Over the frequency range 150 kHz to 80 MHz, field strength should be less than 3 V/m. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 92 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. • These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL...
  • Page 93 ©2015 OLYMPUS MEDICAL SYSTEMS CORP. All rights reserved. No part of this publication may be reproduced or distributed without the express written permission of OLYMPUS MEDICAL SYSTEMS CORP. OLYMPUS is a registered trademark of OLYMPUS CORPORATION. Trademarks, product names, logos, or trade names used in this document are generally registered trademarks or trademarks of each company.
  • Page 94 A8F, Ping An International Financial Center, No. 1-3, Xinyuan South Road, Chaoyang District, Beijing, 100027 P.R.C. Fax: (86)10-5976-1299 Telephone: (86)10-5819-9000 Olympus Tower 9F, 446, Bongeunsa-ro, Gangnam-gu, Seoul, Korea 135-509 Fax: (02)6255-3494 Telephone: (02)6255-3210 491B, River Valley Road #12-01/04, Valley Point Office Tower, Singapore 248373...

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