Olympus EVIS EXERA II Instructions Manual
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Olympus EVIS EXERA II Instructions Manual

Duodenovideoscope. single use soft brush (maj-1888)
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See also: Operating Manual
Accessories:
• Water resistant cap (MH-553)
• Biopsy valve (MB-358)
• Air/water valve (MH-438)
• Suction cleaning adapter (MH-856)
• Channel cleaning brush (BW-20T)
• Single use channel cleaning brush (BW-201T)
• AW channel cleaning adapter (MH-948)
• Single use soft brush (MAJ-1888)
MH-553
MAJ-1119
BW-20T
MH-944
BW-201T
Refer to the endoscope's companion manual, the "OPERATION MANUAL" with your endoscope model
listed on the cover, for operation information.
USA: CAUTION: Federal law restricts this device to sale by or on the order of a physician.
INSTRUCTIONS
EVIS EXERA II DUODENOVIDEOSCOPE
OLYMPUS TJF
MB-358
MH-946
Single use soft brush (MAJ-1888)
Q180V
TYPE
• Chain for water-resistant cap (MAJ-1119)
• Suction valve (MH-443)
• Mouthpiece (MB-142)
• Channel plug (MH-944)
• Injection tube (MH-946)
• Single use channel-opening cleaning brush (MAJ-1339)
• Single use combination cleaning brush (BW-412T)
MH-443
MH-438
MH-948
MAJ-1339
MB-142
MH-856
BW-412T
MAJ-1888

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Summary of Contents for Olympus EVIS EXERA II

  • Page 1 Single use soft brush (MAJ-1888) INSTRUCTIONS EVIS EXERA II DUODENOVIDEOSCOPE OLYMPUS TJF Q180V TYPE Accessories: • Water resistant cap (MH-553) • Chain for water-resistant cap (MAJ-1119) • Biopsy valve (MB-358) • Suction valve (MH-443) • Air/water valve (MH-438) • Mouthpiece (MB-142) •...

  • Page 2: Single Use Soft Brush (Maj

    Revision History Note: The Revision History shows the latest changes. Version Date Description of Changes RC2409 01 March, 2015 Cover Single use soft brush (MAJ-1888) information. Section 1.4 Updated WARNING statements for MAJ-1888 and using an AER. Sections 2.10, 3.1, and 4.1 Updated MAJ-1888 information.

  • Page 3: Table Of Contents

    Chapter 3 Compatible Reprocessing Methods and Chemical Agents ............ Compatibility summary..............Water (for reprocessing) ..............Detergent solution................Disinfectant solution................ Rinse water ..................Alcohol .................... Ethylene oxide gas sterilization............Steam sterilization (autoclaving) ............. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 4 Reprocessing Endoscopes and Accessories using an Automated Endoscope Reprocessor..106 Chapter 8 Storage and Disposal ..........108 Storing the disinfected endoscope and accessories ....... Storing the sterilized endoscope and accessories ......Disposal ..................EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 5: Chapter 1 General Policy

    (e.g., in the reprocessing area). • If you have any questions or comments about any information in this manual, or if a problem occurs while reprocessing that cannot be solved, contact Olympus. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 6: Importance Of Cleaning, Disinfection, And Sterilization

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

  • Page 7: Precautions

    Verify the sterilization process using biological and/or chemical indicators. Follow the guidelines for sterilization issued by national authorities, professional organizations and infection control professionals, as well as the instruction manual for the sterilization device. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 8 Leakage tester Figure 1.1 • Store alcohol in an airtight container. Alcohol stored in an open container may cause a fire hazard and may result in a loss of efficacy due to evaporation. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 9 Dispose of the single-use brush immediately after use. Using a single-use brush to clean multiple endoscopes and/or accessories may reduce its cleaning efficacy and may damage the brush leading to brush breakage or endoscope and/or accessory damage. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 10 • Only Olympus-recommended or Olympus-endorsed automated endoscope reprocessors (AERs) have been validated by Olympus. When using an AER that is not recommended by Olympus, the manufacturer of the AER is responsible for validating compatibility of the AER with each Olympus endoscope and accessory.
  • Page 11 Chapter 1 General Policy • Instructions provided in this manual are not valid for Olympus devices repaired by a non-Olympus facility. The Olympus recommended reprocessing procedures have not been validated for reprocessing devices repaired by a non-Olympus facility. In the event that your device has been repaired by a non-Olympus facility, contact that repair facility for instructions regarding reprocessing.

  • Page 12: Reprocessing Before The First Use

    Olympus, regardless of whether those instruments are for new purchase, demo or loaner purposes. Reprocess all such endoscopes and accessories received from Olympus according to the instructions given in this manual before storage and before using them in a patient procedure.

  • Page 13: Reprocessing And Storage After Use

    If there are any doubts or questions concerning whether a device is contaminated, reprocess it again following the instructions given in this manual. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 14: Chapter 2 Function And Inspection Of The Accessories For Reprocessing

    Certain accessories are required for reprocessing the endoscope. This chapter describes the function of these accessories. It also describes how to inspect these accessories before using them to reprocess the endoscope. Water resistant cap (MH-553) Groove Seals Venting connector Figure 2.1 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 15 Always use a dry water resistant cap. Any water remaining inside the cap may cause damage to the endoscope. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 16: Channel Plug (Mh-944)

    Confirm that the seals inside the cap are free from scratches, cuts, and debris. Check to ensure that the venting connector on the cap is not loose. Channel plug (MH-944) Plug frame Biopsy valve cap Suction plug Air/water plug Figure 2.4 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 17 Confirm that the suction plug, air/water plug, and the biopsy valve cap of the channel plug are free from cracks, scratches, and debris. The channel plug does not need to be cleaned, disinfected, or sterilized prior to its first use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 18: Injection Tube (Mh-946)

    Confirm that all components of the injection tube are free from cracks, scratches, flaws, and debris (see Figure 2.6). Confirm that the filter mesh is in the suction port of the injection tube. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 19 Air/water channel port Suction channel tube Syringe Suction port Air pipe port Figure 2.9 The injection tube does not need to be cleaned, disinfected, or sterilized prior to its first use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 20: Channel Cleaning Brush (Bw-20T)

    (MH-443), the air/water valve (MH-438) and the biopsy valve (MB-358). Suction cylinder Instrument channel Suction channel Figure 2.11 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 21 Section 3.2 and clean the brush until no debris is observed on the brush. The channel cleaning brush does not need to be cleaned, disinfected, or sterilized prior to its first use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 22: Suction Cleaning Adapter (Mh-856)

    Suction pump Figure 2.14  Inspection Check for debris, cracks, scratches, and other damage. The suction cleaning adapter does not need to be cleaned, disinfected, or sterilized prior to its first use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 23: Aw Channel Cleaning Adapter (Mh-948)

    Air is continuously fed through the air/water channels when the button is not depressed. AW channel Depress cleaning adapter Air/water Air channel nozzle Water Air/water cylinder container Figure 2.16 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 24: Single Use Channel Cleaning Brush (Bw-201T)

    (MH-443), the air/water valve (MH-438), and the biopsy valve (MB-358). Suction cylinder Instrument channel Suction channel Figure 2.18 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 25 Check for bends, scratches, and other damage to the shaft. The single use channel cleaning brush does not need to be cleaned, disinfected, or sterilized prior to use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 26: Single Use Channel-Opening Cleaning Brush (Maj-1339)

    The single use channel-opening cleaning brush is used to brush the suction cylinder, the instrument channel port, the distal end, the forceps elevator, and the forceps elevator recess. Suction cylinder Instrument channel port Figure 2.21 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 27 Check for bends, scratches, and other damage to the shaft. The single use channel-opening cleaning brush does not need to be cleaned, disinfected, or sterilized prior to use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 28: Single Use Combination Cleaning Brush (Bw-412T)

    Check for bends, scratches, and other damage to the shaft. The single use combination cleaning brush does not need to be cleaned, disinfected, or sterilized prior to use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 29: Single Use Soft Brush (Maj-1888)

    Check for debris on the shaft and or in the bristles of the brush head. The single use soft brush does not need to be cleaned, disinfected, or sterilized prior to use. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 30 Chapter 2 Function and Inspection of the Accessories for Reprocessing Forceps elevator Guidewire-locking groove Groove (a) Brushing when forceps elevator is lowered. Forceps elevator Groove Forceps elevator Forceps elevator (b) Brushing when forceps elevator is raised. Figure 2.25 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 31: Chain For Water-Resistant Cap (Maj-1119)

    The chain for water-resistant cap is used to keep the water resistant cap (MH-553) with the endoscope at all times.  Inspection It is not necessary to inspect the chain before reprocessing. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 32: Chapter 3 Compatible Reprocessing Methods And Chemical Agents

    “OPERATION MANUAL”. • Instructions provided in this manual regarding material compatibility are not valid for Olympus devices repaired by a non-Olympus facility. Olympus repairs devices to manufacturer’s specifications using original equipment manufacturer’s (OEM) materials. The use of non-OEM...
  • Page 33 Suction cleaning adapter (MH-856) Mouthpiece (MB-142) Single use channel cleaning brush (BW-201T) Single use channel-opening cleaning brush (MAJ-1339) Single use combination cleaning brush (BW-412T) Single use soft brush (MAJ-1888) compatible not compatible Table 3.1 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 34: Water (For Reprocessing)

    Olympus-recommended endoscope reprocessor such as OER-AW, OER-Pro (OER-AW and OER-Pro are not available in some areas). When using an AER that is recommended by Olympus other than listed above, contact Olympus. 2 The water resistant caps (MH-553) and the chain for water-resistant cap...

  • Page 35: Detergent Solution

    Use a medical-grade, low-foaming, neutral pH detergent. Follow the instructions provided by the detergent manufacturer regarding concentration, temperature, contact time, and expiration date. Contact Olympus for the names of specific brands of detergent solution that have been tested for compatibility with endoscopes and accessories.

  • Page 36: Ethylene Oxide Gas Sterilization

    Exposure time 105 minutes Aeration Minimum aeration 12 hours in an aeration chamber   parameters at 50 – 57 C (122 – 135 F) or 7 days at room temperature Table 3.3 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 37: Steam Sterilization (Autoclaving)

    Do not steam sterilize the endoscope. Steam sterilization will cause severe damage. • Exceeding the recommended parameters may damage the accessories (see Table 3.4). Process Parameters Prevacuum Temperature 132 – 134C (270 – 274F) Exposure time 5 minutes Table 3.4 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 38 Chapter 3 Compatible Reprocessing Methods and Chemical Agents EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 39: Chapter 4 Reprocessing Workflow For The Endoscope And Accessories

    Chapter 4 Reprocessing Workflow for the Endoscope and Accessories Chapter 4 Reprocessing Workflow for the Endoscope and Accessories This chapter describes the workflow for reprocessing the endoscope and accessories. Deviation from the recommended workflow may pose an infection control risk. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 40: Workflow For Manually Cleaning And Disinfecting The Endoscope And Accessories

    Section 6.3, “Rinsing the accessories following disinfection” Section 8.1, “Storing the disinfected endoscope and accessories”  The water resistant cap (MH-553) should remain connected to the endoscope at all times using the chain for water-resistant cap (MAJ-1119). EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 41 (MAJ-1888) adapter (MH-944) (MH-946) (BW-20T) brush cleaning brush (MH-856) (BW-201T) brush (BW-412T) (MAJ-1339) Section 5.4 Section 5.5 Section 5.6 Section 6.1 Section 6.2 Section 6.3 Section 8.1 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 42: Workflow For Cleaning And Disinfecting The Endoscope And Accessories Using An Aer

    (MAJ-1119).  When using Olympus AER OER-Pro or OER-AW for reprocessing this endoscope, you are able to simplify the standard manual precleaning procedure. When simplifying the procedure, follow the instruction manual “Modified precleaning and cleaning of TJF-Q180V when using OER-Pro/OER-AW”.
  • Page 43 Section 8.1  When using Olympus AER OER-Pro or OER-AW for reprocessing this endoscope, you are able to simplify the standard manual cleaning procedure. When simplifying the procedure, follow the instruction manual “Modified precleaning and cleaning of TJF-Q180V when using OER-Pro/OER-AW”.

  • Page 44: Workflow For Manually Cleaning And Sterilizing The Endoscope And Accessories

    Section 6.4, “Sterilizing the accessories” Section 8.2, “Storing the sterilized endoscope and accessories”  The water resistant cap (MH-553) should remain connected to the endoscope at all times using the chain for water-resistant cap (MAJ-1119). EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 45 (MAJ-1888) adapter (MH-944) (MH-946) (BW-20T) brush cleaning brush (MH-856) (BW-201T) brush (BW-412T) (MAJ-1339) Section 5.4 Section 5.7 Section 6.1 Section 6.4 Section 8.2 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 46: Chapter 5 Reprocessing The Endoscope (And Related Reprocessing Accessories)

    Reprocess these parts carefully following the procedure described in Chapter 5. Insufficient reprocessing may pose an infection control risk to patient and/or operators. Groove Forceps elevator Guidewire-locking Forceps elevator recess groove Figure 5.1 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 47 12 cm. Use sterile equipment, such as sterile syringes and cloths, for all reprocessing steps occurring after immersion of the endoscope and accessories in disinfectant solution. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 48: Preparing The Equipment For Reprocessing

    • Sterile, large basins • Sterile, small basins with tight-fitting lids (size: 40 (W) × 40 (H) × 25 (D) cm or more) (size: 25 (W) × 10 (H) × 25 (D) cm or more) EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 49: Precleaning The Endoscope And Accessories

    • Water for cleaning (Refer to Section 3.2) • Detergent solution (Refer to Section 3.3) • Clean lint-free cloths • Clean sponge(s) • Clean 30 ml (30 cc) syringe(s) • Clean, 1,000 ml containers EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 50 (MH-443) on the endoscope and aspirate the water through the endoscope for 30 seconds. While continuing the immersion and the aspiration, raise and lower the forceps elevator three times by turning the elevator control lever. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 51 (i.e., sterile water in the water container). If water is dripping from the air/water cylinder, hold the control section higher than the water container. Immerse the distal end of the insertion section in the water. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 52 The water resistant cap can be attached in two different positions. Attach the water resistant cap to the endoscope as shown in Figure 5.5 to allow the endoscope and cap to lay properly in the reprocessing basin. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 53 Mark 2 (yellow) Water resistant Rotate Rotate Attachment Attachment completed completed (a) When using an Olympus automated endoscope (b) When using KC-10/TD-20 reprocessor or an Olympus reprocessing equipment other than KC-10/TD-20. Figure 5.5 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 54 Confirm that the exterior surface of the electrical connector is free from scratches. When using an Olympus automated endoscope reprocessor, or Olympus reprocessing equipment other than the KC-10/TD-20, align the OER/ETD/ EW characters or the EW characters on the water resistant cap with mark 2 on the electrical connector housing.

  • Page 55: Leakage Testing Of The Endoscope

    Chapter 6, “Reprocessing the Accessories”. When using the single use biopsy valve (MAJ-1555), detach the single use biopsy valve from the endoscope and discard it. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 56 Do not reuse the single use biopsy valve. Reusing the single use biopsy valve could pose an infection control risk and cause malfunction. After use, dispose of it in an appropriate manner. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 57 This may damage the endoscope. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 58 Confirm that there is no location on the endoscope from which a continuous series of air bubbles emerge. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 59 Wait 30 seconds, or until the covering of the bending section contracts to its pre-expansion size. Detach the leakage tester from the water resistant cap. Thoroughly dry the leakage tester using a clean, lint-free cloth. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 60: Manually Cleaning The Endoscope And Accessories

    1 Prepare either a single use combination cleaning brush (BW-412T) or a set of channel cleaning brush (BW-20T) and single use channel-opening cleaning brush (MAJ-1339) or single use channel cleaning brush (BW-201T) and single use channel-opening cleaning brush (MAJ-1339). EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 61 Air/water nozzle opening Objective lens Figure 5.10 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 62 Lower the forceps elevator by turning the elevator control lever in the opposite direction of the “ U” direction until the forceps elevator stops. Perform the following brushing in the detergent solution. Elevator control lever Figure 5.11 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 63 Guide-wire locking groove Forceps elevator recess Figure 5.12 Raise the forceps elevator by turning the elevator control lever in the “ U” direction until the forceps elevator stops. Elevator control lever Figure 5.13 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 64 Insert the brush into the forceps elevator recess, rotate the brush one full revolution, and pull the brush out of the forceps elevator recess. Forceps elevator Forceps elevator recess Figure 5.14 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 65 Instrument channel Suction channel Figure 5.15 • To avoid splashing the detergent solution when the brush is pulled out from the endoscope, keep the endoscope immersed in the detergent solution while brushing. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 66 Do not coil the insertion section or the universal cord of the endoscope with a diameter of less than 40 cm. If the diameter is less than 40 cm, it may be difficult to pass the brush completely through the channels. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 67 Using short strokes, feed the brush through the instrument channel until it emerges from the distal end of the endoscope’s insertion section. Suction cylinder Distal Instrument channel 45 Suction channel Figure 5.17 Opening Suction cylinder Figure 5.18 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 68 Insert the brush straight into the suction cylinder. Using short strokes, feed the brush through the suction channel until it emerges from the suction connector on the endoscope connector. Suction cylinder Suction channel Figure 5.19 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 69 Repeat Step 2 through 5 until no debris is observed upon inspection of the brush. The channel cleaning brush and the single use channel cleaning brush will be used later to brush the accessories described in Section 6.1. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 70 Inspect whether there is debris on the bristles. Clean the bristles in the detergent solution using your gloved fingertips to remove any debris. Repeat Step 1 through 4 until no debris is observed upon inspection of the brush. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 71 Repeat Step 1 through 4 until no debris is observed upon inspection of the brush. Dispose of the single use channel-opening cleaning brush, according to Section 8.3. Remove the endoscope from the detergent solution. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 72 Attach the suction cleaning adapter (MH-856) to the instrument channel port. Attach the suction tube from the suction pump to the suction connector on the endoscope connector. Turn the suction pump ON. Suction pump Suction connector Suction tube Figure 5.23 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 73 30 seconds. Suction cylinder Figure 5.25 While continuing the immersion and the aspiration, raise and lower the forceps elevator three times by turning the elevator control lever. Turn the suction pump OFF. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 74 Olympus endorsed brushes can be used instead of the single use soft brush (MAJ-1888). Confirm that the forceps elevator is lowered, and straighten the bending section of the endoscope.
  • Page 75 Clean the bristles of the brush gently with your fingertips in the detergent solution. Raise the forceps elevator by turning the elevator control lever in the “ U” direction until the forceps elevator stops. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 76 To avoid damage to the brush, make sure that the brush is gently inserted into the groove under the forceps elevator shown as “Groove” in Figure 5.28. Groove Forceps elevator Forceps elevator Figure 5.28 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 77 30 ml of the detergent solution. Detergent solution Syringe Insert Forceps elevator recess Figure 5.30 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 78 30 ml syringe into the interior the forceps elevator recess in the detergent solution, and flush the interior of the recess with 30 ml of the detergent solution. Detergent solution Syringe Insert Forceps elevator recess Figure 5.32 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 79 Dispose of the brush in an appropriate manner. If the single use soft brush (MAJ-1888) is not properly disposed of, it could pose a contamination and infection control risk. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 80 1, until the plug frame stops. The channel plug should now be firmly locked in place. Plug frame Suction plug Air/water plug Suction cylinder Switch 1 Air/water cylinder Control section Figure 5.35 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 81 Air/water Air/water channel port channel tube Syringe Suction channel port Figure 5.37 Flush the air/water channel with 90 ml of the detergent solution by pumping the syringe at least three times. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 82 Attach a clean 30 ml syringe to the suction channel port of the injection tube and flush the suction channel with 90 ml of water (i.e., pump the syringe at least three times). Air/water Air/water channel port channel tube Syringe Suction channel port Figure 5.38 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 83 Dry the external surfaces of the endoscope, the channel plug, and the injection tube by wiping with a clean, lint-free cloth(s). Inspect all items for residual debris. Should any debris remain, repeat the entire cleaning procedure until all debris is removed. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 84: Manually Disinfecting The Endoscope And Accessories

    Air bubbles may inhibit disinfection of the parts that are flushed by the syringe. Removal of air bubbles can be facilitated by forcefully flushing the disinfectant solution through the channels. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 85 60 ml of the disinfectant solution. Disinfectant solution Syringe Insert Forceps elevator recess Figure 5.39 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 86 30 ml syringe into the interior the forceps elevator recess in the disinfectant solution, and flush the interior of the recess with 60 ml of the disinfectant solution. Disinfectant solution Syringe Insert Forceps elevator recess Figure 5.41 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 87 If air bubbles still exit, flush the channel with the disinfectant solution until no air bubbles exit. Repeat Step 5 through 8 above. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 88 Leave the endoscope, the channel plug, and the injection tube immersed in the disinfectant solution according to the instructions of the disinfectant manufacturer. Confirm the recommended contact time, temperature, and concentration. Use a clock or timer to accurately measure the disinfection contact time. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 89 Move the syringe to the air/water channel port of the injection tube and flush the air/water channel with 90 ml of air. (See Figure 5.37) Remove the endoscope with attached accessories from the disinfectant solution. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 90: Rinsing The Endoscope And Accessories Following Disinfection

    If sterile equipment is not available, use clean equipment that does not recontaminate the endoscope and accessories with potentially infectious microorganisms. Consult with your hospital’s infection control committee regarding local policies or requirements regarding reprocessing equipment. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 91 (See Figure 5.38) Move the syringe to the air/water channel port of the injection tube and flush the air/water channel with 90 ml of the rinse water. (See Figure 5.37) EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 92 Rinse water Rinse water Syringe Syringe Forceps elevator Forceps elevator (a) Flushing using a syringe without luer-lock tip. (b) Flushing using a syringe with luer-lock tip. Figure 5.45 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 93 Repeat Step 1 through 9 above for the necessary number of times, following the rinsing method described in the disinfectant solution manual. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 94 Thoroughly dry the inside of the suction cylinder, the air/water cylinder, the instrument channel port of the endoscope, and forceps elevator recess, using a sterile cotton swab(s). EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 95 In this case, hold the tip of the syinge over the interior of the recess while the syringe contacts the surface of the endoscope. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 96 In this case, hold the tip of the syringe over the interior of the recess while the syringe contacts the surface of the endoscope. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 97 Thoroughly dry the inside of the suction cylinder, the air/water cylinder, the instrument channel port of the endoscope, and the forceps elevator recess, using a sterile cotton swab(s). EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 98: Sterilizing The Endoscope And Accessories

    (MH-553) is attached to the electrical connector during the ethylene oxide gas sterilization cycle, the air inside the endoscope will expand and rupture the covering of the bending section. Water resistant cap (MH-553) Chain for water-resistant cap (MAJ-1119) Figure 5.53 EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 99 Seal the accessories in individual packaging appropriate for steam sterilization, according to your institution’s protocol. Sterilize the packaged accessories, according to the parameters described in Section 3.8. In addition, always comply with the instructions of the sterilizer manufacturer. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 100: Chapter 6 Reprocessing The Accessories

    2 It is needed when the single use combination cleaning brush (BW-412T) or the single use channel cleaning brush (BW-201T) has been used to reprocess the endoscope. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 101 Consult with your hospital’s infection control committee regarding local policies or requirements regarding reprocessing equipment. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 102: Manually Cleaning The Accessories

    (BW-412T),or the single use channel cleaning brush (BW-201T), brush the interior and openings of the suction valve (MH-443), the air/water valve (MH-438), and the biopsy valve (MB-358), until debris can no longer be seen. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 103 Remove all accessories from the detergent solution and inspect them. If debris remains on any accessory, ultrasonically clean it at 33 – 48 kHz for 5 minutes. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 104 Wipe and dry the external surfaces of all accessories, using a clean, lint-free cloth(s). Inspect all accessories for residual debris. If debris is found on any accessory, repeat the cleaning procedure until all debris is removed. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 105: Manually Disinfecting The Accessories

    Move the syringe to the air/water channel port of the injection tube (MH-946) and flush the filter tube and the air/water channel tube with the disinfectant solution until all air bubbles are expelled. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 106: Rinsing The Accessories Following Disinfection

    • Flushing the interior and recessed parts of the accessories with 70% ethyl or 70% isopropyl alcohol facilitates drying. Olympus recommends the use of alcohol. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 107 Remove all other accessories from the rinse water. Place all accessories in a sterile basin. Wipe and thoroughly dry the external surfaces of all accessories, using sterile lint-free cloths. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 108 Move the syringe to the air/water channel port of the injection tube and flush the filter tube and the air/water channel tube with air to expel all alcohol. Wipe and thoroughly dry the external surfaces of all accessories, using a sterile, lint-free cloth(s). EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 109: Sterilizing The Accessories

    Seal the accessories in individual packaging appropriate for steam sterilization, according to your institution’s protocol. Sterilize the packaged accessories, according to the parameters described in Section 3.8. In addition, always comply with the instructions of the sterilizer manufacturer. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 110: Chapter 7 Reprocessing Endoscopes And Accessories Using An Automated Endoscope Reprocessor

    1 OER-AW and OER-Pro is not available in some areas. 2 The air/water channel, instrument channel, and suction channel can be reprocessed at the same time by connecting only the connecting tube (MAJ-1500) to the endoscope. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 111 AER so that the forceps elevator recess can be sufficiently cleaned and disinfected. When using Olympus AER OER-Pro or OER-AW for reprocessing this endoscope, you can conduct precleaning and manual cleaning by either of the following A) or B).

  • Page 112: Chapter 8 Storage And Disposal

    X-rays or ultraviolet-rays. • Do not coil the endoscope’s insertion tube or universal cord with a diameter of less than 20 cm. Such improper storage may damage the endoscope. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 113: Storing The Disinfected Endoscope And Accessories

    Some professional guidelines recommend storing endoscopes in an endoscope storage cabinet with the insertion tube and the universal cord hanging vertically. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 114 Right/Left angulation lock Figure 8.2 Store the disinfected endoscope and accessories properly. Olympus recommends storing endoscopes in the endoscope storage cabinet with the insertion tube and the universal cord hanging vertically. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...

  • Page 115: Storing The Sterilized Endoscope And Accessories

    (such as gloves, cloths, and the liquids used for reprocessing), handle these items in a manner that will prevent the spread of contamination from the reprocessing area, and follow all applicable national and local laws regarding disposal. EVIS EXERA II TJF TYPE Q180V REPROCESSING MANUAL...
  • Page 117 ©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 118 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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