1. Manuals
  2. Brands
  3. Olympus Manuals
  4. Medical Equipment
  5. UHI-4
  6. Instructions manual

Olympus UHI-4 Instructions Manual

High flow insufflation unit
Hide thumbs Also See for UHI-4:
Table of Contents

Advertisement

Quick Links

INSTRUCTIONS
HIGH FLOW INSUFFLATION UNIT
UHI-4

Advertisement

Table of Contents
loading

Related Manuals for Olympus UHI-4

Summary of Contents for Olympus UHI-4

  • Page 1 INSTRUCTIONS HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 3: Table Of Contents

    Optional components ..............Chapter 3 Installation and Connection ........Installation workflow................ Installation of the UHI-4 main unit........... Connecting a CO2 cylinder ............. Connecting the medical gas pipeline adapter (MAJ-1084/1085) ..Connecting the foot switch (MAJ-1939) .......... Connecting the electrosurgical unit (ESG-400, UES-40) or the SonoSurg generator (USG-400, SonoSurg-G2) ..........
  • Page 4 Inspection of the gas supply and caution for insufficient gas supply function Inspection of insufflation ..............Inspection of alarm function ............4.10 Inspection of UHI-4 operation when using a veress needle/trocar/port device for transanal access............. 73 4.11 Power OFF..................Chapter 5 Operation..............
  • Page 5 Contents 6.11 Reprocessing workflow for High Flow Insufflation Unit (UHI-4) and accessories ..................119 6.12 Reprocessing the High Flow Insufflation Unit (UHI-4) and Smoke Evacuation Foot Switch (MAJ-1939)..........121 6.13 Reprocessing Insufflation Tube (MAJ-590) and Suction Tube (MAJ-591) 6.14 Storage and Disposal..............
  • Page 6 Contents HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 7: Labels And Symbols

    Labels and Symbols Labels and Symbols Safety-related labels and symbols are attached to the instrument at the locations shown below. If labels or symbols are missing or illegible, contact Olympus.  HIGH FLOW INSUFFLATION UNIT (UHI-4) CSA marking CE marking Electrical rating plate Crossed-out wheeled bin’...
  • Page 8 Labels and Symbols  Front panel UDI label The UDI label is required by some countries’ regulations regarding the identification of a medical device also known as Unique Device Identification (UDI). HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 9 Labels and Symbols  CYLINDER HOSE (PIN) FOR UHI-3 (MAJ-1080) Name plate Caution Name plate HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 10 NEVER USE OTHER KINDS OF GASES. USE WITH OLYMPUS PRODUCTS. NEVER CONNECT WITH OTHER UNIT. Caution SUPPLY CO GAS FOR MEDICAL USE ONLY. NEVER USE OTHER KINDS OF GASES. USE WITH OLYMPUS PRODUCTS. NEVER CONNECT WITH OTHER UNIT. Name plate HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 11 Labels and Symbols  Back cover of this instruction manual Manufacturer Authorized representative in the European Community Translation Importer (into European Union) HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 12 Labels and Symbols HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 13: Important Information - Please Read Before Use

    If you have any questions or comments about any information in this manual, please contact Olympus.  Terms used in this manual Wall mains outlet An electrical outlet that has a terminal used exclusively for grounding. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 14: User Qualifications

    Chapter 6, “Reprocessing, Storage, and Disposal”. After using this instrument, reprocess and store it according to the instructions given in Chapter 6. Improper and/or incomplete reprocessing or storage can present an infection control risk, cause equipment damage or reduce performance. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 15: Repair And Modification

    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. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 16: Dangers, Warnings, And Cautions

    This information is to be supplemented by the dangers, warnings, and cautions given in each chapter. • The UHI-4 is not explosion-proof. Never install or operate it in the presence of flammable gases. • Supply medical grade CO gas only. Never use other kinds of gas.
  • Page 17 If the gas cylinder is placed horizontally or in an inclined position, liquefied CO may be transmitted into the insufflation channel inside the UHI-4 and normal insufflation may become impossible. • To prevent gas embolism caused by intra-abdominal...
  • Page 18 Olympus for further details. • If a filter is not used and fluid (e.g., blood) flows back into the insufflation tube, make sure that it does not enter the UHI-4. Should any fluids enter the UHI-4, immediately terminate its use and contact Olympus.
  • Page 19 Important Information — Please Read Before Use • To prevent electric shock hazards, the housing of the UHI-4 must be grounded. Always connect the power cord plug to a properly grounded hospital grade AC outlet (wall mains outlet). • Use this device in an environment equipped to accommodate...
  • Page 20 20 mmHg. Little intravasation should occur at these levels. Pressures over 20 mmHg are rarely necessary and will increase the amount and the rapidity of intravasation of gas. Adequate respiration helps avoid problems related to CO HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 21 Do not supply gas for a long time without connecting the insufflation tube to the patient. The pressure reducer may structurally freeze, resulting in inability of the functions including insufflation. • Use only the port device for transanal access to insufflate the colon. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 22 • Before using a veress needle, trocar, and port device for transanal access, inspect the items as outlined in Section 4.10, “Inspection of UHI-4 operation when using a veress needle/trocar/port device for transanal access”. • This instrument requires consideration of electromagnetic compatibility (EMC), as well as installation and initial setup procedures in accordance with this manual.

  • Page 23: Security

    Use the device constituting UHI-4 in an appropriate connection configuration as well as an operating environment. Use of UHI-4 in an inappropriate connection configuration as well as in an inappropriate use environment may lead to malfunction and/or data loss. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 24: Summary Of Equipment Function

    The relief mode can be set to ON or OFF as required (refer to Section 5.13, “Relief mode” on page 96). Default set value is OFF. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 25 The smoke evacuation operation can be interlocked with the output of the processing unit such as the ESG-400 or USG-400 (refer to Section 5.10, “Automatic smoke evacuation system/function (when using the electrosurgical generator or the ultrasonic generator)” on page 88). HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 26: Chapter 1 Checking The Package Contents

    If the instrument is damaged, a component is missing or you have any questions, do not use the instrument; immediately contact Olympus. This equipment was not disinfected or sterilized before shipment. Before using this equipment for the first time, reprocess it according to the instructions given in Chapter 6.

  • Page 27: Optional Items

     Insufflation tubing Set for UHI/UHI-2/UHI-3 insufflator (72-00163-0)  Suction tubing set for UHI/UHI-2/UHI-3 insufflator (72-00162-0) The following products which are not produced by Olympus, may be purchased separately.  Disposable fileter (PALL OR01H)  Medical gas pipeline hoses ( Compliant: ISO 7396-1:...
  • Page 28 (O-ring) HOSE FOR CYLINDER For European market, the wrench is supplied for installation of the unit by an Olympus sales representative or service engineer only. The wrench will be returned to Olympus directly after installation. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 29 For European market, the wrench (small) is supplied for installation of the unit by an Olympus sales representative or service engineer only. The wrench (small) will be returned to Olympus directly after installation.  MEDICAL GAS PIPELINE ADAPTER (NIST) FOR UHI-3...
  • Page 30 (For Europe market only) packing (O-ring) (MAJ-1985 only) It can be compatible with mobile workstation WM-NP2/WM-DP2 only.  Gas preheater set (WA58670A) Gas preheater (GSH-2) Power cord Heat exchanger (WA58671A) Silicone tube (2 pcs) Tube adapter Instruction manual HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 31: Chapter 2 Instrument Nomenclature

     CO INSUFFLATION connector  CO SUCTION control pinch valve  CYLINDER PRESSURE  CAVITY PRESSURE section Cavity pressure Caution Caution, excessive Caution, tube obstructed pressure Pressure control switch Relief mode “+” Pressure control switch “–” HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 32 Flow rate control switch “+” “–”  VOLUME section Reset  DISPLAY MODE DISPLAY MODE selector  CAVITY MODE section CAVITY MODE selector  SMOKE EVAC. section SMOKE EVAC. mode selector  INSUFFLATION. section START/STOP HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 33 Chapter 2 Instrument Nomenclature Rear panel  FOOTSWITCH connector  CO GAS INLET  Others Alternating current Serial number Refer to instruction Fuse Potential equalization terminal HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 34: Front Panel

    “SMALL” cavity mode: 3 – 15 mmHg 3. Flow rate mode selector switch Press this switch to select the flow rate mode. Each press of the switch changes the mode as follows: LOW  MED  HIGH  LOW. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 35 Convenient display mode 2  Complete display mode. 10. CO insufflation connector Connect this to an insufflation tube or an filter connecting tube. 11. CO suction control pinch valve Connect this valve to a suction tube. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 36 This lamp lights when relief mode is ON (activated). 3. Set pressure indicator This indictor shows the set pressure. 4. Measuring pressure indicator This indictor shows the actual cavity pressure. 5. Caution lamp This lamp lights when abnormalities occur. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 37 This bar graph shows the pressure in a CO cylinder or a medical gas pipeline connected to the device. An alarm and the yellow LED in the lowest position are activated when no gas is delivered. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 38: Rear Panel

    Chapter 2 Instrument Nomenclature Rear panel  Rear panel 3. Foot switch terminal 2. LINK-OUT terminal 4. Potential equalization terminal 1. LINK-IN terminal 5. Fuse box 7. CO gas inlet 6. Power inlet HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 39 Chapter 2 Instrument Nomenclature 1. LINK-IN terminal This terminal is provided for future connection of Olympus equipment. For the equipment that can be combined with this instrument, refer to “System chart” on page 143. 2. LINK-OUT terminal This terminal is provided for future connection of Olympus equipment. For the equipment that can be combined with this instrument, refer to “System...

  • Page 40: Optional Components

    Packing (MAJ-1081)  SMOKE EVACUATION FOOT SWITCH (MAJ-1939) Connecting cord Pedal When pressed: ON (smoke evacuation) When released: OFF Connector Connect this connector to the foot switch connector on the rear panel of the UHI-4. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 41 3.4. Use the supplied wrench to connect to the CO gas inlet on the rear panel of the UHI-4.  Cylinder hose with switch over valve (PIN) (MAJ-1985) Cylinder hose with switch over valve (DIN) (MAJ-1986) Connector Refer to Section 3.3.

  • Page 42: Chapter 3 Installation And Connection

    Figure 3.1 shows the procedures for installation of this instrument and accessories. 1. Install the main unit.  Refer to Section 3.2, “Installation of the UHI-4 main unit” on page 38. 2. Connect a CO cylinder or a medical gas pipeline.
  • Page 43 7. Connect an insufflation tube and a suction tube.  Refer to Section 3.9, “Connecting the insufflation tube and suction tube” on page 58. (Connect an insufflation tube when using the smoke evacuation function.) Figure 3.1 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 44: Installation Of The Uhi-4 Main Unit

    Make sure that operation of the insufflator will take place in accordance with the precautions described in “Dangers, warnings, and cautions” on page 10. Place the UHI-4 main unit on a level, stable work surface. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 45: Connecting A Co2 Cylinder

    • Olympus is not liable for any injury or damage due to improper cylinder connection. • If a significant gas leak is noted from within the UHI-4, terminate its use immediately and contact Olympus. • Always use a CO cylinder that can supply the gas at up to 16.2 MPa.
  • Page 46  For EU, Australian and New Zealand market Cylinder hose must be attached to UHI-4 by Olympus personnel on installation time. Enclosed nut cover will be fixed at the place where cylinder hose and insufflator are connected by Olympus personnel.
  • Page 47 Inspect the cylinder hose for damage, cracks, and other irregularities. Use the supplied wrench to attach the cylinder hose to the CO gas inlet on the rear panel of the UHI-4. Tighten with a force of 24.5 Nm (2.5 kgfm) (see Figure 3.3). Cylinder hose Wrench Figure 3.3...
  • Page 48 When using the cylinder hose (MAJ-1081, MAJ-1082), use the supplied wrench to attach the cylinder hose’s adapter to a gas cylinder filled with Confirm that the UHI-4 and the CO cylinder are correctly connected and open the gas cylinder’s valve slowly (see Figure 3.7).

  • Page 49: Connecting The Medical Gas Pipeline Adapter (Maj-1084/1085)

     For EU, Australian and New Zealand market Medical gas pipeline adapter must be attached to UHI-4 by Olympus personnel on installation time. Enclosed nut cover will be fixed at the place where cylinder hose and insufflator are connected by Olympus personnel.

  • Page 50: Connecting The Foot Switch (Maj-1939)

    Connecting the foot switch (MAJ-1939) • Never connect any other equipment to the foot switch connector. • The connector section of the foot switch is not watertight. Keep it away from fluids. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 51: Connecting The Electrosurgical Unit (Esg-400, Ues-40) Or The Sonosurg Generator (Usg-400, Sonosurg-G2)

    Chapter 3 Installation and Connection Insert the foot switch’s connector into the foot switch terminal on the rear panel of the UHI-4 until it clicks as indicated by the arrow in Figure 3.8. Figure 3.8 To disconnect the foot switch, hold the tip of the connector of the foot switch and pull it straight.
  • Page 52 (CLV-190, CLV-S190) or the video system center (OTV-S190)” on page 52). If another instrument (the ultrasonic generator or the electrosurgical generator) is additionally combined, the communication cable should be connected to the LINK-OUT connector of the high flow insufflation unit. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 53 (This device and ultrasonic generator or electrosurgical generator are connected with two communication cables.) LINK-IN terminal LINK-IN terminal LINK-OUT terminal LINK-OUT terminal Ultrasonic generator High flow (USG-400) insufflation unit Communication cable Electrosurgical generator (UHI-4) (ESG-400) Communication cable Figure 3.10 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 54 When using the gender changer, prepare following recommendation products. Manufacturer SANWA SUPPLY Model number D25S-MF Connector type D-SUB 25 way Male – D-SUB 25 way Female Screw type M2.6 Metric hex screw – M2.6 Metric hex nut HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 55 LINK-IN terminal System terminal LINK-OUT terminal Electrosurgical unit (UES-40) SonoSurg generator (SonoSurg-G2) High flow Gender changer or insufflation unit Extension cable for (UHI-4) aeration (MAJ-1424) Communication cable Convertor adapter for UHI-2/3 (MAJ-1873) Communication cable Figure 3.11 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 56 When connecting multiple instruments, do not connect two same instruments. Otherwise, a communication error may result. When this instrument is used in combination with an ultrasonic generator and an electrosurgical generator, they can be connected as shown in Figure 3.12. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 57 LINK-IN terminal LINK-IN terminal LINK-IN terminal LINK-OUT terminal LINK-OUT terminal LINK-OUT terminal Ultrasonic generator Electrosurgical High flow (USG-400 generator insufflation unit (ESG-400) (UHI-4) Communication cable Communication cable Communication cable Figure 3.12 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 58: Connecting The Light Source (Clv-190, Clv-S190) Or The Video System Center (Otv-S190)

    Connecting the light source (CLV-190, CLV-S190) or the video system center (OTV-S190) When the high flow insufflation unit is used in combination with an Olympus light source (CLV-190 or CLV-S190), it can communicate and exchange fault information, etc. with the video system center connected to the light source. The exchanged information can be used in troubleshooting and repair of an irregularity with the high flow insufflation unit.
  • Page 59 Chapter 3 Installation and Connection LINK-IN terminal High flow insufflation unit (UHI-4) Communication cable CV terminal LINK-OUT terminal Light source (CLV-190) Light source cable Light source 1 terminal Video system center (CV-190) Figure 3.13 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 60 (see Figure 3.14). High flow insufflation unit (UHI-4) LINK-IN terminal Light source cable with remote OTV terminal Light source terminal Video system center Light source (OTV-S190) (CLV-S190) Figure 3.14 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 61 Connect the 26-pin plug of the communication cable to the LINK-IN connector on the rear panel of the high-flow insufflation unit (see Figure 3.15). LINK-IN terminal High flow inssuflation unit (UHI-4) 26-pin Communication cable 51-pin Video system center (OTV-S190) Light source terminal Figure 3.15 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 62: Connecting To An Ac Mains Supply

    • Do not connect two or more isolation transformer in series. It exceeds the rating of the isolation transformer. Otherwise, the equipment may not work correctly. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 63 Connect the power cord of the high flow insufflation unit to the AC power socket on the rear panel of the high flow insufflation unit (see Figure 3.16). Properly grounded wall mains outlet Power plug Figure 3.16 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 64: Connecting The Insufflation Tube And Suction Tube

    The type of filter is PALL OR01H (0.2 m, hydrophobic) or equivalent filters; contact Olympus for further details. Even if the relief mode is not activated, Olympus highly recommends the use of a disposable filter.
  • Page 65 When you use a filter, place the filter between the insufflation tube and the filter connecting tube (see Figure 3.18). Assembled tube (use a filter) Assembled tube (not use a filter) Luer lock connector Luer lock connector Filter Insufflation tube Insufflation tube connecting tube Filter Figure 3.18 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 66 (see Figure 3.20). When not using the filter, connect the end connected without the luer lock connector of the insufflation tube directly to this instrument. insufflation connector Filter connecting tube Figure 3.19 insufflation connector Insert the insufflation tube to this retention step. Figure 3.20 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 67 When use the port device for transanal access, connect the luer-lock connector of insufflation tube (MAJ-590) to the port device by turning the insufflation tube’s luer lock connector clockwise (see Figure 3.22). Luer lock connector Figure 3.22 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 68 To other suction device To suction container Figure 3.24 Connect the small luer lock connector of the sterilized suction tube to the connector on the trocar that is positioned close to where the smoke is being created. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 69 Insert the suction tube’s small diameter tube all the way into the groove of the CO suction control pinch valve on the front panel of the UHI-4 (see Figure 3.25). To prevent the tube from collapsing, there must be at least 10 cm between the differential diameter connector and the pinch valve groove (see Figure 3.26).
  • Page 70 Chapter 3 Installation and Connection Connect the tube with a green line to the suction unit/suction facilities by means of the suction container. Suction Tube with a bottle green line Figure 3.27 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 71: Chapter 4 Inspection

    Refer to Section 4.3, “Inspection of the medical gas pipeline adapter (MAJ-1084/1085)” on page 67. 2. Inspect the insufflation tube and the suction tube.  Refer to Section 4.4, “Inspection of the insufflation tube (MAJ-590) and suction tube (MAJ-591)” on page 68. Next page HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 72  Refer to Section 4.9, “Inspection of alarm function” on page 72. 8. Inspect the veress needle and trocar or other connected devices.  Refer to Section 4.10, “Inspection of UHI-4 operation when using a veress needle/trocar/port device for transanal access” on page 73.

  • Page 73: Inspection Of The Cylinder Hose For (Maj-1080/1081/1082/1985/1986)

    (MAJ-1084/1085) If the medical gas pipeline adapter or the hose for the medical gas pipeline are damaged, replace them with a new one. Inspect the packing inside the yoke for scratches, cracks, or other damage. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 74: Inspection Of The Insufflation Tube (Maj-590) And Suction Tube (Maj-591)

    (e.g., blood) when the relief mode is activated, a disposable filter is necessary. The type of filter is PALL OR01H (0.2 m, hydrophobic) or equivalent filters; contact Olympus for further details. Even if the relief mode is not activated, Olympus highly recommends the use of a disposable filter.

  • Page 75: Inspection Of The Smoke Evacuation Foot Switch (Maj-1939)

    LOW, and the Volume indicator shows 0.0 L. If the above indications fail, the equipment may be faulty. Immediately turn the POWER switch OFF, disconnect the power cord from the hospital grade receptacle (wall mains outlet) and contact Olympus. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 76: Inspection Of The Gas Supply And Caution For Insufficient Gas Supply Function

    Check the connection of the cylinder hose again. If the supply pressure continues to move down, stop operating and immediately contact Olympus. Set the insufflation mode to HIGH and press the START switch. Confirm that the bar graph for supply pressure is moving down as the pressure rate increases and that an alarm sounds when the pressure drops below 2 LEDs.

  • Page 77: Inspection Of Insufflation

    If insufflation is performed continuously without pauses, or if insufflation cannot be performed, immediately stop using the insufflator and contact Olympus. Press the insufflation switch. If no CO is supplied, immediately stop using the instrument and contact Olympus. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 78: Inspection Of Alarm Function

    Press the insufflation switch. If the tube obstruction alarm does not sound, or if the excessive pressure alarm sounds, immediately stop using the insufflator and contact Olympus. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 79: Inspection Of Uhi-4 Operation When Using A Veress Needle/Trocar/Port Device For Transanal Access

    (or trocar, and other connected devices). 4.11 Power OFF Press the power switch of the high flow insufflation unit (UHI-4) to turn the high flow insufflation unit OFF. The power indicator will turn off. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 80: Chapter 5 Operation

    (such as a veress needle) is connected. • Be sure to stop the insufflation before inserting the veress needle. Otherwise, malfunction of this instrument may result. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 81 Otherwise, the blood and body fluid may penetrate into the insufflation tube. • Should blood, etc. back flow into the insufflation tube, make sure that it does not enter the UHI-4. Should any body fluids enter the UHI-4, immediately terminate its use and contact Olympus. •...

  • Page 82: Operating Steps

    Chapter 5 Operation When a filter is used with the device, connect the insufflation tube to the UHI-4 as described in “Connecting an insufflation tube (MAJ-590)” on page 59. Operating steps The following is the operation workflow. For details on each step, read the corresponding description.
  • Page 83  Refer to Section 5.11, “Resetting the CO volume indicator” on page 91. 10. Switch this instrument OFF and perform the steps after use.  Refer to Section 5.12, “Steps after use” on page 92. Figure 5.1 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 84: Power Supply

    If you want to use the automatic suction function, refer to Section 5.14, “Automatic suction function”. Press the power switch of the high flow insufflation unit. • For the method of turning power ON, refer to Section 4.2, “Turning power ON”. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 85: Selecting The Cavity Mode

    The cavity mode can be selected from the following two modes. Cavity mode Note NORMAL Mode for observation and treatment of the abdominal cavity. Mode for observation and treatment of the small cavity (Example: SMALL colon (rectum) for TEM). Table 5.1 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 86: Setting The Cavity Pressure

    3 – 15 mmHg SMALL (0.4 – 2.0 kPa) Table 5.2 • To increase the pressure to 20 mmHg or 21 mmHg in the “NORMAL” cavity mode, press and hold the “+” pressure selector switch for 3 seconds. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 87: Setting The Flow Rate

    Accordingly, the actual gas flow rate may not conform exactly to the figures in the table. To keep insufflation safer, the UHI-4 controls the gas flow during the first 25 seconds after the flow starts. Therefore, the actual flow rate of the gas might not reach the maximum flow rate for up to 25 seconds.

  • Page 88: Selecting The Smoke Evacuation Mode

    Accordingly, the actual gas flow rate may not conform exactly to the figures in the table. Smoke evacuation mode Gas flow rate (L/min) HIGH Table 5.4 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 89: Selecting The Display Mode

    (except for the flow rate mode selection indicator) are not illuminated. Other areas are illuminated (see Figure 5.3). All areas are illuminated (see Figure 5.4). The cavity Complete display mode mode indicator is extinguished during gas feed. Table 5.5 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 90 Chapter 5 Operation Convenient display mode 1 Figure 5.2 Convenient display mode 2 Figure 5.3 Complete display mode Figure 5.4 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 91: Insufflation

    If suction was started without stopping the insufflation, auto insufflation would start making it impossible to decrease the pressure.  Also read the instructions manual for the port device for transanal access. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 92: Smoke Evacuation System/Function

    To restart insufflation after step 3, press the insufflation switch again. Smoke evacuation system/function When this instrument is used in combination with the Olympus MAJ-1939 foot switch, pressing the appropriate switch allows this instrument to execute insufflation into and suction from the cavity simultaneously to exhaust and remove the generated smoke and mist while maintaining the cavity pressure constant.
  • Page 93  When this instrument is in the excessive pressure caution status.  When this instrument is in the tube obstruction caution status.  When the insufflation tube is not connected to the patient because of the need of inspection, etc. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 94: Automatic Smoke Evacuation System/Function (When Using The Electrosurgical Generator Or The Ultrasonic Generator)

    5.10 Automatic smoke evacuation system/function (when using the electrosurgical generator or the ultrasonic generator) When this instrument is used in combination with the Olympus UES-40 electrosurgical generator or USG-400 or Sonosurg-G2 ultrasonic generator, this instrument can execute insufflation into and suction from the cavity...
  • Page 95 In this case, set the flow rate mode to “Low” or press the insufflations switch to stop insufflation and stop the smoke evacuation temporarily. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 96 Use an instrument with low flow resistance. • When the cavity pressure exceeds the set pressure by 5 mmHg, the excessive pressure warning lamp will light and an alarm will sound. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 97: Resetting The Co2 Volume Indicator

    This operation is not mandatory. The gas volume count is also reset automatically when this instrument is switched OFF. The volume indicator shows the CO volume used during the operation. When the volume reset switch is pressed, the counter is reset to “0.0”. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 98: 5.12 Steps After Use

    • After use, always inspect the high flow insufflation unit and accessories to confirm that they are not damaged. Do not use the ultrasonic generator or an accessory if it is damaged. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 99 (1) Disconnect the insufflation tube from the CO feed port of the high-flow insufflation unit (see Figure 5.6). insufflation connector Insufflation tube Figure 5.6 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 100 (see Figure 5.7). Trocar Insufflation tube Figure 5.7 (3) Disconnect the suction tube from the suction pin, etc. (see Figure 5.8). Figure 5.8 (4) Disconnect the suction tube from the connected device such as the trocar. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 101 • The front panel display also turns off. Unplug the power cord from the hospital-grade power outlet. Care for and store the high flow insufflation unit by referring to Chapter 6, “Reprocessing, Storage, and Disposal”. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 102: Relief Mode

    To prevent the internal surfaces of the equipment from being contaminated, be sure to use a disposable filter. When no filter is used, make sure relief mode is set to OFF. • Do not re-use the filter to prevent the risk of infection. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 103 Turn the high flow insufflation unit ON and select the cavity mode (provided that the cavity mode selector step is “No”. Confirm that the relief mode indicator is lit if the relief mode is ON (enabled) or not lit if it is OFF (disabled). HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 104: Automatic Suction Function

    Never connect the suction tube and the insufflation tube to the same veress needle or trocar. Doing so will impede measurement of the cavity pressure which may result in excessive cavity pressure, or make it impossible to maintain the selected cavity pressure. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 105 If the pressure is exceeded for 10 seconds or longer, automatic suction will be performed until the cavity pressure drops to the set pressure. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 106: User Mode

    The period from the generation of an excessive pressure or tube obstruction caution to the execution of actual caution operations of this instrument can be selected from “0 sec.” and “4.5 sec.” For the caution operations, refer to Section 7.2, “Alarm functions” on page 140. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 107 “1”  “2”  “3” “4” “5”  “1” To change the set value, press the cavity pressure control switches “+” or “–”. To end the user mode, turn the Power switch OFF. The device can retain the settings. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 108 8 : 7 sec 9 : 8 sec 10 : 9 sec 11 : 10 sec Change the alarm delay 1 : 0 sec (Default set value: 1) time 2 : 4.5 sec Table 5.6 HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 109: Chapter 6 Reprocessing, Storage, And Disposal

    Chapter 6 Reprocessing, Storage, and Disposal This section describes the method of reprocessing the High Flow Insufflation Unit and accessories below.  UHI-4 High flow insufflation unit (UHI-4)  Accessories Smoke Evacuation Foot Switch Insufflation Tube (MAJ-590) Suction Tube (MAJ-591)

  • Page 110: General Policy

     The instructions in this manual  The mechanical aspects of equipment  Pertinent germicide labeling  Terms used in this manual WD is abbreviations for Washer-Disinfector, which is used for reprocessing the Insufflation Tube and Suction Tube. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 111: Precautions

    Only use the WD that meets the requirements of the relevant parts of EN ISO 15883 series. • Improper storage practices, such as not thoroughly drying external and internal surfaces (lumens) prior to storage, will lead to an infection control risk. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 112 If reprocessing methods not stated in this instruction manual are performed, Olympus cannot guarantee the effectiveness, safety and durability of this instrument. Be sure to confirm that there is no irregularity before use, and use under responsibility of a physician.
  • Page 113 Adequate ventilation protects against the buildup of toxic chemical fumes. • Store alcohol in an airtight container. Alcohol stored in an open container is a fire hazard and will result in a loss of efficacy due to evaporation. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 114: Compatible Reprocessing Methods

    (OEM) materials. The use of non- OEM materials to repair an Olympus device may affect the material compatibility and reprocessing efficacy of the device with certain reprocessing chemicals or methods. In the event...
  • Page 115 Neutral enzymatic detergent Disinfection Surface disinfectant cleaner (Hydrogen peroxide) Drying Alcohol Automatic Washer Disinfector cleaning and (Alkaline detergent, disinfection thermal disinfection) Sterilization Steam (autoclaving) compatible not compatible Table 6.1 List of compatible methods HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 116: Detergent Solution For Manual Cleaning

    Olympus. The detergents shown in Table 6.2 were used for validation. Trade name Type Manufacturer neodisher® Mediclean forte Alkaline enzymatic Dr. Weigert Endozime® AW Neutral enzymatic Ruhof Table 6.2 Detergents used for validations HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 117: Surface Disinfectant Cleaner

     General using for the reprocessing Use either fresh, potable water or water that has been processed (e.g., filtered, deionized, or purified) to improve its chemical and/or microbiological quality. Consult with your institution’s infection control committee. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 118: Alcohol

    • Regularly maintain the WD as recommended by its manufacturer. • This High Flow Insufflation Unit cannot be loaded in the WD. For details, see Table 6.1 in “List of compatible methods” on page 109. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 119 Make sure that the temperature of the water inflow into the cleaning units is sufficiently cold (e.g., 25C) to avoid thermal coagulation of protein. Do not use programs starting with high temperatures. The WD program should consist of the following stages: Figure 6.1 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 120 Drying (95C, 10 min) Table 6.5 WD program parameters Olympus tested the compatibility of accessories with the WD compatible with ISO 15883-1, 2. The drying temperature and the drying duration were 110°C and 20 minutes, respectively This value may not be the actual temperature of the accessories being processed in the chamber, but it is a setting value for the WD.
  • Page 121 • Use neutralizers recommended in the instruction manuals for the WD and detergent. • Follow the instructions provided by the neutralizer manufacturer regarding concentration, temperature, contact time and expiration date. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 122: Steam Sterilization (Autoclaving)

    • Olympus recommends use of water and steam compliant with EN 285: 2015. • Use packages appropriate for steam sterilization. If packages are not appropriate for steam sterilization, the equipment may not be properly sterilized.

  • Page 123: Signs Of Degradation From Reprocessing And Its Number Of Times

    High Flow Insufflation Unit and accessories. Avoid the following.  Reprocessing without observing the instructions of the manufacturer  Application of multiple sterilization methods  Immersion in a chemical for an excessive amount of time HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 124 Reprocessing may cause the cracks or discoloration. If any of these signs of degradation happens, discard and replace these accessories. Olympus has verified no degradation happens when the Table 6.8 listed number of reprocessing cycle is performed. When this accessory is reprocessed more times than the following times, cracks and unacceptable discoloration may occur.

  • Page 125: Reprocessing Workflow For High Flow Insufflation Unit (Uhi-4) And Accessories

    Chapter 6 Reprocessing, Storage, and Disposal 6.11 Reprocessing workflow for High Flow Insufflation Unit (UHI-4) and accessories Summary of reprocessing workflow This chapter describes the workflow for reprocessing the accessories. Deviation from the recommended workflow may pose an infection control risk.
  • Page 126 Chapter 6 Reprocessing, Storage, and Disposal Workflow for High Flow Insufflation Unit (UHI-4) and accessories Conduct all steps of manual cleaning as instructed in this manual even when you use an WD that has instructions that would allow you to skip some steps in manual cleaning of accessories.

  • Page 127: Reprocessing The High Flow Insufflation Unit (Uhi-4) And Smoke Evacuation Foot Switch (Maj-1939)

    Chapter 6 Reprocessing, Storage, and Disposal 6.12 Reprocessing the High Flow Insufflation Unit (UHI-4) and Smoke Evacuation Foot Switch (MAJ-1939) Preparing equipment for reprocessing The following equipment is prepared to perform the reprocessing steps described in this chapter.  Personal protective equipment (examples)
  • Page 128 Chapter 6 Reprocessing, Storage, and Disposal Reprocessing the High Flow Insufflation Unit (UHI-4) and Smoke Evacuation Foot Switch (MAJ-1939)  Reprocessing workflow for the High Flow Insufflation This chapter describes the workflow for reprocessing the High Flow Insufflation and accessories.
  • Page 129 • When patient debris enters the hole or gap of this instrument, contact Olympus without using it. If you try to disinfect by force, the disinfectant will get inside this instrument, causing fire and malfunction of this instrument.
  • Page 130 Prepare a lint-free cloth moistened with the surface disinfectant cleaner. Figure 6.3 Wipe off all patient debris from the High Flow Insufflation Unit and Smoke Evacuation Foot Switch using the moistened lint-free cloth. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 131 If the surface of the High Flow Insufflation Unit and Smoke Evacuation Foot Switch is wet, wipe it with a dry lint-free cloth and let it dry thoroughly. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 132: Reprocessing Insufflation Tube (Maj-590) And Suction Tube (Maj-591)

    • Basins for immersing the tubes • Clean lint-free cloths • 30 cm (30 ml) syringe Gloves are recommended to be long enough so that your skin is not exposed. All cloths used in reprocessing are recommended to be lint-free. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 133 If manual cleaning could not be performed within 1 hour after the patient procedure or if you are not sure whether manual cleaning could be performed within 1 hour, dispose of the Insufflation Tube and Suction Tube because the effectiveness of reprocessing is not guaranteed. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 134 Apply the tip of the syringe to the hole at one end of the tube and forcefully inject the detergent solution. Repeat this at least five times at least, completely filling the tube with detergent solution, while ensuring that there are no bubbles in it. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 135 (30 ml) syringe to the tube and flush air to remove the fluid from the inside of the tube. Wipe all surfaces of the tubes and connectors with a clean dry lint-free cloth. Alcohol is flammable. Handle with care. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 136 • Using compressed air to remove water droplets inside the tube in advance or using a drying cabinet for surgical instruments is useful to reduce the leaving time required to dry. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 137 (MAJ-591) using a WD Follow the workflow described in Section 6.11, “Reprocessing workflow for High Flow Insufflation Unit (UHI-4) and accessories” when reprocessing Insufflation Tube and Suction Tube with a WD. Be sure to attach all required connectors to the Insufflation Tube and Suction Tube.
  • Page 138 • After steam sterilization (autoclaving), let all components gradually cool down to room temperature. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 139: 6.14 Storage And Disposal

    “n Sterilizing Insufflation Tube (MAJ-590) and Suction Tube (MAJ-591)” on page 176. • Store so that dust or dirt does not accumulate on electrical contacts such as electrical connectors. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 140 Store the sterilized tube in a clean place. Keep it hermetically sealed inside the sterilization pack during storage. For the assembling method of the Insufflation Tube (MAJ- 590), the Suction Tube (MAJ-591) refer to its instruction manual. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 141 Chapter 6 Reprocessing, Storage, and Disposal Storing High Flow Insufflation Unit (UHI-4) and Smoke Evacuation Foot Switch (MAJ-1939) Disconnect all power cords and coil them loosely; do not crush or bend them when storing. Handle the equipment carefully; it can be damaged if dropped on a hard surface.

  • Page 142: Chapter 7 Troubleshooting

    Chapter 7 Troubleshooting Chapter 7 Troubleshooting If the UHI-4 is visibly damaged, does not function as expected or is found to have other irregularities during the inspection described in Chapter 4, “Inspection”, do not use the UHI-4; contact Olympus. Some problems that appear to be malfunctions may be correctable by referring to Section 7.1, “Troubleshooting guide”.
  • Page 143 The suction tube is clogged. Remove the foreign matters from inside the suction tube. The suction tube has not correctly been Insert the suction tube into the pinch valve inserted into the pinch valve. correctly. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 144 The foot switch is defective. Replace the foot switch. The pinch valve is defective. Close the faucet of the trocar to which the suction tube is connected. Contact Olympus. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 145 All LEDs are turned OFF. An error is detected in the internal circuitry Turn the high flow insufflation unit OFF of the high-flow insuffation unit. and ON again. If the caution continually sounds, contact Olympus. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 146: Alarm Functions

    • When the excessive pressure caution lamp lights and the alarm sounds: The pressure within the cavity is 5 mmHg or more above the set pressure. Immediately perform the appropriate remedial actions. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 147 When the medical gas pipeline is connected, improper hose connection or pressure reduction in the gas supply source may cause an alarm. Check the hose for proper connection and check the gas supply source for normal pressure. HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 148: Returning The High Flow Insufflation Unit For Repair

    Olympus is not liable for any injury or damage which occurs as a result of repairs attempted by non-Olympus personnel. Before returning the device for repair contact Olympus. With the device, include a description of the device malfunction or damage and the name and telephone number of the individual at your location who is most familiar with the device problem.

  • Page 149: Appendix

    New products released after the introduction of this instrument may also be compatible for use in combination with instrument. For further details, contact Olympus. If combinations of equipment other than those shown below are used, the full responsibility should be assumed by the medical treatment facility.
  • Page 150 Insufflation tube (PALL ORO1H) tube Luer lock Suction connector container Suction Suction instrument device/ Used to branch equipment Trocar the suction when other suction line is used. Trocar Port device for Veress needle transanal access HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 151 (MAJ-1913, MAJ-1953) (UHI-4) (MAJ-1915, MAJ-1949) Communication cable (MAJ-1872, MAJ-1942, Ultrasonic generator MAJ-1948) (USG-400) Converter adapter for UHI-2/3 (MAJ-1873) Electrosurgical generator (ESG-400) Gender changer Extension cable for (Recommended product) aeration (MAJ-1424) Electrosurgical unit SonoSurg generator (UES-40) (SonoSurg-G2) HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 152: Specifications

     Transportation and storage environment Ambient temperature 25 to +70C (13 to +158F) Relative humidity 10 – 90% Atmospheric 700 – 1060 hPa pressure  High flow insufflation unit (UHI-4) Item Specification Power supply Rated voltage 100 – 240 VAC Voltage 10% fluctuation...
  • Page 153 16.2 MPa rating Applicable gas • CO for medical use. • Connection to gas cylinder via the Olympus cylinder hose (optional; five hose types available to fit the specific CO cylinders used: MAJ-1080 (PIN), MAJ-1081 (DIN), MAJ-1082 (ISO), MAJ-1985(PIN), MAJ-1986(DIN) •...
  • Page 154 • “SMALL” cavity mode for observation and treatment of the small cavity (Example: colon (rectum)). Cavity pressure control When cavity pressure reaches the set pressure level, insufflation will stop. When cavity pressure drops below the set pressure level, insufflation will start. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 155 • As the cavity pressure approaches the set pressure, the flow rate is gradually decreased. • When the cavity pressure reaches the set pressure, insufflation will stop. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 156 6. when the smoke exhaustion mode is OFF Selection of the smoke Select the smoke evacuation mode. evacuation mode “HIGH” mode: flow rate 10 L/min “LOW” mode: flow rate 5 L/min “OFF” mode: function off HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 157 Electronic Equipment, this symbol indicates that the product must not be disposed of as unsorted municipal waste, but should be collected separately. Refer to your local Olympus distributor for return and/or collection systems available in your country. Applied standards; This instrument complies with the standards IEC 60601-1-2: 2001 listed in the left column.
  • Page 158 Device Identification (UDI). The following information is being coded in the 2-dimensional barcode (GS1 Data Matrix): - (01) 14-digit GS1 Global Trade Item Number; - (11) 6-digit date of manufacture; - (21) 7-digit serial number. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 159 ISO (ISO 5145 W27 16–16)  Insufflation tube (MAJ-590) Item Specification Tube Tube 3000 mm length Filter 200 mm connecting tube Internal diameter 7 mm  Suction tube (MAJ-591) Item Specification Tube length 6290 mm HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 160 Hose length Equipment side: 1000 mm Cylinder side: 600 mm Nominal inlet pressure 0 – 16.2 MPa Compatible cylinder Pin-Index (ISO 407) connector Din-Index (DIN 477 Anschl. No. 6, W21. 8–14) Expiration date 5 years HIGH FLOW INSUFFLATION UNIT UHI-4...

  • Page 161: 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 HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 162 IEC 61000-4-5 0.5, 1 kV 0.5, 1 kV that of a typical commercial or hospital environment. Common mode: Common mode: 0.5, 1, 2 kV 0.5, 1, 2 kV for signal input/ output lines: 2 kV HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 163 Same as left It is recommended to use this (50/60 Hz) (50 Hz or 60 Hz) (50 Hz, 60 Hz) instrument by maintaining magnetic field enough distance from any IEC 61000-4-8 equipment that operates with high current. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 164 These guidelines may not apply in all situations. 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: HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 165 If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating this model. Over the frequency range 150 kHz to 80 MHz, field strength should be less than 3 V/m. HIGH FLOW INSUFFLATION UNIT UHI-4...
  • Page 166 Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of this instrument, including cables specified by Olympus. Otherwise, degradation of the performance of this equipment could result.
  • Page 167 ©2013 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 168 Manufactured by 2951 Ishikawa-cho, Hachioji-shi, Tokyo 192-8507, Japan Fax: (042)646-2429 Telephone: (042)642-2111 Distributed by (Premises/Goods delivery) Wendenstrasse 20, 20097 Hamburg, Germany (Letters) Postfach 10 49 08, 20034 Hamburg, Germany Fax: (040)23773-4656 Telephone: (040)23773-0 KeyMed House, Stock Road, Southend-on-Sea, Essex SS2 5QH, United Kingdom Fax: (01702)465677 Telephone: (01702)616333 Elektrozavodskaya str.

Table of Contents