Examples Of Inappropriate Handling - Olympus EVIS EXERA II Operation Manual

Examples of inappropriate handling

EVIS EXERA II TJF TYPE Q180V OPERATION MANUAL
This endoscope contains a memory chip that stores
information about the endoscope and communicates this
information to the video system center CV-180, CV-160.
Details on clinical endoscopic technique are the responsibility of trained
specialists. Patient safety in endoscopic examinations and endoscopic treatment
can be ensured through appropriate handling by the physician and the medical
facility. Examples of inappropriate handling are described below.
• Over-insufflating the lumen may cause patient pain, injury, bleeding,
and/or perforation.
• Applying suction with the distal end in prolonged contact with the
mucosal surface, with higher suction pressure than required, or with
prolonged suction time may cause bleeding and/or lesions.
• The endoscope has not been designed for use in retroflexed
observation in parts of the body other than the stomach. Performing
retroflexed observation in a narrow lumen may make it impossible to
straighten the angle of the bending section and/or withdraw the
endoscope from the patient. Retroflexed observation in parts of the body
other than the stomach should be performed only when the usefulness
of doing so is determined to be greater than the risk that is posed to the
patient.
• Inserting, withdrawing, and using EndoTherapy accessories without a
clear endoscopic image may cause patient injury, burns, bleeding,
and/or perforation.
• Inserting or withdrawing the endoscope, feeding air, applying suction, or
operating the bending section without a clear endoscopic image may
cause patient injury, bleeding, and/or perforation.
• For reasons described below, do not rely on the NBI
alone for primary detection of lesions or to make a decision regarding
any potential diagnostic or therapeutic intervention.
 NBI has not been demonstrated to increase the yield or
 NBI has not been demonstrated to aid in differentiating or
1 Narrow Band Imaging. For more details, refer to the
instruction manual for the video system center CV-180.
Important Information — Please Read Before Use
sensitivity of finding any specific mucosal lesion, including
colonic polyps or Barrett's esophagus.
establishing the presence or absence of dysplasia or
neoplastic changes within mucosa or mucosal lesions.
1
observation mode
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