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7.
Manipulate the elevator control lever to adjust the height of the elevator.
Operation of endo-therapy accessories
Operate the endo-therapy accessory according to the directions given in its
instruction manual.
Withdrawal of endo-therapy accessories
1.
Close the tip of the endo-therapy accessory and/or retract it into its sheath.
2.
While lowering the forceps elevator gradually, slowly withdraw the
endo-therapy accessory.
Fixing the guidewire
When a wire guided type endo-therapy accessory (endo-therapy accessory
which has a lumen for a guidewire) and a guidewire are used, and only the wire
guided type endo-therapy accessories are exchanged while detaining the
guidewire in the desired position, the guidewire can be fixed at the distal end of
the endoscope supportly. In other words, this function can be used when a wire
guided type endo-therapy accessory is withdrawn from the guidewire detained in
the billiary/pancreatic duct and inserted along the guidewire detained in the
billiary/pancreatic duct. When fixing the guidewire please follow the warnings
below.
EVIS EXERA TJF TYPE 160VR OPERATION MANUAL
•
Patient debris might spray when the endo-therapy
accessories are withdrawn from the biopsy valve. Apply
gauze to the biopsy valve to prevent patient debris to spray.
•
Do not withdraw the endo-therapy accessory if the tip is open
or extended from its sheath; patient injury, bleeding,
perforation and/or instrument damage may occur.
•
Withdraw the endo-therapy accessory slowly and straight out
of the biopsy valve. Otherwise, the valve's slit and/or hole
could be damaged. This can reduce the efficacy of the
endoscope's suction system, and may leak or spray patient
debris or fluids, posing an infection-control risk.
•
If the endo-therapy accessory cannot be withdrawn from the
endoscope, close the endo-therapy accessory and/or retract
it into its sheath, then carefully withdraw both the endoscope
and the endo-therapy accessory together under endoscopic
observation. Take care not to cause tissue trauma.
Chapter 4 Operation
55
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