Contents Contents Symbols..................Important Information — Please Read Before Use....Intended use .................... Applicability of endoscopy and endoscopic treatment ......Instruction manual ..................User qualifications..................Instrument compatibility ................Reprocessing before the first use/reprocessing and storage after use ..Spare equipment..................Maintenance management ...............
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Contents Chapter 5 Troubleshooting ............110 Troubleshooting guide ..............Withdrawal of the endoscope with an irregularity......Returning the endoscope for repair..........Appendix..................119 System chart .................... EMC information..................EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL...
Symbols Symbols The meaning(s) of the symbol(s) shown on the component packaging, the back cover of the instruction manual, and/or the instrument are as follows: Refer to instructions. Caution Endoscope TYPE BF applied part Manufacturer Authorized representative in the European Community Lot number Serial number EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL...
Important Information — Please Read Before Use Intended use These instruments have been designed to be used with an Olympus video system center, magnification controller (for CF-H260AZL/I only), endoscope position detecting unit (for CF-Q260DL/I, CF-H260DL/I only), light source, documentation equipment, monitor, EndoTherapy accessories (such as a biopsy forceps), and other ancillary equipment.
Keep this and all related instruction manuals in a safe, accessible location. If you have any questions or comments about any information in this manual, please contact Olympus. Terms used in this manual NBI (Narrow Band Imaging) observation mode: This is an observation mode using narrowband light.
Important Information — Please Read Before Use User qualifications If there are official standards for user qualifications to perform endoscopy and endoscopic treatment that are defined by the hospital’s medical administrators or other official institutions, such as academic societies on endoscopy, follow those standards.
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.
Important Information — Please Read Before Use Warnings and cautions Follow the warnings and cautions given below when handling this instrument. This information is to be supplemented by the warnings and cautions given in each chapter. • After using this instrument, reprocess and store it according to the instructions given in the endoscope’s companion “REPROCESSING MANUAL”...
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Important Information — Please Read Before Use Transnasal insertion is accompanied by the risk of inflammation of the nasal cavity. If this happens, the nasal passage will be constricted, making it more difficult to withdraw the endoscope. In this case, do not use force to withdraw the endoscope because patient injury, bleeding, and/or perforation may result.
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Important Information — Please Read Before Use • When using the PCF-PQ260L/I, be sure to check the passive bending section moving smoothly by touching it with your hands before inserting the endoscope into the patient. If any irregularity is observed on the distal end motion of the endoscope, immediately stop using the endoscope and withdraw it from the patient.
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Important Information — Please Read Before Use • The endoscope position detecting unit is designed only to assist the insertion of an endoscope. Never insert the endoscope into the patient’s body by observing only the endoscope position display of the endoscope position detecting unit.
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Important Information — Please Read Before Use • Do not touch the electrical contacts inside the electrical connector. CCD damage may result. • Do not apply shock to the distal end of the insertion section, particularly the objective lens surface at the distal end. Visual irregularities may result.
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Important Information — Please Read Before Use • Do not pull the UPD cable during an examination. The endoscope connector will be pulled out from the output socket of the light source and the endoscopic image will not be visible. The UPD cable will be pulled out from the UPD scope connector and the scope model will not be visible (for CF-Q260DL/I, CF-H260DL/I only).
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Important Information — Please Read Before Use • When using this equipment in domestic environments and connected to the public mains network, electromagnetic interference with other devices may occur. If electromagnetic interference occurs, mitigation measures may be necessary, such as reorienting or relocating this equipment, or shielding the location.
Important Information — Please Read Before Use Examples of inappropriate handling 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.
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.
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Chapter 1 Checking the Package Contents GIF-H260Z Endoscope CF-Q260AL/I, CF-H260AL/I, PCF-Q260AL/I Endoscope CF-H260AZL/I Endoscope EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL...
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Chapter 1 Checking the Package Contents CF-Q260DL/I, CF-H260DL/I Endoscope PCF-Q260AZI Endoscope PCF-Q260JL/I Endoscope EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL...
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Chapter 2 Instrument Nomenclature and Specifications GIF-H260Z Universal cord 19. Auxiliary water inlet 1. Suction connector Auxiliary water inlet cap (MAJ-215) 5. Electrical connector Air pipe 2. S-cord connector mount 3. Air supply connector 3. Water supply connector Product name (model) and serial number Light guide Contact pins 4.
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Chapter 2 Instrument Nomenclature and Specifications 9. Air/water valve (MH-438) 8. Suction valve (MH-443) 7. UP/DOWN angulation lock Suction cylinder 6. UP/DOWN angulation control knob 18. Zoom lever 16. RIGHT/LEFT angulation control knob Control section Air/water cylinder 15. RIGHT/LEFT angulation lock Grip section 14.
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Chapter 2 Instrument Nomenclature and Specifications CF-Q260AL CF-Q260AI CF-H260AL CF-H260AI PCF-Q260AL PCF-Q260AI Universal cord 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.
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Chapter 2 Instrument Nomenclature and Specifications CF-H260AZL CF-H260AZI Mark 3 22. Seal ring Front view of the zoom connector Universal cord 1. Suction connector 2. S-cord connector mount 5. Electrical connector 20. Zoom connector Air pipe 21. Water-resistant cap (MAJ-583) 3.
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Chapter 2 Instrument Nomenclature and Specifications 9. Air/water valve (MH-438) 8. Suction valve (MH-443) 7. UP/DOWN angulation lock Suction cylinder 6. UP/DOWN angulation control knob 18. Zoom lever 16. RIGHT/LEFT angulation control knob Control section 15. RIGHT/LEFT angulation lock Air/water cylinder Grip section 14.
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Chapter 2 Instrument Nomenclature and Specifications CF-Q260DL CF-Q260DI CF-H260DL CF-H260DI Mark 3 25. Seal ring Front view of the UPD scope connector Universal cord 1. Suction connector 2. S-cord connector mount 23. UPD scope connector 5. Electrical connector Air pipe 24.
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Chapter 2 Instrument Nomenclature and Specifications PCF-PQ260L PCF-PQ260I Universal cord 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.
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Chapter 2 Instrument Nomenclature and Specifications PCF-Q260AZI Universal cord 19. Auxiliary water inlet 1. Suction connector Auxiliary water inlet cap (MAJ-215) 5. Electrical connector Air pipe 2. S-cord connector mount 3. Air supply connector 3. Water supply connector Product name (model) and serial number Light guide Contact pins 4.
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Chapter 2 Instrument Nomenclature and Specifications 9. Air/water valve (MH-438) 8. Suction valve (MH-443) 7. UP/DOWN angulation lock Suction cylinder 6. UP/DOWN angulation control knob 18. Zoom lever 16. RIGHT/LEFT angulation control knob Control section 15. RIGHT/LEFT angulation lock Air/water cylinder Grip section 14.
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Chapter 2 Instrument Nomenclature and Specifications PCF-Q260JL PCF-Q260JI Universal cord 19. Auxiliary water inlet 1. Suction connector Auxiliary water inlet cap (MAJ-215) 5. Electrical connector Air pipe 2. S-cord connector mount 3. Air supply connector 3. Water supply connector Product name (model) and serial number Light guide Contact pins...
Connects the endoscope to the suction tube of the suction pump. 2. S-cord connector mount (except GIF-N260, GIF-XP260) 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.
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Chapter 2 Instrument Nomenclature and Specifications 10. Instrument channel The instrument channel functions as: Channel for the insertion of EndoTherapy accessories Suction channel Fluid feed channel (from a syringe via the biopsy valve) 11. Insertion section limit mark This mark shows the maximum point to that the endoscope may be inserted into the patient’s body.
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Chapter 2 Instrument Nomenclature and Specifications 17. Flexibility adjustment ring (for endoscopes with flexibility adjustment only) Turn this ring to adjust the flexibility of the insertion section. When the “” mark on the ring is aligned with the “ ” mark at the bottom of the grip section, the insertion section is the most flexible.
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Chapter 2 Instrument Nomenclature and Specifications 26. Chain connector (for GIF-N260, GIF-XP260 only) This connector connects the fitting part of the chain for water-resistant cap as required. Do not connect the S-cord of the electrosurgical unit to the chain connector. 27.
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Chapter 2 Instrument Nomenclature and Specifications Specifications Endoscope functions Model 1 GIF-N260 Optical system Field of view Direction of view Forward viewing Depth of field 3 – 100 mm Insertion Distal end outer diameter ø 4.9 mm section Distal end enlarged 1.
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Chapter 2 Instrument Nomenclature and Specifications Model 1 GIF-XP260 Optical system Field of view Direction of view Forward viewing Depth of field 3 – 100 mm Insertion Distal end outer diameter ø 5 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model GIF-PQ260 Optical system Field of view Direction of view Forward viewing Depth of field 3 – 100 mm Insertion Distal end outer diameter ø 7.9 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model GIF-XQ260 Optical system Field of view Direction of view Forward viewing Depth of field 3 – 100 mm Insertion Distal end outer diameter ø 9 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model GIF-Q260 Optical system Field of view Direction of view Forward viewing Depth of field 3 – 100 mm Insertion Distal end outer diameter ø 9.2 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model GIF-H260 Optical system Field of view Direction of view Forward viewing Depth of field 3 – 100 mm Insertion Distal end outer diameter ø 9.8 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model GIF-H260Z Optical system Field of view 140 (WIDE position) 75 (TELE position) Direction of view Forward viewing Depth of field 7 – 100 mm (WIDE position) 1.5 – 3 mm (TELE position) (The focus range is switchable.) Insertion Distal end outer diameter ø...
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Chapter 2 Instrument Nomenclature and Specifications Model CF-Q260AL CF-Q260AI Optical system Field of view Direction of view Forward viewing Depth of field 4 – 100 mm Insertion Distal end outer diameter ø 12.2 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model CF-Q260DL CF-Q260DI Optical system Field of view Direction of view Forward viewing Depth of field 5 – 100 mm Insertion Distal end outer diameter ø 12.2 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model CF-H260AL CF-H260AI Optical system Field of view Direction of view Forward viewing Depth of field 5 – 100 mm Insertion Distal end outer diameter ø 13.2 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model CF-H260AZL CF-H260AZI Optical system Field of view (WIDE position) (TELE position) Direction of view Forward viewing Depth of field 7 – 100 mm (WIDE position) 2 – 3 mm (TELE position) (The focus range is switchable.) Insertion Distal end outer diameter...
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Chapter 2 Instrument Nomenclature and Specifications Model CF-H260DL CF-H260DI Optical system Field of view Direction of view Forward viewing Depth of field 5 – 100 mm Insertion Distal end outer diameter ø 13.6 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model PCF-PQ260L PCF-PQ260I Optical system Field of view Direction of view Forward viewing Depth of field 5 – 100 mm Insertion Distal end outer diameter ø 9.2 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model PCF-Q260AL PCF-Q260AI Optical system Field of view Direction of view Forward viewing Depth of field 5 – 100 mm Insertion Distal end outer diameter ø 11.3 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Model PCF-Q260AZI Optical system Field of view (WIDE position) (TELE position) Direction of view Forward viewing Depth of field 7 – 100 mm (WIDE position) 2 – 3.5 mm (TELE position) (The focus range is switchable.) Insertion Distal end outer diameter ø...
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Chapter 2 Instrument Nomenclature and Specifications Model PCF-Q260JL PCF-Q260JI Optical system Field of view Direction of view Forward viewing Depth of field 5 – 100 mm Insertion Distal end outer diameter ø 10.5 mm section Distal end enlarged 1. Air/water nozzle 2.
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Chapter 2 Instrument Nomenclature and Specifications Medical This device complies with the requirements Devices of Directive 93/42/EEC concerning medical Directive devices. Classification: Class II a Applied standard: This instrument complies with the IEC 60601-1-2: 2001 standards listed in the left column. IEC 60601-1-2: 2007 CISPR 11 of emission: 1...
Chapter 2 Instrument Nomenclature and Specifications Attaching the chain for water-resistant cap (MAJ-1119) • Do not lift the endoscope by the chain for water-resistant cap. Doing so may result in the fitting part of the chain detaching from the S-cord connector mount or the chain connector of the GIF-N260, GIF-XP260, causing the endoscope to fall.
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Chapter 2 Instrument Nomenclature and Specifications Notch Chain part Fitting part Connecting plate Hole Figure 2.1 To ensure that you do not forget to attach the water-resistant cap, it is recommended that you connect the chain for water-resistant cap to the endoscope’s S-cord connector mount or the chain connector of the GIF-N260, GIF-XP260.
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Chapter 2 Instrument Nomenclature and Specifications Place the hole on the fitting part over the endoscope’s S-cord connector mount or the chain connector of the GIF-N260, GIF-XP260 (see Figure 2.3). Fitting part Hole S-cord connector mount or chain connector Figure 2.3 Confirm that the fitting part is securely attached to the foot of the S-cord connector mount or the chain connector of the GIF-N260, GIF-XP260 and can be smoothly rotated.
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 118.
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Chapter 3 Preparation and Inspection Monitor Video system center Light source Magnification controller Water container (for CF-H260AZL/I only) Suction pump Endoscope Endoscope position detecting unit (for CF-Q260DL/I, CF-H260DL/I only) Mouthpiece (for GIF models only) EndoTherapy accessories Water pump (OFP) or a syringe Auxiliary water tube (for endoscopes with auxiliary (for endoscopes with auxiliary...
Chapter 3 Preparation and Inspection Inspection of the endoscope Clean and disinfect or sterilize the endoscope as described in the “REPROCESSING MANUAL” with your endoscope model listed on the cover. Then remove the water-resistant cap from the endoscope connector. Inspection of the endoscope Inspect the control section and the endoscope connector for excessive scratching, deformation, loose parts, or other irregularities.
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Chapter 3 Preparation and Inspection Figure 3.3 When inspecting the PCF-PQ260L/I, confirm that the passive bending section bends smoothly by holding both ends of the passive bending section (about 100 mm from the distal end of the endoscope and the distal end of the insertion tube) using both hands and bending it lightly as shown in Figure 3.4 (the passive bending section can be bent almost roughly about 60).
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Chapter 3 Preparation and Inspection Inspect the objective lens and light guide lens at the distal end of the endoscope’s insertion section for scratches, cracks, stains, or other irregularities. Inspect the air/water nozzle at the distal end of the endoscope’s insertion section for abnormal swelling, bulges, dents, or other irregularities.
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Chapter 3 Preparation and Inspection Set the insertion section to the most flexible and most rigid conditions, respectively. In each case, hold the insertion section with two hands between 30 and 50 cm from the distal end, and bend it gently as shown in Figure 3.6.
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Chapter 3 Preparation and Inspection Inspection for smooth operation Confirm that both the UP/DOWN and RIGHT/LEFT angulation locks move all the way in the “F ” direction (the GIF-N260 has only the UP/DOWN angulation lock). Turn the UP/DOWN and RIGHT/LEFT angulation control knobs slowly in each direction until they stop, and return them to their respective neutral positions (the GIF-N260 has only the UP/DOWN angulation control knob).
Chapter 3 Preparation and Inspection Inspection of the UP/DOWN angulation mechanism Move the UP/DOWN angulation lock all the way in the opposite direction of the “F ” mark. Then turn the UP/DOWN angulation control knob in the “ U” or the “D ”...
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Chapter 3 Preparation and Inspection Confirm that the holes of the valves are not blocked (see Figures 3.9 and 3.10). Confirm that the valves are not deformed or cracked (see Figures 3.9 and 3.10). Check for excessive scratching or tears in the air/water valve’s seals (see Figure 3.9).
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Chapter 3 Preparation and Inspection Inspection of the biopsy valve The biopsy valve is a consumable that should be inspected as follows before each use. Replace it with a new one if any irregularity is observed during the inspection. An irregular, abnormal, or damaged 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.
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Chapter 3 Preparation and Inspection Inspection of the auxiliary water inlet cap (for endoscopes with auxiliary water feeding only) Confirm that the auxiliary water inlet cap attached to the endoscope connector has no dents, cracks, or other irregularities (see Figure 3.13). Should any irregularity be observed, replace it with a new one as described in “Attaching the auxiliary water inlet cap (for endoscopes with auxiliary water feeding only)”...
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Chapter 3 Preparation and Inspection Inspection of the mouthpiece (for GIF models only) Do not use a mouthpiece that is damaged, deformed, or reveals other irregularities. Doing so may cause patient injury and/or equipment damage. Placing the mouthpiece in the patient’s mouth before the procedure prevents the patient from biting and/or damaging the endoscope’s insertion section.
Chapter 3 Preparation and Inspection Attaching accessories to the endoscope The air/water valve and the suction valve do not require lubrication. Lubricants can cause swelling of the valves’ seals, which will impair valve function. Attaching the suction valve Align the two metal ridges on the underside of the suction valve with the two holes in the suction cylinder.
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Chapter 3 Preparation and Inspection Attaching the air/water valve Attach the air/water valve to the air/water cylinder of the endoscope (see Figure 3.17). Confirm that the valve fits properly without any bulging of the skirt. Air/water valve Suction valve Skirt Air/water cylinder Suction cylinder Figure 3.17...
Chapter 3 Preparation and Inspection Attaching the auxiliary water inlet cap (for endoscopes with auxiliary water feeding only) If the auxiliary water inlet cap is not attached, attach the fitting ring to the auxiliary water inlet on the endoscope connector (see Figure 3.19). Fitting ring Auxiliary water inlet cap Auxiliary water inlet...
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Chapter 3 Preparation and Inspection The NBI observation mode is available when the video system center CV-260SL and the light source CLV-260SL, CLV-260NBI are used with the endoscope. The CLV-260NBI may not be available in some areas. Connection of the endoscope and ancillary equipment Firmly connect the suction tube from the suction pump to the suction connector on the endoscope connector.
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Chapter 3 Preparation and Inspection Air supply connector Water supply connector Water container’s connection adapter Endoscope connector Air supply channel Metal tip Water supply channel Figure 3.20 Align the mark on the videoscope cable LUCERA or 200 with mark 1 on the endoscope connector and push it in until it stops (see Figure 3.21).
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Chapter 3 Preparation and Inspection Align the notch on the endoscope plug of the magnification control cable with mark 3 on the zoom connector of the endoscope and push the endoscope plug into the zoom connector until it stops (for CF-H260AZL/I only, see Figure 3.22).
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Chapter 3 Preparation and Inspection Connect the suction tube from the suction pump to the suction connector on the endoscope connector (see Figure 3.24). Suction pump Suction connector Suction tube Figure 3.24 Open the auxiliary water inlet cap (for endoscopes with auxiliary water feeding only, see Figure 3.25).
Chapter 3 Preparation and Inspection Inspection of the endoscopic system Inspection of the endoscopic image Do not stare directly into the distal end of the endoscope while the examination light is ON. Otherwise, eye injury may result. Turn the video system center, light source, monitor, magnification controller (for CF-H260AZL/I only) and endoscope position detecting unit (for CF-Q260DL/I, CF-H260DL/I only) ON and inspect the WLI and NBI endoscopic image as described in their respective instruction manuals.
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If this fails to stop air bubbles from being emitted, do not use the endoscope because there may be a malfunction. Contact Olympus. When the distal end of the insertion section is immersed less than 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.
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If the reattached or replaced suction valve fails to operate smoothly, the endoscope may be malfunctioning; stop using it and contact Olympus. • If the biopsy valve leaks, replace it with a new one. A leaking biopsy valve can reduce the efficacy of the endoscope’s...
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Chapter 3 Preparation and Inspection Inspection of the instrument channel Keep your eyes away from the distal end when inserting EndoTherapy accessories. Extending the EndoTherapy accessory from the distal end could cause an eye injury. Insert the EndoTherapy accessory through the biopsy valve. Confirm that the EndoTherapy accessory extends smoothly from the distal end.
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Chapter 3 Preparation and Inspection For GIF-H260Z, PCF-Q260AZI Move the zoom lever toward “ T” until it stops and confirm that the image of an object located about 2 mm from the distal end is clearly visible. Move the zoom lever toward “W ”...
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Chapter 3 Preparation and Inspection If the auxiliary water channel is used for feeding water, never disconnect the auxiliary water tube during an examination; leave it attached until the endoscope is precleaned. If the auxiliary water tube is detached before precleaning, water remaining in the auxiliary water channel may be spilled on the surrounding equipment.
Chapter 4 Operation Chapter 4 Operation This manual does not explain or discuss clinical endoscopic procedures. It only describes basic operation and precautions related to the operation of this instrument. Therefore, the operator of this instrument must be a physician or medical personnel under the supervision of a physician and must have received sufficient training in clinical endoscopic technique.
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Chapter 4 Operation • Never insert or withdraw the endoscope under any of the following conditions. Otherwise, patient injury, bleeding, and/or perforation can result. While the EndoTherapy accessory extends from the distal end of the endoscope. While the bending section is locked in position. ...
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Chapter 4 Operation • The bending section will never bend to the RIGHT or LEFT direction but to the UP or DOWN direction. To insert or withdraw, operate the endoscope by considering the direction in which the bending section is angulated. Never apply excessive force to the RIGHT or LEFT direction when inserting or withdrawing the endoscope.
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Chapter 4 Operation • Regardless of the flexibility of the endoscope’s insertion section, it can cause patient injury, bleeding, and/or perforation if it is forcibly inserted, withdrawn, and/or twisted with excessive force. It is generally believed that an endoscope with a more rigid insertion section is easier to manipulate in the intestines if used properly.
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Chapter 4 Operation • The endoscopic image may be disrupted while switching between WLI observation mode and NBI observation mode. Therefore, do not perform any endoscopic operation or treatment while switching between the WLI observation mode and NBI observation mode. Otherwise, injury in the body cavity may result.
Chapter 4 Operation Insertion Holding and manipulating the endoscope The control section of the endoscope is designed to be held in the left hand. The air/water and suction valves can be operated using the left index finger. The UP/DOWN angulation control knob and the zoom lever can be operated using the left thumb.
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Chapter 4 Operation • Transnasal insertion of the endoscope should be performed carefully. If resistance to insertion is felt, or the patient reports pain, stop the insertion immediately. Otherwise, patient injury can result or the endoscope could become lodged and difficult to withdraw.
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Chapter 4 Operation > 10 cm Figure 4.2 Endoscopes with flexibility adjustment > 10 cm Figure 4.3 For GIF models Move the zoom lever toward “W ” until it stops so that the widest possible angle is shown in the endoscopic image (for GIF-H260Z only). If necessary, apply a medical-grade, water-soluble lubricant to the insertion section.
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Chapter 4 Operation For CF/PCF models To determine the correct splinting tube to use with the endoscope, select one of the combinations shown in the “System chart” in the Appendix. Move the zoom lever toward “W ” until it stops so that the widest possible angle is shown in the endoscopic image (for CF-H260AZL/I, PCF-Q260AZI only).
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Chapter 4 Operation Flexibility adjustment (for endoscopes with flexibility adjustment only) • Do not change the insertion section’s flexibility abruptly. Otherwise, patient pain, injury, bleeding, and/or perforation can result. • If the endoscopic image moves suddenly or is lost while you are changing the insertion section’s flexibility, stop changing the flexibility and restore the optimum field of view.
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Chapter 4 Operation Before inserting or withdrawing the endoscope, set the insertion section to an appropriate level of flexibility by turning the flexibility adjustment ring as required (see Figure 4.4). Rigid Flexible Figure 4.4 When changing the insertion section’s flexibility during a procedure, turn the flexibility adjustment ring slowly, and closely monitor the position of the flexibility marks, the endoscopic image, and the patient’s condition.
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Chapter 4 Operation • If the biopsy valve is left uncapped during the procedure, debris or fluids could leak or spray from it, posing an infection control risk. When the valve is uncapped, place a piece of sterile gauze over it to prevent leakage. •...
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“Inspection of the suction function” on page 82, before using the endoscope again. If the thick fluid or solid matter cannot be discharged, stop using the suction function and contact Olympus. • When aspirating, maintain the suction pressure at the lowest level necessary to perform the procedure.
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Chapter 4 Operation Performing both air feeding and suction at the same time sometimes makes it easier to remove water droplets from the objective lens surface. Auxiliary water feeding (for endoscopes with auxiliary water feeding only) Nothing other than sterile water should be used for auxiliary water feeding.
Chapter 4 Operation Operating the zoom function (for GIF-H260Z, CF-H260AZL/I, PCF-Q260AZI only) Refer to the magnification controller’s instruction manual for the operation of the magnification controller (for CF-H260AZL/I only). When magnifying the endoscopic image, move the zoom lever toward “ T”...
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Chapter 4 Operation • When using EndoTherapy accessories, keep the distance between the distal end of the endoscope and the mucous membrane greater than the endoscope’s minimum visible distance so that the EndoTherapy accessory remains visible in the endoscopic image. If the distal end of the endoscope is placed closer than its own minimum visible distance, the position of the accessory cannot be seen in the endoscopic image, which could cause serious patient injury and/or...
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Chapter 4 Operation • When using a distal attachment, the distal end of the endoscope becomes longer and its outer diameter is larger. Handle the endoscope carefully so as not to cause perforation or other patient injury. When performing endoscopic treatment using this equipment, take extra care. •...
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Chapter 4 Operation • When the biopsy valve’s cap is detached from the main body, it may cause patient debris or fluids to leak or spray from the endoscope, posing an infection control risk. When the biopsy valve’s cap has to be detached, place a piece of sterile gauze over it to prevent leakage.
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Chapter 4 Operation • When the tip of the EndoTherapy accessory extends approximately 1 cm from the distal end of the endoscope, the accessory will appear in the endoscopic image. • When the accessory appears in the endoscopic image, it may also reflect the light from the endoscope and/or cast its shadow in the endoscopic image.
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Chapter 4 Operation Use of nonflammable gases (for CF/PCF models only) Performing treatment while the intestines are filled with a flammable gas could result in an explosion, fire, and/or serious patient injury. If the intestines contain a flammable gas, replace it with air or a nonflammable gas such as CO before performing high-frequency treatment or laser cauterization treatment.
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Chapter 4 Operation • The application of high-frequency current may interfere with the endoscopic image. This does not indicate a malfunction. • When the endoscope is used with the electrosurgical unit ESG-100, it is not necessary to use the S-cord. Laser cauterization treatment (except GIF-N260, GIF-XP260) •...
Chapter 4 Operation Withdrawal of the endoscope • If blood unexpectedly adheres to the surface of the insertion section of the withdrawn endoscope, carefully check the condition of the patient. • If it becomes impossible to withdraw the transnasally inserted endoscope, pull its distal end out of the mouth, cut the flexible tube using wire cutters, and after ensuring that the cut section will not injure the body cavity or nasal cavity of the...
Chapter 4 Operation Transportation of the endoscope Transporting within the hospital Set the insertion section to the most flexible condition (for endoscopes with flexibility adjustment only). When carrying the endoscope with the auxiliary water tube connected to the auxiliary water inlet, attach the clip of the auxiliary water tube to the universal cord (for endoscopes with auxiliary water feeding only, see Figure 4.6).
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Chapter 4 Operation Transporting outside the hospital Transport the endoscope in the carrying case. Always clean, disinfect, or sterilize the endoscope after removing it from the carrying case. If the endoscope is not cleaned, disinfected, or sterilized, it could pose an infection control risk.
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.
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Chapter 5 Troubleshooting Endoscope functions Angulation Irregularity Possible cause Solution description Resistance is The angulation lock(s) is Rotate angulation lock(s) in the encountered when engaged. “F ” direction. rotating angulation control knob(s). Air/water feeding Irregularity Possible cause Solution description No air feeding.
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Chapter 5 Troubleshooting Suction Irregularity Possible cause Solution description The suction is The biopsy valve is not Attach it correctly. absent or attached properly. insufficient. The biopsy valve is Replace it with a new one. damaged. The suction pump is not set Adjust the suction pump’s setting as properly.
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Chapter 5 Troubleshooting Image quality or brightness Irregularity Possible cause Solution description There is no video Not all power switches are Turn all power switches ON. image. An image is not The objective lens is dirty. Feed water to remove mucus, etc. clear.
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Chapter 5 Troubleshooting Auxiliary water feeding (for endoscopes with auxiliary water feeding only) Irregularity Possible cause Solution description The auxiliary water The auxiliary water inlet cap Replace it with a new one. inlet cap is leaking. is worn out. The auxiliary water inlet cap Install the auxiliary water inlet cap is incorrectly installed.
If the endoscope or EndoTherapy accessory cannot be withdrawn from the patient smoothly, do not attempt to forcibly withdraw it. Should any irregularity be observed, immediately contact Olympus. Forcibly withdrawing the endoscope or EndoTherapy accessory may cause patient injury, bleeding, and/or perforation.
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Chapter 5 Troubleshooting Turn the UP/DOWN and RIGHT/LEFT angulation locks in the “F ” direction to release them (the GIF-N260 has only the UP/DOWN angulation lock). Carefully withdraw the endoscope while observing the endoscopic image. When a splinting tube is used, withdraw both the endoscope and the splinting tube together from the patient’s anus (for CF/PCF models only).
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Chapter 5 Troubleshooting When using an endoscope with the flexibility adjustment function, set the insertion section to the most flexible condition (for endoscopes with flexibility adjustment only). Turn the UP/DOWN and RIGHT/LEFT angulation locks in the “F ” direction to release them (the GIF-N260 has only the UP/DOWN angulation lock).
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.
New products released after the introduction of the endoscopes may also be compatible for use in combination with the endoscopes. 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.
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Appendix Endoscope position detecting unit Magnification controller (for CF-Q260DL/I, CF-H260DL/I only) (for CF-H260AZL/I only) UPD cable Magnification (MAJ-966) control cable (MAJ-572, Magnification MAJ-573) controller (MAJ-570) Endoscope position detecting unit (UPD) CF-H260AZL/I CF-Q260DL/I, CF-H260DL/I Water pump (OFP) (for endoscopes Auxiliary water tube (MAJ-855) with auxiliary water (for endoscopes with auxiliary feeding only)
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Appendix Endoscope position detecting unit (UPD) Endoscopes Biopsy valve (MB-358) GIF-N260, GIF-XP260, GIF-PQ260, GIF-XQ260, GIF-Q260, GIF-H260, 4 Electrosurgical unit GIF-H260Z, CF-Q260AL/I, CF-Q260DL/I, CF-H260AL/I, CF-H260AZL/I, CF-H260DL/I, PCF-PQ260L/I, PCF-Q260AL/I, PCF-Q260AZI, PCF-Q260JL/I ESG-100 Position detecting probe 4 Electrosurgical unit (MAJ-1300) (for CF/PCF models except CF-Q260DL/I, CF-H260DL/I) PSD-30...
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Appendix Reprocessing equipment Channel cleaning Channel-opening brush (BW-20T) cleaning brush (MH-507) Single use channel-opening cleaning brush (MAJ-1339) Single use channel cleaning Endoscope washer (EW-30) brush (BW-201T) Endoscope reprocessor (OER, OER-A, OER-AW) AW channel cleaning adapter (MH-948) Channel plug Injection tube Ultrasonic cleaner (MH-944) (MH-946)
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Appendix EndoTherapy accessories Please note that some of the accessories may not be available in some areas. Biopsy forceps Biopsy forceps (fenestrated) Single side open With needle Alligator jaws type Standard type type Endoscope GIF-N260 – – FB-15K-1 FB-19K-1 GIF-XP260 –...
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Appendix Biopsy forceps (fenestrated) Swing jaws alligator Swing jaws alligator Swing jaws alligator type with tooth Rat tooth type type with tooth type with tooth (elongated cups with (elongated cups) needle) Endoscope GIF-N260 – FB-52K-1 – – GIF-XP260 – FB-52K-1 –...
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Appendix Disposable biopsy forceps (fenestrated) Swing jaws alligator Swing jaws Swing jaws alligator type with tooth Swing jaws (elongated cups with type with tooth (with needle) needle) Endoscope GIF-N260 FB-211K FB-221K FB-231K FB-241K GIF-XP260 FB-211K FB-221K FB-231K FB-241K GIF-PQ260 FB-211K FB-221K FB-231K FB-241K...
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Appendix Rotatable biopsy Rotatable biopsy forceps (fenestrated) forceps (fenestrated) Swing jaws alligator Elongated cups with Swing jaws alligator Standard type type with tooth needle type with tooth (elongated cups) Endoscope GIF-N260 FB-19KR-1 – – – GIF-XP260 FB-19KR-1 – – – GIF-PQ260 FB-19KR-1 –...
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Appendix Rotatable biopsy Grasping forceps forceps (fenestrated) Swing jaws alligator type with tooth W shape jaw Alligator jaws Rat tooth (elongated cups with needle) Endoscope GIF-N260 – FG-4L-1 – FG-14P-1 GIF-XP260 – FG-4L-1 – FG-14P-1 GIF-PQ260 – FG-4L-1 – FG-14P-1 FG-8L-1, GIF-XQ260 FB-55KR-1...
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Appendix Electrosurgical accessories Please note that some of the accessories may not be available in some areas. Electrosurgical Disposable hot biopsy forceps snare Hot biopsy forceps Alligator-jaw step Standard oval Crescent fenestrated fenestrated Endoscope GIF-N260 – – – – GIF-XP260 –...
Appendix EMC information Guidance and manufacturer’s declaration — Electromagnetic emissions This model is intended for use by medical personnel in hospital environments and for use in the electromagnetic environment specified below. The customer or the user of this model should assure that it is used in such an environment.
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The customer or the user of this model should assure that it is used in such an environment. This instrument can be used with the high-frequency electrosurgical equipment that designated by Olympus. IEC 60601-1-2 IEC 60601-1-2 IEC 60601-1-2 (2007, 2001)
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Appendix IEC 60601-1-2 IEC 60601-1-2 IEC 60601-1-2 (2007, 2001) Compliance Immunity test (2014) (2007, 2001) Electromagnetic environment — level test level test level Guidance Voltage dips, 0% U < 5% U Same as left Mains power quality should be that of a short typical commercial or hospital (100% dip in U...
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Appendix IEC 60601-1-2 IEC 60601-1-2 IEC 60601-1-2 (2007, 2001) Compliance Immunity test (2014) (2007, 2001) Electromagnetic environment — level test level test level Guidance Radiated RF 3V/m (80 MHz – 3V/m (E Same as left Recommended separation distance IEC 61000-4-3 2.7 GHz) (80 MHz –...
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30 cm (12 inches) to any part of the video system center, including cables specified by Olympus. Otherwise, degradation of the performance of this equipment could result. Guidance and manufacturer’s declaration — Cables used for EMC compliance testing Refer to the instruction manuals for each piece of equipment.
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Appendix Recommended separation distances between portable and mobile RF communications equipment and this model This model is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this model can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and this model as recommended below, according to the maximum output power of the communications equipment.