Olympus WA22366A Instructions Manual
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Olympus WA22366A Instructions Manual

Olympus WA22366A Instructions Manual

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INSTRUCTIONS
Working Element
WA22366A, WA22367A
Caution: Federal (USA) law restricts this device to sale by or on the order of a physician.

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Summary of Contents for Olympus WA22366A

  • Page 1 INSTRUCTIONS Working Element WA22366A, WA22367A Caution: Federal (USA) law restricts this device to sale by or on the order of a physician.
  • Page 2 Working Element W7.074.651...

  • Page 3: Table Of Contents

    3.2 Inspection and Testing ..........24 4 Use..................26 4.1 Preparation ..............27 4.2 Procedure ..............31 4.3 After Use ..............36 5 Reprocessing of WA22366A, WA22367A, WA22351A, WA22355A, WA22538A ............ 37 5.1 Cleaning ..............39 5.2 Maintenance .............. 42 6 Repair ................43 W7.074.651...

  • Page 4: General Information

    1 General Information 1.1 Intended Use WA22366A, WA22367A Working element for cutting, coagulation, and vaporization in conductive irrigation fluid or conductive distension medium in the Saline mode. Do not use it for any other purpose. WA22301D, WA22302D, WA22305D, WA22306D, WA22331D, WA22332D, WA22351A, WA22351C,...
  • Page 5 WA22557C HF-resection electrode for plasma vaporization for transurethral endoscopic diagnosis and treatment in urological surgical procedures for use in the prostate, bladder and bladder neck involving the vaporization, ablation, coagulation, cutting, removal of soft tissue and coagulation where hemostatis is required. Do not use it for any other purpose.
  • Page 6 Applications HF-resection electrodes are classified according to their compatibility with coagulation, cutting, or vaporization. Refer to the table for compatible applications of the selected HF-resection electrode. These devices are intended to be used in an irrigated environment. Use HF- resection electrodes only for compatible applications. + = compatible –...
  • Page 7 Article number Coagulation Cutting Vaporization WA22651C – – WA22655C – WA22657C – Specific urological indications HF-resection electrodes compatible with coagulation/ cutting: - Transurethral resection in saline (TURis) - Transurethral prostatectomy, transurethral resection of the prostate (TURP) for benign prostatic hyperplasia - Transurethral incision of the prostate (TUIP) or bladder neck, transurethral resection of bladder tumors (TURBT) and cystodiathermy...

  • Page 8: Instruction Manuals

    (delivered together with this product) and the system- related instruction manual, entitled “Olympus Endoscopy System Guide” (supplied with Olympus telescopes). Immediately contact an Olympus representative if either manual is missing or lost. Keep the instruction manual set in a safe, accessible location.

  • Page 9: Upon Delivery

    WARNING! Read all instruction manuals thoroughly Before use, read this manual, the Olympus Endoscopy System Guide, and the manuals for all other equipment which will be used during the procedure. An insufficient understanding of the dangers, warnings, cautions, and information in these manuals can result in death, serious injury, or equipment damage.
  • Page 10 Contents HF-resection electrode HF-resection electrodes: WA22301D, WA22302D, WA22305D, WA22306D, WA22331D, WA22332D, WA22351A, WA22351C, WA22355A, WA22355C, WA22503D, WA22507D, WA22521C, WA22523C, WA22537D, WA22538A, WA22538C, WA22539D, WA22557C, WA22558C - Access information sheet - HF-resection electrode Contents HF-resection electrode HF-resection electrodes: WA22602D, WA22603D, WA22606D, WA22607D, WA22621C, WA22623C, WA22632D, WA22651C, WA22655C, WA22657C - Access information sheet - HF cable...

  • Page 11: Manufacturer/Distributor

    WA22503D, WA22507D, WA22521C, WA22523C, WA22537D, WA22538C, WA22539D, WA22557C, WA22558C, WA22602D, WA22603D, WA22606D, WA22607D, WA22621C, WA22623C, WA22632D, WA22651C, WA22655C, WA22657C 1.4 Manufacturer/Distributor Manufacturer: Olympus Winter & Ibe GmbH Kuehnstraße 61 22045 Hamburg Germany Distributor: Olympus Winter & Ibe GmbH Kuehnstraße 61...

  • Page 12: Terminology

    2 Terminology Active working element WA22366A 1) Handle 2) Telescope release button 3) HF connector (for HF cable’s right angle plug) 4) Telescope channel 5) Thumb ring 6) HF connector (for HF cable’s straight plug) 7) Electrode release button 8) Locking cone...
  • Page 13 Passive working element WA22367A 1) Handle 2) Telescope release button 3) HF connector (for HF cable’s right angle plug) 4) Telescope channel 5) Thumb ring 6) HF connector (for HF cable’s straight plug) 7) Electrode release button 8) Locking cone 9) Electrode guiding tube W7.074.651 Working Element...
  • Page 14 HF cable WA00013A 1) Straight plug 2) Right angle plug HF-resection electrode WA22301D, WA22302D, WA22305D, WA22306D, WA22331D, WA22332D, WA22351A, WA22351C, WA22355A, WA22355C, WA22503D, WA22507D, WA22521C, WA22523C, WA22537D, WA22538A, WA22538C, WA22539D, WA22557C, WA22558C 1) Cutting loop 2) Stabilizing tube Working Element W7.074.651...

  • Page 15: Shape Of Hf-Resection Electrodes

    HF-resection electrode with instrument recognition WA22602D, WA22603D, WA22606D, WA22607D, WA22621C, WA22623C, WA22632D, WA22651C, WA22655C, WA22657C 1) HF-resection electrode 2) Generator plug 3) Straight plug 4) Right angle plug 5) HF cable 2.1 Shape of HF-Resection Electrodes WA22301D, WA22302D, WA22305D, WA22306D, WA22503D, WA22507D, WA22537D, WA22602D, WA22603D, WA22606D, WA22607D Loop.
  • Page 16 WA22558C Loop with runner. WA22351A, WA22351C, WA22538A, WA22538C, WA22651C Roller. WA22355A, WA22355C, WA22655C Needle. WA22521C, WA22523C, WA22621C, WA22623C Band. Working Element W7.074.651...
  • Page 17 WA22557C, WA22657C Button. WA22331D, WA22332D, WA22539D, WA22632D Angled loop. W7.074.651 Working Element...

  • Page 18: Color Codes Of Hf-Resection Electrodes

    2.2 Color Codes of HF-Resection Electrodes 1) Size. Inner sheath [Fr.] Outer sheath [Fr.] Yellow 26/27 Grey 24/26/28 26/27/28 2) Blue for resection with saline solution. 3) Direction of view. 30° Blue 12° White 12°/30° Working Element W7.074.651...

  • Page 19: Compatible Components

    Use only compatible equipment as listed in this section. If other combinations are used, the full responsibility is assumed by the user. Future products may also be compatible. For further details contact an Olympus representative. NOTE! Product may not be available in all sales territories.
  • Page 20 Urology Working Element W7.074.651...
  • Page 21 W7.074.651 Working Element...
  • Page 22 Urology Working Element W7.074.651...

  • Page 23: Before Use

    Infection control risk Properly reprocess the following products before first and each subsequent use following the instructions in this manual and in the Olympus Endoscopy System Guide. Improper and/or incomplete reprocessing can cause infection of the patient and/or medical personnel.

  • Page 24: Inspection And Testing

    • Operate the handle. Make sure that the working element moves smoothly. Damaged product If the product is damaged or does not function properly, contact an Olympus representative or an authorized service ® center. No repairs For safety reasons, defective HF-resection electrodes must not be repaired.
  • Page 25 When used as intended, this product is more or less subject to wear depending on the intensity of use. In case a product has externally visible defects, contact the responsible Olympus representative at once. Later guarantee claims are forfeited. Any guarantee claims are void by previous use.

  • Page 26: Use

    WA22651C, WA22655C, WA22657C WARNING! Risk of injury to the patient and/or user Use only HF-resection electrodes from Olympus. These are produced using special manufacturing processes. There is a risk of injury to the patient and/or user when using other electrodes.

  • Page 27: Preparation

    4.1 Preparation Attach the telescope • Insert a compatible telescope through the telescope channel of the working element. • Make sure that the connector pin clicks securely into position. Select the resection electrode • Select a compatible resection electrode. CAUTION! Risk of damaging the instrument When attaching the electrode, make sure not to push it too forcefully into the working element.
  • Page 28 Attach the resection electrode • Introduce the electrode’s proximal end into the distal opening of the working element’s electrode guiding tube. • Advance the electrode into the working element until it comes to a stop. Make sure that the telescope is guided through the electrode’s stabilizing tube.
  • Page 29 Check position of electrode • Make sure the distance between the electrode’s noninsulated distal tip and the telescope is at least 2 mm. • If the distance is not at least 2 mm, replace the electrode. Insert the sheath • Insert a compatible sheath into the urethra/the canal of the cervix.
  • Page 30 WARNING! Risk of electric shock Do not press the foot switch of the HF unit while connecting the HF cable to the working element. Connect the HF cable • Connect the HF cable’s right angle plug to the working element’s respective HF connector. •...

  • Page 31: Procedure

    NOTE! When using the products listed below, make sure to follow these instructions*: When using the cable in combination with the HF unit PK/SP, the HF unit automatically recognizes the product and automatically applies appropriate settings. Check the display and make sure that the correct setting PK/ TURis appears on the display.
  • Page 32 Risk of death or serious injury Improper use of HF current can cause endogenous or exogenous burns, and explosions. Thoroughly review the HF current safety information included in the Olympus Endoscopy System Guide. WARNING! Risk of injury to the patient and/or user Do not activate the electrode release button when operating the instrument.
  • Page 33 10 seconds. There must be an interval of 30 seconds between each output. Otherwise, the HF generator may be damaged. Procedure for active working element WA22366A In the neutral position, the working element’s spring advances the electrode’s cutting loop out of the sheath.
  • Page 34 Procedure for passive working element WA22367A • Push the working element’s thumb ring in distal direction towards the handle.The electrode’s cutting loop moves out of the sheath. • Through the force of the working element’s spring, the electrode is then moved back into its neutral position, performing the resection.
  • Page 35 Vaporization of the prostate and intrauterine fibroids WA22557C only: • Use only electrodes compatible with vaporization (see table in the chapter “General Information”). • Adjust a cutting current of 280–300 W for vaporization. • Move the electrode slowly. This will result in a smooth surface.

  • Page 36: After Use

    When using the products listed below, make sure to follow these instructions: • Immediately bring the product to the reprocessing area. • Reprocess the product following the instructions in this manual and in the Olympus Endoscopy System Guide. WA22366A, WA22367A, WA22351A, WA22355A, WA22538A Disposal...

  • Page 37: Reprocessing Of Wa22366A, Wa22367A, Wa22351A, Wa22355A, Wa22538A

    Information in this section The following reprocessing information supplements that in the Olympus Endoscopy System Guide. However, if the information given in this section differs from that in the Olympus Endoscopy System Guide, use the information given here.
  • Page 38 Process WA22351A WA22366A WA22355A WA22367A WA22538A Preparation at the Deposition point of use Decontamination Preparation Selection according to the cleaning and disinfection procedures Cleaning Manual Machine Ultrasonic Alkaline detergent Acidic detergent Neutral detergent Rinsing Disinfection Chemical Thermal Drying Tmax 95 °C 95 °C...

  • Page 39: Cleaning

    NOTE! Some reprocessing methods may lead to increased wear of the products. Inspect the products thoroughly before use for traces of wear. CAUTION! Risk of damaging the product. Do not use incompatible reprocessing methods. Product damage may occur. 5.1 Cleaning Immerse instruments in cleaning agent - Do not exceed maximum recommended levels of concentration and immersion time given by the solution’s...
  • Page 40 Manual cleaning (working element) • Immerse the instrument in alkaline cleaning agent for at least 30 minutes. • Thoroughly brush all outer surfaces with an A0451 cleaning brush. • Alternately brush the spring (see illustration 1) with an A0451 cleaning brush and rinse it with alkaline cleaning agent thoroughly.
  • Page 41 • Thoroughly rinse the instrument using cleaning pistol O0190 and de-ionized water. • Refer to the “Olympus Endoscopy System Guide” for detailed information on machine cleaning and thermal disinfection. • In machine cleaning, use alkaline cleaning agent.

  • Page 42: Maintenance

    • Refer to the “Olympus Endoscopy System Guide” for detailed information on machine cleaning and thermal disinfection. • In machine cleaning, use alkaline cleaning agent. Autoclaving Refer to the “Olympus Endoscopy System Guide” for detailed information on autoclaving (steam sterilization).

  • Page 43: Repair

    6 Repair Policy Contact your Olympus representative or an authorized service center for repair and warranty information. ® Repair guidelines Follow the general repair guidelines in the Olympus Endoscopy System Guide. W7.074.651 Working Element...
  • Page 44 Published by Kuehnstraße 61, 22045 Hamburg, Germany Phone: +49 40 669 66-0 W7.074.651 1.2_01/11 © Copyright 2011 Olympus Winter & Ibe GmbH Printed in Germany...

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