Olympus EVIS EXERA III Instructions Manual
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Olympus EVIS EXERA III Instructions Manual

Olympus EVIS EXERA III Instructions Manual

Gastrointestinal videoscope and colonovideoscope
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INSTRUCTIONS
EVIS EXERA lll GASTROINTESTINAL VIDEOSCOPE
OLYMPUS GIF-H185
EVIS EXERA lll COLONOVIDEOSCOPE
OLYMPUS CF-H185L/I
Refer to the endoscope's companion manual, the "REPROCESSING MANUAL" with your
endoscope model listed on the cover, for reprocessing information.
OPERATION MANUAL
Symbols
Important Information — Please Read Before
Use
Chapter 1
Checking the Package Contents
Chapter 2
Instrument Nomenclature and
Specifications
Chapter 3
Preparation and Inspection
Chapter 4
Operation
Chapter 5
Troubleshooting
Appendix
1
2
11
13
23
57
81
93

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Summary of Contents for Olympus EVIS EXERA III

  • Page 1 Important Information — Please Read Before Chapter 1 Checking the Package Contents Chapter 2 Instrument Nomenclature and EVIS EXERA lll GASTROINTESTINAL VIDEOSCOPE Specifications OLYMPUS GIF-H185 Chapter 3 Preparation and Inspection EVIS EXERA lll COLONOVIDEOSCOPE OLYMPUS CF-H185L/I Chapter 4 Operation Chapter 5...

  • Page 3: Table Of Contents

    Contents Contents Symbols ..........................1 Important Information — Please Read Before Use ............2 Intended use .......................... 2 Applicability of endoscopy and endoscopic treatment ............2 Instruction manual ......................... 3 User qualifications ......................... 3 Instrument compatibility ......................4 Reprocessing before the first use/reprocessing and storage after use ......... 4 Spare equipment ........................
  • Page 4 Contents Attaching accessories to the endoscope ............. 38 Attaching the suction valve ....................38 Attaching the air/water valve ....................39 Attaching the biopsy valve ....................40 Attaching the auxiliary water inlet cap ................. 40 Inspection of ancillary equipment ................ 41 Connection of the endoscope and ancillary equipment ........
  • Page 5 Contents Air/water feeding ........................83 Suction ..........................84 Image quality or brightness ....................85 Flexibility adjustment ......................86 Auxiliary water feeding ......................86 EndoTherapy accessories ....................86 Other ............................ 86 Withdrawal of the endoscope with an irregularity ..........87 Withdrawal when the WLI and NBI endoscopic images appear on the monitor ....88 Withdrawal when either the WLI or the NBI endoscopic image does not appear on the monitor Withdrawal when no endoscopic image appears on the monitor or a frozen image cannot be restored ..........................
  • Page 6 Contents GIF-H185, CF-H185L/I OPERATION MANUAL...

  • Page 7: Symbols

    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: Symbol Description Refer to instructions. Endoscope TYPE BF applied part Single use only Lot number Manufacturer Authorized representative in the European Community Serial number...

  • Page 8: Important Information - Please Read Before Use

    Important Information — Please Read Before Use  Intended use This instrument is intended to be used with an Olympus video system center, light source, documentation equipment, monitor, EndoTherapy accessories (such as a biopsy forceps), and other ancillary equipment for endoscopy and endoscopic surgery.

  • Page 9: Instruction Manual

    “REPROCESSING MANUAL” with your endoscope model listed on the cover. It also accompanied the endoscope at shipment. 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, contact Olympus.  Terms used in this manual NBI (Narrow Band Imaging) observation: This is optical-digital observation using narrowband light.

  • Page 10: Instrument Compatibility

    Important Information — Please Read Before Use  Instrument compatibility Refer to “Combination equipment” on page 93 to confirm that this instrument is compatible with the ancillary equipment being used. Using incompatible equipment can result in patient or operator injury and/or equipment damage.

  • Page 11: Maintenance Management

    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.

  • Page 12: Warnings And Cautions

    Important Information — Please Read Before Use  Warnings and cautions Follow the warnings and cautions given below when handling this endoscope. This information is to be supplemented by the warnings and cautions given in each chapter. WARNING • After using this endoscope, reprocess and store it according to the instructions given in the endoscope’s companion “REPROCESSING MANUAL”...
  • Page 13 Important Information — Please Read Before Use WARNING • Do not touch the light guide on the endoscope connector immediately after removing it from the light source because it is extremely hot. Operator or patient burns can result. • If the endoscopic image becomes dimmer during the procedure, it may indicate that blood or mucus is adhering to the light guide lens on the distal end of the endoscope.
  • Page 14 Important Information — Please Read Before Use CAUTION • Do not squeeze the bending section forcefully. The covering of the bending section may stretch or break and cause water leakage. • Turn the video system center ON only when the endoscope connector is connected to the light source.

  • Page 15: Precaution For Disappeared Or Frozen Endoscopic Image

    Important Information — Please Read Before Use  Precaution for disappeared or frozen endoscopic image WARNING • If the endoscopic image disappears unexpectedly or the frozen image cannot be restored during an examination, immediately stop using the endoscope and withdraw it from the patient as described in Section 5.3, “Withdrawal of the endoscope with an irregularity”.

  • Page 16: Examples Of Inappropriate Handling

    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. Examples of inappropriate handling are described below. WARNING •...

  • Page 17: Chapter 1 Checking The Package Contents

    Match all items in the package with the components shown below. Inspect each item for damage. If the endoscope is damaged, a component is missing, or you have any questions, do not use the items; immediately contact Olympus.  Endoscope...

  • Page 18: Packaged Items

    1.1 Checking the package contents list  Packaged items  Items for all endoscope models Ch.1 Single use combination cleaning Injection tube (MH-946) Channel plug (MH-944) brush (BW-412T, 3 pcs) AW channel cleaning adapter Suction cleaning adapter (MH-856) ETO cap (MB-156) (MH-948) Operation manual Reprocessing manual...

  • Page 19: Chapter 2 Instrument Nomenclature And Specifications

    2.1 Nomenclature and functions Chapter 2 Instrument Nomenclature and Specifications The instrument nomenclature, functions, and specifications are described in this chapter. Nomenclature and functions Ch.2 GIF-H185, CF-H185L/I OPERATION MANUAL...

  • Page 20: Control Section, Insertion Section

    2.1 Nomenclature and functions  Control section, insertion section Endoscope model: all models Ch.2 GIF-H185, CF-H185L/I OPERATION MANUAL...
  • Page 21 2.1 Nomenclature and functions Endoscope Nomenclature Description model RIGHT/LEFT Turning this lock in the “F” direction frees angulation. Turning the all models angulation lock lock in the opposite direction locks the bending section at the desired position. RIGHT/LEFT When this knob is turned in the “R” direction, the bending section all models angulation control moves RIGHT;...
  • Page 22 2.1 Nomenclature and functions Ch.2 Endoscope model: CF-H185L/I GIF-H185, CF-H185L/I OPERATION MANUAL...
  • Page 23 2.1 Nomenclature and functions Endoscope Nomenclature Description model Biopsy valve This valve is attached to the instrument channel port, and the all models (MB-358) or single EndoTherapy accessory is inserted, or a syringe is attached. use biopsy valve (MAJ-1555) Instrument channel An EndoTherapy accessory can be inserted into this port.

  • Page 24: Endoscope Connector

    2.1 Nomenclature and functions  Endoscope connector Endoscope model: GIF-H185 Ch.2 Endoscope model: CF-H185L/I Endoscope model: all models (rear side) GIF-H185, CF-H185L/I OPERATION MANUAL...
  • Page 25 Universal cord Connects the endoscope connector and control section. all models S-cord connector Connects the endoscope with the Olympus electrosurgical unit via the all models mount 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.

  • Page 26: Specifications

    2.2 Specifications Specifications  Environment Operating environment Ambient temperature 10 – 40°C (50 – 104°F) Relative humidity 30 – 85% Ch.2 Atmospheric pressure 700 – 1060 hPa (0.7 – 1.1 kgf/cm (10.2 – 15.4 psia) Standard storage Ambient temperature 5 – 40°C (41 – 104°F) environment (e.g.

  • Page 27: Specifications

    2.2 Specifications  Specifications  Endoscope function Model GIF-H185 CF-H185L CF-H185I Optical system Field of view 140° 140° Direction of view Forward viewing Forward viewing Depth of field 2 – 100 mm 2 – 100 mm Ch.2 Insertion section Distal end outer ø...
  • Page 28 2.2 Specifications  Common specifications Medical Devices Directive This device complies with the requirements of Directive 93/42/EEC concerning medical devices. Classification: Class II a RoHS Directive Ch.2 This device complies with the requirements of Directive 2011/65/EU and (EU)2015/863 concerning electrical and electronic equipment.

  • Page 29: Chapter 3 Preparation And Inspection

    Should any irregularity be observed after inspection, follow the instructions as described in Chapter 5, “Troubleshooting”. If the endoscope malfunctions, do not use it. Return it to Olympus for repair as described in Section 5.4, “Returning the endoscope for repair”.
  • Page 30 3.1 The workflow of preparation and inspection Prepare the equipment to be used with the endoscope. Section 3.2 on page 25  Inspect the endoscope. Section 3.3 on page 26  Inspect the accessories. Section 3.4 on page 34  Attach the accessories to the endoscope.

  • Page 31: Preparation Of The Equipment

    3.2 Preparation of the equipment Preparation of the equipment Prepare this endoscope, the accessories, equipment, and all personal protective equipment as shown in Figure 3.1. Prepare the equipment in “Combination equipment” on page 93 in accordance with the intended use. Also, refer to the respective instruction manuals for each piece of equipment before use.

  • Page 32: 3.3 Inspection Of The Endoscope

    3.3 Inspection of the endoscope  Personal protective equipment (e.g.) Eyewear Face mask Moisture-resistant Chemical-resistant gloves clothing  Other • Lint-free cloths • Sterile water • Containers for sterile water Figure 3.1 *1 Prepare the endoscope that has been reprocessed as described in the “REPROCESSING MANUAL” with Ch.3 your endoscope model listed on the cover.
  • Page 33 3.3 Inspection of the endoscope Inspect the control section and the endoscope connector for excessive scratching, deformation, loose parts, or other irregularities. Inspect the boot and the insertion section near the boot for bends, twists, or other irregularities. Inspect the external surface of the entire insertion section including the bending section and the distal end for dents, bulges, swelling, scratches, peeling of coating, holes, sagging, transformation, bends, adhesion of foreign bodies, missing parts, protruding objects, or other irregularities.
  • Page 34 3.3 Inspection of the endoscope Inspect the objective lens and light guide lens Lens at the distal end of the endoscope’s insertion section for scratches, cracks, stains, gaps around the lens, or other irregularities. Figure 3.6 Inspect the air/water nozzle at the distal end of Air/water the endoscope’s insertion section for abnormal nozzle...

  • Page 35: Inspection Of The Flexibility Adjustment Mechanism

    3.3 Inspection of the endoscope  Inspection of the flexibility adjustment mechanism Endoscope model: CF-H185L/I Mark at the bottom of the grip section Marks on the flexibility adjustment ring (, 1 – 3) Flexibility adjustment ring Ch.3 Figure 3.9 WARNING Do not use the endoscope if the markings are not clearly visible.

  • Page 36: Inspection Of The Bending Mechanisms

    3.3 Inspection of the endoscope  Inspection of the bending mechanisms Perform the following inspection. UP/DOWN angulation lock UP/DOWN angulation control knob RIGHT/LEFT angulation control knob RIGHT/LEFT angulation lock Ch.3 Figure 3.11 WARNING If the movement of the UP/DOWN angulation lock, RIGHT/LEFT angulation lock, and the angulation control knobs is loose and/or not smooth, or the bending section does not angulate smoothly, the bending mechanism may have an irregularity.
  • Page 37 3.3 Inspection of the endoscope  Inspection for smooth operation Straighten the bending section. Move both the UP/DOWN and RIGHT/LEFT angulation locks all the way in the “F” direction to confirm that their respective locks are released. Ch.3 Figure 3.12 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.
  • Page 38 3.3 Inspection of the endoscope  Inspection of the UP/DOWN angulation mechanism Move the UP/DOWN angulation lock all the way in the opposite direction of the “F” mark. Figure 3.15 Ch.3 Turn the UP/DOWN angulation control knob in the “U” or the “D” direction until it stops.
  • Page 39 3.3 Inspection of the endoscope  Inspection of the RIGHT/LEFT angulation mechanism Turn the RIGHT/LEFT angulation lock all the way in the opposite direction of the “F” mark. Figure 3.18 Ch.3 Then turn the RIGHT/LEFT angulation control knob in the “R” or the “L” direction until it stops.

  • Page 40: Inspection Of Accessories

    3.4 Inspection of accessories Inspection of accessories  Inspection of the air/water and suction valves Hole Spring Spring Skirt Seals Ch.3 Skirt Hole Hole Air/water valve (MH-438) Suction valve (MH-443) Figure 3.21 WARNING Confirm that the top hole of the air/water valve is not blocked. If the hole is blocked, air is fed continuously and patient pain, bleeding, and/or perforation can result.

  • Page 41: Inspection Of The Biopsy Valve (Mb-358)

    3.4 Inspection of accessories  Inspection of the biopsy valve (MB-358) Hole Slit Main body Figure 3.22 Ch.3 WARNING The biopsy valve is a consumable that should be inspected as described below before each use. Replace it with a new one if any irregularity is observed during the inspection.

  • Page 42: Inspection Of The Auxiliary Water Inlet Cap (Maj-215)

    3.4 Inspection of accessories  Inspection of the auxiliary water inlet cap (MAJ-215) Endoscope model: CF-H185L/I Auxiliary water inlet Auxiliary water inlet cap Endoscope connector Ch.3 Figure 3.25 Confirm that the auxiliary water inlet cap attached to the endoscope connector has no dents, cracks, or other irregularities.

  • Page 43: Inspection Of The Mouthpiece (Mb-142)

    3.4 Inspection of accessories  Inspection of the mouthpiece (MB-142) Endoscope model: GIF-H185 Opening Outer flange Main body Figure 3.27 Ch.3 WARNING Do not use a mouthpiece that is damaged, deformed, or reveals other irregularities, which may cause patient injury and/or equipment damage. NOTE Placing the mouthpiece in the patient’s mouth before the procedure prevents the patient from biting and/or damaging the endoscope’s insertion section.

  • Page 44: Attaching Accessories To The Endoscope

    3.5 Attaching accessories to the endoscope Attaching accessories to the endoscope  Attaching the suction valve Suction valve Suction cylinder Ch.3 Figure 3.28 CAUTION The suction valve does not require lubrication. Lubricants can cause swelling of the valve’s seals, and the valve function may be impaired. NOTE The suction valve will make a whistling noise when it is dry;...

  • Page 45: Attaching The Air/Water Valve

    3.5 Attaching accessories to the endoscope Attach the suction valve to the suction cylinder Bulging of the endoscope (see Figure 3.28 and 3.29). Confirm that the valve fits properly without any bulging of the skirt. Also confirm that the valve cannot be rotated.

  • Page 46: Attaching The Biopsy Valve

    3.5 Attaching accessories to the endoscope  Attaching the biopsy valve WARNING If a biopsy valve is not properly connected to the instrument channel port, it can reduce the efficacy of the endoscope’s suction system, and leak or spray patient debris, posing an infection control risk.

  • Page 47: Inspection Of Ancillary Equipment

    3.6 Inspection of ancillary equipment Inspection of ancillary equipment Inspect the following equipment as described in their respective instruction manuals. • Light source • Video system center • Monitor • Flushing pump (for CF-H185L/I) • Water container • Suction pump Ch.3 •...

  • Page 48: Connection Of The Endoscope And Ancillary Equipment

    3.7 Connection of the endoscope and ancillary equipment Connection of the endoscope and ancillary equipment Connect the ancillary equipment to the endoscope as described below.  Connection to the light source WARNING If the endoscope connector and light source are not connected properly, the Ch.3 endoscopic image may flicker or may not be displayed.

  • Page 49: Connection Of The Water Container

    3.7 Connection of the endoscope and ancillary equipment Confirm that the “” mark (UP mark) on the endoscope connector is hidden by the light source.  Connection of the water container CAUTION • Attach the water container to the specified receptacle on the trolley (cart) or on the light source.

  • Page 50: Connection Of The Suction Tube

    3.7 Connection of the endoscope and ancillary equipment  Connection of the suction tube WARNING Firmly connect the suction tube from the suction pump to the suction connector on the endoscope connector. If the suction tube is not attached properly, debris may drip from the tube and can pose an infection control risk, cause equipment damage, and/or reduce suction capability.

  • Page 51: Connection Of The Auxiliary Water Tube

    3.7 Connection of the endoscope and ancillary equipment  Connection of the auxiliary water tube Endoscope model: CF-H185L/I Auxiliary water tube Auxiliary water inlet cap Endoscope connector Auxiliary water inlet Ch.3 Figure 3.38 Open the auxiliary water inlet cap. Connect the auxiliary water tube to the auxiliary water inlet on the endoscope connector.

  • Page 52: Inspection Of The Endoscopic System

    3.8 Inspection of the endoscopic system Inspection of the endoscopic system  Inspection summary  Inspection of the endoscopic image  on page 47 Ch.3  Inspection of the remote switches  on page 48  Inspection of the suction function ...

  • Page 53: Inspection Of The Endoscopic Image

    3.8 Inspection of the endoscopic system  Inspection of the endoscopic image Confirm that the WLI and NBI endoscopic images are normal. WARNING Do not stare directly into the distal end of the endoscope while the examination light is ON. Eye injury may result. NOTE If the object cannot be seen clearly, wipe the objective lens using clean lint-free cloths moistened with 70% ethyl or 70% isopropyl alcohol.

  • Page 54: Inspection Of The Remote Switches

    3.8 Inspection of the endoscopic system Turn the UP/DOWN and RIGHT/LEFT angulation control knobs slowly in each direction until they stop. UP/DOWN angulation control knob RIGHT/LEFT angulation control knob Ch.3 Figure 3.40 Confirm that the WLI and NBI endoscopic images do not momentarily disappear or display any other irregularities.

  • Page 55: Inspection Of The Air-Feeding Function

    3.8 Inspection of the endoscopic system  Inspection of the air-feeding function  Confirmation of emitting no air bubbles 10 cm Ch.3 Figure 3.42 Set the airflow regulator on the light source to “High”, as described in the lightsource’s instruction manual. Immerse the distal end of the insertion section in sterile water to a depth of approximately 10 cm.

  • Page 56: Inspection Of The Objective Lens Cleaning Function

    3.8 Inspection of the endoscopic system  Confirmation of emitting air bubbles Ch.3 Figure 3.43 Cover the hole in the air/water valve with your finger and confirm that air bubbles are continuously emitted from the air/water nozzle. Uncover the hole in the air/water valve and confirm that no air bubbles are emitted from the air/water nozzle.
  • Page 57 3.8 Inspection of the endoscopic system  Inspection of the water feeding function Figure 3.44 Ch.3 Keep the air/water valve’s hole covered with your finger. Depress the valve. Observe the endoscopic image and confirm that water flows on the entire objective lens. Release the air/water valve.

  • Page 58: Inspection Of The Suction Function

    If the reattached or replaced suction valve fails to operate smoothly, the endoscope may be malfunctioning; stop using it and contact Olympus. • If the capped biopsy valve leaks, replace it with a new one. A leaking biopsy valve may spray patient debris or fluids, posing an infection control risk.
  • Page 59 3.8 Inspection of the endoscopic system  Inspection of the suction function Ch.3 Figure 3.47 Depress the suction valve and confirm that water is continuously aspirated into the suction bottle of the suction pump. Release the suction valve. Confirm that suction stops and that the valve returns smoothly to its original position.

  • Page 60: Inspection Of The Instrument Channel

    3.8 Inspection of the endoscopic system  Inspection of the instrument channel WARNING Keep your eyes away from the distal end when inserting EndoTherapy accessories. Extending the EndoTherapy accessory from the distal end could cause eye injury. Insert the EndoTherapy accessory through the EndoTherapy biopsy valve.
  • Page 61 3.8 Inspection of the endoscopic system CAUTION 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.
  • Page 62 3.8 Inspection of the endoscopic system Ch.3 GIF-H185, CF-H185L/I OPERATION MANUAL...

  • Page 63: Chapter 4 Operation

    4.1 Precautions 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 endoscope. Therefore, the operator of this endoscope must be a physician or medical personnel under the supervision of a physician and must have received sufficient training in clinical endoscopic technique.
  • Page 64 4.1 Precautions WARNING • If any of the following conditions occur during an examination, immediately stop the examination and withdraw the endoscope from the patient as described in Section 5.3, “Withdrawal of the endoscope with an irregularity”. Continued use of the endoscope under these conditions could result in patient injury, bleeding, and/or perforation.
  • Page 65 4.1 Precautions WARNING • The endoscopic image may be distorted while switching between WLI observation mode and NBI observation mode. Therefore, do not perform any endoscopic operation or treatment while switching between WLI observation mode and NBI observation mode. Injury in the body cavity, bleeding, and/or perforation may result. NOTE •...

  • Page 66: Insertion

    4.2 Insertion Insertion  Holding and manipulating the endoscope Ch.4 Figure 4.1 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 or middle finger.

  • Page 67: Insertion Of The Endoscope

    4.2 Insertion  Insertion of the endoscope CAUTION • For GIF-H185 − To prevent the patient from biting the insertion section during an examination, it is strongly recommended that a mouthpiece be placed in the patient’s mouth before inserting the endoscope. −...
  • Page 68 4.2 Insertion  For GIF-H185 Figure 4.3 If necessary, apply a medical-grade, water-soluble lubricant to the insertion section. Ch.4 Place the mouthpiece between the patient’s teeth or gums, with the outer flange on the outside of the patient’s mouth. Insert the distal end of the endoscope through the opening of the mouthpiece, then from the mouth to the pharynx while viewing the endoscopic image.

  • Page 69: Observation Of The Endoscopic Image

    4.2 Insertion  For CF-H185L/I When using the splinting tube, thoroughly review the instruction manual for the splinting tube. NOTE To determine the correct splinting tube to use with the endoscope, select one of the combinations shown in the “Combination equipment” on page 93. Ch.4 Figure 4.4 If necessary, apply a medical-grade, water-soluble lubricant to the insertion section.

  • Page 70: Angulation Of The Distal End

    4.2 Insertion  Angulation of the distal end CAUTION Avoid forcible or excessive angulation as this imposes stress on the wire controlling the bending section. This may cause stretching or tearing of the wire, which could impair the movement of the bending section. NOTE •...

  • Page 71: Flexibility Adjustment

    4.2 Insertion  Flexibility adjustment Endoscope model: CF-H185L/I WARNING • Do not change the insertion tube’s flexibility abruptly. Patient pain, injury, bleeding, and/or perforation can result. • If the endoscopic image moves suddenly or is lost while you are changing the insertion tube’s flexibility, stop changing the flexibility and restore the optimum field of view.

  • Page 72: Air/Water Feeding And Suction

    4.2 Insertion  Air/water feeding and suction  Air/water feeding WARNING • If the sterile water level in the water container is too low, then air, not water, will be supplied. In this case, turn the airflow regulator on the light source OFF and add sterile water to the water container until it reaches the specified water level.
  • Page 73 4.2 Insertion Water Figure 4.7 Cover the air/water valve’s hole to feed air from the air/water nozzle at the distal end. Depress the air/water valve to feed water onto the objective lens. Ch.4  Suction WARNING • Avoid aspirating solid matter or thick fluids; instrument channel, suction channel, or suction valve clogging can occur.
  • Page 74 4.2 Insertion Depress the suction valve to aspirate excessive fluids or other debris obscuring the endoscopic image. Suction valve Figure 4.8  Auxiliary water feeding Ch.4 Endoscope model: CF-H185L/I WARNING Nothing other than sterile water should be used for auxiliary water feeding. No additives should be put into the sterile water.
  • Page 75 4.2 Insertion Syringe Luer port Water tube Figure 4.9 Ch.4 Attach a syringe containing sterile water or the water tube from a flushing pump to the Luer port of the auxiliary water tube. Feed water from the syringe or the water tube. When disconnecting the syringe or the water tube from the flushing pump during the examination, disconnect it directly from the Luer port but leave the auxiliary water tube itself attached.
  • Page 76 4.2 Insertion  Feeding liquid through the instrument channel WARNING • When using a syringe to inject liquid through the biopsy valve, insert the syringe straight into the biopsy valve. Otherwise, patient fluids and/or debris may leak or spray from the biopsy valve, and it may cause an infection control risk. •...

  • Page 77: Using Endotherapy Accessories

    4.3 Using EndoTherapy accessories Using EndoTherapy accessories For more information on combining the endoscope with particular EndoTherapy accessories, refer to “Combination equipment” on page 93 and the instruction manuals for the accessories. Also, refer to their respective instruction manuals for operating the accessories. WARNING •...
  • Page 78 4.3 Using EndoTherapy accessories WARNING • When a distal attachment or a distal hood is mounted on the endoscope, do not angulate the endoscope abruptly. This could cause patient injury, such as mucous membrane damage. • Do not inflate air or a nonflammable gas excessively into the patient. This could cause gas embolism.

  • Page 79: Insertion Of Endotherapy Accessories Into The Endoscope

    4.3 Using EndoTherapy accessories  Insertion of EndoTherapy accessories into the endoscope WARNING • Do not insert EndoTherapy accessories forcibly or abruptly. The EndoTherapy accessory may extend from the distal end of the endoscope abruptly, which could cause patient injury, bleeding, and/or perforation. •...

  • Page 80: Operation Of Endotherapy Accessories

    4.3 Using EndoTherapy accessories 4 cm Figure 4.11 Select EndoTherapy accessories compatible with the endoscope from “Combination equipment” on page 93 and the accessories’ instruction manuals for operating instructions. Ch.4 Hold the UP/DOWN and RIGHT/LEFT angulation control knobs stationary. Confirm that the tip of the EndoTherapy accessory is closed or retracted into its sheath.

  • Page 81: Withdrawal Of Endotherapy Accessories

    4.3 Using EndoTherapy accessories  Withdrawal of EndoTherapy accessories WARNING • Patient debris might spray when EndoTherapy accessories are withdrawn from the biopsy valve. To prevent this, hold a piece of gauze around the accessory and the biopsy valve during withdrawal. •...

  • Page 82: High-Frequency Cauterization Treatment

    4.3 Using EndoTherapy accessories  High-frequency cauterization treatment If the intestines contain a flammable gas, replace it with air or a nonflammable gas such as CO before performing high-frequency treatment. WARNING • Performing treatment while the intestines are filled with a flammable gas could result in an explosion, a fire, and/or serious patient injury.

  • Page 83: Withdrawal Of The Endoscope

    4.4 Withdrawal of the endoscope Withdrawal of the endoscope WARNING • If blood unexpectedly adheres to the surface of the insertion section of the withdrawn endoscope, carefully check the condition of the patient. • Avoid patient fluids adhering to the withdrawn endoscope from coming in contact with the bed or floor.

  • Page 84: Transportation Of The Endoscope

    4.5 Transportation of the endoscope Reprocess the endoscope and accessories after the procedure as described in the “REPROCESSING MANUAL” with your endoscope model listed on the cover. Transportation of the endoscope  Transporting within the healthcare facility CAUTION When carrying the endoscope, hold the endoscope connector securely. Holding only the universal cord or boot may damage the endoscope.

  • Page 85: Transporting Outside The Healthcare Facility

    4.5 Transportation of the endoscope When carrying the endoscope by hand, loop the universal cord, hold the endoscope connector with the control section in one hand and hold the distal end of the insertion tube securely, but gently without squeezing, in the other hand.
  • Page 86 4.5 Transportation of the endoscope Ch.4 GIF-H185, CF-H185L/I OPERATION MANUAL...

  • Page 87: Chapter 5 Troubleshooting

    Inspection”, do not use the endoscope and solve the problem as described in Section 5.2, “Troubleshooting guide”. If the problem still cannot be resolved, send the endoscope to Olympus for repair as described in Section 5.4, “Returning the endoscope for repair”.

  • Page 88: Troubleshooting Guide

    Troubles or failures due to other causes than those listed below should be serviced. As repair performed by persons who are not qualified by Olympus could cause patient or user injury and/or equipment damage, be sure to contact Olympus for repair following the instructions given in Section 5.4, “Returning the endoscope for repair”.

  • Page 89: Air/Water Feeding

    5.2 Troubleshooting guide  Air/water feeding Irregularity description Possible cause Solution No air feeding. The air pump of the light source is not Press the “LOW”, “MED”, or “HIGH” operating. button on the light source as described in the light source’s instruction manual. The air/water valve is damaged.

  • Page 90: Suction

    5.2 Troubleshooting guide  Suction Irregularity description Possible cause Solution The suction function is The biopsy valve is not attached Attach it correctly. absent or insufficient. properly. Close the valve’s cap. The biopsy valve is damaged. Replace it with a new one. The suction pump is not set properly.

  • Page 91: Image Quality Or Brightness

    5.2 Troubleshooting guide  Image quality or brightness Irregularity description Possible cause Solution The image is not displayed. Not all equipment is ON. Turn ON all equipment. The endoscope connector is not Insert the endoscope connector connected securely. securely until it stops and clicks. Foreign objects such as detergent Wipe the electrical contacts on the remnants, hard water residue, finger...

  • Page 92: Flexibility Adjustment

    5.2 Troubleshooting guide  Flexibility adjustment Endoscope model: CF-H185L/I Irregularity description Possible cause Solution It is difficult to turn the The insertion tube is looped. Straighten the insertion tube. flexibility adjustment ring.  Auxiliary water feeding Endoscope model: CF-H185L/I Irregularity description Possible cause Solution The auxiliary water inlet cap...

  • Page 93: Withdrawal Of The Endoscope With An Irregularity

    Forcibly withdrawing the endoscope or EndoTherapy accessory may cause patient injury, bleeding, and/or perforation. If any irregularity with the endoscope is Ch.5 observed, contact Olympus. GIF-H185, CF-H185L/I OPERATION MANUAL...

  • Page 94: Withdrawal When The Wli And Nbi Endoscopic Images Appear On The Monitor

    5.3 Withdrawal of the endoscope with an irregularity  Withdrawal when the WLI and NBI endoscopic images appear on the monitor Turn all equipment OFF except the video system center, light source, monitor, and suction pump. When the NBI endoscopic image is displayed, switch to the WLI endoscopic image by operating the video system center and light source.

  • Page 95: Withdrawal When Either The Wli Or The Nbi Endoscopic Image Does Not Appear On The Monitor

    5.3 Withdrawal of the endoscope with an irregularity Turn the UP/DOWN and RIGHT/LEFT angulation locks in the “F” direction to release them. Figure 5.3 For CF-H185L/I 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.

  • Page 96: Withdrawal When No Endoscopic Image Appears On The Monitor Or A Frozen Image Cannot Be Restored

    5.3 Withdrawal of the endoscope with an irregularity  Withdrawal when no endoscopic image appears on the monitor or a frozen image cannot be restored Turn all equipment OFF except the video system center, light source, monitor, and suction pump. Turn the video system center and light source OFF and then ON again.

  • Page 97: Returning The Endoscope For Repair

    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.
  • Page 98 5.4 Returning the endoscope for repair Ch.5 GIF-H185, CF-H185L/I OPERATION MANUAL...

  • Page 99: Appendix

    Some items may not be available in some areas. 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. WARNING Be sure to use the equipment in one of the recommended combinations. If combinations of equipment other than those shown below are used, the full App.
  • Page 100 Combination equipment Instrument channel adapter (MAJ-1606) Flushing pump (OFP-2) Flushing pump (OFP) Auxiliary water tube (MAJ-855, for CF-H185L/I) Suction pumps KV-6 SSU-2 App. Suction polyp trap (MH-14) Water container (MAJ-901, MAJ-902 EVIS EXERA lll video system center (CV-190) EVIS EXERA lll xenon light source (CLV-190) Endoscopic CO regulation unit...
  • Page 101 Combination equipment Single use biopsy valve (MAJ-1555) Biopsy valve (MB-358) Gas/water valve (MAJ-2010) Electrosurgical unit Endoscope position detecting unit (UPD, UPD-3) ESG-100 Endoscopes GIF-H185 Electrosurgical unit CF-H185L/I Position detecting probe (MAJ-1300, for CF-H185L/I) App. PSD-30 EndoTherapy accessories Refer to “ Compatible Electrosurgical unit EndoTherapy accessories”...

  • Page 102: Reprocessing Equipment

    Combination equipment  Reprocessing equipment Endoscope reprocessor Channel plug (MH-944) Injection tube (MH-946) (OER-AW Suction cleaning adapter (MH-856) Single use combination cleaning AW channel cleaning adapter brush (BW-412T) (MH-948) App. Maintenance unit (MU-1) Leakage tester (MB-155) Auxiliary water tube (MAJ-855 for CF-H185L/I) ETO cap (MB-156) Washer-disinfector (ETD4, ETD Double)

  • Page 103: Compatible Video System Center

    Combination equipment  Compatible video system center Note that some of the products may not be available in some areas. Video system center Endoscope CV-140 CV-160 CV-180 CV-190 GIF-H185 – – –  CF-H185L/I – – –   compatible –...

  • Page 104: Compatible Endotherapy Accessories

    Combination equipment  Compatible EndoTherapy accessories Note that some of the accessories may not be available in some areas.  GIF-H185 Biopsy forceps Biopsy forceps (fenestrated) Single side open Standard type Alligator jaws type Standard type type (with needle) Endoscope GIF-H185 FB-21K-1 FB-23K-1...
  • Page 105 Combination equipment Rotatable biopsy forceps with swing jaws Rotatable biopsy forceps (fenestrated) (fenestrated) Rat tooth with Standard type Rat tooth with Standard type alligator jaws type (with needle) alligator jaws type (with needle) Endoscope GIF-H185 FB-53KR-1 FB-25KR-1 FB-24KR-1 FB-55KR-1 FB-54KR-1 Grasping forceps W shape type Alligator jaws type...
  • Page 106 Combination equipment Single use grasping Grasping forceps forceps Surgical scissors Loop cutter Pentapod type Tripod type Endoscope GIF-H185 FG-46L-1 FG-600U FS-3L-1 FS-5L-1 Single use rotatable clip fixing device Rotatable clip fixing Heat probe device Standard type Long type Endoscope GIF-H185 CD-120U HX-110LR HX-201LR-135...
  • Page 107 Combination equipment Distal attachment Straight with rim Oblique with rim Straight type Oblique type type type Endoscope GIF-H185 MH-463 MH-588 MH-594 MAJ-290 Distal attachment Distal hood Single use distal attachment Wide opening Wide opening oblique with rim Straight type Straight type oblique with rim type type (soft)
  • Page 108 Combination equipment  CF-H185L/I Biopsy forceps Biopsy forceps (fenestrated) Standard type Standard type Standard type Rat tooth type (with needle) (with needle) Endoscope CF-H185L FB-24U-1 FB-13U-1 FB-28U-1 FB-37U-1 FB-50U-1 CF-H185I FB-24Q-1 FB-13U-1 FB-28R-1 FB-37U-1 FB-50U-1 Biopsy forceps with swing jaws Single use biopsy forceps with swing jaws (fenestrated) (fenestrated)
  • Page 109 Combination equipment Single use grasping Grasping forceps forceps Basket type Tripod type Pentapod type Tripod type Endoscope CF-H185L FG-16U-1 FG-45U-1 FG-46U-1 FG-600U CF-H185I FG-16U-1 FG-45U-1 FG-46U-1 FG-600U Rotatable clip fixing Loop cutter Heat probe device Endoscope CF-H185L FS-5U-1 CD-110U HX-110UR CF-H185I FS-5Q-1 CD-110U...
  • Page 110 Combination equipment Spray catheter Injector Single use injector Standard type Spray type (with nozzle) (with nozzle) Endoscope CF-H185L NM-200U series NM-4U-1 PW-1V-1 PW-5V-1 NM-400U series CF-H185I NM-200U series NM-4U-1 PW-1V-1 PW-5V-1 NM-400U series Single use spray catheter Spray type (with nozzle) Endoscope App.
  • Page 111 Combination equipment Distal attachment Straight with rim Oblique with rim Straight type Oblique type type type Endoscope CF-H185L/I MH-466 MH-591 MH-597 MAJ-293 Single use distal Distal hood attachment Straight type Straight type Endoscope CF-H185L/I MAJ-1991 D-201-14304 App. GIF-H185, CF-H185L/I OPERATION MANUAL...

  • Page 112: Compatible Electrosurgical Accessories

    Combination equipment  Compatible electrosurgical accessories Note that some of the accessories may not be available in some areas.  GIF-H185 Electrosurgical Single use hot biopsy forceps (fenestrated) snare Hot biopsy forceps Alligator jaw type Standard type Crescent type Endoscope GIF-H185 FD-1L-1 FD-210U...
  • Page 113 Combination equipment Single use electrosurgical snare Oval type Extra mini oval type Mini oval type Oval type (with spiral) (soft wire) (soft wire) Endoscope GIF-H185 SD-210U-25 SD-230U-20 SD-240U-10 SD-240U-15 Single use Electrosurgical electrosurgical knife Single use electrosurgical knife snare Oval type (soft wire) Needle type Endoscope GIF-H185...
  • Page 114 Combination equipment  CF-H185L/I Electrosurgical Single use hot biopsy forceps (fenestrated) snare Hot biopsy forceps Alligator jaw type Standard type Crescent type Endoscope CF-H185L FD-2U-1 FD-210U FD-230U SD-5U-1 CF-H185I FD-2U-1 FD-210U FD-230U SD-5U-1 Electrosurgical snare Oval type Hexagonal type Oval type Mini oval type (with thorns) Endoscope...
  • Page 115 Combination equipment Single use electrosurgical snare Oval type Extra mini oval type Mini oval type Crescent type (with spiral) (soft wire) (soft wire) Endoscope CF-H185L SD-221U-25 SD-230U-20 SD-240U-10 SD-240U-15 CF-H185I SD-221U-25 SD-230U-20 SD-240U-10 SD-240U-15 Single use electrosurgical Single use electrosurgical knife snare Oval type (soft wire) Endoscope...

  • Page 116: Emc Information

    EMC information EMC information  Guidance and manufacturer’s declaration — Electromagnetic emissions This model is intended for use by medical personnel in healthcare facility 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.
  • Page 117 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...
  • Page 118 EMC information IEC 60601-1-2 IEC 60601-1-2 IEC 60601-1-2 (2007, 2001) Immunity Compliance (2014) (2007, 2001) Electromagnetic environment — test level test level test level Guidance Voltage dips, 0% U < 5% U Same as left Mains power quality should be that of a short (100% dip in U (>...
  • Page 119 EMC information IEC 60601-1-2 IEC 60601-1-2 IEC 60601-1-2 (2007, 2001) Immunity Compliance (2014) (2007, 2001) Electromagnetic environment — test 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 –...
  • Page 120 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 the video system center, including cables specified by Olympus. Otherwise, degradation of the performance of this equipment could result.
  • Page 121 ©2019 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 122 Manufactured by 2951 Ishikawa-cho, Hachioji-shi, Tokyo 192-8507, Japan Fax: (042)646-2429 Telephone: (042)642-2111 Distributed by 3500 Corporate Parkway, P.O. Box 610, Center Valley, PA 18034-0610, U.S.A. Fax: (484)896-7128 Telephone: (484)896-5000 5301 Blue Lagoon Drive, Suite 290 Miami, FL 33126-2097, U.S.A. Fax: (305)261-4421 Telephone: (305)266-2332 (Premises/Goods delivery) Wendenstrasse 20, 20097 Hamburg, Germany (Letters) Postfach 10 49 08, 20034 Hamburg, Germany Fax: (040)23773-4656 Telephone: (040)23773-0...

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