Olympus BF-UC180F Instructions Manual

Olympus BF-UC180F Instructions Manual

Bf type evis exera ii ultrasonic bronchofibervideoscope
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TECH READY
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Product
OLYMPUS®
Evis Exera II Ultrasonic Bronchofibervideoscope
Model OLYMPUS BF TYPE UC180F
Extended Tech Ready
The detail required in cleaning, maintaining and sterilizing this product is
much more extensive than most other products. To ensure no important
information is left out, we have set up an interactive Table of Contents page in
place of the normal tech ready document.

Important Information

1.
On the contents page, each HEADING has been LINKED to that section of
the document.
2.
Click on the HEADINGS in the Table of Contents to move directly to the
selected section.
3.
Click on the TOP RIGHT CORNER of any page to go back to this Cover Letter.
4.
Click on TOP LEFT CORNER to return to the TABLE OF CONTENTS.
5.
Compatible Reprocessing Methods Table CLICK HERE
6.
There are no STERRAD references in this document.
Source Document: Olympus_BF_UC180F_Evis_Exera_II_Ultrasonic_Bronchofibervideoscope_GE5938_r22_201612.pdf
MF201707
DISCLAIMER: The information in this document is for reference only and includes only a portion of the manufacturer's labeling/instructions. With the exception of the titles and header information, the content corresponds word for
word with the Manufacturers document. It does not supersede or alter the manufacturer's labeling/instructions. The manufacturer's labeling/instructions contains other important information that must be considered in order to
properly reprocess these items. Use this guide only after thoroughly reviewing, understanding and complying with all of the manufacturer's labeling/instructions requirements. If there is a conflict, always follow the manufacturer's
labeling/instructions. The user holds BPP blameless of any and all liability arising from the use of this document.

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Summary of Contents for Olympus BF-UC180F

  • Page 1: Important Information

    Product OLYMPUS® Evis Exera II Ultrasonic Bronchofibervideoscope Model OLYMPUS BF TYPE UC180F Extended Tech Ready The detail required in cleaning, maintaining and sterilizing this product is much more extensive than most other products. To ensure no important information is left out, we have set up an interactive Table of Contents page in place of the normal tech ready document.
  • Page 2 INSTRUCTIONS EVIS EXERA II ULTRASONIC BRONCHOFIBERVIDEOSCOPE OLYMPUS BF TYPE UC180F CAUTION : Balloons Used with This Product Contain Natural Rubber Latex, Which May Cause Allergic Reactions. USA: CAUTION: Federal law restricts this device to sale by or on the order of a...
  • Page 4: Table Of Contents

    Preparation of the equipment............Inspection of the endoscope ............Preparation and inspection of accessories ........Attaching accessories to the endoscope ........Inspection and connection of ancillary equipment ......Inspection of the endoscopic system ..........Preparation and inspection of the balloon........ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 5 ....7.10 Care of the ultrasonic cable (MAJ-1597, MAJ-1722) ...... Chapter 8 Cleaning and Disinfection Equipment ....132 Set up the endoscope to the cleaning tub (OER-A) ......Set up the endoscope to the cleaning tub (OER-AW)..... ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 6 “Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers” ............155 Acoustic output table with Olympus compact endoscopic ultrasound center ....................... Acoustic output table with Hitachi diagnostic ultrasound system ....Clinical measurement accuracy with Hitachi diagnostic ultrasound system ......................
  • Page 7 Contents ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 8: Symbols

    Ingress protection rating (except for connectors) Ultrasonic endoscope Single use only Do not resterilize Use by (expiration date) Sterilized using ethylene oxide Sterilization lot number Lot number Keep away from sunlight Keep dry Do not use if package is damaged ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 9 Symbols Contains or Presence of Natural Rubber Latex Lock the ultrasonic connector Release the ultrasonic connector Manufacturer Authorized representative in the European Community ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 10: Important Information - Please Read Before Use

    Important Information — Please Read Before Use Intended use This instrument has been designed to be used with an Olympus compact endoscopic ultrasound center or an Olympus universal endoscopic ultrasound center or a diagnostic ultrasound system (Hitachi, Ltd.), video system center, light source, documentation equipment, monitor, EndoTherapy accessories and other ancillary equipment.
  • Page 11: Instruction Manual

    This instrument complies with EMC standard for medical electrical equipment; edition 2 (IEC 60601-1-2: 2001). However, when connected with an instrument that complies with EMC standard for medical electrical equipment; edition 1 (IEC 60601-1-2: 1993), the whole system complies with edition 1. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 12: Reprocessing Before The First Use/Reprocessing And Storage After Use

    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 13: Signal Words

    Otherwise, patient injury may result. • This endoscope is not intended for fetal use. • Before use, clean and disinfect or sterilize the endoscope as described in Chapter 5 through 8 of this manual. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 14 Otherwise, the treatment will have no effect. The effects of the pretreatment agent and lubricant will decrease the longer the procedure lasts. Apply the pretreatment agent or lubricant for example, when as required during the procedure – withdrawal seems to be difficult. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 15 The cover of the irrigation port part cannot be removed. Equipment damage can result. • Do not hit or bend the electrical contacts on the endoscope connector. The connection to the light source may be impaired and faulty contact can result. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 16 • To prevent unnecessary patient exposure to ultrasonic radiation, follow the ‘as-low-as-reasonably achievable’ (ALARA) principle when using Olympus ultrasonic equipment. Freeze the image whenever you are not actively viewing the “live” ultrasonic image. When the equipment is in the FREEZE mode, no ultrasonic energy is emitted.
  • Page 17: Examples Of Inappropriate Handling

    Natural rubber latex medical alert Balloons used with this instrument contain natural rubber latex that may cause allergic reactions in some patients. Do not use this instrument on a latex-sensitive patient. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 18: Chapter 1 Checking The Package Contents

    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. Before using this instrument for the first time, reprocess it according to the instructions given in Chapter 7, “Cleaning, Disinfection, and Sterilization Procedures”.
  • Page 19: Ultrasonic Cable

    Chapter 1 Checking the Package Contents Ultrasonic cable The ultrasonic cable (MAJ-1722, MAJ-1597) is necessary to use this endoscope (BF-UC180F). The ultrasonic cable is optional, and may be purchased from Olympus.  For the Olympus compact endoscopic ultrasound center Endoscope-side...
  • Page 20: Optional Components

    Chapter 1 Checking the Package Contents Optional components The items listed below are optional, and may be purchased from Olympus. Biopsy valve  For the U.S.A. Single-use biopsy valve (MAJ-210)  For countries other than the U.S.A. Main body Biopsy valve (MD-495)
  • Page 21: Chapter 2 Instrument Nomenclature And Specifications

    Chapter 2 Instrument Nomenclature and Specifications Chapter 2 Instrument Nomenclature and Specifications Nomenclature Universal cord 1. Ultrasonic cable connector 2. Endoscope connector Water-resistant cap Product number and serial number (MH-553) 3. Videoscope cable Electrical contact points connector Light guide ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 22 Balloon channel 7. Irrigation port Balloon groove Boot Light guide Insertion tube Objective lens Insertion section/working length Instrument channel outlet Ultrasonic transducer Distal end Balloon water feeding and 8. Bending section suction port Detail of distal end ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 23: Endoscope Functions

    Chapter 2 Instrument Nomenclature and Specifications Endoscope functions 1. Ultrasonic cable connector This connector connects the ultrasonic cable of the Olympus compact endoscopic ultrasound center or the diagnostic ultrasound system to the endoscope. 2. Endoscope connector This connector connects the endoscope to the output socket of the light source and transmits light from the light source to the endoscope.
  • Page 24: Specifications

    When the lever is turned in the “D” direction, the bending section moves DOWN. Specifications Compared with the BF-UC160F-OL8, the channel inner diameter of the BF-UC180F is increased from 2.0 mm to 2.2 mm. However, the compatible EndoTherapy accessories of the BF-UC180F are same as that of the BF-UC160F-OL8. •...
  • Page 25 Channel inner diameter ø 2.2 mm Minimum visible distance 5 mm Direction from which EndoTherapy accessories enter and exit the endoscopic image   Bending section Angulation range UP 120 , DOWN 90 Total length 890 mm ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 26 Chapter 2 Instrument Nomenclature and Specifications  Ultrasonic functions with Olympus compact endoscopic ultrasound center Image mode B-mode, CPD-mode Scanning method Electronic curved linear array Scanning direction Parallel to the insertion direction Transmitting 7.5 MHz frequency Scanning range 50 Contacting method Balloon method, Direct contact method ...
  • Page 27 Degree of protection against electric TYPE BF applied part shock Ingress protection IPX7 This instrument complies with the rating standards for medical electrical equipment: IEC 60601-1: 1988 IEC 60601-2-37: 2001. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 28: Attaching The Cap Chain (Maj-1723)

    • The cap chain and water-resistant cap cannot be steam sterilized (autoclaved); doing so can damage them severely. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 29 Confirm that the connecting plate is securely attached to the foot of the venting connector and can be smoothly rotated. Attach the connecting hook to the connecting ring (see Figure 2.3). Connecting plate Notch Venting connector Water-resistant cap Figure 2.2 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 30 Chapter 2 Instrument Nomenclature and Specifications Figure 2.3 The instructions on the remaining pages of this manual are given under the assumption that the cap chain is detached from the endoscope. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 31: Chapter 3 Preparation And Inspection

    Inspect other equipment to be used with this instrument as described in their respective instruction manuals. If this instrument malfunctions, do not use it. Return it to Olympus for repair as described in Section 10.3, “Returning the endoscope for repair” on page 145. If any irregularities are suspected after inspection, follow the instructions given in Chapter 10, “Troubleshooting”.
  • Page 32: Preparation Of The Equipment

    Balloon applicator EndoTherapy accessories Biopsy valve Suction valve • Paper towels • Trays • Lint-free cloths • Personal protective equipment • 3-way stopcock • Syringe • Extension tube • Sterile deaerated water • Medical-grade, water-soluble lubricant Figure 3.1 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 33: Inspection Of The Endoscope

    Push and pull gently to confirm that the connection between the bending section and the insertion section is not loose. Inspect the objective lens and light guide at the distal end of the endoscope for dents, bulges, swelling, or other irregularities. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 34 Confirm that the bending section angulates smoothly and correctly and that maximum angulation can be achieved. Turn the UP/DOWN angulation control lever slowly to its neutral position. Confirm that the bending section returns smoothly to an approximately straight condition(see Figure 3.3). Neutral position Figure 3.3 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 35: Preparation And Inspection Of Accessories

    Use a spare instead. Confirm that the button can be pushed without excessive resistance. Inspect the suction valve for cracks or other damage (see Figure 3.4). Button Suction connector Figure 3.4 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 36 This suction valve (MAJ-207) is designed for use with BF-30/40/60/200/240/260/160 and 180 series endoscopes. Confirm that the valve is not deformed or cracked (see Figure 3.5). Button Suction connector Figure 3.5 Confirm that the button can be pushed without excessive resistance. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 37 If the sterile package shows any irregularity, the sterile condition of the instrument may have been compromised. Use a spare instead. Inspect the biopsy valve for cracks or other damage (see Figure 3.6). Slit Housing Figure 3.6 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 38 If the sterile package shows any irregularity, the sterile condition of the instrument may have been compromised. Use a spare instead. Inspect the biopsy valve for cracks or other damage (see Figure 3.7). Slit Housing Figure 3.7 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 39 This biopsy valve (MD-495) is designed for use with BF-30/40/60/200/240/260/160 and 180 series endoscopes. Confirm that the biopsy valve is free from cracks, tears, deformation, or other irregularities. Attach the cap to the main body (see Figure 3.8). Slit Main body Figure 3.8 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 40 Confirm that the mouthpiece is free from cracks, deformation, or discoloration (see Figure 3.9). Using your fingers, check irregularities on the surfaces of the mouthpiece (see Figure 3.9). Opening Outer flange Main body Figure 3.9 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 41: Attaching Accessories To The Endoscope

    (see Figure 3.10). Press down on the top of the suction valve with both of your thumbs until it “clicks” into place (see Figure 3.10). Suction cylinder White mark Figure 3.10 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 42 Sometimes the suction valve will click before it is fully seated in the suction cylinder. Press the suction valve down firmly to ensure that it is fully seated in the suction cylinder and visually inspect the connection to ensure that no gap exists. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 43 Attach the single-use biopsy valve (MAJ-210) to the instrument channel port with its tab as in the illustrated direction. Push the upper part of the biopsy valve down slantingly onto the instrument channel port until the valve snaps into place (see Figure 3.13). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 44 Attach the biopsy valve (MD-495) to the instrument channel port of the endoscope (see Figure 3.14). Confirm that the biopsy valve fits properly. Biopsy valve Instrument channel port Figure 3.14 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 45: Inspection And Connection Of Ancillary Equipment

    If any ancillary equipment is ON, turn it OFF. Insert the endoscope connector completely into the output socket of the light source. Make sure that the inside of the videoscope cable connector is dry and free of debris. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 46 Confirm that the mark on the videoscope cable is aligned with mark 2 on the endoscope connector. Connect the suction tube from the suction pump to the suction connector on the suction valve (see Figure 3.16). Suction pump Suction connector Suction tube Figure 3.16 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 47 Turn the endoscope-side connector of the ultrasonic cable clockwise until it stops (see Figure 3.17). Confirm that the mark on the ultrasonic cable is aligned with mark B on the endoscope connector (see Figure 3.17). Mark B Mark B Mark A Mark A Mark Mark Figure 3.17 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 48 Open the flip cover of the ultrasound center. On the ultrasonic connector, pull the lever up and rotate it clockwise until it stops. The lever should be easy to move. Do not force the lever (see Figures 3.18 and 3.19). Figure 3.18 Figure 3.19 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 49 The ultrasonic connector should be easy to insert. Do not force the ultrasonic connector (see Figures 3.20 and 3.21). Figure 3.20 Figure 3.21 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 50 Turn the lever counterclockwise until it stops (see Figure 3.22). Figure 3.22 Press the lever down until it snaps into place, securing the ultrasonic connector to the system (see Figure 3.23). Figure 3.23 Close the flip cover of the compact endoscopic ultrasound center. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 51 / or vertical position of the operation panel of the ProSound F75 with the Ultrasonic connector connected to the PROBE 1 or 2, move slowly the operation panel with visually confirming the position of the bottom of the operation panel. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 52: Inspection Of The Endoscopic System

    Confirm that light is output from the endoscope’s distal end. While observing the palm of your hand, confirm that the endoscopic image is free from noise, blur, fog, or other irregularities. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 53 If it still does not work smoothly, the endoscope may be malfunctioning; stop using it and contact Olympus. If the endoscope is used while the suction valve is not working smoothly, the valve may become stuck, which may make it impossible to stop the suction operation.
  • Page 54 • If fluid is not discharged from the endoscope’s distal end, flush air through the channel. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 55 (10 to 15 ml) of sterile, deaerated water, or saline and connect it to the 3-way stopcock and depress the plunger. Confirm that fluid is emitted from the distal end. Syringe 3-way stopcock Extension tube Distal end Irrigation port Figure 3.25 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 56 Inspect the diagnostic ultrasound system as described in its instruction manual. Turn the diagnostic ultrasound system ON. Confirm that the ultrasound image is visible on the diagnostic ultrasound system (see Figure 3.27). Ultrasound image (B-mode) Figure 3.27 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 57: Preparation And Inspection Of The Balloon

    Prepare the balloon and the balloon applicator. Inspect the balloon and confirm that it has no holes, swelling, color changes, or any other irregularities. If any irregularity is detected, do not use the balloon; use a spare instead, inspecting it thoroughly before use. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 58 Rear band Figure 3.28 Position the rear band onto the groove of the applicator (see Figure 3.29). Figure 3.29 Open the applicator wide enough to fit the transducer of the endoscope into it (see Figure 3.30). Figure 3.30 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 59 Insert the transducer of the endoscope into the balloon (see Figure 3.31). Figure 3.31 Put the rear band of the balloon into the rear balloon groove of the endoscope. Then, move the applicator DOWN, away from the distal end of the endoscope (see Figure 3.32). Figure 3.32 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 60 Therefore, water will be emitted from the front end of the balloon. Place the distal end of the endoscope in a beaker or any other container to prevent the floor from getting wet. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 61 (see Figure 3.35). Figure 3.35 Do not apply excessive force to or bend the distal end of the endoscope. Instrument damage may occur. Attach the front band of the balloon to the endoscope’s balloon attachment groove. Figure 3.36 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 62 Turn the 3-way stopcock to stop feeding water. Never tie both ends of the balloon with sterile cotton thread. This may cause the balloon to rupture or come off the distal end of the endoscope when over-inflated. This can result in patient injury. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 63: Chapter 4 Operation

    Even when the endoscope has been withdrawn without bleeding, do not allow the patient to blow his or her nose strongly because this could cause it to start bleeding. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 64  If any irregulality is suspected with the functionality of the endoscope.  If the endoscopic image on the monitor disappears or freezes unexpectedly.  If the angulation control mechanism is not functioning properly. Continued use of the endoscope under these conditions could result in patient injury. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 65 Deflate the balloon before withdrawing the endoscope from the patient. Withdrawing the endoscope while the balloon is inflated could result in patient injury. Before disconnecting the ultrasonic cable (MAJ-1597, MAJ-1722) from the endoscope, turn the diagnostic ultrasound system or compact endoscopic ultrasound center OFF. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 66: Insertion

    • Do not allow the insertion section to be bent within a distance of 10 cm or less from the junction of the boot. insertion section damage can occur (see Figure 4.2). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 67 Operate the angulation control lever as necessary to guide the distal end for insertion and observation. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 68 Aspirating fluids into a full bottle may cause the suction pump to malfunction. Depress the suction valve to aspirate excess fluids or other debris obscuring the endoscopic image (see Figure 4.3). Suction valve Figure 4.3 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 69 • For adjusting the white balance of this endoscope, set the iris mode selection switch on the video system center to peak iris mode. Otherwise, it may not be possible to correctly adjust the white balance. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 70: Observation Of The Ultrasonic Image

    Use the endoscope’s angulation mechanism to bring the balloon into full contact with the tracheal or bronchial wall. Move the distal end of the endoscope to the target site. Deflate the balloon and keep the endoscopic ultrasound center in the FREEZE mode, except during ultrasonic observation. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 71: Using Endotherapy Accessories

    Slowly insert or withdraw the EndoTherapy accessory straight into/from the slit of the biopsy valve. Otherwise, the biopsy valve may be damaged and pieces of it could fall off. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 72 Turn the UP/DOWN angulation control lever to the neutral position to straighten the endoscope. Confirm that the tip of the EndoTherapy accessory is closed or retracted into its sheath and insert the EndoTherapy accessory slowly and straight into the slit of the biopsy valve. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 73 EndoTherapy accessory together under endoscopic observation. Take care not to cause tissue trauma. Withdraw the EndoTherapy accessory slowly while the tip of the EndoTherapy accessory is closed and/or retracted into its sheath. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 74: Withdrawal Of The Endoscope

    • If the endoscope cannot be withdrawn from the patient smoothly, do not attempt to forcibly withdraw it; leave it inside the patient and immediately contact Olympus. Forcibly withdrawing the endoscope may cause patient injury. Open the 3-way stopcock. Deflate the balloon by pulling the syringe’s plunger.
  • Page 75: Removal Of The Balloon

    Gently detach the front band from the balloon attachment groove (see Figure 4.6). After the removal of the balloon, confirm that the surface of the ultrasonic transducer is free from scratches. In case the ultrasonic transducer surface is scratched, stop using the instrument and contact Olympus. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 76 Chapter 4 Operation Figure 4.5 Figure 4.6 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 77: Transportation Of The Endoscope

    Clean and disinfect or sterilize the endoscope before placing it in the carrying case. • To avoid damage to the endoscope caused by changes in air pressure, do not attach the water-resistant cap when transporting the endoscope. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 78: Chapter 5 Reprocessing: General Policy

    Individual cleaning, disinfection, and sterilization protocols • Structure and handling of endoscopic equipment • Handling of pertinent chemicals For the types and conditions of the means of cleaning, disinfection, and sterilization to be adopted, please make judgments from your professional viewpoints. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 79: Precautions

    • Olympus confirms validation of endoscope reprocessors it recommends. When using an endoscope reprocessor that is not recommended by Olympus, the endoscope reprocessor’s manufacturer is responsible for validation of the reprocessor with the endoscope models listed in its instruction manual.
  • Page 80 Creutzfeldt-Jakob disease (vCJD), be sure to use this product for such patient only and/or immediately dispose of this product after use in an appropriate manner. For methods to handle CJD, please follow the respective guidelines in your country. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 81 For information on the durability against each method, please contact Olympus. If cleaning, disinfection, and sterilization methods not stated in this instruction manual are performed, Olympus cannot guarantee the effectiveness, safety and durability of this instrument.
  • Page 82: Chapter 6 Compatible Reprocessing Methods And Chemical Agents

    Methods and Chemical Agents Compatibility summary Olympus endoscopic equipment is compatible with several methods of reprocessing. However, certain components and accessories are not compatible with some methods, which can cause equipment damage. For appropriate reprocessing methods, refer to see Table 6.1 on page 76, the recommendations of your infection control committee and all national and local hospital guidelines and policies.
  • Page 83 2 The water-resistant caps and the cap chains can only be ultrasonically cleaned if connected to the endoscope that is being cleaned in an endoscope reprocessor with an ultrasonic cleaning phase. 3 ACECIDE disinfectant solution is exclusively for OER-A and OER-AW. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 84: Water (For Reprocessing)

    Use a medical-grade, low-foaming, neutral pH detergent or enzymatic detergent and follow the manufacturer’s dilution and temperature recommendations. Contact Olympus for the names of specific brands that have been tested for compatibility with the endoscope. Do not reuse detergent solutions.
  • Page 85: Disinfectant Solution

    In general, 2.0 – 3.5% glutaraldehyde solutions, when used according to the manufacturer’s instructions for achieving high-level disinfection, are compatible with Olympus endoscopes. Contact Olympus for the names of specific brands that have been tested for compatibility with this endoscope.
  • Page 86: Ethylene Oxide Gas Sterilization

    Always remove the water resistant cap before ethylene oxide gas sterilization. If the water-resistant cap remains attached during ethylene oxide gas sterilization, the air inside the endoscope will expand and could rupture the covering of the bending section and/or damage the angulation mechanism. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 87 (600 – 700 mg/L) Exposure time 105 minutes Aeration Minimum aeration 12 hours in an aeration chamber at   parameters 50 – 57 C (122 – 135 F) or 7 days at room temperature Table 6.3 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 88: Steam Sterilization (Autoclaving) Of Accessories

    (autoclaving) will severely damage the endoscope. • Exceeding recommended parameters may cause equipment damage. Process Parameters  Prevacuum Temperature 132 – 134  (270 – 274 Exposure time 5 minutes Table 6.4 Steam sterilization (autoclaving) exposure parameters ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 89: Chapter 7 Cleaning, Disinfection, And Sterilization Procedures

    40 cm. If the diameter is less than 40 cm, it will be difficult to insert the channel cleaning brushes (BW-15B, BW-7B), single use single-ended cleaning brush (BW-400B), single use combination cleaning brush (BW-411B). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 90: Required Reprocessing Equipment

    • Large basin for rinsing and • Sterile, lint-free cloth leakage testing • Sterile water • Sterile, cotton swabs • 30 cm (30 ml) syringe • 70% ethyl or isopropyl alcohol • Soft brush • Small containers Figure 7.1 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 91 The suction cleaning adapter is used to aspirate reprocessing fluids from the distal end of the endoscope through the instrument channel and the suction channels (see Figure 7.3). Suction opening Suction cylinder cap Port cap Figure 7.3 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 92  Single use channel cleaning brush (BW-201B) The single use channel cleaning brush is used to brush the inside of the instrument and suction channels (see Figure 7.5). Caution sticker (OLYMPUS SINGLE USE ONLY) Bristles Shaft Figure 7.5 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 93 The channel-opening cleaning brush is used to brush the external surface of the distal end of the endoscope, the suction cylinder, the irrigation port, and the instrument channel port (see Figure 7.7). Brush Brush handle Shaft Figure 7.7 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 94 (see Figure 7.9). Bristles Shaft Handle Bristles Channel cleaning Channel-opening brush part cleaning brush part Figure 7.9 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 95 Check for loose or missing bristles (see Figures 7.4 and 7.6 on page 86). Check for bends, scratches and other damage to the shaft. Check for debris on the shaft and/or in the bristles of the brush. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 96 • Before use, inspect the equipment for any irregularities. Should any irregularity be observed, use a spare instead. Using defective equipment may result in ineffectual reprocessing, and could cause endoscope and/or equipment damage. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 97 Open the packaging immediately before use (see Figure 7.11). Check for loose or missing bristles. Check for bends, scratches, and other damage to the shaft. Check for debris on the shaft and/or in the bristles of the brush. Bristles Handle Shaft Packaging Figure 7.11 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 98 Check the shaft for bends, scratches, and other damage. Do not reprocess the single use combination cleaning brush prior to use. The brush may be damaged. Brush head Handle Shaft Packaging Figure 7.12 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 99: Cleaning, Disinfection, And Sterilization Procedures

    Otherwise, insufficient cleaning and disinfection or sterilization of the endoscope may pose an infection-control risk to the patient and/or operators performing the next procedure with the endoscope. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 100: Precleaning

    (500 ml) container. Wipe down the insertion section Handle the insertion section carefully. Tightly gripping or sharply bending the insertion section or bending section can stretch or severely damage the insertion section and the covering of the bending section. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 101 Remove the distal end of the insertion section from the detergent solution. Pull the plunger and aspirate air through the balloon channel three times. Disconnect the syringe from the endoscope. Suction valve Detergent solution Figure 7.13 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 102 (MAJ-209), discard it. When using the suction valve (MAJ-207), place it in a container of detergent solution. Clean, disinfect and sterilize the items according to the instructions given in Section 7.9, “Cleaning, disinfection, and sterilization procedures for reusable parts and cleaning equipment”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 103 When using the biopsy valve (MD-495), remove it and place it in a container with detergent solution. Clean, disinfect or sterilize the items according to the instructions given in Section 7.9, “Cleaning, disinfection, and sterilization procedures for reusable parts and cleaning equipment”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 104: Leakage Testing

    Prepare the following equipment, and wear appropriate personal protective equipment. • Personal protective equipment • Large basin • Clean water (see Section 6.2) • Maintenance unit or light source (MU-1 or CLV-180, CLV-160, CLV-U40) • Leakage tester (MB-155) • Water-resistant cap (2 pcs) (MH-553) ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 105 If the ultrasonic connector or the electrical connector is scratched, contact Olympus. • Never immerse the water-resistant caps unless they are attached to the endoscope.
  • Page 106 Figure 7.17 Mark 2 (red) Mark 2 (red) Water-resistant Rotate Rotate (a) When performing leakage (b) When using a manual disinfector testing, cleaning, disinfection or using an endoscope reprocessor Figure 7.18 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 107 This means that water will be able to penetrate the inside of the endoscope. If you locate a leak, remove the endoscope from the water and contact Olympus. • Never connect or disconnect the water-resistant cap or the leakage tester’s connector cap while immersed.
  • Page 108 This may damage the endoscope. Wait 30 seconds, or until the covering of the bending section contracts to its pre-expansion size. Disconnect the leakage tester’s connector cap from the venting connector. Thoroughly dry the leakage tester. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 109: Manual Cleaning

    (BW-201B) • Channel-opening cleaning brush or (MH-507) single use channel-opening cleaning (MAJ-1339) brush • Channel cleaning brush (BW-7B) • Suction pump • Single use combination cleaning brush (BW-411B) • Single use single-ended cleaning brush (BW-400B) ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 110 Be sure to brush the inside of the suction channel. Insufficient cleaning may prevent adequate disinfection of the endoscope and compromise patient safety. • To avoid splattering detergent solution when the channel cleaning brush is pulled out, keep the endoscope submerged. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 111 (MAJ-1339), a single use combination cleaning brush (BW-411B), a single use single-ended cleaning brush (BW-400B) on more than one endoscope and/or accessories may make it difficult to effectively reprocess the endoscope and/or accessories, and could cause endoscope, accessory, and/or equipment damage. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 112 While the endoscope is submerged, brush the instrument and the suction channel, suction cylinder, instrument channel port, balloon channel and irrigation port according to the following procedures (see Figure 7.20). Suction cylinder Instrument channel port Irrigation port A, B Figure 7.20 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 113 Clean the bristles with your fingertips in the detergent solution. Carefully pull the brush out through the channel. Clean the bristles in the detergent solution again. Repeat until all debris is removed. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 114 D in Figure 7.20 on page 105. Turn the inserted brush once. Pull the brush out and clean the bristles in the detergent solution. Repeat until all debris is removed. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 115 (BW-411B) until all debris is removed. Soak all cleaning brushes in detergent solution, then reprocess them as described in Section 7.9, “Cleaning, disinfection, and sterilization procedures for reusable parts and cleaning equipment”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 116 Turn the suction pump ON. Immerse the endoscope’s distal end in the detergent solution. Aspirate the detergent solution for approximately 30 seconds. Turn the suction pump OFF. Disconnect the suction tube from the suction cleaning adapter. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 117 Do not pull the tubes of the suction cleaning adapter when disconnecting the suction cleaning adapter from the endoscope. Suction opening Irrigation port Port cap Suction cylinder cap Figure 7.21 Irrigation port Figure 7.22 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 118 Inspect all reprocessing equipment. If debris remains, ultrasonically clean at 33 – 48 kHz for 5 minutes. Place all equipment in clean water and gently agitate them to thoroughly rinse. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 119 Dry external surfaces Using a lint-free cloth, thoroughly wipe and dry the external surfaces of the endoscope and suction cleaning adapter. Inspect the endoscope for residual debris. Should debris remain, repeat the procedures given in this section. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 120 Soak the endoscope for 1 hour at the temperature and concentration recommended by the detergent manufacturer. Remove the endoscope from the detergent solution. After soaking the endoscope, manually clean it following the procedures described in this section. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 121: High-Level Disinfection

    40 cm by 40 cm (16” by 16”) in size and deep enough to completely immerse the endoscope. Attach the suction cleaning adapter to the endoscope. Attach the 30 cm (30 ml) syringe to the suction cleaning adapter. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 122 Cover the basin with a tight fitting lid to minimize the release of disinfectant vapors. Soak the endoscope and all equipment in the disinfectant solution for the amount of time and at the temperature and concentration recommended by the disinfectant manufacturer. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 123: Rinsing After High-Level Disinfection

    (e.g., filtered) to improve its microbiological quality may be used in conjunction with a 70% ethyl or isopropyl alcohol rinse (see “Nonsterile water rinse and alcohol flush” on page 119). Also, consult with your hospital’s infection control committee. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 124 Repeat this procedure 5 times. Remove the distal end of the insertion section from the sterile water and flush 30 cm (30 ml) of air through the balloon channel 5 times to expel all water. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 125 Dry the endoscope and suction cleaning adapter. Store the components following the instructions given in Chapter 9, “Storage and Disposal”. Flushing the channels with 70% ethyl or isopropyl alcohol after rinsing them with sterile water to facilitate drying the inside of the channels. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 126 Using sterile cotton swabs, dry the inside of the suction cylinder and instrument channel port. Dry the endoscope and suction cleaning adapter. Store the components following the instructions given Chapter 9, “Storage and Disposal”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 127: Sterilization

    Section 6.6, “Ethylene oxide gas sterilization” and the sterilizer manufacturer’s instructions. Aerate the components following the minimum aeration parameters specified in Section 6.6, “Ethylene oxide gas sterilization”. Store the components following the instructions given in Chapter 9, “Storage and Disposal”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 128: Cleaning, Disinfection, And Sterilization Procedures For Reusable Parts And Cleaning Equipment

    This section includes the cleaning, disinfection, and sterilization procedures for the reusable parts and reprocessing equipment listed below. For all other parts, refer to their respective instruction manuals. For compatible reprocessing methods, refer to Section 6.1, “Compatibility summary”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 129 • Mouthpiece (MA-651) • Channel cleaning brush (BW-7B) • Channel cleaning brush (BW-15B) • Channel-opening cleaning brush (MH-507) • Suction valve (MAJ-207) • Biopsy valve (optional item) (MD-495) • Balloon applicator (MAJ-1352) Preparation Wear appropriate personal protective equipment. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 130 Remove the biopsy valve cap, before immersing in the detergent solution (for reusable biopsy valve (MD-495) only). Immerse other equipment in the detergent solution. Using a soft brush or clean lint-free cloth, clean the external surfaces of all equipment in detergent solution. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 131 (30 ml) syringe, flush the inside of the suction cleaning adapter thoroughly with clean water while it is immersed. Remove the suction cleaning adapter from the clean water and remove all water from it. Remove all equipment from the clean water. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 132 Remove the suction cleaning adapter from the disinfectant solution. Hold the end of the adapter and tilt it for expelling the disinfectant solution remaining in its adapter. Remove all equipment from the disinfectant solution. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 133 Flushing the channels with 70% ethyl or isopropyl alcohol after rinsing them with sterile water to dry inside of the channels. Dry all equipment. Store the components following the instructions given in Chapter 9, “Storage and Disposal”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 134 Remove all equipment from the alcohol. Using a sterile, lint-free cloth, thoroughly wipe and dry all external surfaces. Dry all equipment. Store the components following the instructions given in Chapter 9, “Storage and Disposal”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 135 Section 6.6, “Ethylene oxide gas sterilization” and the sterilizer manufacturer’s instructions. Aerate the components following the minimum aeration parameters specified in Section 6.6, “Ethylene oxide gas sterilization”. Store the components following the instructions given in Chapter 9, “Storage and Disposal”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 136 Sudden changes in temperature may damage the instruments. Following steam sterilization (autoclaving), let all components gradually cool down to room temperature. Store the components following the instructions given in Chapter 9, “Storage and Disposal”. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 137 Attach the spring to the main body (see Figure 7.26). Insert the piston through the components and press it down a few times (see Figure 7.26). Piston Press down a Spring few times. Main body Valve Figure 7.26 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 138: Care Of The Ultrasonic Cable (Maj-1597, Maj-1722)

    • Never apply water to the ultrasonic cable. Equipment damage can result. • The ultrasonic cable is not waterproof. Never immerse it in disinfectant solution or any other fluids. Alcohol is not a sterilant or high-level disinfectant. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 139: Chapter 8 Cleaning And Disinfection Equipment

    Chapter 8 Cleaning and Disinfection Equipment The endoscope is compatible with some endoscope reprocessors recommended by Olympus. Refer to the instruction manual for the endoscope reprocessor for details on operation. • Thoroughly clean the endoscope as described in Chapter 7, “Cleaning, Disinfection, and Sterilization Procedures”...
  • Page 140 • If using the endoscope reprocessor recommended by Olympus, be sure to attach the appropriate cleaning/connecting tube and retaining rack (see Table 8.1). Otherwise, insufficient cleaning and disinfection of the endoscope may pose an infection-control risk to the patient and/or operators performing the next procedure with the endoscope.
  • Page 141: Set Up The Endoscope To The Cleaning Tub (Oer-A)

    Set up the endoscope to the cleaning tub (OER-A) The instruction manual for the endoscope reprocessor OER-A is not described to set the BF-UC180F. When using the endoscope reprocessor OER-A for cleaning and disinfection, set BF-UC180F according to “Set up procedure” described below.
  • Page 142 EXERA II mark Figure 8.1 • When using an endoscope reprocessor other than OER-A recommended by Olympus, refer to the instruction manual to set BF-UC180F. • OER-A is not available in some areas. Set up procedure  Set up sequence Control section ...
  • Page 143: Set Up The Endoscope To The Cleaning Tub (Oer-Aw)

    Set up the endoscope to the cleaning tub (OER-AW) The instruction manual for the endoscope reprocessor OER-AW is not described to set the BF-UC180F. When using the endoscope reprocessor OER-AW for cleaning and disinfection, set BF-UC180F according to “Set up procedure” described below.
  • Page 144 EXERA II mark Figure 8.2 • When using an endoscope reprocessor other than OER-AW recommended by Olympus, refer to the instruction manual to set BF-UC180F. • OER-AW is not available in some areas. Set up procedure  Set up sequence Control section ...
  • Page 145: Chapter 9 Storage And Disposal

    Confirm that all surfaces of the endoscope (especially all internal lumens, distal end, lens, and electrical contacts) are completely dry. Hang the endoscope in the storage cabinet with the distal end hanging freely. Make sure that the insertion section hangs vertically and as straight as possible. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 146: Storage Of Reusable Parts And Reprocessing Equipment

    Make sure the ultrasonic cable is completely dry before storage. The ultrasonic cord should be stored without being tightly coiled or twisted. Disposal When disposing of this endoscope, or any of its components, follow all applicable national and local laws and guidelines. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 147: Chapter 10 Troubleshooting

    Section 10.1, “Troubleshooting guide” on page 141. 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. •...
  • Page 148: 10.1 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 10.3, “Returning the endoscope for repair”...
  • Page 149 Irregularity Possible cause Solution description An EndoTherapy An incompatible “System chart” in Refer to the accessory does not EndoTherapy accessory the Appendix and select a pass through the is being used. compatible EndoTherapy instrument channel accessory. smoothly. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 150 The remote switch does The wrong remote Operate the correct remote not work. switch is operated. switch. The remote switch Set the remote switch function function has been set correctly as described in the video improperly. system center’s instruction manual. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 151: 10.2 Withdrawal Of The Endoscope With An Irregulality

    If the endoscope or EndoTherapy accessory cannot be withdrawn from the patient smoothly, do not attempt to forcibly withdraw it; deal with it appropriately. If any irregularities are observed, immediately contact Olympus. Forcibly withdrawing the endoscope or EndoTherapy accessory may cause patient injury, bleeding and/or perforation.
  • Page 152: 10.3 Returning The Endoscope For Repair

    Olympus. Olympus is not liable for any injury or damage that occurs as a result of repairs attempted by non-Olympus personnel. Before returning the endoscope for repair, contact Olympus. With the...
  • Page 153: Appendix A: System Chart

    New products released after the introduction of this instrument may also be compatible for use in combination with this instrument. For further details, contact Olympus. If combinations of equipment other than those shown below are used, the full responsibility is assumed by the medical treatment facility. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 154 EVIS EXERA II video system center (CV-180) EVIS video system center (CV-140) EVIS EXERA light source 1 (CLV-160, CLE-145 EVIS EXERA II light source (CLV-180) EVIS universal light source (CLV-U40) 1 These products may not be available in some areas. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 155 Suction cleaning adapter (MAJ-222) Water-resistant cap (MH-553)  Endoscope washer (EW-30 Endoscope reprocessor    Maintenance unit Ultrasonic cleaner (OER , OER-A , OER-AW (MU-1) (KS-2, ENDOSONIC)  These products may not be available in some areas. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 156 Alligator jaws Disposable Rat tooth Fenestrated (swinging type) Endoscope FB-19C-1, BF-UC180F NA-201SX-4022 FB-56D-1 FB-211D FB-19CR-1 Disposable biopsy forceps (fenestrated) Alligator jaws Oval Oval with needle with needle (swinging type) (swinging type) (swinging type) Endoscope BF-UC180F FB-221D FB-231D FB-241D ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 157: Appendix B: Emc Information

    IEC 61000-3-2 cause any problem in the typical commercial power supply connected to this instrument. Voltage Complies This instrument stabilizes its own radio variability and has no affect fluctuations/flicker such as flicker in lighting apparatus. emissions IEC 61000-3-3 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 158 It is recommended to use this instrument by (50/60 Hz) maintaining enough distance from any magnetic field equipment that operates with high current. IEC 61000-4-8 Definition: is the a.c. mains voltage prior to application of the test level. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 159 IEC 60601-1-2: 2001. However, under electromagnetic environment that exceeds its noise level, electromagnetic interference may occur on this instrument. • Electromagnetic interference may occur in the vicinity of high-frequency electrosurgical equipment and/or other equipment marked with the following symbol: ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 160 If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating this model. Over the frequency range 150 kHz to 80 MHz, field strength should be less than 3 V/m. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 161 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. • These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 162: Appendix C: Acoustic Output Information In Accordance

    Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers” Acoustic output table with Olympus compact endoscopic ultrasound center The terms used in the acoustic output table are as follows: is the derated spatial peak, temporal average intensity in milliWatts/cm SPTA.3...
  • Page 163 Precision Uncertainty Quantity (% of standard deviation) (95% confidence) 15% 5.4% 15% 5.4% 19% 6.2% 4.5% < 1%  3.2% +21% to  3.2% +21% to ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 164: Acoustic Output Table With Hitachi Diagnostic Ultrasound System

    Peak rarefactional pressure at the point where the free-field, spatial-peak pulse intensity integral is a maximum (megapascals). Focal length, or azimuthal and elevational length. at PII Equivalent beam diameter at the point where the free-field, spatial-peak pulse integral is maximum. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 165 Color Image Select Color Doppler Frequency Select (MHz) 5 MHz 5 MHZ Flow Focus Color Velocity Range (m/sec) 0.17 0.17 Color Line Density Color Average HIGH HIGH Flow Filter Flow Scan Area Triplex Velocity Range (mW/cm SPTA.3 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 166 (c) This formulation for TIS is less than that for an alternate formulation in this mode. No data are reported for this operating condition since the global maximum index value is not reported for the reason listed. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 167 (c) This formulation for TIS is less than that for an alternate formulation in this mode. No data are reported for this operating condition since the global maximum index value is not reported for the reason listed. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 168 (c) This formulation for TIS is less than that for an alternate formulation in this mode. No data are reported for this operating condition since the global maximum index value is not reported for the reason listed. ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 169: Clinical Measurement Accuracy With Hitachi Diagnostic Ultrasound System

    3% 0.1 cm >10 cm distance 1 ms Time interval in M-mode <1000 ms time 3% 0.1 s >1000 ms time 10% 0.1 cm/sec Velocity in Doppler mode 1BPM or 5% 1 beat per minute Heart rate ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 170: Appendix D: Acoustic Output Information Accordance With

    BF-UC180F will not exceed an MI of 1.0, or an I of 720 mW/cm in any spta.3 mode. In addition, BF-UC180F will not exceed a TI of 1.0 in any mode. Acoustic output table with Hitachi diagnostic ultrasound system The terms used in the acoustic output table are as follows: ...
  • Page 171 –12 dB output beam dimensions Distance from the source to a specified point Depth for TIB z bp Break-point depth Depth for TIS  Acoustic measurement uncertainty Quantity Uncertainty (95% confidence) Total power 8.07% 12.87% 7.63% 2.39% ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 172 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 173 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 174 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 175 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 176 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 177 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 178 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 179 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 180 Information need not be provided regarding TIC for any TRANSDUCER ASSEMBLY not intended for transcranial or neonatal cephalic uses. NOTE3 Information on MI and TI need not be provided if the equipment meets both exemption clauses given in 51.2 aa) and 51.2 dd). ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 181 Appendix D: Acoustic Output Information Accordance with IEC 60601-2-37 ULTRASONIC BRONCHOFIBERVIDEOSCOPE BF-UC180F...
  • Page 182 ©2007 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 183 A8F, Ping An International Financial Center, No. 1-3, Xinyuan South Road, Chaoyang District, Beijing, 100027 P.R.C. Fax: (86)10-5976-1299 Telephone: (86)10-5819-9000 Olympus Tower 9F, 446, Bongeunsa-ro, Gangnam-gu, Seoul, Korea 135-509 Fax: (02)6255-3494 Telephone: (02)6255-3210 491B, River Valley Road #12-01/04, Valley Point Office Tower, Singapore 248373...

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