Canon Aplio i600 User manual

No. 2B771-191EN*Q
CAUTION:
In the USA, federal law restricts this device to sale
and use by or on the order of a physician.
IMPORTANT!
Read and understand this manual before operating
the equipment. After reading, keep this manual in
an easily accessible place.
CANON MEDICAL SYSTEMS CORPORATION 2017-2021
ALL RIGHTS RESERVED
Issued: 2021-01
OPERATION MANUAL
FOR
DIAGNOSTIC ULTRASOUND SYSTEM
MODEL TUS-AI600
[FUNDAMENTALS]
(2B771-191EN*Q)
For cleaning and disinfection, only the following maintenance items are extracted.
20.3 Preventive Maintenance Performed by the User

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20.3 Preventive Maintenance Performed by the User
20.3.1 Cleaning the system
CAUTION: 1. Before cleaning the system, be sure to disconnect the
system power plug from the outlet of the facility.
If the system is defective, an electric shock may occur.
2. Do not spill or spray liquids such as water onto the system
or peripheral units. If a liquid such as water enters the
system or peripheral units, an electric shock may occur.
3. Do not use any chemicals or methods other than those
specified to clean the system.
If this is not observed, deterioration or discoloration of the
surface of the system may result.
NOTICE: Do not use solvents (such as paint thinner, benzine, or alcohol) or
abrasive cleansers to clean the system. These substances may cause
deterioration or discoloration of the system.
Cleaning the transducer
Clean, disinfect, and sterilize the transducer referring
to the operation manual provided with the
transducer.
Cleaning the transducer holder and gel holder
(a) Wipe off any stains on the transducer holder
and gel holder using a soft, dry cloth.
(b) If it is difficult to remove stains, wipe them off
using a soft cloth moistened with mild detergent.

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Cleaning the reference signal cable
NOTICE: 1. Do not allow the reference signal cables to become wet (with water
or chemical solution). If wet clips are used, the ECG tracing will not
be displayed correctly.
2. Do not immerse the connector in water or chemical solution. If
moisture enters the connector, the system may fail. Wipe the
connector with a dry cloth only.
Clean the reference signal cable regularly.
(a) Wipe off all organic materials (such as blood or
other body fluids) from the reference signal cable
using a soft cloth moistened with any of the
following (as appropriate).
Purified water
Mild detergent diluted with purified water
Ethanol for disinfection (76.9 to 81.4 vol% at
15 C)
(b) Wipe the cables with a clean, soft, dry cloth and
then dry the cables. When drying the cables, do
not use heat.
(c) Confirm that the cables show no signs of
damage, deformation, or peeling.

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Cleaning the ECG limb clips (clip-type electrodes)
NOTICE: Before drying the ECG limb clips, make sure that there is no electrolyte
cream remaining on the clips, and that all water and chemical solution
has been wiped off. Otherwise, ECG tracing will not be displayed
correctly.
Clean the ECG limb clips regularly.
(a) Wipe off all organic materials (such as blood or
other body fluids) from the ECG limb clips using a
soft cloth moistened with any of the following (as
appropriate).
Purified water
Mild detergent diluted with warm water
(39 C or less)
Cationic detergent diluted with warm water
(39 C or less)
Ethanol for disinfection (76.9 to 81.4 vol% at
15 C)
(b) Wipe the ECG limb clips with a clean, soft, dry
cloth and then dry them. Do not use heat to dry
the electrodes.
(c) Confirm that the ECG limb clips show no signs of
damage, deformation, or peeling.
Cleaning the PCG sensor and the pulse sensor
NOTICE: Do not immerse the PCG sensor or the pulse sensor in water or
chemical solution. If moisture enters the connector, the system may
fail.
PCG sensor
Pulse sensor
Clean the PCG sensor and the pulse sensor regularly.
(a) Wipe off all organic materials (such as blood or
other body fluids) from the PCG sensor or the
pulse sensor using a soft cloth moistened with any
of the following.
Purified water
Mild detergent diluted with purified water
Ethanol for disinfection (76.9 to 81.4 vol% at
15 C)
(b) Wipe the PCG sensor or the pulse sensor with a
clean, soft, dry cloth and then dry the PCG sensor
or the pulse sensor. Do not use heat to dry it.
(c) Confirm that the PCG sensor or the pulse sensor
shows no signs of damage, deformation, or
peeling.

No. 2B771-191EN*Q
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Cleaning the monitor
NOTICE: 1. Do not hit or apply excessive force to the LCD screen during
cleaning. Doing so may damage the monitor.
2. Never use a stiff or hard cloth to clean the monitor.
Doing so may damage the monitor cover or LCD screen.
3. Do not allow liquid droplets to remain on the LCD screen.
The droplets may cause small stains when they dry or may enter
the LCD screen, possibly resulting in failure.
(a) Monitor cover
Clean the monitor cover using a soft cloth
moistened with mild detergent.
(b) LCD screen
Use a soft cotton cloth or lens cleaning paper
to clean the LCD screen.
If stains on the LCD screen are difficult to
remove, wipe the screen gently with a soft
cloth slightly moistened with water or mild
detergent and then wipe it dry with a soft, dry
cloth.
Cleaning the surface of the touch panel
(a) Clean the surface of the touch panel using a
commercially available lens cleaning cloth (non-
woven rayon cloth etc.).
(b) If necessary, use a piece of soft cloth moistened
with water or mild detergent and then tightly
wrung out.

No. 2B771-191EN*Q
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Cleaning the system, main panel, and transducer connector
(a) Wipe the system using a soft cloth moistened
with mild detergent.
(b) Clean around the switches or keys on the main
panel using cotton buds.
(c) Wipe the transducer connector with a soft, dry
cloth. If it is difficult to remove all the stains with
a dry cloth, use a soft cloth moistened with
water.
To clean the trackball
(a) Turn the trackball ring in the direction of the arrow in the left figure below and
remove it together with the trackball.
NOTICE: To prevent malfunction, be careful when removing the ring.

No. 2B771-191EN*Q
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(b) Remove the ball from the ring, taking care not to damage the ball.
* Keep the removed ball in a box to prevent it from being dropped
inadvertently.
(c) Remove the inner ring (dustproofing) from the ring and remove any dust and
dirt on the contact surface.
(d) Remove all foreign matter from the ball and from the interior of the case
using a soft cloth or gauze.
Do not use sharp or hard materials to clean inside the case.
In addition, use a microfiber cloth to clean lens cover sections (left and
bottom).

No. 2B771-191EN*Q
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(e) Set the ball in the ring.
NOTE: Be sure to insert the inner ring when setting the ball. If the inner ring is
not fitted properly, the ball may not rotate properly. Be sure to fit the
inner ring properly.

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(f) Gently set the ring in the unit and rotate the ring so that the mark is at the
position shown below.
(g) Turn the ring in the direction of the arrows until it is locked (fixed).
(h) After the trackball is installed, check the following.
Operate the ball and confirm that there is no unevenness in the operating
force required, that there is no noise during operation, and that the ball
does not come loose during operation.
Turn ON the power and confirm that the trackball operation is normal.

No. 2B771-191EN*Q
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Cleaning the air filter
Check and clean the air filter to prevent overheating of the system or reduction in
system performance/reliability due to clogging of the filter.
NOTICE: Do not boot up the system while the air filter is removed.
The system may malfunction.
(a) Remove the air filter (1 location).
(b) Remove all dust from the filter using a vacuum cleaner at a location away from
the system.
(c) Remount the air filter.

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20.3.2 Disinfecting the system
This subsection describes the procedures and precautions for disinfecting the system.
For disinfection of transducers, refer to the operation manuals provided with the
transducers.
DANGER: After disinfecting the system, ventilate the room fully before
turning the system ON.
If a flammable or explosive gas remains near or in the system,
it may cause a fire or explosion.
WARNING: 1. Before disinfecting the system, be sure to disconnect the
system power cable plug from the outlet of the facility.
If the system is defective, an electric shock may occur.
2. Do not spill or spray liquids such as water onto the
system or peripheral units. If a liquid such as water
enters the system or peripheral units, an electric shock
may occur.
CAUTION: 1. Observe the following precautions to prevent infection.
Wear sterile protective gloves.
Wear new sterile protective gloves each time disinfection
is performed.
2. Do not disinfect the system using a method or chemical
other than those specified in this manual. Doing so may
result in the system not being disinfected properly or in the
surface of the system deteriorating or becoming discolored.
3. After chemical disinfection, dry the surface of the system
fully.
4. The efficacy of disinfectants is not guaranteed by Canon
Medical Systems. Contact the manufacturer of the relevant
chemical for information on its efficacy.
5. Determine the effectiveness of the chemical based on the
criteria (effective period, number of times of use,
discoloration of the chemical, results of testing using
effectiveness test kits, etc.) described in the documentation
provided by the manufacturer of the chemical.
NOTICE: 1. When chemical disinfection is repeated over time, the surface of the
system changes gradually.
2. If any abnormality related to functions of the product is observed after
disinfection, stop using the product and contact your Canon Medical
Systems service representative for repair.

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Chemicals permitted for use
The chemicals listed below are permitted for use. For details of the handling
procedures for a chemical, refer to the documentation provided by its
manufacturer.
NOTICE: Do not use hypochlorite for disinfecting the reference signal cables.
<<System main unit>>
Quaternary ammonium compound (0.75%) : Cleanisept® wipes
Quaternary ammonium compound (0.50%) : SUPER SANI-CLOTH®
Quaternary ammonium compound (0.25%) : SANI-CLOTH® PLUS
Sodium hypochlorite (0.65%) : Dispatch® Hospital Cleaner or
Clorox Healthcare Bleach
Germicidal Cleaner
Effervescent chlorine tablets, sodium dichloroisocyanurate (NaDCC)
: BIOSPOT®* (5000 ppm)
* Not available in the USA.
Isopropyl alcohol 70 vol%
Ethanol for disinfection (76.9 to 81.4 vol% at 15 C)
<<Reference signal cable and ECG limb clips (clip-type electrodes)>>
Alkyldiaminoethylglycine hydrochloride (0.5%)
Benzalkonium chloride (0.2 w/v%)
Benzethonium chloride solution (0.2 w/v%)
Chlorhexidine gluconate solution (0.5 w/v%)
<<PCG sensor and pulse sensor>>
Ethanol for disinfection (76.9 to 81.4 vol% at 15 C)
Area that can be disinfected
The following parts cannot be disinfected.
Screen of the LCD monitor
Casters
Footswitch
Peripheral devices (printer, etc.)
Refer to the documentation provided with the peripheral devices.
Cables

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Disinfection procedures
Perform the disinfection work according to the instructions of a disinfection
professional.
(a) Turn the system power OFF and disconnect the power cable plug from the
outlet of the facility.
(b) Wear protective gloves to prevent infection. Wear new sterile protective
gloves each time disinfection is performed.
(c) Be sure to perform cleaning before performing disinfection.
(d) Moisten a piece of soft cloth with a liquid chemical disinfectant, squeeze it
lightly, and wipe the surface of the unit. Be extremely careful not to allow the
detergent to enter the unit.
(e) After disinfection with chemicals, wipe the system with sterile or deionized
water to remove any residual disinfectant from the surface of the system.
Do not reuse the sterile or deionized water.
(f) Dry off the surface of the system using a piece of soft sterile cloth or gauze.
Do not use heat to dry the system.
Confirm that there is no residual disinfectant. For detailed information
concerning handling of the disinfectant, refer to the manual provided with the
disinfectant.
To ensure that the disinfectant is effective, confirm the working concentration,
replacement interval, and temperature of the disinfectant.
To ensure that the disinfectant is effective, be sure to observe the use criteria
(such as the effective period, number of times to be used, discoloration, and
the results obtained using the effectiveness test kit) described in the manual
provided with the disinfectant.
(g) Confirm that the disinfected parts are not damaged or deformed.
(h) After disinfecting the system, ventilate the room fully before turning ON the
system.
NOTICE: 1. Do not leave the reference signal cable or ECG limb clips wet with
water or chemical solution. Incorrect display of ECG waveforms may
result.
2. Do not immerse the reference signal cable connector in water or
chemical solution. If moisture enters the connector, the system may
fail.
3. The PCG sensor and the pulse sensor are not waterproof. Do not
immerse the PCG sensor or the pulse sensor in water or chemical
solution.
4. Do not boil the ECG limb clips. They may be damaged.