Motus GI Pure-Vu System User manual

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Pure-Vu® and Motus GI® are trademarks or registered trademarks of Motus GI Holdings, Inc. ©2019
Motus GI Holdings, Inc.
Address: 1301 E. Broward Blvd.
Suite 310
Fort Lauderdale, FL 33301 US
Tel: 1.844.PUREVU1 (787-3881)
Fax: [phone]
OBELIS S.A
Address: Bd. Général Wahis, 53,
1030 Brussels, Belgium
Tel: [phone]
Fax: [phone]
E-mail: [email protected]
www.obelis.net
Motus GI Medical Technologies LTD.
Address: Keren Hayesod 22,
Tirat Carmel, ZIP 3902638, Israel
Tel: [phone]
Fax: [phone]
EC REP
Motus Pure-Vu®System
Instructions For Use

1.0 WARNINGS AND PRECAUTIONS ................................................................................................ 3
1.1. Symbols Used ................................................................................................................................... 4
2.0 INTENDED USE.................................................................................................................................. 4
3.0 PRODUCT DESCRIPTION ............................................................................................................... 5
3.1. System Workstation ..................................................................................................................... 6
3.1.1. Workstation Components:........................................................................................... 7
3.1.2. Workstation Front Panel............................................................................................. 7
3.1.3 The Foot Pedal................................................................................................................ 8
3.2. Pure-Vu Oversleeve ..................................................................................................................... 9
3.3. Accessories for Use with the Pure-Vu System...................................................................... 9
4.0 SETUP AND INTERCONNECTIONS ............................................................................................. 9
4.1. Unpacking....................................................................................................................................... 9
4.1.1. Unpacking the Disposable Kit .................................................................................... 9
4.1.2. Unpacking the Workstation and Loading Fixture............................................... 9
4.2. Assembly of the Disposable on the Workstation ............................................................... 10
4.2.1. Cleaning the Loading Fixture .................................................................................... 10
4.2.2. Oversleeve Assembly................................................................................................... 10
4.2.3. Attaching the Umbilical Section to the Workstation.......................................... 13
4.2.4. Attaching the Oversleeve to the Umbilical Section............................................ 14
4.2.5. Operation and System Test........................................................................................ 15
5.0 SYSTEM OPERATION ...................................................................................................................... 16
5.1. Pre-procedure Operations......................................................................................................... 16
5.2. Operating the Pure-Vu Workstation....................................................................................... 16
5.3. Disassembling the Workstation Connector and Oversleeve........................................... 17
5.4. Removing the Oversleeve from the Colonoscope.............................................................. 18
5.5. Discarding the Oversleeve and Workstation Connector .................................................. 21
6.0 CLEANSING WORKSTATION AND FOOT PEDAL................................................................... 21
7.0 STORAGE AND TRANSPORTATION........................................................................................... 21
8.0 TROUBLESHOOTING....................................................................................................................... 22
9.0 TECHNICAL SPECIFICATIONS...................................................................................................... 23
9.1. Environmental Standards........................................................................................................... 23
9.2. Shipping and Storage.................................................................................................................. 23
9.3. Performance Limitations ............................................................................................................ 23
9.4. Mechanical Properties and Sizes ............................................................................................. 23
CONTENTS

3
MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
1. WARNINGS AND PRECAUTIONS
Please read this manual and follow its instructions carefully.
Warnings:
• This device shall only be used by order of a licensed physician as governed by the FDA
• The Pure-Vu System shall only be used according to the instruction and operating conditions
described in this manual. Failure to do so could result in compromised safety, equipment malfunction
or instrument damage.
• The Pure-Vu System shall only be used under the supervision of a licensed physician. Do not use for
any purpose other than the intended application.
• The Pure-Vu System shall be used only by trained medical personnel.
• The Pure-Vu Disposable Kits are provided clean and intended for single patient use. Do not sterilize,
clean or re-use the disposables. Discard both device sections properly after use.
• Confirm that the other devices used with the Pure-Vu System function properly to their intended use
and that their operation or safety is not compromised and meets the comatibility with the Pure-Vu
System as noted in these instructions. If any component of the endoscopic system is not functioning
properly, the procedure should not be performed.
• The Pure-Vu System should only be used with APPROVED medical devices, complying with IEC
60601-1.
• The Pure-Vu System shall only be connected to a supply main with protective earth.
• Check and confirm that all cords or cables are connected correctly and securely.
• Continually monitor the Pure-Vu System and the patient for any signs of irregularity.
• The Pure-Vu System may cause radio interference or may disrupt the operation of nearby equipment.
• If the system does not function properly, turn the Workstation o, abort the procedure and follow the
instructions noted in section “Operating the Pure-Vu Workstation”.
• The Pure-Vu System shall never be stored in areas where the unit could get wet or be exposed to high
temperature, humidity, direct sunlight, dust, salt, which could adversely aect the equipment.
• The Pure-Vu System shall never be installed, used or transported in an inclined position nor should it
be subjected to impact.
• The Pure-Vu Workstation shall be maintained in a clean condition during storage and be ready for
subsequent use.
• Electrical safety inspections shall be performed annually (or as required by institutional procedures).
The inspection shall be performed only by Motus GI authorized technical personnel.
• The Oversleeve, Umbilical Section, Loading Fixture, as well as the Workstation (WS), shall be used only
with the Pure-Vu System, recommended equipment and accessories.
• Avoid using the cleansing mode on the same area of tissue for an extended period of time.
• New, single use waste containers shall be used for each patient.
• A New, single use irrigation bag (IB) shall be used for each patient.
Precautions:
• Advance cautiously when performing anal retroflex and/or entering the ileocecal valve.
• Care shall be taken to avoid pinching the tubing during advancement through the colon and/or when
applying torque to the colonoscope.
• Only Motus GI personnel or a trained designee should service the Pure-Vu System.

4MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
1.1. Symbols Used
The Pure-Vu System has a safety warning and compliance label located on the Workstation, Loading
Fixture, and Disposable Kit. For a definition of individual symbols, see table below:
SYMBOL DESCRIPTION
FDA (USA) law restricts this device to sale by or on order
of a physician
NON
STERILE
Non-sterile
Do not use if package is damaged
!Caution! Consult accompanying documents for
safety instructions
General warning sign
Do not re-use
LOT Batch code (adjacent to the lot symbol)
Manufacturer
Date of manufacture
Follow instructions for use
Consult Instructions for Use, symbols are meant to support, not
replace, operating instructions
Must not be treated as unsorted municipal waste
Type BF equipment
Temperature limit
Use-by-date
Serial number
EC REP Authorized representative in the European Community
CE compliance symbol
2.0 INTENDED USE
The Pure-Vu® System is intended to connect to standard or slim colonoscopes to help facilitate
intraprocedural cleaning of a poorly prepared colon by irrigating or cleaning the colon and
evacuating the irrigation fluid (water), feces and other bodily fluids and matter, e.g. blood.
It is for use only by trained medical personnel located in hospitals, ambulatory surgery
centers, ambulatory endoscopy centers, clinics and doctor oces.

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MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 1: Pure-Vu Workstation – General Design & Components
3.0 PRODUCT DESCRIPTION
The Pure-Vu System enables colon cleansing during colonoscopy using a standard or slim colonoscope with
a length of 1630mm – 1710mm and an outer diameter range of 11.7mm – 13.3mm (slim) and 12.8mm – 13.7mm
(standard). The Oversleeve, which fits over the colonoscope and is connected to an external Workstation,
generates fluid and gas to break up feces. The fecal matter & fluids are removed through the suction
channels of the Oversleeve into an external waste container.
The Pure-Vu System consists of the following main components:
• Disposable device which includes an Oversleeve and an Umbilical Section. The Oversleeve fits over
the colonoscope and the Umbilical section is connected to the external Workstation.
• Workstation that is reusable and supplies an irrigation mixture of water or saline and gas, and
evacuates fecal material & fluids.
• Loading Fixture that is reusable and aids in assembling the Oversleeve onto the colonoscope.
• Additional components include 60cc luer lock syringe/3-way stopcock assembly, sealing plug, and air
line tubing.
Below is a drawing showing the various components of the system and where they connect to each other.
1
Workstation
2
Irrigation Bag
3
Irrigation Line Clamp
4
Colonoscope
5
Oversleeve
6
In-Line Connector
7
Umbilical Section
8
Waste Container
9
Foot Pedal
10
Main Connector
11
Suction Tubing
Clamp
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1
2
4
3
5
6
8
79
10
11

6MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
3.1. Pure-Vu® Workstation
The Workstation is designed to provide water or saline and gas for irrigation and suction to evacuate
fecal matter & fluids out of the body during the colonoscopy procedure. Care should be taken when
removing the Workstation from the package so as not to damage any components.
1
Irrigation Line Clamp
2
Irrigation Line (Blue markers)
3
Irrigation Pump (Blue)
4
Cleansing Mode Indicators (Low / Med / High)
5
Error Light
6
System Test Button
7
Status Light
8
Drain Button
9
Suction Pump (Green)
10
Suction Tube (Green markers)
11
Suction Pump (Red)
12
Suction Tube (Red markers)
13
Power Button
14
Main Connector
15
Foot Pedal Connector
16
Power Cord
17
Main Power Switch
18
Suction Tubing Clamp
FIGURE 2: Pure-Vu Workstation
BACK
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FRONT
1
2
4
18
3
5
6 87
9
10
11
12
13
14
15 16 17

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MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
3.1.1. Pure-Vu® Workstation Components:
• Monitoring & Control Unit control the delivery of irrigation fluids and gas into the colon, and suction
of fluids and feces from the colon.
• Irrigation Bag (saline or water) which is connected to the irrigation line.
• Waste Containers for collecting the fecal material & fluids that are suctioned from the colon through
the suction lines.
• Foot Pedal that activates the cleansing, suction and purging functions, and enables switching
between cleansing modes used by the physician.
3.1.2. Front Panel:
• On/O Power Button - powers Workstation On/O
• Irrigation Pump - pumps room temperature water or saline
• Cleansing Mode Indicator - indicates the mode you are in and is activated by using the cleansing
mode selector button on the Foot Pedal (shown in Figure 3). The system can be operated in three
cleansing modes; low, medium (default mode) and high
• Two Suction Pumps - remove the fecal material, gas & fluids from the colon into the waste containers
• Main Connector - connects the Umbilical Section to the Workstation and supplies gas to the irrigation
and sensing line
• System Test Button- turns on system test when depressed for 3 seconds and ensures that the Pure-
Vu System is functioning properly prior to the start of the procedure
• Drain Button - activates the draining of the fluids from the disposable prior to unloading from the
Workstation
• Status Light - indicates status of the system; green light means ready to go and orange light indicates
recoverable error with the setup, the irrigation bag is empty or the end of drain routine
• Error Light (Triangle)- turns red when there is non-recoverable system error

FIGURE 3: Pure-Vu Foot Pedal Unit
Manual Purge Cleansing Mode
Selector
Cleansing
Suction
8MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
3.1.3. Foot Pedal Unit
The Foot Pedal allows the physician to select the operating modes during the procedure. The operating
modes are as follows (Figure 3: Pure-Vu Foot Pedal Unit):
• Cleansing – simultaneous irrigation and suction, activated by the right foot pedal
• Suction – activated by the left pedal
• Manual Purge – activated by the left button
• Cleansing Mode Selector – activated by the right button. User can toggle between three cleansing
modes; low, medium (default mode) and high

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MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
3.2. Pure-Vu® Disposable Kit
The Pure-Vu® Disposable Kit is comprised of the Oversleeve, Umbillical Section, and the Loading/
Unloading Kit (includes sealing plug and syringe/3-way stopcock assembly). The Pure-Vu Oversleeve is a
single use device, which fits over a standard or slim colonoscope. Once attached to the colonoscope the
maximum outer diameter is 21 mm.
The Pure-Vu Oversleeve consists of multiple irrigation and suction channels as well as a channel for
sensing blockages in the suction ports of the system. The Oversleeve allows for proper connection to the
colonoscope. The inflation hub, located at the proximal end of the Oversleeve, allows for advancement
of the colonoscope. The luer connector on the top of the inflation hub allows for the connection to the
loading fixture control box via the disposable tubing to supply air to facilitate inflation of the inner sleeve
during loading. Proximal to the inflation hub is the in-line connector that enables attachment to the
Umbilical Section.
The Umbilical Section connects the Pure-Vu Oversleeve to the Workstation via the main connector.
3.3. Accessories for Use with Pure-Vu® System
The following waste containers and disposable liners are recommended for use with the Pure-Vu System.
MANUFACTURER REFERENCE CODE DESCRIPTION
Cardinal Health 65651-530 CRD disposable liner 3000cc
Cardinal Health 65652-531 Wall to outer edge canister (10 ¾ in.) 3000cc
4.0 SETUP AND INTERCONNECTIONS
4.1. Unpacking
4.1.1. Unpacking the Disposables
Prior to unpacking the disposable units, verify that the packaging is not compromised. If the packaging
is open and/or damaged, DO NOT use the device. Verify the date of expiry on the label.
Verify the date of expiry on the label.
Verify that the disposable label specifications are compatible with the selected colonoscope.
During set up, ensure that no packaging material remains on the device and that the device does not
touch the floor or other unclean surfaces that could compromise the cleanliness or intended use of the
product.
4.1.2. Unpacking the Workstation and Loading Fixture
Prior to unpacking the Workstation and the Loading Fixture, verify that the packaging is not
compromised. If the packaging is open or damaged, DO NOT use the device.
During set-up ensure that no packaging material remains on the device and that the device does not
touch the floor or other unclean surfaces that could compromise the cleanliness or intended use of the
product.

Sealing
Plug
A
Oversleeve
B
Locking Ring
(Unlocked Position) CLocking Ring (Locked Position)
C
10 MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
4.2. Assembly of the Oversleeve to the Workstation
4.2.1. Cleaning the Loading Fixture
The Loading Fixture should be cleaned prior to loading the Pure-Vu Oversleeve onto the colonoscope.
Thoroughly wipe down the Loading Fixture with a viricidal cloth (Opti-cide, Cavicide or similar surface
disinfectant of choice) that has an active ingredient of isopropyl alcohol (17% - 21%).
4.2.2. Oversleeve Assembly
Remove the Oversleeve from the tray (item #1 in tray) and sealing plug (item #3 in tray). To load the
Oversleeve onto the colonoscope complete the following steps:
FIGURE 4: Align the sealing plug (A) with the distal tip of the Oversleeve (B). Advance the sealing plug onto the
distal tip of Oversleeve, then slide the locking ring (C) to the proximal end of the plug (locked position).

A
B
E
G
D
A
F
C
B
Colonoscope Control Section and
Endoscope Connector Holder
In-Line
Connector
Proximal
Clamp Closed
A
Proximal
Clamp Open
B
B
Inflation
Hub Luer
Connector
C
Loading Fixture
Channel E
Inflation Hub
Connector
C
Oversleeve D
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MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 6: Connect the control box air line tubing (A) to the inflation hub (B) and turn ON the inflation control box
power (E). Then place the colonoscope connector (C) and control section (F) on the Loading Fixture. Rotate the
colonoscope holders (G) to lock. Ensure the colonoscope air/water, auxiliary water port, suction and biopsy valves
(D) are in place and secure.
4.2.2. Oversleeve Assembly (cont...)
FIGURE 5: Place the Loading Fixture on a flat surface. Ensure that the colonoscope control section and endoscope
connector holders are in the open position. Open the proximal clamp (B). Place the Oversleeve inflation hub
connector facing up (C), ensure that the inflation hub luer connector is properly aligned and secured in the clamp,
close and lock the proximal clamp (B). Place the Oversleeve (D) into the Loading Fixture channel (E).

A
C
D
B
12 MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 7: Prepare colonoscope by wetting its distal end with water or water-based lubricant (as used in standard
colonoscopy procedures) and then insert the colonoscope tip into the proximal end of the inflation hub (A); wait until the
bottom green LED light (B) illuminates. Begin to gently push the colonoscope into the Pure-Vu Oversleeve (C). Continue
inserting the colonoscope until it reaches the distal end and will not advance with a gentle push. Place the colonoscope
control section onto the scope support bracket (D).
4.2.2. Oversleeve Assembly (cont...)

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A
B
C
D
E
F
G
Open Pump Head
E
A
B
D
C
13
MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 8: Disconnect the air line from the inflation hub (A). Turn OFF the inflation control box power (B). Move the
locking ring (C) to the distal end (unlocked position) and remove the sealing plug (D). Do not dispose of the sealing
plug, as it will be used in the unloading process. Inspect the distal end of the Pure-Vu Oversleeve/colonoscope interface,
making sure the colonoscope is flush with the upper lip of the Pure-Vu Oversleeve as shown (E). Remove the Pure-Vu
Oversleeve with colonoscope from the Loading Fixture. The Pure-Vu Oversleeve and colonoscope are now ready for
assembly to the Pure-Vu Umbilical Section, Workstation controller, colonoscope light source and video processor.
FIGURE 9: Connect the main connector (A) to the main connector socket in the Workstation (B). Place the irrigation
tubing (C) into the irrigation pump marked in blue (D) between marked blue lines, then close the irrigation pump
head. Remove the irrigation tube spike’s cap (G), then connect the irrigation tubing to the irrigation bag (E) and
ensure that the irrigation line clamp (F) is open.
4.2.2. Oversleeve Assembly (cont...)
4.2.3. Attaching the Umbilical Section to the Workstation
The Workstation should be cleaned prior to attaching the Umbilical Section to the Workstation by
thoroughly wiping down the Workstation with a viricidal cloth (Opti-cide, Cavicide or similar surface
disinfectant of choice) that has an active ingredient of isopropyl alcohol (17% - 21%).
Remove the Umbilical Section from the tray (item #2 in the tray). To attach the Umbilical Section to the
Workstation complete the following steps:

A
B
C
D
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D
E
F
C
G
A
A
B
B
14 MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 10: Connect the two suction lines to the two waste containers (A) and ensure that at least one port, in
addition to the vacuum port (B), is open on each container. Ensure that the suction tubing clamp (C) is on the left of
the Workstation and then place the suction tubing (D) into the suction pump marked in green (E) between marked
green lines, then place the suction tubing (F) into the suction pump marked in red (G) between marked red lines,
then close both suction pump heads.
FIGURE 11: Connect the Oversleeve to the Umbilical Section by the inline connector (A to B). Attach the inline
connector clip to the colonoscope Umbilical section (C to D).
4.2.3. Attaching the Umbilical Section to the Workstation (cont...)
4.2.4.Attaching the Oversleeve to the Umbilical Section

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D
E
C
F B
A
15
MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 12: Turn ON the Workstation by pressing the Power On/O button (A). Confirm status indicator (B) is
green. Point the tip of the colonoscope (C) and the Pure-Vu Oversleeve (D) toward a container (E). Ensure that
the Oversleeve’s distal tip is not submerged in water, then press the system test button (F) for 3 seconds to
verify irrigation. The Pure-Vu System is now ready for use.
4.2.5. Operation and System Test

16 MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
5.0 SYSTEM OPERATION
5.1. Pre-procedure Operations
1. Use a new, single-use irrigation bag and new, single-use waste containers.
2. Verify that all cords and cables, including Workstation and Foot Pedal, are assembled correctly.
3. Confirm that the waste containers and irrigation bag are replaced at the same time at the beginning of
the procedure.
4. Verify that the disposable is assembled correctly and that the irrigation line clamp is open.
5.2. Operating the Pure-Vu® Workstation
1. Turn on the Pure-Vu Workstation power button.
2. Turn on the colonoscope processor and light source.
3. Verify visually and functionally that the colonoscope functions properly (i.e. clear image, irrigation,
insuation and suction). Refer to colonoscope manufacturer Instructions for Use.
4. Check the Pure-Vu System visually and functionally by pressing and holding for 3 seconds the System
Test button and verify irrigation. Note: Ensure that the disposable’s distal tip is not submerged in water
during the test. If no irrigation, refer to Section 8.0 TROUBLESHOOTING
5. After determining the Pure-Vu System is ready for use, wet at least 30cm of the distal section of the
Oversleeve and then apply a water-based lubricant (as used in standard colonoscopy procedures) to
at least 30cm of the distal section of the Oversleeve just before the procedure begins.
6. Place and prepare the patient for the procedure as per standard colonoscopy procedure. It is
recommended that an absorbent pad be placed around/underneath the patient.
7. Begin to perform the colonoscopy. Activate the Pure-Vu System when cleansing is required per
physician’s discretion.
8. Activate the cleansing mode by stepping on the right foot pedal. The cleansing mode button is
located on the foot pedal and the cleansing mode indicator on the workstation display. If a dierent
cleansing mode is desired, depress the foot mode button to change the cleansing mode. The switching
between the modes is performed in a cyclic manner – Medium – High – Low - Medium.
9. If only suction is desired, depress the left foot pedal to activate the suction function.
10. To ensure eective suctioning, position the suction ports below the fluid line.
11. If the suction channels are blocked, depress the manual purge pedal to remove the blockage.
12. Upon completion of the colonoscopy procedure, disassemble the disposables as per section 5.3.

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D
E
C
I
A
B
I
I
F
G
H
J
K
17
MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 13: Upon completion of the colonoscopy, fill a container with 200cc of tap water (A). Point the tip of the
colonoscope down in the container and suction the 200cc of tap water by depressing the suction pedal on the
Foot Pedal unit (B). Close the irrigation line clamp (C), press the drain button (D) for 3 seconds and wait for drain
cycle to complete. The status indication (E) will switch from green to orange. Disconnect the In-Line Connector
Clip (F) from the Colonoscope. Disconnect the Oversleeve (G) from the Umbilical Section (H) by pressing the in-line
connector button (I) down and forward, then separate the Oversleeve from the Umbilical Section by pulling apart
the connectors. Open the pump heads and pull the tubes out. Then disconnect the Umbilical Section from the
Workstation by depressing the main connector button (J). Disconnect the suction tubing from the waste containers
(K). Discard irrigation bag, waste containers and tubing per facility protocol.
5.3. Disassembling the Umbilical Section and Oversleeve

D
E
C
A
B
18 MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
FIGURE 14: Place the colonoscope (A and C) in the bottom of a basin (B) or sink in large circle (s). Open the
stopcock (D) by turning the o valve facing towards the side port of the stopcock and draw up 60 cc of a 4-part
water, 2 part detergent solution (40 cc water, 20 cc detergent). Connect the stopcock and syringe assembly (E)
to the Oversleeve luer hub. Flush the 60 cc volume of diluted detergent through the Oversleeve and look for the
solution to exit the distal end.
5.4. Removing the Oversleeve from the Colonoscope
Remove the unloading components (the sealing plug and the syringe/3-way stopcock assembly) from
the disposable tray (item #3 in tray) and follow the unloading procedure instructions below.

19
MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
5.4. Removing the Oversleeve from the Colonoscope (cont...)
A
B
C
D
FIGURE 15: Maintain pressure on the syringe plunger (A) and close the stopcock valve (B) by turning the o valve
towards the Oversleeve (C) to maintain pressure. Note: If fluid does not exit the Oversleeve, remove the syringe from
the stopcock, draw up an additional 60 cc of diluted detergent solution into the syringe, attach the syringe to the
stopcock and turn the o valve toward the side port of the stopcock and repeat step 5.
Push the tip of the colonoscope back approximately 2 cm into the Oversleeve. Advance the Sealing Plug (D) into the
distal tip of the Oversleeve. Ensure that the sealing plug locking ring is in the locked position. Turn the stopcock o
valve toward the Oversleeve, and draw up 60 cc of air. Turn the o valve to the side port position and infuse the air.
Close by turning the o valve towards the Oversleeve.

20 MOTUS GI PURE-VU SYSTEM INSTRUCTIONS FOR USE
5.4. Removing the Oversleeve from the Colonoscope (cont...)
B
A
FIGURE 16: Proceed to separate the colonoscope by grasping the Oversleeve approximately 2” distal of the hub (A),
pulling the Oversleeve and colonoscope away from each other (B). (Note: If at any point, you see the Oversleeve
bunch up creating pinch points, simply grasp the Oversleeve on either side of the pinch point and pull apart from
each other, then proceed to remove the Oversleeve by pulling the Oversleeve and colonoscope away.
Point the colonoscope tip and Oversleeve Inflation Hub downward just before the colonoscope exits the Oversleeve.
Discard per facility protocol.