Olympus EVIS LUCERA GIF N260 User manual

Refer to the endoscope’s companion manual, the “REPROCESSING MANUAL” with
your endoscope model listed on the cover, for reprocessing information.
INSTRUCTIONS
EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE
OLYMPUS GIF TYPE N260
OLYMPUS GIF TYPE XP260
OLYMPUS GIF TYPE PQ260
OLYMPUS GIF TYPE XQ260
OLYMPUS GIF TYPE Q260
OLYMPUS GIF TYPE H260
OLYMPUS GIF TYPE H260Z
EVIS LUCERA COLONOVIDEOSCOPE
OLYMPUS CF TYPE Q260AL/I
OLYMPUS CF TYPE Q260DL/I
OLYMPUS CF TYPE H260AL/I
OLYMPUS CF TYPE H260AZL/I
OLYMPUS CF TYPE H260DL/I
OLYMPUS PCF TYPE PQ260L/I
OLYMPUS PCF TYPE Q260AL/I
OLYMPUS PCF TYPE Q260AZI
OLYMPUS PCF TYPE Q260JL/I

Contents
i
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Contents
Symbols......................................................................................... 1
Important Information — Please Read Before Use.................... 2
Intended use ............................................................................................ 2
Applicability of endoscopy and endoscopic treatment .............................. 3
Instruction manual .................................................................................... 3
User qualifications..................................................................................... 4
Instrument compatibility ........................................................................... 4
Reprocessing before the first use/reprocessing and storage after use .... 4
Spare equipment....................................................................................... 5
Maintenance management ....................................................................... 5
Prohibition of improper repair and modification ........................................ 5
Signal words ............................................................................................. 5
Warnings and cautions.............................................................................. 6
Examples of inappropriate handling.......................................................... 13
Chapter 1 Checking the Package Contents............................ 14
Chapter 2 Instrument Nomenclature and Specifications ...... 18
2.1 Nomenclature.................................................................................. 18
2.2 Endoscope functions....................................................................... 36
2.3 Specifications.................................................................................. 40
2.4 Attaching the chain for water-resistant cap (MAJ-1119) ................. 58
Chapter 3 Preparation and Inspection .................................... 61
3.1 Preparation of the equipment.......................................................... 61
3.2 Inspection of the endoscope ........................................................... 63
3.3 Preparation and inspection of accessories ..................................... 68
3.4 Attaching accessories to the endoscope ........................................ 73
3.5 Inspection and connection of ancillary equipment .......................... 75
3.6 Inspection of the endoscopic system .............................................. 80
Chapter 4 Operation ................................................................. 86
4.1 Insertion .......................................................................................... 91
4.2 Using EndoTherapy accessories .................................................... 100
4.3 Withdrawal of the endoscope.......................................................... 107
4.4 Transportation of the endoscope .................................................... 108

Contents
ii EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Chapter 5 Troubleshooting ...................................................... 110
5.1 Troubleshooting guide .................................................................... 110
5.2 Withdrawal of the endoscope with an irregularity............................ 115
5.3 Returning the endoscope for repair................................................. 118
Appendix........................................................................................ 119
System chart ............................................................................................ 119
EMC information........................................................................................ 145

Symbols
1
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Symbols
The meaning(s) of the symbol(s) shown on the component packaging, the back
cover of the instruction manual, and/or the instrument are as follows:
Refer to instructions.
Caution
Endoscope
TYPE BF applied part
Manufacturer
Authorized representative in the European Community
Lot number
Serial number

2
Important Information — Please Read Before Use
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Important Information — Please Read
Before Use
Intended use
These instruments have been designed to be used with an Olympus video
system center, magnification controller (for CF-H260AZL/I only), endoscope
position detecting unit (for CF-Q260DL/I, CF-H260DL/I only), light source,
documentation equipment, monitor, EndoTherapy accessories (such as a biopsy
forceps), and other ancillary equipment.
Use the EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE GIF-N260 for
transoral or transnasal endoscopy and endoscopic surgery within the upper
digestive tract (including the esophagus, stomach, and duodenum).
Use the EVIS LUCERA GASTROINTESTINAL VIDEOSCOPE GIF-XP260,
GIF-PQ260, GIF-XQ260, GIF-Q260, GIF-H260, GIF-H260Z for endoscopy and
endoscopic surgery within the upper digestive tract (including the esophagus,
stomach, and duodenum).
Use the EVIS LUCERA COLONOVIDEOSCOPE CF-Q260AL/I, CF-Q260DL/I,
CF-H260AL/I, CF-H260AZL/I, CF-H260DL/I, PCF-PQ260L/I, PCF-Q260AL/I,
PCF-Q260AZI, PCF-Q260JL/I for endoscopy and endoscopic surgery within the
lower digestive tract (including the anus, rectum, sigmoid colon, colon, and
ileocecal valve).
Do not use these instruments for any purpose other than their intended use.
Select the endoscope to be used according to the objective of the intended
procedure based on the full understanding of the endoscope’s specifications and
functionality as described in this instruction manual.

Important Information — Please Read Before Use
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EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Applicability of endoscopy and endoscopic treatment
If there are official standards on the applicability of endoscopy and endoscopic
treatment that are defined by the hospital’s administrators or other official
institutions, such as academic societies on endoscopy, follow those standards.
Before starting endoscopy and endoscopic treatment, thoroughly evaluate its
properties, purposes, effects, and possible risks (their nature, extent and
probability). Perform endoscopy and endoscopic treatment only when its
potential benefits are greater than its risks.
Fully explain to the patient the potential benefits and risks of the endoscopy and
endoscopic treatment as well as any examination/treatment methods that can be
performed in its place, and perform the endoscopy and endoscopic treatment
only after obtaining the consent of the patient.
Even after starting the endoscopy and endoscopic treatment, continue to
evaluate the potential benefits and risks, and immediately stop the
endoscopy/treatment and take proper measures if the risks to the patient
become greater than the potential benefits.
Instruction manual
This instruction manual contains essential information on using this instrument
safely and effectively. Before use, thoroughly review this manual and the
manuals of all equipment that will be used during the procedure and use the
equipment as instructed.
Note that the complete instruction manual set for this endoscope consists of this
manual and the “REPROCESSING MANUAL” with your endoscope model listed
on the cover. It also accompanied the endoscope at shipment.
Keep this and all related instruction manuals in a safe, accessible location.
If you have any questions or comments about any information in this manual,
please contact Olympus.
Terms used in this manual
NBI (Narrow Band Imaging) observation mode:
This is an observation mode using narrowband light.
Normal light observation mode (or WLI (White Light Imaging) observation
mode):
This is an observation mode using standard RGB illumination.

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Important Information — Please Read Before Use
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
User qualifications
If there are official standards for user qualifications to perform endoscopy and
endoscopic treatment that are defined by the hospital’s medical administrators or
other official institutions, such as academic societies on endoscopy, follow those
standards. If there are no official qualification standards, the operator of this
instrument must be a physician approved by the medical safety manager of the
hospital or person in charge of the department (department of internal medicine,
etc.).
The physician should be capable of safely performing the planned endoscopy
and endoscopic treatment following guidelines set by the academic societies on
endoscopy, etc., and considering the difficulty of endoscopy and endoscopic
treatment. This manual does not explain or discuss endoscopic procedures.
Instrument compatibility
Refer to the “System chart” in the Appendix to confirm that this instrument is
compatible with the ancillary equipment being used. Using incompatible
equipment can result in patient or operator injury and/or equipment damage.
This instrument complies with the EMC standard for medical electrical
equipment, edition 4 (IEC 60601-1-2: 2014).
When connecting to an instrument that complies with a previous edition of the
EMC standard for medical electrical equipment edition, the EMC characteristics
could be vulnerable.
Reprocessing before the first use/reprocessing and
storage after use
This instrument was not cleaned, disinfected, or sterilized before shipment.
Before using this instrument for the first time, reprocess it according to the
instructions given in the endoscope’s companion “REPROCESSING MANUAL”
with your endoscope model listed on the cover.
After using this instrument, reprocess and store it according to the instructions
given in the endoscope’s companion reprocessing manual. Improper and/or
incomplete reprocessing or storage can pose an infection control risk, cause
equipment damage, or reduce performance.

Important Information — Please Read Before Use
5
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Spare equipment
Be sure to prepare another endoscope to avoid interruption of the examination
due to equipment failure or malfunction.
Maintenance management
The probability of failure of the endoscope and ancillary equipment increases as
the number of procedures performed and/or the total operating hours increase.
In addition to the inspection before each procedure, the person in charge of
medical equipment maintenance in each hospital should inspect the items
specified in this manual periodically. An endoscope with an observed irregularity
should not be used, but should be inspected by following Section 5.1,
“Troubleshooting guide” on page 110. If the irregularity is still observed after
inspection, contact Olympus.
Prohibition of improper repair and modification
This instrument does not contain any user-serviceable parts. Do not
disassemble, modify, or attempt to repair it; patient or operator injury and/or
equipment damage may result.
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.
Signal words
The following signal words are used throughout this manual:
Indicates a potentially hazardous situation which, if not
avoided, could result in death or serious injury.
Indicates a potentially hazardous situation which, if not
avoided, may result in minor or moderate injury. It may also
be used to alert against unsafe practices or potential
equipment damage.
Indicates additional helpful information.

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Important Information — Please Read Before Use
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Warnings and cautions
Follow the warnings and cautions given below when handling this instrument.
This information is to be supplemented by the warnings and cautions given in
each chapter.
• After using this instrument, reprocess and store it according
to the instructions given in the endoscope’s companion
“REPROCESSING MANUAL” with your endoscope model
listed on the cover. Using improperly or incompletely
reprocessed or stored instruments may cause patient
cross-contamination and/or infection.
• Before endoscopy, remove any metallic objects (watch,
glasses, necklace, etc.) from the patient. Performing
high-frequency cauterization treatment while the patient is
wearing metallic objects may cause burns on the patient in
areas around the metallic objects.
• Do not strike, hit, or drop the endoscope’s distal end,
insertion tube, bending section, control section, universal
cord, or endoscope connector. Also, do not bend, pull, or
twist the endoscope’s distal end, insertion tube, bending
section, control section, universal cord, or endoscope
connector with excessive force. The endoscope may be
damaged and could cause patient injury, burns, bleeding,
and/or perforations. It could also cause parts of the
endoscope to fall off inside the patient.
• When performing transnasal insertion with the GIF-N260,
please follow the cautions below.
The shape and size of the nasal cavity and its suitability
for transnasal insertion may vary from patient to patient.
No endoscope, including the GIF-N260, can always be
inserted transnasally into all patients. Before proceeding,
always be sure to confirm that transnasal insertion is
possible with the patient by considering both the size of
the patient’s nasal cavity as well as the size of the
endoscope’s insertion section. Otherwise, patient injury
can result or the endoscope could become lodged and
difficult to withdraw.

Important Information — Please Read Before Use
7
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Transnasal insertion is accompanied by the risk of
inflammation of the nasal cavity. If this happens, the nasal
passage will be constricted, making it more difficult to
withdraw the endoscope. In this case, do not use force to
withdraw the endoscope because patient injury, bleeding,
and/or perforation may result.
Transnasal insertion is accompanied by the risk of
bleeding in the nasal cavity. Be sure to be prepared to
deal with any bleeding. When withdrawing the
endoscope, observe the inside of the nasal cavity to
ensure that there is no bleeding. 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.
Before transnasal insertion, apply the appropriate
pretreatment and lubrication to the patient to enlarge the
nasal cavity. Otherwise, patient injury can result or the
endoscope could become lodged and difficult to withdraw.
When applying a pretreatment agent through a tube,
insert the tube into the same path as the path planned for
the endoscope’s insertion. 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 as required
during the procedure — for example, when withdrawal
seems to be difficult.
Transnasal insertion of the endoscope should be
performed carefully. If resistance to insertion is felt, or the
patient reports pain, stop the insertion immediately.
Otherwise, patient injury can result or the endoscope
could become lodged and difficult to withdraw.
If it becomes impossible to withdraw the transnasally
inserted endoscope, pull its distal end out of the mouth,
cut the flexible tube using wire cutters, and after ensuring
that the cut section will not injure the body cavity or nasal
cavity of the patient, withdraw the endoscope carefully.
Therefore, always prepare wire cutters in advance.

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Important Information — Please Read Before Use
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
• When using the PCF-PQ260L/I, be sure to check the passive
bending section moving smoothly by touching it with your
hands before inserting the endoscope into the patient. If any
irregularity is observed on the distal end motion of the
endoscope, immediately stop using the endoscope and
withdraw it from the patient. Otherwise, patient injury,
bleeding, and/or perforation may result.
• Never perform angulation control forcibly or abruptly. Never
forcefully pull, twist, or rotate the angulated bending section.
Patient injury, bleeding, and/or perforation may result due to
unintended retroflexion of the bending section. It may also
become impossible to straighten the bending section during
an examination.
• Never insert or withdraw the endoscope’s insertion section
while the bending section is locked in position. Patient injury,
bleeding, and/or perforation may result.
• The bending section will never bend to the RIGHT or LEFT
direction but to the UP or DOWN direction. To insert or
withdraw, operate the endoscope by considering the direction
in which the bending section is angulated. Never apply
excessive force to the RIGHT or LEFT direction when
inserting or withdrawing the endoscope. Patient injury,
bleeding, and/or perforation can result (for GIF-N260 only).
• Never perform flexibility adjustment, operate the bending
section, feed air or perform suction, insert or withdraw the
endoscope’s insertion section, or use EndoTherapy
accessories without viewing the endoscopic image or while
the endoscopic image is frozen. Patient injury, bleeding,
and/or perforation may result.
• Regardless of the flexibility of the endoscope’s insertion
section, never insert or withdraw the insertion section
abruptly or with excessive force. Patient injury, bleeding,
and/or perforation may result.
• If it is difficult to insert the endoscope, do not forcibly insert
the endoscope; stop the endoscopy. Forcible insertion can
result in patient injury, bleeding, and/or perforation.
• Never insert or withdraw the endoscope’s insertion section or
use EndoTherapy accessories while the image is magnified.
Patient injury, bleeding, and/or perforation can result (when
using the GIF-H260Z, CF-H260AZL/I, PCF-Q260AZI or using
the image magnification function of the video system center).

Important Information — Please Read Before Use
9
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
• The endoscope position detecting unit is designed only to
assist the insertion of an endoscope. Never insert the
endoscope into the patient’s body by observing only the
endoscope position display of the endoscope position
detecting unit. Be sure to observe the endoscopic image and
insert the endoscope while confirming the safety. If the
endoscope is inserted without observing the endoscopic
image, patient injury, bleeding, and/or perforation can result
(for CF-Q260DL/I, CF-H260DL/I only).
• Do not touch the light guide on the endoscope connector
immediately after removing it from the light source because it
is extremely hot. Operator or patient burns can result.
• When the endoscopic image does not appear on the monitor,
the CCD may have been damaged. Turn the video system
center OFF immediately. Continued power supply in such a
case will cause the distal end to become hot and could cause
operator and/or patient burns.
• When combining the endoscope with a splinting tube, there is
a risk of perforation or bleeding due to entanglement of the
mucous membrane, or of the tube to become separated from
the endoscope and remaining in the body. Before use, be
sure to read the instruction manual for the splinting tube to
fully understand its characteristics (for CF/PCF models only).
• Do not rely on the NBI observation mode alone for primary
detection of lesions or to make a decision regarding any
potential diagnostic or therapeutic intervention.
• During the endoscopic treatment, keep the insertion section
and the bending section as straight as possible. If there is a
loop or a bend on the insertion section or the bending
section, the operation can not be performed as intended, and
patient injury, bleeding, and/or perforation can result.
• Do not pull the universal cord during an examination. The
endoscope connector will be pulled out from the output
socket of the light source and the endoscopic image will not
be visible.
• Do not coil the insertion tube or universal cord with a
diameter of less than 12 cm. Equipment damage can result.
• Do not attempt to bend the endoscope’s insertion section
with excessive force regardless of its flexibility. Otherwise,
the insertion section may be damaged.

10
Important Information — Please Read Before Use
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
• Do not touch the electrical contacts inside the electrical
connector. CCD damage may result.
• Do not apply shock to the distal end of the insertion section,
particularly the objective lens surface at the distal end. Visual
irregularities may result.
• Do not twist or bend the bending section with your hands.
Equipment damage may result.
• Do not squeeze the bending section forcefully. The covering
of the bending section may stretch or break and cause water
leaks.
• Turn the video system center ON only when the videoscope
cable is connected to both the video system center and the
electrical connector on the endoscope. In particular, confirm
that the video system center is OFF before connecting or
disconnecting the videoscope cable from the electrical
connector on the endoscope. Failure to do so can result in
equipment damage, including destruction of the CCD.
• The endoscope’s remote switches cannot be removed from
the control section. Pressing, pulling, or twisting them with
excessive force can break the switches and/or cause water
leaks.
• If remote switch 1 does not return to the OFF position after
being pressed strongly from the side, gently pull the switch
upwards to return it to the OFF position.
• 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.
• Do not pull the magnification control cable during an
examination. The endoscope connector will be pulled out
from the output socket of the light source and the endoscopic
image will not be visible. The magnification control cable will
be pulled out from the endoscope’s zoom connector and the
endoscopic image will not zoom in or out (for CF-H260AZL/I
only).
• Turn the magnification controller OFF before connecting or
disconnecting the magnification control cable from the
endoscope’s zoom connector. Failure to do so can result in
equipment damage (for CF-H260AZL/I only).

Important Information — Please Read Before Use
11
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
• Do not pull the UPD cable during an examination. The
endoscope connector will be pulled out from the output
socket of the light source and the endoscopic image will not
be visible. The UPD cable will be pulled out from the UPD
scope connector and the scope model will not be visible (for
CF-Q260DL/I, CF-H260DL/I only).
• Turn the endoscope position detecting unit (UPD) OFF
before connecting or disconnecting the UPD cable from the
UPD scope connector. Turn the UPD ON or OFF only when
the UPD cable is connected to the UPD scope connector.
Failure to do so can damage the UPD (for CF-Q260DL/I,
CF-H260DL/I only).
• Electromagnetic interference may occur on this instrument
near equipment marked with the following symbol or other
portable and mobile RF (radio frequency) communications
equipment, such as cellular phones. If electromagnetic
interference occurs, mitigation measures may be necessary,
such as reorienting or relocating this instrument, or shielding
the location.
• Be sure that this instrument is not used adjacent to or
stacked with other equipment (other than the components of
this instrument or system) to avoid electromagnetic
interference.
• To check the electromagnetic interference from other
equipment (any equipment other than this instrument or the
components that constitute this system), the system should
be observed to verify its normal operation in the configuration
in that it will be used.

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Important Information — Please Read Before Use
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
• When using this equipment in domestic environments and
connected to the public mains network, electromagnetic
interference with other devices may occur. If electromagnetic
interference occurs, mitigation measures may be necessary,
such as reorienting or relocating this equipment, or shielding
the location.
The emissions characteristics of this equipment make it
suitable for use in industrial areas and hospitals (CISPR 11
class A). If it is used in a residential environment (for which
CISPR 11 class B is normally required) this equipment might
not offer adequate protection to radio-frequency
communication services. The user might need to take
mitigation measures, such as relocating or re-orienting the
equipment (for CF-Q260DL/I).
All endoscopes listed on the front cover contains a memory
chip that stores information about the endoscope and
communicates this information to the video system center
CV-260SL, CV-260.

Important Information — Please Read Before Use
13
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Examples of inappropriate handling
Details on clinical endoscopic technique are the responsibility of trained
specialists. Patient safety in endoscopic examinations and endoscopic treatment
can be ensured through appropriate handling by the physician and the medical
facility. Examples of inappropriate handling are described below.
• Over-insufflating the lumen may cause patient pain, injury, bleeding,
and/or perforation.
• Applying suction with the distal end in prolonged contact with the
mucosal surface, with higher suction pressure than required, or with
prolonged suction time may cause bleeding and/or lesions.
• The endoscope has not been designed for use in retroflexed
observation in parts of the body other than the stomach. Performing
retroflexed observation in a narrow lumen may make it impossible to
straighten the angle of the bending section and/or withdraw the
endoscope from the patient. Retroflexed observation in parts of the body
other than the stomach should be performed only when the usefulness
of doing so is determined to be greater than the risk that is posed to the
patient.
• Inserting, withdrawing, and using EndoTherapy accessories without a
clear endoscopic image may cause patient injury, burns, bleeding,
and/or perforation.
• Inserting or withdrawing the endoscope, feeding air, applying suction, or
operating the bending section without a clear endoscopic image may
cause patient injury, bleeding, and/or perforation.

14
Chapter 1 Checking the Package Contents
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
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 described in the endoscope’s companion “REPROCESSING
MANUAL” with your endoscope model listed on the cover.
Endoscope
GIF-N260
Endoscope
GIF-XP260, GIF-PQ260, GIF-XQ260, GIF-Q260, GIF-H260, PCF-PQ260L/I

Chapter 1 Checking the Package Contents
15
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Endoscope
GIF-H260Z
Endoscope
CF-Q260AL/I, CF-H260AL/I, PCF-Q260AL/I
Endoscope
CF-H260AZL/I

16
Chapter 1 Checking the Package Contents
EVIS LUCERA GIF/CF/PCF TYPE 260 Series OPERATION MANUAL
Endoscope
CF-Q260DL/I, CF-H260DL/I
Endoscope
PCF-Q260JL/I
Endoscope
PCF-Q260AZI