Olympus EVIS EXERA II User manual

OLYMPUS
INSTRUCTIONS
EVIS
EXERA II
C
EVIS EXERA II XENON LIGHT SOURCE
OLYMPUS CLV-180
CE...

Contents
Contents
/ ae/S a7 Sy/77 わ OS 1... 00. 0000 이 아 아 아 아 아 아 아 아 아 아 아 아 아 아 마 아 아 이 이 이 이 이 이 이 이 이 1
Important Information — Please Read Before Use.................... 3
Intended use i on PK O POR P RK POR ARR KRK o PKR K 3
Instruction manual i 3
User qualifications.............................. sise 5
Instrument compatibility ss. 5
Repair and modification eee 5
Signal words .4 6
Dangers,wamingsandcautlons.................................................. /
Cardiacapplications............................................... ss. 12
Summary of the functions of the instrument............................. 13
Chapter 1 Checking the Package Contenîts............................ 15
Chapter 2 Nomenclature and Functi0NsS..........cooccooccccnnonanononos 16
2.1 Front panel... ーー 16
2.2 Rearandsidepanels.......................................................... 22
Chapter 3 Inspection ............ 이시이 이이 24
3.1 Inspection work floW............................ 0000000 ακτές κκ ες κε εαν ας 25
3.2 Checking the lamp ignition Mode............................... go” 27
3.3 İnspectionofthepowersupply.......................................... 27
3.4 Checking the lamp hour indicator eee 30
3.5 Inspection ofthe examination light... 31
3.6 Inspection of brightness adjustment ............................................. 33
3.7 Inspection of the high intensity mode............................................. 37
3.8 Inspection of air and water feeding…............................................. 39
3.9 Inspection of transillumination function ………………… せ ーーーーーーー 41
3.10 Inspection of the NBI observation function .…................................... 43
3.11 Afterinspection........................................ eee 44
OLYMPUS EVIS EXERA || XENON LIGHT SOURCE CLV-180 i

Contents Labels and Symbols
Chapter 4 Operation μμ μμ μμ μμ μμ... 45 La b el s an d Sy m b ol S
41 Operation flow ii nee nen eo eee ooo nene 48
4.2 Connectionofanendoscope............................................... 50
4.3 Turning the light source ON and igniting the examination lamp...... 53 Safety-related labels and symbols are attached to the light source at the
4.4. Brightness adjustment 0000000000000 onen εως 55 locations shown below. If labels or symbols are missing or illegible, contact
4.5 Adjusting airwater pressUure.… ーー 58 Olympus.
4.6 Using the transillumination function ….............................................. 99 R id
4.7 Using the high intensity mode... eee 60 O Rear side
4.8 Using the NBÍ observation Mode ........ i 61 | |
| shina th nation | 63 Electrical rating
4.9 Extinguishing the examination lamp.................. ーーーーーーーー… A The product name, rated voltage and
4.10 TumingthelightsourceOFF............................................... 63 - frequency are shown.
Caution that only the Dl. _
exclusive cable can be i EVIS EXERA II XENON LIGHT SOURCE |
Chapter5 Lamp and Fuse Replacement..…....…..................… 64 connected. | MODEL OLYMPUS CLV-180 |
5.1 Replacement of the examination (xenon) lamp............................... 64 1 INPUT 100-240V-~ 50/60Hz S00VA |
5.2 Fuse replacement i 72
Chapter 6 Care, Storage and Disposal...........................svr000 001 74 y CE marking
6.1 Care aa 74 Fuse rating Potential egualization €
<— terminal C 0197
6.2 Storage eee 75
FUSES 十 十
6.3 Disposal.................... i eee 75 T8AH250V
Chapter 7 Installation and Connection... 2 76
7.1 Installation work flow... 77
7.2 Installation of equipment ii 78
7.3 Selectinggthelampignittonmode.............................................. 81
7.4 Installation of the water container ............................ ーーーーーーー 83
7.5 Connectionofthe video system center........................................... 84
7.6. Connectionto the AC mains power supplY ..................................... 85
Chapter 8 Troubleshooting .RN ee 87 (=
8.1 Troubleshootingguide....................................................... 87
82 Returning the light source for repair... ーーー…ーーー…ー・ー 93
. . O 0
ο) Ιλ Ημ μμ iii eizizeee 95 Serial number plate Caution on lamp
System chart eee 95 replacement.
Transportation, storage and operating environments ............................... 98 Manufacturer name
πο] Το Ιω. ο μμ μμ” μι, 99
:
Cautions
that
the
inside
is
EMC information................... eee 102 | extremely hot immediately
Crossed-out wheeled bin’ symbol after the lamp is
extinguished.
il OLYMPUS _EVIS EXERA II XENON LIGHT SOURCE CLV-180 | OLYMPUS EVISEXERA Il XENON LIGHT SOURCE CLV-180 1

Labels and Symbols Important Information — Please Read Before Use
O Back cover of this instruction manual
Important Information — Please Read
ud
Manufacturer
Befor
e
Use
Authorized representative in the European Community
Intended use
This light source has been designed to be used with Olympus endoscopes,
video system center, and other ancillary equipment for endoscopic diagnosis,
treatment and video observation.
Do not use this light source for any purpose other than its intended use.
Instruction manual
This instruction manual contains essential information on using this light source
safely and effectively. Before use, thoroughly review this manual and the
manuals of all equipment which will be used during the procedure and use the
equipment as instructed.
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.
O Terms used in this manual
EVIS EXERA Il video system center: +
The EVIS EXERA ΙΙ video system center is a device that converts signals
from a videoscope or camera head into monitor images.
Camera head:
The camera head is a device that converts endoscopic images from a
fiberscope or a rigidscope into monitor images.
Automatic brightness control:
The automatic brightness control automatically adjusts the intensity of the
light emitted from the light source so that the endoscopic image will be
maintained at constant brightness even if the distance between the distal
end of the endoscope's insertion tube and the subject changes.
2 OLYMPUS EVIS EXERA Il XENON LIGHT SOURCE CLV-180 OLYMPUS EVIS EXERA Il XENON LIGHT SOURCE CLV-180

Important Information — Please Read Before Use
Mobile workstation: |
The mobile workstation is a special trolley on which this light source is
placed and used for endoscopic diagnosis and treatment.
Wall mains outlet:
The wall mains outlet is a wall AC mains power outlet socket with a
terminal used exclusively for grounding.
Isolation transformer:
The isolation transformer is a safety device that is used to isolate non-
insulated equipment with potentially high leakage currents to decrease the
possibility of electric shock.
Transillumination function:
With this function, the distal end of the endoscope emits more intense
examination light, which transmits through the body wall tissue of the
patient and enables the operator to confirm the position of the distal end
from outside the patient’s body, provided that the operating room
illumination is low. This function is available only with EVIS videoscopes
and a few fiberscopes.
High intensity mode:
This mode emits brighter illumination light than usual. It is available only
with the endoscopes and light guide cables compatible with this mode.
Special light observation:
This is an observation using specific filtered light (e.g. NBI).
NBI (Narrow Band Imaging) observation:
NBI observation mode utilizes an optical filter, which filters the white light
spectrum, changing it from a broad band to a narrow band. The filter sets
the narrow bands to specific wavelengths within the green and blue
spectrum that are within the visible light spectrum.
4
OLYMPUS
EVIS EXERA Il XENON LIGHT SOURCE CLV-180
Important
Information
—
Please
Read
Before
Use
User qualifications
If
there
is
an
official
standard
on
user
qualifications
to
perform
endoscopy
and
endoscopic
treatment
that
is
defined
by
the
medical
administration
or
other
official
institutions,
such
as
academic
societies
on
endoscopy,
follow
that
standard.
If
there
is
no
official
qualification
standard,
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
light
source
is
compatible
with
the
ancillary
equipment
being
used.
Using
incompatible
equipment
can
result
in
patient
injury
or
equipment
damage
and
makes
it
impossible
to
obtain
the
expected
functionality.
This
instrument
complies
with
the
EMC
standard
for
medical
electrical
equipment;
edition
2
(IEC
60601-1-2:
2001).
However,
when
connecting
to
an
instrument
that
complies
with
the
EMC
standard
for
medical
electrical
equipment;
edition
1
(IEC
60601-1-2:
1993),
the
whole
system
complies
with
edition 1.
€
Repair
and
modification
This
light
source
does
not
contain
any
user-serviceable
parts.
Do
not
disassemble,
modify
or
attempt
to
repair
it;
patient
or
user
injury
and/or
equipment
damage
can
result.
Some
problems
that
appear
to
be
malfunctions
may
be
correctable
by
referring
to
Chapter
8,
“Troubleshooting”.
If
the
problem
cannot
be
resolved
using
the
information
in
Chapter
8,
contact
Olympus.
OLYMPUS
EVIS
EXERA
Il
XENON
LIGHT
SOURCE
CLV-180

Important
Information
—
Please
Read
Before
Use
Signal words
The
following
signal
words
are
used
throughout
this
manual:
Indicates
an
imminently
hazardous
situation
which,
if
not
avoided,
will
result
in
death
or
serious
injury.
WARNING
Indicates
a
potentially
hazardous
situation
which,
if
not
avoided,
could
result
in
death
or
serious
injury.
CAUTION
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.
6
OLYMPUS
|
EVISEXERA
II
XENON
LIGHT
SOURCE
CLV-180
Important Information — Please Read Before Use
Dangers, warnings and cautions
Follow the dangers, warnings and cautions given below when handling this light
source. This information is to be supplemented by the dangers, warnings and
cautions given in each chapter.
DANGER
+ Strictly observe the following precautions. Failure to do so
may place the patient and medical personnel in danger of an
electric shock.
— When the light source is used to examine a patient, do not
allow metal parts of the endoscope or its accessories to
touch metal parts of other system components. Such
contact may cause unintended current flow to the patient.
— Keep fluids away from all electrical equipment. If fluids are
spilled on or into the unit, stop operation of the light
source immediately and contact Olympus.
— Do not prepare, inspect or use this light source with wet
hands.
* Never install and operate the light source in locations where:
— The concentration of oxygen is high.
— Oxidizing agents (such as nitrous oxide (N50)) are
present in the atmosphere.
— Flammable anesthetics are present in the atmosphere.
Otherwise, explosion or fire may result because this light
source is not explosion-proof. 4
OLYMPUS _EVIS EXERA II XENON LIGHT SOURCE CLV-180 7

Important
Information
—
Please
Read
Before
Use
WARNING
+
In
case
of
instrument
failure
or
malfunction,
always
keep
another
light
source
in
the
room
ready
for
use.
Never
insert
anything
into
the
ventilation
grills
of
the
light
source.
It
can
cause
an
electric
shock
and/or
fire.
Although
the
illumination
light
emitted
from
the
endoscope’s
distal
end
is
required
for
endoscopic
observation
and
treatment,
it
may
also
cause
alteration
of
living
tissues
such
as
protein
denaturation
of
liver
tissue
and
perforation
of
the
intestines
through
inappropriate
use.
Observe
the
following
warnings
on
the
illumination.
—
Always
set
the
minimum
required
brightness.
The
brightness
of
the
image
on
a
video
monitor
may
differ
from
the
actual
brightness
at
the
distal
end
of
an
endoscope.
Especially
in
combination
with
endoscopes
using
an
electrical
shutter
function,
pay
attention
to
the
brightness
level
setting
of
this
instrument.
When
this
instrument
is
used
with
a
video
system
center
compatible
with
automatic
brightness
control
function,
be
sure
to
use
this
function.
The
automatic
brightness
control
can
keep
the
illumination
at
a
proper
level.
Refer
to
the
instruction
manual
of
the
video
system
center
for
details.
—
Do
not
continue
observation
in
the
proximity
to
tissue
or
keep
the
distal
end
of
the
endoscope
in
contact
with
living
tissue
for
a
long
time.
It
may
cause
patient
burns.
—
When
discontinuing
the
use
of
the
endoscope,
be
sure
to
turn
this
instrument
OFF
or
extinguish
the
examination
lamp
by
pushing
the
lamp
button.
*
Do
not
look
directly
into
the
distal
end
of
the
endoscope,
the
|
distal
end
of
the
light
guide
cable
or
the
output
socket
of
the
light
source
while
the
light
source
is
ON. The
intense
light
Causes
eye
injury.
Do
not
touch
the
distal
end
of
the
light
guide
connector
of
the
endoscope,
the
distal
end
of
the
light
guide
cable
or
the
output
socket
of
the
light
source
immediately
after
removing
it
from
this
instrument
because
they
are
extremely
hot.
Operator
or
patient
injury
can
result.
8
OLYMPUS
EVIS
EXERA
II
XENON
LIGHT
SOURCE
CLV-180
Important Information — Please Read Before Use
Xenon light sources produce significant heat due to the high
_ intensity light required for endoscopic procedures. If the
disconnected end of the light guide cable or the distal end of
an endoscope touches operating room drapes or other
flammable materials, fire can result.
Observe the following warnings:
— Never place the unattached end of an illuminated light
guide cable on an operating room drape or other
flammable material.
— Never allow the distal end of an illuminated endoscope to
come in contact with operating room drapes or other
flammable material.
— Be sure to turn OFF the light source or extinguish the
examination lamp whenever the light source is not used.
This product may interfere with other medical electronic
equipment used in combination with it. Before use, refer to
the Appendix to confirm the compatibility of this instrument
with all equipment to be used.
Do not use this product in any place where it may be subject
to strong electromagnetic radiation (for example, in the
vicinity of a microwave therapeutic device, MRI, wireless set,
short-wave therapeutic device, cellular/portable phone, etc.).
This may impair the performance of the product.
If the endoscopic image dims during use, blood, mucus or
debris may adhere to the light guide on the distal end of the
endoscope. Carefully withdraw the endoscope from the
patient and remove the blood or mucus in order to obtain
optimum illumination and to ensure the safety of the
examination. If you continue to use the endoscope in such a
condition, the distal end temperature may rise and cause
mucosal burns. It may also cause patient and/or operator
injury.
Do not rely on the special light observation method alone for
primary detection of lesions or for a decision regarding any
potential diagnostic or therapeutic intervention.
OLYMPUS
EVIS EXERA II XENON LIGHT SOURCE CLV-180

Important
Information
—
Please
Read
Before
Use
Important
Information
—
Please
Read
Before
Use
・
For
reasons
described
below,
do
not
rely
on
the
NBI
imaging
may damage the instrument.
・
Do
not
leave
the
examination
lamp
ON
when
an
endoscope
TYPE
CF
applied
part
is connected to the light source. The examination light
reaches
the
maximum
intensity
and
the
endoscope’s
distal
end
becomes
hot.
In
addition,
smoke
may
also
be
produced
EN
TYPE
BF
applied
part
|
R
modality
alone
for
primary
detection
of
lesions
or
to
make
a
As
defined
by
the
international
safety
standard
(IEC
60601-
decision
regarding
any
potential
diagnostic
or
therapeutic
4),
medical
electrical
equipment
is
classified
into
the
intervention.
following
types:
TYPE
CF
applied
part (the
instrument
can
—
It
has
not
been
demonstrated
to
increase
the
yield
or
safely
be
applied
to
any
part
of
the
body,
including
the
heart),
sensitivity
of
finding
any
specific
mucosal
lesion
including
and
TYPE
B/BF
applied
part
(the
instrument
can
safely
be
|
colonic
polyps
or
Barrett's
esophagus.
applied
to
any
organ
except
the
heart).
The
part
of
the
body
|
—
It
has
not
been
demonstrated
to
aid
in
differentiating
that
an
endoscope
or
electrosurgical
accessory
can
safely
be
|
establishing
the
presence
or
absence
of
dysplasia
or
applied
to
depends
on
the
classification
of
the
equipment
to
|
neoplastic
changes
within
mucosa
or
mucosal
lesions.
which
the
instruments
are
connected.
Before
beginning
the
|
procedure,
check
the
current
leakage
classification type
of
|
each
instrument
to
be
used
for
the
procedure.
Classification
|
*
Do
not
use
a
pointed
or
hard
object
to
press
the
buttons
on
types
are
clearly
specified
in
the
instruments’
instruction
|
the
front
panel.
This
may
damage
the
buttons.
manuals.
|
«
Avoid
applying
excessive
force
to
the
connectors,
as
this
Symbol
Classification
|
|
|
|
if the debris attached to the distal end is heated.
*
Avoid
using
this
instrument
in
a
dusty
environment,
as
this
| | TYPE B lied part
may damage the instrument. applied p
* 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.
*
Electromagnetic
interference
may
occur
to
this
instrument
when
it
is
placed
near
equipment
marked
with
the
following
symbol
or
other
portable
and
mobile
RF
communications
equipment
such
as
cellular
phones.
If
radio
interference
occurs,
mitigation
measures
may
be
necessary,
such
as
reorienting
or
relocating
this
instrument
or
shielding
the
location.
(ϱ)
10
OLYMPUS
_
EVIS
EXERA
II
XENON
LIGHT
SOURCE
CLV-180
OLYMPUS
EVIS
EXERA
li
XENON
LIGHT
SOURCE
CLV-180
ll

Important Information — Please Read Before Use
Cardiac applications
DANGER
ㆍ Use only the devices listed in the “System chart” in the
Appendix for endoscopic observation or treatment of the
heart or areas near the heart. Other combinations of
equipment may cause ventricular fibrillation or seriously
affect the cardiac function of the patient.
・ For cardiac applications, never support the endoscope with a
metal surgical arm which is not electrically isolated from the
ground. If not isolated, the endoscope will be connected to
the ground through the surgical arm and bed, and will
conduct unexpected leakage current which may seriously
affect the cardiac function of the patient.
+ The use of medical devices not specifically designed for
cardiac applications may cause ventricular fibrillation or
seriously affect the cardiac function of the patient. As
specified by the international standard IEC 60601-1, any
applied part” used for observation or treatment of the heart or
areas near the heart must meet “TYPE CF applied part”
requirements for low electrical leakage current. When using
endoscopes for endoscopic cardiac applications, the applied
part requirements include all devices directly connected to
the endoscope, such as the light guide cable, camera head
and telescope holder. Each of these devices must
individually meet the “TYPE CF applied part” requirements
for leakage current limits if they are to be used for cardiac
applications.
The OLYMPUS light guide cables and camera heads listed in
the “System chart” in the Appendix (TYPE CF applied part)
which are suitable for cardiac applications bear a [9] mark.
12
OLYMPUS
EVIS EXERA Il XENON LIGHT SOURCE CLV-180
Summary of the functions of the instrument
Summary
of
the
functions
of
the
instrument
Some
of
the
functions
described below
may
be
unavailable
or
restricted
depending
on
the
ancillary
equipment
used
with
this
instrument.
Refer
to
the
instruction
manuals
for
the
light
source
and
the
required
ancillary
equipment
for
details.
Illuminating the operation
The
light
of
the
examination
lamp
built
into
this
instrument
is
provided
to
the
endoscope.
5
Section
4.3,
“Turning
the
light
source
ON
and
igniting
the
examination
lamp”
on
page
53
Adjusting
the
examination
light
When
this
instrument
is
used
in
combination
with
the
EVIS
EXERA
Il
video
system
center and
a
videoscope,
the
examination
light
intensity
is
adjusted
automatically.
When
this
instrument
is
used
in
combination
with
a
fiberscope,
the
examination
light
intensity
has
to
be
adjusted
manually.
—
Section
4.4,
“Brightness
adjustment”
on
page
55
NBI
observation
4
NBI observation is possible. |
—
Section
4.8,
“Using
the
NBI
observation
mode"
on
page
61
Selecting
the
high
intensity
mode
Brighter
examination
light
is
available
by
using
an
endoscope
and
light
guide
that
are
compatible
with
high
intensity
mode
operation.
—
Section
4.7,
“Using
the
high
intensity
mode”
on
page
60
Air and water feed
This
instrument
incorporates
an
air
pump
and
exclusive
water
feed
tank
for
use
in
feeding
air
and
water
from
the
nozzle
at
the
endoscope's
distal
end
to
the
body
cavity
and
adjusting
the
air/water
flow.
—
Section
4.5,
“Adjusting
air/water
pressure”
on
page
58
OLYMPUS
EVIS
EXERA
Il
XENON
LIGHT
SOURCE
CLV-180
13

Summary
of
the
functions
of
the
instrument
Chapter
1
Checking
the
Package
Contents
Transillumination
function
|
Chapter
1
Checking
the
Package
The endoscope's distal end emits the intense light. The light transmits through C O n ten [$
the patient's body wall so the operator can confirm the position of the distal end
from outside the patient’s body provided that the operating room illumination is
low.
>
Section
4.8,
Using
the
transillumination
function’
on
page
58
Match
all
items
in
the
package
with
the
components
shown
below.
Inspect
each
item
for
damage.
If
the
light
source
is
damaged,
a
component
is
missing
or
you
Monitoring
the
OP
erating
hours
of
examination
|
amp
have
any
questions,
do
not
use
the
light
source;
immediately
contact
Olympus.
The lamp hour indicator on the front panel of this instrument displays the total
accumulated operating hours of the examination lamp to indicate the time for
replacement.
— Section 3.4, “Checking the lamp hour indicator” on page 30
Automatic switching to emergency lamp
if the examination lamp does not light or blows in the middle of an examination
making endoscopic observation impossible, the light source switches
automatically to the emergency light. The emergency light provides enough |
brightness
for
withdrawing
the
endoscope
from
the
patient's
body.
CCLV180)
li
xenon
light
source
— Section 3.3, “Inspection of the power supply” on page 27 and Section 3.5,
“Inspection of the examination light” on page 31
τ (0
© © ㅠㅠ
Foot holder Spare fuse る
Light
source
cable
(MAJ-1205,
4
pcs.)
(MAJ-1412,
2
pcs.)
(MAJ-1411)
Instruction manual
Power cord
14
OLYMPUS
EVISEXERA
Il
XENON
LIGHT
SOURCE
CLV-180
OLYMPUS
EVIS
EXERA
Il
XENON
LIGHT
SOURCE
CLV-180
15