Olympus OLYMPUS BF TYPE 160 User manual

Refer to the endoscope’s companion manual, the “REPROCESSING MANUAL” whose cover lists the model
of your endoscope for reprocessing information.
USA: CAUTION: Federal law restricts this device to sale by or on the order of a physician.
INSTRUCTIONS
EVIS EXERA BRONCHOVIDEOSCOPE
OLYMPUS BF TYPE 160
OLYMPUS BF TYPE P160
OLYMPUS BF TYPE 1T160
OLYMPUS BF TYPE XT160
OLYMPUS BF TYPE 3C160
EVIS EXERA BRONCHOFIBERVIDEOSCOPE
OLYMPUS BF TYPE MP160F
OLYMPUS BF TYPE XP160F

Contents
i
BF TYPE 160 Series OPERATION MANUAL
Contents
Symbols......................................................................................... 1
Important Information — Please Read Before Use.................... 2
Intended use ............................................................................................ 2
Applicability of endoscopy and endoscopic treatment ............................. 2
Instruction manual..................................................................................... 3
User qualifications .................................................................................... 3
Instrument compatibility ............................................................................ 4
Reprocessing before the first use/reprocessing and storage after use .... 4
Repair and modification ........................................................................... 4
Signal words.............................................................................................. 5
Warnings and cautions ............................................................................. 5
Precaution for disappeared or frozen endoscopic image.......................... 8
Examples of inappropriate handling ......................................................... 9
Chapter 1 Checking the Package Contents............................ 10
Chapter 2 Instrument Nomenclature and Specifications ...... 12
2.1 Nomenclature.................................................................................. 12
2.2 Endoscope functions....................................................................... 14
2.3 Specifications.................................................................................. 15
Chapter 3 Preparation and Inspection .................................... 24
3.1 Preparation of the equipment.......................................................... 25
3.2 Inspection of the endoscope ........................................................... 26
3.3 Preparation and inspection of accessories ..................................... 27
3.4 Attaching accessories to the endoscope ........................................ 30
3.5 Inspection and connection of ancillary equipment .......................... 33
3.6 Inspection of the endoscopic system .............................................. 35
Chapter 4 Operation ................................................................. 37
4.1 Insertion .......................................................................................... 39
4.2 Using endo-therapy accessories..................................................... 42
4.3 Withdrawal of the endoscope.......................................................... 49
4.4 Transportation of the endoscope .................................................... 50

Contents
ii BF TYPE 160 Series OPERATION MANUAL
Chapter 5 Troubleshooting ...................................................... 51
5.1 Troubleshooting guide .................................................................... 52
5.2 Withdrawal of the endoscope with an abnormality.......................... 55
5.3 Returning the endoscope for repair................................................. 56
Appendix........................................................................................ 57
System chart ............................................................................................ 57

Symbols
1
BF TYPE 160 Series OPERATION MANUAL
Symbols
The meaning(s) of the symbol(s) shown on the package with the components,
the back cover of this instruction manual and/or this instrument are as follows:
Refer to instructions.
Endoscope
TYPE BF applied part
Lot number
Do not reuse.
Use by (expiration date)
Sterilization lot number
Sterilized using irradiation
Manufacturer
Authorised representative in the European Community

2
Important Information — Please Read Before Use
BF TYPE 160 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, light source, documentation equipment, video monitor,
endo-therapy accessories (such as biopsy forceps) and other ancillary
equipment for endoscopy and endoscopic surgery within the airways and
tracheobronchial tree.
Do not use these instruments for any purpose other than their intended uses.
Applicability of endoscopy and endoscopic treatment
If there is an official standard on the applicability of endoscopy and endoscopic
treatment that is defined by the medical administration or other official
institutions such as academic societies on endoscopy or pulmonology, follow
that standard. Before starting endoscopy and endoscopic treatment, thoroughly
evaluate its properties, purposes, effects, and possible risk (their natures, 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 the 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.

Important Information — Please Read Before Use
3
BF TYPE 160 Series OPERATION MANUAL
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 which 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” whose cover lists the model of
your endoscope. 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.
User qualifications
The operator of this instrument must be a physician or medical personnel under
the supervision of a physician and must have received sufficient training in
clinical endoscopic technique. This manual, therefore, does not explain or
discuss clinical endoscopic procedures. For details on the clinical endoscopic
procedures, the physician and operator are requested to form judgments from
their viewpoints as specialists.

4
Important Information — Please Read Before Use
BF TYPE 160 Series OPERATION MANUAL
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.
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 manual, the “REPROCESSING
MANUAL” whose cover lists the model of your endoscope.
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 present an infection control risk, cause
equipment damage or reduce performance.
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 can result. This instrument is to be repaired by Olympus
technicians only.

Important Information — Please Read Before Use
5
BF TYPE 160 Series OPERATION MANUAL
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.
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.
• Never perform electrosurgery with the
BF-3C160/MP160F/XP160F, because the distal ends of
these instruments are not insulated. Patient injury can result.
• After using this instrument, reprocess and store it according
to the instructions given in the endoscope’s companion
reprocessing manual. Using improperly or incompletely
reprocessed or stored instruments may cause patient
cross-contamination and/or infection.
• Do not strike, bend, hit, pull, twist, or drop 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, such as burns, bleeding, and/or perforation. It could
also cause parts of the endoscope to fall off inside the
patient.

6
Important Information — Please Read Before Use
BF TYPE 160 Series OPERATION MANUAL
• Never perform angulation forcibly or suddenly. Never
forcefully pull or twist the angulated bending section. Patient
injury, bleeding and/or perforation can result. It may also
become impossible to straighten the bending section during
use and/or to withdraw this instrument from the patient.
Particular caution is required in the tracheal bifurcation
region.
• Never operate the bending section, perform suction, insert or
withdraw the endoscope’s insertion tube without viewing the
endoscopic image. Patient injury can result.
• Never insert or withdraw the endoscope while the
endoscope’s bending section is locked in position. When
withdrawing the endoscope, the bending section should
follow the form of the body cavity as much as possible.
Otherwise, patient injury, bleeding and/or perforation can
result. It may also become impossible to straighten the angle
during use and/or to withdraw this instrument from the
patient.
• Never use endo-therapy accessories without viewing the
endoscopic image. Patient injury can result.
• Never operate the bending section, perform suction, insert or
withdraw the endoscope’s insertion tube while the image is
frozen. Patient injury can result.
• Never use endo-therapy accessories while the image is
frozen. Patient injury can result.
• Do not touch the light guide of the endoscope connector
immediately after removing it from the light source because it
is extremely hot. Operator or patient burns can result.
• Never insert or withdraw the insertion tube suddenly, abruptly
or with excessive force. Patient injury, bleeding and/or
perforation can result.
• Be sure to prepare another endoscope to avoid that the
examination be interrupted due to equipment failure or
malfunction.
• 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.