US endoscopy Co2mpact Endoscopic Insufflator User manual

Rx Only
REF 710300
Operator’s Manual

TABLE OF CONTENTS
SECTION 1.0 UNPACKING AND GENERAL INSPECTION......................................................3
SECTION 2.0 INTRODUCTION.......................................................................................................4
2.1 INDICATION AND CONTRAINDICATIONS ..........................................................................4
2.2 SAFETY FEATURES ..................................................................................................................4
SECTION 3.0 THEORY OF OPERATION......................................................................................5
SECTION 4.0 WARNINGS AND CAUTIONS.................................................................................6
4.1 WARNINGS.................................................................................................................................6
4.2 CAUTIONS ..................................................................................................................................8
4.3 SYMBOLS....................................................................................................................................9
SECTION 5.0 DESCRIPTION OF EQUIPMENT.........................................................................10
5.1 SPECIFICATIONS.....................................................................................................................10
5.2 ELECTRICAL REQUIREMENTS ............................................................................................11
5.3 UL EQUIPMENT CLASSIFICATION......................................................................................11
5.4 ENVIRONMENTAL REQUIREMENTS..................................................................................11
SECTION 6.0 FRONT PANEL CONTROLS.................................................................................12
SECTION 7.0 REAR PANEL CONTROLS ...................................................................................13
SECTION 8.0 ASSEMBLY PRIOR TO USE .................................................................................14
8.1 PREPARATION.........................................................................................................................14
8.2 ELECTRICAL CONNECTIONS...............................................................................................14
8.3 CONNECTING TO A CO2GAS CYLINDER ..........................................................................15
8.4 CONNECTING TO A CO2GAS PIPELINE ADAPTER..........................................................16
SECTION 9.0 SETTING-UP FOR THE PROCEDURE...............................................................17
9.1 POWER ON AND GAS SUPPLY INDICATOR ......................................................................17
9.2 PREPARATION TEST...............................................................................................................18
9.3 TUBING SET CONNECTION ..................................................................................................18
9.4 CONNECTION TO ENDOSCOPIC SYSTEM..........................................................................19
9.5 SYSTEM SET-UP ......................................................................................................................20
9.6 TERMINATING GAS FLOW & SHUT-DOWN PROCEDURES ...........................................21
SECTION 10.0 DECONTAMINATION, CLEANING AND STORAGE......................................22
SECTION 11.0 REPAIR.....................................................................................................................23
11.1 MAINTENANCE CHECKS.......................................................................................................23
11.2 CUSTOMER SERVICES AND ORDERING INFORMATION...............................................26
11.3 WARRANTY .............................................................................................................................26
11.4 CERTIFICATION OF NON-CONTAMINATION ...................................................................26
SECTION 12.0 CERTIFICATE OF NON-CONTAMINATION ...................................................27
SECTION 13.0 TROUBLESHOOTING GUIDE .............................................................................28
SECTION 14.0 EMC TABLES...........................................................................................................35

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 3
Section 1.0 UNPACKING AND GENERAL INSPECTION
CAUTION: READ ALL SECTIONS OF THIS MANUAL CAREFULLY
BEFORE USING THE CO2MPACT ENDOSCOPIC INSUFFLATOR®
SYSTEM, SUCH THAT OPERATION IS UNDERSTOOD. IF YOU SHOULD
HAVE ANY QUESTIONS, PLEASE CONTACT US ENDOSCOPY
CUSTOMER SERVICES AT 1-800-769-8226 OR YOUR LOCAL US
ENDOSCOPY REPRESENTATIVE.
Proper care and maintenance are critical for safe operation of sophisticated medical
equipment. We recommend careful inspection of all equipment upon receipt and
prior to each use as a safeguard against possible injury to patient or operator.
To avoid inadvertent damage, study this manual thoroughly before handling,
assembling, testing, using, or cleaning the CO2MPACT ENDOSCOPIC
INSUFFLATOR®SYSTEM (also referred to in this manual as "unit", or "device", or
“ENDOSCOPIC INSUFFLATOR”).
Examine the shipping carton and instrument for signs of damage. Any breakage or
other apparent damage should be noted, the evidence retained, and the carrier or
shipping agency notified.
Verify that the shipping carton contains the items listed below:
CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM
Line Cord (see caution below)
Operator’s Manual (English hardcopy)
Quick Reference Guide
Foreign Language Operator Manual and Quick Reference Guide: CD Format
Optimum Performance Warning Label
Air Pump Label
Notify US Endoscopy Customer Services immediately if any damage or
discrepancies are noted.
Phone: [phone]
CAUTION: The line cord (mains lead) supplied with this unit is designed and approved for use in
the USA and Canada only, and should not be used outside these countries. For use
outside of the USA and Canada, your Distributor will supply a line cord that is
approved for use in your country.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 4
Section 2.0 INTRODUCTION
This manual provides information for the operation of the CO2MPACT
ENDOSCOPIC INSUFFLATOR®SYSTEM.
DEFINITIONS
The following list is abbreviations of commonly used terms throughout this manual:
LPM
Liter Per Minute (or Liters Per Minute)
mm Hg
millimeters of Mercury
gas
CO2
hPa
Hectapascal
2.1 INDICATION AND CONTRAINDICATIONS
Indications for Use: The CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM
is designed to use CO2 as a distention media in the gastrointestinal tract when used in
conjunction with a gastrointestinal endoscope.
Contraindications for Use:
The CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM should be used only
for an endoscopic procedure when insufflation of the gastrointestinal tract is
necessary to support navigation of the endoscope and perform any evaluation
procedures through the endoscope, and should therefore not be used for any other
treatments. It should only be used under the direct guidance of a physician
experienced in Gastrointestinal Endoscopy procedures.
This device is contraindicated for hysteroscopic or laparoscopic insufflation, i.e., it
must not be used for intrauterine distension.
This device is contraindicated for CT Colonography.
2.2 SAFETY FEATURES
The following features help to ensure safe operation of the machine:
START/STOP button: Upon turning power on, gas flow is not initiated until the
START/STOP button is pressed.
If the outlet pressure exceeds 375 mmHg, a fixed mechanical pressure relief valve
will open.
An audible indicator will sound when the CO2gas supply tank pressure is low.
Additionally, the Gas Supply Indicator LED light will turn red.
A user-adjustable automatic gas shutoff timer is present, which prevents the device
from running continuously. The shutoff timer can be set to 30, 60, or 120 minutes.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 5
Section 3.0 THEORY OF OPERATION
The CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM operates by
administering CO2at a selectable flow rate of 2.0 LPM (Low), 2.9 LPM (Medium),
or 3.4 LPM (High), nominally. The flow rate is selected by the operator, by using a
button found on the front panel to select from Low, Medium, and High. The
clinician will use the air/water valve on the endoscope and visual feedback of the
endoscopic system to manually distend the gastrointestinal tract with CO2. The unit
operates in an identical manner to that of the air pump of an endoscopic system.
The user will need to place the system into START mode in order for it to deliver the
CO2to the endoscopic system. This is done by powering ON the unit, and then
depressing the START/STOP button on the front panel of the unit. A green LED
light, adjacent to the START/STOP button, will illuminate indicating that the unit is
ON and delivering CO2.
The CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM has a mechanical
Pressure Relief Valve pre-set to 375 mm Hg. This pressure relief valve is active
whether the START/STOP button is on or off.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 6
Section 4.0 WARNINGS AND CAUTIONS
This section describes warning and caution information for safe operation of the
CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM. All information in this
manual, and particularly in this section, should be read thoroughly and understood
before using the device.
4.1 WARNINGS
•Excessive absorption of CO2results from over insufflation. The GI Tract can be
adequately distended by the physician’s modulation of the air/water valve.
•Should accidental intravasion of CO2occur, in rare circumstances, it can result in
embolization.
•Infusion of CO2can result in carbonic acid irritation to directly contacted tissues.
•Idiosyncratic reactions: In patients with sickle cell disease or pulmonary
insufficiency, use of these devices may pose increased risks of metabolic imbalance
related to excessive CO2absorption.
•Use only USP “Medical Grade” CO2.
•Tank designations vary by country. Please check with your local distributor for
compatibility.
•Tubing set is to be changed following standards and guidelines set forth by SGNA
and APIC for reprocessing of water bottles used during Gastrointestinal Endoscopy.
•Using unauthorized, non-US Endoscopy tubing sets will void the warranty and US
Endoscopy cannot assume any risk related to the use of non-US Endoscopy products.
•Equipment is not suitable for use in the presence of a flammable anesthetic mixture
with air, oxygen, or nitrous oxide.
•Never attempt to service the device when it is connected to a power source.
Hazardous voltages inside the device can cause severe electrical shock. Disconnect
the power cord before servicing.
•Ensure that all high-pressure gas line connections are secure before opening the gas
source(s). Loose connections could separate unexpectedly with great force, causing
personal injury.
•This device should be operated only by or under the direct supervision of a licensed
physician experienced in Gastrointestinal Endoscopy. The user should be thoroughly
familiar with the operation of this device prior to use. Additionally, individuals using
this device must be alert and attentive to the operation of the system while it is
connected to the endoscopic system. Diligence on the part of the operator is an
essential requirement of overall device safety.
•To avoid the risk of electrical shock, the unit must be grounded. Always connect the
power cord to a properly wired grounded hospital grade AC outlet (wall mains
outlet).
•To prevent unit contamination, use only US Endoscopy Endoscopic Tubing Sets
which include a ≤0.1micron hydrophobic filter.
•Always instruct the patient to immediately notify the operator of any pain
experienced during the procedure.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 7
•If an emergency should arise whereby the need to terminate the procedure is
required, operators should stop the gas flow by turning off the power to the
insufflator and promptly disconnecting the US Endoscopy Endoscopic Tubing Set at
the unit’s Output Port.
•The CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM can release CO2to the
surrounding atmosphere in the event of misuse or a fault condition. Use and store the
CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM in a well-ventilated
environment. Additionally, make sure all CO2connections are correctly installed and
free of visible damage. Should an unexplained rapid discharge of CO2occur,
evacuate the immediate area until it has had sufficient time to ventilate.
•High Pressure USP CO2is supplied to the CO2MPACT ENDOSCOPIC
INSUFFLATOR®SYSTEM from commercially available CO2 supply tanks or from
a wall source. Please read and carefully follow all Warnings, Cautions and Handling
Instructions provided with, and listed on the CO2supply tank or wall source that is
used with the CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM. Failure to
do so can result in Serious Injury or Death.
•This product contains phthalates which have been perceived as having possible
carcinogenic, mutagenic and reproductive risks. However, based on all existing
scientific data, the long history of safe use of medical device products containing
phthalates, as well as the short duration of contact with this device, there are no
known cancer or reproductive risks to humans. Physician discretion is required to
ensure that benefits outweigh risks when this device is used in children, elderly and
pregnant women.
•Caution: Federal (and Canadian) law restricts this device to sale by or on the order of
a licensed medical practitioner.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 8
4.2 CAUTIONS
•Do not allow fluids to enter the device.
•The unit should not be opened except by a qualified service person. Tampering by
unqualified persons can damage the unit and void the warranty.
•Verify proper connection of tubing before using the unit.
•This device has not been tested for MR (Magnetic Resonance) compatibility, and
should not be introduced into the MR scanner room.
•To insure electrical grounding reliability, only use a hospital grade UL 498 compliant
power cord.
•Electromagnetic interference or other interference may occur in this instrument when
it is placed near other devices or RF communications equipment such as cellular
phones. If interference occurs, mitigation measures may be necessary, such as
reorienting or relocating the CO2MPACT ENDOSCOPIC INSUFFLATOR®
SYSTEM or shielding the location.
•Do Not attempt to use this system until you have completed all the steps in
“Assembly Prior to Use” Section 8.0 and “Setting-Up for the Procedure” Section 9.0.
If the equipment differs significantly in appearance or operation from the way it is
presented in this manual, or you have any doubts what-so-ever concerning its
installation or operation, inform US Endoscopy Customer Services at
1-800-769-8226.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 9
4.3 SYMBOLS
SYMBOL
DEFINITION
SYMBOL
DEFINITION
Type B
Type and
Rating of
Fusing
Consult instructions
for use
CO2Gas Input
Dangerous
voltage
CO2 Gas Output
to the patient
Interconnection to
ensure all equipment
is at the same
potential or earth
ground.
This product should
be recycled and not
disposed of as
general waste
(subject to WEEE
annex IV resp. EN
50419).
In accordance with
European Union
WEEE Directive
2002/96/EC, US
Endoscopy will be
fully responsible for
the coordination,
logistics, and costs
of the WEEE
process

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
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Section 5.0 DESCRIPTION OF EQUIPMENT
The CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM is indicated for use as
a means to use CO2 as a distention media in the gastrointestinal tract when used in
conjunction with a gastrointestinal endoscope under direct observation of a physician.
5.1 SPECIFICATIONS
Size: 5.75” wide x 6.5” high x 13.25” deep (± ¼”)
146 mm x 165 mm x 337 mm
Weight: Less than 14 lb. (6.4 kg)
Control Panel: Power switch- Rocker style ON/OFF
START/STOP button- Membrane push-button type
that starts and stops flow of CO2from the unit, with an
associated LED for each setting adjacent to the button.
FLOW button- Membrane push-button type with Low,
Medium, and High settings, with an associated LED for
each setting adjacent to the button.
TIMER button- Membrane push-button type that
selects the amount of time until the flow of gas
automatically stops. Can be set to 30 Minutes, 60
Minutes, and 120 Minutes, with an associated LED for
each setting adjacent to the button. (All time functions
have a tolerance of +/- 10%.)
Gas Supply Indicator- Tri-color LED that indicates
how much gas is remaining in the USP medical grade
gas cylinder.
Gas Flow: (3) user-selectable settings: 2.0 (1.8-2.3) liters/minute
(Low), 2.9 (2.7-3.1) liters/minute (Medium), 3.4 (3.2-
3.6) liters/minute (High)
Operating Pressure: 0 to 375 mm Hg operating range (+0% - 10%).
Pressure Relief Valve: Fixed mechanical pressure relief valve at
375 mm Hg (+0% - 10%). The relief valve is active
whether gas flow is on or off for added protection.
Gas Inlet: USP medical grade CO2supply tank or wall source
supply.
WARNING: Do not allow liquid CO2to enter the unit. This can be prevented by assuring that
the CO2supply tank is maintained in a vertical position at all times.
Gas Input Cylinder Pressure: 43 to 2200 psi
Gas Input Central Supply Pressure: 50 to 203 psi
Tubing Set: Available for use with ≤0.1 micron
hydrophobic filter. US Endoscopy
supplies tubing sets that include this
filter.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 11
5.2 ELECTRICAL REQUIREMENTS
Input Voltage: 100 to 240 VAC nominal line voltage; 50/60 Hz.
(line voltage can vary by ±10% from nominal).
Power: 75 VA, double fusing with removable power cord.
Standards: UL 60601-1, IEC 60601-1, IEC 60601-1-2, CISPR 11,
EN 60601-1-2, EN55011.
Mains Power Cord : IEC 320 compliant
5.3 UL EQUIPMENT CLASSIFICATION
Underwriter’s Laboratories/CSA Class I Type B applied part, IP31 Enclosure
rating
5.4 ENVIRONMENTAL REQUIREMENTS
Operating Temperature: 50° to 104° F (10° to 40° C)
Operating Relative Humidity: 30 to 70% non-condensing
Storage Temperature: 32° to 160° F (0° to 70° C)
Storage Relative Humidity: 30 to 75% non-condensing
Not to be used in the presence of flammable gases.
NOTE: This unit has not been tested for MR compatibility and should not be
introduced into the MR exam room.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 12
Section 6.0 FRONT PANEL CONTROLS
NOTE: The appearance of your CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM may
differ slightly from the units shown in the illustrations and photographs.
[1] GAS SUPPLY INDICATOR
Tri-color LED to indicate the relative amount of gas available in a CO2 supply tank.
[2] FLOW RATE
Membrane type button that selects the rate of flow of CO2that is being insufflated from
the unit. An associated green LED will illuminate to indicate the flow rate. The Low
setting indicates a flow rate of 2.0 Liters/Minute. The Medium setting indicates a flow
rate of 2.9 Liters/Minute. The High setting indicates a flow rate of 3.4 Liters/Minute.
[3] FLOW TIMER
Membrane type button that selects the amount of time that elapses before the flow of CO2
automatically stops. An associated green LED will illuminate to indicate the time setting.
The three settings are 30 Minutes, 60 Minutes, and 120 Minutes.
NOTE: The device will default to 60 Minutes when powered on.
[4] FLOW START/STOP
Membrane type button that starts and stops the flow of CO2. An associated green LED
will illuminate to indicate when CO2is flowing. The START/STOP button can be
depressed at any time to stop the flow of CO2.
NOTE: Flow cannot be initiated in Wall Source mode if the gas pressure is less than 50
psi. Flow cannot be initiated in Tank mode if the gas pressure is less than 46 psi.
[5] GAS OUTPUT CONNECTION TO ENDOSCOPE
Connector for Tubing Sets.
[6] POWER SWITCH
Turns the power on and off to the unit.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 13
Section 7.0 REAR PANEL CONTROLS
[7] GAS INPUT PORT
For connecting a CO2supply tank or wall source.
WARNING: Do not allow liquid CO2to enter the unit. This can be prevented by
assuring that the CO2supply tank is maintained in a vertical position at all times.
[8] GAS SOURCE INDICATOR
This switch allows the user to select from a high pressure CO2tank or a central supply
source wall connection site.
[9] AC POWER CONNECTION
Universal AC line input device –nominal AC line voltage 100 to 240 VAC, frequency
50/60 Hz. The AC line voltage should not drop below 90 VAC or exceed 264 VAC.
There are no switches or other AC line configuration requirements.
The line cord (mains lead) supplied with this unit is designed and approved for use in the
USA and Canada only, and should not be used outside these countries. For use outside of
the USA and Canada, your Distributor will supply a line cord that is approved for use in
your country.
AC input is with a standard hospital grade power cord. Connection should be to hospital
grade receptacles only.
7
8
9

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 14
Section 8.0 ASSEMBLY PRIOR TO USE
IMPORTANT
If at any time the unit performs erratically or provides otherwise abnormal
operation, remove the unit from service and have it inspected or repaired.
The CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM should be
inspected upon receipt and before each use. Damaged equipment should be
removed from service and returned to US Endoscopy for repair or replacement.
Before each use, perform the procedures and inspections described in Sections
8.1, 8.2, 8.3, and 8.4.
8.1 PREPARATION
1. Install the CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM on the
Accessory Cart that can be purchased separately, or on a flat surface, away from
potential sources of spraying or leaking liquids.
2. Position the CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM so that
the mains power cord connector can easily be reached.
3. The ideal mounting position is even with or above the height of the water bottle.
If the unit is mounted below the water bottle, please use care not to allow water
to siphon from the bottle back into the tubing set.
4. Visually inspect the CO2MPACT ENDOSCOPIC INSUFFLATOR® SYSTEM
for external signs of damage.
8.2 ELECTRICAL CONNECTIONS
1. Inspect the electrical connections. Do not use if inspection reveals any damage.
2. Connect the Power Cord to the AC Power Connection on the back of the
CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM.
3. Before connecting the power cord to the hospital grade wall outlet, make sure
that the main power switch is off and that the voltage is correct. The CO2MPACT
ENDOSCOPIC INSUFFLATOR®SYSTEM has a universal AC line input
device, the nominal AC line voltage is 100 to 240 VAC and the AC line
frequency is 50/60 Hz. The AC line voltage should not drop below 90 VAC or
exceed 264 VAC. There are no switches or other AC line configuration
requirements.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 15
8.3 CONNECTING TO A CO2GAS CYLINDER
1. A High Pressure Hose & Yoke (REF 710603) or DIN 477 High Pressure Hose
(REF 390513) is required for connecting to a CO2gas cylinder. Contact your
local sales representative or customer service at 1-800-769-8226 to determine
which type of cylinder connection is required in your market.
2. Refer to the Instructions For Use provided with the High Pressure Hose for
further information on assembly and connection to a CO2cylinder.
3. Remove cap from the CO2Input port on back of the unit. Tighten the other end of
the High-Pressure Hose to the CO2Input port on the back of the Unit using a
9/16″ open-ended wrench (see Figure 8.1).
WARNING: Do not allow liquid CO2to enter the unit. This can be prevented by assuring that
the CO2supply tank is maintained in a vertical upright position at all times.
USE ONLY MEDICAL GRADE CO2SIZE “C”, “D”, OR “E” supply tanks.
Tank designations vary by country. Please check with your local distributor for
compatibility.
Figure 8.1
NOTE: Do not use any teflon tape or
thread sealing compounds on any
connection.
Figure 8.1
NOTE: Do not use any teflon tape or
thread sealing compounds on any
connection.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 16
8.4 CONNECTING TO A CO2GAS PIPELINE ADAPTER
1. The optional DISS High Pressure Hose (REF 710604) is required for connection
to the CO2gas pipeline.
2. Attach the 7/16” female connector (see Figure 8.2) on the CO2Central Supply
Hose to the male CO2 gas connector on the rear panel of the CO2MPACT
ENDOSCOPIC INSUFFLATOR®SYSTEM and securely tighten it.
3. Connect the DISS connector (see Figure 8.3) on the CO2Central Supply Hose to
the CO2gas pipeline hose and tighten the adapter manually until the position
where the connector is stopped.
Figure 8.2 Figure 8.3
Before each use the following procedures or inspections should be performed:
•Visually inspect the CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM
for external signs of damage.
•Inspect the electrical connections. Do not use if inspection reveals damage.
•Before connecting the power cord to the wall outlet, make sure the main power
switch is off and that the voltage is correct. Inspect the connection to the CO2
supply tank, to assure it is intact and tight.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 17
Section 9.0 SETTING-UP FOR THE PROCEDURE
9.1 POWER ON AND GAS SUPPLY INDICATOR
1. If the unit is attached to a wall source central gas supply, switch the Gas Supply
Indicator on the rear panel to “WALL”. Turn on the source supply. Turn on the
Power Switch on the unit. Upon turn on, all lights and indicators will be
illuminated for a brief period.
If a USP Medical Grade gas cylinder is attached to the device, switch the Gas
Supply Indicator on the rear panel to “TANK”. Open the valve on the CO2
supply tank approximately 1 turn. Turn on the Power Switch on the unit. Upon
turn on, all lights and indicators will be illuminated for a brief period.
2. The GAS SUPPLY INDICATOR LED illuminates red, yellow, or green. The
color coding is a guide to determine whether there is sufficient gas in a supply
tank to finish a procedure, as indicated below:
In Tank Mode
LED Color Available CO2Gas
Green Tank Pressure is greater than 280 psi
Yellow Tank Pressure is between 143-280 psi
Red Tank Pressure is less than 143 psi. Change tank!
NOTE: If CO2supply tank pressure is less than 46 psi (red), flow cannot be initiated.
Flow cannot be initiated in Tank mode if the gas pressure is less than 46 psi.
In Wall Mode
LED Color Available CO2Gas
Green Central Wall Supply is greater than 30 psi.
Red Central Wall Supply is less than 30 psi. Flow
cannot be initiated in this state.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 18
9.2 PREPARATION TEST
There is always the possibility that delicate equipment can be damaged in
transportation or storage. Therefore it is important to verify proper operation of the
unit before use.
1. After power is applied to the unit, verify that the front panel lights are enabled.
2. To verify that flow control is functioning properly, depress the START/STOP
button. When pressed, the adjacent LED light will illuminate green, and gas may
be heard exiting from the unit. If gas does not begin flowing, verify that the CO2
cylinder valve is in the open position (see Section 9.1, Power On and Gas Supply
Indicator, above).
3. To prevent wasting gas, when the START/STOP button is pressed initially, an
internal timer will start. Depending on the TIMER setting selection, the flow of
CO2will automatically stop after 30 minutes, 60 minutes, or 120 minutes. The
TIMER can be pre-selected by the user depending on the anticipated length of
the procedure. After the pre-selected time has elapsed, the unit automatically
returns to STOP mode. Thereafter, subsequent presses of the START/STOP
button will resume the delivery of CO2for an additional 30, 60, or 120 minutes,
depending on the pre-selected time. However, the flow can be stopped at any
time using the START/STOP button.
NOTE: The device will default to 60 Minutes when powered on.
4. If the unit does not perform properly, do not use. Inspect the unit using the
Troubleshooting guide (Section 13.0) before returning for service.
9.3 TUBING SET CONNECTION
Insert the connector on the Tubing Set to the Gas Output connection on the unit’s
front panel. It is important to use only US Endoscopy manufactured high flow tubing
sets, that includes a ≤0.1micron hydrophobic filter, designed to provide optimum
performance. Always inspect every Tubing Set to make sure there are no signs of
damage. If such a condition exists, do not use the Tubing Set. See Tubing Set
instructions for use.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 19
9.4 CONNECTION TO ENDOSCOPIC SYSTEM
The Tubing Sets connect into the air/water line of the endoscopic system. Depending
on the Endoscope manufacturer, there are different connections to the air/water
supply line. Each connection has a Luer adaptor and some examples are provided
below.
Figure 9.1 CO2Adaptor for Pentax Endoscope
Figure 9.2 Example Olympus Water bottle with CO2Connection MAJ-902
PENTAX®is the registered trademark of Hoya Corporation.
Olympus®is the registered trademark of Olympus Corporation.

CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM Operator’s Manual
Page 20
9.5 SYSTEM SET-UP
The following operational sequence describes the system set-up for both the
CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM and Tubing Set:
i) Make sure the CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM
is powered up with no Tubing Set in place.
ii) Make sure the CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM
is in STOP mode. The green LED will not be illuminated.
iii) Remove the Tubing Set from its packaging.
iv) Connect Tubing Set fitting to the endoscopic system.
v) Connect the Tubing Set fitting to CO2MPACT ENDOSCOPIC
INSUFFLATOR®SYSTEM.
vi) Select a flow rate of Low, Medium, or High using the FLOW button.
vii) Select a shut off time of 30, 60, or 120 Minutes using the TIMER button.
viii) Start the endoscopic system by turning on the necessary light and video
equipment.
ix) Verify that the air supply from the endoscopic system is turned off.
x) Start CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM by
pressing the START/STOP button.
xi) Stop the unit at conclusion of procedure.
NOTE: If an emergency should arise whereby there is a need to terminate the
procedure, the operator should stop the CO2gas flow by promptly disconnecting
the Tubing Set at the CO2MPACT ENDOSCOPIC INSUFFLATOR®SYSTEM
Output port.