Scope Buddy User Manual Rev C

SCOPE BUDDY USER/SERVICE MANUAL

FUJINON™ is a registered trademark of Fujinon Corporation MEDIVATORS® is a registered trademark of Minntech Corporation. OLYMPUS® is a registered trademark of Olympus Corporation. PENTAX® is a registered trademark of Pentax Precision Instrument Corporation. SCOPE BUDDY™ is a trademark of Minntech Corporation.

© 2006, Minntech Corporation All rights reserved. This publication is protected by copyright. Copying, disclosure to others, or the use of this publication is prohibited without the express written consent of Minntech Corporation. Minntech reserves the right to make changes in the specifications shown herein without notice or obligation. Contact your Medivators representative or Medivators customer service for more information.

TABLE OF CONTENTS Page

1 INTRODUCTION Using this Manual... 1 Product Description ... 1 Product Specifications... 2

2 SAFETY Intended Use ... 3 Electrical Compliance ... 3 Operator Safety... 4 Patient Safety ... 4 Notes, Cautions, and Warnings ... 5 Guidelines ... 5 Endoscope Pre-cleaning ... 5 Cleaning and Disinfection... 6

3 SETUP AND FAMILIARIZATION Device Installation ... 7 System Components... 8 Control Panel ... 9 Tubing Connections...10

4 DEVICE OPERATION Program Times ... 12 Elevator Wire Channel………………………………………………………………………...12 Pentax or Fujinon Forward Water Jet... 13 Endoscope Flushing using the Elevator Wire Channel Hook-up …………………………13 Endoscope Flushing using DSD Hook-up ...18 Endoscope Flushing using the Endoscope Manufacturer’s All-channel Irrigator ...23 Daily Quality Test: Flow Validation Procedure...28 Daily Decontamination Procedure ...32

5 MAINTENANCE & TROUBLESHOOTING Maintenance ...34 Troubleshooting Guide ...35

6 GLOSSARY ______________________________________________________________ 36 7 WARRANTY _____________________________________________________________________38

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SCOPE BUDDY USER/SERVICE MANUAL

MEDIVATORS REPROCESSING SYSTEMS

1 INTRODUCTION Using this Manual This manual describes the features of the Medivators SCOPE BUDDY Endoscope Flushing Aid, including hardware, setup, operation, safety, maintenance, and troubleshooting procedures. It is important to follow the provided instructions to keep the device in good operating condition, delivering proper fluid flows, and to ensure long product life. Given the unique design of the electrical and mechanical components used within this product, no userserviceable parts are contained within the unit and no internal calibration is required. Annual calibration and preventative maintenance schedules are also not required as the unit is designed to be maintenancefree. It is however; strongly recommended that daily quality testing and the daily decontamination procedure be performed to ensure the system is functioning properly and ready for use. Refer to Section 4 for further information. Contact the manufacturer’s representative if you have any questions regarding this product, its use, or operation.

Product Description The Medivators SCOPE BUDDY Endoscope Flushing Aid is designed to facilitate the flushing of rinse water and cleaning solutions through the channels of flexible and immersible endoscopes. This device is to be used during the manual pre-cleaning phase of endoscope reprocessing, prior to the endoscope being placed in an automated endoscope reprocessor (AER.) The SCOPE BUDDY combines a diaphragm pump, digital timer, and electronic control circuitry to pump fluids through tubing connections to the channels of the endoscope. Three different tubing sets allow connection to most types of endoscopes. The Elevator Wire Channel Hookup allows connection to an endoscope elevator wire channel, or to the Pentax or Fujinon endoscope’s Forward Water Jet. The DSD Extension Line allows connection to the DSD hook-up which attaches to the endoscope. The Universal Cleaning Adapter Extension Line and multi-way adapters allow connection to the Universal Cleaning Adapter Hook-up provided with the endoscope. The SCOPE BUDDY is designed to be used as a flushing aid only during the manual cleaning process of a flexible endoscope. This device is not an endoscope disinfector. All endoscopes must be high-level disinfected prior to use on a patient.

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SCOPE BUDDY USER/SERVICE MANUAL

Product Specifications Chassis Dimensions (height - width - depth)

9 ½”H x 6”W x 8”D (Inches)

Weight (approx.)

10 lb (4.5kg)

Power Cord and Connector

Medical Grade – 6 feet (2.83m) 18AWG,

24.13H x 15.24W x 20.32D (CM’s)

#3 Connector Electrical Requirements

100 – 250 VAC ±10% 47-63 HZ 1φ

Current Draw

< 1.0 Amperes

Breaker and Protection

1 Amp max. at 90 VAC input, Non-replaceable, internal primary current fuse, inrush limiting, thermal shutdown

Maximum Fluid Delivery

1 Liter per minute

Maximum Pump Pressure

29 PSI w/Safety Bypass

Cycle Time Range Setting

0 to 99 minutes/59 seconds

Cycle Completion Indicators

Audible and Visual

Electrical Safety

UL 61010-1

Electromagnetic Interference

FCC Title 47, Part 15, Class A, EN 55011 and EN 50082-1

Environmental Rating

Standard

Designed for Use

Indoor Use Only

Installation/ Over Voltage Category

II

Classification

1, Ordinary protection

Pollution Degree

2

Operating Temperature Range

15° C to 35° C

Operating Humidity Range

10-75% non-condensing

Storage Temperature Range

-29° C to 57° C

Storage Humidity Range

5 – 90% non-condensing

Warranty Period

One Year

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MEDIVATORS REPROCESSING SYSTEMS

2 SAFETY Intended Use The Medivators SCOPE BUDDY Endoscope Flushing Aid is an electro-mechanical device intended to pump fluids through channels of flexible and immersible endoscopes. The device is designed to be used as a flushing aid only during the endoscope manual cleaning process. This device is not an endoscope disinfector and does not take the place of an automatic endoscope reprocessor. Endoscopes must be high-level disinfected by an approved endoscope reprocessor or manual chemical soaking prior to use on a patient. Throughout this manual are notes, cautions, and warnings, which are also represented by specific icons. These are designed to provide important information to the user regarding the proper use and operation of this device. It is important to read and understand all notes, cautions, and warnings, prior to using this product. Should you have any questions or require further clarification, please contact your manufacturer’s representative. Examples of these icons are shown below. Note: A note refers to important information to which the user should pay special attention. Notes provide added insight and helpful information which can be useful to the operator.

Caution: This information is an alert to the possibility of a problem with the device associated with its use or misuse.

!

WARNING: This information is an alert to possible injury or other serious adverse reaction associated with the use or misuse of this device.

WARNING: Do not use this device on NON-IMMERSIBLE endoscopes or on endoscopes with internal leaks.

Electrical Compliance SCOPE BUDDY has been rigorously tested to stringent electrical certifications and safety standards. This device meets the laboratory standard for Electromagnetic Interference Requirements for FCC Title 47, Part 15, Class A, EN 55011 and EN 50082-1, and the Electrical Safety Requirements of UL 61010A1, Pollution Degree 2, and Installation Category II Equipment. SCOPE BUDDY carries and is certified to ETL and cETL, the Electrical CE Mark, UL Standard 61010-1, and CAN/CSA Standard 61010-1. Caution: This device must always be plugged into an electrical wall outlet that includes an approved Ground Fault Interrupter (GFI) prior to operation of the pump. 3

SCOPE BUDDY USER/SERVICE MANUAL

Operator Safety 1. This device is only to be operated by properly trained and qualified personnel who are fully familiar with its intended use and operation. 2. Avoid biological contamination. Always wear personal protective equipment when handling used endoscopes. 3. Cleaning and detergent solutions for endoscope flushing must be used in accordance with the regulations governing their use, safety, and shelf life. Disinfectant solutions for performing the Scope Buddy daily decontamination cycle must be used in accordance to the regulations governing their direction for use and they must be within their acceptable use period and not expired. 4. Disinfectant solutions can be corrosive. Always wear proper eye protection and nitrile gloves when handling open containers. Avoid direct contact with eyes, skin, and clothing. 5. In case of contact with cleaning solutions, flush eyes or skin with copious amounts of water for a minimum of 15 minutes. Seek immediate medical attention in case of eye contact. 6. Disinfectant solutions can be harmful if swallowed. In case of accidental ingestion, drink large quantities of water and call a physician immediately. Avoid contact with food. Do not store disinfectant near food. For disinfectant handling guidelines, refer to the American National Standard recommended practice titles “Safe Use and Handling of Glutaraldehyde-based Products in Health Care Facilities” (AAMI/FDS ST58, 1996-03-26). The document is available from the Association for the Advancement of Medical instrumentation.

Patient Safety 1. Failure to adhere to the endoscope manufacturer’s recommendations governing the proper cleaning of endoscopes after each patient examination may compromise the efficacy of the subsequent disinfection process. 2. All endoscopes must be high-level disinfected prior to patient use. SCOPE BUDDY is not designed to replace an automated endoscope disinfector and should never be used to disinfect an endoscope.

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MEDIVATORS REPROCESSING SYSTEMS

Notes, Cautions, and Warnings General Cautions •

Use only a medical-grade detergent which has bacteriostatic properties, is low-foaming, freerinsing, and has a neutral pH.

•

For the daily decontamination cycle, select a liquid chemical germicide (LCG) whose label indicates that it may be used at room temperature to achieve decontamination (see Section 6, Glossary, for definition) of medical instruments. Consult the manufacturer’s label for the appropriate contact time.

•

Do not use alcohol-based products in or on SCOPE BUDDY. Alcohol is not compatible and should never be used to clean, flush, or rinse SCOPE BUDDY. Use of alcohol or alcohol-based products with SCOPE BUDDY will void the warranty.

•

Do not exceed a detergent, water, disinfectant, or fluid solution temperature of 50°C.

•

Follow the endoscope manufacturer’s instructions and established professional guidelines for cleaning endoscopes.

•

The SCOPE BUDDY Endoscope Flushing Aid User Manual is intended to be used in conjunction with the instructions and labeling provided by the endoscope/accessory manufacturer. Endoscope/accessory manufacturers provide instructions and labeling necessary for users to understand the basic design, specifications, nomenclature, and components of specific flexible endoscopes/accessories.

•

Users should be properly trained and instructed to inspect, prepare, use, clean, disinfect, rinse, dry, and store these instruments. Follow recommended standards as referred by ASTM, ASGE, SGNA, and APIC.

•

Read all precaution labels on the device before using.

•

If the equipment is used in a manner not specified by the manufacturer, then the protection provided by the equipment may be impaired.

•

Ensure that fluid exiting the distal tip of an endoscope or instrument is not facing a direction that would allow fluid to be sprayed on personnel, electrical fixtures, or the user.

•

The device, through its’ inherit use, becomes contaminated and requires cleaning and decontamination. Precautions must be taken to insure the device is properly decontaminated. Please refer to the Daily Decontamination Procedure for further information.

•

Duodenoscopes with elevator wire channels (EWC) may require additional cleaning and disinfection steps. It is particularly important for the elevator wire channel to be manually cleaned and fully reprocessed correctly. Extra attention should also be given to the position of the EWC throughout the cleaning process. Refer to the endoscope manufacturer’s instruction for the proper positioning of the elevator wire channel.

•

If the unit is to be left unused for an extended period of time such as overnight, over the weekend or a holiday period, it should be left full of decontamination fluid. This maintains pump-head decontamination, lubrication and facilitates priming. Do not purge or rinse any fluid from SCOPE BUDDY. The SCOPE BUDDY tubing can be detached from the unit during this period.

Guidelines Endoscope Pre-cleaning Proper endoscope precleaning is essential to removing microbial burden and bio-debris from the inside and the outside of an endoscope. Precleaning guidelines should always be consulted and followed, and a pre-cleaning process should always be developed and strictly adhered to, to ensure an endoscope is effectively and properly precleaned. Always follow the endoscope manufacturer’s instructions and established professional guidelines to properly preclean an endoscope. 5

SCOPE BUDDY USER/SERVICE MANUAL

•

Meticulous manual cleaning of the endoscope or accessory must be performed using an appropriate detergent solution.

•

Carefully brush all channels and valve ports using the detergent solution and cleaning tools designed for this purpose.

•

Avoid the use of cotton swabs, gauze pads, and other lint-producing tools.

•

Endoscopes should be leak tested before submersion as part of the overall reprocessing protocol as defined in the instrument manufacturer’s instructions. Leak testing detects damage within the interior or exterior of the endoscope.

•

Follow instructions for manual pre-cleaning contained in the endoscope manufacturer’s manual.

Cleaning and Disinfection Always follow the endoscopes manufacturer’s recommendations pertaining to the reprocessing of endoscopes and endoscope accessories to ensure that the endoscopes and accessories will be safe for patient use. A protocol should be developed and followed based on such guidelines. The following professional organizations have published guidelines pertaining to the reprocessing of endoscopes and associated accessories: Society of Gastroenterology Nurses and Associates, Inc. 401 North Michigan Ave. Chicago, IL 60611-4267 USA Tel: 800-245-7462 Fax: 312-527-6658 www.sgna.org

Assoc. for Professionals in Infection Control and Epidemiology, Inc. 1275 K Street NW, Suite 1000 Washington, DC 20005-4006 USA Tel: 202-789-1890 Fax: 202-789-1899 www.apic.org

American Society for Gastrointestinal Endoscopy 1520 Kensington Rd., Suite 202 Oak Brook, IL 60523-2141 USA Tel: 630-573-0600 Fax: 630-573-0691 www.asge.org

American Society for Testing and Materials 100 Barr Harbor Dr. West Conshohocken, PA 19428-2959 USA Tel: 610-832-9585 Fax: 610-832-9555 www.astm.org

Association of periOperative Registered Nurses, Inc. 2170 S. Parker Rd., Suite 300 Denver, CO 80231-5711 USA Tel: 800-755-2676 Fax: 303-750-3462 www.aorn.org

Canadian Society of Gastroenterology Nurses & Associates 27 Nicholson Dr. Lakeside, NS B3T 1B3 CANADA Fax: 902-473-4406 www.csgna.com

British Society of Gastroenterology 3 St. Andrews Place Regents Park London NW1 4LB ENGLAND Tel: (+44) (0)20 7387 3534 www.bsg.org.uk

Gastroenterological Nurses College of Australia, Inc. (GENCA) PO Box 483 Boronia Vistoria 3155 Australia Tel: 1300 788 155 Fax: 03 9801 6352 www.genca.org 6

MEDIVATORS REPROCESSING SYSTEMS

3 SETUP & FAMILIARIZATION Device Installation •

SCOPE BUDDY can only be used with the power supply / wall transformer supplied with the device. Do not attempt to substitute or use a non-approved replacement power supply.

•

The cycle run time can be adjusted by the operator, but always verify the run time is appropriate for the flexible endoscope being flushed.

•

Do not use alcohol or alcohol-based products with SCOPE BUDDY.

•

The tubing hookups, hookup extensions, and fluid intake line are not autoclavable and must be reprocessed by low temperature disinfection only.

•

SCOPE BUDDY is designed to be placed on a counter top or mounted to the wall by using the supplied wall-mounting bracket. If mounting to a wall, ensure the bracket is properly secured to the wall using the correct mounting hardware, adequate to support at least ten pounds of weight.

•

SCOPE BUDDY must be located within a vertical height no greater than three feet above the fluid basin. The distance between the sink solution and SCOPE BUDDY must not exceed three feet.

•

SCOPE BUDDY is designed to operate in a damp environment, but should not be immersed in any fluids. Do not use the device if it becomes immersed in any type of fluid, or if fluid is observed leaking from the device.

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SCOPE BUDDY USER/SERVICE MANUAL

System Components •

SCOPE BUDDY Base Unit

•

Wall-mount bracket

•

Power Supply

•

Fluid Intake Line

•

DSD Extension Line

•

Universal Cleaning Adapter Extension Line

•

Universal Cleaning Adapter 2-way adapter

•

Universal Cleaning Adapter 3-way adapter

•

Universal Cleaning 4-way adapter

•

Flow Verification Tube

•

Elevator Wire Channel Hookup

SCOPE BUDDY Base Unit

Wall-Mount Bracket

Power Supply

Fluid Intake Line

UCA 4-way Adapter DSD Extension Line

Elevator Wire Channel Hook-up Universal Cleaning Adapter Extension Line

UCA 3-way Adapter Flow Verification Tube Figure 1 System Components

8

UCA 2-way Adapter

MEDIVATORS REPROCESSING SYSTEMS

Control Panel •

Timer Display – Displays the timer setting (when idle) or the time remaining when pumping.

•

Time Set – Used to increase or decrease the timer setting.

•

Start/Stop Switch – Press to start, stop, or pause the timer countdown and pumping action.

•

Fluid Inlet – “IN” port where fluid is drawn into the base unit.

•

Fluid Outlet – “OUT” port where fluid is discharged from the base unit.

•

Power On/Off Switch – Used to turn the device on or off.

•

Power Connection – Connection port for incoming power from the power supply to the base unit.

Time Display

Start/Stop Switch Time Set Increase/Decrease

Power On/Off Switch Power Connection

Fluid Inlet

Fluid Outlet

Figure 2 Control Panel

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SCOPE BUDDY USER/SERVICE MANUAL

Tubing Connections The device is designed to function with a wide variety of manufacturer’s endoscopes of various configurations. The device is supplied with different types of tubing connections which allow connection to most endoscopes. The DSD Extension Line allows connection to a Medivators DSD hook-up which attaches to the endoscope. Refer to the DSD Hook-up Application Guide to identify the correct hook-up to use for the endoscope being flushed and the Directions for Use Instructions for correct connection. The Universal Cleaning Adapter Extension Line and multi-way adapters allow connection to the Universal Cleaning Adapter provided with the endoscope. Refer to the endoscope manufacturer’s Instructions for Use to ensure the correct Cleaning Adapter is being used and that it is correctly connected. The Elevator Wire Channel Hook-up allows flushing of the elevator wire channel of a Duodenoscope. The Elevator Wire Channel Hook-up is also used to flush the forward water jet of a Pentax or Fujinon endoscope. Note: A Pentax or Fujinon forward water jet adapter would be used in conjunction with the Elevator Wire Channel Hook-up. Note: The universal cleaning adapter Irrigator by some endoscope manufacturers.

may

be

referred

to

as

an

All-Channel

Reference the Medivators Hook-up Application Guide which can be downloaded at www.minntech.com/medivators to identify the appropriate DSD hook-up for the manufacturer’s endoscope being cleaned. The supplied tubing segments which facilitate endoscope connection are: •

Fluid Intake Line – Tubing set that allows fluid to be drawn up from the sink into the SCOPE BUDDY.

•

DSD Extension Line – Tubing set that allows fluid to be delivered from the machine to the DSD Hookup.

•

Universal Cleaning Adapter Extension Line – Tubing set that allows fluid to be delivered from the machine to the Universal Cleaning Adapter supplied with the manufacturer’s flexible endoscope.

•

UCA 2-way Adapter – Tubing adapter which connects to the Universal Cleaning Adapter Extension Line and allows connection to an endoscope’s Universal Cleaning Adapter with 2 connection ports.

•

UCA 3-way Adapter – Tubing adapter which connects to the Universal Cleaning Adapter Extension Line and allows connection to an endoscope’s Universal Cleaning Adapter with 3 connection ports.

•

UCA 4-way Adapter – Tubing adapter which connects to the Universal Cleaning Adapter Extension Line and allows connection to an endoscope’s Universal Cleaning Adapter with 4 connection ports.

•

Elevator Wire Channel Hookup – Tubing set that allows fluid to be delivered from the machine to the elevator wire channel, or to the forward water jet of a Pentax or Fujinon endoscope.

•

Flow Verification Tube – Tubing segment used during the Daily Quality Test to ensure SCOPE BUDDY is delivering the proper amount of fluid. Note: A complete set of tubing connections is available by contacting Medivators Customer Support. The reorder part number is 78399-669, and the tubings are only available as a complete set.

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MEDIVATORS REPROCESSING SYSTEMS

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SCOPE BUDDY USER/SERVICE MANUAL

4 DEVICE OPERATION Programming Times SCOPE BUDDY Programming Times for Olympus, Pentax & Fujinon Brand Endscope are listed below. Reference the tables to determine the programming time required to flush, clean and rinse solutions through the endoscope channels during the manual cleaning process. The time stated assume that the tubes and hookup kits from the SCOPE BUDDY to the endoscope are primed and full of fluid. Program times should be extended by 15 seconds if the tubes are not pre-primed. The times stated area based on in-house validation tests that were conducted using endoscopes with channels in good condition, free from restrictions and/or defects. Due to differences in individual endoscope channel performance, users should always verify that the solution volumes meet the manual cleaning requirements of the endoscope manufacturer and or the facility.

Programming Time to Flush 100mls through Endoscopes without Elevator Wire Channels Small Caliber Endoscopes Gastroscopes Duodenoscopes Colonoscopes Sigmoidoscopes Ultrasound Scope Pentax & Fujinon Forward Water Jet

1 minute 30 seconds 1 minute 30 seconds 2 minutes 15 seconds 2 minutes 45 seconds 2 minutes 45 seconds 2 minutes 45 seconds 2 minutes 45 seconds

Programming Time to Flush 15mls through the Elevator Wire Channel Due to the internal structure of Olympus, Fujinon and some Pentax endoscopes fitted with exposed elevator wire channels and the difficulty in passing fluid, these channels must be flushed independently of the other channels. Olympus Pentax Fujinon

3 minutes 4 minutes 6 minutes

Elevator Wire Channel SCOPE BUDDY can be used to flush an endoscope’s elevator wire channel (EWC). The endoscope’s EWC must be flushed independently and the Scope Buddy’s elevator wire channel hook-up must be used. The endoscope’s EWC is extremely small making fluid very difficult to push through it, and Scope Buddy’s Elevator Wire Channel hook-up is specifically designed for this function. The DSD Hook-up or the All-channel Irrigator Hook-up cannot be used to flush the endoscope’s EWC. Never flush the endoscope’s EWC simultaneously with other endoscope channels as the elevator wire channel will not be properly flushed per the endoscope manufacturer’s standards and guidelines. The independent flushing of the elevator wire channel using Scope Buddy’s Elevator Channel Hook-up ensures fluid is delivered directly to this channel. . 12

MEDIVATORS REPROCESSING SYSTEMS

Pentax or Fujinon Forward Water Jet The SCOPE BUDDY elevator wire channel hook-up must be used to flush the Forward Water Jet of a Pentax or Fujinon endoscope. The Pentax and Fujinon endoscope’s forward water jet must be flushed independently and while using Scope Buddy’s Elevator Wire Channel hook-up. These specific endoscope’s have an internally contained check-valve and Scope Buddy’s elevator wire channel hook-up is uniquely designed for this function. The DSD Hook-up or the All-channel Irrigator Hook-up cannot be used to flush the Forward Water Jet of a Pentax or Fujinon endoscope. Never flush the Pentax or Fujinon endoscope’s forward water jet simultaneously with other endoscope channels as the Pentax or Fujinon endoscope’s forward water jet will not be properly flushed per the endoscope manufacturer’s standards and guidelines. The independent flushing of this channel using Scope Buddy’s EWC Hook-up ensures fluid is delivered directly to this channel. Note: The Forward Water Jet of an Olympus endoscope does not require the use of the Elevator Wire Channel Hook-up, and can be flushed using the DSD Hook-up or the All-channel Irrigator Hook-up.

Endoscope Flushing using the Elevator Wire Channel Hook-up Use this step-by-step procedure to properly flush an endoscope’s Elevator Wire Channel, or the Pentax or Fujinon Forward Water Jet. This procedure is used to attach the SCOPE BUDDY (device) to an endoscope using the Fluid Intake Tubing and the Elevator Wire Channel Hook-up. The Fluid Intake Tubing and the Elevator Wire Channel Hook-up are provided with the device. When properly connected, fluid will be drawn up from the sink, flow through the Fluid Intake Tubing to SCOPE BUDDY, and then out of SCOPE BUDDY and through the Elevator Wire Channel Hook-up to the endoscope. This provides fluid delivery for flushing the individual channel of the endoscope. Scope Buddy Unit

Flow Intake Line

Elevator Wire Channel Hook-up

Figure 3 Scope Buddy Line Hook-up 13

SCOPE BUDDY USER/SERVICE MANUAL

Caution: Verify fluid exiting the endoscope or instrument is not facing a direction that would allow fluid to be sprayed on personnel or electrical fixtures. The endoscope should be placed in the bottom of the sink and preferably under water.

Flushing an Endoscope with Detergent 1. Plug the unit in and then turn the device on by pressing the power switch located on the side of the unit. The timer display will now illuminate. See Figure 4.

Power Switch

Figure 4 Base Unit Power Cord Connection 2. Locate the Fluid Intake Line and attach to front panel tubing connection port labeled “IN.” Place the screened end into the sink or basin of detergent solution. Verify the screened end is deeply submerged into the detergent solution. See Figure 5.

Figure 5 Plugging into “IN” labeled connection port on base unit. 3. Locate the Elevator Wire Channel Hook-up and attach it to the front panel tubing connection port labeled “OUT.” See Figure 6.

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MEDIVATORS REPROCESSING SYSTEMS

Figure 6 Plugging into “OUT” labeled connection port on base unit. 4. Attach the Elevator Wire Channel Hook-up to the appropriate endoscope channel referencing the endoscope hook-up instructions. The tubing sets should now be connected as in Figure 3. 5. Using the SCOPE BUDDY front panel arrow keys, set the timer until it displays the desired flushing time. 6. Press the “START/STOP” button to begin the cycle, the timer display will now begin counting down. Detergent solution will now be drawn up from the sink, pumped through SCOPE BUDDY, and will flow out of the endoscope channel. 7. Verify solution is exiting the endoscope channel. If fluid fails to come out, then the channel may be blocked and the endoscope may need to be manually brushed and cleaned again. The flushing process will then need to be repeated until flow through the endoscope is verified or the endoscope should be taken out of service. Caution: Failure to verify fluid flow through the endoscope can result in an endoscope which is not properly flushed or cleaned. Always verify fluid is exiting the endoscope channel. Caution: The screened end of the Fluid Intake Line must remain fully submerged in solution to ensure proper fluid delivery and no interruption in fluid flow.

Note: A flushing cycle can be paused by pressing the START/STOP button. Pressing the START/STOP button again will resume the original cycle. If, however, an arrow key was pressed during the pause cycle, then pressing the START/STOP button will begin a cycle from the original pre-set time amount. 8. After the timer counts down to zero, fluid flow will stop and a five-second audible tone will be heard. During this time, the timer display will flash all zeros “00.00” and then remain with a zero display, providing an indication that the cycle is complete.

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SCOPE BUDDY USER/SERVICE MANUAL

Purging an Endoscope of Detergent 1. Remove the Fluid Intake Line from the sink and place on the counter. 2. Press the START/STOP button once to reset the timer to the original pre-set time amount. 3. Press the START/STOP button again to begin pumping. The timer display will now begin counting down as some of the detergent solution is pumped out the endoscope. Verify fluid is exiting the endoscope. 4. Press START/STOP button to halt pumping when fluid no longer exits the endoscope. Note: Most fluid is now purged from the endoscope, but some residual fluid will remain in the endoscope.

Rinsing an Endoscope with Water 1. Dispose contaminated detergent solution down the drain, thoroughly rinse the sink, and fill with clean water. 2. Place the Fluid Intake Line into the sink of clean water. 3. Press the START/STOP button once to reset the timer to the original pre-set time amount. 4. Press the START/STOP button again to begin the cycle; the timer display will now begin counting down. Rinse water will now be drawn up from the sink, pumped through the device, and will flow out of the endoscope channel. 5. Verify rinse water is pumping out the endoscope channel. If fluid fails to come out of the endoscope, then the endoscope may need to be manually brushed and cleaned again. The flushing process will then need to be repeated until flow through the endoscope is verified. Caution: Failure to verify fluid flow through the endoscope can result in an endoscope which is not properly rinsed. Always verify fluid is exiting the endoscope channel. Caution: The screened end of the Fluid Intake Line must remain deeply submerged in solution to ensure proper fluid delivery and no interruption in fluid flow.

Note: A flushing cycle can be paused by pressing the START/STOP button. Pressing the START/STOP button again will resume the original cycle. If, however, an arrow key was pressed during the pause cycle, then pressing the START/STOP button will begin a cycle from the original pre-set time amount. 6. Once the timer counts down to zero, fluid flow will stop and a five-second audible tone will be heard. During this time, the timer display will flash all zeros “00.00” and then remain with a zero display, providing an indication that the cycle is complete.

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