CV-170 VIDEO SYSTEM CENTER Instructions April 2013

Contents

Contents Labels and Symbols ... 1 Important Information - Please Read Before Use ... 3 Intended use ... 3 Applicability of endoscopy and endoscopic treatment ... 3 Instruction manual ... 4 User qualifications ... 7 Instrument compatibility ... 7 Repair and modification ... 7 Signal words ... 9 Dangers, warnings, and cautions ... 9 Cardiac applications ... 14

Summary of Equipment Functions ... 15 Displaying the endoscopic images on the monitor ... 15 Illuminating the operation ... 15 Adjusting the examination light ... 15 Entering patient data ... 15 Customizing the operations ... 16 Optical-digital observations ... 16 Adjusting the endoscopic images ... 16 Recording images ... 16 Operation of ancillary equipment ... 17 Air and water feeding ... 17

Chapter 1 Checking the Package Contents ... 19 1.1

Checking the package contents ... 19

Chapter 2 Nomenclature and Functions ... 21 2.1

Symbols and descriptions ... 21

2.2

Front panel ... 23 Front view ... 23 Front panel (buttons) ... 24 Front panel (indicators) ... 26

2.3

Rear panel ... 28

2.4

Keyboard ... 30

2.5

Side panels ... 34

2.6

Monitor ... 36 Endoscopic image screen ... 36 Setting display (e.g.) ... 38

Chapter 3 Installation and Connection ... 39 3.1

Precautions for installation and connection ... 39

3.2

Installation workflow ... 40 CV-170 INSTRUCTION MANUAL

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3.3

Installation of the equipment ... 41 Installation on the mobile workstation (WM-NP2, WM-DP2, WM-NP1, or WM-WP1) and compact trolley (TC-NE, or TC-C2) ... 42 Installation in another location ... 44

3.4

Fitting of accessories ... 45 White cap (MH-155) and white cap holder (MAJ-960) ... 45 Installation of the water container ... 47

3.5

Connection of the monitor ... 48 Compatible monitors ... 48 OEV261H ... 48 OEV191H ... 50 OEV181H ... 54 OEV191 ... 56

3.6

Connection of the keyboard ... 58

3.7

Connection of the video recorder (DVR) ... 60 Compatible video recorders ... 60 IMH-20 ... 60 IMH-10 ... 62 Other DVRs ... 64

3.8

Connection of the video printer ... 66 Compatible video printers ... 66 Other video printers ... 67

3.9

Connection of the foot switch ... 68

3.10 Connection of the flushing pump ... 70 Compatible flushing pumps ... 70

3.11 Connection of the server ... 71 3.12 Connection to the AC mains power supply ... 72 When the mobile workstation (WM-NP2, WM-DP2, WM-NP1, or WM-WP1) is used ... 73 When no mobile workstation is used ... 74

Chapter 4 Function setup ... 77 4.1

Setup list ... 77

4.2

Basic operation of the language setup ... 78 Displaying the language setup window ... 78

4.3

Basic operation of the system setup ... 81 Displaying the system setup screen ... 81 Editing the system setup ... 84 Saving the system setup to the portable memory ... 86 Loading the system setup from the portable memory ... 87

4.4

System setup (system) ... 88 “Date/comment” tab ... 89 “Operation” tab ... 91 “Record setting” tab ... 92 “Printer” tab ... 94

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“Output format” tab ... 96 “NR” tab ... 98 “Release time H” tab ... 99 “Release time S” tab ... 100

4.5

System setup (Peripheral setting) ... 101

4.6

Basic operation of the user settings ... 102 Displaying the user settings screen ... 102 Editing and newly registering user settings ... 104 Deleting the user settings ... 108 Saving the user settings to the portable memory ... 110 Loading the user settings from the portable memory ... 114

4.7

User settings (Basic setup) ... 118 “Release 1” tab ... 119 “Release 2” tab ... 120 “Enhancement” tab ... 122 “Color/Bright” tab ... 124 “Observation 1” tab ... 126 “Observation 2” tab ... 128

4.8

User settings (switch presets) ... 130 “Scope switch” tab ... 130 “Keyboard” tab ... 131 “Foot switch” tab ... 131 Setting value of custom switch function ... 132

4.9

User settings (OSD customization) ... 134 “OSD” tab ... 134 “Custom disp 1” tab ... 137 “Custom disp 2” tab ... 138 “Custom disp 3” tab ... 139

4.10 User settings (Color tone) ... 140

Chapter 5 Inspection ... 141 5.1

Precautions of workflow ... 141

5.2

Inspection workflow ... 142

5.3

Connection of an endoscope ... 143 170 series, flexible videoscope ... 146 EVIS Videoscope ... 147 Fiberscope ... 148 Rigid endoscope and camera head ... 150

5.4

Inspection of the power supply ... 152

5.5

Inspection of the examination light ... 153

5.6

Inspection of the video monitor display ... 153

5.7

Inspection of the monitor display ... 154

5.8

Inspection of the brightness adjustment function ... 156 Inspection of the automatic brightness adjustment ... 157 CV-170 INSTRUCTION MANUAL

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Inspection of the manual brightness adjustment ... 159

5.9

Inspection of the freeze function ... 161

5.10 Inspection of the release function ... 162 5.11 Inspection of the orientation function ... 162 5.12 Inspection of the custom switches ... 163 5.13 Inspection of the optical-digital observation function ... 163 Inspection of NBI observation ... 163

5.14 Inspection of air and water feeding ... 165 5.15 Inspection of power off ... 166

Chapter 6 Operation ... 167 6.1

Precautions for operation ... 167

6.2

Operation workflow ... 170

6.3

Turning the video system center ON ... 171

6.4

White balance adjustment ... 172

6.5

Recall of user settings ... 175

6.6

Patient data ... 178 Entering patient data ... 179 Editing and deleting patient data ... 180

6.7

Observation and recording of the endoscopic image ... 181

6.8

Termination of the operation ... 182

Chapter 7 Function ... 185 7.1

Brightness adjustment ... 185 Iris mode ... 185 Brightness ... 186

7.2

Basic operation of the menu list ... 188

7.3

Color tone adjustment ... 190 Color tone level adjustment ... 190 Iris area ... 192 Automatic gain control (AGC) ... 193

7.4

Image enhancement ... 194 Image enhancement ... 194 Contrast mode ... 196 Noise reduction ... 197

7.5

Zooming the image ... 198 Electronic zoom function ... 198

7.6

Changing the endoscopic image screen ... 199 Freeze ... 199 Image size ... 200

7.7

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Changing the displayed text information ... 201 CV-170 INSTRUCTION MANUAL

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Clearing characters from the screen ... 201 Cursor ... 203 Displaying the endoscope information window ... 203 Displaying the custom switch information window ... 205 Arrow pointer ... 206 Stopwatch ... 208 Displaying the system information ... 209

7.8

Changing the observation mode ... 210 Changing the observation mode (“WLI”, “NBI”) ... 210 NBI observation ... 211 NBI color mode ... 212

7.9

Recording the frozen image (releasing) ... 213

7.10 Recording and playing back the frozen image (portable memory or internal buffer) ... 214 Inserting the portable memory into the portable memory port ... 216 Removing the portable memory from the portable memory port ... 217 Formatting the portable memory ... 218 Checking the portable memory ... 219 Remaining capacity indicator of the memory ... 220 Recording the frozen image to the memory ... 221 Basic operation on thumbnail screen ... 222 Operation on the image screen (playback and printing) ... 226 Generating, printing, and storing the annotation images ... 229 Deleting the data including a folder ... 232 Transferring the unsent images ... 234 Image files and folders ... 235 Playing back the images using the PC ... 238

7.11 Remotely controlling the video recorder ... 240 7.12 Remotely controlling the video printer ... 242 Setting the number of sheets to be printed and the number of images on the print sheet 246 Printer lock ... 248

7.13 Presetting, calling, saving, and loading patient data ... 249 Displaying the “Select patient” screen ... 249 Newly registering and editing patient data ... 250 Deleting patient data ... 252 Calling patient data ... 254 Saving patient data to the portable memory ... 255 Loading patient data from the portable memory ... 259

7.14 Air/water feeding ... 263 7.15 Operation without the keyboard ... 264 Operation by the “Function Operation Panel” menu ... 264 Character input by the software keyboard ... 266

7.16 Other functions ... 268 Assigning functions to the custom switches ... 268 Displaying the color bar and the 50% white screen ... 269 Selecting the mode of character input from the keyboard ... 270 Confirming and editing data of the endoscope ... 271 CV-170 INSTRUCTION MANUAL

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Backup of the user settings ... 273 Loading the user settings ... 274 Reset ... 275 System reset ... 277

Chapter 8 Care, Storage, and Disposal ... 279 8.1

Care ... 279 The video system center ... 279 Water container ... 280

8.2

Storage ... 280

8.3

Disposal ... 281

Chapter 9 Troubleshooting ... 283 9.1

Troubleshooting ... 283

9.2

Troubleshooting guide ... 284

9.3

Returning the video system center for repair ... 301

Appendix ... 303 Combination equipment ... 303 System chart ... 303 Water container ... 306

Specifications ... 307 Environment ... 307 Specifications ... 308

Default settings list ... 314 System setup ... 314 User settings ... 315

Multilingual typing by the keyboard ... 317 EMC information ... 319 Index ... 323

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Labels and Symbols

Labels and Symbols Safety-related labels and symbols are attached on the locations shown below. If labels or symbols are missing or illegible, contact Olympus.

 Rear panel Serial number plate Potential equalization terminal

FOOT SW 䌙/䌃 OUT

CE marking

PRINTER OUT

MONITOR OUT

OUT1

䌃䌏䌍䌐 OUT

䌄䌖䌉 OUT

OUT2

䌈䌄/䌓䌄 䌓䌄䌉 KEY BOARD

DVR REMOTE

SYSTEM

䋱䋰䋰䌂䌁䌓䌅-䌔䌘

DF REMOTE

IMH REMOTE

㪧㪩㪠㪥㪫㪜㪩㪆㪦㪝㪧 REMOTE

PRINTER REMOTE

Crossed-out wheeled bin’ symbol Manufacturer name

Electric rating Indicates to refer to the instruction manual for the cable to be connected.

CV-170 INSTRUCTION MANUAL

The product name, rated voltage, and frequency are shown. VIDEO SYSTEM CENTER OLYMPUS CV-170 POWER INPUT: 220–240 V 50/60 Hz 200 VA

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Labels and Symbols

 Front panel

CAUTION Dry the video connector before insertion.

 Back cover of this instruction manual Symbol

Description Manufacturer

Authorized representative in the European Community

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Important Information - Please Read Before Use

Important Information - Please Read Before Use

 Intended use This video system center is intended to be used with OLYMPUS video converter, camera heads, endoscopes, monitors, EndoTherapy accessories, and other ancillary equipment for endoscopic diagnosis, treatment, and video observation.

 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 hospital’s administration or other official institutions such as academic societies on endoscopy, 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 any examination/treatment methods that can be performed in its place, and perform the endoscopy and endoscopic treatment only after obtaining the consent of the patient. Even after starting the endoscopy and endoscopic treatment, continue to evaluate the potential benefits and risks, and immediately stop the endoscopy/treatment and take proper measures if the risks to the patient become greater than the potential benefits.

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Important Information - Please Read Before Use

 Instruction manual This instruction manual contains essential information on using the video system center 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, contact Olympus.

 Terms used in this manual Video converter: The video converter converts a fiberscope image to a video signal which can be viewed on the monitor.

Camera head: The camera head is a device that converts endoscopic images from a fiberscope or rigid endoscope into monitor images.

Videoscope cable: The videoscope cable is a cable that is connected to a compatible videoscope and transmits a video signal and a signal for automatic brightness adjustment.

Video printer: The video printer is a device that prints the frozen video image.

DF: The DF is a device that records the frozen image.

Digital video recorder (DVR): The digital video recorder is a device that records the live images in digital format.

Hospital grade power outlet: The hospital grade power outlet is a wall AC mains power outlet socket having the exclusive terminal for grounding.

Isolation transformer: The isolation transformer is a safety device that is used to isolate the noninsulated equipment with potentially high leakage currents to decrease the possibility of an electric shock.

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Important Information - Please Read Before Use

Automatic brightness adjustment: The automatic brightness adjustment automatically adjusts the intensity of the light emitted from the video system center 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.

Image sensor (CCD): The image sensor (CCD) is a device that converts light into electrical signals.

Iris: The iris function is used to electrically measure the brightness of an endoscopic image to obtain a control signal for the purpose of automatic light adjustment.

Color adjustment: Color adjustment adjusts the color balance and the chroma on the monitor.

Prefreeze: The prefreeze function is used to automatically display the image with the least blur immediately after freezing.

Freeze: The freeze function makes a frozen image of a live image.

Release: The release function is used to record an endoscopic image.

Capture: Stores the image in the video printer.

Contrast: This is the ratio of brightness between the brightest and darkest areas in an image.

Edge enhancement: Edge enhancement is an image processing technique that electronically sharpens the edges of an image.

Structure enhancement: Structure enhancement is an image processing technique that electronically emphasizes the detailed patterns and edges of an image to increase sharpness.

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Important Information - Please Read Before Use

AGC (automatic gain control): The AGC is used to increase the brightness of an endoscopic image electrically when the brightness of the image is dark because the distance between the endoscope’s distal end and the object is too long.

Orientation: Change the orientation of the endoscopic image.

Index image: This is an released image that is displayed in the endoscopic image screen.

Annotation: A recorded frozen image is displayed with comments and a title. Up to 4 images can be displayed on the monitor at once.

Portable memory: A digital medium for storage of images, etc.

Wash out: Wash out is the inability to see details in the endoscopic image due to excessive brightness.

SDTV: Standard Definition Television. It is the format used in standard video systems.

HDTV: High Definition Television. This is a format for high resolution video transmission featuring higher definition than the standard SDTV format.

Normal light observation (WLI = White Light Imaging): This is observation using white light.

Optical-digital observation: This is observation using filtered light.

NBI (Narrow Band Imaging) observation: This is optical-digital observation using narrowband light.

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Important Information - Please Read Before Use

Custom switch: The custom switch is a general term for the buttons, keys, and switches to which functions can be assigned: “CUSTOM” key A, B, and C on the keyboard, remote switch 1, 2, 3, and 4 on the endoscope and remote switch 1, and 2 on the foot switch.

Internal buffer: This is buffer space to store the frozen images, patient data, and user settings data.

OSD (On-Screen Display): This is information to be displayed on the monitor.

 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 “ System chart” on page 303 to confirm that the video system center 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 3 (IEC 60601-1-2: 2007), edition 2 (IEC 60601-1-2: 2001). However, when connected with 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 The video system center does not contain any user-serviceable parts. Do not disassemble, modify or attempt to repair it; patient or operator injury, equipment damage and/or the impossibility to obtain the expected functionality can result. Some problems that appear to be malfunctions may be correctable by referring to Chapter 9, “Troubleshooting”. If the problem cannot be resolved using the information in

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Important Information - Please Read Before Use

Chapter 9, contact Olympus. This instrument is to be repaired by Olympus technicians only. Olympus is not liable for any injury or damage which occurs as a result of repairs attempted by non-Olympus personnel.

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Important Information - Please Read Before Use

 Signal words The following signal words are used throughout this manual:

DANGER

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.

NOTE

Indicates additional helpful information.

 Dangers, warnings, and cautions Follow the dangers, warnings, and cautions given below when handling the video system center. 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 video system center 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 video system center immediately and contact Olympus.  Do not prepare, inspect, or use the video system center with wet hands. • Never install and operate the video system center in locations where:  The concentration of oxygen is high;  Oxidizing agents (such as nitrous oxide (N2O)) are present in the atmosphere;  Flammable gases are present in the atmosphere;  Flammable liquids are near. Otherwise, an explosion or a fire may result because the video system center is not explosion-proof.

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Important Information - Please Read Before Use

WARNING • In case of video system center failure or malfunction, always keep another video system center ready for use. • Never insert anything into the ventilation grills of the video system center. It can cause an electric shock and/or a fire. • 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 video system center when they are emitting light. The intense light may cause eye injury. • Do not touch the distal end of the endoscope connector of the endoscope, distal end of the light guide connector of the endoscope, both distal ends of the light guide cable, or output socket of the video system center immediately after disconnecting it from the video system center because they are extremely hot. Operator or patient injury can result. • 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 biological tissue and perforation of the intestines by 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.  Do not continue observation in proximity to tissue or keep the distal end of the endoscope in contact with living tissue for a long time.  When discontinuing the use of the endoscope, extinguish the examination lamp by pushing the lamp button. • This product may interfere with other medical electronic equipment used in combination with it. Before use, refer to “ System chart” on page 303 to confirm the compatibility of the video system center with all equipment to be used. • Do not use the video system center in any place where it may be subject to strong electromagnetic radiation (for example, in the vicinity of a microwave therapeutic equipment, MRI, wireless set, short-wave therapeutic equipment, cellular/portable phone, etc.). This may impair the performance of the video system center. • Since the video system center irradiates strong examination light, the disconnected end of the light guide cable or the distal end of the endoscope becomes very hot. To prevent a fire hazard, do not bring the distal end of the light guide cable or the distal end of the endoscope in contact with a flammable object, such as operating room drapes while the examination lamp is ON. When no examination is performed, be sure to turn the video system center OFF or extinguish the examination lamp by pushing the lamp button.

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Important Information - Please Read Before Use

WARNING • Do not touch the output connector of the video system center. Operator or patient injury can result. • If the endoscopic image dims during use, blood, mucus, or debris may have adhered to the light guide on the distal end of the endoscope. Carefully withdraw the endoscope from the patient and remove the blood or mucus 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. • Use the supplied power cord only. Otherwise, equipment malfunction and/or power cord burns can result. Also, never use it for other equipment. • Do not rely on the optical-digital observation method alone for primary detection of lesions or for a decision regarding any potential diagnostic or therapeutic intervention. • For reasons described below, do not rely on the NBI observation modality alone for primary detection of lesions or to make a decision regarding any potential diagnostic or therapeutic intervention.  It has not been demonstrated to increase the yield or sensitivity of finding any specific mucosal lesion including colonic polyps or Barrett’s esophagus.  It has not been demonstrated to aid in differentiating establishing the presence or absence of dysplasia or neoplastic changes within mucosa or mucosal lesions. • To display endoscopic images, connect the output terminal of the video system center directly to the monitor. Do not make the connection via any ancillary equipment. Images may disappear during observation depending on the condition of the ancillary equipment. • The SDI signal is transmitted by daisy-chaining (chaining in a row) several devices. If one of the devices is turned OFF, the SDI signal is not transmitted to the rest of them.

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Important Information - Please Read Before Use

CAUTION • Do not allow a foreign object to penetrate the inside of the video connector socket, output socket, and portable memory port. The video system center may malfunction. • Do not use a pointed or hard object to press the buttons on the front panel and/or keyboard. This may damage the buttons. • Do not touch the electrical contacts inside the video system center’s connectors by hands. Equipment damage and/or malfunction may result. • Do not apply excessive force to the video system center and/or other instruments connected. Otherwise, damage and/or malfunction can occur. • Do not connect or disconnect the endoscope, videoscope cable, video converter, or camera head while the video system center is turned ON. Connecting or disconnecting the endoscope while the video system center is ON may destroy the CCD. Turn the video system center OFF before connecting or disconnecting the endoscope. Otherwise, the endoscopic image may not be displayed. • Do not leave the examination lamp ON when an endoscope is connected to the video system center. The examination light reaches the maximum intensity and the endoscope’s distal end becomes hot. In addition, smoke may also be produced if the debris attached to the distal end is heated. • Avoid using the video system center in a dusty environment. This may damage the video system center. • Confirm that there is no dust on the ventilation grills. Clean and vacuum dust from the ventilation grills using a vacuum cleaner, when necessary. Otherwise, the video system center may break down and get damaged from overheating. • Be sure that the video system center is not used adjacent to or stacked with other equipment (other than the components of the video system center or system) to avoid electromagnetic interference. • Electromagnetic interference may occur to the video system center 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 the video system center or shielding the location.

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Important Information - Please Read Before Use

NOTE As defined by the international safety standard (IEC 60601-1), medical electrical equipment is classified into the following types: TYPE CF applied part (the instrument can safely be applied to any part of the body, including the heart), and TYPE B/BF applied part (the instrument can safely be applied to any organ except the heart). The part of the body that an endoscope or electrosurgical accessory can safely be applied to depends on the classification of the equipment to 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 types are clearly specified in the instruments’ instruction manuals. Symbol

Classification TYPE CF applied part

TYPE BF applied part

TYPE B applied part

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