Olympus Telescopios Wa4kl100 - Ultra
Olympus Telescopios Wa4kl100 - Ultra
TELESCOPE
ULTRA
WA4KL100 WA4KL500
WA4KL130 WA4KL530
WA4KL145 WA4KL545
Contents
1 General information................................................................. 5
1.1 User instructions..................................................................... 5
1.2 Signal words............................................................................ 5
1.3 Conventions throughout this document................................... 5
1.4 Trademarks............................................................................. 6
1.5 Manufacturer........................................................................... 6
2 Safety information.................................................................... 7
2.1 Intended use........................................................................... 7
2.2 Contraindications.................................................................... 7
2.3 User qualification.................................................................... 8
2.4 Environment of use................................................................. 8
2.5 General warnings and cautions............................................... 8
3 Product description............................................................... 12
3.1 Scope of delivery.................................................................. 12
3.2 Telescope.............................................................................. 12
3.3 Symbols................................................................................ 16
3.4 Warranty................................................................................ 16
4 Preparation............................................................................. 17
4.1 Safety information for preparation......................................... 17
4.2 Inspection.............................................................................. 17
4.3 Assembly and connection..................................................... 19
5 Use.......................................................................................... 21
5.1 Safety information for use..................................................... 21
6 After use................................................................................. 24
6.1 Removal and disassembly.................................................... 24
6.2 Preparation for reprocessing at the point of use................... 24
7 Reprocessing......................................................................... 26
7.1 Safety information for reprocessing....................................... 26
7.2 General information for reprocessing.................................... 27
7.3 Manual cleaning.................................................................... 30
7.4 Manual disinfection............................................................... 32
7.5 Automated cleaning and thermal disinfection....................... 33
7.6 Maintenance.......................................................................... 37
7.7 General information for sterilization...................................... 37
7.8 Validated sterilization methods.............................................. 38
7.9 Verified sterilization methods................................................ 42
7.10 Storage and handling.......................................................... 44
9 Compatible equipment.......................................................... 47
9.1 For 5.4 mm telescopes.......................................................... 48
9.2 For 10 mm telescopes........................................................... 49
10 Technical data...................................................................... 50
10.1 General dimensions............................................................ 50
10.2 Specifications...................................................................... 50
10.3 Ambient conditions.............................................................. 50
General information
1 General information
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.
NOTICE
Indicates a property damage message.
5
General information
1.4 Trademarks
-- STERRAD®
-- NXTM
-- Cidex OPA®
are trademarks of their respective owner.
1.5 Manufacturer
6
Safety information
2 Safety information
2.2 Contraindications
7
Safety information
Medical use
This product is only intended to be used by a trained physician.
These instructions for use do not explain or discuss clinical
procedures.
Reprocessing
Reprocessing of the product may only be performed by qualified
hygiene personnel.
Repair
Repair of the product may only be performed by trained qualified
servicing personnel that has been authorized by Olympus.
Otherwise, Olympus cannot be held responsible for the safety
and performance of the product.
Medical use
This product is only intended to be used in hospitals and medical
rooms with appropriate endoscopic equipment.
Reprocessing
This product must be reprocessed according to the applicable
national and local standards and regulations.
8
Safety information
WARNING
Risk of injury to the patient and/or the user
An insufficient understanding of the dangers, warnings, cautions,
and instructions can result in serious injury or damage to the
product.
•• Make sure to have the complete set of instructions for use.
•• Before use, thoroughly read these instructions for use and the
instructions for use of all other products that will be used during
the procedure.
WARNING
Risk of injury to the patient and/or the user
The use of a damaged product or of a product with improper
functioning may cause an electric shock, mechanical injury,
infection, and/or thermal injury.
•• Before each use, observe the instructions in the section
“Inspection” on page 17.
•• Do not use a damaged product or a product with improper
functioning.
•• Replace a damaged product or a product with improper
functioning.
•• If a defect occurs during a procedure, immediately replace the
product.
WARNING
Risk of injury to the patient
There is a risk of an electric shock when using endoscopic
equipment or when using endoscopic equipment in combination
with energized endotherapy devices. The patient leakage
currents may be additive.
•• Only use F-Type applied part endoscopic equipment.
•• Before each use, check the applied part classification of
the endoscopic equipment and especially the energized
endotherapy devices used during the procedure.
9
Safety information
WARNING
Risk of injury to the patient
There is a risk of electric shock when using light sources with
noninsulated light-guide connectors.
•• Only use light sources or light-guide cables that meet at least
the same requirements of applied part classification.
•• For the applied part classification, refer to the respective
instructions for use.
WARNING
Risk of injury to the patient
There is a risk of injury to the patient due to malfunction of the
equipment.
•• Always have spare equipment available.
WARNING
Risk of injury to the patient and/or the user
There is a risk of injury to the patient and/or the user caused by
unauthorized repairs and product modification. Possible injuries
include mechanical injuries, electric shock, burns, and toxication.
•• Do not attempt to repair or modify the product.
•• Repairs may only be performed by qualified servicing
personnel that has been authorized by Olympus.
•• Contact an Olympus representative or an authorized service
center for repair information.
10
Safety information
CAUTION
Risk of injury to the patient and/or the user
Using incompatible equipment may lead to injury of the patient
and/or the user as well as damage to the product.
•• For information on compatible equipment, refer to the chapter
“Compatible equipment” on page 47.
CAUTION
Risk of injury to the user
There is a risk of injury to the user when using endoscopic
equipment in combination with laser equipment.
•• Use suitable protection measures (e.g., filters, protective
goggles).
NOTICE
Risk of damage to the product
The endoscope is a precise optical device. Careless handling
may damage the endoscope.
•• Always handle the endoscope with care.
•• Do not hold the endoscope by the distal end only.
•• Do not bend the insertion tube.
11
Product description
3 Product description
3.2 Telescope
12
Product description
Entire telescope
Main body
1) Insertion tube
2) Light-guide connector
3) Eyepiece cup
13
Product description
Entire telescope
Main body
1) Insertion tube
2) Light-guide connector
3) Eyepiece cup
14
Product description
15
Product description
3.3 Symbols
3.4 Warranty
16
Preparation
4 Preparation
WARNING
Risk of injury to the patient
If the light-guide cable is not properly connected to the
endoscope or the light source, the endoscopic image may
suddenly disappear during the procedure. This may lead to
mechanical injury to the patient.
•• Properly connect the adapters to the light-guide cable and the
endoscope.
•• Properly connect the light-guide cable to the endoscope and
the light source.
4.2 Inspection
17
Preparation
CAUTION
Risk of injury to the user
There is a risk of damaging the eye when looking into the distal
end of the endoscope and the light source is switched on.
•• Do not look into the distal end of the endoscope when the light
source is switched on.
18
Preparation
19
Preparation
20
Use
5 Use
WARNING
Risk of injury to the patient
When energized endoscopes are used in combination with HF
surgical equipment, there are several risks of injury to the patient.
•• Follow the instructions for use of all devices connected to the
endoscope for safe application.
CAUTION
Risk of injury to the patient
Light sources emit large amounts of energy. As a result the
connectors of the endoscopic equipment and the distal end of the
endoscope become hot. There is a risk of:
-- thermal injury to the patient’s tissue (e.g., from prolonged
exposure to the intense illumination in cavities with small
lumens, or if the distal end of the endoscope is placed into
close proximity to the tissue).
-- burns to the patient’s or user’s skin.
-- burns or thermal damage to surgical equipment (e.g., surgical
drapes, plastic materials).
•• Do not place the endoscopic equipment on the patient’s skin,
on flammable materials, or on heat-sensitive materials.
21
Use
•• Set the output power of the light source to the minimum level
that is necessary for a sufficient illumination of the target area.
Avoid prolonged exposure to intense illumination.
•• Switch off the light source or set the light source to standby
mode whenever the light source is not in use.
CAUTION
Risk of injury to the patient
Light sources emit large amounts of energy. As a result, the
temperatures in front of the light emission surface increase.
There is a risk of thermal injury to the patient’s tissue.
•• Do not use high intensity illumination in cavities with small
lumens.
•• Do not use high intensity illumination when the distal end of the
endoscope is placed into close proximity to the tissue.
•• If the distal end is soiled and impairs proper visualization,
remove the endoscope and clean the distal end.
CAUTION
Risk of injury to the user
The light-guide connector on the endoscope becomes hot. There
is a risk of burns if the endoscope is held by hand for a longer
period.
•• Avoid touching the light-guide connector when holding the
endoscope.
CAUTION
Risk of injury to the user
When using a sterile bag during the procedure, the temperature
of the distal end increases significantly. There is a risk of burns to
the patient’s tissue and the sterile bag.
•• Switch the light source into standby mode when using the
sterile bag.
NOTICE
Risk of damage to the product
If activated laser equipment touches the energized endoscope,
the energized endoscope may be damaged.
22
Use
23
After use
6 After use
CAUTION
Risk of injury to the user
The connectors on the endoscope become hot. There is a risk of
burns when touching the connectors.
•• Let the endoscope cool down after use.
WARNING
Risk of injury to the patient and/or the medical personnel
If instruments are left in dry condition for a longer period, heavy
debris may dry to the instrument, leading to incrustations that
may be difficult to remove.
•• Reprocess this product immediately after use. Do not leave
used instruments overnight before reprocessing.
•• Olympus recommends to return the product from the point
of use to the cleaning area in dry condition to avoid protein
fixation caused by detergents or disinfectants.
24
After use
25
Reprocessing
7 Reprocessing
WARNING
Risk of injury to the patient
When using plastic instrument trays for automated cleaning and
thermal disinfection, the detergent may not come in contact with
all parts of the endoscope. Ineffective cleaning and disinfection
may lead to infection of the patient.
•• Do not use plastic instrument trays for automated cleaning and
thermal disinfection of the endoscope.
WARNING
Risk of injury to the user
Patient debris and reprocessing chemicals are hazardous. There
is a risk of infection or skin irritation when they come into contact
with exposed skin.
•• Wear personal protective equipment to guard against
dangerous chemicals and potentially infectious material in
accordance with the applicable local guidelines.
•• During cleaning and disinfection or sterilization, wear
appropriate personal protective equipment, such as eye wear,
face mask, moisture-resistant clothing and chemical-resistant
gloves that fit properly and are long enough so that no part of
the skin is exposed.
26
Reprocessing
NOTICE
Risk of damage to the product
If endoscopes touch each other during reprocessing, transport or
storage, damage to the endoscope may occur.
•• Avoid that the endoscopes touch each other or other devices
during reprocessing, transport or storage.
Brand-new instruments
Treat brand-new instruments as if they have been used.
Brand-new instruments must be reprocessed using a complete
reprocessing cycle.
27
Reprocessing
28
Reprocessing
Increased wear
Some reprocessing methods may lead to increased wear of the
products.
•• Inspect the products thoroughly before use for traces of wear.
29
Reprocessing
Cleaning brush
In the following reprocessing instructions, Olympus uses the term
“appropriate surface brush”. Select an appropriate surface brush
according to the following information:
•• A surface brush is for outer surfaces only. Do not use a lumen
brush for surfaces.
•• Do not use a brush with metal bristles or any other types of
bristle which can scratch and damage the instrument.
•• Only use brushes which the manufacturer has designated for
reprocessing of medical devices.
WARNING
Risk of injury to the patient and/or the medical personnel
There is an infection control risk when using insufficient
detergents.
•• Only use detergents which have been validated for the product.
WARNING
Risk of injury to the patient and/or the medical personnel
The cleaning efficacy may be compromised if the detergent fixes
proteins to the product.
•• Avoid any protein fixation prior to or during cleaning caused by
the reprocessing process.
30
Reprocessing
NOTICE
Risk of damage to the product
Incompatible detergents may considerably damage Olympus
endoscopes and accessories.
•• Use only solutions that are approved and verified (for example
by FDA, DGHM or a comparable institution) and that are
certified by their manufacturers as safe for endoscopic
instrument cleaning and disinfection.
•• Select the immersion time and the concentration of the solution
in accordance with the instructions given by the manufacturer
of the detergent.
NOTICE
Risk of damage to the product
Detergents may contain various aggressive compounds which
can damage the product.
•• To remove residues, rinse the product thoroughly with
deionized water as described by the manufacturer of the
detergent.
•• Do not use tap water for rinsing because it might be
chlorinated.
31
Reprocessing
4. Wipe the eyepiece cover glass and objective cover class with
a cotton swab that has been moistened with 70% ethanol
solution.
Do not wipe with a metal cotton applicator.
5. Thoroughly rinse the product and all gaps at least 10 times
with fresh enzyme-based detergent using a syringe of at least
10 ml.
6. Thoroughly rinse the product with deionized water for at least
30 s using a cleaning pistol or other rinse device.
The cleaning pistol or other rinse device must be suitable for
cleaning medical devices and deliver a minimum pressure of
1 bar (14.5 psi).
NOTICE
Risk of damage to the product
Incompatible disinfectants may considerably damage Olympus
endoscopes and accessories.
•• Use only solutions that are approved and verified (for example
by FDA, DGHM or a comparable institution) and that are
certified by their manufacturers as safe for endoscopic
instrument cleaning and disinfection.
•• Select the immersion time and the concentration of the solution
in accordance with the instructions given by the manufacturer
of the disinfectant.
NOTICE
Risk of damage to the product
Disinfectant solutions or tap water may contain various
aggressive compounds that can damage the product.
•• To remove residues, rinse the product thoroughly with sterile
water.
•• Do not use tap water for rinsing because it might be
chlorinated.
32
Reprocessing
WARNING
Risk of injury to the patient and/or the medical personnel
There is an infection control risk when using insufficient
detergents.
•• Only use detergents which have been validated for the product.
33
Reprocessing
WARNING
Risk of injury to the patient
When using plastic instrument trays for automated cleaning and
thermal disinfection, the detergent may not come in contact with
all parts of the endoscope. Ineffective cleaning and disinfection
may lead to infection of the patient.
•• Do not use plastic instrument trays for automated cleaning and
thermal disinfection of the endoscope.
CAUTION
Risk of injury to the patient and/or the medical personnel
Insufficient detergents or disinfectants can lead to protein fixation
on the instrument. High inflow temperatures during automated
cleaning and thermal disinfection can cause thermal coagulation
of proteins.
•• Preferably return the product from the point of use to the
cleaning area in dry condition to avoid protein fixation caused
by detergents or disinfectants.
•• Make sure that the first water inflow into the washer-disinfector
during automated cleaning and thermal disinfection starts with
cold temperatures (<20 °C) to avoid thermal coagulation of
proteins.
34
Reprocessing
NOTICE
Risk of damage to the product
Detergents or tap water may contain various aggressive
compounds that can corrode the product.
•• To remove residues, rinse the product thoroughly with
deionized water.
•• Do not use tap water for rinsing because it might be
chlorinated.
35
Reprocessing
1) Pre-rinse
2) Cleaning
3) Rinsing
4) Heating
5) Disinfection
6) Drying
36
Reprocessing
7.6 Maintenance
37
Reprocessing
38
Reprocessing
NOTICE
Risk of damage to the product
Too high temperatures may damage the product.
•• Do not exceed a temperature of 138 °C. Otherwise, damage
may occur.
39
Reprocessing
40
Reprocessing
1) Evacuation
2) Steaming and evacuation 2x
3) Heating
4) Sterilization
5) Evacuation
6) Drying
7) Aeration
CAUTION
Risk of injury to the patient
Performing a STERRAD® sterilization with the endoscope in the
plastic instrument tray may lead to residues on the endoscope.
There is a risk of an allergic reaction to the patient.
41
Reprocessing
STERRAD® systems
Different STERRAD® systems with different cycles exist in the
market. The information provided on STERRAD® sterilization in
this document applies to the following STERRAD® systems and
cycles:
-- STERRAD® 50: only 1 cycle
-- STERRAD® 100S: short cycle and long cycle
-- STERRAD® 200: short cycle and long cycle
-- STERRAD® NX™: standard cycle and advanced cycle
-- STERRAD® 100NX™: standard cycle and express cycle
42
Reprocessing
WARNING
Risk of injury to the patient and/or the medical personnel
Residual water can affect the gas sterilization process and lead
to insufficient reprocessing.
•• Thoroughly clean and dry the instruments before gas
sterilization.
WARNING
Risk of injury to the patient and the user
Toxic gasses can enter internal volumes of the product during
gas sterilization. The gasses can remain in the product and can
leak out during use.
•• To remove toxic gasses, aerate the product sufficiently after
sterilization.
43
Reprocessing
NOTICE
Risk of damage to the product
If the product is stored or transported with other devices without
use of an instrument tray, product damage may occur.
•• Use instrument trays to store or transport the product.
•• Load instruments separately into instrument trays.
•• Only remove instruments from the instrument tray directly
before use.
NOTICE
Risk of damage to the product
The endoscope is a precise optical device. Careless handling
may damage the endoscope.
•• Handle and store endoscopic equipment carefully.
•• Do not subject it to mechanical shocks, such as impact or fall.
44
Repair, shipment and disposal
8.1 Repair
WARNING
Risk of injury to the patient and/or the user
There is a risk of damage to the product if the user or an
unauthorized servicing agency attempts repair of a product. A
damaged product may cause injury of the patient or the user.
•• Only let qualified servicing personnel that has been authorized
by Olympus carry out repairs.
Loss of warranty
Any guarantee or warranty claims are forfeited if the user or an
unauthorized servicing agency attempts repair of a product.
Description of defects
To enable the Service Center to perform repairs in a timely
manner, send the product together with a detailed description
of the damage or defect. The following particulars should be
included:
-- Catalog number
-- Serial number or lot number (if possible)
-- Precise description of the malfunction
-- Delivery date
-- Invoice copy (for possible guarantee or warranty claims)
45
Repair, shipment and disposal
8.2 Shipment
WARNING
Risk of infection for the servicing personnel
Sending used products to Olympus represents a risk of infection
for the personnel. Olympus is entitled to refuse soiled or
contaminated products for reasons of safety.
•• Reprocess the product before sending in.
•• If reprocessing will damage the product completely, clean the
product as thoroughly as possible and mark it accordingly.
8.3 Disposal
46
Compatible equipment
9 Compatible equipment
Olympus recommends the use of equipment as listed in this
chapter. If combinations are used that are not listed in this
chapter, the user takes the full responsibility.
Future equipment may also be compatible. For more information,
contact an Olympus representative.
Some of the products listed in this chapter may not be available
in all sales territories.
CAUTION
Risk of injury to the patient and/or the user
When using endoscopes and light-guide cables with an
inappropriate combination of the maximum insertion portion width
and fiber bundle diameter, the connectors may become hot.
•• Only use endoscopes and light-guide cables with the
appropriate combination of the maximum insertion portion
width and fiber bundle diameter.
•• For the appropriate maximum insertion portion width of the
telescope, refer to the chapter “Technical data” on page 50.
•• For the appropriate fiber bundle diameter, refer to the
respective instructions for use of the light-guide cable.
Light-guide cables
Olympus recommends the use of an Olympus light-guide
cable and an Olympus light source. Only this combination will
guarantee optimum illumination of the endoscopic image and
excellent color reproduction.
Using endoscopes in combination with light-guide cables of other
manufacturers may lead to an increase in temperature of the
connectors.
47
Compatible equipment
A0464
O0332 A0460
WA4KL500
WA4KL530
WA4KL545
48
Compatible equipment
A0464
O0332 A0460
WA4KL100
WA4KL130
WA4KL145
49
Technical data
10 Technical data
Working length
WA4KL100...................................................................... 316.4 mm
WA4KL130...................................................................... 318.6 mm
WA4KL145...................................................................... 319.2 mm
WA4KL500...................................................................... 315.8 mm
WA4KL530...................................................................... 317.0 mm
WA4KL545...................................................................... 317.0 mm
10.2 Specifications
Direction of view
WA4KL100, WA4KL500..............................................................0°
WA4KL130, WA4KL530............................................................30°
WA4KL145, WA4KL545............................................................45°
Field of view
WA4KL100, WA4KL130, WA4KL145........................................88°
WA4KL500, WA4KL530, WA4KL545........................................84°
Operating conditions
Ambient temperature...............................10 to 35 °C (50 to 95 °F)
Relative humidity.............................................................30 to 85%
Atmospheric pressure...........................................700 to 1060 hPa
50
Technical data
Storage conditions
Temperature..........................................10 to 40 °C (50 to 104 °F)
Relative humidity.............................................................30 to 85%
Transport conditions
Temperature..................................... −40 to 70 °C (−40 to 158 °F)
Relative humidity.............................................................10 to 95%
51
W7510750_06
2018-06-07
en © Copyright 2018 Olympus Winter & Ibe GmbH