OLYMPUS INSTRUCTIONS (and Reprocessing) OES BRONCHOFIBERSCOPE OLYMPUS BF TYPE 40 OLYMPUS BF TYPE P40 OLYMPUS BF TYPE 1T40 OLYMPUS BF TYPE XT40 OLYMPUS BF TYPE 3C40 OLYMPUS BF TYPE XP40 | USA: CAUTION: Federal law restricts this device to sale by or on the | order of a physician.Contents Symbols Important information-Please Read Before Use Imtonded uso z Instruction Manual 2 User Qualifications 2 Instrument Compatiality 2 Roprocessing and Storage 3 Ropair and Madiicaton 4 ‘Signal Words 3 Warnings and Cautions, 4 Chapter 1 Checking the Package Contents 1.1 Checking the Package Contents 6 Chapter 2 Instrument Nomenclature and Specifications 21 Nomenciature. : 8 22. Endoscope Functions .....-++sse0++ 10 23° Specifications " Chapter 3 Preparation and Inspection 3.1. Preparation ofthe Equipment «...... 16 3.2 Preparation and Inspection ofthe Endoscope 16 3.3 Preparation and Inspection of Accessories 18 3.4 Attaching Accessories tothe Endoscope 19 3.5 Proparation, Inspection and Connection of the Ancilary Equipment 21 3.6 Inspection of the Endoscopic System a Chapter 4 Operation 4.1 Insertion 2 42 Using Endo-thorapy Accessories 8 43 Witherawal ofthe Endoscope 23 44 Transportation ofthe Endoscope 24 Chapter § Reprocessing: General Policy 5.1 Instructions a 38 5.2 Precautions testes 36 OLYMPUS BRONCHOI |ERSCOPE BF-A0 Series 7contents Chapter 6 Compatible Reprocessing Methods and Chemical Agents 6.1 Compattilty Summary 37 6.2 Detergent Solution ei 38 6.3 Disinfectant Solution era 38 6.4 Rinsing Water 9 65 ETO Gas Sterilization Py 6.6 Steam Sterilization (Autoclaving) of Accessories a Chapter 7 Cleaning, Disinfection and Sterilization Procedures 7.1. Required Reprocessing Equipment a2 7.2 Clearing, Disinfection and Sterilization Procedures 46 7.3 Precleaning fs 7 7.4 Leakage Testing 49 7.5 Manual Cleaning st 7.8 High Level Disinfection 37 7.7. Rinsing After High Level Disinfection 53 1.8 Steriization 6 7.8 Cleaning, Disinfection and Sterilzation Procedures for Reusable Parts {and Cleaning Equipment 62 Chapter 8 Washing and Disinfection Equipment 8.1 Washing and Disinfection Equipment 68 Chapter 9 Storage 941 Storage 67 Chapter 10 Troubleshooting 10.1. Troubleshooting Gulde 6a 10.2 Returning the Endoscope for Repair 0 Appendix ‘system Chart n 7 US BRONCHOFIBERSCOPE Bh SeriesSymbats Symbols ‘Temearin(s ofthe symbols) shown an the package anders stunt as foo Refer to insvuetions Do nat reuse. Lot number Type BF applied part ff Abe Endoscope OLYMPUS GRONGHOFIBERSCOPE BF-40 SeriesImportan inermaton-Ploase Read Before Use Important Information- Please Read Before Use Intended Use ‘These instruments have been designod tobe used with an Olympus Light Source, {documentation equipment, display monitor, Endo-Therapy Accesscres and other ancilaryequipmentforendoscopicciagnosis and treatment withinthe always and tracheobronchial tee Do not use these instruments for any purpose other than thei intended use, Instruction Manual This instruction manual contains essential information on using these instruments safely and ffecively. Before use. thoroughly review thismanualandtne manuals ofallequipment which will beusedl during the procecure and use these insttumenks as instructs. Keep this and al related instruction manuals in a safe, accessible location. I you have any questions or comments bout any information in this manual, please contact Olympus. User Qualifications ‘The operator ofthese instruments mustbes physician or medical personnolunder the supervision ofa physician and musthave received sufficient waning in eirical tendoscopictechnique. Thismanual, therefore, does not explainor discuss clinical endoscope procedures, Instrument Compatibility 2 Refer to the "System Chat” in the Appendix to confirm that this instrument is ‘compatible with the ancillary equipment being used. Using incompatible {equipment can resultin patient injury or equipment damage, OLYMPUS — BRONCHOFIBERSCOPE BF-40 SaresLiportan infarmation-Please Read Boore Use Reprocessing and Storage “This instrumentinasnotatsinfected or sterlized before shipment. Before usingttis instrument for the fst time, reprocessit according to the instructions in Chapter 7, “Cleaning, Disinfection and Steriization Procedures”. Ator using this instrument, reprocess and store it according tothe instructions in Chapters 5 through 9. Improper andor incomplete reprocessing or storage can presentaninfection control isk, cause equipment damagoorrecuce performance. Repair and Modification “This instrument does not contain any user-serviceable parts. Donotalsassemble modity or attempt to repair it patient or user injury andlor equipment damage can result ‘Some problems that appear tobe malfunctions may be correctable by referring to Chapter 10, “Troubloshooting’. If the problem cannot be resolved using the information in Chapter 10, contact Olympus. Signal Words ‘The following signal words are used throughout this manual: KEEN incicates @ potentially nazardous situation which, if not avoided, could resut in death or serious injury. Indicates @ potentially hazardous situation which, if not voided, may resultin minor or moderate injury. Itmayalsobe used to ale against unsafe practices or potential equipment damage, [NOTE] Indica Aaditional helpful information OLYMPUS BRONCHOFIBERSCOPE BF-40 Sores 3Warnings and Cautions 7 ‘nportnt ifrmation-Please Read Bolero Use Follow th wamings and cautions describes below when handling this instument Thisinformationis supplemented bythe warnings and cautions described in each chapter Ce Never perform electrosurgery with BF-3C40/XP40, because the Distal End of this Insttument is not insulated, Patient injury can result Never perform angulation control, suetion contol or Insertoniwithcraval of the endoscope's Insertion Tube ‘without viewing the endoscopic image. Patient injury can result, Do pot touch the Light Guide immediately alter removing it {rom the Light Source because itis extremely hot Do rot pulthe Universal Cord. The Endoscope Connector ‘willbe pulled out from the output socket of te Light Source ‘and the endoscopic image wil not be visio Do not coil the Insertion Tube and Universal Cord with a ‘iameteroflessthan 10cm. Equipment damage canresult. Bo not hit tothe Distal End ofthe Insertion Tube o allow it to svike osher objects. The objective lens surface of the Distal End is particulary fragile, and vision abnormalities, may result. ‘Do not twist oF bend the Bending Section by hands. Equipment damage may result o not squeeze the Bending Section forcefully. The ‘covering ofthe Bending Section may stotch or break and ‘cause water leaks. Donothitor nde Electcal Contacts onthe Endoscope Connecter. The connection tothe Light Source may be impaired and faulty contact can resul. ‘bo not scratch the Electrical Contacts of the Eyeplace Section with tweezers or other sharp instuments. Faulty contact withthe camera equipment can result OLYMPUS GRONCHOFIBERSCOPE BF-40 Series‘portant nfarmaton-Please Read Belore Use Details on clinical endoscopic technique are the responsibility of trained specialist, Patient safety endoscopic examinations and endoscopictreatment can be ensured through appropriate handing by the physician and the medical facilty. Examples of inappropriate handling ao given bolow. ‘5 Using improperty repracessed or stored instruments may cause patient ‘ross.contamination and infection, 'S_Applyingprolonged suction withthe Distal Endin contactwiththemucosal surface may cause bleeding or suction lesions. $ Inserting and using Endo-Therapy Accessories without a clear endoscopic view may cause burns or perforation ‘5 Patientinjury may be caused by inserting or withdrawing the endoscope, ‘applying suction without a clear endoscopic view: forcefully pulling, isting or rotating the angulated Bending Section. ‘OLYMPUS. GRONCHOFIBERSCOPE BF-40 Series, 5Chapter 1 Chocking the Package Contents Chapter 1 Checking the Package Contents 1.1 Checking the Package Contents “Match allitems in the package wth the components shown below. Inspect each item for damages. If the instrument is damaged, a component is missing or you hhave any questions, donot use the instrument; immediately contact Olympus. ‘Thisinstrumentwas notdsinfecteadorstriizedbefore shipment. Before using this instrument forthe frsttime, reprocess itaccording to the instructions in Chapter 7 “Cleaning, Disinfection and Sterilization Procedures” (eurtse, exeoy (GW.7e for secant) SS y J gf Suction Chaning Adsptr 048-222) @ OLYMPUS — BRONCHOFIBERSCOPE BF-40 SeriesCChapier 1 Checking the Package Contents OLYMPUS _ BRONCHOFIBERSCOPE BF-40 Series(Chapter 2 Insoument Nomenctoure and Speccations Chapter 2 Instrument Nomenclature and Specifications 2,1 Nomenclature \erting Connector Eecuical Contacts) / aN 1. Endoseope Connector @ OLYMPUS _ GRONCHOFIBERSCOPE BF-40 SeriesChapter 2 Instrument Nomenclature aed Specleations {Eyepiece Frame (Viewfinder) L 2. Diopter Adjustment Ring Control ever control Section OO crap 4 ~~ __quas-210) Soa tn \s i reasnin 5. Color Coae {except BF-3c40rxP40) Bee ‘ea enn OLYMPUS SRONCHOFIBERSCOPE BF-40 Series 9Chester 2 Insvument Nomenclature and Spectcaions 2.2 Endoscope Functions 1. Bending Section Moves the Distal End of the endoscope by operating tho UP/DOWN ‘Angulation Control Lever. 2. UPIDOWN Angulation Control Lever \Whenturedinthe"Ucrecton, the Bending Sectionmoves UP; whenturned inthe "D* direction, the Bending Section moves DOWN, 3.Single-use Suction Valve Doprossostho valve to activate suction. Usod to remove fut and debris that ‘obstruct the visual fl ‘The Singlo-use Suction Valveis designed fora single-use only. Do not attempt to reuse or resterize 4, Single-use Biopsy Valve (MAJ-210) ‘Accessories may be insered through he Sitin this vale. A syringe maybe inserted for the introduction of Mis. EEE The Single use Biopsy Valveis designed fora single-use only Do not attempt to reuse or restonize. 5. Color Code Used to quickly determine the compatibilty of Endo-Therapy Accessories. (The endoscope can be used with Endo-Therapy Accessories that have the ‘same color code.) S_ BF-401P40 (Blue) $_BF-1T49 (Green) S_BF-XT40 (Yellon) BF-3C40IXP40 does not have a Color Code. if you use Endo-Therapy Accessories with BF-3CA0/XPa0, sae the ‘System Chart” in the Appendix and select compatible Endo-Therapy Accessories. 6. Instrument Channel Functions as: Channel for insertion of Endo-Therapy Accessories: Suction channel: Nid feed channel (rom a syringe via the Biopsy Valve). 7. Endoscope Connector ‘Connects to the Light Source, Transmits light rom the Light Source to the endoscope. 10 OLYMPUS — SRONCHOFIBERSCOPE BF-40 SeriesChapter 2 Instrument Nomenciture and Speciation 4. Eyepiece Frame (Viewfinder) ‘The Viowlinder contains an index mark incicating the UP direction of the Bencing Section 9. Diopter Adjustment Ring ‘Adjusts the operator's focus, This does not afect focusing for photography, 2.3 Specifications (10.210 16.4 psa) Operating Environment ‘peraing ——_ Aribiet Environment Temperature Relative Humidity TRirPresse Specifications > BF-40 “opal Sysom Fie of View Depth of Ficld Insertion Tube Distal End Outer Giameter om Diameter Tio we ow we 10K 700 0 10601 (0310 1.4 kgm?) Bie 50mm 2somm 50mm 580mm ance Sn Direction womwhich Endo-Therapy Accessories "D) Channel ini Visible Distanes Sim ‘enter and ext the endoscopic image Bending ‘angulation Range Section TToraltength UP Ta DOWN TO" OLYMPUS _ BRONCHOFIBERSCOPE BF-40 Series H(Chapter Instrument Nomenclaure and Specifications > BF-P4o “Opiical System Fieldof View “DeptholFiedd == tOSUmm SSS “Inserion Tube Outer =—=~S0mm “Working length 80mm “ratrument” loner Channel Diameter © 22 nm Channel ‘Minimum Visible Distance Sm — “Direction fomwhich Endo-Therapy Accessories a ‘enter and ext the ‘endoscopic image Ne “Bending Angulation Range ——«UPT80" GOVINO” Section oa Can gEEeEEEE Ft EEEE-OE AHF A aga gEEEEES > BF-1Ta0 “Optical Systom Field ofView aS ‘DepthotFied ———~=~S*~«C mm SSS Insertion Tube Distal End Outer Diameter 0 5.9 rm “Insertion Tube Outer —~—CeGOmm Diameter “Working Length 50mm Tratument Inner Channel Diameter 2mm SS Channot Minimum VisibleDistwce “Sm SSSOS*S~*S ‘Direction omwhich [Endo-Therapy Accessories ‘and exit tho endoscopic image “Bending Angulation Range UP 16, DOWN” Section Toultengh SSS 12 OLYMPUS — BRONCHOFIBERSCOPE BF-40 SeriesChapter 2 Instument Nomenclature and Speccations ee a awe ‘Insertion Tube Distal End Outer Diamoter oT mm a Diameter Working Length 01mm “Tnsirament Inner Channel Diameter —eS2mm SSS Channel“ Winimum Visible Distance —Smim ———SSOSOS~S~S* Direction fom which ear Endo-therapy Accessories oc 2) enter and exit the ‘endoscopicimage ae “Bending ——Argulaton Range —~=~SCUP TB DOWN TG Section Totaltengh eo BF-3¢40 ‘Gplical System Fld of View cy Dopth of Fistd 3050 mm Insertion Tube Distal End Outer Diameter 0 3.2mm Diameter “Working Length 580mm “Instrument InnerChannel Diameter @ 12mm SSS Channel “inion Visible Distance Imm ———SOSCS~S~S* “Drection komwhigh Endo-Therapy Accessories enter and ext the ‘endoscopic image “Bending Angulation Range —=~S*CUP YR, DOWN TG Section Teultesh SSCS OLYMPUS _ GRONCHOFIBERSCOPE BF-40 Series 3Chapter 2 Instumert Nomenclature and Specifications > BF-XP40 ‘Optical System FiedofView SSCS Insertion Tube iodo Vow “DepthotField ——=~=~S~*~« mm SSS 21080 mm Distal End Outer Diameter 6 2: ‘Working Length 028mm “Instrument Inner Channel Diameter ei2nm SSS Instrument Channel ‘Winimar Vi Distance Direction from which Endo-Therapy Accessories enter and ext the endoscopic image eizrm “Minimum Visible Distance 15mm SSCS” Le “Bending Angulation Range ——~=~=CUP TA", DOWN TG" Bending Section ‘angulation Range Bom Total Length eno eTrust RFT tetas gt of te year ot Year of Degree of protection against electric shock rmarufac is ven inthe secend ‘git ofthe sana number. TYPE BF applied part OLYMPUS BRONCHOFIBERSCOPE BF40 Sars "4Chapter $ Proparatin ae inspection Chapter 3 Preparation and Inspection Before each case, prepare and inspect this instrument as Instructed below Inspoct other equipmont that aro used with this instrument as instructed in their respective instruction manuals. Should the slightest regularity be suspected, do not use this instrument and see Chapter 10, "Troubleshooting? Ifthe regularity is stil suspected after consulting Chapter 10, contact Olympus. Damage or ‘regulary may compromise paiontor user safety andmay result in more-severe equipment damage. This instrument was not disinfected or stoiized before shipment. Before using this instrument forthe frst time, teprocess it according to the instructions in Chapter 7 “Cleaning, Disinfection and Storiization Prococures" 3.1 Preparation of the Equipment ‘Accorcing 1theSystom Chart inthe Appendix, prepare thisinstrument, ancillary ‘equipment, papar tows, basi, int fee cloth and personal protective equipment suchas eye wea, aface mask, moistre-resistant clothing and chemicalesistant loves, forthe particular ease. Refer tothe respective nstuction marwal foreach piece of equipment. 3 “=f — Suction Valve Figure 3.1 ‘OLYMPUS SRONCHOFIBERSCOPE BF-40 Series 15Chester 3 Preperotn end pee, 3.2 Preparation and Inspection of the Endoscope Clean and sisinfect (or striize) the endoscope as deserivedin Chapters 5 trough 8 ofthis instruction manual Inspection of the Endoscope 7. visually inspect the Control Section and the Endoscope Connector for excessive sratehing 2. Visually inspect the Boot and the Insertion Tube near the Boot for bends, {wists or other iregutares, ‘3. visually inspect the surfaco ofthe Insorion Tube for dents, bulges, sweling or ather regulates 4. Carefully run your fingertips aver the entre length of the Insertion Tube. Inspect for any protruding objects or other irogularios. (See Figure 3.2) Figure 3.2 76 OLYMPUS GRONCHOFIBERSCOPE BF-40 SeriesChapter 3 Prparaion and inspection ‘5. Visualy inspect the covering ofthe Bending Section for sagging. sling. cuts, holes or other regulates. 6. Loosely ho the midpoint ofthe Bending Section anda point 10 om rom the Distal End. Push and pul gent o conf that thors no lay 7. Visually inspect the Objective Lens a te Distal En ofthe endoscope for ons, bulges, wong or othr ivegulats. 8. Conti thatthe Diopter Adjustment Ring turns smoothly and that the Eyepiece Section is attached securely tothe Contl Section. Conf that the eyepiece is ree of dofets, suchas seratches or dofrmatons. ‘When clearing or wiping the eyepiece lens surface, do notuse abrasive cleansers becausetheymay scratchthelens surface, 9. wipotho Eyepiece Seon. the Eleetcal Contacts andLight Gude edges of the Endeseope Connector using a lan, tree doth moistened wth 70% ety or isopropy akohol Inspection of the Bending Mechanisms Perfoem the fllowing inspections wile the Bending Section is straight Inspection for Smooth Operation 7. Turn the UP/DOWN Angulation Conro! Lever slowly in each direction unlit stops. Confirm thatthe Bending Section angulates smoothly and correctly ‘and that maximum sirecton can be achieved. 2. Turn the UPIDOWN Angulation Control Lever stoty to ts neutral position. ‘Conf that the Bending Section retums smoothly to an approximately ‘taight condition, OLYMPUS — GRONCHOFIBERSCOPE BF-40 Series 7[Chapter 3 Preparation and inspection 3.3 Preparation and Inspection of Accessories Prepare the Single-use Suction Valve (MAJ-208) and Single-use Biopsy Valve (ase2r0), Inspection of the Suction Valve ‘This valve is provided sterile, Do not open the package unt ready ta use. Inspect he Suetion Valve for damage. (See Figure 3.2) Ua = te Figure 3.3 NOTE Only the Single-use Suction Valve (MAJ-208) should be sod with this endoscope. SS Thisvaheis designed for use with BF-30, 40, 200 and 240 Series endoscopes. 18 OLYMPUS BRONCHOFIBERSCOPE BF-40 SeriesChapter 3 Preparation and inspection Inspection of the Biopsy Valve “Ths va is provided ster. Do not open the package un ready use. Inspect the Biopsy Valve for camago. (See Figure 3.4) Figure 3.4 Only the Single-use Biopsy Valve (MAJ-210) should be sed with this endoscope. $Thisvalveis designed for use with BF-30, 40, 200 an 240 Series endoscopes. 3.4 Attaching Accessories to the Endoscope Attaching the Suction Valve 7. Place the Suction Valve into the Suction Valve Housing aligning the arm of the main body with te wnite index mark onthe endoscope. (See Figure 3.5) 2. Push down on the tap ofthe Suction Valve with your finger unit clicks into position. Confim thatthe valve is secure and operates smoothly. OLYMPUS _ BRONCHOFIBERSCOPE BF-40 Series 19chapter 3 Preparation and inspection Index mare Figure 35 [Nove ‘Sometimes the Suction Valve vil click before itis uly seated inthe Suction Valve Housing. Press down fimly onthe Suetion Yale with your finger to Insure that itis fully soated in the Suction Valve Housing, Attaching the Biopsy Valve Push the Biopsy Valve (MAJ.210) dosn onto the instument Channel Port until the valve snaps into positon. Confirm thatthe vale is secure. (Soe Figure 3.6) (NOTE) ‘Ac ow tomperatures, the Biopsy Valve may become sui ana dificult atach, Figure 3.6 20 OLYMPUS _ BRONCHOFIBERSCOPE BF-40 Series[chapter 3 Preparation and inspection 3.5 Preparation, Inspection and Connection of the Ancillary Equipment Preparation and Inspection of Ancillary Equipment Prepare and inspect the Light Source, Suction Pump and Endo-Therapy Accessories according to their respective instruction manuals Connection of the Endoscope and Ancillary Equipment 1 Insertthe Endoscope Connector completely into theoutput socket ofthe Light Source. 2. Connect the suction pump tube from the Suction Pump to the Suction Connector on the Suction Valve. It required, prepare and inspect the camera, cisplay monitor and video system according to thor respective instruction manuals 3.6 Inspection of the Endoscopic System Inspection of the Endoscopic Image Turn the power switch of the Light Source ON according tothe instruction imanualfrthe Light Source. youareusingtheEVIS Universal Light Source, set the Mode switch toOES" 2. Adjust the brightness level as appropiate. 3. Turnthe Diopter Adjustment Ring unt the ibe patterns clear: Confirm that anodject approximately 15 mm rom the Objective Lons can be seen clearly. [NOTE] Ifthe object cannat be seen clearly, wipe the Objective Lens andthe eyepiece lens using a clea, intfree cloth moistened with 70% ethyl or isopropyl alcohol ‘OLYMPUS GRONCHOFIBERSCOPE BF-40 Series 2(Chapter 3 Preparation ard inspection Inspection of the Suction Function HEI spirate wina pressure of 670nPa (0.68 kgtem?, 8.7 psia) or less. Excessive pressure may makeil dificult to stop suction. 7. immerse the Distal End ofthe Insertion Tube in sterile water and depress the Suction Valve, Confirm that waters continuously aspirated inte the suction bate ofthe Suetion Pump, 2, Reloase the valve Confim that suction stops and the valve returns to its ‘xiginal poston. 3. Remove the Distal End ofthe Insertion Tube from the water, Depress the valve and aspirate ar for afew seconds to remove wator from the channl Inspection of the Water Feed insert a syringe filed with sterle water ino the Sit of Biopsy Valve and epzess the plunger. 2. Confirm that water is emitted trom the Distal End [NOTE 5. The syringe must be inserted fully and held perpendicular to the valve for proper operation. Angled or incomplete insertion may resultin ud leakage rom the Biopsy Valve, Do not depress the Suction Valve during feeding. If the Suction Valves depressed during water feeding, water vl be aspirated into the suction tube and not emitted from the cendoscope's Distal End. Siulaisnotemittod rom the endoscope's Distal En, hush ‘ir through the channel 22 OLYMPUS GRONCHOFIBERSCOPE BF-40 Serieschapter # operation Chapter 4 Operation ‘The operator ofthis instrumentmustbe a physician or modical personnel underthe supervision of a physician and must have received sufficient taining in clinical lendoscopictechnique, This manual, therefore, does nat explana discuss clinical ‘endoscopic procedures. itoniy describes basic operation and precautionsrotatod to the operation ofthis instrument 0 Anytime you suspect an abnormality in an endoscope function, stop the examination immediately and slowly emovo it while viewing tho endoscopic mage. Using a defective endoscope may cause patient injury Ifthe endoscopic image should unexpectedly disappear stop the examination immediately. Without touching the ‘Angulation Contsol Lever, slowly withdraw the endoscope from the patient. If'an Endo-Thecapy Accessory is being used, withdraw it in the safest possible manner belore withdrawing the endoscope. She angulation contol mectianismor any other partofthe system is not functioning property, stop the procedure Iimmeciatoly; do not operate the Angulaion Control Lever ‘unloss absolutely necossary. Then carefully withdraw the ‘endoscope while observing the endoscopic image. I the ‘endoscope cannot be withdramm fromthe patient smoothly, do not attempt to forcibly withdraw i; leave i insie the patient and immediately contact Olympus. Forcibly ‘witharaving the endoseape may cause patient injury. S$. Use personal protective equipment to quard against dangerous chemicals and potentially infectious material. ‘During operation, wear appropriate protective equipment such as eye woar, a facemask, moistue-rosistantciothing and chemical-cesistant gloves that ft properly and are tong ‘enough so that your skin is not exposed, OLYMPUS _ BRONCHOFIBERSCOPE BF-40 Series 23CGhaptor 4 Operation 4.1 Insertion Holding and Manipulating the Endoscope The Control Section ofthe endoscope is designed to be held inthe let hand. The Suction Valve can be operated using the left Index finger. The UP/DOWN, Angulation Control Lever can be operated using te eft thumb. The right hand is free to manipulate the insetion Tube. (See Figure 4.1) Figure 4.1 Insertion of the Endoscope .itmecessary, apply a medical-grade, water-soluble lubricant tothe Insertion ‘Tube. Do not apply olive olor products containing petroleum-based lubricants (e.g. Vaseline). These products may cause ‘etching and deterioration ofthe Bending Section's covering 2. Place the Mouthpiece in the patient's mouth, KEENE to prevert the patient from accidentally biting the Insertion “Tube, itis recommended that a Moutnpioce be placod in the patient's mouth before inserting the endoscope. 3. Always view the endoscopic image when passing the Distal End of the endoscope from the mouth to the layr 21 OLWMPUS — GRONCHOFIBERSCOPE BF-40 SeriesChapter + Operation Donotallow the insertion Tube to bend in aradius of 10 cm or less atthe junction ofthe Boot. Insertion Tube damage can ‘occur, (See Figure 4.2) Mustbe 10em Figue 42 Angulation of the Distal End Ifthe angulation carr mechanism or any ther pat of he ‘system is not functioning properly, stop the procedure immediately: do not operate the Angulation Control Lever unless absolutely necessary. Then carefully withdraw the endoscope while observing the endoscopic image. I the endoscope cannot be withdrawn from the patient smoothly do not tiem to forcibly wthdrawit Ieavetinsidethe patient and Immodiatoly contact Olympus. Forcibly withdrawing the endoscope may cause patient injury ‘Operate the Angutation Control Lever as necessary to uide the Distal En forthe insertion and observation. OLYMPUS BRONCHOFIBERSCOPE BF-40 Sores 25Chopter 4 Operation Feeding and Aspirating Fluids Feeding Securay insert a sytinge ito the Sit of Biopsy Valve and press the plunger. Donotdepress he Suction Valve uring feeding, ithe Suction \Vatreis depressed during feeding, fuids willbe aspirated into the Suction Pump. Aspiration KEEN Aoid aspiration sous matter or thick Mui, channel or valve clogging can occur. Ifthe Suction Valve clogs and aspiration cannot be turned olf, disconnect the Suction tube from the Suction Connector of Suction Valve. Stop the procedure and withdraw the endoscope rom the patient. [EUMTENE During the procedure, make sure thatthe suction botle does ‘ot fit complotely or averiow. Asprating Mids into 8 full Container ean damage the Suction Pump, ‘Depress the Suction Valve to aspirate excess fuds or debris. (See Figure 4.3) Figure 4.3 26 OLYMPUS BRONCHOFIBERSCOPE BF-40 SeriesChapter # Operation Observation of the Endoscopic Image ‘The Distal End of the endoscope may exceed 41°C (106"F) and reach 50°C (12°F) due to intense endoscopic ituination, Surface temperaires over 41°C (105°F) may cause mucosal buns. Always use the minimum leva of ilumination necessary for adequate viewing. Wheneve 03sbe, avoid close stationary viewng and donot eave the Distal End afte endoscope close to mucous membrane fora tong time, Relerto the Light Source’s instruction manual for instructions on howto adjust the brightness. Photography ‘Connect the camera to the endoscope’s eyepiece, and take photographs ‘according othe camera's instruction manual Monitor Observation When observing the endoscopic image on the display monitor, refer to the instruction manuals ofthe Light Source and the OES Video Systom, NOTE] you are using the EVIS Video Systom Center, the OES Video Converter makes it possible to observe the endoscopic image con the display monitor. Simultaneous Observation by 2 People By connecting the Lecturescope (LS-10) to the endoscope’s eyepiece a second ‘observer may view the procedure. OLYMPUS GRONCHOFIBERSCOPE BF-40 Series 27(Chapter 4 Operation 4.2. Using Endo-Therapy Accessories For information on combining the endoscope with particular Endo-Therapy ‘Accessories, read the instruction manuals for Endo-Therapy Accessories. Ian Endo-Therapy Accessory cannot be withdrawn from tho tendoscope, close the tip of the Endo-Therapy Accessory or retract the tp of the Endo-Therapy Accessory int its sheath ‘and slowiy withdraw the endoscope while observing the ‘endoscopic image. Insertion of Endo-Therapy Accessories Into the Endoscope 7. Reler to the “System Chart” in the Appendix to determine instrument compatibility, 2. wile holding the UPIOOWN Angulation Control Lever stationary, slowly inser the Endo-Therapy Accessory through the Sit of Blopsy Valve. If significant resistance is encountered and insertion becomes very difficult, straighten the Bending Section as ‘much as possible without losing the endoscopic view. Inserung Endo-Thorapy Accessories with excessive force may damage the endoscope. Confirm that the tip of the Endo-Therapy Accessory is ‘closed oF retracted into ts sheath and slowly insert the Endo-Therapy Accessory into the Biopsy Valve. Do not ‘open te tp ofthe Endo-Therapy Accessory or extond the tipofthe Endo-Therapy Accessory rom thet shoathle inserting the Endo-Thorapy Accessory inlo the channel ‘The channel andlor the Endo-Therapy Accessory may become damages. Hold the Endo-Therapy Accessory dose to the Biopsy ‘Valve and insert aight into the Biopsy Valve using low shor strokes. Otherwise, the Endo-Therapy Accessory ‘could bend or break. 3. Holdthe Endo-Therapy Accessory approximately 4em fromthe Biopsy Valve ‘and slowly advance the accessory using slow, shot stokes. 28 OLYMPUS GRONCHOFIBERSCOPE BF-40 SeriesOperation of Endo-Therapy Accessories Operate the Endo-Therapy Accessory according to the directions given in its instruction mara Withdrawal of Endo-Therapy Accessories withdraw the Endo-Therapy Recessory slony wile the tp ofthe Endo-Therapy Accessory is closed andlor retracted ino its shoath XENI not widraw the Endo-therapy Accessory ifthe tip is ‘opened or extended trom its sheath; patient injury andlor instcument damage may occur. If the Endo-Therapy ‘Accessory cannot be withdrawn, carefully withdraw both the ‘endoscope and the Endo-Thorapy Accessory together undor ‘endoscopic observation, Take carenottocausetissue trauma, High Frequency Cauterization KUEN — 5 Never porform clectrosurgory with BF-3C40/xP40, ‘because the Distal Endl of ths instrument isnot insulated, Patient injury can rsa 5. Do not perform olectrosurgery while supplying oxygen, This may resulin combustion during cauterization, Always confirm that the electrode section of the Electrosurgical Accessory Is at an appropriate stance from the Distal End of the endoscope. Confirm that the ‘green marking at the distal ip of the Electrosurgical Accessory can be abservedion the endascopicimage (See Figure 4.4) ifthe electrode is used when too close to the Distal End of endoscope, the endoscope andlor anciary ‘equipment may be damaged. Using an damaged ‘endoscope may cause patient injury S$ Set the output level of the electrosurgical unit to the minimum necessary evel. Ifthe output levels set too high the endoscope’s and accessory's insulation may be ‘damaged and cause operator andlor patient burns. Furthermere, itis recommonded that you conduct basic experiments before electrosurgery according to the instruction manual of Elecrosurgical Unit, OLYMPUS SRONCHOFIBERSCOPE BF-40 Series, 2Cropter 4 Operation Before clecrosurgery, visually inspect te surface of the endoscope for any dents, bulges or other regularities, S_ Whan performing electrosurgery, do not use the SPRAY coagulation mode. The endoscope may be damages. Prepare, inspect and connect the Electrosurgical Unit and Electrosurgical ‘Recessaries according to thei instruction manuals Taree ee Eecrode canna Feare aa [Nore $. The osersufocesol eB 40 seresentascopes oxen BF c40xP40) are sulted. Tis ellowslecosurgery ise porn Some Olympus eneioscopes are equippedwith a feedback Circuit to provide endoscope leakage current from the Electrosurgical Accessory to the electrosurgical unit Howaver, the BF-40 series is not equipped with the feedback circuit because leakage curtent from the Electrosurgical Accessory to the endoscope is litle asthe insertion partis short. Therefore, the S-CORD is. unnecessary. 'S_ When using he Electrosurgical Unit Olympus PSD-10, the following P-CORD is necessary: The S-P CORD is. unnecessary. ~ P-CORD (8-582) = P-CORD far disposable pation plate (MB-584) 30 OLYMPUS SRONCHOFIBERSCOPE BF-40 SeriesLaser Cauterization ‘OLyMPUS: TOES CE chapter 4 Operation 5 Dornotperform taser cauterizaton while supplying oxygen. This may result in combustion during cauterization To avoid pationt injury andlor damage to the endoscope, never emit laser radiation before confirming that an appropriate distance between the target and the; lendoscope's Distal End is maintained and the tip of the laser probe isin the correct positon in the endoscopic image. ‘5 When using an endotracheal tube keep an appropriate distance between the endoscope's Distal End and the feniotracheal tube. Then confer that the endoscopa's Distal End extends encugh rom the endotracheal tube to ‘allow angulation contro. Ifthe laser is activated while the Distal End is too close to the endotracheal tbe, patient injury andor equipment damage may occur Allow the tip ofthe Laser Probe to cool before withdrawing ‘trom the channol. ithe Laser Prabe is withdraw wile hot, channel damage may occur S$ Donotusea damaged Lasor Probe. A Lasor Probe witha ‘damaged sheath or a distal end, may cause patient injury andi equipment damage. Before inserting or withdrawing the Laser Probe, mave the UPIDOWN Angulaton Control Lover to its neural postion so thatthe Bending Sectionwillbecome straight. Vitisbent, there {a danger of damaging the instrument channel Proparo, inspect and connect the Laser Unit and Lasor Probe according to their instruction manuals. BRONCHOFIBERSCOPE BF40 Series, uwchapter Operation Bronchoalveolar Lavage > Using the BAL (Bronchoalveolar Lavage) Kit 7. Disconnect the suction ube from the Suction Connector ofthe Suction Valve Connect the suction tube from the Suction Pump tothe suction connector of 2 commercially available BAL Kit CConnectthe BAL Kits suction linet the Suction Connector of Suction Valve. (Gee Figure 45) Figure a5 2. Securely inserta syringe filed with lavage ud (e.g. saline) into the Sit ofthe Biopsy Valve and press the plunger to focd lavage fd ‘3. Dopress the Suction Valve to aspirate lavage Nid 32 OLYMPUS _ BRONCHOFIBERSCOPE BF-40 SeriesShaper $ Operation > Using a Syringe 7. Sccurlyinsorta syringe ila with vage hid e9. saline tothe Sit ofthe Biopsy Valve and press the phinger to feed lavage Mid, (See Figure 4.6) wi te syringe atachod,slonly witharaw the plunger to aspirate lavage this, (See Figure 46) Figure 46 4.3 Withdrawal of the Endoscope 7. Siowly withdraw the endoscope while observing the endoscopic image. 2. romove the Mouthpiece from the patient's mouth. ‘OLYMPUS GRONCHOFIBERSCOPE BF-#0 Series 8Chapter 4 Operation 4.4 Transportation of the Endoscope Transporting Within the Hospital |when carrying the endoscope, hold the Endoscope Connector together wit the Control Section in one hand and hold the Distal Endo the Insertion Tube securely, but lightly without squeezing in the other hand as shown in Figure 4.7. Figure 47 Transporting Outside the Hospital Transport the endoscope in the Carrying Case KEWIRTE—s_ The Carrying Case cannotbe cleaned orcisinfected. Clean and disinfect orsteriize the endoscope before placing tin the Carrying Case. Disinfect or sterlize the endoscope ‘gaia before use. S$ Altach he ETO Cap when transporting the endoscope, 10 ‘avoid damage caused to the endoscope by change in air pressure 3] OLYMPUS _ GRONCHOFIBERSCOPE 5Chapter § Reprocessing: General Poly Chapter 5 Reprocessing: General Policy 5.1 Instructions 5 Chapters tough &describerecommencied procecures forcleaningané disinfecting or steriizing this instrument. The medical ltorature reports incidents of patient cross contarinatan resulting tromimeroper cleaning, disinfection or sterization. Its strongly recommended that reprocessing personne! have a thorough Understanding of and follow all national and local hospital guidelines and polcios, {A specific individual or individuals in the endoscopy unit should be responsible or repracessing endoscopic equipment. tis highly desiable that a tained backup be available should the primary reprocessing individuals) be absent S. Allingividuatsresponsibiforreprocessing should thoroughly understands s s 5 s s s your institution's reprocessing procedures, ‘occupational health and safety regulations national and loca hospital uideknes and policies the instructions in this manual the mechanical aspocts of endoscopic equipment pertinent germicide labeling OLYMPUS BRONCHOFIBERSCOPE BF 40 Series 35Chapter 5 Reprocessing: GoveralPolcy 5.2 Precautions 36 ‘OLYMPUS Eo Failure to property clean ang high-level disinfect or sterilize ‘endoscopic equipment after each examination can ‘compromise patient safety. To minimize the risk of ‘ransmiting diseases from one patient to anther, the ‘endoscope must undergo thorough manual cleaning {allowed by high-evel disinfection o stelzation ate each ‘examination WW the endoscope is not cleaned meticulously, effective Aisinfection (orstriizaton) may notbe possible. Cleanthe {endoscope and accossoris thoroughly before sinfection oF sterilization to remove microorganisms or organic material that could reduce the efficacy of disinfection or steniization, Patient debris and reprocessing chemicals arehazardous Wear personal protective equipment to guard against dangerous chemicals and potentially infectious material During cleaning and disinfection (or stetlization), wear appropriate protecie equipment, such as eye wear, face ‘mask, moisture-resistant clothing and chemical ETO Gas Sterilization ‘The Channel Cleaning Brush and Channel-opening Cleaning ‘Brush are not compatible with ETO gas strlizaion. ‘iter leaning and drying as described in"Manual Cleaning’ onpage 62, followthe dictions given below. 1. Before sterilization, the pats and equipment mustbe thoroughly cleaned ana ates, 2, Seal the individual parts or equipment in packages appropriate fr ettilone ‘oxide gas sterilization according ta your hospital's protocol 13. Stesiize th instrument according tothe recommenced ETO Gas Exposure Parameters described in Soction 6.5, “ETO Gas Steization” and the sterilizer manufacturers instructions, 4. Aorate the components following the Minimum Aeration Parameters spectiod in Section 6.5, “E10 Gas Steiizaton” 5. Storethe components folowing theinstructions given in Chapter 9, "Storage" > Steam Sterilization (Autoclaving) ‘tr cleaning as described in “Manual Cleening” on page 62. steam sterlize according to tho insvuctons given below. 1. Betoresteriization, the parts and equipmontmustbe thoroughly cleaned and died, Residual moisture iiitssteriization, 2. Seal the lngveual parts or equipment in packages appropiate for steam sterlizavon (atocaving) according to your hospital's protocol 3. Steam sterilize the instrument according to the parameters described in Section 6.6, “Steam Sterilzation (autoclaving) of Accossories", and the steriizer manufacturer's instructions. 4. Following steam sterilization (autoclaving), let all components gradually cool ‘downtoroamtamperatur, Sudden changesinternperature may damagethe instruments OLYMPUS GRONCHOFIBERSCOPE BF 40 Sares 05chapter 8 Washing an Dsinvction Equipment Chapter 8 Washing and Disinfection Equipment 8.1 Washing and Disinfection Equipment ‘The endoscope is compatible with some endoscope washers recommended by ‘Olympus. Refer tothe respective instructions manual for details an operation. G5 OLYMPUS _ GRONCHOFIBERSCOPE BF-a0 SeriesChapter 9 Stage Chapter 9 Storage 9.1 Storage Eo The storage cabinet must heclean, dry, well ventilated and ‘maintained atambienttemporature. Storing the endoscope in rect sunlight, at high temperatures n high humidity or ‘exposed to X-rays may damage the endoscope or present ‘an infection contol tsk S$. Prior to storage, detach all removable parts from the ‘encoscope. Removing the Suction Valve and Biopsy Valve will allow air to circulate through the channel of the endoscope and wil assist drying. $- Donot store the endoscope inthe carying case. Use the carrying case only for shipping the endoscope. Routinely storing the endoscope in a humid, non-ventilated femvirorment such as the carrying case may present an infection control risk 1. Before storage of ahigh level disinfected endoscope, thoroughly dry all parts ofthe endoscope (outer surfaces, channel) and all accessories (0.9. biopsy forceps) 2. Hang tw endoscopeinthe storage cabinet wt the Distal End hanging rely Make surethattheinserion tubehangs vericalyandas straights possible OLYMPUS _ SRONCHOFIBERSCOPE BF 40 Series orChapter 10 Toubleshootng Chapter 10 Troubleshooting Ifthe endoscope is visibly damaged, does not function as expected oris found to have other regulates during the inspection described in Chapter 3, Preparation ‘and Inspection’, donot use the endoscope. Contact Olympus. ‘Some problems that appear to be malfunctions may be correctable by referring to Section 10.1, “Troubleshooting Guide”. Ifthe problem cannot be resolved by the deseribed remedial action, stop using the endoscope and send it to Olympus for rep Olympus does natropairaccessory pants. an accessory pan becomes damaged, contact Olympus to purchase a replacement HEINE —_Novor use the endoscope on @ patient if an abnormality is suspected, 10.1 Troubleshooting Guide Image Quality or Brightness iy para ossible Cause solution “Image isnot clear Dry objectives lean bjotv lens wih cation ‘swab maitened wth 70% thy or soppy alee, ity eyepiece lens, Clean eyepiece lens wih @ cetyl or topropyl alcoho “Opies not aqusted Rote the Deter Adusimene Propet Ring unt or patente Excessively davkor Improper Ligh Source Refer othe Light Sourc’s aight images. seting insruction mars 58 OLYMPUS RONCHOFIBERSCOPE BF-40 SeriesChapter 10 Troubleshooting “Tbsent or ngulficent Improper Suction Pump Refer the Suction Pump’s * Suction pico Possible Cause Description ine suction, sting. “Sveton Vai is amaged. Biopsy valve damaged. Biopsy valve Improper insta. “Shaky Sucion ve, Vale damaged Suclon Vive does not Too much pressure, ‘ero the Suton Pumps insition manual Replace with anew Suction va, je Replace twit new Biopsy vane, insian lopsy Valve cori. Replace iwi new Sucion va. ouch pressure, Lower aspiraion pressure, retention) Sottion Tnsal Bop Valve cael poston, Water Feeding county Possible Cause Description “Fuidleating fom Valois propery Biopsy Vale. Insite. “Synge i ntingered inser cored socurly Endo-Therapy Accessories ‘ser cect Solution ‘Endo-Therapy Av ncompatle Refer be “System Charen regulary =a Description eae ‘Accessory doesnot Endo-Therapy ess though he ‘Accessory fs being insert channel use ‘moat, OLYMPUS SRONCHOFIBERSCOPE BF-40 Series, fer to tho Sysiom Chao the Append an select 2 compatible Endo-Thorapy ‘Aocessory. Coin that the oor erdng onthe Endotherapy Accassory match maton te endoscope. 09chapter 10 Tawbieshooing 10.2 Returning the Endoscope for Repair HIRI — Thoroughly clean and highovel eisinfect or stelize the endoscope before returning it for repair. Improperly reprocessed equipment presents an infection contol risk to ‘each person whohandles the endoscope within the hospital or at Olympus. (Olympus isnot Hable for any injury or damage which occurs as ‘8 result of repairs attempted by non-Olympus personnel \when returing the endoscope for repair, include a description of the endoscope ‘malfunction or damage andthe name and telephone number ofthe individual at {yur locaton who is mast familiar withthe endoscope problem. Also include a ‘repair purchase oxder. |when reuring the endoscope fr repair, follow the instructions for "Transporting ‘Outside the Hospitain Section 4.4, “Transportation ofthe Endoscope” 70 OLYMPUS GRONCHOFIBERSCOPE BF-40 Serias cayAopen, Appendix System Chart ‘The recommended combinations of equipment and accessories that can be used With this instrument are sted below. New products released after the introduction of this instrument may also be compatible for use in combination with this instrument. For further details, contaet Olympus. KOEI —_ combinations of equipment ciner than those shown below are used, the full responsibly is assumed by the medical twoatment facity, ‘OLYMPUS GRONCHOFIBERSCOPE BF-40 Series, 7Endoscopic Equipment Combinations %~ ED Sion sn SLR Camora 1209) ans aaa “ SoP-10 Adapter Singlewse arzrgncams GBA ae. (3cPs10) unstio) 2— () eves aaete A scdianed (Ato-91T% PF — 2 uso Sytim OFS Veo Comer ‘Electrosurgical Unit {ereopt BFeSC40nra0) 4 VIS Universal Light Source (CLV-U20/U40) a 72 OLYMPUS BRONCHOFIBERSCOPE BF-40 SoresCleaning and Disinfection Equipment Append po 7-7 = 4 | | ! Channel Cleaning Brush \ \ | | BAERS Sonne) ANIC, , \ | ay ante | a Bieweeees oe | | seep anette | lw ° | | Suite fares \ sense | | (cece \ testage Tes Aarne Ut msde Caner saute ay = (See eee eee : : a Endo-Therapy Accessories ENDO-THERAPY | a BIOPSY FORCEPS igseriom | Swingtyms | Fonesnaua | Pomesbaedwh en ee |} = arate Tene Fane ies a] eae rene Fae BFXTAO Fes2c-1 FB-35C-1 FB-4C-1 ‘OLYMPUS SRONCHOFIBERSCOPE BF-40 Sones 73‘Appendix TnOO-THERAPY] OSV FORCEPS cESSORY ipcaa wath vo _ tpsoia aaah attooh | Aligator pe Brscean | FADED 5 : : ‘oo-nicnapy] _RoTaTaBLE BOPSY FORCEPS ‘erroLoev aRusH cessony Fenestrated Laas nara Doublejoint ‘With sheath a Ri or TERR eae Baer araapa | ree = Be8ci ara FBeCR FeacRT co BFC = = Si : wamaeEY CYTOLOGY BRUSH ccessony evrotocy cunerre Snaaragpe | Dlpesate =a = aa, a q sear e001 pew | coacesi | ecsersti r-anPs0 e-101 (bem | ceacns | ecscr erat eve! remo | ceacnti | ecsensi arcana I Be 016-108 2 : Ty These accessories may not be avaliable in some areas. 74 OLWMPUS — BRONCHOFBERSCOPE BF-40 SeriesAvene eePTERAyT GRASPING FORCEPS ACCESSORY Wahape Ratiootn Sharp woth = yo = ‘BF-1T40 FG-20P-1 FG-25C-1 - FG-26C-4 sa ‘ra0Pe0 Fe20°- z 5 : BrKraD Fears | Feasca Fexeca reae7 BFACONPO 5 7 : 5 eT GRASPING FORCEPS ACCESSORY ‘Migetorjows | Basket ype Loop ype | Spt basket ype > <= <> FineRscore a aTa0 = = Fea Fos Bra0rPe@ el FeaD Fest BrKra@ Feat Fost Fo300 Fes | aracioneao | : - FoaD FSD ENDO-THERAPY] /ASPING FORCEPS ACCESSORY = : aun ‘Spiral basket type | Three nail type See LD > oo FIBERSCOPE ore Fos Fea 352 Brae FoaD Fos Bsa arxr@ FeaD rosa Brac ‘aracioxre | Fes Fosa0 5 OLYMPUS SRONCHOFIBERSCOPE BF-40 Series, 75‘Aopendie -ENDO-THERAPY ‘CANNULA | SPRAY CATHETER accessory | MAGNETIC muecror Standard type ‘Spray ype — ar <5 FIBERSCOPE BrATAO Ter RIB PWC ‘Wad reat ‘Braap er PROBA weer TNALaK ea BFxrao Tea iaPr pRzea | Pweca NMED I, 4 9 ‘BFacaanxPao : = a = [ENDO-THERAPY MEASURING DEVICE. ACCESSORY | ASPIRATION “ - FigerscoPe ‘BF-0p«0 NAICARES waacHe1 BrxTao NAACARE wancr1 ‘BFSCeOKPAO : : = Electrosurgical Accessories Tr These accessories may not be avaliable In some areas. ENDO-THERAPY| ‘CORGULATION ELECTROSURGICAL ACCESSORY |ELECTROSURGICAL | “cLecrmope | HOT BIOPSY KNIFE ware FORCEPS ‘Bal pont Fist C— =o ia) ed Beare SpveATwA eosea Foscaiien woaiea ‘raweao | Soae-an9e-1 e3sc4 ‘Foca wares arte SpreAnacA ‘eoaca Foacanea KoaIes 76 OLYMPUS GRONCHOFIBERSCOPE BF-40 SeriesOLYMPUS owmpus oprical.co.trp ee Olympus OPTICAL CO.EUROPA) GMBH (Prebestoots defen Wanfesnse 1480-2087 Harry Gamay (uns) Posten 104898 O05" Ranta, Geena een (AOSD OLYMPUS AMERICA ING. Fe 88 8442 Taephone (HHH 5000 KEYMED LTD aaa Tax ONENEETT Ragen OHNO OLYMPUS SINGAPORE PTE LTD <0, ie iy aa 2.) Pe es oes Spe 24097 OLYMPUS BEVJING REPRESENTATIVE OFFICE ‘i ov: ra ace ea nl Chay Dt a en Ce OLYMPUS MOSCOW LIMITED LIABILITY COMPANY EOC CoSkGe 2ET pots ey ae OLYMPUS AUSTRALIA PTY. LTD. 1/04 Fete Gly Raed, Oatagh, VIC 3165, ucla me a aso Tego seus Sa GR3952 05 Pio non 20001213: 6000