or procedures, all fluid containers (sterile water bottles and suction containers) must be properly
and securely arranged in order to prevent spillage whereby maintaining a safe working
environment� Place the containers in the designated locations and connect them according
to the instructions in this section� When using third-party devices with the endoscope,
always consult and follow the instructions for use accompanying the third-party device�
Connection to the insufflation/rinsing fluid management system 4
•
If ancillary equipment is ON turn OFF�
•
Connect the endoscope using a new disposable or sterilized reusable insufflation/rinsing
fluid management tubing set�
•
Please note that a new disposable or sterilized reusable water bottle must be used for each
new procedure�
•
Confirm that the connector fits properly and that it cannot be rotated�
•
Turn the ancillary equipment back ON�
Connection to the auxiliary water jet system 5
•
The endoscope has an auxiliary water jet connector with an integrated one-way valve to
reduce the risk of backflow�
•
If ancillary equipment is ON turn OFF�
•
Connect the irrigation tube to the auxiliary water jet connector located on the endoscope
connector� A new disposable or sterilized reusable irrigation tube and water bottle is
required for each new procedure�
•
Confirm that the connector fits properly�
•
Turn the ancillary equipment back ON�
Connection to the suction system 5
Regardless of the vacuum source chosen, the endoscope will require the source to provide
a vacuum for the endoscope to operate normally� Failure to provide the minimum vacuum
requirements could result in a decreased suction capacity� Irrespective of the chosen medical
suction system, overflow protection must be a feature of the suction container setup utilized
to prevent fluids from entering the endoscopic system� This feature is commonly referred to as
"self-sealing" feature or a "shut-off-filter", or similar mechanisms� Please note that a new
disposable or sterilized reusable suction tube and new disposable or sterilized reusable
suction container is required for each new procedure�
•
If ancillary equipment is ON turn OFF�
•
When all other connections are made, fit the end of the suction tube securely over the suction
connector located on the endoscope connector�
•
Connect the other end of the suction tube to the suction container and establish a connection
to the external vacuum source (wall suction or medical suction pump) from here� Always read
and follow the IFU of ancillary equipment�
•
Turn the ancillary equipment back ON�
3.4. Inspection of the endoscopic system
Checking the working channel 6
•
Confirm that the biopsy valve is attached to the working channel port� Gastrointestinal
endotherapy accessories labelled for use with a working channel with an inner diameter (ID)
of 2�8 mm/8�4 Fr or less for aScope Gastro and with an inner diameter (ID) of 4�2 mm/12�6 Fr
or less for aScope Gastro Large are compatible� There is no guarantee that endotherapy
accessories selected using only this minimum working channel size will be compatible with
the endoscope�
•
Compatibility of selected endotherapy accessories should be tested prior to procedure�
Inspection of the Image 7
•
Verify that a live video image and correct orientation appears on the monitor by pointing
the distal end of the endoscope towards an object, e�g� the palm of your hand�
•
Adjust the image preferences on the displaying unit if necessary� See displaying unit's IFU
for further details�
•
If the image is impaired and/or unclear, wipe the lens at the distal tip using a sterile cloth�
•
The images must not be used as an independent source for diagnosis of any pathology�
Physicians must interpret and qualify any findings by other means and in the light of the
patient's clinical characteristics�
11