CV 180 EVIS EXERA II Video System Center Instruction Manual Olympus CV180 User
User Manual: Olympus CV180 User Manual
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INSTRUCTIONS EVIS EXERA II VIDEO SYSTEM CENTER OLYMPUS CV-180 USA: CAUTION: Federal law restricts this device to sale by or on the order of a physician. Contents Contents Labels and Symbols ..................................................................... 1 Important Information — Please Read Before Use.................... 3 Intended use ............................................................................................ 3 Instruction manual .................................................................................... 3 User qualifications .................................................................................... 5 Instrument compatibility ........................................................................... 5 Repair and modification ............................................................................ 6 Signal words ............................................................................................. 6 Dangers, warnings and cautions............................................................... 7 Cardiac applications.................................................................................. 11 Summary of Equipment Functions ............................................. 12 Chapter 1 Checking the Package Contents............................ 14 Chapter 2 Nomenclature and Functions ................................. 15 2.1 Front panel...................................................................................... 15 2.2 Rear panel ...................................................................................... 19 2.3 Keyboard......................................................................................... 22 2.4 Side panels ..................................................................................... 27 2.5 Videoscope cable EXERA II (MAJ-1430)........................................ 27 2.6 Set-up of screen options ................................................................. 28 2.7 Monitor ............................................................................................ 29 2.8 Pointer............................................................................................. 33 Inspection ................................................................ 34 3.1 Inspection of the power supply ....................................................... 35 3.2 Inspection of the examination light.................................................. 36 3.3 Inspection of the automatic brightness control function .................. 37 3.4 Inspection of the monitor display .................................................... 38 3.5 Inspection of the freeze function ..................................................... 39 3.6 Inspection of the release function ................................................... 39 3.7 Inspection of the PinP (picture in picture) function.......................... 39 3.8 Inspection of the orientation function .............................................. 39 3.9 Inspection of the special light observation function......................... 40 3.10 Inspection of the scope switches and foot switches ....................... 40 Chapter 3 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 i Contents 3.11 Power OFF...................................................................................... Chapter 4 Operation.................................................................. 41 4.1 Operation flow ................................................................................. 44 4.2 Connection of an endoscope .......................................................... 46 4.3 Turning the video system center ON............................................... 50 4.4 Recall of user preset data ............................................................... 51 4.5 White balance adjustment............................................................... 52 4.6 Patient data ..................................................................................... 57 4.7 Observation of the endoscopic image............................................. 59 4.8 Recording of the observation image ............................................... 59 4.9 Termination of the operation ........................................................... 60 Functions.................................................................. 62 Front panel ...................................................................................... 62 Image source buttons............................................................................ PinP (picture in picture) display............................................................. Image enhancement mode (ENH.)........................................................ Iris mode................................................................................................ White balance........................................................................................ Brightness adjustment (Exposure) ........................................................ STOP button and PC card indicator ...................................................... PC card slot and eject button ................................................................ RESET button ....................................................................................... 62 64 67 69 70 71 75 76 80 Keyboard......................................................................................... 81 Domepoint ............................................................................................. Clearing characters from the screen (“F1”) ........................................... System setup (“Shift” + “F1”) ................................................................. Scope information (“F2”) ....................................................................... User preset (“Shift” + “F2”) .................................................................... Cursor (“F3”).......................................................................................... Patient data (“Shift” + F3) ...................................................................... Freeze mode (“F4”) ............................................................................... Browse (“Shift” + “F4”)........................................................................... Stopwatch (“F5”).................................................................................... Automatic gain control (AGC) (“F6”)...................................................... Contrast mode (“Shift” + “F6”) ............................................................... Image zooming (“F7”)............................................................................ Color bar (“Shift” + “F7”) ........................................................................ Image size (“F8”) ................................................................................... Printer lock (“Shift” + “F8”)..................................................................... Image enhancement (“F9”).................................................................... White balance adjustment (“Shift” + “F9”) ............................................. Color tone adjustment (“COLOR”)......................................................... Freeze (“FREEZE”) ............................................................................... Release (“RELEASE”)........................................................................... Arrow pointer (“Shift” + arrow keys and domepoint).............................. 81 82 84 84 85 85 86 86 87 88 89 90 91 93 94 95 96 97 98 99 101 102 Chapter 5 5.1 5.2 ii 40 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Contents 5.3 5.4 5.5 5.6 5.7 5.8 Color mode (“Shift” + “Alt” + “1”, “2”, “3”, “4”)........................................ Ending examination (“EXAM END”)...................................................... 104 105 Image recording and playback (PC card) ....................................... 106 Storage level of the PC card................................................................. Recording the frozen image on a PC card............................................ PC card menu....................................................................................... Basic operation of the PC card menu ................................................... Formatting of the PC card..................................................................... Playback images from the PC card ...................................................... Deleting images from a PC card........................................................... Deleting folder from PC card ................................................................ Annotation of images ............................................................................ Playback image annotation................................................................... Playback the images using the personal computer .............................. Image files and folders.......................................................................... 106 108 110 111 114 115 117 118 119 122 124 125 Image recording and playback (other than PC card) ...................... 127 Image filing system ............................................................................... Videocassette recorder (VCR).............................................................. 127 129 Printing images ............................................................................... 131 Video printer ......................................................................................... 131 Pre-entry of patient data ................................................................. 136 Basic operation in the patient menu ..................................................... Entering new patient data ..................................................................... Displaying patient data ......................................................................... Editing previously entered patient data................................................. Deleting previously entered patient data .............................................. Clearing all patient data previously entered.......................................... Recording patient data into PC card..................................................... Loading patient data from PC card ....................................................... 136 137 140 141 142 143 144 146 Scope information ........................................................................... 148 Displaying and entering scope information........................................... 149 Special light observation ................................................................. 151 NBI (narrow band imaging)................................................................... 151 Chapter 6 Fuse replacement .................................................... 153 Chapter 7 Care, Storage and Disposal.................................... 155 7.1 Care ................................................................................................ 155 7.2 Storage ........................................................................................... 156 7.3 Disposal .......................................................................................... 156 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 iii Contents Chapter 8 8.1 Installation work flow ....................................................................... 158 8.2 Installation of the equipment ........................................................... 159 8.3 Fitting of accessories ...................................................................... 162 8.4 Light source .................................................................................... 164 8.5 Monitor ............................................................................................ 170 8.6 Keyboard......................................................................................... 178 8.7 Videocassette recorder (VCR) ........................................................ 179 8.8 Video printer.................................................................................... 181 8.9 OLYMPUS flushing pump (OFP) .................................................... 183 8.10 Foot switch ...................................................................................... 184 8.11 Ultrasound center............................................................................ 185 8.12 Connection to the AC mains power supply ..................................... 189 Chapter 9 Function setup ......................................................... 193 9.1 Turning power ON........................................................................... 193 9.2 System setup .................................................................................. 194 Basic operation of the system setup ..................................................... System .................................................................................................. Printer.................................................................................................... Image filing system................................................................................ Monitor .................................................................................................. Videocassette recorder ......................................................................... Saving the system setup ....................................................................... Summary of settings.............................................................................. 194 197 201 206 208 211 213 214 User preset ..................................................................................... 216 Basic operation of the user preset......................................................... Remote switch and foot switch (EXERA and VISERA) ......................... Release function.................................................................................... Recording format for PC card................................................................ Freeze function...................................................................................... Image enhancement (normal observation)............................................ Color mode............................................................................................ Image size ............................................................................................. Iris.......................................................................................................... Iris speed............................................................................................... Auto gain control (AGC) ........................................................................ Contrast................................................................................................. Exposure area ....................................................................................... Electronic shutter................................................................................... Patient data display ............................................................................... Scope nickname.................................................................................... Release index time................................................................................ Indication of the special light observation.............................................. Monitor orientation function ................................................................... 216 219 223 224 225 226 228 229 232 235 237 238 239 240 241 242 243 244 245 9.3 iv Installation and Connection.................................... 157 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Contents PinP (picture in picture) function........................................................... Special light observation....................................................................... Image enhancement (NBI observation) ................................................ Saving the user preset.......................................................................... Resetting the user preset data to the factory defaults .......................... Deleting user preset data...................................................................... Summary of settings ............................................................................. 246 250 250 251 252 253 255 Chapter 10 Troubleshooting ...................................................... 259 10.1 Troubleshooting guide .................................................................... 259 10.2 Returning the video system center for repair .................................. 268 Appendix ....................................................................................... 269 System chart ............................................................................................ 269 Transportation, storage, and operation environment ................................ 276 Specifications ........................................................................................... 276 EMC information ....................................................................................... 282 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 v Contents vi EVIS EXERA II VIDEO SYSTEM CENTER CV-180 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 CSA/UL marking Fuse rating Caution that only the exclusive cable can be connected. FUSES T5AL250V Potential equalization terminal Manufacturer name Electric rating The product name, rated voltage and frequency are shown. EVIS EXERA II VIDEO SYSTEM CENTER MODEL OLYMPUS CV-180 INPUT 100-240V 50/60Hz 150VA Serial number plate EVIS EXERA II VIDEO SYSTEM CENTER CV-180 1 Labels and Symbols Back cover of this instruction manual Manufacturer Authorized representative in the European Community 2 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Important Information — Please Read Before Use Important Information — Please Read Before Use Intended use This video system center has been designed to be used with OLYMPUS camera heads, endoscopes, light sources, monitors, endo-therapy accessories and other ancillary equipment for endoscopic diagnosis, treatment and video observation. Do not use this video system center for any purpose other than its intended use. Instruction manual This instruction manual contains essential information on using this 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, please contact Olympus. Terms used in this manual Light source: The light source provides light and electrical signals to the endoscope. It also provides electrical signals to the video system center. Video printer: The video printer is a device that prints the frozen video image. Wall mains outlet: The wall mains 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 noninsulated equipment with potentially high leakage currents to decrease the possibility of electric shock. Image sensor (CCD): Image sensor (CCD) is a device that converts light into electrical signals. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 3 Important Information — Please Read Before Use Automatic brightness control: The automatic brightness control automatically adjusts the intensity of the light emitted from the light source 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. Color adjustment: Color adjustment adjusts the color balance on the video monitor. 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. Freeze: The freeze function creates a stationary view of the moving image. Release: The release function is used to capture and record an endoscopic 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. PinP (Picture in picture): PinP function displays both the image of the endoscopic live image and the image of an external device on the monitor simultaneously. PC card: 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. HDTV: High Definition Television. This is a format for high resolution video transmission featuring higher definition than the standard SDTV format. 4 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Important Information — Please Read Before Use SDTV: Standard Definition Television. It is the format used in standard video systems. Special light observation: This is a observation using filtered light. NBI (narrow band imaging): This is one of the special light observations using the narrow band observation light. 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 the “System chart” in the Appendix to confirm that this 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 2 (IEC 60601-1-2: 2001). However, when connecting to 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. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 5 Important Information — Please Read Before Use Repair and modification This 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 10, “Troubleshooting”. If the problem cannot be resolved using the information in Chapter 10, contact Olympus. This instrument is to be repaired by Olympus technicians only. Signal words The following signal words are used throughout this manual: Indicates an imminently hazardous situation which, if not avoided, will result in death or serious injury. Indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury. 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. Indicates additional helpful information. 6 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Important Information — Please Read Before Use Dangers, warnings and cautions Follow the dangers and cautions given below when handling this video system center. This information is to be supplemented by the dangers and cautions given in each chapter. • Strictly observe the following precautions. Failure to do so may place the patient and medical personnel in danger of electric shock. When this 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 this 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, explosion or fire may result because this video system center is not explosion-proof. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 7 Important Information — Please Read Before Use • In case of instrument failure or malfunction, always keep another video system center in the room ready for use. • Never insert anything into the ventilation grills of the video system center. It can cause an electric shock and/or fire. • 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 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. Especially in combination with endoscopes using an electrical shutter function, pay attention to the brightness level setting of the light source. When this instrument is used with a light source compatible with automatic brightness control function, be sure to use this function. The automatic brightness control function can keep the illumination light properly. Refer to the instruction manual of the light source for details. Do not continue observation in the proximity to tissue or keep the distal end of the endoscope in contact with living tissue for a long time. It may cause patient burns. When discontinuing the use of the endoscope, be sure to turn the light source OFF so that the endoscope does not irradiate unnecessary light. 8 • This product may interfere with other medical electronic equipment used in combination with it. Before use, refer to the Appendix to confirm the compatibility of this instrument with all equipment to be used. • Do not use this product in any place where it may be subject to strong electromagnetic radiation (for example, in the vicinity of a microwave therapeutic device, MRI, wireless set, short-wave therapeutic device, cellular/portable phone, etc.). This may impair the performance of the product. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Important Information — Please Read Before Use • If the endoscopic image dims during use, blood, mucus or debris may adhere to the light guide on the distal end of the endoscope. Carefully withdraw the endoscope from the patient and remove the blood or mucus in order 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. • Do not rely on the special light 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 imaging 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. • To display observation 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 ancillary equipment. • 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. • Do not apply excessive force to this video system center and/or other instruments connected. Otherwise, damage and/or malfunction can occur. • Do not connect or disconnect the endoscope connector while this video system center is turned ON. Connecting or disconnecting the endoscope while this video system center is ON may destroy the CCD. Turn the video system center OFF before connecting or disconnecting the endoscope. • Clean and vacuum dust the ventilation grills using a vacuum cleaner, when necessary. Otherwise, the video system center may break down and gets damaged from overheating. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 9 Important Information — Please Read Before Use • Be sure that this instrument is not used adjacent to or stacked with other equipment (other than the components of this instrument or system) to avoid electromagnetic interference. • Electromagnetic interference may occur to this instrument 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 this instrument or shielding the location. As defined by the international safety standard (IEC 606011), 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 10 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Important Information — Please Read Before Use Cardiac applications • Use only the devices listed in the “System chart” in the Appendix for endoscopic observation or treatment of the heart or areas near the heart. Other combinations of equipment may cause ventricular fibrillation or seriously affect the cardiac function of the patient. • For cardiac applications, never support the endoscope with a metal surgical arm which is not electrically isolated from the ground. If not isolated, the endoscope will be connected to the ground through the surgical arm and bed, and will conduct unexpected leakage current which may seriously affect the cardiac function of the patient. • The use of medical devices not specifically designed for cardiac applications may cause ventricular fibrillation or seriously affect the cardiac function of the patient. As specified by the international standard IEC 60601-1, any applied part used for observation or treatment of the heart or areas near the heart must meet “TYPE CF applied part” requirements for low electrical leakage current. When using endoscopes for endoscopic cardiac applications, the applied part requirements include all devices directly connected to the endoscope, such as the light guide cable, camera head and telescope holder. Each of these devices must individually meet the “TYPE CF applied part” requirements for leakage current limits if they are to be used for cardiac applications. The OLYMPUS light guide cables and camera heads listed in the “System chart” in the Appendix (TYPE CF applied part) which are suitable for cardiac applications bear a EVIS EXERA II VIDEO SYSTEM CENTER CV-180 mark. 11 Summary of Equipment Functions Summary of Equipment Functions This instrument is a system controller of the endoscopic image observation system that displays, records and prints the endoscopic images. Some of the functions of this instrument described below are enabled only when the required equipment are connected to this instrument. For more details, refer to the instruction manuals for this instrument and the other instruments connected. Displaying the endoscopic images on the monitor • The endoscopic live image and the other images of, for example, the ultrasonic endoscope connected to this instrument can be displayed on the monitor. • The endoscopic image and other external images can be displayed on the same monitor at the same time (PinP function). “PinP (picture in picture) display” on page 64 • Either a standard-definition (SDTV) monitor or high-definition (HDTV) monitor can be used. Special light observation Endoscopic observation using filtered light is available. Section 5.8, “Special light observation” on page 151 Adjusting the endoscopic images Images can be adjusted to enable clear and convenient observation. 12 • Adjustment of the image color “Color tone adjustment (“COLOR”)” on page 98 • Adjustment of the image brightness “Brightness adjustment (Exposure)” on page 71 • Changing the iris mode “Iris mode” on page 69 • Changing the contrast mode “Contrast mode (“Shift” + “F6”)” on page 90 • Enhancement of edge lines and patterns of the images “Image enhancement mode (ENH.)” on page 67 • Changing the image size “Image size (“F8”)” on page 94 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Summary of Equipment Functions • Enlargement of the images “Image zooming (“F7”)” on page 91 Entering patient data • The patient data such as name, sex, etc. can be entered and displayed on the monitor with the endoscopic live image. Section 4.6, “Patient data” on page 57 and Section 5.6, “Pre-entry of patient data” on page 136.) • Up to 40 sets of patients data can be stored on the PC card. These patient data can be copied to the other CV-180. “Recording patient data into PC card” on page 144 Customizing the operations Up to 20 remote switch settings and other functions such as iris mode, image enhancement, etc., can be stored. Section 9.3, “User preset” on page 216 Recording images • The endoscopic image can be recorded on the PC card. Section 5.3, “Image recording and playback (PC card)” on page 106 • The endoscopic image can be recorded on the image-recording device connected to this instrument, and the recorded images can be played back. Section 5.4, “Image recording and playback (other than PC card)” on page 127 • The endoscopic image can be printed from the printer connected to this instrument. Section 5.5, “Printing images” on page 131 Operation of ancillary equipment • Video casette recorder “Videocassette recorder (VCR)” on page 129 • Video printer Section 5.5, “Printing images” on page 131 • Image filing system “Image filing system” on page 127 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 13 Chapter 1 Checking the Package Contents Chapter 1 Checking the Package Contents Match all items in the package with the components shown below. Inspect each item for damage. If the instrument is damaged, a component is missing or you have any questions, do not use the instrument; immediately contact Olympus. Video system center (CV-180) Keyboard (MAJ-1428) Videoscope cable EXERA II (MAJ-1430) Power cord White cap (MH-155) White cap holder (MAJ-960) HDTV/SDTV monitor cable (MAJ-1462) Foot holder (MAJ-1433, 4 pcs.) White cap set (MAJ-941) Scope cable holder (MAJ-1466) Keyboard cover (MAJ-1557) Water container (MAJ-901) Spare fuse (MAJ-1432, 2 pcs.) 14 Instruction manual Cable color sheet EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions Chapter 2 Nomenclature and Functions 2.1 Front panel 12. Exposure level (EXPOSURE) indicator 11. Exposure adjustment (EXPOSURE) buttons 4. Locking lever 10. NBI indicator 3. Video connector socket 9. HDTV indicator 8. White balance (Wh/B OK) indicator 7. White balance (Wh/B) button 2. Power indicator 1. Power switch 6. Picture in picture (PinP) button 5. Image source buttons 22. RESET button 21. Image enhancement mode indicators 20. Image enhancement mode (ENH.) button 19. Iris mode indicators 17. STOP button 16. PC card status indicator 15. Eject button 14. PC card slot 18. Iris mode (IRIS) button EVIS EXERA II VIDEO SYSTEM CENTER CV-180 13. PinP composite terminal 15 Chapter 2 Nomenclature and Functions 1. Power switch Press to turn the video system center ON or OFF. 2. Power indicator Lights up when the video system center is ON. 3. Video connector socket The video plug of the videoscope cable, videoscope or camera head are connected to this socket. 4. Locking lever Press down to disconnect the video plug of the videoscope cable, videoscope or camera head. 5. Image source buttons Press these buttons to select the image sources to be displayed on the monitor. Press and hold the buttons to change (except “SCOPE”). “Image source buttons” on page 62 Button The image on the monitor SCOPE The endoscopic live image DV/VCR The image of the videocassette recorder, etc. PC The image of the image filing system PRINTER The image of the video printer 6. Picture in picture (PinP) button Press to display an image of the connected ancillary equipment and the endoscopic live image together on the monitor. • Setting of the PinP function “PinP (picture in picture) function” on page 246 • Operation of the PinP function “PinP (picture in picture) display” on page 64 7. White balance (Wh/B) button Press to perform the white balance adjustment. Section 4.5, “White balance adjustment” on page 52 8. White balance (Wh/B OK) indicator The indicator lights up when the white balance adjustment is completed. 9. HDTV indicator Lights up green when the instrument is turned ON, and turns white when the HDTV compatible endoscope is connected to this instrument. 10. NBI indicator Lights up green when the NBI compatible endoscope is connected to this instrument, and turns white during NBI observation. This indicator works only when the light source CLV-180 is used. “NBI (narrow band imaging)” on page 151 16 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 11. Exposure adjustment (EXPOSURE) buttons Press to adjust the brightness of the observation light. When CLV-180 is used, this button is interlocked with the “BRIGHTNESS” on CLV-180. “Brightness adjustment (Exposure)” on page 71 12. Exposure level (EXPOSURE) indicator Indicates the brightness level of the observation light. “Brightness adjustment (Exposure)” on page 71 13. PinP composite terminal The ultrasound center (EUS), endoscope position detecting unit (UPD) etc. can be connected to this connector to input the images to be displayed together with the endoscopic observation image. The PinP function can also be used with the PinP Y/C terminal on the rear panel. However, the PinP composite terminal takes priority over the PinP Y/C terminal. 14. PC card slot Insert the PC card adapter (optional) in this slot. The xD picture card can be used as the storage media. “PC card slot and eject button” on page 76 15. Eject button Press to remove the PC card from the PC card slot. “PC card slot and eject button” on page 76 16. PC card status indicator This indicator lights up green when the PC card is inserted into the PC card slot, and blinks orange while accessing the PC card. “PC card slot and eject button” on page 76 17. STOP button Press to stop accessing the PC card. Be sure to press this button before removing the PC card from the PC card slot. “PC card slot and eject button” on page 76 18. Iris mode (IRIS) button Press to switch the iris mode (brightness adjustment method) of the endoscopic image. Either “AUTO” or “PEAK” mode can be selected. • Presetting “Iris” on page 232 • Switching operation “Iris mode” on page 69 19. Iris mode indicators Indicates the iris mode being selected. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 17 Chapter 2 Nomenclature and Functions 20. Image enhancement mode (ENH.) button “Image enhancement” refers to facilitate observation of edges and patterns of the endoscopic image by electronic treatment. Press this button to change the modes of the enhancement methods. • Presetting “Image enhancement (normal observation)” on page 226 or “Image enhancement (NBI observation)” on page 250 • Operation “Image enhancement mode (ENH.)” on page 67 21. Image enhancement mode indicators One of these indicators light up and indicates the image enhancement mode being selected. The indicator goes off when the image enhancement is not used. 22. RESET button Press and hold the switch to return the settings changed during operation to the default settings. “RESET button” on page 80 18 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 2.2 Rear panel 8. PC remote terminal 9. Remote terminal 7. PC IN terminal 6. PC OUT terminal 5. Printer remote terminal 4. Printer OUT terminal 10. Foot switch terminal 11. VCR remote terminal 3. Printer IN terminal 2. Y/C OUT terminal 12. Fuse box 13. AC power inlet 1. Keyboard terminal 23. Potential equalization terminal 14. Light control terminal 22. Monitor OUT terminal 15. Light source terminal 21. Composite OUT terminal 20. Monitor remote terminal 19. PC OUT2 terminal EVIS EXERA II VIDEO SYSTEM CENTER CV-180 16. PinP Y/C terminal 17. HD/SD SDI OUT terminal 18. Digital OUT terminal 19 Chapter 2 Nomenclature and Functions 1. Keyboard terminal Connect the keyboard. 2. Y/C OUT terminal Outputs a Y/C video signals. 3. Printer IN terminal Connect the video printer. Inputs the analog video signal from the video printer. 4. Printer OUT terminal Connect the video printer. Outputs the analog video signal to the video printer. 5. Printer remote terminal Connect the video printer. Establishes communication with the video printer. 6. PC OUT terminal Connect the image filing system. Outputs the analog video signal to the image filing system. 7. PC IN terminal Connect the image filing system. Inputs the analog video signal from the image filing system. 8. PC remote terminal Connect the image filing system. Establishes communication with the image filing system. 9. Remote terminal Outputs the signal synchronizing the release and VCR (Rec/Pause) operation. 10. Foot switch terminal Connect the foot switch. 11. VCR remote terminal Connect an Olympus-recommended VCR. Outputs the analog video signal and the remote signals to the VCR. 12. Fuse box Stores the fuses that protect the instrument from electrical surges. 13. AC power inlet Connect the provided power cord to supply the AC power via this inlet. 14. Light control terminal Connect a light source that supports the analog interface. 15. Light source terminal Connect a light source CLV-180 that supports the digital interface. 20 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 16. PinP Y/C terminal The ultrasound center (EUS), endoscope position detecting unit (UPD) etc. can be connected to this connector to input the image to be displayed together with the endoscopic observation image. The PinP function can also be used with the PinP composite terminal on the front panel. However, the PinP composite terminal takes priority over the PinP Y/C terminal. 17. HD/SD SDI OUT terminal Connect a monitor compatible with the serial digital interface (SDI). Outputs the SDI signal. 18. Digital OUT terminal Connect an Olympus-recommended digital video recorder to output and input the digital video signal to the digital video recorder, using IEEE1394 cable. 19. PC OUT2 terminal Connect the image filing system. Outputs an SDI signal to the image filing system. 20. Monitor remote terminal Connect the monitor. Outputs the monitor control signal to the monitor. 21. Composite OUT terminal Outputs the composite video signal. 22. Monitor OUT terminal Connect the monitor. Outputs analog video signals to the monitor. HDTV signal is output when the HDTV compatible endoscope is connected. This connector can output a 180 rotated image (see “Monitor orientation function” on page 245). 23. Potential equalization terminal This terminal is connected to a potential equalization terminal of the other equipment connected to this instrument. The electric potential of their equipment are made equal. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 21 Chapter 2 Nomenclature and Functions 2.3 Keyboard 20. PRINT QTY. key 24. EXAM END key 19. PRINT key 23. RELEASE key 18. DEL IMAGE key 22. FREEZE key 17. CAPTURE key 21. COLOR key 26. Domepoint 25. Click key 16. #PER PAGE key 4. F4 key 8. F8 key 12. F12 key 3. F3 key 7. F7 key 11. F11 key 2. F2 key 6. F6 key 10. F10 key 1. F1 key 5. F5 key 9. F9 key 15. Pause key 14. Scroll lock key 13. Print screen key 27. Arrow keys 22 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 1. F1 key Press to clear or re-display the patient data on the monitor step by step. “Clearing characters from the screen (“F1”)” on page 82 Press together with the “Shift” key to display the system setup menu to set the basic functions of this instrument. “System setup (“Shift” + “F1”)” on page 84 2. F2 key Press to display the scope information window when using an endoscope with the endoscope information memory function. While the window is still open, press this key again to display the scope information menu that shows the information about the connected endoscope. “Scope information (“F2”)” on page 84 Press together with the “Shift” key to display the user preset menu to set and call up the observation condition of the endoscopic image. See “User preset (“Shift” + “F2”)” on page 85 3. F3 key Press to switch the display of the cursor on screen ON and OFF. “Cursor (“F3”)” on page 85 Press together with the “Shift” key to display the patient data menu to enter or call up the patient data onto the monitor. “Patient data (“Shift” + F3)” on page 86 4. F4 key Press to change the freeze mode. “Freeze mode (“F4”)” on page 86 Press together with the “Shift” key to display the PC card menu to store or call up the image data or the patient data from the PC card. “Browse (“Shift” + “F4”)” on page 87 5. F5 key Press to change the clock on the monitor to a stopwatch, and to start time counting. “Stopwatch (“F5”)” on page 88 6. F6 key Press to switch the auto gain control (AGC) function ON and OFF. “Automatic gain control (AGC) (“F6”)” on page 89 Press together with the “Shift” key to switch between the three steps of the observation image contrast. “Contrast mode (“Shift” + “F6”)” on page 90 7. F7 key Press to change the zoom ratio of the observation image in three steps (x1; x1.2; x1.5). “Image zooming (“F7”)” on page 91 Press together with the “Shift” key to display the color bar for checking the color of the monitor. “Color bar (“Shift” + “F7”)” on page 93 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 23 Chapter 2 Nomenclature and Functions 8. F8 key Press to change the image area size on the monitor. “Image size (“F8”)” on page 94 Press together with the “Shift” key to disable the functions of the following 5 keys for video printer operation: #PER Page, CAPTURE, DEL IMAGE, PRINT, PRINT QTY. “Printer lock (“Shift” + “F8”)” on page 95 9. F9 key Press to switch the image enhancement mode. “Image enhancement (“F9”)” on page 96 Press together with the “Shift” key to perform the white balance adjustment. “White balance adjustment (“Shift” + “F9”)” on page 97 10. F10 key Press to stop ( ) the VCR. “Videocassette recorder (VCR)” on page 129 11. F11 key Press to pause ( ) the VCR. Press the Scroll ( ) key to resume play. “Videocassette recorder (VCR)” on page 129 12. F12 key Press to start ( ) VCR recording. “Videocassette recorder (VCR)” on page 129 13. Print screen key Press to fast-rewind ( ) the VCR. “Videocassette recorder (VCR)” on page 129 14. Scroll lock key Press to playback ( ) the VCR. “Videocassette recorder (VCR)” on page 129 15. Pause key Press to fast-forward ( ) the VCR. “Videocassette recorder (VCR)” on page 129 16. #PER PAGE key Press to set the number of images per video print sheet. The indicator corresponding to the number lights up. An arbitrary number “N” on the keyboard depends on the printer. Section5.5, “Printing images” on page 131 17. CAPTURE key Press to capture the image in the video printer. Section5.5, “Printing images” on page 131 24 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 18. DEL IMAGE key Press to set the printer cursor back on the print sheet by one. Press together with the “Shift” key to delete a captured image at the position of the cursor. Section5.5, “Printing images” on page 131 19. PRINT key Press to print the images captured in the video printer. Section5.5, “Printing images” on page 131 20. PRINT QTY. key Press to specify the number of video print sheets to print simultaneously. The indicator corresponding to the number lights up. An arbitrary number “N” on the keyboard can be specified in the system setup menu. Section5.5, “Printing images” on page 131 21. COLOR key Press to select R (Red), B (Blue) or C (Chroma) to adjust the color of the endoscopic image. The lamp corresponding to the selected tone above the key lights up. Adjust the selected color tone using the “right” or “left” arrow keys. The indicator on the right side of the “COLOR” key shows the adjustment status. “Color tone adjustment (“COLOR”)” on page 98 22. FREEZE key Press to freeze the live endoscopic image. Press the key again to return to the live image. “Freeze (“FREEZE”)” on page 99 23. RELEASE key Press to record the image into the video printer, image filing system and PC card. The recording devices to operate should be set in advance. “Release (“RELEASE”)” on page 101 24. EXAM END key Press to execute the examination end processing. “Ending examination (“EXAM END”)” on page 105 25. Click key Press this key to enter an item after selecting the item using the domepoint. “Domepoint” on page 81 26. Domepoint Moves the arrow pointer. Selects an item in the menu or puts a marking in the endoscopic image. “Domepoint” on page 81 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 25 Chapter 2 Nomenclature and Functions 27. Arrow keys Moves the cursor. Press one of these keys together with the “Shift” key to display the arrow pointer on the endoscopic image. “Arrow pointer (“Shift” + arrow keys and domepoint)” on page 102 28. Other keyboard keys 26 • Esc Cancels the selection or returns to the previous screen. • Tab Goes to the next input area, or returns to the previous input area. • Enter Fixes entry and goes to the next text box or screen. • Shift, Alt Executes functions together with other keys. • Back space Clears the character left of the cursor. • Delete Clears the character right of the cursor. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 2.4 Side panels Ventilation grills Ventilation grills Front side 2.5 Rear side Videoscope cable EXERA II (MAJ-1430) “UP” mark Connect to the video system center “UP” side up. Video plug Connect to the video connector socket of the video system center. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Scope side connector Connect to the scope connector of the endoscope. 27 Chapter 2 Nomenclature and Functions 2.6 Set-up of screen options The software of this instrument has the following functions. • The screen of the endoscopic live image and the images of the external instruments connected to this instrument This is the basic screen of the instrument. This instrument starts the endoscopic live image when it is turned ON. Section 3.4, “Inspection of the monitor display” on page 38 • System setup screen This screen is used for setting the basic functions to operate this instrument and the other instruments connected to it correctly. Section 9.2, “System setup” on page 194 • User preset screen Up to 20 user presets are available to save individual user settings. The factory default settings are set before shipment. Section 9.3, “User preset” on page 216 • Patient data screen Patient name, sex, age, etc. can be entered for up to 40 patients in advance. Existing patient data can be accessed and displayed on the monitor together with the endoscopic image, and can be stored on the PC card. Section 5.6, “Pre-entry of patient data” on page 136 • PC card menu screen This screen is used to browse endoscopic images on the PC card. “PC card menu” on page 110 • Scope information screen This screen is used to display and/or enter endoscope information such as the type of endoscope, etc. Section 5.7, “Scope information” on page 148 • Color bar screen This screen is used to check the display color. “Color bar (“Shift” + “F7”)” on page 93 28 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 2.7 Monitor Endoscopic image display 1. Patient data 10. Special light observation display 2. System clock 3. Image recording device display NBI ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: 4. Image information 5. Flushing pump 6. PC card capacity 7. Index image 11. Endoscopic image 12. Arrow pointer John Smith Cardiac end of the stomach R V 13. Orientation 8. Attending physician 14. Scope nickname 9. Comments 1. Patient data Patient data such as name sex, etc. can be entered and displayed in this area. Section 4.6, “Patient data” on page 57 2. System clock Date and time are displayed. The date format can be set. “Date and time” on page 197 The clock has the stopwatch function. “Stopwatch (“F5”)” on page 88 3. Image recording device display The status of the image recording devices that record and print the image are displayed only when the recording devices are activated. Indication Device Details CVP Video printer page 131 D.F Digital filing system page 127 VCR Videocassette recorder page 129 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 29 Chapter 2 Nomenclature and Functions 4. Image information Displays image information on the monitor. The indications are displayed only when these function are operated. Indication Meaning Details Ct Contrast page 90 Eh Enhancement mode page 67 Z Zoom ratio page 91 5. Flushing pump Displayed only when the Olympus flushing pump (OFP) is processing. 6. PC card capacity Indicates the remaining memory level of the PC card when the PC card is inserted in the PC card slot. “Storage level of the PC card” on page 106 7. Index image Displays the reference image of the image taken by “RELEASE”. “Release index time” on page 243 8. Attending physician The physician’s name can be entered and displayed together with the patient data. 9. Comments Comments can be entered and displayed together with the patient data. 10. Special light observation display Indicates the name of the special observation function during the observation. Section 5.8, “Special light observation” on page 151 11. Endoscopic image The live endoscopic image is displayed in this area. The size and shape of the image depends on the type of endoscope used. “Image size” on page 229 12. Arrow pointer The arrow pointer is used for pointing out a part of the endoscopic image and for entering data in the menus. • Displaying “Arrow pointer (“Shift” + arrow keys and domepoint)” on page 102 • Operation “Domepoint” on page 81 13. Orientation “R” mark appears when a 180 reverse image is displayed. “Monitor orientation function” on page 245 30 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 14. Scope nickname The scope nickname is displayed when an endoscope with a scope nickname function is connected. “Scope nickname” on page 242 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 31 Chapter 2 Nomenclature and Functions Data input menu Function button Saves data, terminates the menu, etc. Menu name Text box For entering and displaying data. Highlight Indicates in blue that the function button is selected. CLV CLV-S CLE Cursor Used for entering data. List box Opens the pull down menu and selects the setting values. Pull down menu Click “ ” to show the setting values in the pull down menu. Scroll bar Shows all setting values not being displayed in the list box. Arrow pointer Moves the cursor, selects the function buttons, displays the pull down menus. 32 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 2 Nomenclature and Functions 2.8 Pointer Highlight, cursor and arrow pointer are available as pointing devices for the endoscopic image and menus on the monitor. Pointer Highlight Function Screen Indicates the button • System setup menu selected. • User preset menu • Patient data menu Displaying and operation Always displayed. Movable by pressing the arrow, “Tab”, or “Shift” + “Tab” keys. • Scope information menu • PC card information menu Cursor Indicates the position to enter data. • System setup menu • User preset menu • Patient data menu Always displayed. Movable by pressing the arrow, “Home”, or “End” keys. • Scope information menu • PC card information menu • Endoscopic image screen Arrow pointer Moves the cursor and focus or points out a specific portion of the image. • System setup menu • User preset menu Always displayed. Movable by the domepoint. • Patient data menu • Scope information menu • PC card menu Always displayed on image screen (unless full image screen selected). Press “Shift” and any arrow key in the full image screen to display/remove the arrow pointer. • Endoscopic image screen EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Press “Shift” and any arrow key. 33 Chapter 3 Inspection Chapter 3 Inspection • Review Chapter 8, “Installation and Connection” thoroughly, and prepare the instruments properly before inspection. If the equipment is not properly prepared before each use, equipment damage, patient and operator injury and/or fire can occur. • Before each procedure, inspect the video system center as instructed below. Inspect other equipment to be used with this video system center as instructed in their respective instruction manuals. Should any irregularity be observed, do not use the video system center and see Chapter 10, “Troubleshooting”. If the irregularity is still observed after consulting Chapter 10, contact Olympus. Damage or irregularity may compromise patient or user safety and may result in more severe equipment damage. Prepare the video system center and other ancillary equipment before each particular case. Refer to the respective instruction manual for each piece of equipment. 34 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 3 Inspection 3.1 Inspection of the power supply 1. Confirm that the videoscope cable, camera head and/or endoscope is connected to the videoscope cable socket of the instrument. For the connection of the endoscope or scope cable, refer to Section 4.2, “Connection of an endoscope” on page 46. 2. Press the power switch of the instrument (see Figure 3.1). The indicator lamp above the power switch lights up. Power indicator Power switch Video connector socket Figure 3.1 If the power fails to come ON When the power fails to come ON, turn the video system center OFF. Then check the video system center referring to Chapter 10, “Troubleshooting”. If the power still fails to come ON, contact Olympus. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 35 Chapter 3 Inspection 3.2 Inspection of the examination light Do not stare directly into the light beam. This may result in eye injury. Turn ON the light source and confirm that examination light is emitted from the distal end of the endoscope (see Figure 3.2). For operation of the light source, refer to its instruction manual. Endoscope’s distal end Examination light Figure 3.2 36 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 3 Inspection 3.3 Inspection of the automatic brightness control function 1. Confirm that this instrument is connected to the light source using the light source cable or light control cable (see Section 8.4, “Light source” on page 164). 2. According to the directions given in the light source's instruction manual, confirm that the light source's brightness control is set to “AUTO” and that the brightness level is in the center of the adjustable range. 3. Move the distal end of the endoscope between 1 and 3 cm from your palm. Confirm that the brightness of the image on the monitor remains constant. Confirm that the light emitted from the distal end of the endoscope changes in your palm. 4. Hold the distal end of the endoscope 3 cm from your palm. Use a piece of gauze, etc. to prevent the endoscope's distal end and your palm from being exposed to extraneous light. View the image on the monitor. 5. Confirm that the brightness of the image on the monitor changes when the light source's brightness level is changed. • In combination with some endoscope models, the space between the distal end of the endoscope and your palm in which the automatic brightness control function is available will be smaller than 1 - 3 cm. Please refer to the instruction manual of the endoscope used. • Depending on the light source connected, the exposure level indicator on the video system center goes off. Control the brightness on the light source referring to “Brightness adjustment (Exposure)” on page 71. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 37 Chapter 3 Inspection 3.4 Inspection of the monitor display Be sure to perform white balance adjustment before inspecting the color on the monitor display. See Section 4.5, “White balance adjustment” on page 52. 1. Turn the instrument ON. Then the endoscopic image appears on the screen (see Figure 3.3). ID: Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: Physician: Comment: Figure 3.3 2. Confirm that the endoscopic image is normal by observing any object such as the palm of your hand. 3. Confirm that the date and time are correct. 4. Confirm that the “CVP” counter and “D.F” counter are displayed on the screen when the video printer and digital filing system are connected. 5. Confirm that enough space is available on the PC card to store endoscopic images. 38 • The display layout is variable according to the connected endoscope and user preset. • For setting the date or time, refer to “Date and time” on page 197. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 3 Inspection 3.5 Inspection of the freeze function Do not use this instrument when the live image cannot be observed. Otherwise, patient injury may occur. 1. Press the “FREEZE” key on the keyboard, and confirm that the live endoscopic image freezes and a short beep is heard. 2. Press the “FREEZE” key again and confirm that the frozen image returns to the live image. 3. Confirm the function of the scope switches and/or foot switches, when the freeze function is assigned to these switches. 3.6 Inspection of the release function 1. Press the “RELEASE” key on the keyboard. 2. Confirm that the live image freezes for a short time and a beep is heard. 3. Confirm that the selected recording device is activated. 4. Confirm that the counter for the recording devices, which are displayed on the monitor, increments by one. 5. Confirm the function of the scope switches and/or foot switches, when the release function is assigned to these switches. 3.7 Inspection of the PinP (picture in picture) function According to the “PinP (picture in picture) display” on page 64, confirm that the PinP indication can be performed correctly. 3.8 Inspection of the orientation function If the orientation function is activated, confirm that the indication on the monitor is an endoscopic image rotated by 180 (refer to “Monitor orientation function” on page 245). EVIS EXERA II VIDEO SYSTEM CENTER CV-180 39 Chapter 3 Inspection 3.9 Inspection of the special light observation function According to Section 5.8, “Special light observation” on page 151, confirm that the image of the special light observation can be displayed correctly. 3.10 Inspection of the scope switches and foot switches If any function is assigned to the scope's remote switches and/or foot switches, confirm the proper function of these switches. 3.11 Power OFF Press the power switch of the instrument (see Figure 3.1) to turn the instrument OFF. The indicator above the switch goes off. 40 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation Chapter 4 Operation This chapter explains the work flow of endoscopic observation using the video system center. For information on how to use the functions that are not explained in this chapter, refer to the reference pages. The operator of the video system center must be a physician or medical personnel under the supervision of a physician and must have received sufficient training in clinical endoscopic techniques. This manual, therefore, does not explain or discuss clinical endoscopic procedures. It only describes basic operation and precautions related to the operation of the video system center. • Be sure to wear protective equipment such as eye wear, face mask, moisture-resistant clothing and chemical-resistant gloves that fit properly and are long enough so that your skin is not exposed. Otherwise, dangerous chemicals and/or potentially infectious material such as blood and/or mucus of the patient may cause an infection. • Should any irregularity is observed, do not use the video system center. Damage or irregularity may compromise patient or user safety and may result in more severe equipment damage. • Anytime you observe an abnormality in a video system center function, stop the examination immediately and take action according to the following procedures. Using a defective video system center may cause patient and/or operator injury. If the endoscopic image disappears or if the image freezes and cannot be restored, press the “RESET” button or temporarily turn the video system center OFF and wait for about 10 seconds. Then turn it back ON again. For ancillary equipment used in conjunction with the video system center, also turn the power OFF and then ON again as directed in their respective instruction manuals. If this fails to correct the problem, immediately stop using the equipment and turn the video system center and light source OFF. Then, gently withdraw the endoscope from the patient as described in the endoscope's instruction manual. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 41 Chapter 4 Operation If any other abnormality occurs or is suspected, immediately stop using the equipment, turn OFF all equipment, and gently withdraw the endoscope from the patient as described in the endoscope's instruction manual. Then refer to the instructions in Chapter 10, “Troubleshooting”. If the problems cannot be resolved by the remedial action described in Chapter 10, do not use the equipment and contact Olympus. • Combination with other equipment Do not use the video system center in locations exposed to direct strong electromagnetic radiations (for example, microwave treatment device, short wave treatment device, MRI or radio equipment). Electromagnetic radiation can interfere with the monitor display. Use only Olympus high-frequency electrosurgical equipment with this unit. Non-Olympus equipment can cause interference on the monitor display or a loss of the endoscopic image. Before using high-frequency electrosurgical equipment, be sure to install and connect the equipment according to it’s instruction manual and make sure that the noise does not affect the observation and surgical procedures. If high-frequency electrosurgical equipment is used without such confirmation, patient injury may result. 42 • To activate the auto brightness control function of the light source, the video system center should be turned ON. If it is not turned ON, the auto brightness control function is not activated and the light intensity is set to maximum. In this case, the endoscope distal end would become hot and could cause burns to the operator and physician (if a light source model other than CLV-180 is used). • When using spray-type medical agents such as lubricant, anesthetic, or alcohol, use them away from the video system center so that the medical agents do not contact the video system center. Medical agents might enter the video system center through the ventilation grills and may cause equipment damage. • Do not use a humidifier near the video system center as dew condensation possibly might occur and it may cause equipment failure. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation • High-frequency electrosurgical equipment can cause slight interference on the monitor display. • Sometimes horizontal line noise appears when a slim endoscope is used. To reduce the horizontal line noise, select “Edge enhancement” for the enhancement setting. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 43 Chapter 4 Operation 4.1 Operation flow Please see the operation work flow in Figure 4.1 below. Follow each step of the work flow for using the video system center. 1. Connect the endoscope to the video system center and the light source. Section 4.2, “Connection of an endoscope” on page 46 2. Inspect the instruments before use. Chapter 3, “Inspection” on page 34 3. Turns the instrument ON. Section 4.3, “Turning the video system center ON” on page 50 4. Select a user name. Section 4.4, “Recall of user preset data” on page 51 This operation can be skipped when using the user name of the last examination. 5. Adjust the white balance. Section 4.5, “White balance adjustment” on page 52 When you are planning to use the NBI observation, perform the white balance adjustment for NBI after performing the white balance for normal-light observation. 6. Enter the patient data. Section 4.6, “Patient data” on page 57 It is possible to enter the patient data before the examination (see “Entering new patient data” on page 137). continued on next page 44 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation 7. Perform examination. Chapter 5, “Functions” on page 62 Changes iris mode, Image enhancement, Freezes image, Zooms image, Recording and printing of the images, NBI observations, etc. 8. Terminate the examination. Section 4.9, “Termination of the operation” on page 60 Press “EXAM END” key after the examination. Then turn the CV-180 and other instruments OFF. 9. Disconnect the endoscope from the video system center and the light source. Section 4.9, “Termination of the operation” on page 60 10. Inspect the instruments after use. Chapter 7, “Care, Storage and Disposal” on page 155 For details on endoscope and light source, see the respective instruction manuals. 11. Reprocess and store the instrument and ancillary equipment as appropriate after use. Chapter 7, “Care, Storage and Disposal” on page 155 For details on endoscope and light source, see the respective instruction manuals. Figure 4.1 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 45 Chapter 4 Operation 4.2 Connection of an endoscope Connect the endoscope to the video system center and the light source. The connection may require special cables. Refer to the instruction manuals of ancillary equipment for details on the cables to be used. • Make sure that the video plug and its electrical contacts are completely dry before connecting the plug to the video system center (see Figure 4.2). Wet equipment could cause the image to flicker or disappear. “UP” mark Video plug Electrical contacts Figure 4.2 46 • Do not apply excessive force to the camera cable of the camera head by bending, stretching or crushing it. Also do not pull a bundle of camera cables, as this may cause internal wire disconnection. • Do not connect or disconnect the endoscope connector while this video system center is turned ON. Connecting or disconnecting the endoscope while this video system center is ON may destroy the CCD. Turn the video system center OFF before connecting or disconnecting the endoscope. • Connect the video plug all the way into the socket. The improper connection may increase image noise or may cause disappearance of the endoscopic image during operation • Be sure to refer to the instruction manuals of the ancillary equipment including the endoscope and camera cable. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation VISERA series videoscope 1. Ensure that this instrument and all connected devices are turned OFF. 2. Connect the endoscope connector of the videoscope to the light source, referring to the instruction manual for the light source. 3. Push the video plug into the video connector socket of the instrument all the way until it clicks, holding this instrument with a hand so that it will not move. Confirm that the “UP” mark points upwards (see Figure 4.3). “UP” mark Video connector socket Video plug Figure 4.3 EVIS series videoscope and ultrasonic videoscope 1. Ensure that this instrument and all connected devices are turned OFF. 2. Connect the endoscope connector of the fiberscope to the light source referring to the instruction manual for the light source. 3. Push the video plug of the scope cable EXERA II into the video connector socket of the instrument all the way until it clicks, holding this instrument with a hand so that it will not move. Confirm that the “UP” mark points upwards (see Figure 4.3). 4. Connect the scope side connector of the scope cable EXERA II to the endoscope, referring to the instruction manual of the endoscope. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 47 Chapter 4 Operation Fiberscope and camera head 1. Ensure that this instrument and all connected devices are turned OFF. 2. Connect the endoscope connector of the fiberscope to the light source, referring to the instruction manual for the light source. 3. Push the video plug of the camera head into the video connector socket of the instrument all the way until it clicks, holding this instrument with a hand so that it will not move. Confirm that the “UP” mark points upwards (see Figure 4.3). 4. Connect the video adapter and camera head to the eyepiece section of the fiberscope, referring to the instruction manuals for the video adapter and camera head. Rigidscope and camera head 1. Ensure that this instrument and all connected devices are turned OFF. 2. Connect the light guide cable to the light source, referring to the instruction manual for the light source. 3. Push the video plug of the camera head into the video connector socket of the instrument all the way until it clicks, holding this instrument with a hand so that it will not move. Confirm that the “UP” mark points upwards (see Figure 4.3). 4. Attach the light guide cable, video adapter and camera head to the rigidscope, referring to the instruction manuals for the light guide cable, video adapter and camera head. 48 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation Summary of connection This diagram gives an overview of all connections. For further details of the connection, refer to the instruction manuals of the ancillary equipment being used. Light source CV-180 1 2 VISERA series 1 2 3 Videoscope cable EXERA II Video adapter EVIS series and ultrasonic videoscope 1 2 3 Camera head Fiberscopes 3 2 1 Light guide cable 4 Video adapters, camera heads, etc. Rigidscope The numbers show the order of connection. Figure 4.4 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 49 Chapter 4 Operation 4.3 Turning the video system center ON 1. Turn the ancillary equipment ON. 2. Turn the instrument ON by pressing the power switch (see Figure 4.5). The indicator above the power switch lights up. Power indicator Power switch Figure 4.5 3. The endoscopic image appears on the monitor (see Figure 4.6). ID: Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 Physician: Comment: Figure 4.6 For the procedure of turning the ancillary equipment ON, refer to each instrument's instruction manual. 50 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation 4.4 Recall of user preset data The operating conditions for each user (operator) can be recalled from the “User preset” menu (see Section 9.3, “User preset” on page 216). Confirm that the required user preset data is selected before starting the observation. If different user preset data is used, unintended operations may occur. 1. Press the “Shift” and “F2” keys together. The “User preset” menu appears on the monitor (see Figure 4.7). F2 Shift Figure 4.7 Figure 4.8 2. Click the desired user name in the user name dialog box. The selected user name is highlighted. 3. Check if the correct user name is selected, then click “Select”. The endoscopic image appears on the monitor and the user preset data is loaded to the video system center. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 51 Chapter 4 Operation The user preset data used in the last operation before turning the video system center OFF comes up initially after turning the instrument ON. 4.5 White balance adjustment This adjustment procedure is used to display the correct image color on the monitor. There are two white balance adjustments for the normal observation and the NBI observation. Be sure to always adjust the white balance in the following cases: 52 • Before observation. • After exchange of the light source. • When any abnormality can be seen on the color of the image even if white balance adjustment has been completed. • When adjusting the white balance of the endoscope to be used in the sterilized zone, do not use the white cap (MH155) as described in this part, but use a white object such as a piece of gauze without bringing it in contact with the endoscope. Contact of the endoscope with a non-sterilized object may result in cross-contamination. • Make sure that the endoscope and white cap (MH-155) are clean before adjusting the white balance. Otherwise, crosscontamination may result. • Always control the color tone and/or enhancement of the image appropriately before observation. Setting an inappropriate color tone or enhancement condition may result in overlooking or wrong diagnosis. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation • Do not turn the video system center OFF or disconnect the videoscope while the white balance button is being pressed or the “Wh/B OK” indicator is blinking. Otherwise, the data stored on the memory chip of the endoscope may be destroyed. • When adjusting the white balance, always turn the light source ON and take care not to expose the distal end of the endoscope to external light. Otherwise, it may cause an incorrect white balance adjustment. • Always use the white cap when setting the white balance for the videoscope used in a non sterilized zone. • Set the brightness level of the light source to “3” or the center of the adjustment range before adjusting the white balance. • When the color tone is not proper, white color cannot be displayed properly on the monitor even if the white balance is set. Adjust the color tone to the center of the adjustable range. For normal light observation 1. Confirm the lighting status of the “Wh/B OK” (Wh/B = White balance) indicator on the front panel (see Figure 4.9 and Table 4.1). Wh/B OK indicator Wh/B button Figure 4.9 “Wh/B OK” indicator Status of white balance adjustment OFF Before adjustment or if adjustment failed. ON Completed. Table 4.1 2. Proceed as follows according to the use of the endoscope. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 53 Chapter 4 Operation When using an endoscope for the non-sterilized zone 1. Insert the endoscope's distal end into the white cap and hold the white cap and endoscope stable to avoid wash-out of the monitor image (see Figure 4.10). White cap Direct view Side view Figure 4.10 2. Maintaining the stable condition in step 1., press the “Wh/B” button until a short beep is generated. The result of the adjustment will be displayed on the monitor for a few seconds (see Table 4.2). Result Message Completed successfully “White balance complete!” “Check NBI white balance.” (When using NBI compatible endoscope.) Failed “White balance incomplete! Perform again!” Table 4.2 3. Confirm that the “Wh/B OK” indicator is ON (see Table 4.1). If it is OFF, go back to step 1. again. When performing white balance adjustment keep an appropriate distance between distal end and white cap. Otherwise, the white balance might not be adjusted properly. 54 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation When using an endoscope for the sterilized zone 1. Hold the endoscope stable to avoid wash-out of the monitor image, and enlarge the image to the full monitor, monitoring a white object such as a piece of gauze in such a way that it does not contact the endoscope. 2. Maintaining the stable condition in step 1., press the “Wh/B” button until a short beep is generated. The result of white balance adjustment will be displayed on the monitor for a few seconds (see Table 4.3). Result Message Completed successfully “White balance complete!” “Check NBI white balance.” (When using NBI compatible endoscope.) Failed “White balance incomplete! Perform again!” Table 4.3 3. Confirm that the “Wh/B OK” indicator is ON (see Table 4.1). If it is OFF, go back to step 1. again. For NBI observation When connecting an NBI compatible endoscope, perform the white balance adjustment for NBI observation after the white balance adjustment for normal light observation has been performed. 1. Adjust the white balance for normal light observation according to “For normal light observation” on page 53. 2. Switch to the NBI mode by operating the mode button of the light source. Refer to the instruction manual of the light source. 3. Confirm that “NBI” appears on the monitor, and that the “NBI” indicator on the front panel of the video system center turns from green to white. 4. Hold the endoscope as shown in step 1. of “When using an endoscope for the non-sterilized zone” on page 54 or step 1. of “When using an endoscope for the sterilized zone” on page 55 according to the use of it. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 55 Chapter 4 Operation 5. Maintaining the stable condition in step 4., press the “Wh/B” button until a short beep is generated. The result of the adjustment will be displayed on the monitor for a few seconds (see Table 4.4). Result Message Completed successfully “NBI White Balance Complete!” Failed “NBI White Balance Incomplete!” Table 4.4 6. If the adjustment failed, perform the operation of steps 4. and 5. again. 7. Switch to the normal mode by operating the mode button of the light source. Refer to the instruction manual of the light source. 8. Confirm that “NBI” disappears on the monitor, and that the “NBI” indicator on the front panel of the video system center turns from green to white. 56 • The white balance adjustment can also be initiated by pressing the “Shift” and “F9” keys on the keyboard together instead of the “Wh/B” button. • When the white balance adjustment cannot be completed, check if the color tone and/or brightness are correct and the white cap is clean. • Once the white balance adjustment is completed, the “Wh/B OK” indicator keeps on lighting until the video system center is turned OFF. • The white balance adjustment can also be initiated from the endoscope's remote switches and/or foot switches. For how to set up the remote switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation 4.6 Patient data Before the observation, enter the patient data into the endoscopic image. There are two methods to enter the patient data: • Patient data can be entered immediately before the examination. • A list of several patient data can be entered in advance. This section explains how to enter patient data immediately before the examination. To enter a list of several patient data in advance, see Section 5.6, “Pre-entry of patient data” on page 136. • Before entering patient data, press the “EXAM END” key to clear the previous patient data. Otherwise, different patient data can be mixed on one print sheet and/or normal functioning of the digital filing system cannot be guaranteed. • When recording the images, be sure to record the images together with the patient data. Otherwise distinction between different observations may become difficult. • Be sure to enter the patient ID when entering patient data. Also be sure to enter a different patient ID for each patient. Otherwise, the image data for some patients may mix in the same image folder. 1. Press the “F1” key to change the monitor display full-patient-data display. 2. Press the “EXAM END” key to clear the previous patient data. ID: Cursor Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 Physician: Comment: Figure 4.11 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 57 Chapter 4 Operation 3. Enter data. Data data input condition Entry example ID No. Up to 15 characters ABC123 Name Up to 20 characters Mike Johnson Sex 1 character M Age Up to 3 characters. Automatically calculated after entering D.O.B. 51 D.O.B. 8 characters. Enter the numbers according to the format (see page 197). 03031954 Physician Up to 20 characters John Smith Comment Up to 37 characters Cardiac end of the stomach Table 4.5 ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 John Smith Cardiac end of the stomach An example of displaying Figure 4.12 4. When modifying data, press the arrow key to move the cursor to the input position and edit the data. 5. When deleting all patient data displayed on the monitor, press the “EXAM END” key on the keyboard (see Figure 4.13). EXAM END Figure 4.13 58 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation 4.7 Observation of the endoscopic image Observe the endoscopic image using the various functions provided with the video system center. For details of the functions, see Chapter 5, “Functions”. 4.8 Recording of the observation image Table 4.6 shows the devices that can record and/or print endoscopic images. These devices can be controlled by the keyboard, scope switches, etc. For the operation of these devices, see Chapter 5, “Functions”. Recording device Details PC card Section 5.3, “Image recording and playback (PC card)” on page 106 Digital file system “Image filing system” on page 127 Videocassette recorder “Videocassette recorder (VCR)” on page 129 Video printer Section 5.5, “Printing images” on page 131 Table 4.6 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 59 Chapter 4 Operation 4.9 Termination of the operation Do not disconnect the video connector before turning the video system center OFF. Otherwise, the endoscope or camera head may be damaged. 1. Press the “EXAM END” key (see Figure 4.14) to execute the following process; • clearing patient data on the monitor; • completing printing of un-printed images; • closing the digital file system. EXAM END Figure 4.14 2. Turn the instrument and ancillary equipment OFF. 3. When an EVIS series endoscope is used: Disconnect the scope side connector of the videoscope cable, and place it on the scope cable holder (A in Figure 4.15). For disconnecting the video plug, see B in Figure 4.15. Video plug Scope side connector Scope cable holder Videoscope cable A) When the scope side connector is not connected. B) When both connectors are not connected. Figure 4.15 60 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 4 Operation In B in Figure 4.15, insert the video plug to the scope cable holder in the direction of the arrow. 4. When a VISERA series endoscope or camera head is used: Disconnect the video plug of the videoscope cable from the instrument, holding the instrument with a hand so that it will not move and push the locking lever down (see Figure 4.16). Video connector socket Locking lever Video plug Figure 4.16 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 61 Chapter 5 Functions Chapter 5 Functions This chapter explains the functions of the buttons and keys on the video system center. See the “System setup” menu and “User preset” menu in Chapter 9, “Function setup” for presetting. 5.1 Front panel Image source buttons Used to select the image source displayed on the monitor. The buttons other than the “SCOPE” button has to be pressed for more than 1 second to activate. 1. The Image source buttons select the images to be displayed on the monitor (see Figure 5.1). The indicator above the active button lights up. 2. Confirm that the desired image appears on the monitor. Image source buttons Figure 5.1 Button Terminal and image sources Images on the monitor Front panel SCOPE Endoscope’s live image Scope connector - DV/VCR VCR, video recorder - VCR REMOTE or DIGITAL OUT PC Digital filing system - PC IN PRINTER Video printer - PRINTER IN Table 5.1 62 Rear panel EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions When performing endoscopic observation, select the “SCOPE” image source.Images may disappear during observation depending on the condition of ancillary equipment. When pressing an image source button except PC button to which no device is connected, the lamp above the button blinks and the previous image appears on the monitor. When pressing PC button, the image input from PC IN terminal is selected, regardless of the PC’s connection. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 63 Chapter 5 Functions PinP (picture in picture) display The image of an external device connected to the following connectors can be displayed on the monitor together with the endoscopic live image. • PinP composite terminal on the front panel (prior to the PinP Y/C terminal on the rear panel.) • PinP Y/C terminal on the rear panel The PinP function has two modes, “ON/OFF mode” and “Mode Change mode”. The two modes display images in different ways. Presetting of PinP in the “User preset” menu is needed. See “PinP (picture in picture) function” on page 246. 1. Confirm that the external device is connected to either the PinP composite terminal on the front panel or the PinP Y/C terminal on the rear panel (see Figure 5.2). SCOPE button PinP button PinP composite terminal Front panel PinP Y/C terminal Rear panel Figure 5.2 2. 64 Press the “SCOPE” button to display the endoscopic live image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 3. Press the “PinP” button. The sub image appears on the monitor (see Figure 5.3). Main image Sub image PinP display Figure 5.3 4. Press the “PinP” button to change the display. The transitions of the displays are different according to the settings in “User preset” menu (see Figure 5.4 and Figure 5.5) (refer to “PinP (picture in picture) function” on page 246 for the setting method). Either (see Note) PinP button Endoscopic image Endoscopic image External image External image Endoscopic image PinP button PinP button Screen transition in the “ON/OFF mode” Note) The initial screen when pressing the PinP button depends on the user settings preset. Figure 5.4 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 65 Chapter 5 Functions PinP button Endoscopic image PinP button External image Endoscopic image External image Endoscopic image External image PinP button PinP button Screen transition in the “Mode change mode” Figure 5.5 66 • All patient data disappears in the PinP display. Press the “F1” key to display the data. • The index image does not appear in the PinP display (see “Release index time” on page 243). • It takes a few seconds before the PinP display appears depending on the devices connected. • The PinP function is also controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches. See “Remote switch and foot switch (EXERA and VISERA)” on page 219. • The output signal is just SDTV in PinP display. • Before activating the PinP function make sure that an endoscope is connected to this instrument. If no endoscope is connected it might not be possible to use the PinP function and image recording of an external device may not work. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Image enhancement mode (ENH.) The image enhancement function electrically increases the sharpness of the endoscopic live image. Three enhancement modes and normal modes are available. The type and level of image enhancement should be set in advance. See “Image enhancement (normal observation)” on page 226 and “Image enhancement (NBI observation)” on page 250. 1. Press the “ENH.” button to change the enhancement mode (see Figure 5.6). The indicator above the button lights up and the selected mode is displayed on the monitor for a few seconds. ID: Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 ENH. button Enhancement mode Ct: N Eh: A8 Z: x1.5 Enhance:A8 Physician: Comment: Figure 5.6 2. To switch OFF the image enhancement at any mode, press and hold the “ENH.” button. The indicator above the button goes OFF. ENH. button Enhancement OFF ENH. button ENH. button Mode 1 Mode 2 ENH. button Mode 3 Press and hold ENH. button Enhancement ON Figure 5.7 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 67 Chapter 5 Functions • Mesh-like noise may be observed in the image when the image enhancement function is ON during use of a fiberscope or hybrid endoscope. In this case, use the recommended camera head, or switch the image enhancement OFF. OTV-S7H-1N, OTV-S7H-1D, OTV-S7H-1NA 68 • The image enhancement mode used in the last operation before turning the video system center OFF comes up when the instrument is turned ON. • The image enhancement function can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Iris mode This operation selects the method to measure the brightness of the object of the observation. Two iris modes, peak mode and auto mode, are available. For details on the iris mode, see “Iris” on page 232. 1. Press the “IRIS” button on the front panel to switch between auto mode and peak mode alternately. The indicator above the iris mode button lights up. IRIS button Figure 5.8 • The iris mode used in the last operation before the video system center is turned OFF comes up when the instrument is turned ON. • The iris mode can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 69 Chapter 5 Functions White balance The “Wh/B” button performs the white balance adjustment to reproduce colors in their original tones. The “Wh/B OK” indicator indicates if the white balance adjustment is completed or not. For details of the operation, see Section 4.5, “White balance adjustment” on page 52. Wh/B OK indicator Wh/B button Figure 5.9 70 • The white balance adjustment can also be activated by pressing the “Shift” and “F9” keys on the keyboard. • The white balance adjustment can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Brightness adjustment (Exposure) The brightness of the live images can be adjusted. The lamp brightness is automatically adjusted to keep the brightness of the image constant when the light source is set to “AUTO”. The lamp brightness is manually adjusted to keep the lamp brightness constant at the setting value when the light source is set to “MAN.”. The function differs depending on the following conditions: Light source CLV-180 Light source mode AUTO MAN. • The light source and its settings. • The setting of the electric shutter function (refer to “Electronic shutter” on page 240) Endoscope’s electronic shutter Brightness adjustment Brightness level indication Independent of ON/OFF of the electronic shutter function. Adjust the brightness using the “EXPOSURE” buttons on the front panel. The lamp brightness is automatically adjusted to keep the image brightness constant. • The level indicators of the video system center and light source are interlocked. Automatically becomes OFF. Adjust the brightness using the “EXPOSURE” buttons on the front panel. The lamp brightness remains constant. • The level indicators of the video system center and light source are interlocked. • The “EXPOSURE” indicator is a dot display. • The “EXPOSURE” indicator is a bar display. Other than above AUTO MAN. ON • Set the light intensity of the light source to the center of the adjustable range. • The level indicators of this instrument and light source are not interlocked. • Adjust the brightness using the “EXPOSURE” buttons on the front panel. The lamp brightness is automatically adjusted to keep the image brightness constant. • The “EXPOSURE” indicator is a dot display. OFF Adjust the brightness using the brightness adjustment buttons on the light source. The lamp brightness is automatically adjusted to keep the image brightness constant. The “EXPOSURE” indicator goes OFF. ON Do not use this setting (see page 74). The light intensity reaches its greatest value, and excessive heat of the endoscope's distal end may occur. OFF Adjust the brightness using the brightness adjustment buttons on the light source. The “EXPOSURE” indicator goes OFF. Table 5.2 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 71 Chapter 5 Functions • Always use the minimum level of illumination necessary for adequate viewing. Whenever possible, avoid close, stationary viewing of mucous membranes for a long time. Intense endoscopic illumination may cause mucosal burns. • Do not bring the metal plug of the light guide and the distal end of the endoscope immediately after use in contact with the body and flammable objects because the parts will be extremely hot. • Be sure to set the brightness control mode of the light source to manual mode or turn the examination lamp OFF before disconnecting the camera head from the endoscope or disconnecting the videoscope from the video system center. Disconnecting them can increase the light intensity to the maximum and may cause burns or eye injury. Refer to the instruction manual of the endoscope for details of the electric shutter function. 72 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions CLV-180 The video system center can adjust the brightness of the light source. 1. Set the brightness control of the light source to “AUTO” or “MAN.” according to the instruction manual of the light source. 2. Set the brightness, using the “EXPOSURE” buttons on the front panel (see Figure 5.10). The brightness level is displayed on the “EXPOSURE” indicator. EXPOSURE indicator EXPOSURE buttons Figure 5.10 • Each time the “EXPOSURE” button is pressed the indicator changes by 1 level. Pressing and holding the button, changes the indicator continuously. • The “EXPOSURE” indication is interlocked with the brightness level indication of the connected CLV-180. When the brightness adjustment buttons on the CLV-180 are pressed, the “EXPOSURE” indication on the video system center varies in an interlocked operation. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 73 Chapter 5 Functions Other than CLV-180 in AUTO mode The operation differs depending on the setting of the electronic shutter function of the endoscope (refer to “Electronic shutter” on page 240). When the electronic shutter function is ON: 1. Set the brightness level of the light source to the center of the adjustable range. 2. Set the brightness using the “EXPOSURE” buttons on the front panel of the video system center. The brightness level is displayed on the “EXPOSURE” indicator. When the brightness level of the light source is not in the center of the adjustable range, intense light, which is not recognized clearly, may cause burns and/or appropriate brightness may not be obtained. When the electronic shutter function is OFF: Set the brightness as required, using the brightness adjustment buttons of the light source. The brightness level is displayed on the light source. The “EXPOSURE” buttons of the video system center is invalid, and the “EXPOSURE” indicator goes OFF. Other than CLV-180 in MANUAL mode Never set the electronic shutter function to ON in the user preset menu (refer to “Electronic shutter” on page 240). Intense light, which is not recognized clearly, may cause burns. Set the brightness as required, using the brightness adjustment buttons of the light source. The brightness level is displayed on the light source. The “EXPOSURE” buttons of the video system center is invalid, and the “EXPOSURE” indicator goes OFF. 74 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions STOP button and PC card indicator This button stops accessing the PC card. Press the button before ejecting the PC card from the PC card slot. Be sure to press the “STOP” button and confirm that the PC card status indicator goes OFF before ejecting the PC card from the PC card slot. Otherwise, the PC card and/or data stored may be destroyed. 1. Press the “STOP” button before removing the PC card. The PC card status indicator goes OFF. STOP button PC card status indicator Figure 5.11 The PC card indicator shows the status as shown below. PC card indicator Status OFF No PC card in the slot, or the video system center does not recognize the PC card. Green The PC card is in the slot, and the video system indicator has recognized the PC card. Orange (blinking) The video system indicator is accessing the PC card. Table 5.3 The images cannot be recorded when the PC card is not ejected after pressing the “STOP” button. Press the eject button to eject the PC card after a few seconds, then insert the PC card again to let the video system center recognize the PC card. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 75 Chapter 5 Functions PC card slot and eject button Eject button PC card slot Figure 5.12 Table 5.4 shows the applicable PC card adapter and Memory Card. Applicable device Specification PC card adopter MAPC-10 (Olympus) Memory Card xD picture card M-XD32P, M-XD64P, M-XD128P, M-XD256P, M-XD512P, M-XD1GM, M-XD1GMA, M-XD2GMA (Olympus) Table 5.4 • Be sure to confirm the followings. Otherwise, recording or playing back images on the PC card may not be possible. Format the PC card before the first use as described in “Formatting of the PC card” on page 114. Use the CV-180 for formatting the PC card. Do not use a personal computer, etc. • Be sure to confirm the followings. Otherwise, the PC card and the data in the PC card may be destroyed. Do not press the “STOP” button while the PC card status indicator is blinking. Do not press the “STOP” button while formatting the PC card. Press the “STOP” button and confirm if the PC card status indicator goes OFF before ejecting the PC card from the PC card slot. Handle the PC card with care and avoid subjecting them to sudden or severe impact. Do not place the PC card in a place subject to strong static electricity, electricity or magnetism. 76 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Do not leave the PC card under high temperatures, high humidity or in a corrosive atmosphere. • Do not allow a foreign object to penetrate the inside of the PC card slot. Otherwise, the equipment may be damaged. • Do not touch the PC card with wet hands. The video system center and/or data stored may be destroyed. • See the following pages for details on how to record the PC card. Images: Section 5.3, “Image recording and playback (PC card)” on page 106. Patient data: “Recording patient data into PC card” on page 144. “Loading patient data from PC card” on page 146. • Please use only the PC card adapter and Memory Card from Olympus. Other cards might not work properly. • The PC card of CardBus type and Smart Media are not available. Insertion of PC card into the PC card slot 1. Insert the xD picture card into the PC card adapter. 2. Push the PC card adapter all the way into the PC card slot. PC card status indicator PC card adapter Figure 5.13 3. The video system center recognizes the PC card, and the PC card status indicator lights up green. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 77 Chapter 5 Functions • If the video system center does not recognize the PC card, eject and reinsert the PC card adapter, or turn the video system center OFF then ON again, leaving the PC card adapter inserted. • Always prepare spare PC cards for use when the currently used card becomes full. • It is recommended to back up the image data on the PC card into a personal computer regularly. Ejection of PC card from the PC card slot Be sure to press the “STOP” button and confirm that the PC card status indicator goes OFF before ejecting the PC card from the PC card slot. Otherwise, the PC card and/or data stored may be destroyed. 1. Press the “STOP” button. The PC card status indicator goes OFF (see Figure 5.14). STOP button PC card status indicator Eject button Figure 5.14 2. 78 Press the eject button. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 3. Press the eject button again. The PC card adapter comes out slightly (see Figure 5.15). Eject button PC card adapter Figure 5.15 4. Pull the PC card adapter straight out. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 79 Chapter 5 Functions RESET button The “RESET” button resets the settings modified during use of the video system center to the original values. The settings to be reset are the following items: • User preset data: To be reset to their original settings. • Items shown in Table 5.5: To be reset to the factory defaults. Function Default setting Image source Color tone Scope R [0] G [0] C [0] Freeze Live image Release index 4 sec Zoom x1.0 Special light observation Normal observation Arrow pointer OFF Stop watch OFF Characters on screen Full display Exposure Center PinP OFF Table 5.5 1. Press and hold the “RESET” button on the front panel (see Figure 5.16). All front panel indicators should blink for about 1 second, then the settings are reset. RESET button Figure 5.16 80 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 5.2 Keyboard Domepoint The domepoint is used to move the arrow pointer, and execute the function on the screen or move the cursor on the screen. It refers as “clicking” to press the “Click” key one time, placing the arrow pointer at the desired area. 1. Press the domepoint using your finger tip. The arrow pointer on the screen moves to the direction corresponding to the pressed part of the domepoint. Click key Domepoint The arrow pointer moves to the right if pressing the right side of the domepoint. Monitor screen Arrow pointer on the screen Figure 5.17 2. Move the arrow pointer to a text box area. Click the text box to place the cursor. Cursor Click key Text box Time Time Date Date The cursor moves. Click the text box to place the cursor. Figure 5.18 3. Click a button on the menu to move the highlight, or perform the function of the button. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 81 Chapter 5 Functions Also refer to Section 2.8, “Pointer” on page 33 for the operation of cursor and highlight. Clearing characters from the screen (“F1”) This operation clears and redisplays the text information such as patient data on the monitor screen. Part of the patient data disappears from the monitor screen each time the “F1” key is pressed. The fourth press redisplays the initial display showing all patient data (see Figure 5.20 for the transition of the display). F1 Figure 5.19 82 • The zoom ratio of the image except “x1.0” is always displayed on the monitor even when the text information is cleared. • Only when all text data are displayed on the monitor, the patient data can be entered. • The image size and layout may differ from those shown in Figure 5.20 depending on the connected endoscope. • The patient data can also be cleared using the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Full display ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: ABC123 M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: Mike Johnson John Smith Cardiac end of the stomach John Smith Cardiac end of the stomach Press F1 key All clear Z: x1.5 Z: x1.5 Press F1 key Clear 2 ABC123 ABC123 Mike Johnson Mike Johnson Z: x1.5 Z: x1.5 Press F1 key Clear 1 ABC123 ABC123 Mike Johnson Mike Johnson 12/12/2005 12/12/2005 Press F1 key CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: John Smith Cardiac end of the stomach John Smith Cardiac end of the stomach Figure 5.20 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 83 Chapter 5 Functions System setup (“Shift” + “F1”) Press these keys to open the system setup menu that enables the proper use of the video system center and ancillary equipment. For details on the system setup menu, see Section 9.2, “System setup” on page 194. F1 Shift Figure 5.21 Scope information (“F2”) Press this key to open the scope information window. For details, see Section 5.7, “Scope information” on page 148. F2 Figure 5.22 84 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions User preset (“Shift” + “F2”) Press these keys to open the user preset menu that sets up the observation conditions for each user (operator). For details on the user preset menu, see Section 9.3, “User preset” on page 216. F2 Shift Figure 5.23 Cursor (“F3”) Press to switch the display of the cursor on the screen between ON and OFF. F3 Figure 5.24 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 85 Chapter 5 Functions Patient data (“Shift” + F3) Press these keys to open “Patient Data” menu to enter the patient data. For details on the patient data menu, see “Entering new patient data” on page 137. F3 Shift Figure 5.25 Freeze mode (“F4”) This key switches between the two different freeze modes that pause the endoscopic live image. F4 Figure 5.26 The freeze mode switches between “frame” and “field” each time the “F4” key is pressed. For more information of the freeze mode, see “Freeze function” on page 225. 86 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Browse (“Shift” + “F4”) Press these keys to open the PC card menu. The PC card displays the endoscopic images and patient data stored on the PC card. See “PC card menu” on page 110. Press the “Shift” and “F4” keys together to open the PC card menu. F4 Shift Figure 5.27 Figure 5.28 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 87 Chapter 5 Functions Stopwatch (“F5”) Press the “F5” key to change the clock on the monitor screen to a stopwatch. Use the “F5” key also to start and stop counting (see Figure 5.30). F5 Figure 5.29 ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 Clock 12:12:12 (H : M : S) Ct: N Eh: A8 Z: x1.5 Stop watch <00:00:00> (H : M : S) John Smith Cardiac end of the stomach Figure 5.30 F5 Stop watch Clock F5 Timing start F5 Timing stop Shift+F5 Figure 5.31 The stopwatch operation can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. 88 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Automatic gain control (AGC) (“F6”) If necessary set up the AGC function in advance. See “Auto gain control (AGC)” on page 237. 1. The AGC function is turned ON and OFF alternately each time the “F6” key is pressed. The AGC status, ON or OFF, is displayed on the monitor for about 2 seconds (see Figure 5.33). F6 Figure 5.32 AGC ON/OFF window ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: AGC ON John Smith Cardiac end of the stomach Figure 5.33 • Image noise may appear when AGC is ON. • The AGC function cannot be switched ON or OFF while the image is frozen. • The AGC function used in the last operation before turning the instrument OFF comes up, when the instrument is turned ON. • The AGC switching operation can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 89 Chapter 5 Functions Contrast mode (“Shift” + “F6”) Pressing these keys changes the contrast of the endoscopic image. Mode Explanation Normal Standard setting High Darkens the dark part and brightens the bright part compared to the normal observation. Low Brightens the dark part and darkens the bright part compared to the normal observation. Table 5.6 1. Press the “Shift” and “F6” keys together. Every time the two keys are pressed, the contrast mode changes. The selected mode is displayed on the monitor (see Figure 5.35). F6 Shift Figure 5.34 Contrast indication N H L Contrast window N: Normal H: High ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: Contrast Normal L: Low John Smith Cardiac end of the stomach Figure 5.35 • 90 The contrast mode function does not work during the special light observation. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions • The contrast mode can also be controlled from the scope switches and foot switches. For how to set up the scope switches and foot switches, “Remote switch and foot switch (EXERA and VISERA)” on page 219. Image zooming (“F7”) The endoscopic image can electrically be magnified, when using the endoscope compatible with the electronic zooming function (Scope 1, Scope 4, and Scope 5 in Table 9.30 on page 229). Three zoom ratios, x1, x1.2, x1.5, are available. The image area size does not change. Press the “F7” key to change the zoom ratio. The zoom ratio is displayed on the monitor for about 2 seconds (see Figure 5.37). F7 Figure 5.36 Zoom ratio indication Zoom window x1 x1.2 x1.5 Transition of the zoom ratio (example) ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: Zoom x 1.5 John Smith Cardiac end of the stomach Figure 5.37 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 91 Chapter 5 Functions 92 • The image area size can be changed during zooming (see “Image size (“F8”)” on page 94). When the zoom ratio returns to x1, the image area size also returns to the original size. • While the image is frozen, the zoom function is not active. • When the zoom ratio is x1, the zoom ratio is not displayed on the monitor. • This instrument always starts with zoom ratio x1. • The zoom ratio is displayed at the lower left on the monitor when the text information is cleared on the monitor. • The zoom ratio can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Color bar (“Shift” + “F7”) The color bar is used to check the color tones of the monitor. The color bar can be displayed when the monitor displays the endoscopic image. 1. Turn the video system center and the monitor ON (see Figure 5.38). Power switch Figure 5.38 2. Press the “Shift” and “F7” keys together (see Figure 5.39). The color bar appears on the monitor (see Figure 5.40). F7 Shift Blue Red Magenta Green Cyan Yellow White Figure 5.39 Color bar Figure 5.40 3. Confirm that all colors of the color chart are displayed properly. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 93 Chapter 5 Functions 4. If the colors do not appear properly, adjust them according to the instruction manual of the monitor. 5. Press the “Shift” and “F7” keys together (see Figure 5.39) to return to the endoscopic image screen. Image size (“F8”) The size of the observation image on the monitor can be changed (see Table 9.31 in “Image size” on page 229). The available image sizes are variable depending on the endoscope. The image size changes each time the “F8” key is pressed. F8 Figure 5.41 94 • When the video system center is turned ON, the image size used in the last operation before the instrument is turned OFF comes up when the instrument is turned ON. • The image size selection operation can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Printer lock (“Shift” + “F8”) All keys of the “PRINTER REMOTE” on the keyboard can be locked. During this time, the video printer can be operated using the keys on the printer. 1. Press the “Shift” and “F8” keys together to lock the “PRINTER REMOTE” keys. CAPTURE DEL IMAGE PRINT PRINT QTY. F8 #PER PAGE PRINTER REMOTE Shift Figure 5.42 2. To unlock the keys, press the “Shift” and “F8” keys together again. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 95 Chapter 5 Functions Image enhancement (“F9”) This key changes the image enhancement modes. The three types and level of the image enhancement should be set in advance. For the setup procedure, see “Image enhancement (normal observation)” on page 226 and “Image enhancement (NBI observation)” on page 250. 1. Press the “F9” key to display the current enhancement mode for a few seconds. 2. During displaying the mode on the monitor, press the “F9” key to change the enhancement mode (ex. A1, A3, etc.). The display window appears for a few seconds. F9 Figure 5.43 Image enhancement indication Image enhancement window ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: Enhance:A1 John Smith Cardiac end of the stomach Figure 5.44 96 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions F9 F9 Mode 1 Mode 2 F9 Mode 3 Transition of the image enhancement mode Figure 5.45 • When this instrument is turned ON, the enhancement mode used in the last operation before the instrument is turned OFF comes up when the instrument is turned ON. • The image enhancement mode selection operation can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. White balance adjustment (“Shift” + “F9”) White balance is an adjustment function to display the appropriate color of the image on the monitor. The operation of these two keys is the same as the “Wh/B” button on the front panel. See Section 4.5, “White balance adjustment” on page 52. F9 Shift Figure 5.46 The white balance adjustment can also be initiated from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 97 Chapter 5 Functions Color tone adjustment (“COLOR”) This key is used for the adjustment of R (red), B (blue) and C (chroma) of the observation image on the monitor. The adjustment level is displayed by the color level indicator on the keyboard (see Figure 5.47). This adjustment is effective for the normal observation and NBI observation. The normal observation has the common setting of R, B and C. NBI observation has its own setting. Complete the white balance adjustment before the color tone adjustment. Otherwise, the color tone is not adjusted properly. 1. Press the “COLOR” key to select R (red), B (blue) or C (chroma) to adjust. The indicator above the key lights up to show the tone selected. Color tone COLOR Color level indicator Arrow keys Figure 5.47 98 2. Press the arrow keys to adjust the level of the selected tone. 3. Press the “COLOR” key to select the next tone and adjust it the same way. • When the keyboard is left untouched for more than 10 seconds after selecting the tone, the selection is canceled automatically and the indicator goes OFF. • When the video system center is turned ON, the color tone used in the last operation before the instrument is turned OFF comes up when the instrument is turned ON. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Freeze (“FREEZE”) This key pauses the endoscopic live image for recording or observation. There are two types of freeze function: “field freeze” and “frame freeze”. The type of freeze function to start with can be set in advance in the user preset menu. See “Freeze function” on page 225. If the frozen image does not return to the live image, turn this instrument OFF then ON again. Also turn the ancillary equipment OFF then ON again by referring to the respective instruction manual. If the image is still frozen, immediately stop using this instrument and withdraw the endoscope gently from the patient's body by referring to the instruction manual of the endoscope. 1. Press the “FREEZE” key (see Figure 5.48) to freeze the endoscopic image. 2. Press the “FREEZE” key again and the frozen image returns to the live image. FREEZE Figure 5.48 • The frozen image also returns to the live image by pressing any key on the keyboard, except for the following keys. “F1”, “F4”, “F5”, “F8”, “F9”, “Shift” + arrow keys. • The frozen image might be blurred, when a fast motion has been captured. • A frozen image in the frame freeze mode is more easily blurred than in the field freeze mode. • During freezing, the size of the image area and image enhancement can be changed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 99 Chapter 5 Functions • 100 The image freeze operation can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Release (“RELEASE”) The key is used for image recording of the devices listed below. The device to be controlled by this key has to be set in advance in the user preset menu (Release1 in the user preset menu). See “Release function” on page 223. • Video printer, PC card, Image filing system RELEASE Figure 5.49 1. Press the “RELEASE” key to record the endoscopic image on the recording devices assigned. The live image pauses for a few seconds. 2. The counter of the recording devices on the monitor changes. • Video printer: Increments the counter. • Image filing system: Increments the counter. • PC card: Displays the storage level. (see “Storage level of the PC card” on page 106). Video printer Image filing system PC card ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: John Smith Cardiac end of the stomach Figure 5.50 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 101 Chapter 5 Functions • The release operation can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. • Before activating the PinP function make sure that an endoscope is connected to this instrument. If no endoscope is connected it might not be possible to use the PinP function and image recording of an external device may not work. Arrow pointer (“Shift” + arrow keys and domepoint) The arrow pointer can be displayed on the monitor. The arrow pointer is used to mark a desired position in the endoscopic image, or to click the menus. The display of the arrow pointer depends on each screen. Screen Display of the arrow pointer Endoscopic image screen System setup menu User preset menu Patient data menu Press “Shift” and any arrow key. Always displayed Scope information menu PC card menu Always displayed on the other than full image screen Press “Shift” and any arrow key in the full image screen. Table 5.7 1. Press the “Shift” and any arrow key (see Figure 5.51). The arrow pointer appears in the center of the endoscopic image (see Figure 5.52). Arrow keys Domepoint Shift Figure 5.51 102 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 Arrow pointer Appears at the center of the endoscopic image. John Smith Cardiac end of the stomach Figure 5.52 2. Move the arrow pointer using the domepoint on the keyboard. 3. To delete the arrow pointer, press the “Shift” and any arrow key. • The arrow pointer disappears when the endoscopic image screen once changes to the other menu and returns to the endoscopic image screen. • The arrow pointer can also be displayed and cleared from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 103 Chapter 5 Functions Color mode (“Shift” + “Alt” + “1”, “2”, “3”, “4”) These keys change the color tone of the monitor. This function is valid only for Scope B, C, and D in Table 9.33 on page 233. This function is not active for NBI observation because NBI observation uses the default setting for each endoscope. See “Color mode” on page 228 for the initial mode. Press “Shift”, “Alt”, and one of the “1”, “2”, “3”, or “4” keys together. The color mode changes. Key Color mode Color tone of the display Shift + Alt + 1 Mode 1 Same as the color mode 1 of VISERA video system center OTV-S7V Shift + Alt + 2 Mode 2 Less reddish color than the Mode 1 Shift + Alt + 3 Mode 3 More yellowish color than the Mode 1 Shift + Alt + 4 Mode 4 Standard color mode Table 5.8 104 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Ending examination (“EXAM END”) The following steps are executed at the end of each examination procedure using this key; • Clearing the displayed patient data on the monitor; • Completing printing un-printed printer image; • Close processing of image filing system. Do not disconnect the video connector before turning the video system center OFF. Otherwise, the endoscope or camera head may be damaged. Press the “EXAM END” key. The patient data on the monitor disappears and the data processing (e.g. to the PC card) is stopped. EXAM END Figure 5.53 The patient name that is once displayed in the endoscopic image turns gray in the patient list after finishing the observation by pressing the “EXAM END” key. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 105 Chapter 5 Functions 5.3 Image recording and playback (PC card) This section explains how to record and playback images from the PC card. See “STOP button and PC card indicator” on page 75 and “PC card slot and eject button” on page 76 for the operation of the PC card slot. • Be sure to format the PC card before recording images. Otherwise, recording cannot be performed properly. See “Formatting of the PC card” on page 114. • Be sure to format the PC card using the CV-180. The PC card that is formatted by a personal computer may cause malfunction in recording or playback. Storage level of the PC card The storage level of the PC card is displayed on the monitor when the PC card is inserted into the PC card slot. A warning message appears on the monitor when the storage level runs out the space. Indication of the storage level of the PC card ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 Media: John Smith Cardiac end of the stomach Figure 5.54 Display Rough number of recordable images Media: 50 or more images Media: Less than 50 images Media: Less than 30 images Media: Less than 20 images Media: Full Storage device is full. Table 5.9 106 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions • The storage level is a rough estimation based on the recording format (refer to “Recording format for PC card” on page 224). Prepare spare PC cards before the storage device runs out the space. • If the storage level becomes less than 30 images during the examination or if the first release operation is done after turning the video system center ON when the storage level is less than 30 images, a message appears on the screen (see Figure 5.55). Message window of the storage level of the PC card ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 Media: Media: John Smith Cardiac end of the stomach Figure 5.55 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 107 Chapter 5 Functions Recording the frozen image on a PC card Assign the “PC Card” to “RELEASE 1” or “RELEASE 2” in the user preset menu in advance. See “Remote switch and foot switch (EXERA and VISERA)” on page 219. 1. Insert the PC card into the PC card slot. The PC card status indicator lights up green (see Figure 5.56). PC card status indicator PC card slot Figure 5.56 2. 3. Press the “FREEZE” key to pause the endoscopic image (see Figure 5.57). Check the frozen image if it is suitable to record. If not, press the “FREEZE” key again to return to the live image and repeat steps 2. and 3. FREEZE RELEASE Figure 5.57 4. Press the “RELEASE” key (see Figure 5.57) to record the image. It may take around several seconds to record the images. 5. During recording, the PC card status indicator blinks orange, and the endoscopic image returns to the live image. • 108 If the video system center is turned OFF or the “STOP” button is pressed during recording, the images on the video system center will be lost. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions • Up to 5 serial images can be recorded. The serial release action over 5 (3 in PinP) displays the message “Please wait.” and cannot record the images. • It takes several seconds to record the images depending on endoscope, recording format and object. Usually, HDTV images take longer than SDTV images. • The freeze and release operations can also be controlled from the scope switches and foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. • The main and sub images of PinP are recorded on the PC card as the separated files that have the same time stamp. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 109 Chapter 5 Functions PC card menu The images on the PC card can be displayed, cleared, etc., on the PC card menu. Figure 5.58 shows the menu tree of the PC card menu. Endoscopic image Back, Esc, Shift + F4 Shift + F4 See page 111 Folder list screen PC Card Load, Enter Back, Esc Thumbnail screen See page 111. Shift + F4 Back, Esc View, Enter View, Enter Annotation selection screen Annotation screen Normal screen See page 115. Zoom Annotate See page 122. Esc Preview Back, Esc Annotation preview screen Full screen Title See page 115. Shift + F4 Figure 5.58 110 See page 119. Title EVIS EXERA II VIDEO SYSTEM CENTER CV-180 See page 119. Chapter 5 Functions Basic operation of the PC card menu 1. Insert the PC card into the PC card slot. The PC card status indicator lights up green (see Figure 5.59). PC card status indicator PC card slot Figure 5.59 For details on the PC card and PC card slot, see “STOP button and PC card indicator” on page 75 and “PC card slot and eject button” on page 76. 2. Press the “Shift” and “F4” keys together (see Figure 5.60). The message “Please wait” is displayed on the monitor, then the folder list screen appears (see Figure 5.61). F4 Shift Figure 5.60 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 111 Chapter 5 Functions Figure 5.61 Button Function Details Load Displays the thumbnail index of the data folder selected. page 111 Delete Deletes the data folder selected. page 118 Back Returns to the endoscopic live image. page 111 Format Formats the PC card. page 114 Table 5.10 3. Click an image folder in the folder list. The patient data is displayed on the right side of the window. 4. Click “Load” or press the “Enter” key. The message “Please wait” is displayed on the monitor, then the thumbnail screen appears (see Figure 5.62). The thumbnail-sized images for the annotation image is not an image but an icon. Thumbnail image Annotation icon Figure 5.62 5. 112 Perform file operation such as playback and deletion of images, etc. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 6. Click “Back” or press the “Esc” key to return to the previous screen. Or press the “Shift” and “F4” keys together to return to the endoscopic image. • The aspects ratio of a thumbnail image depends on the endoscope used. • Refer to “Image files and folders” on page 125 for the details of the folder names shown in the folder list screen. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 113 Chapter 5 Functions Formatting of the PC card 1. • Be sure to format the PC card using the CV-180. If it is formatted by an other instrument such as a personal computer, it may not be possible to record or playback images from the PC card. • Do not press the “STOP” button during formatting the PC card. • Formatting a PC card deletes all data saved on the PC card. Display the folder list screen (refer to “Basic operation of the PC card menu” on page 111). 2. Click “Format” (see Figure 5.63). A confirmation message is displayed to ask if the card can be formatted. Figure 5.63 3. Click “No” to go back to the folder list screen instead of formatting. Click “Yes” to start formatting. During formatting, the message “Please wait” appears on the screen and the PC card status indicator of the video system center blinks orange. 4. The PC card status indicator lights up green after formatting has been completed and the message “Complete” appears on screen. A notification of normal or abnormal completion appears on the monitor. If formatting failed, the message “Failed in format” appears on screen. In this case, the PC card is not working properly. Use a new one. 114 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Playback images from the PC card 1. Display the thumbnail screen (refer to “Basic operation of the PC card menu” on page 111). 2. Click a thumbnail image to playback. The selected image should be edged with a thick frame. The shooting date and time of the image are displayed on the right side of the window. Figure 5.64 3. Click “View” or press the “Enter” key. The message “Please wait” is displayed on the monitor, then the normal screen image selected appears (see Figure 5.65). Figure 5.65 4. Click “<” or “>” to playback the images before and after the image currently being played back. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 115 Chapter 5 Functions 5. Click “Zoom”. The message “Please wait” is displayed on the monitor, then the full screen image appears (see Figure 5.66). Figure 5.66 6. Press the “Esc” key to return to the normal sized playback screen. Or press the “Shift” and “F4” keys together to return to the endoscopic image screen. 116 • The images recorded by an instrument other than the CV-180 cannot be played back. • The images edited by a personal computer or an instrument other than the CV-180 may be unable to be played back. • The endoscopic image and the patient data is displayed together on the same screen when using the CV-180 for playing back, but cannot be displayed together on a personal computer. • In the normal screen, all images recorded in the full-height or full size are scaled down and displayed on the constant display area are shown in Figure 5.65. • The two images of the PinP are displayed separately in the thumbnail screen, which has the same time stamps but different file names. • The sub image of the PinP is displayed with the same patient data as the main image. • Playback in PinP mode is not available. • “R” is not displayed on the monitor when the rotated image of the orientation function is played back (refer to “Monitor orientation function” on page 245). EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions • The images in the thumbnail screen and the normal screen are displayed in SDTV format. The full screen is displayed in the original format (HDTV or SDTV). Deleting images from a PC card 1. Display the thumbnail screen (refer to “Basic operation of the PC card menu” on page 111). 2. Click a thumbnail image to be deleted. The selected thumbnail is edged with a thick frame. The shooting date and time of the image are displayed on the right side of the window. Figure 5.67 3. Click “Delete”. A confirmation message appears on the monitor. 4. Click “No” to go back to the thumbnail screen instead of deleting. Click “Yes” to delete the selected image. 5. Click “Back” or press the “Esc” key to return to the folder list screen. Or press the “Shift” and “F4” keys together to return to the endoscopic image. It is also possible to delete the image by displaying the image in the normal screen in step 2. and then clicking “Delete”. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 117 Chapter 5 Functions Deleting folder from PC card This operation deletes the image files from the PC card. The selected folder and all image files in this folder are deleted. Confirm in advance if the selected folder shall be deleted. The deleted folder cannot be restored. 1. Display the folder list screen (refer to “Basic operation of the PC card menu” on page 111). 2. Click the image folder to be deleted. The patient data is displayed on the right side of the window (see Figure 5.68). Figure 5.68 3. Click “Delete”. A confirmation message appears on the monitor. 4. Click “No” to go back to the folder list screen instead of deleting. Click “Yes” to delete the selected folder. 5. Click “Back”, press the “Esc” key, or press the “Shift” and “F4” keys together to return to the endoscopic image. 118 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Annotation of images This function selects and arranges four frozen endoscopic images from a PC card onto a sheet with comments and stores it as a file in the same folder. Selection of images 1. Display the thumbnail screen (refer to “Basic operation of the PC card menu” on page 111). 2. Click “Annotate” (see Figure 5.69). Figure 5.69 3. The annotation selection screen appears (see Figure 5.70). Figure 5.70 4. Click “<” or “>” to scroll the thumbnail images if necessary. 5. Click the required thumbnail image. The selected image is edged with a thick frame. The shooting date and time of the image are displayed on the right side of the window (see Figure 5.70). EVIS EXERA II VIDEO SYSTEM CENTER CV-180 119 Chapter 5 Functions 6. Click one of the position buttons on the screen. The number of the selected image appears at the position button and the selected image is edged with a thick frame in the color of the position button (see Figure 5.71). Position buttons 5 Figure 5.71 7. Select up to 4 images repeating steps 4. to 6., and then proceed with “Annotating” on page 121. • If you click the position button that is already assigned with an image, the assignation is cleared. • If you click an image and then click a position button that is already assigned with another image, the assigned image changes. • The images that are assigned with the position buttons are edged with a thick frame in the following colors: “1/4”: Pink “2/4”: Blue “3/4”: Green “4/4”: Yellow 120 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Annotating 1. Click “Preview” on the annotation selection screen after selecting the images (see Figure 5.71). The message “Please wait” is displayed on the monitor, then the annotation preview screen appears (see Figure 5.72). Title input area Comment input area Figure 5.72 2. Click the title input area to place the cursor, and enter the title. • 3. Up to 25 alphanumeric and symbol characters can be entered. Click the comment input area under each image to place the cursor, and enter the title or comments. • 4. Up to 15 alphanumeric and symbol characters can be entered. Click “Save”. The selected images, title and comments are recorded as an annotation image file on the PC card. 5. Click “Back” or press the “Esc” key to return to the annotation selection screen. Or press the “Shift” and “F4” keys together to return to the endoscopic image. All annotation images including HDTV images are displayed and saved in SDTV format. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 121 Chapter 5 Functions Playback image annotation 1. Display the thumbnail screen (refer to “Basic operation of the PC card menu” on page 111). 2. Click an annotation icon to be played back. The selected icon is edged with a thick frame (see Figure 5.73). Figure 5.73 3. Click “View” or press the “Enter” key. The annotation screen appears on the monitor (see Figure 5.74). Figure 5.74 4. Click “Print” to print out the images on the video printer. A confirmation message appears on the monitor. 5. Click “No” to go back to the annotation screen instead of printing. Click “Yes” to print the images with the patient data and the comment. 6. Click “Back” or press the “Esc” key to return to the thumbnail screen. Or press the “Shift” and “F4” keys together to return to the endoscopic image. 122 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions • When the type of printer is “Foot switch” in Table 9.8 on page 202, the “Print” function does not work. • When “Yes” is selected in step 5., the un-printed images in the memory of the printer are cleared. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 123 Chapter 5 Functions Playback the images using the personal computer The images on the PC card can be played back on the personal computer. Hardware requirements are the followings: • Windows® 2000 or later • Internet Explorer ver.5.0 or later Do not delete or move data on the PC card using the personal computer. The data may be damaged or it may not be possible to playback images from the PC card. 1. Insert the PC card into the PC card slot of the personal computer. Refer to the instruction manual of the personal computer. 2. Select the drive in which the PC card is inserted. Figure 5.75 shows an example of the image files/folders structure on the PC card. DCIM 100OLYMP 101OLYMP 102OLYMP FILES.xml OLYM0001.jpg OLYM0002.jpg Figure 5.75 3. Open the desired folder. 4. Open the file “FILES.xml”. The list of image files saved in the folder is shown in an Internet Explorer window. 5. 124 Click the desired file of the list to display the image. • If you open the image file not using the xml. file, the endoscopic image and the data cannot be displayed in one image. The file names that are displayed by other than the xml. file are different from those in Figure 5.75. • The images cannot be displayed in the PinP style. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Image files and folders The data files of the endoscopic images are stored in the image folder, which is generated by the video system center, on the PC card. Files The video system center numbers the endoscopic image files sequentially. The names of each image file becomes like the following, and is numbered sequentially in order of photographing. • OLYMnnnn.jpg: (“nnnn” is a four-digit number.) Folders The folder in which image files are stored either newly generated or previously generated ones are used according to the conditions such as turning ON or OFF the system, with or without the patient ID, etc. (see Table 5.11). The folder names are as follows. • When the patient ID was entered: “8-digit date” + “max.15-digit patient ID” ex. 20050512 ABC123 (“2005, May, 12th” and “ABC123”) • When no patient ID was entered: “8-digit date” + “15-digit X” ex. 20050512 XXXXXXXXXXXXXXX Resume function of patient data ON display 1 Patient ID in the last observation Entered Patient ID was NOT entered after the system was turned ON. The image files are stored in the OFF Not entered Entered Not entered New folder is generated. 2 previous folder. Folder name Patient ID was entered after the system was turned ON. Folder name - 8-digit date +15-digit X New folder is generated. 8-digit date + Max.15-digit ID 1 For the resume function, see “Patient data display” on page 241. 2 The shaded region is used for recording the images into the same folder after swapping the endoscope during the observation. Table 5.11 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 125 Chapter 5 Functions Be sure to enter the patient ID each time when entering the patient data. Also, be sure to enter the different patient ID for each patient. Otherwise, the image data for some patients may mix in the same image folder. 126 • When entering the same patient ID on the same date twice, a new folder with the same ID and date will be created, if an observation has taken place in between the two observation. • The maximum number of image files recorded in a folder is 9999. The maximum number of folders on a PC card is 900. The total volume of the image data cannot exceed the amount of memory of the PC card. • The recording speed decelerates when the number of images in a folder exceeds 100, or when the number of folders on a PC card exceeds 100. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 5.4 Image recording and playback (other than PC card) The recordable area of the image is variable depending on the recording devices. Refer to the respective instruction manual of the recording device. Image filing system Assign the “Digital file” to “RELEASE 1” or “RELEASE 2” in the “User preset” menu in advance. See “Release function” on page 223. 1. Press the “FREEZE” key (see Figure 5.76) to freeze the endoscopic live image. 2. Check the frozen image if it is suitable for recording. If not, press the “FREEZE” key again to return to the live image and repeat steps 1. and 2. FREEZE RELEASE Figure 5.76 3. Press the “RELEASE” key (see Figure 5.76) to record the image. The frozen endoscopic image returns to the live image. The D.F. counter on the monitor increments by one (see Figure 5.77). When the index image setting is ON, the index image is displayed at the lower left corner on the monitor. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 127 Chapter 5 Functions D.F.counter Index image ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: John Smith Cardiac end of the stomach Figure 5.77 128 • Press the “RELEASE” key (see step 3.) to record the image without checking the image. In this case, the live image is frozen for the release time, and then returns to the live image. See “Image filing system” on page 206 for the release time. • Maintain intervals of 1 second or more between each press of the “RELEASE” key, when not using the “FREEZE” key. If the intervals are shorter than 1 second, it may not be possible to record images. • Keep the endoscope as stationary as possible to record blurless images when pressing the “RELEASE” key. • D.F. counter does not appear on the monitor when the user data are clear. • The freeze and release operations can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Videocassette recorder (VCR) VCR can be operated using the keyboard. The following table shows the function and the keys to operate. Key Function F10 ( ) Stops recording or playback. F11 ( ) Pauses playback. F12 ( ) Starts recording. Print. screen ( Scroll Lock ( Pause ( Fast-rewinds the tape. ) Starts playback. ) Fast-forwards the tape. ) Table 5.12 Print screen F10 F11 Scroll lock F12 Pause Figure 5.78 1. 2. Press the Image source button to change the image source. • Press the “SCOPE” button to record the image. • Press the “DV/VCR” button to playback the image. Perform the VCR operation of recording or playback using the keys on the keyboard (see Figure 5.78). “VCR” appears on the monitor during VCR recording (see Figure 5.79). After turning the DVO-1000MD ON and right after disk insertion “Now Loading ...” is displayed. During this initialization process images cannot be recorded. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 129 Chapter 5 Functions Indication of VCR ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: John Smith Cardiac end of the stomach Figure 5.79 130 • When the VCR is connected using the VTR remote cable (MH-992), only the recording and pause operations can be operated. • When “DVD (IEEE1394) of the VCR type is selected, only the recording and pause operations can be operated (“Videocassette recorder” on page 211). • The fast forward and rewind operations can be operated only when the VCR is set to RS-232C and IEEE1394. • The “VCR” does not appear when the patient data are cleared from the monitor. • Also refer to the instruction manual for the VCR. • The recording and pause operations can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 5.5 Printing images The video printer captures images, and starts printing them when the number of images reached the selected number of images to be printed per sheet. Video printer The video printer can be operated using the “PRINTER REMOTE” or “RELEASE” key on the keyboard. The “RELEASE” key needs to be preset. See “Release function” on page 223. PRINTER REMOTE Print indicator Number of images Number of print sheets #PER PAGE RELEASE PRINT QTY. PRINT FREEZE DEL IMAGE CAPTURE Figure 5.80 Key Function #PER PAGE Sets the number of images to be printed per sheet. CAPTURE or RELEASE Captures images into the memory of the video printer. DEL IMAGE Deletes the last image stored in the memory of the printer. Shift + DEL IMAGE Deletes images on the position showed by the CVP counter. PRINT Prints the images captured by the video printer. PRINT QTY. Sets the number of sheets to be printed. Shift + F8 (Printer lock) Locks the 5 printer remote keys and allows the video printer to be operated by using the keys on the video printer. Table 5.13 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 131 Chapter 5 Functions The following images can be loaded using “CAPTURE” and “RELEASE”. Image CAPTURE RELEASE Endoscopic live image, PinP, special light observation Normal size playback screen, full size playback screen, annotation screen of the PC card menu, available, not available Table 5.14 • Confirm that the necessary images have been printed before deleting the images. • Always delete all images in the video printer at the end of an examination when the number of images per sheet is more than one. If not, the images of a previous examination and a new examination may be mixed on one print sheet. • If you move to another menu before printing the images, the images disappear. Number of images on the print form 1. Press the “#PER PAGE” key to display the number of images to be printed on the print sheet. 2. While the window opens, press the “#PER PAGE” key to change the number of images to be printed on the print sheet. The indicator above the “#PER PAGE” key indicates the number. Printing 1. Press the “PRINT QTY.” key to select the number of print sheets to be printed. The indicator above the “PRINT QTY.” key indicates the number. 2. Press the “FREEZE” key to freeze the endoscopic live image. 3. Check the frozen image if it is suitable for recording. If not, press the “FREEZE” key again to return to the live image and repeat steps 2. and 3. 132 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 4. Press the “CAPTURE” key or “RELEASE” key to capture the endoscopic image into the memory of the video printer. The CVP counter on the monitor increments by one (see Figure 5.81). CVP counter Index image Only when pressing “RELEASE” key. ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: John Smith Cardiac end of the stomach Figure 5.81 5. When the number of images captured reaches the number of images to print on a print sheet, printing starts automatically. The indicator above the “PRINT” key lights up during printing. 6. To start printing before the number of images captured reaches the number of images to be printed on a print sheet, press the “PRINT” key anytime. The indicator above the “PRINT” key lights up during printing. Overwriting pre-recorded images 1. Press the “DEL IMAGE” key a number of times until the CVP counter shows the image number to be overwritten. Order of image assignment DEL IMAGE An example of 4partitioned sheet Print sheet partition and order of image assignment Figure 5.82 2. Press the “CAPTURE” key or “RELEASE” key to overwrite the new image on the previous image. The CVP counter on the monitor increments by one (see Figure 5.81). EVIS EXERA II VIDEO SYSTEM CENTER CV-180 133 Chapter 5 Functions 134 • Press the “CAPTURE” key or “RELEASE” key to record the image without checking the image. In this case, the live image is frozen for the release time. • Maintain the endoscope as stationary as possible when pressing the keys to record the blurless images. • The maximum number of images per page is variable depending on the printer model. See Table 5.15 for details. • Depending on the video printer or the number of images on a print sheet, the “CAPTURE” key may not be operated during printing. • HDTV images can be printed only when using the OEP-4 with “Mode1”. See “Output signal to OEP-4” on page 204. • The CVP counter does not appear when the patient data are cleared from the monitor. • When pressing the “RELEASE” key, the images captured are displayed at the lower left on the monitor depending on the settings. When pressing the “CAPTURE” key the images taken in are displayed in full-screen on the monitor. • A caption can be printed in the margin on the print sheet. See “Caption” on page 203. • The CAPTURE and RELEASE operations can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Printer Details Indication of number of images OEP (OLYMPUS) OEP-3 (OLYMPUS) [1] [2] [4] [N] [N] Full size 2 4 8 16 [1] [2] [4] [N] - Sheet partition Indication of number of images OEP-4 (OLYMPUS) - Sheet partition UP-1800 (SONY) UP-1850 (SONY) UP-2900MD (SONY) Indication of number of images Full size 2 4 8 - [1] [4] [N] - - - - Sheet partition Indication of number of images Full size 4 16 - - [1] [2] [4] [N] - UP-2950MD (SONY) - Sheet partition UP-5000MD (SONY) UP-5200MD (SONY) UP-5250MD (SONY) Indication of number of images Full size 2 4 16 - [1] [4] [N] - - - - Sheet partition Indication of number of images Full size 4 9 - - [1] [2] [4] - - - - - - UP-21MD (SONY) Sheet partition Full size 2 4 Table 5.15 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 135 Chapter 5 Functions 5.6 Pre-entry of patient data In the patient menu, patient data can be entered in the video system center prior to examination and called up before the examination. The following patient data for up to 40 patients can be entered in advance. ID Max. 15 alphanumeric and symbol characters Name Max. 20 alphanumeric and symbol characters Sex M or F D.O.B. Max. 8 alphanumeric and symbol characters Age Max. 3 numeric characters Physician name Max. 20 alphanumeric and symbol characters Table 5.16 Basic operation in the patient menu 1. Press the “Shift” and “F3” keys together. The “Patient Data” menu appears on the monitor (see Figure 5.84). F3 Shift Figure 5.83 Figure 5.84 136 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 2. Click the buttons with the arrow pointer to operate the menu. Button Function Clear Clears all previously registered patient data. Save Saves the registered 40 patient data on the PC card. Load Loads the 40 patient data from the PC card onto the video system center. Back Closes the patient menu and returns to the endoscopic image. Call Returns to the endoscopic live image and displays the patient data selected. Edit Opens the patient data input screen. Delete Deletes selected patient data. Table 5.17 3. Click “Back” to return to the endoscopic image. Entering new patient data 1. Press the “Shift” and “F3” keys together to display “Patient Data” menu (see Figure 5.85). Figure 5.85 2. Click “No data” in the patient name list (see Figure 5.85). EVIS EXERA II VIDEO SYSTEM CENTER CV-180 137 Chapter 5 Functions 3. Click “Edit”. The patient data input screen appears on the monitor (see Figure 5.86). Figure 5.86 4. Click each text box to place the cursor. 5. Enter the data in the text boxes (see Figure 5.87). Figure 5.87 6. Click “OK” to register the entered data. The next patient data input screen appears. 138 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 7. After finishing entering the data, click “Back” to return to the patient name list (see Figure 5.88). Figure 5.88 8. Click again “Back” to return to the endoscopic image. • To cancel and stop the input operation, click “Back” instead of “OK”. The entries typed in until then are canceled and the display returns to the endoscopic image. • If an error message is displayed, check if the entered data is correct. • To enter the patient data at the time of examination, see Section 4.6, “Patient data” on page 57. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 139 Chapter 5 Functions Displaying patient data Call up the previously registered patient data and display it on the endoscopic image. 1. Press the “Shift” and “F3” keys together to display the “Patient Data” menu (see Figure 5.89). Figure 5.89 2. Click the desired patient name in the patient name list. 3. Click “Select”. The selected patient data is displayed on the endoscopic image. The patient name that is once displayed in the endoscopic image turns gray in the patient name dialog box after finishing observation by pressing the “EXAM END” key. 140 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Editing previously entered patient data 1. Press the “Shift” and “F3” keys together to display the “Patient Data” menu (see Figure 5.90). Figure 5.90 2. Click the desired patient name in the patient name list. The selected patient name is highlighted. 3. Click “Edit”. The patient data input screen appears (see Figure 5.91). Figure 5.91 4. Click the data to be modified and place the cursor in the data area. 5. Enter the data in the text boxes. 6. Click “OK” to register the entered data. 7. Click “Back” to return to the endoscopic image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 141 Chapter 5 Functions Deleting previously entered patient data 1. Press the “Shift” and “F3” keys together to display the “Patient Data” menu (see Figure 5.92). Figure 5.92 2. Click the desired patient name in the patient name list. The selected patient name is highlighted. 3. Click “Delete”. A confirmation message appears on the monitor. 4. Click “No” to return to step 1. Click “Yes” to delete the selected patient data. The patient name selected in the patient name dialog box changes to “No data” (see Figure 5.93). Figure 5.93 5. 142 Click “Back” to return to the endoscopic image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Clearing all patient data previously entered 1. Press the “Shift” and “F3” keys together to display the “Patient Data” menu (see Figure 5.94). Figure 5.94 2. Click “Clear”. A confirmation message appears on the monitor. 3. Click “No” to go back to step1. Click “Yes” to delete all patient data, and all names in the patient name dialog box changes to “No data” (see Figure 5.95). Figure 5.95 4. Click “Back” to return to the endoscopic image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 143 Chapter 5 Functions Recording patient data into PC card The patient data that is entered in the video system center can be saved on the PC card. The recorded patient data can be transferred to another CV-180 using the PC card. Be sure to confirm that there is no necessary patient data on the PC card which needs to be saved. The patient data on the PC card will be deleted when new patient data is stored. 1. Insert the PC card into the PC card slot. The PC card status indicator lights up in green. PC card status indicator PC card slot Figure 5.96 2. Press the “Shift” and “F3” keys together to display “Patient Data” menu (see Figure 5.97). Figure 5.97 3. 144 Click “Save” to record all patient data on the PC card. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 4. When patient data is stored on the PC card, a confirmation message appears on the monitor. Click “Yes” to overwrite the data. The PC card status indicator on the front panel blinks in amber during patient data recording. Click “No” to return to step 2. 5. Click “Back” to return to the endoscopic image. All 40 patient data on the PC card are overwritten. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 145 Chapter 5 Functions Loading patient data from PC card Patient data on the PC card can be overwritten on the video system center. Be sure to confirm that there are no necessary patient data in the video system center. The patient data in the video system center will be overwritten. 1. Insert the PC card into the PC card slot. The PC card status indicator lights up green (see Figure 5.98). PC card status indicator PC card slot Figure 5.98 2. Press the “Shift” and “F3” keys together to display the PC card menu on the monitor (see Figure 5.99). Figure 5.99 3. Click “Load” (see Figure 5.99). A confirmation message appears on the monitor. 146 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 4. Click “No” to return to step 2. Click “Yes” to register the patient data into the video system center. The patient name in the patient name list changes to the new patient name on the PC card. The PC card status indicator on the front panel blinks amber during recording. 5. Click “Back” to return to the endoscopic image. All 40 patients data are registered into the video system center. Previous data disappear. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 147 Chapter 5 Functions 5.7 Scope information Endoscopes equipped with the scope ID function incorporate a memory chip. The memory chip stores data of the endoscope, and the data can be displayed on the monitor. Some of the data can also be input from the video system center. Table 5.18 shows the details of data stored in the memory chip. Data item Details Input Scope model Model name of the endoscope No Serial number Serial number of the endoscope No Comment Up to 20 characters can be entered. Yes Cumulative uses Cumulated number of uses No Checkup period Times of inspections User can enter a number of 0 - 4095. Yes Service contract With or without a service contract No Warranty date Warranty expiration date of the endoscope No Customer name Person or hospital owning the endoscope Up to 20 characters can be entered. Yes Customer ID ID number of the customer User can enter up to 20 characters. Yes ID version The version number of the memory chip No Channel diameter1 Diameter of the endoscope channel No Distal end diameter1 Outer diameter of the endoscope's distal end No Insertion tube Outer diameter of the endoscope's insertion tube diameter1 Cumulative time1 Cumulated time of uses No No Table 5.18 • The memory chip is built with durability but may still be damaged. If a memory chip is damaged, it becomes incapable of backing up data. In such a case, please contact Olympus. • The following endoscopes are equipped with the scope ID function; EVIS EXERA II series endoscopes EVIS EXERA 160 series or later endoscopes (1 The items are not supported.) Some endoscopes of the VISERA series 148 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions Displaying and entering scope information 1. Press the “F2” key (see Figure 5.100). The scope information window appears on the monitor for about 6 seconds (see Figure 5.101). F2 Figure 5.100 Forceps channel diameter Displays the position to see the forceps and the diameter of the instrument channel. Scope switch assignment Displays the functions assigned to the scope switches. Endoscope’s information Displays serial no., forceps channel diameter, distal end diameter and insertion part diameter. ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR 2.8 Ct: N Eh: A8 Z: x1.5 Pump Media: 1:Freeze 2:Iris 3:Enhance John Smith 4:Release Cardiac end of the stomach Scope Name Serial No. Channel Distal End Insertion Tube GIF-H180 :2500001 :2.8 :9.8 :9.8 Figure 5.101 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 149 Chapter 5 Functions 2. While the window opens, press the “F2” key again to show the scope information screen on the monitor (see Figure 5.102). Figure 5.102 3. Click each input area to modify. 4. Modify the data using the keyboard. 5. Click “OK” to store the entered data into the scope ID chip in the endoscope. While the data is being stored, the message “Please wait” appears on the monitor. 6. Click “Back” to return to the endoscopic image. While the message “Please wait” is displayed, do not turn OFF the video system center. To cancel the input, click “Back” to return to the endoscopic image display. 150 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 5 Functions 5.8 Special light observation Do not rely on the special light observation method alone for primary detection of lesions or for a decision regarding any potential diagnostic or therapeutic intervention. NBI (narrow band imaging) If the endoscopic image seems to be dark in the NBI observation, change to the normal observation. Otherwise, the examination might not be preformed safely. Perform the white balance adjustment for NBI observation after completion of the white balance adjustment for the normal observation. Otherwise, NBI observation cannot be performed with a correct color tone. NBI is an observation method that employs filtered light as examination light. NBI requires the following equipment; • CLV-180 light source • NBI compatible endoscope: GIF-H180, CF-H180AL/I, GIF-Q180, CF-Q180AL/I, PCF-Q180AL/I, GIF-N180, BF-Q180, BF-P180, BF-1T180, ENF-V2/VQ, CYF-V2, CYF-VA2, OTV-S7ProH-HD-L08E, LTF-VH, WA5001A/L Normal observation and NBI observation can be changed during use. All mucosal areas are to be viewed using traditional white light. NBl imaging should not be used as a substitute for a thorough traditional examination of the mucosa. 1. Select the NBI mode on the light source using the mode button, and confirm the NBI indicator of the light source, referring to the instruction manual of the light source. 2. Confirm that the NBI indicator on the front panel of the video system center turns from green to white (see Figure 5.103). • “NBI” may appear on the monitor by the user preset. • During NBI observation, bile and residual debris may appear dark and reddish. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 151 Chapter 5 Functions NBI indicator NBI NBI indication on the monitor Figure 5.103 3. Perform the white balance adjustment (see page 52). 4. Perform the NBI observation. 5. Return to the normal observation using the mode button on the light source, referring to the instruction manual of the light source. 6. Confirm that the NBI indicator on the front panel of the video system center lights up green, and that “NBI” disappears on the monitor. 152 • If the “NBI” mode is selected when a non NBI compatible light source and/or endoscope is used, the NBI indicator does not change to green, and a warning message appears on the monitor. • Enter and button operations cannot be operated for several seconds while the light source turns into NBI mode. • Contrast (“Shift” + “F6”) and color mode (“Shift” + “Alt” + “1”, “2”, “3”, “4”) cannot be operated during the NBI observation. • The NBI mode selection operation can also be controlled from the scope switches and/or foot switches. For how to set up the scope switches and foot switches, see “Remote switch and foot switch (EXERA and VISERA)” on page 219. • The color tones of NBI observation slightly vary with products. • Contact Olympus for further information about the NBI observation. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 6 Fuse replacement Chapter 6 Fuse replacement Always use the fuses designated below. To order new fuses, please contact Olympus. • Spare fuses 1. MAJ-1432 • Never use a fuse other than the fuse model designated by Olympus. Otherwise, malfunction or failure of the video system center may cause a fire or electric shock hazard. • Be sure to turn the video system center OFF and unplug the power cord before removing the fuse box from the video system center. Otherwise, fire or electric shock may result. • If the power fails to come on after replacing the fuses, unplug the power cord immediately from the AC mains power inlet and then contact Olympus. Otherwise, electric shock may result. Turn the video system center OFF and disconnect the power cord from the wall mains outlet. 2. Pull the fuse box straight out, squeezing the tabs projected on both sides of the fuse box using a pair of tweezers (see Figure 6.1). Tabs Figure 6.1 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 153 Chapter 6 Fuse replacement 3. Replace both fuses (see Figure 6.2). Fuse box Fuses Figure 6.2 Insert the fuse box into this instrument until it clicks into position. If the fuse box is inserted incompletely, the power may fail to come ON or a power failure may occur during operation. 4. Insert the fuse box into the video system center until it clicks into position. 5. Plug the power cord and turn the video system center ON and confirm the power output. 154 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 7 Care, Storage and Disposal Chapter 7 Care, Storage and Disposal 7.1 Care • After wiping with a piece of moistened gauze, dry the video system center thoroughly before using it again. If it is used while still wet, there is the risk of an electric shock. • When cleaning the video system center, always wear appropriate personal protection equipment such as eye wear, face mask, moisture-resistant clothing and chemical-resistant gloves that fit properly and are long enough to that your skin is not exposed. Blood, mucus and other potentially infectious material adhering to the video system center could pose an infection control risk. • Do not apply spray-type medical agents such as rubbing alcohol directly to the video system center. Medical agents might enter the video system center through the ventilation grills and may cause equipment damage. • Do not clean the videoscope cable socket, the terminals and the AC mains power inlet. Cleaning them can deform or corrode the contacts, which could damage the video system center. • Do not soak in water, autoclave or gas sterilize the video system center. These methods will damage it. • Do not wipe the external surface with hard or abrasive wiping material, the surface will be scratched. After using the video system center, immediately perform the following cleaning procedure. If cleaning is delayed, residual organic debris will begin to solidify, and it may be difficult to effectively clean the video system center. Always remove debris routinely. 1. Turn the video system center OFF and disconnect the power cord from the wall mains outlet. 2. If the video system center is soiled with blood or other potentially infectious materials, wipe off all debris using a piece of gauze moistened with neutral detergent. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 155 Chapter 7 Care, Storage and Disposal 3. Remove dust, dirt and other stains on the surface by wiping with a piece of gauze moistened with 70% ethyl or isopropyl alcohol. 4. Make sure to dry the video system center after wiping with 70% ethyl or isopropyl alcohol. 7.2 Storage Do not store the video system center in a location exposed to direct sunlight, X-rays, radio activity or strong electromagnetic radiation (e.g. near microwave medical treatment equipment, short-wave medical treatment equipment, MRI equipment, radio or mobile phones). Damage to the video system center may result. 1. Turn the video system center OFF and disconnect the power cord from the wall mains outlet. 7.3 2. Disconnect the ancillary equipment connected to the video system center. 3. Store the equipment in the level position in a clean, dry and stable location. Disposal When disposing of this instrument or any of its components (such as fuses), follow all applicable national and local laws and guidelines. 1. For security reasons, clear all patient data in the instrument (see “Clearing all patient data previously entered” on page 143). 2. Clear the image data and patient data in the PC card, or format the PC card (see “Formatting of the PC card” on page 114). 156 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection Chapter 8 Installation and Connection • Review this chapter thoroughly, and prepare the instruments properly before use. If the equipment is not properly prepared before each use, equipment damage, patient and operator injury and/or fire can occur. • When non-medical electrical ancillary equipment is used, connect its power cord via an isolation transformer prior to connecting it to this video system center. Failure to do so can cause electric shock, burns and/or fire. • Turn OFF all system components before connecting them. Otherwise, equipment damage or malfunction can result. • Use appropriate cables only. Otherwise, equipment damage or malfunction can result. • Properly and securely connect all cables. Otherwise, equipment damage or malfunction can result. • The cables should not be sharply bent, pulled, twisted or crushed. Cable damage can result. • Never apply excessive force to connectors. This could damage the connectors. • Use this instrument only under the conditions described in “Transportation, storage, and operation environment” and “Specifications” in the Appendix. Otherwise, improper performance, compromised safety and/or equipment damage may result. Prepare this video system center and compatible equipment (shown in the “System chart” in the Appendix) before each use. Referring to the instruction manuals of each system component, install and connect the equipment according to the procedure described in this chapter. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 157 Chapter 8 Installation and Connection 8.1 Installation work flow Please see the installation work flow in Figure 8.1 below. Follow each step of the work flow before using the video system center and the ancillary equipment. Connect the power cord to the power source after connecting all cables. Otherwise, equipment damage or malfunction can result. 1. Install the video system center and the ancillary equipment to the mobile workstation, etc. See section 8.2, “Installation of the equipment” on page 159 2. Connect the video system center and the ancillary equipment to the mobile work station, etc. See sections 8.4, “Light source” on page 164 through 8.10, “Foot switch” on page 184 3. Connect the instruments to the power source. See section 8.11, “Ultrasound center” on page 185 4. Set up the system setup. See section 9.2, “System setup” on page 194 5. Set up the user preset. See section 9.3, “User preset” on page 216 Figure 8.1 158 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection 8.2 Installation of the equipment • Do not place any object on the top of the video system center. Otherwise, equipment deformation and damage can result. • Keep the ventilation grills of the video system center clear. The ventilation grills are located on the side panels. Blockage can cause overheating and equipment damage. • Clean and vacuum dust the ventilation grills using a vacuum cleaner. Otherwise, the video system center may break down from over heating. • Place the video system center on a stable, level surface using the foot holders (MAJ-1433). Otherwise, the video system center may topple down or drop, and user or patient injury may occur, or equipment damage can result. • If a trolley other than the mobile workstation (WM-NP1 or WM-WP1) is used, confirm that the trolley can withstand the weight of the equipment installed on it. • Do not install the video system center near a source of strong magnetic wave (microwave treatment device, short wave treatment device, MRI, radio equipment, etc.). Otherwise, the video system center may malfunction. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 159 Chapter 8 Installation and Connection Installation on the mobile workstation (WM-NP1, WM-WP1) 1. Place the mobile workstation on a level and flat floor. Lock the caster brakes by pushing them down (see Figure 8.2). Push to lock. Push to release. Caster brakes Figure 8.2 2. Install the mobile shelf of the mobile workstation according to the configuration of the equipment installed on it as described in the mobile workstation's instruction manual. 3. Place the pattern sheet on the light source. The pattern sheet is packed with the foot holder (MAJ-1433). 4. Peel the paper from the back of the foot holders and attach them firmly at the right position on the light source using the pattern sheet (see Figure 8.3). Foot holder Pattern sheet Figure 8.3 5. Remove the pattern sheet. 6. Place the light source on the mobile shelf of the mobile workstation as described in the light source's instruction manual. 160 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection When using a light source that is smaller than the video system center, such as CLV-S40, place the light source on the video system center. Otherwise, the video system center may not be kept level and fall down. 7. Place the video system center on the light source so that the feet of the video system center fit into the foot holders. CV-180 Light source Figure 8.4 Installation in another location When installing the video system center in another location, adhere the foot holders as described on the previous page, and place the video system center on them. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 161 Chapter 8 Installation and Connection 8.3 Fitting of accessories Videoscope cable holder (MAJ-1466) The videoscope cable holder (MAJ-1466) is used to temporarily hang the connector on the endoscope end of the videoscope cable. The holder is attached to the video system center by ditches A or ditches B (see Figure 8.5). Do not hook anything other than the videoscope cable on the videoscope cable holder. Scope cable holder Ditches A Ditches B Figure 8.5 Ditch A B Remark The scope cable holder projects forward from the front panel. (When the water container is mounted on the light source.) The scope cable holder does not project forward from the front panel. Table 8.1 1. Fit ditches A or B to the projections on the left side of the instrument. 2. Push the videoscope cable holder backward until it clicks. Projections (a) Scope cable holder Figure 8.6 162 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 (b) Chapter 8 Installation and Connection White cap set (MAJ-941) The white cap (MH-155) is used for the white balance adjustment. The white cap is attached to the video system center by the white cap holder (MAJ-960). Do not hang any object other than the white cap on the white cap holder. 1. Fit ditches A or B on the projections on the left side of the instrument (see Figure 8.7). Ditches B Ditches A (a) Projections (b) Figure 8.7 Ditch Remark A The white cap projects forward from the front panel. B The white cap does not project forward from the front panel. Table 8.2 2. Push the white cap holder backward until it clicks. 3. Insert the disk part at the top of the white cap into the ditches on the opening of the white cap holder until it clicks (see Figure 8.8). White cap holder White cap Figure 8.8 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 163 Chapter 8 Installation and Connection 8.4 Light source Compatible light sources For compatible light sources, see the table below. Model Product name CLV-180 EVIS EXERA II xenon light source CLV-160 EVIS EXERA xenon light source CLV-U40 EVIS universal light source CLV-S40 VISERA xenon light source Table 8.3 When a light source other than CLV-180 is used, the operations are restricted as follows. Brightness The brightness adjustment function interlocked with the light source does not work. Special light observation Special light observation function is not available. Table 8.4 164 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection CLV-180 For connecting the light source (CLV-180) to the video system center, use the cable listed below. Model Product name MAJ-1411 Light source cable note - Table 8.5 CV-180 LIGHT SOURCE MAJ-1411 CV CLV-180 Figure 8.9 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 165 Chapter 8 Installation and Connection CLV-160 For connecting the light source (CLV-160) to the video system center, use the cable listed below. Model MH-966 Product name Light control cable note - Table 8.6 CV-180 LIGHT CONTROL LIGHT CONTROL MH-966 CLV-160 Figure 8.10 166 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection CLV-U40 When connecting to the rear panel of the CLV-U40 For connecting the light source (CLV-U40) to the video system center, use the cable listed below. Model MH-966 Product name Light control cable note - Table 8.7 CV-180 LIGHT CONTROL MH-966 Light control connector CLV-U40 Figure 8.11 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 167 Chapter 8 Installation and Connection When connecting to the front panel of the CLV-U40 For connecting the light source (CLV-U40) to the video system center, use the cable listed below. Model MH-993 or MAJ-1567 Product name note Light control cable - Table 8.8 CV-180 LIGHT CONTROL MH-993 or MAJ-1567 Rigidscope camera connector 1 2 l O CLV-U40 Figure 8.12 168 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection CLV-S40 For connecting the light source (CLV-S40) to the video system center, use the cable listed below. Model MAJ-1567 Product name Light control cable Note - Table 8.9 CV-180 LIGHT CONTROL MAJ-1567 LIGHT CONT. connector CLV-S40 Figure 8.13 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 169 Chapter 8 Installation and Connection 8.5 Monitor Compatible monitors For compatible monitors, see the table below. Model Product name OEV143, OEV203 Color video monitor OEV191 LCD monitor OEV181H High definition monitor OEV191H High definition LCD monitor Table 8.10 170 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection OEV143 or OEV203 For connecting the monitors (OEV143 or OEV203) to the video system center, use the cables listed below. For easy cable connection, attach the cable color sheet to the cables (see Figure 8.14). Model (length) Product name Use any one of the following cables. MAJ-846 (7 m) MAJ-921 (1.5 m) MAJ-970 (4 m) MAJ-971 (15 m) MAJ-1462 (7 m) MAJ-1584 (15 m) MAJ-1586 (2 m) Monitor cable MAJ-227 (7 m) Monitor remote cable Table 8.11 • Connect the R/G/B/S connectors of the monitor cable to the RGB component A terminals of the monitor. If those connectors are connected to the RGB component B terminals, remote control of the monitor is deactivated. • When the monitor remote cable is connected to the monitor, the “SPLIT“, “RESET“, “UNDERSCAN“, “OVERSCAN” switches on the front panel of the monitor are deactivated. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 171 Chapter 8 Installation and Connection LINE A-VIDEO-IN V S-Video LINE B-Y/C-IN A-B/B-Y-IN A-EXTSYNC-IN A-G/Y-IN A-R/R-Y-IN OEV143, OEV203 Cable color sheet “MONITOR OUT” (brown) R MAJ-846, MAJ-921, MAJ-970, MAJ-971, MAJ-1462, MAJ-1584, or MAJ-1586 G B S REMOTE 1 Cable color sheet “MONITOR REMOTE” (brown) MAJ-227 “MAJ-227” mark CV-180 MONITOR REMOTE MONITOR OUT Figure 8.14 172 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection OEV181H For connecting the monitor (OEV181H) to the video system center, use the cables listed below. For easy cable connection, attach the cable color sheet to the cables (see Figure 8.15). Model (length) Product name Use any one of the following cables. MAJ-921 (1.5 m) MAJ-970 (4 m) MAJ-1462 (7 m) MAJ-1584 (15 m) MAJ-1586 (2 m) Monitor cable Use either one of the following cables. MAJ-1161 (4 m) MAJ-1230 (7 m) MAJ-1465 (15 m) HDTV monitor remote cable Table 8.12 Set the factory default “FACTORY” of the monitor to “FACTORY1”, according to the instruction manual of the monitor. Otherwise, the monitor remote function may not operate correctly. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 173 Chapter 8 Installation and Connection OEV181H V Line A-IN Y/C G B MAJ-921, MAJ-970, MAJ-1462, MAJ-1584, or MAJ-1586 R S G/Y-IN B/PB-IN S-Video-IN R/PR-IN REMOTE EXTSYNC-IN MAJ-1161, MAJ-1230, or MAJ-1465 Cable color sheet “MONITOR OUT” (brown) Cable color sheet “MONITOR REMOTE” (brown) CV-180 MONITOR REMOTE MONITOR OUT Figure 8.15 174 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection OEV191H, OEV191 When using RGB or YPbPr video signal For connecting the monitors (OEV191H or OEV191) to the video system center, use the cables listed below. For easy cable connection, attach the cable color sheet to the cables (see Figure 8.16). Model (length) Use any one of the following cables. MAJ-921 (1.5 m) MAJ-970 (4 m) MAJ-1462 (7 m) MAJ-1584 (15 m) MAJ-1586 (2 m) Product name Monitor cable MAJ-8461 (7 m) MAJ-9711 (15 m) Use either one of the following cables. MAJ-1161 (4 m) MAJ-1230 (7 m) MAJ-1465 (15 m) HDTV monitor remote cable 1 These cables are not compatible with the OEV191H. Table 8.13 • To display an endoscopic image, set the factory default “FACTORY” of the monitor to “FACTORY4”, according to the instruction manual of the monitor. Otherwise, the monitor remote function may not operate correctly. • Setting the monitor to “FACTORY4” may make an ultrasound image in the PinP display fuzzy. Set the monitor to “FACTORY6” to sharpen it. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 175 Chapter 8 Installation and Connection Y/C-IN VIDEO-IN No PC terminal on OEV191 V Y/C G B R S OEV191, OEV191H MAJ-921, MAJ-970, MAJ-1462, MAJ-1584, or MAJ-1586 EXT.SYNC-IN REMOTE1 R/PR-IN MAJ-1161, MAJ-1230, or MAJ-1465 Cable color sheet “MONITOR OUT” (brown) B/PB-IN G/Y-IN Cable color sheet “MONITOR REMOTE” (brown) CV-180 MONITOR REMOTE MONITOR OUT Figure 8.16 176 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection When using SDI video signal For connecting the monitors (OEV191H or OEV191) to the video system center, use the cables listed below. For easy cable connection, attach the cable color sheet to the cable (see Figure 8.17). Model Product name Note MAJ-1464 SDI cable 22 m MAJ-1431 HD/SD-SDI adapter Attach to OEV191H Table 8.14 HD/SD SDI IN MAJ-1431 OEV191, OEV191H No PC terminal on OEV191 MAJ-1464 Cable color sheet “HD/SD SDI OUT” (brown) HD/SD SDI OUT CV-180 Figure 8.17 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 177 Chapter 8 Installation and Connection 8.6 Keyboard For a compatible keyboard, see the table below. Model MAJ-1428 Product name Keyboard Note - Table 8.15 KEYBOARD MAJ-1428 CV-180 Figure 8.18 178 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection 8.7 Videocassette recorder (VCR) When using the VCR remote terminal For compatible video cassette recorders and cables to be used, see the table below. Cable VCR MH-989 MH-992 MAJ-906 MAJ-1568 DVO-1000MD (SONY) DSR-20MD (SONY) SVO-9500MD (SONY) PDW-70MD (SONY) PDW-75MD (SONY) compatible, incompatible Table 8.16 • When the SVO-9500MD is used together with the VTR remote cable (MH-989), the SVO-9500MD has to be equipped with the RS-232C interface board (SVBK-120). For details, refer to the instruction manual for the interface board. • When the SVO-9500MD is used together with the VTR remote cable (MH-992), remote control is restricted to the [Record] and [Pause] functions. • For details, refer to the instruction manuals for the videotape recorder and VTR remote cable. • When the PDW-70MD or the PDW-75MD is used, SDI image cable (MAJ-1464) is necessary with VTR remote cable (MAJ1568). EVIS EXERA II VIDEO SYSTEM CENTER CV-180 179 Chapter 8 Installation and Connection to VCR to VCR SDI cable VTR remote cable HD/SD SDI OUT CV-180 VCR REMOTE Figure 8.19 When using the digital out terminal For connecting the video casette recorder to the video system center, use a commercially available DV cable. to VCR CV-180 DIGITAL OUT Figure 8.20 180 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection 8.8 Video printer For compatible video printers see the table below. Model Product name Note OEP, OEP-3, OEP-4 Color video printer OLYMPUS UP-1800, UP-1850 Color video printer SONY UP-2900MD, UP-2950MD Color video printer SONY UP-5200MD, UP-5250MD Color video printer SONY UP-21MD, YP-22MD Color video printer SONY Table 8.17 For connecting a video printer to the video system center, use the cables listed below. For easy cable connection, attach the cable color sheet to the cables (see Figure 8.21). Model Product name Note MH-984, or MD-445 and MAJ-849 Monitor cable (MH-984), SCV cable (MD-445), Printer adapter (MAJ-849) - MH-995 Remote cable - MB-677 BNC cable - Table 8.18 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 181 Chapter 8 Installation and Connection INPUT R/G/B/SYNC G B R S OUTPUT VIDEO Video printer MD-445 RS232C MH-984 Cable color sheet “PRINTER IN” (green) MB-677 MAJ-849 Cable color sheet “PRINTER REMOTE” (green) MH-995 PRINTER IN Cable color sheet “PRINTER OUT” (green) Use either cable connection. PRINTER REMOTE PRINTER OUT Figure 8.21 182 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 CV-180 Chapter 8 Installation and Connection 8.9 OLYMPUS flushing pump (OFP) For connecting the Olympus flushing pump, use the cable listed below. For easy cable connection, attach the cable color sheet to the cable (see Figure 8.22). Model MAJ-920 Product name Pump remote cable Note - Table 8.19 Remote control terminal OFP 4-pin connector PC REMOTE connector Cable color sheet “PC REMOTE” (blue) MAJ-920 PC REMOTE 14-pin connector CV-180 Figure 8.22 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 183 Chapter 8 Installation and Connection 8.10 Foot switch For a compatible foot switch, see the table below. Model MAJ-1391 Product name Foot switch Note - Table 8.20 FOOT SW MAJ-1391 CV-180 Figure 8.23 184 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection 8.11 Ultrasound center Compatible ultrasound centers For compatible ultrasound centers, see the table below. Model Product name EU-C60 Compact endoscopic ultrasound center EU-M30 Endoscopic ultrasound center EU-M60 Endoscopic ultrasound center EU-MA Endoscopic ultrasound center Table 8.21 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 185 Chapter 8 Installation and Connection EU-C60 For connecting the ultrasound center (EU-C60) to the video system center, use the cable listed below. Model MB-677 Product name BNC cable Note - Table 8.22 EU-C60 VIDEO 1 OUT MB-677 PinP composite CV-180 Figure 8.24 186 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection EU-M30 For connecting the ultrasound center (EU-M30) to the video system center, use the cable listed below. Model MH-909 Product name Note Monitor cable - Table 8.23 MONITOR OUT EU-M30 R G MH-909 B S VIDEO Y/C PinP Y/C CV-180 Figure 8.25 Do not connect the video output and B/W output of the EUM30 to the CV-180. An ultrasonic image in the PinP display may be distorted. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 187 Chapter 8 Installation and Connection EU-M60, EU-MA For connecting the ultrasound center (EU-M60 or EU-MA) to the video system center, use the cable listed below. Model MH-985 or MAJ-987 Product name Note S cable - Table 8.24 VTR OUT EU-M60, EU-MA1 1 The terminal layout of EU-MA is differ slightly from that of this illustration. MH-985 or MAJ-987 PinP Y/C CV-180 Figure 8.26 Do not connect the video output and B/W output of the EUM60 to the CV-180. An ultrasonic image in the PinP display may be distorted. 188 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection 8.12 Connection to the AC mains power supply • Be sure to connect the power plug of the power cord directly to a grounded wall mains outlet. If the video system center is not grounded properly, it can cause an electric shock and/or fire. • Do not connect the power plug to the 2-pole power circuit with a 3-pole to 2-pole adapter. It can prevent proper grounding and cause an electric shock. • Always keep the power plug dry. A wet power plug may cause electric shocks. • Confirm that the hospital-grade wall mains outlet to which this instrument is connected has adequate electrical capacity that is larger than the total power consumption of all connected equipment. If the capacity is insufficient, fire can result or circuit breaker may trip and turn OFF this instrument and all other equipment connected to the same power circuit. • When using the mobile workstation (WM-NP1, WM-WP1), confirm that the mobile workstation has adequate electrical capacity that is larger than the total power consumption of all connected equipment. If the capacity is insufficient, drop in the supply voltage can result or the electric protective device may trip and turn OFF all the equipment connected to the mobile workstation. • When non-medical ancillary electrical equipment is used, always connect the equipment to a wall mains outlet via an isolation transformer. Otherwise, electric shock can result. • The total power consumption of all connected equipment to the isolation transformer should not exceed the rating of the isolation transformer. If it exceeds, add another isolation transformer. Otherwise, the equipment may not work correctly. • Do not bend, pull or twist the power cord. Equipment damage including separation of the power plug and disconnection of the cord wire as well as fire or electric shock can result. • Be sure to connect the power plug securely to prevent erroneous unplugging during use. Otherwise, the equipment will not function. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 189 Chapter 8 Installation and Connection • Do not extend a single wall mains outlet into multiple outlets for connecting the power cords of both the electrosurgical unit and light source. Otherwise, malfunction of the equipment may result. When the mobile workstation (WM-NP1, WM-WP1) is used 1. Confirm that the video system center is OFF. 2. Connect the power cord provided with the mobile workstation to the AC power inlet of the video system center and the AC mains outlet of the mobile workstation (see Figure 8.27). AC power inlet Mobile workstation CV-180 Power cord provided with the mobile workstation Power socket Power cord provided with the mobile workstation to the wall mains outlet Power cord of the mobile workstation Figure 8.27 3. Connect the power cords provided with the mobile workstation to the AC power inlets of the ancillary equipment and the AC mains outlets of the mobile workstation. 4. 190 Connect the power cord of the mobile workstation to the wall mains outlet. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 8 Installation and Connection When a mobile workstation other than the WM-NP1 and WM-WP1 is used or when no mobile workstation is used 1. Confirm that the video system center is OFF. 2. Connect the power cord provided with the video system center first to its AC power inlet, then to the wall mains outlet. 3. Connect the instruments listed in Table 8.25 to the wall mains outlet. 4. Connect the instruments listed in Table 8.26 to the isolation transformer. 5. Connect the power cord of the isolation transformer to the wall mains outlet. Model Product name CLV-180, CLV-160, CLV-U40, CLV-S40, Light source OEV monitors (OEV143, OEV203, OEV181H, OEV191, OEV191H) Monitor OEP printers Video printer Table 8.25 The devices to be connected directly to the wall mains outlet Model Product name DVO-1000MD, DSR-20MD, SVO-9500MD VCR Other than OEP video printers (UP-1800, UP-1850, UP-2900MD, UP-2950MD, UP-5200MD, UP-5250MD, UP-21MD) Video printer Other than OEV video monitors Monitor Table 8.26 The devices to be connected to the isolation transformer EVIS EXERA II VIDEO SYSTEM CENTER CV-180 191 Chapter 8 Installation and Connection Devices to be connected directly to the hospital grade power outlet Hospital grade power outlet Video system center Light source OEV monitor OEP video printer Devices to be connected to the isolation transformer Isolation transformer VCR Video printer other than OEP Monitor other than OEV MB-631 Figure 8.28 192 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Chapter 9 Function setup This chapter shows basic settings for appropriate use of the video system center and other equipment connected to the video system center. Menu Function System setup Sets the basic settings of the video system center and the ancillary instruments. See page 214 for the items to set. User preset Sets the functions for observation. See page 255 for the items to set. Table 9.1 9.1 Turning power ON 1. Push the power switch of the video system center. The power indicator above the switch lights up. 2. Confirm that the endoscopic image appears on the monitor (see Figure 9.1). ID: Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 Physician: Comment: Figure 9.1 No endoscope is required for the settings. If no endoscope is connected, the color bar appears on the monitor instead of the endoscopic image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 193 Chapter 9 Function setup 9.2 System setup Basic operation of the system setup 1. Press the “Shift” and “F1” keys together (see Figure 9.2). The “System setup” menu appears on the monitor (see Figure 9.3). F1 Shift Figure 9.2 Figure 9.3 Buttons Functions OK Determines the entered data. Used to move back to the endoscopic image. Back Cancels the entered data. Used to move back to the endoscopic image. Table 9.2 2. Click “System”, “Printer”, etc., on the left side of the menu. The applicable setting items appear on the right side of the window. 3. 194 Click the desired text box to place the cursor and enter the data. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup 4. Click “ ” of the list box to open the pull down menu, and click the data in the pull down menu. 5. Click “Back” or “Esc” to cancel the input data and to go back to the endoscopic image. 6. Click “OK” after completing input operation. A confirmation message appears on the monitor. 7. Click “Y” or press “Enter” to store the input data and to go back to the endoscopic image. Click “N” to go back to step 2. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 195 Chapter 9 Function setup Endoscopic image Are you sure? Y/N N Back, Esc, Shift + F1 Y OK Shift + F1 System setup page 197 to page 200 System System Arrow key page 201 System setup Printer Printer Arrow key page 206 System setup PC PC Arrow key page 208 System setup Monitor Monitor Arrow key page 211 System setup VCR VCR Transition between the screens can be performed when the according box is highlighted. Figure 9.4 196 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup System This operation sets the current date and time, the type of the connected light source, the release time when an endoscopic image is stored to the PC card, and the display type of the patient data with an endoscopic image. Date and time Light source Release time of PC card Resume of the patient data Figure 9.5 Click “System” on the system setup menu. The setting screen appears on the right part of the window (see Figure 9.5). Date and time This operation sets the current date and time, and the display format of the date. 1. Click the text box of “Date” and enter numeric characters for month, date and year. 2. Click the text box of “Time” and enter hour, minute and second. 3. Click “ ” of “Format”. The date formats appear in the pull-down menu. Format Explanation • MM/DD/YYYY • DD/MM/YYYY • YYYY/MM/DD • MM-DD-YYYY • DD-MM-YYYY • YYYY-MM-DD • MM.DD.YYYY • DD.MM.YYYY • YYYY.MM.DD • MM DD YYYY • DD MM YYYY • YYYY MM DD YYYY: year MM: month DD: day Table 9.3 4. Click the format to use. The format is selected and displayed in the dialog box. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 197 Chapter 9 Function setup Light sources This operation sets the type of light source connected. Other settings of the light source may cause improper color and/or brightness in the image. 1. Click “ ” of the list box “Type”. The following light sources appear in the pull-down menu. Setting value Connected light source CLV CLV-160, CLV-U40 CLV-S CLV-S40 CLE Halogen light source Table 9.4 2. Click the setting value corresponding to the connected light source. The selected setting value is displayed. • When the CLV-180 is used, the setting is not necessary. • When a light source other than CLV-180 is used, set up the light source according to the table below. Please refer to the instruction manual of the light source. Setting items Settings Brightness adjustment mode AUTO BRIGHTNESS Center of the adjustable range Table 9.5 198 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Release Time of PC card The endoscopic live image pauses when the “RELEASE” button is pressed to record the image on the PC card. This operation sets the length of time to pause. 1. Click “ ” of the list box “Release Time”. The available release times appear in the pull-down menu. Setting values Release time 0.5 sec 0.5 second 1 sec 1 second 1.5 sec 1.5 seconds 2 sec 2 seconds Table 9.6 2. Click the desired release time. The selected time is displayed. The actual release time is the longest one among all release time settings of instruments. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 199 Chapter 9 Function setup Display of Patient data All or a part of the text data such as the patient data can be cleared from the monitor (refer to “Clearing characters from the screen (“F1”)” on page 82). The following operation sets whether the display status when turning the video system center OFF is saved or not. In case “Save” is set, the same display status appears on the monitor when the instrument is turned ON as it was when the instrument has been turned OFF. 1. Click “ ” of the list box “Remove data”. “Clear” and “Save” appear in the pull-down menu. 2. Click “Save” or “Clear”. The value selected is displayed. Setting value Explanation Clear Displays all text data when the instrument is turned ON. Save Displays same status as when the instrument is turned OFF. Table 9.7 200 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Printer This operation sets the type of video printer, number of print sheets, caption to be printed on the print sheets, and release time of the video printer. Printer type Number of print sheets Caption on print sheet Release time of printer Image signal output Figure 9.6 Click “Printer” on the system setup menu. The setting items appear on the right part of the window (see Figure 9.6). When the video printer of HDTV non-correspondence is used, the HDTV image can only be printed in SDTV quality. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 201 Chapter 9 Function setup Printer type 1. Click “ ” of the “Type”. The video printer types appear in the pull-down menu. Setting value Applicable video printer model HDTV printing OEP OEP (OLYMPUS) NO OEP4 OEP-4 (OLYMPUS) YES OEP3 OEP-3 (OLYMPUS) NO 2900 UP-2900MD (SONY) NO 2950 UP-2950MD (SONY) NO 5200 UP-5200MD (SONY) NO 5250 UP-5250MD (SONY) NO 5000 UP-5000MD (SONY) NO 1800 UP-1800 (SONY) NO 1850 UP-1850 (SONY) NO UP21 UP-21MD (SONY) NO YP22 function not available NO Foot switch NO Table 9.8 2. Click the video printer type to be used. The selected printer type is displayed. Number of print sheets 1. Click “ ” of the “Qty.“N””. The numbers of the print sheet (4, 5, 6, 7, 8 and 9) appear in the pull-down menu (see Figure 9.6). These numbers are assigned to “N” of the “PRINT QTY.” key on the keyboard. 2. 202 Click the desired number. The selected number is displayed. • The number 1, 2 or 3 are selected with the “PRINT QTY.” key on the keyboard. • When “Foot switch” of the printer type is selected, “Qty.“N”” cannot be set. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Caption 1. Click the text box of “Caption”. The cursor moves into the dialog box. 2. Enter the caption in the dialog box. • Max. 32 alphanumeric and symbol characters can be entered. Figure 9.7 shows an example of a print sheet with caption. Print sheet Print images Caption Follow-up observation Figure 9.7 • When OEP is used, set “TIMER” of the OEP printer OFF. For details, refer to the instruction manual of the OEP printer. • When “Foot switch” of the printer type is used, “Caption” cannot be set. • When the UP-1800/1850 is used, set the “LIVE MODE” option of the printer OFF. For details, refer to the instruction manual for the UP-1800/1850. • When the UP-1800/1850 is used and “MODE” is set to “1”, set “Separate” of the printer OFF. The remote operation from the CV-180 becomes disabled. For details, refer to the instruction manual for the UP-1800/1850. • Set the baud rate of the RS-232C printer, referring to its instruction manual. Baud rate: 4800 bps EVIS EXERA II VIDEO SYSTEM CENTER CV-180 203 Chapter 9 Function setup Release time The endoscopic live image pauses when the “RELEASE” button is pressed to record the image onto the PC card. This operation sets the length of time to pause. 1. Click “ ” of the “Release time (see Figure 9.6 on page 201). The release times appear in the pull-down menu. Setting value Release time 0.5 sec 0.5 second 1 sec 1 second 1.5 sec 1.5 seconds 2 sec 2 seconds Table 9.9 2. Click the desired release time. The selected time is displayed. The actual release time is the longest one among all release time settings of the instruments. Output signal to OEP-4 1. Click “ ” of the “OEP4 mode” (see Figure 9.6 on page 201). The output signal appear in the pull-down menu. Setting value Explanation Mode 1 The video signal (HDTV or SDTV) compatible with the endoscope type is output. In the mode1, HDTV images and SDTV images cannot be printed on the same print sheet. In this case, HDTV images and SDTV images are printed on the separate print sheets. Mode 2 The SDTV signal is output regardless of the endoscope type. However, the HDTV signal is output only when the number of images on the print form is one. Table 9.10 2. 204 Click the desired mode. The selected mode is displayed. • During displaying in PinP in mode1, the image output is always SDTV format without reference to the endoscope. • OEP-4 cannot print HDTV and SDTV images on the same page. If HDTV images follow SDTV images, the Printing Forcibly message will appear and the HDTV images will be EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup printed first. After the HDTV images are printed, SDTV images can be captured and printed as usual. The Printing Forcibly message does not indicate a malfunction. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 205 Chapter 9 Function setup Image filing system This operation sets the type of image filing system that is connected to the “PC” terminal on the rear panel and the release time of the image filing system. Type of digital filing system Release time of the digital filing system Release time of EndoALPHA Figure 9.8 Click “PC” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.8). Type of image filing system 1. Click “ ” of the “Type”. The types of image filing system appear in the pull- down menu. Setting value Explanation EndoWORKS The images can be recorded on the EndoWORKS system. EndoALPHA The images can be recorded on the EndoALPHA system. EndoBASE The images can be recorded on the EndoBASE system. OFF The images cannot be recorded on any image filing system. Table 9.11 2. 206 Click the system to use. The selected system is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Release time The endoscopic live image pauses when the “RELEASE” button is pressed to record the images into the image filing system. This operation sets the length of time to pause. 1. Click “ ” of the “Release time (see Figure 9.8). The release times appear in the pull-down menu. Setting value Release time 0.5 sec 0.5 second 1 sec 1 second 1.5 sec 1.5 seconds 2 sec 2 seconds Table 9.12 2. Click the desired release time. The selected release time is displayed. The actual release time is the longest one among all release time settings of instruments. EndoALPHA The release time set by EndoALPHA is displayed. The setting value cannot be changed on this screen. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 207 Chapter 9 Function setup Monitor This operation sets the monitor type, video signal, aspect ratio of the HDTV (horizontal and vertical ratio of the display area) and the terminal to be activated by the monitor for video output. Monitor type Video signal Aspect ratio Video signal Figure 9.9 Click “Monitor Setting” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.9). Monitor type 1. Click “ ” of “Monitor”. The monitor types appear in the pull-down menu. Setting value Video signal Applicable monitor model 141/201 SDTV OEV141, OEV201 142/143/202/203 SDTV OEV142, OEV143, OEV202, OEV203 181H HDTV OEV181H 191H HDTV OEV191H 191 SDTV OEV191 Remote OFF (HD) HDTV Remote OFF (SD) SDTV Table 9.13 2. 208 Click the desired monitor type. The selected monitor type is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Video signal format Improper setting of the video signal may displays abnormal images. 1. Click “ ” of the “Video signal”. The video signals appear in the pull-down menu. Setting value Explanation RGB For RGB compatible monitors YPbPr For analog component signal compatible monitors Table 9.14 2. Click the desired video signal. The selected video signal is displayed. Aspect ratio 1. Click “ ” of “HDTV format”. The aspect ratios appear in the pull-down menu. Setting value Explanation 5:4 For the monitors whose horizontal to vertical ratio is 5:4. 4:3 For the monitors whose horizontal to vertical ratio is 4:3. Table 9.15 2. Click the desired aspect ratio. The selected aspect ratio is displayed. • When the aspect ratio settings of the monitor and CV-180 are not the same, the top and bottom or right and left of the image may not be displayed properly on the monitor. It is recommended to use the default settings of the aspect ratio and to use the remote control cable described in Section 8.5, “Monitor” on page 170 • A common aspect ratio of HDTV is 16:9, but this instrument displays only the central part of the image in the ratio 5:4 or 4:3. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 209 Chapter 9 Function setup The video signal output This operation sets the type of video signal output to the monitor. 1. Click “ ” of “RGB/SDI”. The video signals appear in the pull-down menu. Setting value Explanation RGB Output RGB video signal to the monitor. SDI Outputs SDI video signal to the monitor. Table 9.16 2. Click the desired video signal. The selected video signal is displayed. CV-180 does not have and SDI input and is therefore not capable of transferring images from external devices to the monitor via SDI. 210 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Videocassette recorder This operation sets the type of videocassette recorder (VCR) and the video signal to the VCR. VCR type Video signal type Figure 9.10 Click “VCR” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.10). VCR type 1. Click “ ” of “Type”. The VCR types appear in the pull-down menu. Setting value VCR VCR (RS232C) SVO-9500MD (SONY), DSR-20MD (SONY) VCR (IEEE 1394) DSR-20MD (SONY) Foot switch SVO-9500MD (SONY) HD-VCR (RS232C) PDW-70MD (SONY), PDW-75MD (SONY) DVD (RS232C) DVO-1000MD (SONY) DVD (IEEE1394) DVO-1000MD (SONY) Option Reserved for future system expansion. Table 9.17 When “DVD (IEEE1394)” of the VCR type is selected, only the recording and pause operations can be operated. 2. Click the desired type. The selected VCR type is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 211 Chapter 9 Function setup Video signal type 1. Click “ ” of “Signal”. The video signals appear in the pull-down menu. Setting value Explanation S-Video The type of input signal when playing back is S-video. Composite The type of input signal when playing back is composite. Table 9.18 2. Click the desired video signal. The selected video signal is displayed. • When using the VTR remote cable MH-989 or MAJ-906, set the RS-232C transfer rate of the videocassette recorder as shown below following the instructions given in the instruction manual for the VTR remote cable. Baud rate: 9600 bps 212 • When using the VTR remote cable MH-922, set the videocassette recorder’s foot switch control mode in “Low level trigger mode” following the instructions given in the instruction manual for the videocassette recorder (SVO9500MD). • For further information, refer to the instruction manual for the VTR remote cable. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Saving the system setup This operation finalizes and saves the settings of the system setup. 1. Click “OK” of the system setup menu (see Figure 9.11). All settings are saved in the video system center. Figure 9.11 2. Click “Back” to go back to the endoscopic image. To cancel the settings, click “Back” instead of “OK”. The input values are canceled and the display returns to the endoscopic image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 213 Chapter 9 Function setup Summary of settings Table 9.19 shows the options of the system setup menu. The bold and underscored options listed are the factory default settings. Setup item System Clock Setting value Note Date Display format is according to the type of format selected below. System date Time Display format is [HH:MM:SS] System clock HH: hour MM: minute SS: second Format Printer PC [YYYY/MM/DD], [YYYY.MM.DD], [YYYY-MM-DD], [YYYY MM DD], [MM/DD/YYYY], [MM-DD-YYYY], [MM.DD.YYYY], [MM DD YYYY], [DD/MM/YYYY], [DD-MM-YYYY], [DD.MM.YYYY], [DD MM YYYY] Display format for the system date MM: month DD: day Light source Type [CLV], [CLV-S], [CLE] Type of light source or lamp bulb PC card Release time [0.5 sec], [1 sec], [1.5 sec], [2 sec] Length of time to pause the image for recording Patient data Remove data [Clear], [Save] The display status of text data such as patient data is saved or not saved. Printer setting Type [OEP], [OEP3], [OEP4], [2900], [2950], [5200], [5250], [5000], [1800], [1850], [UP21], [YP22], [Foot switch] Printer types to connect to “Printer Remote” terminal Qty.“N” [4], [5], [6], [7], [8], [9] The number of sheet assigned to “N” Caption - - Release time [0.5 sec], [1 sec], [1.5 sec], [2 sec] Length of time to pause the live image OEP4 mode [Mode 1], [Mode 2] Video signal out put to OEP4 Type [EndoWORKS], [EndoBASE], [EndoALPHA], [OFF] Image filing systems Release time [0.5 sec], [1 sec], [1.5 sec], [2 sec] Length of time to pause the live image EndoALPHA [0.5 sec], [1 sec], [1.5 sec], [2 sec] PC setting Table 9.19 214 YYYY: year EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Setup item Monitor VCR Monitor setting VCR setting Setting value Note Monitor [141/201], [142/143/202/203], [181H], [191H], [191], [Remote OFF (HD)], [Remote OFF (SD)] Monitor type to connected to “Monitor OUT” Video signal [RGB], [YPbPr] Video signal format to monitor HDTV format [5:4], [4:3] Aspect ratio of HDTV RGB/SDI [RGB], [SDI] Terminal to be activated by the monitor for video output Type [VCR (RS232C)], [VCR (IEEE1394)], [Foot switch], [HD-VCR (RS232C)], [DVD (RS232C)], [DVD (IEEE1394)], [Option] VCR type Signal [S-Video], [Composite] VCR signal type Table 9.19 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 215 Chapter 9 Function setup 9.3 User preset The user preset menu sets the functions of this instrument for each individual user, endoscope, etc., for up to 20 users. Each preset data has been set to the factory defaults. Basic operation of the user preset 1. Press the “Shift” and “F2” key together (see Figure 9.12). The “User preset” menu appears on the monitor (see Figure 9.13). F2 Shift Figure 9.12 Figure 9.13 Button Function Back Cancels the inputs, and returns to the endoscopic image. Select Loads the selected user preset data on the video system center, then returns to the endoscopic image. Edit Edits the user preset data in the video system center. Delete Deletes the user name and its data from the user name list. Table 9.20 216 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup 2. Click “User Data No. #” in the user name list, in which no user is registered. The background of the selected user name is blue. 3. Click “EDIT” on the right side of the screen (see Figure 9.13).The edit screen of the user preset menu appears (see Figure 9.14). User’s name Figure 9.14 Button Function Back Returns to the endoscopic image. OK Determines and saves the input data (returns to the endoscopic image). Default Resets the user preset data to the factory default settings. Table 9.21 4. Enter the user name in the text box of “User name”. Otherwise, entered data cannot be saved. • 5. Max. 20 alphanumeric and symbol characters can be entered. Click “ ” of the dialog box of the setting values to open the pull down menu, and click the data on the pull down. 6. To cancel the input, click “Back” or “Esc”. The input values are canceled and the display returns to the user list menu. 7. After completing data input, click “OK”. A confirmation message appears on the monitor. 8. Click “N” to return to step 2. Click “Y” or press “Enter” to save the input values and return to the endoscopic image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 217 Chapter 9 Function setup Y Select, Back, Esc Are you sure? Y/N N, Esc OK Delete Endoscopic image Shift + F2 Shift + F2 page 194 User preset User list Back, Esc N, Esc Edit User preset page 219 EXERA EXERA Arrow key page 219 User preset VISERA VISERA Arrow key page 223 User preset Release Release Arrow key page 226 User preset Adjustment Adjustment Arrow key page 229 User preset Image size Image Size Arrow key page 232 User preset Brightness Brightness Arrow key page 241 User preset Display Display Arrow key page 246 User preset PinP PinP Arrow key page 250 Special light Special light User preset Transition between the screens can be performed when the according box is highlighted. Figure 9.15 218 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Remote switch and foot switch (EXERA and VISERA) This operation assigns the functions to the remote switches on the endoscope and the foot switch. Use the “EXERA” menu to assign the functions for the EVIS series endoscopes and use the “VISERA” menu for the VISERA series endoscopes and the camera heads. Otherwise the functions are invalid. Figure 9.16 1. Click “EXERA” or “VISERA” on the user preset menu. The setting items appear on the right side of the window. 2. Click “ ” of “Scope switch” or “Foot switch” (see Figure 9.16). The available functions appear in the pull-down menu. 3. Click the desired function. The selected function is displayed. 4. Follow steps 1. to 3. to assign the functions to all the scope and foot switches in the same way. • It is possible to assign the same function to all the remote switches and foot switches. • The positions and shapes of the scope switches are different depending on the endoscope model as shown in Figure 9.17. For details, refer to the instruction manual of the endoscope. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 219 Chapter 9 Function setup Remote switch 1 Remote switch 1 Remote switch 2 Remote switch 3 Remote switch 4 Remote switch 3 Remote switch 4 EVIS 160/180 series videoscopes, Ultrasonic videoscopes (GF-UC series, GF-UE series) Remote switch 1 Remote switch 4 Ultrasonic videoscope (only GF-UM160) Remote switch 1 Remote switch 3 Remote switch 2 Remote switch 2 Remote switch 3 BF-160/180 series, VISERA series videoscopes OTV-S7H camera heads Remote switch 4 Remote switch 1 Ultrasonic videoscope (GF-UM series except GF-UM160) Note) These illustrations are examples. For details, refer to the instruction manuals of the endoscopes used. Figure 9.17 220 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Function Outline Freeze Toggles back and forth between live image and frozen image of the endoscopic image. Same function as “FREEZE” on the keyboard. See “Freeze (“FREEZE”)” on page 99. Release 1 Records the images on the monitor into the recording devices. Same function as “RELEASE” on the keyboard. See “Release (“RELEASE”)” on page 101. Release 2 Records the images on the monitor into the recording devices. See “Release function” on page 223. Iris Switches to the iris mode (type of optical measurement). Same function as the “Iris mode switch” on the front panel. See “Iris mode” on page 69. Enhance Switches the image enhancement mode (OFF/1/2/3). Same function as the “Image enhancement button” on the front panel. See “Image enhancement mode (ENH.)” on page 67. Contrast Switches the contrast of the endoscopic image. Same function as the “Shift”+”F6” keys on the keyboard. See “Contrast mode (“Shift” + “F6”)” on page 90. AGC Toggles back and forth the AGC function between ON and OFF. Same function as the “F6” key on the keyboard. See “Automatic gain control (AGC) (“F6”)” on page 89. Image size Changes the image size. Same function as the “F8” key on the keyboard. See “Image size (“F8”)” on page 94. VCR Operates either VCR recording or pause. See “Videocassette recorder (VCR)” on page 129. Capture Takes in the image into the video printer. Same function as the “CAPTURE” key on the keyboard. See “Video printer” on page 131. Stop watch Uses the clock on the monitor as a stopwatch. Same function as the “F5” key on the keyboard. See “Stopwatch (“F5”)” on page 88. Remove data Erases and displays the patient data on the monitor. Same function as the “F1” key on the keyboard. See “Clearing characters from the screen (“F1”)” on page 82. Zoom Enlarges the image. Same function as the “F7” key on the keyboard. See “Image zooming (“F7”)” on page 91. White balance Press and hold to execute the white balance adjustment. Same function as the “Shift” + “F9” keys on the keyboard and “White balance button” on the front panel. See Section 4.5, “White balance adjustment” on page 52. Exposure area Changes the exposure area of the auto brightness control. See “Exposure area” on page 239. Exposure (up) Increases the brightness of the image. Same function as “ ” of the brightness adjustment button on the front panel. See “Brightness adjustment (Exposure)” on page 71. Exposure (down) on the front panel. See “Brightness adjustment (Exposure)” on page 71. NBI Activates the NBI observation mode. See “NBI (narrow band imaging)” on page 151. PDD mode This function is not available. PDD gain This function is not available. OP.2 Reserved for future system expansion. Currently not used. Decreases the brightness of the image. Same function as “ ” of the brightness adjustment button Table 9.22 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 221 Chapter 9 Function setup Function Outline OFP Turns the OLYMPUS flushing pump (OFP) ON and OFF. This function is available only on the remote switches and foot switches. Light Turns the light source ON and OFF. This function is active only when the CLV-180 is used. Press to light up. Press and hold to light OFF. Arrow Displays or erases the arrow pointer. Same function as the “Shift” and any arrow key on the keyboard. See “Arrow pointer (“Shift” + arrow keys and domepoint)” on page 102. PinP Toggles back and forth the display between the normal display and PinP. Same function as the “PinP” button on the front panel. See “PinP (picture in picture) display” on page 64 or “PinP (picture in picture) function” on page 246. Shutter Turns the electronic shutter function ON and OFF. This function is available only on the remote switches and foot switches. US freeze Reserved for future system expansion. Currently not used. Freeze mode Toggles back and forth between frame and field of the freeze mode. Same function as “F4” key on the keyboard. Option Operates functions of the image filing system such as EndoWORKS, etc. None No function Table 9.22 222 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Release function Release is a function to take pictures or start recording the endoscopic image. This operation assigns the recording devices to “Release 1” and “Release 2” that is assigned to the remote switches and foot switches. The setting of “Release 1” is assigned to the “RELEASE” key on the keyboard, too. 1. Click “Release” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.18). Release assignment Figure 9.18 2. Click the check box of the device to be used. The selected check box is highlighted (see Figure 9.18). It is possible to select multiple devices. Setting value Device CVP Color video printer PC card PC card slot of this instrument Digital file Image filing system Table 9.23 3. Follow steps 1. and 2. to assign the instruments to “Release 2” in the same way. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 223 Chapter 9 Function setup Recording format for PC card This operation sets the recording format of the frozen image to be recorded on the PC card. Recording format Figure 9.19 Click “ ” of “Picture” (see Figure 9.19). The recording formats appear in the pull-down menu. Setting value Number of full-screen images that can be stored in 32 MB PC card SDTV HDTV SHQ Approx. 310 images Approx. 110 images HQ Approx. 2000 images Approx. 760 images SQ Approx. 2570 images Approx. 970 images Tiff Approx. 30 images Approx. 6 images Table 9.24 224 • The PinP function is OFF in Table 9.24. • Even the approximate number of recordable images can vary significantly depending on different factors. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Freeze function This function sets the method of “FREEZE” to pause the endoscopic image. Freeze mode Figure 9.20 1. Click “ ” of “Freeze mode” (see Figure 9.20). The freeze modes appear in the pull-down menu. Setting value Explanation Field Less blur image can be obtained than frame freeze when the object moves fast. (Use this mode for routine use.) Frame Clearer image can be obtained than field freeze when the object does not move. Table 9.25 2. Click the desired freeze mode. The selected mode is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 225 Chapter 9 Function setup Image enhancement (normal observation) This function electrically increases the sharpness of the endoscopic image. The three kinds of enhancement types can be set by combining desired enhancement types and levels (see Table 9.26). These modes can be selected during observation, and the selected mode is indicated by indicators 1, 2 or 3 above the “Image enhance button” on the front panel.This menu sets the three enhancement modes and the initial mode when the user preset is called up. Refer to “Image enhancement (NBI observation)” on page 250 for setting the Image enhancement for NBI observation. Enhancement method Function Level Enhancement of contrast of the fine patterns in the image. A1, A2, A3, A4, A5, A6, A7, A8 B: Structural enhancement B Enhancement of contrast of more finer patterns than A in the image. B1, B2, B3, B4, B5, B6, B7, B8 E: Edge enhancement Enhancement of edges of the endoscopic image. E1, E2, E3, E4, E5, E6, E7, E8 A: Structural enhancement A Table 9.26 1. Click “Adjustment” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.21). Initial enhancement mode Setting each enhancement mode Figure 9.21 226 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Initial enhancement mode 1. Click “ ” of “Mode position” (see Figure 9.21). The numbers of enhancement mode appear in the pull-down menu. Setting value Explanation Mode 1 Corresponds to Mode 1 in “Enhancement modes” below. Mode 2 Corresponds to Mode 2 in “Enhancement modes” below. Mode 3 Corresponds to Mode 3 in “Enhancement modes” below. OFF No enhancement Table 9.27 2. Click the enhancement mode number to use. The selected number is displayed. Enhancement modes 1. Click “ ” of “Mode 1” (see Figure 9.21).The enhancement types appear in the pull-down menu. • A1 to A8, B1 to B8 and E1 to E8, 24 kinds are displayed. The larger the number, the higher the enhancement. 2. Click the desired enhancement type. The selected type is displayed. 3. Follow steps 1. and 2. to assign the enhancement type to “Mode 2” and “Mode 3” in the same way. • The image enhancement mode used before the video system center OFF comes up when the instrument is turned ON. The setting set in “Mode position” comes up when the user preset is called up. • B1 to B8 is valid for Scope 1, Scope 4, and Scope 5 shown in Table 9.30 on page 229. When an endoscope other than these endoscopes is used, the enhancement automatically becomes A1 to A8. • Mesh-like noise may be observed in the image, when the image enhancement function is on during use of a fiberscope or hybrid scope. Switch the image enhancement OFF, or use the recommended camera head below: OTV-S7H-1N OTV-S7H-1D EVIS EXERA II VIDEO SYSTEM CENTER CV-180 227 Chapter 9 Function setup Color mode This menu sets the color tone of the monitor from four modes. The color mode can be changed during observation. See “Color mode (“Shift” + “Alt” + “1”, “2”, “3”, “4”)” on page 104 The setting of “Color Mode” is valid only to “Scopes B”, “Scopes C” and “Scopes D” in Table 9.33 on page 233. The color mode in this menu is not valid for NBI observation, because NBI observation uses the exclusive color mode for each endoscope. Initial color mode Figure 9.22 1. Click “Enhancement” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.22). 2. Click “ ” of “Color mode” (see Figure 9.22). The color modes appear in the pull-down menu. Setting value Explanation Mode 1 Same as the color mode 1 of VISERA video system center OTV-S7V Mode 2 Less reddish color than the Mode 1 Mode 3 More yellowish color than the Mode1 Mode 4 Standard color mode Table 9.28 3. 228 Click the desired color mode. The selected mode is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Image size This menu sets the image size on the monitor when the user preset menu is called up. The available image sizes (see Table 9.29) depend on the endoscope models (see Table 9.30). Refer to Figure 9.24 on page 231 for a rough comparison of the image sizes. Type of Endoscope Image size Small Medium Semi-Full Full-Height Full Scope 1 Scope 2 Scope 3 Scope 4 Scope 5 : applicable, : not applicable Table 9.29 Type of Endoscope Model Scope 1 EVIS Q series Scope 2 GIF-XP160, BF-P160, BF-3C160, BF-XT160, LF-V, HYF-V Scope 3 • EVIS series other than Scope 1, Scope 2 and Scope 4 • ENF-V/V2, CYF-V/VA/V2/VA2, PEF-V • Ultrasonic videoscopes Scope 4 EVIS H series Scope 5 Other than above Table 9.30 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 229 Chapter 9 Function setup 1. Click “Image size” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.23). Figure 9.23 2. Click “ ” of the scope type to use (see Figure 9.23).The image sizes appear in the pull-down menu. 230 3. Click the desired image size. The selected image size is displayed. 4. Follow steps 1. to 3. to set the image size of all endoscopes to be used. • The image size can be changed during observation. For details, see “Image size (“F8”)” on page 94 • When this instrument is turned ON, the image size before turning the video system center OFF comes up when turning the instrument ON. When the user preset is called up, the image size set in this menu comes up. • “Scope 5” is not displayed on this menu because the endoscopes of “Scope 5” are compatible only with “Full” size. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Medium Small ABC123 Mike Johnson Mike Johnson ABC123 M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: John Smith Cardiac end of the stomach John Smith Cardiac end of the stomach Full-height Full ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: John Smith Cardiac end of the stomach John Smith Cardiac end of the stomach Figure 9.24 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 231 Chapter 9 Function setup Iris This video system center automatically measures the brightness of objects, and displays live images with proper brightness on the monitor. There are two methods, “Auto” and “Peak”. The functions slightly differ depending on the endoscope type (see Table 9.33) even with the same methods. The methods can be changed during use (see “Iris mode” on page 69). This menu sets the measuring method that measures the image brightness. Setting value Auto Peak Explanation The methods to measure the brightness of the central and peripheral part of the image. One of the following three measuring methods can be used. They differ in how the measuring results are combined. Select “AUTO 1” or “AUTO 2” when white wash is observed on the image. 1) AVE.: The brightness is adjusted based on the average brightness of the two parts. 2) AUTO 1: The brightness is adjusted based on the brightest part of the central part and the average brightness of the periphery part. 3) AUTO 2: The entire image is brighter than “AUTO 1”. The brightness is adjusted based on the brightest part of the image. Table 9.31 Method of photometry for endoscopes of “Scope A” (see Table 9.33) Setting value Auto Peak Explanation The image brightness is adjusted based on the average brightness of the exposure area set in the image. The three exposure areas can be selected. Select “Full” or “Center” when white wash is observed, or the image becomes dark. 1) Mask: The exposure area is set automatically to obtain optimum brightness for the subject. (This exposure area become the same with “Full” for scope D.) 2) Center: Center-weighted measuring. 3) Full: The brightness of the whole image is measured. The same measuring method as the “Auto” but slightly darker. Table 9.32 Method of photometry for endoscopes of “Scope B”, “Scope C”, and “Scope D” (see Table 9.33) 232 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Endoscope type Endoscope model Scope A GIF-N180/H180/Q180, CF-H180AL/I, CF-Q180AL/I, PCF-Q180AL/I, BF-P180/Q180/1T180, EVIS EXERA160 series, EVIS140/130/100 series, Ultrasonic videoscopes Scope B ENF-V/V2, LF-V, HYF-V/V2, CYF-V/VA/VA2, PEF-V Scope C OTV-SP1H-N-12E/12Q, OTV-SP1H-NA-12E/12Q, OTV-S7H-N/1N/1D/NA/1NA, OTV-S7H-1D-F08E/L08E/1MD/D-L08E, OTV-S7H-NA-10E/1NA-10E, OTV-S7H-NA-12E/1NA12E, OTV-S7H-NA-10Q/NA-12Q, OTV-S7H-1NA-12Q, OTV-S7H-FA-E/1FA-E/FA-Q, OTV-S7HVA, OTV-SP1H-NA-12E/12Q, OTV-SP1H-N-12E/12Q OTV-S7ProH-HD-10E/10Q/12E/12Q OTV-S7ProH-HD-L08E Scope D LTF-V3/VP, A50001A, A50003A, A50021A, A50023A, WA50003L, WA50005L, WA50011A, WA50013A, WA50013L, WA50015L, WA50121A, WA50201A, ENF-VQ Table 9.33 Types of the endoscope EVIS EXERA II VIDEO SYSTEM CENTER CV-180 233 Chapter 9 Function setup 1. Click “Brightness” on the system setup menu. The “Brightness setting” appears on the right side of the window (see Figure 9.25). Measuring method Figure 9.25 2. Click “ ” of “Iris” (see Figure 9.25). The measuring methods appear in the pull-down menu. Setting value Auto Explanation See Table 9.31 and Table 9.32 on page 232. Peak Table 9.34 3. Click the desired method. The selected mode is displayed. 4. Click “ ” of “Iris auto” (see Figure 9.25). The measuring methods of “Auto” appear in the pull-down menu. Setting value Explanation AUTO 1 AUTO 2 See Table 9.31 on page 232. AVE. Table 9.35 5. Click the desired method. The selected method is displayed. When this instrument is turned ON, the latest iris mode before the video system center is turned OFF comes up when the instrument is turned ON. When the user preset is called up, the iris mode that is set in this menu comes up. 234 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Iris speed This menu sets the speed to adjust the brightness of the image according to the result of the measuring method. The setting in this menu is effective only for the endoscopes of “Scope A” in see Table 9.33 on page 233. Speed for adjusting the brightness Figure 9.26 Setting value Explanation Iris speed Changes the brightness adjustment speed from three speeds. Iris L Fine-tunes the darkening speed in the each settings of “Iris speed”. Iris D Fine-tunes the brightening speed in the each settings of “Iris speed”. Table 9.36 1. Click “ ” of “Iris speed” (see Figure 9.26). The iris speeds appear in the pull-down menu. Setting value Explanation Low The brightness adjustment speed is low. Medium The brightness adjustment speed is medium. High The brightness adjustment speed is high. Table 9.37 2. Click the desired iris speed. The selected iris speed is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 235 Chapter 9 Function setup 3. Click “ ” of “Iris L (Iris D)” (see Figure 9.26). The fine-tuning speeds appear in the pull-down menu. Setting value Explanation 1 The fine-tuning of the brightness adjustment is low. 2 The fine-tuning of the brightness adjustment is medium. 3 The fine-tuning of the brightness adjustment is high. Table 9.38 4. 236 Click the desired speed. The selected speed is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Auto gain control (AGC) The AGC (Automatic Gain Control) 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. This menu sets if the AGC function is used. When the AGC function is set, the function can be switched ON and OFF from the keyboard and remote switch during observation (see “Automatic gain control (AGC) (“F6”)” on page 89). AGC setting Figure 9.27 1. Click “ ” of “Auto gain control” (see Figure 9.27). The setting values ON and OFF appear in the pull-down menu. Setting value Explanation On AGC function is ON. Off AGC function is OFF. Table 9.39 2. Click “ON” or “OFF”. The selected status is displayed. Image noises may appear in the image when the AGC function is ON. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 237 Chapter 9 Function setup Contrast The contrast modes widen or narrow the difference between brightness and darkness of the endoscopic image. This operation sets the contrast mode when the video system center is turned ON. Three contrast modes are available and can be changed by the keyboard during observation (refer to “Contrast mode (“Shift” + “F6”)” on page 90). The setting is invalid during special light observation (refer to “Special light observation” on page 250). Contrast setting Figure 9.28 1. Click “ ” of “Contrast” (see Figure 9.28). The exposure areas appear in the pull-down menu. Setting value Explanation Normal Standard setting Low Darkens the bright part, and brightens the dark part. High Brightens the bright part, and darkens the dark part. Table 9.40 2. 238 Click the desired contrast mode. The selected mode is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Exposure area This menu sets the exposure area for endoscopes of “Scope B”, “Scope C” and “Scope D” in see Table 9.33 on page 233. Exposure area setting Figure 9.29 1. Click “ ” of “Exposure area” (see Figure 9.29). The exposure areas appear in the pull-down menu. Setting value Explanation Mask Center See Table 9.32 on page 232. Full Table 9.41 2. Click the desired exposure area. The selected exposure area is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 239 Chapter 9 Function setup Electronic shutter This menu sets whether the electronic shutter function of the endoscope is ON or OFF. The applicable endoscopes are EVIS H series endoscopes, camera heads, LTF endoscopes. When using an endoscope compatible with the electronic shutter function, the light exposure is automatically adjusted using the electronic shutter function of the endoscope. Electric shutter setting Figure 9.30 1. Click “ ” of “Electric shutter” (see Figure 9.30). The setting values ON and OFF appear in the pull-down menu. Setting value Explanation On Activates the electronic shutter function. Off De-activates the electronic shutter function. Table 9.42 2. Click “ON” or “OFF”. The selected option is displayed. When using an endoscope not compatible with the electronic shutter function of the video system center, the electronic shutter function does not work even if “ON” is selected. 240 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Patient data display This menu sets whether the patient data, which had been displayed right before the video system center has been turned OFF, is displayed on the monitor or not when the video system center is turned ON. When “Save data” is set to YES, confirm that the name on the monitor is identical to the name of the patient to be observed before observation. Saving patient data Figure 9.31 1. Click “Display” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.31). 2. Click “ ” of “Save data” (see Figure 9.31). The setting values of “Yes” and “No” appear in the pull-down menu. Setting value Explanation Yes Displays the patient data that had been displayed right before the video system center has been turned OFF. No No display of last patient data. Table 9.43 3. Click “Yes” or “No”. The selected option is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 241 Chapter 9 Function setup Scope nickname The scope nickname is displayed on the monitor, when the endoscope with the scope nickname function is connected. This menu sets whether the nickname is displayed on the monitor or not. For the V-scope, “V” is displayed on the monitor. ID Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 Scope nickname Physician: V Figure 9.32 Scope nickname setting Figure 9.33 1. Click “ ” of “Scope nickname” (see Figure 9.33). The settings “Enable” and “OFF” appear in the pull-down menu. Setting value Explanation Enable Displays the scope nickname. OFF No display of the scope nickname Table 9.44 2. 242 Click the desired setting. The selected setting is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Release index time The image taken using the release function can be displayed in the lower-left of the monitor. This image is called index image. This menu sets the time an index image is displayed. ID: Name: Sex: Age: D.O.B 12/12/2005 12:12:12 Index image Physician: Comment: Figure 9.34 Setting the Index image Figure 9.35 1. Click “ ” of “Release index” (see Figure 9.35). The display times appear in the pull-down menu. Setting value Explanation Off No display of the index image 2 sec Displays the index image for 2 seconds. 4 sec Displays the index image for 4 seconds. Always Displays the index image all the time. Table 9.45 2. Click the desired display time. The selected time is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 243 Chapter 9 Function setup • The index image may overlap the characters such as the patient data. • Index image does not appear in the PinP screen (see “PinP (picture in picture) display” on page 64). Indication of the special light observation This menu sets whether the indication of the special light observation is shown on the monitor or not (see Figure 9.36). ID Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 NBI NBI observation Display of the special light observation Physician: Figure 9.36 Display of the special light observation Figure 9.37 1. Click “ ” of “Special light” (see Figure 9.37). The settings “Enable” and “Disable” appear in the pull-down menu. Setting value Explanation Enable Display Disable No display Table 9.46 244 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup 2. Click “OFF” or “ON”. The selected option is displayed. Monitor orientation function The orientation function rotates the monitor image into a 180 reverse image. The following operation sets whether or not the orientation function is activated (see Figure 9.38). Please note that during image rotation a time delay of the image display might occur. Please deal appropriately. ID Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 ID Name: Sex: Age: D.O.B. 12/12/2005 12:12:12 “R” mark Physician: Physician: R Rotated image Normal image Figure 9.38 The orientation setup affects all video outputs as well as the monitor output. The recorded images are also reversed. The external PinP image does not reverse. Orientation setting Figure 9.39 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 245 Chapter 9 Function setup 1. Click “ ” of “Orientation” (see Figure 9.39). The settings of “Normal” and “Rotation” appear in the pull-down menu. Setting value Explanation Normal Displays the endoscopic image on the monitor normally. Rotation Displays the endoscopic image rotated by 180 on the monitor. Table 9.47 2. Click “Normal” or “Rotation”. The selected option is displayed. “R” mark is always displayed at the bottom right of the display when the orientation function and PinP function are ON. PinP (picture in picture) function The PinP function displays an image of an external device (such as an ultrasonic observation unit) connected to the video system center, as a sub or main image on the monitor together with the endoscopic image (see Figure 9.40). The images from one of the devices connected to the following connectors can be displayed as the PinP image. • PinP composite terminal on the front panel (has priority to the PinP Y/C terminal on the rear panel) • PinP Y/C terminal on the rear panel Please note that during PinP is displayed a time delay of the image display might occur. Please deal appropriately. Main image Sub image Figure 9.40 246 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Click “PinP” on the system setup menu. The setting items appear on the right side of the window (see Figure 9.41). Sub image size Sub image position Way of screen change Combination of the image in ON/OFF mode Figure 9.41 Image size of PinP 1. Click “ ” of “Size” (see Figure 9.41). The PinP sub image sizes appear in the pull-down menu (see Figure 9.42). Setting value Explanation 1/4 The size of sub image is about one-fourth that of the main image. 1/9 The size of sub image is about one-ninth that of the main image. Table 9.48 Main image 1/4 sub image 1/9 sub image Figure 9.42 2. Click the desired sub image size. The selected size is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 247 Chapter 9 Function setup Position of the PinP sub image Click the check box for the position to display the PinP sub image. The selected check box turns black. D C A D C A B B The highlighted check box shows the position of the sub image Figure 9.43 Display mode of PinP 1. Click “ ” of “Movement” (see Figure 9.41).The PinP modes appear in the pull-down menu. Setting value Explanation (see “PinP (picture in picture) display” on page 64.) On/Off The PinP button toggles back and forth between the non-PinP mode and the PinP mode. Mode change The PinP button switches between the PinP mode, endoscopic image and external image. Table 9.49 2. Click the desired PinP mode. The selected PinP mode is displayed. 3. Click “ ” of “Mode” if “ON/OFF” of “Movement” is selected (see Figure 9.41). The display modes appear in the pull-down menu. Setting value Explanation SCOPE/aux. The endoscopic image is the main image and the external image is the sub image. AUX./scope The external image is the main image and the endoscopic image is the sub image. Table 9.50 248 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Endoscopic image External Image SCOPE + aux. External image Endoscopic image AUX. + scope Figure 9.44 If “Mode change” of “Movement” is selected, the mode setting is invalid. 4. Click the desired display mode. This selected mode is displayed. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 249 Chapter 9 Function setup Special light observation The following special light observation function is available on the video system center. Observation Outline NBI (narrow band imaging) Uses filtered light of a specific wavelength. Table 9.51 For these observations, use the endoscopes and the light source indicated below. CV-180 NBI No change Light source CLV-180 Compatible endoscope Refer to “NBI (narrow band imaging)” on page 151. Table 9.52 Image enhancement (NBI observation) This menu sets the image enhancement mode of NBI observation in the same way as normal observation. Refer to the “Image enhancement (normal observation)” on page 226 for the procedure. Image enhancement for NBI Figure 9.45 “PDD gain” is reserved for future system expansion. Currently not used. 250 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Saving the user preset This procedure finalizes and saves the user preset data. Figure 9.46 1. Click “OK” in the user preset menu (see Figure 9.46). A confirmation message appears on the monitor. 2. Click “N” to return to the user preset menu. Click “Y” or press “Enter” to finalize and save the settings in the video system center. The endoscopic image appears (see Figure 9.47). ABC123 Mike Johnson M 51 03/03/1954 12/12/2005 12:12:12 CVP: A4/4 D.F: 99 VCR Ct: N Eh: A8 Z: x1.5 Pump Media: Bill Jackson Cardiac end of the stomach Figure 9.47 • To cancel the data entered, click “Back” instead of “OK”. The data entered are canceled and the display returns to the user list menu. • The functions are activated immediately after saving the user preset data. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 251 Chapter 9 Function setup Resetting the user preset data to the factory defaults This operation resets the settings of the user preset to the factory default setting. The user name is not reset in this operation. See Table 9.53 on page 255 for the default settings. 1. Press the “Shift” and “F2” keys together (see Figure 9.48). The user name list of the user preset menu appears on the monitor (see Figure 9.49). F2 Shift Figure 9.48 Figure 9.49 2. Click the user name in the user name dialog box to be reset to the factory default setting. The user name is highlighted. 3. Click “Edit”. The user preset menu appears. 4. Click “Default” on top of the menu. A confirmation message appears on the monitor. 5. Click “No” to return to the user preset menu. Click “Yes” to reset the settings of the selected user to the factory default setting. 252 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup 6. Click “Back” to return to the user name list. 7. To reset the settings of other registered users, repeat steps 2. to 6. 8. Click “Back” to return to the endoscopic image. Deleting user preset data This operation deletes the user preset data with the user name. 1. Press the “Shift” and “F2” keys together (see Figure 9.50). The user name list of the user preset menu appears on the monitor (see Figure 9.51). F2 Shift Figure 9.50 Figure 9.51 2. Click the user name in the user name dialog box to be deleted. The user name is highlighted. 3. Click “Delete” to delete the user preset data. A confirmation message appears on the monitor. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 253 Chapter 9 Function setup 4. Click “No” to return to step 2. Click “Yes” to delete the user being selected. The user name changes to “User Data No. #”. 254 5. To delete the settings of other registered users, repeat steps 2. to 4. 6. Click “Back” to return to the endoscopic image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Summary of settings The following table shows the options of the user preset menu. The bold and underscored options listed are the factory default settings. Setup item EXERA Setting value Scope switch Switch 1 Switch 2 Switch 3 Switch 4 Foot switch Switch 1 Switch 2 [Freeze], [Release 1], [Release 2], [Iris], [Enhance], [Contrast], [AGC], [Image size], [VCR], [Capture], [Stop watch], [Remove data], [Zoom], [White balance], [Exposure area], [Exposure (up)], [Exposure (down)], [NBI], [OP.2], [OFP], [Light], [Arrow], [PinP], [Shutter], [US freeze], [Freeze mode], [Option], [None] Note The same functions can be assigned to more than one switch. The default settings are: Switch 1: Freeze Switch 2: Iris Switch 3: Enhance Switch 4: Release 1 The same functions can be assigned to more than one switch. The default settings are: Switch 1: Release 1 Switch 2: Release 2 VISERA Release Scope switch Switch 1 Switch 2 Switch 3 Switch 4 [Freeze], [Release 1], [Release 2], [Iris], [Enhance], [Contrast], [AGC], [Image size], [VCR], [Capture], [Stop watch], [Remove data], [Zoom], [White balance], [Exposure area], [Exposure (up)], [Exposure (down)], [NBI], [OP.2], [OFP], [Light], [Arrow], [PinP], [Shutter], [US freeze], [Freeze mode], [Option], [None] The same functions can be assigned to more than one switch. The default settings are: Switch 1: Release 1 Switch 2: Enhance Switch 3: VCR Switch 4: Freeze Foot switch Switch 1 Switch 2 Release setting Release 1 [CVP], [PC card], [Digital file] Release 2 [CVP], [PC card], [Digital file] Picture [SHQ], [HQ], [SQ], [TIFF] Recording format for PC card Freeze mode [Field], [Frame] Freeze method The same functions can be assigned to more than one switch. The default settings are: Switch 1: Release 1 Switch 2: Release 2 Devices to be operated by “Release1” and “Release 2”. Table 9.53 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 255 Chapter 9 Function setup Setup item Adjustment Enhancement Setting value Note Mode position [Mode1], [Mode2], [Mode3], [OFF] Initial mode of enhancement Mode 1 Mode 2 Mode 3 [A1] - [A8], [B1] - [B8], [E1] - [E8] Setting of each enhancement mode The default settings are: Mode 1: A1 Mode 2: A3 Mode 3: A5 Image size Brightness Display Color setting Color mode [Mode 1], [Mode 2], [Mode 3], [Mode 4] Color tone of the monitor Image size Scope 1 [Medium], [Full-height] Scope 2 [Small], [Medium] The display area size of the endoscopic image Scope 3 [Medium], [Full-height] Scope 4 [Medium], [Full-height] Iris [Auto], [Peak] Initial method of metering Iris auto [AUTO 1], [AUTO 2], [AVE] Metering method for “Auto” Iris speed [High], [Medium], [Low] Speed of the automatic brightness control Iris L [1], [2], [3] Fine-tuning of “Iris Speed” Iris D [1], [2], [3] Fine-tuning of “Iris Speed” AGC [ON], [OFF] AGC function ON or OFF Contrast [Normal], [Low], [High] Initial setting of contrast Exposure area [Mask], [Center], [Full] Setting of the metering area Electronic shutter [ON], [OFF] Electric shutter function ON or OFF Save data [YES], [NO] Scope nickname [Enable], [OFF] The display function of the scope nickname is ON or OFF. Release index time [OFF], [2 sec], [4 sec], [Always] Setting of display time of the index image Special light [Enable], [Disable] The display function of the special light observation is ON or OFF. Orientation [Normal], [Rotation] Setting of the orientation of the image Brightness setting Display Table 9.53 256 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 9 Function setup Setup item PinP Special Light PinP setting Setting value Note Size [1/4], [1/9] Image size of the sub image Position [Upper-left], [Upper-right], [Lower-left], [Lower-right] Position of the sub image Movement [ON/OFF], [Mode change] Mode [SCOPE/aux.], [AUX./scope] Setting of main and sub image PDD setting PDD gain [PDD1], [PDD2] Initial method of PDD NBI Mode position [Mode 1], [Mode 2], [Mode 3], [OFF] Initial mode of enhancement Mode 1 Mode 2 Mode 3 [A1] - [A8], [B1] - [B8], [E1] - [E8] Setting of each enhancement mode The default settings are: Mode 1: A1 enhancement Mode 2: A3 Mode 3: A5 Table 9.53 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 257 Chapter 9 Function setup 258 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 10 Troubleshooting Chapter 10 Troubleshooting If the video system center is visibly damaged, does not function as expected, or is found to have irregularities during the inspection described in Chapter 3, “Inspection” and Chapter 8, “Installation and Connection”, or the use described in Chapter 4, “Operation”, do not use the video system center and contact Olympus. Some problems that appear to be malfunctions may be correctable by referring to Section 10.1, “Troubleshooting guide”. If the problem cannot be resolved by the described remedial action, stop using the video system center and contact Olympus. Never use the video system center if an abnormality is suspected. Damage or irregularity in the instrument may compromise patient or user safety and may result in more severe equipment damage. 10.1 Troubleshooting guide The following table shows the possible causes of and countermeasures against troubles that may occur due to equipment setting errors or deterioration of consumable. Troubles or failures other than those listed in the following table need repair. As repair performed by persons who are not qualified by Olympus could cause patient or user injury and/or equipment damage, be sure to contact Olympus for repair. If an abnormality is suspected, turn the light source OFF once and turn it ON again. If the abnormality cannot be solved, turn the light source OFF and disconnect the power cord to stop the flow of electricity completely. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 259 Chapter 10 Troubleshooting Irregularity description The endoscope cannot be connected to the video system center. Possible cause The endoscope is not compatible with the video system center. The power fails to come on. The power switch of the video system center is set to OFF. The endoscopic image does not appear on the monitor. Solution Use one of the endoscopes shown in the “System chart” in the Appendix. Set the power switch to ON. The power cord is not connected. Connect to a wall mains outlet as described in Chapter 8, “Installation and Connection”. The power switch of the mobile workstation is set to OFF. Set the power switch to ON. The fuses are blown. Replace the fuses as described in Chapter 6, “Fuse replacement”. The switches on the rear and/or front of the monitor are not set correctly. Set them correctly by referring to the monitor's instruction manual. The monitor output setting is incorrect. Select the “SCOPE” output on the front panel as described in “Image source buttons” on page 62. The color bar image has been displayed. Press the “Esc” key on the keyboard to restore the endoscopic image. 260 The “System setup” menu appears. Press the “Esc” key on the keyboard to restore the endoscopic image. The endoscope or camera head is not connected correctly. Connect the endoscope or camera head as described in its instruction manual. (See also Section 4.2, “Connection of an endoscope” on page 46.) The monitor cable is not connected. Connect the monitor cable as described in Section 8.5, “Monitor” on page 170. The videoscope cable EXERA II is not connected. Connect the videoscope cable EXERA II as described in Section 4.2, “Connection of an endoscope” on page 46. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 10 Troubleshooting Irregularity description The endoscopic image is too dark. Possible cause Solution The iris mode selection is incorrect. Set it properly as described in “Iris mode” on page 69. The exposure setting is incorrect. Set it properly as described in “Brightness adjustment (Exposure)” on page 71. The monitor brightness setting is improper. Set a proper brightness as described in the monitor's instruction manual. The monitor contrast setting is improper. Set a proper contrast as described in the monitor's instruction manual. The following problems may be due to the light source. Refer to the light source's instruction manual for further details. • The lamp is not installed correctly. Reinstall the lamp correctly. • The lamp is broken. Replace it with a new lamp. • The lamp is not ignited. Press the lamp ignition button on the light source. • The brightness level is Set to a proper level. improper. The endoscopic image is too bright. • The filter is improper. Set to a proper filter setting. The iris mode selection is incorrect. Set it properly as described in “Iris mode” on page 69. The exposure setting is Set it properly as described incorrect. in “Brightness adjustment (Exposure)” on page 71. The light control cable is not connected. Connect the light control cable as described in Section 4.2, “Connection of an endoscope” on page 46. The light source brightness level is improper. Set a proper brightness as described in the light source's instruction manual. The monitor brightness setting is improper. Set a proper brightness as described in the monitor's instruction manual. The monitor contrast setting is improper. Set a proper contrast as described in the monitor's instruction manual. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 261 Chapter 10 Troubleshooting Irregularity description The color tone of the endoscopic image is unusual. Possible cause Solution The color tone is set improperly. Set it properly as described in “Color tone adjustment (“COLOR”)” on page 98. The color mode is set improperly. Set it properly as described in “Color mode” on page 228. The white balance is incorrect. Adjust it properly as described in Section 4.5, “White balance adjustment” on page 52. NBI mode is selected. Set the light source to normal mode as described in the instruction manual of the light source or Section 5.8, “Special light observation” on page 151. The monitor cable is connected incorrectly. Connect the monitor cable properly as described in Section 8.5, “Monitor” on page 170. The following problems may be due to the monitor. Refer to the monitor's instruction manual for further details. • PHASE setting is improper. Set a proper PHASE setting. • CHROMA setting is improper. Set a proper CHROMA setting. • Color temperature setting is improper. Set a correct color temperature. The endoscopic image remains frozen. The freeze switch is still set. Press the freeze switch to restore the real-time image. The endoscopic image is drifting. The monitor cable is connected incorrectly. Connect the monitor cable correctly as described in Section 8.5, “Monitor” on page 170. The monitor is set incorrectly. Initialize the monitor. There is a strong magnetic field near the monitor. Move the source of the magnetic field away from the monitor. The endoscopic image is vibrating. 262 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 10 Troubleshooting Irregularity description Possible cause Characters do not appear on the screen. The color bar image is displayed. Press the “Shift”+”F7” keys on the keyboard to display the endoscopic image. The screen is in “All clear mode”. Press the “F1” key on the keyboard to display characters. PinP display is ON. Press the “SCOPE” button to change to the endoscopic image. Patient data cannot be entered. The keyboard is not connected securely. Connect the keyboard securely as described in Section 8.10, “Foot switch” on page 184. The release destination device cannot be selected. The ancillary equipment settings are incorrect. Set the ancillary equipment correctly as described in its instruction manual. Recording and playback of the videotape recorder cannot be performed. The VTR remote cable is not connected. Connect the VTR remote cable properly as described in Section 8.7, “Videocassette recorder (VCR)” on page 179. The monitor output setting is incorrect. Select the “VTR” output on the front panel as described in “Image source buttons” on page 62. The monitor remote control setting is incorrect. Set it properly as described in “Monitor” on page 208. The remote cable is not connected to the monitor. Connect the optional monitor remote cable. The monitor brightness setting is improper. Set a proper brightness as described in the monitor's instruction manual. The VCR remote control setup is incorrect. Set it properly as described in “Videocassette recorder” on page 211. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Solution 263 Chapter 10 Troubleshooting Irregularity description Image capturing and display with the video printer cannot be performed. The image cannot be stored with the PC card. The image stored with the PC card cannot be played back. 264 Possible cause Solution The remote cable is not connected. Connect the remote cable correctly as described in “Printer” on page 201. The monitor output setting is incorrect. Select the “Printer” output on the front panel as described in “Image source buttons” on page 62. The monitor remote control setting is incorrect. Set it correctly as described in “Monitor” on page 208. The remote cable is not connected to the monitor. Connect the optional monitor remote cable. The monitor brightness setting is improper. Set a proper brightness as described in the monitor's instruction manual. The printer setup in the system setup is incorrect. Set it properly as described in “Printer” on page 201. The PC card adapter is not inserted into the PC card slot of the video system center properly. Insert the PC card adapter properly. The PC card is not inserted into the PC card adapter properly. Insert the PC card properly. Available space of the PC card is low. Delete unnecessary images or use a new PC card. The PC card adapter is not inserted into the PC card slot of the video system center properly. Insert the PC card adapter properly. The PC card is not inserted into the PC card adapter properly. Insert the PC card properly. The image was edited on a personal computer or another equipment. The image cannot be played back. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 10 Troubleshooting Irregularity description Possible cause Solution The endoscope or videoscope cable EXERA II is not connected. Connect the endoscope or scope cable EXERA II as described in Section 4.2, “Connection of an endoscope” on page 46. The user preset for the endoscope's remote switches are incorrect. Set them properly as described in “Remote switch and foot switch (EXERA and VISERA)” on page 219. The data is not displayed on the scope information menu. The endoscope is not connected or a videoscope other than that with the scope information function is connected. Connect an videoscope with scope information function as described in its instruction manual. (Also see Section 5.7, “Scope information” on page 148. The endoscope information data cannot be entered. The endoscope is not connected or a videoscope other than that with the scope information function is connected. Connect an videoscope with scope information function as described in its instruction manual. (Also see Section 5.7, “Scope information” on page 148. The sub image is not displayed. The external equipment is not connected properly. Connect the external equipment is properly. The endoscope's remote switches are inoperative. The internal clock shows The internal clock is not set the wrong time and/or data. correctly. Set it properly as described in “Date and time” on page 197. NBI observation is not enabled. The light source (CLV-180) is not connected. Connect the CLV-180. An endoscope incompatible with NBI is connected. Connect an NBI compatible endoscope. The light source is OFF. Turn the light source ON. The NBI mode is not selected. Select the NBI mode and confirm that the color of the “NBI” indicator is changed from green to white. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 265 Chapter 10 Troubleshooting Error messages Message Possible cause Solution No connect PC! The image filing system and/or the cable is not connected. Connect the image filing system and the cable. No connect DV/VCR! The DV/VCR and/or the cable is not connected. Connect the DV/VCR and the cable. No connect CVP! The video printer and/or the cable is not connected. Connect the video printer and the cable. No input for PinP Only external image or no image is inputted. Input both endoscopic and external image. Not available with this scope. The zoom operation is performed using an incompatible endoscope. Use an endoscope compatible with the zoom function. White balance incomplete! Perform again! The white balance adjustment is not completed normally. Adjust the white balance again. NBI white balance incomplete! Perform again! The white balance adjustment for the NBI observation is not completed normally. Adjust the white balance for the NBI observation again. Check PC card! No PC card is inserted. Insert a PC card to the PC card slot. Media full The storage capacity of the PC card is insufficient. It was attempted to create Delete unnecessary folders or files. Or use a new PC card. over 900 folders on the PC card or attempted to save over 9999 files in a folder. 266 No data! There is no data in the PC card. Use a card that the data is stored on. Failed in format Failed to format PC card Use a new PC card. File down! The communication with the image filing system is not available. Check the setting of the image filing system. Light source mismatch! The light source is not compatible with the special light observation. Use the light source compatible with the special light observation. Scope mismatch! The endoscope is not compatible with the special light observation. Use the endoscope compatible with the special light observation. Data NG! Invalid data is inputted. Input the valid data. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Chapter 10 Troubleshooting Message Possible cause Solution VCR error 1 The VCR remote cable is not connected correctly. Connect the VCR remote cable correctly. VCR error 2 Incompatible format of media Use a compatible media referring to the instruction manual for the media. When the following messages appear, contact Olympus. Message Possible cause PC Card Error 01 Failure to call on the image from the PC card PC Card Error 02 The number of releases for a folder exceeds 9999 PC Card Error 03 Failure to delete the image PC Card Error 04 Failure to call on the image management file PC Card Error 05 Failure to write to the image management file PC Card Error 06 Failure to call on the folder PC Card Error 07 The number of releases for the PC card exceeds 900 PC Card Error 08 Failure to delete the folder PC Card Error 09 Failure to call on the annotation file PC Card Error 10 Failure to create the annotation file PC Card Error 11 Failure to delete the annotation file PC Card Error 12 Failure to call on the image attached to the annotation file PC Card Error 13 Failure to write the image to the annotation file PC Card Error 14 Failure to call on the patient data PC Card Error 15 Failure to create the patient data PC Card Error 16 Failure to call on the setting file PC Card Error 17 Failure to create the setting file PC Card Error 18 Failure to create the log file PC Card Error 19 Failure to compress the file PC Card Error 20 Failure to decompress the file PC Card Error 21 Released with full media EVIS EXERA II VIDEO SYSTEM CENTER CV-180 267 Chapter 10 Troubleshooting 10.2 Returning the video system center for repair • Olympus is not liable for any injury or damage which occurs as a result of repairs attempted by non-Olympus personnel. • Before returning the video system center for repair, delete the patient data from the instrument (refer to “Clearing all patient data previously entered” on page 143) and remove the PC card from the instrument. When returning the video system center for repair, contact Olympus. With the video system center, include a description of the malfunction or damage and the name and telephone number of the individual at your location who is most familiar with the problem. Include a repair purchase order. If an accessory of the instrument (keyboard, power cord, scope cable EXERA II, HDTV/SDTV monitor cable, foot holder, spare fuse, white cap, scope cable holder, cable color sheet) needs to be replaced, contact Olympus to purchase a replacement. 268 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix Appendix System chart The recommended combinations of equipment that can be used with this video system center are listed below. New products released after the introduction of the video system center may also be compatible for use in combination with it. For further details, contact Olympus. If combinations of equipment other than those shown below are used, the full responsibility should be assumed by the medical treatment facility. Such combinations do not only allow the equipment to manifest their full functionality but may also imperil the safety of the patient and medical personnel. In addition, the endurance of the video system center and ancillary equipment is not guaranteed. Troubles caused in this case are not covered by free-of-charge repair. Be sure to use the equipment in one of the recommended combinations. For combination with the camera head for microsurgery OTV-S7H-1MD, refer to the instruction manual for the OTV-S7H-1MD. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 269 Appendix System chart for non-ultrasonic endoscopes Videoscope (EVIS 100/130/140/160 /1801series) The OLYMPUS EVIS EXERA II video system can be configured for cardiac applications only when TYPE CF applied part (camera heads and light guide cables) bearing the symbol are used. Water container (see page 274) Videoscope cable EXERA II (MAJ-1430) Fiberscope Video adapter (A10-T1/T2) Video adapter Camera head (OTV-S7H-N/1N/1D/NA/1NA, OTV-S7H-D-6M) Fiberscope Rigidscope Light guide cable Camera head (OTV-S7H-NA-10E/12E/10Q/12Q, OTV-S7H-1NA-10E/12E/12Q, OTV-S7H-FA-E/Q, OTV-S7H-1FA-E, OTV-SP1H-NA-12E/12Q, OTV-SP1H-N-12E/12Q, OTV-S7ProH-HD-10E/10Q/12E/12Q) Camera head (OTV-S7H-1D-F08E/L08E /D-L08E2, OTV-S7ProH-HD-L08E12) Camera head (OTV-S7H-VA) Light guide cable Rigid videoscope (A500A series, WA50A/L1 series) Flexible videoscope (ENF-V/V21/VQ1, CYF-V/VA/V21/VA21, HYF-V, LTF-V3/VP/VH1, LF-V) 270 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix PC card adapter xD picture card (M-XD32P, M-XD64P, M(MAPC-10) XD128P, M-XD256P, MXD512P, M-XD1GM, MXD1GMA, M-XD2GMA) Foot switch (MAJ-1391) Color video printer (OEP, OEP-3, OEP-4, UP-1800, UP-1850, UP-2900MD, UP-2950MD, UP-5200MD, UP-5250MD, UP-21MD) Mobile workstation (WM-NP1, WM-WP1) EVIS EXERA II Video system center (CV-180) VCR (SVO-9500MD, DSR-20MD, DVO-1000MD, PDW-70MD, PDW-75MD) Keyboard (MAJ-1428) Light source cable (MAJ-1411) Xenon light source (CLV-180) Color video monitor (OEV203, OEV143) Light control cable (see page 274) High definition LCD monitor (OEV191H) High definition monitor (OEV181H) LCD monitor (OEV191) 1 The followings are compatible with NBI: GIF-H180, CF-H180AL/I, GIF-Q180, CF-Q180AL/I, PCF-Q180AL/I, GIF-N180, BF-Q180, BF-P180, BF-1T180, ENF-V2/VQ, CYF-V2, CYF-VA2, OTV-S7ProH-HD-L08E, LTF-VH, WA5001A/L series 2 This product is not available in some areas. Xenon light source (CLV-160/U40/S40) EVIS EXERA II VIDEO SYSTEM CENTER CV-180 271 Appendix System chart for ultrasonic endoscopes Ultrasonic endoscope Videoscope cable EXERA II (MAJ-1430) Ultrasonic endoscope Compact endoscopic ultrasound center (EU-C60) Ultrasonic gastrovideoscope (GF-UM160) (EU-M60 only) Ultrasonic cable A (MAJ-953) Ultrasonic cable B (MAJ-954) Keyboard 272 Endoscopic ultrasound center (EU-M60, EU-M30, EU-MA) EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix PC card adapter (MAPC-10) xD picture card (M-XD32P, M-XD64P, MXD128P, M-XD256P, MXD512P, M-XD1GM, MXD1GMA, M-XD2GMA) Foot switch (MAJ-1391) Color video printer (OEP, OEP-3, OEP-4, UP-1800, UP-1850, UP-2900MD, UP-2950MD, UP-5200MD, UP-5250MD, UP-21MD) Mobile workstation (WM-NP1, WM-WP1) EVIS EXERA II Video system center (CV-180) VCR (SVO-9500MD, DSR-20MD, DVO-1000MD) Keyboard (MAJ-1428) Color video monitor (OEV203, OEV143) Light source cable (MAJ-1411) Xenon light source (CLV-180) Light control cable (see page 274) High definition LCD monitor (OEV191H) High definition monitor (OEV181H) LCD monitor (OEV191) Xenon light source (CLV-160, CLV-U40) EVIS EXERA II VIDEO SYSTEM CENTER CV-180 273 Appendix Water container BF endoscopes do not use the water container. Water container Endoscope MD-431 MH-884 MAJ-901 EVIS EXERA II 180 series – EVIS EXERA 160 series, Ultrasonic videoscope 160 series – EVIS 140 series, Ultrasonic videoscope 140 series – EVIS 100 and 130 series, Ultrasonic videoscope 130 series – – OES 40 series – OES 10, 20, 30, E and E3 series1, Ultrasonic fiberscope – – compatible, – incompatible 1 The OES E and E3 series are not available in some areas. Connection cable (light source) Light source cable Light source Light control cables MAJ-1411 MH-966 MAJ-1567 MH-993 CLV-180 – – – CLV-160 – – – CLV-U40 – CLV-S40 – – – compatible, incompatible 274 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix Connection cable (OEV143, OEV203, OEV191, OEV181H, OEV191H) Monitor Length Monitor cable Monitor remote cable OEV143 OEV203 OEV191 OEV181H OEV191H MAJ-921 1.5 m MAJ-970 4m MAJ-1462 7m MAJ-1584 15 m MAJ-1586 2m MAJ-846 7m – – MAJ-971 15 m – – MAJ-227 4m – – – MAJ-1161 7m – – MAJ-1230 4m – – MAJ-1465 15 m – – compatible, – incompatible Connection cables (color video printer) Video cable (print) MH-984 (3 m) MD-445 (7 m) with MAJ-1165 Video cable (display) MB-677 (3 m) EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Remote cable MH-995 (2.8 m) 275 Appendix Transportation, storage, and operation environment Transportation and storage environment Operation environment Ambient temperature 25 to +70C (13 to +158F) Relative humidity 10 - 90% Atmospheric pressure 700 - 1060 hPa Ambient temperature 10 - 40C (50 - 104F) Relative humidity 30 - 85% (without condensation) Atmospheric pressure 700 - 1060 hPa (0.7 - 1.1 kgf/cm2) (10.2 - 15.4 psia) Specifications Item Power supply Size Classification (medical electrical equipment) 276 Specifications Voltage 100 - 240 V AC Voltage fluctuation Within 10% Frequency 50/60 Hz Frequency fluctuation Within 1 Hz Consumption electric power 150 VA Fuse rating 5 A, 250 V Fuse size ø 5 20 mm Dimensions 382 (W) 91 (H) 490 (D) mm (maximum) Weight 10 kg Type of protection against electric shock Class I Degree of protection against electric shock of applied part Depend on applied part See also applied part (camera head or videoscope). Degree of protection against explosion This instrument should be kept away from flammable gases. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix Item Observation Specifications HDTV signal output Either RGB or YPbPr output can be selected. SDTV signal output VBS composite (NTSC), Y/C and RGB; simultaneous outputs possible. White balance adjustment White balance adjustment is possible using the white balance button on the front panel. Standard color chart output A color bar chart can be displayed by pressing the “Shift” + “F7” keys on the keyboard. Color tone adjustment The following color tone adjustments are possible using the “COLOR” key and arrow keys on the keyboard. • Red adjustment: 8 steps • Blue adjustment: 8 steps • Chroma adjustment: 8 steps Automatic gain control (AGC) The image can be electrically amplified when the light is inadequate due to the distal end of the endoscope being too far from the object. Contrast The image contrast can be set to one of the following three modes (N, H, L) using the “Shift”+ “F6” key on the keyboard. • N (normal): Normal image • H (high): The dark areas are darker and the bright areas are brighter than in the normal image. • L (low): The dark areas are brighter and bright areas are darker than in the normal image. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 277 Appendix Item Observation (continued) Specifications Iris The auto iris modes can be selected using the “Iris mode” button on the front panel. • Peak: For use when observing by focusing on a small bright area. • Auto: For use when observing by focusing on the image center. Image enhancement setting Fine patterns or edges in the endoscopic images can be enhanced electrically to increase the image sharpness. Either the structural enhancement or edge enhancement can be selected according to the user setup. Switching the enhancement modes The enhancement level can be selected from 4 levels (OFF, 1, 2 and 3) using the image enhancement button on the front panel. Image size selection The size of the endoscopic image can be changed using the “Shift” + “F8” key on the keyboard. Reset to defaults The following settings can be reset to their defaults using the rest button on the front panel. • User preset • Image source • Color tone • Freeze • Release index • Zoom • Special light observation • Arrow pointer • Stop watch • Characters on screen • Exposure • PinP Freeze 278 An endoscopic image is frozen using an endoscope or the “FREEZE” key on the keyboard. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix Item Documentation Specifications Remote control The following ancillary equipment can be controlled from the front panel, keyboard or endoscope's remote switches (specified models only). • VCR • Video printer • Image filing system • Endoscopic ultrasound center, etc. Patient data The following data can be displayed on the monitor using the keyboard. • Patient ID No. • Patient name • Sex and age • Date of birth • Date of recording (time, stopwatch) • Image frame No. • Videotape recorder mode • Display image setting • Physician name • Comments Advance The following data of up to 40 registration of patient data patients can be entered prior to surgery using the keyboard. • Patient ID No. • Patient name • Sex and age • Date of birth • Physician EVIS EXERA II VIDEO SYSTEM CENTER CV-180 279 Appendix Item PC card Specifications Media xD-Picture Card (2/1 GB, 512/256/128/64/32 MB), specified by Olympus. MAPC-10 can be used as PC card adapter. Recording format TIFF: no compression SHQ: approx. 1/5 HQ: approx. 1/7 SQ: approx. 1/10 Number of Recording images in 32 MB, SDTV / HDTV TIFF: approx. 30 / 6 images SHQ: approx. 310 / 110 images HQ: approx. 2000 / 760 images SQ: approx. 2570 / 970 images Image storage and retrieval Monitor output Using the monitor out switches on the front panel, it is possible to select an image from the endoscope or ancillary equipment for display on the monitor. Memory backup Memorization of selected setting The following settings are held in memory even after the video system center is turned OFF. • White balance • Iris mode • Enhancement • Image size • Color tone Lithium battery 280 Life: 5 years EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix EMC Applied standards; IEC 60601-1-2: 2001 This instrument complies with the standards listed in the left column. CISPR 11 of emission: Group 1, Class B This instrument complies with the EMC standard for medical electrical equipment; edition 2 (IEC 60601-1-2: 2001). However, when connecting to 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. Year of manufacture 7612345 The last digit of the year of manufacture is the second digit of the serial number. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 281 Appendix EMC information This model is intended for use in the electromagnetic environments specified below. The user and the medical staff should ensure that it is used only in these environments. Magnetic emission compliance information and recommended electromagnetic environments Emission standard RF emissions Compliance Guidance Group 1 This instrument uses RF (Radio Frequency) energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Class B This instrument's RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. Harmonic emissions IEC 61000-3-2 Class A This instrument's harmonic emissions are low and are not likely to cause any problem in the typical commercial power supply connected to this instrument. Voltage fluctuations/flicker emissions IEC 61000-3-3 Complies This instrument stabilizes own radio variability and has no affect such as flicker of a lighting apparatus. CISPR 11 RF emissions CISPR 11 Main terminal conducted emissions CISPR 11 282 EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix Electromagnetic immunity compliance information and recommended electromagnetic environments Immunity test IEC 60601-1-2 test level Electrostatic discharge (ESD) Contact: ± 2, ± 4, ± 6 kV IEC 61000-4-2 Air: ± 2, ± 4, ± 8 kV Electrical fast transient/burst ± 2 kV for power supply lines IEC 61000-4-4 ± 1 kV for input/output lines Surge Differential mode: ± 0.5, ± 1 kV IEC 61000-4-5 Compliance level Guidance Same as left Floors should by be made of wood, concrete, or ceramic tile that hardly produces static. If floors are covered with synthetic material that tends to produce static, the relative humidity should be at least 30%. Same as left Mains power quality should be that of a typical commercial (original condition feeding the facilities) or hospital environment. Same as left Mains power quality should be that of a typical commercial or hospital environment. Same as left Mains power quality should be that of a typical commercial or hospital environment. If the user of this instrument required continued operation during power mains interruptions, it is recommended that this instrument be powered from an uninterruptible power supply or a battery. Same as left It is recommended to use this instrument by maintaining enough distance from any equipment that operates with high current. Common mode: ± 0.5, ± 1, ± 2 kV Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11 < 5% UT (>95% dip in UT) for 0.5 cycle 40% UT (60% dip in UT) for 5 cycles 70% UT (30% dip in UT) for 25 cycles < 5% UT (>95% dip in UT) for 5 seconds Power frequency (50/60 Hz) magnetic field 3 A/m IEC 61000-4-8 UT is the a.c. mains power supply prior to application of the test level. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 283 Appendix Cautions and recommended electromagnetic environment regarding portable and mobile RF communications equipment such as a cellular phones Immunity test IEC 60601-1-2 test level Conducted RF 3 Vrms IEC 61000-4-6 (150 kHz - 80 MHz) Compliance level 3 V (V1) Guidance Formula for recommended separation distance (V1=3 according to the compliance level) 3.5 d = -------V1 Radiated RF IEC 61000-4-3 284 3 V/m (E1) 3 V/m (80 MHz - 2.5 GHz) P Formula for recommended separation distance (E1=3 according to the compliance level) d = 3.5 -------E1 P 80 MHz to 800 MHz 7 d = -----E1 P 800 MHz to 2.5 GHz • Where “P” is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and “d” is the recommended separation distance in meters (m). • This instrument complies with the requirements of IEC 60601-1-2: 2001. However, under electromagnetic environment that exceeds its noise level, electromagnetic interference may occur on this instrument. • Electromagnetic interference may occur on this instrument near a high-frequency electrosurgical equipment and/or other equipment marked with the following symbol: EVIS EXERA II VIDEO SYSTEM CENTER CV-180 Appendix Recommended separation distance between portable and mobile RF communications equipment and this instrument Rated maximum output power of transmitter P (W) Separation distance according to frequency of transmitter (m) (calculated as V1=3 and E1=3) 150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz d = 1.2 P d = 1.2 P d = 2.3 P 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 The guidance may not apply in some situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Portable and mobile RF communications equipment such as cellular phones should be used no closer to any part of this instrument, including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. EVIS EXERA II VIDEO SYSTEM CENTER CV-180 285 ©2006 OLYMPUS MEDICAL SYSTEMS CORP. All rights reserved. No part of this publication may be reproduced or distributed without the express written permission of OLYMPUS MEDICAL SYSTEMS CORP. OLYMPUS is a registered trademark of OLYMPUS CORPORATION. Microsoft, Windows, Windows NT, PowerPoint, and MS-DOS are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. Other trademarks, product names, logos, or trade names used in this document are generally registered trademarks or trademarks of each company. Manufactured by 2951 Ishikawa-cho, Hachioji-shi, Tokyo 192-8507, Japan Fax: (042)646-2429 Telephone: (042)642-2111 Distributed by 3500 Corporate Parkway, P.O. Box 610, Center Valley, PA 18034-0610, U.S.A. Fax: (484)896-7128 Telephone: (484)896-5000 5301 Blue Lagoon Drive, Suite 290 Miami, FL 33126-2097, U.S.A. Fax: (305)261-4421 Telephone: (305)266-2332 (Premises/Goods delivery) Wendenstrasse 14-18, 20097 Hamburg, Germany (Letters) Postfach 10 49 08, 20034 Hamburg, Germany Fax: (040)23773-4656 Telephone: (040)23773-0 KeyMed House, Stock Road, Southend-on-Sea, Essex SS2 5QH, United Kingdom Fax: (01702)465677 Telephone: (01702)616333 117071, Moscow, Malaya Kaluzhskaya 19, bld. 1, fl.2, Russia Fax: (095)958-2277 Telephone: (095)958-2245 A8F, Ping An International Financial Center, No. 1-3, Xinyuan South Road, Chaoyang District, Beijing, 100027 P.R.C. Fax: (86)10-5976-1299 Telephone: (86)10-5819-9000 Olympus-Tower, 114-9 Samseong-Dong, Gangnam-Gu, Seoul 135-090 Korea Fax: (02)6255-3494 Telephone: (02)6255-3210 491B, River Valley Road #12-01/04, Valley Point Office Tower, Singapore 248373 Fax: 6834-2438 Telephone: 6834-0010 31 Gilby Road, Mount Waverley, VIC., 3149, Australia Fax: (03)9543-1350 Telephone: (03)9265-5400 GT1245 16 Printed in Japan 20100906 *0000
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