Olympus Medical Systems UPD-3 Endoscope Position Detecting Unit User Manual Instruction Manual

Olympus Medical Systems Corp. Endoscope Position Detecting Unit Instruction Manual

Contents

Instruction Manual

 1  DRAFT  INSTRUCTIONS ENDOSCOPE POSITION DETECTING UNIT UPD-3              USA: CAUTION: Federal law restricts this device to sale by or on the order of a physician.   (For 220 – 240V type equipment) CONFIDENTIAL
 2 Contents  Labels and Symbols Important Information — Please Read Before Use Summary of Equipment Functions Chapter 1 Checking the Package Contents Chapter 2 Nomenclature and Functions Chapter 3 Inspection Chapter 4 Operation Chapter 5 Functions Chapter 6 Care, Storage, and Disposal Chapter 7 Installation and Connection Chapter 8 Function setup Chapter 9 Troubleshooting Appendix CONFIDENTIAL
 3 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.                                             Serial number plate                                                                                                                                Potential equalization terminal The product name and electric rating Endoscope Position Detecting Unit UPD-3 Input: 100-240V 50/60Hz   100VA                  CE marking                                    Manufacturer name     ○Back cover of this instruction manual           Manufacturer       Authorized representative in the European Community Caution that only the exclusive cable can be connected. CONFIDENTIAL
 4 Important Information — Please Read Before Use  Intended use  This instrument has been designed to be used with Olympus endoscopes system for detection and displaying the shape of inserted endoscope.   Instruction manual  This instruction manual contains essential information on using this endoscope position detecting unit 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. CONFIDENTIAL
 5 ○Terms used in this manual  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.  Scope model: The scope model is a  computer graphic image that models the  shape of the endoscope insertion tube.  CONFIDENTIAL
 6 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 balloon control unit is compatible with the ancillary equipment being used. Using incompatible equipment can result  in  patient  injury  and/or  equipment  damage.  Also  review  the  manuals  of  all equipment that will be used during the procedure and use the equipment as instructed. This instrument complies with EMC standard for medical electrical equipment; edition 2 (IEC 60601-1-2: 2001) and edition 3 (IEC 60601-1-2: 2007). However, when connected with an instrument that complies with EMC standard for medical electrical equipment; edition 1 (IEC 60601-1-2: 1993), the whole system complies with edition 1.  Repair and modification This endoscope position detecting unit does not contain any user-serviceable parts. Do not disassemble, modify or attempt to repair it; patient or operator injury, equipment damage and/or the impossibility to obtain the expected functionality can result. Some problems that appear to be malfunctions may be correctable by referring to Chapter 9, “Troubleshooting”. If the problem cannot be resolved using the information in Chapter 9, contact Olympus. This instrument is to be repaired by Olympus technicians only. CONFIDENTIAL
 7 Signal words The following signal words are used throughout this manual:  [DANGER] Indicates an imminently hazardous situation which, if not avoided, will result in death or serious injury.  [WARNING] Indicates a potentially hazardous situation which, if not avoided, could result in death or serious injury.  [CAUTION] Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate  injury.  It  may  also  be  used  to  alert  against  unsafe  practices  or  potential equipment damage.  [NOTE] Indicates additional helpful information.   Dangers, warnings and cautions    Follow  the  dangers  and  cautions  given  below  when  handling  this  endoscope  position detecting unit. This information is to be supplemented by the dangers and cautions given in each chapter.  [DANGER] •As a TYPE BF applied part, the endoscope connected to this instrument must never be applied directly to the heart. Leakage current from the TYPE BF applied part may be dangerous  and  cause  ventricular  fibrillation  or  otherwise  seriously  affect  the  cardiac function of the patient. Accordingly, always adhere to the following: − Never apply the endoscope connected to this instrument to the heart or any area near the heart. − Never allow an EndoTherapy accessory or another endoscope applied to or near the heart to come in contact with the endoscope connected to this instrument. •Strictly observe the following precautions. Failure to do so may place the patient and medical personnel in danger of electric shock. − When this endoscope position detecting unit 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 endoscope position detecting unit immediately and contact Olympus. CONFIDENTIAL
 8 − Do not prepare, inspect or use this endoscope position detecting unit with wet hands. • Never install and operate the endoscope position detecting unit 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 endoscope position detecting unit is not explosion-proof. • This instrument generates AC magnetic fields. To prevent critical effects on patients, be sure to adhere to the following: −  Never  use  the  instrument  on  a  patient  with  a  pacemaker.  The  AC  magnetic  fields generated by the instrument may cause malfunction or damage to the pacemaker, exerting critical effects to the cardiac function of the patient. − Never use the instrument on pregnant women and women suspected of being pregnant. The effects of the AC magnetic field generated by the instrument on the unborn baby have not yet been determined. CONFIDENTIAL
 9 [WARNING] • Never insert anything into the ventilation grills of the endoscope position detecting unit. It can cause an electric shock and/or fire. • 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.  [CAUTION] •  Do  not  touch  the  electrical  contacts  inside  the  instrument’s  connectors.  Otherwise, equipment damage and/or malfunction can occur. • 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 apply excessive force to the connectors. Otherwise, a failure of an electrical contact may result in a malfunction. •  This  instrument  emits  RF  (Radio  Frequency)  energy  to  supply  data  by  radio communication. Therefore, it may cause electromagnetic interference in nearby electronic equipment, and is labeled with the following symbol. If electromagnetic interference occurs, mitigation measures may be necessary, such as moving the electronic equipment away, reorienting or relocating this instrument, or shielding the location.   [NOTE] •  As  defined  by  the  international  safety  standard  (IEC  60601-1),  medical  electrical equipment is classified into the following types: TYPE CF applied part (the instrument can safely be applied to any part of the body, including the heart), and TYPE B/BF applied part (the instrument can safely be applied to any organ except the heart). The part of the body that  an endoscope or electrosurgical accessory can safely be applied to  depends on the classification of the equipment to which the instruments are connected. Before beginning the procedure, check the current leakage classification type of each instrument to be used for the procedure. Classification types are clearly specified in the instruments' instruction manuals. CONFIDENTIAL
 10  • When endoscopes are used with endoscope  accessories connected  with other medical electronic equipment, the leakage currents may increase. CONFIDENTIAL
 11 Summary of Equipment Functions    This instrument is equipment that detects and displays the spatial image of an endoscope. 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 spatial image of the endoscope The spatial image of the endoscope is displayed on the monitor in real time.  Zooming in or out and rotating the scope model The scope model displayed on the monitor can be zoomed in or out and rotated.  Splitting the screen The scope model can be displayed on two screens by splitting the screen.  Saving and selecting the screen display Up to 20 presets of the display can be saved, and one of them can be selected to use.  Hand coil The relative position between the hand coil (MAJ-1859, optional) and endoscope can be detected.  View tracking The  orientation of  the  patient’s  body  can  be detected  by  attaching  the  reference plate (MAJ-1860, optional) to the patient’s body, and the scope model can be displayed in fixed direction. CONFIDENTIAL
 12 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.      ENDOSCOPE POSITION DETECTING UNIT                                       RECEIVER DISH (UPD-3)                                                                                      (MAJ-1868)    RECEIVER DISH CABLE (MAJ-1875)           UPD CABLE(MAJ-1881)     Instruction manual CONFIDENTIAL
 13 Chapter 2 Nomenclature and Functions  2.1 Front panel    4. Reference plate terminal          3. Hand coil terminal       2. Power indicator 1. Power switch                                                       Control panel    1. Power switch Press to turn the endoscope position detecting unit ON or OFF.  2. Power indicator This indicator lights up when the main unit is ON.  3. Hand coil terminal The hand coil (MAJ-1859) is connected to this terminal.  4. Reference plate terminal The reference plate (MAJ-1860) is connected to this terminal.  CONFIDENTIAL
 14 2.2 Control panel                                                                                        3. Zoom buttons                                                                                           4.Boolmark button                                                                                             5. Split screen button       2. Rotate left / Rotate right button 1. Menu button                                                  9.Enter button                                 6.Scope position button                                                                                             7. Scope position indicator                                                                             8. Reset button  1. Menu button This button is pressed to display or exit from the menu list.  2. Rotate left / Rotate right button When the scope model display is active, these buttons are pressed to rotate the scope model or to change the posture of the figure image. When the menu list is active, these buttons are pressed to select a menu.  3. Zoom buttons These buttons are pressed to zoom the scope model display in or out (i.e., magnify or reduce it). When the menu list is active, these buttons are pressed to select a menu.  4. Bookmark button This button is pressed to mark on the display length.  5. Split screen button This button is pressed to change between split-screen and single-screen display alternately.  6. Scope position button This button is pressed to set or release the start position of the scope model.  7. Scope position indicator This indicator lights up when the start position of the scope model has been set.  8. Reset button CONFIDENTIAL
 15 This button is pressed to initialize the scope model display, and the posture of the figure image.  9. Enter button This button is pressed to determine the category in the menu list. CONFIDENTIAL
 16 2.3 Rear panel                                         4. Scope/probe terminal            3. Receiver dish terminal 2. Connection unit terminal                                   5. CLV terminal 1. Remote control terminal                                                                         6. AC power inlet                             13. XGA OUT terminal                                          8. LINK IN terminal 12. Y/C OUT terminal                                         9. LINK OUT terminal                                                                         10. CV remote terminal                                                                 7. Potential equalization terminal                                                                     11. SDI OUT terminal  1. Remote control terminal This  terminal  is  the  receptacle  for  the  remote  control  cable  to  connect  the  endoscope position detecting unit to the remote control.  2. Connection unit terminal The MP extension cable (MAJ-Y0062) is connected to this terminal.  3. Receiver dish terminal The receiver dish cable (MAJ-1875) is connected to this terminal.  4. Scope/probe terminal The UPD cable (MAJ-1881) is connected to this terminal.  5. CLV terminal This terminal is provided for the connection to the future Olympus light source and cannot be used for the present.  6. AC power inlet Connect the provided power cord to supply AC power via this inlet.  7. Potential equalization terminal For safety purposes, this terminal is connected to a potential equalization busbar of the electrical installation.  8. LINK IN terminal This terminal is provided for the connection to the future Olympus equipment and cannot CONFIDENTIAL
 17 be used for the present.  9. LINK OUT terminal This terminal is provided for the connection to the future Olympus equipment and cannot be used for the present.  10. CV remote terminal The patient data signal from the video system center is input via this terminal. The UPD data transfer cable (MAJ-604) or the data transfer cable (MAJ-1260)* is connected to this terminal.  11. SDI OUT terminal The video signal (serial digital interface / SDI signal) is output via this terminal.  12. Y/C OUT terminal The video signal (Y/C signal) is output via this terminal.  13. XGA OUT terminal The video signal (XGA signal) is output via this terminal.  * This product may not be available in some areas. CONFIDENTIAL
 18 2.4 Side panels                                                                     Ventilation grills               Ventilation grills                          Front side                                       Rear side  2.5 UPD cable (MAJ-1881)                                                                                              Notch     Position detecting connector   2.6 Receiver dish cable (MAJ-1875)         CONFIDENTIAL
 19 2.7 Receiver dish (MAJ-1868)                                           Front side                                    Rear side                    Front                                                                            Cable terminal   2.8 Remote control (MAJ-1890 Option)                             1. Menu key                                            2.Enter key                                                                                                         3. Rotate left / Rotate right key                    9. Zoom keys                    8. Bookmark key                                              4. Split screen key                                                                                                       5. Scope position indicator                   7. Reset key                                                      6. Scope position key                                                                                      10. Connector       OLYMPUS CONFIDENTIAL
 20 1. Menu key This key is pressed to display or exit from the menu list.  2. Enter key This button is pressed to determine the category in the menu list.  3. Rotate left / Rotate right key When the scope model display is active, these keys are pressed to rotate the scope model or to change the posture of the figure image. When the menu list is active, these keys are pressed to select a menu.  4. Split screen key This key is pressed to change between split-screen and single-screen display alternately.  5. Scope position indicator This indicator lights up when the start position of the scope model has been set.  6. Scope position key This key is pressed to set or release the start position of the scope model.  7. Reset key This key is pressed to initialize the scope model display, and  the posture of the figure image.  8. Bookmark key This button is pressed to mark on the display length.  9. Zoom keys These keys are pressed to zoom the scope model display in or out (i.e., magnify or reduce it). When the menu list is active, these keys are pressed to select a menu.  10. Connector This connector connects the endoscope position detecting unit. CONFIDENTIAL
 21 2.9 Hand coil (MAJ-1859) (Option)                               Arrow               Connector              Marker section           Switch To endoscope position detecting unit      Water-resistant cap   2.10 Reference plate (MAJ-1860) (Option)                                                                                 Plate section     Human-shaped index marking                                   Arrow         Connector To endoscope position detecting unit                                                      Water-resistant cap                          Slit CONFIDENTIAL
 22 2.11 Reference plate cover (MAJ-1880) (Option)           Reference plate cover, top surface (blue)                 Tab                                       Perforation           Lining paper (backside)                                                             Lining paper (inside)   CONFIDENTIAL
 23 2.12 Screen display  ○For the operating table image                                                                                                    1. Scope model 12. Current date and time   13. Patient data                       2.Marker model                                                                                                             3. Tracking icon                                                                4. View point indicator (operating table image)                                                                     5. Marker connection icon                                                                                 6. Plate connection icon                                                                                 7. Scope connection icon                                                                       8. Gauge                                                     9. Display length 10. Marking gauge 11. Marking CONFIDENTIAL
 24 ○For the figure image                                                            14. A-P indicator                                                                  15. Viewpoint indicator (figure model)  CONFIDENTIAL
 25 1. Scope model The  shape  of  the  endoscope’s  insertion  tube  will  be  displayed  when  the  endoscope’s insertion tube is moved in front of the coil unit.  2. Marker model The position of the hand coil (MAJ-1859) will be displayed when the hand coil is connected and moved in front of the coil unit.  3. Tracking icon The  indicator  will  be  displayed  in  the  tracking  display  mode  (see  Section  5.9,  “View tracking”).  4. Viewpoint indicator (Operating table image) The arrow indicator and operating table image show the angle in which the scope model on the screen is viewed. This indicator appears when “Operating table image” is selected from “Setting the viewing image” in the setup menu (see “User preset”).  5. Marker connection icon The indicator will be displayed when the hand coil is connected. The color represents the connection and detection status (see Section 5.5, “Connection indicators”).  6. Plate connection icon The indicator will be displayed when the reference plate is connected. The color represents the connection and detection status (see Section 5.5, “Connection indicators”).  7. Scope connection icon The indicator will be displayed when an applicable endoscope or position detecting probe is connected to the endoscope position detecting unit. The color represents the connection and detection status (see Section 5.5, “Connection indicators”).  8. Gauge The gauge is used as a reference for identifying the size of the displayed scope model. It will be displayed when “Enable information display” is set (see Section 8.3, “User preset”).  9. Display length The display length shows an actual length of the scope model displayed on the screen. (For the display range, see Section 4.2, “Scope model display range”.) It will be displayed when “Enable information display” is set (see Section 8.3, “User preset”). The display length does not show the actual length of the endoscope inserted in the patient’s body.  10. Marking gauge The display length is  shown with  the vertical axis. It  will  be displayed when “Enable information display” is set (see Section 5.6, “Bookmark”).  CONFIDENTIAL
 26 11. Marking Markings can be put beside the marking gauge according to the points where you want to mark while inserting the endoscope into the patient. It will be displayed when “Enable information display” is set (see Section 5.6, “Bookmark”).  12. Current date and time   Current date and time of the day will be displayed when “Enable information display” is set (see Section 8.3, “User preset”).  13. Patient data The data will be displayed when the video system center is connected and when “Enable information display” is set (see Section 8.3, “User preset”).  14. A-P indicator The  indicator  is  displayed  when  “Figure  image”  is  selected  from  “Setting  the  viewing image” in the setup menu. The indicator shows the anterior and posterior sides of the figure image.  15. Viewpoint indicator (Figure image) The arrow indicator and figure image show the angle in which the scope model on the screen is viewed. This indicator appears when “Figure image” is selected from “Setting the viewing image” in the setup menu (see Section 8.3, “User preset”).  ○ Figure image The figure image is displayed when “Figure image” is selected from “Setting the viewing image”  in  the  setup  menu.  The  viewpoint  indicator is  displayed  with  a  relative  angle against the figure image on the screen. The posture of the figure image can be changed as the patient’s posture changes.   [NOTE] The viewpoint indicator arrow shows the angle in which the scope model on the screen is viewed regardless of the posture of the figure image. The view angle is indicated against the receiver dish. CONFIDENTIAL
 27 Chapter 3 Inspection  [WARNING] Before each case, inspect this endoscope position detecting unit as instructed below. Inspect other equipment to be used with this endoscope position detecting unit as instructed in their respective instruction manuals. Should any irregularity be observed, do not use the endoscope position detecting unit and see Chapter 9, “Troubleshooting”. If the irregularity is still observed after consulting Chapter 9, contact Olympus. Damage or irregularities may compromise patient or user safety and may result in more severe equipment damage.  Prepare the endoscope position detecting unit and other ancillary equipment before each particular case. Refer to the respective instruction manual for each piece of equipment.   3.1 Inspection work flow  Please see the inspection work flow in Figure 3.1 below. Follow each step of the work flow for inspection of the light source before use.  1. Check if the endoscope position detecting unit is installed in an appropriate location.→ Section 3.2, “Inspection of the installation location” ↓ 2. Confirm that the endoscope position detecting unit is turned ON normally. → Section 3.3 “Turning power ON” ↓ 3. Confirm the contents in the screen display. → Section 3.4, “Inspection of the screen display” ↓ 4. Inspect all necessary functions. ↓ 5. Turn OFF the endoscope position detecting unit. → Section 3.7, “Power OFF”  CONFIDENTIAL
 28 3.2 Inspection of the installation location  Check  if  the  endoscope  position  detecting  unit  (UPD-3)  is  installed  in  an  appropriate location.  1. Confirm that no video monitor or PC monitor is near the endoscope position detecting unit. Keep a distance of at least 30 cm between the video monitor or the PC monitor and the endoscope position detecting unit.  [CAUTION] If a video monitor or PC monitor is located near the endoscope position detecting unit, the scope  model  display  may  be  distorted  or  deformed  due  to  the  strong  magnetic  fields produced by the monitor.  Keep the endoscope or the position detecting probe, the reference plate, and/or the hand coil connected with the main unit away from another main unit at least 2 m when two or more endoscope position detecting units are used. Otherwise, the scope model display may be extremely distorted or deformed due to the strong magnetic fields produced by one another. If  the  distance  between  the  two  endoscope  position  detecting  units  is  less  than  2  m, changing the frequencies used for position detection may allow the use of two or more endoscope position detecting units. When two or more endoscope position detecting units are used with a distance of less than 2 m, contact Olympus.  2. Confirm that  no large metallic object is near the coil unit of the endoscope position detecting unit. Keep a distance of at least 30 cm between the large metallic object and the endoscope position detecting unit.  [CAUTION] If a metallic object is located near the endoscope position detecting unit, the scope model display may also be distorted or deformed.   3.3 Turning power ON  [WARNING] • Keep the endoscope or the position detecting probe, the reference plate, and/or the hand coil connected with the main unit away from another main unit at least 2 m when two or more endoscope position detecting units are used. Otherwise, the scope model display may be extremely distorted or deformed. • When two or more endoscope position detecting units are used, do not turn the main units ON at the same time. Otherwise, the scope model display may be extremely distorted or deformed. CONFIDENTIAL
 29  1. Confirm that the ventilation grills on the right side and left side panels of the endoscope or the endoscope position detecting unit are not covered with dust or other materials.  2. Confirm that the endoscope or the position detecting probe is connected to the main unit.  [NOTE] For connecting the endoscope or the position detecting probe to the main unit, refer to Section 4.4, “Connection of the endoscope or the position detecting probe”.   3. Press the power switch of the instrument. The power indicator lights up (see Figure).                         Power switch                      Power indicator     ○ If the power fails to come ON  If  the power fails  to  come  ON, turn  the  endoscope position  detecting unit  OFF.  Then, confirm  that  the  power  cord  is  connected  firmly.  Then,  turn  the  endoscope  position detecting unit ON again. If the power still fails to come ON, contact Olympus. CONFIDENTIAL
 30 3.4 Inspection of the screen display  1. Confirm that the LCD monitor shows the endoscope position display as shown in Figure. The screen display varies depending on the setup of the main unit or connection status of equipment. For details, see Section 2.12, “Screen display”.  2. Change the shape of the endoscope’s insertion tube or the position detecting probe’s insertion tube into a circular or straight shape in front of the coil unit of the endoscope position detecting unit. Then confirm that the shape of the scope model is the same as the shape  of  the  endoscope’s  insertion  tube. Also,  confirm  that the  angle of  the  viewpoint indicator is the same as the angle in which the scope model on the screen is viewed. Confirm that the shape of the scope model is the same as the shape of the endoscope’s insertion tube even when the receiver dish is facing down or up.          3. Confirm that the displayed date and time are correct. If correction is required, follow the procedure in “Setting the date and time”  [CAUTION] The posture of the figure image on the screen must always be set to be equal to the actual posture of the patient. If the posture of the figure image on the screen is not equal to the posture of the patient, the scope model display may be incorrectly orientated.  Facing down Facing up CONFIDENTIAL
 31  For the operating table image             For the figure image        CONFIDENTIAL
 32 3.5 Inspection of the hand coil (MAJ-1859)  1. Confirm that there is no noticeable deformation, scratch, or crack on the marker section. 2. Confirm that there is no noticeable deformation, scratch, or crack on the hand coil cover (MAJ-1879).   3.6 Inspection of the reference plate (MAJ-1860)  1. Confirm that there is no noticeable deformation, scratch, or crack on the plate section. 2. Confirm that there is no scratch, break, or fissure on the reference plate belt   3.7 Power OFF  Press the power switch of the instrument (see Figure) to turn the instrument OFF. The indicator above the switch goes off. CONFIDENTIAL
 33 Chapter 4 Operation  This chapter explains the work flow of endoscopic observation using the endoscope position detecting unit. For information on how to use the functions that are not explained in this chapter, refer to chapter 5, “Functions”.  The  operator of  the  endoscope  position detecting  unit  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 endoscope position detecting unit.  [DANGER] The  endoscope  position  detecting  unit  is  designed  only  to  assist  the  insertion  of  an endoscope.  Never  insert  the  endoscope  into  the  patient’s  body  by  observing  only  the endoscope position display of the endoscope position detecting unit. Be sure to observe the endoscopic image and insert the endoscope while confirming safety. If the endoscope is inserted without observing the endoscopic image, patient injury could result.  [WARNING] • 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. • Anytime you observe an irregularity in this endoscope position detecting unit, stop using it  immediately,  turn  it  OFF,  and  solve  the  problem  according  to  Chapter  9, “Troubleshooting”. If the problems cannot be resolved by the described remedial action, do not use this endoscope position detecting unit again and immediately contact Olympus. Using a defective endoscope position detecting unit may cause patient injury. • When the monitor display freezes, such as when the displayed time will not change or if the scope model will not move when the endoscope’s insertion tube is moved, or when the switches on the control panel are not accepted, turn the endoscope position detecting unit OFF and ON again. If the problem still occurs, contact Olympus. • When using spray-type medical agents such as lubricant, anesthetic, or alcohol, use them away from the endoscope position detecting unit so that the medical agents do not contact the endoscope position detecting unit. Medical agents might enter the endoscope position detecting unit through the ventilation grills and cause the failure. • Do not use a humidifier near the endoscope position detecting unit as dew condensation possibly might occur and it may cause the failure. •  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 scope model.  CONFIDENTIAL
 34 [CAUTION] •  Do  not  use  this  endoscope  position  detecting  unit  in  locations  exposed  to  strong electromagnetic radiation (e.g., in the vicinity of microwave therapeutic equipment, MRI, short-wave therapeutic equipment, radio equipment, or cellular/portable phone). Damage to  the  endoscope  position  detecting  unit  may  result.  Electromagnetic  radiation  can interfere with the monitor display. •  When  the  endoscope  position  detecting  unit  is  used  on  a  patient  with  an  artificial material implant, the displayed scope model shape may differ from its actual shape. • Do not approach the following equipment with a magnetic storage medium (magnetic card, floppy disk, etc.): the endoscope, the position detecting probe, the reference plate (MAJ-1859), or the hand coil (MAJ-1860) connected to the endoscope position detecting unit. Otherwise, the data stored on the magnetic storage medium may be destroyed or lost due to the AC magnetic fields generated by these devices. CONFIDENTIAL
 35 4.1 Operation flow  Please see the operation work flow in Figure below. Follow each step of the work flow for using the endoscope position detecting unit.  1. Adjust the position of the receiver dish. → ”Adjusting the position of the receiver dish” ↓ 2. Connect the endoscope or the position detecting probe to the main unit. → Section 4.4, “Connection of the endoscope or the position detecting probe” ↓ 3. Inspect the instruments before use. → Chapter 3, “Inspection” ↓ 4. Connect the hand coil (MAJ-1859). → Section 5.8 ”Connection of the hand coil (MAJ-1859) When the hand coil is not used, this procedure is unnecessary. ↓ 5. Connect the reference plate (MAJ-1860).  → Section 5.10    ”Connection of the reference plate(MAJ-1860)” When the reference plate is not used, this procedure is unnecessary. ↓ 6. Turn the main unit and equipment ON. → Section 3.3, “Turning power ON” ↓ 7.    Select the screen display setup.  → When the previous setup is selected, this procedure is unnecessary. ↓ 8. Perform examination. → For details on each function, refer to Chapter 5, “Functions". ↓ 9. Disconnect the endoscope or the position detecting probe. → Section 4.8, “Operation at the end of an examination” ↓ 10. Care after use. → Chapter 6, “Care, storage and disposal”  CONFIDENTIAL
 36 4.2 Scope model display range  Scope model and actual positioning  The relationship  between the monitor screen  display and  the actual  positioning  of the endoscope position detecting unit (UPD-3) during the initial setup shown in Figure  Monitor screen In the “From the top” display mode             In the “From the bottom” display mode             Actual positioning  Receiver dish                                                                                                               (Top View) Operating table           For the display modes, see “Setting the display mode” Y X Z YYXXZZYYXXZZCONFIDENTIAL
 37 The start position of scope model and actual positioning  The  position  where  the  scope  model  display  starts  on  the  monitor  screen  is  variable depending on whether the reference plate (MAJ-1860) is connected and/or the scope model display range is set. For setting the scope model display range, see Section 5.7, “Setting the scope model display range”  ○When the reference plate is not connected and the scope model display range is not set  Receiver dish (Top view)                                                                                                                           Operating table            When the receiver dish is viewed from the front, the position A located at about 13 cm to the right from its right end (see Figure) corresponds to the start position of the scope model on the screen. However, the scope model will not be displayed when the distal end of the endoscope is located to the right of line A. The center of the bottom of the monitor display corresponds to the start position of the scope model. 13cm A CONFIDENTIAL
 38 ○When the reference plate is connected and the scope model display range is not set Receiver dish (Top view)                                                                                                                               Operating table                                                       Reference plate                           Cable outlet  When the endoscope position detecting unit is viewed from the front, the position B located at 6 cm toward the reference plate from its cable outlet (see Figure) corresponds to the start position of the scope model on the screen. The part of the endoscope located to the left of line B facing the endoscope position detecting unit will be displayed as the scope model. However, the scope model will not be displayed when the distal end of the endoscope is located to the right of line B. The center of the bottom of the monitor display corresponds to the start position of the scope model. The coordinate axis on the screen corresponds to the coordinate axis as shown in Figure. 6cm B Z X Y CONFIDENTIAL
 39 ○When the reference plate is not connected and the scope model display range is set  Receiver dish (Top view)                                                                                                                        Operating table         Set position of the display range   When the display range is set, the set position C (see Figure) becomes the start position of the scope model, and the part of the endoscope located to the left of line C facing the endoscope position detecting unit will be displayed as the scope model. However, the scope model will not be displayed when the distal end of the endoscope is located to the right of line C. The center of the bottom of the monitor display corresponds to the start position of the  scope  model. If the  display range is  not set,  the  start  position of  the scope  model becomes  identical  to  “When  the  reference  plate  is  not  connected  and  the  scope  model display range is not set” For setting the display range, refer to Section 5.7, “Setting the scope model display range” C CONFIDENTIAL
 40 ○When the reference plate is connected and the scope model display range is set Receiver dish (Top view)                                                                                                                               Operating table                                                 Reference plate                        Cable outlet                                   Set position of the display range  When the display range is set, the set position D (see Figure) becomes the start position of the scope model, and the part of the endoscope located to the left of line D facing the endoscope position detecting unit will be displayed as the scope model. However, the scope model will not be displayed when the distal end of the endoscope is located to the right of line D. The center of the bottom of the monitor display corresponds to the start position of the scope model. The coordinate axis on the screen corresponds to the coordinate axis as shown  in Figure. If the display range is not set, the  start  position  of  the scope model becomes identical to “When the reference plate is connected and the scope model display range is not set” D Z X Y CONFIDENTIAL
 41 4.3 Adjusting the position of the receiver dish  [WARNING] •When  adjusting  the height of  the  receiver  dish,  or  when  adjusting  the height  of  the operating table if it is adjustable, be careful not to have your hand, foot, or the patient’s body caught between the receiver dish and the operating table. Otherwise, operator and/or patient injury may result. Be  careful  not  to  have  your  fingers  caught  between  the  arms  when  they  are  closed. Operator and patient injury may result. Do not allow the patient to hold the receiver dish or receiver dish stand. Otherwise, the stand may be toppled, and patient injury may result.  [CAUTION] Keep the receiver dish at the same height as the patient’s body. If the distance between the patient’s  body  and  the  receiver  dish  is  too  large,  the  scope  model  may  be  displayed incorrectly.  1. Adjust the position of the receiver dish.  CONFIDENTIAL
 42 4.4  Connection  of  the  endoscope  or  the  position detecting probe  Connect the endoscope to the endoscope position detecting unit (UPD-3) by using the UPD cable (MAJ-1881).  [WARNING] Do not place the UPD cable on the operating table. This could result in an infection when the patient contacts the UPD cable. Also, the scope model display may become distorted or deformed.  [CAUTION] • Always turn the endoscope position detecting unit OFF before connecting or disconnecting the UPD cable. Otherwise, equipment damage or malfunction may result. • Do not apply excessive force to the UPD cable; it may cause equipment damage. • Do not immerse the UPD cable in liquids or allow it to become wet; it may cause equipment damage or malfunction. • Do not touch the electrical contacts inside the endoscope position detecting unit’s connectors;  ○Connecting the UPD cable to the endoscope Align the notch on the endoscope plug of the UPD cable with mark 3 on the UPD scope connector of the endoscope and push the endoscope plug into the UPD scope connector until it stops (see Figure).    [NOTE] If force is used on the UPD cable, the endoscope is designed to detach at the endoscope plug, not at the endoscope connector.  CONFIDENTIAL
 43 ○Connecting the UPD cable to the position detecting probe  1. Holding the electrical connector of the position detecting probe and the connector of the UPD  cable connected to  the  endoscope position  detecting  unit,  align  the  index  on  the position detecting probe’s electrical connector with the notch on the UPD cable’s position detecting connector, and connect them (see Figure)..    4.5 Turning power ON  [WARNING] When two or more endoscope position detecting units are used, do not turn the main units ON at the same time. Otherwise, the scope model.  Press the power switch to turn ON the endoscope position detecting unit, confirm that the power indicator on the main unit is lit (see Figure).                                Power switch                Power indicator     4.6 Starting the endoscopic examination  1. Confirm the direction in which the endoscope is pointing by checking  the viewpoint indicator arrow. When the viewpoint indicator arrow is selected not to be displayed, press the “Enter” button to display it.  [NOTE] CONFIDENTIAL
 44 For setting the viewpoint indicator arrow, refer to  ○Viewpoint indicator arrow”  2.  Start  the  endoscopic  examination  as  indicated  in  the  instruction  manual  for  the endoscope in use.  [NOTE] For the start position of the scope model, refer to Section 4.2, “Scope model display range”   4.7 Displaying the scope model  The scope model is displayed as described below. • Gray scale:   The shape of the endoscope is represented as a gray cylinder. The areas near the viewpoint are displayed in bright gray and those apart from the viewpoint are displayed in dark gray. •  Distal  end  display:  The  section  corresponding  to  the  distal  end  of  the  endoscope  is represented by a yellow sphere.  • Colors Color     Function Gray      Stable section Yellow     • Parts of the endoscope that are located outside of the detection area. • Section where the shape of the scope model is not accurate. • Section where a stable shape of the scope model cannot be displayed. Red     Parts of the endoscope, parts of the position detecting probe, or the UPD cable (MAJ-1881) broke down. Translucent   The area from the proximal end of the insertion tube to the start position of the scope model where the whole insertion tube of the endoscope is within the left side from the start position of the scope model. Not displayed  • Because the insertion tube of the endoscope is too close or too far from the coil unit, the coil unit is unable to detect the endoscope.     • The distal end of the endoscope is outside the detection range.   [NOTE] • The areas displayed in yellow, red, and/or translucent should be regarded as incorrect because their accuracy is low. • If the endoscope, the position detecting probe, or UPD cable (MAJ-1881) fails in the middle of the examination, the scope display area corresponding to the failed section is displayed in red. When the endoscope position detecting unit is turned OFF and then ON again, the error message will appear.  • Wavering: The scope model display may waver sometimes. This is not a malfunction. CONFIDENTIAL
 45 • Fusion: When different sections of the insertion tube of the endoscope come close to each other, the overlapped areas in the scope model display may be shown as if they are fused (see Figure).    • Overlapping of intersected sections: When different sections of the insertion tube of the endoscope become close to each other, the intersected areas in the scope model display may be shown upside down or in an inaccurate shape.   [WARNING] If  the  insertion  tube  of  the  endoscope  forms  a  loop  during  an  examination,  and  the overlapped  areas  in  the  scope  model  display  may  be  shown  as  if  they  are  fused,  the intersected areas may be shown upside down or in an inaccurate shape. In such a case, dissolve the fusion in the display by moving the endoscope slightly while observing the scope model display to undo the loop of the insertion tube. It is also possible to correct the way the overlapped areas of the insertion tube are displayed and then undo the loop if the current status requires it. If you attempt to undo the loop of the insertion tube by observing the scope model display while the overlapped areas in it  are  shown as fused  or  in an inaccurate shape, patient injury could result.  Influence of electromagnetic radiation  This  instrument  which  utilizes  weak  AC  magnetic  fields  is  subject  to  electromagnetic radiation  (noise).  To  reduce the  influence of  electromagnetic  radiation,  this instrument performs the following:  ○Selection of frequencies for use  This  instrument automatically selects  frequencies  of AC  magnetic fields for  use. After measuring the noise levels at predetermined three frequencies, this instrument selects a frequency generating the lowest noise level at powering ON this instrument.  CONFIDENTIAL
 46 [NOTE] Fixing the frequency to use is also possible. See Section 8.2 “System setup”.  ○Selection of display speed  Under the environment with high level noise, the scope model will be displayed at lower speed so that this instrument can get enough signals. After measuring the noise levels, this instrument selects speed to display the scope model at powering ON.  [NOTE] - If the scope model display wavers significantly or becomes unstable when operating the endoscope position detecting unit, the cause may be increased external noise. In that case, bring the receiver dish to the patient as close as possible. If no improvement is observed, turn the endoscope position detecting unit OFF and turn it ON again.  - Fixing the display speed is also possible. See Section 8.2 “System setup”.   4.8 Operation at the end of an examination  1. Turn the endoscope position detecting unit and ancillary equipment OFF.  2. Disconnect the UPD cable (MAJ-1881) from the endoscope.  3. Disconnect the hand coil (MAJ-1859) and reference plate (MAJ-1860) from the endoscope position detecting unit.  [CAUTION] Be  sure  to  turn  the  endoscope  position  detecting  unit  OFF  before  connecting  or disconnecting the  UPD cable,  reference plate,  and  hand coil to  or  from the  endoscope position  detecting  unit.  Otherwise,  the  endoscope,  endoscope  position  detecting  unit, reference plate, and/or hand coil may be damaged.  4. Remove the reference plate cover (MAJ-1880) from the reference plate. CONFIDENTIAL
 47 Chapter 5 Functions  This chapter describes functions of the buttons of main unit and usage of the hand coil and the reference plate. Before use, refer to the “Function setup” for functions that need to be set in “System setup” and “User preset”.   5.1 Rotating the scope model  The scope model can be rotated as required.  [WARNING] Make sure to match the posture of the figure image with that of the patient. Improper operation due  to a mismatch between the  posture of the patient, the actual endoscope position in the patient cavity, and the position displayed on the UPD screen may result in patient injury and/or perforation.  Press the “Rotate left” or “Rotate right” button on the control panel (see Figure). The scope model will be rotated as shown in Figure.                           Rotate left                                  Rotate right         [NOTE] • After the settings are completed, the setup is held in memory even after the endoscope position detecting unit is turned OFF. The previous setup will be recalled the next time the unit is turned ON. • The rotation angle of the scope model can be saved and recalled as described in “User preset”  • The viewpoint indicator arrow on the screen shows the direction in which the scope model is viewed. For showing the arrow, refer to  ○Viewpoint indicator arrow” • Pressing the reset switch recalls the rotation angle that has been saved in the previous “Saving and recalling the display setup” operation. • By rotating the scope model, there may be space between the start position of the scope model and the bottom of the screen. CONFIDENTIAL
 48 • By rotating the scope model, the scope model may be out of the screen. For redisplaying the scope model, press the reset switch.   5.2 Varying the size of the scope model  The size of the scope model as well as the sizes of the marker and gauge can be varied as described below.  [NOTE] • With the initial setup, the zooming ratio is set to the middle ratio. • After this setup is completed, the settings are held in memory even after the endoscope position detecting unit is turned OFF. The previous setup will be recalled the next time the unit is turned ON. • The zooming ratio of the scope model can be saved and recalled as described in Section 8.3 “User preset.” •  By  zooming  in  the  scope  model,  the  scope  model  may  be  hidden  from  view.  For redisplaying the scope model, press the reset switch. • Pressing the reset switch recalls the zooming ratio that has been saved in the previous “ ” operation.  Press the “ZOOM IN” or “ZOOM OUT” button on the control panel (see Figure). The scope model will be zoomed in or out (i.e., magnified or reduced) as shown in Figure.                                   ZOOM IN                                                                            ZOOM OUT       CONFIDENTIAL
 49 5.3 Splitting the screen  The scope model can be displayed on two screens by splitting the screen.  [NOTE] After this setup is completed, the settings are held in memory even after the endoscope position detecting unit is turned OFF. The previous setup will be recalled the next time the unit is turned ON.  Each press of the split screen button on the control panel changes the split-screen display and single-screen display alternately (see Figure).                                                                                  SPLIT SCREEN         Splitting the screen for the operating table image    Single-screen display                                   Split-screen display    [NOTE] • One screen shows the single screen display and the other shows the single screen view as well as the 90° rotated view in the split screen. • The view angles in  the right  and  left sides  of the  split  screen  are  indicated by  the viewpoint indicator of the operating table image in each screen. • By pressing the split screen switch, the scope model is redisplayed so that the center of the top or bottom of the split screen corresponds with the start position of the scope model.   CONFIDENTIAL
 50 Splitting the screen for the figure image    Single-screen display                                  Split-screen display    [NOTE] • The screen with the view angle selected from the menu is displayed. • The view angles on the right and left sides of the split screen are indicated by the A-P indicator and the figure image respectively. • By pressing the split screen switch, the scope model is redisplayed so that the center of the top or bottom of the split screen corresponds CONFIDENTIAL
 51 5.4 Resetting the setup  Pressing the reset switch resets the settings made in the previous “User preset” operation. When no operations are made in the Section 8.3 “User preset”, the factory default settings are recalled.   1. Press the reset button (see Figure).                                                                                                                   RESET  2.  The following  settings are reset  to  the settings made  in  the  previous “User  preset” operation.  • Viewing image selection • Figure image and view angle (for the figure image selection) • View indicator arrow (for the figure image selection) • A-P indicator selection (for the figure image selection) • Display mode selection • Scope model thickness setup • Information display selection • Rotation angle of scope model (for the operating table image selection) or posture of the figure image (for the figure image selection) • Zooming ratio of scope model  [NOTE] • By pressing the reset switch, the scope model is redisplayed so that the center of the bottom of the screen corresponds with the start position of the scope model. CONFIDENTIAL
 52 5.5 Connection indicators  When the endoscope or the position detecting probe, reference plate (MAJ-1860), and/or hand coil (MAJ-1859) are connected, the corresponding connection indicators are displayed. The color of each connection indicator varies depending on the connection and detection status.  The endoscope  position display  shows  the scope  connection  indicator,  probe  connection indicator, plate connection indicator, and marker connection indicator in the colors listed in Table (see Figure).    Item  Display  Description Green  Normal Yellow   Out  of  detection  area,  no  accuracy and/or unstable Connection  status color   Red  Abnormal or failure CONFIDENTIAL
 53 5.6 Bookmark  Markings are put beside the marking gauge according to the points where you want to mark.  ○ Marking  1. Press the “BOOKMARK” button on the control panel when a desired marking point is found (see Figure).                                                                            BOOKMARK        2. A Marking is put beside the marking gauge according to the point where you want to mark (see Figure).      Marking gauge   Marking    Display length       ○Deleting the markings  CONFIDENTIAL
 54 1. Press the “BOOKMARK” button on the control panel awhile (see Figure).  2. All markings are deleted.  [NOTE] •The markings are shown based on the display length. They may not correspond to the position in the actual intestinal tract. •Markings can be put every 1 cm. •Close markings may be shown as one. •The same position cannot be marked. •Up to 50 markings can be put beside  the marking gauge. The error message will be displayed when more than 50 markings are marked. •All markings are deleted automatically under the following cases. - When the main unit is turned OFF. - When the UPD cable (MAJ-1881) is disconnected from the endoscope or the position detecting probe.   5.7 Setting the scope model display range  When the scope model display range is set, the scope model display outside the range will be erased.  [NOTE] • After this setup is completed, the settings are held in memory even after the endoscope position detecting unit is turned OFF. The previous setup will be recalled if the hand coil is connected the next time the unit is turned ON. • Even when the unit is turned OFF while the display range is set, the display range setup is canceled if the hand coil is not connected the next time the unit is turned ON. • The scope model is redisplayed so that the center of the bottom of the screen corresponds with the start position of the scope model. • When the tracking indicator disappears even if the reference plate is connected, the scope model display range cannot be set. • The setup of the scope model display range is canceled by disconnecting the hand coil when the scope model display range is set.  ○When using the hand coil (MAJ-1859)  [NOTE] • When the marker connection indicator is yellow, the scope position switch does not work. For connecting the hand coil, refer to “Connection of the hand coil (MAJ-1859) .  CONFIDENTIAL
 55 1. Confirm that the marker connection indicator is green, indicating that the hand coil is available (see Figure).       Marker connection indicator (Green)   2. Place the hand coil to the position where you want to start the scope model, and then press the scope position switch on the hand coil (see Figure).                                 “Scope position” switch      3. The scope model outside the start position is erased the start position is located at the edge of the screen, and the scope position indicator lights up.            4. Press the scope position switch again or press the scope position button on the control panel  to  cancel the  setup  of  the start  position of the  scope model.  The scope  position indicator will be turned off.    ○When using the endoscope or the position detecting probe    CONFIDENTIAL
 56 1. Place the distal end of the endoscope or the position detecting probe to the position where you want to start displaying the scope model, and then press the "SCOPE POSITION" button on the control panel (see Figure).                                       Scope position indicator        Scope position     2. The scope model outside the start position is erased, the start position is located at the edge of the screen, and the scope position indicator lights up.  3. Press the scope position button again to cancel the setup of the start position of the scope model. The scope position indicator will be turned off.   [NOTE] For the start position of the scope model, refer to Section 4.2, “Scope model display range”.   5.8 Connection of the hand coil (MAJ-1859)  Connect the hand coil when it will be used.  [WARNING] •Avoid bringing the hand coil or hand coil cover in contact with the skin of the operator and/or patient. Otherwise, infection of the patient and/or operator may result. [CAUTION] •Connect  the  hand  coil  to  either  the  main  unit  or  the  connection  unit  (MAJ-Y0093). Otherwise, it does not operate.  1. Contact the hand coil with its arrow mark on the plug facing upwards with the hand coil terminal on the main unit (see Figure).  CONFIDENTIAL
 57  2. Hold the plug and insert it straight to the hand coil terminal until it clicks    3. Fit the hand coil cover around the hand coil (see Figure).    4. When the hand coil becomes necessary during examination, the operator should hold it in his or her hand (see Figure).    [NOTE] For details on the hand coil function, refer to Section 4.2 “Scope model display range” and CONFIDENTIAL
 58 “Setting the scope model display range”.  5. To disconnect the hand coil, hold the connecting section of the connector and pull it straight out (see Figure).   5.9 View tracking  When the reference plate (MAJ-1860) is used, the rotation of the scope model is controlled by the reference plate. When the reference plate is  attached to the patient’s body,  any rotation of the patient will accordingly cause a rotation of the scope model (view tracking).  Confirm that the reference plate connection indicator is green. In this condition, the scope model display changes to the tracking display and the tracking.     Tracking indicator       Plate connection indicator    [NOTE] •When the tracking indicator disappears while attaching the reference plate to the patient, the scope model cannot be tracked. In this case, move the patient near the coil unit to display the tracking indicator. •For usage of the reference plate, refer to “Connection of the reference plate (MAJ-1860)  CONFIDENTIAL
 59 and “Attaching the reference plate (MAJ-1860) to the patient’s body”.   5.10 Connection of the reference plate (MAJ-1860)  Connect the reference plate when the tracking function is required (see Section 5.9, “View tracking”). Disconnect the reference plate when the tracking function is not required.  [CAUTION] •Connect the reference plate to either the main unit or the connection unit (MAJ-1928). Otherwise, it does not operate.  1. Insert the reference plate with its arrow on the connector facing upwards to the reference plate connector on the main unit (see Figure).   2. Hold the connector and insert it straight to the reference plate connector until it clicks.  3. To disconnect the reference plate, hold the connecting section of the connector and pull it straight out (see Figure).  CONFIDENTIAL
 60 5.11 Attaching the reference plate (MAJ-1860) to the patient’s body  [WARNING] •  Avoid  bringing  the  reference  plate,  reference  plate  cover,  and  reference  plate  belt (MAJ-1029) in contact with the skin of the operator and/or patient. Otherwise, an infection may result.  [CAUTION] • Attach the reference plate parallel to the back of the patient and fit the central axis of the reference plate to the patient’s central axis. Otherwise, the scope model may disappear during the examination, may not be displayed, or may be incorrectly displayed. • Attach the reference plate properly to the patient’s body. Otherwise, the scope model will not be displayed correctly. − If the reference plate is attached in a manner that the slit contacts the patient’s abdomen, the scope model display will reverse the left and right. − If the reference plate is attached so that the cable comes on the side of the patient’s feet, the scope model display may be shown upside down, or may not be shown at all. [NOTE] For details on the reference plate function, refer to the “View tracking”.  ○When the reference plate cover (MAJ-1880) is used  [CAUTION] • Patients with allergies may experience reddening or irritation of the skin caused by the adhesive on the antenna lead covers. • Use a reference plate cover before expiration date. Otherwise, the reference plate may not be securely adhered to the patient’s body. The expiration date of the reference plate cover is shown on the package.  CONFIDENTIAL
 61 1. Insert the reference plate into the reference plate cover so that the human-shaped index marking on the reference plate is on the same side as the blue surface of the reference plate cover (see Figure).             2. Peel off the lining paper from the inside of the reference plate cover (on the blue side), and adhere the reference plate securely to the reference plate cover (see Figure).  3. Dry the patient’s body by wiping with a dry piece of gauze. If there is too much hair in a particular location to securely adhere the reference plate cover, shave as necessary.  4. Place the contact surface of the reference plate on the patient’s abdomen so that the cable comes on the side of the patient’s legs.  5. Remove the lining paper on the back of the reference plate cover by peeling from the point indicated by the arrow (see Figure), and then press down firmly on the reference plate to attach it to the patient.  REFERENCE PLATE blue side REFERENCE PLATE COVER CONFIDENTIAL
 62    [CAUTION] The reference  plate cover used  before has lost its adhesiveness. When  reattaching the reference plate, replace the cover with a new one.   ○Removing the reference plate cover from the reference plate  1. Remove the reference plate from the reference plate covers. The reference plate cover can be easily removed by holding the tab and tearing the center section    2. Carefully remove the reference plate cover from the patient.  [CAUTION] Do not fold or crease the reference plate when removing it from the reference plate cover. Otherwise, the reference plate may be damaged. [NOTE] CONFIDENTIAL
 63 The reference plate covers are single-use only.   ○When the reference plate cover (MAJ-1880) is not used  1. Pass the reference plate belt through the slit (see Figure).    2. Place the contact surface of the reference plate on the patient’s abdomen and align the orientation of the patient’s body  with that  of the human-shaped  index  marking of the reference plate so that the cable comes on the side of the patient’s foot.  3. Wrap the reference plate belt around the patient’s body and fasten the reference plate using the surface fastener on the reference plate belt.    [CAUTION] • Do not tighten the reference plate belt too much. Excessive tightening can cause patient pain. • Attach the reference plate belt firmly around the patient’s body so that the reference plate will not move. Otherwise, the scope model display will be unstable. CONFIDENTIAL
 64 5.12 Operation using the remote control  The remote control (MAJ-1890) can operate the same function as the control panel does.  [CAUTION] • Do not use a pointed or hard object to press the keys on the remote control. This may damage the keys. •Properly install the remote control. If it is not properly installed, the remote control may be damaged. Install the remote control on a stable, level surface so that the cable between the endoscope position detecting unit and remote control is not stretched. •When operating the remote control, hold the control not the cable. Otherwise, the cable may break. •Do not fix the cable using surgical clamps, such as Pean, because the cable may break.    For displaying the scope model, refer to the “Setting the scope model display range”.  [NOTE] For connecting the remote control, refer to Section 7.7, “Remote control.”. CONFIDENTIAL
 65 Chapter 6 Care, Storage, and Disposal  6.1 Care  If the endoscope position detecting unit and accessories are soiled, perform the following cleaning procedure immediately after use. If cleaning is delayed, residual organic debris will begin  to solidify, and it may be difficult to effectively clean the endoscope position detecting unit. The endoscope position detecting unit should also be cleaned routinely.  [WARNING] After cleaning the main unit and accessories, dry them thoroughly before use. If they are used while still wet, there is the risk of electric shock.  [CAUTION] • Do not clean the output connector, the terminals, or the AC power mains inlet. Cleaning them  can  deform  or  corrode  the  contacts, which  could  damage  the  endoscope  position detecting unit. • Do not autoclave or gas sterilize the endoscope position detecting unit. These methods will damage it. • The UPD cable is not waterproof and should not be cleaned together with the endoscope. Otherwise, the equipment will malfunction. • Do not wipe the external surface with hard or abrasive material. The surface will be scratched. • Alcohol is flammable. Handle with care.  CONFIDENTIAL
 66 ○Compatible reprocessing methods and chemical agents Compatibility summary The instruments shown below are compatible with several methods of reprocessing. For appropriate  reprocessing  methods,  refer  to  Table  below,  the  recommendations  of  your infection control committee, and all national and local hospital guidelines and policies.    70%  ethyl  or  isopropyl alcohol   Detergent solution   Hand coil (MAJ-1859) Hand coil cover (MAJ-1879) Reference plate (MAJ-1860)       compatible    not compatible    [WARNING] Alcohol is not a sterilant or high-level disinfectant.  ○Detergent solution Use a medical-grade, low-foaming, neutral pH detergent, or enzymatic detergent and follow the manufacturer’s dilution and temperature recommendations. Contact Olympus for the names of specific brands that have been tested for compatibility with these instruments. Do not reuse detergent solutions.  [WARNING] Excessive detergent foaming can prevent fluid from adequately contacting components.  ○Care of the hand coil (MAJ-1859), hand coil cover (MAJ-1879), and reference plate (MAJ-1860)  1. Turn the endoscope position detecting unit OFF and disconnect the power cord.  2. To remove dust and dirt on the respective accessories, wipe them using a lint-free cloth moistened with neutral detergent.  3. If the accessories are soiled with patient blood or debris, wipe off all gross debris using neutral detergent and then decontaminate their surfaces using a lint-free cloth moistened CONFIDENTIAL
 67 with  70%  ethyl or  isopropyl  alcohol or  follow the instructions described  in  Section  6.2 “Cleaning procedures for accessories.  4. Make sure that the accessories are completely dry after wiping.  ○Care of the main unit and accessories other than the hand coil (MAJ-1859),  hand  coil  cover  (MAJ-1879),  and  reference  plate (MAJ-1860)  1. Turn the endoscope position detecting unit OFF and disconnect the power cord. 2. To remove dust and dirt on the main unit and accessories, wipe them using a lint-free cloth moistened with neutral detergent. 3. If the accessories are soiled with patient blood or debris, wipe off all gross debris using neutral detergent and then decontaminate their surfaces using a lint-free cloth moistened with 70% ethyl or isopropyl alcohol. 4. Make sure that the accessories are completely dry after wiping.   6.2 Cleaning procedures for accessories  This  section  includes  the  cleaning  procedures  for  the  accessories  and  reprocessing equipment listed below. •Hand coil (MAJ-1859) •Hand coil cover (MAJ-1879) •Reference plate (MAJ-1860)  ○Attaching the water-resistant cap (MAJ-1899) [CAUTION] • The electrical connector of the hand coil or reference plate is not waterproof. Before immersing the endoscope, always attach the water-resistant cap. Otherwise, equipment damage may result. • Always use a dry water-resistant cap. Any water remaining on the water-resistant cap may cause damage to the equipment.   1. Confirm that the inside of the water-resistant cap is dry and free from debris. If the inside of the water-resistant cap is wet or there is debris present, wipe with a dry, lint-free clean cloth.  CONFIDENTIAL
 68         Connector         Water-resistant cap   2. Put the water-resistant cap on the connector and turn it clockwise to close.  ○Manual cleaning  [CAUTION] Make sure that the items immersed in detergent solution do not contact one another.  1. Fill a basin with detergent solution at the temperature and concentration recommended by the detergent manufacturer. Use a basin that is deep enough to allow all equipment to be completely immersed. 2. Immerse all equipment in the detergent solution. Using a clean, soft brush or lint-free cloth, meticulously clean all external surfaces in detergent solution. 3. Soak all equipment for the amount of time and at the temperature recommended by the detergent manufacturer. 4. Remove all equipment from the detergent solution and place it in clean water. 5. Remove all equipment from the clean water. 6.  Using  a  clean,  lint-free  cloth,  thoroughly  wipe  and  dry  the  external  surfaces  of  all equipment. 7. Thoroughly wipe all external surfaces using a lint-free cloth moistened with 70% ethyl or isopropyl alcohol. 8. Make sure that the accessories are completely dry after wiping. CONFIDENTIAL
 69 6.3 Storage  [CAUTION] Do not store the endoscope position detecting unit in locations exposed to direct sunlight, X-rays, radioactivity, or strong electromagnetic radiation (e.g., in the vicinity of microwave therapeutic  equipment,  MRI,  short-wave  therapeutic  equipment,  radio  equipment,  or cellular/portable phone). Damage to the endoscope position detecting unit may result.  1. Turn the endoscope position detecting unit OFF and disconnect the power cord. 2. Disconnect all ancillary equipment connected to the endoscope position detecting unit. 3. Store the equipment at room temperature in the horizontal position in a clean, dry, and stable location. CONFIDENTIAL
 70 Chapter 7 Installation and Connection  [WARNING] • 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 endoscope position detecting unit. [CAUTION] •Turn OFF  all  instruments  before  connecting  them.  Otherwise,  equipment  damage  or malfunction may 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. • When moving the receiver dish stand from one location to another, firmly hold the handle with one hand and the pole with the other. Otherwise, the stand may topple, which may result in operator injury or damage of the endoscope position detecting unit.   Prepare this endoscope position detecting unit 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. CONFIDENTIAL
 71 7.1 Installation work flow  Please see the installation work flow in Figure below. Follow each step of the work flow before using the endoscope position detecting unit and the ancillary equipment.  1.  Install  the  endoscope  position  detecting  unit  and  the  ancillary equipment to the mobile workstation, etc. → Section 7.2, “Installation of the equipment” ↓ 2. Install the receiver dish. → Section 7.3, “Installation of the receiver dish”. ↓ 3  Connect  the  endoscope  position  detecting  unit  and  the  ancillary equipment to the mobile work station, etc. → From Section 7.4, “Connection of the receiver dish” to Section 7.8 “Video system center”. ↓ 4. Connect the instruments to the power source. → Section 7.9 “Connection to an AC mains power supply”. ↓ 5. Set up the system setup. → Section 8.2 “System setup”. ↓ 6. Set up the user preset. →Section 8.3 “User preset”.  CONFIDENTIAL
 72 7.2 Installation of the equipment  [WARNING] • Keep the ventilation grills of the endoscope position detecting unit 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 endoscope position detecting unit may break down from over heating. • Place the endoscope position detecting unit on a stable, level surface. Otherwise, the endoscope position detecting unit 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 endoscope position detecting unit near a source of strong magnetic wave (microwave treatment device, short wave treatment device, MRI, radio equipment, etc.). Otherwise, the endoscope position detecting unit may malfunction.  •Do not fix the cable using surgical clamps, such as Pean, because the cable may break. •Do not allow the cables to catch operator’s legs. Otherwise, the operator and equipment may be toppled. •Connect the cables securely and lock the connectors if they have locks. Otherwise, the equipment may not operate correctly.  ○ 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).   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 endoscope position detecting unit on the mobile shelf of the mobile workstation.  CONFIDENTIAL
 73  ○ Installation in another location  When the equipment is installed in the location other than in the mobile workstation, put it in the level position.   7.3 Installation of the receiver dish  ○How to assemble the receiver dish stand  [CAUTION] •The weight is very heavy. Be careful not to drop it while assembling the stand. Otherwise, user injury may result. •Assemble the receiver dish stand on a level and flat floor. Otherwise, the receiver dish stand may topple, which may result in user injury or damage of the stand.  1. Insert the end of the pole with a screw hole into the hole of the base (see Figure).             The pole is inserted.      CONFIDENTIAL
 74 2. Lay down the assembled pole and the base gently on the floor. Attach the weight to the base so that the grooves of the weight fit the base (see Figure)           [CAUTION] •Be sure to attach the weight to the base. Otherwise, the stand may topple.  3. Tighten the weight, the base, and the pole together with an M8 x 50screw. The screw must be tightened firmly so that the pole and the base do not wobble (see Figure).            4. Lift up the pole and the base and lock the casters. Two casters have locking mechanism (see Figure).           Groove CONFIDENTIAL
 75 5. Attach the handle to the pole with an M5×40 screw. There are two holes on the pole. Use the hole on the side where the protrusions for the cable pocket are located (see Figure).             6. Put the handle cover on the top end of the pole and slide it down to the handle so as to cover the mounting part of the handle to the pole (see Figure).                         Mounting part of the handle to the pole CONFIDENTIAL
 76 7. Close the hinge of the arm and insert a pin into a hole of the hinge (see Figure).               8.  Put  the  mounting  part  of  the  arm  on  the  top  end  of  the  pole  and  slide  it  down  to  any appropriate position. Turn the knob to fix the arm after setting the arm so that the arm will stay within the range of the opening area of the handle. Loosening the knob completely causes the knob to be detached from the arm and the internal part of the knob to drop off. Tighten the knob to the necessary extent (see Figure).                Pin Close Opening area of the handle Arm Knob CONFIDENTIAL
 77 9. Sandwich the pole with the arm covers right and left. The grooves on the inner faces of the arm covers right and left must be engaged (see Figure).               10. Push  down  the  arm  cover to  a  position  at  which  the  arm  cover  completely  covers  the mounting part of the hinge (see Figure).               11. Place a cap in the hole of the top end of the pole (see Figure).          Arm cover left Arm cover right   CONFIDENTIAL
 78 12. Attach two cable holders to two locations on the pole shown with the red arrows in the Figure (see Figure).                                   Cable holder (Two) Attach to the pole in the direction shown with the arrow.  Attach the cable holder here Attach the cable holder here CONFIDENTIAL
 79 ○Installation of the holder for hc-rp and the remote control holder onto the receiver dish stand The holder for hc-rp can hold the hand coil (MAJ-1859) and the reference plate (MAJ-1860).The remote control holder can hold the remote control (NAJ-1890). The holder hc-rp and the remote control holder are included in the receiver dish stand supplementary set (MAJ-1978).  [NOTE] The holder for hc-rp and the remote control holder are optional.  1. Install the holder attachment onto the top of the pole (see Figure). If the cap is attached to the top of the pole, remove it before installing the holder for hc-rp.                           Holder attachment Fix  with  the  screw  included  in  the supplementary set The Holder attachment is installed. CONFIDENTIAL
 80 2. Attach the remote control holder and two MP holders to the holder mount (see Figure).                                     ○Installation of the receiver dish (MAJ-1868)  Install the receiver dish (MAJ-1868) to the receiver dish stand (MAJ-1907). For installation of the receiver dish to any other stand, contact Olympus.  1. Install the receiver dish to the receiver dish stand using the four screw holes on the back of the receiver dish as shown in the Figure.  MP Holders (two)  Remote control holder  The MP holders attached to the holder attachment. CONFIDENTIAL
 81 Install the receiver dish so that the blue line is on the top.                         Four screws Use the screws packaged with the receiver dish arm. Four screw holes on the back of the receiver dish CONFIDENTIAL
 82          ○ Installation of the holder to the receiver dish  The holder can hold the hand coil (MAJ-1859). The holder and the M plate are included in the receiver dish stand supplementary set (MAJ-1978).  [NOTE] The holder and the M plate are optional.  1. Remove the two screws out of the four which are fixing the receiver dish (MAJ-1868) as shown in Figure (see Figure).                 Remove two screws Top Bottom CONFIDENTIAL
 83 2. Install the M plate as shown in the figure. Then attach the holder to the M plate (see Figure).                ○Installation of the cable pocket  The cable pocket is included in the receiver dish stand supplementary set (MAJ-1978).  [NOTE] The cable pocket is optional.  The M plate is installed. Tighten the screws again The MP holder is attached MP holder CONFIDENTIAL
 84 1. Attach the cable pocket to the pole of the receiver dish stand so that the two projections on the pole stay in the two holes of the cable pocket.                   ○Installation of the holder for hc-rp (MAJ-1938) to the mobile workstation  The holder for hc-rp can hold the hand coil (MAJ-1859) or the reference plate (MAJ-1860). The holder for hc-rp can be installed to the following mobile workstations WM-P1 and WM-260* series  [NOTE] The holder for hc-rp (MAJ-1938) is optional.  * This product may not be available in some areas.   CONFIDENTIAL
 85 1. Install the plate to the top tray of the mobile workstation. Install the screw, washers and nut in the order shown in Figure.                     1. Install two holders onto the plate (see Figure).             7.4 Connection of the receiver dish  1. Check that no video monitor, PC monitor, or a large metallic object is near the receiver dish. Keep a distance of at least 30 cm between the video monitor, PC monitor, or metallic object and the receiver dish.   [CAUTION] Screw  Wave washer Flat washer Plate Mobile workstation Nut  Use these screw holes  Plate Top tray Holder Two holders are installed. CONFIDENTIAL
 86 • If a video monitor or PC monitor is located near the coil unit of the endoscope position detecting  unit,  the  scope  model  display  may  be  distorted  or  deformed  due  to  strong magnetic fields produced by the monitor. • If a metallic object is located near the coil unit of the endoscope position detecting unit, the scope model display may also be distorted or deformed. • In some cases, the material and/or structure of the operating table may cause distortion or deformation of the scope model display. [NOTE] If  you  have  any questions or  problems  with  the  installation  location  of  the endoscope positioning detecting unit or the material and/or structure of the operating table in use, contact Olympus.  2. For connecting the receiver dish to the endoscope position detecting unit, use the cable listed below.   Model    Product name      Note   MAJ-1875  Receiver dish cable    7m     RECEIVER DISH               UPD-3                                                                                                          MAJ-1868                                                      Connector                     MAJ-1875     7.5 Video equipment  [NOTE] See the instruction manual for the video equipment to be used.  CONFIDENTIAL
 87 ○When the XGA monitor is used  The recommended XGA monitor is shown in the Table  Model  Product name ET1528L-7CWM-1-BG-G  touch monitor PLT210-W0X  LCD monitor  The video cable for the personal computer (VGA) on the market is used.                               UPD-3  XGA OUT                     Video cable for the personal computer (VGA) on the market       To the XGA monitor’s input  ○When the video equipment with Y/C input is used  The video cable for the Y/C on the market is used.                        UPD-3                       Y/C OUT                               Video cable for the Y/C on the market   To the video equipment’s input  CONFIDENTIAL
 88 ○When the video equipment with SDI input is used  For connecting the SDI video equipment to the endoscope position detecting unit, use the cable listed below.  Table Model    Product name      Note   MAJ-1464  SDI cable    22m                                   UPD-3                                    MAJ-1464                 SDI OUT            To the video equipment’s input  7.6 UPD cable  [WARNING] Do not place the UPD cable on the operating table. This could result in an infection when the patient contacts the UPD cable. Also, the scope model display may become distorted or deformed.  [CAUTION] •  Always  turn  the  endoscope  position  detecting  unit  OFF  before  connecting  or disconnecting the UPD cable. Otherwise, equipment damage or malfunction may result. • Do not apply excessive force to the UPD cable; it may cause equipment damage. • Do not  immerse  the  UPD  cable  in  liquids  or  allow  it  to  become  wet;  it  may  cause equipment damage or malfunction. •  Do  not  touch  the  electrical  contacts  inside  the  endoscope  position  detecting  unit’s connectors; it may cause equipment damage or malfunction.  Use the cable shown in Table  Table Model    Product name      Note   MAJ-1881  UPD cable     CONFIDENTIAL
 89   7.7 Remote control  [WARNING] •Install  the  remote  control  on  a  stable,  level  surface  so  that  the  cable  between  the endoscope  position  detecting  unit  and  remote  control  is  not  stretched.  Otherwise,  the remote control may  slip  or  fall and result  in  patient/operator injury or  damage to  the equipment.   The following remote control shown in Table is available.  Table Model    Product name      Note   MAJ-1890  Remote control                     REMOTE CONTROL                          UPD-3                                                                    MAJ-1890    7.8 Video system center  [NOTE] See the instruction manual for the video system center.  When  connecting the  video  system  center  to  the  position  detecting  unit,  the  following patient data displayed on the video system center can be output to the position detecting unit.  • ID number • Patient’s name • Sex and Age • Date of birth CONFIDENTIAL
 90  ○ For CV-180  [CAUTION] When displaying the image of the position detecting unit (UPD-3) using the PinP function of the CV-180, use the high definition LCD monitor. Otherwise, the scope model may not be displayed clearly For connecting the video system center to the endoscope position detecting unit, use the cable listed below.  Table Model    Product name      Note   MAJ-604  Data transfer cable                                                                                                 UPD-3                                                CV REMOTE                          MAJ-604                                            PC REMOTE                         CV-180    ○ For CV-260SL/260 *  For connecting the video system center to the endoscope position detecting unit, use the cable listed below.    Model    Product name      Note   MAJ-1260*  Data transfer cable   CONFIDENTIAL
 91                                                                                                 UPD-3                                                CV REMOTE                            MAJ-1260*                                                            OPTION B           CV-260SL/260                                               * These Products may not be available in some areas.  ○ For CV-160  For connecting the video system center to the endoscope position detecting unit, use the cable listed below.  Model    Product name      Note   MAJ-604  Data transfer cable                                                                                                 UPD-3                                                CV REMOTE                             MAJ-604                                            D.FILE REMOTE                  CV-160                                            ○ For CV-240 *  For connecting the video system center to the endoscope position detecting unit, use the CONFIDENTIAL
 92 cable listed below.  Model    Product name      Note   MAJ-604  Data transfer cable                                                                                                      UPD-3                                                CV REMOTE                       MAJ-604                                            DGTL FILE                                                          CV-240   * This product may not be available in some areas. CONFIDENTIAL
 93 7.9 Connection to an AC mains power supply  [DANGER] • Be sure to connect the power plug of the power cord directly to a grounded wall mains outlet. If the endoscope position detecting unit 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. [WARNING] • 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. • 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 endoscope position detecting unit is OFF. 2. Connect the power cord provided with the mobile workstation to the AC power inlet of the endoscope position detecting unit and the AC mains outlet of the mobile workstation (see Figure) CONFIDENTIAL
 94   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. Connect the power cord of the mobile workstation to the wall mains outlet.  ○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 endoscope position detecting unit is OFF. 2. Connect the power cord provided with the endoscope position detecting unit first to its AC power inlet, then to the wall mains outlet. 3. Connect the instruments listed in the following table to the wall mains outlet. 4. Connect the instruments listed in the following table to the isolation transformer. 5. Connect the power cord of the isolation transformer to the wall mains outlet.  ○When the mobile workstation (WM-NP1、WM-WP1) is not used  The devices to be connected directly to the wall mains outlet Model    Product name OEV monitors  Monitor CONFIDENTIAL
 95 (OEV143, OEV203, OEV181H, OEV191, OEV191H, OEV261H) OEP printers   Video printer                      The devices to be connected to the isolation transformer Model  Product name VTR  VTR Other than OEV video monitors  Video monitor Other  than  OEP  video printers  Video printer  CONFIDENTIAL
 96 Chapter 8 Function setup    The following settings are set to use the position detecting unit and equipment connected to the position detecting unit properly.  Setting menu  Description System setup  Sets the basic functions of the position detecting unit. For details on the functions, refer to “system setup”. User preset  Sets the functions used during the examination. For  details  on  the  functions,  refer  to  “User preset”. Adjustment  Adjusts the scope display. For details, refer to “ ” .    [NOTE] The  functions  can  be  set  even  if  the endoscope  or  the  position  detecting  probe  is  not connected to the position detecting unit.  8.1 Basic operation of the menu  Buttons in the menu For the buttons and their functions, see Table below. Button  Function ROTATE LEFT  Moves the cursor to the left. ROTATE RIGHT  Moves the cursor to the right. ZOOM IN  Moves the cursor up. ZOOM OUT  Moves the cursor down. ENTER  Determines the category selected by the cursor. MENU  Displays or closes the window.                                                                                                          ROTATE                              MENU                                   ZOOM IN        RIGHT                       ENTER                                                               ROTATE        ZOOM OUT                                                                 LEFT CONFIDENTIAL
 97  1. Press the “MENU” button on the control panel to display the menu list on the scope model display (see Figure).                                                        Menu list                   Cursor                 2. Move the cursor on the setting item and press the “ENTER” button to display the setting window (see Figure).                         Cursor               CONFIDENTIAL
 98 3. Move the cursor on the setting item in the setting window and press the “ENTER” button to display the window of the selected setting item (see Figure).                                                                                                                        Window                             Cursor            4. Move the cursor to select the setting.  5.  Press the  “ENTER”  button to  change  the  setting, and  the  window  exits;  select  the “CANCEL” button and press the “ENTER” button to keep the setting, and the window exits.  6. Select the “Back” button and press the “Enter” button to return to the upper level.  7. After all settings are completed, select the “Exit” and press the “ENTER” button. When any settings are changed, the confirmation window is displayed. For details on operations here, refer to Table.                                                                      Confirmation window                         Cursor           CONFIDENTIAL
 99 Selection Description Yes  Changes settings and exits from the menu. No  Not change settings and exits from the menu. Cancel  Returns the menu window to continue to change the settings.   8.2 System setup  Set various settings, such as the display setting and system date.  Settings of the display  ○Date and time display  1. Set the display of date and time in the scope model display.  Setting value  Description ON    Displays the current date and time in the scope model display. OFF    Not display the current date and time in the scope model display.   ○Patient data display  1. Set the display of patient data in the scope model display.  Setting value  Description ON    Displays the patient data in the scope model display. OFF    Not display the patient data in the scope model display.  [NOTE] The patient data is displayed when the video system center is connected to the position detecting unit.   Settings of the miscellanea    ○Frequency of transmitting  CONFIDENTIAL
 100 1. Set the frequency for detecting the scope model.  Setting value  Description Automatic  Automatically selects the frequency for detecting the scope model from “f1” to “f4”. f1      Use the frequency set in the "f1”. f2    Use the frequency set in the "f2”. f3      Use the frequency set in the "f3”. f4    Use the frequency set in the "f4”.  [CAUTION] Do not change this setting in ordinary cases. Otherwise, the scope model display may be distorted or deformed.   ○Fusion avoidance function  1. Set the fusion avoidance function.  Setting value  Description ON    Activate the fusion avoidance function. OFF    Inactivate the fusion avoidance function.  [CAUTION] Do not change this setting in ordinary cases. Otherwise, the scope model display may be distorted or deformed.   ○Marking remote  This function is the future extension; it is not used currently.  ○Model shading  1. Enhance the contrast of the shading of the scope model  Setting value      Description Standard              No enhancement is made to the shading contrast of the scope model Enhancement      Enhances the shading contrast of the scope model    CONFIDENTIAL
 101 Date and time of the system  ○Date  Set the current date.  1. Move the cursor on the year, month, or date and press the “ZOOM IN” or “ZOOM OUT” button to change the numerical value (see Figure).                                                  Year     Month          Date  ○Time  Set the current time.  1. Move the cursor on the hour, minute, or second and press the “ZOOM IN” or “ZOOM OUT” button to change the numerical value (see Figure).                                                                                 Hour     Minute        Second   CONFIDENTIAL
 102 ○Display format  1. Set the date display format.       Date display format  Description • MM/DD/YYYY • MM-DD-YYYY • MM.DD.YYYY • MM DD YYYY • DD/MM/YYYY • DD-MM-YYYY • DD.MM.YYYY • DD MM YYYY • YYYY/MM/DD • YYYY-MM-DD • YYYY.MM.DD • YYYY MM DD YYYY:Year MM:Month DD:Date  ○Hand coil switch  1. Set the functions to be assigned to the remote switch of the hand coil.                  Setting value          Description                 Scope position      Sets the scope position                 ROTATE LEFT      Rotates the scope model in the left direction                 Split screen            Changes the screen between the split-screen and the single-screen  ○Display speed  1. Set the display speed of the scope model.  Setting value        Description Automatic              Displays the scope model at high or medium speed depending on the external noise of this instrument Low                        Displays the scope model at low speed Medium                  Displays the scope model at medium speed High                        Displays the scope model at high speed  [CAUTION] Do not change this setting in ordinary cases. Otherwise, the scope model display may be unstable.  [NOTE] - When the Automatic is selected, the Medium speed mode to display the scope model is CONFIDENTIAL
 103 disabled. - For details of the automatic change of the display speed, see Section 4.7 “Displaying the scope model”.  Connection of the video system center  ○Connecting terminal  1. Set the communication mode with the video system center. Setting value  Description Communication A  A  communication  mode  using  the  “LINK  IN"  connector. This is a future extension. Communication B  A  communication  mode  using  the  “CV  REMOTE” connector.   8.3 User preset  Each function can be set by user or endoscope. Up to 20 presets of the display can be saved.  ○Basic operation of the user preset  1. Display the “User preset” window, move the cursor on the “Call” or “Edit” in the window, and press the “ENTER” button on the control panel. CONFIDENTIAL
 104  User list             Call                 Edit             Delete                    Operation  Function Select    Recalls the desired setup to set each function. Edit    Edit the desired user preset data. Delete    Deletes the data of selected user. Edit            Sets the new user preset, and edits and/or deletes the data of the selected user.  2. When  selecting  the  “Edit”  button  and  pressing  the  “Enter”  button,  “Register“  button  and “Delete” button will be displayed.  ○Setting the new user preset  CONFIDENTIAL
 105 1. Move the cursor on the “New” in the User preset window and press the “ENTER” button on the control panel.  2. The setting window for setting each category is displayed (see Figure). For each setting, refer to the following instructions.                                 Cursor             [NOTE] •Each preset data is saved in the user list in order (from No.1 to No.20). The number is suffixed on each user’s name. •When the user list is full, a new preset data cannot be saved. Delete the unnecessary data to save the new data. CONFIDENTIAL
 106 3. Move the cursor on the “Tab” and press the “ROTATE LEFT” or “ROTATE RIGHT” button to change the setting page. Tab                                                                                                                      Tab    Change the page by pressing   the “ROTATE LEFT” or  “ROTATE RIGHT” button                                                                             Tab              ○Selecting the user preset  1. Move the cursor on the “Select” in the user preset window and press the “ENTER” button on the control panel.  CONFIDENTIAL
 107 2. Move the cursor on a desired user’s name to recall and press the “ENTER” button on the control panel (see Figure).                                                                                                                       User list                       Cursor                           Select            3. The selected preset is called, and the scope model display is returned.  [NOTE] The list of the user preset currently called is displayed in violet.  ○Editing the user preset  1. Move the cursor on the “Edit” in the user preset window and press the “ENTER” button.  2. Move the cursor on the desired user’s name to edit and press the “ENTER" button (see Figure).                                                                                                                             User list                         Cursor                               Edit        CONFIDENTIAL
 108 3. The setting window for setting each category is displayed. For each setting, refer to the following instructions.  4. Move the cursor on the “Tab” and press the “ROTATE LEFT” or “ROTATE RIGHT” button to change the setting page (see Figure).  Tab                                                                Tab    Change the page by  pressing the “ROTATE LEFT” or   “ROTATE RIGHT” button                                                          Tab          ○Deleting the user preset  1. Move the cursor on the “Delete” in the user preset window and press the “ENTER” button.  CONFIDENTIAL
 109 2. Move the cursor on the desired user’s name to delete and press the “ENTER" button (see Figure).                                                               User list                      Delete           3. The confirmation window is displays (see Figure). When deleting the preset, move the cursor on the “Yes” and press the “ENTER” button.           Information display  ○Displaying the gauge  1. Set the display of gauge in the scope model display.  Setting value  Description ON    Displays the gauge in the scope model display. OFF    Not display the gauge in the scope model display.  CONFIDENTIAL
 110   ○Displaying the marking  1. Set the display of marking in the scope model display.  Setting value  Description ON    Displays the marking in the scope model display. OFF    Not display the marking in the scope model display.  ○Displaying the display length  1. Set the display of the display length in the scope model display Setting Value Description ON                      Displays the display length in the scope model display. OFF                Not display the display length in the scope model display.  Scope model  ○Zooming ratio  1. Set the zooming ratio of the scope model. The ratio can be changed from 0.5 to 3.0 times in steps of 0.1 times.  [NOTE] • For zooming in or out the scope model, refer to Section 5.2, “Varying the size of the scope model”. • Pressing the “Reset” button or selecting the desired user preset recalls the zooming ratio that has been saved in the user preset operation.   ○Scope model thickness  1. Adjust the scope model thickness from -7 to +7.   Display mode  CONFIDENTIAL
 111 ○Changing the display mode  1. Set the viewing direction of the scope model.  Setting value  Description From the top  Displays the scope model from the top to the bottom in the screen. From the bottom Displays the scope model from the bottom to the top in the screen.  [NOTE] For displaying the scope model and its actual position, refer to the Section 4.2, “Scope model display range”.   ○Changing the perspective  1. Set the perspective of the scope model.  Setting value  Description ON    The perspective of the scope model is enabled. OFF    The perspective of the scope model is disabled.               Perspective OFF                   Perspective ON   ○Start position of the scope model  1. Set the start position of the scope model.  Setting value  Description ON  The center of the bottom of the monitor display corresponds to the start position of the scope model. When the display mode is set to “From the top”, the center of the top of the CONFIDENTIAL
 112 monitor display corresponds to the start position of the scope model. OFF  The scope model moves according to the actual endoscope’s movement.         Figure When the start position of the scope model is set to “ON”               Actual endoscope’s positioning (top view)                            Receiver dish               Operation table         Start position of the scope model The  scope  model  is  always displayed  in  the  center  of  the screen  regardless  the  actual endoscope’s movement. CONFIDENTIAL
 113   Figure   When the start position of the scope model is set to “ON”                           Actual endoscope’s positioning (top view)                            Receiver dish                                       Operation table         Start position of the scope model  The  scope  model  is  displayed according  to  the  actual endoscope’s movement. CONFIDENTIAL
 114 ○Changing the viewing image  1. Select the viewing image.  Setting value    Description Operating table image  Displays the operating table image. Figure image    Displays the figure image.                                         Operating table image                 Figure image   ○For operating table image  Set the view angle of the operating table image in respective left and right sides of the split screen.  1. Move the cursor on the "Left screen” and press the “ENTER” button on the control panel.  2. Press the Zoom in or Zoom out button to select the view(ing) angle in the left screen.               3. Move the cursor on the “Right screen” and press the “ENTER” button on the control panel.  4. Press the Zoom in or Zoom out button to select the view(ing) angle in the right screen.  5. Press the “MENU” button to close the window. Left screen  Right screen Possible choices of the viewing angles CONFIDENTIAL
 115 ○For figure image  Set the view angle of the figure image in respective left and right sides of the split screen.  1. Move the cursor on the "Posture” and press the “ENTER” button on the control panel.  2. Press the Zoom in or Zoom out button to select the posture of the figure image.                  3. Move the cursor on the “Left screen” and press the “ENTER” button on the control panel.  4. Press the Zoom in or Zoom out button to select the view(ing) angle in the left screen.                 Possible choices of the postures of figure images Posture of the figure image Possible choices of view angles Left side of the split screen Right side of the split screen CONFIDENTIAL
 116  5. Move the cursor on the “Right screen” and press the “ENTER” button on the control panel.  6. Press the Zoom in or Zoom out button to select the view(ing) angle in the right screen.   [NOTE] • The view angle  against  the figure image  can  be selected from four  angles: anterior, posterior, right lateral, or left lateral. Other angles cannot be selected. • The view angle in the left side of the split screen can be selected as either anterior or posterior. The view angle in the right side of the split screen can be selected as either right lateral or left lateral. • The view angle in the single screen is the same as selected for the front/back view or lateral view. Other angles cannot be selected.  ○Displaying the viewpoint indicator arrow  1. Set the display of the viewpoint indicator arrow for the figure image.  Setting value  Description ON    Displays the viewpoint indicator arrow for the figure image. OFF    Not display the viewpoint indicator arrow for the figure image.  ○Displaying position of the figure image  1. Set the displaying position of the figure image  Setting value  Description Lower left  Displays the figure image at the lower left part of the screen. Upper right  Displays the figure image at the upper right part of the screen.  ○Displaying the AP symbol  1. Set the display of the AP icon in the left screen in the split-screen display mode.  Setting value  Description ON    Displays the AP symbol in the left screen. OFF    Not display the AP symbol in the left screen.  CONFIDENTIAL
 117 ○Automatic resetting of the posture of the figure image  1. Set automatic resetting of the viewing angle and the posture of the figure image at completion of the examination.  Setting value  Description ON  Resets the viewing angle automatically at completion of the examination. OFF  Not reset the viewing angle automatically at completion of the examination.  [NOTE] For the method to change the viewing angle, see Section 5.1 “Rotating the scope model”.  ○Single screen    1. Set the view angle in the single screen.  Setting value  View angle in the single screen Left side   The view angle in the left side of the split screen. Right side    The view angle in the right side of the split screen.   ○Setting the background color in right and left sides of the split screen  1. The background color of the respective right and left sides of the split screens can be selected.  Setting value Black Green Blue  CONFIDENTIAL
 118                                                          Bluish violet gradation   ○Resetting    1. Select whether the view angle is reset automatically at the end of the examination.  Setting value  Description ON    Resets the view angle automatically at the end of the examination. OFF    Not reset the view angle automatically at the end of the examination.  [NOTE] For changing the view angle, refer to Section 5.1, “Rotating the scope model”.  ○Displaying the viewpoint indicator arrow  1. Select whether the viewpoint indicator arrow for the figure image is displayed.  Setting value  Description ON    Displays the viewpoint indicator arrow for the figure image. OFF    Not display the viewpoint indicator arrow for the figure image.   CONFIDENTIAL
 119 8.4 Adjustment  ○Submenu of adjustment  1. Move the cursor on the “Adjustment” in the submenu list and press the “ENTER” button on the control panel to display the window for adjustment.  2. Move the cursor on the category to be adjusted and press the “ENTER” button on the control panel.  ○Fine correction for rotation  The view angle can be corrected.  1. Move the cursor on the “X axis” and press the “ROTATE LEFT” or “ROTATE RIGHT” button on the control panel to rotate the scope model.  Button  Rotation of the scope model ROTATE LEFT Rotates 2.5 degrees in an upward direction. ROTATE RIGHT  Rotates 2.5 degrees in a downward direction.                     Up/downward rotation Right/leftward rotation Reset Preview CONFIDENTIAL
 120 2. Move the cursor on the “Right/leftward  rotation” and press the “ROTATE LEFT” or “ROTATE RIGHT” button on the control panel to rotate the scope model. The followings are the buttons and their rotation directions and angles. Button  Rotation of the scope model ROTATE LEFT  Rotates 2.5 degrees in a leftward direction. ROTATE RIGHT  Rotates 2.5 degrees in a rightward direction.  3. Move the cursor on the “Preview” button and press the “ENTER” button to reduce the size of menu list. Press the “ENTER" button again return the small size of menu list to its original size.  4. After the setup is completed, press the “MENU” button on the control panel.  ○Brightness and contrast adjustment  1.  Move  the  cursor  on  the  “Brightness”  button  and  press  the  “ROTATE  RIGHT”  or “ROTATE LEFT” button to adjust the brightness.                     2. Move the cursor on the “Contrast” button and press the “ROTATE RIGHT” or “ROTATE LEFT” button to adjust the brightness.   3. Move the cursor on the “Preview” button and press the “ENTER” button to reduce the size of menu list. Press the “ENTER" button again return the small size of menu list to its original size.   Brightness Contrast   CONFIDENTIAL
 121  4. After the setup is completed, press the “MENU” button on the control panel. CONFIDENTIAL
 122 Chapter 9 Troubleshooting    If the endoscope position detecting unit is visibly damaged, does not function as expected, or is found to have irregularities during the inspection described in Chapter 3, “Inspection” and  Chapter  7,  “Installation  and  Connection”,  or  the  use  described  in  Chapter  4, “Operation”, do not use the endoscope position detecting unit and contact Olympus. Some problems that appear to be malfunctions may be correctable by referring to Section 9.1, “Troubleshooting guide”. If the problem cannot be resolved by the described remedial action, stop using the endoscope position detecting unit and contact Olympus.  [DANGER] Never use the endoscope position detecting unit 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.   9.1 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.     Irregularity description   Possible cause  Solution The  endoscope  position detecting  unit  is  not connected  to  a hospital-grade  power outlet. Connect  the  endoscope position detecting unit to the power outlet using the power cord. The endoscope position detecting  unit  cannot be turned on. Power is not supplied to the  hospital-grade power outlet. Supply power properly to the power outlet. The  setup  menu  is being displayed.  Display  the  scope  model  as described  in  “Saving  and recalling the display setup”. The scope model is not displayed  on  the monitor. The  UPD  cable  is  not connected.  Connect the UPD cable. CONFIDENTIAL
 123 The  UPD  cable  is  not connected  to  the endoscope. Connect the UPD cable to the endoscope. The monitor cable is not connected.  Connect the monitor cable. The  monitor  cable failure.  Replace the monitor cable. The  reference  plate (MAJ-1860) is attached improperly  to  the patient’s body. Attach  the  reference  plate properly to the patient’s body as described in “Attaching the reference plate (MAJ-1860) to the patient’s body”. Set  an  optimum  zooming ratio. The  scope  model zooming  ratio  is improper.  Press  the  reset  switch  to initialize the zooming ratio. Set  an  optimum  rotation angle. The  scope  model rotation  angle  is improper.  Press  the  reset  switch  to initialize the rotation angle. The monitor display is disturbed.  The  monitor  cable failure.  Replace the monitor cable. A strong magnetic field source  is  near  the endoscope  position detecting unit. Move  the  endoscope  position detecting unit away from the strong  magnetic  field  source. Decrease the display  speed  of the  scope  model.  See  Section 8.2 “System setup”. The  scope  model display is unstable. There is a large metallic object  near  the endoscope  position detecting unit. Move  the  endoscope  position detecting unit away from the large metallic object. CONFIDENTIAL
 124 The  reference  plate (MAJ-1860) is attached improperly  to  the patient’s body. Attach  the  reference  plate properly to the patient’s body as described in “Attaching the reference plate (MAJ-1860) to the patient’s body”. A strong magnetic field source  is  near  the endoscope  position detecting unit. Move  the  endoscope  position detecting unit away from the strong  magnetic  field  source. Decrease the display  speed  of the  scope  model.  See  Section 8.2 “System setup”. There is a large metallic object  near  the endoscope  position detecting unit. Move  the  endoscope  position detecting unit away from the large metallic object. The  scope  model display is distorted. The  material  and/or structure  of  the operating  table  causes distortion  of  the  scope model. Contact Olympus. Patient  data  is  not displayed.  The video system center is not connected.  Connect  the  video  system center  as  described  in “Connection  to  the  video system center”.  CONFIDENTIAL
 125 ○ Error messages Message    Possible cause  Solution The scope shape can not be displayed. CLV-UPD cable is not connected, or there is malfunction in endoscope, CLV-UPD cable or CLV. When the problem is not solved even if the CLV-UPD cable is reconnected, please contact the Olympus service center.    The scope shape cannot be displayed. The scope connection may be wet. Check the connection and re-insert the scope again. If the error continues, please contact the Olympus service center.    The scope shape can not be displayed. There is malfunction in endoscope or UPD cable. Please contact the Olympus service center. The endoscope or connection cable can be malfunctioning. •Contact Olympus. •If another endoscope functions normally, the endoscope has been used can be malfunctioning. The receiver dish or receiver dish cable is not connected. Please connect the receiver dish or receiver dish cable. The receiver dish cable is connected incorrectly.   For connecting the receiver dish cable, refer to Section 7.3, “Installation of the receiver dish”. There is malfunction in UPD-3. Please contact the Olympus service center.    The date/time internal battery has expired. As a result, the date/time may be inaccurate. Please contact the Olympus service center. The internal battery for saving the date and time data is dead. •Contact Olympus. The previously used settings could not be restored. All settings will be restored to factory settings. Please apply custom settings afterwards as needed. Saving the previous settings has failed. All settings return to the factory default settings. Reset the all settings.   The scope position could not  When the display range  Move the reference plate to a CONFIDENTIAL
 126 be set. The reference plate is out of the setting range for scope position. Change the reference plate to tracking mode, then set the scope position again. of the scope model is set, the reference plate was located outside of the detection area of the receiver dish. location within the detection area of the receiver dish and perform the setting again. See Section 5.7 “Setting the scope model display range”. The scope position settings could not be set. There is malfunction in the hand coil. Please contact the Olympus service center. The hand coil may be malfunctioning. Contact Olympus. The scope position could not be set. The scope or probe is not connected. Please connect the scope or probe and set the scope position again. Setting the scope model display range was performed without connecting the endoscope or the position detecting probe to the endoscope position detecting unit. Connect the endoscope or the position detecting probe to the endoscope position detecting unit. The bookmark was not saved. Bookmarks cannot exceed 50 per case. Please delete an existing bookmark before saving a new one. More than 50 markings attempt to be put. Delete the all markings and put new markings again. See Section 5.6, “Marking”. The hand coils can not be used because two hand coils are connected at the same time. Please do not connect the hand coil which will not be used. The hand coils were connected to both the main unit and the connection unit. Disconnect either of the hand coils connected to the main unit and the connection unit. The reference plate can not be used because two reference plates are connected at the same time. Please do not connect the reference plate which will not be used. The reference plates were connected to both the main unit and the connection unit. Disconnect either of the reference plates connected to the main unit and the connection unit The scope shape can not be displayed because the connection with the video system center was lost. Please check the video system center connection.    Remote connection settings     CONFIDENTIAL
 127 with the video system center are not correct. Please change the remote connection settings to LINK-IN. There is an error in date input field. Are you sure you want to exit without saving?    The hand coil switch is depressed. Please check the switch.    The front panel or remote controller button is depressed.  Please check the buttons.    Writing settings from the maintenance computer. Please do not turn off the power to the UPD-3 until the writing process is complete.    The settings cannot be restored because no backup data exists.    This will restore the factory settings and delete all data. Are you sure you want to proceed?    CONFIDENTIAL
 128 9.2 Returning the endoscope position detecting unit for repair  [CAUTION] Olympus  is  not  liable  for  any  injury  or  damage  which  occurs  as  a  result  of  repairs attempted by non-Olympus personnel.  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.  [NOTE] When  the  accessories  of  the  position  detecting  unit,  contact  Olympus  to  purchase  a replacement.  CONFIDENTIAL
 129 Appendix System chart (1/3) RECEIVER DISH MAJ-1868RECEIVER DISH MAJ-1868RECEIVER DISH CABLEMAJ-1927RECEIVER DISH CABLEMAJ-1875RECEIVER DISH CABLEMAJ-1927RECEIVER DISH CABLEMAJ-1875RECEIVER DISH STANDMAJ-1907RECEIVER DISH ARMMAJ-1962RECEIVER DISH STANDMAJ-1907RECEIVER DISH ARMMAJ-1962UPD-Y0003UPD-Y0003: These items are used exclusively: shows accessories of UPD-Y0003: Part of this submission: These items are used exclusivelyCISPR11 Class BRECEIVER DISH STANDSUPPLEMENTARY SET MAJ-1978HOLDERATTACHMENT REMOTE CONTROLHOLDERMP HOLDERCONNECTIONUNIT COVERCABLE POCKETCONNECTIONUNIT HOLDERM PLATERECEIVER DISH STANDSUPPLEMENTARY SET MAJ-1978HOLDERATTACHMENT REMOTE CONTROLHOLDERMP HOLDERCONNECTIONUNIT COVERCABLE POCKETCONNECTIONUNIT HOLDERM PLATEUNIFIED CABLE MAJ-1964UNIFIED CABLE MAJ-1964RECEIVER DISH MAJ-1868RECEIVER DISH MAJ-1868RECEIVER DISH CABLEMAJ-1927RECEIVER DISH CABLEMAJ-1875RECEIVER DISH CABLEMAJ-1927RECEIVER DISH CABLEMAJ-1875RECEIVER DISH STANDMAJ-1907RECEIVER DISH ARMMAJ-1962RECEIVER DISH STANDMAJ-1907RECEIVER DISH ARMMAJ-1962UPD-Y0003UPD-Y0003: These items are used exclusively: shows accessories of UPD-Y0003: Part of this submission: These items are used exclusively: These items are used exclusively: These items are used exclusively: shows accessories of UPD-Y0003: shows accessories of UPD-Y0003: Part of this submission: Part of this submission: These items are used exclusively: These items are used exclusivelyCISPR11 Class BRECEIVER DISH STANDSUPPLEMENTARY SET MAJ-1978HOLDERATTACHMENT REMOTE CONTROLHOLDERMP HOLDERCONNECTIONUNIT COVERCABLE POCKETCONNECTIONUNIT HOLDERM PLATERECEIVER DISH STANDSUPPLEMENTARY SET MAJ-1978HOLDERATTACHMENT REMOTE CONTROLHOLDERMP HOLDERCONNECTIONUNIT COVERCABLE POCKETCONNECTIONUNIT HOLDERM PLATEUNIFIED CABLE MAJ-1964UNIFIED CABLE MAJ-1964UPD-3 CONFIDENTIAL
 130 System chart (2/3)  REMOTE CONTROL MAJ-1890REMOTE CONTROL MAJ-1890HAND COIL COVERMAJ-1879HAND COIL COVERMAJ-1879REFERENCE PLATECOVER MAJ-1880REFERENCE PLATECOVER MAJ-1880WATER-RESISTANT CAP MAJ-1899WATER-RESISTANT CAP MAJ-1899WATER-RESISTANT CAP MAJ-1899WATER-RESISTANT CAP MAJ-1899UPD-Y0003UPD-Y0003HAND COILMAJ-1859HAND COILMAJ-1859REFERENCE PLATEMAJ-1860REFERENCE PLATEMAJ-1860CISPR11 Class BREFERENCE PLATE BELTMAJ-1029REFERENCE PLATE BELTMAJ-1029: These items are used exclusively: shows accessories of UPD-Y0003: Part of this submission: These items are used exclusivelyREMOTE CONTROL MAJ-1890REMOTE CONTROL MAJ-1890HAND COIL COVERMAJ-1879HAND COIL COVERMAJ-1879REFERENCE PLATECOVER MAJ-1880REFERENCE PLATECOVER MAJ-1880WATER-RESISTANT CAP MAJ-1899WATER-RESISTANT CAP MAJ-1899WATER-RESISTANT CAP MAJ-1899WATER-RESISTANT CAP MAJ-1899UPD-Y0003UPD-Y0003HAND COILMAJ-1859HAND COILMAJ-1859REFERENCE PLATEMAJ-1860REFERENCE PLATEMAJ-1860CISPR11 Class BREFERENCE PLATE BELTMAJ-1029REFERENCE PLATE BELTMAJ-1029: These items are used exclusively: shows accessories of UPD-Y0003: Part of this submission: These items are used exclusively: These items are used exclusively: These items are used exclusively: shows accessories of UPD-Y0003: shows accessories of UPD-Y0003: Part of this submission: Part of this submission: These items are used exclusively: These items are used exclusivelyUPD-3 CONFIDENTIAL
 131   System chart (3/3)  POSITION DETECTING PROBEMAJ-1300POSITION DETECTING PROBEMAJ-1300DATA TRANSFERCABLE MAJ-604DATA TRANSFERCABLE MAJ-604UPD CABLE MAJ-1881UPD CABLE MAJ-1881CISPR11 Class AUPD-Y0003UPD-Y0003CISPR11 Class BY/C cable MH-985Y/C cable MH-985WM-NP1, WM-W P1WM-NP1, WM-W P1Video Tape Recorder Video Tape Recorder HOLDER FOR HC-RPMAJ-1938HOLDER PLATEHOLDER FOR HC-RPMAJ-1938HOLDER PLATECOLOR VIDEO PRINTEROEP-3,OEP-4COLOR VIDEO PRINTEROEP-3,OEP-4: These items are used exclusively: shows accessories  of UPD-Y0003: Part of this submission: These items are used exclusivelyCLV-160, CLV-180CLV-160, CLV-180CV-160, CV-165, CV-180CV-160, CV-165, CV-180COLONOVIDEOSCOPECF-Q160DL/I, CF-H180DL/ICOLONOVIDEOSCOPECF-Q160DL/I, CF-H180DL/IVideo MonitorET 1528L-7CWM-1-BG-G(Elo TouchSystems,Inc.)PLT210-W0X(TOTOKU ELECTRIC CO. LTD)Video MonitorET 1528L-7CWM-1-BG-G(Elo TouchSystems,Inc.)PLT210-W0X(TOTOKU ELECTRIC CO. LTD)VGA video cableVGA video cablePOSITION DETECTING PROBEMAJ-1300POSITION DETECTING PROBEMAJ-1300DATA TRANSFERCABLE MAJ-604DATA TRANSFERCABLE MAJ-604UPD CABLE MAJ-1881UPD CABLE MAJ-1881CISPR11 Class AUPD-Y0003UPD-Y0003CISPR11 Class BY/C cable MH-985Y/C cable MH-985WM-NP1, WM-W P1WM-NP1, WM-W P1Video Tape Recorder Video Tape Recorder HOLDER FOR HC-RPMAJ-1938HOLDER PLATEHOLDER FOR HC-RPMAJ-1938HOLDER PLATECOLOR VIDEO PRINTEROEP-3,OEP-4COLOR VIDEO PRINTEROEP-3,OEP-4: These items are used exclusively: shows accessories  of UPD-Y0003: Part of this submission: These items are used exclusively: These items are used exclusively: These items are used exclusively: shows accessories  of UPD-Y0003: shows accessories  of UPD-Y0003: Part of this submission: Part of this submission: These items are used exclusively: These items are used exclusivelyCLV-160, CLV-180CLV-160, CLV-180CV-160, CV-165, CV-180CV-160, CV-165, CV-180COLONOVIDEOSCOPECF-Q160DL/I, CF-H180DL/ICOLONOVIDEOSCOPECF-Q160DL/I, CF-H180DL/IVideo MonitorET 1528L-7CWM-1-BG-G(Elo TouchSystems,Inc.)PLT210-W0X(TOTOKU ELECTRIC CO. LTD)Video MonitorET 1528L-7CWM-1-BG-G(Elo TouchSystems,Inc.)PLT210-W0X(TOTOKU ELECTRIC CO. LTD)VGA video cableVGA video cableUPD-3 CONFIDENTIAL
 132 Transportation, storage, and operation environment Ambient temperature   −25 to +70°C (−13 to +158°F) Relative humidity  10 - 95% Transportation and storage environment  Atmospheric pressure  700 - 1060 hPa Ambient temperature    10 - 40°C (50 - 104°F) Relative humidity  30 - 85% (without condensation) Operation environment  Atmospheric pressure  700 - 1060 hPa (0.7 - 1.1 kgf/cm2) (10.2 - 15.4 psia)  Specifications   Item  Specifications Voltage  100 – 120 VAC 220 – 240 VAC (see  the  electrical  rating  label  on  the rear panel) fluctuation    ±10% Frequency    50/60 Hz Frequency Fluctuation  ±1 Hz Power supply    Input current   100VA (at 100 – 240 VAC)  Dimensions    370 (W) × 80.7 (H) ×482 (D) mm Size    Weight  9 kg Type of protection against electric shock  Class I  Classification (medical electrical equipment)  Degree of protection against electric shock of applied part TYPE BF applied part Where  no  classification  mark  appears, the  equipment  is  a  TYPE  BF  applied part. CONFIDENTIAL
 133   Item  Specifications Explosion proofing degree  Use  in  a  flammable  atmosphere  is prohibited XGA  1024×768 Horizontal frequency   48.5kHz Vertical frequency     60Hz Y/C  NTSC, PAL Video  signal outputs SD-SDI  SMPTE259M  CONFIDENTIAL
 134     Item  Specifications Medical Device Directive (For  220  –  240 V type equipment)  This  device  complies  with  the requirements  of  Directive  93/42/EEC concerning medical devices. Classification: Class II a This  device  complies  with  the  EMC requirements  of  EN  60601-1-2:  2001 when used in combination with devices bearing  CE  marking  either  on  the products or  in its  instructions  for  use. Emission: Class A of EN 55011 WEEE Directive (For  220  –  240 V type equipment)   In accordance with European Directive 2002/96/EC  on  Waste  Electrical  and Electronic  Equipment,  this  symbol indicates that the product must not be disposed  of  as  unsorted  municipal waste,  but  should  be  collected separately. Refer to your local Olympus distributor for  return  and/or  collection  systems available in your country. EMC   Applied standard; IEC 60601-1-2: 2007  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  3  (IEC  60601-1-2: 2007). 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.  CONFIDENTIAL
 135    Item  Specifications Year of manufacture    7001234  ↑ The  last  digit  of  the year  of  manufacture  is the  second  digit  of  the serial number. The last digit of the year of manufacture Degree  of protection against  electric shock Reference  plate  Hand coil  TYPE BF applied part  Specification of radio transmitter   Center frequency:  9.888Hz, 10.712Hz, 11.536Hz Bandwidth:  ±20Hz Modulation  No modulation RF (Radio Frequency) output power: 70dBμV/m or less (at a distance of 3 meters) CONFIDENTIAL
 136 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   CONFIDENTIAL
 137 ○ Electromagnetic immunity compliance information and recommended electromagnetic environments  [NOTE] UT is the a.c. mains power supply prior to application of the test level. CONFIDENTIAL
 138 ○ Cautions and recommended electromagnetic environment regarding portable and mobile RF communications equipment such as a cellular phones.    [NOTE] • 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:  CONFIDENTIAL
 139 ○ Recommended  separation distance between portable and mobile  RF  communications equipment and this instrument  [NOTE] 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.  FCC information     This  device complies with  part  15  of  the  FCC  Rules. Operation  is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must  accept  any  interference  received,  including  interference  that may cause undesired operation. FCC ID:S8QUPD-3 IC information     This equipment complies with the IC RSS210.   IC: 4763B-UPD3 FCC warnings     Change  or  modifications  not  expressly  approved  by  the  party responsible for compliance could void the user's authority to operate the equipment. All interface cables used to connect peripherals must be shielded in order  to  comply  with  the  limits  for  a  digital  device  pursuant  to Subpart B of Part 15 of FCC Rules. IC note     Operation is subject to the following two conditions: (1) this device may  not  cause  interference,  and  (2)  this  device  must  accept  any interference,  including  interference  that  may  cause  undesired operation of the device.  CONFIDENTIAL
 140          XGT6302 00 001 CONFIDENTIAL

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