Gastrointestinal Endoscope Training Material

Gastrointestinal Endoscope
Training Material
Endoscope Technical Support Team
No.: XXX
Version: V1.0
赵喜波
3680
29.Sep.2018
1
Content
⚫ Endoscope Structure & Theory

⚫ Cleaning, Disinfection, Sterilization
⚫ Spot Inspection
2
Endoscope Structure & Theory
◆Endoscope Structure
◆Endoscope Working Theory
◆550 Series Endoscope Difference
◆Endoscope model comparison
3
Endoscopy System Composition
4
Endoscope Structure
Endoscope
1 2 3 4
Connector Section Control section Insertion Section Distal End
5
Endoscope Structure
Connector Section
Integrating the connectors of light, water feeding, air

feeding, electrical signal, suction, auxiliary water feeding.
Note：330 series endoscope do not have auxiliary water feeding function.
6
Endoscope Structure
Connector Section
No. Part Name Description
Used for connecting the endoscope cable to acquire video

1 Electrical connector
signal of image
2 Suction port Used for connecting to the suction pump
Auxiliary water-feeding Used for connecting to water pump or syringe to make water
3
port or solution jetted from the distal end
Used for protecting the auxiliary water-feeding port from

Cap for auxiliary
4 being blocked by foreign objects. Cover the auxiliary water-
water-feeding port
feeding port with the cap when the port is not in use
Connect it to the electrical connector when immersing the

5 Waterproof cap
endoscope for cleaning and disinfection
Electrosurgical equipment
6 Used for connecting the electrosurgical equipment
connector
Used for connecting to the water bottle to feed water/air to

7 Water bottle port
the distal end
7
Endoscope Structure
Control Section & Insertion Section
8
Endoscope Structure
● Rotating it to F direction (clockwise) frees angulation in the

Left/right angulation left/right direction.
8
lock ● Rotating it in the opposite direction (anticlockwise) locks the
bending section at any desired angle
Left/right angulation ● Rotate it to R direction, the bending section moves right.

9
control knob ● Rotate it to L direction, the bending section moves left
● Rotating it to F direction (clockwise) frees angulation in the

Up/down angulation up/down direction.
10
lock ● Rotating it in the opposite direction (anticlockwise) locks the
bending section at any desired angle.
Up/down angulation ● Rotate it to U direction, the bending section moves up.

11
control knob ● Rotate it to D direction, the bending section moves down.
9
Endoscope Structure
The functions of these buttons can be set through the
12 Remote buttons (0-3) image processor used with the endoscope. For details,
refer to the user manual of relevant image processor.
This channel should be used with the biopsy valve and
the functions are as follows.
● Used to feed the liquid to the distal end of the
13 Instrument channel
endoscope.
● Used for the endo-therapy accessory.
● Used as a suction channel.
Indicates the maximum length of the insertion section
14 Insertion limit mark
that can be inserted into the body
15 Suction valve Press it to extract the liquid, debris or gas from the body
● Cover the hole on the valve with finger to feed air and
press the valve to feed water.
16 Air/water valve
● The air and water can remove the blood, debris or
mucous membrane adhering to the objective lens.
10
Endoscope Structure
Control Section
Knobs
Gear, Chain
Bracket
Buttons
Valves
Control Section Shell
The gear, chain and steel wire are controlled by knobs, then
drive the snake bone of bending section to realize bending.
11
Endoscope Structure
Insertion tube inner structure
1.4 电子内窥镜结构——插入部
Spring coil
Angle steel wire Metal helix tube Metal knitmesh Synthetic resin tube
Light fiber
Instrument tube
Light fiber
CMOS cable
Air/Water tube
The outermost layer of insertion tube is resin

tube; second layer is metal knitmesh; third layer
is helix tube; The interior contains CMOS cable,
light fiber, instrument tube, air water tube and
the steel wire which control the bending.
12
Endoscope Structure
Bending section
Snake bone
Metal knitmesh
Bending rubber
The bending function is realized by snake bone which

has four bending directions (gap between joints ), the
metal knitmesh and bending rubber are packed outside
the snake bone.
13
Endoscope Structure
Distal end
21. Instrument channel outlet
20. Auxiliary water 18. Light guide lens

feeding outlet
17. Objective lens
19. Air/water nozzle
14
Endoscope Structure
Distal end
Used to transmit the optical signals of the observed

17 Objective lens area to the CMOS sensor.
Used as an outlet for feeding air or water to clean the

18 Air/water nozzle objective lens. Feed air to inflate the stomach.
Light is transmitted through these lenses to assist

19 Light guide lens endoscopic image observation.
Instrument channel Used as an instrument (such as biopsy forceps) outlet ,

20 outlet liquid feeding outlet or suction inlet
Auxiliary water feeding

21 outlet Water or cleaning solution eject out from this outlet.
15
Endoscope Structure
Distal
1.4end
电子内窥镜结构——头端
Objective lens Distal end cover

CMOS Sensor Light fiber Light guide
lens
Air/water Auxiliary water
Nozzle feeding tube
tube
Light guide lens Instrument

tube connector
Distal end base
Instrument tube
Light fiber
Including imaging module, light guide lens assembly,

air/water feeding tube, auxiliary water feeding tube.
16
Endoscope system block diagram
Connector Control
Endoscope Distal end
section section
17
18
Endoscope Theory
Air/water feeding & suction working flow
19
Endoscope Theory
Air/water feeding working flow
Air
20
Endoscope Theory
Block the hole Air
21
Endoscope Theory
Push the A/W valve
P
Water
A/W
three-way
22
Endoscope Theory
1.4 电子内窥镜结构——操作部水气阀 Blue mark
Base
Rubber bowl
Air hole
Sealing ring
Distal
Connector
end
side
side
Air
Air
Water
Water
23
Endoscope Theory
Base
Rubber bowl
Air hole
Sealing ring
Distal
Connector
end
side
side
Air
Air
Water
Water
24
Endoscope Theory
Air/water feeding working flow Blue mark
Block
Base
Rubber bowl
Air hole
Sealing ring
Distal
Connector
end
side
side
Air
Air
Water
Water
25
Endoscope Theory
Push Base
Rubber bowl
Air hole
Sealing ring
Distal
Connector
end
side
side
Air
Air
Water
Water
26
Endoscope Theory
Suction working flow
Connector
section
Suction
valve
Air
Instrument
channel
Suction
pump
Suction tube
Instrument tube
Instrument channel outlet
27
Endoscope Theory
Connector
section
Suction
valve
Instrument
channel
Suction
pump
Suction tube
Instrument tube
Instrument channel outlet
28
Endoscope Theory
Push
Air
Distal end
instrument
outlet
To Suction pump To Suction pump
29
Endoscope Theory
1.4 电子内窥镜结构——操作部吸引阀
Red mark
Groove
Base Hole
Front view Bottom view
30
Endoscope Theory
Biopsy valve
slit
Biopsy valve
Valve cap
Hole
Base
Instrument
channel port
Through the rubber elasticity to guarantee the slit keep

sealing while using instrument.
31
Endoscope Theory
Light transmission route Light
Light control signal
Light source Image processor

Light control cable
Video signal CMOS Objective lens
Objective
image
Light
Distal end
32
Endoscope Theory
Image signal flow
Monitor DVI cable
Image signal
Image processor
Electrical signal CMOS Objective lens
Objective
image
Light
Distal end
33
34
550 Endoscope Difference
Connector section
Electrical contacts
Image transmission fiber

cable connector
1. Cancel the ODU head and endoscope cable, waterproof design electric pin
2. Cancel the waterproof cap, the leakage detection port is sealed.
35
ODU Head of Connector Section of 500
36
Connector section
Image transmission
1 Used for transmitting image signals.
optical fiber connector
2 Electrical contacts Used for passing electrical signals.
High frequency Used for connecting the high frequency electrosurgical
3
feedback earthing rod generator
Used for connecting to the water bottle to feed water/air to
4 Air/water feeding ports
the distal end.
● Used for protecting the auxiliary water-feeding port.

● Used for preventing the auxiliary water-feeding channel
Cap for auxiliary from being blocked by foreign objects.
5
water-feeding port ● Used for preventing gas or liquid in patient’s body from
blowing or flowing back during examination. Cover the cap
when the auxiliary water-feeding tube is not in use.
6 Auxiliary waterfeeding port Used for connecting to water pump or syringe
7 Suction port Used for connecting to the suction pump.

8 Leakage detection port Used for connecting the leakage detector
37
Control section
550 500
The control section of 550 is slimmer than 500, more easily for handling
38
Control section
550 500
Remote button layout is different, 550 is more easily for handling.
39
550 Endoscope block diagram
Auxiliary Auxiliary Auxiliary Water
Auxiliary water feeding tube
water pump water port water outlet
Suction tube
Suction Suction Instrument tube Instrument
Suction port
pump valve outlet
Grounding
Endotherm
knife Instrument
channel
Knobs Steel wire Snake bone

Instruments Patient body
Remote
Cable
buttons
Electrical signal image

Connector Calbe Optical- Objective
Cable CMOS
electrical lens
Image optical signal Fiber
Optical port converter
A/W
Water bottle Water port Water
A/W
A/W valve Nozzle
Three-way
Air port Air
Light
Light guide
Light source Light fiber
lens
Image
processor
In 550 endoscope, convert the electrical signal to optical signal could
enhance the capacity of anti-interference.
40
Image signal flow DVI cable
Monitor
Image optical signal
Electrical signal
Light control cable
Light source Image processor
Armoured optical fiber
CMOS Objective lens
Objective
Image signal image
Light
Endoscope Distal end
41
42
Endoscope model comparison
Instrument Bending
Work Max insertion
Series Type Model channel section
length section diameter
diameter diameter
EG-550 2.8 1050 9.3 10.5
Gastroscope
EG-550L 3.2 1050 9.8 11.5
EC-550 3.8 1350 12.5 13.8
550
EC-550L 4.2 1350 12.9 14.5
Colonoscope
EC-550T 3.8 1700 12.5 13.8
EC-550L/T 4.2 1700 12.9 14.5
EG-500 2.8 1050 9.3 10.5
Gastroscope
EG-500L 3.2 1050 9.8 11.5
EC-500 3.8 1350 12.5 13.8
500
EC-500L 4.2 1350 12.9 14.5
Colonoscope
EC-500T 3.8 1700 12.5 13.8
EC-500L/T 4.2 1700 12.9 14.5
L：Large instrument channel

T：Total length
43
Instrument Bending
Work Max insertion
Series Type Model channel section
length section diameter
diameter diameter
Gastroscope EG-330 2.8 1050 9.3 10.0
320/330 EC-330 3.8 1600 12.9 13.8

Colonoscope
EC-330T 3.8 1600 12.9 13.8
The model label of 320 and 330 scopes are same, both mark 330
on the label, distinguish from color ring.
320 Ring：Green
330 Ring：Purple
44
Image
Auxiliary Waterproof Imaging Pre emphasis A/W
Series Ring color transmission
water cap sensor board three-way
optical fiber
320 Green No Yes CCD No No No
330 Purple No Yes CCD No No No
430 Yellow Yes Yes CMOS No Yes Yes
500 Yellow Yes Yes CMOS No Yes Yes
550 Yellow Yes No CMOS Yes Yes Yes
Note：The waterproof cap of 330 and 500 scope is different.
45
Content

⚫ Spot Inspection
46
Spaulding Classification
Classification Definition Level of Disinfection Application
Biopsy forceps, snare,

A device that enters injection needle, cytology
Critical normally sterile tissue or Sterilization brush, incision knife, guide
the vascular system wire, dilating balloon, urinary
catheter, sphincterotomes
A device that comes in

contact with intact
Semi-Critical mucous membrane. Not High (Disinfection) Endoscope
contact sterile tissue，
and broken mucosa.
A device that doesn't

ordinarily touch the Stethoscope, blood pressure
Noncritical Medium or Low
patient or touch only meter
intact skin.
47
Basic Washing Accessories
Waterproof cap Leakage detector
48
Channel plug
Non-return valve
Injection tube
49
50
CDS procedure
Exam room 1 Pre-Cleaning
Contaminated Area
2 Leakage Test Filtered water
Enzyme
3 Manual Cleaning
solution
4 Rinsing Filtered water

CDS room
Cleaning area
Auto cleaning
Disinfection or machine
5 Disinfectant
Sterilization
6 Terminal Rinsing Sterile water
7 Drying 70% Alcohol
Storage room 8 Storage
51
1. Pre-Cleaning
Step1 – Clean insertion tube
Do pre-cleaning as soon
as finishing the exam.
Wipe the insertion tube with a detergent dampened lint-free cloth after
withdrawing the endoscope from the patient's body.
52
1. Pre-Cleaning
Step2 – Flush suction channel
Press suction valve
Enzyme solution
Suck water and air alternately, until the water and air could be seen
go into the suction bottle. Suck detergent for 30s, suck air for 10s,
repeat at least 3 times
53
1. Pre-Cleaning
Step3 – Flush air/water channel and nozzle
Press Block
Press A/W valve to feed water for 10-15s;

Block A/W valve air hole to feed air for 10-15s;
Feed air and water alternately at least 3 times.
54
1. Pre-Cleaning
Step4 – Flush Auxiliary water feeding channel
Flush water into auxiliary water feeding port;

Flush air into auxiliary water feeding port;
Repeat feeding water and air at least 3 times
55
1. Pre-Cleaning
Step5 – Shut down the light source and processor
Shut down
HD-500, HD-550, VLS-50 and HDL-500X support endoscope

hot plugging, could shut down after the last exam of the day.
56
1. Pre-Cleaning
Step6 – Take down the accessories
Take down air/water, suction and biopsy valve then

immerse them in detergent solution.
57
1. Pre-Cleaning
Step7 – Unplug all connectors and tubes
Remove suction
tube.
Unplug endoscope cable
Unplug suction pump tube
Unplug water bottle connector
58
1. Pre-Cleaning
Step8 – Put on waterproof cap
Put on waterproof cap;

Unplug the scope from the light source;
Move the scope to CDS room to do further cleaning.
59
1. Pre-Cleaning
Caution!
The light guide will be very hot after using, do not touch
as soon as unplugging from light source.
60
2. Leakage Test
Leakage test theory
The area between the blue border and the green tube is
the air inflating space while doing leakage test.
61
2. Leakage Test
Dry test
The bending rubber will be expanded

after being inflated. It is normal.
Put the endoscope on the table, connect leakage detector and add
pressure to 22Kpa(180mmHg);
Maintain the air pressure for 3 mins, if the pointer does not decrease
continually, the test is pass.
62
2. Leakage Test
Wet test
Caution: Do not put the leakage detector into water
Immerse the scope which already add pressure into the water for 3 mins;
Turn the U/D and L/R knobs to adjust the angle of bending section;
If there are bubbles coming out, the leakage test is fail.
63
2. Leakage Test
Wet test
Take out the scope from the water, open the vent valve of the detector to release the
pressure until the pointer goes back to zero;
Disconnect the leakage detector from the waterproof cap.
64
2. Leakage Test
Caution!
Do dry test before wet test, make sure there are no serious leakage,
otherwise the water will flow into the scope to cause further damage;
If the wet test is failed, stop doing CDS, otherwise it will cause further
damage;
65
3. Manual Cleaning
Caution:
Do not make too
much foam of the
detergent solution
1. Immerse the endoscope into detergent solution(Enzyme cleaning fluid)

2. Wipe the outer surface of the endoscope.
66
3. Manual Cleaning
3. Brush the suction channel from suction valve cylinder to distal end.
4. Repeat several times until there are no residue on the brush head
67
3. Manual Cleaning
5. Brush the suction channel from the suction valve cylinder to the suction port;
6. Brush the instrument channel from the instrument channel port to the distal end.
7. Repeat several times until there are no residue on the brush head
68
3. Manual Cleaning
8. Brush the suction port, instrument channel port, air water valve cylinder
and suction valve cylinder.
9. Brush the air/water valve, suction valve and biopsy valve.
Hospital could connect the auto cleaning

machine after this step
69
3. Manual Cleaning
10. Connect the channel plug and injection tube to the endoscope, inject
detergent solution into the suction and A/W channel until no bubbles
comes out of the distal end.
70
3. Manual Cleaning
Caution: Change enzyme solution for each scope
11. Disconnect the channel plug and injection tube, immerse the endoscope
in the detergent solution.
12. Wipe the outer surface and all the ports with a lint-free cloth
71
4. Rinsing
1. Rinse the outer surface and all valves of the endoscope

with flowing water.
72
4. Rinsing
2. Immerse the endoscope in the clean filtered water.

3. Connect channel plug and injection tube, inject filtered water into the
A/W and suction channel.
4. Inject air to A/W and suction channel to drain the water.
73
4. Rinsing
Wipe dry the endoscope, otherwise the remaining water

will decrease the concentration of the disinfectant
5. Take the endoscope and accessories out of the rinsing tank.

6. Wipe dry the outer surface and accessories of the endoscope with a lint-free cloth
74
5. Disinfection
1. Completely immerse the endoscope and accessories into the disinfectant solution.
2. Connect channel plug and injection tube, inject disinfectant solution into the A/W
and suction channel until no bubbles comes out of the distal end.
75
5. Disinfection
3. Disconnect channel plug and injection tube, immerse them in

disinfectant solution together with the endoscope.
4. Immerse the endoscope and accessories according to the requirement
of the disinfectant solution.
76
5. Disinfection
Recommended Disinfectant
High-Level
Contact Contact
Disinfectant Disinfection Precautions
Period Type
Parameter
Phthalic 1. The cloth, skin, and instrument are prone to dyeing.

Level: 0.55%
dicarboxaldehyde ≥ 5min Immersion 2. Steam of this disinfectant may stimulate the respiratory tract and
(0.5%-0.6%)
(OPA) eyes.
1. This disinfectant has sensitization and irritation on the skin, eye,

and respiratory
tract. In addition, it can cause dermatitis, conjunctivitis, nasal cavity
Glutaraldehyde Level: ≥ 2% inflammation,
≥ 10min Immersion
(GA) (alkaline) and occupational asthma. It is suitable for use in the automatic
disinfection machine.
2. This disinfectant is easy to condense on the endoscope and
cleaning and disinfection devices.
1. This disinfectant has irritation on the skin, eye, and respiratory

Peroxyacetic acid Level: 0.2%-
≥ 5min Immersion tract.
(PAA) 0.35% (W/V)
2. This disinfectant has strong corrosion on metal.
Active chlorine
level: (60±10)
1. When organic matters exist, the disinfection effect decreases
mg/L, pH
sharply.The endoscope should be
Acidic value: 2.0-3.0,
cleaned completely before the disinfection.
electrolyzed chlorination
≥ 10min Immersion 2. This disinfectant has certain corrosion on the endoscope.
oxidizing water reduction
3. Flowing immersion method should be adopted for disinfection.
(AEOW) potential:
4. The endoscope should be rinsed with sterile or filtered water for
1100mV,
30s after disinfection.
Residual chloride
ion level:<1000mg/L
77
5. Disinfection
5. Take the endoscope and accessories out of the disinfectant solution, connect the
channel plug and injection tube.
6. Inject air to A/W and suction channels to drain the disinfectant solution，then
disconnect the channel plug and injection tube.
78
6. Terminal Rinsing
2. Connect the channel plug and injection tube.

3. Inject sterile water into the A/W and suction channels until no bubbles
come out of the distal end (To ensure no disinfectant remaining )
79
6. Terminal Rinsing
4. Take out the endoscope of the rinsing tank.

5. Inject air into A/W and suction channels to drain the water inside the channels.
6. Disconnect the channel plug and injection tube, wipe dry the outer surface and
accessories with lint-free cloth.
80
7. Drying
1. Place the endoscope on a sterile mat which is placed on a drying table.

2. Connect channel plug and injection tube, put the filter of the injection
tube into 70% alcohol.
3. Inject alcohol into the A/W and suction channel.
4. Inject air into the A/W and suction channel to blow-dry the channel wall.
81
7. Drying
5. Wipe dry the outer surface and accessories with alcohol

moistened lint-free cloth.
82
8. Storage
Do not store the endoscope in suitcase
1. Free the angulation locks, adjust the bending section to straight status.
2. Hang the endoscope in the endoscope cabinet and ensure the insertion section is
vertically hanging.
3. Place the accessories dispersedly, ensure each accessories no touching.
83
Content

⚫ Spot Inspection
84
Spot inspection significance
Spot inspection is checking the endoscope system according to

corresponding standard every 3-4 months, in order to find the
hidden trouble timely, and solve it actively, to enhance the
endoscope using experience and life span.
85
Spot inspection process
Start
Confirm no leakage of each

Leakage
section, and no block of the tube
test
Confirm the appearance of each

section, distal end-bending
Appearance section-insertion section-control
inspection section-connector section.
Confirm angle adjust, light, image,

Function air/water feeding, suction, buttons,
inspection image processor, light source
End
86
Spot Inspection
◆Leakage test
◆Appearance inspection
◆Function inspection
87
Leakage test
Inflate to 22Kpa Swing the tube Adjust angle to test

bending rubber and knobs
The basic step is same with CDS, below extra operations are needed while doing wet test for spot
inspection.
1. Lift knobs lightly, confirm if the knobs is leaking or not, especially the sealing ring
2. Swing the insertion tube and universal cable segment by segment, especially check the bite mark.
3. Press remote buttons from different directions, confirm the buttons no leaking.
4. Use blowing dust ball to feed water into A/W, suction, auxiliary water channels, confirm there are
no bubbles come out of the channel.
88
Leakage test
If there is leakage problem, use waterproof tape to seal the leak point
temporarily, then find out other leak points.
89
Leakage test
Ensure instrument channel is unblocked
Use brush to go through below channels:

1. Suction valve cylinder to instrument channel outlet
2. Suction valve cylinder to suction port
3. Instrument channel port to instrument channel outlet
90
Spot Inspection
◆Leakage test
91
Distal end
Distal end cover:

scratch, breakage, especially the
instrument channel outlet nearby.
Auxiliary water outlet: block
Light guide lens:

scratch, crack, glue breakage
Objective lens：
Nozzle: loose, sharp, block
scratch, crack, glue breakage, fog
92
Bending rubber
Snake bone pile up, Rubber scratch, breakage
93
Insertion tube
Scale mark disappear
Boot cone: breakage
Insertion tube:
dents, bulge, scratches, breakage, deformation,
Foreign body attached, protein coagulation,
hydrophilic coating peeling.
94
Control section
Knobs：
scratches, deformation, slack
Instrument channel port:

wear out
A/W valve: sealing ring missing, breakage

Suction valve cylinder: ware out Remote buttons:
breakage, aging, scratch
95
Universal cable
Universal cable:
dents, bulge, scratches, breakage, deformation,
Foreign body attached, protein coagulation,
hydrophilic coating peeling.
Boot core: breakage
96
Connector section
Light guide cap: loose

Color mark：missing
Electrical Pin: Plug base pin: missing Image fiber connector：stain

deformation, rust, loose
97
Spot Inspection
◆Leakage test
98
Function inspection
Bending angle
Measure the max angle, confirm the knobs tightness, ensure could locked tightly.
Gastroscope: U 210° D 90° L 100° R 100°

Colonoscope: U 180° D 180° L 160° R 160°
Tolerance: -10%
99
Function inspection
Light guide fiber
Let the distal end face to normal lamp, disassemble the light guide
cap, use magnifying glass to inspect how much light guide fibers are
broken at the light guide end. It needs to be repair if the fiber silks
are broken over 30%.
100
Function inspection
Instrument channel
Ensure the instrument channel is not blocked.
Adjust angle for four directions(gastroscope up angle adjust to 180°), other

angles adjust to max, use biopsy forceps to check the channel is blocked or not.
Caution: Do not open the forceps inside the channel.
101
Function inspection
Image check-not turn on lamp
1. Connect the scope to processor and light source, switch on the processor.
2. Check the image in white balance cap, confirm there is no color spot, noise and
other abnormal image.
102
Function inspection
Image check-not turn on lamp
1. Shake the endoscope cable, confirm the image is OK.

2. Adjust angle to each directions(8 directions), confirm the image is OK.
103
Function inspection
Image check-turn on lamp
1. Use alcohol wet cotton swab to clean the objective lens surface
2. Do white balance then confirm the image color and no dark corner.
3. Cover the objective lens with finger and move the finger on the lens ,
confirm there is no any not moving shadows on the image.
4. Clean the objective lens with cotton swab again.
104
Function inspection
Light control function check
Light control cable mark Move close to distal end Move away from distal end
1. Check the connection of the light control cable between the

light source and processor.
2. Move hand close to and away from the distal end repeatedly,
confirm the auto light control is ok.
105
Function inspection
Air/water feeding function check
1. Install the air/water valve, suction valve, connect the suction pump and water bottle.
2. Switch on the air pump, immerse the distal end into the water, there should not be
bubbles come out in natural status.
3. Feeding air in water, there should be amounts of air bubbles come out of the water
4. Feeding water in water, after the air in the tube been exhausted, confirm there is no
bubble comes out of the water.
106
Function inspection
Air/water feeding function check
Water feeding: over 45ml/min
Air feeding: over 800ml/min
1. Feeding water inclining 45°, confirm the water jet out of the nozzle as a
straight line and cover the entire objective lens.
2. Feeding air, confirm the objective lens could be blow dry within the
required time.
Blow dry time: 10s; Total length colonoscope 15s (Air pump set to H level)
320/330 series have no blow dry time limit.
107
Function inspection
Suction function check
Cover the instrument channel

valve and auxiliary water feeding
cap while check suction function,
otherwise the air in the glove will

leak from these two ports。
1. Sealing the distal end with rubber glove.

2. Block air/water valve to inflate the glove.
3. Shut down the air pump, press the glove and confirm there is no air
leakage at the suction valve.
4. If the suction valve is leaking, replace a new valve first, if still leaking,
the valve cylinder is worn out.
108
Function inspection
Suction function check
1. Connect the suction pump to endoscope and switch on, set the
suction level, gastroscopy set to 40KPa, colonoscope set to 70KPa.
2. Aspirate the water to confirm the suction function,
aspirate amount: over 400ml/min
109
Function inspection
Auxiliary water feeding function check
1. Connect the auxiliary water feeding connector tube, use syringe to feed water
2. The water should eject out from the auxiliary water feeding outlet with straight
line status。
3. If the auxiliary water feeding tube is blocked, Use converted cell brush to clean
and unblock the tube.
Note: 320/330 series no auxiliary water feeding function

110
Function inspection
Remote buttons function check
1. Check the remote buttons, both the hand feeling and function.
111
Function inspection
Processor and light source function check
500 system 550 system
1. Check the front panel every indicators.

2. Check the front panel every buttons
3. Check the status of the xenon lamp, confirm if it is close to life span.
Note: Xenon lamp life span is 500h, suggest hospital to replace

if over life span. LED lamp: 10000h
112
End the inspection
1. Shut down the light source, image processor and monitor。

2. Disconnect suction pump, water bottle, auxiliary water feeding
connector tube and endoscope cable。
3. Cover the waterproof cap, disconnect the scope from light source。
4. Take out all valves, place the scope upside down to pour-out the water
from the control section.
5. Connect the injection tube and channel plug, feed air with syringe to
drain the remaining water.
6. Wipe dry the outer surface of the scope, hand over to nurse for CDS。
7. Fill in the spot-inspection check list then give it to hospital.
113
Example of Faulty Endoscopes
Image
Faulty Image
Foggy No image
White screen Mosaic screen

11
深圳市开立科技有限公司PPT模板
Light Quality
Light Guide from Distal End Light Guide from Connector Side
If light quality is decreased, it could be due to the following reasons :

- The optical fiber has some problem
- The endoscope is not connected well on the light source
- The xenon lamp is faulty
- The light control become manual
Bending Section Remote Button

Example of Faulty Bending Section Example of Faulty Remote Button
11
Angulation
Angulation is failed if:
- Free Play (Bending Section not responsive to Angulation knob)
- Angulation angle do not meet the specification angle
➢ Reason: Bending wire degrades after usage for a long period
Water Feeding
Water Feeding Failure will cause objective lens cannot be clean properly
Point to check:
- Water bottle connection
- Air pump is on low mode
- Air/water valve broken
- Endoscope didn't connect well to the light source
- Existence of foreign material in the air/water tube
Air Feeding
Air Feeding Failure will cause endoscope unable to blow air properly
Point to check:
- Air pump is on the low mode
- Air/water valve is broken
- Endoscope didn't connect well to the light source
- Existence of foreign material in the air/water tube
11
Suction
Suction Failure will cause endoscope’s aspirated amount decrease
Point to check:
- Suction valve faulty
- Suction port didn't connect well to the suction pump
- Blockage of Instrument channel or Suction channel
- The biopsy valve didn't cap on the instrument channel
- Suction pump faulty
11
Thank you
118

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Gastrointestinal Endoscope

⚫ Endoscope Structure & Theory

Connector Section Control section Insertion Section Distal End

Integrating the connectors of light, water feeding, air

Note：330 series endoscope do not have auxiliary water feeding function.

Used for connecting the endoscope cable to acquire video

2 Suction port Used for connecting to the suction pump

Used for protecting the auxiliary water-feeding port from

Connect it to the electrical connector when immersing the

Used for connecting to the water bottle to feed water/air to

No. Part Name Description

● Rotating it to F direction (clockwise) frees angulation in the

Left/right angulation ● Rotate it to R direction, the bending section moves right.

● Rotating it to F direction (clockwise) frees angulation in the

Up/down angulation ● Rotate it to U direction, the bending section moves up.

Control Section Shell

The outermost layer of insertion tube is resin

The bending function is realized by snake bone which

21. Instrument channel outlet

20. Auxiliary water 18. Light guide lens

17. Objective lens

19. Air/water nozzle

No. Part Name Description

Used to transmit the optical signals of the observed

Used as an outlet for feeding air or water to clean the

Light is transmitted through these lenses to assist

Instrument channel Used as an instrument (such as biopsy forceps) outlet ,

Auxiliary water feeding

Objective lens Distal end cover

Light guide lens Instrument

Including imaging module, light guide lens assembly,

Block the hole Air

Push the A/W valve

To Suction pump To Suction pump

Front view Bottom view

Through the rubber elasticity to guarantee the slit keep

Light control signal

Light source Image processor

Video signal CMOS Objective lens

Monitor DVI cable

Electrical signal CMOS Objective lens

Image transmission fiber

● Used for protecting the auxiliary water-feeding port.

6 Auxiliary waterfeeding port Used for connecting to water pump or syringe

7 Suction port Used for connecting to the suction pump.

Knobs Steel wire Snake bone

Electrical signal image

Light control cable

Light source Image processor

Armoured optical fiber

CMOS Objective lens

L：Large instrument channel

320/330 EC-330 3.8 1600 12.9 13.8

320 Green No Yes CCD No No No

330 Purple No Yes CCD No No No

430 Yellow Yes Yes CMOS No Yes Yes

500 Yellow Yes Yes CMOS No Yes Yes

550 Yellow Yes No CMOS Yes Yes Yes