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2-3. PREPARATION JUST BEFORE INSERTION OF ENDOSCOPE
1) If the endoscope has just recently been reprocessed, has been prepared or stored properly and passed all pre-
procedure inspections, the instrument should be ready to use. If necessary, the scope’s insertion tube may be
wiped down with a gauze dampehed with 70-90% ethyl or isopropyl alcohol.
2) Gently wipe the insertion tube with a gauze moistened with 70-90% ethyl or isopropyl alcohol.
3) Gently clean the objective lens with a cotton-tip applicator moistened with 70-90% ethyl or isopropyl alco-
hol. A lens cleaner (anti-fogging agent) may also be applied via gauze or other applicator.
4) Check the endoscopic image and confirm that it is of acceptable quality for clinical use. Refer also to the
owner’s manual supplied with the PENTAX video processor for inspection of the image quality.
5) (SCOPES TO BE INTRODUCED TRANSORALLY)
Prior to trans-oral insertion of the endoscope, place a bite-block (mouthpiece) into the patient’s mouth to pro-
tect the endoscope from damage during the procedure. Failure to do so can result in scratches, tears and/or
crushing of the insertion portion of the endoscope.
6) Apply a medical grade water soluble lubricant to the insertion tube. Do not use petroleum based lubricants.
NOTE:
Accessories should always be inspected and checked with the particular endoscope prior to each
procedure.
WARNING:
Do NOT clinically use the endoscope if any irregularity or abnormality is suspected. If there is any doubt
as to the suitability of use for any endoscope component, replace it with a new fully reprocessed one. An
instrument irregularity may cause scope damage and/or compromise patient or user safety.
WARNING:
Every endoscope should be properly disinfected or sterilized before being used for the first time. The
endoscope should have been properly cleaned, disinfected or sterilized after any previous use and after
being returned for any repairs/service.
Refer to the companion manual describing in detail PENTAX reprocessing instructions.
WARNING:
Current infection control guidelines require that endoscopes and their patient contact accessories either
be sterilized or at the least be subjected to high-level disinfection. Accessories which ENTER STERILE
TISSUE or THE VASCULAR SYSTEM must be sterilized before patient use. It is recommended that any
accessory intended for use in the biliary tract be subjected to an appropriate sterilization process. Only
the user can determine if an instrument has undergone appropriate infection control procedures prior to
each clinical use.
NOTE:
Contact the manufacturer and follow local regulations regarding safe use, appropriate handling and dis-
posal of alcohol products. Material Safety Data Sheets (Health and Safety Data Sheets or similar docu-
ments depending upon country) available from the alcohol manufacturer should provide guidance to end
users about composition, hazards, chemical and physical properties, first aid, handling and storage, sta-
bility, precautions, disposal, etc. associated with alcohol solution.
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