REPROCESSING MANUAL

Chapter 1:
General Policy..................................6
DUODENOVIDEOSCOPE Chapter 2:
OLYMPUS TJF-Q190V Function and Inspection of the
Accessories for Reprocessing.......20
Chapter 3:
Compatible Reprocessing Methods
and Chemical Agents.....................48

Chapter 4:
Reprocessing Workflows...............63

Chapter 5:
Reprocess the Endoscope.............70

Chapter 6:
Reprocess the Accessories..........228

Chapter 7:
Reprocess Using AER/WD...... 327

Chapter 8:
Storage and Disposal...................330

Accessories for Reprocessing Accessories for Procedure

Channel ETO cap Injection Suction Distal-end Mouthpiece Air/water

plug (MB-156) tube cleaning flushing (MA-392) valve
(MH-944) (MH-946) adapter adapter (MH-438)
(MH-856) (MAJ-2319)

AW channel Channel Channel- Single use Biopsy Suction

cleaning cleaning opening combination valve valve
adapter brush cleaning brush cleaning brush (MB-358) (MH-443)
(MH-948) (BW-20T) (MH-507) (BW-412T)

Refer to the endoscope’s companion manual, the “OPERATION MANUAL” with your
endoscope model listed on the cover, for operation information.

CAUTION
For USA, Federal law restricts this device to sale by or on the order of a physician.
 This page intentionally left blank.

2 TJF-Q190V REPROCESSING MANUAL

Contents
Chapter 1: General Policy................................................................6
1.1 Instructions..........................................................................6
1.2 Importance of reprocessing...............................................10
1.3 Signal words...................................................................... 11
1.4 Safety Precautions............................................................12
1.5 Reprocessing before first use...........................................17
1.6 Reprocessing before patient procedure............................18
1.7 Reprocessing and storage after use.................................19

Chapter 2: Function and Inspection of the

Accessories for Reprocessing...................................20
2.1 Accessories.......................................................................20
2.2 ETO cap (MB-156)............................................................21
2.3 Channel plug (MH-944).....................................................22
2.4 Injection tube (MH-946).....................................................24
2.5 Suction cleaning adapter (MH-856)..................................29
2.6 AW channel cleaning adapter (MH-948)...........................30
2.7 Distal-end flushing adapter (MAJ-2319)............................32
2.8 Single use combination cleaning brush (BW-412T)..........35
2.9 Channel-opening cleaning brush (MH-507)......................40
2.10 Channel cleaning brush (BW-20T)..................................43
2.11 Brush overview................................................................47

TJF-Q190V REPROCESSING MANUAL 3

Chapter 3: Compatible Reprocessing Methods
and Chemical Agents..................................................48
3.1 Compatibility summary......................................................48
3.2 Water (for reprocessing)....................................................55
3.3 Detergent solution.............................................................56
3.4 Disinfectant solution..........................................................57
3.5 Rinse water.......................................................................58
3.6 Alcohol...............................................................................59
3.7 Ethylene oxide gas sterilization.........................................60
3.8 Steam sterilization (autoclaving).......................................62

Chapter 4: Reprocessing Workflows............................................63

4.1 Summary of reprocessing workflows................................63
4.2 Workflow for manually cleaning and
disinfecting endoscopes and accessories...............................64
4.3 Workflow for cleaning and disinfecting endoscopes and
accessories using an AER/WD...............................................66
4.4 Workflow for manually cleaning and sterilizing
endoscopes and accessories..................................................68

Chapter 5: Reprocess the Endoscope

(and related reprocessing accessories)........................70
5.1 Summary...........................................................................70
5.2 Prepare equipment for reprocessing.................................72
5.3 Preclean the endoscope and accessories........................74
5.4 Leakage testing of the endoscope....................................90
5.5 Manually clean the endoscope and accessories.............100

4 TJF-Q190V REPROCESSING MANUAL

 5.6 Manually disinfect the endoscope and accessories........164
5.7 Rinse the endoscope and accessories
following disinfection.............................................................186
5.8 Sterilize the endoscope and accessories........................ 211
5.9 Presoak the endoscope..................................................215

Chapter 6: Reprocess the Accessories......................................228

6.1 Summary.........................................................................228
6.2 Manually clean the accessories.....................................231
6.3 Manually disinfect the accessories.................................270
6.4 Rinse the accessories following disinfection..................294
6.5 Sterilize the accessories................................................325

Chapter 7: Reprocess Endoscopes and Accessories

Using an Automated Endoscope
Reprocessor/Washer-Disinfector.............................327
7.1 Summary.........................................................................327

Chapter 8: Storage and Disposal................................................330

8.1 Precautions for disposal and storage of the
reprocessed endoscope and accessories.............................330
8.2 Store the disinfected endoscope and accessories..........331
8.3 Store the sterilized endoscope and accessories.............334
8.4 Disposal..........................................................................335

TJF-Q190V REPROCESSING MANUAL 5

 1.1.1 About this manual

Chapter

1 General Policy
Chapter 1

1.1 Instructions

1.1.1 About this manual

• This manual provides detailed instructions for reprocessing the EVIS EXERA III
DUODENOVIDEOSCOPE OLYMPUS TJF-Q190V and accessories listed below.

Accessories for Reprocessing: Accessories for Procedure:

• Suction cleaning adapter (MH-856) • Biopsy valve (MB-358)

• Injection tube (MH-946) • Air/water valve (MH-438)

• ETO cap (MB-156) • Suction valve (MH-443)

• Channel cleaning brush (BW-20T) • Mouthpiece (MA-392)

• Distal-end flushing adapter

(MAJ-2319)

• Channel plug (MH-944)

• AW channel cleaning adapter

(MH-948)

• Channel-opening cleaning brush

(MH-507)

• Single use combination cleaning

brush (BW-412T)

• This instruction manual contains essential information on reprocessing endoscopes and

accessories safely and effectively.

• Before reprocessing, thoroughly review this manual and the manuals for the reprocessing
equipment and chemicals that will be used for reprocessing. Reprocess all the devices as
instructed.

• The accessories listed cannot be refurbished or repaired. The accessories need to

be replaced once they show any signs of wear and tear. Should any irregularity be
observed, use a replacement accessory instead. Using defective accessories may cause
equipment malfunction, reduce the efficacy of reprocessing, present a risk to patients
and/or operators, or damage the endoscope and/or accessories.

6 TJF-Q190V REPROCESSING MANUAL

 1.1.2 User qualification 1.1.2 User qualification
1.1.2 User qualification

• The “Reprocessing” manual (this manual) and the “Operation” manual together form the
complete set of instructions for the EVIS EXERA III DUODENOVIDEOSCOPE OLYMPUS
TJF-Q190V and the listed accessories. Both manuals accompanied the endoscope at
shipment.

• Keep this manual and all related manuals in a safe and accessible location (e.g., in the

Chapter 1
reprocessing area).

• If you have any questions or comments about any information in this manual, or if a
problem occurs while reprocessing, contact Olympus. Refer to the contacts listed on the
last page.

1.1.2 User qualification

All individuals engaged in reprocessing must receive the reprocessing training with training
materials of TJF-Q190V provided by Olympus and this manual. Each institution is responsible
for ensuring that only appropriately trained personnel perform reprocessing. For further details
about training, contact Olympus.

1.1.3 Terms used in this manual

AER and WD are abbreviations for Automated

AER/WD Endoscope Reprocessor and Washer-Disinfector, which
are used for reprocessing endoscopes and accessories.

Some countries classify the disinfection level and define

“high-level disinfection”, and other countries do not. In
the manual, the term “disinfection” includes the meaning
Disinfection for “high-level disinfection”.

For more information about disinfectant solution, read

the instructions as described in Chapter 3.4, “Disinfectant
solution”.

TJF-Q190V REPROCESSING MANUAL 7

 1.1.4 Symbols used in this manual

1.1.4 Symbols used in this manual

The table below lists symbols that appear in this manual. These symbols may also be
accompanied by a word or short phrase, and are meant to visually reinforce specific statements
Chapter 1

and/or conditions.

Symbol Description What the symbol indicates

Safety symbol Indicates Warnings and Cautions, which include a

safety message.

Check mark Indicates a condition or action that should occur, or

part that is compatible (i.e., can be used).

Red X mark Indicates a part that should not is not compatible

(i.e., should not be used).

Do Not Indicates a condition or action that should not

occur.

No damage Indicates that there should be no damage.

No debris Indicates that there should be no debris.

No bristle Indicates that there should not be any loose,

damage missing, or damaged bristles.

No water (or Indicates that there should be no water (or fluid)

fluid) (e.g., on a component or connector).

No air bubbles Indicates that there should be no air bubbles.

8 TJF-Q190V REPROCESSING MANUAL

1.1.5 Highlight colors used in this manual 1.1.5 Highlight colors used in this manual
1.1.5 Highlight colors used in this manual

Keep Indicates that the endoscope should be kept

endoscope immersed.
immersed

Keep Indicates that the accessories should be kept

Chapter 1
accessories immersed.
Accessories immersed

Specific timer Indicates the amount of time a condition or action

should last. The “--” will be replaced with the
-- amount of time in seconds (sec.) or hours (hr)
(e.g., 10 sec., 15 sec., 30 sec., 2 hr).

General timer Indicates that a condition or action should last

a specified time that might vary depending on
information outside of this manual (e.g., described
in another manual).

Number of times Indicates the number of times an action should

--X be conducted. The “--” will be replaced with the
number of times (e.g., 1, 3, 5, 6).

1.1.5 Highlight colors used in this manual

Example Highlight color What the highlight color indicates

Light Orange The component of attention. The light orange

highlighted component is the component with
which you will interact with in this step.

Red Incorrect position. The red highlighted component

shows how you should not position the
component of attention.

NOTE
In some images, this manual uses colors such as dark
grey, green, blue, and the red dot on Suction valve
(MH-443), only as a convenient way to visually distinguish
some component parts that have these colors.

TJF-Q190V REPROCESSING MANUAL 9

 1.1.5 Highlight colors used in this manual
1.2 Importance of reprocessing

The medical literature reports incidents of cross-contamination resulting from improper

reprocessing. It is strongly recommended that all individuals engaged in reprocessing closely
observe all instructions described in this manual and the manuals for all ancillary equipment.
Chapter 1

All individuals engaged in reprocessing should have a thorough understanding of the following
items:

• Professional health and safety policies of your hospital

• Instruction manuals for the endoscope, accessories, and all the other reprocessing
equipment

• The construction and handling of the endoscope and accessories

• Handling of pertinent chemicals.

When selecting appropriate methods and conditions for cleaning, disinfection, and sterilization,
always follow:

• The policies at your institution

• Applicable national laws and standards

• Professional society guidelines and recommended practices

• The instructions given in this manual.

10 TJF-Q190V REPROCESSING MANUAL

 1.1.5 Highlight colors used in this manual 1.1.5 Highlight colors used in this manual
1.1.5 Highlight colors used in this manual
1.3 Signal words

The following signal words are used throughout this manual:

Chapter 1
Indicates a potentially hazardous situation
WARNING which, if not avoided, could result in death or
serious injury.

Indicates a potentially hazardous situation

which, if not avoided, may result in minor
CAUTION or moderate injury. It may also be used to
alert against unsafe practices or potential
equipment damage.

NOTE Indicates additional helpful information.

TJF-Q190V REPROCESSING MANUAL 11

 1.1.5 Highlight colors used in this manual
1.4 Safety Precautions

! WARNING
• An insufficiently reprocessed endoscope and/or accessory may pose an
Chapter 1

infection control risk to patients and/or operators.

• Equipment used in conjunction with reprocessing the endoscope and

accessories may pose an infection control risk. These can include:

• The endoscope reprocessor

• Video system center
• Light source
• Front panels of other equipment
• Mouthpiece
• Tap and/or basin
Properly replace, clean and/or disinfect these items as described in their
manuals.

• All disinfection methods (manually or by using an AER/WD) and all sterilization

methods (using ethylene oxide gas or steam) require thorough prior cleaning
of the instruments before getting reprocessed. If the instruments are not
adequately cleaned prior to disinfection/sterilization, these processes will be
ineffective.

• Preclean the endoscope and the accessories at the bedside immediately after
each patient procedure. If the endoscope and accessories are not immediately
cleaned after each patient procedure, residual organic debris will begin to dry
and solidify, thereby hindering reprocessing efficacy.

• Reprocess all channels of the endoscope, including the instrument channel,

and all accessories after each patient procedure, even if the channels
or accessories were not used during the patient procedure. Insufficient
reprocessing of these components may pose an infection control risk to patients
and/or operators.

• Rinse all external surfaces and channels of the endoscope and accessories
thoroughly with water to remove any residual solution after disinfection or
cleaning. Residual disinfectant and detergent solution may cause adverse
reactions in patients.

• The results of sterilization depend on various factors. These factors include

how the equipment was packaged and the placing and loading of the package
in the sterilization device. Verify the sterilization process using biological and/
or chemical indicators. Follow the guidelines for sterilization issued by national
authorities, professional organizations, and infection control professionals,
including the frequency of the above verification, as well as the instruction
manual for the sterilization device.

12 TJF-Q190V REPROCESSING MANUAL

1.1.5 Highlight colors used in this manual 1.1.5 Highlight colors used in this manual
1.1.5 Highlight colors used in this manual

! WARNING
• Clearly identify contaminated endoscopes and accessories from the

Chapter 1
reprocessed endoscopes and accessories to prevent mix-ups and cross-
contamination. Some national or professional guidelines recommend separating
the dirty (contaminated) area, clean area, and storage area. Touching a
reprocessed endoscope and/or accessories with contaminated gloves or
placing them on a contaminated hanger or surface, including touching the floor,
will recontaminate the endoscope and/or accessories.

• Prior to each patient procedure, confirm that the endoscope and accessories
have been properly reprocessed and stored. If there are any doubts or
questions, reprocess them again before the patient procedure, following the
instructions given in this manual.

• Perform the leakage test after each precleaning procedure. Confirm there is no
leak from the forceps elevator, while raising and lowering the forceps elevator.
Do not use the endoscope if a leak is detected. Using an endoscope with a leak
may cause loss of the endoscopic image, damage to the bending mechanism or
other malfunctions, and may also pose an infection control risk.

Leakage tester
(MB-155)

• Store alcohol in an airtight container. Alcohol stored in an open container may

cause a fire hazard and may result in a loss of efficacy due to evaporation.

TJF-Q190V REPROCESSING MANUAL 13

 1.1.5 Highlight colors used in this manual

! WARNING
• Do not use the AW channel cleaning adapter (MH-948) for patient procedures. It
will cause continuous insufflation and could result in patient injury.
Chapter 1

AW channel cleaning adapter (MH-948)

• The accessories listed in Chapter 1.1.1 “About this manual” cannot be

refurbished or repaired. The accessories need to be replaced once they
show any signs of wear and tear. Should any irregularity be observed, use
a replacement accessory instead. Using defective accessories may cause
equipment malfunction, reduce the efficacy of reprocessing, present a risk to
patients and/or operators, or damage the endoscope and/or accessories.

• Single use brushes, such as the single use combination cleaning brush
(BW-412T), are designed to clean one endoscope and related accessories.
Dispose of the single use brush immediately after use. If a single use brush
is used to clean multiple endoscopes and/or accessories, it may reduce the
efficacy of preprocessing and may damage the brush. A damaged brush may
break, which may damage the endoscope or accessories.

• Patient debris and used reprocessing chemicals pose infection control

risks. Always wear appropriate protective equipment during reprocessing to
protect yourself from dangerous chemicals and potentially infectious material.
Protective equipment should include appropriate eyewear, face mask, cap,
moisture-resistant clothing, shoe covers, and chemical-resistant gloves that fit
properly and are long enough to prevent skin exposure.

• The reprocessing room must be adequately ventilated to minimize the risks

from chemical vapors.

• Always remove contaminated personal protective equipment before leaving the

reprocessing area to prevent contamination from spreading.

• Only use Olympus-recommended or Olympus-endorsed AERs/WDs. If you use

an AER/WD that is not recommended by Olympus, the AER/WD manufacturer
is responsible for validating compatibility with each Olympus endoscope and
accessory.

14 TJF-Q190V REPROCESSING MANUAL

1.1.5 Highlight colors used in this manual 1.1.5 Highlight colors used in this manual
1.1.5 Highlight colors used in this manual

! WARNING
• Confirm that the AER/WD is able to reprocess the endoscope, including all
channels and the forceps elevator recess, and accessories. If these items
are insufficiently reprocessed, it may pose an infection control risk. If you are

Chapter 1
uncertain about the ability of your AER/WD, contact the manufacturer of the
AER/WD for specific instructions and information on compatibility and the
required connectors. Always conduct all steps of precleaning and manual
cleaning as instructed in this manual, even if you are using an AER/WD that has
instructions that state you can skip some steps.

• If using an Olympus OER-AW or OER-Pro, ensure that the distal end’s

instrument channel outlet is open. If closed, open the instrument channel outlet
by moving the elevator control lever as shown below until the forceps elevator
stops. Then, attach the dedicated connecting tube to the endoscope’s distal
end, and set in your OER-AW or OER-Pro according to the manufacturer’s
instructions.

Forceps elevator

Elevator
control lever Instrument
channel outlet

• Do not use this manual to reprocess an Olympus endoscope that has been
repaired by a non-Olympus facility. The reprocessing instructions have not been
validated for endoscopes repaired by a non-Olympus facility. Contact the repair
facility for the appropriate reprocessing instructions.

• Prions, which are the pathogenic agents of the Creutzfeldt-Jakob disease

(CJD), cannot be destroyed or deactivated by the reprocessing methods
described in this manual. If you have a patient with CJD or variant CJD, only
use the endoscope and accessories for these type of patients or dispose of the
endoscope and accessories immediately after the patient procedure. Make sure
to dispose of the equipment in an appropriate manner, to prevent the usage
of exposed endoscopes and accessories on other patients. Handle CJD and
variant CJD according to the guidelines in your country.

TJF-Q190V REPROCESSING MANUAL 15

 1.1.5 Highlight colors used in this manual

! WARNING
• Reprocessing methods that destroy or deactivate prions may damage the
endoscope and accessories. Olympus cannot guarantee the effectiveness,
safety, and durability of reprocessing methods not described in this
Chapter 1

reprocessing manual. Contact Olympus for more information about the durability
of Olympus equipment when using a different reprocessing method.

• If you use a different reprocessing method, the local institution and physicians
are responsible for the safety and efficacy of the Olympus equipment. Carefully
inspect all equipment for irregularities (damage) prior to each patient procedure.
Do not use the equipment if any irregularity is observed.

• Good quality control practices require appropriate documentation as they are

conducted. This can include, among other practices:

• Local SOPs (Standard Operating Procedures)

• Confirmation of operator training

• Routine testing of the disinfectant’s MEC (Minimal Effective

Concentration),

• Confirmation of the disinfectant’s use-life

• If you perform any test on the endoscope using extraction fluid (e.g., a
microbrial), reprocess the endoscope again before the patient procedure.

! CAUTION
• Confirm that the ETO cap (MB-156) is not attached to the endoscope,
before immersing the endoscope in reprocessing fluids. If the ETO cap is
attached, reprocessing fluids will enter the endoscope, causing damage to the
endoscope.

• When aerating or irrigating the endoscope channels, the air or water pressure
must not exceed 0.5 MPa (5 kgf/cm², 71 psig). Higher pressures may damage
the endoscope.

• DO NOT remove spare accessories from their original package until they are
needed.

• To prevent damage, do not apply excessive force to the endoscope and

accessories during reprocessing.

• Vapors from disinfectant solution and alcohol may damage electronic devices
such as computers. Properly manage the quality and durability of the devices
used in reprocessing rooms and the ventilation performance of the rooms.

16 TJF-Q190V REPROCESSING MANUAL

 1.1.5 Highlight colors used in this manual 1.1.5 Highlight colors used in this manual
1.1.5 Highlight colors used in this manual
1.5 Reprocessing before first use

New endoscopes, repaired endoscopes, new accessories, and the carrying case
for endoscopes are not reprocessed prior to shipping from Olympus. Whether that
equipment is for new purchase, demo, or loaner purposes, always reprocess the

Chapter 1
endoscope and accessories received from Olympus as described in this manual before
storage or a patient procedure.

TJF-Q190V REPROCESSING MANUAL 17

 1.1.5 Highlight colors used in this manual
1.6 Reprocessing before patient procedure

! WARNING
Improper handling of a reprocessed endoscope and/or accessories, will
Chapter 1

recontaminate the endoscope and/or accessories. Improper handling can include:

• Touching a reprocessed endoscope and/or accessories with contaminated

gloves

• Placing reprocessed equipment on a contaminated hanger or surface

• Equipment touching the floor.

If the endoscope has been improperly handled, reprocess the equipment again
before storage or patient procedure.

NOTE

Some national or professional guidelines recommend reprocessing endoscopes

prior to their first use of the day.

Confirm that the endoscope and accessories have been properly reprocessed and stored
following their last use:

• Storage period of reprocessed endoscopes (storage period depends of your facility’s

equipment and processes)

• There is no surface contamination (e.g., dust)

• Expiration date marked on all items is not past due

• There are no tears or breaches in sterile packaging

If there are any doubts or questions concerning whether a device is contaminated,

reprocess it again following the instructions given in this manual.

18 TJF-Q190V REPROCESSING MANUAL

 1.1.5 Highlight colors used in this manual 1.1.5 Highlight colors used in this manual
1.1.5 Highlight colors used in this manual
1.7 Reprocessing and storage after use

! WARNING

Chapter 1
• Do not reuse detergent solution.

• Do not reuse rinse water.

• Disinfectant solution is only effective when used according to the disinfectant

manufacturer’s instructions. Follow the manufacturer’s instructions regarding
activation (if required), concentration, temperature, contact time and use life
required to achieve disinfection.

• If the disinfectant solution is reused, always check the efficacy recommended by

the disinfectant manufacturer before reprocessing the endoscope.

• Do not reuse alcohol.

• Alcohol is not a sterilant or high-level disinfectant.

• To maintain sterility of equipment following sterilization, use sterilization

pouches and wraps according to national guidelines.

• Store the endoscope and accessories in a proper storage cabinet, following

the policies at your institution, applicable national laws and standards, and
professional society guidelines and recommended practices.

TJF-Q190V REPROCESSING MANUAL 19

 Chapter

2 Function and Inspection of the

Accessories for Reprocessing

This chapter describes the function of the accessories needed for reprocessing and how
to inspect them before reprocessing.
Chapter 2

2.1 Accessories

Below is a list of the accessories and the subchapters in which they are described:

ETO cap (MB-156) Channel plug (MH-944) Injection tube (MH-946)

See Chapter 2.2 See Chapter 2.3 See Chapter 2.4

Suction cleaning adapter AW channel cleaning Distal-end flushing

(MH-856) adapter (MH-948) adapter (MAJ-2319)
See Chapter 2.5 See Chapter 2.6 See Chapter 2.7

Single use combination Channel-opening Channel cleaning brush

cleaning brush (BW-412T) cleaning brush (MH-507) (BW-20T)
See Chapter 2.8 See Chapter 2.9 See Chapter 2.10

NOTE
Chapter 2.11 provides a table describing which brushes can be used for different
parts of the endoscope.

20 TJF-Q190V REPROCESSING MANUAL

 2.2.1 Function
2.2.1 Function
2.2 ETO cap (MB-156)

2.2.1 Function

The ETO cap (MB-156) is used for ethylene oxide gas sterilization of the endoscope.

Chapter 2
ETO cap

CAUTION
Attach the ETO cap to the venting connector on the endoscope connector prior
to ethylene oxide gas sterilization. If the ETO cap is not attached to the venting
connector during the ethylene oxide gas sterilization, the air inside the endoscope
will expand and could rupture the bending section cover and/or damage the
angulation mechanism.

2.2.2 Inspection

Confirm that the ETO cap is free from damage

NO damage
and debris.
or debris

TJF-Q190V REPROCESSING MANUAL 21

 2.3 Channel plug (MH-944)

2.3.1 Function

The channel plug is used to plug the openings of the endoscope’s instrument channel
port and the suction and air/water cylinders.
Chapter 2

Biopsy
valve cap Plug frame

Suction plug

Air/water plug

The channel plug will be attached to the Channel plug attached to endoscope
endoscope whenever the injection tube
(MH-946) is used to flush the endoscope’s Plug frame
suction and air/water channels with
reprocessing fluids.

Biopsy
valve cap

Instrument
channel port

NOTE
The channel plug is designed to allow a small amount of fluid to exit the openings of
the endoscope, when attached to the endoscope. This enables reprocessing fluids
to contact the endoscope openings.

22 TJF-Q190V REPROCESSING MANUAL

 2.3.2 Inspection
2.3.2 Inspection

2.3.2 Inspection

Confirm that the suction plug, air/water plug,

NO damage
and the biopsy valve cap of the channel plug or debris
are free from damage and debris.

Chapter 2
NOTE

The channel plug does not need to be reprocessed prior to its first use.

TJF-Q190V REPROCESSING MANUAL 23

 2.4 Injection tube (MH-946)

2.4.1 Function

The injection tube is used to inject reprocessing fluids into the instrument channel,
suction channel, and air/water channels of the endoscope. It is also used to flush air
through these channels to expel fluids.
Chapter 2

Air/water
channel tube
Suction Suction
channel tube channel port

Information Air/water
card channel port

Filter tube

Suction port

Connector Air pipe Filter

plug port mesh

Injection tube attached to endoscope

Air pipe
port

Suction Suction
channel port
tube
Connector
plug

24 TJF-Q190V REPROCESSING MANUAL

 2.4.2 Inspection
2.4.2 Inspection

2.4.2 Inspection

1. Confirm that all components of the

injection tube are free from damage
NO damage
or debris
and debris.

Chapter 2
2. Confirm that the filter mesh is in the
suction port of the injection tube.

Filter
mesh

3. Completely immerse the injection

tube’s suction port in the water.

4. Attach a clean 30 mL syringe to the

suction channel port (port on the left)
Suction
channel port
of the injection tube. (left side)

TJF-Q190V REPROCESSING MANUAL 25

 5. Keeping the 30 mL syringe attached,
flush the suction channel tube, as
a)

follows:
a) Slowly pull the syringe plunger to
fill the syringe with water;
b) Lift the suction port out of the Above water
water;
Suction port
Chapter 2

c) Then forcefully flush with 30 mL of

immersed
water;
d) Confirm that water comes out of
suction channel tube and confirm
that no water comes out of the b)
suction port during the flush.

Suction port
above water

c)

1X

d)

Suction Suction port

channel tube

26 TJF-Q190V REPROCESSING MANUAL

 2.4.2 Inspection
2.4.2 Inspection

6. Completely immerse the injection

tube’s suction port in the water.

Chapter 2
7. Move the syringe from the suction
channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

TJF-Q190V REPROCESSING MANUAL 27

 8. Keeping the 30 mL syringe attached,
flush the air/water channel tube, as
a)

follows:
a) Slowly pull the syringe plunger to
fill the syringe with water;
b) Lift the suction port out of the Above water
water;
Suction port
Chapter 2

c) Then forcefully flush with 30 mL of

immersed
water;
d) Confirm that water exits from the
air pipe port and confirm that no
water comes out of the suction b)
port during the flush.

NOTE
The injection tube does not need to be Suction port
reprocessed prior to its first use. above water

c)

1X

d)

Suction port
Air pipe
port

28 TJF-Q190V REPROCESSING MANUAL

 2.5.1 Function
2.5.1 Function
2.5 Suction cleaning adapter (MH-856)

2.5.1 Function

The suction cleaning adapter is used to aspirate detergent solution through the
endoscope’s instrument channel port.

Chapter 2
Connecting
Weighted end
end

Suction cleaning adapter attached to endoscope

Suction
cylinder

Connecting
end

Instrument
channel Suction tube
port

Suction
cleaning
adapter

Weighted
end

2.5.2 Inspection

Confirm that the suction cleaning adapter

NO damage
is free from damage and debris. or debris

NOTE

The suction cleaning adapter does not need to be reprocessed prior to its first use.

TJF-Q190V REPROCESSING MANUAL 29

 2.6 AW channel cleaning adapter (MH-948)

2.6.1 Function

During precleaning, the AW channel cleaning adapter is attached to the endoscope’s

air/water cylinder. When the AW channel cleaning adapter’s button is depressed, water
Chapter 2

from the water container is fed through the air/water nozzle into the air channel of the
insertion section.

If the button is not depressed, air is continuously fed through the air/water channels of
the insertion section.

Button Information card

Skirt
Slider
Backflow-
prevention valve
Seals Piston

AW channel cleaning adapter attached to endoscope,

cleaning the nozzle and air channel

Depress AW
Air/water channel cleaning
nozzle adapter’s button

Air channel Air/water

cylinder

Water
container

30 TJF-Q190V REPROCESSING MANUAL

 2.6.2 Inspection
2.6.2 Inspection

2.6.2 Inspection

NO damage
Confirm that the AW channel cleaning
or debris
adapter is free from damage and debris.

Chapter 2
NOTE

The AW channel cleaning adapter does not need to be reprocessed prior to its first use.

TJF-Q190V REPROCESSING MANUAL 31

 2.7 Distal-end flushing adapter (MAJ-2319)

2.7.1 Function

The distal-end flushing adapter is used to flush the endoscope’s distal end with
reprocessing fluids.
Chapter 2

Green
cover

White Green
cover flushing port

White
flushing port

Distal end flushing adapter attached to the

endoscope’s distal end

White cover

Green cover

Distal end

White
flushing port
Green
flushing port

32 TJF-Q190V REPROCESSING MANUAL

 2.7.2 Inspection
2.7.2 Inspection

2.7.2 Inspection

1. Separate the white and green

covers, if they are assembled
together.

Chapter 2
2. Confirm that all components of the
distal-end flushing adapter are free NO damage
or debris
from damage and debris.

3. Place the distal-end flushing adapter

in a clean basin (without water).

4.
a)
Use a 30mL syringe to flush water
through the WHITE flushing port, as
follows:
a) Before attaching the syringe to the
white flushing port (so that you do
not pull air into the syringe that
might be inside the flushing tube),
slowly pull the syringe plunger to
fill the syringe with water;
c)
b) Attach it to the white flushing port
of the distal-end flushing adapter;
c) Then forcefully flush the distal end
with 30 mL of water; b) WHITE
d) Confirm that water is emitted from flushing
openings in both the white and port
green covers.
d)

TJF-Q190V REPROCESSING MANUAL 33

 5. Detach the syringe from the distal-
end flushing adapter.
Chapter 2

6.
a)
Use the 30 mL syringe to flush water
through the GREEN flushing port, as
follows:
a) Before attaching the syringe to the
green flushing port (so that you
do not pull air into the syringe that
might be inside the flushing tube),
slowly pull the syringe plunger to
fill the syringe with water;
c)
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush the distal end b) GREEN
with 30 mL of water; flushing
port
d) Confirm that water is emitted from
openings in both the white and
green covers. d)

NOTE

The distal-end flushing adapter does not need to be reprocessed prior to its first use.

34 TJF-Q190V REPROCESSING MANUAL

 2.8.1 Function
2.8.1 Function
2.8 Single use combination cleaning brush (BW-412T)

2.8.1 Function

The single use combination cleaning brush has two different brushes, one at each end:

Chapter 2
• Channel cleaning brush part (small brush)

• Channel-opening cleaning brush part (large brush with handle)

Bristles Shaft Handle Bristles

Tip

Channel cleaning brush Channel-opening cleaning brush

(small brush) (large brush)

The small brush without a handle is similar to the channel cleaning brush (BW-20T) and is
used to brush similar areas:

• Inside of the instrument channel and suction channel of the endoscope

• Holes of the suction valve (MH-443)

• Holes of the air/water valve (MH-438)

• The hole and the slit of the biopsy valve (MB-358)

The large brush with a handle is similar to the channel-opening cleaning brush (MH-507) and
is used to brush similar areas:

• Suction cylinder

• Instrument channel port

• Distal end

• Distal ring

• Forceps elevator and the forceps elevator recess

TJF-Q190V REPROCESSING MANUAL 35

 Channel cleaning brush (small brush) used to clean the endoscope’s
suction and instrument channel

Suction
Chapter 2

cylinder
Instrument Instrument
channel channel outlet

Suction
channel

Suction
connector

Channel cleaning brush (small brush) used to clean the suction valve,
air/water valve and biopsy valve.

Suction valve (MH-443) Air/water valve Biopsy valve

Depress (MH-438) (MB-358)

36 TJF-Q190V REPROCESSING MANUAL

 2.8.1 Function
2.8.1 Function

Channel-opening cleaning brush (large brush) used to clean

the suction cylinder and instrument channel port.

Chapter 2
Suction Instrument
cylinder channel port

Channel-opening cleaning brush (large brush) used to clean the distal end,
distal ring, forceps elevator and the forceps elevator recess.

Distal end and distal ring

Distal
end

Distal
ring

Forceps elevator Forceps elevator recess

TJF-Q190V REPROCESSING MANUAL 37

 2.8.2 Inspection

CAUTION
Do not reprocess the single use combination cleaning brush prior to use.
The brush may be damaged.
Chapter 2

1. Keep the brush in its package until

you are ready to use it.

2. Confirm that the small brush and the

tip are securely attached. Tip small brush

3. Confirm that there are no loose,

missing, or damaged bristles on both
NO loose, missing,
or damaged
bristles
ends:
• small brush without a handle
• large brush with handle

38 TJF-Q190V REPROCESSING MANUAL

 2.8.2 Inspection
2.8.2 Inspection

4. Confirm that the shaft is free from

damage.

NO damage

Chapter 2

TJF-Q190V REPROCESSING MANUAL 39

 2.9 Channel-opening cleaning brush (MH-507)

2.9.1 Function

The channel-opening cleaning brush is used to brush the endoscope’s:

• Suction cylinder
Chapter 2

• Instrument channel port

• Distal end

• Distal ring

• Forceps elevator and the forceps elevator recess

Bristles Shaft Handle

Brush head

Channel-opening cleaning brush used to clean

the suction cylinder and instrument channel port.

Suction Instrument
cylinder channel port

40 TJF-Q190V REPROCESSING MANUAL

 2.9.1 Function
2.9.1 Function

Channel-opening cleaning brush used to clean the distal end,

distal ring, forceps elevator and the forceps elevator recess.

Distal end and distal ring

Distal
end

Chapter 2
Distal
ring

Forceps elevator Forceps elevator recess

TJF-Q190V REPROCESSING MANUAL 41

 2.9.2 Inspection

1. Confirm that there are no loose, NO loose,

missing, or
missing, or damaged bristles.
damaged bristles
Chapter 2

2. Confirm that the shaft is free from

damage.

NO damage

3. Confirm that the shaft and bristles

are free from debris.

If there is debris on the brush,

reprocess the brush according
to Chapter 6, “Reprocessing the
Accessories”. NO debris

NOTE
The channel-opening cleaning brush does not need to be reprocessed prior to its
first use.

42 TJF-Q190V REPROCESSING MANUAL

 2.10.1 Function
2.10.1 Function
2.10 Channel cleaning brush (BW-20T)

2.10.1 Function

The channel cleaning brush is used to brush:

• Inside of the endoscope’s instrument channel and suction channel

Chapter 2
• Holes of the suction valve (MH-443)

• Holes of the air/water valve (MH-438)

• The hole and the slit of the biopsy valve (MB-358)

Metal tip Bristles Shaft

Brush head

Channel cleaning brush used to clean the endoscope’s suction and

instrument channel

Suction
cylinder
Instrument
channel

Suction
channel

TJF-Q190V REPROCESSING MANUAL 43

 Channel cleaning brush used to clean the suction valve, air/water valve
and biopsy valve.

Suction valve (MH-443) Air/water valve Biopsy valve

Depress (MH-438) (MB-358)
Chapter 2

44 TJF-Q190V REPROCESSING MANUAL

 2.10.2 Inspection
2.10.2 Inspection

2.10.2 Inspection

1. Confirm that the brush head and the Metal tip Brush head
metal tip are securely attached.

Chapter 2
2. Confirm that there are no loose,
missing, or damaged bristles.
NO loose,
missing, or
damaged bristles

3. Confirm that the shaft is free from

damage.

NO damage

TJF-Q190V REPROCESSING MANUAL 45

 4. Confirm that the shaft and bristles
are free from debris.

If there is debris on the brush,

reprocess the brush according
to Chapter 6, “Reprocessing the NO debris
Accessories”.
Chapter 2

NOTE

The channel cleaning brush does not need to be reprocessed prior to its first use.

46 TJF-Q190V REPROCESSING MANUAL

 2.10.2 Inspection
2.10.2 Inspection
2.11 Brush overview

The following table describes which brushes can be used for different parts of the
endoscope and accessory valves.

Channel-opening Single use combination Channel

Chapter 2
cleaning brush cleaning brush cleaning brush
(MH-507) (BW-412T) (BW-20T)

Large Small
brush brush
Suction valve
(MH-443)
Air/water valve
(MH-438)
Biopsy valve
(MB-358)
Instrument
channel
Suction
channel
Instrument
channel port
Suction
Endoscope

cylinder
Forceps
elevator
Forceps
elevator recess

Distal end

Distal ring

TJF-Q190V REPROCESSING MANUAL 47

 Chapter

3 Compatible Reprocessing Methods

and Chemical Agents

3.1 Compatibility summary

The endoscope and accessories are compatible with several methods of reprocessing.
Chapter 3

Reprocessing with incompatible methods can cause equipment damage even if the
number of reprocessing cycles is small. For appropriate reprocessing methods, see Table
3.1 to 3.4.

Follow the policies at your local institution when choosing a reprocessing method listed in
Table 3.1 to 3.4.

CAUTION
Repeated use and reprocessing of endoscopes and accessories leads to gradual
wear and tear. To ensure best performance:

• Use the methods listed in Table 3.1 to 3.4 for routine use only when you can
do so according to the manufacturer’s instructions.

• Keep in mind that reprocessing methods that employ higher temperatures and
more caustic/corrosive materials may lead to faster deterioration. In general,
sterilization processes are harsher on equipment than disinfection processes.

• Before each patient procedure, inspect the endoscope and accessories

for damage, according to the instructions described in this manual and its
companion “OPERATION MANUAL”.

48 TJF-Q190V REPROCESSING MANUAL

 

CAUTION
The instructions provided in this manual regarding reprocessing methods and
chemical agents are not valid for Olympus devices repaired by a non-Olympus
facility. Please note that:

• Olympus repairs devices to manufacturer’s specifications using original

equipment manufacturer’s (OEM) materials.

• The use of non-OEM materials to repair an Olympus device may affect the
material compatibility and reprocessing efficacy of the device with certain
reprocessing chemicals or methods.

Chapter 3
• In the event that your device has been repaired by a non-Olympus facility,
contact the repair facility for instructions regarding compatible reprocessing
methods and chemical agents.

TJF-Q190V REPROCESSING MANUAL 49

 Table 3.1

Compatibility for
cleaning Detergent solution Ultrasonic cleaning

Endoscope
*1

ETO cap (MB-156)

Chapter 3

Channel cleaning brush (BW-20T)

Channel-opening cleaning brush

(MH-507)

Distal-end flushing adapter (MAJ-2319)

Air/water valve (MH-438)

Suction valve (MH-443)
Biopsy valve (MB-358)

Channel plug (MH-944)

Injection tube (MH-946)

AW channel cleaning adapter (MH-948)

Suction cleaning adapter (MH-856)

Mouthpiece (MA-392)

compatible not compatible

*1 The endoscope is only compatible with ultrasonic cleaning as performed in an Olympus-

recommended reprocessor, such as OER-AW and OER-Pro (OER-AW and OER-Pro may not
be available in some areas). When using an AER/WD that is recommended by Olympus other
than listed above, contact Olympus.

50 TJF-Q190V REPROCESSING MANUAL

 

Table 3.2

Compatibility for
alcohol flush 70% ethyl or 70% isopropyl alcohol

Endoscope

ETO cap
(MB-156)

Chapter 3
Channel cleaning brush
(BW-20T)

Channel-opening cleaning brush

(MH-507)

Distal-end flushing adapter

(MAJ-2319)

Air/water valve (MH-438)

Suction valve (MH-443)
Biopsy valve (MB-358)

Channel plug (MH-944)

Injection tube (MH-946)

AW channel cleaning
adapter (MH-948)

Suction cleaning adapter

(MH-856)
Mouthpiece (MA-392)

compatible not compatible

TJF-Q190V REPROCESSING MANUAL 51

 Table 3.3

Compatibility for
ACECIDE
disinfection disinfectant solution *2 2 - 3.5% glutaraldehyde

Endoscope

ETO cap
(MB-156)
Chapter 3

Channel cleaning brush

(BW-20T)

Channel-opening cleaning brush

(MH-507)

Distal-end flushing adapter

(MAJ-2319)

Air/water valve (MH-438)

Suction valve (MH-443)
Biopsy valve (MB-358)

Channel plug (MH-944)

Injection tube (MH-946)

AW channel cleaning
adapter (MH-948)

Suction cleaning adapter

(MH-856)
Mouthpiece (MA-392)

compatible not compatible

*2 ACECIDE disinfectant solution is exclusively for an Olympus-recommended endoscope

reprocessor, such as OER-AW and OER-Pro (ACECIDE may not be available in some areas).

52 TJF-Q190V REPROCESSING MANUAL

 

Table 3.4

Ethylene oxide gas

sterilization (gas
mixture: 20%
ethylene oxide gas Ethylene oxide
Compatibility for /80% CO2 for coun- gas sterilization
Steam tries other than the (100% ethylene
sterilization sterilization USA) oxide gas)

Endoscope

Chapter 3
ETO cap
(MB-156)

Channel cleaning brush

(BW-20T)

Channel-opening cleaning brush

(MH-507)

Distal-end flushing adapter

(MAJ-2319)

Air/water valve (MH-438)

Suction valve (MH-443)
Biopsy valve (MB-358)

Channel plug (MH-944)

Injection tube (MH-946)

AW channel cleaning
adapter (MH-948)

Suction cleaning adapter

(MH-856)
Mouthpiece (MA-392)

compatible not compatible

TJF-Q190V REPROCESSING MANUAL 53

 NOTE

Accessories that are marked by the words “AUTOCLAVE” or “AUTOCLAVABLE”,

or with green markings (such as a green component or label) are compatible with
steam sterilization (autoclaving).

AUTOCLAVABLE
Chapter 3

Green marking

Air/water valve (MH-438)

54 TJF-Q190V REPROCESSING MANUAL

 
3.2 Water (for reprocessing)

Water is used for precleaning, leakage testing, and manual cleaning of the endoscope and
accessories. For these purposes, use either:

• Fresh, drinkable tap water

• Processed water (e.g., filtered, deionized*¹, or purified, to improve its chemical and/or
microbiological quality)

Consult with your hospital’s infection control committee.

When rinsing the endoscope and accessories following disinfection, use the water as described

Chapter 3
in Chapter 3.5, “Rinse water”.

*¹ Deionized means to remove ionized salts from the water by using specially manufactured
ion-exchange resin.

TJF-Q190V REPROCESSING MANUAL 55

 3.3 Detergent solution

WARNING
• Excessive foaming prevents detergent solution from properly contacting the
surfaces and channel walls of the endoscope and accessories, and may impair
effective cleaning.

• Do not reuse detergent solution.

Chapter 3

Use a low-foaming and neutral pH detergent that is labeled for use on medical device,
which may or may not contain enzymes. Follow the instructions provided by the detergent
manufacturer regarding concentration, temperature, contact time, and expiration date.
Contact Olympus for the names of specific brands of detergent solution that have been
tested for compatibility with endoscopes and accessories.

56 TJF-Q190V REPROCESSING MANUAL

 
3.4 Disinfectant solution

WARNING
If the disinfectant solution is reused, check its efficacy by proper methods, such as
using a test strip, according to the disinfectant manufacturer’s recommendations
prior to use.

Use a disinfectant cleared/approved by your national regulatory agency for use in

Chapter 3
reprocessing flexible endoscopes. If national or professional guidelines applicable
to your institution define “high-level disinfection” and require using a high-level
disinfectant for the flexible endoscopes, follow the requirement. Follow the disinfectant
manufacturer’s instructions regarding activation (if required), concentration, temperature,
contact time, and expiration date.

For further information regarding the compatibility of glutaraldehyde-based or non

glutaraldehyde-based disinfectant solution, contact Olympus.

TJF-Q190V REPROCESSING MANUAL 57

 3.5 Rinse water

WARNING
Do not reuse rinse water.

There are various national or professional guidelines that provide different

recommendations for rinsing the endoscope and accessories.
Chapter 3

For example, some national or professional guidelines recommend:

• Using sterile water for rinsing endoscopes and accessories. If sterile water is not
available, these guidelines recommend to:

• Rinse with fresh, drinkable tap water. You may use fresh, drinkable tap water or
water that has been processed (e.g., filtered, deionized*¹, or purified) to improve
its chemical and/or microbiological quality.

• After rinsing, flush the channels and accessories with medical-grade 70% ethyl
or 70% isopropyl alcohol.

Other national or professional guidelines recommend:

• Removing disinfectant solution with at least drinking quality water, then conducting
a final rinse with sterile water. You may use sterile water and/or fresh, drinkable tap
water or water that has been processed (e.g., filtered, deionized*¹, or purified) to
improve its chemical and/or microbiological quality.

• Drying the endoscope channels with compressed filtered air at each reprocessing
procedure and with alcohol at the end of the day.

Consult with your hospital’s infection control committee regarding local policies on water
quality and the use of alcohol.

*¹ Deionized means to remove ionized salts from the water by using specially manufactured
ion-exchange resin.

58 TJF-Q190V REPROCESSING MANUAL

 
3.6 Alcohol

WARNING
• Do not reuse alcohol.

• Alcohol is not a sterilant or high-level disinfectant.

Chapter 3
Use medical-grade 70% ethyl or 70% isopropyl alcohol.

TJF-Q190V REPROCESSING MANUAL 59

 3.7 Ethylene oxide gas sterilization

CAUTION
Exceeding the recommended parameters may cause equipment damage.

3.7.1 Parameters for 100% ethylene oxide gas sterilization

cycles
Chapter 3

The endoscope and accessories listed as compatible with ethylene oxide gas
sterilization in Table 3.4 can be sterilized by 3M™Steri-Vac™ 5XL or STERIS Amsco®
Eagle® 3017 ethylene oxide gas sterilizers with the “55°C cycle” given in Table 3.5, and
aerated with 12 hours or more at 55°C (130°F). When performing ethylene oxide gas
sterilization, follow all national, professional, and institutional reprocessing protocols as
well as the instructions provided by the manufacturer of your sterilization equipment.

Table 3.5

Process phase Parameter Value

Temperature 55°C (130°F)

Relative humidity 50 - 80%

Sterilization
Ethylene oxide gas 0.735 - 0.740 mg/cm³
concentration (735 - 740 mg/L)

Exposure time 60 minutes

Minimum aeration 12 hours in an aeration

Aeration
parameters chamber at 55°C (130°F)

60 TJF-Q190V REPROCESSING MANUAL

3.7.2 Parameters for 20% ethylene oxide gas/ 80% CO2 gas sterilization cycles for countries other than the USA

3.7.2 Parameters for 20% ethylene oxide gas/ 80% CO2 gas
sterilization cycles for countries other than the USA

The endoscope and accessories listed as compatible with ethylene oxide gas
sterilization in Table 3.4 can be sterilized by ethylene oxide gas and aerated within
the parameters given in Table 3.6. When performing ethylene oxide gas sterilization,
follow all national, professional, and institutional reprocessing protocols as well as the
instructions provided by the manufacturer of your sterilization equipment.

Chapter 3
Table 3.6

Process phase Parameter Value

Temperature 55°C (130°F)

Relative pressure 0.1 - 0.17 MPa

Relative humidity 35 - 85%

Sterilization
Ethylene oxide gas 0.6 - 0.7 mg/cm³
concentration (600 - 700 mg/L)

Exposure time 2 - 4 hours

12 hours in an aeration
Minimum aeration chamber at 50 - 57°C
Aeration
parameters (122 - 135°F) or 7 days at
room temperature

TJF-Q190V REPROCESSING MANUAL 61

 3.8 Steam sterilization (autoclaving)

The accessories listed as compatible with steam sterilization in Table 3.4 can be sterilized
by steam within the parameters given in Table 3.7. When steam sterilizing, follow all
national, professional, and institutional reprocessing protocols as well as the instructions
provided by the manufacturer of your sterilization equipment.

CAUTION
• Do not steam sterilize the endoscope. Steam sterilization will cause severe
Chapter 3

damage.

• If the setting parameters of the steam sterilization exceed the parameters

(i.e., 134°C (274°F), 5 minutes) given in Table 3.7, the accessories may be
damaged.

• Actual maximum temperature of the accessories (137°C [279°F]) should not

be exceeded during the sterilization.

3.8.1 Parameters for prevacuum steam sterilization cycle

Parameters for prevacuum steam sterilization cycle

Table 3.7

Value

For countries other

Process phase Parameter than the USA

Prevacuum steam Setting temperature 132°C (270°F) 134°C (274°F)

sterilization cycle
Setting exposure time 4 minutes 3 minutes

Setting drying time a minimum of 20 minutes

If the sterilization pouch of accessory taken out of the sterilizer

is wet, sterilization effect may not be maintained. Reconsider
Drying conditions such as drying time and sterilize again.

Drying time depends on various factors including kinds of sterilizer,

type of sterilization pouch and volume of loading. Confirm the
appropriate drying time beforehand.

62 TJF-Q190V REPROCESSING MANUAL

 
Chapter

4 Reprocessing Workflows

4.1 Summary of reprocessing workflows

This chapter provides charts depicting the workflows for reprocessing the endoscope and
accessories. The charts list the component and the sequence of chapters in this manual that
you will follow to reprocess each component.

Chapter 4
WARNING
Deviation from the recommended workflow may pose an infection control risk.

TJF-Q190V REPROCESSING MANUAL 63

 4.2 Workflow for manually cleaning and disinfecting endoscopes
and accessories

Workflow for manually cleaning and disinfecting endoscopes and accessories

Endoscope Suction Biopsy Air/water Mouthpiece AW channel

valve valve valve (MA-392) cleaning
(MH-443) (MB-358) (MH-438) adapter
(MH-948)

Patient Procedure
Chapter 4

Chapter 5.3 -
Preclean the endcoscope and accessories Chapter 5.3

Chapter 5.4 -
Leakage testing of the
endoscope

Chapter 5.5 -
Manually clean the
endoscope and
accessories

Chapter 5.6 - Manually

disinfect the endoscope
and accessories

Chapter 5.7 -
Rinse the endoscope
and accessories
following disinfection

Chapter 6.2 - Manually clean the accessories

Chapter 6.3 - Manually disinfect the accessories

Chapter 6.4 - Rinse the accessories following disinfection

Chapter 8.2 - Store the disinfected endoscope and accessories

64 TJF-Q190V REPROCESSING MANUAL

 

Channel Channel- Single use Suction Channel Injection Distal-end

cleaning opening combination cleaning plug tube flushing
brush cleaning cleaning adapter (MH-944) (MH-946) adapter
(BW-20T) brush brush (MH-856) (MAJ-2319)
(MH-507) (BW-412T)

Chapter 4
Chapter 5.5

Chapter 5.6

Chapter 5.7

Chapter 6.2

Chapter 6.3 Chapter 6.3

Chapter 6.4 Chapter 6.4 Chapter 6.4

Chapter 8.2 Chapter 8.2

TJF-Q190V REPROCESSING MANUAL 65

 4.3 Workflow for cleaning and disinfecting endoscopes and accessories
using an AER/WD

Workflow for cleaning and disinfecting endoscopes and accessories using an AER/WD

Some endoscopes and accessories cannot be cleaned and disinfected with an AER/WD, and
must be manually disinfected. Endoscopes and accessories that can be cleaned and disinfected
with an AER/WD vary, based on the AER/WD model. Check the AER’s/WD’s instruction manual
to confirm which endoscopes can be cleaned and disinfected in the AER/WD.

WARNING

Conduct all steps of precleaning and manual cleaning as instructed in this manual
even when you use an AER/WD that has instructions that would allow you to skip
some steps in precleaning and manual cleaning of endoscopes.
Chapter 4

Endoscope Suction Biopsy Air/water Mouthpiece AW channel

valve valve valve (MA-392) cleaning
(MH-443) (MB-358) (MH-438) adapter
(MH-948)

Patient Procedure

Chapter 5.3 - Preclean the endcoscope and accessories Chapter 5.3

Chapter 5.4 - Leakage

testing of the endoscope*¹

Chapter 5.5 - Manually clean

the endoscope and
accessories

Chapter 6.2 - Manually clean the accessories

Chapter 7 - Reprocess Endoscopes and Accessories Using an Automated Endoscope

Reprocessor/Washer-Disinfector*2

Chapter 5.6 - Manually Chapter 6.3 - Manually disinfect the accessories

disinfect the endoscope
and accessories

Chapter 5.7 - Rinse the Chapter 6.4 - Rinse the accessories following disinfection
endoscope and accessories
following disinfection

Chapter 8.2 - Store the disinfected endoscope and accessories

66 TJF-Q190V REPROCESSING MANUAL

 

*¹ Check the instruction manual for the AER/WD to determine how to test the endoscope for
leakages using the AER/WD. When leakage testing an endoscope within an AER/WD basin,
it may be difficult to fully angulate the bending section and move the elevator control lever.
Perform leakage testing in the AER/WD and/or manually while angulating the bending section
and moving the elevator control lever.

*² If the endoscope and/or the accessories are compatible with the AER/WD, clean and
disinfect them in the AER/WD, following the AER’s/WD’s instruction manual. If the endoscope
and/or the accessories are not compatible with the AER/WD, manually disinfect and rinse them
following the instructions of this manual, as shown in the dotted boxes.

*³ If the endoscope and the accessories are not compatible with the AER/WD, manually
disinfect and rinse them as described in Chapters 5.6 and 5.7. If the endoscope is compatible
and the accessories are not compatible, manually disinfect and rinse the accessories as
described in Chapters 6.3 and 6.4.

Chapter 4
*⁴ If the endoscope and the distal-end flushing adapter are not compatible with the AER/WD,
manually disinfect them as described in Chapter 5.6. If the endoscope is compatible and the
distal-end flushing adapter is not compatible, manually disinfect the distal-end flushing adapter
as described in Chapter 6.3.

Channel Channel- Single use Suction Channel Injection Distal-end

cleaning opening combination cleaning plug tube flushing
brush cleaning cleaning adapter (MH-944) (MH-946) adapter
(BW-20T) brush brush (MH-856) (MAJ-2319)
(MH-507) (BW-412T)

Chapter 5.5 - Manually clean the endoscope and accessories

Chapter 6.2 - Manually clean the accessories

Chapter 7*² Chapter 7*²

Chapter 5.6
Chapter 6.3 Chapter 6.3 or
Chapter 5.6 and 5.7 Chapter 6.3*4
or
Chapter 6.3 and 6.4*³
Chapter 6.4 Chapter 6.4 Chapter 6.4

Chapter 8.2 Chapter 8.2

TJF-Q190V REPROCESSING MANUAL 67

 4.4 Workflow for manually cleaning and sterilizing endoscopes and
accessories

Workflow for manually cleaning and sterilizing endoscopes and accessories

*¹ If required by the local policy of your institution, disinfect and rinse the endoscope and
accessories manually, or clean and disinfect them with an AER/WD between the manual
cleaning and sterilization.

Endoscope Suction Biopsy Air/water Mouthpiece AW channel Channel

Chapter 4

valve valve valve (MA-392) cleaning cleaning

(MH-443) (MB-358) (MH-438) adapter brush
(MH-948) (BW-20T)

Patient Procedure

Chapter 5.3 - Preclean the endcoscope Chapter 5.3

and accessories

Chapter 5.4 -
Leakage testing
of the
endoscope

Chapter 5.5 -
Manually clean Chapter 5.5
the endoscope
and accessories

*1 Chapter 6.2 - Manually clean the accessories

Chapter 5.8 -
Sterilize the *1 *1 *1 *1 *1 *1
endoscope and
accessories
Chapter 6.5 - Sterilize the accessories

Chapter 8.3 - Storing the sterilized endoscope and accessories

68 TJF-Q190V REPROCESSING MANUAL

 

Channel- Single use Suction Channel Injection Distal-end ETO cap

Chapter 4
opening combination cleaning plug tube flushing (MB-156)
cleaning cleaning adapter (MH-944) (MH-946) adapter
brush brush (MH-856) (MAJ-2319)
(MH-507) (BW-412T)

Chapter 5.5

Chapter 6.2

*1 *1 *1 *1 *1
Chapter 5.8

Chapter 6.5 Chapter 6.5

Chapter 8.3 Chapter 8.3

TJF-Q190V REPROCESSING MANUAL 69

 5.3 Precleaning

Chapter

5 Reprocess the Endoscope (and

related reprocessing accessories)

5.1 Summary

Some accessories are reprocessed with the endoscope, and others are reprocessed
independently. You will find different instructions for reprocessing in chapters 4, 5, and 6:

• Chapter 4, “Reprocessing Workflows”, provides an overview workflow diagram of the

reprocessing steps for the endoscope and all accessories.

• (This chapter) Chapter 5, “Reprocess the Endoscope (and related reprocessing

accessories)”, provides detailed instructions for reprocessing the endoscope and the
accessories needed to reprocess the endoscope.
Chapter 5

• Chapter 6, “Reprocess the Accessories”, provides detailed instructions for reprocessing

accessories that are reprocessed independently.

WARNING
The surface and surrounding area of the TJF-Q190V endoscope’s forceps elevator
has a complex shape, featuring the groove, guidewire-locking groove, and forceps
elevator recess. Reprocess these parts and areas carefully, following the steps in
Chapter 5, “Reprocess the Endoscope (and related reprocessing accessories)”.
Insufficient reprocessing may pose an infection control risk to the patient and/or
operators.

Guidewire-locking
groove Forceps
elevator recess

Forceps
Groove
elevator

70 TJF-Q190V REPROCESSING MANUAL

 

CAUTION
Improper handling may damage the endoscope and/or cause the endoscope to leak.

To prevent damage to the entire endoscope:

• Do not immerse the endoscope with objects other than the required
reprocessing equipment.

• Do not coil the insertion tube or the endoscope’s universal cord with a diameter
of less than 12 cm.

The insertion section of the endoscope is composed of the insertion tube, the
bending section, and the distal end. The bending section is covered by a thin, easily
damaged elastic covering.

Chapter 5
Insertion section includes:

Insertion tube

Bending section

Distal end

To prevent damage to the endoscope’s insertion section:

• Do not allow reprocessing equipment to forcefully contact the bending section.

• Do not allow any sharp edges, such as the distal ends of EndoTherapy
accessories (e.g., needles, forceps, snares, etc. used in the instrument
channel of the endoscope) to contact the bending section.

• Handle the insertion section carefully. Tightly gripping, or bending the insertion
tube or the bending section at a sharp angle can stretch or severely damage
the insertion tube and/or the covering of the bending section.

TJF-Q190V REPROCESSING MANUAL 71

 5.3 Precleaning

5.2 Prepare equipment for reprocessing

5.2.1 Equipment needed

The following accessories and equipment are required to perform the reprocessing steps
described in this chapter.

Accessories for reprocessing:

Channel cleaning brush Channel-opening cleaning Single use combination

(BW-20T*1) brush (MH-507*1) cleaning brush (BW-412T*1)
Chapter 5

Suction cleaning adapter Injection tube Channel plug

(MH-856) (MH-946) (MH-944)

AW channel cleaning Distal-end flushing ETO cap

adapter (MH-948) adapter (MAJ-2319) (MB-156)

Accessories and equipment for leakage testing:

Maintenance unit (MU-1) (Sold separately. Leakage tester (MB-155) (Sold separately.
Refer to its instruction manual.) Refer to its instruction manual.)

Equipment:

Suction pump (KV-6, KV-5, SSU-2)

and suction tube (Sold separately.
Refer to its instruction manual.)

72 TJF-Q190V REPROCESSING MANUAL

 5.2.1 Equipment needed

Personal protective equipment:

Eyewear Face mask Moisture-resistant Chemical-resistant

clothing gloves*2

Fluids used for reprocessing:

• Detergent solution • Water (for reprocessing)

(Refer to Chapter 3.3, “Detergent solution”) (Refer to Chapter 3.2, “Water (for
reprocessing)”)
• Rinse water
(Refer to Chapter 3.5, “Rinse water”) • Disinfectant solution
(Refer to Chapter 3.4, “Disinfectant
• 70% ethyl or 70% isopropyl alcohol solution”)
(Refer to Chapter 3.6, “Alcohol”)

Chapter 5
Other:

• Clean 2000 mL containers • Clean, large basins with tight-fitting lids

(size: 40 (W) x 40 (D) x 25 (H) cm or more)
• Clean lint-free cloths*3
• Clean, large basins
• Clean sponges (size: 40 (W) × 40 (D) × 25 (H) cm or more)
• Clean, soft brushes • Sterile, large basins*4
(size: 40 (W) × 40 (D) × 25 (H) cm or more)
• Clean 30 mL (30 cc) syringes
• Sterile, small basins with tight-fitting
• Sterile lint-free cloths*3, *4
lids*4
• Sterile cotton swabs*4 (size: 25 (W) × 10 (D) × 25 (H) cm or more)

• Sterile 30 mL (30 cc) syringes*4 • Air compressor (Filtered)

• Sterilization pouches*5 • Stainless steel wire mesh basket

(size: 50 (W) x 30 (D) x 10 (H) cm or more)
• Sterilization wraps*5

*1 Prepare a single use combination cleaning brush (BW-412T) OR prepare a channel cleaning brush (BW-20T) and
channel-opening cleaning brush (MH-507).
*2 Long sleeve gloves are recommended to prevent skin exposure.
*3 Lint-free cloths are recommended for reprocessing to prevent lint or cloth fibers from lodging or being trapped in
the endoscope’s components such as channels or air/water nozzle.
*4 Following disinfection, it is very important not to recontaminate the endoscope and accessories with potentially
infectious microorganisms. When rinsing and drying the endoscope and accessories following disinfection, the use
of sterile equipment (basins, cloths, syringes, etc.) is recommended. If sterile equipment is not available, use clean
equipment that does not recontaminate the endoscope and accessories with potentially infectious microorganisms.
Consult with your hospital’s infection control committee regarding local policies or requirements regarding
reprocessing equipment.
*5 For U.S. customers: Use legally U.S. marketed sterilization wraps and sterilization pouches.

TJF-Q190V REPROCESSING MANUAL 73

 5.3 Precleaning

5.3 Preclean the endoscope and accessories

Workflow for precleaning the endoscope and accessories:

Prepare equipment
5.3.1 Equipment needed
5.3.2 Prepare for precleaning

Wipe external surfaces

5.3.3 Wipe the insertion section
5.3.4 Detach the single use distal cover (MAJ-2315)

Flush channels
5.3.5 Aspirate water and air
Chapter 5

5.3.6 Flush the air/water channel with water and air

Detach equipment
5.3.7 Detach the suction tube and the water container’s
metal tip
5.3.8 Detach the endoscope from the light source

WARNING
Preclean the endoscope and the accessories at the bedside immediately after each
patient procedure. If the endoscope and accessories are not immediately cleaned
after each patient procedure, residual organic debris will begin to dry and solidify,
thereby hindering reprocessing efficacy.

NOTE

Some national or professional guidelines recommend using a detergent solution for

precleaning. Consult with your hospital’s infection control committee regarding use
of a detergent solution.

74 TJF-Q190V REPROCESSING MANUAL

 5.3.1 Equipment needed

5.3.1 Equipment needed

Prepare the following equipment.

Accessories and equipment for precleaning:

AW channel Suction pump (KV-6, KV-5, SSU-2)

cleaning adapter (MH-948) and suction tube (Sold separately.
Refer to its instruction manual.)

Chapter 5
Fluids used for precleaning:

• Water (for reprocessing) (Refer to Chapter 3.2, “Water (for reprocessing)”)

Other:

• Clean lint-free cloths • Clean 2000 mL containers

• Clean sponges

TJF-Q190V REPROCESSING MANUAL 75

 5.3 Precleaning
1. Equipment 2. Prepare for 3. Wipe external
needed precleaning surfaces

5.3.2 Prepare for precleaning

At the patient bedside, immediately after the patient procedure, with the endoscope still
connected to the procedure equipment (i.e., the light source, video system center, and
suction pump), perform the following precleaning steps.

1. Turn the video system center and

light source OFF. Video system
center power

Light source
power
Chapter 5

2. Prepare a clean 2000 mL container

filled with water (for reprocessing).

NOTE

As described in Chapter 3.2, “Water (for reprocessing)”, reprocessing water

might be:

• Fresh, drinkable tap water

• Processed water (e.g., filtered, deionized, or purified, to improve its chemical

and/or microbiological quality)

76 TJF-Q190V REPROCESSING MANUAL

 5.3.3 Wipe the insertion section

5.3.3 Wipe the insertion section

1. Immerse clean lint-free cloths or

sponges in the water.

2. Wipe the endoscope’s entire

insertion section (i.e., from the
control section’s boot to the Insertion section
endoscope’s distal end).

Chapter 5

TJF-Q190V REPROCESSING MANUAL 77

 5.3 Precleaning
3. Wipe external 4. Detach distal 5. Aspirate
surfaces cover water

5.3.4 Detach the single use distal cover (MAJ-2315)

1. Ensure that the distal end’s

instrument channel outlet is
Forceps
fully open.
elevator
If closed, open the instrument Instrument
channel outlet by moving the channel outlet
elevator control lever as shown
below until the forceps elevator
stops.

Elevator control lever Closed Open

Chapter 5

2. Gently hold the distal part of the

bending section.
Distal part

78 TJF-Q190V REPROCESSING MANUAL

 5.3.4 Detach the single use distal cover (MAJ-2315)

WARNING
• When detaching the single use distal cover from the endoscope, hold the single use
distal cover tightly. Otherwise, your fingers may slip and cause patient debris and/or
fluid to splatter off, which may pose an infection control risk.

• Do not reuse the single use distal cover. Reusing the single use distal cover could
pose an infection risk. After use, dispose of it in an appropriate manner.

CAUTION
• After removing the single use distal cover, carefully handle the forceps elevator
while cleaning, disinfecting, sterilizing, storage, and/or preparing the endoscope.
This helps to prevent any damage to the forceps elevator.

• Do not forcefully grasp other parts of the bending section when detaching the

Chapter 5
single use distal cover because it can result in damage to the bending section’s
mechanism or damage its covering.

3. While gently holding the distal part

of the bending section, remove the
a) Gripper
single use distal cover, as follows:
a) Push back the top of the single
use distal cover’s gripper to begin
removal.
b) Rotate the single use distal cover
until its bottom is free from the
distal ring’s hook.
b)

Hook

TJF-Q190V REPROCESSING MANUAL 79

 5.3 Precleaning
3. Wipe external 4. Detach distal 5. Aspirate
surfaces cover water

4. Discard the single use distal cover

into a biohazard container.

5. Immerse a new clean lint-free cloth

in the water.

If you are using a sponge, immerse

an area of the sponge that is still
clean. Otherwise, use a new sponge.
Chapter 5

6. Wipe the endoscope’s distal end.

80 TJF-Q190V REPROCESSING MANUAL

 5.3.5 Aspirate water and air

5.3.5 Aspirate water and air

NOTE

Monitor the suction bottle on the suction pump carefully to ensure that it does not
overflow.

1. If using the KV-6 or KV-5 suction

pump, turn the vacuum regulator
knob clockwise until the knob stops
and sets to maximum.

NOTE

Chapter 5
The maximum vacuum pressure
of the suction pump is:
Set to MAX
• KV-6: -95 kPa
• KV-5: -85 kPa

2. Turn the suction pump ON (if suction

pump is off).

3. Close the biopsy valve cap.

Cap

TJF-Q190V REPROCESSING MANUAL 81

 5.3 Precleaning
4. Detach distal 5. Aspirate 6. Flush air/water
cover water and air channel

4. Ensure that the distal end’s

instrument channel outlet is fully Forceps
open. elevator

If closed, open the instrument Instrument

channel outlet by moving the channel outlet
elevator control lever as shown
below until the forceps elevator
stops.

Elevator control lever Closed Open

Chapter 5

5. Immerse the endoscope’s distal end

in the water.

6. Aspirate water for 30 seconds or

more, as follows:
a) Depress and
hold suction
valve
a) Depress and hold the suction
valve (MH-443) on the
endoscope. 10 30
sec. sec.
b) While depressing the suction
valve, move the elevator control
lever in each direction three times
to move the forceps elevator up
3X
b)
and down.

NOTE
Use a clock or a timer to accurately
measure 30 seconds or more.

82 TJF-Q190V REPROCESSING MANUAL

 5.3.5 Aspirate water and air

7. Remove the endoscope’s distal end

from the water.

8. Depress and hold the suction valve

and aspirate air for 10 seconds or
Depress and
hold suction
valve
more.

Chapter 5
NOTE 10 30
sec. sec.
Use a clock or a timer to accurately
measure 10 seconds or more.

9. Turn the suction pump OFF.

TJF-Q190V REPROCESSING MANUAL 83

 5.3 Precleaning
5. Aspirate 6. Flush air/water 7. Detach
water and air channel suction tube

5.3.6 Flush the air/water channel with water and air

CAUTION
• After each patient procedure, to prevent the air/water nozzle from clogging, use the
AW channel cleaning adapter (MH-948) to flush the endoscope’s air channel with
water.

• Do not apply lubricants to the AW channel cleaning adapter. Lubricants may cause
malfunction of the AW channel cleaning adapter.

1. If using the endoscopic CO2 regulation unit (UCR), ensure that the UCR’s gas
flow is stopped. If the UCR’s gas flow is on, press the UCR start/stop switch to
Chapter 5

stop gas flow.

2. Turn the light source ON.

Light
source
power

3. Set the light source’s airflow to STBY

to turn the airflow off. Airflow ON
H
M
STBY L

84 TJF-Q190V REPROCESSING MANUAL

 5.3.6 Flush the air/water channel with water and air

4. Detach the air/water valve (MH-438) from the endoscope and place the air/water
valve in the water.

Air/water
valve

Blue ring

Chapter 5
NOTE

• Set aside the air/water valve (which is currently in water). You will reprocess this
accessory as described in Chapter 6, “Reprocess the Accessories”.

• Water may drip from the air/water cylinder when the air/water valve is detached. If
this occurs, hold the control section higher than the water container. The water (i.e.,
sterile water in the water container) dripping from the air/water cylinder is clean.

5. Attach the AW channel cleaning adapter

(MH-948) to the endoscope’s air/water
AW channel
cleaning
adapter
cylinder.

Blue ring

6. Immerse the endoscope’s distal end

in the water.

TJF-Q190V REPROCESSING MANUAL 85

 5.3 Precleaning
5. Aspirate 6. Flush air/water 7. Detach
water channel suction tube

7. Turn the light source’s airflow

regulator to HIGH. Regulator ON
STBY
H
M
L

8. Turn the light source’s airflow ON.

Airflow ON
STBY
H
M
L
Chapter 5

9. Depress and hold the AW channel AW channel

cleaning
cleaning adapter’s button for 30
adapter’s
seconds or more to flush the air button
channel with water from the water
container.

NOTE
10 30
sec.
Use a clock or a timer to accurately sec.
measure 30 seconds or more.

86 TJF-Q190V REPROCESSING MANUAL

 5.3.6 Flush the air/water channel with water and air

10. Release the AW channel cleaning

adapter’s button for 10 seconds or
more to flush the air/water channel
with air.

NOTE 10 30
sec. sec.
Use a clock or a timer to accurately
measure 10 seconds or more.

11. Turn the light source OFF.

Light
source
power

Chapter 5

TJF-Q190V REPROCESSING MANUAL 87

 5.3 Precleaning
6. Flush air/water 7. Detach 8. Detach
channel suction tube endoscope

5.3.7 Detach the suction tube and the water container’s

metal tip

1. Detach the suction tube from the

endoscope connector’s suction
connector.

2. Rotate the water container’s

metal tip (MAJ-901 or MAJ-902)
counterclockwise and detach from
Chapter 5

the endoscope’s air/water supply

connectors.

3. As described in the water container

instruction manual, place the metal
tip into the water container’s tip
receptacle.

Metal tip
Tip receptacle

88 TJF-Q190V REPROCESSING MANUAL

 5.3.8 Detach the endoscope from the light source

5.3.8 Detach the endoscope from the light source

WARNING
Do not touch the endoscope connector’s light guide immediately after detaching it
from the light source because it is extremely hot, and could cause injury.

1. Detach the endoscope connector

from the light source.

Chapter 5
2. Transport the endoscope to the
reprocessing area. Use a covered Cover
container to avoid environmental
contamination if required by local
policies.

TJF-Q190V REPROCESSING MANUAL 89

 5.4 Leakage testing

5.4 Leakage testing of the endoscope

Workflow for leakage testing the endoscope:

Prepare equipment
5.4.1 Equipment needed
5.4.2 Detach the accessories from the endoscope

Perform leakage test

5.4.3 Perform the leakage test

5.4.1 Equipment needed

Chapter 5

Prepare the following equipment.

Accessories and equipment for leakage testing:

Leakage tester (MB-155) (Sold separately. Maintenance unit (MU-1) (Sold separately.
Refer to its instruction manual.) Refer to its instruction manual.)

Fluids used for leakage testing:

• Detergent solution • Water (for reprocessing)

(Refer to Chapter 3.3, “Detergent solution”) (Refer to Chapter 3.2, “Water (for
reprocessing)”)

Other:

• Clean, large basins • Clean lint-free cloths

(size: 40 (W) × 40 (D) × 25 (H) cm or more)

90 TJF-Q190V REPROCESSING MANUAL

 5.4.2 Detach the accessories from the endoscope

5.4.2 Detach the accessories from the endoscope

1. Detach the AW channel cleaning adapter (MH-948) and the suction valve
(MH-443) from the endoscope and place them in the detergent solution.

Suction
valve

AW channel
cleaning
adapter

NOTE

Chapter 5
Set aside the AW channel cleaning adapter and the suction valve. You will reprocess
these accessories as described in Chapter 6, “Reprocess the Accessories”.

2. If using the single use biopsy valve (MAJ-1555), break off the single use biopsy
valve’s lever. Then, detach the single use biopsy valve from the instrument
channel port and discard it in a biohazard container.

Single use
biopsy valve

Lever

WARNING
• Break off the single use biopsy valve’s lever, then remove the single use biopsy
valve from the instrument channel port. Otherwise, the valve might spray patient
debris or fluids, which poses an infection control risk.

• Do not reuse the single use biopsy valve. Reusing the single use biopsy valve could
pose an infection control risk and cause the endoscope to malfunction. After use,
dispose of it in a biohazard container.

TJF-Q190V REPROCESSING MANUAL 91

 5.4 Leakage testing
1.Equipment
Equipment 2.Detach
Detach 3.Perform
Perform
needed accessories leakage test

3. If using the biopsy valve (MB-358), detach the valve from the instrument channel
port and place it in the detergent solution.

Biopsy valve

NOTE
Chapter 5

Set aside the biopsy valve. You will reprocess this accessory as described in
Chapter 6, “Reprocess the Accessories”.

92 TJF-Q190V REPROCESSING MANUAL

 5.4.3 Perform the leakage test

5.4.3 Perform the leakage test

WARNING

Once you immerse the endoscope, keep it immersed at all times when
performing the leakage test, unless the instructions state otherwise.
Holding the endoscope out of the fluid while performing the leakage test
may pose an infection control risk.

1. Fill a clean, large basin with water

(for reprocessing).
Water (for

Chapter 5
reprocessing)

2. Attach the leakage tester’s connector

(MB-155) to the maintenance unit’s
Maintenance unit

output socket (MU-1). Output socket

Leakage tester’s
connector

TJF-Q190V REPROCESSING MANUAL 93

 5.4 Leakage testing
1.Equipment
Equipment 2.Detach
Detach 3.Perform
Perform
needed accessories leakage test

3. Turn the maintenance unit ON.

4. Depress the pin located inside the

Chapter 5

leakage tester’s connector cap.

Confirm that air is emitted from the
connector cap (listen for a whoosh Pin
sound).

94 TJF-Q190V REPROCESSING MANUAL

 5.4.3 Perform the leakage test

5. Ensure that both the leakage tester’s

connector cap and the endoscope’s
venting connector are dry.

If the leakage tester’s connector

Connector
cap or the endoscope’s venting cap
connector is not dry, dry it with clean
lint-free cloths. Venting
connector
Endoscope connector

CAUTION
When attaching the leakage tester’s connector cap (MB-155) to the endoscope’s
venting connector make sure that both the connector cap and the venting connector
are thoroughly dry. Water on the surface of either component may enter the
endoscope and could cause endoscope damage.

Chapter 5
6. Attach the leakage tester’s connector
cap to the endoscope connector’s
Connector cap
keyway
venting connector, as follows:
a) Align the keyway on the connector b) c)
cap with the pin on the venting
connector; a)

b) Push the connector cap towards

the endoscope connector until it
stops;
c) Rotate the connector cap
clockwise (approximately 90°) Venting
until it stops. connector
pin

CAUTION
• Do not attach/detach the leakage tester while immersing the endoscope in
water because this could allow water to enter the endoscope, resulting in
endoscope damage.

• Push on and rotate the connector cap clockwise fully until it stops. If it is not
fully and properly attached, the interior of the endoscope will not be properly
pressurized and leakage testing will not be accurate.

TJF-Q190V REPROCESSING MANUAL 95

 5.4 Leakage testing
1.Equipment
Equipment 2.Detach
Detach 3.Perform
Perform
needed accessories leakage test

7. With the leakage tester

attached, completely immerse Keep immersed
Keep
when
immersed
cleaningtesting
when leakage
the endoscope in the water.

8. Keeping the endoscope completely immersed in the water, turn the

endoscope’s U/D and R/L angulation control knobs for 30 seconds or
more in total and confirm that air bubbles do not emerge continuously or
Chapter 5

intermittently from the endoscope.

Bend in all NO air bubbles

10 30 directions should emerge
sec. sec.

CAUTION
If you identify a leak during leakage testing, remove the endoscope from the water
with the leakage tester still attached. Contact Olympus regarding instructions for
reprocessing a leaking endoscope in preparation for returning the endoscope to
Olympus for repair.

NOTE
Use a clock or a timer to accurately measure 30 seconds or more.

96 TJF-Q190V REPROCESSING MANUAL

 5.4.3 Perform the leakage test

9. Keeping the endoscope completely

immersed in the water, move the Elevator
NO air
bubbles
endoscope’s elevator control lever control should
for 30 seconds or more and confirm lever emerge
that after 30 seconds NO air bubbles
emerge continuously or intermittently
around the endoscope’s forceps
elevator.

10 30
sec. sec.

WARNING
The elevator control lever must be moved during leakage testing to detect leaks

Chapter 5
that occur only when the forceps elevator is up or down. Use of an endoscope
with a leak may pose an infection control risk.

NOTE
• During the leakage test, it is normal for the bending section’s covering to
expand as the air pressure inside the endoscope increases.

• Use a clock or a timer to accurately measure 30 seconds or more.

10. With the leakage tester attached,

remove the endoscope from the
water.

CAUTION
Do not attach/detach the leakage tester while immersing the endoscope in water
because this could allow water to enter the endoscope, resulting in endoscope
damage.

TJF-Q190V REPROCESSING MANUAL 97

 5.4 Leakage testing
1.Equipment
Equipment 2.Detach
Detach 3.Perform
Perform
needed accessories leakage test

11. Turn the maintenance unit OFF.

12. Detach the leakage tester’s

connector from the maintenance unit.
Chapter 5

CAUTION
Detach the leakage tester from the maintenance unit (MU-1) before detaching
the leakage tester from the endoscope. If the leakage tester is detached from the
endoscope before detaching the leakage tester from the maintenance unit, the
air pressure inside the endoscope will not vent properly, which may damage the
endoscope.

13. Wait about 30 seconds until the

bending section’s covering contracts
to its pre-expansion size.

10 30 Bending section
sec. sec.

98 TJF-Q190V REPROCESSING MANUAL

 5.4.3 Perform the leakage test

14. Detach the leakage tester from the

endoscope.

15. Thoroughly dry both connectors of

the leakage tester using
Connector

clean lint-free cloths.

Chapter 5

TJF-Q190V REPROCESSING MANUAL 99

 5.5 Manual cleaning

5.5 Manually clean the endoscope and accessories

Workflow for manually cleaning the endoscope and accessories:

Prepare equipment
5.5.1 Equipment needed

Clean endoscope surfaces

5.5.2 Clean the endoscope’s external surfaces

Brush distal end and channels

5.5.3 Brush the forceps elevator and forceps elevator recess
5.5.4 Brush the endoscope’s distal end and distal ring surfaces
5.5.5 Brush the endoscope’s channels
Chapter 5

Flush distal end, aspirate and flush channels

5.5.6 Flush the endoscope’s distal end with detergent solution
5.5.7 Aspirate detergent solution through the instrument channel
and the suction channel
5.5.8 Flush the air/water channel with detergent solution

Immerse then wipe external surfaces

5.5.9 Immerse and then wipe the endoscope and accessories
in detergent solution

Remove detergent solution

5.5.10 Remove detergent solution from the distal end and all
channels
5.5.11 Dry the external surfaces

Ensure that you perform manual cleaning within 1 hour after the patient procedure.

If manual cleaning cannot be performed within 1 hour after the patient procedure or if you are
not sure whether manual cleaning was performed within 1 hour, presoak the endoscope in the
detergent solution, as described in Chapter 5.9, “Presoak the endoscope”, before manually
cleaning the endoscope.

100 TJF-Q190V REPROCESSING MANUAL

 5.5.1 Equipment needed

5.5.1 Equipment needed

Prepare the following equipment.

Accessories for manual cleaning:

Single use Channel cleaning Channel-opening Suction cleaning

combination brush cleaning brush adapter
cleaning brush (BW-20T*1) (MH-507*1) (MH-856)
(BW-412T*1)

Chapter 5
Injection tube Channel plug Distal-end flushing
(MH-946) (MH-944) adapter
(MAJ-2319)

*1 Prepare a single use combination cleaning brush (BW-412T) OR prepare a channel cleaning brush (BW-20T) and
channel-opening cleaning brush (MH-507).

Equipment:

Suction pump (KV-6, KV-5, SSU-2)

and suction tube (Sold separately.
Refer to its instruction manual.)

TJF-Q190V REPROCESSING MANUAL 101

 5.5 Manual cleaning
1. Equipment 2. Clean
needed surfaces

Fluids used for manual cleaning:

• Detergent solution • Water (for reprocessing)

(Refer to Chapter 3.3, “Detergent solution”) (Refer to Chapter 3.2, “Water (for
reprocessing)”)

Other:

• Clean, soft brushes OR clean sponges • Clean 30 mL (30 cc) syringes

OR clean lint-free cloths
• Clean lint-free cloths
• Clean, large basins
(size: 40 (W) × 40 (D) × 25 (H) cm or more)
Chapter 5

5.5.2 Clean the endoscope’s external surfaces

WARNING

Once you immerse the endoscope, keep it immersed at all times when
performing the cleaning steps, unless the instructions state otherwise.
Holding the endoscope out of the fluid while cleaning may pose an
infection control risk.

5.5.2.1 Prepare for manual cleaning

1. Fill a clean, large basin with the

detergent solution at the temperature Detergent
and concentration recommended by
solution
the detergent manufacturer.

Refer to the detergent

manufacturer’s instructions for the
recommended temperature and
concentration.

102 TJF-Q190V REPROCESSING MANUAL

 5.5.2 Clean the endoscope’s external surfaces

2. Completely immerse the endoscope

in the detergent solution. Keep immersed
when cleaning

5.5.2.2 Clean the endoscope’s external surfaces

This section describes how to clean the external surfaces of the endoscope’s:

Chapter 5
• Insertion section
• Control section (including its surrounding parts)
• Endoscope connector and universal cord

1. Keeping the endoscope immersed in the detergent solution, use clean lint-free
cloths, sponges, or brushes, to thoroughly wipe or brush all the external surfaces
of the endoscope’s:
a) Insertion section
b) Control section (including the universal cord’s boot, the control section’s boot)
c) Endoscope connector and universal cord

a) Insertion section b) Control section c) Endoscope connector

and universal cord

Universal Endoscope
cord’s connector
boot

Control
section’s
boot

Universal
cord

TJF-Q190V REPROCESSING MANUAL 103

 5.5 Manual cleaning
1. Equipment 2. Clean 3. Brush forceps
needed surfaces elevator and recess

2. Remove the following parts from the detergent solution and confirm that no
debris remains on the external surfaces of these parts:
a) Insertion section
b) Control section (including the universal cord’s boot, the control section’s boot)
c) Endoscope connector and universal cord

If any debris remains, repeat Steps 1 and 2 until no debris remains.

a) Insertion section b) Control section c) Endoscope connector

and universal cord

NO debris NO debris NO debris

Chapter 5

NO debris

NOTE

Remove debris from the endoscope’s distal end and distal ring later in this
chapter as described in the following chapters:
• Chapter 5.5.3, “Brush the forceps elevator and forceps elevator recess”
• Chapter 5.5.4, “Brush the endoscope’s distal end and distal ring surfaces”, and
• Chapter 5.5.6, “Flush the endoscope’s distal end with detergent solution”

3.
When all debris is removed, put all
parts back in the detergent solution.

104 TJF-Q190V REPROCESSING MANUAL

 5.5.3 Brush the forceps elevator and forceps elevator recess

5.5.3 Brush the forceps elevator and forceps elevator recess

WARNING

• Once you immerse the endoscope, keep it immersed at

all times when performing the cleaning steps, unless the
instructions state otherwise. Holding the endoscope out of the
fluid while cleaning may pose an infection control risk.

• To avoid splashing the detergent solution, keep the endoscope

immersed in the detergent solution while brushing the forceps
elevator and the forceps elevator recess.

Chapter 5
CAUTION
• Gently brush the forceps elevator and
forceps elevator recess using a channel-
opening cleaning brush (MH-507) or a single Channel-opening
use combination cleaning brush (BW-412T). cleaning brush (MH-507)

• Do not use a stiff brush or brush with

excessive force. Using a stiff brush or
brushing with excessive force may damage
the endoscope’s distal end and cause the
endoscope to leak.
Single use combination
cleaning brush (BW-412T)

TJF-Q190V REPROCESSING MANUAL 105

 5.5 Manual cleaning
2. Clean 3. Brush forceps 4. Brush distal
surfaces elevator and recess end and ring

5.5.3.1 Brush the front of the forceps elevator

1. You may use the channel-opening

cleaning brush (MH-507) or the
Handle
Large brush

large brush with handle on the Handle

single use combination cleaning
brush (BW-412T).

Always grip the brush’s handle

while brushing.

Channel-opening Single use

cleaning brush combination cleaning
(MH-507) brush (BW-412T)

2.
Chapter 5

Turn the endoscope’s U/D and

R/L angulation control knobs to
straighten the endoscope’s bending
section.

3. Ensure that the distal end’s

instrument channel outlet is fully Forceps
elevator
open.
Instrument
If closed, open the instrument channel outlet
channel outlet by moving the
elevator control lever as shown
below until the forceps elevator
stops.

Elevator control lever Closed Open

106 TJF-Q190V REPROCESSING MANUAL

 5.5.3 Brush the forceps elevator and forceps elevator recess

4. Hold the endoscope’s distal end so you can see the lens.

While brushing, keep the endoscope’s distal end completely immersed in the
detergent solution.

Keep immersed
Keep immersed
Lens when cleaning
cleaning
when

Chapter 5
5. Perform the following brushing
action:
a)
3X
b)

a) Insert the brush into the

instrument channel outlet, along Instrument
the forceps elevator, until the channel
outlet
brush handle touches the distal
end.
b) Pull the brush out of the
instrument channel outlet
completely.
c) Repeat Steps a) and b) two
more times, for a total of three
times.

TJF-Q190V REPROCESSING MANUAL 107

 5.5 Manual cleaning
2. Clean 3. Brush forceps 4. Brush distal
surfaces elevator and recess end and ring

6. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

7. Perform the following brushing

action:
Instrument channel outlet

a) b) c) d)
a) Insert the brush into the
Chapter 5

instrument channel outlet, along

the forceps elevator, until the
brush handle touches the distal
end.
b) Rotate the brush one full rotation
(360 degrees) clockwise.
c) Rotate the brush one full rotation
(360 degrees) counterclockwise.
d) Pull the brush out of the
instrument channel outlet
completely.

8. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

108 TJF-Q190V REPROCESSING MANUAL

 5.5.3 Brush the forceps elevator and forceps elevator recess

9. Remove the distal end

from the detergent solution
NO debris

and confirm that no debris

remains on the front of the
forceps elevator.

If any debris remains,

repeat Steps 7 through 9
until no debris remains.

10. When all debris is removed, put

the distal end back in the detergent
solution.

Chapter 5
5.5.3.2 Brush the back of the forceps elevator

1. Close the instrument channel outlet

by moving the elevator control lever
in the direction shown in the image
on the right until the forceps elevator
stops. Confirm the instrument
channel outlet is closed.

Instrument channel
outlet closed

TJF-Q190V REPROCESSING MANUAL 109

 5.5 Manual cleaning
2. Clean 3. Brush forceps 4. Brush distal
surfaces elevator and recess end and ring

2. Perform the following brushing

action:
a) Insert the brush into the forceps
elevator recess, along the back
of the forceps elevator, until the
brush handle touches the distal
end.
b) Pull the brush out of the forceps
elevator recess completely.
Chapter 5

3. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

4. Remove the distal end NO debris

from the detergent solution
and confirm that no debris
remains on the back of the
forceps elevator.

If any debris remains,

repeat Steps 2 through 4
until no debris remains.

110 TJF-Q190V REPROCESSING MANUAL

 5.5.3 Brush the forceps elevator and forceps elevator recess

5.
When all debris is removed, put
the distal end back in the detergent
solution.

5.5.3.3 Brush the bottom of the forceps elevator

and recess from the back side

1. Hold the endoscope’s distal end with the lens facing down, so that you
can see the distal end’s back side and bottom of the forceps elevator
(highlighted in light orange).

Chapter 5
While brushing, keep the endoscope’s distal end completely immersed in
the detergent solution.

Keep immersed
Keep immersed
when cleaning
when cleaning
Bottom of
forceps
elevator

2. Brush the bottom of the forceps

elevator back and forth, three times Bottom of
as shown in the image on the right. forceps elevator

3X

TJF-Q190V REPROCESSING MANUAL 111

 5.5 Manual cleaning
2. Clean 3. Brush forceps 4. Brush distal
surfaces elevator and recess end and ring

3. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

4. Perform the following brushing

action:
a)
a) Insert the brush into the groove Groove
along the back of the forceps
elevator until the brush handle
touches the distal end.
b) Pull the brush out of the groove
Chapter 5

completely.

3X
c) Repeat Steps a) and b) two
more times, for a total of three
times.
b)

5. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

112 TJF-Q190V REPROCESSING MANUAL

 5.5.3 Brush the forceps elevator and forceps elevator recess

6. Perform the following brushing

action:
a)
Recess

a) Insert the brush into the forceps

elevator recess until the brush
handle touches the distal end.
b) Pull the brush out of the forceps
elevator recess completely.

b)

Chapter 5
7. Clean the brush’s bristles in the
detergent solution using your gloved
fingertips to remove any debris.

8.
Forceps

3X
Keeping the endoscope immersed elevator
in the detergent solution, move
the elevator control lever in each
direction three times to move the
forceps elevator up and down.

9. Confirm the instrument channel is

closed.

If the instrument channel outlet is

open, close the outlet by moving the
elevator control lever as shown in the
image on the right until the forceps
elevator stops.

Instrument channel
outlet closed

TJF-Q190V REPROCESSING MANUAL 113

 5.5 Manual cleaning
2. Clean 3. Brush forceps 4. Brush distal
surfaces elevator and recess end and ring

10. Remove the distal end from the detergent solution, and confirm that no debris
remains on the bottom of the forceps elevator, forceps elevator recess, and
groove.

If any debris remains, repeat Steps 2 through 10 until no debris remains.

NO debris on: Forceps

elevator
recess

Groove

Bottom of
forceps
elevator
Chapter 5

11. When all debris is removed, put

the distal end back in the detergent
solution.

12. Open the instrument channel outlet Forceps

elevator
by moving the elevator control lever
as shown in the image on the right
until the forceps elevator stops.
Confirm the instrument channel
outlet is open.

Instrument
channel outlet

114 TJF-Q190V REPROCESSING MANUAL

 5.5.4 Brush the endoscope’s distal end and distal ring surfaces

5.5.4 Brush the endoscope’s distal end and distal ring

surfaces

This chapter describes how to brush the five external surfaces of the distal end and the distal
ring. The five surfaces are pictured here:

Front (Lens) Distal Left side Right side Back side

side surface surface surface surface surface

Chapter 5
WARNING

• Once you immerse the endoscope, keep it immersed at

all times when performing the cleaning steps, unless the
instructions state otherwise. Holding the endoscope out of the
fluid while cleaning may pose an infection control risk.

• To avoid splashing the detergent solution, keep the endoscope

immersed in the detergent solution while brushing the distal end
and the distal ring.

CAUTION
• Gently brush the forceps elevator and
forceps elevator recess using a channel- Channel-opening
opening cleaning brush (MH-507) or a cleaning brush
single use combination cleaning brush
(BW-412T).

• Do not use a stiff brush or brush with

excessive force. Using a stiff brush or
brushing with excessive force may damage
the endoscope’s distal end and cause the
Single use combination
endoscope to leak. cleaning brush

TJF-Q190V REPROCESSING MANUAL 115

 5.5 Manual cleaning
3. Brush forceps 4. Brush distal 5. Brush
elevator and recess end and ring channels

5.5.4.1 Brush the lens side surface of the distal

end and the distal ring

1. You may use the channel-opening

cleaning brush (MH-507) or the Handle
Large brush

Handle
large brush with handle on the
single use combination cleaning
brush (BW-412T).

Always grip the brush’s handle

while brushing.

Channel-opening Single use

cleaning brush combination cleaning
(MH-507) brush (BW-412T)
Chapter 5

2. Hold the endoscope’s distal end so you can see the lens.

While brushing, keep the endoscope’s distal end completely immersed in the
detergent solution.

Keep immersed
Keep immersed
when cleaning
when cleaning

Lens

116 TJF-Q190V REPROCESSING MANUAL

 5.5.4 Brush the endoscope’s distal end and distal ring surfaces

3. Brush back and forth across the lens side surface (highlighted in light orange) of
the distal end and the distal ring, as shown in the image below.

Ensure that you do not leave any debris on the:

• Air/water nozzle opening
• Lens
• Edge
• Around the hook

Lens

Air/water
nozzle

Distal
ring
Edge

Chapter 5
Hook

4. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

5. Brush up and down, along the distal

end’s lens side surface (highlighted
in light orange) and the distal ring, as
shown in the image on the right.

Ensure that you do not leave any

debris along the grooves beside the
distal ring.

Grooves

TJF-Q190V REPROCESSING MANUAL 117

 5.5 Manual cleaning
3. Brush forceps 4. Brush distal 5. Brush
elevator and recess end and ring channels

6. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

7. Remove the distal end from the

detergent solution, and confirm that NO debris
no debris remains on the lens side
surface of the distal end and the
distal ring.

If any debris remains, repeat

Steps 3 through 7 until no debris
remains.
Chapter 5

8. When all debris is removed, put

the distal end back in the detergent
solution.

5.5.4.2 Brush the distal end’s distal surface

1. Hold the endoscope’s distal end so you can see the distal surface (highlighted in
light orange).

While brushing, keep the endoscope’s distal end completely immersed in the
detergent solution.

Distal
surface

118 TJF-Q190V REPROCESSING MANUAL

 5.5.4 Brush the endoscope’s distal end and distal ring surfaces

2. Brush back and forth across

the distal end’s distal surface
(highlighted in light orange), as
shown in the image on the right.

3. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

Chapter 5
4. Remove the distal end from the
detergent solution, and confirm
NO debris

that no debris remains on the distal

surface of the distal end.

If any debris remains, repeat

Steps 2 through 4 until no debris
remains.

5. When all debris is removed, put

the distal end back in the detergent
solution.

TJF-Q190V REPROCESSING MANUAL 119

 5.5 Manual cleaning
3. Brush forceps 4. Brush distal 5. Brush
elevator and recess end and ring channels

5.5.4.3 Brush the left side surface of the distal end and the
distal ring

1. Hold the endoscope’s distal end with the lens facing right, so you can see the left
side surface (highlighted in light orange).

While brushing, keep the endoscope’s distal end completely immersed in the
detergent solution.

Left
side
Chapter 5

2. Brush back and forth across the

left side surface (highlighted in light
orange) of the distal end and the
distal ring, as shown in the image on
the right.

Ensure that you do not leave any

debris along the distal ring’s edge. Distal
ring’s edge

3. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

120 TJF-Q190V REPROCESSING MANUAL

 5.5.4 Brush the endoscope’s distal end and distal ring surfaces

4.
Grooves
Brush back and forth along the two
grooves (highlighted in light orange)
on the distal end’s left side surface,
as shown in the image on the right.

5. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

Chapter 5
6. Brush up and down, along the distal
end’s left side surface (highlighted in
light orange) and the distal ring, as
shown in the image on the right.

7. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

TJF-Q190V REPROCESSING MANUAL 121

 5.5 Manual cleaning
3. Brush forceps 4. Brush distal 5. Brush
elevator and recess end and ring channels

8. Remove the distal end from the NO debris

detergent solution, and confirm that
no debris remains on the left side
surface of the distal end and the
distal ring.

If any debris remains, repeat

Steps 2 through 8 until no debris
remains.

9. When all debris is removed, put

the distal end back in the detergent
solution.
Chapter 5

5.5.4.4 Brush the right side surface of the distal end and the
distal ring

1. Hold the endoscope’s distal end with the lens facing left, so you can see the right
side surface (highlighted in light orange).

While brushing, keep the endoscope’s distal end completely immersed in the
detergent solution.

Right
side

2. Brush back and forth across right

side surface (highlighted in light
orange) of the distal end and the
distal ring, as shown in the image on
the right.

Ensure that you do not leave any

debris along the distal ring’s edge. Distal ring’s
edge

122 TJF-Q190V REPROCESSING MANUAL

 5.5.4 Brush the endoscope’s distal end and distal ring surfaces

3. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

Grooves
4. Brush back and forth along the two
grooves (highlighted in light orange)
on the distal end’s right side surface,
as shown in the image on the right.

Chapter 5
5. Clean the brush’s bristles in the
detergent solution using your gloved
fingertips to remove any debris.

6. Brush up and down, along the distal

end’s right side surface (highlighted
in light orange) and the distal ring, as
shown in the image on the right.

7. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

TJF-Q190V REPROCESSING MANUAL 123

 5.5 Manual cleaning
3. Brush forceps 4. Brush distal 5. Brush
elevator and recess end and ring channels

8. Remove the distal end from the

detergent solution, and confirm that
NO debris

no debris remains on the right side

surface of the distal end and the
distal ring.

If any debris remains, repeat

Steps 2 through 8 until no debris
remains.

9. When all debris is removed, put

the distal end back in the detergent
solution.
Chapter 5

5.5.4.5 Brush the back side surface of the distal end and the
distal ring

1. Hold the endoscope’s distal end with the lens facing down, so you can see the
back side surface (highlighted in light orange).

While brushing, keep the endoscope’s distal end completely immersed in the
detergent solution.

Back
side

2. Brush back and forth across the

back side surface (highlighted in light
orange) of the distal end and the
distal ring, as shown in the image on
the right.

Ensure that you do not leave any

debris along the distal ring’s edge.
Distal ring’s
edge

124 TJF-Q190V REPROCESSING MANUAL

 5.5.4 Brush the endoscope’s distal end and distal ring surfaces

3. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

4. Brush up and down along the back

side surface of the distal end and
distal ring, as shown in the image on
the right.

Chapter 5
5. Clean the brush’s bristles in the
detergent solution using your gloved
fingertips to remove any debris.

6. Remove the distal end from the

detergent solution, and confirm that
NO debris

no debris remains on the back side

surface of the distal end and the
distal ring.

If any debris remains, repeat

Steps 2 through 6 until no debris
remains.

7. When all debris is removed, put

the distal end back in the detergent
solution.

TJF-Q190V REPROCESSING MANUAL 125

 5.5 Manual cleaning
4. Brush distal 5. Brush 6. Flush with
end and ring channels detergent

5.5.5 Brush the endoscope’s channels

WARNING
• Follow the instructions in this chapter to ensure you thoroughly brush the inside
of the instrument channel, the instrument channel port, the suction channel, and
the suction cylinder of the endoscope. Insufficient brushing may pose an infection
control risk.
Suction cylinder
Instrument channel port

Instrument channel
Chapter 5

Suction channel

• To avoid splashing the detergent solution when the brush is pulled out from the
endoscope, keep the endoscope completely immersed in the detergent solution.

• Channel cleaning brushes can become damaged or broken, leading to device

malfunction and/or patient injury. Note that:

• The channel cleaning brush (BW-20T) degrades as it is used.

• The single use combination cleaning brush (BW-412T) is for single use.

• Repeated usage of these brushes may cause the brush head to become bent
or kinked, which could cause it to come off during use.

• Before and after use, confirm that the brush is free from any damage or other
irregularities.

• If a piece of the brush comes off inside the endoscope channel, immediately
retrieve it. Confirm that no parts remain inside either the instrument channel
or the suction channel of the endoscope by carefully passing a new brush
through both channels. Any part left in the channels can drop into the patient
during a subsequent patient procedure. Depending on the location of the
missing part, the part may not be retrievable by passing a new brush. In this
case, contact Olympus.

126 TJF-Q190V REPROCESSING MANUAL

 5.5.5 Brush the endoscope’s channels

WARNING

• Once you immerse the endoscope, keep it immersed at

all times when performing the cleaning steps, unless the
instructions state otherwise. Holding the endoscope out of the
fluid while cleaning may pose an infection control risk.

CAUTION
To avoid potential damage to the endoscope and cleaning brushes:

• Do not attempt to pass the channel cleaning brush (BW-20T) or the single use
combination cleaning brush (BW-412T) backwards (i.e., by inserting the brush

Chapter 5
directly into the instrument channel outlet at the endoscope’s distal end or directly
into the suction connector on the endoscope connector). It may get caught,
making retrieval impossible.

Do not insert at
Instrument channel outlet

Do not insert at
Suction connector

• Do not coil the insertion section or the universal cord of the endoscope with a
diameter of less than 40 cm. If the diameter is less than 40 cm, it may be difficult
to pass the brush completely through the channels.

TJF-Q190V REPROCESSING MANUAL 127

 5.5 Manual cleaning
4. Brush distal 5. Brush 6. Flush with
end and ring channels detergent

5.5.5.1 Brush the suction/instrument channel from the suction

cylinder to the distal end

CAUTION
When withdrawing the channel cleaning brush (BW-20T) from the endoscope’s
suction cylinder, make sure that the shaft of the brush does not rub against the
cylinder opening. Excessive rubbing of the brush against the cylinder edge may
damage the cylinder.

1. Turn the endoscope’s U/D and

R/L angulation control knobs to
straighten the endoscope’s bending
section.
Chapter 5

2. Ensure that the distal end’s Forceps

elevator
instrument channel outlet is fully
open.

If closed, open the instrument

channel outlet by moving the
elevator control lever as shown on
the right until the forceps elevator
stops.

Instrument
channel outlet

3. You may use the small brush without a handle on the single use combination
cleaning brush (BW-412T) or the channel-cleaning brush (BW-20T).

Grip the channel cleaning brush end 3 cm down from the bristles.
Small brush
Channel
cleaning
bristles

Single use combination Channel cleaning brush

cleaning brush (BW-412T) (BW-20T)

128 TJF-Q190V REPROCESSING MANUAL

 5.5.5 Brush the endoscope’s channels

4.
While brushing, keep the endoscope
completely immersed in the Keep immersed
Keep immersed
detergent solution. when cleaning
when cleaning

Insert the brush at a 45° angle into

the opening located in the side wall
of the suction cylinder (marked with
a red ring). Instrument
channel
Using short strokes, feed the brush
through the instrument channel until
it emerges from the endoscope’s
distal end.

Red ring

Chapter 5
Opening to distal end

NOTE

The suction cylinder contains two openings: To suction

connector
• The opening further back, and straight in, leads
to the suction connector.
To distal
• The opening in the side wall, closer to the front, end
leads to the instrument channel and distal end.

5. When the brush emerges from the

endoscope’s distal end, inspect the
bristles for debris.

TJF-Q190V REPROCESSING MANUAL 129

 5.5 Manual cleaning
4. Brush distal 5. Brush 6. Flush with
end and ring channels detergent

6. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

7. Carefully pull the brush back through

the instrument channel and the
suction channel and out of the
suction cylinder.
Chapter 5

8. When the brush emerges from the

endoscope’s suction cylinder, inspect
the bristles for debris.

9. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

10. If any debris remains, repeat

Steps 4 through 9 until no debris NO debris
remains.

130 TJF-Q190V REPROCESSING MANUAL

 5.5.5 Brush the endoscope’s channels

5.5.5.2 Brush the suction channel from the suction cylinder to

the endoscope connector

1. You may use the small brush without a handle on the single use combination
cleaning brush (BW-412T) or the channel cleaning brush (BW-20T).

Grip the channel cleaning brush end 3 cm down from the bristles.

Small brush
Channel
cleaning
bristles

Single use combination Channel cleaning brush

cleaning brush (BW-412T) (BW-20T)

Chapter 5
2. While brushing, keep the endoscope
completely immersed in the Keep immersed
Keep immersed
detergent solution. when cleaning
when cleaning

Insert the brush straight into the

opening that is at the back of the
suction cylinder (marked with a red
ring).

Using short strokes, feed the brush

Suction
through the suction channel until channel
it emerges from the endoscope’s
suction connector.

Red ring

Opening to suction connector

TJF-Q190V REPROCESSING MANUAL 131

 5.5 Manual cleaning
4. Brush distal 5. Brush 6. Flush with
end and ring channels detergent

3. When the brush emerges from the

endoscope’s suction connector,
inspect the bristles for debris.

Suction
connector

4. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.
Chapter 5

5. Carefully pull the brush back through

the suction channel and out of the
suction cylinder.

6. When the brush emerges from the

endoscope’s suction cylinder, inspect
the bristles for debris.

7. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

132 TJF-Q190V REPROCESSING MANUAL

 5.5.5 Brush the endoscope’s channels

8. If any debris remains, repeat

Steps 2 through 7 until no debris
NO debris

remains.

NOTE

You will use the channel cleaning brush (BW-20T) later to brush the accessories, as
described in Chapter 6, “Reprocess the Accessories”.

Chapter 5
5.5.5.3 Brush the suction cylinder

CAUTION
When inserting the large brush with handle on the single use combination cleaning
brush (BW-412T) or the channel-opening cleaning brush (MH-507) into the suction
cylinder, do not forcibly insert the brush beyond the mid portion of the brush. Doing
so could cause the brush to get stuck.

1. You may use the channel-opening

cleaning brush (MH-507) or the Large brush
large brush with handle on the Handle
single use combination cleaning Handle
brush (BW-412T).

Always grip the brush’s handle

while brushing.

Channel-opening Single use

cleaning brush combination cleaning
(MH-507) brush (BW-412T)

TJF-Q190V REPROCESSING MANUAL 133

 5.5 Manual cleaning
4. Brush distal 5. Brush 6. Flush with
end and ring channels detergent

2. While brushing, keep the endoscope

completely immersed in the Keep immersed
Keep immersed
when cleaning
when cleaning
detergent solution.

Insert the brush into the suction

cylinder until half of the brush section
is inserted.
Suction
Insert half cylinder
of brush

3. Perform the following brushing

Chapter 5

action:
a) Rotate the inserted brush one full
rotation (i.e., 360 degrees).
b) Pull the brush out of the suction
cylinder.

4. Inspect the brush’s bristles for

debris.

5. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

134 TJF-Q190V REPROCESSING MANUAL

 5.5.5 Brush the endoscope’s channels

6. If any debris remains, repeat

Steps 2 through 5 until no debris NO debris
remains.

5.5.5.4 Brush the instrument channel port

1. You may use the channel-opening

cleaning brush (MH-507) or the Large brush
large brush with handle on the Handle Handle

Chapter 5
single use combination cleaning
brush (BW-412T).

Always grip the brush’s handle

while brushing.

Channel-opening Single use

cleaning brush combination cleaning
(MH-507) brush (BW-412T)

2. While brushing, keep the endoscope

completely immersed in the Keep immersed
Keep
when
immersed
cleaning
when cleaning
detergent solution.

Insert the brush into the instrument

channel port until the brush handle
touches the channel opening. Instrument
channel port

TJF-Q190V REPROCESSING MANUAL 135

 5.5 Manual cleaning
4. Brush distal 5. Brush 6. Flush with
end and ring channels detergent

3. Perform the following brushing

action:
a) Rotate the inserted brush one full
rotation. (i.e., 360 degrees)
b) Pull the brush out of the
instrument channel port.

4. Inspect the brush’s bristles for

debris.
Chapter 5

5. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

6. If any debris remains, repeat

Steps 2 through 5 until no debris
NO debris

remains.

NOTE

• You will reprocess the channel-opening cleaning brush (MH-507), as described in

Chapter 6, “Reprocess the Accessories”.

• You will use the single use combination cleaning brush (BW-412T) later to brush the
accessories, as described in Chapter 6, “Reprocess the Accessories”.

136 TJF-Q190V REPROCESSING MANUAL

 5.5.6 Flush the endoscope’s distal end with detergent solution

5.5.6 Flush the endoscope’s distal end with detergent solution

NOTE

You will use the distal-end flushing adapter

(MAJ-2319) to flush the endoscope’s distal
end.

Distal-end flushing adapter

1. Ensure that the distal end’s

instrument channel outlet is fully Forceps
elevator
open.

Chapter 5
Instrument
If closed, open the instrument channel outlet
channel outlet by moving the
elevator control lever as shown
below until the forceps elevator
stops.

Elevator control lever Closed Open

2. Assemble the distal-end flushing adapter (MAJ-2319) by attaching the clip on the
green cover to the shaft on the white cover.

Clip on green cover Shaft on white cover

TJF-Q190V REPROCESSING MANUAL 137

 5.5 Manual cleaning
5. Brush 6. Flush with 7. Aspirate detergent
channels detergent through channels

3. Completely immerse the distal-end

flushing adapter in the detergent
solution.

4. Keeping the distal-end flushing adapter immersed in the detergent solution,

attach the distal-end flushing adapter to the endoscope’s distal end, as follows;
a) Hold the distal end so you can see the back side surface (lens side is down);
b) Put the distal end in the green cover so the lens is against the green cover
Chapter 5

and the top lines up against the top of the green cover;
c) Shut the white cover onto the green cover so that it snaps closed.

a) Back side up, b) c)

Lens side down

5. Keeping the endoscope and the

distal-end flushing adapter immersed
in the detergent solution, hold the
distal-end flushing adapter and
gently pull the endoscope to ensure
that the distal end does not come out
of the distal-end flushing adapter.

138 TJF-Q190V REPROCESSING MANUAL

 5.5.6 Flush the endoscope’s distal end with detergent solution

6. Immerse a clean 30 mL syringe in

the detergent solution and flush a)
through the WHITE flushing port, as
follows:
a) Before attaching the syringe to
the white flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with the
detergent solution; b) c)

b) Attach it to the white flushing port WHITE

of the distal-end flushing adapter; flushing
port
c) Then forcefully flush the distal
end with 30 mL of the detergent
solution.
1X

Chapter 5
7. Keeping the 30 mL syringe attached
and immersed, flush an additional
150 mL of the detergent solution
through the WHITE flushing port, as Keep
follows: syringe
attached
a) Slowly pull the syringe plunger to
fill the syringe with the detergent
solution;
b) Then forcefully flush the distal
end with 30 mL of the detergent
5X
solution.
c) Repeat Steps a) and b) four
more times, for a total of five
times.

8. Detach the syringe from the distal-

end flushing adapter.

TJF-Q190V REPROCESSING MANUAL 139

 5.5 Manual cleaning
5. Brush 6. Flush with 7. Aspirate detergent
channels detergent through channels

9. Keeping the 30 mL syringe

immersed, flush the detergent
a)

1X
solution through the GREEN flushing
port, as follows:
a) Before attaching the syringe to
the green flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with the
detergent solution; b) GREEN c)
flushing
b) Attach it to the green flushing port port
of the distal-end flushing adapter;
c) Then forcefully flush the distal
end with 30 mL of the detergent

1X
solution.
Chapter 5

10. Keeping the 30 mL syringe attached

and immersed, flush an additional 150
Keep
mL of the detergent solution through
syringe
the GREEN flushing port, as follows: attached
a) Slowly pull the syringe plunger to
fill the syringe with the detergent
solution;
b) Then forcefully flush the distal
end with 30 mL of the detergent 5X
solution.
c) Repeat Steps a) and b) four more
times, for a total of five times.

11. Keeping the distal-end flushing

adapter immersed in the detergent
solution, open the white cover
and green cover and detach the
distal-end flushing adapter from the
endoscope.

140 TJF-Q190V REPROCESSING MANUAL

 5.5.6 Flush the endoscope’s distal end with detergent solution

12. Keeping the distal-end flushing adapter

immersed in the detergent solution,
separate the white cover and the green
cover.

After separating the covers, keep the

distal-end flushing adapter completely
immersed in the detergent solution.
Separate

CAUTION
Debris can remain trapped between the white and green cover if they are not
separated from each other.

13. Keeping the endoscope immersed

3X
Forceps

Chapter 5
in the detergent solution, move elevator
the elevator control lever in each
direction three times to move the
forceps elevator up and down.

TJF-Q190V REPROCESSING MANUAL 141

 5.5 Manual cleaning
6. Flush with 7. Aspirate detergent 8. Flush with
detergent through channels detergent

5.5.7 Aspirate detergent solution through the instrument

channel and the suction channel

NOTE

Monitor the suction bottle on the suction pump carefully to ensure that it does not
overflow.

1. Ensure that the distal end’s

instrument channel outlet is fully Forceps
elevator
open.
Instrument
If closed, open the instrument channel outlet
channel outlet by moving the
Chapter 5

elevator control lever as shown

below until the forceps elevator
stops.

Elevator control lever Closed Open

2. Attach the suction cleaning adapter’s

(MH-856) connecting end to the
Suction cleaning
instrument channel port.
adapter’s
connecting end

Instrument channel
port

142 TJF-Q190V REPROCESSING MANUAL

 5.5.7 Aspirate detergent solution through the instrument channel and the suction channel

3. Attach the suction pump’s suction tube to the suction connector on the
endoscope connector.

Suction
connector

Suction
tube
Suction pump

4. Ensure the endoscope’s distal end and the suction cleaning adapter’s weighted
end are completely immersed in the detergent solution.
to Suction pump

Chapter 5
Suction
cleaning
adapter

Weighted
end

Distal end

5. If using the KV-6 or KV-5 suction

pump, turn the vacuum regulator
knob clockwise until the knob stops
and sets to maximum.

NOTE
The maximum vacuum pressure
of the suction pump is:
• KV-6: -95 kPa Set to MAX

• KV-5: -85 kPa

TJF-Q190V REPROCESSING MANUAL 143

 5.5 Manual cleaning
6. Flush with 7. Aspirate detergent 8. Flush with
detergent through channels detergent

6. Turn the suction pump ON (if suction

pump is off).

7. Aspirate detergent solution for 30 a) Cover suction

cylinder
seconds or more as follows:

a) Cover the endoscope’s suction

cylinder with your gloved fingertip.
10 30
b) While covering the suction sec. sec.
cylinder, move the elevator control
Chapter 5

lever in each direction three times

to move the forceps elevator up

3X
and down. b)

NOTE
Use a clock or a timer to accurately
measure 30 seconds or more.

8. Turn the suction pump OFF.

144 TJF-Q190V REPROCESSING MANUAL

 5.5.7 Aspirate detergent solution through the instrument channel and the suction channel

9. Detach the suction pump’s suction tube from the endoscope.

Suction
tube
Suction pump

10. Detach the suction cleaning adapter

from the endoscope. Suction cleaning
adapter’s
connecting end

Chapter 5
NOTE

You will reprocess the suction cleaning adapter (MH-856) later, as described in
Chapter 6, “Reprocess the Accessories”.

TJF-Q190V REPROCESSING MANUAL 145

 5.5 Manual cleaning
7. Aspirate detergent 8. Flush with 9. Immerse
through channels detergent then wipe

5.5.8 Flush the air/water channel with detergent solution

1. Attach the channel plug (MH-944) Suction

to the endoscope’s air/water and a) cylinder
Suction
suction cylinders, as follows: plug

a) Insert the channel plug’s air/

water plug into the air/water
cylinder, then continue, inserting
the channel plug’s suction plug
into the suction cylinder until
the channel plug’s plug frame Air/ Air/
contacts the control section; water water
cylinder plug Plug
b) Continue to push the channel frame
plug’s plug frame against control
section, and slide the plug frame b) Remote switch 1
towards remote switch 1, until
Chapter 5

the plug frame stops, locking the

channel plug firmly in place.

Slide plug frame up

2. Attach the biopsy valve cap of the

channel plug to the endoscope’s
instrument channel port.

Biopsy
valve cap

Instrument
channel
port

146 TJF-Q190V REPROCESSING MANUAL

 5.5.8 Flush the air/water channel with detergent solution

3. Attach the injection tube (MH-946) to the endoscope connector, as follows:

a) Attach the injection tube’s connector plug to the air and water supply connectors;
b) Attach the injection tube’s air pipe port to the air pipe;
c) Attach the injection tube’s suction channel tube to the suction connector.

a)

Injection
b) tube

c)

Chapter 5
a) b) c)
Connector Air pipe
plug
Air and Suction
water supply connector
connectors Suction
Air pipe port
channel tube

4. Completely immerse all accessories

in the detergent solution and confirm
that the suction port of the injection
tube is completely immersed.

Immerse
suction port

TJF-Q190V REPROCESSING MANUAL 147

 5.5 Manual cleaning
7. Aspirate detergent 8. Flush with 9. Immerse
through channels detergent then wipe

5. Attach a clean 30 mL syringe to the injection tube’s air/water channel port, as

follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the air/water channel port (the right side port with the tube
that connects to the endoscope connector’s air pipe).

a) b)
Air/water
channel port
Injection (right side)
tube
NOT channel
up ports

Filter
tube,
down
Chapter 5

6. Keeping the 30 mL syringe attached

and immersed, flush the air/water
channel with 90 mL of detergent
solution, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with the detergent Air/water
solution; channel

3X
b) Then forcefully flush with 30 mL of
the detergent solution;
c) Repeat Steps a) and b) two
more times, for a total of three
times.

148 TJF-Q190V REPROCESSING MANUAL

 5.5.9 Immerse and then wipe the endoscope and accessories in detergent solution

5.5.9 Immerse and then wipe the endoscope and accessories

in detergent solution

1. Keeping the endoscope, all attached accessories, and the distal-end flushing
adapter immersed in the detergent solution, use clean lint-free cloths, sponges,
or brushes, to wipe all of the external surfaces of the:
a) Endoscope and attached accessories
b) Distal-end flushing adapter (MAJ-2319).

a) Endoscope and attached accessories b) Distal-end flushing

adapter (MAJ-2319)

Chapter 5
Injection Channel
tube plug

Control
section

Insertion
section

Endoscope
connector

2. Leave the endoscope, all its

attached accessories, and the distal-
Detergent
manufacturer’s
recommended
end flushing adapter completely
contact time.
immersed in the detergent solution
for the detergent manufacturer’s
recommended contact time.

NOTE
Use a clock or a timer to
accurately measure
the detergent contact time.

TJF-Q190V REPROCESSING MANUAL 149

 5.5 Manual cleaning
8. Flush with 9. Immerse 10. Remove
detergent then wipe detergent

3. Remove the endoscope’s distal end from the fluid and confirm no debris
remains.

If any debris remains, return to the beginning of Chapter 5.5, “Manually

clean the endoscope and accessories” and repeat the entire cleaning
procedure until no debris remains.

No debris on
any surfaces:
Chapter 5

Front (Lens) Distal Left side Right side Back side Forceps Forceps
side surface surface surface surface surface elevator elevator
recess

4. Remove the following items from the detergent solution:

a) Endoscope and attached accessories
b) Distal-end flushing adapter.

a) Endoscope and attached accessories b) Distal-end flushing

adapter (MAJ-2319)

150 TJF-Q190V REPROCESSING MANUAL

 5.5.10 Remove detergent solution from the distal end and all channels

5.5.10 Remove detergent solution from the distal end and all
channels

5.5.10.1 Remove detergent solution from the distal end

1. Fill a clean, large basin with water

(for reprocessing).
Water (for
reprocessing)

2. Completely immerse the following items in the water:

a) Endoscope and attached accessories

Chapter 5
b) Distal-end flushing adapter (MAJ-2319).

a) Endoscope and attached accessories b) Distal-end flushing

adapter (MAJ-2319)

3. Gently move the following items back and forth in the water to thoroughly rinse
the detergent solution from the external surfaces of the:
a) Endoscope and attached accessories
b) Distal-end flushing adapter.

a) Endoscope and attached b) Distal-end flushing

accessories adapter (MAJ-2319)

Move ALL
components
back and forth
in water

TJF-Q190V REPROCESSING MANUAL 151

 5.5 Manual cleaning
9. Immerse 10. Remove 11. Dry external
then wipe detergent surfaces

4. Ensure that the distal end’s instrument

channel outlet is fully open.
Forceps
elevator

If closed, open the instrument channel Instrument

channel outlet
outlet by moving the elevator control lever
as shown below until the forceps elevator
stops.

Elevator control lever Closed Open

5.
Chapter 5

Assemble the distal-end flushing adapter (MAJ-2319) by attaching the clip on the
green cover to the shaft on the white cover.

Clip on green cover Shaft on white cover

6. Keeping the distal-end flushing adapter immersed in the water, attach the distal-
end flushing adapter to the endoscope’s distal end, as follows;
a) Hold the distal end so you can see the back side surface (lens side is down);
b) Put the distal end in the green cover so the lens is against the green cover
and the top lines up against the top of the green cover;
c) Shut the white cover onto the green cover so that it snaps closed.

a) Back side up, b) c)

Lens side down

152 TJF-Q190V REPROCESSING MANUAL

 5.5.10 Remove detergent solution from the distal end and all channels

7. Keeping the endoscope and the

distal-end flushing adapter immersed
in the water, hold the distal-end
flushing adapter and gently pull the
endoscope to ensure that the distal
end does not come out of the distal-
end flushing adapter.

8. Completely immerse the distal-end

flushing adapter in the water.

9. Immerse a clean 30 mL syringe

in the water and flush through the a)
WHITE flushing port, as follows:

Chapter 5
a) Before attaching the syringe to
the white flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with
water; c)
b)
b) Attach it to the white flushing port
of the distal-end flushing adapter; WHITE
flushing
c) Then forcefully flush the distal end port
with 30 mL of water.

1X

10. Keeping the 30 mL syringe attached

and immersed, flush an additional
60 mL of the water through the
Keep
WHITE flushing port, as follows: syringe
attached
a) Slowly pull the syringe plunger to
fill the syringe with water;
b) Then forcefully flush the distal end
with 30 mL of water;
2X
c) Repeat Steps a) and b) one
more time, for a total of two
times.

TJF-Q190V REPROCESSING MANUAL 153

 5.5 Manual cleaning
9. Immerse 10. Remove 11. Dry external
then wipe detergent surfaces

11. Detach the syringe from

the distal-end flushing
adapter.

12. Keeping the 30 mL syringe

immersed, flush the water through
a)

1X
the GREEN flushing port, as follows:
a) Before attaching the syringe to
the green flushing port (so that
Chapter 5

you do not pull air into the syringe

that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with
water;
b) GREEN c)
b) Attach it to the green flushing port flushing
of the distal-end flushing adapter; port
c) Then forcefully flush the distal end
with 30 mL of water.

1X

13. Keeping the 30 mL syringe attached

and immersed, flush an additional 60 Keep
mL of the water through the GREEN syringe
flushing port, as follows: attached

a) Slowly pull the syringe plunger to

fill the syringe with water;

2X
b) Then forcefully flush the distal end
with 30 mL of water;
c) Repeat Steps a) and b) one
more time, for a total of two
times.

154 TJF-Q190V REPROCESSING MANUAL

 5.5.10 Remove detergent solution from the distal end and all channels

14. Open the white cover and green

cover and detach the distal-end
flushing adapter from the endoscope.

15. Separate the white cover and the

green cover. Separate

Chapter 5
CAUTION
Debris can remain trapped between the white and green cover if they are not
separated from each other.

16. Completely immerse the distal-end flushing

adapter in the water.

5.5.10.2 Remove detergent solution from all channels

1. Confirm that the injection tube’s (MH-946)

suction port is completely immersed in the
Suction port

water.

TJF-Q190V REPROCESSING MANUAL 155

 5.5 Manual cleaning
9. Immerse 10. Remove 11. Dry external
then wipe detergent surfaces

2. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port with the tube that
connects to the endoscope connector’s suction connector).

a) b)
Suction
channel port
Injection (left side)
tube
NOT channel
up ports

Filter
tube,
down
Chapter 5

3. Keeping the 30 mL syringe attached

and immersed, flush the suction
channel with 90 mL of the water, as
follows:
a) Slowly pull the syringe plunger to
fill the syringe with water; Suction
channel
b) Then forcefully flush 30 mL of
water;
c) Repeat Steps a) and b) two
3X
more times, for a total of three
times.

4. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

156 TJF-Q190V REPROCESSING MANUAL

 5.5.10 Remove detergent solution from the distal end and all channels

5. Keeping the 30 mL syringe attached

and immersed, flush the air/water

3X
channel with 90 mL of the water, as
follows:
a) Slowly pull the syringe plunger to
Air/water
fill the syringe with water;
channel
b) Then forcefully flush 30 mL of
water;
c) Repeat Steps a) and b) two
more times, for a total of three
times.

6. Remove the following items from the water and place in a clean basin:
a) Endoscope and attached accessories

Chapter 5
b) Distal-end flushing adapter.

a) Endoscope and attached accessories b) Distal-end flushing

adapter (MAJ-2319)

7. To prevent splashing from the

channel openings, cover the
endoscope’s distal end and control
section with clean lint-free cloths.

Cover
with
cloths

TJF-Q190V REPROCESSING MANUAL 157

 5.5 Manual cleaning
9. Immerse 10. Remove 11. Dry external
then wipe detergent surfaces

8. Move the syringe from the air/water

channel port to the injection tube’s Suction
channel port
suction channel port (port on the left).
(left side)

9. Keeping the 30 mL syringe attached,

flush the suction channel with 90 mL
of air, as follows:
Suction
a) Slowly pull the syringe plunger to channel
fill the syringe with air;
b) Then forcefully flush 30 mL of air;
3X
Chapter 5

c) Repeat Steps a) and b) two

more times, for a total of three
times.

10. Move the syringe from the suction

channel port to the injection tube’s air/
Air/water
channel port
(right side)
water channel port (port on the right).

11. Keeping the 30 mL syringe attached,

flush the air/water channel with 90 mL
of air, as follows:
a) Slowly pull the syringe plunger to fill Air/water
the syringe with air; channel

3X
b) Then forcefully flush 30 mL of air;
c) Repeat Steps a) and b) two more
times, for a total of three times.

158 TJF-Q190V REPROCESSING MANUAL

 5.5.10 Remove detergent solution from the distal end and all channels

12. Remove the cloths from the

endoscope.
Remove
cloths

13. Slide the channel plug’s (MH-944)

plug frame down and detach the
Plug frame

channel plug from the endoscope.

Chapter 5
Biopsy
valve cap

14. Detach the injection tube from the

endoscope. Injection
tube

5.5.10.3 Remove detergent solution from the distal-end

flushing adapter (MAJ-2319)

1. To prevent splashing from the

cover’s openings, cover the distal-
end flushing adapter’s white and
green covers in clean lint-free cloths.

The distal-end flushing adapter will Cover

not be attached to the endoscope. with
cloth

TJF-Q190V REPROCESSING MANUAL 159

 5.5 Manual cleaning
9. Immerse 10. Remove 11. Dry external
then wipe detergent surfaces

2. Flush air through the WHITE flushing

port, as follows:
a)

a) Before attaching the syringe

to the white flushing port (so
that you do not pull water into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe
with air; b) c)

b) Attach it to the white flushing port WHITE

flushing
of the distal-end flushing adapter;
port
c) Then forcefully flush with 30 mL of

1X
air.
Chapter 5

3. Detach the syringe from the distal-

end flushing adapter.

4. Flush air through the GREEN

flushing port, as follows:
a)

a) Before attaching the syringe

to the green flushing port (so
that you do not pull water into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe
with air; b) GREEN c)
flushing
b) Attach it to the green flushing port
port
of the distal-end flushing adapter;
c) Then forcefully flush with 30 mL of
air.

1X

160 TJF-Q190V REPROCESSING MANUAL

 5.5.10 Remove detergent solution from the distal end and all channels

5. Remove the cloths from the distal-

end flushing adapter.

Remove
cloth

Chapter 5

TJF-Q190V REPROCESSING MANUAL 161

 5.5 Manual cleaning
10. Remove 11. Dry external
detergent surfaces

5.5.11 Dry the external surfaces

1. Using clean lint-free cloths, wipe the external surfaces of these parts until they
are dry:
a) Endoscope c) Distal-end flushing adapter
b) Channel plug d) Injection tube.

a) Endoscope b) Channel c) Distal-end d) Injection

plug flushing tube
adapter
Chapter 5

2. Inspect all items and confirm no residual debris remains on the:

a) Endoscope c) Distal-end flushing adapter
b) Channel plug d) Injection tube.

If any debris remains, repeat all of Chapter 5.5, “Manually

cleaning the endoscope and accessories” steps until no
debris remains.
No debris on
any surfaces

a) Endoscope b) Channel c) Distal-end d) Injection

plug flushing tube
adapter

162 TJF-Q190V REPROCESSING MANUAL

 5.5.11 Dry the external surfaces

Chapter 5
This page intentionally left blank.

TJF-Q190V REPROCESSING MANUAL 163

 5.6 Manual disinfecting

5.6 Manually disinfect the endoscope and accessories

Workflow for manually disinfecting the endoscope and accessories:

Prepare equipment
5.6.1 Equipment needed
5.6.2 Prepare for manual disinfection

Flush distal end and channels

5.6.3 Flush the distal end and all channels with
disinfectant solution

Immerse in disinfectant
Chapter 5

5.6.4 Immerse the endoscope and accessories in

disinfectant solution

Remove disinfectant solution from all channels

5.6.5 Remove disinfectant solution from all channels

Once you have immersed the endoscope and accessories in disinfectant solution for
the disinfectant manufacturer’s recommended time, only use sterile equipment, such as
sterile syringes, cloths, and sterile gloves, for all reprocessing steps. Otherwise, it may
pose an infection control risk.

164 TJF-Q190V REPROCESSING MANUAL

 5.6.1 Equipment needed

5.6.1 Equipment needed

Prepare the following equipment.

Fluids used for disinfecting:

• Disinfectant solution (Refer to Chapter 3.4, “Disinfectant solution”)

Other:

• Clean lint-free cloths • Clean 30 mL (30 cc) syringes

• Sterile 30 mL (30 cc) syringes*1 • Clean, large basins with tight-fitting lids
(size: 40 (W) x 40 (D) x 25 (H) cm or
more)

Chapter 5
*1 Following disinfection, it is very important not to recontaminate the endoscope and accessories with potentially
infectious microorganisms. When rinsing and drying the endoscope and accessories following disinfection, the use
of sterile equipment (basins, cloths, syringes, etc.) is recommended. If sterile equipment is not available, use clean
equipment that does not recontaminate the endoscope and accessories with potentially infectious microorganisms.
Consult with your hospital’s infection control committee regarding local policies or requirements regarding
reprocessing equipment.

TJF-Q190V REPROCESSING MANUAL 165

 5.6 Manual disinfecting
1. Equipment 2. Prepare for 3. Flush distal end
needed disinfection and channels

5.6.2 Prepare for manual disinfection

1. Fill a clean, large basin with

the disinfectant solution at the
Disinfectant
temperature and concentration
recommended by the disinfectant solution
manufacturer.

Refer to the disinfectant

manufacturer’s instructions for the
recommended temperature and
concentration.

2. Ensure that the distal end’s

Chapter 5

instrument channel outlet is fully Forceps

open. elevator
Instrument
If closed, open the instrument channel outlet
channel outlet by moving the
elevator control lever as shown
below until the forceps elevator
stops.

Elevator control lever Closed Open

3. Completely immerse the endoscope

in the disinfectant solution.

166 TJF-Q190V REPROCESSING MANUAL

 5.6.2 Prepare for manual disinfection

4. Attach the channel plug (MH-944)

to the endoscope’s air/water and a)
Suction
cylinder
Suction
suction cylinders, as follows: plug
a) Insert the channel plug’s air/
water plug into the air/water
cylinder, then continue, inserting
the channel plug’s suction plug
into the suction cylinder until
the channel plug’s plug frame Air/ Air/
contacts the control section. water water
cylinder plug
b) Continue to push the channel Plug
plug’s plug frame against control frame
section, and slide the plug frame
b) Remote switch 1
towards remote switch 1, until
the plug frame stops, locking the
channel plug firmly in place.

Chapter 5
Slide plug frame up

5. Attach the biopsy valve cap of the

channel plug to the endoscope’s
instrument channel port.

Biopsy
valve cap

Instrument
channel
port

TJF-Q190V REPROCESSING MANUAL 167

 5.6 Manual disinfecting
1. Equipment 2. Prepare for 3. Flush distal end
needed disinfection and channels

6. Attach the injection tube (MH-946) to the endoscope connector, as follows:

a) Attach the injection tube’s connector plug to the air and water supply
connectors;
b) Attach the injection tube’s air pipe port to the air pipe;
c) Attach the injection tube’s suction channel tube to the suction connector.

a)

Injection
b) tube

c)
Chapter 5

a) b) c)
Connector Air pipe
plug
Air and Suction
water supply connector
connectors
Suction
Air pipe port
channel tube

7. Completely immerse the channel

plug and the injection tube in the
disinfectant solution.

168 TJF-Q190V REPROCESSING MANUAL

 5.6.2 Prepare for manual disinfection

8. Assemble the distal-end flushing adapter (MAJ-2319) by attaching the clip on the
green cover to the shaft on the white cover.
Clip on green cover Shaft on white cover

9. Completely immerse the distal-end

flushing adapter in the disinfectant
solution.

Chapter 5
10. Keeping the distal-end flushing adapter immersed in the disinfectant solution,
attach the distal-end flushing adapter to the endoscope’s distal end, as follows;
a) Hold the distal end so you can see the back side surface (lens side is down);
b) Put the distal end in the green cover so the lens is against the green cover
and the top lines up against the top of the green cover;
c) Shut the white cover onto the green cover so that it snaps closed.

a) Back side up, b) c)

Lens side down

11. Keeping the endoscope and the

distal-end flushing adapter immersed
in the disinfectant solution, hold
the distal-end flushing adapter and
gently pull the endoscope to ensure
that the distal end does not come out
of distal-end flushing adapter.

TJF-Q190V REPROCESSING MANUAL 169

 5.6 Manual disinfecting
2. Prepare for 3. Flush distal 4. Immerse in
disinfection end and channels disinfectant

5.6.3 Flush the distal end and all channels with disinfectant
solution

WARNING

Once you immerse the endoscope and/or accessories, keep it

immersed at all times when performing the disinfecting steps, unless the
instructions state otherwise. Holding the endoscope out of the fluid while
disinfecting may pose an infection control risk.

Make sure that the disinfectant solution contacts all internal channel surfaces of
the endoscope and accessories by completely removing all air bubbles from all
channels. Air bubbles may inhibit disinfection of the channel’s surfaces. When filling
the channels with the disinfectant solution, flush until no more air bubbles are seen
exiting the channel openings.
Chapter 5

NOTE

Forcefully flushing the disinfectant solution through the channels will improve your
ability to remove air bubbles.

1. Immerse a clean 30 mL syringe in

the disinfectant solution and flush
Keep immersed
Keep immersed
when disinfecting
when cleaning
through the WHITE flushing port, as
follows:
a) Before attaching the syringe to a)
the white flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with the
disinfectant solution;
b) Attach it to the white flushing port
of the distal-end flushing adapter;
b) c)
c) Then forcefully flush the distal WHITE
end with 30 mL of the disinfectant flushing
solution. port

1X

170 TJF-Q190V REPROCESSING MANUAL

 5.6.3 Flush the distal end and all channels with disinfectant solution

2. Keeping the 30 mL syringe attached and

immersed, flush an additional 150 mL of
disinfectant solution through the WHITE Keep
flushing port, as follows: syringe
attached
a) Slowly pull the syringe plunger to
fill the syringe with the disinfectant
solution;
b) Then forcefully flush the distal
end with 30 mL of the disinfectant
5X
solution;
c) Repeat Steps a) and b) four more
times, for a total of five times.

3. Detach the syringe from the distal-

end flushing adapter.

Chapter 5
4. Keeping the 30 mL syringe
immersed, flush through the GREEN a)

1X
flushing port, as follows:
a) Before attaching the syringe to
the green flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with the
disinfectant solution;
b) GREEN c)
b) Attach it to the green flushing port
flushing
of the distal-end flushing adapter;
port
c) Then forcefully flush the distal
end with 30 mL of the disinfectant
solution.

1X

TJF-Q190V REPROCESSING MANUAL 171

 5.6 Manual disinfecting
2. Prepare for 3. Flush distal 4. Immerse in
disinfection end and channels disinfectant

5. Keeping the 30 mL syringe attached and

immersed, flush an additional 150 mL of
disinfectant solution through the GREEN Keep
flushing port, as follows: syringe
attached
a) Slowly pull the syringe plunger to
fill the syringe with the disinfectant

5X
solution;
b) Then forcefully flush the distal
end with 30 mL of the disinfectant
solution;
c) Repeat Steps a) and b) four more
times, for a total of five times.

6. Keeping the distal-end flushing

adapter immersed in the disinfectant
Chapter 5

solution, open the white cover

and green cover and detach the
distal-end flushing adapter from the
endoscope.

7. Keeping the distal-end flushing

adapter immersed in the disinfectant
solution, separate the white cover
and the green cover.

After separating the covers, keep

the distal-end flushing adapter
completely immersed in the
disinfectant solution. Separate

8.
Forceps

3X
Keeping the endoscope immersed
elevator
in the disinfectant solution, move
the elevator control lever in each
direction three times, to move the
forceps elevator up and down.

172 TJF-Q190V REPROCESSING MANUAL

 5.6.3 Flush the distal end and all channels with disinfectant solution

9.
Suction port
Confirm that the suction port of the
injection tube (MH-946) is completely
immersed in the disinfectant solution.

10. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port with the tube that
connects to the endoscope connector’s suction connector).
a) b)
Suction
channel port
Injection (left side)
tube

Chapter 5
NOT channel
up ports

Filter
tube,
down

11. Keeping the 30 mL syringe attached

and immersed, flush the suction c)
channel with 180 mL of the disinfectant
solution, as follows: 6X
a) Slowly pull the syringe plunger to
fill the syringe with the disinfectant
solution;
b) Then forcefully flush with 30 mL of
the disinfectant solution; Suction
channel
c) Repeat Steps a) and b) five more port
times, for a total of six times;
d) Confirm that no air bubbles exit from d) NO air bubbles
the endoscope’s distal end during should emerge
the last flush.

If air bubbles still exit, flush the

channel with the disinfectant
solution until no air bubbles exit.

TJF-Q190V REPROCESSING MANUAL 173

 5.6 Manual disinfecting
2. Prepare for 3. Flush distal 4. Immerse in
disinfection end and channels disinfectant

12. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

13. Keeping the 30 mL syringe attached

and immersed, flush the air/ c)
water channel with 180 mL of the
disinfectant solution, as follows:
6X
a) Slowly pull the syringe plunger to
fill the syringe with the disinfectant
solution; Air/water
Chapter 5

channel
b) Then forcefully flush with 30 mL of port
the disinfectant solution;
c) Repeat Steps a) and b) five
more times, for a total of six
times;
d) NO air bubbles
d) Confirm that no air bubbles exit should emerge
from the endoscope’s distal end
during the last flush.

If air bubbles still exit, flush the

channel with the disinfectant
solution until no air bubbles exit.

14. Keeping the endoscope immersed

in the disinfectant solution, remove
Plug frame
the biopsy valve cap of the channel
plug (MH-944) from the endoscope’s
instrument channel port.
Biopsy
Keep the channel plug’s plug frame
valve cap
attached to the control section.

174 TJF-Q190V REPROCESSING MANUAL

 5.6.3 Flush the distal end and all channels with disinfectant solution

15. Keeping the 30 mL syringe

immersed, flush the instrument d)
channel with 180 mL of disinfectant
solution, as follows: 6X
a) Slowly pull the syringe plunger to
fill the syringe with the disinfectant
solution,
b) Put the distal end of the syringe
in the instrument channel port (do
so firmly to minimize disinfectant
solution leakage from the port);
c) Then forcefully flush the
instrument channel with 30 mL of
the disinfectant solution. Instrument
channel port
d) Repeat Steps a) to c) five more
times, for a total of six times;

Chapter 5
e) Confirm that no air bubbles exit e) NO air bubbles
from the endoscope’s distal end should emerge
during the last flush.

If air bubbles still exit, flush the

channel with the disinfectant
solution until no air bubbles exit.

16. Keeping the endoscope immersed

in the disinfectant solution, move
3X
Forceps
elevator
the elevator control lever in each
direction three times, to move the
forceps elevator up and down.

TJF-Q190V REPROCESSING MANUAL 175

 5.6 Manual disinfecting
2. Prepare for 3. Flush distal 4. Immerse in 5. Remove from
disinfection end and channels disinfectant disinfectant

17. Keeping the 30 mL syringe

immersed, flush the instrument d)

6X
channel for a second time with
Same as 180 mL of disinfectant solution, as
Step 15 follows:
a) Slowly pull the syringe plunger to
fill the syringe with the disinfectant
solution,
b) Put the distal end of the syringe
in the instrument channel port (do
so firmly to minimize disinfectant
solution leakage from the port);
c) Then forcefully flush the
instrument channel with 30 mL of Instrument
channel port
the disinfectant solution.
d) Repeat Steps a) to c) five more
times, for a total of six times;
Chapter 5

e) NO air bubbles
e) Confirm that no air bubbles exit should emerge
from the endoscope’s distal end
during the last flush.

If air bubbles still exit, flush the

channel with the disinfectant
solution until no air bubbles exit.

176 TJF-Q190V REPROCESSING MANUAL

 5.6.4 Immerse the endoscope and accessories in disinfectant solution

5.6.4 Immerse the endoscope and accessories in disinfectant

solution

WARNING
To ensure proper disinfection:
• Keep the channel plug, the injection tube, and the distal-end flushing adapter
detached from the endoscope. If these accessories remain attached to the
endoscope during disinfection, the disinfectant solution cannot adequately contact
the mated surfaces between the endoscope and the accessory.
• Keep the endoscope and accessories completely immersed below the surface
of the disinfectant solution (i.e., all external surfaces of the endoscope and
accessories contact the disinfectant solution). If the endoscope and accessories
are not completely immersed, any protruding section(s) of the device(s) will not be
adequately disinfected.

Chapter 5
CAUTION
Do not immerse the endoscope and accessories in the disinfectant solution for a
longer contact time, at a higher temperature, or at a greater concentration than
recommended by the disinfectant manufacturer. Such immersion may cause
damage to the endoscope and accessories.

1. Keeping the endoscope and all accessories immersed in the disinfectant

solution, detach the channel plug (MH-944) and the injection tube (MH-946) from
the endoscope.

Injection tube: Channel plug:

Connector Air pipe Plug frame

plug port

Biopsy
Suction channel tube valve cap

TJF-Q190V REPROCESSING MANUAL 177

 5.6 Manual disinfecting
3. Flush distal 4. Immerse in 5. Remove from
end and channels disinfectant disinfectant

2. Keeping the endoscope immersed

in the disinfectant solution, wipe Keep immersed
Keep
when
immersed
cleaning
when disinfecting
endoscope’s distal end using your
gloved fingertips to remove air
bubbles.

NO air bubbles
on distal end
Chapter 5

3. Keeping the endoscope and all accessories immersed in the disinfectant

solution, wipe all external surfaces using a clean lint-free cloth to remove any air
bubbles:
a) Endoscope c) Distal-end flushing adapter
b) Channel plug d) Injection tube

a) Endoscope b) Channel c) Distal-end d) Injection

plug flushing tube
adapter

178 TJF-Q190V REPROCESSING MANUAL

 5.6.4 Immerse the endoscope and accessories in disinfectant solution

4. Confirm that there are no air bubbles

on the surfaces of the endoscope NO air bubbles
on surfaces
and all accessories.

If air bubbles adhere to the

surfaces, keep the endoscope
immersed, and wipe them off
using your gloved fingertips or
a clean lint-free cloth. Or, use a
syringe filled with disinfectant
solution to flush the air bubbles
off.

5. Cover the disinfectant solution basin Lid

with a tight-fitting lid to minimize the
diffusion of disinfectant vapors.

Chapter 5
6. Leave the endoscope, the
channel plug, the injection tube,
Disinfectant
manufacturer’s
and the distal-end flushing recommended
adapter completely immersed contact time.
in the disinfectant solution for
the disinfectant manufacturer’s
recommended contact time.

NOTE
Use a clock or a timer to accurately
measure the disinfection contact time.

TJF-Q190V REPROCESSING MANUAL 179

 5.6 Manual disinfecting
4. Immerse in 5. Remove from
disinfectant disinfectant

5.6.5 Remove disinfectant solution from all channels

1.
Suction
Attach the channel plug (MH-944) cylinder
a)
to the endoscope’s air/water and Suction
suction cylinders, as follows: plug

a) Insert the channel plug’s air/

water plug into the air/water
cylinder, then continue, inserting
the channel plug’s suction plug
into the suction cylinder until
the channel plug’s plug frame Air/ Air/
contacts the control section. water water
cylinder plug
Plug
b) Continue to push the channel
frame
plug’s plug frame against control
Chapter 5

section, and slide the plug frame b) Remote switch 1

towards remote switch 1, until
the plug frame stops, locking the
channel plug firmly in place.

Slide plug frame up

2. Attach the biopsy valve cap of the

channel plug to the endoscope’s
instrument channel port.

Biopsy
valve cap

Instrument
channel
port

180 TJF-Q190V REPROCESSING MANUAL

 5.6.5 Remove disinfectant solution from all channels

3. Attach the injection tube (MH-946) to the endoscope connector, as follows:

a) Attach the injection tube’s connector plug to the air and water supply connectors;
b) Attach the injection tube’s air pipe port to the air pipe;
c) Attach the injection tube’s suction channel tube to the suction connector.

a)

Injection
b) tube

c)

Chapter 5
a) b) c)
Connector Air pipe
plug
Air and Suction
water supply connector
connectors
Suction
Air pipe port
channel tube

4. Keeping the endoscope immersed

in the disinfectant solution, remove
Channel ports

the injection tube’s suction port and

channel ports from the disinfectant
solution.

Suction port

TJF-Q190V REPROCESSING MANUAL 181

 5.6 Manual disinfecting
4. Immerse in 5. Remove from
disinfectant disinfectant

5. Attach a sterile 30 mL syringe to the injection tube’s suction channel port, as

follows:
a) Hold the injection tube’s channel ports so that the filter tube points down,
NOT up;
b) Attach the syringe to the suction channel port (the left side port with the
tube that connects to the endoscope connector’s suction connector).
a) b)
Suction
channel port
Injection (left side)
tube
NOT channel
up ports

Filter
tube,
down
Chapter 5

6. Keeping the 30 mL syringe attached

and out of the disinfectant solution,
c)
3X
flush the suction channel with 90 mL
of air, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with air;
b) Then forcefully flush 30 mL of air; Suction
channel port
c) Repeat Steps a) and b) two more Above
times, for a total of three times; disinfectant
solution
d) Confirm that air bubbles exit from
the endoscope’s distal end during
the last flush. d) Air bubbles
SHOULD
If air bubbles do not exit, flush the emerge
channel with air until air bubbles
exit.

182 TJF-Q190V REPROCESSING MANUAL

 5.6.5 Remove disinfectant solution from all channels

7. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
(right side)
air/water channel port (port on the
right).

8. Keeping the 30 mL syringe attached

and out of the disinfectant solution, 3X
flush the air/water channel with 90 mL
of air, as follows:
Air/water
a) Slowly pull the syringe plunger to channel port
fill the syringe with air;

Chapter 5
b) Then forcefully flush 30 mL of air;
Above
c) Repeat Steps a) and b) two more disinfectant
times, for a total of three times. solution

9. Remove the endoscope and all attached accessories from the disinfectant
solution. Leave the distal-end flushing adapter in the disinfectant solution.

Leave distal-end
flushing adapter

TJF-Q190V REPROCESSING MANUAL 183

 5.6 Manual disinfecting
4. Immerse in 5. Remove from
disinfectant disinfectant

10.
Lift the distal-end flushing adapter’s a)
WHITE flushing port out of the
disinfectant solution. Flush air
through the WHITE flushing port, as
follows:
a) Before attaching the syringe
to the white flushing port (so
b)

1X
that you do not pull disinfectant
solution into the syringe that might
be inside the flushing tube), fill the WHITE
syringe with 30 mL of air; flushing
port
b) Then attach the syringe to the
white flushing port of the distal-
end flushing adapter (MAJ-2319) Above disinfectant
and flush the adapter with 30 mL solution
of air.
Chapter 5

11. Detach the syringe from the flushing

adapter’s distal-end.

12. Lift the GREEN flushing port out of

the disinfectant solution. Flush air
a)

through the GREEN flushing port, as

follows:
a) Before attaching the syringe
to the green flushing port (so
that you do not pull disinfectant b)
solution into the syringe that might
be inside the flushing tube), fill the
GREEN
flushing
1X
syringe with 30 mL of air; port
b) Then attach the syringe to the
green flushing port of the distal-
end flushing adapter and flush the
adapter with 30 mL of air.
Above disinfectant
solution

184 TJF-Q190V REPROCESSING MANUAL

 5.6.5 Remove disinfectant solution from all channels

13. Remove the distal-end flushing

adapter from the disinfectant
solution.

NOTE

Rinse the distal-end flushing adapter as described in Chapter 6.4, “Rinse the
accessories following disinfection”.

Chapter 5

TJF-Q190V REPROCESSING MANUAL 185

 5.7 Rinsing

5.7 Rinse the endoscope and accessories following disinfection

Workflow for rinsing the endoscope and accessories:

Prepare equipment
5.7.1 Equipment needed

Rinse the endoscope and accessories

5.7.2 Rinse the endoscope and accessories

Flush with alcohol

Chapter 5

5.7.3 Flush with alcohol

Dry the endoscope

5.7.4 Dry the endoscope

186 TJF-Q190V REPROCESSING MANUAL

 5.6.5 Remove disinfectant solution from all channels

This instruction manual describes procedures for rinsing the endoscope and accessories,
flushing them with alcohol, and drying them following disinfection.

WARNING
After rinsing, thoroughly dry the endoscope’s channels and accessories. Otherwise,
bacteria may proliferate in the channels and pose an infection control risk.

CAUTION
After rinsing, thoroughly dry the electrical contacts of the endoscope connector by
wiping with sterile lint-free cloths. Otherwise, hard water residue may be deposited
on the electrical contacts, which may cause an abnormal endoscopic image when

Chapter 5
the endoscope is used.

NOTE

There are various national or professional guidelines that provide different

recommendations for rinsing the endoscope. For example:

• Some national or professional guidelines recommend using sterile water for rinsing
endoscopes. If sterile water is not available, these guidelines recommend using fresh,
drinkable tap water and flushing endoscope channels with alcohol.
• Some other national or professional guidelines recommend flushing endoscope
channels with 70% ethyl or 70% isopropyl alcohol regardless of whether sterile or
nonsterile water is used to rinse the endoscope.
• Some other national or professional guidelines recommend using water of at least
drinking quality to remove disinfectant solution, and preferably sterile water for the final
rinse. These guidelines also recommend drying endoscope channels with compressed
filtered air at each reprocessing procedure and with alcohol at the end of the day.
• Some other national or professional guidelines do not recommend using alcohol.

Follow the guidelines applicable to your institution.

TJF-Q190V REPROCESSING MANUAL 187

 5.7 Rinsing
1. Equipment 2. Rinse endoscope 3. Flush with
needed and accessories alcohol

5.7.1 Equipment needed

Prepare the following equipment.

Equipment:

Suction pump (KV-6, KV-5, SSU-2) and

sterile suction tube*1 (Sold separately.
Refer to its instruction manual.)

Fluids used for rinsing:

• 70% ethyl or 70% isopropyl alcohol • Rinse water

(Refer to Chapter 3.6, “Alcohol”) (Refer to Chapter 3.5, “Rinse water”)
Chapter 5

Other:

• Sterile lint-free cloths*1 • Sterile, large basins*1

(size: 40 (W) × 40 (D) × 25 (H) cm or
• Sterile 30 mL (30 cc) syringes*1 more)
• Sterile, small basins with tight-fitting lids • Air compressor (Filtered)
(size: 25 (W) x 10 (D) x 25 (H) cm or
more)*1
• Sterile cotton swabs*1

*1 Following disinfection, it is very important not to recontaminate the endoscope and accessories with potentially
infectious microorganisms. When rinsing and drying the endoscope and accessories following disinfection, the use
of sterile equipment (basins, cloths, syringes, etc.) is recommended. If sterile equipment is not available, use clean
equipment that does not recontaminate the endoscope and accessories with potentially infectious microorganisms.
Consult with your hospital’s infection control committee regarding local policies or requirements regarding
reprocessing equipment.

188 TJF-Q190V REPROCESSING MANUAL

 5.7.2 Rinse the endoscope and accessories

5.7.2 Rinse the endoscope and accessories

Use appropriate rinse water as instructed in Chapter 3.5, “Rinse water”.

WARNING
Once you immerse the endoscope and/or accessories, keep it immersed
at all times when performing the rinsing steps, unless the instructions
state otherwise. Holding the endoscope out of the fluid while rinsing may
cause adverse reactions in patients because of residual reprocessing
fluids.

NOTE

Chapter 5
Some national or professional guidelines recommend drying endoscope channels
with compressed filtered air after rinsing.

1. Fill a sterile, large basin with rinse

water.
Rinse
water

2. Completely immerse the endoscope

in the rinse water with accessories Keep immersed
Keep
when
immersed
cleaning
when rinsing
attached.

TJF-Q190V REPROCESSING MANUAL 189

 5.7 Rinsing
1. Equipment 2. Rinse endoscope 3. Flush with
needed and accessories alcohol

3. Slide the channel plug’s (MH-944)

plug frame down and detach the
Plug frame

channel plug from the endoscope.

Biopsy
valve cap

4. Detach the injection tube (MH-946)

from the endoscope.
Connector
plug
Air pipe
port
Chapter 5

Suction channel tube

5. Keeping the endoscope and all accessories completely immersed in the rinse
water, wipe all external surfaces of the endoscope and all accessories using
sterile lint-free cloths:
a) Endoscope
b) Channel plug
c) Injection tube

a) Endoscope b) Channel c) Injection

plug tube

190 TJF-Q190V REPROCESSING MANUAL

 5.7.2 Rinse the endoscope and accessories

6. Attach the channel plug to the Suction

a) cylinder
endoscope’s air/water and suction Suction
cylinders, as follows: plug

a) Insert the channel plug’s air/

water plug into the air/water
cylinder, then continue, inserting
the channel plug’s suction plug
into the suction cylinder until
the channel plug’s plug frame Air/ Air/
contacts the control section. water water
cylinder plug
b) Continue to push the channel Plug
frame
plug’s plug frame against control
section, and slide the plug frame b) Remote switch 1
towards remote switch 1, until
the plug frame stops, locking the
channel plug firmly in place.

Chapter 5
Slide plug frame up

7. Attach the biopsy valve cap of the

channel plug to the endoscope’s
instrument channel port.

Biopsy
valve cap

Instrument
channel
port

TJF-Q190V REPROCESSING MANUAL 191

 5.7 Rinsing
1. Equipment 2. Rinse endoscope 3. Flush with
needed and accessories alcohol

8. Attach the injection tube (MH-946) to the endoscope connector, as follows:

a) Attach the injection tube’s connector plug to the air and water supply connectors;
b) Attach the injection tube’s air pipe port to the air pipe;
c) Attach the injection tube’s suction channel tube to the suction connector.

a)

Injection
b) tube
Chapter 5

c)

a) b) c)
Connector Air pipe
plug
Air and Suction
water supply connector
connectors
Suction
Air pipe port
channel tube

9. Make sure the endoscope and attached accessories are completely immersed
in the rinse water and confirm that the suction port of the injection tube is
completely immersed.

Keep immersed
Keep immersed
when cleaning
when rinsing

192 TJF-Q190V REPROCESSING MANUAL

 5.7.2 Rinse the endoscope and accessories

10. Attach a sterile 30 mL syringe to the injection tube’s suction channel port, as
follows:
a) Hold the injection tube’s channel ports so that the filter tube points down,
NOT up;
b) Attach the syringe to the suction channel port (the left side port with the
tube that connects to the endoscope connector’s suction connector).
a) b)
Suction
channel port
Injection (left side)
tube
NOT channel
up ports

Filter
tube,
down

Chapter 5
11. Keeping the 30 mL syringe attached
and immersed, flush the suction c)
channel with 90 mL of the rinse water,
as follows: 3X
a) Slowly pull the syringe plunger to fill
the syringe with the rinse water;
b) Then forcefully flush 30 mL of the
rinse water;
Suction
c) Repeat Steps a) and b) two more channel port
times, for a total of three times;
d) Confirm that no air bubbles exit from d) NO air bubbles
the endoscope’s distal end during should emerge
the last flush.

If air bubbles still exit, flush the

channel with the rinse water until no
air bubbles exit.

TJF-Q190V REPROCESSING MANUAL 193

 5.7 Rinsing
1. Equipment 2. Rinse endoscope 3. Flush with
needed and accessories alcohol

12. Move the syringe from the suction

channel port to the injection tube’s Air/water
channel port
air/water channel port (port on the
(right side)
right).

13. Keeping the 30 mL syringe immersed

and attached, flush the air/water
channel with 90 mL of the rinse
water, as follows:
3X
a) Slowly pull the syringe plunger
to fill the syringe with the rinse Air/water
water; channel port
Chapter 5

b) Then forcefully flush 30 mL of the

rinse water;
c) Repeat Steps a) and b) two
more times, for a total of three d) NO air bubbles
times; should emerge
d) Confirm that no air bubbles exit
from the endoscope’s distal end
during the last flush.

If air bubbles still exit, flush the

channel with the rinse water until
no air bubbles exit.

14. Keeping the endoscope immersed

in the rinse water, move the elevator 3X
Forceps
elevator
control lever in each direction three
times, to move the forceps elevator
up and down.

15. Repeat Steps 1 through 14 for the number of times required by the
disinfectant manufacturer’s instructions.

194 TJF-Q190V REPROCESSING MANUAL

 5.7.2 Rinse the endoscope and accessories

16. Remove the endoscope from the rinse water with accessories attached and
place them in a sterile basin.

Rinse Sterile
water basin

17. To prevent splashing from the

channel openings, cover the

Chapter 5
endoscope’s distal end and control
section with sterile lint-free cloths.

Cover
with
sterile cloths

18. Move the syringe from the air/water

channel port to the injection tube’s
Suction
channel port
(left side)
suction channel port (port on the
left).

19. Keeping the 30 mL syringe attached,

3X
flush the suction channel with 90 mL
of air, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with air;
b) Then forcefully flush 30 mL of air; Suction
channel port
c) Repeat Steps a) and b) two
more times, for a total of three
times.

TJF-Q190V REPROCESSING MANUAL 195

 5.7 Rinsing
1. Equipment 2. Rinse endoscope 3. Flush with
needed and accessories alcohol

20.
Move the syringe from the suction
Air/water
channel port to the injection tube’s
channel port
air/water channel port (port on the (right side)
right).

21. Keeping the 30 mL syringe attached,

flush the air/water channel with 90 mL
3X
of air, as follows:
a) Slowly pull the syringe plunger to fill Air/water
the syringe with air; channel port

b) Then forcefully flush 30 mL of air;

c) Repeat Steps a) and b) two more
Chapter 5

times, for a total of three times.

22. Remove the cloths from the

endoscope.
Remove
cloths

23. Detach only the injection tube from the endoscope.

Connector Air pipe

plug port

Suction channel tube

196 TJF-Q190V REPROCESSING MANUAL

 5.7.2 Rinse the endoscope and accessories

24. Attach the suction pump’s sterile suction tube to the suction connector on the
endoscope connector.

Suction
connector

Sterile
suction tube
Suction pump

25. If using the KV-6 or KV-5 suction

pump, turn the vacuum regulator
knob clockwise until the knob stops
and sets to maximum.

Chapter 5
NOTE
The maximum vacuum pressure
of the suction pump is:
• KV-6: -95 kPa Set to MAX

• KV-5: -85 kPa

26. Turn the suction pump ON.

TJF-Q190V REPROCESSING MANUAL 197

 5.7 Rinsing
1. Equipment 2. Rinse endoscope 3. Flush with
needed and accessories alcohol

27. While aspirating air for 15 seconds

or more, move the elevator control
lever in each direction three times,
to move the forceps elevator up and
15
sec.
Elevator
control lever
3X
down.

NOTE
Use a clock or a timer to accurately
measure 15 seconds or more.

28. Turn the suction pump OFF.

Chapter 5

29. Slide the channel plug’s plug frame

down and detach the channel plug
Plug frame

from the endoscope.

Biopsy
valve cap

30. Detach the suction pump’s sterile

suction tube from the endoscope.

Sterile
suction tube

198 TJF-Q190V REPROCESSING MANUAL

 5.7.2 Rinse the endoscope and accessories

31. Using sterile lint-free cloths, wipe all external surfaces until thoroughly dry:
a) Endoscope (including the electrical contacts)
b) Channel plug
c) Injection tube
a) Endoscope b) Channel c) Injection
plug tube

Electrical
contacts

Chapter 5
32. Using sterile cotton swabs, wipe the
inside of the endoscope’s suction
Suction cylinder

cylinder, the air/water cylinder, and

the instrument channel port until
thoroughly dry.
Air/water
cylinder

Instrument
channel port

33. Using sterile cotton swabs, wipe the

forceps elevator and its recess until
thoroughly dry. Forceps elevator
recess

TJF-Q190V REPROCESSING MANUAL 199

 5.7 Rinsing
2. Rinse endoscope 3. Flush with 4. Dry endoscope and
and accessories alcohol accessories

5.7.3 Flush with alcohol

WARNING
Remove residual alcohol from endoscope channels to reduce the risks of residual
alcohol contacting patient’s mucosa during electrosurgical procedures.

1. Fill a sterile, small basin with alcohol.

Alcohol
Chapter 5

2. Attach the channel plug (MH-944)

to the endoscope’s air/water and a)
Suction
cylinder
Suction
suction cylinders, as follows: plug
a) Insert the channel plug’s air/
water plug into the air/water
cylinder, then continue, inserting
the channel plug’s suction plug
into the suction cylinder until
the channel plug’s plug frame
Air/ Air/
contacts the control section; water water
cylinder plug
b) Continue to push the channel Plug
plug’s plug frame against control frame
section, and slide the plug frame
towards remote switch 1, until b) Remote switch 1
the plug frame stops, locking the
channel plug firmly in place.

Slide plug frame up

200 TJF-Q190V REPROCESSING MANUAL

 5.7.3 Flush with alcohol

3. Attach the biopsy valve cap of the

channel plug to the endoscope’s
instrument channel port.

Biopsy
valve cap

Instrument
channel
port

4. Attach the injection tube (MH-946) to the endoscope connector, as follows:

a) Attach the injection tube’s connector plug to the air and water supply connectors;
b) Attach the injection tube’s air pipe port to the air pipe;

Chapter 5
c) Attach the injection tube’s suction channel tube to the suction connector.

a)

Injection
b) tube

c)

a) b) c)
Connector Air pipe
plug
Air and Suction
water supply connector
connectors
Suction
Air pipe port
channel tube

TJF-Q190V REPROCESSING MANUAL 201

 5.7 Rinsing
2. Rinse endoscope 3. Flush with 4. Dry endoscope and
and accessories alcohol accessories

5. Completely immerse the injection

tube’s suction port in the alcohol. Suction port

6. To prevent splashing from the

channel openings, cover the
Cover with
sterile cloths
endoscope’s distal end and control
section with sterile lint-free cloths.
Chapter 5

7. Attach a sterile 30 mL syringe to the injection tube’s suction channel port, as

follows:
a) Hold the injection tube’s channel ports so that the filter tube points down,
NOT up;
b) Attach the syringe to the suction channel port (the left side port with the
tube that connects to the endoscope connector’s suction connector).

a) b)
Suction
Injection channel port
tube (left side)
NOT channel
up ports

Filter
tube,
down

202 TJF-Q190V REPROCESSING MANUAL

 5.7.3 Flush with alcohol

8. Keeping the 30 mL syringe attached,

3X
flush the suction channel with 90 mL
of the alcohol, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with the alcohol;
b) Then forcefully flush 30 mL of the
Suction
alcohol;
channel port
c) Repeat Steps a) and b) two more
times, for a total of three times.

Air/water

9. Move the syringe from the suction

channel port to the injection tube’s air/
channel port
(right side)
water channel port (port on the right).

Chapter 5
10. Keeping the 30 mL syringe attached,
flush the air/water channel with the
1X
alcohol, as follows:
Air/water
a) Slowly pull the syringe plunger to
channel port
fill the syringe with the alcohol;
b) Then forcefully flush with 30 mL of
the alcohol.

11. 3X
Move the elevator control lever in Elevator
control lever
each direction three times, to move
forceps elevator up and down.

12. Remove the injection tube’s suction

port from the alcohol.

Suction port

TJF-Q190V REPROCESSING MANUAL 203

 5.7 Rinsing
2. Rinse endoscope 3. Flush with 4. Dry endoscope and
and accessories alcohol accessories

13. Move the syringe from the air/water

channel port to the injection tube’s
Suction
channel port
suction channel port (port on the (left side)
left).

14. Keeping the 30 mL syringe attached,

flush the suction channel with 90 mL
of air, as follows: 3X
a) Slowly pull the syringe plunger to
fill the syringe with air;
b) Then forcefully flush 30 mL of air;
Chapter 5

c) Repeat Steps a) and b) two

Suction
more times, for a total of three channel port
times.

15. Move the syringe from the suction

channel port to the injection tube’s air/
Air/water
channel port
water channel port (port on the right). (right side)

16. Keeping the 30 mL syringe attached,

flush the air/water channel with 90 mL
of air, as follows: 3X
a) Slowly pull the syringe plunger to Air/water
fill the syringe with air; channel port
b) Then forcefully flush 30 mL of air;
c) Repeat Steps a) and b) two more
times, for a total of three times.

204 TJF-Q190V REPROCESSING MANUAL

 5.7.3 Flush with alcohol

17. Remove the cloths from the

endoscope.
Remove
cloths

18. Detach only the injection tube from the endoscope.

Connector
plug
Air pipe
port

Chapter 5
Suction channel tube

19. Attach the suction pump’s sterile suction tube to the suction connector on the
endoscope connector.

Suction
connector

Sterile
suction tube
Suction pump

20. If using the KV-6 or KV-5 suction

pump, turn the vacuum regulator
knob clockwise until the knob stops
and sets to maximum.

NOTE
The maximum vacuum pressure of the suction pump is:
• KV-6: -95 kPa
• KV-5: -85 kPa Set to MAX

TJF-Q190V REPROCESSING MANUAL 205

 5.7 Rinsing
2. Rinse endoscope 3. Flush with 4. Dry endoscope and
and accessories alcohol accessories

21. Turn the suction pump ON.

22. Aspirate air for 30 seconds or more.

NOTE
10 30
sec.
Use a clock or a timer to accurately sec.
measure 30 seconds or more.
Chapter 5

23. Turn the suction pump OFF.

24. Slide the channel plug’s plug frame

down and detach the channel plug
Plug frame

from the endoscope.

Biopsy
valve cap

206 TJF-Q190V REPROCESSING MANUAL

 5.7.3 Flush with alcohol

25. Detach the suction pump’s sterile suction tube from the endoscope.

Suction
pump

Sterile
suction
tube

26. Using sterile lint-free cloths, wipe all external surfaces until thoroughly dry:
a) Endoscope (including the electrical contacts)
b) Channel plug
c) Injection tube

Chapter 5
a) Endoscope b) Channel c) Injection
plug tube

Electrical
contacts

27. Using sterile cotton swabs, wipe the

inside of the endoscope’s suction Suction cylinder
cylinder, the air/water cylinder, and
the instrument channel port until
thoroughly dry.
Air/water
cylinder

Instrument
channel port

TJF-Q190V REPROCESSING MANUAL 207

 5.7 Rinsing
3. Flush with 4. Dry endoscope and
alcohol accessories

5.7.4 Dry the endoscope

CAUTION
When aerating the endoscope channels, the air pressure must not exceed 0.5 MPa
(5 kgf/cm2, 71 psig). Higher pressures may cause damage to the endoscope.

1. Ensure that the distal end’s

instrument channel outlet is fully Forceps
open. elevator

If closed, open the instrument Instrument

channel outlet
channel outlet by moving the
Chapter 5

elevator control lever as shown

below until the forceps elevator
stops.

Elevator control lever Closed Open

2. To prevent splashing alcohol

from the channel openings, cover
the endoscope’s distal end, the
control section, and the endoscope
connector in sterile lint-free cloths.

Cover with
sterile cloths

208 TJF-Q190V REPROCESSING MANUAL

 5.7.4 Dry the endoscope

3. Blow compressed filtered air of less than 0.5 MPa from the endoscope’s suction
cylinder through the suction channel and the instrument channel until no alcohol
exits from the endoscope’s distal end, the instrument channel port, and the
suction connector.

Air Instrument Distal end

Suction
cylinder channel port

Suction connector

4. Blow compressed filtered air of less than 0.5 MPa from the endoscope’s
instrument channel port through the instrument channel until no alcohol exits

Chapter 5
from the endoscope’s distal end.

Instrument Distal end

channel
Air
port

5. Blow compressed filtered air of less than 0.5 MPa from the endoscope’s air/
water cylinder through the air/water channel until no alcohol exits from the
endoscope’s distal end, the air supply connector, the water supply connector,
and the air pipe.

Air
Distal end
Air/water
cylinder

Air supply Water supply

connector connector

Air pipe

TJF-Q190V REPROCESSING MANUAL 209

 5.7 Rinsing
3. Flush with 4. Dry endoscope and
alcohol accessories

6. Blow compressed filtered air of less

than 0.5 MPa on the endoscope’s
Air

distal end until no alcohol remains.

7. Using sterile cotton swabs, wipe the

inside of the endoscope’s suction
Suction cylinder

cylinder, the air/water cylinder, and

the instrument channel port until
Chapter 5

thoroughly dry.
Air/water
cylinder

Instrument
channel port

8. Using sterile lint-free cloths, wipe all

the endoscope’s external surfaces
until thoroughly dry.

210 TJF-Q190V REPROCESSING MANUAL

 5.8.1 Equipment needed
5.8 Sterilize the endoscope and accessories

5.8.1 Equipment needed

Prepare the following equipment.

Accessory for sterilization:

ETO cap (MB-156)

Other:

Chapter 5
• Sterilization wraps*1
• Sterilization pouches*1
• Stainless steel wire mesh basket
(size: 50 (W) × 30 (D) × 10 (H) cm or more)

*1 For the USA: Use sterilization wraps and sterilization pouches that are legally marketed in the USA.

5.8.2 Ethylene oxide gas sterilization of the endoscope and

accessories

WARNING
• Thoroughly dry the endoscope and accessories before sterilization.
• All instruments must be properly aerated following ethylene oxide gas sterilization to
remove toxic ethylene oxide residuals.
• Use only ethylene oxide gas sterilization compatible sterilization wraps and
sterilization pouches.

TJF-Q190V REPROCESSING MANUAL 211

 5.8 Sterilize
1. Equipment 2. Ethylene oxide gas 3. Steam
needed sterilization sterilization

CAUTION
• Exceeding the recommended sterilization parameters may cause damage to the
endoscope and/or accessories.
• Attach the ETO cap (MB-156) to the venting connector on the endoscope connector
prior to ethylene oxide gas sterilization. If the ETO cap is not attached to the venting
connector during the ethylene oxide gas sterilization, the air inside the endoscope
will expand and could rupture the bending section cover and/or damage the
angulation mechanism.

1. Flush and dry all of the endoscope’s channels, the channel plug (MH-944), and
the injection tube (MH-946) with alcohol and air as described in:
• Chapter 5.7.3, “Flush with alcohol”
• Chapter 5.7.4, “Dry the endoscope”
Chapter 5

• Chapter 6.4.4, “Flush and dry accessories with alcohol”

2. Attach the ETO cap (MB-156) to the venting connector on the endoscope
connector, as follows:
a) Align the pin on the venting connector with the keyway on the ETO cap;
b) Push the ETO cap towards the endoscope connector of the endoscope until it
stops;
c) Rotate the ETO cap clockwise (approximately 90°) until it stops.

a) b) c)
ETO cap

Keyway

Venting
connector
pin

Endoscope
connector

212 TJF-Q190V REPROCESSING MANUAL

 5.8.2 Ethylene oxide gas sterilization of the endoscope and accessories

3. Ensure that the distal end’s

instrument channel outlet is fully Forceps
elevator
open.
Instrument
If closed, open the instrument channel outlet
channel outlet by moving the
elevator control lever as shown
below until the forceps elevator
stops.
Elevator control lever Closed Open

Chapter 5
4. Put the endoscope in a stainless
steel wire mesh basket.

5. Wrap the basket containing the endoscope with sterilization wrap for ethylene
oxide gas sterilization, according to your institution’s protocol.

6. Seal the accessories in individual sterilization pouches appropriate for ethylene

oxide gas sterilization, according to your institution’s protocol.

7. Sterilize and aerate the packaged endoscope and accessories, according to

the parameters described in Chapter 3.7, “Ethylene oxide gas sterilization”. In
addition, always follow the sterilizer manufacturer’s instructions.

TJF-Q190V REPROCESSING MANUAL 213

 5.8 Sterilize
1. Equipment 2. Ethylene oxide gas 3. Steam
needed sterilization sterilization

5.8.3 Steam sterilization (autoclaving) of the accessories

Sterilize accessories as described in Chapter 6.5.3, “Steam sterilization (autoclaving) of the

accessories”.
Chapter 5

214 TJF-Q190V REPROCESSING MANUAL

 5.8.3 Steam sterilization (autoclaving) of the accessories
5.9 Presoak the endoscope

Workflow for presoaking the endoscope:

Prepare equipment
5.9.1 Equipment needed

Presoak
5.9.2 Presoak the endoscope

Follow the procedure described in this chapter if manual cleaning could not be started within

Chapter 5
1 hour after the patient procedure or if you are not sure whether manual cleaning was started
within 1 hour. Presoaking the endoscope in detergent solution before manually cleaning the
endoscope may be required to wet and loosen debris that has dried and hardened onto the
endoscope’s surfaces.

WARNING
• If manual cleaning could not be performed within 24 hours after the patient procedure
or if you are not sure whether manual cleaning could be performed within 24 hours,
dried debris may not be removed and endoscope reprocessing may not be performed
effectively. Consult with your hospital’s infection control committee what to do if the
endoscope could not be reprocessed within 24 hours after the procedure.
• Do not reuse the detergent solution used for presoak. If performing manual cleaning
with the detergent solution used for presoak, endoscope reprocessing may not be
performed effectively.

CAUTION
• Presoak the endoscope only if you could not manually clean the endoscope within 1
hour of the patient’s procedure or if you are not sure whether manual cleaning took
place within 1 hour.
• Avoid unnecessary long-term immersions. Consecutive reprocessing sessions using
extended immersion may damage the endoscope.

TJF-Q190V REPROCESSING MANUAL 215

 5.9 Presoaking
1. Equipment 2. Presoak
needed endoscope

5.9.1 Equipment needed

Prepare the following equipment.

Accessories for presoaking:

Channel plug (MH-944) Injection tube (MH-946) Distal-end flushing

adapter (MAJ-2319)
Chapter 5

Fluids used for presoaking:

• Detergent solution containing enzymes (Refer to Chapter 3.3, “Detergent solution”)

Other:

• Clean, soft brushes • Clean sponges

• Clean, large basins • Clean lint-free cloths
(size: 40 (W) × 40 (D) × 25 (H) cm or
more) • Clean 30 mL (30 cc) syringes

216 TJF-Q190V REPROCESSING MANUAL

 5.9.2 Presoak the endoscope

5.9.2 Presoak the endoscope

WARNING

Once you immerse the endoscope and/or accessories, keep it immersed

at all times when performing the cleaning steps, unless the instructions
state otherwise. Holding the endoscope out of the fluid while cleaning
may pose an infection control risk.

1. If the single use distal cover (MAJ-2315)

has not been detached, while gently a) Gripper
holding the distal part of the bending
section, remove the single use distal

Chapter 5
cover, as follows:
a) Push back the top of the single
use distal cover’s gripper to begin
removal.
b) Rotate the single use distal cover until
its bottom is free from the distal ring’s b)
hook.

Hook

2. If you have not performed a leakage test, perform a leakage test according to
Chapter 5.4, “Leakage testing of the endoscope”.

TJF-Q190V REPROCESSING MANUAL 217

 5.9 Presoaking
1. Equipment 2. Presoak
needed endoscope

3. Fill a clean, large basin with the

detergent solution containing enzymes
Detergent
at the temperature and concentration
recommended by the detergent solution
manufacturer.

Refer to the detergent manufacturer’s

instructions for the recommended
temperature and concentration.

4. Completely immerse the endoscope

in the detergent solution.
Chapter 5

5. Ensure that the distal end’s

instrument channel outlet is fully Forceps
elevator
open.
Instrument
If closed, open the instrument channel outlet
channel outlet by moving the
elevator control lever as shown
below until the forceps elevator
stops.
Elevator control lever Closed Open

218 TJF-Q190V REPROCESSING MANUAL

 5.9.2 Presoak the endoscope

6. Attach the channel plug (MH-944)

to the endoscope’s air/water and a)
Suction
cylinder
Suction
suction cylinders, as follows: plug
a) Insert the channel plug’s air/
water plug into the air/water
cylinder, then continue, inserting
the channel plug’s suction plug
into the suction cylinder until
the channel plug’s plug frame Air/ Air/
contacts the control section. water water
cylinder plug
b) Continue to push the channel Plug
plug’s plug frame against control frame
section, and slide the plug frame
towards remote switch 1, until b) Remote switch 1
the plug frame stops, locking the
channel plug firmly in place.

Chapter 5
Slide plug frame up

7. Attach the biopsy valve cap of the

channel plug to the endoscope’s
instrument channel port.

Biopsy
valve cap

Instrument
channel
port

TJF-Q190V REPROCESSING MANUAL 219

 5.9 Presoaking
1. Equipment 2. Presoak
needed endoscope

8. Attach the injection tube (MH-946) to the endoscope connector, as follows:

a) Attach the injection tube’s connector plug to the air and water supply connectors;
b) Attach the injection tube’s air pipe port to the air pipe;
c) Attach the injection tube’s suction channel tube to the suction connector.

a)

Injection
b) tube
Chapter 5

c)

a) b) c)
Connector Air pipe
plug
Air and Suction
water supply connector
connectors
Suction
Air pipe port
channel tube

9. Completely immerse the channel plug and the injection tube in the detergent
solution.

Keep immersed
Keep immersed
when cleaning
when cleaning

220 TJF-Q190V REPROCESSING MANUAL

 5.9.2 Presoak the endoscope

10. Assemble the distal-end flushing adapter (MAJ-2319) by attaching the clip on the
green cover to the shaft on the white cover.
Clip on green cover Shaft on white cover

11. Completely immerse the distal-end

flushing adapter in the detergent
solution.

Chapter 5
12. Keeping the distal-end flushing adapter immersed in the detergent solution,
attach the distal-end flushing adapter to the endoscope’s distal end, as follows;
a) Hold the distal end so you can see the back side surface (lens side is down);
b) Put the distal end in the green cover so the lens is against the green cover
and the top lines up against the top of the green cover;
c) Shut the white cover onto the green cover so that it snaps closed.

a) Back side up, b) c)

Lens side down

13. Keeping the endoscope and the

distal-end flushing adapter immersed
in the detergent solution, hold the
distal-end flushing adapter and
gently pull the endoscope to ensure
that the distal end does not come out
of distal-end flushing adapter.

TJF-Q190V REPROCESSING MANUAL 221

 5.9 Presoaking
1. Equipment 2. Presoak
needed endoscope

14. Immerse a clean 30 mL syringe in

the detergent solution and flush a)
through the WHITE flushing port, as
follows:
a) Before attaching the syringe to
the white flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with the
detergent solution; b) c)
WHITE
b) Attach it to the white flushing port
flushing
of the distal-end flushing adapter;
port
c) Then forcefully flush the distal
end with 30 mL of the detergent
solution.
1X
Chapter 5

15. Keeping the 30 mL syringe attached

and immersed, flush an additional
150 mL of the detergent solution
through the WHITE flushing port, as Keep
follows: syringe
attached
a) Slowly pull the syringe plunger to
fill the syringe with the detergent
solution;
b) Then forcefully flush the distal
end with 30 mL of the detergent
5X
solution;
c) Repeat Steps a) and b) four
more times, for a total of five
times.

222 TJF-Q190V REPROCESSING MANUAL

 5.9.2 Presoak the endoscope

16. Detach the syringe from the distal-

end flushing adapter.

17. Keeping the 30 mL syringe

immersed, flush the detergent
a)

solution through the GREEN flushing

port, as follows:

Chapter 5
a) Before attaching the syringe to
the green flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe b) c)
plunger to fill the syringe with the GREEN
detergent solution; flushing
port
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush the distal
end with 30 mL of the detergent
solution.
1X

18. Keeping the 30 mL syringe attached and

immersed, flush an additional 150 mL of Keep
detergent solution through the GREEN syringe
flushing port, as follows: attached

a) Slowly pull the syringe plunger to fill

the syringe with the detergent solution;
b) Then forcefully flush the distal end
with 30 mL of the detergent solution;
5X
c) Repeat Steps a) and b) four more
times, for a total of five times.

TJF-Q190V REPROCESSING MANUAL 223

 5.9 Presoaking
1. Equipment 2. Presoak
needed endoscope

19. Keeping the distal-end flushing

adapter immersed in the detergent
solution, open the white cover
and green cover and detach the
distal-end flushing adapter from the
endoscope.

20. Remove only the distal-end flushing

adapter from the detergent solution.
Chapter 5

21.
Forceps
3X
Keeping the endoscope immersed
elevator
in the detergent solution, move
the elevator control lever in each
direction three times to move the
forceps elevator up and down.

22. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port with the tube that
connects to the endoscope connector’s suction connector).
a) b)
Suction
channel port
Injection (left side)
tube
NOT channel
up ports

Filter
tube,
down

224 TJF-Q190V REPROCESSING MANUAL

 5.9.2 Presoak the endoscope

23. Keeping the 30 mL syringe attached and

immersed, flush the suction channel with b)
180 mL of the detergent solution:
6X
a) Slowly pull the syringe plunger to fill the
syringe with the detergent solution;
b) Then forcefully flush with 30 mL of the
detergent solution;
c) Confirm that air bubbles exit from the Suction
distal end of the endoscope during channel port
the flush to make sure that the suction
channel is not clogged;
c) Air bubbles
d) Repeat Steps a) through c) five more SHOULD
times, for a total of six times. emerge

Chapter 5
24. Move the syringe from the suction
channel port to the injection tube’s
Air/water
channel port
(right side)
air/water channel port (port on the
right).

25. Keeping the 30 mL syringe immersed

and attached, flush the air/water b)
channel with 90 mL of the detergent
solution:
3X
Air/water
a) Slowly pull the syringe plunger to channel port
fill the syringe with the detergent
solution;
b) Then forcefully flush with 30 mL of
the detergent solution; Air bubbles
c)
SHOULD emerge
c) Confirm that air bubbles exit from
the distal end of the endoscope
during the flush to make sure that
the air/water channel is not clogged;
d) Repeat Steps a) through c) two
more times, for a total of three
times.

TJF-Q190V REPROCESSING MANUAL 225

 5.9 Presoaking
1. Equipment 2. Presoak
needed endoscope

26. If air bubbles did not exit the

endoscope’s distal end while 30
performing Steps 22 through 25, the min.
suction channel, and/or the air/water
channel might be clogged. If so,
conduct the following steps:
a) Immerse the endoscope in the
detergent solution for 30 minutes;
b) After 30 minutes, perform
additional suction and air/water Repeat
channel flushes by repeating
Steps 22 through 25.
Steps 22 - 25
If air bubbles exited the endoscope’s distal end during flushing of BOTH
the suction channel and air/water channel, proceed to Step 27.

NOTE
Chapter 5

• Use a clock or a timer to accurately measure detergent contact time.

• If air bubbles did not exit the endoscope’s distal end during the
second flushing of the channels, contact Olympus.

27. Slide the channel plug’s plug frame

down and detach the channel plug
Plug frame

from the endoscope.

Biopsy
valve cap

28. Detach the injection tube from the

endoscope.
Injection
tube

226 TJF-Q190V REPROCESSING MANUAL

 5.9.2 Presoak the endoscope

29. Remove the channel plug and the

injection tube from the detergent
Injection
tube
Channel
plug
solution.

30. Allow the endoscope to soak

completely in the detergent solution 2
for more than 2 hours, but no more hr
than 10 hours.

NOTE

Chapter 5
Use a clock or a timer to accurately
measure the detergent contact time.

31. Keeping the endoscope immersed in

the detergent solution, wipe or brush
all external surfaces using clean lint-
free cloths, sponges, or brushes to
remove any debris.

32. Remove the endoscope from the

detergent solution.

33. Return to Chapter 5.5, “Manually clean the endoscope and accessories” on
page 100 and reprocess according to the procedure. Use the detergent solution
containing enzymes in manual cleaning.

Even when using an AER, perform all procedures according to Chapter 5.5 after
presoaking.

TJF-Q190V REPROCESSING MANUAL 227

 6.1 Summary

Chapter

6 Reprocess the Accessories

6.1 Summary

WARNING
All reuasble accessories must be reprocessed after each use to prevent an
infection control risk.

The following accessories cannot get cleaned or disinfected with the endoscope in Chapter 5,
“Reprocess the endoscope (and related reprocessing accessories)”. These accessories must
be reprocessed according to the instructions described in this Chapter.
Chapter 6

Biopsy valve Air/water valve Suction valve

(MB-358) (MH-438) (MH-443)

AW channel cleaning Mouthpiece Channel cleaning brush

adapter (MH-948) (MA-392) (BW-20T)

Channel-opening Suction cleaning adapter Distal-end flushing

cleaning brush (MH-507) (MH-856) adapter (MAJ-2319)

228 TJF-Q190V REPROCESSING MANUAL

 6.1.1 Equipment needed

Exceptions for Channel plug and Injection tube

The following accessories are manually cleaned and disinfected with the endoscope during
manual cleaning and disinfection of the endoscope as described in Chapter 5, “Reprocess the
Endoscope (and related reprocessing accessories)”.

Channel plug Injection tube

(MH-944) (MH-946)

However, you may have to reprocess these accessories individually. For example, if the
endoscope is compatible with an AER/WD and these accessories are not compatible with the
AER/WD, these accessories must be manually cleaned and disinfected separately from the
endoscope.

6.1.1 Equipment needed

Chapter 6
The following accessories and equipment are required to perform the reprocessing steps
described in this chapter.

Accessories for reprocessing:

Single use combination cleaning brush Channel cleaning brush

(BW-412T*1) (BW-20T*1)

Equipment:

Ultrasonic cleaner
(ENDOSONIC)

TJF-Q190V REPROCESSING MANUAL 229

 6.1 Summary

Personal protective equipment:

Eyewear Face mask Moisture-resistant Chemical-resistant

clothing gloves*2

Fluids used for reprocessing:

• Detergent solution • Water (for reprocessing (Refer to

(Refer to Chapter 3.3, “Detergent Chapter 3.2, “Water (for reprocessing)”)
solution”)
• Disinfectant solution (Refer to Chapter
• Rinse water (Refer to Chapter 3.5, 3.4, “Disinfectant solution”)
“Rinse water”)
• 70% ethyl or 70% isopropyl alcohol
(Refer to Chapter 3.6, “Alcohol”)
Chapter 6

Other:

• Clean lint-free cloths • Clean sponges

• Sterile lint-free cloths*3 • Clean 30 mL (30 cc) syringes

• Sterile 30 mL (30 cc) syringes*3 • Sterile, small basins or containers*3

• Clean basins or containers • Clean basins or containers with

tight-fitting lids
• Sterile basins or containers*3
• Sterilization pouches*4

*1 Prepare the brush that has been used to clean the endoscope (i.e., while conducting steps in Chapter 5,
“Reprocess the Endoscope (and related reprocessing accessories)” ): the single use combination cleaning brush
(BW-412T) OR the channel cleaning brush (BW-20T).
*2 Long sleeve gloves are recommended to prevent skin exposure.
*3 Use of sterile equipment (e.g., basins, lint-free cloths, syringes) for rinsing and drying is recommended after
disinfection of the accessories to prevent introducing potentially infectious microorganisms and recontamination.
If sterile equipment is not available, use clean equipment which will not recontaminate the accessories. Consult
with your hospital’s infection control committee regarding local policies or requirements regarding reprocessing
equipment.
*4 For U.S. customers: Use legally U.S. marketed sterilization pouches.

230 TJF-Q190V REPROCESSING MANUAL

 6.1.1 Equipment needed
6.2 Manually clean the accessories

Workflow for manually cleaning the accessories:

Prepare equipment
6.2.1 Equipment needed

Clean accessories’ surfaces

6.2.2 Clean the accessories’ external surfaces

Brush the valves

6.2.3 Brush the valves

Chapter 6
Flush the accessories
6.2.4 Flush the accessories with detergent solution
6.2.5 Immerse the accessories in detergent solution

Remove detergent solution

6.2.6 Remove detergent solution from all accessories
6.2.7 Dry the external surfaces

TJF-Q190V REPROCESSING MANUAL 231

 6.2 Manually clean the accessories
1. Equipment 2. Clean external 3. Brush
needed surfaces valves

6.2.1 Equipment needed

Prepare the following equipment.

Accessories and equipment for manual cleaning:

Single use combination Channel cleaning brush Ultrasonic cleaner

cleaning brush (BW-20T*1) (ENDOSONIC)
(BW-412T*1)

*1 Prepare the brush that has been used to clean the endoscope (i.e., while conducting steps in Chapter 5,
“Reprocess the Endoscope (and related reprocessing accessories)” ): the single use combination cleaning brush
(BW-412T) OR the channel cleaning brush (BW-20T).
Chapter 6

Fluids used for manual cleaning:

• Water (for reprocessing) • Detergent solution

(Refer to Chapter 3.2, “Water (for (Refer to Chapter 3.3, “Detergent
reprocessing)”) solution”)

Other:

• Clean lint-free cloths • Clean sponges

• Clean 30 mL (30cc) syringes • Clean basins or containers

232 TJF-Q190V REPROCESSING MANUAL

 6.2.2 Clean the accessories’ external surfaces

6.2.2 Clean the accessories’ external surfaces

1. Fill a clean, large basin with the

detergent solution at the temperature
Detergent
and concentration recommended by
the detergent manufacturer. solution
Refer to the detergent
manufacturer’s instructions for the
recommended temperature and
concentration.

2. Detach the biopsy valve’s (MB-358)

cap from the biopsy valve’s main
body.

Chapter 6
Cap Main body

3. Completely immerse the biopsy

valve in the detergent solution.

4. If the distal-end flushing adapter’s

(MAJ-2319) white cover and green
cover are assembled, separate the
white cover and the green cover.

Separate

5. Completely immerse the distal-end

flushing adapter in the detergent
solution.

TJF-Q190V REPROCESSING MANUAL 233

 6.2 Manually clean the accessories
1. Equipment 2. Clean external 3. Brush
needed surfaces valves

6. Completely immerse all other accessories in the detergent solution.

Channel cleaning brush Air/water valve Suction valve

(BW-20T) (MH-438) (MH-443)

AW channel cleaning Injection tube Channel plug

adapter (MH-948) (MH-946) (MH-944)

Channel-opening Suction cleaning adapter Mouthpiece

cleaning brush (MH-856) (MA-392)
(MH-507)
Chapter 6

7. Keeping the accessories immersed in the detergent solution, wipe all external
surfaces (i.e., eleven items from a) through k) as shown below) using a clean
lint-free cloth or sponges to remove any debris.

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

234 TJF-Q190V REPROCESSING MANUAL

 6.2.2 Clean the accessories’ external surfaces

8. Take all accessories out of the detergent solution and confirm that no debris
remains on all their external surfaces (i.e., eleven items from a) through k) as
shown below).

If any debris remains, repeat Steps 7 and 8 until no debris remains.

No debris on
any surfaces:

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

Chapter 6
h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece
cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

9. When all debris is removed, put the accessories back in the detergent solution.

TJF-Q190V REPROCESSING MANUAL 235

 6.2 Manually clean the accessories
2. Clean external 3. Brush 4. Flush
surfaces valves accessories

6.2.3 Brush the valves

WARNING

Once you immerse the endoscope’s accessories, keep them immersed

at all times when performing the cleaning steps, unless the instructions
Accessories state otherwise. Holding the accessories out of the fluid while cleaning
may pose an infection control risk.

CAUTION
Make sure that you do not scratch the seals on the air/water valve (MH-438), and
the biopsy valve (MB-358) while brushing. Doing so could cause water or air leaks.
Chapter 6

6.2.3.1 Brush the suction valve (MH-443)

1. You may use the small brush without a handle on the single use combination
cleaning brush (BW-412T) or the channel-cleaning brush (BW-20T).

Grip the channel cleaning brush end 3 cm down from the bristles.
Small brush
Channel
cleaning
bristles

Single use combination Channel cleaning brush

cleaning brush (BW-412T) (BW-20T)

236 TJF-Q190V REPROCESSING MANUAL

 6.2.3 Brush the valves

2. Keeping the suction valve (with the

red mark) immersed in the detergent
Accessories
Keep immersed
when cleaning
solution, depress the valve’s piston
and brush both of the valve’s holes.

Depress
valve’s
piston

3. Inspect the brush’s bristles for

debris.

Chapter 6
4. Clean the brush’s bristles in the
detergent solution using your gloved
fingertips to remove any debris.

5. If any debris remains, repeat

Steps 2 through 4 until no debris
remains. NO debris

TJF-Q190V REPROCESSING MANUAL 237

 6.2 Manually clean the accessories
2. Clean external 3. Brush 4. Flush
surfaces valves accessories

6.2.3.2 Brush the air/water valve (MH-438)

1. Keeping the air/water valve (with

the blue mark) immersed in the Accessories
Keep immersed
when cleaning
detergent solution, brush both of the
valve’s holes.

2. Inspect the brush’s bristles for

Chapter 6

debris.

3. Clean the brush’s bristles in the

detergent solution using your gloved
fingertips to remove any debris.

4. If any debris remains, repeat

Steps 1 through 3 until no debris NO debris
remains.

238 TJF-Q190V REPROCESSING MANUAL

 6.2.3 Brush the valves

6.2.3.3 Brush the biopsy valve (MB-358)

1. Keeping the biopsy valve immersed

in the detergent solution, brush the
Accessories
Keep immersed
when cleaning
valve’s hole and the valve’s slit.

Slit

2. Inspect the brush’s bristles for

debris.

Chapter 6
3. Clean the brush’s bristles in the
detergent solution using your gloved
fingertips to remove any debris.

4. If any debris remains, repeat

Steps 1 through 3 until no debris NO debris
remains.

Discard single use combination

5. If you used the single use

combination cleaning brush
cleaning brush
(BW-412T)
(BW-412T), discard the brush into a
biohazard container.

TJF-Q190V REPROCESSING MANUAL 239

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

6.2.4 Flush the accessories with detergent solution

6.2.4.1 Flush the suction valve (MH-443)

1. Keeping the suction valve (with the

red mark) immersed in the detergent
Accessories
Keep immersed
when cleaning
solution, depress and release the
valve’s piston several times until no
air bubbles exit the valve.
NO air bubbles
exit valve

2. Immerse a clean 30 mL syringe and a)

Chapter 6

the suction valve in the detergent

solution and flush the valve’s holes,
as follows:
a) Depress the suction valve’s
piston;
b)
b) Flush each hole with Flush each
valve’s hole
30 mL of the detergent solution;
c) Confirm that no air bubbles exit
the valve during the flush;

If air bubbles exit, flush the part

where air bubbles exit with 30 mL 1X
of the detergent solution until no
air bubbles exit.
1X

c) NO air bubbles
should exit

240 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

3. Keeping the 30 mL syringe and

the suction valve immersed, NO air
continuously rotate the valve 360 bubbles
degrees while flushing the valve, as exit valve
follows;
a) Suction
a) Flush the valve’s spring with 30
valve’s
mL of the detergent solution and
spring
confirm that no air bubbles exit
the valve; 1X
b) Flush the valve’s skirt (i.e.,
underside) with 30 mL of the
detergent solution and confirm
that no air bubbles exit the valve;

If air bubbles exit, flush the part Rotate 360 degrees

where air bubbles exit with 30 mL
of the detergent solution until no
air bubbles exit. NO air
bubbles
exit valve

Chapter 6
b) Suction
valve’s
skirt
1X

Rotate 360 degrees

TJF-Q190V REPROCESSING MANUAL 241

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

6.2.4.2 Flush the air/water valve (MH-438)

1. Keeping the air/water valve (with

the blue mark) immersed in the
Accessories
Keep immersed
when cleaning
detergent solution, depress and
release the valve’s piston several
times until no air bubbles exit the
valve. NO air bubbles
exit valve

2. Keeping the 30 mL syringe and the

air/water valve immersed, flush the a) Flush each
valve’s hole
valve’s holes, as follows:

1X
Chapter 6

a) Flush each hole with 30 mL of the

detergent solution;
b) Confirm that no air bubbles exit
the valve during the flush;

If air bubbles exit, flush the part

where air bubbles exit with 30 mL
1X
of the detergent solution until no
air bubbles exit.

b) NO air bubbles
should exit

242 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

3. Keeping the 30 mL syringe and

the air/water valve immersed, NO air
bubbles
continuously rotate the valve 360
exit valve Flush
degrees while flushing the valve, as each part
follows:
a) Flush the valve’s spring with 30 a) Air/water 1X
mL of the detergent solution and valve’s
spring
confirm that no air bubbles exit
the valve;
b) Air/water
b) Flush the valve’s seal interior with
a) valve’s
30 mL of the detergent solution
and confirm that no air bubbles
seal
interior
1X
exit the valve;
c) Flush the valve’s skirt (i.e., b)
underside) with 30 mL of the
detergent solution and confirm Rotate 360 degrees
that no air bubble exit the valve;

If air bubbles exit, flush the part

where air bubbles exit with 30 mL NO air
of the detergent solution until no bubbles

Chapter 6
air bubbles exit. exit valve

c) Air/water
valve’s
skirt

1X

Rotate 360 degrees

TJF-Q190V REPROCESSING MANUAL 243

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

6.2.4.3 Flush the AW channel cleaning adapter (MH-948)

1. Keeping the AW channel cleaning

adapter immersed in the detergent
NOKeep
exit
Accessories when
air bubbles
immersed
valvecleaning
solution, depress and release the
adapter’s piston several times until
no air bubbles exit the adapter. NO air bubbles
exit valve

2. Keeping the 30 mL syringe and

the adapter immersed, flush the
a)
adapter’s holes, as follows:
Chapter 6

a) Flush each hole with 30 mL of the

detergent solution;
b) Confirm that no air bubbles exit
the adapter during the flush;

If air bubbles exit, flush the part

where air bubbles exit with 30 mL
1X
of the detergent solution until no
air bubbles exit.
1X
Flush each
adapter’s hole

b) NO air bubbles
should exit

244 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

3. Keeping the 30 mL syringe and the

adapter immersed, continuously NO air
bubbles
rotate the adapter 360 degrees while
exit valve
flushing the adapter, as follows:
a) Flush the adapter’s backflow-
a) Adapter’s backflow-
prevention valve interior with 30
prevention valve
mL of the detergent solution and
confirm that no air bubbles exit
the adapter;
1X
b) Flush the adapter’s skirt (i.e.,
underside) with 30 mL of the
detergent solution and confirm
that no air bubbles exit the
adapter;

If air bubbles exit, flush the part

Rotate 360 degrees
where air bubbles exit with 30 mL
of the detergent solution until no
air bubbles exit.
NO air
bubbles
exit valve

Chapter 6
b) Adapter’s skirt

1X

Rotate 360 degrees

TJF-Q190V REPROCESSING MANUAL 245

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

6.2.4.4 Flush the biopsy valve (MB-358)

1. Keeping the 30 mL syringe and the

biopsy valve immersed, flush the Accessories
Keep immersed
when cleaning
biopsy valve’s cap with the detergent
solution, as follows:
a) Flush the interior of the valve’s NO air
cap with 30 mL of the detergent bubbles
solution and confirm that no air exit valve
bubbles exit the valve;
b) Flush the other side of the valve’s
a) Flush
cap (i.e., underside) with 30 mL of each side
the detergent solution and confirm
that no air bubbles exit the valve;

If air bubbles exit, flush the part 1X

where air bubbles exit with 30 mL
of the detergent solution until no
air bubbles exit.
b)
1X
Chapter 6

2. Keeping the 30 mL syringe and the

biopsy valve immersed, flush the NO air
biopsy valve’s hole with detergent bubbles
solution, as follows: exit valve

a) Flush the hole with 30 mL of the

detergent solution and confirm
that no air bubbles exit the valve; a)
Flush
each side
b) Flush the other side of the hole
(i.e., underside) with 30 mL of the
detergent solution and confirm
1X
that no air bubbles exit the valve;

If air bubbles exit, flush the part

where air bubbles exit with 30 mL
b) 1X
of the detergent solution until no
air bubbles exit.

246 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

6.2.4.5 Flush the suction cleaning adapter (MH-856)

1. Keeping the 30 mL syringe and the

suction cleaning adapter immersed,
Accessories
Keep immersed
when cleaning
flush the adapter with 30 mL of the
detergent solution, as follows:
a) Before attaching the syringe a)
to the cleaning adapter’s
connecting end (so that you do
not pull any air into the syringe
that might be inside the cleaning
adapter), slowly pull the syringe
plunger to fill the syringe with the
detergent solution;
b) c)
b) Hold the syringe tip against the
cleaning adapter’s connecting end
(black colored);
Cleaning adapter’s
c) Then forcefully flush the cleaning connecting end
adapter with 30 mL of the (black colored)
detergent solution;

Chapter 6
d) Confirm that no air bubbles exit
from the cleaning adapter during
the flush;

If air bubbles exit, repeat Step 1

until no air bubbles exit.
1X

d) NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 247

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

6.2.4.6 Flush the injection tube (MH-946)

1. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port);

a) b) Suction channel
port (left side)
Injection tube
channel ports
NOT
up
Filter tube,
down

2. Keeping the 30 mL syringe and

Chapter 6

the injection tube attached and Keep immersed

Accessories when cleaning
immersed, flush the suction channel
tube with 30 mL of the detergent
solution, as follows:
a) Slowly pull the syringe plunger to b)
fill the syringe with the detergent
solution; Suction
channel
b) Then forcefully flush with 30 mL of port
the detergent solution;

1X
c) Confirm that no air bubbles exit
from the tube during the flush;

If air bubbles exit, repeat Step 2

until no air bubbles exit.
c)

NO air bubbles
should exit

248 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

3. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

4. Keeping the 30 mL syringe and

the injection tube attached and
b)
immersed, flush the air/water
channel tube with 30 mL of the
detergent solution, as follows: Air/water
channel
a) Slowly pull the syringe plunger to port
fill the syringe with the detergent
solution;
b) Then forcefully flush with 30 mL of
the detergent solution;
1X

Chapter 6
c) Confirm that no air bubbles exit
from air pipe port during the flush;

If air bubbles exit, repeat Step 4

until no air bubbles exit. c)

Air pipe port

NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 249

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

5. Keeping the 30 mL syringe and the

connector plug immersed, flush the c) Connector
connector plug with 30 mL of the plug’s opening
detergent solution, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with the detergent
solution;
b) Press the syringe tip to one side

1X
of the connector plug’s opening;
c) Then forcefully flush with 30 mL of
the detergent solution;
d) Confirm that no air bubbles
exit from the other side of the
connector plug’s opening during d)
the flush;

If air bubbles exit, repeat Step 5

until no air bubbles exit.
Chapter 6

NO air bubbles
should exit

250 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

6.2.4.7 Flush the channel plug (MH-944)

1. Keeping the 30 mL syringe and the channel plug immersed, flush each of the
following channel plug parts with 30 mL of the detergent solution, as follows:
a) The suction plug’s spring and confirm that no air bubbles exit the plug;
b) The air/water plug’s holes and confirm that no air bubbles exit the plug;
c) The plug frame’s interior and confirm that no air bubbles exit the plug;
d) The biopsy valve cap’s hole and confirm that no air bubbles exit the plug;

If air bubbles exit, flush the part where air bubbles exit with 30 mL of the
detergent solution until no air bubbles exit.

NO air Keep immersed

bubbles Accessories when cleaning
exit plug

Chapter 6
1X 1X 1X 1X 1X

1X

a) Suction b) Air/water c) Plug frame’s d) Biopsy valve

plug’s spring plug’s holes interior cap’s hole

TJF-Q190V REPROCESSING MANUAL 251

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

6.2.4.8 Flush the distal-end flushing adapter (MAJ-2319)

1. Keeping the 30 mL syringe and

the distal-end flushing adapter Accessories
Keep immersed
when cleaning
immersed, flush the adapter through
the WHITE flushing port with 30 mL a)
of the detergent solution, as follows:
a) Before attaching the syringe
to the white flushing port (so
that you do not pull any air into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe
with detergent solution;
b) Attach it to the white flushing port b) c)
of the distal-end flushing adapter; WHITE
flushing
c) Then forcefully flush the distal-end
port
flushing adapter with 30 mL of the
detergent solution;
Chapter 6

1X

2. Keeping the 30 mL syringe and the

distal-end flushing adapter attached
a), b)

and immersed, flush an additional 60

mL of the detergent solution through Keep syringe
the WHITE flushing port, as follows: attached

a) Slowly pull the syringe plunger

to fill the syringe with detergent
solution;
b) Then forcefully flush the distal-
2X
end flushing adapter with 30 mL
of the detergent solution;
c) Repeat Steps a) and b) one c) NO air bubbles
more time, for a total of two should exit
times, and confirm that no air
bubbles exit from either of the
openings during the last flush.

If air bubbles exit, detach the

syringe from the distal-end
flushing adapter and repeat Steps
1 and 2 until no air bubbles exit.

252 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

3. Detach the syringe from the distal-

end flushing adapter.

4. Keeping the 30 mL syringe and

the distal-end flushing adapter a)
immersed, flush the adapter through
the GREEN flushing port with 30 mL
of the detergent solution, as follows:
1X
a) Before attaching the syringe

Chapter 6
to the green flushing port (so
that you do not pull any air into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe b) GREEN c)
with detergent solution; flushing
port
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush the distal-end
flushing adapter with 30 mL of the
detergent solution;
1X

TJF-Q190V REPROCESSING MANUAL 253

 6.2 Manually clean the accessories
3. Brush 4. Flush 5. Immerse
valves accessories accessories

5. Keeping the 30 mL syringe and

distal-end flushing adapter attached
a), b) Keep
and immersed, flush an additional 60 syringe
mL of the detergent solution through attached
the GREEN flushing port, as follows:
a) Slowly pull the syringe plunger
to fill the syringe with detergent

2X
solution;
b) Then forcefully flush the distal-
end flushing adapter with 30 mL
of the detergent solution;
c) Repeat Steps a) and b) one
more time, for a total of two c) NO air bubbles
should exit
times, and confirm that no air
bubbles exit from either of the
openings during the last flush;

If air bubbles exit, detach the

syringe from the distal-end
flushing adapter and repeat Steps
4 and 5 until no air bubbles exit.
Chapter 6

254 TJF-Q190V REPROCESSING MANUAL

 6.2.4 Flush the accessories with detergent solution

6.2.4.9 Clean the brushes

1. Clean the brushes as follows:

a) Keep the channel cleaning brush
Accessories
Keep immersed
when cleaning
(BW-20T) and the channel-opening
cleaning brush (MH-507) completely
immersed in the detergent solution;
b) Clean the brush’s bristles in the
detergent solution using your gloved
fingertips to remove any debris.

2. Confirm that all debris is removed

Chapter 6
from the brush’s bristles. NO debris

If any debris remains, repeat

Steps 1 and 2 until no debris
remains.

TJF-Q190V REPROCESSING MANUAL 255

 6.2 Manually clean the accessories
4. Flush 5. Immerse 6. Remove
accessories accessories detergent

6.2.5 Immerse the accessories in detergent solution

1. Leave all accessories completely immersed in the detergent solution for the
detergent manufacturer’s recommended contact time.

NOTE

Use a clock or a timer to accurately measure the detergent contact time.

Detergent manufacturer’s
recommended contact time.

Channel plug AW channel cleaning

(MH-944) adapter (MH-948)
Channel cleaning brush
(BW-20T)
Chapter 6

Distal-end flushing Suction valve

adapter (MAJ-2319) Air/water valve (MH-443)
(MH-438)
Injection tube
(MH-946)

Suction cleaning
Channel-opening adapter Biopsy valve Mouthpiece
cleaning brush (MH-507) (MH-856) (MB-358) (MA-392)

256 TJF-Q190V REPROCESSING MANUAL

 6.2.5 Immerse the accessories in detergent solution

2. Remove all accessories from the detergent solution and confirm no debris
remains on all their external surfaces (i.e., eleven items from a) through k) as
shown below).

No debris on
any surfaces:

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

Chapter 6
h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece
cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

3. If any debris remains, ultrasonically

clean it at 38 – 47 kHz for 5 minutes.
For the suction cleaning adapter, the
injection tube, or the distal-end flushing
adapter, flush it to fill with the detergent
solution according to the flushing steps
respectively before starting ultrasonic
cleaning.

• Suction cleaning adapter: Chapter

6.2.4.5, “Flush the suction cleaning
adapter (MH-856)”.

• Injection tube: Chapter 6.2.4.6,

“Flush the injection tube (MH-946)”.

• Distal-end flushing adapter: Chapter

6.2.4.8, “Flush the distal-end flushing
adapter (MAJ-2319)”.

TJF-Q190V REPROCESSING MANUAL 257

 6.2 Manually clean the accessories
5. Immerse 6. Remove 7. Dry external
accessories detergent surfaces

6.2.6 Remove detergent solution from all accessories

6.2.6.1 Immerse the accessories in water

1. Fill a clean basin with water (for

reprocessing). Water (for
reprocessing)

2. Completely immerse all accessories in the water.

Chapter 6

3. Gently move the accessories (i.e., eleven items from a) through k) as shown
below) back and forth in the water to thoroughly rinse the detergent solution from
the external surfaces of the accessories.

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

d) Injection tube adapter (MAJ-2319) valve (MH-438) (MH-443)
(MH-946)

h) Channel-opening i) Suction j) Biopsy k) Mouthpiece

cleaning brush cleaning valve (MA-392)
(MH-507) adapter (MB-358)
(MH-856)

258 TJF-Q190V REPROCESSING MANUAL

 6.2.6 Remove detergent solution from all accessories

6.2.6.2 Depress and release the valves

1. Keep the following accessories

immersed in the water:
Accessories
Keep immersed
when cleaning
• Suction valve (MH-443)
• Air/water valve (MH-438)
NO air bubbles exit
• AW channel cleaning adapter valves and adapter
(MH-948)

Then depress and release the

valves’ and adapter’s pistons several
times until no air bubbles exit the
valves and adapter.

Chapter 6
AW channel Suction Air/water
cleaning adapter valve valve

2. Remove the valves from the water.

TJF-Q190V REPROCESSING MANUAL 259

 6.2 Manually clean the accessories
5. Immerse 6. Remove 7. Dry external
accessories detergent surfaces

6.2.6.3 Flush the suction cleaning adapter (MH-856)

1. Keeping the 30 mL syringe and the

suction cleaning adapter immersed, Accessories
Keep immersed
when cleaning
flush the cleaning adapter with 30
mL of water, as follows:
a) Before attaching the syringe a)
to the cleaning adapter’s
connecting end (so that you do
not pull any air into the syringe
that might be inside the cleaning
adapter), slowly pull the syringe
plunger to fill the syringe with the
water;
b) Hold the syringe against the b) c)
cleaning adapter’s connecting end
(black colored);
c) Then forcefully flush the cleaning Cleaning adapter’s
adapter with 30 mL of the water. connecting end
(black colored)
Chapter 6

2. Remove the suction cleaning adapter

from the water.

3. Tilt the adapter to expel any

remaining water.

260 TJF-Q190V REPROCESSING MANUAL

 6.2.6 Remove detergent solution from all accessories

6.2.6.4 Flush the injection tube (MH-946)

1. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port).

a) b) Suction channel
port (left side)
Injection tube
channel ports
NOT
up
Filter tube,
down

2.

Chapter 6
Keeping the 30 mL syringe and
injection tube attached and Keep immersed
Accessories when cleaning
immersed, flush the suction channel
tube with 30 mL of the water, as
follows:
a) Slowly pull the syringe plunger to
fill the syringe with the water;
b) Then forcefully flush with 30 mL of
Suction
the water. channel
port

1X

3. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

TJF-Q190V REPROCESSING MANUAL 261

 6.2 Manually clean the accessories
5. Immerse 6. Remove 7. Dry external
accessories detergent surfaces

4. Keeping the 30 mL syringe and

injection tube attached and
immersed, flush the air/water
channel tube with 30 mL of the
water, as follows:
Air/water
a) Slowly pull the syringe plunger to
channel
fill the syringe with the water; port
b) Then forcefully flush with 30 mL of
the water.

1X

5. Remove the injection tube from the

water.
Chapter 6

6. Move the syringe to the injection

tube’s suction channel port (the left
Suction
channel port
(left side)
side port).

Suction

7. Keeping the 30 mL syringe attached,

flush the suction channel tube with
channel
port 1X
30 mL of air, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with air;
b) Then forcefully flush 30 mL of air
and confirm that no water exits
from the tube during the flush.

If water exits, repeat Step 7 until

no water exits.
NO water
should exit

262 TJF-Q190V REPROCESSING MANUAL

 6.2.6 Remove detergent solution from all accessories

8. Move the syringe from the suction

channel port to the injection tube’s Air/water
channel port
air/water channel port (port on the
(right side)
right).

9.
Air/water
Keeping the 30 mL syringe attached,
channel

1X
flush the air/water channel tube with port
30 mL of air, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with air;
b) Then forcefully flush 30 mL of air
and confirm that no water exits
from the air pipe port during the
flush.

Chapter 6
If water exits, repeat Step 9 until
no water exits.
NO water
should exit

TJF-Q190V REPROCESSING MANUAL 263

 6.2 Manually clean the accessories
5. Immerse 6. Remove 7. Dry external
accessories detergent surfaces

6.2.6.5 Flush the distal-end flushing adapter (MAJ-2319)

1. Keeping the 30 mL syringe and

the distal-end flushing adapter Accessories
Keep immersed
when cleaning
immersed, flush the adapter through
the WHITE flushing port with 30 mL
of the water, as follows:
a)
a) Before attaching the syringe
to the white flushing port (so
that you do not pull any air into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe
with the water;
b) Attach it to the white flushing port
of the distal-end flushing adapter;
b) c)
c) Then forcefully flush the distal-end WHITE
flushing adapter with 30 mL of the flushing
water. port
Chapter 6

1X

2. Detach the syringe from the distal-

end flushing adapter.

264 TJF-Q190V REPROCESSING MANUAL

 6.2.6 Remove detergent solution from all accessories

3. Keeping the 30 mL syringe and

the distal-end flushing adapter a)
immersed, flush the adapter through
the GREEN flushing port with 30 mL
of the water, as follows:
a) Before attaching the syringe
to the green flushing port (so
that you do not pull any air into
the syringe that might be inside
the flushing tube), slowly pull the b) GREEN c)
syringe plunger to fill the syringe flushing
with the water; port

b) Attach it to the green flushing port

of the distal-end flushing adapter;
c) Then forcefully flush the
distal-end flushing adapter with 30
1X
mL of the water.

4. Remove the distal-end flushing

adapter from the water and place it

Chapter 6
in a clean basin.

5. Detach the syringe from the flushing

adapter’s distal-end.

6. To prevent splashing from the

cover’s openings, cover the distal-
end flushing adapter’s white and
green covers in clean lint-free cloths.
Cover
with
cloth

TJF-Q190V REPROCESSING MANUAL 265

 6.2 Manually clean the accessories
5. Immerse 6. Remove 7. Dry external
accessories detergent surfaces

7. Flush the adapter through the a)

WHITE flushing port with 30 mL of
air, as follows:
a) Before attaching the syringe
to the white flushing port (so
that you do not pull water into
the syringe that might be inside
the flushing tube), slowly pull the b) c)
syringe plunger to fill the syringe WHITE
with air; flushing
port
b) Attach it to the white flushing port
of the distal-end flushing adapter;

1X
c) Then forcefully flush with 30 mL
of air.

8. Detach the syringe from the flushing

adapter’s distal-end.
Chapter 6

9. Flush the adapter through the

GREEN flushing port with 30 mL of
a)

air, as follows:
a) Before attaching the syringe
to the green flushing port (so
that you do not pull water into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe b) GREEN c)
with air; flushing
port
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush with 30 mL
of air.

1X

266 TJF-Q190V REPROCESSING MANUAL

 6.2.6 Remove detergent solution from all accessories

10. Remove the cloths from the flushing

adapter’s distal-end.

Remove
cloth

6.2.6.6 Rub the brushes

1. Rub the brushes as follows:

a) Keep the channel cleaning brush Accessories
Keep immersed
when cleaning
(BW-20T) and the channel-
opening cleaning brush (MH-507)
completely immersed in the water;
b) Rub the brushes’ bristles in the a)

Chapter 6
water using your gloved fingertips
and confirm that no air bubbles
exit from the bristles during the
rubbing.

If air bubbles exit, repeat Step 1

until no air bubbles exit.

b) NO air bubbles
should exit

2. Remove the brushes from the water.

TJF-Q190V REPROCESSING MANUAL 267

 6.2 Manually clean the accessories
6. Remove 7. Dry external
detergent surfaces

6.2.7 Dry the external surfaces

1. Remove all other accessories from the water.

Chapter 6

2. Using clean lint-free cloths, wipe and dry the accessories’ external surfaces
(i.e., eleven items from a) through k) as shown below).

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

268 TJF-Q190V REPROCESSING MANUAL

 6.2.7 Dry the external surfaces

3. Inspect all items and confirm no residual debris remains on all their external
surfaces (i.e., eleven items from a) through k) as shown below).

If any debris remains, repeat all of Chapter 6.2, “Manually clean the
accessories” steps until no debris remains.

No debris on
any surfaces:

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube

Chapter 6
(MH-946)

h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

TJF-Q190V REPROCESSING MANUAL 269

 6.3 Manually disinfect the accessories

6.3 Manually disinfect the accessories

Workflow for manually disinfecting the accessories:

Prepare equipment
6.3.1 Equipment needed
6.3.2 Prepare for manual disinfection

Flush the accessories

6.3.3 Flush the accessories with disinfectant solution
6.3.4 Immerse the accessories in disinfectant solution

Remove the accessories

6.3.5 Remove the accessories from disinfectant solution
Chapter 6

Use sterile syringes and cloths for all reprocessing steps occurring after accessories are
immersed in the disinfectant solution.

6.3.1 Equipment needed

Prepare the following equipment.

Fluids used for manual disinfection:

• Disinfectant solution (Refer to Chapter 3.4, “Disinfectant solution”)

Other:

• Clean lint-free cloths • Sterile 30 mL (30 cc) syringes*1

• Clean 30 mL (30 cc) syringes • Clean basins or containers with tight-
fitting lids

*1 Following disinfection, it is very important not to recontaminate the accessories with potentially infectious
microorganisms. When rinsing and drying the accessories following disinfection, the use of sterile equipment
(basins, cloths, syringes, etc.) is recommended. If sterile equipment is not available, use clean equipment that does
not recontaminate the accessories with potentially infectious microorganisms. Consult with your hospital’s infection
control committee regarding local policies or requirements regarding reprocessing equipment.

270 TJF-Q190V REPROCESSING MANUAL

 6.3.2 Prepare for manual disinfection

6.3.2 Prepare for manual disinfection

WARNING

Once you immerse the endoscope’s accessories, keep them immersed

at all times when performing the disinfecting steps, unless the
Accessories instructions state otherwise. Holding the accessories out of the fluid
while disinfecting may pose an infection control risk.

1. Fill a clean, large basin with

the disinfectant solution at the
Disinfectant
temperature and concentration
recommended by the disinfectant solution
manufacturer.

Refer to the disinfectant

manufacturer’s instructions for the

Chapter 6
recommended temperature and
concentration.

2. Completely immerse all accessories in the disinfectant solution.

Channel plug AW channel cleaning

Channel cleaning brush (MH-944) adapter (MH-948)
(BW-20T)

Distal-end flushing Suction valve

adapter (MAJ-2319) Air/water valve (MH-443)
Injection tube (MH-438)
(MH-946)

Suction cleaning
Channel-opening adapter Biopsy valve Mouthpiece
cleaning brush (MH-507) (MH-856) (MB-358) (MA-392)

TJF-Q190V REPROCESSING MANUAL 271

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

3. Keeping the accessories immersed in the disinfectant solution, wipe all external
surfaces (i.e., eleven items from a) through k) as shown below) using your
gloved fingertips or clean lint-free cloths to remove any air bubbles.

Keep immersed
Accessories when disinfecting

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
Chapter 6

(MH-946)

h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

272 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

6.3.3 Flush the accessories with disinfectant solution

6.3.3.1 Flush the suction valve (MH-443)

1. Keeping the suction valve (with

the red mark) immersed in the Accessories
Keep immersed
when disinfecting
disinfectant solution, depress and
release the valve’s piston several
times until no air bubbles exit the NO air bubbles
valve. exit valve

2. Immerse a clean 30 mL syringe and a)

Chapter 6
the suction valve in the disinfectant
solution and flush the valve’s holes,
as follows:
a) Depress the suction valve’s
piston;
b)
b) Flush each hole with Flush each
valve’s hole
30 mL of the disinfectant solution;
c) Confirm that no air bubbles exit
the valve during the flush.

If air bubbles exit, flush the part

where air bubbles exit with 30 mL 1X
of the disinfectant solution until
no air bubbles exit.
1X

c) NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 273

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

3. Keeping the 30 mL syringe and

the suction valve immersed, NO air
continuously rotate the valve 360 bubbles
degrees while flushing the valve, as exit valve
follows;
a) Suction
a) Flush the valve’s spring with 30
valve’s
mL of the disinfectant solution and
spring
confirm that no air bubbles exit
the valve; 1X
b) Flush the valve’s skirt (i.e.,
underside) with 30 mL of the
disinfectant solution and confirm
that no air bubbles exit the valve.

If air bubbles exit, flush the part Rotate 360 degrees

where air bubbles exit with 30 mL
of the disinfectant solution until
no air bubbles exit. NO air
bubbles
exit valve
Chapter 6

b) Suction
valve’s
skirt
1X

Rotate 360 degrees

274 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

6.3.3.2 Flush the air/water valve (MH-438)

1. Keeping the air/water valve (with

the blue mark) immersed in the Accessories
Keep immersed
when disinfecting
disinfectant solution, depress and
release the valve’s piston several
times until no air bubbles exit the
valve. NO air bubbles
exit valve

2. Keeping the 30 mL syringe and the

air/water valve immersed, flush the a) Flush each
valve’s hole
valve’s holes, as follows:

Chapter 6
a) Flush each hole with 30 mL of the 1X
disinfectant solution.
b) Confirm that no air bubbles exit
the valve during the flush.

If air bubbles exit, flush the part

where air bubbles exit with 30 mL
1X
of the disinfectant solution until
no air bubbles exit.

b) NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 275

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

3. Keeping the 30 mL syringe and

the air/water valve immersed, NO air
continuously rotate the valve 360 bubbles
degrees while flushing the valve, as exit valve Flush
follows: each part

a) Flush the valve’s spring with 30 a) Air/water 1X

mL of the disinfectant solution valve’s
and confirm that no air bubbles spring
exit the valve;
b) Flush the valve’s seal interior with b) Air/water
30 mL of the disinfectant solution a) valve’s
and confirm that no air bubbles seal
interior
1X
exit the valve;
c) Flush the valve’s skirt (i.e.,
underside) with 30 mL of the b)
disinfectant solution and confirm Rotate 360 degrees
that no air bubbles exit the valve.

If air bubbles exit, flush the part

where air bubbles exit with 30 mL
of the disinfectant solution until NO air
Chapter 6

bubbles
no air bubbles exit. exit valve

c) Air/water
valve’s
skirt

1X

Rotate 360 degrees

276 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

6.3.3.3 Flush the AW channel cleaning adapter (MH-948)

1. Keeping the AW channel cleaning

adapter immersed in the disinfectant
Accessories
Keep immersed
when disinfecting
solution, depress and release the
adapter’s piston several times until
no air bubbles exit the adapter. NO air bubbles
exit valve

2. Keeping the 30 mL syringe and

the adapter immersed, flush the
a)
adapter’s holes, as follows:

Chapter 6
a) Flush each hole with 30 mL of the
disinfectant solution;
b) Confirm that no air bubbles exit
from the adapter during the flush.

If air bubbles exit, flush the part

where air bubbles exit with 30 mL
1X
of the disinfectant solution until
no air bubbles exit.
1X
Flush each
adapter’s hole

b) NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 277

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

3. Keeping the 30 mL syringe and the

adapter immersed, continuously
NO air
rotate the adapter 360 degrees while
bubbles
flushing the adapter, as follows: exit valve
a) Flush the adapter’s backflow-
prevention valve interior with 30 a) Adapter’s backflow-
mL of the disinfectant solution and prevention valve
confirm that no air bubbles exit
the adapter;
b) Flush the adapter’s skirt (i.e., 1X
underside) with 30 mL of the
disinfectant solution and confirm
that no air bubbles exit the
adapter;

If air bubbles exit, flush the part

where air bubbles exit with 30 mL Rotate 360 degrees
of the disinfectant solution until
no air bubbles exit.

NO air
bubbles
Chapter 6

exit valve

b) Adapter’s skirt

1X

Rotate 360 degrees

278 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

6.3.3.4 Flush the biopsy valve (MB-358)

1. Keeping the 30 mL syringe and the

biopsy valve immersed, flush the
Accessories
Keep immersed
when disinfecting
biopsy valve’s cap with disinfectant
solution, as follows:
a) Flush the interior of the valve’s
cap with 30 mL of the disinfectant NO air
solution and confirm that no air bubbles
exit valve
bubbles exit the valve;
b) Flush the other side of the valve’s
cap (i.e., underside) with 30 mL a) Flush
of the disinfectant solution and each side
confirm that no air bubbles exit
the valve;
1X
If air bubbles exit, flush the part
where air bubbles exit with 30 mL
of the disinfectant solution until b)
1X
no air bubbles exit.

Chapter 6
2. Keeping the 30 mL syringe and the
biopsy valve immersed, flush the NO air
biopsy valve’s holes with disinfectant bubbles
solution, as follows: exit valve

a) Flush the hole with 30 mL of the

disinfectant solution and confirm
that no air bubbles exit the valve; a)
Flush
b) Flush the other side of the hole each side
(i.e., underside) with 30 mL of the
disinfectant solution and confirm 1X
that no air bubbles exit the valve;

If air bubbles exit, flush the part

where air bubbles exit with 30 mL
b) 1X
of the disinfectant solution until
no air bubbles exit.

TJF-Q190V REPROCESSING MANUAL 279

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

6.3.3.5 Flush the suction cleaning adapter (MH-856)

1. Keeping the 30 mL syringe and the

suction cleaning adapter immersed,
Accessories
Keep immersed
when disinfecting
flush the adapter with 30 mL of the
disinfectant solution, as follows:
a) Before attaching the syringe a)
to the cleaning adapter’s
connecting end (so that you do
not pull any air into the syringe
that might be inside the cleaning
adapter), slowly pull the syringe
plunger to fill the syringe with the
disinfectant solution;
b) c)
b) Hold the syringe tip against the
cleaning adapter’s connecting end
(black colored);
Cleaning adapter’s
c) Then forcefully flush the cleaning connecting end
adapter with 30 mL of the (black colored)
disinfectant solution;
Chapter 6

d) Confirm that no air bubbles exit

from the cleaning adapter during
the flush.

If air bubbles exit, repeat Step 1

until no air bubbles exit.
1X

d) NO air bubbles
should exit

280 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

6.3.3.6 Flush the injection tube (MH-946)

1. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down,
NOT up;
b) Attach the syringe to the suction channel port (the left side port).

a) b) Suction channel
port (left side)
Injection tube
channel ports
NOT
up
Filter tube,
down

2. Keeping the 30 mL syringe and

Chapter 6
the injection tube attached and Keep immersed
immersed, flush the suction channel Accessories when disinfecting
tube with 30 mL of the disinfectant
solution, as follows:
a) Slowly pull the syringe plunger to b)
fill the syringe with the disinfectant
solution; Suction
b) Then forcefully flush with 30 mL of channel
port
the disinfectant solution;

1X
c) Confirm that no air bubbles exit
from the tube during the flush.

If air bubbles exit, repeat Step 2

until no air bubbles exit.
c)

NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 281

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

3. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

4. Keeping the 30 mL syringe and

the injection tube attached and
b)
immersed, flush the air/water
channel tube with 30 mL of the
disinfectant solution, as follows: Air/water
channel
a) Slowly pull the syringe plunger to port
fill the syringe with the disinfectant
solution;
b) Then forcefully flush with 30 mL of
the disinfectant solution;
1X
Chapter 6

c) Confirm that no air bubbles exit

from the air pipe port during the
flush.

If air bubbles exit, repeat Step 4 c)

until no air bubbles exit.

Air pipe port

NO air bubbles
should exit

282 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

5. Keeping the 30 mL syringe and the

connector plug immersed, flush the c) Connector
connector plug with 30 mL of the plug’s opening
disinfectant solution, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with the disinfectant
solution;
b) Press the syringe tip to one side

1X
of the connector plug’s opening;
c) Then forcefully flush with 30 mL of
the disinfectant solution.
d) Confirm that no air bubbles
exit from the other side of the
connector plug’s opening during d)
the flush.

If air bubbles exit, repeat Step 5

until no air bubbles exit.

Chapter 6
NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 283

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

6.3.3.7 Flush the channel plug (MH-944)

1. Keeping the 30 mL syringe and the channel plug immersed, flush each of the
following channel plug parts with 30 mL of the disinfectant solution, as
follows:
a) The suction plug’s spring and confirm that no air bubbles exit the plug;
b) The air/water plug’s holes and confirm that no air bubbles exit the plug;
c) The plug frame’s interior and confirm that no air bubbles exit the plug;
d) The biopsy valve cap’s hole and confirm that no air bubbles exit the plug;

If air bubbles exit, flush the part where air bubbles exit with 30 mL of the
disinfectant solution until no air bubbles exit.

NO air Keep immersed

bubbles Accessories when disinfecting
exit plug
Chapter 6

1X 1X 1X 1X 1X

1X

a) Suction b) Air/water c) Plug frame’s d) Biopsy valve

plug’s spring plug’s holes interior cap’s hole

284 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

6.3.3.8 Flush the distal-end flushing adapter (MAJ-2319)

1. Keeping the 30 mL syringe and the distal-

end flushing adapter immersed, flush the Accessories
Keep immersed
when disinfecting
adapter through the WHITE flushing port
with 30 mL of the disinfectant solution, as
follows: a)
a) Before attaching the syringe to the
white flushing port (so that you do not
pull any air into the syringe that might
be inside the flushing tube), slowly pull
the syringe plunger to fill the syringe
with the disinfectant solution;
b) Attach it to the white flushing port of the
distal-end flushing adapter; b) c)
WHITE
c) Then forcefully flush the distal-end
flushing
flushing adapter with 30 mL of the
port
disinfectant solution.

Chapter 6
1X

2. Keeping the 30 mL syringe and distal-end

flushing adapter attached and immersed, a), b)
flush an additional 60 mL of the disinfectant
solution through the WHITE flushing port,
as follows:
a) Slowly pull the syringe plunger to fill the
syringe with the disinfectant solution;

2X
b) Then forcefully flush the distal-end
flushing adapter with 30 mL of the
disinfectant solution;
c) Repeat Steps a) and b) one more
time, for a total of two times, and
confirm that no air bubbles exit from NO air bubbles
either of the openings during the last should exit
flush.
c)
If air bubbles exit, detach the syringe
from the distal-end flushing adapter
and repeat Steps 1 and 2 until no air
bubbles exit.

TJF-Q190V REPROCESSING MANUAL 285

 6.3 Manually disinfect the accessories
2. Prepare for manual 3. Flush 4. Immerse
disinfection accessories accessories

3. Detach the syringe from the distal-

end flushing adapter.

4. Keeping the 30 mL syringe and the

distal-end flushing adapter immersed,
a)

flush the adapter through the GREEN

flushing port with 30 mL of the
1X
disinfectant solution, as follows:
a) Before attaching the syringe to the
green flushing port (so that you do
Chapter 6

not pull any air into the syringe that

might be inside the flushing tube),
slowly pull the syringe plunger to b) GREEN c)
fill the syringe with the disinfectant flushing
solution; port

b) Attach it to the green flushing port of

the distal-end flushing adapter;

1X
c) Then forcefully flush the distal-end
flushing adapter with 30 mL of the
disinfectant solution.

286 TJF-Q190V REPROCESSING MANUAL

 6.3.3 Flush the accessories with disinfectant solution

5. Keeping the 30 mL syringe and the

distal-end flushing adapter attached and a), b)
immersed, flush an additional 60 mL of the
disinfectant solution through the GREEN
flushing port, as follows:
a) Slowly pull the syringe plunger to fill the
syringe with the disinfectant solution;
b) Then forcefully flush the distal-end 2X
flushing adapter with 30 ml of the
disinfectant solution;
c) Repeat Steps a) and b) one more time, NO air bubbles
for a total of two times, and confirm should exit
that no air bubbles exit from either of c)
the openings during the last flush.

If air bubbles exit, detach the syringe

from the distal-end flushing adapter and
repeat Steps 4 and 5 until no air bubbles
exit.

Chapter 6
6.3.3.9 Rub the brushes

1. Rub the brushes as follows:

a) Keep the channel cleaning brush Accessories
Keep immersed
when disinfecting
(BW-20T) and the channel-opening
cleaning brush (MH-507) completely
immersed in the disinfectant
solution;
b) Rub the brush’s bristles in the
disinfectant solution using your
gloved fingertips and confirm that
no air bubbles exit from the bristles
during the rubbing.

NO air bubbles
2. If air bubbles exit, repeat Step 1
until no air bubbles exit.
should exit

TJF-Q190V REPROCESSING MANUAL 287

 6.3 Manually disinfect the accessories
3. Flush 4. Immerse 5. Remove
accessories accessories accessories

6.3.4 Immerse the accessories in disinfectant solution

WARNING
During disinfection, keep the syringe detached from the accessories. If a syringe
remains attached to an accessory during disinfection, the disinfectant solution
cannot adequately contact the mated surfaces between the syringe and the
accessory. In addition, completely immerse the accessories below the disinfectant
solution’s surface so that all accessories’ external surfaces contact the disinfectant
solution. If the accessories are not completely immersed, any protruding section(s)
of the device(s) will not be adequately disinfected.

1. Keeping the distal-end flushing

adapter and attached syringe are
completely immersed, detach the
syringe from the distal-end flushing
adapter.
Chapter 6

2. Confirm that all accessories are completely immersed in the disinfectant solution.

Channel cleaning brush Channel plug AW channel cleaning

(BW-20T) (MH-944) adapter (MH-948)

Distal-end flushing Air/water valve Suction valve

adapter (MAJ-2319) (MH-438) (MH-443)
Injection tube
(MH-946)

Channel-opening Suction cleaning Biopsy valve Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

288 TJF-Q190V REPROCESSING MANUAL

 6.3.4 Immerse the accessories in disinfectant solution

3. Inspect all items and confirm that there are no air bubbles on the accessories’
surfaces (i.e., eleven items from a) through k) as shown below).

If any air bubbles adhere to the accessories’ surfaces, wipe them using
your gloved fingertips or clean lint-free cloths.
Keep immersed
NO air bubbles on Accessories when disinfecting
any surfaces:

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

Chapter 6
h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece
cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

4. Cover the disinfectant solution basin

with a tight-fitting lid to minimize the
diffusion of disinfectant vapors.

5. Leave all accessories completely

immersed in the disinfectant solution Disinfectant
manufacturer’s
for the disinfectant manufacturer’s recommended
recommended contact time. contact time.

NOTE

Use a clock or a timer to accurately

measure the disinfectant contact time.

TJF-Q190V REPROCESSING MANUAL 289

 6.3 Manually disinfect the accessories
4. Immerse 5. Remove
accessories accessories

6.3.5 Remove the accessories from disinfectant solution

6.3.5.1 Remove the suction cleaning adapter (MH-856)

1. Remove the suction cleaning adapter

from the disinfectant solution.

2. Tilt the adapter to expel any

remaining disinfectant solution.
Chapter 6

6.3.5.2 Remove the injection tube (MH-946)

1. Remove the injection tube from the

disinfectant solution.

290 TJF-Q190V REPROCESSING MANUAL

 6.3.5 Remove the accessories from disinfectant solution

2. Attach a sterile 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port).

a) b) Suction channel
port (left side)
Injection tube
channel ports
NOT
up
Filter tube,
down

3. Keeping the 30 mL syringe attached,

flush the suction channel tube with
30 mL of air, as follows:

Chapter 6
Suction
a) Slowly pull the syringe plunger to
channel
fill the syringe with air; port
b) Then forcefully flush with 30 mL
of air to expel the disinfectant

1X
solution.

4. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
(right side)
air/water channel port (port on the
right).

5. Keeping the 30 mL syringe attached,

flush the air/water channel tube with
Air/water
30 mL of air, as follows:
channel
a) Slowly pull the syringe plunger to port
fill the syringe with air;
b) Then forcefully flush with 30 mL
of air to expel the disinfectant
solution. 1X
TJF-Q190V REPROCESSING MANUAL 291
 6.3 Manually disinfect the accessories
4. Immerse 5. Remove
accessories accessories

6.3.5.3 Remove the distal-end flushing adapter (MAJ-2319)

1. Lift the WHITE flushing port out of

the disinfectant solution. Flush the
a)

adapter through the WHITE flushing

port with 30 mL of air, as follows:
a) Before attaching the syringe
to the white flushing port (so
that you do not pull disinfectant
solution into the syringe that might b) c)
be inside the flushing tube), slowly
pull the syringe plunger to fill the WHITE
flushing
1X
syringe with air;
port
b) Attach it to the white flushing port
of the distal-end flushing adapter;
c) Then forcefully flush the adapter Above
with 30 mL of air. disinfectant
solution
Chapter 6

2. Detach the syringe from the distal-

end flushing adapter.

3. Lift the GREEN flushing port out of a)

the disinfectant solution. Flush the
adapter through the GREEN flushing
port with 30 mL of air, as follows:
a) Before attaching the syringe
to the white flushing port (so
that you do not pull disinfectant
solution into the syringe that might
b)
GREEN
flushing
1X c)

be inside the flushing tube), slowly port

pull the syringe plunger to fill the
syringe with air;
b) Attach it to the green flushing port
of the distal-end flushing adapter; Above
disinfectant
c) Then forcefully flush the adapter solution
with 30 mL of air.

292 TJF-Q190V REPROCESSING MANUAL

 6.3.5 Remove the accessories from disinfectant solution

4. Remove the distal-end flushing

adapter from the disinfectant
solution.

6.3.5.4 Remove all other accessories

1. Remove all other accessories from the disinfectant solution.

Channel plug Channel-opening

(MH-944) cleaning brush (MH-507)

Chapter 6
Channel cleaning brush Air/water valve Suction valve
(BW-20T) (MH-438) (MH-443)

Biopsy valve
AW channel cleaning Mouthpiece (MB-358)
adapter (MH-948) (MA-392)

TJF-Q190V REPROCESSING MANUAL 293

 6.4 Rinse the accessories following disinfection

6.4 Rinse the accessories following disinfection

Workflow for manually Rinsing the accessories:

Prepare equipment
6.4.1 Equipment needed

Rinse the accessories

6.4.2 Rinse the accessories
6.4.3 Remove the accessories from rinse water

Flush and dry the accessories with alcohol

6.4.4 Flush and dry accessories with alcohol
Chapter 6

This instruction manual describes procedures for rinsing the accessories, flushing them with
alcohol, and drying them following disinfection.

WARNING
After rinsing all accessories, dry them thoroughly otherwise bacteria may proliferate
and pose an infection control risk.

NOTE

Consult with your hospital’s infection control committee regarding rinse water quality
and the use of alcohol as described in Chapter 3.5, “Rinse water”.

294 TJF-Q190V REPROCESSING MANUAL

 6.4.1 Equipment needed

6.4.1 Equipment needed

Prepare the following equipment.

Fluids used for rinsing:

• Rinse water • 70% ethyl or 70% isopropyl alcohol

(Refer to Chapter 3.5, “Rinse water”) (Refer to Chapter 3.6, “Alcohol”)

Other:

• Sterile lint-free cloths*1 • Sterile, small basins or containers*1

• Sterile 30 mL (30 cc) syringes*1 • Sterile basins or containers*1

*1 Following disinfection, it is very important not to recontaminate the accessories with potentially infectious
microorganisms. When rinsing and drying the accessories following disinfection, the use of sterile equipment
(basins, cloths, syringes, etc.) is recommended. If sterile equipment is not available, use clean equipment that does

Chapter 6
not recontaminate the accessories with potentially infectious microorganisms. Consult with your hospital’s infection
control committee regarding local policies or requirements regarding reprocessing equipment.

TJF-Q190V REPROCESSING MANUAL 295

 6.4 Rinse the accessories following disinfection
1. Equipment 2. Rinse 3. Remove
needed accessories accessories

6.4.2 Rinse the accessories

Use appropriate rinse water as instructed in Chapter 3.5, “Rinse water”.

6.4.2.1 Prepare for rinsing the accessories

1. Fill a sterile basin with rinse water.

Rinse
water

2. Completely immerse all accessories in the rinse water.

Chapter 6

Channel plug Suction valve

(MH-944) (MH-443)

Channel cleaning brush Air/water valve Injection tube

(BW-20T) (MH-438) (MH-946)

Biopsy valve
AW channel cleaning Mouthpiece (MB-358)
adapter (MH-948) (MA-392)

Channel-opening Suction cleaning adapter Distal-end flushing

cleaning brush (MH-507) (MH-856) adapter (MAJ-2319)

296 TJF-Q190V REPROCESSING MANUAL

 6.4.2 Rinse the accessories

3. Gently move the accessories back and forth in the rinse water to thoroughly
rinse the disinfectant solution from the external surfaces of the accessories (i.e.,
eleven items from a) through k) as shown below).

Keep immersed
Accessories when rinsing

b) Channel plug c) AW channel cleaning

a) Channel cleaning (MH-944) adapter (MH-948)
brush (BW-20T)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

h) Channel-opening i) Suction j) Biopsy k) Mouthpiece

Chapter 6
cleaning brush cleaning valve (MA-392)
(MH-507) adapter (MB-358)
(MH-856)

4. Keeping the accessories immersed, use sterile lint-free cloths to wipe all
accessories’ external surfaces (i.e., eleven items from a) through k) as shown
below).

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

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 6.4 Rinse the accessories following disinfection
1. Equipment 2. Rinse 3. Remove
needed accessories accessories

6.4.2.2 Flush the suction valve (MH-443)

1.
Keeping the suction valve (with the Keep immersed
red mark) immersed in the rinse Accessories when rinsing
water, depress and release the
valve’s piston several times.

2.
a)
Immerse a sterile 30 mL syringe
and the suction valve in the rinse
water and flush the valve’s holes, as
follows:
a) Depress the suction valve’s
piston;
b) 1X
Chapter 6

b) Flush each valve’s hole with 30

mL of the rinse water.

Flush each
1X valve’s hole

3. Keeping the 30 mL syringe and the suction valve immersed, continuously rotate
the valve 360 degrees while flushing the valve, as follows:
a) Flush the valve’s spring with 30 mL of the rinse water;
b) Flush the valve’s skirt (i.e., underside) with 30 mL of the rinse water.

a) Suction b) Suction
valve’s valve’s
spring skirt

1X 1X
Rotate 360 degrees Rotate 360 degrees

298 TJF-Q190V REPROCESSING MANUAL

 6.4.2 Rinse the accessories

6.4.2.3 Flush the air/water valve (MH-438)

1. Keeping the air/water valve (with

the blue mark) immersed in the Accessories
Keep immersed
when rinsing
rinse water, depress and release the
valve’s piston several times.

2. Keeping the 30 mL syringe and the

air/water valve immersed in the rinse
1X
water, flush each valve’s hole with 30
mL of the rinse water.

Chapter 6
Flush each
valve’s hole 1X

3. Keeping the 30 mL syringe and the air/water valve immersed, continuously rotate
the valve 360 degrees while flushing the valve, as follows:
a) Flush the valve’s spring with 30 mL of the rinse water;
b) Flush the valve’s seal interior with 30 mL of the rinse water;
c) Flush the valve’s skirt (i.e., underside) with 30 mL of the rinse water.
Flush each part

a) Air/water 1X c) Air/water
valve’s valve’s
spring skirt

b) Air/water
valve’s
seal
interior
1X 1X
Rotate 360 degrees Rotate 360 degrees

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 6.4 Rinse the accessories following disinfection
1. Equipment 2. Rinse 3. Remove
needed accessories accessories

6.4.2.4 Flush the AW channel cleaning adapter (MH-948)

1. Keeping the AW channel cleaning

adapter immersed in the rinse water, Accessories
Keep immersed
when rinsing
depress and release the adapter’s
piston several times.

2. Keeping the 30 mL syringe and

the AW channel cleaning adapter
immersed, flush the each adapter’s
hole with 30 mL of the rinse water. Flush each
Chapter 6

adapter’s hole

1X

1X

3. Keeping the 30 mL syringe and the AW channel cleaning adapter immersed,

continuously rotate the adapter 360 degrees while flushing the adapter, as follows:
a) Flush the adapter’s backflow-prevention valve interior with 30 mL of the rinse
water;
b) Flush the adapter’s skirt (i.e., underside) with 30 mL of the rinse water.

a) Adapter’s b) Adapter’s
backflow- skirt
prevention
valve

1X 1X
Rotate 360 degrees Rotate 360 degrees

300 TJF-Q190V REPROCESSING MANUAL

 6.4.2 Rinse the accessories

6.4.2.5 Flush the biopsy valve (MB-358)

1. Keeping the 30 mL syringe and the

biopsy valve immersed, flush the Accessories
Keep immersed
when rinsing
biopsy valve’s cap with the rinse
water, as follows:
a) Flush the interior of the valve’s
cap with 30 mL of the rinse water;
b) Flush the other side of the valve’s
cap (i.e., underside) with 30 mL of 1X
the rinse water.

1X Flush
each side

Chapter 6
2. Keeping the 30 mL syringe and the
biopsy valve immersed, flush the
biopsy valve’s hole with the rinse
water, as follows:
a) Flush the hole with 30 mL of the 1X
rinse water;
Flush
b) Flush the other side of the hole each side
(i.e., underside) with 30 mL of the
rinse water.

1X

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 6.4 Rinse the accessories following disinfection
1. Equipment 2. Rinse 3. Remove
needed accessories accessories

6.4.2.6 Flush the suction cleaning adapter (MH-856)

1. Keeping the 30 mL syringe and the

suction cleaning adapter immersed, a)
flush the cleaning adapter with 30
mL of the rinse water, as follows:
a) Before attaching the syringe
to the cleaning adapter’s
connecting end (so that you do
not pull any air into the syringe
that might be inside the cleaning
b) c)
adapter), slowly pull the syringe
plunger to fill the syringe with the
rinse water;
b) Hold the syringe against the Cleaning adapter’s
connecting end
cleaning adapter’s connecting end
(black colored)
(black colored);
c) Then forcefully flush the cleaning
adapter with 30 mL of the rinse
Chapter 6

water;
d) Confirm that no air bubbles exit
from the cleaning adapter during
the flush. 1X
If air bubbles exit, repeat Step 1
until no air bubbles exit. NO air bubbles
should exit

d)

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 6.4.2 Rinse the accessories

6.4.2.7 Flush the injection tube (MH-946)

1. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port).

a) b) Suction channel
port (left side)
Injection tube
channel ports
NOT
up
Filter tube,
down

Chapter 6
2. Keeping the 30 mL syringe and
the injection tube attached and Accessories
Keep immersed
when rinsing
immersed, flush the suction channel
tube with 30 mL of the rinse water,
as follows: b)
a) Slowly pull the syringe plunger
to fill the syringe with the rinse
Suction
water;
channel
b) Then forcefully flush with 30 mL of port
the rinse water;
1X
c) Confirm that no air bubbles exit
from the tube during the flush.

If air bubbles exit, repeat Step 2

until no air bubbles exit. c)

NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 303

 6.4 Rinse the accessories following disinfection
1. Equipment 2. Rinse 3. Remove
needed accessories accessories

3. Move the syringe from the suction

channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

4. Keeping the 30 mL syringe and

the injection tube attached and
b)
immersed, flush the air/water
channel tube with 30 mL of the rinse
water, as follows:
Air/water
a) Slowly pull the syringe plunger channel
to fill the syringe with the rinse port
water;
Chapter 6

b) Then forcefully flush with 30 mL of

1X
the rinse water
c) Confirm that no air bubbles exit
from the air pipe port during the
flush.

If air bubbles exit, repeat Step 4

until no air bubbles exit. c)

NO air bubbles
should exit

304 TJF-Q190V REPROCESSING MANUAL

 6.4.2 Rinse the accessories

5. Keeping the 30 mL syringe and the

connector plug immersed, flush the c) Connector
connector plug with 30 mL of the plug’s
rinse water, as follows: opening
a) Slowly pull the syringe plunger
to fill the syringe with the rinse
water;

1X
b) Press the syringe tip to one side
of the connector plug’s opening;
c) Then forcefully flush with 30 mL of
the rinse water.
d) Confirm that no air bubbles
exit from the other side of the
d)
connector plug’s opening during
the flush.

If air bubbles exit, repeat Step 5

until no air bubbles exit.

Chapter 6
NO air bubbles
should exit

TJF-Q190V REPROCESSING MANUAL 305

 6.4 Rinse the accessories following disinfection
1. Equipment 2. Rinse 3. Remove
needed accessories accessories

6.4.2.8 Flush the channel plug (MH-944)

1. Keeping the 30 mL syringe and the channel plug immersed, flush each of the
following channel plug parts with 30 mL of the rinse water, as follows:
a) The suction plug’s spring
b) The air/water plug’s holes
c) The plug frame’s interior Keep immersed
Accessories when rinsing
d) The biopsy valve cap’s hole
Chapter 6

1X 1X 1X 1X 1X

1X

a) Suction b) Air/water c) Plug frame’s d) Biopsy valve

plug’s spring plug’s holes interior cap’s hole

306 TJF-Q190V REPROCESSING MANUAL

 6.4.2 Rinse the accessories

6.4.2.9 Flush the distal-end flushing adapter (MAJ-2319)

1. Keeping the 30 mL syringe and

the distal-end flushing adapter Accessories
Keep immersed
when rinsing
immersed, flush the adapter through
the WHITE flushing port with 30 mL
of the rinse water, as follows: a)
a) Before attaching the syringe
to the white flushing port (so
that you do not pull any air into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe
with rinse water;
b) Attach it to the white flushing port b) c)
of the distal-end flushing adapter;
WHITE
c) Then forcefully flush the distal-end flushing
flushing adapter with 30 mL of the port
rinse water;

Chapter 6
1X
d) Confirm that no air bubbles exit
from either of the openings during
the flush.

If air bubbles exit, detach the

syringe from the distal-end NO air bubbles
flushing adapter and repeat Step 1 should exit
until no air bubbles exit.
d)

2. Detach the syringe from the distal-

end flushing adapter.

TJF-Q190V REPROCESSING MANUAL 307

 6.4 Rinse the accessories following disinfection
1. Equipment 2. Rinse 3. Remove
needed accessories accessories

3. Keeping the 30 mL syringe and

the distal-end flushing adapter a)

1X
immersed, flush the adapter through
the GREEN flushing port with 30 mL
of the rinse water, as follows:
a) Before attaching the syringe
to the green flushing port (so
that you do not pull any air into
the syringe that might be inside
the flushing tube), slowly pull the
syringe lunger to fill the syringe b) GREEN c)
with rinse water; flushing
port
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush the distal-end
flushing adapter with 30 mL of the
rinse water;
d) Confirm that no air bubbles exit
1X
from either of the openings during
the flush. NO air bubbles
Chapter 6

should exit
If air bubbles exit, detach the
syringe from the distal-end d)
flushing adapter and repeat Step 3
until no air bubbles exit.

308 TJF-Q190V REPROCESSING MANUAL

 6.4.2 Rinse the accessories

6.4.2.10 Rub the brushes

1. Rub the brushes as follows:

a) Keep the channel cleaning brush Accessories
Keep immersed
when rinsing
(BW-20T) and the channel-
opening cleaning brush (MH-507)
completely immersed in the rinse
water;
b) Rub the brushes’ bristles in the
rinse water with your gloved b)
fingertips.
c) Confirm that no air bubbles
exit from the bristles during the
rubbing.

If air bubbles exit, repeat Step 1

until no air bubbles exit.

Chapter 6
c) NO air bubbles
should exit

6.4.2.11 Repeat rinsing

1. Return to the beginning of Chapter 6.4.2, “Rinse the accessories” and repeat
the procedures for the necessary number of times described in the disinfectant
manufacturer’s instructions.

TJF-Q190V REPROCESSING MANUAL 309

 6.4 Rinse the accessories following disinfection
2. Rinse 3. Remove 4. Flush
accessories accessories accessories

6.4.3 Remove the accessories from rinse water

6.4.3.1 Remove the suction cleaning adapter (MH-856)

1. Remove the suction cleaning adapter

from the rinse water.

2. Tilt the adapter to expel any

remaining rinse water.
Chapter 6

3. Place the suction cleaning adapter in

a sterile basin.

310 TJF-Q190V REPROCESSING MANUAL

 6.4.3 Remove the accessories from rinse water

6.4.3.2 Remove the injection tube (MH-946)

1. Remove the injection tube from the

rinse water.

2. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port).

a) b) Suction channel
port (left side)
Injection tube
channel ports

Chapter 6
NOT
up
Filter tube,
down

3. Keeping the 30 mL syringe attached,

flush the suction channel tube with
30 mL of air, as follows: Suction
channel
a) Slowly pull the syringe plunger to
port
fill the syringe with air;
b) Then forcefully flush with 30 mL
of air.
1X
4. Move the syringe from the suction
channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

TJF-Q190V REPROCESSING MANUAL 311

 6.4 Rinse the accessories following disinfection
2. Rinse 3. Remove 4. Flush
accessories accessories accessories

5. Keeping the 30 mL syringe attached,

flush the air/water channel tube with Air/water
channel
30 mL of air, as follows:
port
a) Slowly pull the syringe plunger to
fill the syringe with air;
b) Then forcefully flush with 30 mL
of air.
1X

6. Place the injection tube in the sterile

basin.
Chapter 6

312 TJF-Q190V REPROCESSING MANUAL

 6.4.3 Remove the accessories from rinse water

6.4.3.3 Remove the distal-end flushing adapter (MAJ-2319)

1. Remove the distal-end flushing

adapter from the rinse water and
place it in the sterile basin.

2. To prevent splashing from the

cover’s openings, cover the distal-
end flushing adapter’s white and
green covers in sterile lint-free
cloths.
Cover
with cloth

Chapter 6
3. Flush the adapter through the
WHITE flushing port with 30 mL of
a)

air, as follows:
a) Before attaching the syringe
to the white flushing port (so
that you do not pull water into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe b) c)
with air; WHITE
flushing
b) Attach it to the white flushing port
port
of the distal-end flushing adapter;
c) Then forcefully flush with 30 mL of
air to expel the rinse water. 1X

TJF-Q190V REPROCESSING MANUAL 313

 6.4 Rinse the accessories following disinfection
2. Rinse 3. Remove 4. Flush
accessories accessories accessories

4. Detach the syringe from the distal-

end flushing adapter.

5. Flush the adapter through the a)

GREEN flushing port with 30 mL of
air, as follows:
a) Before attaching the syringe
to the green flushing port (so
that you do not pull water into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe b) GREEN c)
with air; flushing
Chapter 6

port
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush with 30 mL of
air to expel the rinse water.
1X

6. Remove the cloths from the distal-

end flushing adapter.

Remove
cloth

314 TJF-Q190V REPROCESSING MANUAL

 6.4.3 Remove the accessories from rinse water

6.4.3.4 Dry external surfaces

1. Remove all other accessories from the rinse water and place them in the sterile
basin.

Channel-opening Channel cleaning brush Air/water valve Suction valve

cleaning brush (MH-507) (BW-20T) (MH-438) (MH-443)

Channel plug AW channel cleaning Mouthpiece Biopsy valve

(MH-944) adapter (MH-948) (MA-392) (MB-358)

Chapter 6
2. Using sterile lint-free cloths, wipe all the accessories’ external surfaces
(i.e., eleven items from a) through k) as shown below) until thoroughly dry.

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

TJF-Q190V REPROCESSING MANUAL 315

 6.4 Rinse the accessories following disinfection
3. Remove 4. Flush
accessories accessories

6.4.4 Flush and dry accessories with alcohol

6.4.4.1 Prepare for alcohol flush

1. Fill a sterile, small basin with alcohol.

Alcohol

6.4.4.2 Depress and release the valves

1. Completely immerse the following

accessories in the alcohol:
Chapter 6

• Suction valve (MH-443)

• Air/water valve (MH-438) AW channel cleaning Air/water valve
adapter (MH-948) (MH-438)
• AW channel cleaning adapter
(MH-948)
• Biopsy valve (MB-358)
Biopsy valve Suction valve
(MB-358) (MH-443)

2. While keeping the accessories

immersed, depress and release the a) b) c)
pistons of the following accessories
several times:
a) Suction valve (MH-443)
b) Air/water valve (MH-438)
c) AW channel cleaning adapter
(MH-948)

316 TJF-Q190V REPROCESSING MANUAL

 6.4.4 Flush and dry accessories with alcohol

3. Remove the accessories from the

alcohol:
• Suction valve (MH-443)
AW channel cleaning Air/water valve
• Air/water valve (MH-438) adapter (MH-948) (MH-438)
• AW channel cleaning adapter
(MH-948)
• Biopsy valve (MB-358)
Biopsy valve Suction valve
(MB-358) (MH-443)

6.4.4.3 Flush the suction cleaning adapter (MH-856)

1. Flush the suction cleaning adapter

with 30 mL of the alcohol, as follows:
a)

Chapter 6
a) Before attaching a sterile
30 mL syringe to the cleaning
adapter’s connecting end,
slowly pull the syringe plunger to
fill the syringe with the alcohol;
b) Hold the syringe against the
cleaning adapter’s connecting end
(black colored); b) c)

c) Then forcefully flush the cleaning Cleaning adapter’s

connecting end
adapter with 30 mL of the alcohol.
(black colored)

1X

2. Tilt the adapter to expel any

remaining alcohol.

TJF-Q190V REPROCESSING MANUAL 317

 6.4 Rinse the accessories following disinfection
3. Remove 4. Flush
accessories accessories

6.4.4.4 Flush the injection tube (MH-946)

1. Completely immerse the injection Suction port

tube’s suction port in the alcohol.

2. Attach the 30 mL syringe to the injection tube’s suction channel port, as follows:
a) Hold the injection tube’s channel ports so that the filter tube points down, NOT up;
b) Attach the syringe to the suction channel port (the left side port).

a) b) Suction channel
port (left side)
Chapter 6

Injection tube
channel ports
NOT
up
Filter tube,
down

3. Keeping the 30 mL syringe attached,

flush the suction channel tube with
30 mL of the alcohol, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with the alcohol;
b) Then forcefully flush with 30 mL of
the alcohol. 1X
4. Move the syringe from the suction
channel port to the injection tube’s
Air/water
channel port
air/water channel port (port on the (right side)
right).

318 TJF-Q190V REPROCESSING MANUAL

 6.4.4 Flush and dry accessories with alcohol

5. Keeping the 30 mL syringe attached,

flush the air/water channel tube with
30 mL of the alcohol, as follows:
a) Slowly pull the syringe plunger to
fill the syringe with the alcohol;
b) Then forcefully flush with 30 mL of
the alcohol.
1X

6. Remove the injection tube’s suction

port from the alcohol.

Suction
port

Chapter 6
Suction

7. Move the syringe from air/water

channel port to the injection tube’s
channel port
(left side)
suction channel port (port on the
left).

8. Keeping the 30 mL syringe attached,

flush the suction channel tube with a), b)
30 mL of air, as follows:
a) Slowly pull the syringe plunger to Suction
fill the syringe with air; channel
port
b) Then forcefully flush with 30 mL

1X
of air.
c) Confirm that no alcohol exits the
tube during the flush.

If alcohol exits, repeat Step 8 until c)

no alcohol exits.

NO alcohol
should exit

TJF-Q190V REPROCESSING MANUAL 319

 6.4 Rinse the accessories following disinfection
3. Remove 4. Flush
accessories accessories

9. Move the syringe from the suction Air/water

channel port to the injection tube’s channel port
(right side)
air/water channel port (port on the
right).

10. Keeping the 30 mL syringe attached,

flush the air/water channel tube with
a), b)

30 mL of air, as follows:
Air/water
a) Slowly pull the syringe plunger to channel
fill the syringe with air; port

b) Then forcefully flush with 30 mL

of air.
c) Confirm that no alcohol exits the
air pipe port during the flush.
1X
If alcohol exits, repeat Step 10
Chapter 6

until no alcohol exits. c)

NO alcohol
should exit

320 TJF-Q190V REPROCESSING MANUAL

 6.4.4 Flush and dry accessories with alcohol

6.4.4.5 Flush the distal-end flushing adapter (MAJ-2319)

1. To prevent splashing from the covers’

openings, cover the distal-end
flushing adapter’s white and green
covers in sterile lint-free cloths.

Cover with
cloth

2. Flush the distal-end flushing adapter a)

through the WHITE flushing port with
30 mL of the alcohol, as follows:
a) Before attaching the syringe to
the white flushing port (so that
you do not pull air into the syringe
that might be inside the flushing

Chapter 6
tube), slowly pull the syringe
plunger to fill the syringe with the
alcohol; b) c)
b) Attach it to the white flushing port WHITE
of the distal-end flushing adapter; flushing
port
c) Then forcefully flush with 30 mL of
the alcohol.
1X

3. Detach the syringe from the distal-

end flushing adapter.

TJF-Q190V REPROCESSING MANUAL 321

 6.4 Rinse the accessories following disinfection
3. Remove 4. Flush
accessories accessories

4. Flush the distal-end flushing adapter

through the GREEN flushing port
a)

with 30 mL of the alcohol, as follows:

a) Before attaching the syringe to
the green flushing port (so that
you do not pull air into the syringe
that might be inside the flushing
tube), slowly pull the syringe
plunger to fill the syringe with the b) GREEN c)
alcohol; flushing
port
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush with 30 mL of
the alcohol.
1X

5. Detach the syringe from the distal-

end flushing adapter.
Chapter 6

6. Flush the adapter through the

WHITE flushing port with 30 mL of
a)

air, as follows:
a) Before attaching the syringe
to the white flushing port (so
that you do not pull alcohol into
the syringe that might be inside
the flushing tube), slowly pull the b) c)
syringe plunger to fill the syringe WHITE
with air; flushing
port
b) Attach it to the white flushing port
of the distal-end flushing adapter;
c) Then forcefully flush with 30 mL
of air.
1X
d) Confirm that no alcohol exits from
either of the adapter openings. d)

If alcohol exits, repeat Step 6 until

no alcohol exits.

NO alcohol should exit

322 TJF-Q190V REPROCESSING MANUAL

 6.4.4 Flush and dry accessories with alcohol

7. Detach the syringe from the distal-

end flushing adapter.

8.
a)
Flush the adapter through the
GREEN flushing port with 30 mL of
air, as follows:
a) Before attaching the syringe
to the green flushing port (so
that you do not pull alcohol into
the syringe that might be inside
the flushing tube), slowly pull the
syringe plunger to fill the syringe b) GREEN c)

Chapter 6
with air; flushing
port
b) Attach it to the green flushing port
of the distal-end flushing adapter;
c) Then forcefully flush with 30 mL
of air.
d) Confirm that no alcohol exits from 1X
either of the adapter openings.

If alcohol exits, repeat Step 8 until d)

no alcohol exits.

NO alcohol should exit

TJF-Q190V REPROCESSING MANUAL 323

 6.4 Rinse the accessories following disinfection
3. Remove 4. Flush
accessories accessories

9. Remove the cloths from the distal-

end flushing adapter.

Remove
cloth

6.4.4.6 Dry the accessories

1. Thoroughly dry all accessories’ external surfaces (i.e., eleven items from a)
through k) as shown below) by wiping with sterile lint-free cloths.
Chapter 6

a) Channel cleaning b) Channel plug c) AW channel cleaning

brush (BW-20T) (MH-944) adapter (MH-948)

e) Distal-end flushing f) Air/water g) Suction valve

adapter (MAJ-2319) valve (MH-438) (MH-443)
d) Injection tube
(MH-946)

h) Channel-opening i) Suction cleaning j) Biopsy valve k) Mouthpiece

cleaning brush adapter (MH-856) (MB-358) (MA-392)
(MH-507)

324 TJF-Q190V REPROCESSING MANUAL

 6.5.1 Equipment needed
6.5 Sterilize the accessories

This chapter describes the methods for sterilizing those accessories that are listed in Table
3.4 in Chapter 3.1, “Compatibility summary” as being compatible with ethylene oxide gas
sterilization or steam sterilization (autoclaving).

6.5.1 Equipment needed

Prepare the following equipment.

Other:

• Sterilization pouches*1

*1 For the USA: Use sterilization pouches that are legally marketed in the USA.

6.5.2 Ethylene oxide gas sterilization of the accessories

Chapter 6
WARNING
• Thoroughly dry all accessories before sterilization.

• All accessories must be properly aerated following ethylene oxide gas sterilization
to remove toxic ethylene oxide residuals.

• Use only ethylene oxide gas sterilization compatible sterilization pouches.

CAUTION
Exceeding the recommended sterilization parameters may cause damage to the
accessories.

1. Flush and dry all accessories with alcohol and air as described in Chapter 6.4.4,
“Flush and dry accessories with alcohol”.

2. Seal the accessories in individual sterilization pouches appropriate for ethylene

oxide gas sterilization, according to your institution’s protocol.

3. Sterilize and aerate the packaged accessories, according to the parameters

described in Chapter 3.7, “Ethylene oxide gas sterilization”. In addition, always
follow the instructions of the sterilizer manufacturer.

TJF-Q190V REPROCESSING MANUAL 325

 6.5 Sterilize the accessories

6.5.3 Steam sterilization (autoclaving) of the accessories

WARNING
• Before taking the accessories out of the autoclave, let them cool down to room
temperature. Otherwise, they may cause burns.
• You must perform steam sterilization of the accessories according to the conditions
specified in Chapter 3.8, “Steam sterilization (autoclaving)”. Autoclaving the
accessories using a sterilization cycle that does not meet the specified conditions
may result in a failure to achieve sterilized accessories.
• Inspect each equipment package for openings, tears, or other damage. If the
equipment package is open or damaged, seal the equipment in a new package and
resterilize it as described in this chapter.
• Use only steam sterilization compatible sterilization pouches.

CAUTION
Chapter 6

• Exceeding the recommended sterilization parameters may cause damage to the

accessories.
• After steam sterilization (i.e., autoclaving), let all components gradually cool down to
room temperature. Sudden changes in temperature may damage the accessories.

1. Flush and dry all accessories with alcohol and air as described in Chapter 6.4.4,
“Flush and dry accessories with alcohol”.

2. Seal the accessories in individual sterilization pouches appropriate for steam

sterilization, according to your institution’s protocol.

3. Sterilize the packaged accessories, according to the parameters described in

Chapter 3.8, “Steam sterilization (autoclaving)”. In addition, always follow the
instructions of the sterilizer manufacturer.

326 TJF-Q190V REPROCESSING MANUAL

 
Chapter Reprocess Endoscopes and

7
Accessories Using an Automated
Endoscope Reprocessor/Washer-
Disinfector

7.1 Summary

Follow the workflow described in Chapter 4.3, “Workflow for cleaning and disinfecting
endoscopes and accessories using an AER/WD” when reprocessing endoscopes and
accessories with an Automated Endoscope Reprocessor/Washer-Disinfector (AER/WD).

Be sure to attach all required connectors to the endoscope and accessories. For details
concerning appropriate connectors, refer to the AER/WD manufacturer’s instructions.

Manually clean and disinfect any endoscopes and accessories that are not compatible with the
AER/WD.

WARNING
• Always conduct all steps of precleaning and manual cleaning as instructed
in this manual, even if you are using an AER/WD that has instructions that
state you can skip some steps.

Chapter 7
• Set the forceps elevator based on the AER/WD you will be using:

• If using an Olympus OER-AW or OER-Pro, ensure that the distal end’s

instrument channel outlet is open. If closed, open the instrument channel
outlet by moving the elevator control lever as shown below until the
forceps elevator stops. Then, attach the dedicated connecting tube to the
endoscope’s distal end, and set in your OER-AW or OER-Pro according to
the manufacturer’s instructions.

Elevator control lever

Open

Forceps
elevator

Instrument
channel outlet

• If using an AER/WD that is not recommended by Olympus, set the forceps

elevator according to the AER/WD manufacturer’s instructions.

TJF-Q190V REPROCESSING MANUAL 327

 7.1 Summary

CAUTION
After reprocessing the endoscope using an endoscope reprocessor or a washer-
disinfector, dry the endoscope connector’s electrical contacts by wiping with sterile
lint-free cloths. Do not allow the contacts to air-dry. Doing so can cause hard
water residue to deposit on the electrical contacts, which may cause an abnormal
endoscopic image when the endoscope is used.

When setting the endoscopes in OER-AW or OER-Pro, refer to the respective manufacturer’s
instruction manual.

NOTE

When cleaning and disinfecting the endoscope in OER-AW or OER-Pro, use

connectors or a retainng rack that are compatible with the endoscope model. Using
incompatible connectors or retaining racks can lead to insufficient endoscope
cleaning and disinfection, or sterilization, which may pose an infection control risk
to the patient and/or operators performing the next procedure with the endoscope.
The compatible connectors and retaining racks for the endoscope model should
be listed in the OER-AW or OER-Pro instruction manuals. Table 7.1 below also
provides information about compatible connectors and retaining racks.
Chapter 7

Table 7.1 Compatible connectors

Connectors
For For For For Retaining
air/water instrument suction forceps rack
channel channel channel elevator
OER-AW*1
MAJ-1500*2 MAJ-2358 MAJ-1970
OER-Pro*1
*1
These products may not be available in some areas.
*2
The air/water channel, instrument channel, and suction channel can be reprocessed at the same time
by connecting only the connecting tube (MAJ-1500 connector) to the endoscope.

328 TJF-Q190V REPROCESSING MANUAL

 

NOTE

• If cleaning and disinfecting an endoscope together with another endoscope

of the same or different model using OER-AW or OER-Pro, check the group
numbers of each endoscope and confirm that the combination of these group
numbers are allowed when performing combination reprocessing. The group
number is listed in the “List of Compatible Endoscopes/Connecting Tubes”
of the endoscope reprocessor instruction manual. If the endoscopes are
cleaned and disinfected in incompatible combinations, insufficient cleaning and
disinfection can occur, which may pose an infection control risk to patients and/
or operators performing the next procedure. The group number of
TJF-Q190V should be listed in Table 7.2 below.

Table 7.2 Endoscope model group number

OER-AW OER-Pro

TJF-Q190V Group 3 Group 3

• Aldahol and Aldahol 1.8 are not available for reprocessing TJF-Q190V with
OER-Pro. The Applicable/Not applicable disinfectant solutions for TJF-Q190V
are listed in Table 7.3 below.

Chapter 7
Table 7.3 Disinfectant solutions for OER-Pro

Disinfectant solution for OER-Pro

Acecide-C Aldahol / Aldahol 1.8

TJF-Q190V Applicable Not applicable

TJF-Q190V REPROCESSING MANUAL 329

 Chapter

8 Storage and Disposal

8.1 Precautions for disposal and storage of the reprocessed

endoscope and accessories

WARNING
• Maintain appropriate transportation and storage procedures so that reprocessed
endoscopes and accessories are kept away from contaminated equipment. If the
reprocessed endoscope or accessories become contaminated before subsequent
patient procedures, they could pose an infection control risk to patients and/or
operators who touch them.

• Establish a local policy regarding the method and frequency of cleaning and
disinfecting the endoscope storage cabinet. Include all relevant factors such as
which staff members can access the cabinet, and which items can be stored in the
cabinet.

• Improper storage practices, such as not thoroughly drying external and internal
surfaces (lumens) prior to storage, will lead to an infection control risk.
Chapter 8

CAUTION
To prevent endoscope damage during storage:

• Store the endoscope and accessories in an endoscope storage cabinet that

also protects the equipment from physical damage.

• Do not store the endoscope and/or accessories in direct sunlight, at high

temperatures, in high humidity, or exposed to X-rays, ultraviolet rays, or
ozone.

• Do not store the endoscope and/or accessories with chemicals or in a gas-

generating area.

• Do not coil the endoscope’s insertion tube or universal cord with a diameter of
less than 20 cm (7.9 inch).

330 TJF-Q190V REPROCESSING MANUAL

 
8.2 Store the disinfected endoscope and accessories

WARNING
Proper storage procedures are as important as proper reprocessing procedures
in maintaining good infection control practices. To maintain proper storage
procedures:

• Be sure that the endoscope storage cabinet is properly maintained, clean, dry,
and well ventilated. All equipment must be thoroughly dried prior to storage.
Microorganisms proliferate in wet/moist environments. Keep the cabinet
doors closed to protect the equipment from environmental contaminants and
accidental contact.

• Limit access to stored equipment by unauthorized personnel.

• Store only adequately reprocessed endoscopes and accessories in the

endoscope storage cabinet.

• Do not store the endoscope and/or accessories in the endoscope’s carrying

case. The carrying case does not provide a proper storage environment for
patient-ready endoscopes. Storing patient-ready endoscopes in the carrying
case may pose an infection control risk. Use the carrying case only for
shipping the endoscope and/or accessories. Any endoscope or accessory
removed from a carrying case must be reprocessed prior to patient use or
storage in an endoscope storage cabinet.

• Never put a dirty endoscope into the carrying case, as it will contaminate the

Chapter 8
carrying case. It is not possible to adequately decontaminate a contaminated
carrying case for further use as a shipping case.

CAUTION
To prevent damaging the forceps elevator, make sure that the distal end’s
instrument channel outlet is opened or that the forceps elevator does not strike any
objects.

Not open Open

TJF-Q190V REPROCESSING MANUAL 331

 NOTE

• Some national or professional guidelines recommend checking the quality of

the final drying and if necessary, drying endoscopes manually with compressed
filtered air before storage.

• Some professional guidelines as well as Olympus recommend storing

endoscopes in an endoscope storage cabinet with the insertion tube and the
universal cord hanging vertically, as pictured below.

Endoscope
storage
cabinet

Universal
cord

Insertion
tube
Chapter 8

1. Confirm that the following accessories are detached from the endoscope:
• Air/water valve (MH-438)
• Suction valve (MH-443)
• Biopsy valve (MB-358)

Biopsy valve Suction valve

(MB-358) (MH-443)

Air/water valve
(MH-438)

332 TJF-Q190V REPROCESSING MANUAL

 

2. Confirm that all the endoscope’s and

accessories’ surfaces are dry.

3. Place the endoscope’s angulation

locks in the “F ” position.
UP/DOWN
angulation lock

RIGHT/LEFT
angulation lock

4. Ensure that the distal end’s

instrument channel outlet is fully Forceps

Chapter 8
open. elevator

If closed, open the instrument Instrument

channel outlet
channel outlet by moving the
elevator control lever as shown
below until the forceps elevator
stops.

Elevator control lever Closed Open

5. Store the disinfected endoscope and accessories properly.

TJF-Q190V REPROCESSING MANUAL 333

 8.3 Store the sterilized endoscope and accessories

CAUTION
Do not damage the sterile packaging.

Store the sterilized endoscope and accessories in a proper storage cabinet, following your
institutional guidelines.

NOTE

Sterile endoscopes may be stored flat in their sterilization wraps.

Chapter 8

334 TJF-Q190V REPROCESSING MANUAL

 
8.4 Disposal

When disposing of the endoscope, accessories, packaging, and reprocessing supplies (such
as gloves, cloths, and the liquids used for reprocessing), handle these items in a manner that
will prevent the spread of contamination from the reprocessing area, and follow all applicable
national and local laws regarding disposal.

Chapter 8

TJF-Q190V REPROCESSING MANUAL 335

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336 TJF-Q190V REPROCESSING MANUAL

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TJF-Q190V REPROCESSING MANUAL 337

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