DOCSLIB.ORG

Diagnostic and Therapeutic Push Type Enteroscopy in Clinical Use Gut: First Published As 10.1136/Gut.37.3.346 on 1 September 1995

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Diagnostic and Therapeutic Push Type Enteroscopy in Clinical Use Gut: First Published As 10.1136/Gut.37.3.346 on 1 September 1995 346 Gut 1995; 37: 346-352 Diagnostic and therapeutic push type enteroscopy in clinical use Gut: first published as 10.1136/gut.37.3.346 on 1 September 1995. Downloaded from G R Davies, M J Benson, D J Gertner, R M N Van Someren, D S Rampton, C P Swain Abstract laser or bipolar diathermy. In conclusion, This study describes small bowel push push enteroscopy is a practical and enteroscopy in routine clinical practice, valuable clinical service, which should using a purpose designed instrument probably become available on a sub- (Olympus SIF-10). Fifty six patients had a regional basis. total of60 procedures over a two and a half (Gut 1995; 37: 346-352) year period. The median (range) depth of Keywords: enteroscopy, small intestine, small intestine intubated was 45 (15-90) gastrointestinal bleeding, enteral nutrition. cm. Procedure time varied from 10-45 minutes. Most enteroscopies were performed during routine gastroscopy lists. The technique was comparatively In life the small bowel is roughly three metres easy for experienced endoscopists to in length: at necropsy (and during entero- learn. Forty two procedures were for diag- scopy) the organ may be stretched by nostic purposes. Eleven patients had 200-300%.1 Mobile and tortuously folded gastrointestinal bleeding where the source in the peritoneal cavity, it is little surprise was obscure, or where early investigations that endoscopy of this organ is technically had suggested a small bowel source: a challenging. Ten years after the first descrip- specific diagnosis was made in 450/0 of tions of non-operative enteroscopy2 it is these cases. Of seven iron deficient perhaps surprising that so few centres in the anaemic patients using non-steroidal United Kingdom are attempting the pro- anti-inflammatory drugs (NSAIDs), only cedure. Many variations in technique and one had a lesion detected in the upper instrument design have been described3-5; small bowel. Nine patients had abnormal however, at the current time, two types of small bowel barium studies. Small bowel endoscopes are available commercially for abnormalities were seen in six cases and non-operative small bowel endoscopy. Push http://gut.bmj.com/ were definitively diagnostic in three of enteroscopy simply uses a long endoscope to these; in three patients the barium study permit passage beyond the second part of the appearances were confirmed as artefact. duodenum by fairly standard endoscopic tech- Fifteen patients were investigated for niques. Purpose designed instruments have Department of abdominal symptoms suggesting small been developed (Olympus SIF- 10/-1 OL), Gastroenterology, bowel obstruction or malabsorption: a whose shaft length (168/200 cm respectively) Hospital, London diagnosis was made in five cases. Fifteen and characteristics of shaft rigidity, tip angula- on September 23, 2021 by guest. Protected copyright. G R Davies patients underwent enteroscopy for thera- tion, and optics are optimal for instrumenta- M J Benson peutic purposes, including successful tion of the small bowel. Although enteroscopy R MN Van Someren treatment of difficult enteral feeding is possible using any long endoscope, adult D S Rampton problems by nasojejunal tubes or by cuta- colonoscopes are too cumbersome and rigid, C P Swain neous endoscopic jejunostomies, polypec- and paediatric colonoscopes too flexible and Correspondence to: tomy for Peutz-Jeghers syndrome, and usually too short (typically 135 cm) to equal Dr C P Swain, Endoscopy dilatation of strictures. Additionally, the performance of the purpose designed Unit, Royal London bleeding lesions detected in patients instruments.6 The alternative technique, sonde Accepted for publication during investigation of anaemia were enteroscopy, uses an extremely flexible instru- 18 January 1995 successfully treated at the time by YAG ment the diameter of a bronchoscope (5 mm), and nearly three meters long (Olympus SSIF TABLE I Comparison ofpush and sonde type enteroscopy VII).7 The SSIF enteroscope is introduced Push Sonde through the nose, and usually pulled through the pylorus by means of a standard paediatric Model Olympus SIF 10/lOL Olympus SIF-SW Working length 168/200 cm 270 cm gastroscope passed orally. After passage Diameter 11-2 mm 5 mm through the pylorus, a distal balloon is inflated Limit of small bowel accessible Mid-distal jejunum Distal ileum (70-80%) Mucosa seen About 100% About 50-70% and the instrument propelled down the bowel Procedure time 10-45 min 12-24 h (unassisted) by peristalsis. In contrast with push entero- 4-8 h (assisted*) Fluoroscopy/extra staff required Only for some therapeutic uses Always scopy, both operator learning curve8 and pro- Biopsy/therapy channel 2-8 mm None cedure9 are long, and heavy demands are made Tip deflection 180° up/down None 1 600 left/right on staff and endoscopy unit time. Sonde Field of view 120° forward 90° forward enteroscopy is uncomfortable for the patient,9 Therapeutic procedures possible Yes No Routine upper/lower endoscopy Yes No and potentially dangerous, with a 3% perfora- possible with instrument? tion rate in one series.10 The instrument has Patient discomfort As for routine gastroscopy Often considerable Cost About £ 18 000 About £20 000 no tip angulation controls or biopsy channel, and only an estimated 50-70% of the mucosa *Using a standard endoscope to pull the sonde scope through the pylorus. can be visualised during the instrument's Diagnostic and therapeutic push type enteroscopy in clinical use 347 withdrawal.9 Push and sonde enteroscopy are mainly to assist in safe placement of percuta- complementary, the first providing excellent neous endoscopic jejunostomy (PEJ) tubes, views and therapeutic potential for a limited and when using an overtube (see later), but part of the small bowel and the second provid- was of little help in routine enteroscopy. A Gut: first published as 10.1136/gut.37.3.346 on 1 September 1995. Downloaded from ing limited views and no therapeutic potential number of techniques helped to assist for most of the small bowel. Table I compares progress. Pressure over the upper abdomen the features of push and sonde enteroscopy. was useful in most cases. A duodenal length We describe a three year experience of the overtube was used in eight cases to attempt to purpose designed push type enteroscope limit instrument looping in the stomach. The (Olympus SIF- 10) in routine clinical use, technique is similar to that previously reported including instrumental techniques, and the by Shimizu et al.6 The overtube consists of a wide range of both diagnostic and therapeutic stiff but flexible proximal shaft and a softer purposes. distal section with radio-opaque markers. Lubricating the inside of the overtube with silicone spray is useful. The overtube is pre- Methods loaded onto the enteroscope. Once the entero- scope tip is in the distal duodenum, the shaft is Patients pulled back straight and the overtube advanced Sixty endoscopic procedures using the Olympus so that the flexible portion lies within the duo- SIF-1 0 were undertaken specifically for small denum. The technique is sometimes difficult intestinal diagnostic or therapeutic purposes in and complications have been reported12: it 56 patients at the Royal London Hospital from should probably only be attempted under fluo- July 1990 (date of instrument purchase) to roscopic control. An internal channel stiffener March 1993. The instrument is also used for designed for use with colonoscopes was useful routine diagnostic gastroscopy when other in preventing instrument looping in three instruments are unserviceable, for research pur- cases, and an Eder Puestow-type guidewire poses requiring small intestinal biopsies, and used to assist in navigation of a bend in one occasionally as a colonoscope in paediatric or case. In contrast with the usual experience with tortuous colons: these examinations are not colonoscopy, continued pressure that at first included in this report. The average procedure failed to cause tip progress would often pro- rate increased from 0.5 per month in 1990 to 4 duce movement after a brief wait, or in combi- per month in 1993. Patient demographics are nation with abdominal palpation. Final depth described under appropriate results sections. of small bowel intubation was estimated by Forty three studies were diagnostic (investiga- straightening the instrument to remove the tion of anaemia; abnormal barium studies gastric loop and subtracting 60 cm from the suggesting upper small intestinal disorder; length inserted. http://gut.bmj.com/ abdominal symptoms suggesting small intes- tinal mechanical lesion; abdominal symptoms suggesting malabsorption) and 17 were for Direct technique attempted therapy, most commonly for difficult A standard 9F Freka-PEG system (Fresenius enteral feeding problems. The suitability ofeach Ltd, Runcorn, UK) was used. A superficial patient for the investigation was determined in loop of jejunum was identified by transillumi- each case by a consultant gastroenterologist. nation. High quality screening facilities and an on September 23, 2021 by guest. Protected copyright. experienced radiologist were considered essen- tial to avoid inadvertent puncture of colon. Operator Small amounts of soluble contrast media Procedures were performed by endoscopists helped to confirm the anatomy, and hyoscine experienced in standard upper and lower (Buscopan) was routinely used prior to jejunal endoscopy (consultants (n=4), 37 procedures; loop puncture. After cannulation of the jejunal senior registrars (3), nine procedures; regis- lumen, the procedure continued as for stan- trars (2), 14 procedures). dard PEG placement by the 'pull' technique.13 Patients are reintubated to check the PEJ site. PEJs inserted for malignant disease remained Standard push enteroscopy technique in situ until death; PEJs used for temporary All procedures were well tolerated under light feeding problems were snared and removed benzodiazepine sedation, with or without using the enteroscope without complication. lignocaine throat spray, and most carried out The median (range) depth of small intestinal on routine endoscopy lists, without the need intubation was 45 (15-90) cm. Procedure time for special equipment or extra staff.
Load more

Recommended publications
  • General Reprocessing Instructions for KARL STORZ Products (USA)
    General Reprocessing Instructions for KARL STORZ Products (USA) Important information for users of KARL STORZ instruments Please read this entire instructions-for-use carefully before using the KARL STORZ instruments. Failure to follow the instructions, cautions and warnings presented in this manual may result in serious consequences to the patient. Procedures for proper handling and care of KARL STORZ instruments are described in this instructions-for-use. KARL STORZ endoscopes and accessories are delicate surgical instruments and should be handled with care. Improper use during surgical procedures will result in damage, breakage or patient injury. KARL STORZ Endoscopy-America, Inc. assumes no liability if the instruments are misused, mishandled or otherwise abused. Proper handling and care, as described in this instructions-for-use, will prolong the life of these instruments Contents Important Information 1 Why is Water Quality Important? Water quality requirements 2 Table 1 – General Sterilization and High Level Disinfection Matrix 3 Table 2 – Camera Heads Sterilization and High Level Disinfection Matrix 4 Pre-Cleaning Preparation 5 Cleaning Instructions for Instruments 5 - 7 Table 3 – Cleaning brushes 6 Sterilization Instructions (general introduction) 7 Ethylene oxide (EtO) Sterilization 8 - 9 Table 4 – EtO Cycle Parameters 9 Steam 10 - 11 STERRAD Sterilization Systems 12 - 15 Table 5 – STERRAD Sterilization Systems Lumen Claims 15 Table 6 – STERRAD Tray Compatibility and Maximum Load Matrix 16 STERIS Amsco V-PRO Sterilization Systems 17 High Level Disinfection 18 - 20 Note: This document is updated frequently. Please check for latest update. KARL STORZ 2151 E. Grand Avenue Phone 424 218 8100 Endoscopy-America, Inc. El Segundo, CA 90245-5071 Toll Free 800 421 0837 PI-000035-20.1 2-03-11 General Reprocessing Instructions for KARL STORZ Products (USA) WHY IS WATER QUALITY IMPORTANT? The quality of water used for instrument processing has a considerable influence on the proper function and longevity of an instrument.
    [Show full text]
  • THE BONFILS INTUBATION ENDOSCOPE in Clinical and Emergency Medicine
    ® THE BONFILS INTUBATION ENDOSCOPE in Clinical and Emergency Medicine Tim PIEPHO Rüdiger NOPPENS ® THE BONFILS INTUBATION ENDOSCOPE in Clinical and Emergency Medicine Tim PIEPHO Rüdiger NOPPENS Department of Anesthesiology University Medical Center of the Johannes Gutenberg University Mainz, Germany With contributions from: Andreas THIERBACH Rita METZ Pedro BARGON 4 The BONFILS Intubation Endoscope in Clinical and Emergency Medicine Important notes: The BONFILS Intubation Endoscope Medical knowledge is ever changing. As new research in Clinical and Emergency Medicine and clinical experience broaden our knowledge, Tim Piepho and Rüdiger Noppens changes in treat ment and therapy may be required. Department of Anesthesiology, The authors and editors of the material herein have University Medical Center of the Johannes Gutenberg University Mainz, Germany consulted sources believed to be reliable in their efforts to provide information that is complete and in accord with the standards accept ed at the time of publication. However, in view of the possibili ty of human error by Correspondence address: the authors, editors, or publisher, or changes in medical Tim Piepho knowledge, neither the authors, editors, publisher, nor Klinik für Anästhesiologie any other party who has been involved in the preparation Universitätsmedizin der Johannes Gutenberg-Universität Mainz of this booklet, warrants that the information contained Langenbeckstr. 1 herein is in every respect accurate or complete, and they Telephone: +49 (0)6131/171 are not responsible for any errors or omissions or for the results obtained from use of such information. The E-mail: [email protected] information contained within this booklet is intended for use by doctors and other health care professionals.
    [Show full text]
  • Olympus Uptime Guarantee
    Olympus Uptime Guarantee At Olympus, we strive to provide our customers with products and services that help optimize equipment use – and our repair agreements are no exception. The Olympus Uptime Guarantee (OUG) is a no-cost enhancement to our comprehensive Full Service Agreement. It is designed to curb delays caused by out-of-service equipment, enabling you to maximize procedural uptime. OUG delivers unprecedented benefits to eligible* Full Service Agreement customers, including: Next-Day Replacement Guaranteed Service Expense Control OUG provides no hassle, If we are unable to provide Full Service Agreements next-day replacement for next-day replacement, already provide accidental surgical products in need Olympus will cover half of damage coverage and fixed of repair through our refurbishment-level charges monthly repair expenditures. Advanced Replace® upon inspection of the With OUG, your Full Service Program – guaranteed. out-of-service product. Agreement will reflect the specific repair required for your out-of-service product, rather than a pre-fixed charge. *Eligibility Requirements: Product must be listed on current Olympus Uptime Guarantee product list, and Product must be covered on a Full Service Agreement with a start date of 01/01/15 or later. Olympus Uptime Guarantee Follow Four Steps to Receive the Olympus Uptime Guarantee: 1. Call 1-800-848-9024 by 8PM EST, Monday – Friday, to request an Advanced Replacement. 2. Provide contact information, model, serial number, and other requested information to a Customer Solutions Representative. OUG eligibility will be confirmed. 3. Receive Advanced Replacement shipping confirmation and an RMA for your out-of-service product. 4. Upon receipt of Advanced Replacement, immediately send out-of-service product to Olympus.
    [Show full text]
  • Optical Devices in Tracheal Intubation—State of the Art in 2020
    diagnostics Review Optical Devices in Tracheal Intubation—State of the Art in 2020 Jan Matek 1,2, Frantisek Kolek 3, Olga Klementova 4, Pavel Michalek 5,6 and Tomas Vymazal 3,* 1 1st Department of Surgery—Department of Abdominal, Thoracic Surgery and Traumatology, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, 12800 Prague, Czech Republic; [email protected] 2 Medical Faculty, Masaryk University, 62500 Brno, Czech Republic 3 Department of Anesthesiology and Intensive Medicine, University Hospital Motol, V Úvalu 84, 15000 Praha, Czech Republic; [email protected] 4 Department of Anesthesiology and Intensive Medicine, University Hospital Olomouc, I.P. Pavlova 185, Nová Ulice, 77900 Olomouc, Czech Republic; [email protected] 5 Department of Anesthesiology and Intensive Medicine, First Faculty of Medicine, Charles University in Prague and General University Hospital, U Nemocnice 499/2, 12808 Praha, Czech Republic; [email protected] 6 Department of Anaesthesia, Antrim Area Hospital, Antrim BT41 2RL, UK * Correspondence: [email protected]; Tel.: +420-606-413-489 Abstract: The review article is focused on developments in optical devices, other than laryngoscopes, in airway management and tracheal intubation. It brings information on advantages and limita- tions in their use, compares different devices, and summarizes benefits in various clinical settings. Supraglottic airway devices may be used as a conduit for fiberscope-guided tracheal intubation mainly as a rescue plan in the scenario of difficult or failed laryngoscopy. Some of these devices offer the possibility of direct endotracheal tube placement. Hybrid devices combine the features of two different intubating tools.
    [Show full text]
  • Multi-Use USB Video Scope Veterinary Diagnostic Kit
    Multi-Use USB Video Scope Veterinary Diagnostic Kit High class technology at an affordable price The new Multi-Use Diagnostic Endoscope can be used as a high-resolution otoscope, using the removable otoscopic sheath with 2mm working channel. Through the use of interchangeable diagnostic cannula, this endoscope can do multiple procedures in your practice, such as rhinoscopy, arthroscopy or laparoscopy. With the included color camera and USB Video adaptor, real-time visualization on your computer is now both possible and affordable. 105cm x 2.7mm, 0 or 30 degree scope Oto-sheath with 2mm channel Diagnostic cannula with stopcock Operating sheath with dual stopcock System includes: Endoscope with otoscopy sheath Diagnostic cannula Operating sheath Flexible foreign body forceps 150W lightsource Optional Analog / USB video camera for real-time PC screen visualisation or still image capture ! Veterinary Video Otoscope Complete System Advanced patient care & added value for your practice The Video Otoscope System is an affordable video otoscopy solution for your practice. The optical probe comes with an otoscopy sheath with a 2mm working channel that can be used for taking a biopsy, retrieving a foreign body or flushing the ear canal. This system allows the user to accomplish many procedures that would normally be impossible with an ordinary otoscope. Optical Probe with Otoscopy Sheath 150W Lightsource CCD High Resolution Color Camera Flexible Micro-Fiberscope Veterinary Endoscopy Kit THIS IS THE SMALLEST FLEXIBLE SCOPE
    [Show full text]
  • Olympus Uptime Guarantee
    Olympus Uptime Guarantee At Olympus, we strive to provide our customers with products and services that help optimize equipment use – and our repair agreements are no exception. The Olympus Uptime Guarantee (OUG) is a no-cost enhancement to our comprehensive Full Service Agreement. It is designed to curb delays caused by out-of-service equipment, enabling you to maximize procedural uptime. OUG delivers unprecedented benefits to eligible* Full Service Agreement customers, including: Next-Day Replacement Guaranteed Service Expense Control OUG provides no hassle, next-day If we are unable to provide Full Service Agreements already replacement for surgical products in next-day replacement, Olympus provide accidental damage coverage need of repair through our Advanced will cover half of refurbishment and fixed monthly repair expenditures. Replace® Program – guaranteed. level charges upon inspection of With OUG, your Full Service Agreement the out-of-service product. will reflect the specific repair required for your out-of-service product, rather than a pre-fixed charge. *Eligibility Requirements: Product must be listed on current Olympus Uptime Guarantee product list, and Product must be covered on a Full Service Agreement with a start date of 01/01/15 or later. Olympus Uptime Guarantee Follow Four Steps to Receive the Olympus Uptime Guarantee: 1. Call 1-800-848-9024 by 8PM EST, Monday – Friday, to request an Advanced Replacement (ARP). 2. Provide contact information, model, serial number, and other requested information to a Customer Solutions Representative. OUG eligibility will be confirmed. 3. Receive ARP shipping confirmation and an RMA for your out-of-service product. 4. Upon receipt of Advanced Replacement, immediately send out-of-service product to Olympus.
    [Show full text]
  • Endoscopes for Anesthesiology and Emergency Medicine
    ENDOSCOPES FOR ANESTHESIOLOGY AND EMERGENCY MEDICINE 5th EDITION 2/2012 US Chapter Pages 1 BASIC SETS AN-SET 1-10 AN-LA, AN-GR, LARYNGOSCOPE BLADES 11-30 2 AN-LA-ACC AN-DAM, AN-DAM-V, VIDEO INTUBATION SYSTEMS 31-98 3 AN-DAM-F, AN-DAM-ACC BRONCHOSCOPES AND TRACHEOSCOPES AN-BRO 99-116 4 FOR FOREIGN BODY REMOVAL 5 INSTRUMENT CARTS AN-VC 117-124 6 COMPONENTS, SPARE PARTS AN-SP SP 1-16 KARL STORZ OR1 NEO™, TELEPRESENCE 7 HYGIENE, ENDOPROTECT1 ENDOSCOPES FOR ANESTHESIOLOGY AND EMERGENCY MEDICINE 5th EDITION 2/2012 US Important information for U.S. customers Note: Certain devices and references made herein to specific indications of use may have not received clearance or approval by the United States Food and Drug Administration. Practitioners in the United States should first consult with their local KARL STORZ representative in order to ascertain product availability and specific labe- ling claims. Federal (USA) law restricts certain devices referenced herein to sale, distribution, and use by, or on the order of a physician, dentist, veterinarian, or other practitioner licensed by the law of the State in which she/he practices to use or order the use of the device. Important Notes: Endoscopes and accessories contained in this catalog have been designed in part with the cooperation of physici- ans and are manufactured by the KARL STORZ group. If subcontractors are hired to manufacture individual com- ponents, these are made according to proprietary KARL STORZ plans or drawings. Furthermore, these products are subject to strict quality and control guidelines of the KARL STORZ group.
    [Show full text]
  • Fiberoptic Intubation: an Overview and Update
    Fiberoptic Intubation: An Overview and Update Stephen R Collins MD and Randal S Blank MD PhD Introduction Fiberoptic Technology Indications Fiberoptic Techniques Patient Position and General Techniques Patient Preparation Regional Anesthesia Sedation Versus General Anesthesia Combined Techniques Outcomes/Comparison Studies Complications Training Surveys United States Training Cadavers Virtual Simulation and Model Fidelity Additional Uses Summary Fiberoptic intubation (FOI) is an effective technique for establishing airway access in patients with both anticipated and unanticipated difficult airways. First described in the late 1960s, this approach can facilitate airway management in a variety of clinical scenarios given proper patient preparation and technique. This paper seeks to review the pertinent technology, clinical techniques, and indi- cations for and complications of its use. The role of FOI in airway management algorithms is discussed. Evidence is presented comparing FOI to other techniques with regard to difficult airway management. In addition, we have reviewed the literature on training processes and skill develop- ment in FOI. Key words: fiberoptic bronchoscope (FOB); fiberoptic intubation (FOI); fiberoptic laryn- goscopy; difficult airway; awake intubation. [Respir Care 2014;59(6):865–880. © 2014 Daedalus Enter- prises] Introduction cade later, an English anesthetist named Peter Murphy used a fiberoptic choledocoscope to aid in the nasal intu- The transmission of a visual image through a flexible fiberoptic bundle was first reported in 1954.1 Over a de- The authors have disclosed no conflicts of interest. The authors are affiliated with the Department of Anesthesiology, Uni- versity of Virginia, Charlottesville, Virginia. Correspondence: Stephen R Collins MD, Department of Anesthesiology, University of Virginia, PO Box 800710, Charlottesville, VA 22908.
    [Show full text]
  • The Olympus Medical Business: Profile and Perspectives, 1950-Present
    The Olympus Medical Business The Olympus Medical Business: Profile and Perspectives, 1950-Present The Olympus Medical Business Date of issuance : October 2017. Edit : Olympus Corporation PR/IR Department Introduction Olympus developed the world’s first practical gastrocamera in 1950. This innovative device contributed greatly in establishing methods for the early diagnosis of stomach cancer, a kind of cancer that had previously been a leading cause of death in Japan. Since then, Olympus has strived to make further developments with the use of endoscopes for various forms of examination and treatment. Advancements in “minimally invasive therapy” are continuously being made within the field of medicine. Surgeries that in the past were operated by opening the abdomen can now be performed using an endoscope inserted through a small incision, in most cases leaving minimal scarring only. As a result, the patient’s pain and suffering is reduced and quality of life (QOL) is significantly improved. By publishing “The Olympus Medical Business” we hope to provide our investors, shareholders and the public with a general understanding of the medical business of Olympus. We will also introduce recent trends in endoscopic diagnosis and treatment. Olympus Group Corporate Philosophy Olympus PR/IR Department CONTENTS Medical Business of Olympus 02−05 Latest Medical Devices 06−11 Strengths of Olympus Medical Business 12−15 Gastrointestinal Endoscopes The Olympus Group strives to realize better health and happiness for Special Interview : Further Progress in Endoscopic Medicine 16−18 people by being integral members of society, sharing common values, Engineer Interview : Early Diagnosis Made Possible by Endoscope 19−21 and proposing new values through its business activities.
    [Show full text]
  • The Olympus Medical Business: Profile and Perspectives, 1950-Present
    The Olympus Medical Business The Olympus Medical Business: Profile and Perspectives, 1950-Present The Olympus Medical Business Date of issuance : October 2017. Edit : Olympus Corporation PR/IR Department Olympus Group Corporate Philosophy The Olympus Group strives to realize better health and happiness for people by being integral members of society, sharing common values, and proposing new values through its business activities. Introduction Olympus developed the world’s first practical gastrocamera in 1950. This innovative device contributed greatly in establishing methods for the early diagnosis of stomach cancer, a kind of cancer that had previously been a leading cause of death in Japan. Since then, Olympus has strived to make further developments with the use of endoscopes for various forms of examination and treatment. Advancements in “minimally invasive therapy” are continuously being made within the field of medicine. Surgeries that in the past were operated by opening the abdomen can now be performed using an endoscope inserted through a small incision, in most cases leaving minimal scarring only. As a result, the patient’s pain and suffering is reduced and quality of life (QOL) is significantly improved. By publishing “The Olympus Medical Business” we hope to provide our investors, shareholders and the public with a general understanding of the medical business of Olympus. We will also introduce recent trends in endoscopic diagnosis and treatment. Olympus PR/IR Department CONTENTS Medical Business of Olympus 02−05 Latest Medical
    [Show full text]
  • Advanced Replace® Program Minimize Downtime
    Advanced Replace® Program Minimize downtime. Maximize uptime. When you choose to use the Olympus Advanced Replace program, we’ll send you a replacement endoscope that meets Olympus manufacturer specifications and functions at peak performance. ENDOEYE FLEX Olympus parts. Olympus expertise. Achieve maximum uptime. Keeping your Olympus endoscope functioning at peak performance is a job for Olympus experts. Our factory-trained Emergencies are difficult to predict. That’s why Olympus has technicians ensure that your endoscope is not altered in any ® developed the Advanced Replace Program, so you won’t way. We’re the only service and replacement provider that have to reschedule or cancel procedures. When you request uses manufacturer-approved parts, materials, and repair a replacement endoscope by 8:00pm EST Monday through protocols – all critical to maintaining the authentic Olympus Saturday, you’ll receive it by 10:00am the next business day. feel and performance. Secure your investment. The most cost-effective way to keep your Olympus endoscopes performing like new is to service them by the manufacturer. We’ll fix it right the first time – keeping your repairs to a minimum, maximizing uptime, and increasing productivity. No one does more to protect your investment and secure your bottom line. URF-P6 For further information, contact your Olympus is a registered trademark of Olympus Corporation, Olympus America Inc., and/or their affiliates. I Medical devices listed may not be available for sale in all countries. Olympus Territory Manager. For immediate For more information, contact your Olympus assistance, call 800-537-5739. sales representative, or call 800-537-5739.
    [Show full text]
  • Veterinary Endoscopy – Small Animals –
    VETERINARY ENDOSCOPY – SMALL ANIMALS – 4th EDITION 2/2012 Chapter Pages 1 OTOSCOPY AND RHINOSCOPY VET-S-RH 1-10 BRONCHOSCOPY AND GASTROSCOPY, VET-S-BRO 11-18 2 RIGID INSTRUMENT SETS FLEXIBLE ENDOSCOPES FOR VET-S-BRO-FIB 19-28 3 RESPIRATORY AND URINARY TRACTS VET-S-VE-GE, VIDEO GASTROSCOPES 29-46 4 VET-S-VE-ACC VET-S-LAP-TEL, VET-S-LAP-TROC-INTRO, LAPAROSCOPES AND ACCESSORIES 47-88 5 VET-S-LAP-TROC, VET-S-LAP-INST, VET-S-LAP-NH, VET-S-LAP-SET HANDLES AND INSTRUMENTS VET-S-LAP 89-92 6 FOR SUCTION AND IRRIGATION VET-S-ART, ARTHROSCOPES AND ACCESSORIES 93-118 7 VET-S-ART-INST 8 CYSTOSCOPY AND TRANSCERVICAL INSEMINATION VET-S-CYST 119-132 9 ENDOSCOPY IN BIRDS AND SMALL EXOTIC ANIMALS VET-S-B 133-140 VITOM® 25 SYSTEM – VISUALIZATION SYSTEM FOR VET-S-VITOM 141-156 10 OPEN SURGERY WITH MINIMAL ACCESS VET-S-UNITS-INTRO, UNITS AND ACCESSORIES U 1-52 11 VET-S-UNITS EXCERPT FROM TELEPRESENCE, VET-S-DOK-HD, VET-S-DOK-3D, VET-S-DOK-TRI, VET-S-DOK-TELE, IMAGING SYSTEMS – DOCUMENTATION, TP 1-140 12 VET-S-TP-AIDA, VET-S-DOK-MEDIA, ILLUMINATION – EQUIPMENT CARTS VET-S-DOK-L, VET-S-DOK-V, VET-S-TP-SET EXCERPT FROM HYGIENE, MAINTENANCE, VET-S-CL CL 1-56 13 STERILIZATION, STORAGE TECHNIQUES 14 COMPONENTS / SPARE PARTS VET-S-SP SP 1-44 Not all the products listed in this document are certified according to Regulation 2017/745/EU. For this reason, some products requiring certification under this regulation may not be available in these countries.
    [Show full text]