Endoscopic Insufflator

REF 6600
Operator’s Manual

0086 Rx Only (USA)

US Patent # 7,806,850 and

US Patent # 8,157,763
TABLE OF CONTENTS

SECTION 1.0 UNPACKING AND GENERAL INSPECTION ...................................................... 3

SECTION 2.0 INTRODUCTION ....................................................................................................... 4
2.1 INDICATION AND CONTRAINDICATIONS ........................................................................... 4
2.2 SAFETY FEATURES .................................................................................................................. 4
SECTION 3.0 THEORY OF OPERATION ..................................................................................... 5
SECTION 4.0 WARNINGS AND CAUTIONS................................................................................. 6
4.1 WARNINGS ................................................................................................................................. 6
4.2 CAUTIONS .................................................................................................................................. 7
SECTION 5.0 DESCRIPTION OF EQUIPMENT........................................................................... 8
5.1 SPECIFICATIONS ....................................................................................................................... 8
5.2 ELECTRICAL REQUIREMENTS .............................................................................................. 8
5.3 UL EQUIPMENT CLASSIFICATION ........................................................................................ 9
5.4 ENVIRONMENTAL REQUIREMENTS .................................................................................... 9
SECTION 6.0 FRONT PANEL CONTROLS ................................................................................. 10
SECTION 7.0 REAR PANEL CONTROLS ................................................................................... 12
SECTION 8.0 HIGH PRESSURE HOSE AND YOKE ASSEMBLY .......................................... 13
SECTION 9.0 ASSEMBLY PRIOR TO USE ................................................................................. 14
9.1 PREPARATION ......................................................................................................................... 14
9.2 ELECTRICAL CONNECTIONS ............................................................................................... 14
9.3 CO2 HOSE CONNECTIONS ..................................................................................................... 15
SECTION 10.0 SETTING-UP FOR THE PROCEDURE ............................................................... 17
10.1 POWER ON AND GAS SUPPLY INDICATOR....................................................................... 17
10.2 PREPARATION TEST .............................................................................................................. 17
10.3 TUBING SET CONNECTION .................................................................................................. 18
10.4 SETTING MODE OF OPERATION.......................................................................................... 18
10.5 RESET CO2 VOLUME .............................................................................................................. 18
10.6 CONNECTION TO ENDOSCOPIC SYSTEM.......................................................................... 18
10.7 SYSTEM SET-UP ...................................................................................................................... 19
10.8 CO2 VOLUME DISPLAY .......................................................................................................... 20
10.9 TERMINATING GAS FLOW & SHUT-DOWN PROCEDURES............................................ 20
SECTION 11.0 DECONTAMINATION, CLEANING AND STORAGE ...................................... 21
11.1 MAINTENANCE CHECKS....................................................................................................... 22
11.2 PROFESSIONAL SERVICES AND ORDERING INFORMATION ........................................ 24
11.3 WARRANTY ............................................................................................................................. 24
11.4 CERTIFICATION OF NON-CONTAMINATION .................................................................... 24
SECTION 12.0 CERTIFICATE OF NON-CONTAMINATION ................................................... 25
SECTION 13.0 TROUBLESHOOTING GUIDE ............................................................................. 26
SECTION 14.0 EMC TABLES........................................................................................................... 33

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 2

Section 1.0 UNPACKING AND GENERAL INSPECTION
CAUTION: READ ALL SECTIONS OF THIS MANUAL CAREFULLY BEFORE USING
THE CO2EFFICIENT ENDOSCOPIC INSUFFLATOR, SUCH THAT
OPERATION IS UNDERSTOOD. IF YOU SHOULD HAVE ANY
QUESTIONS, PLEASE CONTACT E-Z-EM, INC. CUSTOMER SERVICE
AT 1-800-631-5245 (USA), 1-609-514-2200 OR YOUR LOCAL E-Z-EM, INC.
REPRESENTATIVE.
Proper care and maintenance are critical for safe operation of sophisticated medical
equipment. We recommend careful inspection of all equipment upon receipt and
prior to each use as a safeguard against possible injury to patient or operator.
To avoid inadvertent damage, study this manual thoroughly before handling,
assembling, testing, using, or cleaning the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR.
Examine the shipping carton and instrument for signs of damage. Any breakage or
other apparent damage should be noted, the evidence retained, and the carrier or
shipping agency notified.
Verify that the shipping carton contains the items listed below:
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR
Operator’s Manual (English Only)
Quick Reference Guide
Line Cord (mains lead) (see CAUTION below)
High Pressure Hose & Yoke
Foreign Language Disc
Notify Professional Services immediately if any damage or discrepancies are noted.
Phone: 1-800-631-5245 (USA), 1-609-514-2200

CAUTION: The line cord (mains lead) supplied with this unit is designed and approved for use in
the USA and Canada only, and should not be used outside these countries. For use
outside of the USA and Canada, your Distributor will supply a line cord that is
approved for use in your country.

Page 3 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Section 2.0 INTRODUCTION
This manual provides information for the operation of the CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR, (also referred to in this manual as "unit" or
"device").
DEFINITIONS
The following list is abbreviations of commonly used terms throughout this manual:
LPM Liter Per Minute (or Liters Per Minute)
mm Hg millimeters of Mercury
gas CO2
hPa Hundred Pascal

2.1 INDICATION AND CONTRAINDICATIONS

Indications for Use: The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is
designed to use CO2 as a distention media in the gastrointestinal tract when used in
conjunction with a gastrointestinal endoscope.
Contraindications for Use:
The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR should be used only for an
endoscopic procedure when insufflation of the gastrointestinal tract is necessary to
support navigation of the endoscope and perform any evaluation procedures through
the endoscope, and should therefore not be used for any other treatments. It should
only be used under the direct guidance of a physician experienced in Gastrointestinal
Endoscopy procedures.
This device is contraindicated for hysteroscopic or laparoscopic insufflation, i.e., it
must not be used for intrauterine distension.
This device is contraindicated for CT Colonography.

2.2 SAFETY FEATURES

The following features help to ensure safe operation of the machine:
FLOW STOP/RUN button: Upon turning power on, gas flow is not initiated until the
FLOW STOP/RUN button is pressed.
An initial pressure relief will occur at 375 mm Hg and a redundant pressure relief
will occur at 400 mm Hg.
An audible alert will sound when the CO2 gas supply tank pressure is low.
An audible alert (a single chirp) will sound when the flow of CO2 is automatically
stopped by the device.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 4

Section 3.0 THEORY OF OPERATION
The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR operates by administering
CO2 at a maximum flow rate of 3 LPM, and then monitoring the endoscopic
pressure. A mode of operation is selected by the operator, by using a switch found on
the front panel to select from Free Flow Mode and Managed Flow Mode. It is used
to change the rate that the flow is delivered to the endoscopic system. When the
switch is set to Free Flow Mode, the unit will deliver CO2 at a flow rate of 3 liters
per minute continuous. The clinician will use the air/water valve on the endoscope
and visual feedback of the endoscopic system to manually distend the
gastrointestinal tract with CO2.
When the switch is set to Managed Flow Mode, the system will be delivering CO2 in
a more efficient manner. This mode reduces the amount of CO2 that is lost through
the air/water valve which is normally lost at a rate of 3 liters per minute. When gas
is not used in the endoscopic system to insufflate, the unit will operate at the
Managed Flow rate of 0.25 to 1.0 liter per minute. This transition to the Managed
Flow rate will occur if the unit senses no need for insufflation in a 2 second time
period. When gas is needed to insufflate, the unit will deliver CO2 at a flow rate of 3
liters per minute.
The user will need to place the system into RUN mode in order for it to deliver the
CO2 to the endoscopic system.
The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR has a Pressure Relief Valve
set at 375 mm Hg and an independent redundant Pressure Relief Valve pre-set to 400
mm Hg. Both pressure relief safety devices are active whether the
FLOW STOP/RUN is on or off.

Page 5 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Section 4.0 WARNINGS AND CAUTIONS
This section describes warning and caution information for safe operation of the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR. All information in this manual,
and particularly in this section, should be read thoroughly and understood before
using the device.

4.1 WARNINGS
 Excessive absorption of CO2 results from over insufflation. The GI Tract can be
adequately distended by the physician’s modulation of the air/water valve.
 Should accidental intravasion of CO2 occur, in rare circumstances, it can result in
embolization.
 Infusion of CO2 can result in carbonic acid irritation to directly contacted tissues.
 Idiosyncratic reactions: In patients with sickle cell disease or pulmonary
insufficiency, use of these devices may pose increased risks of respiratory acidosis
related to excessive CO2 absorption.
 Use only USP “Medical Grade” CO2 available in “D” or “E” supply tanks.
 Tubing set is to be changed following standards and guidelines set forth by SGNA
and APIC for reprocessing of water bottles used during Gastrointestinal Endoscopy.
 Using unauthorized, non-Bracco brand tubing sets will void the warranty. Bracco
cannot assume any risk related to the use of non-Bracco brand product.
 Equipment is not suitable for use in the presence of a flammable anesthetic mixture
with air, oxygen, or nitrous oxide.
 Never attempt to service the device when it is connected to a power source.
Hazardous voltages inside the device can cause severe electrical shock. Disconnect
the power cord before servicing.
 Ensure that all high-pressure gas line connections are secure before opening the gas
source(s). Loose connections could separate unexpectedly with great force, causing
personal injury.
 This device should be operated only by or under the direct supervision of a licensed
physician experienced in Gastrointestinal Endoscopy. The user should be thoroughly
familiar with the operation of this device prior to use. Additionally, individuals using
this device must be alert and attentive to the operation of the system while it is
connected to the endoscopic system. Diligence on the part of the operator is an
essential requirement of overall device safety.
 To avoid the risk of electrical shock, connect the power cord to a properly wired
grounding receptacle only.
 To prevent unit contamination, use only CO2 Endoscopic Tubing Set which includes
a ≤0.1 micron hydrophobic filter.
 Always instruct the patient to immediately notify the operator of any pain
experienced during the procedure.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 6

 If an emergency should arise whereby the need to terminate the procedure is
required, operators should stop the gas flow by turning off the power to the
insufflator and promptly disconnecting the CO2 Endoscopic Tubing Set at the unit’s
Output Port.
 The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR can release CO2 to the
surrounding atmosphere in the event of misuse or a fault condition. Use and store the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR in a well ventilated environment.
Additionally, make sure all CO2 supply tank connections are correctly installed and
free of visible damage. Should an unexplained rapid discharge of CO2 occur,
evacuate the immediate area until it has had sufficient time to ventilate.
 High Pressure USP CO2 is supplied to the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR from commercially available CO2 supply tanks. Please read and
carefully follow all Warnings, Cautions and Handling Instructions provided with,
and listed on these CO2 supply tanks that are used with the CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR. Failure to do so can result in Serious Injury or
Death.
 This product contains phthalates which have been perceived as having possible
carcinogenic, mutagenic and reproductive risks. However, based on all existing
scientific data, the long history of safe use of medical device products containing
phthalates, as well as the short duration of contact with this device, there are no
known cancer or reproductive risks to humans. Physician discretion is required to
ensure that benefits outweigh risks when this device is used in children, elderly and
pregnant women.

4.2 CAUTIONS
 Do not allow fluids to enter the device.
 The unit should not be opened except by a qualified service person. Tampering by
unqualified persons can damage the unit and void the warranty.
 Verify proper connection of tubing before using the unit.
 This device has not been tested for MR (Magnetic Resonance) compatibility, and
should not be introduced into the MR scanner room.
 Do Not attempt to use this system until you have completed all the steps in
“Assembly Prior to Use” Section 9.0 and “Setting-Up for the Procedure” Section
10.0. If the equipment differs significantly in appearance or operation from the way
it is presented in this manual, or you have any doubts what-so-ever concerning its
installation or operation, inform Professional Services at 1-800-631-5245 (USA),
1-609-514-2200.

Page 7 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Section 5.0 DESCRIPTION OF EQUIPMENT
The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is indicated for use as a
means to use CO2 as a distention media in the gastrointestinal tract when used in
conjunction with a gastrointestinal endoscope under direct observation of a
physician.

5.1 SPECIFICATIONS
Size: 10” wide x 5.5” high x 10.5” deep.
254 mm x 140 mm x 254 mm
Weight: Less than 20 lb. (9.0 kg).
Control Panel: Push-buttons and rocker switch. Digital pressure and
volume readouts.
Gas Flow: 0 to 3 LPM.
Operating Pressure: 0 to 350 mm Hg operating.
Pressure Relief Valve: Relief of pressure at 375 mm Hg
A redundant relief of pressure at 400 mm Hg.
Both reliefs are active whether gas flow is on or off for
added protection.
Operating modes: Managed Flow, Free Flow, and FLOW STOP/RUN.
Gas Inlet: “D” or “E” CO2 supply tank.

WARNING: Do not allow liquid CO2 to enter the unit. This can be prevented by assuring that
the CO2 supply tank is maintained in a vertical position at all times.

Gas Input Pressure: 75 to 2200 psi, flow to 25 psi.

Tubing Set: Available for use with ≤0.1 micron hydrophobic filter.
E-Z-EM, Inc. supplies a Tubing Set that includes this
filter.

5.2 ELECTRICAL REQUIREMENTS

Input Voltage: 100 to 240 VAC nominal line voltage; 50/60 Hz.
(line voltage can vary by ±10% from nominal).
Power: 25 watts, double fusing with removable power cord.
Standards: UL-2601-1; IEC-60601-1; IEC-60601-1-2; EN55011;
EN60601-1-2; EN50082-1; EN61000-4-2-3-4-5-6-8-11,
EN61000-3-2-3.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 8

5.3 UL EQUIPMENT CLASSIFICATION
Underwriter’s Laboratories/CSA Class I Type B

5.4 ENVIRONMENTAL REQUIREMENTS

Operating Temperature: 50° to 104° F (10° to 40° C)
Operating Relative Humidity: 30 to 70% non-condensing
Operating Pressure: 700 to 1060 hPascal
20.7 to 31.3 (inches of Mercury)

Storage Temperature: 32° to 160° F (0° to 70° C)

Storage Relative Humidity: 20 to 90% non-condensing
Storage Pressure: 500 to 1060 hPascal
14.8 to 31.3 (inches of Mercury)
Not to be used in the presence of flammable gases.
NOTE: This unit has not been tested for MR compatibility and should not be
introduced into the MR exam room.

Page 9 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Section 6.0 FRONT PANEL CONTROLS

NOTE: The appearance of your CO2EFFICIENT ENDOSCOPIC INSUFFLATOR may differ slightly
from the units shown in the illustrations and photographs. (Example: buttons may be round or square).
[1] GAS SUPPLY INDICATOR
Three colors of LED’s to indicate the relative amount of gas available in a
“D” or “E” CO2 supply tank.
[2] VOLUME LITERS DISPLAY
Indicates the total amount of gas used since last reset.
[3] VOLUME RESET
Clears the volume display to zero.
[4] FLOW STOP/RUN
Depression starts flow and button will illuminate. CO2 will flow in one of two
modes set by the switch. The pressure response characteristics at which CO2 is
delivered to distend the gastrointestinal tract is a function of the clinician and
how this clinician uses CO2 to distend the gastrointestinal tract during a
procedure. In Managed Flow Mode, the control system will automatically
transition between the high flow rate and low flow rate as required during the
procedure to compensate for external variables.
To prevent wasting gas in the Free Flow mode, when the FLOW STOP/RUN
button is pressed initially and after 150 Liters of CO2 is continuously delivered,
the unit automatically returns to STOP mode. An audible alert, in the form of a
single chirp, will sound when the unit automatically returns to STOP mode.
Thereafter, subsequent presses of the FLOW STOP/RUN button will resume the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 10
delivery of CO2 for an additional 150 Liters before automatically returning to
STOP mode. To prevent wasting gas in the Managed Flow mode, when the
FLOW STOP/RUN button is pressed initially and no changes in pressure have
been detected for 10 minutes, the unit automatically returns to STOP mode. An
audible alert, in the form of a single chirp, will sound when the unit
automatically returns to STOP mode. However, you can stop the flow using the
FLOW STOP/RUN button while the unit is in RUN mode, as evidenced by the
illuminated FLOW STOP/RUN button.
The user can always depress the FLOW STOP/RUN button during any of these
volume increments to stop delivery of CO2.

NOTE: Flow cannot be initiated if gas bottle pressure is less than 25 psi.

[5] FLOW MODE SELECTION SWITCH

The unit operates in one of two modes.
When the switch is set Free Flow Mode, the unit will deliver CO2 at a flow rate
of 3 liters per minute continuous. The clinician will use the air/water valve on
the endoscope and visual feedback of the endoscopic system to manually distend
the gastrointestinal tract with CO2.
When the switch is set to Managed Flow Mode, the system will be delivering
CO2 in an more efficient manner. This mode reduces the amount of CO2 that is
lost through the air/water valve which is normally lost at a rate of 3 liters per
minute. When gas is not used in the endoscopic system to insufflate, the unit
will operate at the Managed Flow rate of 0.25 to 1.0 liter per minute. This
transition to the Managed Flow rate will occur if the unit senses no need for
insufflation in a 2 second time period. When gas is needed to insufflate, the unit
will deliver CO2 at a flow rate of 3 liters per minute.
[6] GAS OUTPUT CONNECTION TO ENDOSCOPE
Connector for Tubing Set.
[7] POWER SWITCH
Turns the power on and off to the unit.

Page 11 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Section 7.0 REAR PANEL CONTROLS

[8] GAS INPUT PORT

For connecting a “D” or “E” supply tank using the High Pressure Hose and Yoke
assembly provided.

WARNING: Do not allow liquid CO2 to enter the unit. This can be prevented by assuring that
the CO2 supply tank is maintained in a vertical position at all times.

[9] AC POWER CONNECTION

Universal AC line input device – nominal AC line voltage 100 to 240 VAC
frequency 50/60 Hz. The AC line voltage should not drop below 90 VAC or
exceed 264 VAC. There are no switches or other AC line configuration
requirements.
The line cord (mains lead) supplied with this unit is designed and approved for
use in the USA and Canada only, and should not be used outside these countries.
For use outside of the USA and Canada, your Distributor will supply a line cord
that is approved for use in your country.
AC input is with a standard hospital grade line cord (mains lead). Connection
should be to hospital grade receptacles only.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 12

Section 8.0 HIGH PRESSURE HOSE AND YOKE
ASSEMBLY
The assembly consists of the YOKE as shown in Figure 8.1 and the HIGH
PRESSURE HOSE as shown in Figure 8.2.

Figure 8.1

NOTE: Before proceeding to the next step, check for the presence of the plastic
gasket on the inside of the yoke (arrow on Figure 8.1).

Figure 8.2

Page 13 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Section 9.0 ASSEMBLY PRIOR TO USE
IMPORTANT
If at any time the unit performs erratically or provides otherwise abnormal operation,
remove the unit from service and have it inspected or repaired.
The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR should be inspected upon
receipt and before each use. Damaged equipment should be removed from service
and returned to E-Z-EM, Inc. for repair or replacement. Before each use, perform the
procedures and inspections described in Sections 9.1, 9.2 and 9.3

9.1 PREPARATION
1. Install the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR on the Accessory
Cart that can be purchased separately, or on a flat surface, away from potential
sources of spraying or leaking liquids.
2. Visually inspect the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR for
external signs of damage.

9.2 ELECTRICAL CONNECTIONS

1. Inspect the electrical connections. Do not use if inspection reveals any damage.
2. Connect the line cord (mains lead) to the AC Power Connection on the back of
the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR.
3. Before connecting the line cord (mains lead) to the hospital grade wall outlet,
make sure that the main power switch is off and that the voltage is correct. The
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR has a universal AC line input
device, the nominal AC line voltage is 100 to 240 VAC and the AC line
frequency is 50/60 Hz. The AC line voltage should not drop below 90 VAC or
exceed 264 VAC. There are no switches or other AC line configuration
requirements.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 14

9.3 CO2 HOSE CONNECTIONS
1. If not already connected, assemble the High Pressure Hose and Yoke using a
9/16″ open-ended wrench on the hose fitting and a ¾″ open-ended wrench on the
yoke’s hexagonal shaped surface. The complete Hose-Yoke assembly is shown
in Figure 9.1. Identify the post valve yoke positioning holes on the CO2 supply
tank (tank not provided with system), as shown in Figure 9.2.

Figure 9.1 Figure 9.2

2. Slide the Hose-Yoke assembly over the top of the post valve and align the two
positioning pins from the yoke with the two locating holes from the CO2 supply
tank post valve. Insert the pins into the locating holes and tighten the yoke on the
post valve with the T-handle provided with the yoke. Place the valve wrench
included with cart (see Figure 9.3), or equivalent open-ended wrench, on the
valve stem as shown in Figure 9.4

Figure 9.3 Figure 9.4

3. Remove cap from the CO2 Input port on back of the unit. Tighten the other end
of the High-Pressure Hose to the CO2 Input port on the back of the unit using a
9/16″ open-ended wrench (see Figure 9.5).

NOTE: Do not use any teflon tape or

thread sealing compounds on any
connection.
Figure 9.5

Page 15 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

WARNING: Do not allow liquid CO2 to enter the unit. This can be prevented by assuring that
the CO2 supply tank is maintained in a vertical upright position at all times.
USE ONLY MEDICAL GRADE CO2 SIZE “D” OR “E” supply tanks.

Before each use the following procedures or inspections should be performed:

Visually inspect the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR for external
signs of damage.
Inspect the electrical connections. Do not use if inspection reveals damage.
Before connecting the power cord to the wall outlet, make sure the main power
switch is off and that the voltage is correct.
Inspect the connection to the CO2 supply tank, to assure it is intact and tight.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 16

Section 10.0 SETTING-UP FOR THE PROCEDURE

10.1 POWER ON AND GAS SUPPLY INDICATOR

1. Open the valve on the CO2 supply tank approximately 1 turn. Turn on the Power
Switch. Upon turn on, all lights and indicators will be illuminated for a brief
period.
2. The Gas Supply indicator should display red-yellow-green bars. The color
coding in the bar graph is a guide to determine whether there is sufficient gas in
a “D” or “E” CO2 supply tank to finish a procedure, as indicated below:
Lights Available CO2 Gas
Green Tank is Full.
Yellow Tank is Getting Low.
Red Tank is Low. Change Tank!

10.2 PREPARATION TEST

There is always the possibility that delicate equipment can be damaged in
transportation or storage. Therefore it is important to verify proper operation of the
unit before use.
1. After power is applied to the unit, verify that the front panel lights are enabled.
2. To verify that flow control is functioning properly, depress the FLOW
STOP/RUN button. When pressed, the light in the switch should light, and gas
may be heard exiting from the unit. If gas does not begin flowing, verify that the
CO2 supply tank valve is in the open position (see section 10.1, Power On and
Gas Supply Indicator).
3. To prevent wasting gas in the Free Flow mode, when the FLOW STOP/RUN
button is pressed initially and after 150 Liters of CO2 is continuously delivered,
the unit automatically returns to STOP mode. Thereafter, subsequent presses of
the FLOW STOP/RUN button will resume the delivery of CO2 for an additional
150 Liters before automatically returning to STOP mode. To prevent wasting gas
in the Managed Flow mode, when the FLOW STOP/RUN button is pressed
initially and no changes in pressure have been detected for 10 minutes, the unit
automatically returns to STOP mode. However, you can stop the flow using the
FLOW STOP/RUN button while the unit is in RUN mode, as evidenced by the
illuminated FLOW STOP/RUN button.
4. If the unit does not perform properly, do not use. Inspect the unit using the
Troubleshooting Guide (Section 13.0) before returning for service.

Page 17 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

10.3 TUBING SET CONNECTION
Insert the connector on the Tubing Set to the Gas Output connection on the unit’s
front panel. It is important to use only Bracco manufactured high flow tubing labeled
as Bracco CO2 Endoscopic Tubing Set (that includes a ≤0.1 micron hydrophobic
filter) designed to provide optimum performance. Always inspect every Tubing Set
to make sure there are no signs of damage. If such a condition exists, do not use the
Tubing Set. See Tubing Set instructions for use.

10.4 SETTING MODE OF OPERATION

To set the mode of operation, use the rocker switch on the front panel to select
between Managed Flow and Free Flow.

10.5 RESET CO2 VOLUME

Assure that the Volume Liters Display reads zero prior to starting the procedure. To
reset the Volume Liters Display, press the Volume Reset button.
NOTE: Do not press Volume Reset button once procedure has started.

10.6 CONNECTION TO ENDOSCOPIC SYSTEM

The Tubing Set connects into the air/water line of the endoscopic system.
Depending on the Endoscope manufacturer there are different connections to the
air/water supply line. Each connection has a Luer adaptor and some examples are
provided below.

Figure 10.1 CO2 Adaptor for Pentax Endoscope

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 18

Figure 10.2 Example Olympus Water bottle with CO2 Connection MAJ-902

Pentax Medical Group is a Division of Pentax of America, Inc.

Olympus America is a Division of Olympus Corporation.

10.7 SYSTEM SET-UP

The following operational sequence describes the system set-up for both the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR and Tubing Set:

i) Make sure the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is

powered up with no Tubing Set in place.

ii) Make sure the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is in

STOP mode.

iii) Use the Flow Mode Selection Switch to set the desired mode for the
system.

iv) As required, zero the volume display using the Volume Reset button.

v) Remove the Tubing Set from its packaging.

Page 19 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

vi) Connect Tubing Set Luer fitting to the endoscopic system.

vii) Connect the Tubing Set fitting to CO2EFFICIENT ENDOSCOPIC

INSUFFLATOR.

viii) Start the endoscopic system by turning on the necessary light and video
equipment.

ix) Verify that the air supply from the endoscopic system is turned off.

x) Start CO2EFFICIENT ENDOSCOPIC INSUFFLATOR by pressing the

FLOW STOP/RUN button.

xi) Monitor the unit’s volume indicator during procedure

xii) Stop the unit at conclusion of procedure.

NOTE: If an emergency should arise whereby there is a need to terminate the

procedure, the operator should stop the CO2 gas flow by turning off the power to
the insufflator and promptly disconnecting the Tubing Set at the CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR Output port.

10.8 CO2 VOLUME DISPLAY

The Digital Volume Display reads the total volume of CO2 passing from the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR to the patient. The digital display
indicates the volume of CO2 delivered in Liters and tenths of Liters and has a range
of 0 to 999 Liters.

10.9 TERMINATING GAS FLOW & SHUT-DOWN PROCEDURES

1. Upon completion of the diagnostic procedure, press the FLOW STOP/RUN
button if in RUN mode.
2. Discard the entire CO2 Endoscopic Tubing Set according to standards and
guidelines set forth by SGNA and APIC for reprocessing of water bottles used
during Gastrointestinal Endoscopy.
3. Turn power off and disconnect the power cord from power outlet.
4. It is recommended that the CO2 supply tank valve be fully closed when not in
use.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 20

Section 11.0 DECONTAMINATION, CLEANING AND
STORAGE
Prior to disinfecting the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR, ensure
the power is turned off and the line cord (mains lead) is unplugged. To disinfect the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR wipe down with an intermediate-
level disinfectant (corrosive disinfectants, such as bleach, are not recommended
since they may damage the equipment) in accordance with the manufacturer’s
directions. Do not use abrasive or sharp-edged devices when disinfecting the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR. Do not allow fluids to enter the
unit. Dry all components thoroughly. Do not sterilize or autoclave this unit.
For general cleaning, the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR can be
wiped down with a damp cloth and mild soap.
The E-Z-EM, Inc. CO2EFFICIENT ENDOSCOPIC INSUFFLATOR should be
covered and stored in a cool dry location. Care should be taken to avoid rough
handling, jarring, or dropping the unit.
There are no user adjustments inside the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR case. Repairs and adjustments are to be performed only by Bracco
or authorized service or repair facilities. Unauthorized service, repair, or
modifications to the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR will void
your warranty.
*If repairs become necessary call E-Z-EM prior to returning the device, and request
an RA (Return Authorization) number.
Warranty repairs will be made without charge. All other repairs will be made on a
time and material basis. If requested, E-Z-EM will provide an estimate of the repair
cost and the time for the repair before any work is done. Repair items should be
carefully repackaged and returned, post paid, to:
E-Z-EM INC.
532 Broadhollow Rd.
Suite 126
Melville, NY 11747 USA

*PRODUCTS MAY NOT BE RETURNED TO E-Z-EM UNLESS E-Z-EM. HAS

PROVIDED AN RA NUMBER TO THE PURCHASER. ALL PRODUCTS
BEING RETURNED TO BRACCO MUST BE ACCOMPANIED BY A
CERTIFICATE OF NON-CONTAMINATION.

Page 21 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

11.1 MAINTENANCE CHECKS
As with any precision instrument, periodic inspection of the unit on an annual basis is
recommended, or on a more frequent basis if conditions require.
It is recommended that the following inspection be conducted on at least an annual basis and
recorded on the following page. Prior to recording, a copy of the page should be made so that
future inspection results can be recorded.
1. Visually inspect the line cord (mains lead) that is used to provide power to your CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR. If it is worn, frayed or damaged, replace it immediately with
an equivalent IEC 60601-1 Rated (Medical Grade) line cord (mains lead) possessing a grounded
IEC-320 plug. Warning: Do not use or replace with a commercially rated line cord (mains
lead).
2. Visually inspect the high-pressure hose between the CO2 supply source and the rear panel of the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR. If it is worn, frayed, kinked or damaged, call
E-Z-EM immediately to obtain a replacement. Confirm hose is firmly attached to unit and a “D”
or “E” sized medical grade CO2 tank.
3. Verify that the power rocker switch on the front panel is seated properly, undamaged, exhibits no
evidence of fluid/dirt infiltration. Plug in the line cord (mains lead), ensure the power switch is
on the “I” position and check if unit’s front display lights up.
4. Connect the device to a CO2 supply source and attach a CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR compatible tubing set to the outlet port on the front panel. Switch unit to Free
Flow mode using front panel rocker switch. Open CO2 tank. Confirm CO2 gas supply gauge on
front panel illuminates fully. When testing with the disposable water bottle tubing set, place the
capped end of the tubing set into a sterile water bottle that is 1/2 filled. Place the free end (the
end that normally connects to the endoscope) in a cup of sterile water. When testing with a
710304 (aka 6601) Tubing Set, place the free end (the end that normally connects to a reusable
CO2 water bottle or Pentax adapter) into a cup of sterile water. Power on the CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR.
a. Verify the unit insufflates CO2 by pressing the FLOW STOP/RUN button. The green
lamp will illuminate. CO2 will begin to exit the tubing set causing the water to bubble.
b. Switch flow mode to Managed Flow mode on the front panel and confirm CO2 exits the
tubing set and causes the water to bubble. It will bubble with less intensity than it does
in Free Flow mode.
5. Turn unit off. Unplug Tubing Set and visually inspect the metal gas outlet connection on the
front panel for damage or fluid invasion.
6. Using an Electrical Safety Analyzer designed for measuring leakage current for medical
equipment (e.g. Fluke, Dynatech Nevada, Biotech, etc.), measure the earth leakage current.
Verify that this is less than 300 microamperes for the Class 1, Type B rating, as indicated on the
rear panel of the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR. At conclusion of testing,
power off unit, shut-off CO2 supply and unplug unit.
i. If you are unable to perform this inspection, the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR can be sent to Bracco Diagnostics Inc.
7. Refer to the Troubleshooting Guide in the back of this Operator’s Manual.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 22

MAINTENANCE CHECKLIST

Refer to Section 11.1 of this Operator’s Manual for instructions on how to perform each
item in the checklist below:

1. Inspection of line cord (mains lead) Pass Fail

2. High Pressure Hose Inspection Pass Fail

3. Front Panel Rocker Switch Inspection Pass Fail

4. Inspection of CO2 Insufflation Pass Fail

5. Visual Inspection of Gas Outlet Connection Pass Fail

6. Inspection of Earth Leakage Current Pass Fail

Actual Reading ___________________

If for any reason, the integrity of the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is

suspect as a result of these inspection steps, please call Customer Service to make
arrangements for repair.

Tested By: _________________________ Test Date: ____________________

Unit Serial Number: #__________________________

Located on bottom of unit

Page 23 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

11.2 PROFESSIONAL SERVICES AND ORDERING INFORMATION
Phone: 1-800-631-5245 (USA), 1-609-514-2200

11.3 WARRANTY
Your new CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is warrantied against all
defects in materials and workmanship for 12 months from the date of purchase.
This warranty shall not apply to any CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR which:
 Has been repaired by anyone other than an authorized E-Z-EM
representative.
 Has been altered in any way so as to, in the judgment of E-Z-EM, affect its
function.
 Has been subject to misuse, negligence, or accident, including damage
caused by contact with patient effluent or other substances.
This warranty does not cover routine cosmetic wear and tear on the system,
including scratching and marring of this device.
This warranty is in lieu of all other warranties, expressed or implied, including
without limitation any implied warranty of merchantability or fitness for a particular
use, and of all other obligations or liabilities on the part of E-Z-EM. There are no
warranties that extend beyond the description on the face hereof.

11.4 CERTIFICATION OF NON-CONTAMINATION

 All products being returned to E-Z-EM, Inc. must be accompanied by a Certificate of
Non-Contamination.
 Products that have become contaminated in any way shall not be returned to E-Z-EM
Inc., unless special written permission has been granted by E-Z-EM, Inc. Otherwise,
a Certificate of Non-Contamination shall be provided with returned products that
have been reportedly decontaminated.
 In other special cases certification of Proper Handling for Bio-Hazardous Material
must be sent to E-Z-EM, Inc. for pre-approval before such material can be returned.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 24

Section 12.0 CERTIFICATE OF NON-CONTAMINATION

Customer Name:
Address:
City: State: Zip Code:
Contact Name:
Authorized Signature:
Telephone # and E-mail:
Product Model No.:
Description:
SERIAL No.: RA. No.:

The above person hereby certifies that the above described product being returned to E-Z-EM, Inc., has
been inspected and contains no foreign material or fluids and is not contaminated with any bio-hazardous
matter or any other material that may cause or contribute to any illness or personal injury of any kind.
Prior to disinfecting the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR, ensure the power is turned off
and the electrical cord is unplugged. To disinfect the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR
wipe down with an intermediate-level disinfectant (corrosive disinfectants, such as bleach, are not
recommended since they may damage the equipment) in accordance with the manufacturer’s directions.
Do not use abrasive or sharp-edged devices when disinfecting the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR. Do not allow fluids to enter the unit. Dry all components thoroughly. Do not sterilize
or autoclave this unit.

Prior to returning any product to E-Z-EM, Inc. complete this Certificate of Non-Contamination Form, and
send/fax to E-Z-EM, Inc. Quality department at 1-631-847-3904.

Page 25 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Section 13.0 TROUBLESHOOTING GUIDE
Make sure that you have read and understand the prior sections of this operator’s
manual that provide normal operating instructions for your CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR, including the WARNINGS AND CAUTIONS
Section, 4.0. Before making arrangements with E-Z-EM, Inc. Customer Service to
send your CO2EFFICIENT ENDOSCOPIC INSUFFLATOR unit back to the factory
for service, we ask that you take a few minutes to review the following information
in this guide while simultaneously examining your unit.
Please be advised that the appearance of your CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR may differ slightly from the units shown in the following
photographs. (Example: buttons may be round or square).
The Field Checkout steps listed here pertain to common operating conditions and
possible malfunctions. Review this information and refer to it when communicating
with your E-Z-EM, Inc. Customer Service Representative. This will enable us to
identify the best course of action to meet your service needs.
Should you need further assistance with this guide, see your supervisor, or contact
E-Z-EM, Inc. Customer Service at 1-800-631-5245 (USA), 1-609-514-2200.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 26

Condition Possible Causes Field Checkout

My CO2EFFICIENT No power at wall outlet. Check CO2EFFICIENT ENDOSCOPIC INSUFFLATOR in

ENDOSCOPIC wall outlet known to be operational.
INSUFFLATOR does not
power-up at all.
Remove power cord from rear panel of CO2EFFICIENT
Blown fuse.
ENDOSCOPIC INSUFFLATOR and use a small screwdriver
What should I do? to open fuse holder.

Pull fuse holder down and examine fuses.

If blown, replace with 0.5-Amp 250-Volt Time-Delay Fuses.

Page 27 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Condition Possible Causes Field Checkout

My CO2EFFICIENT Front panel rocker power With unit plugged into wall outlet, activate Power Switch to
ENDOSCOPIC switch is “off”. the ON or (1) position.
INSUFFLATOR does not
power-up at all.
Upon completing its Power-up sequence, the front panel
should appear as follows:
What should I do?

Power Switch

The power switch should be illuminated with the VOLUME

LITERS display will indicate “0”. Additionally, the GAS
SUPPLY Indicator should also be illuminated and indicate
the current amount of CO2 in the supply tank. The above
display indicates that the unit has correctly powered-up.

Should the unit continue to fail to power-up, or if the front

panel does not appear as shown above after power-up, you
will need to contact Professional Services.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 28

Condition Possible Causes Field Checkout

My CO2EFFICIENT Empty CO2 supply tank or After successfully powering-up your CO2EFFICIENT
ENDOSCOPIC valve closed. ENDOSCOPIC INSUFFLATOR, examine the GAS
INSUFFLATOR does not SUPPLY Indicator on the front panel.
deliver CO2.
Make sure that the tank valve for the CO2 supply tank is
open. Your CO2EFFICIENT ENDOSCOPIC
What could be the problem? INSUFFLATOR should sense the pressure from the CO2
supply tank and the GAS SUPPLY Indicator should
illuminate as follows: 3 red, 4 yellow and 3 green.

If during power-up or operation of the CO2EFFICIENT

ENDOSCOPIC INSUFFLATOR, the CO2 in the supply tank
is depleted, the illuminated GAS SUPPLY Indicator
segments extinguish themselves from the full reading. Once
the GAS SUPPLY Indicator shows 3 red segments, the unit
will periodically beep and no longer deliver CO2.

If this occurs, reconnect the CO2EFFICIENT ENDOSCOPIC

INSUFFLATOR to a full CO2 supply tank to continue
operation.
Should the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR’s CO2 Supply display fail to indicate full
after verifying the CO2 supply tank is full and the tank valve
is open, you will need to contact Professional Services.

Page 29 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Condition Possible Causes Field Checkout

My CO2EFFICIENT CO2EFFICIENT To check the CO2EFFICIENT ENDOSCOPIC

ENDOSCOPIC ENDOSCOPIC INSUFFLATOR’s ability to deliver CO2 to the patient,
INSUFFLATOR does not INSUFFLATOR flow rate follow these verification steps:
deliver CO2. incorrect.
After powering-up and making sure that your
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is
What could be the problem? connected to the CO2 supply tank, depress the VOLUME
RESET button, zero will appear in the VOLUME LITERS
display.

Set the mode selector switch to FREE FLOW. Disconnect

the Tubing Set if connected. Press the FLOW STOP/RUN
button to start.

Using a wrist watch with a second hand or a stop watch,

allow the unit to deliver 3.0 liters of CO2. The unit should
reach this volume between 50 and 70 seconds. During this
time interval, place your finger near the Gas Output. You
should feel CO2 exiting from the CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 30

Condition Possible Causes Field Checkout

My CO2 supply tank is Valve on CO2 supply tank We recommend attaching your CO2EFFICIENT
prematurely emptying. left open all of the time. ENDOSCOPIC INSUFFLATOR accessory to either “D” or
“E” size CO2 supply tank. For days when the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is
What could be the problem? scheduled for continuous use, the CO2 supply tank valve
should be opened at the start of the shift and closed at the end
of the shift.
The pneumatic design of the CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR is not intended to provide a
full time gas seal from the CO2 supply tank while the device
is not being used or in storage. Should the CO2 supply tank
valve inadvertently be left open, there is a high likelihood
that the CO2 supply tank contents will gradually empty over
several days.

High Pressure Hose from

CO2 supply tank is not If after opening and closing the CO2 supply tank valve with
installed properly. your procedure schedule, you still encounter problems with
CO2 supply tank prematurely emptying, there is the
possibility that the High Pressure Hose from the CO2 supply
tank to the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR unit is leaking.
Please inspect the High Pressure Hose in accordance with the
following procedure: Close valve on CO2 tank. Using an
adjustable or open-ended ¾" wrench, detach the High
Pressure Hose from CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR’s rear panel. Inspect the tapered surface of
the free standing nipple on the CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR and the interior of the High
Pressure Hose. This is the sealing surface. Verify that it is
free of any debris or contaminant. Also, verify that the
surface is smooth and free of any nicks or distortion.

Taper Taper

Repeat this inspection procedure at the identical tapered gas

connection at the CO2 supply tank valve yoke.

Page 31 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Condition Possible Causes Field Checkout
“CONTINUED”
My CO2 supply tank is High Pressure Hose from Inspect the CO2 supply tank yoke and verify that the plastic
prematurely emptying. CO2 supply tank is not disc that creates the gas seal at the CO2 supply tank valve is
installed properly. in-place and free from defect.

What could be the problem?

Disc

After verifying all High Pressure Hose sealing surfaces are

clean and free of defect; reconnect the High Pressure Hose to
the CO2 supply tank yoke and CO2EFFICIENT
ENDOSCOPIC INSUFFLATOR. Use an adjustable or
opened-ended ¾" wrench to tighten securely. DO NOT USE
ANY TEFLON TAPE OR THREAD SEALING
COMPOUNDS.
Reconnect the yoke to the CO2 supply tank valve making
sure that the plastic sealing disc is in place.
Open the CO2 supply tank valve. If CO2 continues to
prematurely empty or should you hear CO2 escaping from
any of these connections or the High Pressure Hose itself,
contact Professional Services.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 32

Section 14.0 EMC TABLES

The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR has been tested by Underwriters

Laboratory to the following electromagnetic compatibility standards:
Table 1
Guidance and manufacturer’s declaration – electromagnetic emissions
The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is intended for use in the electromagnetic environment
specified below. The customer or the user of the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR should assure
that it is used in such an environment.

Emissions Test Compliance Electromagnetic environment – guidance

CISPR 11
The unit uses RF energy only for its internal function.
RF Emissions Group 1
Therefore, its RF emissions are very low and are not
likely to cause any interference in nearby electronic
equipment.
CISPR 11
RF Emissions Class A
IEC 61000-3-2
Harmonic Emissions Class A
IEC 61000-3-3
Voltage fluctuations / Complies
flicker emissions

Page 33 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Table 2
Guidance and manufacturer’s declaration – electromagnetic immunity

The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is intended for use in the electromagnetic

environment specified below. The customer or the user of the CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR should assure that it is used in such an environment.

IEC 60601 Electromagnetic environment –

Immunity Test test level Compliance level guidance

IEC 61000-4-2
Floors should be wood, concrete or
Electrostatic +/-6 KV contact +/-6 KV contact
ceramic tile. If floors are covered with
discharge (ESD) synthetic material, the relative humidity
+/-8 KV air +/-8 KV air should be at least 30 %.
IEC 61000-4-4
Mains power quality should be that of a
Electrical fast +/-2 KV for power +/-2 KV for power typical commercial or hospital
transient burst supply lines supply lines environment.

+/-1 KV for +/-1 KV for

input/output input/output
lines Lines
IEC 61000-4-5
Surge +/-1 KV differential +/-1 KV differential Mains power quality should be that of a
mode Mode typical commercial or hospital
environment.
+/-2 KV common +/-2 KV common
mode mode
IEC 61000-4-11
Voltage dips, short <5 % Ut <5 % Ut Mains power quality should be that of a
interruptions and (>95 % dip in Ut) (>95 % dip in Ut) typical commercial or hospital
voltage variations on environment. If the user of the
for 0.5 cycle for 0.5 cycle
power supply input CO2EFFICIENT ENDOSCOPIC
lines INSUFFLATOR requires continued
40 % Ut 40 % Ut operation during power mains
(60 % dip in Ut) (60 % dip in Ut) interruptions, it is recommended that the
for 5 cycles for 5 cycles CO2EFFICIENT ENDOSCOPIC
INSUFFLATOR be powered from an
uninterruptible power supply or battery.
70 % Ut 70 % Ut
(30% dip in Ut) (30% dip in Ut)
for 25 cycles for 25 cycles

<5 % Ut <5 % Ut
(>95 % dip in Ut) (>95 % dip in Ut)
for 5 sec for 5 sec
IEC 61000-4-8
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should
(50/60 Hz) be at levels characteristic of a typical
location in a typical commercial or hospital
magnetic field
environment.

Note: Ut is the A.C. mains voltage prior to application of the test level.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 34

Table 3
Guidance and manufacturer’s declaration – electromagnetic immunity

The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is intended for use in the electromagnetic environment
specified below. The customer or the user of the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR should
assure that it is used in such an environment.
IEC 60601 test Compliance
Immunity Test level level Electromagnetic environment –guidance
Portable and mobile RF communications equipment
should be used no closer to any part of the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR,
including cables, than the recommended separation
distance calculated from the equation applicable to the
frequency of the transmitter.
Recommended separation distance
IEC 61000-4-6
Conducted RF 3 Vrms 3 Vrms d = 1,2  P
150 kHz to 80 MHz

IEC 61000-4-3
Radiated RF 3 V/m 3 V/m d = 1,2  P 80 MHz to 800 MHz
80 MHz to 2.5 GHz d = 2,3  P 800 MHz to 2.5 GHz

where P is the maximum output power rating of the

transmitter in watts (W) according to the transmitter
manufacturer and d is the recommended separation
distance in meters (m).

Field strengths from fixed RF transmitters, as

a
determined by an electromagnetic site survey ,
should be less than the compliance level in each
b
frequency range .

Interference may occur in the vicinity of equipment

marked with the following symbol:

NOTE 1 At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular / cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is used exceeds the applicable RF compliance level above,
the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR should be observed to verify normal operation. If
abnormal performance is observed, additional measures may be necessary, such as re-orienting or
relocating the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m

Page 35 CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual

Table 4
Recommended separation distances between Portable and mobile RF communications
equipment and the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR
The CO2EFFICIENT ENDOSCOPIC INSUFFLATOR is intended for use in an electromagnetic
environment in which radiated RF disturbances are controlled. The customer or the user of the
CO2EFFICIENT ENDOSCOPIC INSUFFLATOR can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment
(transmitters) and the CO2EFFICIENT ENDOSCOPIC INSUFFLATOR as recommended below,
according to the maximum output power of the communications equipment.

Separation distance according to frequency of transmitter

M
Read maximum output
power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2,5 GHz

W d = 1,2  P d = 1,2  P d = 2,3  P

0,01 0,12 0,12 0,23

0,1 0,38 0,38 0,73

1 1,2 1,2 2,3

10 3,8 3,8 7,3

100 12 12 23

For transmitters rated at a maximum output power not listed above, the recommended separation
distance d in meters (m) can be estimated using the equation applicable to the frequency of the
transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the
transmitter manufacturer.

NOTE 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.

CO2EFFICIENT ENDOSCOPIC INSUFFLATOR Operator’s Manual Page 36

Manufactured for E-Z-EM, Inc.
a subsidiary of Bracco Diagnostics Inc.
259 Prospect Plains Road
Monroe Township, NJ 08831 USA
Phone: 1-800-631-5245 (USA), 1-609-514-2200
Bracco UK Ltd.
Wooburn Green, Bucks, HP10 0HH, UK
+44 (0) 1628 851500 (UK)

00800L rev. 07/14