A Compact, High-Performance Ultrasound System That Enables Endoscopic Ultrasonography With Convenient Ultrasonic Probes. Endoscopic Ultrasound Center

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Bruno Ward
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1 A Compact, High-Performance Ultrasound System That Enables Endoscopic Ultrasonography With Convenient Ultrasonic Probes Endoscopic Ultrasound Center EU-M30S

Make Ultrasonography A Part Of Your Routine Endoscopic Procedures With The EU-M30S Endoscopic Ultrasound Center And An Array Of Ultrasonic Probes COMPACT Compact, spaceefficient design with

VERSATILE Can be used in gastrointestinal endoscopy and bronchoscopy. Connect the ultrasonic probe to the driving unit.

Physicians around the world are fast becoming aware of the enormous potential inherent in endoscopic ultrasonography, or EUS.

The EU-M30S Endoscopic Ultrasound Center from Olympus.

convenient EUS system that includes a versatile line of ultrasonic probes, enabling physicians to take advantage of all the benefits of EUS without the expense of a full system upgrade.

Simply pass the probe through the channel of an endoscope you already have the same way as you would a biopsy forceps and you ll get the high-quality ultrasound images you need for advanced

You ll find it ideal for gastrointestinal endoscopic procedures such as Barrett s esophagus as well as for a wide variety of bronchoscopic procedures.

Simply insert a probe into the channel of a routine scope.

Dedicated cart for optimal mobility An exclusive cart custom-designed for the EU-M30S and its ancillary equipment provides excellent mobility and features an adjustable-angle monitor table for

2 Make Ultrasonography A Part Of Your Routine Endoscopic Procedures With The EU-M30S Endoscopic Ultrasound Center And An Array Of Ultrasonic Probes COMPACT Compact, spaceefficient design with dedicated trolley for maximum mobility. HIGH- PERFORMANCE High-performance ultrasound imaging capability facilitates observation of lesions. VERSATILE Can be used in gastrointestinal endoscopy and bronchoscopy. Connect the ultrasonic probe to the driving unit. Once the regular scope reaches the site, insert the probe into the scope s instrument channel. Endoscopic ultrasonography can be performed the same way you would perform a biopsy. Physicians around the world are fast becoming aware of the enormous potential inherent in endoscopic ultrasonography, or EUS. An indispensable prerequisite to endoscopic mucosal resection, widespread use of EUS techniques is hampered only by its cost and inconvenience. Now there s a solution. The EU-M30S Endoscopic Ultrasound Center from Olympus. Drawing on our leadership in the production of endoscopes and related equipment as well as our expanding expertise in the manufacture of Endo-Therapy accessories, Olympus has created a compact, convenient EUS system that includes a versatile line of ultrasonic probes, enabling physicians to take advantage of all the benefits of EUS without the expense of a full system upgrade. No special endoscopes are required. Simply pass the probe through the channel of an endoscope you already have the same way as you would a biopsy forceps and you ll get the high-quality ultrasound images you need for advanced diagnosis. Available exclusively from Olympus, this system allows you to make EUS part of your routine examinations. You ll find it ideal for gastrointestinal endoscopic procedures such as Barrett s esophagus as well as for a wide variety of bronchoscopic procedures. High-Performance Features for Maximum EUS Effects Convenient probe design Especially designed for use with ultrasonic probes, the EU-M30S makes EUS procedures much simpler. Simply insert a probe into the channel of a routine scope. Compact design with 50% reduction in volume Designed to give you more room to work, the EU-M30S measures a mere 295 mm in width while its volume has been reduced by 50% compared to its predecessor. Dedicated cart for optimal mobility An exclusive cart custom-designed for the EU-M30S and its ancillary equipment provides excellent mobility and features an adjustable-angle monitor table for comfortable observation. Easy operation The EU-M30S s keyboard incorporates a trackball for easier operation and also comes with a scroll key to allow the desired view to be quickly displayed. There s also a preset function that lets you store selected image quality settings and activate them at any time during observation. A collapsible supporting arm holds the probe driving unit securely in any required position. Image quality adjustable in 4 steps Built-in image processing technology lets you adjust ultrasound image quality to suit your requirements. Choose from four settings NORMAL, S, L2, and L1 from images that stress gradation to images that are sharper and crisper. Effective 3-cm range now available A 3-cm range ideal for ultrasound probe observation has been added to the display magnification range. Now any of 7 steps 1, 2, 3, 4, 6, 9, and 12 can be selected at the touch of a key. Image quality selection possible in freeze mode Even when an ultrasound image is frozen, image quality adjustments such as gain, contrast, and scroll are possible. 1 2

7. Contrast adjustment keys Adjust the ultrasound image s contrast in 8 steps. 8. STC adjustment keys Adjust the intensity of ultrasound echoes at each depth.

3 Ergonomically Designed Keyboard With Wide Range Of Function Keys Makes Operation Easier And More Comfortable 5. Range keys Select the display magnification of the ultrasound image from 1, 2, 3, 4, 6, 9, and 12 centimeters at the touch of a button. 6. Gain adjustment keys Adjust the intensity of the ultrasound image s echoes in 16 steps. 7. Contrast adjustment keys Adjust the ultrasound image s contrast in 8 steps. 8. STC adjustment keys Adjust the intensity of ultrasound echoes at each depth. The keys are arranged in 4 pairs according to the observation direction. 9. Image key Adjusts the ultrasound image quality in 4 steps using postprocessing. 10.Preset key Activates the image quality settings selected with the preset function. 1. Image rotation key Rotates the ultrasound image (64 steps/rotation). 3. Scroll key Scrolls the ultrasound image to display the area of interest. In some countries keyboard features symbols instead of English description for functions. 11.Menu key Displays the menu screen. Select to measure distance, area, and circumference. 12 Caliper keys Use to measure the distance without opening the menu screen. Select to store image quality settings for immediate recall whenever required. Select to change the date and time and to enter the name of a medical facility. Select to set the arrow cursor and other functions. 13.Enter key Determines the selection in measurement. 2. Image direction key Reverses the ultrasound image horizontally. 4. Display key Enables direct selection of the ultrasound image s display pattern from full circle, upper semicircle, and lower semicircle. 14.Release key Sends a print queue to the connected black-and-white printer. 15.Freeze key Freezes the ultrasound image on the monitor. 16.Clear key Deletes comments and measurement results. 17.Monitor key Switches the monitor display between the endoscopic image and ultrasound image. 18.Examination end key Deletes all patient ID data, comments, measurement results, and marks that have been entered. 19.ID key Press before entering patient ID data. 20.Comment key Press before entering a comment on the ultrasound image. 21.Undo key Restores items just deleted. 22.Carriage return key 3 4

From The Upper Or Lower Digestive Tract To The Tracheobronchial Tree, EUS With

cancer in terms of potential tumor involvement and spread Presence/absence of

Esophagus UM-2R, UM-3R,, UM-S30-25R, UM-S20-20R & UM-S30-20R Staging of cancer in

therapeutic effects of esophageal varices Peripheral bronchi UM-2R, UM-3R,

UM-2R, UM-3R,, UM-S30-25R, UM-S20-20R & UM-S30-20R Staging of cancer in terms of

of endoscopic mucosal resection Analysis of depth and pathophysiology of submucosal

UM-S30-25R Staging of cancer in terms of potential tumor Presence/absence of lymph

for cause of bile duct dilatation Diagnosis of malfusion of pancreatobiliary ducts

duct dilatation Versatile Ultrasonic Probes Offer Outstanding Convenience,

can be performed simply by passing an ultrasonic probe through the channel of an

MULTI- PURPOSE A wide variety of probes with a versatile selection of frequencies

PRACTICAL A complete system upgrade is not required, so excellent costperformance

4 From The Upper Or Lower Digestive Tract To The Tracheobronchial Tree, EUS With Ultrasound Probes Expands Your Diagnostic Possibilities Trachea/Bronchi Staging of cancer in terms of potential tumor involvement and spread Presence/absence of mediastinal tumor Typical application examples of EUS using ultrasonic probes Esophagus UM-2R, UM-3R,, UM-S30-25R, UM-S20-20R & UM-S30-20R Staging of cancer in terms of potential tumor Presence/absence of lymph node metastasis Measurement of therapeutic effects of esophageal varices Peripheral bronchi UM-2R, UM-3R, UM-S20-20R & UM-S30-25R Presence/absence of lesion in peripheral lung field Stomach UM-2R, UM-3R,, UM-S30-25R, UM-S20-20R & UM-S30-20R Staging of cancer in terms of potential tumor Presence/absence of lymph node metastasis Decision on application of endoscopic mucosal resection Analysis of depth and pathophysiology of submucosal ulcer Common bile duct/pancreatic ducts UM-G20-29R, UM-S20-20R, UM-S30-20R & UM-S30-25R Staging of cancer in terms of potential tumor Presence/absence of lymph node metastasis Diagnosis of vascular infiltration and organ infiltration Search for cause of bile duct dilatation Diagnosis of malfusion of pancreatobiliary ducts Differential diagnosis of tumor-forming pancreatitis Search for cause of pancreatic duct dilatation Versatile Ultrasonic Probes Offer Outstanding Convenience, High-Performance Imaging Capability, And Excellent Cost Performance CONVENIENT EUS can be performed simply by passing an ultrasonic probe through the channel of an endoscope. MULTI- PURPOSE A wide variety of probes with a versatile selection of frequencies and diameters to choose from. PRACTICAL A complete system upgrade is not required, so excellent costperformance ratio is ensured. Colon/Rectum UM-2R, UM-3R,, UM-S30-25R, UM-S20-20R, UM-S30-20R, RU-75M-R1 & RU-12M-R1 Staging of cancer in terms of potential tumor Presence/absence of lymph node metastasis Analysis of pathophysiology of inflammatory colon disease 5 6

Offering A Comprehensive Selection Of Frequencies And Diameters, Our Line Of

UM-S30-20R Easy Endoscopic Ultrasonography During Routine Examinations Improved

High-Frequency Output Ideal For Examination Of Surface Layers 30 MHz High-Frequency

imaging. Can also be used with MH-246R balloon sheath.

High-frequency capability at 30 MHz achieves sharp, detailed ultrasound imaging.

Can also be used with MH-246R balloon sheath.

Duct And Pancreatic Ducts duct and pancreatic ducts.

Usable with a bronchoscope with a 2.0 mm diameter channel.

balloon method makes possible easy delineation of ultrasound images even at sites

6 mm insertion tube maximum diameter for insertion into a routine scope with a

5 Offering A Comprehensive Selection Of Frequencies And Diameters, Our Line Of Ultrasound Probes Can Answer All Your EUS Needs UM-2R/3R UM-G20-29R UM-S30-25R UM-S30-20R Easy Endoscopic Ultrasonography During Routine Examinations Improved Insertion Capability Into The Common Bile Duct And Pancreatic Ducts 30 MHz High-Frequency Output Ideal For Examination Of Surface Layers 30 MHz High-Frequency Output Ideal For Examination Of Surface Layers Usable with a scope with a channel diameter of 2.8 mm or more. The UM-2R provides 12 MHz while the UM-3R offers 20 MHz for more detailed ultrasound imaging. Can also be used with MH-246R balloon sheath. Easy insertion even into strictures of the common bile duct and pancreatic ducts. 2.9 mm maximum diameter insertion tube. Usable with a scope with a channel diameter of 3.2 mm or more. High-frequency capability at 30 MHz achieves sharp, detailed ultrasound imaging. Dramatic improvement in visualization capability at shallow layers. Can also be used with MH-246R balloon sheath. Ultra-narrow insertion tube design achieves easier insertion into the common bile duct and pancreatic ducts than ever. High-frequency capability at 30 MHz achieves sharp, detailed ultrasound imaging. Can also be used with MH-246R balloon sheath. UM-S20-20R Narrow 1.7 mm Insertion Tube Diameter For Superior Insertion Capability Into The Common Bile Duct And Pancreatic Ducts Ultra-narrow insertion tube design achieves easier insertion into the common bile duct and pancreatic ducts. The insertion tube diameter measures 1.7 mm at minimum and 2.0 mm at maximum. Usable with a bronchoscope with a 2.0 mm diameter channel. Can also be used with MH-246R balloon sheath. Balloon-Equipped Ultrasonic Probe That Can Be Inserted Into A Routine Scope The balloon method makes possible easy delineation of ultrasound images even at sites where it is hard to retain deaerated water. 2.6 mm insertion tube maximum diameter for insertion into a routine scope with a channel diameter of 2.8 mm or more. RU-75M-R1/RU-12M-R1 Rigid Probe Design Facilitates EUS In The Rectum And Anus 7.5 MHz with great imaging depth and 12 MHz suitable for surface layer examination are available. Superior insertion capability with a narrow-diameter distal end. Usable in combination with conventional ultrasound systems. Caution: The balloon contains natural rubber latex which may cause allergic reactions. 7 8

6 With The EU-M30S And An Exclusive Lineup Of Ultrasonic Probes, Olympus EUS Products Are Taking Endoscopy To New Level Of Versatility System Chart OES TV system (OTV-SX) OES TV system (OTV-SX2C/S5C/S6C) Keyboard (MAJ-680) Foot switch (MAJ-679) (MAJ-686) (MAJ-685) Endoscopic ultrasound center (EU-M30S) (MAJ-686) BNC cable (MB-672) Trolley (TC-EU) Video monitor (OEV143/203) Supporting arm (MAJ-683) Isolation transformer Specifications of EU-M30S Power Requirements Size Classification (Medical Electrical Equipment) Monitor Observation Signal Processing Measurement Display Ancillary Equipment Others Electric supply Frequency Voltage fluctuation Frequency fluctuation Dimensions Weight Type of protection against electric shock Equipment type Degree of protection against explosion Display mode Scanning display Display range Image direction Image rotation Usable frequencies Signal processing settings Gain Contrast STC IMAGE Distance Area/circumference Calendar timer Frequency display Display range Display signal processing Display characters Photographic and recording units Keyboard Selectable screen (US/EVIS) Preset 120(1.5A), 230(0.6A)VAC 50/60Hz +_10% +_1Hz Main unit: 295mm(W)370mm(D)137mm(H) Keyboard: 296mm(W)160mm(D) 32mm(H) Foot switch: 220mm(W)130mm(D) 35mm(H) Main unit: 10kg Keyboard: 1.2kg Foot switch: 1.5kg Class I TYPE BF applied part (The applied part where classification types are not marked is TYPE BF applied part) EU-M30S should be kept away from the zone of flammable gases. B-mode Full circle, bottom secter, top sector, scroll 1, 2, 3, 4, 6, 9, 12 cm range Normal/Inverse Rotatable (64 steps) 7.5, 12, 20, 30 MHz GAIN, STC and CONTRAST settings retained in memory when instrument is turned ON/OFF. 16-step adjustable 8-step adjustable Partly amplifies/attenuates sections of the US image by using 4 segments in 13 steps. 4-step image adjustment of ultrasound image. Measures distance defined by the "+" and "x" calipers. Measures area/circumference enclosed by caliper tracing. Automatically displays date and time. Display current frequency Display current display range by cm. Display GAIN, CONTRAST, STC Alphanunmerics and symbols Video printer (color/monochrome), VTR Keyboard with built-in trackball Display US image or EVIS image selectively. (This function is only avaliable when the EU-M30S combined with the CV-100/140/145/160/200/240.) Multiple image setting conditions can be stored per probe. EVIS video system center (CV-140/240) EVIS video system center (CV-145/160) (MAJ-697) (MAJ-883) Remote cable (MH-907) Monochrome video printer Specifications of Probes Model Frequency Scanning Method Working Length Total Length Insertion Tube Outer Diameter UM-2R UM-3R UM-S20-20R UM-S30-25R UM-S30-20R UM-G20-29R 12MHz 30MHz 30MHz Mechanical radial scanning 2050mm 2140mm 2.4mm 2.4mm 1.7mm(distal end side), 2.0mm(proximal side) 2.4mm 1.7mm(distal end side), 2.0mm(proximal side) 2.6mm(incl. balloon sheath MAJ-643R) 2.0mm(distal end side), 2.2mm(proximal side) Ultrasonic probe (UM-2R/3R,UM-S20-20R, UM-G20-29R,, UM-S30-25R,UM-S30-20R) Ultrasonic probe (RU-75M-R1/RU-12M-R1) Probe driving unit (MAJ-682) Color video printer (OEP) VTR Model Frequency Scanning Method Length Insertion Section Insertion Section Maximum Outer Diameter RU-75M-R1 RU-12M-R1 Model UM-2R UM-3R UM-S20-20R UM-S30-20R UM-S30-25R UM-G20-29R 7.5MHz 12MHz Specifications of Probes "WITH/WITHOUT" Balloon Sheath Mechanical radial scanning 150mm 12mm "WITHOUT" Balloon Sheath "WITH" Balloon Sheath Maximum Outer Diameter Compatible Biopsy Channel Compatible Balloon Sheath Max. Outer Diameter of Balloon Sheath Compatible Biopsy Channel 2.5mm 2.0mm 2.5mm To be used only with balloon sheath 2.9mm 2.8mm 2.0mm CH scopes with working length less than 600mm 2.2mm or more except for L-length colonoscope 2.8mm 3.2mm MH-246R MAJ-643R 3.6mm 2.6mm Cannot be used with balloon sheath 3.7mm 2.8mm 9 10

7 Endoscopic Ultrasound Center EU-M30S San-Ei Building, 22-2, Nishi Shinjuku 1-chome, Shinjuku-ku, Tokyo, Japan Postfach , Hamburg / Wendenstrasse 14-16, Hamburg, Germany 2 Corporate Center Drive, Melville, N.Y , U.S.A. Keymed House, Stock Road, Southend-on-Sea, Essex SS2 5QH, England 491B River Valley Road #12-01/04,Valley Point Office Tower,Singapore Rm. 818, South Tower, Beijing Kerry Centre, No.1 Guanghua Road, Chaoyang District, Beijing, , China , Moscow, Malaya Kaluzhskaya 19, bld. 1, fl.2, Russia 1/104 Ferntree Gully Road, Oakleigh, VIC 3166, Australia Printed in Japan F842SB-1000

EVIS EUS ENDOSCOPIC ULTRASOUND CENTER EU-ME2 Dedicated ultrasound processor with versatile functionality.

EVIS EUS ENDOSCOPIC ULTRASOUND CENTER EU-ME2 Dedicated ultrasound processor with versatile functionality. Advancing the Art of Endosonography The EU-ME2 is a high-quality compact ultrasound processor for