Compatibility of Olympus and Gyrus ACMI Flexible Endoscopes and Ancillary Products with Aldahol 1.8% High-level Disinfectant/Sterilant

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May 1, 2013 RE: Compatibility of Olympus and Gyrus ACMI Flexible Endoscopes and Ancillary Products with Aldahol 1.8% High-level Disinfectant/Sterilant Dear Health Care Professional: The purpose of this letter is to inform Olympus and Gyrus ACMI users that Olympus has successfully validated the compatibility of Aldahol 1.8% High-level Disinfectant/Sterilant with Olympus and Gyrus ACMI flexible endoscopes and ancillary equipment. The following document summarizes the compatibility of the listed Olympus and Gyrus ACMI flexible endoscopes and ancillary products with Aldahol 1.8% High-level Disinfectant/Sterilant manufactured by Alden Medical LLC and distributed by Olympus America Inc. The conclusion of these studies is that Olympus and Gyrus ACMI endoscopes and ancillary products listed below are materially and functionally compatible with Aldahol 1.8% when used in accordance with manufacturer s instructions for room temperature (20 C) exposure and a ten minute contact time. When performing manual high-level disinfection or sterilization using Aldahol 1.8%, avoid unnecessary long-term immersions. Consecutive reprocessing sessions using extended immersion may result in endoscope damage. Follow the instructions provided in the Olympus or Gyrus ACMI product manual for inspection of the device prior to clinical use. Aldahol 1.8% is a registered trademark of Healthpoint, Ltd. Page 1 of 6

OLYMPUS FLEXIBLE ENDOSCOPES Gastroscopes / Enteroscopes Colonoscope GIF -30 Series (All) CF -30 Series (All) GIF -40 Series (All) CF -40 Series (All) GIF -130-1T130 CF -130I/L/S PCF -130I/L GIF -140-1T140 -P140 -Q140 -XQ140 CF -140I/L/S -1T140I/L -2T140I/L -Q140I/L SIF -Q140 PCF -140I/L GIF -160-1T160-2T160 -Q160 -Q160Z CF -Q160DI/L -2T160L -Q160I/L/S -Q160ZI/L -XP160 - XTQ160 PCF -160AI/AL -S GIF -H180 -H180J -N180 -Q180 CF -H180AI/AL -Q180AI/AL -H180DI/DL -XP180N -2TH180 GIF -H190 -HQ190 -XP190N CF -H190L/I -HQ190L/I SIF -Q180 PCF -H180AI/AL -Q180AI/AL GIF -XP240 PCF -H190L/I -PH190L/I GIF -E Series (All) CF -Q240ZI/ZL -2T200-2T160L/I GIF -V CF -E Series (All) SIF -SW OSF -3-4 -V60 Bronchoscopes Duodenoscopes BF -10 Series (All) JF/TJF -30 Series (All) BF -20-1T20-1T20D -20D -3C20 -N20 JF/TJF -40 Series (All) -P20 -P20D -XT20 JF -130 TJF -130 JF -140/F/R BF -30-1T30-3C30 -P30 -XT30 TJF -140F BF -40-1T40-3C40 -P40 -XP40 -XT40 TJF -160F/VF BF -1T60 -MP60 -P60 -XP60 PJF -160 TJF -Q180V BF -160-1T160-3C160 -MP160F JF/TJF -E Series (All) -P160 -XP160F -XT160 BF -1T180-1TQ180 -P180 -Q180 -Q180-AC JF -VJF/TJF -E Series (All) BF -H190 -Q190-1TH190 PJF -7.5JF -V -V2 BF -200-1T200 -P200 JF -V2PJF -7.5 BF -240 1T240-6C240 P240 Page 2 of 6

ACCESSORIES FOR GI ENDOSCOPES Accessory Name Model Accessory Name Model Accessory Name Model Water container MAJ-901 Gas tube MA-238 Distal Cover MAJ-311 MAJ-902 MD-411 MAJ-411 MD-412 Air/Water valve MH-438 Water Resistant Cap MAJ-583 MD-431 MB-196 MAJ-942 MH-884 MD-227 MAJ-639 MH-970 Suction Valve MH-443 Channel Plug MH-944 Gas/water valve MAJ-521 MB-197 AW Channel Cleaning Adapter MH-948 MD-410 MD-192 Channel Cleaning Brush BW-20T MB-878 Suction Cleaning MH-856 Injection tube MH-946 Adaptor Auxiliary water tube MAJ-855 Washing tube MH-974 Biopsy Valve MAJ-419 Channel connection MAJ-420 Cleaning Adapter for MB-107 Channel Opening MH-507 tube Air/Water Channel MB-358 Cleaning Brush Right/Left Angulation knob attachment MAJ-1072 MAJ-579 Position Detecting Probe MAJ-1300 OLYMPUS CAMERA HEADS, VIDEO ADAPTERS/COUPLERS Product Name Model Product Name Model OTV-S5 Series MH-972D/I/N Video Coupler MH-999E/S/Q MH-973D/I/N OTV-S6H OTV-S6H-FA -N -D -1N -1D -1F -1L -NA -1NA -E -Q -S Video Adapter AR -T10-10E -10S -10Q - T12-12E -12S -12Q -TF08E -L08E -TL12S OTV-S6H-1FA -E -TZ2 - SX12 -E -S -Q -ZX20 -FX08E -LX08 ImagTrac -H A10 -T1 T2 OTV-S7H -N -1N -1D -NA -1NA ImagTrac MAJ -595-596 -VA OTV-S7H-1D -F08E -L08E OTV-SC MAJ -554 OTV-S7H-NA -10E -10Q -12E -12Q OTV-S7ProH-HD Series -10E -10Q -12E -12Q -L08E OTV-S7H-1NA -10E -10Q -12E OTV-SX2 MAJ -387N/I -12Q Series OTV-S7H-FA -E/Q Page 3 of 6

ULTRASONIC ENDOSCOPES Product Name Model Mechanical Ultrasonic Endoscopes GF -UM20 -UM30P -UM130 -UM160 -UMQ130 CF -UM20 JF -UM20 TGF -UC180J Electric Ultrasonic Endoscopes GF -UC30P -UC140P-DO5 -UC140P-AL5 -UC160P-OL5 -UC160P-AT8 -UCT140-AL5 -UCT140-DO5 -UCT160-OL5 -UCT160-AT8 -UE160-AL5 -UCT180 BF -UC160F-OL8 -UC180F Ultrasonic Probe UM -2R -3R -BS20-26R -S20-17S -G20-29R -S20-20R -S30-20R -S30-25R -DG20-31R -DP12-25R -DP20-25R RU -12M-R1-75M-R1 MH -908 The distal end of the UM-S20-17S ultrasonic probe expands following long-term continuous soaking. The stretched sheath reverts to the initial length after drying. Do not soak the probe in the disinfectant solution for extended times exceeding the labeling condition. Inspection of the probe must be performed prior to clinical use according to the procedure in the Olympus product manual. In the case that soaking duration exceeds the labeling condition, do not use the probe immediately after reprocessing. Allow the sheath to revert to original size. This phenomenon does not affect functionality of the device. ACCESSORIES FOR ULTRASONIC PRODUCTS Product Name Water resistant Cap Balloon sheath connector for Ultrasonic Endoscopes Probe holder Biopsy valve Model MAJ-896 MAJ-1057 MAJ-1174 MH-244 MD-688 MD-756 MH-245 MAJ-853 Page 4 of 6

OLYMPUS AND GYRUS ACMI SURGICAL FLEXIBLE ENDOSCOPES Cystoscopes Laparo-Thoraco Scopes CYF -200 LTF -160 CYF -240 /A LTF -240 CYF -V -V2 -V2R -VA -VA2 -VH -VHR -VHA LTF -260 CYF -2-3 -4-4A -5-5A 5R LTF -V -V2 -V3 -VH -VP -VP-S ACN -2-2BA -2T -2TBA Tracheal Intubation Scopes ICN -0564-0565 2 2BA LF -V Hysteroscopes LF -1-2 -P -T -DP -TP -GP HYF -V Airway Mobilescopes HYF -1T -P -XP MAF -GM Ureteroscopes MAF -TM URF -P2 -P3 -P5 -P6 -P6R Needles Fiberscopes URF -V MSS-28CS -301-307 AUR -7-735 Rhino-Laryngo Scopes DUR -8-8BA -8E -8EBA ENF -200 DUR -8ULTRA -8ULTRA-BA ENF -V -V2 -VQ -VT -VT2 -V3 -VH DUR -D -DBA ENF -GP -L3 -P2 -P3 -P4 -T3 -XP Choledochoscopes PEF -V Ultrathin Fiberscopes CHF -CB20 -P20 -P20Q CHF -CB30L/S PF -14-22 -28 CHF -P60 CHF -V CHF -B20 -BP30 Page 5 of 6

ACCESSORIES FOR SURGICAL PRODUCTS Product Name Miniature light source Suction valve ETO cap Forces/Irrigation plug Suction connector cleaning brush Channel cleaning brush Forces/Irrigation plug Mouthpiece Water-resistant cap Sterilization cap Model MAJ-524 MAJ-922 MAJ-207 MB-156 MAJ-891 BW-15SH BW-7B BW-15B MA-651 MAJ-1214 MAJ-1538 NON-OLYMPUS AND NON-GYRUS ACMI REPAIRS Neither Olympus nor Gyrus ACMI can guarantee that products repaired by a non-olympus or non-gyrus ACMI facility will be compatible with Aldahol 1.8%. As a result, this compatibility statement is invalid for products repaired by a non-olympus or non-gyrus ACMI facility. Moreover, if a device is NOT repaired by the original product manufacturer, the corresponding product warranty may be voided. In the event that your products have been repaired by such a facility, please contact the repair facility directly for compatibility information. WARRANTY Nothing contained in this letter alters, extends, or modifies in any way the authorized Olympus warranty or Gyrus ACMI s Limited Express Warranty applicable to each device or instrument. If you have any questions regarding the compatibility of Olympus or Gyrus ACMI products with Aldahol 1.8%, contact your local Olympus or Gyrus ACMI sales representative or the Olympus Technical Assistance Center at 1-800-848-9024 (United States) or 1-800-387-0437 ext 703211 (Canada) or Gyrus ACMI Technical Support at (888) 524-7266. Thank you. Sincerely, Mary Ann Drosnock Manager, Infection Control Clinical Affairs Department Olympus America, Inc. Maryann.drosnock@olympus.com Page 6 of 6