User's Manual

OLYMPUS CAPSULE ENDOSCOPE SYSTEM SYSTEM MANUAL

• Prior to using the capsule endoscope, the physician should

consider performing a contrasted X-ray series in patients with

the following conditions. Patients with suspected intestinal

strictures, adhesions, diverticulum, obstructions, fistulas that

may block the passage of the capsule endoscope, and

patients with suspected gastrointestinal tract delay.

− Patients with a history of ileus or small intestinal strictures

− Patients diagnosed with, or suspected to have, Crohn’s

disease in small intestine

− Patients with any history of abdominal surgery, pelvic

surgery, and/or radiological treatment

• The physician should confirm that the contrast medium

reaches the ileocecal valve and should continuously

observe/trace the entire small-intestine during the contrasted

X-ray series. Do not use the capsule endoscope on the

patient if any of the following conditions is observed during

the contrast X-ray series.

− Patients with known intestinal strictures, adhesions,

diverticulum, obstructions, or fistulas that may block the

passage of the capsule endoscope.

− Patients with significant gastrointestinal tract delay.

• The peristaltic motion in the small intestine varies among

individuals. Therefore, the recording time in the small

intestine may differ among patients. Though this system is

designed to obtain the images for 12 hours, image recording in

a patient with slower peristaltic motion may finish before the

capsule endoscope reaches the patient’s large intestine.

• In order to implement the examination smoothly, the

physician should hand the “Cautions for capsule endoscopy

patient” that comes packed with the capsule endoscope

(EC-Y0005) to the patient at least one day before the

examination and verify that the patient understands it

thoroughly.

• The physician should explain to the patient the risks of

retention in the examination and obtain the patient’s informed

consent before the examination. The capsule endoscope

may cause unexpected intestinal obstruction that may

require surgery.

• Write your emergency contact number in the “Please provide

your emergency contact number” section on the back page of

the “Cautions for capsule endoscopy patient” that is packed

with the capsule endoscope (EC-Y0005), hand it to the

patient and instruct him/her to immediately contact the

number if he/she feels abdominal pain, discomfort, or nausea

after ingesting the capsule endoscope. If treatment is

delayed, patient injury may result.