CYW-DUO

Endoscope Washer & Disinfectors

Operator’s Manual

5Fl., Joongil Eines Platz III, 519, Dunchon-daero, Jungwon-gu, Seongnam-si, Gyeonggi-do 462-807, Korea

Tel: +82 31 747 9900, Fax: +82 31 747 9901 http://www.choyangmed.com

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© 2014, Endoscope Washer & Disinfectors
Choyang Medical Industry Ltd.

All rights reserved. This publication is protected by copyright. Copying, disclosure to

others or the use of this publication is prohibited without the express written consent of
Choyang.

Choyang reserves the right to make changes in the specifications shown herein without
notice or obligation. Contact your Choyang representative or Choyang customer service
for more information.

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 Contents

- Contents 3
Chapter 1 Device information 5
1.1 Overview 5
1.2 Principle of operation 5
1.3 Regulatory information 6
1.4 Disinfectants information 6
1.5 Resistance of corrosion 6
Chapter 2 Labeling information 7
2.1 General Labeling 7
2.2 Rating Label 8
Chapter 3 Intended Purpose 9
3.1 Intended Purpose 9
3.2 Product Features 9
Chapter 4 Device Description 10
4.1 The body 10
4.2 Accessories 11
4.3 Configuration 12
4.4 LCD Panel 14
Chapter 5 Technical Specifications 15
5.1 Product Specifications 15
5.2 Wiring Diagram 16
5.3 List of critical component parts 17
Chapter 6 Installation 19
6.1 Unpacking and Inspection 19
6.2 Space Requirements 19
6.3 Environmental requirements 19
6.4 Packaging List 20
6.5 Line Power Considerations 20
6.6 Water & Drain Connection 20
Chapter 7 How to use 21
7.1 General 21
7.2 Preparing the Unit for Operation 21
7.3 Power Supply 22
7.4 Water supply 22
7.5 Detergent Supply 22
7.6 Alcohol Supply 23
7.7 Disinfectant Supply 24

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 7.8 Endoscope Pre-cleaning 25
7.9 Available items for Endoscope washer & 26
disinfector
7.10 Time setting 26
7.11 Pre-start inspection 27
7.12 Load in the basin 28
7.13 Leakage Test 30
7.14 Automatic 33
7.15 Manual 36
7.16 Configuration 44
7.17 Printing system 55
7.18 Preparing the Unit for Transportation/Storage 55
Chapter 8 Maintenance 56
8.1 Introduction 56
8.2 After Service Information 56
8.3 Components Replacement 57
8.4 Disinfectant and Detergent lists 58
8.5 Cleaning/Disinfection 58
8.6 Self Disinfection System 59
8.8 Product lifetime 60
Chapter 9 Troubleshooting 61
9.1 General 61
9.2 Error message 62
9.3 Troubleshooting Guide 67
Chapter 10 Danger, Warning, Caution 69
10.1 Danger 69
10.2 Warning 69
10.3 Caution 70
Chapter 11 Condition for use and transfer 72
11.1 Condition for use 72
11.2 Condition for transfer / storage 72
Chapter 12 Product Approval and Quality Assurance 73

This product is certified as a medical device in the European Union under the Medical
Device Directive 93/42/EEC by SGS CE0120, exclusively for the intended purpose of
disinfects and washes medical flexible endoscope with chemical disinfectant.
Other non-medical uses ascribed to this device are not within the scope of CE certification,
and users should be aware product performance and/or safety has not been evaluated by
SGS for those purposes

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 CHAPTER

1
Device information

1.1 Overview

This is a medical device which automatically washes and disinfects the internal
channels and external surface of used Flexible endoscope with disinfecting fluid,
detergent, water (general water) and alcohol by nozzle. This product is composed
of main body, Grid, Accessory basket, Channel tube, Residual drain tube, Suction
tube, Leakage tester’s red tube, Leakage tester’s connector cap (OPTION), Channel
connector adapter (OPTION), Water supply & Drain Adapter.

1.2 Principle of operation

- After filling device with detergent, water and disinfectant, put endoscope in Basin.
- After power switch is on, select washing conditions according to requirements.
- detergent, disinfectant and water are supplied by motor’s power according to setting
condition and air is supplied in order to improve efficiency of washing and then
washing is implemented. Drain pump and lines are prepared to be able to drain
waste water which are made at this time.

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1.3 Regulatory information

Name, postal address, conformity assessment route of:

Product Name Endoscope Washer & Disinfector

Models CYW-DUO

Places of CHOYANG MEDICAL INDUSTRY LTD.

*Production 5Fl., Joongil Eines Platz III, 519, Dunchon-
*Final tests for above mentioned daero, Jungwon-gu, Seongnam-si, Gyeonggi-
products do 462-807, Korea
Tel: +82 31 747 9900,
http://www.choyangmed.com
Conformity Assessment Route 93/42/EEC Annex II

Class Endoscope Washer & IIb

Disinfector
Rule 15

1.4 Disinfectants information

The disinfectant used in this product should be the product that is developed as a
endoscope disinfectant. The following series disinfectant are used.
- OPA (Ortho-Phthalaldehyde)
- GA (Glutaraldehyde)
- PA (Peracetic Acid)
- CD (chlorine dioxide).

1.5 Resistance of corrosion

This product is made with sufficient materials to prevent the corrosion by disinfectant.
- Chamber; ABS material
- Pipe; PE material
- Nipple; STS 316
- Pump part; Rubber

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CHAPTER

2
Labeling information

2.1 General Labeling

Symbol Descriptions Symbol Descriptions

CE Mark Serial Number

Model Type B Applied Part

Manufacturer Temperature limitation

EU Authorized
Humidity limitation
Representative

Refer to user’s Atmospheric pressure

manual limitation

User’s(Instruction)
Caution
Manual

Warning Electric shock

Danger Earth (ground)

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 Date of Waste Electrical and
Manufacturer Electronic Equipment

Fragile, handle with

UP/DOWN Position
care

Keep dry

2.2 Rating Label

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 CHAPTER

3
Intended Purpose

3.1 Intended Purpose

It disinfects and washes medical flexible endoscope with chemical disinfectant.

3.2 Product Features

This device is composed of Basin that endoscope can be put in, tank that disinfectant,
alcohol and detergent are stored in and pump and distributor to supply and distribute
these materials. This device’s disinfection type is the deposition disinfecting type by
deposition of endoscope and the recycling type that disinfectant is recycled.

Side effect
- Unpleasant irritating odor
- Bacteria which does not contain spore was moved.

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 CHAPTER

4
Device Description

4.1 The body

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4.2 Accessories

Water supply & Drain Adapter Grid Accessory basket

Channel tube Residual drain tube Suction tube

Channel Connector 6EA

Leakage tester’s Channel connector adapter

Leakage tester’s red tube
connector cap (OPTION) (OPTION)

Olympus Pentax Fujinon Olympus Pentax Fujinon

Depending on the endoscope you Depending on the endoscope

can choose one cap. you can choose one adapter.

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4.3 Configuration

No. Title Explanation

1) Top cover Automatic open/close system.

2) LCD panel It is a part to control operations.

3) Power switch It is a switch to apply the power to device.

4) Foot switch Open/Close the Top cover.

5) Spray arm Spray water on the surface of endoscope

6) Printer It prints operating time and its completion after product

operation

7) Caster Wheel for a move.

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 No. Title Explanation

1) Top cover lifting It is a module to operate Top cover.

module
2) RS-232 Serial port Connect printer and scanner
3) Back cover It is a part that can be opened when repairing internals.
4) Overflow port Connect hose for drain of overflow water & disinfectant
5) Drain-R It is a connecting part that connects drain hose on the right
Chamber.
6) Drain-L It is a connecting part that connects drain hose on the left
Chamber.
7) Electric circuit It is a device that shuts off the power when Over-current is
breaker made.
8) Fuse It is a device that shuts off the power when Over-current is
made.
9) Power cable It is a fixing cable that supplies the power AC 220-230V.
10) Water inlet It is a part to connecting with supplying hose.

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4.4 LCD Panel

No. Title Explanation

1 TIME and DATA Set the current time and date.

2 AUTOMATIC All procedures will be finished according to memorized
cycle program.

3 MANUAL If you want to perform an additional or individual cycle, you

can choose each cycle parameter.
- Time set: Leakage, Wash, Detergent, Disinfectant,
Alcohol and Air dry.
- Temp. set : Disinfectant
- Drain, Retank and Discharge function.
4 Config You can set all the parameters in this menu

5 7/50 Cycle counting

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 CHAPTER

5
Technical Specifications
5.1 Product Specifications

Design Specifications Title Specifications

Electrical voltage and
220-230VAC, 50/60Hz, 670VA
frequency
Leakage – Wash 1 – Air blow 1 – Detergent - Wash 2 – Air
Automatic Process blow 2 – Disinfectant – Wash 3 – Immersion drain – Air
blow 3 – Alcohol purge – Air dry
- Water : 10sec ~ 250sec (unit : 1sec)
- Detergent : 5sec ~ 250sec (unit : 1sec)
- Disinfectant : 1min ~ 120min (unit : 1min)
Time
- Air : 10sec ~ 250sec (unit : 1sec)
- Immersion drain : ON/ON, ON/OFF, OFF/ON, OFF/OFF
- Alcohol purge : 10sec ~ 250sec (unit : 1sec)
- Disinfectant : 20 liters X 2ea (Right, Left)
- Detergent : 1.5 liters
Tank capacity
- Alcohol : 1.5 liters
- Water : 25 liters
Chamber capacity 13 liters (Dual Basin)
- Air pressure : 0.3㎏f/㎠
Leakage Test
- Check time : about 4mins
Tank heat 0 ~ 55℃
Fuse (EN 60127-2) 250VAC, 10A
Type of protection against
Class 1, B Type
electric shock
Dimensions(mm) 790 x 960 x 1036 ( W x Lx H )
Weight 140 kg

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5.2 Wiring Diagram

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5.3 List of critical component parts

Part name Manufacturer Type/Model Technical Standards Mark(s) of

/Trademark Data Conformity
Power supply DONGYANG DYP-G15B 250 V, 16A KS C 60227-5 KTC (HH04028-
cords 12026A)
Fuse LITTELFUSE 0312010HX 250V, 10A IEC 60127-2 KTL (SU05001-
6008)
Noise Filter TDK-LAMBDA MB-1210 250 V, 10 A IEC 60939-2 UL
CORP (E141509)
ELB SATURN SIB-30 220 V, 30 A K60947-2 ERI
(JA05004-7001)
Enclosure LG CHEMICAL TR300 Overall UL 94 UL
LTD 55.0cm by (67171)
45.0cm by
4cm, 4 mm
thick, Rated
minimum FV-
0 flame
rating.
Main switch EVEREL SX82178B1 250V, 16A UL 61058-1 UL
GROUP SPA E210000 (E67171)
(SIGNAL LUX)
SMPS(12Vdc) MEAN WELL RPS-60-12 12Vdc, 10 A UL 60601-1 UL
(E98133)
SMPS(24Vdc) MEAN WELL MPS-120-24 24Vdc, 10 A UL 60601-1 UL
(E227340)
Sol-valve SNV Co. SNV2W 220V, AC 7W EN 60730-1 CE
/ DC 8W EN60730-2-8

Booster pump CSE CO., LTD. BSP-2500A 220V, 60Hz, Tested in

MAX.Pressur appliance
e: 2.5kgf/㎠,
Flow:
2000ml/min
Disinfectant PAN WORLD NH-40PX 220V, 60Hz, EN 60034 CE
Pump CO., LTD. 50W

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 Water/Drain PAN WORLD NH-100PX- 220V, 60Hz, EN 60034 CE
Pump CO., LTD. ZZ 200W
Air Pump G&M Tech Inc. 12RNS 220V, 2.5bar EN 60204-1 TUV
EN 60034-1
Photo coupler LITE-ON MOC3041 Viso UL 1577 UL(E113898)
in PCB TECHNOLOGY 7.5kVpeak
CORP
Terminal DEGSON 2EDGV-TR- 300V UL 1059 UL
5.0
Floating DAHAN DLF-103 150m𝞨 IEC 61010-1 CE
contact
Sensor SENSOR CO resistance.
LTD 10M𝞨
insulation
resistance
Connector YEON HO YH396NNV, 250V 7.5A, UL 1977 UL
V-0
ELECTRONICS YH396-NNIR UL 94 (E108706)
CO LTD UL
(E67171)
Electric ball VALCON AT12-3T 12 Vdc, 850 EN61000-6-1 CE
valve COMPANY mA EN61000-6-3
LIMITED
Terminal DEGSON 2EDGV- 300 V, 15 A UL 1059 UL
block in PCB ELECTRONICS THR-5.0 Min. FV-0 UL60947-7-1 (E228872)
CO LTD flame rating. UL 94
PCB KINGBOARD KR-6150C Min. FV-0 UL 94 UL
LAMINATES KB-6155 flame rating. (E123995)
HOLDINGS
LTD
Wire Ming- MJ-09 10A / 250V EN 60799 CE
Jun electric
wire factory
Leakage TECHNO CD-5S 220V, 38mA IEC 61010-1 Tested in
pump TAKATSUKI appliance
CO., LTD.
Thermal cut WOO SUNG MS-1 250V, 7.5A EN 60730-1 TUV
out ELECS CO., EN 60730-2-9 (N810117560100
LTD. 1)

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 CHAPTER

6
Installation

6.1 Unpacking and Inspection

The CYW-DUO automatic endoscope washer &

disinfector system has passed full quality assurance
testing before shipment. Thus, the unit should be
operated upon delivery. The unit should be unpacked,
installed and tested only by an authorized Choyang
Medical representative.

6.2 Space Requirements

The working area for CYW-DUO should be prepared

according to the dimensions shown in figure on the right.

6.3 Environmental requirements

Do not install the device in the following

places
- Unstable or inclined surfaces.
- Outdoors or places that exposed the gases (ex.
Sulfurous acid gas, chlorine etc.) or high humidity.

Environmental conditions

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 - See the chapter 11
6.4 Packaging List
The CYW-DUO packaging list includes the following:

1. CYW-DUO unit
2. Grid 2EA
3. Accessory basket 2EA
4. Channel tube Channel Connector 6EA
5. Residual drain tube 2EA
6. Suction tube
7. Leakage tester’s red tube 2EA
8. Leakage tester’s connector cap (OPTION)
9. Channel connector adapter (OPTION)
10. Water supply & Drain Adapter
11. Operator’s manual

6.5 Line Power Considerations

The unit is delivered factory-set for the proper ac line voltage rating of the country to which
it is shipped. The ac line voltage appears on the label affixed to the rear panel.
The unit is equipped with a power cable – one end for connection at the rear panel of the
unit, the other end with a 2-pin plug for connection to a single-phase ac receptacle, suited
to the labeled power rating.
Electric power cable 3m long (supplied) with plug for local power source

6.6 Water & Drain Connection

The device is gravity-drained it is essential that the distant drain is lower than the water at
the rear part of device.
The best drainage conditions are achieved by installing the distant drain connection less
than 20cm from ground level and not more than 1m distant.

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 CHAPTER

7
How to use

7.1 General

This chapter contains detailed operating instructions for the CYW-DUO unit. For easy
reference, a checklist-type summary of procedures for the entire operation is also included.

7.2 Preparing the Unit for Operation

1. Remove the box covering from the unit.

2. Water supply pressure ( more than 3kgf/cm2) is checked.

3. Connect the Accessoriest on the unit.

4. Required amount of the chemical liquid tank is filled.
5. Plug the appropriate end of the power cable into the 230V~ connection point on
rear panel of the unit, and the other end into a suitable AC outlet.

Disinfectant expiration: The specification of disinfectant

manufacturer. Refer to 8.4

Do not reuse Detergent & Alcohol

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7.3 Power Supply

1. Plug in the power cable to the power supply.

2. Turn on the circuit breaker on the back and on/off switch on the front of the device.

* The LED indicators on the LCD display show that the power is switched on.

Checking the Power Line voltage. Use AC Voltage

Measurement Mode in the tester to measure the power voltage.
Make sure that the power voltage is in the range of 230V~,
50Hz

7.4 Water supply

1. Turn on the water supply valve.

2. Turn off the water supply valve when the device is not in
use.

* Water can be supplied by pressing on/off switch. Level

sensor that prevents liquid in basin from overflowing is
installed.
* It is required to use under 3kgf/cm2 water pressure.
* Potable water is the minimum standard. Incoming water
must be pre-filtered to minimum of 0.45 microns. The water filter is included with
the device. The routine maintenance schedule recommends every 6 months or
sooner, depending on the pre-filtration system and the quality of the incoming
water.

Water supply pressure (more than 3kgf/cm2) is checked

7.5 Detergent Supply

Open the center front door and open the detergent tank cap and pour detergent.
You can easily check the level of detergent with level sensing electrode.

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 * Select a detergent solution that has bacteriostatic properties to inhibit bacterial
growth in the detergent reservoir and detergent line. The dual enzymes in the
detergent rapidly attack soils and the low foam properties aid effective recirculation.
Follow the manufacturer’s dilution and temperature recommendations.
* If you do not choose the detergent which is needed to use at room temperature,
please first consult with the manufacturer of this device.

Never use household detergent in the device.

Do not reuse Detergent

7.6 Alcohol Supply

Open the alcohol tank cap and pour alcohol. You can easily check the level of
alcohol with level sensing electrode.

* Choyang medical recommends use of Isoprophylene alcohol(IPA).

Above the 70% IPA can use the disinfection purpose.

Do not reuse Alcohol

Alcohol Detergent

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7.7 Disinfectant Supply

1. You can pour it into basin and press re-tank button on the LCD panel after going
through manual mode.

2. Disinfectant is filled up into the tank. You can check the level of disinfectant with
disinfectant level gauge. Make sure disinfectant tank is empty before you pour
disinfectant to the tank.

3. You can see the above message after the retank process is completed.

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 * Select a low-foaming, high level disinfectant specifically manufactured for high-level
medical instrument disinfection. The product must be capable of destroying M.
tuberculosis.
* Consult the product label for appropriate contact time and temperature when
programming the disinfection cycle.

Do not mix with detergents or other chemicals

* Disinfectants must be monitored for potency on a daily basis. Consult the

disinfectant manufacturer recommendations for monitoring guidelines.
* Use the manufacturer’s test strips to test the potency of the solution on a daily basis.
If the potency of the solution is below its minimum recommended concentration
discard and replace it with fresh solution.
* Never use disinfectant beyond the manufacturer’s recommended reuse life, even if
the potency levels are acceptable.
* Never use disinfectant with unacceptable potency levels, even if the reuse date is
unexpired.

7.8 Endoscope Pre-cleaning

All endoscopes must be pre-cleaned prior to disinfection.

Before connection the channels of the endoscopes to adaptors on the device,
manual pre-cleaning is required to minimize contamination.
Follow the endoscope manufacturer instructions and established professional
guidelines to properly pre-clean the endoscope.

The following are the usual method.

1. Washing a secretion or blood on the surface of endoscope right after examination.
2. Brushing inside of biopsy channel (use a brush supplied by endoscope
manufacturer)
3. All channels allow the free passage of water without any blockage.
Refer to the endoscopes manufacturer’s instructions to verify that all channels are
free from obstructions.

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7.9 Available items for Endoscope washer & disinfector
1. It is recommended that only stainless-steel instruments to avoid corrosion.
2. Only clean and disinfect thermolabile instruments using a chemical process.
Heat-stable endoscopic accessories should be thermally disinfected and
sterilized.
3. Generally this device is for four types of flexible endoscopes as below.

4. CHOYANG MEDICAL INDUSTRY LTD. provides specification about the

endoscope information to be used, as established during disinfection testing.
- Type : GASTROINTESTINAL VIDEOSCOPE
- Insertion tube Outer Diameter : Ø 9.8mm
- Channel Size : Ø 2.8mm
- Working Length : 1030mm
- Total Length : 1350mm

7.10 Time Setting

You can set time for every cycle parameter and save it and choose it in normal
operation.
Select service mode by pressing ‘Config’  ‘Service’ button.

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 In this mode, you can change every parameter time setting by pressing up-down
button after select each parameter. The color of selected parameter value will be
turned to red.
After finishing time setting, press ‘ENTER’ button in order to save the parameters
into the buffer memory.

In auto or manual, if any failures of operation even after

pressing start/stop button, press drain button in manual mode
for all water out then start/stop again.

7.11 Pre-start Inspection

Use the following procedure to inspect the device before startup.

1. Check the incoming water quality. Replace any dirty pre-filtered.

2. Add the detergent and alcohol, if “tank low” alert is appeared on the LCD display.
3. Check the disinfectant reuse life expiration date for both tanks. Replace expired
disinfectant.
4. Test the disinfectant in both tanks for potency. Replace any disinfectant that has
less than acceptable potency levels.
5. Make sure there is no leak.

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7.12 Load in the basin

7.12.1 How to place endoscope

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 7.12.2 Channel Connection Guide

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 7.12.3 Connect & Disconnect Method of Channel tube

1. Assemble the channel tubes and the channel connector adapter as the below picture.

2. Connect the endoscope’s channel and device’s

channel.
(Refer to each endoscope manufacture’s manual for
connecting.)
3. Put all of accessories in the accessory basket.
4. Push the channel button in the basin to
disconnect the
channel tube.

7.13 Leakage Test

After you finish preparation process, you are ready to operate CYW-DUO. This is the
main screen.

We have two different types of leakage test, Manual or Real-time.

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 It is essential to carry out a manual leakage test.
Follow the manufacturer’s instructions when performing a
manual leakage test prior to disinfection procedures.

Connect water-resistant cap and leakage tester’s connector cap. Then, place endoscope
into the basin.

Water-resistant cap on the endoscope should be covered.

Pentax Olympus

Before
connecting
the water-
resistant
cap

After
connecting
the water-
resistant
cap

1. Real-time leakage test

A. You can check leakage of endoscope during reprocessing cycle. Automatic

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 leakage test is performed before washing 1 cycle just after pressing automatic
button in main screen or leakage button in manual mode. Then, CYW-DUO
checks the leakage air pressure between cycle and cycle. If there is any
problem on leakage air pressure.
B. Temperature range of real-time leakage test : 15℃ ~ 60℃

2. Manual leakage test

A. If you select manual leakage test, leakage check will be passed during
automatic cycle. In this case, you should check leakage before the cycle in
CYW-DUO manual mode or during pre-cleaning cycle.
B. Manual leakage test in Manual mode
i. Place the endoscope into basin. Connect water-resistant cap and leakage
test adapter.
ii. Press leakage button.

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 iii. Water supplied into basin 5 seconds after supplying air inside of endoscope.
After filling up the basin up to basin level sensor, top cover will be opened
automatically.
You can check air bubbles from endoscope. Move insertion tube up and
down, right and left because bending section is very sensitive area. If any
bubble found, first of all, the endoscope must be taken out immediately and
repaired.
iv. If you press complete button, top cover is closed and water is drained out
and leakage test air will be released automatically. Detach leakage tester
adapter for next procedure.

7.14 Automatic

7.14.1 Automatic process

You can choose automatic or manual in this main screen. If you choose automatic,
you can see the following screen. You can stop by ‘ESC’ button or pause by ‘PAUSE’
button.

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 After finishing the whole cycle, you can see the following message.

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 7.14.2 User checklist

In order to ensure the process fluids flow, please check these lists.

1. All channels of endoscopes should be free passage of water before loading in the
basin.
2. All connections were made before, and were still in place after finishing the whole
cycle.

If the LEAK TEST connectors were not connected to the

ENDOSCOPES, It can result in serious DAMAGE to
ENDOSCOPES.

7.14.3 Description of each process

1. LEAKAGE
- Test intended to confirm that the surface covering the endoscope is intact.
- Control the supplied pressure 290mbar by regulator.
- Leakage air pump specification :
medical compressed air (oil/fat free)
Maximum air pressure : 320mbar

2. WASH 1
- Wash the dust off endoscope’s inside and surface
- Channel cleaning and washing spray

3. DETERGENT
- Remove soil and bio-film on endoscopes using diluted detergent

4. WASH 2 :
- Rinse the detergent

5. DISINFECT :
- Disinfect endoscopes by filling up basin with disinfectant
- Re-tank the disinfectant after this process.

6. WASH 3 :
- Final rinsing of the endoscopes

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 7. ALCOHOL
- Alcohol blowing through the channels

8. AIR DRY
- Air purging rinse water from the channels of the endoscopes
- Air pump specification :
Applications : Medical, Dental & E.N.T. Equipments
As an oil-less air compressor and vacuum
Free Flow : 20 LPM / Max. Vacuum : 650mmHg / Max. Pressure : 6 bar

* All solutions except disinfectant are discharged after each process.

* The endoscope and the channels of the endoscope should be dried prior to storage
in accordance with the manufacturer’s instructions.

7.15 Manual

If you choose manual, you can see the following screen.

You can select each cycle operation, leakage, washing, detergent, disinfection,
alcohol purging and air drying. Also, you can operate drain, retank and discharge.
You can go to main screen by pressing ESC button.

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 7.15.1 Leakage

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 7.15.2 Washing

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7.15.3 Disinfection

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7.15.4 Air Drying

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7.15.5 Drain

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7.15.6 Retank

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7.15.7 Discharge

After disinfectant’s reusable life or beyond acceptable potency level, you should change
the disinfectant according to the instruction. Then, go to ‘manual’  ‘discharge’. After
discharge process is finished, the cycle counting will be changed into ‘0’. Refer to the
factory setting section for cycle counting parameter setting.

If you press ‘discharge’ button, you may see the above screen. Press ‘start’ button for
discharging disinfectant down to the drainage.

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 Please remove all remain disinfectant through disinfectant outlet which is located under
the disinfectant tank after finishing automatic discharging process. Refer to 3.4
Preparation section.

7.16 Configuration

Press ‘config’ button in order to enter configuration mode.

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 You can see three sub-menus in configuration mode. Service, Memory and Barcode.
If you want to go to main screen, press ESC.

7.16.1 Service

1. Leakage
A. Choose real-time leakage test or manual leakage test.
2. Wash 1

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 A. Set washing 1 cycle time with up-down button.
B. Set range of wash : off, 10sec ~ 250sec(every 1sec)
C. If you set the time “off”, it will be skipped.
3. Air blow 1
A. This is between Wash 1 and Detergent.
B. Set range of air : off, 5sec ~ 250sec(every 1sec)
4. Detergent
A. Set detergent cycle time with up-down button.
B. Set range of detergent : off, 5sec ~ 250sec(every 1sec)
C. If you set the time “off”, it will be skipped.
D. We recommend using medical grade detergent, such as enzymatic detergent.
Do not use household detergent in the device.
5. Wash 2
A. Set washing 2 cycle time with up-down button.
B. Set range of wash : off, 10sec ~ 250sec(every 1sec)
C. If you set it as 0 sec, it will be skipped.
6. Air blow 1
A. This is between Wash 2 and Disinfectant.
B. Set range of air : off, 5sec ~ 250sec(every 1sec)
7. Disinfectant
A. Set Disinfection cycle time with up-down button.
B. Set range of disinfectant : off, 5sec ~ 250sec(every 1sec)
C. If you set the time “off”, it will be skipped.
D. Please follow the manufacturer’s instruction of high level disinfectant.
8. Wash 3
A. Set washing 3 cycle time with up-down button.
B. Set range of wash : off, 10sec ~ 250sec(every 1sec)
C. If you set the time “off”, it will be skipped.
9. Immersion Drain
A. Immersion drain means filling up basin with water and drain it out. You can
choose immersion drain function in order to reduce the chance of dilution
between disinfectant and water.

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 B. There are 4 options in this function.
i. ON/ON, ON/OFF, OFF/ON, OFF/OFF
10. Air blow 3
A. This is between Wash 3 and Alcohol Purge.
B. Set range of air : off, 5sec ~ 250sec(every 1sec)
C. If you set the time “off”, it will be skipped.
11. Alcohol Purge
A. Set alcohol purging cycle time with up-down button.
B. Set range of alcohol : off, 5sec ~ 250sec(every 1sec)
C. If you set the time “off”, it will be skipped.
D. This function is upon user’s choice. If you want to use alcohol to help drying
channel inside, we recommend using 70% hospital grade alcohol solution.
12. Air Dry
A. Set air drying cycle time with up-down button.
B. Set range of air : off, 5sec ~ 250sec(every 1sec)
C. If you set the time “off”, it will be skipped.
13. Refill Date
A. This is related with reuse life of disinfectant. If you set 14 days according to the
disinfectant instruction, alarm will be appeared after 14 days from the date you
discharge and retank disinfectant.
B. Set reuse life with up-down button. If you don’t want it, set it as maximum.

* Please press enter to save all the parameter value. If you press esc button, you can
go back to configuration screen without saving.

7.16.2 Memory

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 You can save 10 specific parameters to memory field or load it from memory field. If you
want to change default parameter, go to service mode, section 4.4. Refer to figure as
above.
1. Memory field
A. You can choose any memory field and set parameters.
B. When you use this Memory screen, it is highly recommended to use stylus pen
for touch screen.

7.16.3 Barcode

You can build your own database management system in CYW-DUO. The input method
is key board in touch screen and barcode reader.

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 Click the blank box in red box.

You can type it with keyboard above or scan barcode with scanner reader. Then, press
OK to save or ESC to go back.

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 You can add, modify or delete titles in red box. Press ADMIN for title change. Then, you
will see the following screen.

When you press ADD or MODIFY button, you will see the screen above. You can type
the title or scan barcode.

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 Also, you can delete titles.

If you select barcode function on both screens at the same time, you will see the
following error screen because there is only one barcode reader.

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7.16.4 Factory

There is factory setting mode in order to set technical parameters. Press SERVICE
button for 5 seconds.

1. Self-disinfection
A. You can adjust time for self-disinfection. This time setting is for circulation of
disinfectant through water line.
B. When you press the ‘SELF DISINFECTION’ button for 5 seconds, self disinfection
process operates. (Refer to chapter 6.3 Maintenance _ self-disinfection)

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 2. Detergent
You can adjust the amount of detergent for detergent cycle. And you can also
calibrate the detergent pump.
3. Disinfectant
A. This is for setting temperature of high level disinfectant. Sometimes, we should
heat up disinfectant according to instruction from manufacturer in order to get the
best result.
B. The maximum temperature is up to 55 degrees ５３terili.
4. Alcohol
A. You can adjust the amount of alcohol for alcohol purging cycle.
5. Disinfectant date/transfer
A. This is for optional disinfectant transfer function. Contact Choyang representative
for more information.

6. ETC

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 A. Printer: ON/OFF toggle
B. Complete Bell: Number of complete bell when process is completed. ‘0’ means no
bell.
C. Language: You are able to change language by language editor. Contact Choyang
representative for more information.
D. Barcode: ON/OFF toggle
E. Detergent Immersion: Default status of detergent cycle is spraying type. If you
want to fill the basin with water during detergent cycle, toggle the parameter ON.
F. Transfer Set Count: You can limit the numbers of reuse according to the regulation
from disinfectant manufacturer or Infection control department in your hospital.
G. Transfer Set Date: You can set start and end date of current disinfectant manually.
This is used in special occasion. Default value is as below.

H. Leakage Alarm : ON/OFF toggle

I. Channel Alarm : ON/OFF toggle

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7.17 Printing system

You will get a printed reprocessing cycle result whether it is completed successfully or
failed.

Date :  Date
Time :  Time
Scope No. :  Making out manually Scope
No. after printing
Basin :  Left basin or Right basin

Total working :  Operating time for each mode

Leakage :
Washing (sec) :
Rinsing (sec) :
Disinfecting (min) :

Disinfection temperature : The specification of disinfectant

manufacturer. Refer to 8.4

7.18 Preparing the Unit for Transportation/Storage

When the unit is to be transported to another location or stored, the following must be
performed

1. Disconnect the power cable.

2. Disconnect the water supply and drain hose.

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 CHAPTER

8
Maintenance

8.1 Introduction

This chapter contains the CYW-DUO Endoscope Washer-Disinfectors systems routine

inspection and maintenance instructions. Only those procedures designated herein may
be carried out by clinic/hospital staff. All other procedures designated herein may be
performed only by CHO YANG MEDICAL-authorized technical personnel.

8.2 After Service Information

The CYW-DUO Endoscope Washer-Disinfectors system generates high voltages within the
main cabinet. Therefore, the interior of the unit should be checked by CHOYANG
MEDICAL authorized technical personnel only.
All correspondence with your CHOYANG representative, regarding the unit, should include
the model and serial numbers appearing on the identification label.

 Policy
When the problem occurs due to the problem of the manufacturer, the A/S shall be
provided for 2 year at no cost. Other than that, if the problems occur due to the
delivery of the hospital, treatment and the wrong use etc, separate cost will be
requested. For the A/S that occurs in foreign countries such as in EU etc, it shall
be processed through the regional agency and our producer will take responsibility
for the provision of components etc.
When medical accidents or recall etc happens and they are due to the
inappropriateness of the device, the producer will take the whole responsibility.
Other than that, free A/S can be decided depending on the contract with the
customer.

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8.3 Components Replacement

1. Fuse
To check and/or replace the fuses on the auxiliary panel, turn off the unit and
disconnect

Before removing a fuse turn off the key switch, remove the power
cable from the power receptacle and wait approximately two
minutes to allow for high voltage discharge.
For continuous protection against fire hazard, replace fuses only
with the same type and rating of fuse. Fuse type is slow-blow
10A/250V or equivalent.

For exact fuse rating, refer to the fuse listing on the rear panel.

2. Printer paper
① Pull the small cover to open it and remove the used paper roll.
② Install the new paper roll. At this point, unroll several inches of the paper from
the new roll.
③ Put the printer cover back.
④ Press “Print button” to adjust the tension.

3. UV lamp
- HOUR METER equipped on the device means working time of the device.
- Replace the UV lamp in the water tank when hour meter display more than
8,000hours or after 11months
- Replace the UV lamp in the water tank when the lights of UV detector on the
device turns off.

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8.4 Disinfectant and Detergent lists

Disinfectant Detergent
- MATRIX (Whiteley Medical)

8.5 Cleaning / Disinfection

Keeping the device clean improves its performance, reduces unnecessary repairs,
and lengthens its life.
You should keep basin dry after use.
It’s best to clean spills on the outside of device as they occur. Use a soft damp cloth
to gently wipe away spills and dust. Do not use benzene and thinner. It can be
cleaned with a neutral detergent or alcohol using a clean, soft cloth.
If you decide to dispose of this device, please observe local waste disposal
regulations.
Remove the power cable from the ac outlet before cleaning /
Disinfecting with liquids.

1. Basin cleaning
- Open the lid after using the device to keep dry in the basin. (Except when long
term disused.)
- Periodically wipe the inside of the lid and the basin with a dry soft cloth to
remove any dirt or liquid.
- Level sensor in the basin : Open the cap of the level sensor and softly clean
the sensor with a endoscope brush. Carefully screw on the cap again.
- Channel connection(PMCD) in the basin : Clean the inside of channel
connection(PMCD) with a endoscope brush.

2. Disinfectant filter cleaning

- The cleaning procedure is needed when debris is in the disinfectant filter.
- Open the disinfectant filter cap to the right which is located in front of the frame.
- After taking out the filter net and removing the debris, start to wash with water.
- The cleaned filter net is in place and screwed the disinfectant filter cap.

Unless the disinfectant filter cap is not properly closed, the leak
might occur during disinfectant procedure.

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8.6 Self Disinfection System
- Required to be disinfected for water lines.

- This action should be performed every 3 months at least.

- This action should be operated without endoscopes or accessories in the basin.

1. Select self disinfection mode by pressing

‘Config’ → ’SERVICE’ (for 5seconds) → ‘SELF DISINFECTION’ (for 5 seconds.)
You can see the message as below. Press the ‘START’ button.

2. Water tank will be empty automatically.

There is a possibility that there is still some small amount of water bottom of water tank.
Open the water faucet (water discharging hole) located bottom inside of front door and
take all this water out as well. Then close the water faucet again.

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3. Pour new fresh disinfectant chemical or alcohol over basin about 8~15 liters following
the message. Then, press the ‘CONTINUE’ button.

4. Disinfectant chemical or alcohol flows into water tank as much time as you set.
When finished, buzzer will sound and the complete message will appear as below.
Press the ‘EXIT’ button.

8.7 Product lifetime

5 years

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 CHAPTER

9
Troubleshooting

9.1 General

Should the Cho Yang MEDICAL Endoscope Washer-Disinfectors unit malfunction, consult
the Troubleshooting Guide in this chapter to identify the possible cause.
Hospital staff may perform the troubleshooting procedures in this chapter, except where
specifically stated that troubleshooting must be carried out by Choyang MEDICAL –
authorized technical personnel only.

Improper use or adjustment of this device may invalidate the

Choyang MEDICAL Service Warranty Agreement. Contact your
Choyang MEDICAL representative before any attempt to
troubleshoot this unit in any manner other than as specified in this
manual.

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9.2 Error message

9.2.1 Basin is not empty

1. Press stop button when the basin is not empty. Go to manual mode and drain out
remains.
2. Otherwise, press continue button to proceed selected cycle or check drain sensor.

9.2.2 Black out

1. If the system was black out, you can proceed remain cycle by pressing continue
button.
2. Otherwise, you can select another cycle in order to reprocess it again

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 9.2.3 Channel blocking
1. Follow regional instruction for channel blockage.
2. We recommend continuing remain cycle because you have to disinfect and clean
endoscope before checking channel blockage of endoscope. After finish the whole
cycle, you can get a failure report. Separate the endoscope from the completed
endoscopes. Go to manual mode and press AIR DRY button in order to check
channel blockage of the device.
3. Otherwise, check the channel blockage of endoscope by its manufacturer or
representatives.

9.2.4 Communication error

1. Communication failure when the connection line between main board and display
board has problem.
2. Check its tightness of connection or contact your service representative.

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 9.2.5 Leakage error
1. Normal leakage test air pressure is 290mbar. If the pressure of leakage test air is
below 240mbar checking at 1 minute intervals, leakage error sign is displayed in
the screen. And then the device keeps trying to maintain leakage test air level by
working air pump continuously.

2. We recommend continuing remain cycle because we have to disinfect and clean

endoscope before checking leakage of endoscope. After finish the whole cycle, go
to manual mode and press LEAKAGE button or connect manual leakage tester in
order to check leakage of endoscope manually.
3. Otherwise, check the leakage of endoscope by its manufacturer or representatives.

9.2.6 Door is open

1. Close the door before you do any operation.
2. If you see this warning sign when it is closed, contact your service representative
to check door sensor.

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 9.2.7 High temperature
1. The maximum temperature of disinfectant is 55℃. If it exceeds this value, you will
see the following screen.
2. Choose continue or stop the cycle. We recommend checking temperature sensor
or contact your service representative.
3. When disinfectant tank reaches up to 70℃, thermostat(non-self return type) will be
operate to prevent overheating.

9.2.8 High or Low level alerts

1. There are 3 kinds of tank, Detergent, Alcohol and Disinfectant.
2. If the Alcohol or Detergent tank is almost empty, you can see the following
message.
3. Fill up the tanks with proper solutions.

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 4. In case of Disinfectant, there are 2 sensors, level high and level low. Check tank
level.

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 9.2.9 Cycle counting
1. You should set the maximum number of cycle depending on the hospital regulation
or disinfectant you use.
2. You can see the following message after the fixed maximum number of disinfectant
cycle.
3. The disinfectant must be replaced normally.

9.2 Troubleshooting Guide

PROBLEM POSSIBLE CAUSE SOLUTION

Does not supply the * The power is not connected.
power. * Power switch is turned off.
* The fuse is broken or the circuit
breaker is out of order.
The water supply does * Water supply valve is not open.
not work. * Water supply pump error.
Disinfectant is not * The shortage of disinfectant.
supplied. * Disinfectant supply valve or pump
error.
Disinfectant is supplied, * Drain electric valve error.
but do not stay in the * Water level sensor is out of order.
* Connect the power cable.
* Turn on the power switch “ON”.
* Replace the fuse or repair the
Circuit breaker.
* Check that the water supply
valve is open.
* Change or repair water supply
pump.
* Supply disinfectant.
* Change or repair disinfectant
supply valve or pump.
* Change or repair drain electric
valve.

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basin * Check, repair or change water
level sensor.
Disinfectant is supplied, * Main board error. * Check or repair main board.
but overflow in the basin * Water level sensor in the basin is out * Check, repair or change water
of order. level sensor.
Drainage is not flow out * Drain pipe is closed. * Check the drain pipe and
* Drain valve is out of order. remove dust.
* Check, repair or change water
level sensor.
During the leakage test, * Air pump error. * Check or repair air pump.
the air is not supplied
When the water increase * Check the water supply valve or * Replace new part.
in water tank sensor of 2 step, high and middle in
water tank.
“Water low” sign appear * Check water supply opening valve. *Check sensor of bottom in
on screen during * Check sensor of bottom in water water tank.
machine is working tank.
“Disinfectant low” sign * Check disinfectant in tank. * Check sensor.
appear on screen during * Check sensor of bottom in
machine is working disinfectant tank.
Drain or re-drain motor * Try to change motor valves each. * Replace new motor valve
valve is not working * Together check bad one. (MV1/MV2).

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 CHAPTER

10
Danger, Warning, Caution
10.1 Danger

- Disinfectant expiration: the specification of disinfectant manufacturer. Refer

to 8.4

10.2 Warning

- No modification of this equipment is allowed. Do not modify this equipment

without authorization of the manufacturer.
- Please do not use not-grounded power outlet. It may be a cause of electric
shock.
- Attempted servicing of this device with the help of persons not authorized by
Choyang medical may have lethal consequences and will immediately void
any warranty.
- Do not reuse Detergent & Alcohol
- Never use household detergent in the device.
- Disinfection time : The specification of disinfectant manufacturer. Refer to 8.4
- Disinfectant expiration : The specification of disinfectant manufacturer. Refer
to 8.4
- Disinfection temperature : The specification of disinfectant manufacturer.
Refer to 8.4
- Before removing a fuse turn off the key switch, remove the power cable from
the power receptacle and wait approximately two minutes to allow for high
voltage discharge.
- Remove the power cable from the ac outlet before cleaning / Disinfecting

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 with liquids
- Unless the disinfectant filter cap is not properly closed, the leak might occur
during disinfectant procedure.
- If the LEAK TEST connectors were not connected to the ENDOSCOPES, It
can result in serious DAMAGE to ENDOSCOPES.

10.3 Caution

- The user should use the device according to this operator’s manual.
- Checking the Power Line voltage. Use AC Voltage Measurement Mode in
the tester to measure the power voltage. Make sure that the power voltage is
in the range of 230V~, 50Hz.
- Do not install the device in the following places
1) Unstable or inclined surfaces.
2) Outdoors or places that exposed the gases (ex. Sulfurous acid gas,
chlorine etc.) or high humidity.
- Do not use it with the medical device with big occurrence of electromagnetic
waves in the surroundings. It can cause the failure of the device.
- Serviceman shall be careful not to damage internal wiring. Operator or
patient may have electric shock by internal wiring damage.
- Water supply pressure (more than 3kgf/cm2) is checked.
- Do not mix with detergents or other chemicals.
- In auto or manual, if any failures of operation even after pressing start/stop
button, press drain button in manual mode for all water out then start/stop
again.
- It is essential to carry out a manual leakage test.
Follow the manufacturer’s instructions when performing a manual leakage
test prior to disinfection procedures.
- Water-resistant cap on the endoscope should be covered
- For continuous protection against fire hazard, replace fuses only with the
same type and rating of fuse. Fuse type is slow-blow 10A/250V or
equivalent.
- Environmental conditions. Refer to chapter 11.

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 - Improper use or adjustment of this device may invalidate the Choyang
MEDICAL Service Warranty Agreement. Contact your Choyang MEDICAL
representative before any attempt to troubleshoot this unit in any manner
other than as specified in this manual.

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 CHAPTER

11
Condition for use and transfer

11.1 Condition for use

Hospital Room
Physical Ambient temperature(Device); 15℃ ~ 40℃
Conditions Relative Humidity; 30 ~ 80%
Atmospheric pressure; 80kPa-106kPa

11.2 Condition for transfer / storage

Ambient temperature; -20℃~70℃

Physical
Relative Humidity; 10 ~ 90%
Conditions
Atmospheric pressure; 50kPa-106kPa

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 CHAPTER

12
Product Approval and Quality Assurance

 Our Endoscope Washer & Disinfector (model: CYW-DUO) is

approved CE mark in accordance with Medical device directive
93/42/EEC of Europe.

 The standards of our quality system and product are as follows ;

- ISO 9001: 2008

- ISO 13485: 2003
- KGMP(Korean Good Manufacturing Practices)

CHOYANG MEDICAL INDUSTRY LTD.

5Fl., Joongil Eines Platz III, 519, Dunchon-daero, Jungwon-gu,
Seongnam-si, Gyeonggi-do 462-807, Korea
Tel: +82 31 747 9900 Fax : +82 31 747 9901

MEDISERV TECHNOLOGIES ITALIA

Piazza A. Graf, 132-10126
Tel.; +39 011 6670443

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