title: Flexible endoscopes: structure and function--the air and water system.
abstract: Flexible endoscopes are complex medical instruments that are easily damaged. To maintain the flexible endoscope in optimum working condition, the user must have a thorough understanding of the structure and function of the instrument. This series of articles will present an in-depth look at the care and handling of these expensive devices. The flexible endoscope is constructed of several systems that operate simultaneously to produce a highly technical, yet effective diagnostic and therapeutic medical device. These systems include the air and water system, the suction and operating channel system, the mechanical system, the endoscopic retrograde cholangiopancreatography (ERCP) elevator system, the optical system, and the electrical system. This first article in a series will focus on the air and water system of the endoscope. A review of the internal and external structure of the flexible endoscope and the functions of the air and water system, including infection control issues, potential problems and evaluation, and prevention of minor problems to avoid expensive repairs, will be addressed.
authors.affiliation: GE Medical Systems Clinical Services, Baltimore, Maryland, USA. Patricia.Holland@med.ge.com
authors.forename: P
authors.initials: P
authors.lastname: Holland
authors.forename: N
authors.initials: N
authors.lastname: Shoop
mesh_terms: D000388:Air; D004203:Disinfection / Q000379:methods; D020776:Endoscopes, Gastrointestinal / Q000009:adverse effects / Q000382:microbiology / Q000592:standards / Q000600:supply & distribution; D004867:Equipment Design; D004868:Equipment Failure; D004869:Equipment Safety; D006801:Humans; D008283:Maintenance; D014867:Water
chemical_list: D014867:Water