Stryker 1688 4K User Manual

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1688 4K Camera System
with Advanced Imaging Modality
1688010000
1688210105
1688310130
1688610122
1688710105
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Contents
Warnings and Cautions ........................................................................... 1
Cautions ......................................................................................................................1
Warnings: General ...................................................................................................1
Warnings: SPY Mode ...............................................................................................3
Operating a Light Source ......................................................................................4
Product Description and Intended Use ................................................. 5
Indications .................................................................................................................. 6
The Camera Console ...............................................................................................7
The Camera Head ....................................................................................................9
Additional Features of the Pendulum Camera Head ............................... 10
The C-Mount Coupler .......................................................................................... 12
Device Compatibility ........................................................................................... 13
Setup ......................................................................................................15
Setting Up the Console ...................................................................................... 16
Wiring Diagram ..................................................................................................... 18
Setting Up the Camera Head ............................................................................ 19
Setting Up the Coupler ....................................................................................... 20
Installing the Soaking Cap ................................................................................ 22
SPY Mode Requirements ................................................................................... 23
Operation ............................................................................................... 24
Powering the Console On/O .......................................................................... 24
Performing the White Balance Test ................................................................ 24
Controlling Remote Video Accessories ......................................................... 25
Using the Touchscreen Interface..................................................................... 26
Using the Camera Head Buttons ..................................................................... 30
Using the Display Monitor Menu .................................................................... 33
Programming Camera Head Buttons ............................................................ 36
Advanced Features ............................................................................................... 37
Troubleshooting ....................................................................................38
Reprocessing .......................................................................................... 42
Cleaning and Disinfecting the Console ........................................................ 42
Cleaning, Disinfecting, and Sterilizing the Camera Head ...................... 43
Materials and Equipment .................................................................................. 45
Maintenance ..........................................................................................50
Inspecting the Console ....................................................................................... 50
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Inspecting the Camera Head ............................................................................ 50
Using Sterile Drapes ............................................................................................ 51
Storage ..................................................................................................................... 51
Replacing the Fuses ............................................................................................. 51
Periodic Maintenance Schedule ...................................................................... 52
Service Life .............................................................................................................. 52
Disposal .................................................................................................................... 52
Recycling Diagrams ............................................................................................. 53
Technical Specications ........................................................................ 55
Electromagnetic Compatibility ........................................................................ 56
Symbol Denitions ................................................................................ 60
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In this manual, the terms and denitions below apply.
• Warning: Possible injury to the patient or user.
• Caution: Possible damage to the equipment.
• Note: More information to clarify the instructions.
Cautions
To avoid potential damage to this device, please note the following cautions.
1. Carefully unpack this device and check if any damage occurred during shipment. If damage is detected, refer to the warranty.
2. Never sterilize the camera console, because the delicate electronics cannot withstand this procedure.
3. Ensure that the electrical installation of the relevant operating room complies with the NEC and CEC guidelines.
4. Always treat the camera system with care. The camera system contains sensitive parts that are precisely aligned and may suer damage if dropped or mistreated.
5. Repairs and equipment modications shall be performed only by Stryker­authorized personnel. Stryker Endoscopy assumes no product liability or warranty responsibility for devices repaired by or purchased from third­party service organizations.
Warnings: General
To avoid potential serious injury to the user and the patient and/or damage to this device, please note the following general warnings.
1. Federal (USA) law restricts this device to sale by or on the order of a physician.
2. Read this operating manual thoroughly, especially the warnings, and be familiar with its contents before connecting and using this device.
3. Although the product was fully tested at the factory before shipment, the user should always test it for proper function prior to a surgical procedure.
4. Always test that the endoscope produces a live, clear, correctly-oriented image prior to using it in a procedure and immediately after any viewing mode or setting is changed in the camera system.
5. The camera head surface may exceed 41°C (106°F) in operating conditions with high ambient temperatures and it should be handled with caution.
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6. The camera head and coupler are shipped non-sterile. You must sterilize these devices before the rst use and after each use. To prevent device damage and infection risk to the patient or user, follow all cleaning and sterilization instructions in this manual.
7. To minimize electromagnetic interference that may impact functionality of the 1688 Video Camera, position any active electrosurgical generator and its cables at least 12 inches (30 cm) away from the camera console. When the electrosurgical generator is placed on a boom with the camera console, it is advised to position the generator on the lowest shelf.
8. Do not position the console so that it is dicult to disconnect the power cord from the supply mains.
9. To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth ground.
10. Portable multiple socket-outlets shall not be placed on the oor. Additional portable multiple socket-outlets or extension cords shall not be used with the equipment.
11. Use of third-party HDMI cables with the camera console is not recommended due to potential problems with secure connections or electromagnetic compatibility. Use the provided HDMI high speed cable (or other Stryker-approved HDMI cable) with the camera console.
12. Never use the camera system in the presence of ammable or explosive gases or in an oxygen-rich environment.
13. To prevent tampering, physically secure the device when not in use.
14. Disconnect the console from the electrical outlet when inspecting fuses.
15. Do not remove covers on the console, as doing so may cause damage to electronics and/or electric shock.
16. Do not disassemble any part of the camera head; doing so may break the seals, causing leakage and/or electric shock.
17. Attempt no internal repairs or adjustments not specically detailed in this operating manual.
18. Do not repair or adjust the device through a third-party service organization. Devices repaired by or purchased from third-party service organizations could expose patients to signicant risk. These devices are no longer validated by Stryker for cleanliness, disinfection, and sterilization, or for safety and ecacy.
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Warnings: SPY Mode
IMPORTANT SAFETY NOTICE - LASER RADIATION:
SPY mode controls a Class1M laser emitted from the L11 LED Light Source with Advanced Imaging Modality (0220230300), also referred to as the “L11 LED Light Source.”
Use of controls or performance of procedures other than those specied herein can result in hazardous laser radiation exposure and can cause severe eye injury to the patient or user.
To avoid exposure to laser radiation, follow all warnings and guidelines presented below and throughout this user manual.
1. Before using SPY mode, read and be familiar with all instructions and warnings found in this user manual and the light source user manual.
2. Protect the camera system against unqualied use.
3. Wear eye protection as appropriate. Refer to any applicable regional regulations or standards for personal protective equipment.
4. Do not manipulate tissue while Contrast mode (a SPY mode) is on.
5. When using SPY mode, do not view the light output with optical instruments (for example, microscopes or magniers). Do not direct the light output in SPY mode into an area where such instruments are likely to be used.
6. Do not turn on SPY mode when the endoscope is outside of the patient’s body.
7. When SPY mode is on, never look into the following apertures or direct the light emitted from the apertures toward another person:
• the light cable connection on the light source (if the cable is not
attached)
• the end of the light cable (if the SafeLight™ adapter is attached)
• the endoscope tip
8. When SPY mode is on, never leave a SafeLight adapter attached to the light cable without an endoscope attached. Laser radiation can continue to emit from the adapter.
9. Disconnect the light cable from the light source only when the light source is powered o or the light output is deactivated.
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Operating a Light Source
Please note the following warnings to avoid user or patient injury or product damage when using a system with a light source. Note that the light source adjustments described apply only to operating the light source manually (i.e., with Auto Light o).
IMPORTANT SAFETY NOTICE - HIGH TEMPERATURES:
When using a light source, re and/or severe injury may result to the patient, user or inanimate objects if the instructions in this manual are not followed.
All light sources can generate signicant amounts of heat (exceeding 41°C/106°F) at the scope tip, the scope light post, the light cable tip, and/or near the light cable adapter. Higher levels of brightness from the light source result in higher levels of heat. Always adjust the brightness level of the camera and the display monitor before adjusting the brightness level of the light source. If the brightness level of the light source can be adjusted, set it to the minimum brightness necessary to adequately illuminate the surgical site.
In addition, adjust the internal shutter of the camera higher in order to run the light source at a lower intensity. Avoid touching the scope tip or the light cable tip to the patient, and never place them on top of the patient, as doing so may result in burns to the patient or user. In addition, never place the scope tip, the scope light post, the light cable adapter, or the light cable tip on the surgical drapes or other ammable material, as doing so may result in re.
Always deactivate the light output from the light source before removing the scope from the light cable or leaving the device unattended. The scope tip, scope light post, light cable adapter, and light cable tip will take several minutes to cool o after deactivating the light output, and therefore may still result in re or burns to the patient, user, or inanimate objects.
The warranty is void if any of the above warnings or cautions are disregarded.
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Product Description and Intended Use
The 1688 4K Camera System with Advanced Imaging Modality (or “1688Video Camera”) is an endoscopic camera system that is used to produce live video in the surgical eld during surgical endoscopic procedures. The system is sensitive in the visible and infrared spectrum. The optical image is transferred from the surgical site to the camera head by a variety of rigid and exible scopes, which are attached to the camera head. The system consists of a camera console and a camera head with an integral cable that connects to the console. A coupler is also available for attaching a scope to the camera head.
The available models for each part are listed below.
Console
1688010000 16884K Camera Control Unit with Advanced Imaging
Modality
Camera Heads
1688210080 16884K Microscope Camera Head, C-Mount
1688210105 16884K Camera Head, C-Mount, with Advanced Imaging
Modality
1688310130 16884K Pendulum Camera Head with Integrated Coupler
1688610122 16884K Camera Head, Integrated Coupler, with Advanced
Imaging Modality
1688710105 16884K Inline Camera Head, C-Mount, with Advanced
Imaging Modality
Coupler
1688-020-122 4K Coupler, C-Mount, with Advanced Imaging Modality
1
Complete instructions are available in Stryker user manual P45082. Note that 1688210080 does not have the same intended use
or indications as stated in this user manual.
2
Not intended for use with SPY/ENV modes.
3
Not compatible with SPY/ENV modes.
4
Complete instructions are available in Stryker user manual P40880.
1, 2
3
4
Note: For complete system requirements to use the camera’s SPY mode, see the user manual for the L11 LED Light Source with Advanced Imaging Modality (0220230300), also referred to as the “L11 LED Light Source.”
The camera console is also packaged with the following connection cables:
• Remote cables, 2.5 mm to 3.5 mm (Qty: 2)
• HDMI high speed cable (Qty: 1)
• Hospital-grade power cord (Qty: 1)
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Contact your Stryker representative for availability of other cables that may be required for alternate congurations.
Indications
The 1688 Video Camera is indicated for use in general laparoscopy, nasopharyngoscopy, ear endoscopy, sinuscopy, and plastic surgery wherever a laparoscope/endoscope/arthroscope/sinuscope is indicated for use.
A few examples of the more common endoscopic surgeries are listed below.
• laparoscopic cholecystectomy
• laparoscopic hernia repair
• laparoscopic appendectomy
• laparoscopic pelvic lymph node detection
• laparoscopically assisted hysterectomy
• laparoscopic and thorascopic anterior spinal fusion
• anterior cruciate ligament reconstruction
• knee arthroscopy
• small joint arthroscopy
• decompression xation
• wedge resection
• lung biopsy
• pleural biopsy
• dorsal sympathectomy
• pleurodesis
• internal mammary artery dissection for coronary artery bypass
• coronary artery bypass grafting where endoscopic visualization is
indicated
• examination of the evacuated cardiac chamber during performance of
valve replacement
The users of the 1688 Video Camera are general surgeons, gynecologists, cardiac surgeons, thoracic surgeons, plastic surgeons, orthopedic surgeons, ENT surgeons and urologists.
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The Camera Console
The camera console—or Camera Control Unit (CCU)—is the control center for the 1688 Video Camera, and it processes the video and photographic images produced during the surgical procedure.
Front Panel
The console front panel features a touchscreen where dierent menus can be accessed. The touchscreen can be used to adjust camera settings (such as Brightness, Zoom Level, and White Balance), select surgical specialties that optimize camera performance for specic surgical procedures, and turn on SPY mode. The touchscreen also allows activation of remote outputs, which are commonly used with a Stryker digital capture console to record images and video.
See the Operation section for more information about using the front panel.
321
1. Power Switch Powers the camera on and o
2. Touchscreen Allows navigation through dierent menus
for controlling the camera and adjusting the video settings
3. Camera-Connector Port Connects to the 1688 Camera Head
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Rear Panel
The console rear panel provides ports for connecting the 1688 Video Camera to other equipment such as a display monitor, a light source, and a device control console and/or digital capture console.
9
1
2
3
7
654
8
1. HUB Port Connects to a Stryker device control console to enable voice operation and/or graphic tablet control
2. Remote Out 1 Connects to a video accessory remote input
3. Remote Out 2 Connects to a video accessory remote input
4. HDMI Out 1 HDMI 2.0 output (supports 4K UHD video
resolution)
5. HDMI Out 2 HDMI 2.0 output (supports 4K UHD video resolution)
6. Light Source Port Connects to Stryker light source
7. AC Power Inlet Connects to AC mains with separable power
cord
8. Fuse Panel Contains two 1.6A 250V fuses (slow blow, high breaking capacity 1500A, size 5mm x 20mm)
9. Equipotential
Ground Plug
Connects to a potential equalization conductor. The resulting medical electrical system shall follow all applicable IEC 60601-1 requirements.
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The Camera Head
The camera head connects to the camera console and produces video and photographic images, which it relays to the camera console. Several controls are accessible through a button keypad located on the top of the camera head (see the Operation section).
See the Product Description section for the dierent camera head models that are available. The 1688 4K Camera Head, C-Mount, with Advanced Imaging Modality (1688210105) is shown below with a list of features that are common to each camera head.
41 2 3
1. Soaking Cap Protects the cable connector during cleaning,
disinfection, and sterilization
2. Cable Connector Connects the camera head to the camera console
3. Camera Cable The camera cable length is 10 feet (3.05 m)
4. Camera Head Produces photographic and video images,
provides camera controls, and connects with (1688210105 and 1688710105) or integrates (1688310130 and 1688610122) a focusing coupler.
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Additional Features of the Pendulum Camera Head
The 1688 4K Pendulum Camera Head with Integrated Coupler (1688310130) utilizes each of the features described in the previous section, The Camera Head, and it has additional features that are described below.
The Pendulum Camera is designed with a 90° angle between the camera head and the scope to allow for easier access during urological procedures. The camera also incorporates image focusing and rotation features described in the following sections.
2
1
3
1. Endobody Clamp Secures the endoscope to the camera head
2. Endobody Brake Prevents rotation of the endoscope
3. Focusing Knob Adjusts the focus of the camera head
Adjusting the Focus (1688310130 only)
To adjust the focus of the Pendulum Camera Head, slide the focusing knob 1 from side to side as needed (i.e., in the direction of the Camera button or the Menu button).
1
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Rotating the Image (1688310130 only)
To allow rotation of the endoscope inside the endobody clamp, release the endobody brake 1 by rotating it counterclockwise (when facing the camera head buttons). The endoscope can then be rotated as needed 2.
2
1
To prevent the endoscope from rotating inside the endobody clamp, lock the endobody brake by rotating it clockwise (when facing the camera head buttons). If the endoscope is not secured in a xed position, slightly rotate the endobody clamp in either direction until the lock engages with an audible click.
Automatic Image Flip (1688310130 only)
By default, the Pendulum Camera Head will automatically ip the video image back to the initial orientation when the camera is rotated 180°.
1. Hold the camera head with the endoscope axis parallel to the ground 1.
2. Rotate the camera head from the “cable down” position 2 to the “cable up” position 3. Once the camera head cable is fully rotated, the video
image will rotate back to the initial orientation.
1 2 3
The video image will also ip when the camera head is rotated from the “cable up” position to the “cable down” position.
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If you want to change the Pendulum Auto Flip setting, follow these steps:
1. Hold down the Settings button on the camera console Home screen for about 5 seconds.
2. Select Options.
3. Press the right arrow to advance to the second menu page, and change the Pendulum Auto Flip setting.
4. Click X in the top-right corner to return to the Home screen.
The C-Mount Coupler
The coupler threads onto the face of the camera head, enabling a scope to be attached to the camera. It provides a focusing ring to adjust image sharpness.
It is recommended to use the camera with the 4K Coupler, C-Mount, with Advanced Imaging Modality (1688-020-122). The 4K Coupler enables use of SPY mode when the camera is connected to the the proper system. Refer to Stryker user manual P40880 for complete 4K Coupler instructions.
2
3
4
1
1. Scope End Receives the endoscope
2. Endobody Clamp Secures the scope to the coupler
3. Focusing Ring Adjusts the coupler focus
4. Rear Adapter Threads onto the camera head
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Device Compatibility
For optimal use, the 1688 Video Camera is designed to work with the L11 LED Light Source (0220230300) and the Connected OR Hub (0240200100) with software version 1.2.1 or higher. All features and instructions described in this user manual apply to this system unless otherwise noted.
The 1688 Video Camera is also compatible with other light sources and digital capture devices that are listed below. The features and instructions that are dierent than the rest of this user manual are noted below. Please contact a Stryker representative for assistance with alternate system congurations.
Alternate Light Sources
0220220300 L10 LED Light Source with AIM Technology
• Connect to the camera console using the USB A-to-A cable provided with light source, P30883 (required to use ENV mode)
• Auto Light function is not available
• Overlay mode and Contrast mode (SPY modes) are not
available (although ENV mode is still available)
• No camera control over ENV laser level (although the camera can control the Backlight level)
• No camera control over IRIS mode and settings
• Some display monitor menu options are not available
(options that appear in grey)
0220220000 Precision LED Light Source
• Connect to the camera console using the USB A-to-A cable provided with light source, P30883
• Auto Light function is not available
• SPY and IRIS modes are not available
• Some display monitor menu options are not available
(options that appear in grey)
0220210000 L9000 LED Light Source
• Connect to the camera console with a USB A-to-B cable
• No camera control of light levels (only activate/
deactivate)
• Auto Light function is not available
• SPY and IRIS modes are not available
• Some display monitor menu options are not available
(options that appear in grey)
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Alternate Digital Capture Device
0240060100 SDC3 HD Information Management System
• Send the video signal from the camera console to the SDC3 by connecting an HDMI-to-DVI adapter cable (P32235) from one of the camera console’s HDMI outputs to one of the SDC3’s DVI inputs
• Send the video signal from the SDC3 to a compatible display monitor by connecting a DVI cable from one of the SDC3’s DVI outputs to an available DVI input on the display monitor
• The SDC3 does not have device control over the 1688 Video Camera or other devices that could be controlled by the camera head. (Although the user can still capture images and record video when SDC3 is connected to the camera console with remote cables.)
• The SDC3 is not designed to add device control options in the camera’s display monitor menu.
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Setup
Stryker Endoscopy considers instructional training, or inservice, an integral part of the 1688 Video Camera. Your local Stryker Endoscopy sales representative will perform at least one inservice at your convenience to help set up your equipment and instruct you and your sta on its operation and maintenance. To schedule an inservice, contact your local Stryker Endoscopy representative after your equipment has arrived.
Setting up the 1688 Video Camera involves three steps:
1. Setting up the console
2. Setting up the camera head
3. Setting up the coupler
• Always connect the console to an appropriate power source, using a hospital-grade power cord. Loss of AC power will cause the camera to shut down and the surgical image to be lost.
• Only connect items to the 1688 Video Camera that have been specied for use with the camera system. Connecting incompatible equipment may cause unexpected results.
• When the camera system is used with other equipment, leakage currents may be additive. Ensure that all systems are installed according to the requirements of IEC60601-1.
• Equipment which employs RF communications may aect the normal function of the 1688 Video Camera. When choosing a location for the camera system, consult the Electromagnetic Compatibility section to ensure proper function.
• Always set up the console in a location that allows adequate ventilation (airow) to the console. Insucient ventilation may cause the console to overheat and shut down.
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Setting Up the Console
Refer to the following instructions and wiring diagram for a typical 1688 Video Camera conguration.
1. Using the provided power cord, connect the camera console’s AC power inlet to a hospital-grade outlet.
2. Using the provided HDMI cable, connect the HDMI 1 output from the camera console to the HDMI 4K/HD IN 1 input on the Connected OR Hub (0240200100).
• As a precaution against video loss related to the Connected OR Hub
or primary display monitor, the camera console’s second HDMI output can be connected directly to an HDMI input on an auxiliary display monitor.
3. Connect the HDMI 4K/HD OUT 1 output from the Connected OR Hub to the HDMI 4K input on the 32” 4K Surgical Display (0240-031-050).
For 4K camera resolution, the 1688 Video Camera shall be used with a 32” 4K Surgical Display that has rmware version 1.3.12 or higher. If not available, the camera resolution shall be operated in 1080p resolution. This setup is required to avoid degraded camera performance.
To determine the 32” 4K Surgical Display’s rmware version:
a. Power on the Connected OR Hub and the 32” 4K Surgical Display.
They must be connected, as described in step 3.
b. Press the Specialty button on the display front panel.
c. The rmware version is listed in the upper-right corner of the menu
that appears. If the version is 1.3.12 or higher, proceed to step 4.
If the display rmware version is less than 1.3.12, follow these additional steps to operate the camera in 1080p resolution:
d. Power on the camera console.
e. On the camera console Home screen, hold down the Settings button
for about 5 seconds until the Advanced Settings screen appears.
f. Press the Options button to go to the Options screen.
g. Press the HDMI1 and HDMI2 output buttons to toggle from 4K to
1080p resolution.
h. Click X in the top-right corner to return to the Home screen.
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4. Using the provided remote cables, connect Remote outputs 1 and 2 from the camera console to Remote inputs 1 and 2 on the Connected OR Hub.
• Devices connected to the remote outputs can be operated using the
console touchscreen or the Camera button on the camera head. See the Operation section for details.
5. Connect a USB A-to-B cable from the HUB output on the camera console to an available Devices input on the Connected OR Hub. It is recommended to use the USB cable provided with the Connected OR Hub (0105-187-988), as use of third-party cables may prevent the devices from properly communicating.
• Once connected to the 1688 Video Camera, the Connected OR Hub
can control SPY mode and other camera functions. The user can also customize 1688 Camera Head button congurations through the Connected OR Hub. See the Connected OR Hub user manual for more details.
6. Connect a USB 3.0 A-to-B cable from the Light Source output on the camera console to the CCU input on the L11 LED Light Source (0220230300). It is recommended to use the USB cable provided with the Stryker light source (P40171), as use of third-party cables may prevent the devices from properly communicating.
• To use SPY mode, the 1688Video Camera requires a connection to the
L11 LED Light Source.
Please contact a Stryker representative for alternate system congurations.
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Wiring Diagram
0240-031-050
3
0240200100
5
4 2
1688010000
1
6
0220230300
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Setting Up the Camera Head
Do not severely bend the camera cable or damage may result.
1. Unscrew the soaking cap from the cable connector on the camera head.
2. Align the arrow on the cable connector with the arrow above the camera­connector port on the front console panel.
3. Push in the connector until it locks in place.
Note: To unplug the camera from the console, grasp the knobbed portion of the connector and pull straight out.
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Setting Up the Coupler
Steps 1–3 below provide instructions for connecting 1688 Camera Heads to the 4K Coupler, C-Mount, with Advanced Imaging Modality (1688-020-122) and to an endoscope and a light cable. Refer to the bullets below for possible system variations:
• When using the 1688 4K Pendulum Camera Head with Integrated Coupler (1688310130) or the 1688 4K Camera Head, Integrated Coupler, with Advanced Imaging Modality (1688610122), skip to step 2.
• When using a direct-coupled C-Mount endoscope (an endoscope that requires no coupler), thread the endoscope directly into the camera head until it forms a tight seal, and skip to step 3. (C-Mount endoscopes are not compatible with camera heads that have an integrated coupler.)
When attaching or removing the coupler, grip only the rear adapter, as twisting other parts of the coupler with force may result in mechanical damage.
Do not overtighten the coupler (or a direct-coupled C-mount endoscope), as this may damage the front window of the camera.
1. Attach the coupler to the camera head.
• Gripping the rear adapter, screw the coupler clockwise onto the camera head until it forms a tight seal (1688210105 and 1688710105 only).
Note: To remove the coupler, grip the rear adapter and unscrew the coupler counterclockwise from the camera head.
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2. Attach an endoscope to the coupler.
Before each use, check the outer surface of the endoscope to ensure there are no rough surfaces, sharp edges, or protrusions.
For 1688210105, 1688610122, and 1688710105:
Note: For a list of endoscopes that are compatible with SPY mode, see the user manual for the L11 LED Light Source.
1
2
• Depress the endobody clamp 1 and insert an endoscope into the endobody
2
.
• Release the endobody clamp to secure the endoscope.
For 1688310130:
3
2
3
• Lock the endobody brake 1 by rotating it clockwise (when facing the camera head buttons).
• Twist the endobody clamp 2 as shown, and hold it open.
• Insert the endoscope into the endobody clamp.
• Release the endobody clamp. It will return to the original
position and hold the endoscope.
• If the endoscope is not secured in a xed position, slightly rotate the endobody clamp in either direction until the lock engages with an audible click.
3. Attach a light cable from the light source to the light post on the endoscope 3 .
1
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Note: A scope adapter may be required to connect the cable to the endoscope. See the light cable user manual for more detail.
Note: Only the Stryker AIM SafeLight cable (0233-050-300) is compatible with SPY mode. SPY mode will not function if other cables are used. Refer to the AIM SafeLight cable user manual for complete cable instructions.
When connecting an AIM SafeLight cable to the endoscope, always connect the scope adapter to the endoscope before connecting the adapter to the cable. If SPY mode is on and the adapter is not connected to the scope, laser radiation will emit from the adapter that can cause severe eye injury to the patient or user.
Installing the Soaking Cap
Before reprocessing the camera head, the soaking cap must be installed to avoid damaging the cable connector.
Caution: Failure to properly tighten the soaking cap will corrode the
connector pins and void the warranty.
• To install the soaking cap, screw the cap onto the threads of the cable
connector until it forms a tight seal.
• To remove the soaking cap, unscrew the cap and pull it away from the
cable connector.
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SPY Mode Requirements
In SPY mode, the camera can visualize near-infrared light produced by the L11 LED Light Source (0220230300).
Before using SPY mode, be familiar with the Warnings: SPY Mode section of this user manual and all warnings and instructions in the light source user manual. Failure to follow all warnings can result in severe eye injury to the patient or user.
Note: For complete hardware and equipment requirements to use SPY mode, see the L11 LED Light Source user manual.
SPY mode will function properly on the 1688 Video Camera when the following conditions are met:
• A 1688 Camera Head is connected to the camera console (must be
model 1688210105, 1688610122, or 1688710105)
• The Laparoscopy or Standard surgical specialty is selected on the
camera console
• The camera console is connected to the L11 LED Light Source (using a
USB 3.0 A-to-B cable provided with the light source)
• The light source is connected to an AIM SafeLight cable (0233-050-
300)
• A SafeLight scope adapter is connected to the SafeLight cable (see the
cable user manual for compatible adapter part numbers)
• Light output is activated from the light source
• Neither the White Balance screen or the camera head button
conguration screen are present on the display monitor
Controls for SPY mode are accessible via the light source or the camera console touchscreen and camera head buttons. See the light source user manual or the Operation section of this user manual for more detail.
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Operation
Note: Before operating the device, ensure all system components have been
set up according to the instructions in the Setup section.
Powering the Console On/O
Before using the camera in a surgical procedure, test all system components to ensure proper function. Ensure that a video image appears on all display monitors before beginning any procedure.
1. Power on the display monitor.
2. Press the power switch on the console to power the console on or o.
Note: A color bar pattern will appear on the display monitor if the camera head is not connected to the camera console. If the color bar appears, refer to the Setting Up the Camera Head section to connect the camera head.
Performing the White Balance Test
Before each surgical procedure, perform the White Balance test to adjust the camera’s perception of white so it can display other colors correctly.
When a camera head is connected to the console and the console is powered on, the display monitor will automatically prompt the user to perform the White Balance test.1 Using the camera head buttons, follow the instructions on the display monitor to perform the test.
1
English must be selected as the language in the Advanced Settings.
The White Balance test can also be performed after the camera head is already connected by pressing the WB button on the Home screen of the console (or a camera head button if it has been programmed for White Balance).
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Follow the instructions below to perform the White Balance test:
1. Ensure that a scope, camera head, light source, and display monitor are connected to the camera system, and that the camera console, light source and display monitor are powered on.
2. Point the scope tip at several stacked white gauze pads, a white laparoscopic sponge, or any clean white surface.
3. Look at the display monitor and make sure there is no visible glare o of the white surface of the image.
4. Press the WB button on the Home screen (or press and quickly release a camera head button, if it has been programmed for White Balance) until “WHITE BALANCE IN PROGRESS” appears on the display monitor.
5. Continue pointing the scope at the white surface until “WHITE BALANCE COMPLETE” appears on the display monitor. The image may change color.
If you cannot achieve an acceptable White Balance, refer to the Troubleshooting section.
Note: The White Balance test is not available when SPY mode is on.
Controlling Remote Video Accessories
When connected with the provided remote cables, the camera can remotely control up to two functions of a video accessory such as a Stryker digital capture console. Commonly this enables the user to capture images or start and stop video recording.
Remote video accessories can be controlled with the camera head’s Camera button or the console touchscreen. See the following sections, Using the Touchscreen Interface and Using the Camera Head Buttons.
See the Setup section for instructions about connecting a video accessory to the console’s Remote outputs.
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Using the Touchscreen Interface
The touchscreen interface on the console provides access to menus and controls for adjusting or capturing the video image. The features are described below.
Navigation Bar
The Navigation Bar appears on the left side of each screen described in this Operation section. The currently selected screen is highlighted with a blue line in the Navigation Bar.
Home: Press the Home button to navigate to the Home screen.
AIM: Press the AIM button to navigate to the SPY screen.
Settings: Press the Settings button to navigate to the
Camera Settings screen.
Auto Light button
The Auto Light button appears in the bottom-right corner of each screen described in this Operation section. Press the button to toggle Auto Light on or o.
Note: To enable the Auto Light feature, the camera must be connected to the L11 LED Light Source and SPY mode must be o. Turning on SPY mode will disable the Auto Light feature.
On (blue button): Automatic adjustment of light settings on the light source to meet optimal light output.
O (black button): Auto Light feature is o
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Home Screen
The Home Screen is the default screen. It displays the current surgical specialty and it provides access to common camera functions.
2
1. Surgical Specialty: Use the arrows to scroll through surgical specialties that optimize camera performance for specic surgical procedures. Choose from:
• Arthroscopy
• Cystoscopy
• ENT/Skull
• Flexi-Scope
1
• Laparoscopy
• Laser
• Microscope
• Standard
• Hysteroscopy
1
When Flexi-Scope is selected, the following icon will appear in the top-left corner of the display monitor:
2. White Balance: Press and briey hold the WB button to activate the White Balance test. See the Performing the White Balance Test section for more detail.
A checkmark appears on the button after White Balance is completed
ü
successfully.
3. Picture: Press the camera button to capture a photo.
A single beep will sound to indicate that a signal for capture/record
ü
has been sent to the digital capture console.
4. Record: Press the record button to record a video. Press again to stop recording.
A double beep will sound to indicate that a signal for capture/record
ü
has been sent to the digital capture console.
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SPY Screen
SPY mode allows the camera to visualize near-infrared light produced by the L11 LED Light Source (0220230300). The SPY screen allows the user to adjust image settings within SPY mode.
Note: White Light must be activated on the L11 LED Light Source as a preliminary step to activate SPY mode.
See the SPY Mode Requirements section for required equipment and conditions to enable SPY mode.
2
Before using SPY mode, be familiar with the Warnings: SPY Mode section of this user manual and all warnings and instructions in the light source user manual. Failure to follow all warnings can result in severe eye injury to the patient or user.
1. SPY Mode selection: Press and briey hold the arrows to scroll through the following SPY modes. The icon shown next to each SPY mode appears in the top-left corner of the display monitor when the mode is active.
• Overlay: The console outputs a white light image with ICG uorescence indicated by the color green.
(red, green, and blue)
• Contrast: The console outputs an image with ICG uorescence indicated by the color white. All other
(all grey)
areas of the image appear dark.
• ENV: The console outputs a greyscale white light image with ICG uorescence indicated by the color
(all green)
green.
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2. Gain: Press the plus or minus button to increase or decrease the SPY Gain level, which aects the uorescing green appearance of the camera image. Range: 1-10.
3. Brightness: Press the plus or minus button to increase or decrease the brightness appearance of the white light image in SPY mode. Range: 1-8.
4. SPY Mode On/O: Press and briey hold the button to toggle SPY mode on or o.
Camera Settings Screen
The Camera Settings screen provides options for adjusting the camera picture.
2
1. Brightness: Press the plus or minus button to increase or decrease the brightness level. Range: 1-8.
2. Zoom: Press the plus or minus button to increase or decrease the level of magnication. Range: 1-7.1
Note: As the Zoom level changes, the camera will optimize the image by automatically adjusting the Enhancement level.
1
3. Enhancement: Press the plus or minus button to increase or decrease the enhancement level (the apparent sharpness of the image). Range: 1-8.
1
Information provided is for software version 3.0.7 and higher. In previous software versions, the Zoom range is 1–5 and the camera does not automatically adjust Enhancement. The software version appears on the boot up screen, or the user can check by following these steps:
1. On the console Home screen, hold down the Settings button for about 5 seconds until the Advanced Settings screen appears.
2. Press the System button.
3. Check the CCU version.
4. Click X in the top-right corner to return to the Home screen.
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Using the Camera Head Buttons
The camera head features a four-button keypad for controlling the device.
The default button functions are described below.
The camera head buttons can be customized dierently for each surgical specialty. See the Programming Camera Head Buttons section for more detail.
The button conguration for the selected surgical specialty will appear on the display monitor when the camera head is connected to the console. The button conguration will disappear once any camera head button is pressed.
Camera Button
The Camera button controls up to two functions of a remote video accessory. Commonly this enables the user to capture images or start and stop video recording. (See the Controlling Remote Video Accessories section for connection requirements.)
• Short press: Capture Photo. Press and quickly release the Camera button to select Remote 1. One beep will sound. When the camera is connected to a Stryker digital capture console, this will capture a photo.
• Long press: Start/Stop Video Recording. Press and briey hold the Camera button to select Remote 2. Two beeps will sound. When the camera is connected to a Stryker digital capture console, this will start or stop video recording.
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Menu Button
The Menu button opens a display monitor menu with options for device control1, or (depending on the selected surgical specialty) it cycles through zoom levels or toggles SPY mode on and o.
• Short press: Zoom Cycle (in all surgical specialties except Laparoscopy and Standard). Press and quickly release the Menu button to Increase the Zoom level. When the maximum Zoom level is reached, pressing the button again cycles to the minimum level.
• Short press: SPY Toggle (in Laparoscopy or Standard surgical specialty). Press and quickly release the Menu button to turn SPY mode on and o.
• Long press: Open Menu. Press and briey hold the Menu button to open a Menu on the display monitor with image settings and device control options.1 See the Display Monitor Menu section for detail.
1
English must be selected as the language in the Advanced Settings.
Up and Down Buttons
The up and down buttons change functionality depending on the conditions:
Conditions Functionality of Up/Down buttons
• Default
• Short press: Brightness Level. Press and quickly release the up and down buttons to increase or decrease the brightness level in eight steps.
• Long press: Lightsource Toggle. Press and briey hold the up button to toggle the light source between activating and decativating light output.
• Long press: Hub Function. Press and briey hold the down button to signal the device control console to perform an assignable command.
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Conditions Functionality of Up/Down buttons
• English selected as language
• Menu is open on the display monitor
• SPY mode is on
• Scroll list. Press the up and down buttons to scroll up and down the list on the display monitor.
• Short press: SPY Image Cycle. Press and quickly release the up button to activate the SPY Image Cycle function, which cycles through the SPY modes (Overlay, Contrast, and ENV). SPY mode must be turned on for Overlay, Contrast, or ENV mode to aect the video image.
• Long press: Brightness Cycle. Press and briey hold the up button to activate the Brightness Cycle function. Each press raises the brightness level in eight steps; pressing it again cycles the level back to the lowest setting.
• Short press: SPY Gain Cycle. Press and quickly release the down button to activate the SPY Gain Cycle function, which uses the camera processor to adjust the uorescing appearance of the camera image. Each press raises the SPY Gain level in eight steps; pressing it again cycles the level back to the lowest setting.
32
• Long press: No function. Pressing and briey holding the down button in SPY mode has no function.
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Using the Display Monitor Menu
Press and briey hold the Menu button to open a series of menus on the display monitor with image settings and device control options.1 The menus are described below.
1
English must be selected as the language in the Advanced Settings.
While the Menu feature is open, the camera head buttons will change function to navigate the menus and lists on the display monitor.
• The up and down buttons scroll up and down the list of options.
• The Menu button selects the highlighted option.
• The Camera button returns to the previous menu. At the top-level
menu, pressing the Camera button again exits the Menu feature.
Some menu options will not be available if the console is not connected to the L11 LED Light Source. The options that are not available appear in grey.
When the console is connected to the Devices input on the Connected OR Hub, more options for device control will appear in the menus. Refer to the Connected OR Hub user manual for information about the additional options.
Top-Level Menu Description
IMAGING MODES Navigate to Imaging Modes menu
CAMERA SETTINGS Navigate to Camera Settings menu
WHITE BALANCE Start White Balance test
Imaging Modes
Description
Menu
SPY Navigate to SPY menu
AUTOLIGHT Navigate to Auto Light menu
IRIS Navigate to IRIS menu
Camera Settings
Description
Menu
LIGHT SOURCE Navigate to Light Source menu
ZOOM IN Increase zoom level
ZOOM OUT Decrease zoom level
SHUTTER AUTO Sets the shutter to automatically adjust to the
desired brightness without overexposing the image
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SHUTTER MANUAL Turns o automatic shutter (overall, image is more
overexposed)
BRIGHTER Increase brightness level
DARKER Decrease brightness level
SPY Menu Description
ON Turn on SPY mode, which allows the camera to
visualize near-infrared light
OFF Turn o SPY mode
MODE Navigate to SPY Mode menu
GAIN UP Increase SPY Gain level, which uses the camera
processor to adjust the uorescing appearance of the camera image
GAIN DOWN Decrease SPY Gain level, which uses the camera
processor to adjust the uorescing appearance of the camera image
BACKLIGHT UP Increase Backlight level, which aects the brightness
of surrounding anatomy in the camera image that is not displayed as uorescing green (available only when used with the L10 LED Light Source)
BACKLIGHT DOWN Decrease Backlight level, which aects the
brightness of surrounding anatomy in the camera image that is not displayed as uorescing green (available only when used with the L10 LED Light Source)
Auto Light Menu Description
ON Turn on the Auto Light feature, which automatically
adjusts light settings on the light source to meet optimal light output.
OFF Turn o the Auto Light feature
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IRIS Menu Description
ON Turn on Infrared Illumination System (IRIS) mode
on the light source, which enables use of the IRIS Ureteral Kit when connected to a compatible light source
OFF Turn o IRIS mode
CONTINUOUS Set the IRIS light output to continuous (the laser
energy is continuous)
PULSATING Set the IRIS light output to pulsating (the laser
energy pulses in a repeating pattern of 0.5 second on/0.5 second o (1 pulse cycle/second)
SPY Mode Menu Description
OVERLAY Change the SPY mode to Overlay (the console
outputs a white light image with ICG uorescence indicated by the color green)
CONTRAST Change the SPY mode to Contrast (the console
outputs an image with ICG uorescence indicated by the color white; all other areas of the image appear dark)
ENV Change the SPY mode to ENV (the console outputs
a greyscale white light image with ICG uorescence indicated by the color green)
Light Source Menu Description
ACTIVATE Turn on white light from the light source
STANDBY Deactivate light output from the light source
LIGHT UP Increase the white light brightness on the light
source
LIGHT DOWN Decrease the white light brightness on the light
source
AUTOLIGHT ON Turn on the Auto Light feature, which automatically
adjusts light settings on the light source to meet optimal light output.
AUTOLIGHT OFF Turn o the Auto Light feature
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Programming Camera Head Buttons
The camera head buttons can be customized dierently for each surgical specialty. Contact a Stryker representative for assistance with button
programming.
The button conguration for the selected surgical speciality will appear on the display monitor when the camera head is connected to the console. The button conguration will disappear once the Camera button is pressed.
Note: The default up and down camera head button functions when SPY mode is on cannot be recongured.
The following functions can be programmed to the buttons:
Function Name Function Description
AUTO LIGHT TOGGLE Toggle the Auto Light function on/o
BACKLIGHT UP Increase Backlight level, which aects the brightness
of surrounding anatomy in the camera image that is not displayed as uorescing green
BACKLIGHT DOWN Decrease Backlight level
BACKLIGHT CYCLE Increase Backlight level until maximum level, then
cycle back to minimum level
BRIGHTNESS UP Increase brightness level
BRIGHTNESS DOWN Decrease brightness level
BRIGHTNESS CYCLE Increase brightness until maximum level, then cycle
back to minimum level
ENHANCE UP Increase enhance level, which sharpens the camera
image
ENHANCE DOWN Decrease enhance level
ENHANCE CYCLE Increase enhance until maximum level, then cycle
back to minimum level
HUB FUNCTION Signal the device control console to perform an
assignable command
LIGHT SOURCE TOGGLE
MENU OPEN Open the menu with device control options
NO FUNCTION No function
PICTURE Activate picture function on digital capture console
Toggle the light source between activating and deactivating light output
(activate Remote1 cable)
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Function Name Function Description
RECORD Activate record function on digital capture console
(activate Remote2 cable)
SPY GAIN UP Increase SPY Gain level, which uses the camera
processor to adjust the uorescing appearance of the camera image
SPY GAIN DOWN Decrease SPY Gain level
SPY GAIN CYCLE Increase SPY Gain until maximum level, then cycle
back to minimum level
SPY IMAGE CYCLE Cycle through the SPY modes (Overlay, Contrast,
and ENV). SPY mode must be turned on for Overlay, Contrast, or ENV mode to aect the video image.
SPY TOGGLE Toggle SPY mode on/o
WHITE BALANCE Start White Balance test
ZOOM IN Increase zoom level
ZOOM OUT Decrease zoom level
ZOOM CYCLE Increase zoom until maximum level, then cycle back
to minimum level
Advanced Features
The 1688 Video Camera has additional features that are not detailed in this manual:
• Button programming
• Video image settings
• Language settings
• Light source Run/Standby controls
• Other system settings
These advanced features require in-depth knowledge of the device and should be performed only by trained personnel. For access to advanced features, contact a Stryker representative.
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Troubleshooting
Problem Possible Solution
E-01 error code (“Video Error”)
E-02 error code (“Console Overheating” warning)
E-03 error code (“Software Mismatch”)
E-04 error code (“Error Occurred”)
E-04 error code (“Warning Occurred”)
E-05 error code (“Unauthorized Component” warning)
Touchscreen freezes • Turn o the console, wait 3 seconds, and turn
• Turn o the console, wait 3 seconds, and turn it back on.
• Contact Stryker if the problem persists.
• Ensure console is in a ventilated area.
• Turn o the console, wait 3 seconds, and turn
it back on.
• Contact Stryker if the problem persists.
• Turn o the console, wait 3 seconds, and turn
it back on.
• Return the device to Stryker for service if the problem persists.
• Turn o the console, wait 3 seconds, and turn it back on.
• Contact Stryker if the problem persists.
• Turn o the console, wait 3 seconds, and turn
it back on.
• Contact Stryker if the problem persists.
• Return the camera head to Stryker for
service.
Warning: This error indicates an unauthorized component is detected within the camera head (including its cable), which voids the warranty. The functional performance and quality of the device may be impacted.
it back on.
“Restart Camera Console” message (Color bar background)
38
• Turn o the console, wait 3 seconds, and turn it back on.
• After sterilization, ensure the camera head has cooled down before connecting it to the console.
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Problem Possible Solution
“System Error” message (Light blue background)
No color bar • Ensure the video-out from the console is
Incorrect picture color • Perform the White Balance test. (See the
White Balance quality is not good
“White Balance Fail” message on display monitor
Picture is too dark • Increase the camera Brightness level.
• No video detected.
• After sterilization, ensure the camera head
has cooled down before connecting it to the console.
• Return the system for repair.
connected to the video-in on the display monitor.
• Ensure all video systems are powered on.
• Ensure that the camera head is not
connected to the console.
• Turn o the console, wait 3 seconds, and turn it back on.
Performing the White Balance Test section.)
• Check the color settings on the display monitor.
• See the solution for Picture is too dark.
• See the solution for Picture is too bright.
• Perform the White Balance test with the light
source connected to the scope. Use metal­halide, xenon, or LED lighting (no uorescent lighting).
• Using the camera head, click the Start button on the display monitor to repeat the White Balance test. Ensure there is sucient light and the camera head is pointing at something white.
• Using the camera head, click the Skip button to accept the current White Balance settings.
• Increase the light source output.
• Check the beroptic light cable for excessive
broken bers.
Picture is too bright • Decrease the camera Brightness level.
• Decrease the light source output.
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Problem Possible Solution
Noise or snow on picture when using electrocautery probes
Noise or snow on picture when not using electrocautery probes
No video picture when the camera head is plugged in
Image is not well centered
Variability in color reproduction between dierent light sources or peripherals
Foggy picture (loss of denition and clarity)
• Plug the electrocautery generator into a separate electrical outlet and separate the camera console power cord from the electrocautery power cord.
• Separate the camera cable from the electrocautery cable.
• Reposition the electrocautery grounding pad on the patient.
• Conrm all cable connectors are securely attached.
• Check for and replace faulty video cables.
• Check to ensure that all devices in the video
system are plugged in and powered on.
• Check the connector on the camera-head cable for broken pins.
• Detach the camera head from the console and reconnect.
• Turn o the console, wait 3 seconds, and turn it back on.
• Release the scope from the coupler and then reconnect it. Make sure the scope is seated correctly in the coupler.
• Perform the White Balance test. (See the Performing the White Balance Test section.)
• Check the settings on video peripherals.
• Ensure the light source has a proper
infrared lter (check with manufacturer specications).
• Refocus the coupler.
• Disassemble the scope, coupler, and camera
head, and clean and dry all windows on the components.
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Problem Possible Solution
Optics are dirty • Rotate the scope. If dust particles in the
picture rotate, the dust is located on the scope itself. Follow the manufacturer’s instructions for cleaning the eyepiece and negative lens.
• If particles in the picture do not move when you rotate the scope, the particles are located on the coupler or camera. Remove the scope and clean the window on the front of the coupler with a dry or alcohol-tipped cotton swab.
• Disassemble the scope, coupler, and camera head, and clean and dry all windows on the components.
• Ensure all components are completely dry before reassembling them, or fogging may result.
Blurry picture • Ensure the coupler or C-mount scope is in
focus.
• On the Home screen, ensure the surgical specialty is not set to FLEXI-SCOPE unless you are using a exible scope.
• Disassemble the scope, coupler, and camera head, and clean and dry all windows on the components.
SIDNE device does not recognize camera head
SPY mode won’t turn on• Conrm the requirements in the SPY Mode
Visual artifacts observed when Auto Light is on
• Contact your Stryker representative for compatibility settings.
Requirements section have been met.
• Turn o Auto Light from the camera, and manually reduce the brightness from the light source.
Note: If this Troubleshooting section does not resolve the problem, call Stryker Technical Support at 1-877-478-7953 (inside the U.S.) or refer to the warranty.
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Reprocessing
The camera console is not intended to come into contact with the patient. It may be cleaned, but not sterilized. Follow the instructions below.
Camera heads 1688210105, 1688310130, 1688610122, and 1688710105 are used in the sterile eld and shall be cleaned and sterilized prior to every use. Follow the instructions below.
The 1688 4K Microscope Camera Head (1688210080) must not be sterilized or immersed in water. It may be used in the sterile eld only with proper sterile technique. See user manual P45082 for complete instructions.
The coupler is used in the sterile eld and shall be cleaned and sterilized prior to every use. For 4K Coupler (1688-020-122) reprocessing instructions, see user manual P40880.
Cleaning and Disinfecting the Console
Follow the warnings, cautions, and instructions below to clean and disinfect the console. The user shall provide the germicidal disposable wipes (or germidical spray and sterile cloth).
To avoid electric shock and potentially fatal injury, disconnect the console from the AC power source before cleaning.
Observe the following cautions to avoid damaging the console:
• Do not sterilize the console.
• Do not immerse the console in any liquid.
• Do not allow liquid to drip onto the console or collect on
any of its surfaces. Use extra care to prevent liquid from dripping or pooling on the bottom of the LCD screen.
• Do not spray cleaning liquid directly onto the console, power buttons, or connectors. Spray the cleaning liquid onto a cloth, and use the cloth to wipe the console. Do not saturate the cloth.
• Do not clean the console with abrasive products or corrosive cleaning solutions.
1. Clean and disinfect the console using a germicidal disposable wipe1 (or equivalent combination or germicidal spray and sterile cloth) according to the manufacturer’s instructions.
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2. Visually inspect the external surface of the device for cleanliness, focusing on hard-to-reach areas. If visible soil remains, repeat cleaning and disinfection until all visible soil is removed.
1
Cleaning and disinfection were validated using PDI® Super Sani-Cloth® Germicidal Disposable Wipes.
Cleaning, Disinfecting, and Sterilizing the Camera Head
These reprocessing instructions are provided in accordance with ISO17664, ISO15883, AAMITIR12, and AAMITIR30. The instructions have been validated by Stryker as being capable of preparing the device for re-use. To achieve the desired result, the processor shall ensure that the following instructions are performed as written in their entirety and as appropriate in the processor’s facility. This normally requires routine monitoring and validation of the facility’s reprocessing procedures. Stryker recommends users observe these standards when reprocessing medical devices.
Overview
Reprocessing the device involves manual or automated cleaning with either an enzymatic or a non-enzymatic detergent, optional disinfection, and sterilization.
• Step 1 (required): Cleaning with Enzymatic or Non-Enzymatic Detergent
• Step 2 (optional): Disinfection
• Step 3 (required): Sterilization
Warnings
• This device must be cleaned and sterilized prior to the rst use and after every subsequent use.
• Separate the camera head, coupler (when used with 1688210105 and 1688710105 only), and endoscope prior to cleaning, disinfection, or sterilization. Failure to follow this instruction will render the devices non-sterile. (Refer to the coupler and endoscope product manuals for reprocessing instructions for those devices.)
• Wear appropriate protective equipment: gloves, eye protection, etc.
• To avoid health risks from aerosol contamination, brush the device only
when it is submerged in liquid.
• Use only the sterilization cycles outlined in this document. Using unspecied sterilization cycles may damage the device or result in incomplete sterilization.
• The sterilization parameters presented in this document apply only when the device is sterilized outside of a sterilization tray. When using a
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sterilization tray, consult the instructions provided with the tray for proper sterilization parameters. Stryker recommends sterilizing the device inside of a sterilization tray.
• Sterilize only one camera head per tray, or incomplete sterilization may result. Follow any instructions provided with the sterilization tray or system regarding tray setup and other devices that may be sterilized within the same tray.
• Devices repaired by or purchased from third-party service organizations could expose patients to signicant risk. These devices are no longer validated by Stryker for cleanliness, disinfection, and sterilization, or for safety and ecacy.
• The user shall defer to the facility’s procedures regarding occupational exposure to bloodborne pathogens.
Cautions
• Always install the soaking cap prior to processing the camera. Failure to properly tighten the soaking cap will corrode the connector pins and void the warranty. Refer to the Installing the Soaking Cap section for more detail about installing the cap.
• Inspect the camera cable for cuts and breaks before soaking in any uid. Return any damaged camera to Stryker for service.
• Never store the camera in the same tray with sharp instruments. Do not soak the camera while it is inside a tray.
• Do not use brushes or pads with metal or abrasive tips during manual cleaning, as permanent scoring or damage could result.
• To minimize galvanic corrosion, avoid soaking dissimilar metals in close proximity.
• The device cannot withstand an automated disinfection method.
• The 1688 camera heads are not autoclavable. Steam sterilizing camera
heads that are not marked AUTOCLAVE will result in product damage.
• Allow the camera head to cool before connecting it to the console. Connecting the camera head while it is hot may result in system error.
Limitations on Reprocessing
• Do not cross-sterilize the device. Using multiple sterilization methods may signicantly reduce the performance of the device.
• Repeated automated cleaning can degrade the product’s cosmetic appearance.
• Damage caused by improper processing is not covered by the warranty.
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Materials and Equipment
All materials and equipment required to reprocess the camera head shall be supplied by the user unless otherwise noted.
Item Description
All phases
Gloves, eye protection, etc.
Cleaning
Wash basin Large enough to accommodate camera head without
Lukewarm water To prepare cleaning solutions
Detergent
Soft-bristle brush
Reverse osmosis/ deionized water
1
2
3
Clean cloth or ltered pressurized air (≤40 psi)
Automated washer For using the automated cleaning procedure
Disinfection
Wash basin Large enough to accommodate camera head without
Disinfecting solution
Water To prepare disinfecting solution
Reverse osmosis/ deionized water
3
Clean cloth or ltered pressurized air (≤40 psi)
Sterilization
Sterilization system · Sterrad® 100S, NX®, 100NX®, NX AllClear®, or 100NX
Sterilization wrap
Sterilization tray
5,6
6,7
Wear protective equipment as required by the medical facility and procedure.
excessive bending of cable
Used in cleaning solution to remove surgical debris
To clean exterior of device or hard-to-reach areas of device
To rinse device
To assist with drying
excessive bending of cable
4
≥ 2.4% glutaraldehyde
To rinse the device
To assist with drying
AllClear
· Steris/Amsco® V-PRO® 1, V-PRO 1 Plus, V-PRO maX, V-PRO maX 2, or V-PRO 60
To maintain sterile barrier
Optional. Must be compatible with sterilization method.
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1
The following detergents were validated for cleaning ecacy according to the manufacturer’s instructions. Choose one of the
detergents listed below or a substantially equivalent detergent:
Detergent Type Minimum Concentration Minimum Soak
ENZOL® Enzymatic Detergent Enzymatic 1 oz/gallon 1 minute
Prolystica® 2x Neutral Detergent Non- enzymatic 1/8 oz/gallon (1 ml/L) 5 minutes
Neodisher® MediClean Forte Enzymatic 5/8 oz/gallon (5 ml/L) 5 minutes
2
Cleaning was validated with an M16 soft-bristle brush.
3
Rinsing the device during cleaning and disinfection was validated using reverse osmosis/deionized (RO/DI) water at ≤30°C.
4
Disinfection was validated using CIDEX® Activated at 25 °C with a soaking time of 45 minutes.
5
Sterilization was validated using Halyard Kimguard ONE-STEP sterilization wrap.
6
For United States users: when sterilizing the device, use only sterilization wraps and sterilization trays that have been cleared by
the FDA to use with the selected sterilization cycle.
7
Stryker sterilization trays 0233-032-301, 0233-032-302, 0233-032-105, 0233-032-107, and 0233-410-002 are validated as compatible with camera heads 1688210105, 1688610122, and 1688710105. The same sterilization trays except for 0233-032-107 are validated as compatible with camera head 1688310130.
Time
Instructions for Reprocessing
Point of Use
• Disassemble the camera head from the coupler (1688210105 and
1688710105 only) and from the endoscope. To disconnect the coupler, grip the rear adapter of the coupler and unscrew it counterclockwise from the camera head. To disconnect the endoscope, depress the endobody clamp on the coupler—or for 1688310130, twist the clamp clockwise when the buttons are facing you—and remove the endoscope from the coupler.
• Wipe any excess soil from the device.
Containment and Transportation
• Reprocess the device as soon as possible following use.
• Transport the device in a tray to avoid damage. Follow the facility’s internal
procedures for the transportation of contaminated surgical instruments and devices.
Cleaning
1
Follow the Preparation for Cleaning instructions below.
2
Then clean the device using either the Manual Cleaning or Automated
Cleaning instructions below.
Note: For necessary materials and equipment, see the Materials and Equipment table.
Preparation for Cleaning
1. Fill a wash basin with lukewarm water.
2. Measure and dispense the desired amount of detergent into the water.
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Note: See the Materials and Equipment table for validated detergents with their minimum concentration.
3. Gently mix the detergent into the water by hand.
4. Submerge the device into the prepared wash basin.
5. With the device immersed in the solution, thoroughly brush the exterior
with a soft-bristled brush, focusing on any mated or rough surfaces.
6. Actuate and brush any movable parts in all extreme positions.
7. Rinse each device with water until all detergent residue is removed.
8. Once all detergent residue is removed, continue to rinse for 30 seconds.
9. Drain excess water from the device and dry it using a clean cloth or
pressurized air.
10. Visually inspect each device for cleanliness, paying close attention to
hard-to-reach areas. If visible soil remains, repeat steps 1– 10.
Manual Cleaning
1. Prepare a fresh solution of detergent with lukewarm water.
Note: See the Materials and Equipment table for validated detergents with their minimum concentration and soak time.
2. Wipe the entire surface of the device using a soft clean cloth dipped in
the detergent solution.
3. Immerse the device in the detergent solution, ensuring the solution
contacts all inner and outer surfaces.
4. Soak the device in the solution according to the manufacturer’s
recommendations.
5. With the device immersed in the solution, thoroughly brush the exterior
with a soft-bristle brush, focusing on any mated or rough surfaces.
6. Actuate and brush any movable parts in all extreme positions.
7. Rinse each device with water until all detergent residue is removed.
8. Once all detergent residue is removed, continue to rinse for 30 seconds.
9. Drain excess water from the device and dry it using a clean cloth or
pressurized air.
10. Visually inspect each device for cleanliness, paying close attention to
hard-to-reach areas. If visible soil remains, repeat steps 1– 10.
Automated Cleaning
The device cannot withstand an automated disinfection method. When programming the washer, do not include a thermal rinse cycle or the device will be damaged.
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1. Place the device in the automated washer on an incline to facilitate
drainage.
2. Program the washer using the following parameters:
Phase Recirculation
Time
Pre-Wash 2 minutes Cold Water N/A
Wash 1 5 minutes Set Point 60 °C
Rinse 1 2 minutes Hot Water N/A
Dry Phase 2 minutes 115 °C (239 °F) N/A
3. Drain excess water from the device and dry it using a clean cloth or
pressurized air.
4. Visually inspect each device for cleanliness, paying close attention to
hard-to-reach areas. If visible soil remains, repeat steps 1– 4.
High-Level Disinfection (Optional)
The device must be sterilized after disinfection. Failure to sterilize the device before reuse presents an acute infection control risk to the patient.
Note: For necessary materials and equipment, see the Materials and Equipment table.
Temperature Detergent Type
See Materials
(140 °F)
and Equipment table
The device can be disinfected using a disinfecting solution that has the following active ingredient: ≥ 2.4% glutaraldehyde.
1. Clean and prepare the device as recommended in this user manual.
Ensure the soaking cap is installed.
2. Prepare the disinfecting solution and verify the minimum eective
concentration according to the manufacturer instructions.
3. Immerse the device in the solution, lling all mated surfaces and crevices.
Ensure air bubbles are removed from the surface of the device.
4. Allow the device to remain in contact with the disinfecting solution
according to the manufacturer’s recommended soak time.
5. Thoroughly rinse and ush the device with running, reverse osmosis/
deionized water to remove the disinfectant.
6. Dry the device with a sterile, lint-free cloth immediately after rinsing.
Filtered pressurized air may be used to assist in drying.
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Sterilization
After performing the cleaning instructions specied above, perform one of the following sterilization cycles. Note: For necessary materials and equipment, see the Materials and Equipment table.
Sterrad
1. Clean and prepare the device as recommended in this user manual.
Ensure the soaking cap is installed.
2. If using a sterilization tray (optional), follow any additional instructions
provided with the tray. Use only trays that are compatible with Sterrad.
3. Double wrap the device (or tray) prior to sterilization.
4. Sterilize the device using one of the following Sterrad sterilization
systems:
• 100S (Short or Long1 cycle)
• NX (Standard or Advanced cycle)
• 100NX (Standard or DUO cycle)
• NX AllClear (Standard or Advanced cycle)
• 100NX AllClear (Standard or DUO cycle)
1
Sterrad 100S Long cycle is intended for use outside the U.S. only.
5. Allow the device to cool to room temperature before reconnecting it to
the camera system. Otherwise, the lens can fog during use or the console can produce a system error.
Steris/Amsco V-PRO
1. Clean and prepare the device as recommended in this user manual.
Ensure the soaking cap is installed.
2. If using a sterilization tray (optional), follow any additional instructions
provided with the tray. Use only trays that are approved for sterilization with V-PRO.
3. Double wrap the device (or tray) prior to sterilization.
4. Sterilize the device using one of the following V-PRO sterilization systems:
• V-PRO 1 (Standard cycle)
• V-PRO 1 Plus (Non-Lumen or Lumen cycle)
• V-PRO 60 (Non-Lumen, Lumen, or Flexible cycle)
• V-PRO maX (Non-Lumen, Lumen, or Flexible cycle)
• V-PRO maX 2 (Non-Lumen, Lumen, Flexible, or Fast Non-Lumen1 cycle)
1
Warning: When using the Fast Non-Lumen cycle, follow the instructions provided with the V-PRO maX 2 system regarding use of rigid containers or sterilization wrap. The cycle is intended to be used with sterilization pouches. Also observe the Fast Non-Lumen cycle weight limit of up to 11 pounds (4.99 kg) of instruments.
5. Allow the device to cool to room temperature before reconnecting it to the camera system. Otherwise, the lens can fog during use or the console can produce a system error.
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Maintenance
Follow the instructions in this section for proper care of the device.
Note: Repairs and equipment modications shall be performed only by Stryker-authorized personnel. Stryker Endoscopy assumes no product liability or warranty responsibility for devices repaired by or purchased from third­party service organizations.
Inspecting the Console
Inspect the console regularly for cleanliness. If the console appears dirty, repeat the above cleaning and disinfection procedure.
Regularly inspect the lock ring on the front of the console (located at the camera connection port). Conrm the lock ring is not loose; tighten if necessary by manually turning the lock ring clockwise.
Inspect the console before each use. If a problem listed below is observed or suspected, contact your Stryker representative or return the device to Stryker for service.
• If the console is unresponsive to touchscreen button presses or cannot
power on
• Visible cuts or breaks in any cables
• Unacceptable deterioration such as (but not limited to) corrosion,
discoloration, pitting, cracked seals, or abnormal noises
Inspecting the Camera Head
Inspect all components of the camera head for cleanliness before each use. If uid or tissue buildup is present, repeat the above cleaning and sterilization procedures.
Inspect the camera head before each use. If a problem listed below is observed or suspected, contact your Stryker representative or return the device to Stryker for service
• If the image output performance of the camera is unacceptable. (For
camera heads 1688210105 and 1688710105, use a coupler that has been inspected per the coupler user guide.) The camera head shall be able to provide an image that is clear and focusable with adequate response to lighting of various scenes.
• If the console is unresponsive to pressing camera head buttons
• Visible cuts or breaks in the camera head cable or keypad area
• Unacceptable deterioration such as corrosion, pitting, cracked seals, or
abnormal noises
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Using Sterile Drapes
Using sterile drapes will ensure maximum longevity of the camera. For best results, follow the instructions provided by the drape manufacturer.
Storage
Store the device in a dry, clean, and dust-free environment at room temperatures.
Replacing the Fuses
To avoid the risk of re, use only fuses of the value specied on the fuse label located on the rear panel of the device.
1. Unplug the power cord from the wall outlet and remove the cord from the device.
2. Unlatch the fuse holder above the AC inlet and remove it. (You may need to press the tab on the fuse holder with a slender screwdriver to release the latch.)
3. Replace the fuse with the same value and rating.
4. Reinstall the fuse holder until the tab snaps in place.
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Periodic Maintenance Schedule
To ensure safe operation of the device, you should periodically perform the following procedure:
Every 12 months, check the earth leakage current to <500 µA (<300 µA in USA), ground protective earth impedance to <0.1 ohms, and power consumption less than or equal to rated power. Use a true RMS digital multimeter and safety analyzer to perform this test.
Note: Refer calibration and operating diculties not detailed in this manual to your Stryker representative.
Service Life
The 1688 camera console has an expected service life of 4 years.
The 1688 camera heads have an expected service life of 2 years.
Expected service life is determined by the number of times the device can be expected to be reused and/or reprocessed before it may require repair. In addition, the device’s service life is largely determined by wear, reprocessing methods, and any damage resulting from use. To extend the time between device servicing, always follow the care and handling instructions in this user manual.
Before each use, test the device functionality and inspect it for any sign of damage per the Inspection section. If the device does not properly function or appears to be damaged, return it to Stryker for evaluation and/or repair. Repair through Stryker, the equipment manufacturer, brings the device back to manufacturer specications. Clean and (when applicable) sterilize all potentially contaminated devices before returning them to Stryker.
Disposal
This product contains electrical waste or electronic equipment. It must not be disposed of as unsorted municipal waste and must be collected separately in accordance with applicable national or institutional related policies relating to obsolete electronic equipment.
Dispose of the product according to local laws and hospital practices. Refer to the recycling diagram(s) to identify components that must be recycled.
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Recycling Diagrams
Console
1
2
3
5
4
6
89
Item Material Qty. Comments
1 AC Power Cord 1 Cable length abbreviated in diagram
2 HDMI Cable 1 Cable length abbreviated in diagram
3 Remote Cable 2 Cable length abbreviated in diagram
4 PC Board 2 Behind front panel (not shown in
diagram)
5 PC Board 1
6 Power Supply 1
7 PC Board 1
8 PC Board 1
9 PC Board 1
7
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Camera Head
Camera head model 1688210105 is shown below to represent features that are common to each camera head.
1
Item Material Qty. Comments
1 Cable 1
Note: In accordance with the European REACH Regulation and other environmental regulatory requirements, lead metal is present in a concentration above 0.1% weight by weight (w/w) in some components of the cable assembly for the 1688 Camera Heads. This declaration is made in good faith and is based upon supplier data.
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Technical Specications
Imaging System 1/2.8 Progressive Scan CMOS
Ultra High Denition
Scanning System Horizontal: 135.00 kHz
Vertical: 60.00 Hz
Video Outputs Two HDMI 2.0 outputs
Formats: 1080p (HDTV), 4K UHD (3840 x 2160)
Mounting Endoscope eyepiece used with C-mount coupler
C-mount camera head used with C-mount scopes
(C-mount coupler/scope thread: 1-32 UN 2A)
Auto Shutter Range 1/60 – 1/22,478 second
Operating Conditions Temperature: 10–30 °C
Relative Humidity: 25–75%
Atmospheric pressure: 700–1060 hPA
Transport and Storage Conditions
Input Electrical Ratings
Device Weight 12.0 lb (5.44 kg) Camera Console
Dimensions Camera Console: 13.0 w × 4.458 h × 16.627 d
Classication Class I Medical Electrical Equipment
Temperature: -18–60 °C
Relative Humidity: 15–90%
100–240V~ 50/60Hz 1.2A
1.0 lb (0.5 kg) Camera Head (approximate weight)
(33.02 cm w × 11.32 cm h × 42.23 cm d)
Camera Head Cable: 10 ft (3.05 m) sealed cable
Continuous Operation
Type BF Applied Part
Ingress Protection, IPX7—Protected against the eects of temporary immersion in water (1688210105, 1688310130, 1688610122, and
1688710105)
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Electromagnetic Compatibility
All electrical medical equipment requires special precautions to ensure electromagnetic compatibility with other electrical medical devices. To ensure electromagnetic compatibility (EMC), the device must be installed and operated according to the EMC information provided in this manual.
Note:
• The device has been designed and tested to comply with IEC60601-1-2
requirements for EMC with other devices.
• This equipment is for use in a professional healthcare environment. It
is not for use in the radio frequency (RF) shielded room of a medical electrical system for magnetic resonance imaging, where the intensity of electromagnetic disturbances is high.
• The device is not likely susceptible to interference from high-frequency
(HF) surgical instruments in the Special Environment of being in close proximity to an active HF surgical instrument. In the case that HF surgical interference is observed, adjust the separation distance of the equipment.
• Do not use cables or accessories other than those provided with the device, as this may result in increased electromagnetic emissions or decreased immunity to such emissions.
• If the device is used adjacent to or stacked with other equipment, observe and verify normal operation of the device in the conguration which it will be used prior to a surgical procedure.
• Equipment which employs radio frequency (RF) communications may aect the normal function of the device.
Guidance and Manufacturer’s Declaration: Electromagnetic Emissions
The device is intended for use in the electromagnetic environment specied below. The customer or user of the device should ensure that it is used in such an environment.
Emissions test Compliance Electromagnetic Environment - guidance
RF emissions CISPR 11 Class B The device is suitable for use in all
Harmonic emissions
IEC61000-3-2
Voltage Fluctuations/ icker emissions IEC61000-3-3
Class A
Complies
establishments other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes, provided the following warning is heeded:
Warning: This system is intended for use by health care professionals only. This system may cause radio interference or may disrupt the operation of nearby equipment. It may be necessary to take mitigation measures, such as reorienting or relocating the system or shielding the location.
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Guidance and Manufacturer’s Declaration: Electromagnetic Emissions
RF emissions CISPR 11 Group 1 The device uses RF energy only for its internal
Guidance and Manufacturer’s Declaration: Electromagnetic Immunity
The device is intended for use in the electromagnetic environment specied below. The customer or user of the device should ensure that it is used in such an environment.
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic
Electrostatic Discharge (ESD)
IEC61000-4-2
Electrical fast transient/
burst
IEC61000-4-4
Surge
IEC61000-4-5
Voltage dips, short
interruptions and voltage variations on
power supply input lines
IEC61000-4-11
Power frequency (50/60Hz) magnetic eld
IEC 61000-4-8
NOTE: Ut is the AC mains voltage prior to application of the test level.
±8kV contact
±15kV air
±2kV for power supply
lines
±1kV for input/output
lines
(if applicable)
±1kV differential mode
±2kV common mode
0% Ut; 0.5 cycle
0% Ut; 1 cycle
70% Ut; 25 cycles
0% Ut: 5 seconds
30 A/m 30 A/m Power-frequency
function; therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
Environment: Guidance
±8kV contact
±15kV air
±2kV line to ground
±1kV for input/output
lines
(if applicable)
±1kV differential mode
±2kV common mode
Floors should be wood, concrete, or ceramic tile. If oors are covered with synthetic material, the relative humidity should be at least 30%.
Mains power quality should be that of a typical commercial or hospital environment.
Mains power quality should be that of a typical commercial or hospital environment.
Mains power quality should be that of a typical commercial or hospital environment.
If the user of the
device requires
continued operation
during power mains interruptions, it is
recommended that the
device be powered from an uninterruptible power supply or a battery.
magnetic elds should be at levels
characteristic of a
typical location in a typical commercial or hospital environment.
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Guidance and Manufacturer’s Declaration: Electromagnetic Immunity
The device is intended for use in the electromagnetic environment specied below. The customer or user of the device should ensure that it is used in such an environment.
Immunity Test IEC 60601 Test Level Compliance
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
6 Vrms
150 kHz to 80 MHz
3 V/m
80MHz to 2.7 GHz
Level
6 Vrms Portable and mobile RF
3 V/m
Electromagnetic Environment: Guidance
communications equipment should be used no closer to any part of the device, including its cables, than the recommended
separation distance calculated
from the equation applicable to the frequency of the transmitter.
Recommended Separation Distance
d = 2√P
80 MHz to 2.7 GHz
where P is the maximum output power rating of the transmitter in watts (W) according to the
transmitter manufacturer and d is the recommended separation
distance in meters (m).
Field strengths from xed RF transmitters, as determined by an electromagnetic site
(a)
survey
the compliance level in each
frequency range may occur in the vicinity of equipment marked with the following:
, should be less than
(b)
. Interference
Guidance and Manufacturer’s Declaration: Electromagnetic Immunity
The device is intended for use in the electromagnetic environment specied below. The customer or user of the device should ensure that it is used in such an environment.
(a) Field strengths from xed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast, cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to xed RF transmitters, an electromagnetic site survey should be considered. If the measured eld strength in the location in which the device is used exceeds the applicable RF compliance level above, the device should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the device.
(b) Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 3 V/m.
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Tested Specications for Immunity to RF Wireless Communications Equipment
Test
frequency
(MHz)
385
450
710
745
780
810
870
930
1720
1845
1970
2450
5240
5500
5785
Note: Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of this device, including cables specied by the manufacturer, otherwise the device performance could degrade.
Band (MHz)
380–390
430–470
704–787
800–960
1700–1990
2400–2570
5100–5800
Service Modulation Maximum
TETRA 400 Pulse
GMRS 460, FRS 460
LTE Band
13, 17
GSM
800/900, TETRA 800, iDEN 820, CDMA 850,
LTE Band 5
GSM 1800;
CDMA 1900; GSM 1900;
DECT; LTE
Band 1, 3, 4, 25; UMTS
Bluetooth, WLAN,
802.11 b/g/n, RFID 2450,
LTE Band 7
WLAN 802.11
a/n
modulation 18 Hz
FM
± 5 kHz
deviation
1 kHz sine
Pulse modulation
217 Hz
Pulse modulation 18 Hz
Pulse modulation
217 Hz
Pulse modulation
217 Hz
Pulse modulation
217 Hz
Power
(W)
1.8 0.3 27
2.0 0.3 28
0.2 0.3 9
2.0 0.3 28
2.0 0.3 28
2.0 0.3 28
0.2 0.3 9
Distance
(m)
Immunity
Test Level
(V/m)
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Symbol Denitions
This device and its labeling contain symbols that provide important information for the safe and proper use of the device. These symbols are dened below.
Touchscreen Interface/Display Monitor
WB button (turn on White Balance test)
Camera button (capture photo)
Record button (start/stop video recording)
Home button (navigate to Home screen)
AIM button (navigate to SPY screen)
Settings button (navigate to Camera Settings screen)
Auto Light button (blue=feature is on; black=feature is o)
Flexi-Scope surgical specialty is selected
Overlay SPY mode is active (icon colors are red, green, and blue)
Contrast SPY mode is active (icon colors are all grey)
ENV SPY mode is active (icon colors are all green)
Device/Package Labeling
Consult instructions for use
Caution (consult instructions for use)
Consult instruction manual
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Federal law (USA) restricts this device to use by, or on order of, a physician
Device is shipped non-sterile and must be sterilized before use
Date of manufacture
Legal manufacturer
Product catalog number
Product serial number
Quantity
Made in USA
The device meets European Union medical device requirements.
Stryker European representative
Denotes compliance to CAN/CSA C22.2 No60601-1 and ANSI/AAMI 60601-1
Type BF applied part
1688 Camera Head connection
Power on/o (alternates when button is pushed)
Equipotentiality
Alternating current
Fuse rating
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User Manual
Device recycling code (applicable in China)
This product contains electrical waste or electronic equipment. It must not be disposed of as unsorted municipal waste and must be collected separately.
Radiation emitting
62
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Page 68
Stryker Endoscopy 5900 Optical Court San Jose, CA 95138 USA 1-800-624-4422
U.S. Patents: www.stryker.com/patents
Stryker or its divisions or other corporate aliated entities own, use or have applied for the following trademarks or service marks: SafeLight and the Stryker logo. All other trademarks are trademarks of their respective owners or holders.
P38139G
2020/02
WCR: NONE
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