Stryker SwitchPoint Infinity®3 (SPI3) Control System is intended to be a central point of
control and integration of ancillary compatible equipment, audio, video, and data routing,
as well as teleconferencing for medical personnel.
1.2Indications
General surgical population.
1.3Contraindications
None.
1.4Wireless Microphone
The wireless microphone is available and serves as another audio input to the
SwitchPoint Infinity 3 Control System audio subsystem. The microphone uses Ultra High
Frequency (UHF) to transmit to the receiver. UHF is a common frequency range which
television stations use to broadcast their signal. The wireless microphone has been
tested to meet medical EMC and safety standards. The Instructions for Use contains
language informing the users of these radio frequencies. The theoretical maximum range
of the microphone transmitter is 91.5m (300’). This range is greatly limited inside of a
hospital operating room, due to the general construction of hospitals. The users are
instructed to test all equipment with the wireless microphone system to ensure that no
interference exists prior to the use of Stryker SwitchPoint Infinity 3 Control System.
7
2
Warnings and Cautions
In this manual, the terms and definitions below apply.
•WWaarrnniinngg:: Possible injury to the patient or user.
•CCaauuttiioonn:: Possible damage to the equipment.
•NNoottee:: More information to clarify the instructions.
2.1Warnings
To prevent possible injury to the user and the patient, the user must follow these
requirements:
1.Read this manual fully before you use this equipment.
2.Before you use this equipment you must be trained medical personnel, with complete
knowledge on how to use this equipment.
3.Do a test of this equipment before surgical procedures. This equipment was fully
tested at the factory before it was shipped.
4.To prevent electrocution, do not remove product covers.
5.Do not repair or adjust the equipment, unless you are instructed to do so in this
manual.
6.Use of controls or adjustments or performance of procedures other than those
specified herein may result in hazardous radiation exposure.
7.To prevent a fire, keep instruments away from flammable materials (such as gauze
or surgical drapes).
8.To prevent a fire, allow adequate air circulation to prevent internal heat buildup.
9.Do not touch the front panel input or output circuitry and a patient at the same time,
as there is a risk of electrical shock.
10. The electrical installation of the operating room must be in compliance with the
applicable IEC, CEC, and NEC requirements.
11. To avoid risk of electric shock, this equipment must only be connected to a supply
mains with protective earth.
12. Disconnect the unit from the electrical outlet before you examine the system
components.
13. The wireless microphone functionality included in this device contains a radio
transmitter and receiver. Hospitals and health care facilities may be using equipment
that is sensitive to radio frequencies (RF).
Prior to using this device in a surgical procedure, perform the following steps to
ensure electromagnetic compatibility among operating room devices:
a.Identify any medical devices located within the SwitchPoint Infinity 3 Control
System’s communication range (Theoretical maximum of 91.5m [300’]).
b.Test each device for compatibility with the SwitchPoint Infinity 3 Control System:
Power on the medical devices.
8
Perform a variety of functions with the SwitchPoint Infinity 3 Control System,
such as speaking through the microphone and powering on and off the
microphones.
c.Reposition devices as necessary to maintain electromagnetic compatibility, or
disable the wireless microphone.
This device complies with Part 15 of the FCC Rules. Operation is subject to the
conditions that this device does not cause harmful interference.
2.2Cautions
1.Carefully unpack this device and check for damage. Refer to the standard warranty if
the device is damaged.
2.To prevent damage, follow all sterilization and disinfection instructions in this manual.
A deviation may cause damage. DO NOT STERILIZE OR DISINFECT THE
CONTROL UNIT OR THE TOUCH PANEL DISPLAY.
3.Only Stryker approved personnel can adjust, modify, and repair this equipment.
4.Do not install the unit in a location near heat sources such as radiators or air ducts, or
in a place subject to direct sunlight, excessive dust, mechanical vibration, or shock.
5.The leakage current could increase when connected to other equipment.
6.Do not position the unit such that it is difficult to disconnect the power cord.
7.Caution: Federal law (United States of America) restricts this device to use by, or on
order of, a physician.
2.3Notes
1.Stryker Communications has verified that the SwitchPoint Infinity 3 Control System
complies with the electromagnetic compatibility requirements for medical devices as
specified in IEC 60601-1-2. RF communication equipment such as the wireless
microphone in the SwitchPoint Infinity 3 Control System, however, can still affect
other medical electrical equipment in the operating room.
2.The screen captures in this manual may differ slightly from each individual
SwitchPoint Infinity 3 setup, depending on configuration.
3.The terms “SwitchPoint Infinity” and “SPI” are used interchangeably throughout the
manual.
4.Operate the unit on 100 VAC 50/60 Hz in Japan, 120 VAC 50/60 Hz in North
America, and 100-240 VAC 50/60 Hz in other locations.
5.The nameplate indicating operating voltage, power consumption, and other
information is located next to the power entry module on the front of the SPI3 and on
the back of the SPI3-Lite.
6.This equipment uses only RoHS approved/complaint lead-free solder.
9
3
Product Symbol Definition
The following symbols may be found on the SwitchPoint Infinity equipment:
Follow instructions for use.
The book symbol is intended to refer the user to important safety
operating and maintenance (service) instructions in the literature
accompanying the product.
An exclamation mark within a triangle is intended to alert the user to the
presence of important operating and maintenance (service) instructions
in the literature accompanying the product.
A lightning bolt indicates the presence of hazardous voltage. Refer all
service to authorized personnel.
Temperature limits
Denotes humidity limits.
Denotes pressure limits.
Denotes compliance to European Community Directive 93/42/EEC.
Denotes compliance to CSA Standard C22.2, 60601-1 - M90, AS 3200,
IEC 60601-1, UL 60601-1, EN 60601-1
Denotes the date the equipment was manufactured.
Denotes the manufacturer of the device.
Denotes product/part number.
Denotes product/serial number.
Denotes lot or batch number.
Denotes European Representative.
10
For U.S. audience only - Caution: Federal Law (USA) restricts this
device to sale by or on the order of a physician.
Denotes quantity.
Accessories
Repair Kit
Video Router
Denotes Class 1
Class 1 Equipment: equipment in which the protection against electric
shock does not rely on Basic Insulation only, but includes an additional
safety precaution in such a way that means are provided for the
connection of Accessible Conductive Parts to Protective (ground)
Conductor in the fixed wiring of the installation in such a way that
Accessible Conductive Parts cannot become Live in the event of a
failure of the Basic Insulation.
In accordance with European Community Directive 2002/96/EC on
Waste Electrical and Electronic Equipment, this symbol indicates that
the product must not be disposed of as unsorted municipal waste but
should be collected separately.
Note: The device does not contain any hazardous materials.
Legal regulations may include specifications regarding the disposal of
this product. We request that you contact Stryker when you plan to
withdraw this device from service for discard.
Denotes the device contains more than .002% cadmium.
Denotes the device contains more than .0005% mercury.
Denotes the device contains more than .004% lead.
3.1EMC Precautions
This device is considered medical electrical equipment and requires special precautions
regarding EMC and needs to be installed and put into service according to the
information provided.
Portable and mobile RF communications equipment can affect this device’s performance
and must be used in accordance with the following information.
11
WWaarrnniinngg::
•The use of accessories, transducers, or cables other than those specified, with the
exception of those sold by Stryker, may result in increased electromagnetic
emissions or decreased immunity of the equipment or system.
•The equipment should not be used adjacent to or stacked with other equipment. If
stacking or adjacent placement is necessary, the equipment should be observed to
verify normal operation in the configuration in which it will be used.
12
4
System Overview
This manual describes the user interface and functionality for the SwitchPoint Infinity 3
Control System and Router (SPI3) and the SwitchPoint Infinity 3-Lite Control System and
Router (SPI3-Lite). Throughout this manual, unless otherwise specified, “SwitchPoint
Infinity refers to both SPI3 and SPI3-Lite.
SwitchPoint Infinity 3 was designed to work with Stryker devices as well as other devices.
Contact Stryker to determine if a device is compatible with SwitchPoint Infinity 3.
4.1An Integrated Voice, Video, and Data Router and
Conferencing Interface
The SwitchPoint Infinity 3 Control System is built with high quality video and audio
components. It is designed to operate and communicate with a broad range of equipment
such as cameras, monitors, and surgical equipment, including the insufflator and light
source.
The Touch Panel Interface provides a convenient, easy method to control every function
of the SwitchPoint Infinity 3 Control System.
13
5
Equipment Connections
5.1Connectors Used by the SwitchPoint Infinity 3 Control
System
The SwitchPoint Infinity 3 Control System uses various commercial-grade video and
audio cables to interconnect equipment.
The primary types of cables are used in wiring video systems: Composite cables, which
have a BNC connector; RGB-HV cables, which have an HD-15 connector; S-Video
cables, which have a 4-pin mini-DIN connector; and DVI cables. BNC connectors are
push and turn type connectors; HD-15 connectors are push and screw type connectors;
and DIN connectors are push only type connectors. On some monitors, S-Video inputs
may be labeled Y/C or S-VHS, and RGB-HV inputs may be labeled PC, Computer, or
VGA.
The room speaker connection on the SwitchPoint Infinity 3 Control System uses a
Phoenix connector.
5.2Connections Overview
5.2.1Video Inputs
The number of video inputs is dependent upon each SwitchPoint Infinity Router. Source
inputs are available to receive video directly from Endoscopic and Room Cameras,
Printer, Digital Capture Device, Voice Control Device, and other video device outputs. All
of the connections are located on the front panel. For video input wiring, connect each
device output to an available video input on the SwitchPoint Infinity 3 Control System
connection panel.
5.2.2Video Outputs
WWaarrnniinngg:: Do not touch the internal pin of the BNC video out jacks and the patient
simultaneously. Doing so may cause the patient to receive an electric shock.
The number of outputs is dependent upon each SwitchPoint Infinity Router. Outputs are
available to send video directly to flat panel displays, monitors, projectors, and other
video device inputs. All of the connections are located on the front panel. For video
output wiring, connect each device input to an available video output on the SwitchPoint
Infinity 3 Control System connection panel. When connected to a “loop-thru” video
device, the SwitchPoint Infinity 3 Control System will route the source to the device input
and receive the output signal from the device for further routing to a monitor (if selected).
14
5.2.3Audio Inputs
There are 10 audio inputs available on the front panel of the SwitchPoint Infinity 3 Router:
•Two mic level inputs
•Eight line level inputs
There are four audio inputs available on the front panel of the SwitchPoint Infinity 3-Lite
Router:
•One mic level input
•Three line level inputs
Any audio input may be used for connecting audio devices, as there are no reserved
audio inputs for specific devices. For example, the wireless microphone receiver can be
connected to any of the microphone inputs, as can the Sidne. Phantom power is
available for mic inputs. Make sure that phantom power is not enabled for microphones
that do not require it.
5.2.4Audio Outputs
There are eight line level outputs and two speaker outputs available on the front panel of
the SwitchPoint Infinity 3 Router. Two of the line level outputs are designated for
connection to an external amplifier (applies only to SPI3). There are two line level outputs
and two speaker outputs available on the front panel of the SwitchPoint Infinity 3-Lite
Router. The Video Network Hub™ and room speakers are some of the devices that are
connected to the audio outputs on the SwitchPoint Infinity 3 Control System.
5.2.5RS-232 Connectivity
The SwitchPoint Infinity 3 Router has 16 RS-232 ports that can be used to connect
devices that use serial communications, such as PTZ Cameras and Flat Panel monitors.
SPI3-Lite can be configured with either four or eight RS-232 ports.
5.2.6KVM
There are three USB connections available for PC KVM control allowing for keyboard
and mouse emulation on up to three PCs.
5.2.7Video Network Hub™
This device will facilitate room-to-room connectivity for video conferencing. If your system
is equipped with a Hub Codec, the Codec will be housed in the Video Network Hub and
will allow offsite connectivity. The Video Network Hub is connected to the SwitchPoint
Infinity 3 Control System using the Audio In and Out connectors, the Ethernet
connection, and the video input and output connectors. Details of the connection and
operation of the Video Network Hub are contained in the Operations and Maintenance
manual for that equipment.
5.2.8SuiteLink®and SuiteView
SuiteLink is an IP-based Video Hub that coordinates Stryker endpoints with Campus
Codec functionality through an Ethernet connection. It also supports the broadcast of
video from these endpoints to IP-based desktop users in conjunction with the SuiteView
®
15
product. Users can view available video sources from these endpoints, and with proper
setup and permissions, they have the ability to change video sources and manipulate the
camera views from their desktop computer.
Only one SuiteLink or Video Network Hub can be configured per facility. SuiteLink
supports up to two hub Codecs for video conferencing calls.
5.2.9Sidne®Voice Activation System or SDC3 Voice Package
The SwitchPoint Infinity 3 Control System can be configured to communicate with the
Sidne Voice Activation System or SDC3 Voice Package with an optional upgrade to the
Sidne or SDC3 system. The SwitchPoint Infinity 3 Control System and Sidne are
connected via Ethernet through an Ethernet switch.
5.2.10 Local Codec
A local Codec supports a dedicated video conferencing Codec for one endpoint only.
••SSPPII33 aanndd SSPPII33--LLiittee ccaannnnoott bbee ccoonnnneecctteedd ttoo aa LLooccaall CCooddeecc aanndd aa CCaammppuuss
CCooddeecc aatt tthhee ssaammee ttiimmee..
5.2.11 Campus Codec
The Campus Codec feature applies only to facilities with SuiteLink for IP
Videoconferencing.
Stryker endpoints can be configured with a Campus Codec to enable IP
videoconferencing to other Stryker endpoints with Campus Codec functionality and to
enable IP broadcasting of video from that endpoint. A Campus Codec works with
SuiteLink and supports campus status, remote video source control, and remote PTZ
control.
NNoottee:: SSPPII33 aanndd SSPPII33--LLiittee ccaannnnoott bbee ccoonnnneecctteedd ttoo aa LLooccaall CCooddeecc aanndd aa CCaammppuuss
CCooddeecc aatt tthhee ssaammee ttiimmee..
16
6
Touch Panel Interface
WWaarrnniinngg:: The SwitchPoint Infinity 3 Control System interface can be displayed on
up to two Touch Panels. The Touch Panels are not sterile devices.
The Touch Panel Interface controls every function of the SwitchPoint Infinity 3 Control
System. It offers a menu of options dependent on the equipment that is installed in that
particular room. To use the Touch Panel, touch the displayed “button” with the soft
surface of your finger. When a button is selected in the program, it will turn orange.
Depending on the function it may stay orange, or return to blue after a few seconds.
The SwitchPoint Infinity 3 Control System Touch Panel interface is composed of four
sections: the Control Section (Item 3), the Quick Button Bar (Item 4), the Global Taskbar
(Item 5), and the Menu Buttons (Item 2).
17
FFiigguurree 11..HHoommee PPaaggee
Title Bar
Menu Buttons
Control Section
Quick Button Bar
Global Taskbar
6.1Control Section
The Control Section is the main area of the screen. From here, the user can navigate the
system. By default, the Simple Routing screen is displayed as the Home Page in the
Control Section.
6.2Quick Button Bar
The Quick Button Bar is displayed below the Control Section. It provides quick access to
the functions most often used, such as the Calls, Advanced Routing, Picture-in-Picture
view, QUAD view, Audio, Display, Room Cam, and Surgical Timeout screens. Pressing a
button in the Quick Button Bar opens the respective display in the Main Area.
The Global Taskbar is located along the bottom of the screen and provides quick access
to system functions, including system Volume, Mute, Setup, Save Preset, Support, Help,
Suite Power, and Private. It also displays the current time, when configured properly.
6.3.1Volume Control
To adjust the volume, press down on and slide the volume slider either to the right or left
to turn up or down the volume, respectively. The volume can also be adjusted by
pressing the “++” button to increase or the “--” button to decrease.
To mute the sound, press the MMuuttee button. The MMuuttee button will remain
highlighted when it is active.
To unmute the sound, press the MMuuttee button again.
6.3.2Setup
The Setup button allows access to the Software Configuration screens of the SwitchPoint
Infinity 3 Control System and the Video Network Hub, if present.
If the Sidne Voice Activation System or SDC3 Voice Package is configured to work with
the SwitchPoint Infinity 3 Control System, its configuration screen will be accessible
when the Setup button is pressed.
If the Setup button is selected, the “About Infinity” screen will appear. This screen
displays the Stryker Technical Support contact information, current Software Version,
Serial Numbers, Part Numbers, and the institution contact information provided for this
router. These screens should only be accessed by a Stryker representative or authorized
personnel. You will be prompted to enter a username and password for security
purposes. Note that the Setup screens can only be accessed from the local Touch Panel
interface of the SwitchPoint Infinity 3 Control System.
The Save Present function allows you to quickly save a room setup as a preset that will
appear in the Presets menu (
see 9.2 Saving a Preset, page 34
).
6.3.4SORN Support
The SORN button allows you to go to the Technical Support Notification page where you
can send a complaint or help message directly to Stryker Enterprise Tech Support (
The Help screen offers tutorials that explain how to operate the system. To access the
Help section, press the HHeellpp button on the taskbar.
The Help screen uses multimedia to instruct you on how to operate different functions of
the system, such as how to route video, make a call, or control room cameras. The
Stryker Communications Technical Support contact information can be found on the
bottom of the page.
21
FFiigguurree 44..HHeellpp SSccrreeeenn
6.3.6Suite Power
When pressed, this button will turn on or off all of the display monitors controlled by the
SwitchPoint Infinity 3 Control System.
If the Suite Power button is highlighted it indicates the suite monitors are on, unless they
have been manually switched off, in which case, they will need to be manually switched
back on. If it is not highlighted, the suite monitors are off. Powering on or off individual
displays will not affect the state of the Suite Power.
6.3.7Private
The Private button provides control over the ability to view or remotely monitor the room
where the SwitchPoint Infinity 3 Control System is located. The Private button toggles on
and off and stays highlighted in orange when Private is On.
If Private is On, the system restricts all inbound communications without user
authorization. If the SwitchPoint Infinity 3 Control system is currently connected to
another room within the hospital campus or offsite location, activating the Private feature
will immediately disconnect the room.
The options on the Simple Routing screen allow you to route images from various
cameras or video input devices in the iSuite® OR to devices or monitors connected to the
SwitchPoint Infinity 3 Control System. This screen can be used to select which video
source to direct to a remote room or offsite location using the Video Network Hub or
SuiteLink. This screen is the default page for the Home screen.
The SwitchPoint Infinity 3 Control System manages video routing as a chain of events.
Once a video source is selected, it can be routed to a number of devices or displays in a
row. This simplifies the process and allows the same input source to be viewed and
recorded in multiple ways.
The SwitchPoint Infinity 3 Control System gives special distinction to devices such as the
Stryker Digital Capture (SDC) and Sidne. These devices are capable of receiving video
signals, but their output can be re-routed to a display so that the surgeon can view what
is currently being recorded on a given documentation device.
There are three ways in which video can be routed, each of which are described in the
sections that follow.
7.1Simple Routing
The Simple Routing screen appears similar to the one shown in the figure below, and is
also known as the “Simple Routing” page. This screen contains four main components:
the sources are listed on the left side of the screen; the devices through which the
sources can be routed are listed at the top of the screen; the displays on which the video
signal can be displayed are located on the right side of the screen; and the video stream
being routed will be displayed in the video preview pane in the center of the screen.
To view a source on a display, perform the following steps:
1.Select a source (Item 1), such as the Endo Cam, from the Sources area located on
the left side of the screen. The button will turn orange, indicating it has been
selected.
2.Select a display (Item 3), such as Monitor 2, from the Displays area located on the
right side of the screen. The button will turn orange for a few seconds, indicating it
has been selected, and the route has been completed. The icon for the video source
being routed to the display will appear on the display button.
25
FFiigguurree 88..VViieewwiinngg aa SSoouurrccee oonn aa DDiissppllaayy
RRoouuttiinngg TTwwoo SSuuiitteeSSttrreeaammss
If two SuiteStreams are configured, these can be used to route two independent
channels of video during a Room Call. The two SuiteStream devices will appear in both
the Sources and Displays menu. To route a local video source to the far side of the Room
Call, local video sources are routed to these SuiteStream displays in the same way as
when routing to other displays. To route a video source from the far side of the Room
Call, these SuiteStream sources are routed to local displays in the same way as when
routing from other sources.
To select a source to view and record on a display, perform the following steps:
1.Select a source, such as the Endo Cam, from the Video Sources area located on the
left side of the screen.
2.Select a recording device through which to route the source, such as the SDC, from
the Devices area at the top of the screen. The icon for the video source being routed
through the device will be displayed on the device button.
3.Select a display, such as Monitor 2, from the Displays area located on the right side
of the screen. The icon for the video source being routed through the display will
appear on the display button.
4.The route has been completed.
26
FFiigguurree 99..VViieewwiinngg aanndd RReeccoorrddiinngg aa SSoouurrccee oonn aa DDiissppllaayy
7.1.3Using Sidne or SDC3 along with Viewing and Recording a
Source on a Display
To route a source through a device to a display and use Sidne or SDC3, perform the
following steps:
1.Select a source, such as the Endo Cam, from the Video Sources area located on the
left side of the screen.
2.Select the Sidne or SDC3 destination from the Devices area. The icon for the video
source being routed through Sidne or SDC3 will be displayed on the device button.
3.For Sidne only, select a device through which to route the source, such as the SDC,
from the Devices area at the top of the screen. The icon for the video source being
routed through the device will be displayed on the device button.
4.Select a display, such as Monitor 2, from the Displays area located on the right side
of the screen. The icon for the video source being routed through the display will
appear on the display button, and the route has been completed.
To create a video route using the Visual Routing option, press the AAddvvaanncceedd RRoouuttiinngg
button located on the Quick Button Bar (Item 2).
You will be taken to the Advanced Routing page, which contains two tabs: Visual Routing
and Text Routing. The Visual Routing tab is the default tab. This tab contains three main
28
FFiigguurree 1100..VViissuuaall RRoouuttiinngg
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