Precision AC Video Instructions for Use Rev F Nov 2018

Contents Warnings and Cautions... 1 Product Description and Intended Use... 4 Indications...5 Contraindications...5 The Camera Console...6 The Camera Head...8 The C-Mount Coupler...9 Setup and Interconnection... 10 Setting Up the Console... 11 Precision AC Wiring Diagram... 12 Setting Up the Camera Head... 13 Setting Up the Coupler... 14 Connecting the DVI Fiber Outputs... 16 Installing the Soaking Cap... 16 Operation... 17 Operating the Camera with a Light Source... 17 Powering the Console On/Off... 18 Controlling Remote Video Accessories... 18 Using the Camera Head Buttons... 19 Using the Touchscreen Interface... 20 Menu Screen... 21 Performing the White-Balance Test... 22 Advanced Features... 22 Troubleshooting... 23 Reprocessing... 27 Cleaning the Console... 27 Cleaning, Disinfecting, and Sterilizing the Camera Head... 28 Limitations on Reprocessing... 29 Materials and Equipment... 30 User Maintenance... 39 Maintenance, Inspection, and Testing... 39 Using Sterile Drapes... 39 Storage... 39 Replacing the Fuses... 39 Periodic Maintenance Schedule... 40

Expected Service Life... 40 Disposal and Recycling Information... 40 Diagrams... 41 Technical Specifications... 43 Electromagnetic Compatibility... 45 Symbol Definitions... 50

Warnings and Cautions Please read this manual and follow its instructions carefully. The words warning, caution, and note carry special meaning and should be carefully reviewed: Warning

Indicates risks to the safety of the patient or user. Failure to follow warnings may result in injury to the patient or user.

Caution

Indicates risks to the equipment. Failure to follow cautions may result in product damage.

Note: Clarifies the instructions or presents additional useful information. An exclamation mark within a triangle is intended to alert the user to the presence of important operating and maintenance instructions in the manual. A lightning bolt within a triangle is intended to warn of the presence of hazardous voltage. Refer all service to authorized personnel. IMPORTANT SAFETY NOTICE: Before operating this device, please read this operating manual thoroughly and carefully. When using this device with a light source, fire 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 significant 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 monitor before adjusting the brightness level of the light source. Adjust the brightness level of the light source 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 flammable material, as doing so may result in fire. Always place the light source in standby mode whenever the scope is removed from the light cable or the device is unattended. The scope tip, scope light post, light cable adapter, and light cable tip will take several minutes to cool off after being placed in standby mode, and therefore may still result in fire or burns to the patient, user, or inanimate objects. 1

Warnings To avoid potential serious injury to the user and the patient and/or damage to this device, please note the following warnings: 1. 2.

Must be a qualified physician to use this equipment. Carefully unpack this device and check if any damage occurred during shipment. If damage is detected, refer to the standard warranty. 3. Read this operating manual thoroughly, especially the warnings, and be familiar with its contents before connecting and using this device. 4. Ensure that the electrical installation of the relevant operating room complies with the NEC and CEC guidelines. 5. To avoid the risk of electric shock, this equipment must only be connected to a supply mains with protective earth. 6. Do not position the console so that it is difficult to disconnect the power cord from the supply mains. 7. Multiple portable socket-outlets shall not be placed on the floor. 8. Test this equipment prior to a surgical procedure. This unit was fully tested at the factory before shipment. 9. Never use the camera system in the presence of flammable or explosive gases. 10. Always treat the camera system with care. The camera system contains sensitive parts that are precisely aligned and may suffer damage if dropped or mistreated. 11. The camera head surface may exceed 41 °C (106 °F) in operating conditions with high ambient temperatures and should be handled with caution. 12. The camera head and coupler are shipped non-sterile. Clean and sterilize these components prior to first use and after every subsequent use. Follow the cleaning, disinfection, and sterilization instructions provided in these instructions. Any deviation can cause damage. 13. Never autoclave a camera head or coupler unless it is marked AUTOCLAVE. Autoclaving camera heads or couplers that do not bear this marking will result in non-sterile product and permanent device damage. Refer to the “Product Description and Intended Use” section for the location of the AUTOCLAVE marking on the Precision AC Camera. 14. Never sterilize the camera console, because the delicate electronics cannot withstand this procedure. 15. Disconnect the console from the electrical outlet when inspecting fuses. 16. Do not remove covers on the console, as doing so may cause damage to electronics and/or electric shock.

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17. Do not disassemble any part of the camera head; doing so may break the seals, causing leakage and/or electric shock. 18. Attempt no internal repairs or adjustments not specifically detailed in this operating manual. 19. Ensure that readjustments, modifications, and/or repairs are carried out by persons authorized by Stryker Endoscopy. 20. The warranty is void if any of these warnings are disregarded.

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Product Description and Intended Use The Stryker Precision AC Camera System is a high-definition endoscopic camera system that is used to produce still and video images in the surgical field during surgical procedures. The camera 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 flexible scopes which are attached to the camera head. The system consists of a camera control unit (CCU) and a camera head with an integral cable that connects to the CCU. The camera will provide a high quality image while remaining lightweight and easy to use. A coupler is also available for attaching a scope to the camera head. The available models for each part are listed below. Consoles 0700010000

Precision AC Camera Control Unit

0700010001

Precision AC Camera Control Unit with DVI Fiber Output

Camera Head 0700410105

Precision AC Camera Head, C-Mount

Coupler 0700020122 1

Precision AC 20 mm Coupler, C-Mount1

Complete instructions are available in Stryker user guide P26183.

The Precision AC console is also packaged with the following connection cables: • Remote cables, 2.5 mm to 3.5 mm (Qty: 2) • DVI-I cable (Qty: 1) • Hospital-grade power cord (Qty: 1) Contact your Stryker representative for availability of other cables that may be required for alternate configurations.

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Indications The Precision AC Camera is indicated for use in general laparoscopy, nasopharyngoscopy, ear endoscopy, sinuscopy, and plastic surgery wherever a laparoscope/endoscope/arthroscope 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 dissection • laparoscopically assisted hysterectomy • laparoscopic and thorascopic anterior spinal fusion • anterior cruciate ligament reconstruction • knee arthroscopy • shoulder arthroscopy • small joint arthroscopy • decompression fixation • 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 camera are general surgeons, gynecologists, cardiac surgeons, thoracic surgeons, plastic surgeons, orthopedic surgeons, ENT surgeons and urologists.

Contraindications There are no known contraindications.

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The Camera Console The camera console-or Camera Control Unit (CCU)-is the control center for the Precision AC Camera, and it processes the video and photographic images produced during the surgical procedure. Front Panel The console front panel features a touchscreen, where different menus can be accessed, including the controls for adjusting the light level, zoom, and white balance, as well as allowing the selection of surgical specialty settings that optimize camera performance for specific surgical procedures. 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 detail on using the front panel.

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2

3

1. Power Switch

Powers the camera ON and OFF

2. Touchscreen

Allows navigation through different menus for controlling the camera and adjusting the video settings

3. Camera-Connector Port

Connects to the Precision AC Camera Head

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Rear Panel The console rear panel provides ports for connecting the Precision AC Camera to viewing and recording equipment, such as video monitors and Stryker device control consoles. See the “Product Description” section for the different console models that are available. The Precision AC Camera Control Unit with DVI Fiber Output (0700010001) is shown below. 11 10

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2

3

4

5

6

7

8

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1. Device Control Port Connects to a Stryker device control console (such as the SDC3 or SIDNE®) 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. S-Video Out

Analog video output

5. DVI Out 1

Digital video output

6. DVI Out 2

Digital video output

7. Light Source Port

Connects to Stryker light source

8. AC Power Inlet

Connects to AC mains with separable power cord

9. Fuse Panel

Contains two 1.6A 250V fuses (slow blow, high breaking capacity 1500A, size 5 mm x 20 mm)

10. Equipotential Ground Plug

Connects to a potential equalization conductor. The resulting medical electrical system shall follow all applicable IEC 60601-1 requirements.

11. Fiber Outputs (optical)

DVI output for connection to Lucent connector fibers (optional: 0700010001)

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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).

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2

3

“AUTOCLAVE”

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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 a focusing coupler. Note that the bottom of the camera head is marked “AUTOCLAVE” to indicate compatibility with steam sterilization.

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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. Refer to Stryker user guide P26183 for complete coupler instructions. 2

3

1

4

1. Rear Adapter

Threads onto the camera head

2. Focusing Ring

Adjusts the coupler focus

3. Endobody Clamp

Secures the scope to the coupler

4. Scope End

Receives the endoscope

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Setup and Interconnection Stryker Endoscopy considers instructional training, or inservice, an integral part of the Precision AC 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 staff on its operation and maintenance. To schedule an inservice, contact your local Stryker Endoscopy representative after your equipment has arrived. Setting up the Precision AC 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 Precision AC Camera that have been specified 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 affect the normal function of the Precision AC 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 (airflow) to the console. Insufficient ventilation may cause the console to overheat and shut down.

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Setting Up the Console Refer to the instructions below and the wiring diagram on the following page for a typical Precision AC Camera configuration. 1. 2.

Connect the console’s AC power to a hospital-grade outlet. Connect one of the console’s DVI outputs to an available DVI input on a Stryker digital capture console such as the SDC3. • The Precision AC console can also be connected to additional SDC video inputs or directly to one or more display monitors; the rear panel provides one analog and two digital-video outputs (or three with 0700010001): Output Type

Output

Cable

Connector

Analog

S-VHS 1*

S-VHS

4 pin Mini-Din (push-only connectors)

Digital (standard) DVI-I1** and DVI DVI-I2** Digital (optional in 0700010001)

29 pin (push-only connectors, with two tightening knobs)

DVI over Fiber (×4) Lucent connector optical Fiber fiber (×4) (push only)

* On some monitors, S-VHS inputs may be labeled Y/C. ** The DVI connectors can also output analog SXGA signals through a DVI-I to VGA adapter. When using any device with unterminated analog video inputs, connect a cable from the VIDEO OUT of that device to the VIDEO IN on the monitor.

3. 4.

5.

Connect the DVI output from the Stryker digital capture console to the DVI input on the display monitor. Using the provided remote cables, connect remote outputs 1 and 2 from the Precision AC console to a Stryker digital capture console. (The remote inputs should be connected to the same channel as the video input.) • Devices connected to the remote outputs can be operated using the console touchscreen or the P button on the camera head. See the “Operation” section for details. Connect a USB A-to-B cable (also available from Stryker, part 0105187988) from the console’s Light Source output to the SIDNE input on the Stryker L9000 Light Source. • The Precision AC camera head can be programmed to toggle “Run/ Standby” controls on the L9000. Contact a Stryker representative for more information about enabling this advanced feature.

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Precision AC Wiring Diagram VisionPro 26" LED Surgical Display (underside shown)

3

SDC3

4 2

Precision AC Camera

1

5

L9000 Light Source SDC/SIDNE

12

CCU

Setting Up the Camera Head Do not severely bend the camera cable or damage may result. 1. 2. 3.

Unscrew the soaking cap from the cable connector on the camera head. Align the arrow on the cable connector with the arrow above the cameraconnector port on the front console panel. 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 the camera head to the coupler. When using a direct-coupled C-Mount endoscope (a scope that requires no coupler), thread the endoscope directly into the camera head until it forms a tight seal, and skip to step 3. 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 scope), as this may damage the front window of the camera. 1.

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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.

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2 3

2.

Attach an endoscope to the coupler.

Note: For best results, use the Precision AC Camera with Stryker’s PEEK Precision Ideal Eyes™ HD scopes. Before each use, check the outer surface of the endoscope to ensure there are no rough surfaces, sharp edges, or protrusions. • Remove the coupler dust cap if it is present. • Depress the endobody clamp endobody 2 .

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and insert a scope into the

• Release the endobody clamp to secure the endoscope. 3.

Attach a light cable from the light source to the light post on the endoscope 3 .

Note: To remove the coupler, grip the rear adapter and unscrew the coupler counterclockwise from the camera head.

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Connecting the DVI Fiber Outputs Using adjustments or performing procedures differently than specified below may result in hazardous radiation exposure. The Precision AC Camera has the optional upgrade, the fiber output, for model 0700010001. This upgrade contains four laser diodes to transmit a DVI output over fiberoptic cables. 1.

Connect four individual fibers (terminated in Lucent connectors) to the red (R), green (G), blue (B) and clock (C) laser diodes on the console rear panel. Connect the four fibers to a compatible fiberoptic DVI receiver. • The four fibers should be connected to the camera console in the labeled order: RGBC

2.

• The fibers should be connected to the monitor in one of two configurations: CBGR (reverse order) or BGRC (R/B switched). Note: The Precision AC Camera Control Unit, model 0700010001, is a Class 1 laser product per IEC 60825-1 and 21 CFR 1040.

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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Operation Note: Before operating the Precision AC Camera, ensure all system components have been set up according to the instructions in the “Setup and Interconnection” section.

Operating the Camera with a Light Source IMPORTANT SAFETY NOTICE: Before operating this device, please read this operating manual thoroughly and carefully. When using this device with a light source, fire 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 significant 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 monitor before adjusting the brightness level of the light source. Adjust the brightness level of the light source 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 flammable material, as doing so may result in fire. Always place the light source in standby mode whenever the scope is removed from the light cable or the device is unattended. The scope tip, scope light post, light cable adapter, and light cable tip will take several minutes to cool off after being placed in standby mode, and therefore may still result in fire or burns to the patient, user, or inanimate objects.

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