User Guide
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Autoclavable Endoscopes User Guide a b
Product Description Stryker endoscopes are tubular optical instruments used to provide a view of internal patient anatomy during examination, diagnosis, and therapy during general endoscopic procedures. Stryker endoscopes are categorized as arthroscopes, sinuscopes, laparoscopes, bariatric laparoscopes, cystoscopes and hysteroscopes, depending on the part of the human anatomy they are intended to examine. They can further be classified by their optical system, either standard or HD (IDEAL EYES®) for higher image definition. Stryker endoscopes are offered in a variety of sizes, with varying working lengths and directions of view. Stryker Endoscopes are intended for use by qualified persons during endoscopic procedures to provide an internal view or image of the patient. In all cases, the surgeon is best advised to use a method in which his/her own practice and discretion dictate to be the best for the patient. These instructions are recommended for the proper function of the device. This material is not intended as a reference for endoscopic examination or surgery, nor is it intended to replace training, including relevant preceptorship(s).
Indications Arthroscopes Arthroscopes are indicated for use in arthroscopic procedures performed in the hip, knee, shoulder, wrist (carpel tunnel syndrome), temporomandibular joint, ankle, elbow, and foot (plantar fascia release). Sinuscopes Small-diameter Stryker endoscopes ≤ 4 mm in diameter can be used as Sinuscopes. Sinuscopes are used for visualization during diagnostic and surgical procedures in areas such as the paranasal sinuses. Sinuscopes are intended to be used for all sinuscopic procedures that clinicians deem appropriate. Laparoscopes Laparoscopes are intended to be used for gynecological and general procedures that clinicians deem appropriate for the patient. Bariatric Laparoscopes Bariatric laparoscopes are intended to be used by surgeons in diagnostic and therapeutic procedures. This includes, but is not limited to, such uses as gallbladder and appendix removal; hernia repair; gastric bypass; laparoscopic Nissen; and examination of the abdominal cavity, appendix, gallbladder, and liver. Bariatric laparoscopes allow surgeons to perform procedures on morbidly obese segments of their patient population. Hysteroscopes and Cystoscopes Hysteroscopes and Cystoscopes are intended for use in general urological and gynecological surgery through the minimally invasive approach, by utilizing natural orifices to access the surgical site. They are intended for use in, but not limited to, the following types of procedures: • Dilation of the urethra, and cold-slitting of urethral strictures • Trans-urethral incision and resection of the prostate • Trans-urethral removal of bladder tumors • Trans-cervical resection and ablation of the endometrium • Trans-cervical resection of fibroids
Contraindications There are no known contraindications.
Warnings 1.
2.
3. 4. 5.
6. 7.
This endoscope is shipped non-sterile. To prevent infection, clean and sterilize the endoscope prior to the first and every subsequent use. Prior to cleaning or sterilization, remove any protective sheathing that was used to protect the endoscope during shipment. Endoscopic procedures should be performed only by persons having adequate training and familiarity with endoscopic techniques. Consult medical literature relative to techniques, complications and hazards prior to performing any endoscopic procedure. Failure to use protective filters or suitable filtering spectacles during the activation of a surgical laser beam may cause eye-damage to the user. Activation of a 600 – 1100 nm wavelength surgical laser during an endoscopic procedure can cause the image to become very bright, and therefore unclear. Verify compatibility prior to surgery. When used with a light source, the endoscope can reach temperatures exceeding 41°C near the light cable inlet and the distal tip, creating a risk for patient burns and operating room fires. To reduce these risks: • Never leave the endoscope in direct contact with patient tissue or combustible materials, such as drapes or gauze. • Always start the procedure with the light source at its lowest possible setting. As needed, gradually increase the light output to the minimum level where adequate illumination is achieved. • During ENT applications, where tissues are more sensitive to temperature, use only the lowest power setting on the light source. • Before disconnecting the light cable or connectors, turn off the light source and allow the endoscope to cool. During ENT applications, do not introduce fluids into the surgical site to cool the endoscope. Remove the endoscope from the patient before trying to cool it. Do not use the endoscope as a probe or apply pressure with the endoscope tip to surrounding tissues. The temperature and construction of the endoscope can damage patient tissue.
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8. Third party repair is not recommended for the IDEAL EYES® Infrared Laparoscope product lines. Repair by any party other than Stryker Endoscopy could compromise InfraVision™ IR Illuminator compatibility. 9. Only Infrared Laparoscopes can be used in conjunction with the InfraVision IR Illuminator (REF P/N 220180521). Using non infrared laparoscopes with the InfraVision IR Illuminator can lead to decreased visibility of infrared wavelengths. Infrared Laparoscopes are easily identifiable by their distinct red eye piece and are classified with the following part numbers: IDEAL EYES® Infrared Laparoscopes 0°
30°
45°
5 mm
502-540-010
502-540-030
502-540-045
10 mm
502-860-010
502-860-030
502-860-045
Bariatric 5 mm 502-206-010
502-206-030
502-206-045
Bariatric 10 mm 502-211-010
502-211-030
502-211-045
10. Before each use, the outer portion of the endoscope intended to be inserted into the patient should be checked to ensure there are no rough edges or protrusions that may accidentally cut or damage patient tissue. 11. Contact with a rotating shaver or cutting instrument may cause the surface of the endoscope to become sharp or jagged or may result in portions of the endoscope being broken into the patient. 12. Failure to remove the endoscope and endoscopic accessories during a cardiac defibrillator discharge may lead to punctured or injured patient tissue.
Cautions 1.
Federal law (USA) restricts this device to sale by or on the order of a physician. 2. Keep endoscope clean and dry when not in use. The stainless steel exterior of the endoscope is rust-resistant, not rust-proof. 3. Bending the endoscope, or using the endoscope as a lever or pry bar, may result in lens damage and may render the endoscope unusable. 4. Contact with a surgical laser beam may damage the endoscope surface and internal optics. Electrical Safety 1. Stryker endoscopes should only be connected to Type F devices. Stryker endoscopes are classified as Type CF when attached to a Type CF device, and Type BF when attached to a Type BF device. 2. When endoscopes are used with energized endoscopically-used accessories, patient leakage currents may be additive. To minimize total patient leakage current, use only Type CF or Type BF endoscopic accessories. Type CF applied parts should always be used together with other Type CF applied parts. 3. Consult literature for the safe use of electrosurgical equipment. Inadvertent burns can occur when the patient return path is obstructed.
Endoscope Parts 1a. Eyepiece 1b. C-Mount Threads 2. Window To ensure best image, clean with sterile alcohol wipes or cotton tip applicators and isopropyl alcohol. 3. Scope Tip 4. Light Cable Inlet 5. Endoscopic Hardware Locking Surface 6. Insertion Portion of Endoscope 7. Light-Post Adapter, Wolf (Included) Pre-attached to endoscope. Remove for cleaning and sterilization. 8. Storz Scope End Adapter (Included) 9. ACMI Scope End Adapter (Included) Thread onto endoscope. Disassemble for cleaning/sterilization. 10. Light Cable with Wolf Scope End (Sold separately) Push onto/Pull off cable adapter. For best performance, ensure light cable is not worn or damaged. 11. Light Cable with Storz Scope End (Sold separately) Thread onto cable adapter. For best performance, ensure light cable is not worn or damaged. 12. Light Cable with ACMI Scope End (Sold separately) Push onto/pull off cable adapter. For best performance, ensure light cable is not worn or damaged. 13. C-Mount Camera Head (Sold separately) Thread tightly. 14. Camera Head/Focusing Coupler (Sold separately) 15. Speed-Lock™ Cannula (Sold separately) Slide endoscope into cannula until lock engages. Disassemble for cleaning/sterilization. 16. J-Lock Cannula (Sold separately) Rotate groove on endoscope against pin on cannula to lock. Disassemble for cleaning/sterilization. 17. Polishing Paste (Included) For periodic polishing of optical surfaces prior to cleaning and sterilization.
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Reprocessing These reprocessing instructions are provided in accordance with ISO 17664, AAMI TIR 12, AAMI ST79, and AAMI ST81. While they have been validated by Stryker as being capable of preparing the device for re-use, it remains the responsibility of the processor to ensure that the reprocessing, as actually performed (using equipment, materials, and personnel in the reprocessing facility), achieves the desired result. This normally requires validation and routine monitoring of the process. Stryker recommends users observe these standards when reprocessing medical devices.
Warnings
• This device must be cleaned and sterilized prior to the first use and after every subsequent use. • The sterilization parameters presented in this document apply only to endoscopes sterilized outside of a sterilization tray. When using a sterilization tray, consult the instructions provided with the tray for proper sterilization parameters. • For United States customers: Due to the limitations of using liquid chemical germicides for sterilizing medical devices, the FDA recommends that liquid chemical sterilants be limited to reprocessing only critical devices that are heatsensitive and incompatible with other sterilization methods. Steam sterilization is the recommended method for Stryker endoscopes. • Use only the sterilization cycles outlined in this document. Using unspecified sterilization cycles may damage the device or result in incomplete sterilization. • Prior to cleaning or sterilization, remove any protective sheathing that was used to protect the endoscope during shipment. • Prior to cleaning or sterilization, separate the camera head, coupler, endoscope, and scope end adapter. Be sure to also remove the light-post adapter, which comes pre-attached to the endoscope. If any of these components are cleaned, disinfected, or sterilized as a single unit, disconnecting the devices during use will compromise the sterility of the products. (Refer to the camera head and coupler product manuals for reprocessing instructions.) • Not all sterilization trays are compatible with STERRAD® systems. Using an incompatible tray may result in incomplete device sterilization. Consult the instructions that came with your sterilization tray to determine which sterilization method is compatible with your tray and devices. If a compatible tray is not available, the devices can be double-wrapped for use with the STERRAD® system. • Wear appropriate protective equipment: gloves, eye protection, etc.
Cautions
• 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. • Only scopes marked Autoclavable can withstand steam sterilization. Autoclaving scopes that do not bear this marking will result in product damage. • Allow the device to air cool following steam sterilization. Rapid cooling or “quenching” in a liquid will damage the device and void the warranty.
Limitations on Reprocessing
• Using multiple sterilization methods may significantly reduce the performance of the device and is not recommended. • Proper processing has a minimal effect on this device. End of life is normally determined by wear and damage due to use. • Damage incurred by improper processing will not be covered by the warranty.
Instructions for Reprocessing
Point of Use • Wipe excess soil from the device using disposable paper towels or lint free cloth. • If an automated reprocessing method will be used, rinse any channels in the device with 50 mL of sterile distilled water immediately after use. Containment and Transportation • Reprocess the device as soon as reasonably practical following use. • Transport the device in a sterilization tray to avoid damage. Preparation for Cleaning 1. Prepare an enzymatic detergent1 according to the manufacturer’s recommendations. 2. Wipe the entire device with the detergent, using a clean cloth. 3. Immerse the device in the detergent. Inject any inside regions of the device with 50 mL of the detergent solution to ensure all parts of the device are reached. 4. Soak the device in the detergent for at least 15 minutes. Manual Cleaning 1. Brush • Prepare a fresh solution of enzymatic detergent1 according to the manufacturer’s recommendations. • Thoroughly brush the exterior of the device with a soft-bristled brush, focusing on any mated or rough surfaces. • Using a syringe, inject any lumen or mated surface a minimum of 5 times with 50 mL of the detergent. • Brush any lumens a minimum of 5 times from each end, using an appropriate bottle brush. • Brush any movable parts in all extreme positions.
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2. Rinse • Rinse the device with water2 at ambient temperature until all detergent residue is removed. • Flush any lumens or mated surfaces a minimum of 5 times. Once all detergent residues is removed, continue to rinse for a minimum of 30 seconds. • Drain excess water from the device and dry it using a clean cloth or pressurized air. • Visually inspect the device for cleanliness, paying close attention to hard-to-reach areas. If visible soil remains, repeat steps 1 and 2. 3. Soak • Prepare a non-enzymatic detergent3, according to the manufacturer’s recommendations. • Fully immerse the device and inject any lumens and mated surfaces with at least 50 mL of the detergent. • Soak the device for a minimum of 15 minutes. 4. Brush • Thoroughly brush the exterior of the device using a softbristled brush. • Inject the prepared detergent into any lumens or mated surfaces a minimum of 5 times. • Brush any lumens a minimum of 5 times from each end, using an appropriate bottle brush. • Actuate the device, brushing around any movable parts in all extreme positions. 5. Rinse • Thoroughly rinse the device with water2 until all detergent residue is removed. Flush any lumens or crevices a minimum of 5 times. Once all detergent residue is removed, continue to rinse for a minimum of 30 seconds. • Drain the excess water from the device. Automated Cleaning 1. Brush Thoroughly brush the device with an appropriately sized soft‑bristled brush, focusing on hard-to-clean areas. 2. Rinse • Rinse the device with water2 at ambient temperature until all visible detergent residues have been removed. • Flush all lumens, crevices, and mated surfaces at least five times. • Continue to rinse the device for a minimum of 30 seconds after all detergent residue has been removed. 3. Automated Wash • Place the device in an automated washer on an incline to facilitate drainage. • Program the washer with the following parameters, then activate the wash: Recirculation Time
Water Temperature
Detergent Type
Pre Wash
2 Minutes
Cold
N/A
Enzyme Wash
2 Minutes
Hot
Enzymatic Detergent4
Wash 1
2 Minutes
66°C Set Point
NonEnzymatic Detergent5
Rinse 1
2 Minutes
Hot (60°C)
N/A
Dry Phase
7 Minutes
115°C
N/A
Drying • Dry the device using a cleaning cloth. • Filtered pressurized air can be used to assist in drying. Inspecting 1. Visually inspect the device, including all internal surfaces, for remaining soil. 2. If soil remains, repeat manual or automated cleaning procedure, focusing on those areas. Disinfection (optional) 1. Disinfect the device in a disinfecting solution that has the following active ingredients: • ≥ 2.4% glutaraldehyde (with minimum immersion time of 45 minutes at 25°C)6 • ≥ 0.55% ortho-phthalaldehyde (with a minimum soaking time of 12 minutes at 25°C)7 2. Prepare the disinfecting solution according to the manufacturer’s instructions. 3. Per manufacturer’s recommendations, immerse the device in the disinfecting solution for the required time at the appropriate temperature, filling all lumens. 4. Using a syringe, flush any lumens and openings a minimum of 10 times each with the same disinfecting solution. 5. Thoroughly rinse and flush all interior and exterior surfaces with running deionized water until the device is visibly clean and all disinfecting solution and/or residue is removed. Dry all parts with a lint-free towel immediately after rinsing.
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Maintenance, Inspection, and Testing • Inspect the device on a continual basis. If a problem is observed or suspected, the device should be returned for repair. • Inspect all components for cleanliness. If fluid or tissue buildup is present, repeat the above cleaning and disinfection procedures. • Inspect the optical surfaces of the endoscope for clarity. If there are deposits that need to be removed, put some polishing paste (provided with the endoscope) on the end of a clean cotton-tipped swab, then press the swab gently against the optical surfaces and scrub in a circular motion. Remove the paste residue with a cotton swab soaked in acetone or alcohol. Note: Cleaning with polishing paste should not be part of routine cleaning procedures. It should only be performed when the endoscope image is cloudy. Sterilization After performing the cleaning instructions specified above, perform one of the following sterilization cycles: Ethylene Oxide (EtO) PreConditioning
Sterilization
Aeration
Temperature
55°C (131 ± 5°F)
55°C (131 ± 5°F)
51 – 59°C (124° – 138°F)
Relative Humidity
70% RH
70% RH
-
Vacuum Set Points
1.30 psia
-
-
EtO Concentration
-
725 mg/L
-
Time
30 minutes
1 hour
12 hours
Steam • Steam sterilization is intended only for scopes marked Autoclavable. 6. Unwrapped (immediate-use steam sterilization) steam autoclave cycle is not recommended because water source impurities may cause hard films to build up on the outer optical windows of the endoscope which reduce optical performance. • Rapid cooling, or “quenching,” the endoscope after autoclaving will result in product damage.
Wrapping Temperature Time
Dry Time
Gravity
Pre-vacuum
Double
Double
132 – 137°C 132 – 137°C (270 – 279°F) (270 – 279°F)
Immediate-Use Pre-vacuum - 132 – 137°C (270 – 279°F)
10 minutes
3 minutes*
3 minutes
50 minutes
50 minutes
-
Warning: Drying time depends on several variables, including: altitude, humidity, type of wrap, preconditioning, size of chamber, mass of load, material of load, and placement in chamber. Users must verify that drying time set in their autoclave yields dry surgical equipment.
*18 minutes is the maximum time that should be used for the Prevacuum cycle.
STERRAD® • Clean and prepare the endoscope as recommended in the Cleaning and Disinfection sections. 1. Sterilize the endoscope following the instructions of the manufacturer, using the STERRAD® 100S, 200, NX™ or 100NX™ Sterilization System. Select the standard cycle. 2. Allow the endoscope to completely dry before reassembling it to a coupler or camera head. Otherwise, the lens will fog during use. STERIS® System 1, System 1 Express, and System 1 Plus (Not for Use in the United States) 1. Clean and prepare the scope as recommended in the Cleaning and Disinfection sections. 2. Sterilize the scope using either of the following: • STERIS® System 1 with Steris 20 Sterilant • STERIS® System 1 Express or STERIS System 1 Plus with S40™ Sterilant. 3. Remove the scope from the sterilizer once sterilization is complete. 4. Allow the scope to completely dry before reassembling it to a coupler or camera head. Otherwise, the lens will fog during use. STERIS®/Amsco® V-PRO 1. Clean and prepare the endoscope as recommended in Cleaning and Disinfection sections. 2. If using a sterilization tray (optional), follow any additional instructions provided with the tray. Use only trays that are approved for sterilization with Steris/Amsco V-PRO. 3. Double wrap the endoscope prior to sterilization. 4. Sterilize the endoscope using the V-PRO maX Sterilizer (Non-Lumen or Standard cycle), the V-PRO 1 Plus Sterilizer (Non-Lumen or Standard cycle), or the V-PRO 1 Sterilizer (Standard cycle).
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5. Allow the endoscope to completely dry before reassembling it to a coupler or camera head. Otherwise, the lens will fog during use. Cleaning was validated using Enzol® at 1 oz/gal. at 35 – 40°C. Cleaning was validated using reverse osmosis/deionized (RO/DI) water. Cleaning was validated using Prolystica™ 2x Neutral Detergent at 1∕8 oz/gal. 4 Cleaning was validated using Enzol® at 1 oz/gal. 5 Cleaning was validated using Prolystica™ 2x Neutral Detergent at 1∕8 oz/gal. at 35 – 40°C. 6 Cidex® Activated solution was validated for disinfection efficacy. 7 Cidex® OPA solution was validated for disinfection efficacy. 1 2 3
Environmental Conditions for Transport/ Storage Observe the following environmental conditions fo transport and storage: • Temperature: -18° to 60°C • Relative Humidity: 15% to 90%
Endoscope Disposal Endoscopes must be disposed of according to local laws and hospital practices. The device does not contain any hazardous materials.
Warranty and Return Policy Product Warranty Stryker Endoscopy warrants all products, subject to the exceptions provided herein, to be free from defects in design, materials and workmanship and to substantially conform to the product specifications contained in the documentation provided by Stryker Endoscopy with the products for a period of one year from the date of purchase (the “Warranty Period”). This warranty shall apply only to the original end-user purchaser of products directly from Stryker Endoscopy or a Stryker Endoscopy authorized distributor. This warranty may not be transferred or assigned without the express written consent of Stryker Endoscopy. If a valid warranty claim is received within the Warranty Period, Stryker will, in its sole discretion: (1) repair the product at no charge, (2) replace the product at no charge with a product that is at least functionally equivalent to the original product, or (3) refund the purchase price of the product. In any event, Stryker’s liability for breach of warranty shall be limited to the replacement value of the defective or non-conforming part or component. This warranty does not apply to: (1) products that have been misused, neglected, modified, altered, adjusted, tampered with, improperly installed or refurbished; (2) products that have been repaired by any person other than Stryker Endoscopy personnel without the prior written consent of Stryker Endoscopy; (3) products that have been subjected to unusual stress or have not been maintained in accordance with the instructions in the user manual or as demonstrated by a Stryker Endoscopy representative; (4) products on which any original serial numbers or other identification marks have been removed or destroyed; or (5) products that have been repaired with any unauthorized or non-Stryker components, including replacement lamps. If Stryker determines in its reasonable discretion that the claimed defect or non-conformance in the product is excluded from warranty coverage as described hereunder, it will notify the customer of such determination and will provide an estimate of the cost of repair of the product. In such an event, any repair would be performed at Stryker’s standard rates. Products and product components repaired or replaced under this warranty continue to be warranted as described herein during the initial Warranty Period or, if the initial Warranty Period has expired by the time the product is repaired or replaced, for thirty (30) days after delivery of the repaired or replaced product. When a product or component is replaced, the item provided in replacement will be the customer’s property and the replaced item will be Stryker’s property. If a refund is provided by Stryker, the product for which the refund is provided must be returned to Stryker and will become Stryker’s property. The inspection, testing, acceptance or use of the products and services furnished hereunder shall not affect Stryker’s obligation under this warranty, and such warranty shall survive inspection, test, acceptance and use. Notwithstanding the above, (i) the following products are warranted for a period of ninety (90) days from the date of purchase: Scopes, Associated Scope Hardware, Fiber Optic Cables, Laparoscopic Instruments, VCRs, Monitors, and Ink Jet Printers; (ii) SDP1000 Stryker Digital Printers are warranted for three (3) years from the date of purchase; and (iii) replacement light bulbs are warranted for a period of sixty (60) days from the date of purchase. TO THE FULLEST EXTENT PERMITTED BY LAW, THE EXPRESS WARRANTY SET FORTH HEREIN IS THE ONLY WARRANTY APPLICABLE TO THE PRODUCTS AND IS EXPRESSLY IN LIEU OF ANY OTHER WARRANTY BY STRYKER, EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
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PURPOSE. STRYKER SHALL NOT HAVE ANY TORT LIABILITY TO CUSTOMER WITH RESPECT TO THE PRODUCTS AND SHALL NOT BE LIABLE FOR INDIRECT, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES RESULTING FROM ANY BREACH OF WARRANTY OR UNDER ANY OTHER LEGAL THEORY. Return Policy Stryker Endoscopy values customer relationships and strives for satisfaction in purchases made by our customers. Therefore, we offer a return policy for most products. Under this policy, customers may return purchased products to Stryker Endoscopy, within 90 days of customer’s receipt of the product, for a credit or a refund of the purchase price paid, less shipping and handling and applicable restocking fees. Products that fail after the first 90 days may be covered by and are subject to the terms of applicable product warranty. Sterile products may not be returned for credit or refund unless they are in their original, unopened packaging or if they are in breach of the applicable warranty. Restocking Fees: Unless the product is defective or the return is the direct result of a Stryker Endoscopy error, a restocking fee of 10% may be charged on all returned products. A Returned Merchandise Authorization (RMA) number must be obtained from Stryker Endoscopy before returning product. To obtain an RMA number, please contact Stryker Endoscopy Customer Service at 1.800.624.4422. Please send any returned products to: Stryker Endoscopy Attn: Returns 5900 Optical Court San Jose, CA 95138, USA With the return, please include the following: 1. 2. 3. 4. 5. 6. 7.
RMA number Purchase order number Original invoice number Name, address, and account number (of the organization returning the product) Itemized list of the items being returned Reason for the return Product Experience Report/Complaint number, if applicable
Please carefully package the product being returned. Credit will not be given for items that are damaged in return shipment due to inadequate packaging. Stryker Endoscopy does not accept any COD returns. Return shipping costs are borne by the customer unless Stryker Endoscopy specifically agrees otherwise. Please clean and sterilize all potentially contaminated products prior to returning them to Stryker Endoscopy. It is unlawful to transport bio-contaminated products through interstate commerce, unless they are properly packaged and labeled as such. Stryker Endoscopy reserves the right to destroy contaminated product at the customer’s expense and charge the customer for a replacement unit. Please remove any “Protected Health Information” as defined in the Health Insurance Portability and Accountability Act of 1996 from products prior to returning them to Stryker Endoscopy. If a return does not comply with these terms, Stryker Endoscopy reserves the right to destroy the product at the customer’s expense. Any replacement would be at the customer’s expense.
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Products referenced with a ™ designation are trademarks of Stryker. Products referenced with a ® designation are registered trademarks of Stryker. IDEAL EYES® is a registered trademark of Stryker Corporation. Speed-Lock™ and InfraVision™ are trademarks of Stryker Corporation. STERIS® is a registered trademark of STERIS Corporation. STERRAD® and Cidex® are registered trademarks and NX™ is a trademark of ADVANCED STERILIZATION PRODUCTS, Division of Ethicon Inc., a Johnson & Johnson company. STERRAD NX™ and STERRAD 100NX™ are trademarks of ADVANCED STERILIZATION PRODUCTS, Division of Ethicon Inc., a Johnson & Johnson company.
Produced for: Stryker Endoscopy 5900 Optical Court San Jose, CA 95138 USA 1-800-624-4422 U.S. Patents: www.stryker.com/patents
2015/08