Arthrex SynergyID AR-3200-0025 User manual

SynergyID™System
Instructions for Use Manual
AR-3200-0025
AR-3210-0018
AR-3210-0021
AR-3210-0022
AR-3210-0023
AR-3210-0025
AR-3210-0026
AR-3210-0028
AR-3210-0029
AR-3210-0030
AR-3210-0031
AR-3210-0032
AR-3210-0033
DFU-0332 Revision 0
06/2020
The Arthrex SynergyID™System Camera Control Unit and
Camera Head User’s Guide provides important
information for the safe operation of all components of the
SynergyID Camera System, including accessories. Read
this User’s Guide thoroughly prior to using this system
and keep it in an easily accessible place for use by all
operating personnel. Read and follow all safety warnings,
cautions and precautions.
Arthrex, Inc.
1370 Creekside Blvd.
Naples, FL 34108, USA
[phone]
www.arthrex.com
Technical Support
1-[phone]
EC REP
Arthrex GmbH
Erwin-Hielscher-Strasse 9
81249 München, Germany
[phone]
www.arthrex.de

This is not a warranty document. For all warranty information, including disclaimers, exclusions,
terms, conditions, and related provisions, refer to the “Arthrex U.S. Product Warranty” section of
the Arthrex, Inc. website, found at www.arthrex.com whose provisions are incorporated herein by
reference.

DFU-0332r0_fmt_en-US i
Table of Contents
1.0 Introduction ...................................................................................................................................... 1
1.1 Intended Use................................................................................................................................. 1
1.2 Contraindications.......................................................................................................................... 1
1.3 Warnings and Precautions ............................................................................................................ 1
1.4 Symbol Definitions ........................................................................................................................ 7
1.5 End of Life, Environmental Directives........................................................................................... 9
1.6 Initial Use of the Device ................................................................................................................ 9
1.7 Unpacking and Inspecting the Device......................................................................................... 10
1.8 Returning the Device .................................................................................................................. 10
1.9 System Indicators........................................................................................................................ 11
2.0 System Installation and Operation with Data Input Device............................................................ 18
2.1 Installation .................................................................................................................................. 18
2.2 Accessories for Intended Use...................................................................................................... 20
2.3 System Setup Facility and Surgeon Settings ............................................................................... 22
2.4 Icon Guide ................................................................................................................................... 31
2.5 Scheduling and Starting Cases .................................................................................................... 33
2.6 Status Notification Icons ............................................................................................................. 39
2.7 System Operation without Tablet Data Input Device .................................................................42
3.0 Maintenance................................................................................................................................... 44
3.1 Life Expectancy............................................................................................................................ 44
3.2 Periodic Maintenance ................................................................................................................. 44
3.3 Cleaning and Sterilizing............................................................................................................... 45
3.4 Troubleshooting.......................................................................................................................... 49
3.5 Resolving Error Messages ........................................................................................................... 51
3.6 Recommended Annual Camera Control Unit Maintenance Requirements ............................... 51
4.0 Technical Information..................................................................................................................... 52
5.0 APPENDIX [Radio Module Information]......................................................................................... 57
6.0 APPENDIX [Detailed EMC Information]......................................................................................... 58
7.0 APPENDIX [SW Version access]................................................................................................... 63

DFU-0332r0_fmt_en-US ii
List of Figures
Figure 1- SynergyID Front Panel [AR-3200-0025] ................................................................................................11
Figure 2- SynergyID Rear Panel ..............................................................................................................................12
Figure 3- AR-3210-0023 4K SynergyUHD4 Camera Head, autoclavable .......................................................13
Figure 4- AR-3210-0029 4K SynergyUHD4 Broadband Camera Head, autoclavable ...................................13
Figure 5-AR-3210-0018 HD, SynergyUHD4 Camera Head, autoclavable.......................................................14
Figure 6-AR-3210-0031 4K Ultra SynergyUHD4 Camera Head, autoclavable ...............................................14
Figure 7-AR-3210-0033 4K SynergyID 4MOS Camera Head, autoclavable ....................................................15
Figure 8-AR-3210-0025 4K SynergyUHD4 C-Mount Camera Head, autoclavable, AR-3210-0028 4K
SynergyUHD4 C-Mount w/20 foot cable, autoclavable and Not Pictured AR-3210-0026 4K SynergyUHD4
C-Mount Camera Head, 0 Degree, autoclavable.................................................................................................16
Figure 9-AR-3210-0030 4K SynergyUHD4 C-Mount Broadband Camera Head, autoclavable....................16
Figure 10-AR-3210-0021 HD SynergyUHD4 C-Mount Camera Head, autoclavable, and Not Pictured AR-
3210-0022 HD SynergyUHD4 C-Mount Camera Head, 0 Degree, autoclavable............................................17
Figure 11-AR-3210-0032 4K Ultra SynergyUHD4 C-Mount Camera Head, autoclavable.............................17
Figure 12- SynergyID Typical Interconnect Diagram With OPTIONAL Digital Documentation Tablet
[Integrated Optics Heads] ........................................................................................................................................19
Figure 13- SynergyID Typical Interconnect Diagram With OPTIONAL Digital Documentation Tablet [C-
Mount Heads] ............................................................................................................................................................20
Figure 14-System Maintenance..............................................................................................................................22
Figure 15-System Maintenance Screen ................................................................................................................23
Figure 16-Date & Time Screen ...............................................................................................................................24
Figure 17-Print Settings Screen..............................................................................................................................25
Figure 18-System Maintenance Network ..............................................................................................................26
Figure 19-Surgeon Management List ....................................................................................................................27
Figure 20-Surgeon Management Preferences .....................................................................................................27
Figure 21-Surgeon Preferences Settings ..............................................................................................................28
Figure 22-Surgeon Management Procedures Select ..........................................................................................29
Figure 23-Surgeon Procedure Settings .................................................................................................................30
Figure 24-Connectivity Icons ......................................................................................................................................31
Figure 25-Scheduling a case ..................................................................................................................................33
Figure 26-Scheduling a Case..................................................................................................................................34
Figure 27-Starting a Case........................................................................................................................................35
Figure 28-Confirming a Case ..................................................................................................................................36
Figure 29-Camera Settings Change During Case ...............................................................................................37
Figure 30-Ending a Case.........................................................................................................................................38
Figure 31-Status Notification Icons ........................................................................................................................39
Figure 32-Export Status ...........................................................................................................................................40
Figure 33-Export and Print Status During a Case................................................................................................41
Figure 34- SynergyID Initial Screen .........................................................................................................................42
Figure 35- White Balance OK .................................................................................................................................43
Figure 36- White Balance Fail.................................................................................................................................43
Figure 37-Logging On to System............................................................................................................................63
Figure 38- About Screen..........................................................................................................................................63
Figure 39-Software Version Screen .......................................................................................................................63

DFU-0332r0_fmt_en-US Page 1 of 64
1.0 Introduction
It is recommended that personnel study this
manual before attempting to operate, clean,
and/or sterilize the Arthrex SynergyID System
and accessories. The safe and effective use
of this equipment requires the understanding
of and compliance with all warnings,
precautionary notices, and instructions
marked on the product, and included in this
manual.
The Arthrex SynergyID System is comprised
of:
•AR-3200-0025 [SynergyID Console]
•AR-3210-0018 [HD, SynergyUHD4
Camera Head, autoclavable]
•AR-3210-0021 [HD SynergyUHD4
C-Mount Camera Head,
autoclavable]
•AR-3210-0022 [HD SynergyUHD4
C-Mount Camera Head, 0 Degree,
autoclavable]
•AR-3210-0023 [4K SynergyUHD4
Camera Head, autoclavable]
•AR-3210-0025 [4K SynergyUHD4 C-
Mount Camera Head, autoclavable]
•AR-3210-0026 [4K SynergyUHD4 C-
Mount Camera Head, 0 Degree,
autoclavable]
•AR-3210-0028 [4K SynergyUHD4 C-
Mount w/20 foot cable, autoclavable]
•AR-3210-0029 [4K SynergyUHD4
Broadband Camera Head,
autoclavable]
•AR-3210-0030 [4K SynergyUHD4 C-
Mount Broadband Camera Head,
autoclavable]
•AR-3210-0031 [4K SynergyUHD4
Ultra Camera Head, autoclavable]
•AR-3210-0032 [4K SynergyUHD4
Ultra C-Mount Camera Head,
autoclavable]
•AR-3210-0033 [4K SynergyID 4MOS
Camera Head, autoclavable]
1.1 Intended Use
Indications for Non-CE Accepting Countries
The SynergyID Endoscopic Imaging System is
indicated for use to provide real time endoscopic
visible and near-infrared fluorescence imaging.
The SynergyID System enables surgeons to
perform minimally invasive surgery using
standard endoscope visible light as well as
visualization of vessels, blood flow and related
tissue perfusion, and at least one of the major
extra-hepatic bile ducts (cystic duct, common
bile duct or common hepatic duct), using near-
infrared imaging. Fluorescence imaging of biliary
ducts with the SynergyID System is intended for
use with standard of care white light, and when
indicated, intraoperative cholangiography.
The device is not intended for standalone use
for biliary duct visualization.
Indications for CE Accepting Countries
The SynergyID Endoscopic Imaging System is
indicated for use to provide real time endoscopic
visible and near-infrared fluorescence imaging.
1.2 Contraindications
Do not use the device if endoscopic surgery
is contraindicated.
Do not use the device if the environmental
conditions for use do not meet the standards
or regulations defined in the accompanying
documents.
1.3 Warnings and Precautions
The words WARNING, PRECAUTION, and
NOTE carry special meanings and they should
be read carefully.
WARNING: The safety and/or health
of the patient, user, or a third party is
at risk. Comply with this warning to
avoid injury to the patient, user, or
third party.
PRECAUTION: This contains
information concerning the intended
use of the device or accessory.
Damage to the equipment is possible
if these instructions are not followed.
NOTE: A note is added to provide additional,
focused, information.

DFU-0332r0_fmt_en-US Page 2 of 64
1.3.1 WARNINGS
•This equipment is designed for use
by medical professionals completely
familiar with the required techniques
and instructions for use of the
equipment. Prior to using the device,
read and follow all warning and
precautionary notices and
instructions marked on the product
and included in this manual. Become
familiar with the operation and
function of this device and
associated accessories. Failure to
follow these instructions can lead to:
•Life-threatening injuries to the patient
•Severe injuries to the surgical team,
nursing or service personnel, or
•Damage or malfunction of the device
or accessories.
1. United States Federal law restricts sale of
this device to or on the order of a physician.
2. The device is intended to be used by a
trained medical professional.
3. Do not open or attempt to service this
system, as this may void your
warranty. There are no user-
serviceable parts inside. Removing the
cover may introduce an electric shock
hazard by exposing you to dangerous
high voltages or other risks. If the
system malfunctions, return it for service
immediately.
4. For the protection of the patient it is
recommended that a back-up camera system
for the Arthrex SynergyID video system be
maintained, sterilized, and ready to be
implemented.
5. For the protection of the patient it is essential
that the endoscopic video system
interconnection is complete and produces a
viable color picture on the surgical monitor
PRIOR to administration of patient
anesthesia.
6. Disconnect camera head and endoscope
from the patient prior to applying cardiac
defibrillation to patient.
7. Only the physician can evaluate the clinical
factors involved with each patient and
determine if the use of this device is
indicated. The physician must determine the
specific technique and procedure that will
accomplish the desired clinical effect.
8. This device and its accessories are to be
used only by physicians and medical
assistants under the direction of a physician
with appropriate technical qualifications.
9. This device shall only be used with original
and manufacturer’s accessories and
replacement parts. Use of other parts or
materials may degrade safety.
10. Do not use in the presence of
flammable anesthetics, gases,
disinfecting agents, cleaning
solutions, or any material susceptible to
ignition due to electrical sparking.
11. Equipment grounding is vital for safe
operation. Plug the power cord into a properly
earthed mains supply outlet whose voltage
and frequency characteristics are compatible
with those listed on the unit or in this manual.
Do not use plug adapters or extension cords;
such devices defeat the safety ground and
could cause injury.
12. This equipment should not share an electrical
outlet or grounding with life supporting or life
sustaining equipment.
13. If one or more mains powered units are
connected simultaneously to one socket by
the means of a distribution box, the sum of
the individual leakage currents may exceed
the tolerated limits.
14. Before each use, the outer surface of the
portions of the Endoscope and any
Endoscopically Used Accessory, which are
intended to be inserted into the patient, should
be checked to ensure there are no unintended
rough edges, sharp edges or protrusions which
may cause a safety hazard.
15. Refer to Insufflation Device Instructions
regarding safety hazards to patients resulting
from gas emboli.
16. The leakage current through the patient could
increase when using endoscopes with
powered accessories.
17. When Endoscopes are used with Energized
Endoscopically Used Accessories, the
Patient Leakage Currents may be additive.
This is particularly true if a CF Applied Part is
used, in which case a Type CF
Endoscopically Used Accessory should be

DFU-0332r0_fmt_en-US Page 3 of 64
used to minimize total Patient Leakage
Current.
18. Applied Parts of other ME Equipment used
within the configuration for Endoscopic
Application shall be type BF or CF Applied
Parts.
19. Explosive gas concentrations inside the
patient can cause hazards while using High-
Frequency Endoscopically Used Accessories.
20. For the protection of service personnel, and
for safety during transportation, all devices
and accessories that are returned for repair
must be prepared for shipment as described
in “Returning the Device” of this manual.
The manufacturer has the right to refuse to
carry out repairs if the product is
contaminated.
21. This equipment/system may cause radio
interference or may disrupt the operation of
nearby equipment. It may be necessary to
take mitigation measures, such as re-
orienting or relocating the SynergyID Video
System or shielding the location.
22. NOT for use in an Oxygen Rich Environment.
23. NO Modifications of this equipment are
allowed.
24. Connecting any equipment that has not been
supplied as part of this ME System to Multiple
Socket Outlets may result in increased
leakage currents. Use an IEC Approved
Isolation Transformer to isolate any such
interconnections from the ME System.
25. Before each use or after changing viewing
modes/settings the Operator should check to
ensure that the view observed through the
Endoscope provides a live image (rather than
a stored one) and has the correct image
orientation.
26. Risk of burns!
LED Light Engines emit large amounts of
light and thermal energy. As a result:
•Always keep the LED Light Engine in
the STANDBY mode when not in use.
The endoscope light guide connection
can get extremely hot as result of high
intensity light, giving rise to high
temperatures in front of the light
emission window which may cause
severe burns.
•Surface temperatures of the insertion
portion of the endoscope as well as light
guide connectors on the Camera
Control Unit (CCU) and the endoscope
rise during use.
•Potential thermal injury to the patient’s
tissue and skin may result from
prolonged exposure to the intense
illumination in small cavities, or if the
endoscope’s distal end is placed in
close proximity with the tissue. This can
cause the temperature of the body
tissue to rise in excess of 106 °F (41°C).
Burns or thermal damage to surgical
equipment may also result.
•Avoid prolonged exposure to intense
illumination.
•Use the minimum level of illumination
necessary to satisfactorily illuminate the
target area.
•Do not place the endoscope’s distal end
or light guide connector on the patient’s
skin, on flammable materials or on heat
sensitive materials.
•Turn the light source off when detaching
the endoscope from the light guide
cable.
•Allow the endoscope and light guide
cable to cool down after use before
reprocessing.
27. High Frequency [HF] electrical surgical
instruments may lead to severe patient
injuries and/or damage to the endoscope.
Care should be taken to ensure that the
working element is kept within field of view to
prevent accidental burns. A sufficient
distance from the tip of the endoscope to
other conductive accessories and
instruments should be maintained (10 mm)
before activating the HF output to prevent
burns and damage to the endoscope. Refer
to the HF Surgical Device Instructions for
proper and safe use.
28. HF surgical instruments may interfere with
video images. To prevent such interference,
HF equipment and video imaging equipment

DFU-0332r0_fmt_en-US Page 4 of 64
should be connected to different power
supply circuits.
29. Use of Lasers in surgery may result in Eye
Damage or damage to the endoscope from
reflected laser energy. Refer to the Laser
Device Instructions for proper and safe use.
•When using a laser always wear
protective glasses designed for the
laser’s wavelength.
•Cover the patient’s eyes, or use
protective glasses designed for the
laser’s wavelength.
•To prevent damage to the
Endoscope, the Laser should be
activated only after the tip of the laser
can be seen through the endoscope.
30. To ensure FCC RF Exposure limits for base
station transmissions devices are met, a
distance of 20 cm or more shall be
maintained between the Camera Control Unit
(which contains the antennas), and persons
during operation. To ensure compliance, an
operator closer than 20 cm to Camera
Control Unit is not recommended.
31. This device should only be used by a trained
medical professional.
32. Biohazard waste, such as explanted devices,
needles and contaminated surgical
equipment, should be safely disposed of in
accordance with the institutions policy.
33. Serious incidents should be reported to
Arthrex, Inc., or an in-country representative,
and to the health authority where the incident
occurred.
1.3.2 PRECAUTIONS
1. Surgeons are advised to review the product-
specific surgical technique prior to
performing any surgery. Arthrex provides
detailed surgical techniques in print, video,
and electronic formats. The Arthrex website
also provides detailed surgical technique
information and demonstrations. Or, contact
your Arthrex representative for an onsite
demonstration.
2. Only use the device with Arthrex compatible
equipment listed in Section 2.2.
3. Inserting an incompatible Camera Head into
the camera receptacle (see Figure 1) can
result in damage to the CCU.
4. The warranty becomes void and the
manufacturer is not liable for direct or
resulting damage if:
•The device or the accessories are
improperly used, prepared or
maintained;
•The instructions in the manual are not
adhered to;
•Non-authorized persons perform
repairs, adjustments or alterations to the
device
•Non-authorized persons open the
device.
NOTE: Receipt of technical documentation
from the manufacturer does not authorize
individuals to perform repairs, adjustments,
or alterations to the device or accessories.
Only authorized service personnel may
perform repairs, adjustments or alterations
on the device and accessories. Any violation
will void the manufacturer’s warranty.
Authorized service technicians are trained
and certified only by the manufacturer. The
Manufacturer will make available on request
circuit diagrams, component part lists,
descriptions, calibration instructions and
other information required for service to any
Arthrex Authorized Service Center.
5. Prior to each use, the CCU and all
associated equipment must be inspected for
proper operation. Visually inspect lenses to
ensure there are no scratches, chips or
cracks.
6. To carry out safe operation, it is absolutely
necessary to carry out proper care and
maintenance of the device and accessories.
See “Maintenance” section of this manual.
7. Ensure that the available mains voltage
matches the mains voltage data on the rear
of the device which is located near the
appliance inlet module.
8. This device may only be connected to
endoscopes which, in their intended use and
technical specifications, are appropriate for
use with the device for the intended medical

DFU-0332r0_fmt_en-US Page 5 of 64
procedure. The endoscopes must comply
with the latest version of DIN EN 60601-2-18
and ISO 8600.
9. Do not expose the Camera Control Unit
(CCU) to moisture, or operate it in a wet
area, or store liquids above the CCU.
10. Do not excessively bend or kink instrument
power cord or camera head cable.
11. Handle all equipment carefully. If the CCU or
camera head is dropped or damaged in any
way, return it immediately for service.
12. When using smaller diameter scopes (i.e.
those smaller than 4.8 mm), it is
recommended to use a smaller diameter
(e.g. 3.5 mm) light guide to minimize the
amount of excessive light and heat at the
scope-light guide junction.
13. If the camera head or camera head cable
are damaged in any way, or cable or
connector jacket are cut, do not autoclave
camera head, or immerse camera head in
liquid (water, chemical disinfectants or
sterilants, etc.). Notify your Arthrex Sales
Representative. If it is necessary to return
the camera head to Arthrex for service,
disinfect the camera head before shipping
and reference “Returning the Device”.
14. Store camera head and all accessories in a
protective container to prevent damage
during storage. Do not store CCU where it
will be exposed to temperatures in excess of
140°F (+ 60°C).
15. Additional equipment connected to medical
electrical equipment must comply with the
respective IEC or ISO standards (e.g. 60950
for data processing equipment).
Furthermore, all configurations shall comply
with the requirements for medical electrical
systems (see IEC 60601-1). Anybody
connecting additional equipment to medical
electrical equipment configures a medical
system and is therefore responsible that the
system complies with the requirements for
medical electrical systems. Attention is
drawn to the fact that local laws take priority
over the above mentioned requirements. If
in doubt, consult your local representative,
or the technical department.
16. Any person who connects external
equipment to signal input and signal output
ports or other connectors has formed a
system and is therefore responsible for the
system to comply with the requirements of
IEC 60601-1. If in doubt, contact a qualified
Biomedical technician or your local
representative.
17. This equipment has been tested and found
to comply with the Class A limits for medical
devices to IEC 60601-1-2. These limits are
designed to provide reasonable protection
against harmful interference in a typical
medical installation. This equipment
generates and can radiate radio frequency
energy and, if not installed and used in
accordance with the instructions, may cause
harmful interference to other device(s) in the
vicinity. However, there is no guarantee that
interference will not occur in a particular
installation. If this equipment does cause
harmful interference to other devices, which
can be determined by turning the equipment
off and on, the user is encouraged to try to
correct the interference by one or more of
the following measures:
(a) Reorient or relocate the receiving
device.
(b) Increase the separation between the
equipment.
(c) Connect the equipment into an outlet on
a circuit different from that to which the
other devices are connected.
(d) Consult the manufacturer or field service
technician for help.
This unit was not evaluated for use with
electrosurgical devices which access the
site via the same endoscope as the light
engine and camera. The unit must be re-
evaluated prior to use with electrosurgical
devices when they will operate through the
same endoscope as the light source and
camera.
18. After each use, thoroughly clean unit and
accessories (See “Cleaning and
Sterilizing”).
NOTES:
Observe all national waste management
regulations.
Do not dispose of WEEE as unsorted
municipal waste.

DFU-0332r0_fmt_en-US Page 6 of 64
19. In CE accepting Countries: Procedures
carried out using these devices may be used on
the general population.
20. In CE accepting Countries: The clinical
benefits associated with the use of these
devices outweigh the known clinical risks.
21. In CE accepting Countries: There are no
unacceptable residual risks or uncertainties
associated with the clinical use of these devices.

DFU-0332r0_fmt_en-US Page 7 of 64
1.4 Symbol Definitions
All of the symbols used on the labeling along with the title, description and standard designation number
may be found on our website at www.arthrex.com/symbolsglossary.
Safety Sign
Follow Operating
Instructions
Caution: Federal
Law Restricts
this device to
sale by or on the
order of a
Physician.
Power Standby/On
Not for use in the
Presence of
Flammable
Anesthetics.
ON-OFF
Push-Push
USB Tablet
Computer
Connection
Attention, Consult
Accompanying
Documents
Fragile
Precaution of
Warning Notice
This Side Up
Electrical Hazard,
Dangerous Voltages
are Present. Never
attempt to repair the
equipment. Only
Trained Service
Personnel may
remove the cover, or
obtain access to
system
components.
Temperature
Limits for
Storage and
Transport

DFU-0332r0_fmt_en-US Page 8 of 64
Defibrillation Proof
Type CF Equipment
Keep Dry
Alternating Current
Pressure Limits
for Storage and
Transport
Protective Earth
[Ground]
Humidity Limits
for Storage and
Transport
Equipotential
[Equipment
Potential]
Universal Serial
Bus
WEEE [Waste
Electronics and
Electrical
Equipment] Symbol.
Regarding European
Union End-of-Life of
Product.
RF Symbol. Non-
ionizing
Electromagnetic
Radiation
White Balance
Symbol
Color Video
Camera
LED Light Do Not Use if
Damaged
MFi
Made for iPad
EC Rep
Catalog Number Serial Number

DFU-0332r0_fmt_en-US Page 9 of 64
1.5 End of Life, Environmental
Directives
WEEE Directive [2012/19/EU] on Waste
Electrical and Electronic Equipment
The Directive on Waste Electrical and Electronic
Equipment obliges manufacturers, importers,
and/or distributors of electronic equipment to
provide for recycling of the electronic equipment
at the end of its useful life.
Do not dispose of WEEE in unsorted municipal
waste.
The WEEE symbol on the product or its
packaging indicates that this product must not
be disposed of with other waste. Instead, it is
your responsibility to dispose of your waste
equipment by handing it over to a designated
collection point for the recycling of Waste
Electrical and Electronic Equipment. The
separate collection and recycling of your waste
equipment at the time of disposal will help
conserve natural resources and ensure that it is
recycled in a manner that protects human health
and the environment. For more information
about where you can drop off your medical
endoscopic video equipment at the end of its
useful life for recycling, please contact Arthrex
Customer Service Department.
The Camera Control Unit (CCU)
contains a Lithium Coin BATTERY. The
BATTERY must be recycled or disposed
of properly.
NOTE for State of California, USA:
State of California Requirement: Lithium
Batteries contain Perchlorate Material -special
handling may apply. See
www.dtsc.ca.gov/HazardousWaste/Perchlorate
In the US a list of recyclers in your area can be
found at www.eiae.org/
1.6 Initial Use of the Device
WARNINGS:
1. The device is only completely isolated
from the mains if the power plug is
disconnected from the device’s power
inlet module. Avoid positioning
equipment such that removal of plug is
difficult.
2. The electrical installation of the operating
room where the device is used must
comply with applicable national
requirements.
3. Loss of the Mains Voltage may result in
an unacceptable risk due to loss of
Clinical Function. An Uninterruptable
Power Supply [UPS] is recommended to
mitigate this risk.
4. The device is not intended for use in
areas of explosion hazards. If explosive
nitrous gases are used the Camera
Control Unit may not be operated in the
danger zone.
5. Do not simultaneously touch the Camera
Control Unit and the patient. Camera
Control Unit is intended to be used
outside the Patient Vicinity.
6. Additional peripheral equipment
connected as part of the Endoscopic
Video System must meet the
requirements of the following
specifications:
•IEC 60950 for Information
Technology Equipment.
•IEC 60601-2-18 for endoscopic
devices.
•IEC 60601-1 for medical electrical
equipment.
7. All final Endoscopic Video Systems must
meet the requirements of IEC 60601-1.
8. Whoever connects additional equipment
to signal input or signal output is
obligated to meet the requirements of the
IEC 60601-1 standard.

DFU-0332r0_fmt_en-US Page 10 of 64
CAUTION: Do not install the device
in a location near heat sources such
as air ducts or radiators and do not
expose the device to direct sunlight,
excessive dust, or mechanical vibration.
1.7 Unpacking and Inspecting the
Device
Upon receipt, carefully unpack the SynergyID
Camera Control Unit (CCU) and accessories.
Ensure contents are complete and are free from
damage. If any damage is noted contact your
Arthrex Customer Service. Contact the
Manufacturer for Return Authorization PRIOR to
shipping your device for service. Save ALL
packaging materials; they may be needed to
verify any claims of damage by the shipper.
1.8 Returning the Device
If it becomes necessary to return the device,
always use the original packaging. The
manufacturer does not take responsibility for
damage that has occurred during transportation
if the damage was caused by inadequate
transport packaging. Please make sure that all
required information has been supplied. Call
Arthrex for an RMA Number for the device return
for service.
•Owner’s Name
•Owner’s Address
•Owner’s Daytime Telephone Number
•Device type and model.
•Serial Number
•Detailed explanation of the damage.
NOTE:
1. The CCU shall be cleaned per
section Cleaning and
Sterilization prior to returning for
service.
2. The Camera Head shall be
cleaned and Sterilized per
Cleaning and Sterilization prior
to returning for service. Camera
Head shall be clearly labeled as
“Sterile.”
Equipment will not be repaired unless
decontaminated as stated above prior to return
to the manufacturer.

DFU-0332r0_fmt_en-US Page 11 of 64
Figure 1- SynergyID Front Panel [AR-3200-0025]
1.9 System Indicators
1.9.1 SynergyID Front Panel
1. On/Standby Switch-The On/Standby switch
toggles the Camera Control Unit (CCU)
between ON [operational mode] and
STANDBY. The Green LED will illuminate
when the CCU is in the ON mode. Press and
HOLD the switch to toggle between ON and
STANDBY.
2. Light Guide Turret-Turret for Light Guide
input
•Wolf Input
•Storz Input
•ACMI Input
•Olympus Input
NOTE: Rotate Light Guide Turret until the
appropriate port is aligned with LED
INDICATOR then Insert
Light Guide.
3. USB Port-Connect USB devices here.
4. iPAD USB Port-Connect iPAD to this port.
5. “WHITE BALANCE” Button-Press to initiate
camera white balance.
6. “CAMERA” Input Connection-Insert the
camera head connector here. The camera
head connector and receptacle are specially
keyed to prevent the camera head from being
improperly connected. Ensure that the “UP”
label on the camera head connector is facing
upwards when the camera head connector is
inserted.
PRECAUTION: Ensure camera head
contacts are clean and dry and cooled
15 minutes prior to insertion.
7. LED Light Engine On/Standby Switch-The
Light Source On/Standby Switch toggles the
Light Source between ON [Operational
Mode] and STANDBY.
PRECAUTION:
Use only FUSED Light Guides to ensure
proper operation of LED Light Engine.

DFU-0332r0_fmt_en-US Page 12 of 64
Figure 2- SynergyID Rear Panel
1.9.2 Rear Panel
1. DVI Video Output Connector-Supplies a
digital video signal output in DVI-D format.
2. Laser Input-Connection for Synergy Laser
Light Source. Also acts as second DVI output
if laser is not connected.
3. Display Ports (2X)-Supplies UHD Video
Signal output in either 1.1 [dual cable] or 1.2
[MST].
NOTE: Arthrex recommends connecting
SynergyID to the primary surgical monitor via
multiple output types (e.g., display port and
DVI, Synergy Matrix and 3G-SDI) in the event
that one type of connection is lost.
4. Audio In / Audio Out-Audio In: Line Level
Audio input for Microphone. Audio Out: Line
Level Audio output to Medical Grade Devices.
5. RS-232 Connector-Isolated connection to
devices requiring Serial Control.
6. DVI Input-1080P/60 Input for Picture in Picture
[PIP].
7. USB 2.0 (2X)-USB 2.0 Connection.
8. USB 3.0 (2X)-USB 3.0 Connection.
9. Accessory Ports (Inputs/Outputs (2X) mini
Stereo-Phone Connectors)-Accessory ports
allow for control of the CCU with a footswitch
or external device or for the CCU to control
external devices via the camera head buttons.
10. Tablet Connection-Connection for Tablet
Data Input device. Provides for data
interchange and tablet charging.
11. 3G-SDI Out-1080P/60 Output.
12. Ethernet Connector-Isolated 10/100 Mb/sec.
13. Potential Equalization Connector (POAG)-
Potential Equalization Connector per DIN
42801.
NOTE: The purpose of the Potential
Equalization Connector is to equalize the
potentials between different metal parts of the
various Medical Electrical [ME] equipment
which make up a Medical Electrical system, or
to reduce differences of potential which can
occur during operation between the bodies of
the Medical Electrical devices and conductive
parts of other objects. The Potential
Equalization Connector may be connected
directly between any ME Devices, or to a
common busbar of the electrical installation.
Reference IEC 60601-1 for ME Systems.
14. IEC 320 Power Inlet Module (100-240V~,
50/60 Hz)-The CCU is equipped with a
switching power supply that automatically
adjusts to the line voltage being used. Accepts
the supplied hospital grade power cord.

DFU-0332r0_fmt_en-US Page 13 of 64
Figure 3- AR-3210-0023 4K SynergyUHD4 Camera Head, autoclavable
Figure 4- AR-3210-0029 4K SynergyUHD4 Broadband Camera Head, autoclavable

DFU-0332r0_fmt_en-US Page 14 of 64
Figure 5-AR-3210-0018 HD, SynergyUHD4 Camera Head, autoclavable
1
2
34
Figure 6-AR-3210-0031 4K Ultra SynergyUHD4 Camera Head, autoclavable

DFU-0332r0_fmt_en-US Page 15 of 64
Figure 7-AR-3210-0033 4K SynergyID 4MOS Camera Head, autoclavable
1.9.3 Camera Heads with Integrated Optics
1. Button 1-A programmable button that
can activate various functions of the
camera. See “Optional Tablet Data Input
Device” for programming information.
2. Button 2-A programmable button that
can activate various functions of the
camera. See “Optional Tablet Data Input
Device” for programming information.
3. Focus Ring-Used to sharpen, or bring
into focus, the image detail.
4. Grasping Mechanism-Accepts and
locks into place the compatible scope.
DIN 58105 compliant endoscope
interface.

DFU-0332r0_fmt_en-US Page 16 of 64
Figure 8-AR-3210-0025 4K SynergyUHD4 C-Mount Camera Head, autoclavable, AR-3210-0028 4K
SynergyUHD4 C-Mount w/20 foot cable, autoclavable and
Not Pictured AR-3210-0026 4K SynergyUHD4 C-Mount Camera Head, 0 Degree, autoclavable
1
2
3
Figure 9-AR-3210-0030 4K SynergyUHD4 C-Mount Broadband Camera Head, autoclavable