Smith & Nephew LENS Integrated System Installation and operating instructions

LENS Integrated System
Operations/Service Manual

310601034 Rev. BLENS Integrated System Operations/Service Manual
Catalog number Color Camera Manufacturer
On/Off Classification Serial number
Up and Down Buttons Video output Type CF equipment
White balance Video input Fuse
Menu USB output EU: Not for general waste
Caution: See Instructions
for Use
Follow instructions for
use CE Mark
Select button Danger Non-ionizing
electromagnetic radiation
Brightness Power plug eEnvironmentally friendly
use period
Do not plug in wet Equipotentiality
Authorized representative
in the European
community
Alternate current Keep dry This way up
Warning Humidity limitation Temperature limitation
MR Unsafe Electrical Equipment
Safety System (EESS)
Glossary of Symbols

410601034 Rev. B LENS Integrated System Operations/Service Manual
Preface
Preface
This manual provides the information needed to operate and maintain the Smith & Nephew LENS Integrated System. Prior to using this equipment,
read this manual thoroughly, paying particular attention to the operating instructions, warnings, and precautions. Smith & Nephew surgical
equipment is designed for use only by medical professionals who are completely familiar with the appropriate surgical techniques and video
procedures.
Table of Contents
Glossary of Symbols .................... 3
Preface ............................... 4
Table of Contents....................... 4
Device Description...................... 5
Intended Use .......................... 5
Indications for Use ...................... 5
Contraindications....................... 5
Warnings.............................. 5
If using the Wi-Fi enabled control unit ......6
Precautions ........................... 6
System Components .....................7
Accessories ...........................7
System Controls........................ 8
Front Panel Overview ....................8
Rear Panel Overview ....................9
Camera Head Controls ..................10
Button Function.........................11
Table 1: Default Live Video Button
Functions* .............................11
Table 2: Optional Programmable Button
Functions* .............................11
General Screen Navigation............... 12
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Unpacking and General Inspection ........13
LENS Integrated System ................. 13
Setup................................13
Secure the Control Unit.................. 13
IEC 60601-1 Compliant System
Configuration......................... 13
Setup Configurations Summary ..........13
Cable Connectors .....................14
Recommended System Configuration
for the Wi-Fi-Enabled System.............15
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Configure the peripheral ports............ 15
Recommended System Configuration,
for the Wi-Fi Enabled System . . . . . . . . . . . . . 15
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Configure the peripheral ports............ 15
Recommended System Configuration,
No Wi-Fi ............................. 17
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Configure the peripheral ports............ 17
Apply Power to the Camera Control Unit ....19
Perform the Network Setup ..............19
Perform an Installation Safety Check ......19
Preoperative.......................... 20
Prepare the Camera Head ...............20
Connect the Camera Head ..............20
Connect the Coupler/Videoendoscope
to the Camera Head ....................20
Insert the Light Guide ..................20
Turn the Camera Control Unit On ..........20
Connect the iPad ......................21
Inspect the System Components ..........21
Electrical Connections ..................21
Inspect the Fiber Optic Light Cable ........21
Safety and Service Life Checklist.......... 22
Operation ............................ 23
Select a Procedure .....................23
MAIN MENU ..........................23
Brightness ...........................23
Zoom...............................23
Enhancement ........................23
White Balance ........................23
Procedures ..........................24
Color Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
System Configuration ..................24
Buttons .............................24
Exit.................................24
Capture Images ....................... 25
To Capture a Still Image .................25
To Capture Video Images . . . . . . . . . . . . . . . . 25
Security Settings ...................... 26
Resetting the system if the user
password is lost .......................26
Alternative Power Up .................. 26
Menu Maps .......................... 27
Postoperative......................... 28
Customize the System.................. 29
Set/Change Password Protection .........29
Set/Change Admin Password ............30
Configure Peripheral Ports ...............30
Language ............................31
Reset Factory Defaults ..................31
Network .............................31
Advanced Settings .....................32
To configure HDSDI Outputs: ............33
To configure DVI Output:................33
To configure Automatic Start: . . . . . . . . . . . .33
To configure the camera head plugin .....33
To configure VIDEO INPUT: ..............33
Versions .............................33
Customize Procedure Settings ........... 34
Button Settings ........................34
Image Capture OSD ....................34
Display in Startup Menu? ...............34
Portraits Enabled?......................35
Change Procedure Name................35
Brightness............................35
Enhancement .........................35
Chroma (SAT) .........................35
Phase (HUE) ..........................35
Zoom................................36
Configure Icons........................36
ELC Settings ..........................36
Save and Exit .........................36
Set the Default Startup Procedure . . . . . . . . .36
Cleaning ............................. 37
To Clean the LENS Integrated Control Unit...37
To Clean and Sterilize the Camera Head ....37
Troubleshooting ....................... 38
Service .............................. 40
Maintenance ......................... 40
Recommended Annual Performance
Checks ..............................40
To Replace Fuses ......................40
LENS Integrated System Specifications .....41
Environmental Conditions................41
Ordering Information . . . . . . . . . . . . . . . . . . . 42
LENS Integrated System .................42
Compatible Camera Head ...............42
Accessories ..........................42
Electromagnetic Tables ................. 43
Guidance and Manufacturer’s Declaration –
Electromagnetic Emissions...............43
Guidance and Manufacturer’s Declaration –
Guidance for Separation Distances . . . . . . . . 43
Guidance and Manufacturer’s Declaration –
Electromagnetic Immunity ...............44
Warranty ...................... Back Cover
Service Replacement
Units Warranty ................. Back Cover
Service Replacement Program..... Back Cover
Repair Service Program .......... Back Cover

510601034 Rev. BLENS Integrated System Operations/Service Manual
Device Description
Device Description
The Smith & Nephew LENS Integrated System (the System) is a
state-of-the-art video system designed for use in endoscopic
surgical procedures. The System enables control of camera features
(enhancement features and zoom capabilities) and accessories (VCRs,
video printers, and image management systems) through either the
camera head, control unit buttons, or the optional LENS Application
(the App). The System includes an integrated LED Light Source, which
provides illumination during the procedure via designated light guides
and endoscopes.
The Wi-Fi enabled version of the System provides image management
features in conjunction with the App. These features Include image
capture, video capture, patient managment, media object management,
sharing, and archiving.
Refer to the LENS App Instructions for Use (REF 10601295) for information
regarding the App.
Refer to the LENS Camera Head Instructions for Use (REF10601250) for
information regarding the camera head.
Intended Use
The LENS Integrated System and LENS Camera Head are intended
to provide illumination, visualization and capture of still and motion
pictures of surgical sites. In addition, the LENS Application is intended to
capture still and motion pictures, and provide patient file management
and limited redundant control of camera features.
Indications for Use
The LENS Integrated System and LENS Camera Head are used in
diagnostic and operative arthroscopic and endoscopic procedures
to provide illumination, visualization and capture of still and motion
pictures of surgical sites within articular cavities, body cavities, hollow
organs, and canals.
Additionally, the LENS Integrated System and LENS Camera Head are
indicated for use in endoscopic surgical procedures in the thoracic
cavity when used with an appropriately indicated thoracoscope.
The LENS Application, when used in conjunction with the LENS
Integrated System Wi-Fi version, is indicated for capture of still and
motion pictures, patient file management, and limited redundant control
of the LENS Control Unit within articular cavities, body cavities, hollow
organs, canals, and the thoracic cavity.
Contraindications
None known.
Warnings
• It is the surgeon’s responsibility to be familiar with the
appropriate surgical techniques prior to use of this device.
• Read these instructions completely prior to use.
• DANGER: Risk of explosion if used in the presence of flammable
anesthetics.
• Use aseptic technique in accordance with standard operating
room procedures.
• To prevent electric shock, do not remove any covers or
screws from the control unit. There are no user-serviceable
components inside. Dismantling the equipment will void the
warranty.
• To prevent electric shock, unplug the unit from the electrical
outlet before attempting to replace the fuses.
• To avoid fire hazard, use only fuses of the correct type, voltage
rating, and current rating.
• If this unit is configured as part of a system, the entire system
should be tested for compliance with IEC 60601-1.
• If the leakage current of the configured system exceeds the
limits of IEC 60601-1, install an appropriately rated IEC60601-1
approved isolation transformer and retest the system.
• To avoid System power loss, use an uninterruptible power
supply (UPS).
• The use of accessory equipment not complying with the
equivalent safety requirements of this equipment may lead to a
reduced level of safety.
Consider the following when choosing accessory devices:
– Use of the accessory in the patient vicinity.
– Evidence that the safety certification of the accessory has
been performed in accordance with IEC 60601-1.
• To prevent damage to internal optics only use compatible light
cables.
• To avoid damaging the optics and light guide detector, do not
use wet light cables.
• To avoid damage to the turret use only compatible light cables.
• When the light source is turned on, do not look directly at the
LED light guide without protective goggles. The high- intensity
of the light guide may cause burns to the skin, or permanent
damage to eyes.

610601034 Rev. B LENS Integrated System Operations/Service Manual
Precautions
• Hazardous high voltage and energy are present at the output
and in the internal circuitry of this unit.
• When inspecting the light cable, NEVER aim the light cable at
the light source. Retinal damage may occur.
• Connect only accesory items that have been specified as part
of the System or have been specified as compatible. Use of the
accessory, transducer, or cable with equipment and systems
other than those specified may result in increased emissions or
decreased immunity of the equipment or system.
• During operation, avoid prolonged contact of the scope tip to
patient tissue or flammable materials. The scope tip may reach
high temperatures due to high intensity light transmission.
• Do not leave the operating light cable on a patient or the
drapes. Failure to observe this warning may result in burns to
the patient and/or the surrounding drapes.
• Do not use this device in oxygen rich environments (>25%).
• To avoid the risk of electric shock, this equipment must only be
connected to a supply mains with protective earth.
• No modification of this equipment is allowed
• Do not spill liquids on the control unit. If liquid enters the unit
through the vents, permanent damage may result.
If using the Wi-Fi enabled control unit
• Use of this equipment adjacent to or stacked with other
equipment should be avoided because it could result in
improper operation. If such use is necessary, this equipment
and the other equipment should be observed to verify that they
are operating normally.
• Use of accessories, transducers, and cables other than those
specified or provided by the manufacturer of this equipment
could result in increased electromagnetic emissions or
decreased electromagnetic immunity of this equipment and
result in improper operation.
• Portable RF communication equipment (including peripherals
such as antenna cables and external antennas) should be
used no closer that 30cm (12inches) to any part of the LENS
Integrated System control unit, including cables specified by
the manufacturer. Otherwise, degradation of the performance
of this equipment could result.
Precautions
U.S. Federal law restricts this device to sale by or on the order
of a physician.
• Prior to each use, inspect the device to ensure it is functioning
properly and is not damaged. Do not use a damaged device.
• Do not allow fluids to enter the device. Damage can result.
• Electrical safety testing should be performed by a biomedical
engineer or other qualified person.
• All products used in conjunction with this control unit, such as video
monitors, video printers, etc., are likely to have an inherent leakage
current at their video connections. Connection to this control unit
likely will increase the leakage current at the control unit’s chassis.
• When looping the video output to more than one piece of
equipment, the termination switch on the last looping piece of
equipment should be in the 75U (ohm) or the ON position if the
equipment provides that option.
• Do not plug the camera cable connector into the control unit if
wet. Moisture on the card edge of the camera cable will damage
the circuitry and void the warranty. Ensure that the card edge is
completely dry before plugging the camera head into the camera
control unit.
• This equipment has been tested and found to comply with the limits
for a Class A digital device, pursuant to Part 15 of the FCC Rules.
These limits are designed to provide reasonable protection against
harmful interference in a industrial installation. This equipment
generates uses and can radiate radio frequency energy and, if
not installed and used in accordance with the instructions, may
cause harmful interference to radio communications. However,
there is no guarantee that interference will not occur in a particular
installation. If this equipment does cause harmful interference to
radio or television reception, which can be determined by turning
the equipment off and on, the user is encouraged to try to correct
the interference by one of the following measures:
– Reorient or relocate the receiving antenna.
– Increase the separation between the equipment and receiver.
– Connect the equipment into an outlet on a circuit different from
that to which the receiver is connected.
– Consult the dealer or an experienced radio/TV technician for
help.
• This device complies with Part 15 of the FCC Rules. Operation is
subject to the following two conditions: (1) This device may not
cause harmful interference, and (2) this device must accept any
interference received, including interference that may cause
undesired operation.
• Maintain a minimum separation distanceof 20 cm between the
antenna and the patient’s body.
• Any changes or modifications not expressly approved by the party
responsible for compliance could void the user’s authority to operate
this equipment.
• Environmental Protection: This equipment contains electronic printed
circuit assemblies. At the end of the useful life of this equipment, it
should be disposed of in accordance with any applicable national or
institutional policy relating to obsolete electronic equipment.
• Products may wear over time as a result of normal use. Periodic
retesting of the leakage current is recommended.
• Do not operate at line voltages other than those stipulated on the
back of the unit.
• Handle the unit with care. If the unit is dropped or damaged in any
way, it must be returned immediately for service.
• To avoid loss of or damage to the control unit, remove the antenna
from the Wi-Fi enabled control unit prior to transport.
• Disconnect the power cord before cleaning the unit.
• Ensure that the unit is installed in an environment in which the vents
and fans are not obstructed. Insufficient ventilation can cause the
unit to overheat and shut down.
• In the event that the unit overheats and shuts down but the cooling
fans are still running, do not turn off or unplug the unit. Continue to
run the fans to prevent further damage to the unit.
• All products used in conjunction with this CCU, such as video
monitors, video printers, etc., are likely to have an inherent leakage
current at their video connections. Connection to this CCU likely will
increase the leakage current at the CCU’s chassis.

710601034 Rev. BLENS Integrated System Operations/Service Manual
System Components
System Components
The complete System includes the control unit, LENS Camera Head (sold
separately), and the optional LENS App. It is configured to be connected
as a stand-alone system on an endoscopic cart or tower. The System
can be used in conjunction with compatible high definition flat panel
displays, image capture devices, and print and video recording devices.
Accessories
See the “Ordering Information” section of this manual for more
information about couplers.

810601034 Rev. B LENS Integrated System Operations/Service Manual
System Controls
System Controls
Front Panel Overview
3
4
5
6
7
8
9
10 11
12 14
13
1
2
LENS Integrated System
Figure 1. LENS Integrated System Camera Control Unit Front Panel
Front Panel Control/Connector Function
1. Standby System Power button Turns the control unit on and off. The rear power switch must be switched to the (I) position in order to
provide mains power to the system.
2. Standby Illumination button When the Standby Illumination button is not illuminated, the light source is in standby mode and the light
source is off. When illuminated, the button turns standby off and turns the light source on.
3. Active Light Guide port indicator The light guide port to be used must be aligned with this orange arrow.
4. Light Cable Selection Turret Rotate and click into position to select the port for the Smith & Nephew/WolfT, OlympusT, ACMIT, or
StorzTLight Guide.
5. Olympus Light Guide port This self-closing light port is designed to accept Olympus Light Guides.
6. ACMI Light Guide port This self-closing light port is designed to accept ACMI Light Guides.
7. Storz Light Guide port This self-closing light port is designed to accept Storz Light Guides.
8. Smith & Nephew/Wolf Light Guide port This self-closing light port is designed to accept the Smith & Nephew/Wolf Light Guide end-fittings.
9. Camera Cable Connector receptacle Compatible Smith & Nephew camera heads can be connected via the card edge connector. Be sure
the connector cable side with the triangle faces upward. Firmly push the cable connector into the keyed
receptacle. Refer to the “Ordering Information” section of this manual for compatible camera heads.
10. White Balance button The White Balance button automatically adjusts the camera for optimal white balance when the button is
depressed. The camera must be focused on a white object during the white balance process.
11. Up Arrow button The Up Arrow button causes the cursor to scroll upward or left through the available menu selections after
the OSD (On- Screen Display) menu has been accessed via the SELECT button. When the end of a menu is
reached, the next Up Arrow button press will bring the user to the bottom of the menu.
12. SELECT/Menu Button The SELECT button allows the user to either select a menu command or call up the MAIN MENU screen.
When the MAIN MENU is present, the SELECT button selects the highlighted menu command.
13. Down Arrow button The Down Arrow button causes the cursor to scroll down or right through the available menu selections
after the OSD menu has been accessed via the SELECT button. When the end of a menu is reached, the
next Down Arrow button press will bring the user to the top of the menu.
14. USB receptacle Supports USB storage devices and keyboards.

910601034 Rev. BLENS Integrated System Operations/Service Manual
System Controls
Rear Panel Overview
Figure 2. LENS Integrated System Camera Control Unit Rear Panel (REF72204354 - Wi-Fi enabled, REF72204685 - no Wi-Fi)
Rear Panel Connections Function
1. HD-DVI Output A high-definition digital visual interface (1080p) output for DVI-compatible HD digital displays. The DVI-I
connector supports DVI-D (DVI-Digital) single-link interfaces. The DVI connector also supports 1080i. To
configure the connector, select the Advanced Settings icon from the SYSTEM CONFIGURATION MENU screen.
2. HD-SDI Outputs Two Serial digital interfaces with component digital video output for HD-SDI-compatible video displays or
video transmission equipment. The HD-SDI connectors support 1080i. To configure the connector, select the
Advanced Settings icon from the SYSTEM CONFIGURATION MENU screen.
3. S-Video Output An analog serial digital interface output for legacy NTSC S-video compatible video displays and accessories.
The S-Video output does not support PAL.
4. Peripheral Controls (2) Two standard 1/8” mini phono plug (3.5 mm) peripheral cable connectors allow control of peripheral devices
such as printers and image capture devices from the camera head.
5. Fuse Holder The clip holds a dual fuse. See the “Technical Specifications” section of this manual.
6. AC Mains Power The switch applys power to the control unit. The switch can be set to off ( O) or on ( I).
7. Power Cord Connector Accommodates the hospital grade power cord accessory. This receptacle is an integral part of the power input
module.
8. Equipotential Compensator Terminal
(case ground)
Brings other equipment to the same case potential as the device
9. Wi-Fi antenna connector Accommodates the removable antenna for communication with supported Wi-Fi devices
10. USB Recepticle Supports USB storage devices or keyboards
11. Composite Input Standard composite video (CV) provides a video input for the supported composite output devices (C-arms,
operating room cameras, etc.). This input supports NTSC or PAL, but it must be configured for the desired input.
Refer to the “Advanced Settings” section of this manual for information about how to configure the composite
input but must be configured from the Advanced Settings screen to match the input to be used.
12. Ethernet port For service use only.
13. Exhaust port for power supply Exhaust port for venting of air through the system. To avoid the risk of the System overheating, do not block,

10 10601034 Rev. B LENS Integrated System Operations/Service Manual
System Controls
Camera Head Controls
The LENS Camera Head (Figure 3) is a three button camera head. Each
button can be customized to provide two separate functions as part of a
customized procedure. The two functions are activated by a short press
(<1.0 seconds) and a long press (>1.0 seconds). These buttons can be
customized based on the user’s needs. Refer to the “Button Settings”
section of this manual for instructions regarding how to customize the
buttons.
Right
button
Left
button
Middle
button
Short press
Long press
Short press
Long press
Short press
Long press
Figure 3. Smith & Nephew LENS Autoclavable Camera Head

1110601034 Rev. BLENS Integrated System Operations/Service Manual
System Controls
Button Function
Table 1, “Live Video Functions,” below, summarizes the default button functions for the camera head in the Live Video mode. Refer to
the “Button Settings” section of this Operations/Service Manual for more information regarding default and customized button settings.
Table 2, “Optional Programmable Button Functions”, provides an overview of the programmable custom button functions available on the system.
Customization can be set with the front panel buttons, camera head buttons, or with the App. Refer to the LENS Application Instructions for Use
(REF 10601295) for information about how to customize settings with the App.
Table 1: Default Live Video Button Functions*
Camera Head Control Short Press (<1.0 seconds) Long Press (>1.0 seconds)
Left Button Frame Capture Light (control unit)
Middle Button Brightness (Up/Down) MAIN MENU
Right Button Zoom White Balance
*Button mapping is context-sensitive. Button settings may change, depending on the menu screen that that is displayed (on the monitor.
Table 2: Optional Programmable Button Functions*
For information regarding how to customize camera head button settings, refer to the “Button Settings” section of this manual.
Function Effect
BRIGHTNESS Control the luminance level of the video output
ENHANCEMENT Enhance the sharpness of the displayed video
ZOOM Digital zoom of field of view
ALT PAUSE Pause the video while recording to a device connected to a rear panel port
PAUSE VIDEO Pause the video from camera head
ALT VIDEO Start or stop video capture from the secondary input source and save to the iPadT
ALT FRAME Capture a still picture from the secondary input source and save to the iPad
FRAME CAPTURE Capture a still picture from the endoscopic field of view and save to the iPad
LIGHT MODE Activates and deactivates the illumination device on the control unit
STRETCH Switch between an enhanced visualization mode and normal live video
VIDEO CAPTURE Start or stop video capture from the endoscopic field of view and save to the iPad
LAST IMAGE Displays the last known frame captures to the iPad for review
MENU ACCESS Access the graphical menu system of the control unit [MAIN MENU]
WHITE BALANCE Correct for ambient color temperature
Peripheral Port 1 (Top port) Triggers the accessory connected to the top port
Peripheral Port 2 (Bottom port) Triggers the accessory connected to the bottom port
* Note: Button-mappable functions may change without notice as a result of updates to the software of the LENS Integrated System.

12 10601034 Rev. B LENS Integrated System Operations/Service Manual
System Controls
General Screen Navigation
Figure 4 indicates the general information areas of the on-screen display.
1. Patient information box. This box appears when the iPad and/or a USB storage device are connected to the System.
a. patient name
b. number of images and videos recorded
c. current procedure name
Note: When both an iPad and a USB are connected, the iPad information will appear on the OSD. Images and videos will be saved to both
devices.
2. Device status bar
3. Screen name
4. Active menu area
5. Name of highlighted function
6. Button navigation map (top = short press (<1 seconds), bottom = long press (>1 seconds)) ]
2
4
3
1
5
6
1a
1c
1b
Figure 4. Sample on-screen display

1310601034 Rev. BLENS Integrated System Operations/Service Manual
Installation
Installation
Unpacking and General Inspection
Prior to using the LENS Integrated System, it is essential that all system
components be inspected for damage, which can negatively impact the
system’s performance. Inspection should include all equipment to be
used in surgery, including cables and peripheral devices.
1. Remove the control unit and accessories from the shipping
container. Be certain to open and inspect all boxes and sealed
plastic bags to ensure that all components are accounted for.
If any parts are missing or damaged, contact an authorized Smith &
Nephew representative. Save the carton and packing materials in
the event that a component needs to be returned for repair.
2. Inspect all video components for damage during shipment.
If damage is found, contact an authorized Smith & Nephew
representative. For more information, consult the Instructions for Use
provided with the component.
LENS Integrated System
The following parts should have been received:
1 ea Smith & Nephew LENS Integrated Control Unit, (REF72204354 -
Wi-Fi enabled, REF72204685 - no Wi-Fi)
1 ea Hospital-grade power cord, country-specific
1 ea Smith & Nephew LENS Integrated System Operations/Service
Manual, country-specific version)
1 ea HD-SDI coaxial cable, 10 ft. (REF 72201420)
2 ea 1/8” (3.5 mm) mono mini-plug to 1/8” (3.5 mm) mono mini-plug
accessory cable, 6 ft. (1.8 m) (REF 7206083)
1 ea Wi-Fi antenna (REF 72204938) (included only with REF72204354)
Setup
Only a qualified technician should install the System.
Secure the Control Unit
If the control unit will be placed on a platform or cart shelf equipped
with a screw mount, follow these instructions to secure the control unit
to the platform or shelf.
1. Center the control unit on the shelf and ensure that the screw hole
located on the base of the control unit aligns with the captured
#10-32 UN screw in the center of the shelf.
2. Hand-tighten the screw to secure the control unit to the shelf.
IEC 60601-1 Compliant System Configuration
WARNINGS
• If this unit is configured as part of a system, the entire system
should be tested for compliance with IEC 60601-1.
• If the leakage current of the configured system exceeds the
limits of IEC 60601-1, install an appropriately rated IEC60601-1
approved isolation transformer with a minimum of 1000 VA and
retest the system .
• The use of accessory equipment not complying with the
equivalent safety requirements of this equipment may lead to
a reduced level of safety of the resulting system. Consideration
relating to the choice shall include:
– Use of the accessory in the patient vicinity .
– Evidence that the safety certification of the accessory has
been performed in accordance with IEC 60601-1.
Setup Configurations Summary
The System can be used with a variety of peripheral components to
broaden the capabilities of the video system. Each setup is dependent
upon the peripherals included in the video system. Contact an
authorized Smith & Nephew representative for assistance with
assembling the system to optimize system function.
Note: For best image, use a HD-DVI signal (control unit output to
monitor input). A direct connection between the control unit and a high
definition monitor will always produce the highest quality image.
Equipment Required
• LENS Integrated System
• Flat panel display
Optional
• 660HD Image Management System
• iPadTand App
• USB storage device

14 10601034 Rev. B LENS Integrated System Operations/Service Manual
Installation
Cable Connectors
The System uses the following types of cables: BNC/SDI and BNC/HDSI
coaxial cables, S-VHS cables which have a 4-pin mini-DIN connector,
HD-DVI, and HD-SDI connectors.
BNC/SDI (composite)
To connect, push in and turn.
BNC/HDSI
To connect, push in and turn.
Note: BNC/SDI and BNC/HDSI connectors appear identical. For the
highest quality image, be sure to use the cable provided with the
System.
Mini Phono Plug
To connect, push in firmly.
4-Pin Mini DIN
To connect, align pins properly, then push in firmly.
DVI
To connect, align pins properly, push in firmly, and hand-tighten the
thumbnail screws.

1510601034 Rev. BLENS Integrated System Operations/Service Manual
Installation
Recommended System Configuration for the
Wi-Fi-Enabled System
This section explains the recommended equipment connections for
optimum performance. Perform this procedure each time that the
System is installed or reconfigured.
Required Equipment:
• LENS Camera Control Unit, Wi-Fi-enabled (REF72204354)
• LENS Camera Head
• Wi-Fi Antenna
• HD Flat Panel Display
Optional Equipment:
• iPad and App
• USB storage device. The USB can be connected to either the USB
port on the front panel or the port on the rear panel of the control
unit.
Procedure
Note: For best image, use a HD-DVI signal (control unit output to
monitor input). A direct connection between the control unit and a high
definition monitor will always produce the highest quality image.
Note: It is strongly suggested that a minimum of two outputs be
connected at all times to provide a back-up signal if necessary.
1. Attach the antenna.
2. Connect the supplied hospital-grade power cord to the power
receptacle on the control unit’s rear panel.
3. To record still or video images from the camera, connect the App to
the LENS Wi-Fi network or a insert a USB storage device in one of
the USB ports on the control unit. Refer to the App IFU for details.
4. Connect the supplied hospital-grade power cord to the power
receptacle on the flat panel display and plug it in.
5. If the flat panel display has a termination switch, set it to the 75U or
ON position.
6. After connecting all components, including the camera head, turn
the video components on using the appropriate power switches.
Once the Wi-Fi-enabled System has been turned on, the iPad can be
connected using the App. If using the non-Wi-Fi version of the System,
the iPad and App cannot be used.
Configure the peripheral ports
The default settings for the peripheral ports on the rear of the control
unit are FRAME CAPTURE (Port 1, or the top port) and VIDEO CAPTURE
(Port 2, or the bottom port. Each of the peripheral control ports can
be configured for FRAME CAPTURE, GENERAL PURPOSE, or VIDEO
CAPTURE. For information on how to customize the peripheral ports,
refer to the “Configure Peripheral Ports” section of this manual.
Note: A USB device, iPadT, and 660HD Image Management System are
not required in order to use the System.

16 10601034 Rev. B LENS Integrated System Operations/Service Manual
Installation
Figure 5. Recommended setup configuration, Wi-Fi enabled System

1710601034 Rev. BLENS Integrated System Operations/Service Manual
Installation
Recommended System Configuration, No Wi-Fi
This section explains the recommended equipment connections for
optimum performance. Perform this procedure each time that the
System is installed or reconfigured.
Required Equipment:
• LENS Camera Control Unit (REF 72204685)
• HD Flat Panel Display
Optional Equipment:
• Smith & Nephew 660HD Image Management System: required for
connection to hospital system (PACS/EMR through the Integration
Broker device)
• USB storage device. The USB can be connected to either the USB
port on the front panel or the port on the rear panel of the control
unit.
Procedure
Note: For best image, use a HD-DVI signal (control unit output to
monitor input). A direct connection between the control unit and a high
definition monitor will always produce the highest quality image.
Note: It is strongly suggested that a minimum of two outputs be
connected at all times to provide a back-up signal if necessary.
1. Connect the supplied hospital-grade power cord to the power
receptacle on the control unit’s rear panel.
2. Connect the supplied hospital-grade power cord to the power
receptacle on the 660HD Image Management System and plug it in.
3. Connect the HD-SDI output from the control unit to the HD-SDI
input of the 660HD Image Management System. Then connect the
660HD HD-SDI output to the flat panel display. The 660HD image
management system is compatible only with 1080i output. Refer to
the “Advanced Settings” section of this manual for information about
how to configure input and output settings.
4. To record still images from the camera, connect the 3.5 mm mini
phono plug from one of the control unit’s peripheral controls
outputs (Peripheral 1 or 2, or top port or bottom port), to the image
management system’s Still Capture IN port.
Note: The camera head buttons must be mapped so that they will
trigger the peripheral ports. Refer to the “Button Settings” section
of this manual for information about how to map the camera head
buttons.
5. To record live video images from the camera, connect the 3.5mm
mini phono plug from one of the control unit’s peripheral controls
outputs (Peripheral 1 or 2, or top port or bottom port) to the image
management system’s Video Capture IN port.
6. Connect the supplied hospital-grade power cord to the power
receptacle on the flat panel display and plug it in.
7. If the flat panel display has a termination switch, set it to the 75U or
ON position.
8. After connecting all components, including the camera head, turn
the video components on using the appropriate power switches.
Configure the peripheral ports
The default settings for the peripheral ports on the rear of the control
unit are FRAME CAPTURE (Peripheral 1, or the top port) and VIDEO
CAPTURE (Peripheral 2, or the bottom port. Each of the peripheral
control ports can be confitgured for FRAME CAPTURE, GENERAL
PURPOSE, or VIDEO CAPTURE. For information on how to customize the
peripheral ports, refer to the “Configure Peripheral Ports” section of this
manual.

18 10601034 Rev. B LENS Integrated System Operations/Service Manual
Installation
Figure 6.
85000960 Rev.F 06/2012
Endoscopy
Smith & Nephew, Inc.
150 Minuteman Road
Andover, MA 01810 USA
Fluoroscopy,
in-room camera,
etc. LENS Integrated System
LENS Integrated System
Integriertes System • Sistema integrado • Système intégré • Sistema integrato • Integrerat system •
Geïntegreerd systeem • Sistema integrado • Integreret system • Integrert system • 통합형 시스템 •
Интегрированная система • 集成系统
Endoscopy
Smith & Nephew, Inc.
150 Minuteman Road
Andover, MA 01810 USA
T [phone] • F [phone]
Customer Service [phone]
HDSDI-2HDSDI-1HD-DVI
72204685
Peripheral
Controls
1
2
USB
100-240V~,
50/60Hz, 250 VA
S-Video
EEJ
Made in USA 85003433 Rev. B 04/2016
Composite
MEDICAL EQUIPMENT WITH RESPECT TO ELECTRICAL
SHOCK, FIRE, AND MECHANICAL HAZARDS ONLY IN
ACCORDANCE WITH CAN/CSA C22.2 NO. 601.1 AND
IEC 60601-1:2012, IEC 60601-2-18:2009 5 x 20 mm
(2) T10AH250V
e
HD-SDI
Recommended setup configuration, no Wi-Fi

1910601034 Rev. BLENS Integrated System Operations/Service Manual
Installation
Apply Power to the Camera Control Unit
Note: Perform the following steps only upon the initial power up of the
system, if the system is powered down, or if a loss of power occurs.
Note: If the power to the system is controlled by the power switch on
a cart or tower, these steps will not need to be repeated each time the
system is powered up.
1. Make sure the AC mains power switch on the back panel is set to
off (O).
2. Plug the female end of the power cord into the power receptacle on
control unit rear panel.
3. Plug the power cord into a hospital-grade AC power outlet. Verify
that the third pin on the plug is properly grounded.
4. Turn on the monitor.
5. Set the power switch module on on the rear panel to (I) . The green
LED on the front panel blinks green, and the monitor displays a
progress bar as the system configures itself.
Note: All front panel buttons are disabled until the system is
configured. The green LED on the front of the control unit blinks
while the system configures itself. The green LED illuminates a
steady green when the buttons are enabled.
Note: Refer to the “Alternative Power Up” section for ways to power
up the system in the event of a power failure.
6. When the LED changes to a constant green and the progress bar
disappears, the monitor will display the READY screen (Figure 7).
A
D
C
B
Figure 7.
The READY screen displays the status of main and secondary video
inputs, Wi-Fi, USB, and the light source. When each feature is ready and
confirmed to operate correctly, it will appear orange. If the feature icon
is not orange, use the following key to identify the problem:
A. Primary (left) and secondary (right) inputs:
Color Explanation
Orange Ready
White Input is not ready
Red Recording or busy
For example, in Figure 7, the left side of the icon is orange, which
indicates that the camera head port is available for connection. The right
side of the icon is white, which indicates that the secondary video input
(image management system, fluroscopic device, etc.) is not operational
or not connected and should be checked.
B. Wi-Fi:
Attempt to connect the App to the control unit in order to ascertain the
status of the Wi-Fi connection.
Color Explanation
Orange Connected, valid patient
Yellow iPad is connected, no patient selected
White Input is not working, need to check
Gray Not connected
Note: The Wi-Fi icon notifies the user the that the iPad is
communicating or not communicating with the control unit. If the Wi-Fi
connection between the App and the control unit is lost, the Wi-Fi icon
on both the OSD status bar and the iPad will change from orange to
gray. The APP will automatically connect when the signal is available
again. Should the connection be lost or interrupted during surgery, all
control unit control features can be accessed either from the front panel
of the control unit or the camera head buttons.
C. USB storage device:
Insert a USB to check its status.
Color Explanation
Orange USB detected
White Reconfiguring/Not ready
Gray No USB detected
Red Recording or busy
D. Illumination:
Insert a light guide into the appropriate port and press the standby
illumination button to ascertain illumination status.
Color Explanation
Orange On
Gray Off
Perform the Network Setup
Refer to the “Customize the System/Network” section of this manual for
more information about network setup.
Perform an Installation Safety Check
Perform a safety check for the installation. Refer to the Safety Checklist
in the “Preoperative” section of this manual.

20 10601034 Rev. B LENS Integrated System Operations/Service Manual
Preoperative
Preoperative
Prepare the Camera Head
Clean and sterilize the LENS Integrated Camera Head as described in
the cleaning and sterilization procedures in the Instructions for Use
received with the camera head.
Note: Allow the camera head to cool to room temperature after it has
been autoclaved.
Note: The camera head may be used immediately after chemical
sterilization.
Connect the Camera Head
CAUTION: Do not plug the camera cable connector into the control unit
if wet. Moisture on the card edge of the camera cable will damage the
circuitry and void the warranty. Ensure that the card edge is completely
dry before plugging the camera head into the camera control unit.
Note: The camera head is not specific to any single LENS camera
control unit. It can be used with multiple LENS Integrated System control
units.
To connect the camera cable connector to the control unit, plug the card
edge connector into the camera head receptacle on the front of the
control unit and push in firmly (Figure 8).
Figure 8. Connect the camera head to the control unit
Endocoupler focal length determines the image size on the monitor. For
optimal image size use the LENS Coupler, 17.2mm or an endocoupler
with a focal length between 17mm and 20mm.
Connect the Coupler/Videoendoscope to the
Camera Head
The System is designed to be used with instruments such as a
videolaparoscope, videoarthroscope, or the LENS coupler.
WARNING: Use aseptic technique in accordance with
standard operating room procedures.
1. Attach a videoscope or coupler with a sterilized direct-view
endoscope to the camera head.
2. Attach the fiber optic light guide from the automatic light source to
the scope.
Insert the Light Guide
WARNING: During operation, avoid prolonged contact of the
scope tip to patient tissue or flammable materials. The
scope tip may reach high temperatures due to high intensity light
transmission.
WARNING: Do not leave the operating light cable on a
patient or the drapes. Failure to observe this warning may
result in burns to the patient and/or the surrounding drapes.
Set the multiport light guide adaptor turret for the light guide that will
be used. To set the turret to the appropriate light port, rotate the turret
in either direction until the desired light port is aligned with the orange
arrow to the left of the turret (Figure 9).
Insert the light cable into the appropriate light port by pushing in firmly.
To remove the light cable, grasp the cable connector and pull straight
out of the light port. Do not pull out by pulling on the cable.
CAUTION: Ensure that the light guide is inserted into the proper
front panel port. Damage to the unit may occur if the light guide is
not inserted into the port associated with the correct light guide
manufacturer.
Figure 9. Multiport light guide adaptor turret
Turn the Camera Control Unit On
1. Press the Standby Power button on the front of the control unit.
The button illuminates green. This Power button acts as a standby
button for the System.
The buttons on the front panel of the control unit activate and the
STARTUP menu (Figure 10) opens. The default procedure is HIGH
DEFINITION.
Figure 10.