Stryker 1688 Series User manual

1688 4K Camera System
1688010000
1688210105
1688310130
1688610122
1688710105
with Advanced Imaging Modality

Contents
Warnings and Cautions ........................................................................... 1
Cautions ......................................................................................................................1
Warnings: General ...................................................................................................1
Warnings: SPY Mode...............................................................................................3
Operating a Light Source......................................................................................4
Product Description and Intended Use ................................................. 5
Indications..................................................................................................................6
The Camera Console...............................................................................................7
The Camera Head ....................................................................................................9
Additional Features of the Pendulum Camera Head............................... 10
The C-Mount Coupler.......................................................................................... 12
Device Compatibility........................................................................................... 13
Setup ......................................................................................................15
Setting Up the Console ...................................................................................... 16
Wiring Diagram ..................................................................................................... 18
Setting Up the Camera Head............................................................................ 19
Setting Up the Coupler....................................................................................... 20
Installing the Soaking Cap ................................................................................ 22
SPY Mode Requirements ................................................................................... 23
Operation ...............................................................................................24
Powering the Console On/O.......................................................................... 24
Performing the White Balance Test ................................................................ 24
Controlling Remote Video Accessories......................................................... 25
Using the Touchscreen Interface..................................................................... 26
Using the Camera Head Buttons..................................................................... 30
Using the Display Monitor Menu.................................................................... 33
Programming Camera Head Buttons ............................................................ 36
Advanced Features............................................................................................... 37
Troubleshooting .................................................................................... 38
Reprocessing.......................................................................................... 42
Cleaning and Disinfecting the Console........................................................ 42
Cleaning, Disinfecting, and Sterilizing the Camera Head ...................... 43
Materials and Equipment .................................................................................. 45
Maintenance ..........................................................................................50
Inspecting the Console....................................................................................... 50

Inspecting the Camera Head............................................................................ 50
Using Sterile Drapes ............................................................................................ 51
Storage ..................................................................................................................... 51
Replacing the Fuses............................................................................................. 51
Periodic Maintenance Schedule...................................................................... 52
Service Life.............................................................................................................. 52
Disposal.................................................................................................................... 52
Recycling Diagrams ............................................................................................. 53
Technical Specications........................................................................ 55
Electromagnetic Compatibility........................................................................ 56
Symbol Denitions................................................................................60

1
Warnings and Cautions
In this manual, the terms and denitions below apply.
• Warning: Possible injury to the patient or user.
• Caution: Possible damage to the equipment.
• Note: More information to clarify the instructions.
Cautions
To avoid potential damage to this device, please note the following cautions.
1. Carefully unpack this device and check if any damage occurred during
shipment. If damage is detected, refer to the warranty.
2. Never sterilize the camera console, because the delicate electronics
cannot withstand this procedure.
3. Ensure that the electrical installation of the relevant operating room
complies with the NEC and CEC guidelines.
4. Always treat the camera system with care. The camera system contains
sensitive parts that are precisely aligned and may suer damage if
dropped or mistreated.
5. Repairs and equipment modications shall be performed only by Stryker-
authorized personnel. Stryker Endoscopy assumes no product liability or
warranty responsibility for devices repaired by or purchased from third-
party service organizations.
Warnings: General
To avoid potential serious injury to the user and the patient and/or damage to
this device, please note the following general warnings.
1. Federal (USA) law restricts this device to sale by or on the order of a
physician.
2. Read this operating manual thoroughly, especially the warnings, and be
familiar with its contents before connecting and using this device.
3. Although the product was fully tested at the factory before shipment,
the user should always test it for proper function prior to a surgical
procedure.
4. Always test that the endoscope produces a live, clear, correctly-oriented
image prior to using it in a procedure and immediately after any viewing
mode or setting is changed in the camera system.
5. The camera head surface may exceed 41°C (106°F) in operating
conditions with high ambient temperatures and it should be handled
with caution.

2
6. The camera head and coupler are shipped non-sterile. You must sterilize
these devices before the rst use and after each use. To prevent device
damage and infection risk to the patient or user, follow all cleaning and
sterilization instructions in this manual.
7. To minimize electromagnetic interference that may impact functionality
of the 1688 Video Camera, position any active electrosurgical generator
and its cables at least 12 inches (30 cm) away from the camera console.
When the electrosurgical generator is placed on a boom with the camera
console, it is advised to position the generator on the lowest shelf.
8. Do not position the console so that it is dicult to disconnect the power
cord from the supply mains.
9. To avoid the risk of electric shock, this equipment must only be
connected to a supply mains with protective earth ground.
10. Portable multiple socket-outlets shall not be placed on the oor.
Additional portable multiple socket-outlets or extension cords shall not
be used with the equipment.
11. Use of third-party HDMI cables with the camera console is not
recommended due to potential problems with secure connections or
electromagnetic compatibility. Use the provided HDMI high speed cable
(or other Stryker-approved HDMI cable) with the camera console.
12. Never use the camera system in the presence of ammable or explosive
gases or in an oxygen-rich environment.
13. To prevent tampering, physically secure the device when not in use.
14. Disconnect the console from the electrical outlet when inspecting fuses.
15. Do not remove covers on the console, as doing so may cause damage to
electronics and/or electric shock.
16. Do not disassemble any part of the camera head; doing so may break the
seals, causing leakage and/or electric shock.
17. Attempt no internal repairs or adjustments not specically detailed in this
operating manual.
18. Do not repair or adjust the device through a third-party service
organization. Devices repaired by or purchased from third-party service
organizations could expose patients to signicant risk. These devices
are no longer validated by Stryker for cleanliness, disinfection, and
sterilization, or for safety and ecacy.

3
Warnings: SPY Mode
IMPORTANT SAFETY NOTICE - LASER RADIATION:
SPY mode controls a Class1M laser emitted from the L11 LED
Light Source with Advanced Imaging Modality (0220230300), also
referred to as the “L11 LED Light Source.”
Use of controls or performance of procedures other than those
specied herein can result in hazardous laser radiation exposure
and can cause severe eye injury to the patient or user.
To avoid exposure to laser radiation, follow all warnings and
guidelines presented below and throughout this user manual.
1. Before using SPY mode, read and be familiar with all instructions and
warnings found in this user manual and the light source user manual.
2. Protect the camera system against unqualied use.
3. Wear eye protection as appropriate. Refer to any applicable regional
regulations or standards for personal protective equipment.
4. Do not manipulate tissue while Contrast mode (a SPY mode) is on.
5. When using SPY mode, do not view the light output with optical
instruments (for example, microscopes or magniers). Do not direct the
light output in SPY mode into an area where such instruments are likely
to be used.
6. Do not turn on SPY mode when the endoscope is outside of the patient’s
body.
7. When SPY mode is on, never look into the following apertures or direct
the light emitted from the apertures toward another person:
• the light cable connection on the light source (if the cable is not
attached)
• the end of the light cable (if the SafeLight™ adapter is attached)
• the endoscope tip
8. When SPY mode is on, never leave a SafeLight adapter attached to the
light cable without an endoscope attached. Laser radiation can continue
to emit from the adapter.
9. Disconnect the light cable from the light source only when the light
source is powered o or the light output is deactivated.

4
Operating a Light Source
Please note the following warnings to avoid user or patient injury or product
damage when using a system with a light source. Note that the light source
adjustments described apply only to operating the light source manually (i.e.,
with Auto Light o).
IMPORTANT SAFETY NOTICE - HIGH TEMPERATURES:
When using a light source, re and/or severe injury may result to
the patient, user or inanimate objects if the instructions in this
manual are not followed.
All light sources can generate signicant amounts of heat
(exceeding 41°C/106°F) at the scope tip, the scope light post, the
light cable tip, and/or near the light cable adapter. Higher levels
of brightness from the light source result in higher levels of heat.
Always adjust the brightness level of the camera and the display
monitor before adjusting the brightness level of the light source.
If the brightness level of the light source can be adjusted, set it to
the minimum brightness necessary to adequately illuminate the
surgical site.
In addition, adjust the internal shutter of the camera higher in order
to run the light source at a lower intensity. Avoid touching the
scope tip or the light cable tip to the patient, and never place them
on top of the patient, as doing so may result in burns to the patient
or user. In addition, never place the scope tip, the scope light post,
the light cable adapter, or the light cable tip on the surgical drapes
or other ammable material, as doing so may result in re.
Always deactivate the light output from the light source before
removing the scope from the light cable or leaving the device
unattended. The scope tip, scope light post, light cable adapter, and
light cable tip will take several minutes to cool o after deactivating
the light output, and therefore may still result in re or burns to the
patient, user, or inanimate objects.
The warranty is void if any of the above warnings or cautions are disregarded.

5
Product Description and Intended Use
The 1688 4K Camera System with Advanced Imaging Modality (or “1688Video
Camera”) is an endoscopic camera system that is used to produce live video
in the surgical eld during surgical endoscopic procedures. The system is
sensitive in the visible and infrared spectrum. The optical image is transferred
from the surgical site to the camera head by a variety of rigid and exible
scopes, which are attached to the camera head. The system consists of a
camera console and a camera head with an integral cable that connects to the
console. A coupler is also available for attaching a scope to the camera head.
The available models for each part are listed below.
Console
1688010000 16884K Camera Control Unit with Advanced Imaging
Modality
Camera Heads
1688210080 16884K Microscope Camera Head, C-Mount1, 2
1688210105 16884K Camera Head, C-Mount, with Advanced Imaging
Modality
1688310130 16884K Pendulum Camera Head with Integrated Coupler3
1688610122 16884K Camera Head, Integrated Coupler, with Advanced
Imaging Modality
1688710105 16884K Inline Camera Head, C-Mount, with Advanced
Imaging Modality
Coupler
1688-020-122 4K Coupler, C-Mount, with Advanced Imaging Modality4
1Complete instructions are available in Stryker user manual P45082. Note that 1688210080 does not have the same intended use
or indications as stated in this user manual.
2Not intended for use with SPY/ENV modes.
3Not compatible with SPY/ENV modes.
4Complete instructions are available in Stryker user manual P40880.
Note: For complete system requirements to use the camera’s SPY mode,
see the user manual for the L11 LED Light Source with Advanced Imaging
Modality (0220230300), also referred to as the“L11 LED Light Source.”
The camera console is also packaged with the following connection cables:
• Remote cables, 2.5 mm to 3.5 mm (Qty: 2)
• HDMI high speed cable (Qty: 1)
• Hospital-grade power cord (Qty: 1)

6
Contact your Stryker representative for availability of other cables that may be
required for alternate congurations.
Indications
The 1688 Video Camera is indicated for use in general laparoscopy,
nasopharyngoscopy, ear endoscopy, sinuscopy, and plastic surgery wherever
a laparoscope/endoscope/arthroscope/sinuscope is indicated for use.
A few examples of the more common endoscopic surgeries are listed below.
• laparoscopic cholecystectomy
• laparoscopic hernia repair
• laparoscopic appendectomy
• laparoscopic pelvic lymph node detection
• laparoscopically assisted hysterectomy
• laparoscopic and thorascopic anterior spinal fusion
• anterior cruciate ligament reconstruction
• knee arthroscopy
• small joint arthroscopy
• decompression xation
• wedge resection
• lung biopsy
• pleural biopsy
• dorsal sympathectomy
• pleurodesis
• internal mammary artery dissection for coronary artery bypass
• coronary artery bypass grafting where endoscopic visualization is
indicated
• examination of the evacuated cardiac chamber during performance of
valve replacement
The users of the 1688 Video Camera are general surgeons, gynecologists,
cardiac surgeons, thoracic surgeons, plastic surgeons, orthopedic surgeons,
ENT surgeons and urologists.

7
The Camera Console
The camera console—or Camera Control Unit (CCU)—is the control center for
the 1688 Video Camera, and it processes the video and photographic images
produced during the surgical procedure.
Front Panel
The console front panel features a touchscreen where dierent menus can
be accessed. The touchscreen can be used to adjust camera settings (such as
Brightness, Zoom Level, and White Balance), select surgical specialties that
optimize camera performance for specic surgical procedures, and turn on
SPY mode. The touchscreen also allows activation of remote outputs, which
are commonly used with a Stryker digital capture console to record images
and video.
See the Operation section for more information about using the front panel.
321
1. Power Switch Powers the camera on and o
2. Touchscreen Allows navigation through dierent menus
for controlling the camera and adjusting
the video settings
3. Camera-Connector Port Connects to the 1688 Camera Head

8
Rear Panel
The console rear panel provides ports for connecting the 1688 Video Camera
to other equipment such as a display monitor, a light source, and a device
control console and/or digital capture console.
9
8 654
17
3
2
1. HUB Port Connects to a Stryker device control console to
enable voice operation and/or graphic tablet
control
2. Remote Out 1 Connects to a video accessory remote input
3. Remote Out 2 Connects to a video accessory remote input
4. HDMI Out 1 HDMI 2.0 output (supports 4K UHD video
resolution)
5. HDMI Out 2 HDMI 2.0 output (supports 4K UHD video
resolution)
6. Light Source Port Connects to Stryker light source
7. AC Power Inlet Connects to AC mains with separable power
cord
8. Fuse Panel Contains two 1.6A 250V fuses (slow blow, high
breaking capacity 1500A, size 5mm x 20mm)
9. Equipotential
Ground Plug
Connects to a potential equalization conductor.
The resulting medical electrical system shall
follow all applicable IEC 60601-1 requirements.

9
The Camera Head
The camera head connects to the camera console and produces video and
photographic images, which it relays to the camera console. Several controls
are accessible through a button keypad located on the top of the camera
head (see the Operation section).
See the Product Description section for the dierent camera head models that
are available. The 1688 4K Camera Head, C-Mount, with Advanced Imaging
Modality (1688210105) is shown below with a list of features that are common
to each camera head.
41 2 3
1. Soaking Cap Protects the cable connector during cleaning,
disinfection, and sterilization
2. Cable Connector Connects the camera head to the camera console
3. Camera Cable The camera cable length is 10 feet (3.05 m)
4. Camera Head Produces photographic and video images,
provides camera controls, and connects with
(1688210105 and 1688710105) or integrates
(1688310130 and 1688610122) a focusing coupler.

10
Additional Features of the Pendulum Camera Head
The 1688 4K Pendulum Camera Head with Integrated Coupler (1688310130)
utilizes each of the features described in the previous section, The Camera
Head, and it has additional features that are described below.
The Pendulum Camera is designed with a 90° angle between the camera head
and the scope to allow for easier access during urological procedures. The
camera also incorporates image focusing and rotation features described in
the following sections.
1
2
3
1. Endobody Clamp Secures the endoscope to the camera head
2. Endobody Brake Prevents rotation of the endoscope
3. Focusing Knob Adjusts the focus of the camera head
Adjusting the Focus (1688310130 only)
To adjust the focus of the Pendulum Camera Head, slide the focusing knob 1
from side to side as needed (i.e., in the direction of the Camera button or the
Menu button).
1

11
Rotating the Image (1688310130 only)
To allow rotation of the endoscope inside the endobody clamp, release the
endobody brake 1by rotating it counterclockwise (when facing the camera
head buttons). The endoscope can then be rotated as needed 2.
1
2
To prevent the endoscope from rotating inside the endobody clamp, lock
the endobody brake by rotating it clockwise (when facing the camera head
buttons). If the endoscope is not secured in a xed position, slightly rotate the
endobody clamp in either direction until the lock engages with an audible
click.
Automatic Image Flip (1688310130 only)
By default, the Pendulum Camera Head will automatically ip the video image
back to the initial orientation when the camera is rotated 180°.
1. Hold the camera head with the endoscope axis parallel to the ground 1.
2. Rotate the camera head from the“cable down”position 2to the “cable
up” position 3. Once the camera head cable is fully rotated, the video
image will rotate back to the initial orientation.
1 2 3
The video image will also ip when the camera head is rotated from the “cable
up” position to the “cable down”position.

12
If you want to change the Pendulum Auto Flip setting, follow these steps:
1. Hold down the Settings button on the camera console Home screen for
about 5 seconds.
2. Select Options.
3. Press the right arrow to advance to the second menu page, and change
the Pendulum Auto Flip setting.
4. Click X in the top-right corner to return to the Home screen.
The C-Mount Coupler
The coupler threads onto the face of the camera head, enabling a scope to be
attached to the camera. It provides a focusing ring to adjust image sharpness.
It is recommended to use the camera with the 4K Coupler, C-Mount, with
Advanced Imaging Modality (1688-020-122). The 4K Coupler enables use of
SPY mode when the camera is connected to the the proper system. Refer to
Stryker user manual P40880 for complete 4K Coupler instructions.
1
2
3
4
1. Scope End Receives the endoscope
2. Endobody Clamp Secures the scope to the coupler
3. Focusing Ring Adjusts the coupler focus
4. Rear Adapter Threads onto the camera head

13
Device Compatibility
For optimal use, the 1688 Video Camera is designed to work with the L11 LED
Light Source (0220230300) and the Connected OR Hub (0240200100) with
software version 1.2.1 or higher. All features and instructions described in this
user manual apply to this system unless otherwise noted.
The 1688 Video Camera is also compatible with other light sources and digital
capture devices that are listed below. The features and instructions that are
dierent than the rest of this user manual are noted below. Please contact a
Stryker representative for assistance with alternate system congurations.
Alternate Light Sources
0220220300 L10 LED Light Source with AIM Technology
• Connect to the camera console using the USB A-to-A
cable provided with light source, P30883 (required to
use ENV mode)
• Auto Light function is not available
• Overlay mode and Contrast mode (SPY modes) are not
available (although ENV mode is still available)
• No camera control over ENV laser level (although the
camera can control the Backlight level)
• No camera control over IRIS mode and settings
• Some display monitor menu options are not available
(options that appear in grey)
0220220000 Precision LED Light Source
• Connect to the camera console using the USB A-to-A
cable provided with light source, P30883
• Auto Light function is not available
• SPY and IRIS modes are not available
• Some display monitor menu options are not available
(options that appear in grey)
0220210000 L9000 LED Light Source
• Connect to the camera console with a USB A-to-B cable
• No camera control of light levels (only activate/
deactivate)
• Auto Light function is not available
• SPY and IRIS modes are not available
• Some display monitor menu options are not available
(options that appear in grey)

14
Alternate Digital Capture Device
0240060100 SDC3 HD Information Management System
• Send the video signal from the camera console to the
SDC3 by connecting an HDMI-to-DVI adapter cable
(P32235) from one of the camera console’s HDMI
outputs to one of the SDC3’s DVI inputs
• Send the video signal from the SDC3 to a compatible
display monitor by connecting a DVI cable from one of
the SDC3’s DVI outputs to an available DVI input on the
display monitor
• The SDC3 does not have device control over the
1688 Video Camera or other devices that could be
controlled by the camera head. (Although the user can
still capture images and record video when SDC3 is
connected to the camera console with remote cables.)
• The SDC3 is not designed to add device control options
in the camera’s display monitor menu.

15
Setup
Stryker Endoscopy considers instructional training, or inservice, an
integral part of the 1688 Video Camera. Your local Stryker Endoscopy sales
representative will perform at least one inservice at your convenience to help
set up your equipment and instruct you and your sta on its operation and
maintenance. To schedule an inservice, contact your local Stryker Endoscopy
representative after your equipment has arrived.
Setting up the 1688 Video Camera involves three steps:
1. Setting up the console
2. Setting up the camera head
3. Setting up the coupler
• Always connect the console to an appropriate power
source, using a hospital-grade power cord. Loss of AC
power will cause the camera to shut down and the surgical
image to be lost.
• Only connect items to the 1688 Video Camera that have
been specied for use with the camera system. Connecting
incompatible equipment may cause unexpected results.
• When the camera system is used with other equipment,
leakage currents may be additive. Ensure that all systems
are installed according to the requirements of IEC60601-1.
• Equipment which employs RF communications may aect
the normal function of the 1688 Video Camera. When
choosing a location for the camera system, consult the
Electromagnetic Compatibility section to ensure proper
function.
• Always set up the console in a location that allows
adequate ventilation (airow) to the console. Insucient
ventilation may cause the console to overheat and shut
down.

16
Setting Up the Console
Refer to the following instructions and wiring diagram for a typical 1688 Video
Camera conguration.
1. Using the provided power cord, connect the camera console’s AC power
inlet to a hospital-grade outlet.
2. Using the provided HDMI cable, connect the HDMI 1 output from the
camera console to the HDMI 4K/HD IN 1 input on the Connected OR Hub
(0240200100).
• As a precaution against video loss related to the Connected OR Hub
or primary display monitor, the camera console’s second HDMI output
can be connected directly to an HDMI input on an auxiliary display
monitor.
3. Connect the HDMI 4K/HD OUT 1 output from the Connected OR Hub to
the HDMI 4K input on the 32” 4K Surgical Display (0240-031-050).
For 4K camera resolution, the 1688 Video Camera shall be used
with a 32” 4K Surgical Display that has rmware version 1.3.12 or
higher. If not available, the camera resolution shall be operated in
1080p resolution. This setup is required to avoid degraded camera
performance.
To determine the 32” 4K Surgical Display’s rmware version:
a. Power on the Connected OR Hub and the 32” 4K Surgical Display.
They must be connected, as described in step 3.
b. Press the Specialty button on the display front panel.
c. The rmware version is listed in the upper-right corner of the menu
that appears. If the version is 1.3.12 or higher, proceed to step 4.
If the display rmware version is less than 1.3.12, follow these
additional steps to operate the camera in 1080p resolution:
d. Power on the camera console.
e. On the camera console Home screen, hold down the Settings button
for about 5 seconds until the Advanced Settings screen appears.
f. Press the Options button to go to the Options screen.
g. Press the HDMI1 and HDMI2 output buttons to toggle from 4K to
1080p resolution.
h. Click X in the top-right corner to return to the Home screen.