Stryker 1188HD User manual

1188-010-000
1188-210-105
1188-410-105
1188-710-105
User Guide
1188HD
Video Camera

EN-1
1188HD
Video Camera
User Guide
Contents
Warnings and Cautions ......................................... 3
Symbol Definitions ............................................................................ 5
Product Description and Intended Use ................. 7
Indications/Contraindications ........................................................... 7
Camera Console ............................................................................... 8
Camera Head .................................................................................. 10
C-Mount Coupler ............................................................................ 11
Setup and Interconnection ................................. 12
Setting Up the Console ................................................................... 12
Setting Up the Camera Head .......................................................... 17
Setting Up the Coupler ................................................................... 17
Operation Instructions ....................................... 19
Powering the Camera On/Off ......................................................... 19
Using the Camera Buttons ............................................................. 19
Selecting the Display Language ..................................................... 21
Using the Configuration Menu ........................................................ 22
Controlling Remote Video Accessories .......................................... 22
Using the SFB Serial Interface ........................................................ 23
Using the DVI Fiber Outputs ........................................................... 23
Operating the Camera with a Light Source .................................... 24
Troubleshooting ................................................. 25
Cleaning and Sterilization .................................. 28
Cleaning the Camera Console ........................................................ 28
Reprocessing the Camera Head ..................................................... 28
User Maintenance ........................................................................... 36

EN-2
Technical Specifications .................................... 37
Electromagnetic Compatibility ........................................................ 39
Warranty ............................................................ 43
Service and Claims ............................................. 44

EN-3
Warnings and Cautions
Please read this manual and follow its instructions carefully. The words warning,
caution, and note carry special meanings and should be carefully reviewed:
Warning The personal safety of the patient or physician may be
involved. Disregarding this information could result in injury
to the patient or user.
Caution Special service procedures or precautions must be followed to
avoid damaging the instrument.
Note Special information to make maintenance easier or important
information more clear.
An exclamation mark within a triangle is intended to alert the
user to the presence of important operating and maintenance
instructions in the literature accompanying the product.
A lightning bolt within a triangle is intended to warn of the
presence of hazardous voltage. Refer all service to authorized
personnel.
IMPORTANT SAFETY NOTICE: Before operating this device, please read
this operating manual thoroughly and carefully. When using this device with
a light source, fire and/or severe injury may result to the patient, user or
inanimate objects if the instructions in this manual are not followed. All light
sources can generate significant amounts of heat at the scope tip, the scope
light post, the light cable tip, and/or near the light cable adapter. Higher levels
of brightness from the light source result in higher levels of heat. Always
adjust the brightness level of the camera and the monitor before adjusting the
brightness level of the light source. Adjust the brightness level of the light
source to the minimum brightness necessary to adequately illuminate the
surgical site. In addition, adjust the internal shutter of the camera higher in
order to run the light source at a lower intensity. Avoid touching the scope tip
or the light cable tip to the patient, and never place them on top of the patient,
as doing so may result in burns to the patient or user. In addition, never place
the scope tip, the scope light post, the light cable adapter, or the light cable tip
on the surgical drapes or other flammable material, as doing so may result in
fire. Always place the light source in standby mode whenever the scope is
removed from the light cable or the device is unattended. The scope tip, scope
light post, light cable adapter, and light cable tip will take several minutes to
cool off after being placed in standby mode, and therefore may still result in
fire or burns to the patient, user, or inanimate objects.

EN-4
To avoid potential serious injury to the user and patient, and/or damage to this
device, the user must:
1. Carefully unpack this unit and check if any damage occurred during
shipment. If damage is detected, refer to the “Service and Claims”
section of this manual.
2. Read this operating manual thoroughly, especially the warnings, and be
familiar with its contents before connecting and using this equipment.
3. Be a qualified physician, having complete knowledge of the use of this
equipment.
4. Test this equipment prior to a surgical procedure. This unit was fully
tested at the factory before shipment.
5. Never use this equipment in the presence of flammable or explosive
gases.
6. The camera head surface may exceed 41°C (106°F) in operating
conditions with high ambient temperatures and should be handled with
caution.
7. Avoid dissembling any part of the camera head, as doing so may break
the seals, causing leakage and/or electric shock.
8. Avoid removing covers on the control unit, as doing so may cause
damage to electronics and/or electric shock.
9. To avoid risk of electric shock, this equipment must only be connected
to a supply mains with protective earth.
10. Attempt no internal repairs or adjustments not specifically detailed in
this operating manual.
11. Pay close attention to the care and cleaning instructions in this manual.
Any deviation may cause damage.
12. The camera head and coupler are shipped non-sterile. Clean and
sterilize these components prior to first use and after every subsequent
use. Follow the cleaning, disinfection, and sterilization instructions
provided in these instructions.
13. Never sterilize the camera console, because the delicate electronics can
not withstand this procedure.
14. Never autoclave a camera head unless it is marked AUTOCLAVABLE.
Autoclaving regular camera heads will result in permanent device
damage for which Stryker will not be responsible.
15. Disconnect the control unit from the electrical outlet when inspecting
the fuses.

EN-5
16. Before each use, check the outer surface of the endoscope to ensure that
there are no rough surfaces, sharp edges, or protrusions.
17. Avoid dropping the camera system. The camera system contains
sensitive parts that are precisely aligned.
18. Ensure that readjustments, modifications, and/or repairs are carried out
by persons authorized by Stryker Endoscopy. No modification of this
equipment is allowed.
19. Ensure that the electrical installation of the relevant operating room
complies with the NEC and CEC guidelines.
20. Do not position the console so that it is difficult to disconnect the power
cord from the supply mains.
The warranty is void if any of these warnings are disregarded.
Symbol Definitions
In addition to the cautionary symbols already listed, other symbols found on the
1188HD Camera and in this manual have specific meanings that clarify the
proper use and storage of the 1188HD Camera. The following list defines the
symbols associated with this product.
Refer to instruction manual.
Caution (consult instructions for use)
Cameras, couplers, and camera extension cable are shipped non-
sterile and must be sterilized before use
Humidity range Legal manufacturer
Pressure range Date of manufacture
Temperature range Serial number
Country of origin Catalogue number
Stryker European representative

EN-6
Device meets requirements for safety and effectiveness set forth in
MDD 93/42/EEC
Federal law (USA) restricts this device to use by, or on order of, a
physician
Denotes compliance to CAN/CSA C22.2 No 601.1 and UL 60601-1
Power on/off (alternates when button is pushed)
Alternating current 1188 camera head
connection
Type BF applied part Protective ground earth
Class 1 laser product
FireWire
Equipotentiality Fuse rating
Device recycling code (applicable to China)
This symbol indicates that the waste disposal of electrical and
electronic equipment must not be disposed as unsorted municipal
waste and must be collected separately. Please contact the
manufacturer or other authorized disposal company to
decommission your equipment.
Consult instructions for use
CLASS 1 LASER
PRODUCT
APPAREIL A LASER DE
CLASSE 1

EN-7
Product Description and Intended Use
The Stryker Endoscopy 1188HD Medical Video Camera is a high-definition
camera used to capture still and video images of endoscopic surgical applications.
The 1188HD Medical Video Camera consists of three main components:
• Camera console (P/N 1188-010-000)
• Camera head (P/N 1188-210-105 45° cable; 1188-410-105
autoclavable; 1188-710-105 0° cable)
• C-mount coupler (P/N 1188-020-122; 1188-410-110 autoclavable)
The 1188HD also comes with various connection cables which, like the other
components, can be purchased together or separately.
Part numbers 1188-210-105 and 1188-710-105 are not intended for sale in the
European Union and do not bear a CE mark.
Warning Federal law (United States of America) restricts this device to
use by, or on the order of, a physician.
Indications/Contraindications
The 1188HD Camera is indicated for use in general laparoscopy,
nasopharyngoscopy, ear endoscopy, sinuscopy, and plastic surgery wherever a
laparoscope/endoscope/arthroscope is indicated for use. A few examples of the
more common endoscopic surgeries are laparoscopic cholecystectomy,
laparoscopic hernia repair, laparoscopic appendectomy, laparoscopic pelvic
lymph node dissection, laparoscopically assisted hysterectomy, laparoscopic and
thorascopic anterior spinal fusion, anterior cruciate ligament reconstruction,
knee arthroscopy, shoulder arthroscopy, small joint arthroscopy, decompression
fixation, wedge resection, lung biopsy, pleural biopsy, dorsal sympathectomy,
pleurodesis, internal mammary artery dissection for coronary artery bypass,
coronary artery bypass grafting where endoscopic visualization is indicated and
examination of the evacuated cardiac chamber during performance of valve
replacement. The users of the camera are general surgeons, gynecologists, cardiac
surgeons, thoracic surgeons, plastic surgeons, orthopedic surgeons, ENT
surgeons and urologists.
There are no known contraindications.

EN-8
Camera Console
The camera console or Camera Control Unit (CCU) is the control center for the
1188HD Medical Video Camera and processes the video and photographic
images captured during the surgical procedure. The console front panel features
controls for adjusting the enhancement level, light level, zoom, and white balance.
The front panel allows selection of surgical specialty settings that optimize
camera performance for specific surgical procedures. The front panel also allows
activation of remote outputs.
The rear panel provides ports for connecting the 1188HD Camera to viewing and
recording equipment, such as video monitors, the SDC Ultra, or photo printers.
The features of the front and rear panels are listed in Figure 1.
Figure 1: 1188HD Camera console, front (top) and rear (bottom) panels
1. Power Switch: Powers the camera on and off
2. Enhance Buttons: Increase or decrease image sharpness
3. Specialty Screen: Displays which surgical preset setting has been
selected
91110 12 13 14 16 17 1815
192021
12 3 4567 8

EN-9
4. Specialty Button: Selects different surgical settings
5. P Button: Controls image (picture) capture via remotes 1 and 2
6. Up and Down Arrow Buttons: Controls image light or zoom level
7. W Button: Controls white balance and image light or zoom level
8. Camera Connector: Connects to the 1188HD Camera Head
9. DVI Out 1: Digital video output
10. DVI Out 2: Digital video output
11. Remote Out 1: Connects to a video accessory remote switch
12. Remote Out 2: Connects to a video accessory remote switch
13. Fiber Outputs (optical): DVI output for connection to Lucent
connector fibers
14. S-Video 1Out: Analog video output
15. S-Video 2 Out: Analog video output
16. SFB Connectors: Enables FireWire connection with Stryker FireWire
devices. Provides connection for remote diagnoses and future software
upgrades.
17. AC Power Inlet: Connects to a separable power cord, which can be used
for mains isolation
18. Equipotential Ground Plug: Connects to a potential equalization
conductor. The resulting medical electrical system shall follow all
applicable IEC 60601-1 requirements.
19. Fuse Panel: Contains two 1.6A 250V (slow-blow, high breaking capacity
1500A) fuses
20. SIDNE® Port: Connects to the SIDNE® Console to enable voice
operation and/or graphic tablet control
21. Composite Out: Analog video output

EN-10
Camera Head
The camera head connects to the camera console and captures video and
photographic images, which it relays to the camera console. It features several
controls that are accessible through a button keypad located on the top of the
camera head (see the “Operation Instructions” section of this manual).
Figure 2 below lists the features of the camera head.
Figure 2: 1188HD Camera Head
1. Camera Cable
2. Camera Head: Captures photographic and video images, provides
camera controls, and connects with a focusing coupler
3. Soaking Cap: Protects the cable connector during cleaning and
sterilization
4. Cable Connector: Connects the camera head to the camera console
The camera head is available in autoclavable and non-autoclavable models:
Autoclavable (1188-410-105)
marked AUTOCLAVE
Non-autoclavable
1188-210-105 (45° cable) and
1188-710-105 (0° cable)
12
34

EN-11
C-Mount Coupler
The C-Mount 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.
The features of the coupler are listed in Figure 3 below. Additional instructions
are available in the “1188 C-Mount Coupler User Guide” (P/N 1000-400-905).
Figure 3: C-Mount coupler
1. Rear Adapter: Threads onto the camera head
2. Focusing Ring: Adjusts the coupler focus
3. Endobody Clamp: Secures the scope to the coupler
4. Scope End: Receives the endoscope
C-mount Couplers are available in autoclavable and non-autoclavable models:
Autoclavable
1188-410-110
(marked AUTOCLAVE)
Non-autoclavable
1188-020-122
1
2
3
4

EN-12
Setup and Interconnection
Note Stryker Endoscopy considers instructional training, or inservice,
an integral part of the 1188HD Medical 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 staff on its operation and maintenance. To
schedule an inservice, contact your local Stryker Endoscopy
representative after your equipment has arrived.
Setting Up the 1188HD Camera involves three steps:
1. Setting up the console
2. Setting up the camera head
3. Setting up the coupler
Setting Up the Console
Caution Equipment which employs RF communications may affect the
normal function of the 1188HD Camera. When choosing a
location for the 1188HD Camera, consult the
“Electromagnetic Compatibility” section of this manual to
ensure proper function.
To set up the console, make the following connections:
1. Connect AC power.
• Connect the AC power cord to the AC inlet on the rear console panel.
• Connect the other end to a hospital-grade outlet.
Warning Always connect the camera 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.
Caution Always set up the console in a location that allows adequate
ventilation (airflow) to the console. Insufficient ventilation
may cause the console to overheat and shut down.
Warning Only connect items to the camera that have been specified for
use with the camera. Connecting incompatible equipment may
cause unexpected results.
To avoid risk of electric shock, this equipment must only be
connected to a supply mains with protective earth.

EN-13
2. Connect the video output.
• The rear panel provides three analog and three digital-video outputs,
which can be used together or independently:
• Use the cables and outputs described above to connect the 1188HD to
other operating-room equipment. Wiring Diagrams 1-3 on the
following pages describe typical set-ups.
• If desired, connect any remote outputs using the remote cables
supplied with the 1188HD Camera. (See Wiring Diagram 2.) Devices
connected to the remote outputs of the 1188HD Camera can be
operated using the P buttons on the camera head and/or console. See
the “Operation Instructions” section of this manual for details.
• If desired, connect the SIDNE® interface as well. (See Wiring
Diagram 2.)
Warning When the 1188HD Camera is used with other equipment,
leakage currents may be additive. Ensure that all systems are
installed according to the requirements of IEC 60601-1-1.
Warning Do not touch the internal pin of the VIDEO-OUT BNC jack
and the patient simultaneously.
Output
Type
Output Cable Connector
Analog Composite Composite BNC
(push-and-turn connectors)
*S-VHS 1 S-VHS 4 pin Mini-Din
(push-only connectors)
*S-VHS 2 S-VHS 4 pin Mini-Din
(push-only connectors)
Digital **DVI-I 1 DVI 29-pin (push-only connectors, with two
tightening knobs)
**DVI-I 2 DVI 29-pin (push-only connectors, with two
tightening knobs)
DVI over optical
FIBER
Fiber (×4) Lucent connector fiber (×4) (push-only)
**On some monitors, S-VHS inputs may be labeled Y/C.
**The DVI connectors can also output analog SXGA signals through a DVI-I to VGA adapter.

EN-14
Wiring Diagram 1: Camera and Flat-Panel Monitor

EN-15
Wiring Diagram 2: Camera, SDC, SIDNE®, and Flat-Panel Monitor
Stryker European Rep. -
RA/QA Manager
ZAC Satolas Green Pusignan
Av. De Satolas Green
69881 MEYZIEU Cedex, France

EN-16
Wiring Diagram 3: Camera, Flat-Panel Monitor and CRT Monitor
Note If you are using any device with unterminated analog video
inputs, you must connect a cable from the VIDEO OUT of that
device to the VIDEO IN on the monitor.
Note An additional monitor may be connected using an open camera
output.
Note The camera console is shipped from the factory in NTSC video
format. If necessary, the video format can be changed to PAL by
using the “Options” submenu in the configuration menu. See the
“Using the Configuration Menu” section of this manual.
1. Power on the monitor.
2. Power on the camera.
Note A color bar pattern will appear on the monitor when the camera
head is not connected to the camera console. Follow the
instructions in the “Setting Up the Camera Head” section of this
manual to connect the camera head to the console.

EN-17
Setting Up the Camera Head
1. Connect the camera head to the console.
• Unscrew the soaking cap from the cable connector if necessary.
• Align the blue arrow on the cable connector with the blue arrow on
the camera-connector port on the front console panel (see Figure 4).
• Push in the connector until it locks in place.
Figure 4: Connecting the camera head to the console
Note To unplug the camera from the control unit, grasp the knobbed
portion of the connector and pull straight out.
Caution Do not severely bend the camera cable or damage may result.
Setting Up the Coupler
1. Attach the coupler to the camera head.
• Grasping the rear adapter, screw the coupler onto the camera head
(clockwise) until it forms a tight seal (see Figure 5).
Figure 5: Attaching a coupler to the camera head

EN-18
Caution When attaching or removing the coupler, grip only the rear
adapter, as twisting other parts of the coupler may result in
mechanical damage.
Caution Do not overtighten the coupler, as this may damage the front
window of the camera.
Note For direct-coupled C-mount scopes (scopes that require no
coupler), thread the endoscope directly into the camera head
until it forms a tight seal.
Caution Do not overtighten a direct-coupled C-mount scope, as this
may damage the front window of the camera.
2. Attach an endoscope to the coupler.
• Remove the red dust cap if it is present.
• Push down on the endobody clamp (a) and insert the scope into the
scope end of the coupler (b). (See Figure 6.)
• Release the endobody clamp.
Figure 6: Attaching an endoscope to the camera head via the coupler
3. Attach a light cable from the light source to the light post on the
endoscope (c) as seen in Figure 6.
Warning Before each use, check the outer surface of the endoscope to
ensure there are no rough surfaces, sharp edges, or
protrusions.
(a)
(b)
(c)