Stryker 240-099-156 User manual

Instructions for Use / Instrucciones de uso / 使用说明使用说明 / 사용 설명서사용 설명서 / Hướng dẫn sử dụng
240-099-156
P44082 Rev. D
2021-02
EN / ES / ZH / KO / VI
Connected OR Cart 230V / Carro Connected OR de 230 V /
Connected OR 流动车流动车 230 V / Connected OR 카트카트 230 V /
Xe đẩy Connected OR 230 V

P44082 Rev. D EN 1
Contents
Overview of the Connected OR Cart 230V ..............................................................................2
Intended Use........................................................................................................................................... 4
Warnings and Cautions ............................................................................................................5
Cautions .................................................................................................................................................. 5
Warnings ................................................................................................................................................. 5
Using the Cart............................................................................................................................6
Putting the Cart into Transport Position .............................................................................................. 6
Moving the Cart ...................................................................................................................................... 6
Powering the Cart On............................................................................................................................. 8
Powering the Cart Off............................................................................................................................. 8
Using the I/O Panel................................................................................................................................. 8
Maintenance and Service..........................................................................................................9
Cleaning the Cart.................................................................................................................................... 9
Adjusting the Connected OR Mount (Monitor Arm) .......................................................................... 10
Resetting the Breaker Switch.............................................................................................................. 12
Replacing the Power Cord................................................................................................................... 12
Replacing Monitor Cables ................................................................................................................... 14
Disposal................................................................................................................................................. 14
Electromagnetic Compatibility...............................................................................................15
China RoHS Declaration .........................................................................................................19
Symbols....................................................................................................................................20
Technical Specications.........................................................................................................21

P44082 Rev. D2 EN
Overview of the Connected OR Cart 230V
The Connected OR Cart is a mobile, medical-grade cart designed to accommodate a combination of Stryker
Advanced Imaging Modality (AIM) System, PINPOINT Endoscopic Fluorescence Imaging System, or SPY Portable
Handheld Imaging (SPY-PHI) System components. The cart is intended to be used during or between surgical
or clinical procedures. The Connected OR Cart provides adjustable shelves, an articulated monitor arm, lockable
steering wheels, handles for transporting and positioning, isolated electrical power, a central power switch, an external
I/O panel for network or video connections, and holders for accessories such as CO2tanks, imaging heads, and foot
switches.
1. Display monitor 6. SPY-PHI cable hook
2. Monitor stow and positioning handle 7. Cart transporting handle
3. Connected OR Mount monitor arm 8. Cart positioning handle
4. Monitor stow bracket (for use when the monitor is in stow position) 9. Adjustable shelves
5. SPY-PHI imager holder 10. CO2tank holder
Figure 1 – Connected OR Cart overview, right side

P44082 Rev. D EN 3
1. Monitor positioning handles 5. Foot switch holder
2. Connected OR Mount monitor arm 6. IFU holder
3. Cart power button 7. Rear wheel
4. Accessory basket 8. Front wheel
Figure 2 – Connected OR Cart overview, left side

P44082 Rev. D4 EN
1. I/O panel 4. Rear door latch
2. Rear door 5. Power cord hooks
3. Transport position label 6. Breaker switch location (inside cart)
Intended Use
The Cart is intended to store and transport components of minimally invasive and open-eld imaging systems such as
the Stryker Advanced Imaging Modality (AIM) System, PINPOINT Endoscopic Fluorescence Imaging System, or SPY
Portable Handheld Imaging (SPY-PHI) System) during intraoperative use. The Cart also provides power, video, and
data connections to the components.
The Cart should be operated only by qualied personnel such as surgeons and clinic support staff.
There are no known contraindications for the Connected OR Cart.
Figure 3 – Connected OR Cart overview, rear

P44082 Rev. D EN 5
Warnings and Cautions
Please read and follow these Instructions for Use carefully. The words warning, caution, and note carry special
meaning and should be carefully reviewed:
Warning Indicates risks to the safety of the patient or user. Failure to follow warnings may result in
injury to the patient or user.
Caution Indicates risks to the equipment. Failure to follow cautions may result in product damage.
Note Claries the instructions or presents additional useful information.
Cautions
To avoid potential damage to this device, please note the following cautions:
1. Only Stryker-approved components and accessories may be used with the Connected OR Cart.
2. Ensure the cart is in transport position before moving it.
3. Ensure that modications and/or repairs are carried out by persons authorized by Stryker.
Warnings
To avoid potential serious injury to the user and the patient and/or damage to this device, please note the following
general warnings.
1. Read these Instructions for Use thoroughly, especially the warnings, and be familiar with its contents before
using the cart.
2. Federal law restricts this device to sale by or on the order of a physician.
3. To avoid the risk of electric shock, only connect equipment explicitly specied and approved by Stryker to the
multiple-socket outlet (power outlets) on the Connected OR Cart.
4. To avoid the risk of electric shock, this equipment must only be connected to supply mains with protective
earth.
5. Do not position the cart so that it is difcult to disconnect the power cord from supply mains.
6. Do not connect additional multiple-socket outlets or extension cords to the system.
7. The Connected OR Mount (monitor arm) may have pinch points: keep hands clear.
8. Failure to properly adjust the Connected OR Mount could result in equipment damage or injury.
9. No modication of this equipment is permitted. Do not modify this equipment without authorization of the
manufacturer. If this equipment is modied, appropriate inspection and testing must be conducted to ensure
continued safe use of the equipment.
10. Use of accessories, transducers and cables other than those specied 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.

P44082 Rev. D6 EN
Using the Cart
The Connected OR Cart can be moved to the desired location and positioned by one person. The Connected OR
Mount articulated monitor arm enables the monitor to be positioned in the optimal viewing position. Once in position,
the cart can be powered on using the central power button and connected to additional devices using the I/O panel.
Putting the Cart into Transport Position
Before moving the cart, ensure it is in transport position.
To put the cart into transport position:
1. Rotate the monitor 90 degrees to the right side of
the cart.
2. Lower the monitor on the arm.
3. Hook the monitor stow handle in the stow bracket.
Moving the Cart
To move the cart:
1. Disconnect the cart from supply mains and secure the power cord to the cord hooks on the rear door. Ensure
any network or video cables are disconnected from the external I/O panel on the rear of the cart.
2. Ensure that any external components, such as imaging heads, are disconnected.
3. Release the brakes on all four wheels by lifting the foot lever on each wheel.
4. Push the cart from the rear using the transporting handles (rear-facing handles).
5. Move the cart into position, taking care not to block access to supply
mains.
6. When the cart is in its nal position, lock all four wheels by pushing the foot
levers down.
7. Release the monitor from the stow bracket by pushing the monitor down
and away from the cart.
8. Using the monitor positioning handles, position the monitor for optimal
viewing.

P44082 Rev. D EN 7
The monitor arm can be moved to the other side of the cart by releasing the rotation lock. Turn the rotation lock knob
on the lateral section of the arm counterclockwise to release the arm.

P44082 Rev. D8 EN
Powering the Cart On
To power the Connected OR Cart on:
1. Connect the power cord to supply mains with protective earth.
2. On the front of the cart, in the top-left corner, push the power button.
The power button illuminates, and power is supplied to any consoles or accessories installed on the cart.
Powering the Cart Off
To power the Connected OR Cart off:
1. On the front of the cart, in the top-left corner, push the power button.
The power button illumination turns off and power to the consoles installed on the cart is disconnected.
2. Disconnect the power cord from supply mains.
Using the I/O Panel
An I/O panel on the rear of the cart provides the following connections:
• HDMI
• USB
• DVI
• Ethernet (RJ45)
Figure 4 – I/O Panel

P44082 Rev. D EN 9
Maintenance and Service
The following regular maintenance may be performed as needed. Component part lists, circuit diagrams, descriptions,
and calibration instructions are available upon request.
Note: Secure the Connected OR Mount in the monitor stow bracket before removing the monitor.
Cleaning the Cart
It is recommended that the cart be cleaned after each use.
To clean the Connected OR Cart:
1. Disconnect the cart from supply mains.
2. Wipe the cart with a damp cloth or sponge and any of the following:
◦mild soap solution
◦mild detergent solution
◦70% ethyl or isopropyl alcohol
◦multipurpose germicidal disinfectant

P44082 Rev. D10 EN
Adjusting the Connected OR Mount (Monitor Arm)
Warning: Failure to properly adjust the Connected OR Mount could result in equipment damage or injury.
Caution: Do not overtighten tensioning screws. Damage to the bushings may occur.
1. Adjusting Counterbalance
If the monitor drifts up or down on its own, the counterbalance may need to be adjusted.
To adjust the counterbalance:
1. With the monitor in viewing position, insert a 7/32” hex key at the adjustment point shown in 1 above.
2. Turn the hex key clockwise or counterclockwise until the monitor remains where it is positioned without drifting
up or down.
2. Adjusting Monitor Swing Tension
To adjust monitor swing tension at the monitor-end of the arm:
1. Insert a 3/32” hex key at either of the points shown in 2 above.
2. Turn clockwise to add tension or counterclockwise to remove tension.

P44082 Rev. D EN 11
3. Adjusting Radial Arm Swing Tension
To adjust radial arm swing tension:
1. Remove the radial arm cover. Using a 3/32” hex key, remove the two screws securing the top cover.
2. Insert a 5/32” hex key in the point shown in 3 above.
3. Turn the tensioning screw clockwise to add tension or counterclockwise to remove tension.
4. Replace the arm cover.
4. Adjusting Monitor Tilt Tension
If the monitor droops, adjust the tilt tension:
1. Tilt the monitor upward and insert a 7/32” hex key in the adjustment point shown.
2. Turn the tensioning screw clockwise or counterclockwise until the monitor no longer droops when positioned.
5. Adjusting Upper Arm Pivot Tension
To adjust the upper arm pivot tension:
1. Insert a 3/32” hex key at the point shown in 7 above.
2. Turn the tensioning screw clockwise to add tension or counterclockwise to remove tension.

P44082 Rev. D12 EN
Resetting the Breaker Switch
To reset the breaker switch:
1. Open the rear door of the cart.
2. Locate the breaker switch and reset it.
Replacing the Power Cord
The Connected OR Cart power cord is replaceable.
To replace the power cord:
1. Power the cart off and disconnect the power cord from supply mains.
2. Open the rear door of the cart.
3. Detach the power cord plate by removing the two screws using a 3 mm hex key.
Figure 5 – Location of the breaker switch

P44082 Rev. D EN 13
4. Disconnect the power cord from the cart outlet.
5. Pull the power cord assembly through the opening.
6. Push the new power cord assembly through the plate opening in the cart and connect it to the cart outlet.
7. Attach the power cord plate to the cart using the screws and 3 mm hex key.
8. Close the rear door of the cart.

P44082 Rev. D14 EN
Replacing Monitor Cables
To replace a monitor cable (monitor power cable, HDMI cable, DVI cable):
1. Disconnect the cart from supply mains.
2. Disconnect the cable to be replaced from inside the cart and from the
monitor.
3. Using a 3/8” nut driver, remove the cable housing from the underside
of the top of the cart.
4. Pull the disconnected cable(s) up through the cable port in the top of the
cart, removing any rubber grommets as necessary.
5. Remove the Cable Manager from the arm.
6. Using a 3/32” hex key, remove the top cover on the radial
section of the arm (as shown).
7. Remove the cable to be replaced from the arm.
8. Install the replacement cable in the arm as shown and reinstall the top cover.
9. Route the replacement cable down through the top cable port and reconnect it inside the cart.
10. Reinstall the cable housing to the underside of the top of the cart.
11. Reconnect the cables to the monitor.
Disposal
All Connected OR Cart components shall be disposed of in compliance with local, regional and national regulations.
Do not dispose any part in general waste.

P44082 Rev. D EN 15
Electromagnetic Compatibility
Like other electrical medical equipment, the Connected OR Cart model 240-099-155 and 240-099-156, requires
precautions to ensure electromagnetic compatibility with other electrical medical devices. To ensure electromagnetic
compatibility (EMC), the Connected OR Cart must be installed and operated according to the EMC information
provided in this manual.
This equipment is for use in a professional healthcare environment. Not for use in the RF shielded room of a medical
electrical system for magnetic resonance imaging, where the intensity of EM disturbances is high.
This equipment is not likely susceptible to interference from HF surgical instruments in the Special Environment of
being in close proximity to an active HF surgical instrument. In the case that HF surgical interference is observed,
adjust the separation distance of the equipment.
Guidance and Manufacturer’s Declaration – Electromagnetic Emissions
The Connected OR Cart, model 240-099-155 and 240-099-156, is intended for use in the electromagnetic environment specied
below. The customer or the user of the Connected OR Cart should assure that it is used in such an environment.
Emissions test Compliance Electromagnetic Environment – Guidance
RF emissions
CISPR 11
Group 1 The device uses RF energy only for its internal function;
therefore, its RF emissions are very low and are not like-
ly to cause any interference in nearby equipment.
RF emissions
CISPR 11
Class B The device is suitable for use in all establishments other
than domestic establishments and those directly con-
nected to the public low-voltage power supply network
that supplies buildings used for domestic purposes,
provided the following warning is heeded:
Warning: This system is intended for use by health care
professionals only. This system may cause radio inter-
ference or may disrupt the operation of nearby equip-
ment. It may be necessary to take mitigation measures,
such as reorienting or relocating the system of shielding
the location.
Harmonic emissions
IEC 61000-3-2
Class A
Voltage uctuations/
Flicker emissions
IEC 61000-3-3
Complies

P44082 Rev. D16 EN
Guidance and Manufacturer’s Declaration – Electromagnetic Immunity
The Connected OR Cart, model 240–099–155 and 240-099-156, is intended for use in the electromagnetic environment speci-
ed below. The customer or the user of the Connected OR Cart should assure that it is used in such an environment.
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment
— Guidance
Electrostatic discharge (ESD)
IEC 61000-4-2
± 8 kV contact
± 15 kV air
± 8 kV contact
± 15 kV air
Floors should be wood, con-
crete or ceramic tile. If oors
are covered with synthetic
material, the relative humidity
should be at least 30%.
If disruption of video occurs,
the device may require restart.
Electrical fast transient/burst
IEC 61000-4-4
± 2 kV for power supply lines
± 1 kV for input/output lines
± 2 kV for power supply lines
± 1 kV for input/output lines
Mains power quality should be
that of a typical commercial or
hospital environment.
If disruption of video occurs,
the device may require restart.
Surge
IEC 61000-4-5
± 1 kV line(s) to line(s)
± 2 kV line(s) to earth
± 1 kV line(s) to line(s)
± 2 kV line(s) to earth
Mains power quality should be
that of a typical commercial or
hospital environment.
Voltage dips, short interrup-
tions and voltage variations on
power supply input lines
IEC 61000-4-11
0% Ut 0.5 cycle
0% Ut 1 cycle
70% Ut 25 cycles
0% Ut 5 Sec
0% Ut 0.5 cycle
0% Ut 1 cycle
70% Ut 25 cycles
0% Ut 5 Sec
Mains power quality should be
that of a typical commercial
or hospital environment. If the
user of the Connected OR
Cart, model 240–099–155,
requires continued operation
during power mains interrup-
tions, it is recommended that
the Connected OR Cart be
powered from an uninterrupt-
ible power supply.
Power frequency (50/60 Hz)
magnetic eld
IEC 61000-4-8
30 A/m 30 A/m Power frequency magnetic
elds should be at levels char-
acteristic of a typical location
in a typical commercial or
hospital environment.
NOTE: UTis the a.c. mains voltage prior to application of the test level.
Data extracted from IEC 60601-1-2:2014, Table 4 and Table 5

P44082 Rev. D EN 17
Guidance and Manufacturer’s Declaration – Electromagnetic Immunity
The Connected OR Cart, model 240-099-155 and 240-099-156, is intended for use in the electromagnetic environment specied
below. The customer or the user fo the Connected OR Cart should assure that it is used in such an environment.
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment
– Guidance
Portable and mobile RF communications equipment should be used no closer to any part of the Connected OR Cart, including
cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Conducted RF IEC 61000-4-6 3 Vrms
0.15 MHz to 80 MHz
6 Vrms in ISM bands between
0.15 MHz and 80 MHz
3 Vrms
0.15 MHz - 80 MHz
6 Vrms in ISM bands between
0.15 MHz and 80 MHz
Recommended separation
distance
Radiated RF IEC 61000-4-3 3 V/m
80 MHz to 2.7 GHz 3 V/m 80 MHz to 2.7 GHz d=√P 80 MHz to 2.7 GHz where P is the maximum out-
put power rating of the trans-
mitter in watts (W) according
to the transmitter manufactur-
er, and d is the recommended
separation distance in meters
(m).
Field strength from fixed RF
transmitters, as determined
by an electromagnetic site
survey (a) should be less than
the compliance level in each
frequency range (b). Interfer-
ence may occur in the vicinity
of equipment marked with the
following symbol:
(a) Field strength from xed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios,
amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the
electromagnetic environment due to xed transmitters, an electromagnetic site survey should be considered. If the measured
eld strength in the location in which the Connected OR Cart is used exceeds the applicable RF compliance level above, the
Connected OR Cart should be observed to verify normal operation. If abnormal performance is observed, additional measures
may be necessary, such as reorienting or relocating the Connected OR Cart.
(b) Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 3 V/m.
Data extracted from IEC 60601-1-2:2014, Table 5

P44082 Rev. D18 EN
Tested specications for immunity to RF wireless communications equipment
Test frequency
(MHz) Band (MHz) Service Modulation Maximum Power (W)
Distance (m) Immunity test
level (V/m)
385 380-390 TETRA 400 Pulse
modulation 18
Hz
1.8 0.3 27
450 430-470 GMRS 460,
FRS 460
FM
±5 kHz
deviation 1 kHz
sine
2 0.3 28
710 704-787 LTE Band 13,
17
Pulse
modulation
217 Hz
0.2 0.3 9
745
780
810 800-960 GSM 800/900,
TETRA 800,
iDEN 820,
CDMA 850,
LTE Band 5
Pulse
modulation
18 Hz
2 0.3 28
870
930
1720 1700-1990 GSM 1800;
CDMA 1900;
GSM 1900;
DECT;
LTE Band 1, 3,
4, 25; UMTS
Pulse
modulation
217 Hz
2 0.3 28
1845
1970
2450 2400-2570 Bluetooth,
WLAN,
802.11 b/g/n,
RFID 2450,
LTE Band 7
Pulse
modulation
217 Hz
2 0.3 28
5240 5100-5800 WLAN 802.11
a/n
Pulse
modulation
217 Hz
0.2 0.3 9
5500
5785
Note: Portable RF Communication equipment should be used no closer than 30 cm to the Connected OR Cart. Otherwise, deg-
radation of the performance of this equipment could result.
Data extracted from IEC 60601-1-2:2014, Table 9