L10 LED Light Source IFU
L10 LED Light Source IFU
L10 LED Light Source IFU
Setup................................................................................... 11
Connecting the AC Power Cable ..................................................................... 12
Connecting to the Camera Control Unit....................................................... 12
Connecting a Light Cable................................................................................... 13
Connecting an IRIS Ureteral Kit........................................................................ 14
Operation............................................................................ 15
Powering the Console On and Off................................................................... 15
Activating White Light Mode............................................................................ 16
Placing the Light Source in Standby Mode.................................................. 16
Activating ENV Mode........................................................................................... 17
Activating IRIS Mode............................................................................................ 20
Troubleshooting................................................................. 29
Maintenance....................................................................... 31
Cleaning the Light Source.................................................................................. 31
Inspection................................................................................................................. 31
Checking the ESST Feature................................................................................ 32
Replacing the Fuses.............................................................................................. 33
Storage...................................................................................................................... 33
Expected Service Life........................................................................................... 33
Disposal..................................................................................................................... 33
Recycling Diagram................................................................................................ 34
Technical Specifications..................................................... 35
Electromagnetic Compatibility......................................................................... 36
Symbol Definitions............................................................. 40
Warnings and Cautions
Please read this manual and follow its instructions carefully. The words
warning, caution, and note carry special meaning and should be carefully
reviewed:
1
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, see the standard warranty.
2. Never sterilize the console. The delicate electronics cannot withstand a
sterilization procedure.
3. Ensure that the electrical installation of the relevant operating room
complies with the NEC and CEC guidelines.
4. Attempt no maintenance or adjustments that are not specifically detailed
in this user manual.
5. Ensure that any modifications or repairs are carried out by persons
authorized by Stryker. No modification of this equipment is allowed by
the user.
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. Must be a qualified physician to use this equipment.
2. Read this operating manual thoroughly, especially the warnings, and be
familiar with its contents before connecting and using this device.
3. Test this equipment prior to a surgical procedure. This unit was fully
tested at the factory before shipment.
4. Do not position the console so that it is difficult to disconnect the power
cord from the supply mains.
5. Never block the rear or side vents of the console. Failure to follow this
instruction can result in device damage or a possible fire.
6. To avoid the risk of electric shock, this equipment must only be
connected to a supply mains with protective earth ground.
7. Multiple portable socket-outlets shall not be placed on the floor.
8. Never use this equipment in the presence of flammable or explosive gas.
9. Disconnect the console from the electrical outlet when inspecting fuses
or making any repairs. Refer all repairs to authorized personnel.
10. Do not remove covers on the console, as doing so may cause damage to
electronics and/or electric shock.
2
Warnings: Laser
IMPORTANT SAFETY NOTICE - LASER RADIATION:
The L10 LED Light Source with Advanced Imaging Modality
Technology (or “L10 AIM Light Source”) is a laser product that
uses a Class 1 laser (IRIS mode) and a Class 1M laser (ENV mode).
Use of controls or performance of procedures other than those
specified herein can result in hazardous laser radiation exposure
and can cause severe eye injury to the patient or user.
To prevent exposure to laser radiation, follow all warnings and
guidelines presented below and throughout this user manual.
1. Observe the warning label shown below (located on the rear panel).
The warranty is void if any of the above warnings or cautions are disregarded.
4
Product Description and Intended Use
The Stryker L10 LED Light Source with Advanced Imaging Modality
Technology (or “L10 AIM Light Source”) is a light-generating unit designed
to illuminate surgical sites in the following applications: visible light (White
Light mode), near-infrared fluorescence (ENV mode), and near-infrared
transillumination (IRIS mode).
• White Light mode: The light source uses light-emitting diode (LED)
technology to generate bright, crisp light in the visible light spectrum that
is intended to illuminate surgical sites during endoscopic procedures. The
light is delivered to the surgical site through an endoscope via a fiber optic
light cable.
• ENV mode: The light source uses laser technology to generate light in the
near-infrared light spectrum, which is intended to enable fluorescence
imaging of anatomy that has been targeted with the contrast agent
indocyanine green. The light is delivered to the surgical site through an
endoscope via a fiber optic light cable.
• IRIS mode: The light source uses laser technology to generate light in the
near-infrared light spectrum that is intended to transilluminate the ureter
during open or laparoscopic surgical procedures. The light is delivered to
the surgical site via a disposable fiber.
The light source is equipped with a safety feature that minimizes light output
if the fiber optic light cable is not connected to the scope adapter, which
prevents exposure to laser radiation, high-intensity light, and accidental
burns. For more information, see the section Checking the ESST Feature.
Indications
The L10 AIM Light Source and SafeLight™ Cable are indicated for use to
provide real-time endoscopic visible and near-infrared fluorescence imaging.
The L10 AIM Light Source and SafeLight Cable enable surgeons to perform
minimally invasive surgery using standard endoscope visible light as well as
visual assessment of vessels, blood flow and related tissue perfusion, and at
least one of the major extra-hepatic bile ducts (cystic duct, common bile duct
and common hepatic duct), using near-infrared imaging.
Fluorescence imaging of biliary ducts with the L10 AIM Light Source and
SafeLight Cable is intended for use with standard-of-care white light and,
when indicated, intraoperative cholangiography. The devices are not
intended for standalone use for biliary duct visualization.
The L10 AIM Light Source is also intended to transilluminate the ureter during
open or laparoscopic surgical procedures.
5
ENV Mode Requirements
The equipment listed below is required to achieve the intended results when
using the light source in Endoscopic Near-Infrared Visualization (ENV) mode.
Any model listed for the camera head and laparoscope may be used. Intended
results will not be achieved if any equipment is substituted.
ENV mode is intended to be used with a contrast agent drug called
indocyanine green (ICG). AIM IC-GREEN® (NDC # 69705-101-02) includes the
required ICG supplies. See the Using AIM IC-GREEN in ENV Mode section for
more detail.
Note: Regulation of ICG varies by country. In certain countries, ICG is not
registered for use as a pharmaceutical product. Contact your local Stryker
distributor for more information on the availability of ICG at your location.
Before using ENV mode, read and be familiar with the warnings and
instructions provided with each device in the system.
Light Source
0220-220-300 L10 LED Light Source with AIM Technology
Camera Head
1588-210-105 1588 AIM Camera Head, C-Mount1
1588-610-122 1588 AIM Camera Head with Integrated Coupler1
1588-710-105 1588 AIM Inline Camera Head, C-Mount1
Coupler
1588-020-122 AIM Coupler, 18 mm, C-Mount2
Laparoscope
0502-537-010 AIM, 5.4 mm, 0°, HD Laparoscope, 30 cm3
0502-537-030 AIM, 5.4 mm, 30°, HD Laparoscope, 30 cm3
0502-937-010 AIM, 10 mm, 0°, HD Laparoscope, 33 cm3
0502-937-030 AIM, 10 mm, 30°, HD Laparoscope, 33 cm3
Indocyanine Green
AIM IC-GREEN5
1
See Stryker user manual P29923 (English) or P29924 (multilingual). 2 See Stryker user manual
P30104 . 3 See Stryker user manual P27900. 4 See Stryker user manual P27701.
5
See AIM IC-GREEN instructions for use packaged with NDC # 69705-101-02.
6
IRIS Mode Requirements
The equipment listed below is required to achieve the intended results when
using the light source in Infrared Illumination System (IRIS) mode during
laparoscopic surgical procedures. Any model listed for the camera control
unit, camera head, coupler, and laparoscope may be used. Intended results
will not be achieved if any equipment is substituted.
Of the equipment listed below, only the light source and disposable fiber are
required to achieve the intended results when using IRIS mode during open
surgical procedures.
Before using IRIS mode, read and be familiar with the warnings and
instructions provided with each device in the system.
Light Source
0220-220-300 L10 LED Light Source with AIM Technology
Camera Head
1588-210-105 1588 AIM Camera Head, C-Mount1
1588-610-122 1588 AIM Camera Head with Integrated Coupler1
1588-710-105 1588 AIM Inline Camera Head, C-Mount1
1488-210-105 1488 HD 3-Chip Camera Head, C-Mount2
1488-610-122 1488 HD 3-Chip Camera Head with Integrated Coupler2
1488-710-105 1488 HD 3-Chip Inline Camera Head, C-Mount2
Coupler
1588-020-122 AIM Coupler, 18 mm, C-Mount3
1488-020-122 1488 HD 18 mm Coupler, C-Mount4
Laparoscope
0502-537-010 AIM, 5.4 mm, 0°, HD Laparoscope, 30 cm5
0502-537-030 AIM, 5.4 mm, 30°, HD Laparoscope, 30 cm5
0502-937-010 AIM, 10 mm, 0°, HD Laparoscope, 33 cm5
0502-937-030 AIM, 10 mm, 30°, HD Laparoscope, 33 cm5
Light Cable
Any Stryker light cable
Disposable Fiber
0220-180-518 IRIS Ureteral Kit6
7
1
See Stryker user manual P29923 (English) or P29924 (multilingual).
2
See Stryker user manual P18966 (English) or P18972 (multilingual).
3
See Stryker user manual P30104.
4
See Stryker user manual P18968.
5
See Stryker user manual P27900.
6
See Stryker user manual P26059.
Note: IRIS mode is also compatible with the following Intuitive Surgical®
robotic camera systems:
General Compatibility
• All Stryker light cables are compatible with the L10 AIM Light Source
when used in White Light mode or IRIS mode. ENV mode requires the AIM
SafeLight cable (0233-050-300).
• Using the proper scope adapter, the Stryker light cable can connect the
light source system to any flexible or rigid endoscope. Before using another
manufacturer’s equipment, thoroughly read the accompanying documents
for all warnings and instructions.
8
Console Features
The features of the L10 AIM Light Source are described below.
Front Panel
1 2 3 4 5
9
Rear Panel
1 2 3
SDC CCU
4 5
10
Setup
Stryker considers instructional training, or inservice, an integral part of the L10
AIM Light Source. Your local Stryker 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 representative after your equipment has arrived.
Setting up the L10 AIM Light Source involves four steps:
• Connecting the AC power cable
• Connecting a USB cable to the Camera Control Unit
• Connecting a Light Cable
• Connecting an IRIS Ureteral Kit
11
Connecting the AC Power Cable
1. Plug in the AC power cord to the AC Inlet on the rear console panel.
2. Plug in the other end of the AC cord to a hospital-grade outlet.
1. Using a USB A-to-A cable, connect the CCU port on the L10 AIM Light
Source to the Light Source port on the 1588 AIM Camera Control Unit.
SDC CCU
12
Connecting a Light Cable
To activate ENV mode, an AIM SafeLight cable (0233-050-300) must be
connected to the light source. White Light mode and IRIS mode will function
when other Stryker light cables are connected.
Power off the light source (or place it in Standby mode and
disable ENV mode and IRIS mode) before connecting or
removing the light cable or endoscope.
Keep fingers away from the light cable connection as the clamp
may inadvertently deploy and cause injury.
The light cable connection on the light source emits a Class 1M
laser when ENV mode is activated. To assure proper and safe
laser application, connect only the AIM SafeLight cable to the
light source. Do not attempt to use any other fiber optic light
cables with ENV mode.
Do not operate the light source in ENV mode with an AIM
SafeLight cable that is cut or damaged. If the AIM SafeLight
cable breaks during operation, place the light source in Standby
mode and disable ENV mode, then replace the cable.
1. Make sure the light source is powered off, or place it in Standby mode
and disable ENV mode.
2. Lock open the clamp in the light cable connection by turning the jaw
handle clockwise until it stops.
3. Insert a clean, dry light cable into the cable connection until the jaw
clamps the cable in place. Pull gently on the cable to test that it is securely
seated in the cable connection.
Note: To remove the light cable, place the light source in Standby mode and
disable ENV mode. Then, turn the jaw handle clockwise until the latch opens.
13
Connecting an IRIS Ureteral Kit
To activate IRIS mode, an IRIS Ureteral Kit (0220-180-518) must be connected
to the light source. White Light mode and ENV mode do not require
connection to an IRIS Ureteral Kit.
14
Operation
Before operating the light source, read and be familiar with all
warnings in this user manual. Failure to follow these warnings
can result user or patient injury.
Before operating the L10 AIM Light Source, ensure all system components
have been set up according to the instructions in the Setup section.
ENV mode requires all of the equipment listed in the ENV Mode Requirements
section in order to achieve the intended results.
IRIS mode requires all of the equipment listed in the IRIS Mode Requirements
section in order to achieve the intended results.
2. To power off the console, press the power button on the front panel.
15
Activating White Light Mode
White Light mode activates the LED diodes in the light source so it can
generate visible light.
Note: Activating White Light mode is also required as a preliminary step to
activate ENV mode or IRIS mode. While ENV mode is activated, it automatically
disables the white light output. While IRIS mode is activated, the user can
return to the White Light screen to toggle the white light output to Active or
Standby.
Follow the steps below to activate White Light mode.
1. Ensure a Stryker light cable is connected to the light source. See the
Connecting a Light Cable section for more information.
2. On the default White Light screen, press the touchscreen power button
so it appears green and the word “Active” appears above it.
3. Adjust the White Light brightness level by pressing the plus or minus
buttons.
Before using ENV mode, read and follow all warnings in this
user manual. Use of controls or performance of procedures
other than those specified can result in hazardous radiation
exposure. Laser emissions from the light source in ENV mode
can cause injury to the user or patient’s eyes.
See the ENV Mode Requirements section for equipment
requirements. Use ENV mode only with the specified
equipment.
Note: See the 1588 AIM Video Camera user manual (P29923 English, P29924
multilingual) for additional controls over ENV fluorescence.
Follow the steps below to activate ENV mode.
1. Ensure an AIM SafeLight cable is connected to the light source. ENV mode
will not function unless an AIM SafeLight cable is properly connected. See
the Connecting a Light Cable section for more information.
Note: When an AIM SafeLight cable is properly connected to the light
source, an image of a light cable with a green connector will appear at
the top-right of the touchscreen in ENV mode.
17
2. On the default White Light screen, press the touchscreen power button
so it appears green and the word “Active” appears above it.
3. Press the AIM button.
4. On the Advanced Imaging Modality screen, press the ENV mode button.
Note: When the ENV mode button is green, the L10 AIM Light Source is
properly connected to the 1588 AIM Camera Control Unit and the AIM
SafeLight Cable, and ENV mode can be activated. If the ENV mode button
is gray, required equipment may not be properly connected and ENV
mode is not available. Refer to the Setup section.
18
5. On the ENV mode screen, press the touchscreen power button so it
appears green, which indicates the mode is activated.
Note: Press the touchscreen power button again to disable ENV
mode; the button will appear gray. (When ENV mode is disabled, White
Light mode will reactivate. To deactivate the White Light, press the
Home button to return to the White Light mode screen, and press the
touchscreen power button so it appears gray.)
6 7
19
Activating IRIS Mode
Infrared Illumination System (IRIS) mode activates the Class 1 laser in the light
source and enables use of the IRIS Ureteral Kit.
Before using IRIS mode, read and follow all warnings in this
user manual and the IRIS Ureteral Kit user manual (P26059).
Use of controls or performance of procedures other than those
specified can result in hazardous radiation exposure.
See the IRIS Mode Requirements section for equipment
requirements. Use IRIS mode only with the specified
equipment.
2. On the default White Light screen, press the touchscreen power button
so it appears green and the word “Active” appears above it.
3. Press the AIM button.
20
4. On the Advanced Imaging Modality screen, press the IRIS mode button.
Note: When the IRIS mode button is red, the L10 AIM Light Source
is properly connected to the IRIS Ureteral Kit and IRIS mode can be
activated. If the IRIS mode button is gray, required equipment may not
be properly connected and IRIS mode is not available. Refer to the Setup
section.
5. On the IRIS mode screen, press the touchscreen power button so it
appears green, which indicates the mode is activated.
Note: Press the touchscreen power button again to disable IRIS mode;
the button will appear gray.
5
7
6
6. Adjust the IRIS brightness level by pressing the plus or minus buttons.
7. Press the solid line or the dotted line to toggle the IRIS light output
between the continuous or pulsating setting, respectively.
• In the continuous setting, the laser energy is continuous.
• In the pulsating setting, the laser energy pulses in a repeating pattern
of 0.5 second on/0.5 second off (1 pulse cycle per second).
21
9. If IRIS mode is still activated when the user returns to the White Light
screen, an IRIS indicator button appears to the left of the touchscreen
power button. Press the IRIS indicator button to return to the IRIS mode
screen.
22
Using AIM IC-GREEN in ENV Mode
Endoscopic Near-Infrared Visualization (ENV) mode is intended to be used
with a contrast agent drug called indocyanine green (ICG). AIM IC-GREEN®
(NDC # 69705-101-02) includes the required ICG supplies.
Note: Regulation of ICG varies by country. In certain countries, ICG is not
registered for use as a pharmaceutical product. Contact your local Stryker
distributor for more information on the availability of ICG at your location.
• Indocyanine green is a sterile, water soluble tricarbocyanine dye with a
peak spectral absorption at 800 nm in blood or blood plasma.
• ICG contains not more than 5.0% sodium iodide.
• ICG is administered intravenously. Under sterile conditions, the ICG
powder should be dissolved with the provided aqueous solvent. AIM
IC-GREEN has a pH of approximately 6.5 when reconstituted.
• Use of the ICG dye promotes the fluorescing appearance of the camera
image in ENV mode.
23
ICG Indications for Use
AIM IC-GREEN is indicated for use with the Stryker L10 LED Light Source with
AIM Technology and SafeLight™ Fiber Optic Cable.
ICG Contraindications
AIM IC-GREEN contains sodium iodide. Use with caution in patients who have
a history of allergy to iodides or iodinated contrast agents.
Pharmacology
Following intravenous injection, ICG is rapidly bound to plasma proteins,
of which albumin is the principal carrier (95%). Simultaneous arterial and
venous blood estimations have shown negligible renal, peripheral, lung or
cerebrospinal uptake of the dye. ICG is taken up from the plasma almost
exclusively by the hepatic parenchymal cells and is secreted entirely into
the bile. ICG does not undergo significant extrahepatic or enterohepatic
recirculation.
Warning
Anaphylactic deaths have been reported following ICG
administration during cardiac catheterization.
Adverse Reactions
Anaphylactic or urticarial reactions have been reported in patients with or
without history of iodide allergies. If an allergic reaction occurs, administer
treatment with the appropriate agents: for example, antihistamines,
corticosteroids, and epinephrine. Resuscitative measures may also be
required.
24
Precautions
• Federal law (USA) restricts this device to use by, or on order of, a
physician.
• Observe sterile handling techniques when preparing and
administering the ICG solution. The inner contents of the ICG powder
vial and aqueous solvent capsule are sterile. Handle them aseptically
during the procedure to maintain the sterile field. Do not use any of
these packages if they appear to be damaged or improperly sealed.
• Due to freeze drying, the ICG powder may lump together or cling to
the vial. This is normal and the ICG should be suitable for use after
reconstitution with the aqueous solvent. If a precipitate is present after
preparation, however, discard the solution.
• Use only the aqueous solvent provided with the AIM IC-GREEN kit to
dissolve the ICG powder. Commercially available water for injection
may be incompatible and should not be used.
• Each preparation of the ICG solution should be used in only one
patient. Once the ICG solution is prepared, it must be used within
6 hours. ICG is not stable in aqueous solution.
• Heparin preparations that contain sodium bisulfite reduce the
absorption peak of ICG in blood. Do not use heparin preparations with
sodium bisulfite as an anticoagulant for the collection of samples for
analysis.
• Radioactive iodine uptake studies should not be performed for at least
one week after the use of ICG.
• The potential for ICG to impair fertility or have a carcinogenic or
mutagenic effect has not been studied. ICG should be administered
to a pregnant woman only when clearly indicated. Exercise caution
when administering ICG to a nursing woman. It is not known if ICG is
excreted in human milk.
• ICG is generally injected through a shared intravenous line with no
reported difficulties or unexpected results to date.
• Use ICG only at recommended doses and concentrations listed in this
user manual.
25
Required Supplies
AIM IC-GREEN® (NDC # 69705-101-02) includes the required ICG supplies.
Other items required to use AIM IC-GREEN shall be provided by the user.
Note: Regulation of ICG varies by country. In certain countries, ICG is not
registered for use as a pharmaceutical product. Contact your local Stryker
distributor for more information on the availability of ICG at your location.
Item Description
AIM IC-GREEN Includes six 25 mg vials of ICG powder and
six 10 mL ampules of aqueous solvent
Sterile normal saline Approximately 10 –12 mL following each ICG
injection
Syringe Minimum volume of syringe: 10 mL
(for ICG preparation)
Syringes Minimum volume of syringes: 3 or 5 mL
(for each ICG solution
injection)
Syringes Minimum volume of syringes: 12 mL
(for each saline flush
after ICG injection)
ICG Preparation
Prepare the ICG solution following the steps below. The instructions yield a
2.5 mg/mL solution.
1. Open the aqueous solvent ampule.
2. Draw 10 mL of the solvent into a syringe.
3. Remove the flip cap off the vial containing 25 mg of the ICG powder.
4. Inject the 10 mL of aqueous solvent into the ICG vial through the stopper
to dissolve the powder.
5. Gently shake the ICG vial to mix the solution. Ensure all ICG powder is
dissolved in the solution.
6. Inspect the reconstituted solution for precipitation. If a precipitate is
present, discard the solution and prepare a new vial as described above.
ICG Dosage
The typical dose administered is 2.5mg.
The total dose should be less than 2 mg/kg per patient.
26
Administration
1. Ensure there is a port available for the injection of the ICG solution
followed by the saline flush.
2. Draw the required dosage of ICG solution for each planned imaging
sequence into separate syringes.
3. Draw approximately 10 –12 mL of normal saline for each planned imaging
sequence into separate syringes.
Note: There should be the same number of saline syringes (or more) than
the prepared ICG solution syringes. If the saline syringes are prepared
prior to the procedure, place them in a convenient and sterile location for
use at the time of imaging.
4. Administer 2.5 mg of the prepared ICG solution intravenously.
• For visual assessment of the major extrahepatic bile ducts, administer
ICG at least 30 minutes prior to near-infrared imaging.
• For visual assessment of vessels, blood flow and related tissue
perfusion, administer ICG immediately before near-infrared imaging.
5. Immediately follow each ICG injection with a tight bolus injection of
approximately 10 –12 mL of normal saline.
After each injection of ICG solution, the ENV mode should be able to visualize
a fluorescence response in blood vessels and tissue within several seconds.
Note: Once the ICG solution is prepared, it must be used within 6 hours. If
additional ICG solution is required to administer, reconstitute a second vial of
ICG after the first reconstituted solution has been used completely.
ICG Overview
• Injection method: Intravascular
• Recommended dosage: Typically 2.5 mg
ICG Storage
• Discard any unused reconstituted ICG after the surgery is complete.
• Store AIM IC-GREEN at ambient room temperatures of 20 – 25 °C
(68 – 77 °F).
• Do not use AIM IC-GREEN if the expiration date on the packaging has
passed.
27
Error Messages
In the event of a light source error, an error message will display on the
touchscreen. See the table below for details.
If the light source displays any error message, reboot the console. If the
error recurs, it is recommended that the device be returned for service.
28
Troubleshooting
Problem Possible Solution
No output in • Ensure the AC power cord is properly connected to
White Light a hospital-grade power outlet and the inlet on the
mode rear console panel.
• Ensure the power switch on the front panel is
powered on. (It will illuminate when powered on.)
• Ensure all fuses are operating. See the Replacing
the Fuses section of this manual for further
instructions.
• Ensure the light cable is correctly engaged with
the cable port. As a safety feature, the light source
will provide no light output unless the light cable is
properly seated in the cable port.
• Check that vents are not obstructed.
Too much • Ensure the light cable is correctly engaged with the
or too little cable port.
output in • Ensure that White Light mode is activated. (The
White Light brightness level should appear on the LCD.)
mode
• If necessary, press the White Light touchscreen
power button to switch from Standby to Active. If
the unit remains in Standby: (1) Ensure the light
cable is correctly engaged with the cable port.
(2) Ensure the light cable is attached to the scope
using the appropriate scope adapter.
• Ensure the light cable can transmit light properly.
While the cable is completely disconnected, hold
the light-source end of the cable up to an overhead
room light and look into the scope end of the
cable. If the pattern contains any black spots, the
light cable may be worn out and may require
replacement.
Excessive glare • Ensure the electronic shutter on the camera is
in the video operating properly to control the video signal
brightness.
• Decrease the White Light brightness level.
29
Problem Possible Solution
Flickering light • Ensure a light cable is properly connected to the
in the video L10 AIM Light Source.
• Place the light source in Standby mode and disable
ENV mode, then remove the light cable from the
light source. Reattach the light cable.
Frozen • Turn off the console, wait 30 seconds, and then
Touchscreen turn it back on.
Cannot • Check connection of disposable fiber (to activate
advance past IRIS mode)
Advanced • Check connection of AIM SafeLight cable and
Imaging 1588 AIM Camera Control Unit (to activate ENV
Modality mode)
screen
Note: If this troubleshooting guide does not resolve the problem, call Stryker
Technical Support at 1-877-478-7953 (inside the U.S.) or see the standard
warranty.
30
Maintenance
Cleaning the Light Source
Should the light source console need cleaning, follow the warnings, cautions,
and instructions below. The user shall provide the mild detergent (or standard
disinfectant) and sterile cloth required for cleaning.
Inspection
Inspect the device on a continual basis for unacceptable deterioration such
as (but not limited to) corrosion, discoloration, pitting, cracked seals, or
abnormal noises. If a problem is observed or suspected, the device should be
returned for service.
31
Checking the ESST Feature
The L10 AIM Light Source is equipped with a safety feature called Electronic
Scope Sensing Technology (ESST). The ESST feature prevents exposure to
laser radiation that can cause severe eye injury and high-intensity light that
can cause accidental fires or burns. The ESST feature will work only if the light
source is used with a Stryker SafeLight cable or AIM SafeLight cable.
The ESST feature senses when the cable and SafeLight scope adapter are
separated, and it places the light source in Standby mode and disables ENV
mode. In this state, the light source reduces light output to a minimum,
protecting the user and patient from laser radiation and high-intensity light.
To verify the ESST feature is functioning properly, perform the following
test before every surgical procedure:
During the test, do not point the scope or light cable at anyone.
Do not look directly into the scope tip or the end of the light
cable. The laser radiation or high-intensity light emitted from
the light source can cause severe eye injury.
Other than performing the ESST test while observing these
precautions, the user should never disconnect a light cable
when the light source is activated.
1. Set up the L10 AIM Light Source system with a SafeLight cable (or AIM
SafeLight cable) and scope, including a SafeLight scope adapter.
2. Power on the console.
3. Activate White Light mode.
4. Activate ENV mode (if testing with an AIM SafeLight cable).
5. Disconnect the cable from the SafeLight scope adapter.
The light source should return to Standby mode (and disable ENV mode
if testing with an AIM SafeLight cable). This indicates the ESST feature is
functioning properly.
Always check to ensure that the unit has switched into Standby
mode and ENV mode is disabled before assuming ESST safety
protection. If the unit fails to return to this state, there may be
a fault with the ESST feature. In this case, do not assume ESST
safety protection, and return the unit for service.
32
Replacing the Fuses
To avoid the risk of fire, use only fuses of the value specified on
the fuse label located on the rear panel of the console.
1. Unplug the power cord from the wall outlet and remove the cord from
the light source console.
2. Unlatch the fuse holder above the AC inlet and remove it. (You may need
to press the tab on the fuse holder with a slender screwdriver to release
the latch.)
3. Replace the fuse with the same value and rating.
4. Reinstall the fuse holder until the tab snaps in place.
Storage
Never store the light source in a non-ventilated, humid environment. This can
damage the delicate electronics in the device.
Disposal
This product contains electrical waste or electronic equipment.
It must not be disposed of as unsorted municipal waste and
must be collected separately in accordance with applicable
national or institutional related policies relating to obsolete
electronic equipment.
Dispose of the light source according to local laws and hospital practices.
Refer to the diagram below to identify components that must be recycled.
(The console is shown with the chassis cover removed for clarity.)
33
Recycling Diagram
5
4 6
3
34
Technical Specifications
Electrical
Primary: 100 – 240 VAC, 50/60 Hz, 3.2 – 1.3 A
Fuses (2): T 5.0AH 250V
Light Engine
Type: Red LED, Green LED, Blue LED, 808 nm Laser, 830 nm Laser
Operating Conditions
Temperature: 10 – 30 °C
Relative Humidity: 25 – 75%
Laser Specifications
Emitted wavelength in ENV mode: 808 nm (Class 1M laser)
Emitted wavelength in IRIS mode: 830 nm (Class 1 laser)
Maximum output of laser radiation: Below Class 1M limit
35
Electromagnetic Compatibility
Like other electrical medical equipment, the L10 AIM Light Source requires
special precautions to ensure electromagnetic compatibility with other
electrical medical devices. To ensure electromagnetic compatibility (EMC), the
L10 AIM Light Source must be installed and operated according to the EMC
information provided in this manual.
Note: The L10 AIM Light Source has been designed and tested to comply
with IEC 60601-1-2 requirements for EMC with other devices.
36
Guidance and Manufacturer’s Declaration: Electromagnetic Immunity
L10 AIM Light Source is intended for use in the electromagnetic environment specified below.
The customer or the user of L10 AIM Light Source should ensure that it is used in such an
environment.
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic
Environment:
Guidance
Electrostatic Discharge ±6kV contact ±6kV contact Floors should be
(ESD) wood, concrete, or
±8kV air ±8kV air ceramic tile. If floors
IEC61000-4-2 are covered with
synthetic material,
the relative humidity
should be at least
30%.
Electrical fast transient/ ±2kV for power supply ±2kV line to ground Mains power quality
burst lines should be that of a
±1kV for input/output typical commercial or
IEC61000-4-4 ±1kV for input/output lines hospital environment.
lines
Surge ±1kV differential mode ±1kV differential mode Mains power quality
should be that of a
IEC61000-4-5 ±2kV common mode ±2kV common mode typical commercial or
hospital environment.
Voltage dips, short <5% Ut (>95% dip in <5% Ut (>95% dip in Ut) Mains power quality
interruptions and Ut) for 0.5 cycle for 0.5 cycle should be that of a
voltage variations on typical commercial or
power supply input lines 40% Ut (60% dip in 40% Ut (60% dip in Ut) hospital environment.
Ut) for 5 cycles for 5 cycles If the user of L10 AIM
IEC61000-4-11 Light Source requires
70% Ut (30% dip in 70% Ut (30% dip in Ut)
continued operation
Ut) for 25 cycles for 25 cycles
during power mains
<5% Ut (>95% dip in <5% Ut (>95% dip in Ut) interruptions, it is
Ut) for 5 sec. for 5 sec. recommended that
L10 AIM Light Source
be powered from an
uninterruptible power
supply or a battery.
Power frequency 3 A/m 3 A/m Power-frequency
(50/60Hz) magnetic field magnetic fields
should be at levels
IEC 61000-4-8 characteristic of a
typical location in a
typical commercial or
hospital environment.
NOTE: Ut is the AC mains voltage prior to application of the test level.
37
Guidance and Manufacturer’s Declaration: Electromagnetic Immunity
L10 AIM Light Source is intended for use in the electromagnetic environment specified below.
The customer or the user of L10 AIM Light Source should ensure that it is used in such an
environment.
Immunity Test IEC 60601 Test Level Compliance Electromagnetic Environment:
Level
Guidance
Conducted RF 3 Vrms 3V Portable and mobile RF
communications equipment
IEC 61000-4-6 150 kHz to 80 MHz should be used no closer to any
part of the L10 AIM Light Source
system, including its cables, than
the recommended separation
distance calculated from the
equation applicable to the
frequency of the transmitter.
Recommended Separation
Distance
d = 1.17 √P
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects, and people.
38
Guidance and Manufacturer’s Declaration: Electromagnetic Immunity
L10 AIM Light Source is intended for use in the electromagnetic environment specified below.
The customer or the user of L10 AIM Light Source should ensure that it is used in such an
environment.
(a) Field strengths from fixed 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
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field
strength in the location in which the L10 AIM Light Source system is used exceeds the applicable
RF compliance level above, the L10 AIM Light Source system should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the L10 AIM Light Source unit.
(b) Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
39
Symbol Definitions
This device and its labeling contain symbols that provide important
information for the safe and proper use of the device. These symbols are
defined below.
Touchscreen Interface
Backlight level
40
IRIS Ureteral Kit is properly connected (image of one red fiber
appears for each fiber connected)
Device/Package Labeling
Federal law (USA) restricts this device to use by, or on order of, a
physician
Date of manufacture
Legal manufacturer
41
Denotes compliance to CAN/CSA C22.2 No 60601-1 and
ANSI/AAMI 60601-1
Equipotentiality
Alternating current
Fuse rating
User Manual
A lightning bolt within a triangle is intended to warn of the
presence of hazardous voltage. Refer all service to authorized
personnel.
Radiation emitting
42
Stryker Endoscopy
5900 Optical Court
San Jose, CA 95138 USA
1-800-624-4422
U.S. Patents: www.stryker.com/patents