AHTO™ Irrigation Pump

0250-070-601
English
EN
Table of Contents
Warnings and Cautions ......................................................... EN-2

Product Description and Intended Use ................................ EN-5

Setting Up the Unit................................................................. EN-7

Operating the Unit ................................................................. EN-8

Troubleshooting ................................................................... EN-12

Technical Specifications....................................................... EN-13

Electromagnetic Compatibility ........................................... EN-14

EN-1
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 physician.

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.
To avoid potential serious injury to the user and the patient and/or damage to
this device, the user must:
1. Read this operating manual thoroughly and be familiar with its contents
prior to using this equipment.
2. Carefully unpack the unit and check if any damage occurred during
shipment. If damage is detected, please refer to the Service and Claims
section in this manual.
3. Be a qualified physician, having complete knowledge of the use of this
equipment.
4. Test this equipment prior to a surgical procedure.
5. To avoid the risk of electric shock, this equipment must only be connected
to a supply mains with protective earth.
6. Do not position the device so that it is difficult to disconnect the power
cord from the supply mains.
7. Do not modify this equipment without authorization of the manufacturer.
8. Attempt no internal repairs or adjustments not specifically detailed in this
operating manual. Refer any adjustments, modifications, and/or repairs to
Stryker Endoscopy or its authorized representatives.
9. Never disassemble, open, puncture, or shred the batteries under any
conditions.

EN-2
 10. Never short circuit the batteries.
11. Never use in the presence of flammable anesthetics, other flammable
gases, near flammable fluids or flammable objects.
12. Never use in oxygen enriched atmospheres, nitrous oxide atmospheres, or
in the presence of other oxidizing agents.
13. Remove the batteries if the device is not likely to be used for a long period
of time.
14. Dispose of this device per local regulations.
The warranty is void if any of these warnings are disregarded. Refer to the
Warranty and Return Policy (1000-401-175).
There is no preventative maintenance program for this device.

Stryker Endoscopy accepts full responsibility for the effects on safety, reliability,
and performance of the equipment only if:
• Readjustments, modifications, and/or repairs are carried out
exclusively by Stryker Endoscopy.
• The electrical installation of the relevant operating room complies
with the applicable IEC, CEC, and NEC requirements.
WARNING Federal law (United States of America) restricts this device to use
by, or on order of a physician.

Stryker Endoscopy reserves the right to make improvements in the product(s)

described herein. Product(s), therefore, may not agree in detail to the published
design or specifications. All specifications are subject to change without notice.
Please contact the local Stryker Endoscopy Distributor listed in the Other Service
section or phone your local Stryker Endoscopy sales representative or agent for
information on changes and new products.

Symbol Definitions
Consult instructions for use.

Warning/Caution: See Instructions for Use.

Denotes compliance to CSA C22.2 No 601.1-M90 and

C US UL 60601-1.
This product contains electrical waste or electronic equipment.
It must not be disposed of as unsorted municipal waste and
must be collected separately.

EN-3
 Type BF applied part

Date of manufacture

Legal Manufacturer

Product number

Serial Number

Fuse rating T1.6AH 250V

China ROHS recycling symbol

Made in USA

Federal law restricts this device to sale by or on the order of a

physician

EN-4
Product Description and Intended Use
The AHTO™ Irrigation Pump is a motorized irrigator device used to facilitate
irrigation in surgical procedures. The pump system delivers three flow rates to
surgical sites: Low (2 L/minute), Medium (3 L/minute), and High (4 L/minute).
The unit may be powered by either AC power or by a built-in, rechargeable
battery pack. The battery pack lasts for approximately 30 standard surgical cases
(~ 2 weeks) at the high flow rate, and more cases at the medium and low flow
rates. Figure 1 below lists the parts of the AHTO Pump as described in this
manual.

Console Front Console Rear

6
1
2 7

3 10 8

4
9

Figure 1: The AHTO Irrigation Pump and its components

1. Console 6. Clamp
2. Control Membrane 7. AC Inlet
3. Coupler 8. AC Power Cord
4. Latch Detents 9. Power Cord Holder
5. Console Contacts 10. Clamp Screw

Note The AHTO Irrigation Pump is intended for use only with the
Stryker AHTO Tube Set (P/N 0250-070-600, 0250-070-620,
and 0250-070-640).
Note The duration of a standard surgical case is 1.5 hours, with the motor
running intermittently in short (1-3 sec.) bursts, consuming 1L of
fluid.

EN-5
 Tube Set Battery
12
11

13

14 15 16 17 18 19
Figure 2: The AHTO Tube Set and the AHTO Irrigation Pump battery assembly

11. Cassette 16. Spike

12. Cassette Contacts 17. Battery Door
13. Handpiece 18. Screw
14. Suction Adapter 19. Battery
15. Tubing

Control Membrane

20 23

21 22

Figure 3: The AHTO Irrigation Pump control membrane

20. Battery Check Button (p. 10) 23. Suction Adapter

21. Battery Level Indicator (p. 10) 24. Flow Rate Display (p. 9)
22. Flow Rate Selection Buttons

EN-6
Setting Up the Unit

1 2 3 4
1. Screw in the clamp screw.
2. Remove the battery cover with a #1 Phillips screwdriver.
3. Remove the battery pack from the console.
Note If replacing the battery pack, disconnect the battery wire connectors,
and properly discard the old battery (p. 11).
4. Connect battery wire connectors to battery pack.
Note Do not use force when aligning the latch to the tab.

5 6 7 8
5. Insert the battery pack into the console to the right of the battery wires.
6. Insert the battery cover and screw into place.
7. Position the console below the irrigation bag, 12” above the highest
surface of the patient. Tighten the clamp screw to mount the console to
the IV pole.
8. Connect the power cord to the console. Plug the cord into an electrical
outlet to charge the batteries
Caution Ensure the unit is free from all liquid before plugging in.

Note The battery pack takes 1.5 hours to charge. “FC” will appear on the
flow rate display when fully charged.

EN-7
 Note A charged AHTO Irrigation Pump will run on batteries for
approximately 30 cases at the high flow rate. When the batteries are
low, the bottom light on the battery level display will flash red,
indicating enough battery life for one typical case and the need for
recharging.
Note To run the console using the battery pack, wind and store the cord in
the cord holder.

Operating the Unit

1. Remove the tube set (P/N 0250-070-600,
0250-070-620, or 0250-070-640) from its pouch.
2. Spike the Irrigation Bag. Ensure that the
distance between the console and the bag gives
1 the tubing some slack.
3. Connect suction adapter to wall suction.
4. Insert cassette. Ensure both tabs on the
cassette are properly latched onto the pump.
(The latches will sound 2 “clicks”).
2
Note: The system powers on and off
automatically when the cassette is inserted and
removed from the pump.
5. Select the desired flow rate.
L = 2L/min.
M = 3L/min.
5 H = 4L/min.
6. Attach the appropriate irrigation tip.
WARNING: Ensure the irrigation tip is free
6 from damage or rough surfaces prior to use.

Note: Follow proper hospital protocols for use of

electrosurgical equipment and probes.
7. To prime the system, ensure the handpiece is at least 18” below the
Irrigation Bag. (24” and greater is recommended).
8. Press the blue button for irrigation. Press the red button to aspirate.

Aspirate Irrigate

EN-8
 WARNING The system is intended for short bursts of irrigation, with a
maximum irrigation time of 15 seconds every 2 minutes.
High temperatures may result if the system is activated for
longer periods.

Flow Rate Display

The Flow rate display shows the current flow rate of the Irrigation Pump. When
the system is priming, the display will flash. When the cassette is inserted and the
irrigation button is not depressed, the display will remain solid.

Table 1: Flow Rate Display

Display Meaning

C Cassette not present; System is charging

FC Cassette not present; Unit is fully charged
E1 Rotation of motor impeded
E2 Batteries are empty
E3 Cassette not present; Batteries not plugged in or improperly connected
Power cord is plugged into unit
L 2 L / min.
M 3 L / min.
H 4 L / min.

Re-Spiking an Irrigation Bag

When re-spiking a bag, perform the following steps:
1. Remove the AHTO tube set cassette from the AHTO Irrigation Pump.
2. Re-spike the bag.
3. Reinsert the cassette into the pump.

EN-9
Battery Level Display
The Battery Level Display shows the current level of charge left in the battery
pack.

Table 2: Battery Level Display

Display Meaning

2 bars Current battery level

1 top bar Batteries fully charged
1 solid bar with Unit is charging; Current level shown by solid bar
scrolling bars
underneath
1 bottom bar, When bar appears, there is enough charge remaining for one typical case
flashing only

Battery Check Button: When the system is unplugged and no cassette is present,
the battery level may be checked by depressing the Battery Check button.

Recharging the Battery Pack

When a red bar is illuminated on the Battery Level Display, the battery pack will
need recharging. To recharge the battery, plug the unit in to an AC outlet. The
Battery Level Display will show the current charge level during charging and will
shine steady when charging is complete (an “FC” will appear in the flow rate
display and no cassette is present). Complete charging takes approximately 1.5
hours.
Note A fully charged battery pack will power approximately 30 cases at the
high flow rate.

When the unit or the AC power cord is not in use, wrap the power cord using the
cord tie in the back of the unit.
Note If the battery pack does not provide at least 15 standard cases (at the
high flow rate), the battery pack needs replacement.

Note If the unit is not being used for a period of time exceeding 2 months,
disconnect the battery pack.

EN-10
Cleaning and Maintenance
WARNING Unplug the unit from the electrical outlet before cleaning.

Caution Do not sterilize the unit.

1. Wipe the unit with a soft cloth dampened in a mild cleaning solution.
2. Clean the unit with disinfectant if needed.

Fuse Replacement
In the event that fuses need replacement, perform the following steps:
1. Locate the fuse holder next to the AC inlet.
2. Squeeze the tabs to remove the fuse holder cover.
3. Remove the old fuses and replace with new T1.6AH 250V fuses.
4. Reattach the fuse holder cover to complete installation.

Battery Pack Replacement

The battery pack should be replaced every 1.5 - 2 years, and must be replaced only
with the Stryker Battery Pack (P/N 0250-070-602).
WARNING Never replace the battery pack in the vicinity of the patient.

Installing a New Battery Pack

Follow steps 1-6 in the “Setting Up the Unit” section (p. 7).

Battery Disposal
Follow the proper disposal procedures for nickel-metal hydride cells. As a
minimum standard, observe the following :
• Contact the local environmental agency for information on recycling
nickel-metal hydride batteries.
• Ensure the batteries are fully discharged prior to disposal.
• Do not incinerate.
• Observe all national, state, and local rules and regulations for disposal
of rechargable batteries.

EN-11
Software Revisions
Checking the Software Revision Level
1. Depress the Battery Check, , and buttons simultaneously.
2. The current software revision will scroll in the Flowrate Display.

Troubleshooting
Note If the following solutions do not resolve the noted problem, contact
Stryker Endoscopy Customer Service at 1-800-624-4422.

Problem Solution

System does not power on Ensure cassette is fully inserted into the console, with both latches
when cassette is inserted clicking into position.

Ensure the AC power cord is properly connected to a hospital

grade power outlet, and the inlet on the rear console panel. The
batteries may need to be charged.

Ensure the proper operation of all fuses. See the ‘Fuse

Replacement’ section of this manual for further instructions.

Replace tube set as it may be defective.

Motor does not turn on Ensure cassette is fully inserted into the console, with both latches
when irrigation button is clicking into position.
pressed
Ensure the cassette contacts and console contacts are clean and
free of debris and buildup.

Replace tube set as it may be defective.

Low flow rates or system Ensure the Irrigation Bag is not kinked at the exit nozzle.
does not prime
Ensure the handpiece is at least 18” below the saline bag.

Toggle through the arrows to a higher flow rate setting.

EN-12
Technical Specifications
Electrical
Primary 100-240V~ 50/60 Hz, 1A
Fuses T1.6AH 250V
Battery 14 AA Ni-MH connected in series, 19.6V
1800 mAhrs.
Dimensions
Height 7.5” (19.1 cm)
Width 6.0” (15.2 cm)
Depth 3.7” (9.4 cm)
Weight 4.4lbs. (2.0 kg)
Operating Conditions 10° to 40° C
30% to 75% relative humidity
Transportation and Storage 5° to 40°C
15-90% relative humidity
Classifications and Approvals
• Type BF Applied Part
• IPX2 Degree of protection against water ingress

• Continuous operation with intermittent activation

• Class 1 and Internally Powered Equipment

EN-13
Electromagnetic Compatibility
Like other electrical medical equipment, the AHTO Irrigation Pump requires
special precautions to ensure electromagnetic compatibility with other electrical
medical devices. To ensure electromagnetic compatibility (EMC), the AHTO
Irrigation Pump must be installed and operated according to the EMC
information provided in this manual. The AHTO Irrigation Pump has been
designed and tested to comply with IEC 60601-1-2 requirements for EMC with
other devices.
WARNING Do not use cables or accessories other than those provided
with the AHTO Irrigation Pump, as this may result in
increased electromagnetic emissions or decreased immunity
to such emissions.

WARNING If the AHTO Irrigation Pump is used adjacent to or stacked

with other equipment, observe and verify normal operation
of the AHTO Irrigation Pump in the configuration in which
it will be used prior to using it in a surgical procedure.
Consult the tables below for guidance in placing the AHTO
Irrigation Pump.

Caution Portable and mobile RF communications equipment may

affect the normal function of the AHTO Irrigation Pump.

Note This equipment is for use in a professional healthcare environment. It

is 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.
Note 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.

EN-14
 Guidance and Manufacturer's Declaration: Electromagnetic Emissions

AHTO Irrigation Pump is intended for use in the electromagnetic environment specified below.
The customer or the user of AHTO Irrigation Pump should ensure that it is used in such an
environment.

Emissions test Compliance Electromagnetic Environment - guidance

RF emissions CISPR Group 1 AHTO Irrigation Pump uses RF energy only

11 for its internal function; therefore, its RF
emissions are very low and are not likely to
cause any interference in nearby electronic
equipment.

RF emissions CISPR Class B AHTO Irrigation Pump is suitable for use in

11 all establishments, including domestic
establishments and those directly connected
Harmonic emissions Class A to the public low-voltage power supply
IEC61000-3-2 network that supplies buildings used for
domestic purposes.
Voltage Fluctuations/ Complies
flicker emissions
IEC61000-3-3

Guidance and Manufacturer's Declaration: Electromagnetic Immunity

AHTO Irrigation Pump is intended for use in the electromagnetic environment specified below. The
customer or the user of AHTO Irrigation Pump should ensure that it is used in such an environment.

Immunity Test IEC 60601 Test Compliance Level Electromagnetic

Level Environment:
Guidance

Electrostatic Discharge ±8kV contact ±8kV contact Floors should be

(ESD) ±15kV air ±15kV air wood, concrete, or
IEC61000-4-2 ceramic tile. If floors
are covered with
synthetic material,
the relative humidity
should be at least
30%.

Electrical fast transient/ ±2kV for power ±2kV for power Mains power quality
burst supply lines supply lines should be that of a
IEC61000-4-4 ±1kV for input/ (if applicable) typical commercial or
output lines hospital environment.
(if applicable)

Surge ±1kV differential ±0.5, 1kV Mains power quality

IEC61000-4-5 mode differential mode should be that of a
±2kV common ±0.5, 1, 2kV typical commercial or
mode common mode hospital environment.

EN-15
 Guidance and Manufacturer's Declaration: Electromagnetic Immunity

AHTO Irrigation Pump is intended for use in the electromagnetic environment specified below. The
customer or the user of AHTO Irrigation Pump should ensure that it is used in such an environment.

Voltage dips, short 0% UT 0.5 cycle 0% UT 0.5 cycle Mains power quality
interruptions and voltage 0% UT 1 cycle 0% UT 1 cycle should be that of a
variations on power supply 70% UT 25 cycles 70% UT 25 cycles typical commercial or
input lines hospital environment.
0% UT 5 sec. 0% UT 5 sec.
IEC61000-4-11 If the user of AHTO
Irrigation Pump
requires continued
operation during
power mains
interruptions, it is
recommended that
AHTO Irrigation
Pump be powered
from an
uninterruptible
power supply or a
battery.

Power frequency (50/ 30 A/m 30 A/m Power-frequency

60Hz) magnetic field magnetic fields
IEC 61000-4-8 should be at levels
characteristic of a
typical location in a
typical commercial or
hospital environment.

NOTE: UT is the a.c. mains voltage prior to application of the test level.

EN-16
 Immunity IEC 60601 Test Compliance Electromagnetic Environment:
Test Level Level Guidance

Portable and mobile RF

communications equipment
should be used no closer to any
part of the AHTO Irrigation Pump
system, including its cables, than
the recommended separation
distance calculated from the
equation applicable to the
frequency of the transmitter.
Recommended Separation
Distance
Conducted RF 6 Vrms 6 Vrms
IEC 61000-4-6 150 kHz to 80 MHz d = 2 P 80 MHz to 2.7 GHz

where P is the maximum output

3 V/m 3 V/m power rating of the transmitter in
Radiated RF 80MHz to 2.7 GHz watts (W) according to the
IEC 61000-4-3 transmitter manufacturer and d is
the recommended separation
distance in meters (m).
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey (a),
should be less than the compliance
level in each frequency range(b).
Interference may occur in the
vicinity of equipment marked with
the following symbol:

(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 AHTO Irrigation Pump system is used exceeds the applicable
RF compliance level above, the AHTO Irrigation Pump system should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary,
such as reorienting or relocating the AHTO Irrigation Pump unit.
(b) Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

EN-17
 Tested specifications for immunity to RF wireless communications equipment

Test Band Service Modulation Maximum Distance Immunity

frequency (MHz) power (m) test level
(MHz) (W) (V/m)

385 380-390 TETRA Pulse 1.8 0.3 27

400 modulation
18 Hz

450 430-470 GMRS FM 2 0.3 28

460, ± 5 kHz
FRS 460 deviation
1 kHz sine

710 704-787 LTE Pulse 0.2 0.3 9

Band 13, modulation
745 17 217 Hz

780

810 800-960 GSM Pulse 2 0.3 28

800/900, modulation
870 TETRA 18 Hz
800,
930
iDEN
820,
CDMA
850,
LTE
Band 5

1720 1700-1990 GSM Pulse 2 0.3 28

1800; modulation
1845 CDMA 217 Hz
1900;
1970
GSM
1900;
DECT;
LTE
Band 1,
3,
4, 25;
UMTS
2450 2400-2570 Blue- Pulse 2 0.3 28
tooth, modulation
WLAN, 217 Hz
802.11
b/g/n,
RFID
2450,
LTE
Band 7

5240 5100-5800 WLAN Pulse 0.2 0.3 9

802.11 modulation
5500 a/n 217 Hz

5785

Note: Portable RF Communication equipment should be used no closer than 30cm to AHTO.
Otherwise, degradation of the performance of this equipment could result.

EN-19
EN-20
Stryker Endoscopy
5900 Optical Court
San Jose, CA 95138 USA
1-800-624-4422
U.S. Patents: www.stryker.com/patents
Stryker Corporation or its divisions or corporate
affiliated entities own, use, or have applied for the
following trademark: AHTO. All other trademarks
are trademarks of their respective owners or holders. 2018/11