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IMPORTANT PRODUCT NOTIFICATION October 17, 2011 Dear

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1. IMPORTANT PRODUCT NOTIFICATION October 17 2011 Dear Customer Intuitive Surgical is committed to providing technology and information that enhances the ability of surgeons to provide patients with the surgical outcomes they desire Based on recent feedback from our customers we would like to call your attention to the following information and operating procedures to help you reliably achieve the safe and effective outcomes desired when using the da Vincie System instruments and accessories e Inspection of instrument cannula O The instrument cannula should be inspected before each use and in the course of reprocessing Damage to the cannula can occur from improper handling Instructions to inspect the 8mm cannula using the gage pin are section 17 in the Instruments and Accessories User Manual PN 550675 If instrument motion appears to be non intuitive during surgery such as a delay in response to the movements of the master controllers it may indicate the instrument cannula is defective Contact Intuitive Surgical Technical Support immediately To order the Cannula Gage Pin set of 3 PN 710276 at no charge please call customer service at 1 800 876 1310 or for Outside United States call 41 21 821 2020 or 800 0821 2020 e Flush port nozzle used for manually cleaning EndoWrist instruments O Use only the flush port nozzle Luer fitting supplied by Intuitive Surgical in the Cleaning and Sterilization Kit for cleanin
2. g and rinsing EndoWrist instruments Use of 3 party nozzles may damage the EndoWrist instruments and result in incomplete cleaning For example do not use the Spray Gun with nozzle PN 80 10 40 from Healthmark Industries Company to force pressurized liquid into EndoWrist instruments Please refer to the attached pictures Instructions to flush the instruments are in the Reprocessing Instructions PN 550875 To order the Cleaning and Sterilization Kit PN 400224 at no charge please call customer service at 1 800 876 1310 or for Outside United States call 41 21 821 2020 or 800 0821 2020 The kit includes one flush port nozzle and reprocessing documentation Page 1 of 3 PN 551236 01 Rev A e Moving the da Vinci System outside of the hospital o Instructions to move the system within a hospital building are provided in Transportation and Storage Precautions section in the da Vinci da Vinci S and da Vinci Si system user manuals o Contact customer service for assistance when moving a da Vinci system between hospital buildings Failure to properly protect the da Vinci system during longer moves may damage the system If you have any questions or would like to order the items mentioned above please contact Customer Service at 1 800 876 1310 or for Outside United States call 41 21 821 2020 or 800 0821 2020 Sincerely Todd Owen Sr Manager Technical Support dVSTAT Intuitive Surgical Inc 1266 Kifer Road Bldg 101 Sunnyva
3. le CA 94086 Intuitive Surgical Sarl 1 chemin des Mariers 1170 Aubonne Switzerland 1 800 876 1310 or for Outside United States call 41 21 821 2020 or 800 0821 2020 www intuitivesurgical com www davincisurgery com Page 2 of 3 PN 551236 01 Rev A Flush port nozzle used for manually cleaning EndoWrist instruments Use only the flush port nozzle Luer fitting supplied by Intuitive Surgical in the Cleaning and Sterilization Kit for cleaning and rinsing EndoWrist instruments Use of 3 party nozzles may damage the EndoWrist instruments and result in incomplete cleaning For example do not use the Spray Gun with nozzle PN 80 10 40 from Healthmark Industries Company to force pressurized liquid into EndoWrist instruments The Spray Gun with nozzle PN 80 10 40 from Healthmark Industries Company is similar to the unit shown below Page 3 of 3 PN 551236 01 Rev A

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