INSTRUMENT & ACCESSORY CATALOG
Contents
1. 9 Email ics intusurg com DA VINCI XT VISION EQUIPMENT 8 mm Endoscopes 470026 da Vinci Xi Endoscope with Camera 8 mm O 470027 da Vinci Xi Endoscope with Camera 8 mm 30 Sterilization Trays 400490 da Vinci Xi Endoscope Sterilization Tray Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com 10 5 1716 ENERGY ACCESSORIES da Vinci Xi Energy Activation Cable Energy Activation Cable Covidien Force Triad 5 1870 Energy Activation Cable Ethicon Gen 11 1 Energy Instrument Cords ER 470383 Monopolar Energy Instrument Cord 13 ft 4m 1 co 470384 _ Bipolar Energy Instrument Cord 17 ft 5 m 1 DA VINCI SKILLS SIMULATOR Upgrade Options 5 55 35 da Vinci Xi Skills Simulator 581129 Blue Fiber Cable Simulator Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com ENDOWRIST TRAINING INSTRUMENTS da Vinci Xi Training Instruments Product Code Product Description Uses 470001 T Potts Scissors 50 470006 T Large Needle Driver 30 470033 T Black Diamond Micro Forceps 50 470048 T Long Tip Forceps 50 470093 T ProGrasp Force2. 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com 6 ENDOWRIST STAPLER SYSTEM COMPONENTS EndowWrist Stapler System Starter Kits Order Code QTY Product Description EndoWrist Stapler System Starter Kit 45 mm Provides a total of 100 firings with 2 EndoWrist Stapler 45 instruments and includes the necessary training product Reloads must be purchased separately 2 EndoWrist Stapler 45 Instrument reposable EndoWrrist Stapler Sheath 10 per box disposable 381251 procedural item 2 EndowWrist Stapler Cannula Kit reusable 1 12 mm amp Stapler Cannula Seal 10 per box disposable procedural item 2 EndoWrist 12 8 mm Cannula Reducer 6 per box disposable procedural item 1 EndoWrist Stapler In Service Kit EndoWrist Stapler System Starter Kit without Cannula Kit 45 mm Provides a total of 100 firings with 2 EndoWrist Stapler 45 instruments and includes the necessary training product Reloads must be purchased separately 2 EndoWrist Stapler 45 Instrument reposable 381252 1 EndowWrist Stapler Sheath 10 per box disposable procedural item 1 12 mm amp Stapler Cannula Seal 10 per box disposable procedural item 2 EndoWrist 12 8 mm Cannula Reducer 6 per box disposable procedural item 1 EndoWfrist Stapler In Service Kit Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21
3. 821 2021 Email ics intusurg com ENDOWRIST STAPLER SYSTEM COMPONENTS EndowWrist Stapler 45 mm Reloads Order Units Code Product Description Uses Box p i 48645W EndoWrist Stapler 45 White Reload 1 firing 12 48645B EndoWrist Stapler 45 Blue Reload firing 12 48445G EndoWrist Stapler 45 Green Reload firing 12 Order Units Code Product Description Uses Box wem 470298 EndoWrist Stapler 45 Instrument 50 firings c 410570 EndoWrist Stapler Sheath 1 procedure 1O 581215 EndoWrist Stapler Release Kit NA 1 EndoWrist 12 mm amp Stapler Access System Order Units Code Product Description Uses Box Endo Wrist Stapler Cannula Kit Includes 470443 1 EndoWrist 12 mm amp Stapler Cannula NA 1 100 mm 1 EndoWrist 12 mm amp Stapler Blunt Obturator 470375 EndoWrist 12 mm amp Stapler Cannula JOO mm NA 1 4703 76 EndoWrist 12 mm amp Stapler Blunt Obturator NA 1 470289 EndoWrist 12 mm amp Stapler Cannula NA Long 150 mm c 470290 EndoWrist 12 mm amp Stapler Blunt Obturator NA Long Saat 470580 12 mm amp Stapler Cannula Seal 1 procedure 1O 470381 EndoWrist 12 8 mm Cannula Reducer 1 procedure 6 470295 EndoWrist 12 mm amp Stapler Bladeless NA Obturator 470396 EndoWrist 12 mm amp Stapler Bladeless NA Obturator Long Documentat
4. Fax 1 408 525 1590 Tel 41 21 821 2000 Tel 86 21 5116 6881 Fax 41 21 821 2001 Fax 86 21 5116 6899 Some products in the catalog may not be available in all countries Refer to the da Vinci Xi System User Manual for indications contraindications and warnings 2015 Intuitive Surgical Inc All rights reserved Product names are trademarks or registered trademarks of their respective holders PN 1008471 Rev B 5 15
5. identified by the red instrument housing c Red instrument icons persist on the monitors when a training instrument is loaded onto the system d The training instrument warranty covers only defects in manufacturing Upon first use the warranty expires Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com 12 RECOMMENDED SPARES da Vinci Xi Recommended Spares and Equipment Part Number Product Description See Page 12 da Vinci Xi Endoscope with Camera 380989 Blue Fiber Cable Kit See Pages 5 8 Endo Wrist Instruments See Page 11 Instrument Cannula 381216 da Vinci Xi Instrument Release Kit IRK Item provided free of charge 470397 da Vinci Xi Gage Pin Set of 3 Item provided free of charge DA VINCI XI SYSTEM DOCUMENTATION Part Number Product Description da Vinci Xi Documentation Kit Includes e da Vinci Xi System User Manual PN 552000 e da Vinci Xi I amp A User Manual PN 551706 e ERBE VIO dV User Manual PN 551800 e EndoWrist Instrument Release Kit Quick Reference Guide QRG PN 552443 581227 e ERBE VIO dV QRG PN 552380 e Natural Rubber Latex ORG PN 552073 e Cautery Settings Quick Reference Guide PN 552312 e System Connections Quick Reference Guide PN 552375 e EndoWrist Xi Vessel Sealer User Manual Addendum PN 552523 e Firefly Fluorescence Imaging User Manual Addendum PN 5524
6. 1 toll free 41 21 821 2021 Email ics intusurg com 8 MM CAUTERY INSTRUMENTS ENDOWRIST MONOPOLAR CAUTERY INSTRUMENTS A Hot Shears Monopolar Curved Scissors da Vinci Xi 470179 Shown with Tip 400180 Cover Accessory Permanent Cautery Hook da Vinci Xi 470183 Permanent Cautery Spatula da Vinci Xi 470184 ENDOWRIST BIPOLAR CAUTERY INSTRUMENTS Maryland Bipolar Forceps da Vinci Xi 470172 Fenestrated Bipolar Forceps da Vinci Xi 470205 Micro Bipolar Forceps da Vinci Xi 470171 Long Bipolar Grasper da Vinci Xi 470400 da Vinci Xi Curved Bipolar Dissector 470344 Vessel Sealer da Vinci Xi 480322 Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com 8 MM INSTRUMENTS ENDOWRIST CLIP APPLIERS 100 Closures 100 Closures 100 Closures Validated for use only with Weck Horizon small wide titanium clip Weck product code 001201 or 001205 Validated for use only with Weck Hem o lok medium large polymer cl
7. 67 e Firefly Fluorescence Imaging ORG PN 552495 553416 da Vinci Xi HARMONIC ACE Curved Shears Manual Addendum Cleaning and Sterilization Kit Includes e Reprocessing Instructions e Endoscope Reprocessing Wall Chart e Luer Fitting for Flushing e Pipe to Hose Adapter e Brush with soft nylon bristles e Tip Cover Insertion Removal Tool for Monopolar Curved Scissors Qty 5 470601 Documentation is listed in English only Note For other languages contact Customer Service Documentation may not be available in all languages Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 13 Email ics intusurg com DA VINCI XI 8 MM ENDOWRIST INSTRUMENT SPECIFICATIONS Jaw Open Angle from Centerline Jaw Length Working Length Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com X c S 5 a 5 2c Sse igs 2089 22 52 we Oo 5 uy z S z E 9 m E OnO Z D Instrument Name S Si up EndoWrist Monopolar Cautery Instruments 470179 10 Hot Shears MCS 58 1 3 31 75 470183 10 Permanent Cautery Hook N A 1 6 32 26 470184 10 Permanent Cautery Spatula N A 1 7 32 26 Endo
8. 821 2021 toll free 41 21 821 2021 Email ics intusurg com 4 10 Uses ProGrasp Forceps da Vinci Xi 470093 e vvv e Zwee Tip Up Fenestrated Grasper da Vinci Xi 470347 Cobra Grasper da Vinci Xi 470190 Potts Scissors da Vinci Xi 470001 a 8 MM INSTRUMENTS ENDOWRIST GRASPERS 10 Uses 10 Uses Tenaculum Forceps da Vinci Xi 470207 Long Tip Forceps da Vinci Xi 470048 Small Graptor Grasping Retractor da Vinci KI 470318 Cadiere Forceps da Vinci Xi 470049 Round Tip Scissors da Vinci Xi 470007 Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com 8 MM INSTRUMENTS SPECIALTY INSTRUMENTS Atrial Retractor s Resano Forceps Short Right Dual Blade Retractor da Vinci Xi 470181 da Vinci Xi 470246 da Vinci Xi 470249 10 Uses Black Diamond Micro Forceps Cardiac Probe Grasper DeBakey Forceps da Vinci Xi 470033 da Vinci Xi 470215 daVinciXi 470036 ULTRASONIC ENERGY INSTRUMENT 6 Units Box Harmonic ACE Curved Shears da Vinci Xi 480275 Compatible for use with Medtronic Cardioblate CryoFlex TO cm surgical ablation probe product code 60SF2 To order contact Medtronic or your local distributor Contact Information Phone 800 0821 2020 toll free 41
9. INSTRUMENT amp ACCESSORY CATALOG MAY 2015 For more information call Intuitive Surgical 800 0821 2020 toll free 41 21 821 2020 or visit www intuitivesurgical com Some products in the catalog may not be available in all countries Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com TABLE OF CONTENTS 8 MM ENDOWRIST INSTRUMENTS Endo Wrist Monopolar Cautery Instruments ss sss sss sss KKK ss ss ss esse seene ennenen eenn 3 Endo Wrist Bipolar Cautery INStruMentS ccccccescsesceeeeesseusceueeeueeneeeeuseaueeeueeeueeauseneesaueeauseneesauesnens 3 EndoWrist Vessel SQ alee EE 3 EndoVVHst CAN FADING TT 4 EDGOVIVIHSI Needle DIVA EEN 4 Endo Wrist GrasperfsS season vacevcoantssvnncssennsswnsawauacucownenssaaunnsswnun soaneceueeasedsnnansasnusealeaaenuieasianacatuneanas FEUDUM geeks 5 EnOgOVVHSI SCISS ONS EE 5 Specialty Instruments cscccsecesseceescueeeusecuseeseeueeeueseusenuseauseeueeeuseaueeeueeaussaueeeuueauseeuusauseaueseueseuesaeesees 6 Ultrasonic Energy Instrument sss sss sss sss sese sss sss s sese enesenn nenen D ENDOWRIST STAPLER SYSTEM COMPONENTS Endo Wrist Stapler System Starter Kits ccccccsesssesceesceeseueseeeeeueeaueeeueeaueeeeeeeueeaueeneesaueeaeeeneusaeeanens 7 Endo Wrist Stapler 45 mm RelOAS ccccccseseseeceeecueseueeeueeeuseeueeaueeaueeeuesaueeeueeaueeaueeueesaueaueseneeeaeeaness 8 Endo Wr
10. OMMON CARTON DIMENSIONS AND WEIGHTS Part Numbers Outside Dimensions Average Weight EECH am EE 0 88 Ibs 73cm x 15 24cm x 7 3cm 0 58 kg 10 275 x 375 xX 4 3125 0 88 Ibs Seals 470561 26 35cm x 9 53cm x 10 95cm 0 4 kg 9AA x3 0 4 Ibs Tip Cover 400180 2v een ORAS UGE 018 kg Sanne 470002 145 x 5 55 xa O 8 Ibs 470004 35 56cm x 15 97em x 10 16cm 0 36 kg STE 470008 l4 x55 E 0 7 Ibs 470009 95 36cM x 15 97cm x LE oc m 0 31 kg Poe 2 006 Ibs Bladeless Obturators 13 x 4 5 x 111875 AN 55 02cm x 11 43cm x 28 416cm 2 025 Ibs 470258 092kg DAP oy ors 21 Ibs 3 GOS 53 34cm x 48 26cm x 26 67cm 9 5 kg rapes 2 EU anen 3 7 Ibs 3535 56cm x 16 5lcm x 12 7 em ley kg 31 x 6 x 2 875 2 28 Ibs Stapler Instrument 470298 78 74cm x 15 24cm x 7 30cem 1 03 kg da Vinci Xi Sterilization Tray 400490 NET S E no Gr 470282 0 5 d Ener Instrument Cords 9 629 x 6 5125 x 1 25 c 2 dd 24 45cm x 16 03cm x 3 175 0 57 Ibs 470384 0 26 kg Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 15 Email ics intusurg com IN Ui SURGICAL WORLDWIDE EUROPEAN ASIA PACIFIC HEADQUARTERS HEADQUARTERS HEADQUARTERS 1020 Kifer Road Intuitive Surgical S rl Room 2051 20th Floor No Sunnyvale CA 94086 5301 1 chemin des M riers 989 Chang Le Road Tel 41 408 525 2100 1170 Aubonne Suisse Shanghai 200031 P R China
11. Wrist Bipolar Cautery Instruments 470172 10 Maryland Bipolar Forceps 45 2 0 52 747 470400 1O Long Bipolar Forceps 78 2 4 53 27 470205 10 Fenestrated Bipolar Forceps 45 2 1 32 77 470171 10 Micro Bipolar Forceps 45 1 4 32 00 470344 10 Curved Bipolar Dissector 45 2 2 5 5 02 EndoWrist Needle Drivers 470006 1O Large Needle Drive 50 1 0 51 50 470309 10 Mega SutureCut Needle Driver 25 1 4 31 75 470296 10 Large SutureCut Needle Driver 38 i 31 50 470194 10 Mega Needle Driver 38 1 3 31 75 EndoWrist Graspers 470093 10 ProGrasp Forceps 38 2 8 33 53 470207 10 Tenaculum Forceps 75 5 0 S29 77 470347 10 Tip Up Fenestrated Grasper 60 2 2 S277 470048 10 Long Tip Forceps 50 2 0 32 51 470318 10 Small Graptor Grasping Retractor 60 4 5 52 26 470049 10 Cadiere Forceps 38 2 0 32 77 470190 10 Cobra Grasper 68 2 0 32 51 EndoWrist Scissors 470001 10 Potts Scissors 22 11 5190 470007 1O Round Tip Scissors 58 1 1 51 50 Clip Appliers 470230 100 Large Clip Applier 53 2 4 33 27 470327 100 Medium Large Clip Applier 33 2 1 32 77 470401 100 Small Clip Applier N A 1 1 31 75 Specialty Instruments 470181 10 Resano Forceps 50 1 1 31 75 470246 10 Atrial Retractor Short Right 60 4 8 5527 470249 10 Dual Blade Retractor 70 48 5527 470215 1O Cardiac Probe Grasper 60 1 7 52 26 470033 15 Black Diamond Micro Forceps 50 1 0 51 50 470036 10 DeBakey Forceps 45 1 2 50 99 Ultrasonic Energy 480275 1 Harmonic ACE 8 mm Curved Shears N A 2 2 26 84 14 C
12. ion is listed in English only Note For other languages contact Customer Service Documentation may not be available in all languages Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021 Email ics intusurg com 8 DA VINCI XI ACCESSORIES dla Vinci Xi Drapes Order Units Code Product Description Box 470015 Arm Drape 20 470341 Column Drape 20 da Vinci Xi Reusable Accessories Order Units Code Product Description Box 581216 da Vinci Xi Instrument Release Kit IRK 1 470397 da Vinci Xi Gage Pin 380989 Blue Fiber Cable Kit 542562 Instrument Introducer LN 8 mm Cannulas Obturators and Seals Order Units Code Product Description Box 470356 5 mm 8 mm Universal Seal 1O 4 0002 8 mm Cannula 1 470004 18 mm Cannula Long 1 470008 8 mm Blunt Obturator 1 4 0009 8mm Blunt Obturator Long 1 470357 8 mm Bladeless Obturator Disposable 6 4 0558 18 mm Bladeless Obturator Long Disposable 6 Order Code 400180 Product Description Tip Cover Accessory Documentation is listed in English only Note For other languages contact Customer Service Documentation may not be available in all languages Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 2021 toll free 41 21 821 2021
13. ip Weck product code 544230 Validated for use only with Weck Hem o lok large polymer clip Weck product code 544240 Small Clip Applier da Vinci Xi 470401 Large Clip Applier 2 Medium Large Clip Applier daVinciXi 470327 daVinciXi 470230 Shown with Weck Hem o lok medium large polymer clip Shown with Weck Hem o lok large polymer clip Shown with Weck Horizon Small Wide Titanium clip Weck Hem o ok medium large polymer clip Weck product code 544230 is the only compatible clip used with this instrument To order contact Teleflex Medical www teleflex com or your local distributor 2 Weck Hem o lok large polymer clip Weck product code 544240 is the only compatible clip used with this instrument To order contact Teleflex Medical www teleflex com or your local distributor Weck Horizon small wide titanium clip Weck product code 001201 or 001205 is the only compatible clip used with this instrument To order contact TeleflexMedical www teleflex com or your local distributor ENDOWRIST NEEDLE DRIVERS 7 m 10 Uses 10 Uses 10 Uses Mega SutureCut Needle Driver da Vinci Xi 470309 Large Needle Driver da Vinci Xi 470006 Mega Needle Driver da Vinci Xi 470194 10 Uses Large SutureCut Needle Driver da Vinci Xi 470296 Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0
14. ist Stapler Instrument amp Accessories cccccsesseeseeesceeeeueeeueeeuseauseeeeenueeaueeeueeaueeauseueeeaueaness 8 Endo Wrist 12 mm amp Stapler Access System cccccsescsesceeeuececeeeueeaueeeuseaueeeeusauesaueeneesaueeueseneusaeeanens 8 DA VINCI SIT ACCESSORIES da VINCI Xi DAP Mc 9 da Vinci t dE e TEE eg e EE 9 8 mm Cannulas Obturators and Geale sss sss enen 9 8 mm Disposable Instrument Accessories ccccceceseeeeceueeeueseuseeueseuseeueseueeeuseeaeseeeausseueseueseuesauesees 9 DA VINCI XI VISION EQUIPMENT S mm GOS ODES rics DI IER ANERSAUEUIU E RE KREEFONDEREANREKHECAERURRNNUID UNA FGNN UU RM EUNE 10 Sterilization EENEG 10 ENERGY ACCESSORIES da Vinci Xi Energy Activation Cable us cccccssccssccsssecsecusseusseueseueseusseseeusseueeeueseusseuesaussaueseueseuesaueseas 11 Energy Instrument Cords 2 eeseeeeeeeeeeeeennnannnun nhan aha a ka R44 IRR RAN RR RR NER RR RR RAN RAN ERR RAN RR RR RR 44S a Rand da 11 DA VINCI SKILLS SIMULATOR Be ele te CM ae L en CN 11 ENDOWRIST TRAINING INSTRUMENTS sss esse sese sese 12 RECOMMENDED SPARE Ssuomi EEren AENT aN Eaa na CIE aada EEEE 13 DA VINCI XI SYSTEM DOCUMENTATION sss 13 8 MM ENDOWRIST INSTRUMENT SPECIFICATIONS 1 eere 14 COMMON CARTON DIMENSIONS AND WEIGHTS eere nnn 15 Contact Information Phone 800 0821 2020 toll free 41 21 821 2020 Fax 800 0821 202
15. ps 50 470347 T Tip Up Fenestrated Grasper 50 470171 T Micro Bipolar Forceps 50 470172 T Maryland Bipolar Forceps 50 470179 T Hot Shears Monopolar Curved Scissors 30 470181 T Resano Forceps 20 470183 T Permanent Cautery Hook S0 470184 T Permanent Cautery Spatula 50 470205 T Fenestrated Bipolar Forceps 50 470207 T Tenaculum Forceps 50 470309 T Mega SutureCut Needle Driver 30 470215 T Cardiac Probe Grasper 50 470230 T Large Clip Applier 100 Closures 470249 T Dual Blade Retractor 50 470318 T Small Graptor Grasping Retractor 30 470246 T Atrial Retractor Short Right 30 470344 T Curved Bipolar Dissector SU 470327 T Medium Large Clip Applier 100 Closures 470007 T Round Tip Scissors 50 470049 T Cadiere Forceps 50 470296 T Large SutureCut Needle Driver 50 470194 T Mega Needle Driver 50 470190 T Cobra Grasper 50 470401 T Small Clip Applier 200 Closures 470036 T Debakey Forceps 50 470400 T Long Bipolar Grasper 50 Requires Tip Cover Accessory PN 400180 for use Requires in service prior to first use please contact your local Intuitive Surgical Representative 5Compatible with Weck Hem o lok Large Polymer Clips Weck product code 544240 Compatible for use with Weck Hem o lok medium large polymer clip Weck product code 544230 Compatible for use with Weck Horizon small wide titanium clip Weck product code 001201 or 001205 Notes a Training instruments are not approved for human use b Training instruments can be readily
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