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da Vinci® Surgical System User Manual

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1. 3 SHG gt SIR EEF a EATE o 18 EES MIL E 4 fr HEEFT RR 6 7
2. SOLID CONVERTER PDF mene A Accessories Cleaning 7 1 Sterilazation and Cleaning matrix 7 2 ALARM indicator 6 5 Alarms Audible alarms 8 3 Alignment Target Using for Calibration 3 9 Audio Intercom System Volume adjustment 6 11 Autoclave Sterilization reference information 7 3 Auxiliary Instrument Arm Assigning to a master 4 4 Collision Detection Reference information 6 18 Disabling 6 8 Display information Stereo Viewer Auxiliary Instrument Arm information 6 8 Excessive Force Detection Reference information 6 19 Moving along the Z axis 6 17 Reference information 6 16 Swapping 4 5 Reference information 6 14 Using 4 4 B Blade Protector 4 12 C i To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te Calibrating the Endoscope and Camera 3 9 Calibration TEST IMAGE button Reference information 6 7 Using the TEST IMAGE but
3. KERR Ree ee ICAI Reet a ERE ERE PEER gt SEU H EERE gt ARA R E BIA AR ARER TRETE soft lock Note FAULT OVERRIDE HE BIA UREA te Z WLE PP 8 3
4. EA ORO gt OH TEJE ERAS gt OHM E da Vinci System gt eH IME appe 30 Prepare Masters and Surgical Cart Arms for homing Remove Instruments Press READY when done EAC Be Viewing the Error Log gt 43 Xs Note Zeb abn rn EB AAR 8 AEL Sas HACER da Vinci System MERRY FEARS MERRRR AT BERE TE E EPA Xe HH A RAS BRA HBF REALE GRIPS 23 e Hr NS gt i To r
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6. HEBER gt ig SOLID CONVERTER PDF gt paa masiuo PS Note FREGEN o BESTE Vision Cart l CAUTION 2 BSG Wis Tru Vi Sx Pen CU HERE USUS 1 Eid Ed Y Figure 2 2 Rear View of Vision Cable Connections
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8. A TEAR Ez S1 gt 2 gt S35 S4 RERE S1 SURES S1 RITE S1 gt S2 gt S3 gt S4 S2 fees S2 53 MEET S3 S4 fm pesi S4 Pl P2 gt P3 P4 P1 P2 Pl P1 P3 P4694 Rear of P2 fee P2 Surgical Cart port marked P3 fime P3 gt P1 P2 P3 and P4 P4 gis P4 respectively SOLID CONVERTER PDF params a5 EDI PER PS BIET HU CEU INTERCOM SEA RE CR SEOMRA SVIDEO AERARII FCR SVIDEO YY 2 e RA BRETT CR
9. EMERGENCY STOP EMERGENCY STOP gt S gd PISIS EMERGENCY STOP activated Press FAULT OVERRIDE to continue WARNING 7 E 78RD TEE A ET UT AR PA EIA URRE PIER ig Ee EE UR WARNING 254 Ese E IRE BRIS RAI uil ER Te EUIS ERREUR fee fg e IFTE La klarer E WARNING EX rb iE RE gt Ase aC PER Er 1E SH LE a PAS HEL ROI o ta filet SERT J
10. EE i Figure 6 10 HEKI CAUTION E yE ET Yt UA Z E Z HERA BERETA gt HE REGRET Z d Figure 6 11 Z i Loot HET HEP lal Nae
11. To remove this message purchase the BSOLD CONVERTER PDF panets meaa us he SERRE FA A NT BR ET AMAT EA SOLID CONVERTER PDF irr TE SCPE Ast da Vinci amp System Hast n DARTS Stati BCX EREE gt Ree EROR RS B SEE eee BI HJ CAZES Pad EBC RVD PATER ABR BD HORSE FERIERE ATIR ARA 7N FEA ARE gt A DAA BRRR gt ee AAA n P EE AECFINISJTESNSBSEG HEBT E PAAIE EERE ED ACT T REY MIS niet Be Ae rel OE TTE BERMUDA EEN ARE BST AA EPL AI gt HEIL N ERE fly En BAR ERE Masters Earl as HA ESHER E gt Perle ee Ff FA AN Petite EB PR
12. 1 2 APR GRU as SD eas Dette A gt LEI ati LEU E SY Sahin To remove this message purchase the G S C LI D 6G C NVE RTE R PDF gt product at www SolidDocuments com 3 FER PAR l EE d RGB AREAS e 2 FACE TENT Aas TERI E TECH Pr LEER a p HEAR ACEH ELIT A DEGA ER Note AU EUIS o BLA Note
13. Ed Note S26 Mh DABS EE SUISSE Use SPAR ERERERTE ERRI REIRA E To remove this message purchase the SOLID CONVERTER PDF gt pae meg pcan te PES ng In e be e s ARE BI Difficulty determining Arm position Press FAULT OVERRIDE to continue PSS Ee up BH EATS SERI VE REUTERS LT Difficulty determining Arm position Arm movement not as expected Temporary motion sensor data mismatch Excessive force detected on Arm s Power fluctuation detected System functioning with battery backup low Internal clock battery low System functioning without reserve power supply qu ee op INC ue cO qu a E 3t Xu Bh A sae x EEE HFJBAJZCAE gt ESC PE AR A TERT ate ERER InSite amp Vision System j BER TEHRAN EH BERRE Fe eae BAD ERES ACE eins PE o TU ee ASHER 0T Note
14. gt PB SCPE RUD BENE ie Fo EAE VR AH RS gt ETH PSU Internal System fault reference xxxx E Restart System to continue FAULT OVERRIDE 1 P P EAE 2
15. EU rar Emergency Power Off EPO EPO ERREPU UJ GA SE SETREHES BR E73 o BERTET cc m HR HH ER BR Er User Switch Panel SYSTEM SEF iip We yu da Vinci System 20 TUBE Hiupiz EPO E o Ra EEIN X ESRIEXZMHESTES OFF AC Low FEAR ESIE us 20 ON SYSTEM SOLID CONVERTER PDF mere A Emergency Power Off EPO B Figure 6 8
16. e o SOLID CONVERTER PDF gt paa masiuo Excessive Force Detection The auxiliary arm is constructed so the system becomes aware of any excessive force generated during movement of the arm along the Z axis and stops the movement of the arm in that situation For example it is possible that while raising the auxiliary arm the arm could collide with the bottom of the operating table The system recognizes when the arm begins to generate force on an object and automatically stops the lift motor A repeated tone sounds and an icon is displayed until the force is removed The force can be removed by moving the arm in the opposite direction to clear the fault or simply removing the obstruction CRE Ee ETREESHBEUH R ee DE DER AB ae Rea ds Pec dbz PEE QA ible ERAN TG FEED Ke Pee Eaten TETUR TAL R d p EndoWrist Zu fb SCUSA IHITEH BR EB gp HEF pepe HL STAR o e PRA c Tia Intuitive Surgical R
17. Remote Center SHORT LONG 6 6 CANNULA fac hes Camera Arm 3D Auxiliary Arm W SOLID CONVERTER PDF Tar tenesa petae te fa FEE FISE ZU PHI Z EEIE FITE EER
18. 3 SBSH Ar REESE TREE HIE CE ERIT EPISC AE Viewer Height t nil InSite Vision System User Manual c oO LI D G C N VE RT E R PD F gt To remove this message purchase the product at www SolidDocuments com Chapter 3 73334 4c yw da Vinci System AA EAA da Vinci System A AR J T PE B AWENE 2 K BOTHE ER C
19. TOOL READER Note TOOL READER EA TRENE ACER TEE A T ELSE eee asm gt EC AAS ERE TNR BI TERT JEETRLA ZEE Note 1 GASES ey d in O Mi cl HL ur
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21. gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te Ai WARNING Sis EHBGEUE HEUS EP as Sco PACA ETA Se WIRE ER JRI E ME aR EN RFA RREN E aam eE Bea A EBNER 7 CYCY E WARNING H EEEE Wee SCPE RE BED iln FILE RET D ILE nS OES HEC ARIE eh ak TRES RA TT RUE a EEL NAR o CAUTI ON FAULT OVERRIDE git gt JETER T ERE SCUS GRE SCOT BIER T EESTE RAR BUE AA BLY Le OS
22. Camera 3D REH sa A TBE AM SOLID CONVERTER PDF women puch e JC TETAS A SERA RIOR Pi PR i e aeria HET aa EA gt OCB GO E f PEER Bde BREA gt Eas Peres HDi RUE De Ellas ET EBL PETS gt ERA da Vinci System LESIR TERA R A TE AE SAE 3D 2D pedal click 3D InSite Vision System User Manual WARNING 5761745 3DSa 6 92D a7 Rie OP NEE VALUES aS PU LEE UTER FE TERESA EE
23. TOY it nul 3 1 Ae Pa AM EEHEHE EREA a k i uil fan i To remove this message purchase the SOLID CONVERTER PDF pae meg pcan te Instrument Descriptions Long Tip Forceps Designed for atraumatic grasping of tissue Round Tip Scissors Designed to cut tissue or suture DeBakey Forceps Designed for atraumatic grasping of tissue Small Clip Applier Specifically designed to apply clips to ligate vessels Scalpel Cautery Designed to hold a 15 degree scalpel blade The blades are disposable and can be inserted into and removed from the instrument Scalpel Cautery Designed to hold a Beaver blade The blades are disposable and can be inserted into and removed from the instrument Large Needle Driver Has carbide inserts and is specifically designed to grasp and drive needles SOLID CONVERTER PDF gt osse puch Potts Scissors De
24. SOLID CONVERTER PDF gt paa masiuo Note 15 5 TT Ret GICAL MENS IC LASER gt m HI At E RAPER 1 gt AGRIS Instrument wrist must be straight Figure 4 13 aR T lil avo AAS EF MEERE ARES RIRO ZH TREE AGBNERSGNISE EPS 9096 bE gt Ait ee ASHER St BE WU TELZURHISIUTBDAGTPH 4 38 BORF ZEB XESLUU AA ARI STU 3i pier jr gt ARES VRE ERE PEP T VIRI ET gt
25. Figure 3 13 pR TiC AN 3 PETA HESSHBEUEUNSDHAR gt ATL ATE SOLID CONVERTER PDF Pme tenesa pnas te Figure 3 14 5 adhesive tape Figure 3 15 KREE WAEA 6 7 Hr mil Dur Figure 3 16 JE IG sc M 4 InSite amp Vision System zzi unes InSite amp Vis
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29. T JI o THE Focus 4 3 Focusing the Video Image MER Coag Activates the application of coagulation energy to the tip of the instrument Surgical Cart EMRE Set up Joints TENE A PCS Sei RE OSE a eC o RES aN REA WA REISE SUR TE ie GE E7j Sh EEO RID fare BRE Cee P EE E77 A MRR 1 4 Cdi dc zip HUET
30. gt To remove this message purchase the SOLID CONVERTER PDF pienet neu po te JA SHEE A ESSERI Pd e AN Wena ni Hr FSSA o HIRE HF CAUTION ESU Zienia ESU TERRIERE EHA a CAUTION Intuitive Surgical MW A B JRE Ze HEE ce Ai da Vinci System o Did HITR RIE MURR RUE A REER gt aa Ho RU ESSERI ZEE FI FRSA Bi EY AP UA
31. si oat n gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te pn Efail WARNI NG ie AEREA ARE ARIE NUE Nall AR ER MMRR EPEE ee EE A RESUS PIRE EAB WARNI NG da Vinci System CAUTI ON ABE ESSERE ORERE ae P PR EGE BAR o SE eta Edel TR Reas MTM APRES DR a ANE ES GE gt EMERE J Follow On Matching Grip FOMG gt HENTE EPEAN DEC as gt FER flle TE ur EC TEESE RS i TOE TE Tp
32. RTR RATE R LS RT ARREA TDI AGBS ie o FOMG gt THEATRE vL da Vinci System EL ASME Ke e Eta Single finger TH T o
33. TOOL READER 4 14 A THH Egy Head Sensor fear Fe ral Us a Td eR IS a PE ei eet YH EE TT ES BG EAT SHEA BS PET AUG da Vinci System AJARA EPH Aye IEE e CAUTION 5 7 il ast Mis RE SU MTJSUTE BERT UR REAR HU gt LASER EERE L2 BEATE RE Asti Se PE ASPET Ee IESE Ie TUESPETRUSITE MHAVZBHR3 1LI AYE Ci dx
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35. AIRE NTRATE LEAR a gt FA ASFA ESATA ZA H 3 897173 AR LE REB A s p o Note 1 es J Et single finger THRE gt Dr TRSA S BEST gs RELIST ZEE RR BERI E be Seah as AP ZA ERS T Beal Juke etus JS cautery blade 4 538 A SI aici gt eR Meee EIA QO ACT EE ES Cas A E Es AT AGA aS PRU C A IR E Aig Note EIRY P gt xR da Vinci System FAA SZC as ee OS N 4i PANES ARRA TEAS KE ELBE aS a E AHT LE gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te Clutch Button Figure 4 4 EET rS WARNING ZEE HEE BEC HE n LAEE gt GSE Bare ES EG STET aa CAUTION WARNING CAUTION
36. 2 ze c C LI D G NVERTER PDF To remove this message purchase the product at www SolidDocuments com Note FEE DEEA ATT LA FURBO Note Ji V HUBIESE ERAO T E mil E 3 4 11 1 UIP TOOL READER 2 Eb YRREBEPEIUR 3 4 5 See LEHER TOOL READER MODE
37. 6 12 oh Ea GRR BETIBERIAXCSHI WRAS Intuitive Surgical 4 14 A SOLID CONVERTER PDF pars ts neua ues te Chapter 7 VARHEE Ge da Vinci System Surgeon Console AT TET BUE THERON as IFA Fws Surgical Cart WARE gt ERE AAR I P SA SRB Note aah Instruments v PRUGE ACHR BE FE Feo PITE ROR ER AIA EE 9 CAUTION i555 ou H Flash 18 847 BOR IA Ba RINE
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39. gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te A p B mid View Port Bl Gases B2 ALIVE AS B3 Stereo Viewer SE PE till as Master EIER REPERI User Interface moo G EWA Gl REGAS CLUTCH G2 PERIE G3 FERIE G5 COAG H User Switch Panel Figure 1 2 Surgeon s Console To remove this message purchase the S C LI D gt product at www SolidDocuments com AP EH Dir im FE SS Fl ELS HESIECULHA JERR EERE Rea ER EU CAD EE DE EB asp er B t SAREE Peri IU DTE o fiin SCORE I A ae BR PUB fp GEH SED EB S RE 151 as p A foes B C D Set up Joint Rail E F G Eg
40. Figure 1 3 FEA HE Setup oint EAE SCR BLD SCREENS H 1 J ieee BoA K Figure 1 4 zio nl SOLID CONVERTER PDF Nee darse ES DUD SGHEBE IE fEBEGT Setup Joint BIES BUSH CT HCAS Te CES VIBUSSSREL CE SCIAS SRE EEE UT m L M fS N ee eo Figure 1 5 iz px ma A WREE CERE iia PEE G ARE EE B S208 H C sb UE EIRE A eee ee D asi Ate on J HRE EEIE E Intuitive Surgical K ENARE F Figure 1 6 CHOSES Bons iO 2S Bil SOLID CONVERTER PDF panets mma paas he I nSitee Vision System MEE xviii Accessory Equipment Interconnection il Fr InSite InSite amp Vision System User Manual
41. ai FET E CY ce Ce LI D G N VE RT E R PDF To remove this message purchase the product at www SolidDocuments com Chapter 6 Y fps 74 At da Vinci System Ar 2 5 da Vinci System Insite Vision System In9ite Vision System User Manual S EIE FE PSI RATER ADS ERE SETS ETE eS CERT Fae CE T 0 Sites bis Tfl En EET LE at Spe ERSTE Sp TIER VA RARE AC AG CIR XESCPS da Vinci amp System 3325318 FN aS Re TSK ea V AJ CF Re et Tt AFR As et Bi Se BEARS EH T2 Se ETC R EXE 2 Pe Aa da Vinci System
42. H CAUTI ON 43 x yu da Vinci System CO2 gt Nf SEN SSO EKTE R ISER i Falk et al Total endoscopic computer enhanced coronary artery bypass grafting Eur J Cardiothorac Surg 2000 17 38 45 lt To remove this message purchase the SOLID CONVERTER PDF pienet nem paus te CAUTI ON Thermal hazards may exist from high temperatures Eye hazards may exist from the high energy radiated light by the endoscopic camera and illumination system Only personnel having adequate training and experience with the endoscopic camera and illumination system should operate such equipment All WARNING and CAUTION messages provided with the endoscopic camera and illumination system must be followed CAUTI ON The force feedback associated with the da Vinci System is different from feedback experienced when using conventional instruments As with any endoscopic procedure the surgeon should rely on visual cues to enhance force feedback CAUTIONS i382 s PARERE M EGER EF SS SE RA FR STIR fT PLES PHT AVE RGG
43. RCE A Briss FF 2c I PT ee SP gt So Pi TE 245 PSE Lo 12 7 A818 67 E Ke 5 A RE RIRH gt RT Re THEA RAVE CUM S Aft Be Fr SEES ELBRAY2 33 45098 DURU EBD AC Se 113 57 RERA 56 RAR o 113 3 2 gt 1 FREE 120 APT HSER Gis gt LH 60 30 120 12 6 6 PAC BFS BEG MEA 1 2 zl n 113 57 56 TAE E 2 1 1 da Vinci System 2 fUSCE IEESEE T fli KR 2 Nissen SER EIA PIB CEA n 120 60 60 MAREE 6 6 lBIBEAH da Vinci System 2 gt i To remove this message purchase the SOLID CONVERTER PDF pae ne meg pcan te STE OR 228 56 WRT peri operative post operative 3
44. da Vinci ystem ET KE SSUES a RIES PAWA RACA TAWER IE Hf IAA RE EG RA b BARH PIERE ELE RANNT IRERE WEN a EAR MERE AT RAAEN 0 38 PITE FIRRA PRORSUS E FH FEES 0 38 PARLARE n HAK SOLID CONVERTER PDF pawn sbn
45. 12 13 20 Eg ARREST PY AREAS SEE Laat gt ERT ae EE TE AEE SIE vell zn gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te
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47. gt To remove this message purchase the SOLID CONVERTER PDF pae meg priae te Note esc EATER gt dE aT ERTH REA nS mi ict Be 7 IR e 3S PET est ELSE TERRE gt EATE Palas EEE Pt e Se EO RU IER EE BY BUS Camera movement complete Aligning Masters Tir PR IRI E TR BE eeu ER 5 HERBAT DRY P ERE ILENE l FERC 2 dR ARNIS LEFT RIGHT 3 UIP RIGHT LEFT 3 P amp tlgi LED Rise
48. WIE EAR TASER PERRO BSE a HS SER 3 P a Loot TH 4 lBIpzs ARPT TRE gt a SSHRO 7 EN GERE E PETI ae select master GREEN ARM RED ARIA YELLOW ARM Figure 4 1 HIGER Pillai UIP gt To remove this message purchase the SOLID CONVERTER PDF pienet neu pas te 5286 7 AY SS p poet Hn zm H un Het P WE KR Hu O ra i E cT xL ih zw I E Bt fal NS 5 c Teil l 2 BEER ER FURIES AR pedal click PERIJS gt ERUR ERSE ER 3 FASE Pera EIE ARIE C
49. n id BE CRT ARIAT 9 E HEL RY T Aligning Masters gt i To remove this message purchase the SOLID CONVERTER PDF ere pcan te E FH a pc 8 TE as Ce AE l 2 3 Left Rail of Sterile Adapter Sterile Adapter
50. zur Ed SH set SOLID CONVERTER PDF gt eee ne me RAS oe be REID RS SERI P cc EHE CEPS 5 ASS CRIA SE a PEEN BIAIN Figure 6 6 1 955 E Er e Dl ALE Pl ee a PAGE EST De GRR AERIS 3 11 EJ 5B ERA Note REER Align Master Roll FUE SETH HESTUTE44 7188807777 IECEUAXA ES a o TOOL READER TOOL READER ETHER a EE AR ERRE TOOL READER
51. d seH OME l 2 da Vinci System 3 da Vinci System DANGER H ZE ex yu da Vinci System 4 5 ut da Vinci System
52. Bove acyl a b 2 a n Tig 4g XH Sterile Adapter Tab Sterile Adapter Figure 5 1 ERAT RH b SOLID CONVERTER POF gt paa wn sbn
53. da Minci System ON User Switch Panel SYSTEM Stereo Viewen da Vinci System Note Note OFF AC Low MRM 9 20 F ON SYSTEM e PERE SCUU AC da Vinci System Surgical Cart l ESE Pl P2 P3 P4 2 S1 S2 53 S4 Note Fi dc REI PA 4 RE Surgeon s Console Rear Pa
54. i Instrument Arm Shaft Blade Protector Figure 4 6 4 ci JIN EN JE 2 eh JAE 3 East Carma gt IEEE EL o SOLID CONVERTER PDF gt paa msu Figure 4 7 17J 4t EHE 4 RORIS RLA gt ise Je Eia mi PAL EU Witt Figure 4 8 frail gt it JERI PAE Hs l E SS FBC SEPT EERIE gt RET Stel FAAS Figure 4 9
55. To remove this message purchase the product at www SolidDocuments com p value je n lt 49 55 89 196 55 55 10096 0 027 50 mL E ERES n lt 51 58 87 996 59 60 98 396 0 031 50 mL lBIBEAH da Vinci System 2 3 6 107 DeMeester scores n 11 DeMeester score DeMeester scores EP ERE 62 7 p 0 00001 62 8 p 0 00001 gt p 0 922 DeMeester score 88 596 90 9 gt Fen HA RE p 0 997 Ftit Demeester score 14 8 ERAH 73 1 74 5 p 0 962 c Z 6 alsin li
56. i us Press System On to reverse within 10 seconds 10 HEt SYSTEM gt 3a 10 1 EF viel zem da Vinci amp System Sgt FREESIE m amp zm le ML Ci mi H Gell gt i To remove this message purchase the SOLID CONVERTER PDF panne neu uaa te Open Surgery open surgery gt PITA TARER da Vinci System l 2 3 eS Sete BS Hh A EGA gt FRR Note
57. LURES MINE SET URB ER IESEHREGRE EE CAUTIONS 1155522 041 IRE gt SS EAAT OA ELF FH SORES TBS RU ES 4 11 gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te STAND BY da Vinci amp Syste EN FMEA ERES Sedes SP al Tr es eB AU E eee EP mE Re ERE ERE LB fic gt ES BD GA ACE a da Vinci System AL TE o KH WARNI NG READY Fa BELGE SC a Ait da
58. EH Hi TS 7S YUE gt 17 suction s E ftts IERJZTSE MARIER ERRE HEE gt LEE ER Cn RES R EHAG ZEE DRTE A Ze a 3E TER a os SRS AT H BTE RS AE IE UH TERES aS Zeon H BUTTER z Bib n TEUER YEAR Pail a A Se eS BRA HEUS AT PP aab SRP o T hel ES T LS i NY x gt To remove this message purchase the SOLID CONVERTER PDF pienet nem paue te E BEREAU SEIK PHR Hzc a a Hae al SRE Hl o Note Z E SHE gt SORS ET A ee Pel RR TA ED EH Note ffs Y Pain Uu Ze IE SC a ER ay VUE ARTA
59. KD IERI SS XESCPuZAA da Vinci System amp r dr etr FAULT OVERRIDES n f Sx gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te ca PUES TE eS ee BS VE FAA TEST AZ ALAE A H P N 370370 05 PEAU AE 1A R P N 370370 04 HERRA AXI dS PRE P N 400015 02 H6 This is the preferred combination COMPATI BLE This combination may damage instrument arm NOT COMPATI BLE PAANS Pe P N 400015 01 iy amp 1 Compatible but old drapes being phased out Compatible but old drapes and sterile adapters being phased out SOLID CONVERTER PDF tar nenesa petae te Chapter 4 im f d
60. ins E e H mb P cr Ki SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com Wu a us TE tHe E AERE EATES fr ANE XE est Del TALS PDO AEE se CORE BRIN ON ELA tit SOR BER A FR ARZSTN tia e AYP e SCOPE ANGLE SERKAN HRIBA gt MTA SF HY RECS H ATRE mea DB 7 MELE Eee SO Pl a T ara al WARNI NG 1 SERI SEL BLURS ris p EPIRI EIAS EREUT ITA 5 m WARNI NG da Vinci System 1E HENE gt FERIRE i415 Intuitive Surgical ft nil b DISPLAY DISPLAY Eno r ASE eS DRD gt PORRER REO SB o CANNULA
61. TIR d Hr ERE IER SHE PERS Surgical Cart Arm positioning complete EREE Ee 32 AC Pu ZAR da Vinci System ZHENA Jg ce fr PERS EA CANNULA ERK SEF uy E Tg RE SHORT 100mm LONG 150mm gt HE gt BEEN TEE a Hi Ki CANNULA Figure 4 2 EREDE S Note KRIER IJU RE AARNE ERE Note FREER REGIA HIRIE ALLER MAR EE gt i To remove this message purchase the SOLID CONVERTER PDF eret pcan te BRS SLAY NS EILEEN BRAN ERENS l REREH 2 AIA SHA FHA
62. da Vinci amp System Note 1n9ite Vision System User Manual 4 TEST1MAGE BESIDE FH 1 da Vinci amp System 1 To remove this message purchase the SOLID CONVERTER PDF pienet neu paus te
63. ntuitive intuitive 8 PSM RIE APRA PIER 1 SM HBTS RGR ASK gt RWE Hi e 2 IER EEEEEUR RHEE AI WES gt H 4x4 E BS T RAG A Boas tas t 3 Jk KARRE EAR Ree pct teh teer PSU ET LERCH AE EEDE DNAS IU Intuitive ava Intuitive Eg TOSS n gt To remove this message purchase the SOLID CONVERTER
64. DAS No Sterile Adapter is Present Stereo Viewer and Assistant Monitor May also appear if Sterile Adapter is present but not properly sensed by the da Vinci System No instrument present Stereo Viewer and Assistant Monitor Appears while Sterile Adapter is present Master repositioning in progress Stereo Viewer and Assistant Monitor Appears when Masters are being repositioned Set up J oint positioning Stereo Viewer and Assistant Monitor Appears while Set up J oint is being positioned Auxiliary Arm Z axis movement Stereo Viewer and Assistant Monitor Appears while the auxiliary arm moves up or down along the Zaxis Auxiliary Arm Z axis Error Stereo Viewer and Assistant Monitor Appears when the movement of the Z axis results in a safety check 3 0 emi Ex The da Vinci System is operating on back up back up battery power Battery is almost empty Stereo Viewer and Assistant Monitor CAUTI ON During a general system power failure the Stereo Viewer does not receive power The icon will appear on the Assistant Monitor only Appears when there is a general power failure or when there is an internal system power supply failure and the battery has been run long enough to consume almost all of its energy SOLID CONVERTER PDF To remove this message purchase the product at www
65. 3 intra ocular 4 Note ANEMONE i53 f ET a n ise fe Ga DH FG RE BC AE UREA BaF SCE s t URARTE sBIASU3 9 EMI HR ABE rl 1 2
66. DRE eters A UT REA T4 o Fine No Scale Fine Ultra Fine en gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te pis o 1 4 Ss E T
67. TE RANER EL OE PER a T E EGER Patil a Ke ear Ss HITEC ST gt RE SCPE Ange da Vinci amp System LED ERU ERE TEBE H RE E RA ERB SD TEE EF head out H Es S Ke i L i hi HELD ETA UTER ETE FT BSCS EY TREE ER SPASM AR ed gt FIP EET RE Sc ae E EA R BE o pedal click
68. GARRETT KEARE ET o Note H E EST gt RIEA AAE HAE ea ETN TR HR gt AIPA a A E aS BR ee FRC E E SE BI rS FU C Se Larger Needle Driver 10 5 5 TH BEA EREURS 03 Larger Needle Driver 5 10 HE fire AA ess b Small Clip Applier 5 35 100 tle idet TORIS BERE AEE HE KK
69. SVIDEO C sic oo j BOER HG CUR Parl PLA RGR PIRA L T SC SERIA IEKCCUGR R fq Focus Control XHGPEE Console Hy Beat T te Intuitive Ase Rees i2DN J RS232 BS ze eA IEEE 1394 FireWire 34 82 ESRB EU CM IH 10BASE T 3 i Hees Be pe A Titii HO aH Beas ESU PS BD EUM Note 5 Hjx amp c 74 Hae da Vinci amp System 1E ER S8 7J Electrosurgical Units 3 ESUS HE TETERSESSA diia Intuitive Surgical Sell ZI gt To remove this mess
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71. da Vinci amp System da Vinci System STAND BY 8 ZHAK da Vinci amp System e574 da Vinci amp System
72. Viewport om 3D Image Ey wick Viewed Progressive Scan Converter tigh Endoscope Camera T Head Camera Sterile Adapter Vision Cart Console Assistant Monitor customer supplied VCR customer supplied Insufflator Location customer supplied Storage Drawer C0 a Illuminator 1 Focus Controller Illuminator 2 Video Synchronizer Camera Control Units Figure 1 7 Example of Vision Cart Components B SOLID E Chapter 2 iz iEXe A pu da Vinci System ig BN uir E PE BSE AC Pe da Vinci System da Vinci System SAR da Vinci System lntuitive Surgical gt Intuitive Surgical
73. o ERIGA EET RASANEN AEE o Pu MS i ni E Ht o 3 3 aA gt Aiea RE ORDRES HJ SAIN TELAJRE REE o 4 obturator fZB8 5 6 HOARI E Rie VET Lee RCIA PL gt FLEES SE IE DIES BBA ERE CEA EE NOES IUS REITER RR ar TBI ET EEA ze Ea EIERS gt ERBIDAETAET REIBUCE Ell ae ERE Sim Surgical Cart Arm positioning complete vell OO I
74. 3 peri operative ORE RS Re DHL EET Fu harmonic Postroperative ne ELAS T Zee Efe dysphagia and wrap migration BRSi gt SESE aede ER EAT ST BR ERNIE B8 KUZ TEC BRELC PILE BTR RATA ell WERK 3 OUR Rei EE ARAH p value WEYER n 96 Bile Spillage 20 55 36 496 17 55 30 9 0 686 Trocar Injury 1 55 1 896 1 55 1 896 1 000 Serosal Injury 0 55 0 0 2 55 3 6 0 495 Infection 0 55 0 096 1 55 1 8 1 000 ES
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76. Note II 1 PE s ACCRA AA T SIRE BEREIT AER gt b RFT SEITEN LA EEL RARE 3 MBit Tits Re Pt s PE EERE AREER P SEER DEEL AZER o ELA CBS TERRE pe EIS f S ANY SERE agp CVCv E me n gt gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te TEES
77. Troubleshooting QUART SERERE Ey CE ETT 22 BE AE e PE Ex yi nimii pem Gu FR Nb TEE AREER gt RA WHEE Aa AMAT Aya Intuitive Surgical nil gt i To remove this message purchase the SOLID CONVERTER PDF pae meg e AUREAS SILENCE ALARM SERERE ERA FAULT OVERRIDE SILENCE ALARM figli if FAULT OVERRIDE SERATA EK SERRGROSERRELZ AES HR ee ISI EMRA EHBEH EASA o ECCE E v IRI PCIE E BUS RACKA TE 8 BITE ri EFL Co SC RE e EEN AT DCE RRA GAG
78. gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te RH P3298 nA 8 75 I RARUS FR RE fe Note PSM HAS ESC DRS SHEE o zeke Instrument Arms PORE EPH a EE BE E REIR eti PIER me REIS ie CS ES EEUU 73 TE o FEGE E UL e PROS Sete OES DAE ETE aE FPA EREK ENEN SE Eee Le RR Py 1 0 Y edd
79. 2 L D Latching Obturators 2 Available in Sharp or M R 2 Blunt N 2 E 2 F Bate m G Note H JEEE e l BOSS Ane eeae Figure 3 1 Example of Sterile Accessories amp SOLID CONVERTER PDF We CAUTION 557 75 Hj Flash Note gt IS RT RATE CU ARK da Vinci System TRES Ris IIB Fe BES CE AEA EB Pe gt Intuitive Surgical ates ely FZOA RR ARIA BHA PRE LETTS BE 2 JE SCRE AGER 3 A REE
80. EF CBIESODI STATES AR FERRI Cannula Mount Pins Cannula Mount 5 6 Figure 3 8 FURER 7 EB gt EPRESEESLEXS ST HATH RS Note ERIR EE Rui BAERE SERT Instructions for Use TEATRO TRE REE BSA l RAB BE Get TR gt STARA Ce 2 NEES ARSENE T EA ES i 3 EREEREER HL SOLID CONVERTER PDF Pme temea pnas te 4 AUEREN Ss hu ICE EGRE SCUSA ES 1E RERBA EA 88 E GERE M HR Sm C Figure 3 9 tuse T D Ed 5 RRM TENG APSA HEARS ISHBEUH 1 F
81. Figure 4 3 ii Ez apo tie n CAUTIONS RESE E UST ERTL BA E80 RRE Note PSM X Note He J da Vinci System dri PESE PRIA GERERE gt lal
82. Viewer Height Note gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te Intra ocular Spacing Adjustment The intra ocular spacing adjustment knob is located beneath the Stereo Viewer and is used to optimize the fusion of the 3D operative image It adjusts left right spacing of the image to match the spacing of the surgeon s eyes Beneath Stereo Viewer on Surgeon s Console A Intra Ocular Spacing Adjustment B Brightness and Contrast Knobs for Stereo Viewer C Audio Intercom System Volume Knob Figure 6 7 Location of Stereo View Adjustment Knobs Audio Intercom System AlS 6 7 Viena BIT CE SCT EE dl ERRUR NIAAA SL
83. 1EC 60601 1 1 Intuitive Surgical IEC 60601 1 1 CAUTION o LH aq CF nil da Vinci System pie 115V 230V gt PARRER ES 115V 50 60Hz 12A 230V 50 60Hz 6A 100V 50 60Hz 12A 100 115V 50 60Hz 12A PRR s is E 1025 35 C 50 95 F PERE 10 85 non condensing AE SER 10 3 50 C 50 38 122 F HE 5 95 non condensing for transport 10 85 non condensing for storage gt HEC
84. 285 F 140 C gt 1577 EtO Steris Accessories Intuitive Surgicale enzymatic g UE SE EUH SEXE gt HEITE AY ASH AOR POA Abe SC Pa AM da Vinci System gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te Autoclave Enzymatic Ultrasoni Accessory Steris Sterrad EtO Pre vacuu Cleaner c Bath m Type 1 Endoscopes di E v v v Straight and angled Type 2
85. da Vinci amp System SHMA LONG SHORT DA d RE ACA ENE THOSE SE Note LJERPSUOICBESEIE gt FARING SHORT ES EBA AA ARR WARNING FEREN S LAI LE ds CES eK E eR SHORT 100mm LONG 150mm d mi Hr SERT gt SS inet I XI K P WARNING zi Ho BUE EHEER TINE GURL L gt SEE LONG EUH fMASWA EHRE BTRC Sri cas AS CHIE BITE TE gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te CAMERA CALI BRATION TEST IMAG
86. zi H SEG BF TIGE SCE AS 4 ft da Vinci System i gt ENS ACHES RRC gt IHRE LEGIT gt SE j t Loy see o IL EEA System Glossary of Terms CAUTION DIRIJA AREEN EEE AA da Vinci System a E ri lg Ze BS International Electrotechnical Commission IEC 601 Introduction to the da Vinci RE E IPX8 i OK A i DE da Vinci amp System 1EC 60601 1 Si4ERSPRT ERN SEEEDRGEE GA SUERTE
87. ce Ce LI D G N VE RT E R PDF To remove this message purchase the product at www SolidDocuments com Setup Joint Switch opposite toggle Z axis Toggle Switch Figure 6 12 ARDS ae o Central Rail Example of cover and cable tender Auxiliary Arm Figure 6 13 HEEP yr Note EAr RKA PIRI HEAT Z TESI o Note Amster E ee COE UTILES BAT Ee E ete gt XE ELSE IEEE EH HERES SDN SEC AI TERES R EREA FA e ES IUIS 9 we DE iS EE DR eZ E PERS gt OR AR EI SCENE IEE gt FIFE ERS 2Z Z Bcc CD 3 en Tur td
88. ES ARP Bitar E AE TULIP VSTF tata EH P lt 2 3 n 5h al Er ge s EIERE HIJE ERE lUe D EAL ee EH SA EE ERI 4 Ed Figure 6 9 a7 fj i Eno SFB AER IERIE EERO iH PSM aol zn gt To remove this message purchase the SOLID CONVERTER PDF panne meu uae te PETE CY Aas da Vinci System qmm OAG Not active Focus CAMERA P Clutch GEPEBIAS AE BJ EFE ds
89. Sem iit SYSTEM SYSTEM CAUTION SYSTEM 892 CHE RE gt ESC PE AAT TU da Vinci System KS gg EMERGENCY STOP SEAS FT CU EIS ee oy Ke os PEE A 3T ee ERE EFA MERER EMERGENCY STOP FALUT OVERRIDE CAUTI ON EMERGENCY STOP amp gt qs piod eS P Ed esae TRE E PD UN J ToC RE o all CAUTIONS
90. SCOPE ANGLE slm Hssefs2 Straight Up SAE Down T I D 2 LT At Pat em 2 iH EGU SOS fae or yu Ait da Vinci amp System 1 Scope selection changed to Aligning Masters Note 7 SEFESSUHHU PAE AGE HERES e WARNING Z 4 525 T SURGE WES SBA il AR POE USJTE gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te 3D Hpk 2D da Vinci System
91. T ull E gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te User Interface Panel EE o JAS TID ud ALARM nil RHEL SACHEM da Vinci System gs amp Epgg ses Ex FAULT OVERRIDE e SILENCE ALARM m E imi MN x e CRITICAL ERROR 31torH 168 da Vinci System BAe gt xf
92. Continuous SEIN Class 1 REREHE CF for all patient applied parts inserted portion o Instruments Ordinary except Foot Switch which is watertight BERJER AER a PERS BREE X ESSE AE E gt DUEDRZCAS CAUTION UCR EE IC PERRA musto DORE SEE T SE FEB ee BORE BHARR IRE EAEE BB EVI ERS EA 60601 1 1EC 60601 1 1 E IEC i e IEC 60950 Ma IEC 60601 1 1 ae eee 5 SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com Intuitive Surgical CAUTI ON gt
93. PE m ura t PEERS HTSE SCUU AGAM T WI ns DL eee fl uR cholecystectomy Nissen E Ef TES RET 177 FESS P GETRTOI UE Fl wrapping ssuturing i gastroesophageal reflux disease GERD FS TRE SCE AE EISE Appendix A blunt sharp an FEK gt grasping tissue approximation eRe SS o URN 100 Nissen F RSi 50 KEH ERA FAIRS TT 100 50 50 50 EXE amp WT s EUH gt PAST gt SARDE gt
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96. Weekes el ERII E BSc 22 RERE 90 gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te 95 9596 HERSEYE o Note o SERE LUE BOTE C da Vinci System HE SEME Note PiE aa e as pA EE SR De BERRIENAK Note AURI ACE YE E NER hist PIE aS RR S i EN E AA Zu QURAN T EP ll aR FS NS 2e PH AGE ESF Ba ni PR SAHE gt SON EDU H 5 ZI Cm
97. c oO LI D G e NVERTER PDF To remove this message purchase the product at www SolidDocuments com Figure 6 4 5j fal Na Pl TWEEN tel EN E B EET e Pe mp ES 6 4 He Ee Re Ceo TUER P MER rN Rea PAESE BUR EHI Se AAT RIBUS HBP H pedal click RER FEAR TIM SE A Figure 6 5 Ji gp S Ss p EFE as ABRE gt BSE HT ESEREGHBOR UAR sz as PES 6 5 MERR gt FEL ERG GE alas AA PRE os ae gt GORA BA Peas WE 7 PSM
98. SEUEN MI gt EPR da Vinci 5ystem Standing By Press READY to continue User Switch Panel READY da Vinci amp System amp 3E A TELE gt DRE US Ready Place head in View Port to operate EYE EAR gt BEAR SE PET as CEE UL Ba View Port HET III aA RIOR VTA RAER BRE PUES HEISE fA t da Vinci System bte A TAME MSL ER IG TS RAED a a HI oo
99. 2 iz Z9 User Switch Panel gt To remove this message purchase the SOLID CONVERTER PDF Rae meg pen te User Interface Panel UIP User Switch Panel USP Height adjustment buttons located on left side of User Interface Panel User Interface Panel User Switch Panel Figure 6 1 Examples of User Controls Located on the Armrest To remove t
100. SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com iod J esophageal manometery 24 pH Ti JSE ERZ gt War at I gt sab II BA FETA CR AR
101. Assigning to Auxiliary Instrument Arm 4 4 Assigning to Instrument Arms Reference information 6 7 Clutching 6 14 General overview 1 2 Repositioning during use 4 5 Swapping 4 5 Using to reposition the Camera Scope image 4 3 Modes Emergency Stop 3 12 Follow mode 3 11 Ready mode 3 10 Stand By mode 3 10 Understanding Operating Modes 3 10 3 12 O Operating Modes 3 10 3 12 P Port Locations Selecting 4 1 Power Loss indicator 6 4 R r I To remove this message purchase the SOLID CONVERTER PDF pae neme men te READY button 2 6 Reference information 6 4 Ready mode 3 10 Remote Center Reference information 6 16 S SCALING button Using to change scaling options 4 5 SCALING control Reference information 6 5 Scalpel blades Insertion instructions 4 14 SCOPE ANGLE button Reference information 6 5 using for calibration 3 9 SELECT MASTER buttons Reference information 6 7 Select Master buttons Using to assign a master to an instrument arm 4 4 Selftest 2 5 Service Required indicator 6 4 Setting up the da Vinci System 2 1 2 6 Setup Joint overview 1 4 Reference information 6 15 Shutdown process 5 3 Shutting down the system 5 1 SILENCE ALARM button 6 5 STAND BY button Reference information 6 4 Stand By mode 3 10 Starting up the system 2 5 2 6 I To remove this message purchase the SOLID CONVERTER PDF gt toms nent rte Startup Homing the arms 2 5 READY button 2 6 Selfte
102. 3D 3D Display System Stereo Viewer CRT SE EIUS fly eee ee VESSELS fg el RE SCP AR da Vinci System Mac FU Rel Controls Indicators da Vinci System 3 BEN arte Vb ptu gt EEr Gd ie Bees inn
103. FP Reet 1998 7 10 Fip xx 5 peri operative complication De Meester scores BR Fo BARFE 530 GERD gastroenterological tJf amp Ez e XS Jur gt gastroespophogeal i CERD f iia eshophageal manometry 24 pH IBI HB 245 RB AREE FE XE THESE RAISE T RES Aes Ed At ee Ie s e
104. RE ES es TELA BOSE ARES HEBEL T AREE CE RAEI SC ALLE HHT G8 T EHI FUR AR ER Option 1 ARS EE T Blas pO ER l obturator ff A ASEE 2 3 obturator 4 5 9 6 gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te 7 ACARI BIB AT ARA gt TEED UA Pe LE 9 8 EECA aS ESAT Ia RHR WARNING obturator Option 2 db bil aaa E 1 H obturator 2 SIE EDS
105. Surgeon s Console 7 1 Surgical Cart 7 1 Clip Appliers Index 2 Intuitive Surgical Inc P N 550120 02 Rev XB Loading and firing 4 15 CLUTCH Foot Switch Using to reposition Masters 4 5 Using to swap instrument arms 4 5 Clutching gt To remove this message purchase the SOLID CONVERTER PDF pee ne meg priae te Camera clutching 6 15 Instrument and Camera arm clutching 4 8 Master Clutching Reference information 6 14 CRITICAL ERROR indicator 6 5 D da Vinci System Draping 3 1 General Overview 1 1 1 2 General setup procedures 2 1 2 6 Shutdown 5 1 Startup 2 5 2 6 Use during a procedure 4 1 4 17 DISPLAY button Reference information 6 6 Draping 3 7 Attaching sterile adapters 3 2 Attaching the Sterile Camera Adapter 3 7 Camera Arm 3 5 Draping the Camera Head 3 7 Instrument arms 3 2 Reference information 6 19 Securing the drapes 3 5 Sequence 3 2 E Emergency Grip Release 4 13 Emergency Power Off button Reference information 6 11 Emergency Stop reference information 8 1 EMERGENCY STOP button 6 3 Emergency Stop mode 3 12 lt To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te Endoscope Attaching the Sterile Camera Adapter 3 7 Attaching to the Camera Arm 4 17 Attaching to the Camera Head 3 8 Calibrating 3 9 Repositioning the Camera Scope image 4 3 Selecting the scope angle 4 2 Using the Alignment Target 3 9 Error Log Viewing 8 4 Errors Fault and Emer
106. DeMeester Scores Pie p value Avg 132 0 27 9 104 1 0 00001 SD 93 7 55 9 115 1 N 52 52 52 Range 14 9 334 5 0 3 214 3 332 9 to 126 0 Avg 118 7 19 9 98 8 0 00001 SD 89 5 52 3 108 3 N 55 55 55 Range 17 7 295 8 0 3 312 6 29 2 to 198 8 1 xExugda Vinci System 2 gt i To remove this message purchase the SOLID CONVERTER PDF panne neu uaa te QUA 7 Bios o Aaa CEFR Eb 2 R o PERURI E RAA RARER BUSES BREI 2 DEL EGER EIT ES 18 83 EM gt 2 E 7 Ly Wt EIH p value n x2 53 55 96 496 55 55 10096 0 495 71 61 EXER n lt 2 54 58 93 196 57 60 95 0 0 715 X 83 172 da Vinci System 2 Tete De So o f e
107. E R PD F gt product at www SolidDocuments com FRR ARETA 3 0 Wrench Cannula Mount Cannula Mount Cannula Mount Cannula Reinforcement Mount Figure 3 6 b E EARO gt ARAARA JERR o Lun Ai b SK Mounting Plate Twist lock Cannula Mount Rotate Lock Clockwise to Secure X Figure 3 7 RER REEE R 3 ARRE EEH OSEE SIR CER Note jr EZAERESSEe D product at www SolidDocuments com c OLID G ONVERTER PDF gt To remove this message purchase the 4 ERREFE T S ME e N Ny T hs iy
108. ECT n 96 Dysphagia 3 60 5 096 5 58 8 696 0 487 Wrap Migration 2 60 3 396 0 58 0 0 0 496 Trocar Injury 0 60 0 096 1 58 1 796 0 492 Serosal Injury 1 60 1 796 3 2 58 3 496 0 615 1 da Vinci System 2 3Resulted in death 83 days post operatively gt peritoneal inflammation BAI scarring nodular hepatic cirrhosis gt Epis FH BRETT y tn iun NAM En 7 gt i To remove this message purchase the SOLID CONVERTER PDF Rae meg pcan te TRA AT
109. ET IH 2 SIJERA HERE RISE SOLID CONVERTER PDF ets wrist pitch yaw axis HETS 4 wrist w b E Figure 4 11 775851 Jas PARTES Note fa AIF ERE asl ET HELE o CAUTION i474 5 EAA a TES RE e gt WOR TSAR GURL REACHES MER Ze Sz 8s FG an ER PAARE A MIR es ECS ITI I EAE AR ACT TG es Small Clip Applier Weck Hemoclip Traditional small clips e Weck part 523835 and 523735 Beak Se S HEP IRF ZA LA Pon lal Hr mil jn 1l E E 8 yaw input ia Yaw input Pulleys Figure 4 12 Location of Yaw input Pulleys 2 fe AHIR SS NARE 187J ASR BPRS o ARP tee as EL Note Zi Ge Has bte E HER ERES ATI e WIR ATI EB S830 FED EET SERES gt der e EAS OPE ere ACT EBSHI P ESSET TRAGE
110. RESALE gt AHE RER da Vinci System pest ETR BOUITJRREE da Vinci System HEMSLEY IEC 60601 1 2 BRETT Sip pott 93 42 EEC FEREARE eee Spe GEN rae gt ESO PA PENN T E ILA OE SEAT IRCA HR RR RAE URERA FES CAEN TH B ER TRE If the da Vinci System does cause harmful interference to other devices the user is encouraged to try to correct the interference by one of more of the following measures bd H L e Reorient or relocate the affected device s e Increase the separation between the da Vinci System and the affected device s e Connect the da Vinci System into an outlet on a circuit different from that to which the gt To remove this message purchase the SOLID CONVERTER PDF pienet nem pous te affected device s is connected e Contact your Intuitive Surgical Representative for help Note This equipment has been tested and found to comply with the limits for a Class A digital device pursuant to Part 15 of the FCC Rules These limits are designed to provide reasonable protection against harmful interferenc
111. Vinci Endoscopic Instrument Control System Model 1S1200 is in conformance with the Medical Device Directive 93 42 EEC Contact Information Manufacturer Intuitive Surgical Inc 950 Kifer Road Sunnyvale CA 94086 5206 USA Toll free 1 888 868 IMIS 4647 Phone 408 523 2100 Fax 408 523 1390 European Intuitive Surgical S A R L Representative 5 Place Royale 78100 Saint Germain en Laye France Phone 33 1 39 04 26 60 Fax 33 1 39 04 26 61 The da Vinci Endoscopic Instrument Control System Model 1851200 is manufactured in the USA General Information for U S Only The information in this section is intended for U S customers General information continues in the next section General Precautions Warnings and Contra indications on page xv Essential Prescribing Information CAUTI ON Federal Law restricts this device to sale by or on the order of a physician or properly licensed practitioner Indications for Use Statement Device Name Intuitive Surgical da Vinci Endoscopic Instrument Control System and Endoscopic Instruments Indications The Intuitive Surgical da Vinci Endoscopic Instrument Control for Use Eu hereinafter referred to as the da Vinci System is To remove this message purchase the BSoLD CONVERTER PDF irt e intended to assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes blunt and sharp endoscopic dissectors scissors scalpels fo
112. Vinci System during a surgical procedure Tasks include setting up the Surgeon s Console for the comfort of the surgeon details on using the Surgical Cart and instructions on how to use specific instruments Chapter 4 also contains a brief discussion on the use of the InSite Vision System Chapter 5 Shutting Down the da Vinci System This chapter explains how to prepare for a shutdown and explains how to track instrument usage Chapter 6 da Vinci Component Reference Chapter 6 describes each system component in detail Use this chapter to get more information if the basic steps in Chapters 2 5 do not provide enough detail Chapter 7 Cleaning and Maintenance The instructions for recommended care of all parts of the da Vinci System including the instruments are explained in detail Suggested methods for sterilization are included as well Chapter 8 System I ntelligence This reference oriented chapter contains descriptions of Faults and the Emergency Stop state when faults can occur and how to manage them A listing of all system icons is provided as well Chapter 9 Glossary of Terms gt To remove this message purchase the SOLID CONVERTER PDF tants neu uaa te Chapter 9 provides an explanation of terms and acronyms used in this manual Appendix A Clinical Appendix The Clinical Appendix provides specific details of clinical trials using the da Vinci System General Information The Intuitive Surgical da
113. eas 2 5 Surgeon Console and Surgical Cats cc duos oe dae ek ene ek Ra COKE EMR RR ERE Roe Re Rara Rex 2 5 Table of Contents vi Intuitive Surgical Inc P N 550120 02 Rev XB Chapter 3 Draping the da Vinci SySt Mi a ace a a ee Se ee ee ee 3 1 Prepare the Sterile Accessories 0 eee rc rn 3 1 Sequence of Draping REP MP temas oxen ch en Be ee ee eee on eee Gos 3 2 Guidelines for Instrument Arm Draping u a eut ARCU tan deine E aby Ion 3 2 Attaching Sterile Adapters to the Drapes ce eee ee ees 3 2 Attaching Cannulae to the Instrument ArmS saana aaa ees 3 4 Camera Arm Draping Instructions 5x 2 aw ig x eR ROS mee ds d IE X3 e 9 eee Ee d nits 3 5 Draping Instructions For the Stereo 3D Camera 0 0 es 3 7 The InSite Vision System Set Up i3 aga x cc e eA RA C LAGU RR Qe CR CREAR VERE ES 3 8 Camera and Endoscope Calibration s a 004 et 3 dpt ob Od bac d od Seaweed dr RR dor 3 3 9 Operating Modes adn ico 9p 139 98 90 eps oto e Ee E REOR en a ein eed hea aci arat aac 3 10 stand By Mode oc sua dx ae aho AEE X ELE ACA LC ROUTE Re n E Ree oO EC NUR Ee Pe i 3 10 Ready MOOR ss an 3 10 Follow Mode Liu ursus si eno SC Kao X 10998 ERREUR OS Ew CR ra abun C RE CR eR eR 3 11 Emergeney StoOD DP Te re a 3 12 To remove this message purchase the SOLID CONVERTER PDF panets neu uaa te Instrument Arm Sterile Adapters Compatibility leen 3 13 Chapter 4 Use During a PrOCOedUle
114. s 6 19 Drapes and Sterile Adapters x2 oss RETO ee Oe ERATE EA Re wR a 6 19 SCE ME ELT ETE INEST DTE 6 19 Instrument Identification and Description cscs cece Rex Rx lt To remove this message purchase the SOLID CONVERTER PDF Mee neu uaa te 6 19 Limited Reuse and Expiration Indicatlon 2222442200 rer d ac EROR EERRE Lad EE Gur 6 22 Chapter 7 Cleaning and Maintenance sauce icons usuun 7 1 Theta VICI SUBEGITIG sd sq drame dqdea ce S RS RU EUR ACE Quo Saec ERO ERAT Rr RR d 7 1 Surgeon CoOISDIe so ii OR HR D jede e on o ERROR CREE oe cede P T 7 1 spe c 7 1 Mali IRI 0 7 1 ACCESSONES eT oe TOT a ee on i 7 1 All Other Maintenance amp uus x E ae RES OAR OA CES X CREOXCCAOCX R OX NW X X 9 wR XO XC 7 3 Chapter 8 System Inteligente ss siden is 8 1 Fault and Emergency Stop State Philosophy lsiseeeee nn 8 1 Nonsrecoverable Faults i 8 2 Recoverable Faults a ado aec dos a icd CAD ded adole Hox SEO a OEE didt REO See SCR 8 2 Loss of Power Reserve PoWer oc issus ako kou x x ERRARE CR EXE ERA ee 8 3 TEOUBIGSDOOEHP s iacu coe so roS ee kta RO Reap Cn d heeded oe ae ee E dis week aede d 8 3 Audible Alarms i 8 3 Viewing the Error LOU sa Re Ri ac eh ee X dedo SCR i eee ROCA Ron TROC COE OR x 8 4 Symbols and CONS eM a 8 4 Chapter 9 Glossary of Terme ea en ee eh St ee ee ee eee ee 9 1 Appendix A Clinical Appendix uasa eke
115. BOE ESSE SEES BI TEURG AT le EREA EX EN o SOLID CONVERTER PDF pienet neu maus te y ari PAOS RENTENE BUSH gt A He A RAG ETAL SURO EON PLETAL DAT SHEE CTE SST ERR TE RPI mi KH Tu 3 Figure 4 5 ERE SCP Am da Vinci System 6 12 E o BRAR BIEN D ae m is n WARNING 5557 4 WT TRES ENT T AISIA PIA an OCP AIERT ae eH TE TEL TIAE o J JERE EAR EFA RAE eer gt CREA IRR BEET ASC RTE o l ARRERA A tos E ZA CAD JSR See Di a n II
116. BURA BI da Vinci System Vinci System REIKIA ETEF SK gt PH e CAMERA SIGNAL LOSS is i F cr EE I Zi ih i E da Bst RE AC TURBARE SERI VR E
117. E EXE yu X da Vinci System AREIA gt MERI nSite Vision System TEST IMAGE SEH HET TEST IMAGE SESH TI RETETE DETERE ICDL TE E F TEST IMAGE B EPRIGHTEVEEU UTR MC 3 9 FLAY sZt ALBEE camera calibrate Note 1I CERRO RCE RUS ER ERUR RELAI gt RRO SIDA IE SELECT MASTER Select Master THE BI d POET HAR LATED o BSH EP fU PR Mae Pp aE AAR select master GREEN ARM RED ARM t e Figure 6 2 XH ALG E PER Pel eS FE peti n DU ZEB Eilat XE CE AES SCS ERE GRE 1
118. E ERALER SILENCE ALARM STAND BY GETT DUZER AC RW LERE 1 RERI LP SADA E Re CER ECCE RE Zt SAULT DIARRA Go IO Rc STAND BY FAULT OVERRIDE A amp HIzTHELGERRACARHEUT THETEBTUTHUHUDUOSIUCOR READY SURESH BACAR AE L 3 nm m Z Ar Hd Ie Attention Consult Several places on the da accompanying Vinci System documents CF Applied Part On in
119. Endoscopes lt lt lt lt Straight and angled Type 3 Endoscopes Straight and angled Light Guide Cable Y a Sterile Camera Arm Adapter Sterile Camera Adapter Sterile Instrument Arm Adapter Scope Alignment Targets Light Guide Cable Adapter Camera Cannula Mount Instrument Arm Cannula Mount Instrument Arm Cannula SIN SIS SIS S lt lt lt NISL S ISI S RENNER S SIS SISSIS S amp S SS Endowrist Instruments a The Bifurcated Light Guide is not compatible with EtO sterilization Process Restricting Condition EtO sterilization Temperature 55 2 C Relative Humidity 70 5 Pressure Set Point 25 4 PSIA Ethylene Oxide Concentration 600 30 mg L Gas Exposure Time 2 hours Detoxification Time 0 hours Drying time 0 hours Aeration 12 hours at 55 2 C gt To remove this message purchase the SOLID CONVERTER PDF tamne neu uaa te Autoclave Cycle Pre vacuum Note Do not autoclave endoscopes Temperature 270 272 F or 132 134 C Minimum Exposure Time 4 minutes Average Dry Time 20 minutes Sterrade 100 Sterilization System Vacuum Phase 5 20 minutes Injection Phase 6 minutes Diffusion Phase 44 minutes Plasma Phase 15 minutes Vent Phase 5 minutes Total Cycle Time Approximately 75 minutes Steris System 16 Sterile Processing System Sterilant Peracetic Acid Sterilizati
120. F Electrosurgical Generator Unit ESU CAUTION Do not use electrosurgical equipment unless properly trained in the specific procedure being undertaken Follow all instructions warnings and cautions provided with the ESU CAUTI ON The Intuitive Surgical Electrosurgical Instrument is designed for use with the coagulation COAG waveform of high frequency ESUs and a maximum peak voltage of 3kV 6kV peak to peak Do not use settings on the ESU that exceed 3kV peak Do not attempt to use the Foot Switch on the Surgeon Console with ESUs that are not compatible with the da Vinci System Consult with your Intuitive Surgical Representative regarding compatible models Note Only the COAG function is wired to the Foot Switch control IM ai S CAUTION i577 AJ GE FH cpa Ae da Vinci System ke E
121. K ALE pT 3 E E ERE YA Tene ee E zw gt To remove this message purchase the SOLID CONVERTER PDF tertinm STAND BY Exp BERE SKERD IBAK STAND BY Micro Forceps 5 10 Large Needle Driver 12 18 Medium Clip Applier 35 100 Scalpel Cautery 10 18 Micro Forceps 5 10 Large Needle Driver 12 18 Medium Clip Applier 35 100 Large Needle Driver 12 18 Medium Clip Applier 5 35 100 Micro Forceps 5 10 Figure 5 2 E sp ER poe da Vinci System gej l 2 SYSTEM da Vinci amp System gt LEE RPV System turned Off
122. Loss 6 4 Service Required 6 4 Start up Sequence 6 4 User Switch Panel EMERGENCY STOP button 6 3 Example 6 2 SYSTEM button 6 3 V Video image repositioning 4 3 Vision Cart Setup lt To remove this message purchase the SOLID CONVERTER PDF gt pae meg pcan te Connecting the Vision Cable 2 3 Positioning 2 3 WwW Wide Angle View Toggling between 3D and 2D 6 15 Z Z axis Moving the Auxiliary arm 6 17 Index 6 Intuitive Surgical Inc P N 550120 02 Rev XB SOLID CONVERTER PDF wene Hemen pt he
123. Not Attached To The Instrument Arm 4 7 Option 2 Instrument Arm Cannula Attached To The Instrument Arm 4 8 z To remove this message purchase the SOLID CONVERTER PDF pans neu uae te Instrument Arm and Camera Arm Clutching lleeee nh 4 8 Working with Instruments dudes ede aq ERE xERESE dhe be ee dhe be eae kad aa 4 9 Instrument Placement and Removal 0000 cee rss 4 9 Manually Inserting Instruments 2224266 222060 ad eee Shee wed RIS ERES Xue TAPAS 4 10 Guided Tool Change 2226 zx rack eX ee eee a E PM CE E 4 10 Removing Instruments erae rds sata ewe anda decem Gi Selen ee os Ce re 4 11 Using the Blade Protector VE E wp eben Kack ROO Eure x eS XCEREORE EX KE X RE EE YE 4 12 Table of Contents Intuitive Surgical Inc vii P N 550120 02 Rev XB Instrument Grip Release i a xx Ca OCX Xo e DC XO VOR ER CURE Oe Rae CAEN COL KS 4 13 Tool Reader Mode 2 6 2 x3 der Sc be uas E Sq uS R4 ERA LIE E aded S neqiie 4 14 Scalpel Blade Insertion Instructions llle rn 4 14 Instructions for Loading and Firing of Clip Applier Instruments 0 000 cee 4 15 Loading and Firing Instructions s a caue s or opa n RE ROC Sadie 4x Rok E E63 4 15 Fluid Leakage PrecautioNns aud ratiosra ds db acm a cated ex I arua coe S a aere d Ro e 4 16 Thelnsite Vision SVSEBITT i 4 17 Camera Endoscope Attachment and Removal lees 4 17 Chapter 5 Shutting D
124. PDF panne neu uaa te The InSite amp Vision System InSite amp Vision System User Manual Te Re BS Rea Be A fea bl Viu v Hd Pa gt GE Ee SE o l RRA TLE ERA ie E S e 2 ARRA BEC PS ec UE te A TH PH SO P ET ZUH EAER RRE e Release Levers Figure 4 14 A ER EARE CAUTI ON PEER EHE R A A e FA E E CO list baits 2 SEBO NORE AE FEL EPL 7 Ib SOLID CONVERTER POF gt pawn sbn Chapter 5 l MERRI LERRA 2 3 SYSTEM 4 fei eS EERE BY ALB e 5 FRAPS ESAS IBS IER e 6 1 me
125. PE XiX Environmental Conditions Operating saasaa aaa XiX Environmental Conditions Storage and Transport saaa aaa eee XIX Electromagnetic Compatibility duro da we ae E Wr RR edo ORA IE WER PR ond RP xix Battery Disposal Information 2 accu ri ela cd oo cvs de car Rc CR c a ote ur XX Chapter 1 I ntroduction to the da Vinci System ois se haw eee EDDUTTITIT 1 1 M ster se 1 2 3D Display System and Stereo Viewer lies nnn 1 2 Controls and Indicators 0 cane t PURee ee CoRR EE ReSEDRA SEERA eee e See Sa nee tas dx 1 2 Surgical Cart Overview nn cnta d ana Ken ecw E maios eo OLE ee oe a 003 aded d bees 1 4 The InSite Vision System Overview ions ese xg x RC eene Peers iba ceeded fod Res 1 6 Chapter 2 Setting up the da Vinci System iu is xo s Rcs RR Da e RR n es er er Ca CRURA 2 1 Setting Up the Operating Room iussu es er heic he Ra aic eo C n 2 1 Surgeon Console Positioning ct 3 913 3o Per reir eg 3 OR Re XR RC RE eee RR ER eed 2 1 Main Circuit Breakers RR CCP 2 2 Surgical Cart POSITIONING x aca oed Me EXC EE Ho ae ae ON A OE EEE RK Rae e OR d 2 2 Vision Cart Positioning sesana bacedehser v E uc apa Rhe ok ACA ERE eR QE de reo To remove this message purchase the SOLID CONVERTER PDF tamens neu uae te 2 3 Cable Connection Guide cis a d we CREADO wa bee be Esc NOE A Rc OX E es 2 3 cgi m see 2 ty eet oe wre a ean ay Nenana E ae det ms ene ena mah E erg eat
126. R ell un Fora gc DAS lt lt Camera Control in progress at Surgeon Console Stereo Viewer and Assistant Monitor Appears when Camera Scope is being positioned Instrument Arm or Camera Arm clutching in progress Stereo Viewer and Assistant Monitor Appears while Instrument Arm or Camera Arm is being clutched Instrument is invalid Stereo Viewer and Assistant Monitor Appears when Sterile Adapter is present and installed instrument is present and invalid No uses left on Instrument Stereo Viewer and Assistant Monitor Instrument can no longer be used flashing Scope selection Stereo Viewer and Camera Scope combination required at 9urgeon Assistant Monitor must be selected after Lt i Console Homing flashing Instrument expires Stereo Viewer and Instrument can be used after procedure is complete Assistant Monitor during current procedure but not for a new procedure flashing t Instrument is being engaged Stereo Viewer and Assistant Monitor Amount of remaining use is displayed In this example nine uses remain for the installed instrument SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com IX ell un
127. SU CUT CAUTIONS EAREN HE OE PUREST CARER EAE um p f SCIL Ba is ge BREE CAUTION ZEIT EREE gt ESU insulation CAUTION Do not clean the tip with another instrument using directional movements away from the tip CAUTION e NAZE Intuitive Surgical Instrument ESU 4r gt DUE Se BR STE Oh zd IH e IH i yi
128. SolidDocuments com The da Vinci System is Stereo Viewer and Appears when there is a operating on back up Assistant Monitor general power failure or battery power Battery CAUTI ON During a when there is an internal is full general system power system power supply failure failure the Stereo and the battery is fully Viewer does not receive charged power The icon will appear on the Assistant Monitor only The da Vinci System is Stereo Viewer and Appears when there is a operating on battery Assistant Monitor general power failure or power Battery is half CAUTI ON During a when there is an internal full general system power system power supply failure failure the Stereo and the battery contains Viewer doss not receive half of its available energy power The icon will appear on the Assistant Monitor only oa Match Grip Stereo Viewer and Appears at the top left or Assistant Monitor right of the screen next to the associated MTM User must match the grip of the Master to the corresponding Instrument tip to enter Follow Mode DC Homing Failed Stereo Viewer and Appears when the homing Assistant Monitor procedure has failed PSMs ECMs and MTMs each have a portion of the screen dedicated to their icons The Match Grip and Homing Failed icons appear in the dedicated screen area for each manipulator SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments
129. Surgical Cart that controls the camera endoscope according to the surgeon s movements of the Masters Shows the orientation of the camera with respect to the floor in the lower right hand corner of the Stereo Viewer and Assistant Monitor To remove this message purchase the product at www SolidDocuments com Cannula Mount The accessory that attaches a cannula to an arm There are two types instrument arm cannulae and camera arm cannulae Two styles exist for the instrument arms standard and Twist lock and one style for the camera arm Cart Refers to the Surgical Cart Carriage The portion of the instrument arm to which an Instrument Sterile Adapter attaches The carriage moves up and down the arm under control of the system or manually by using the instrument arm clutch CRT Cathode Ray Tube CAUTION An important level of concern Failure to heed a CAUTION may result in unintended motion of the da Vinci System that may result in injury to a patient Clutch verb A Master clutch is the act of disengaging the Masters from the instrument arms and camera arm so the Masters can be repositioned in a more comfortable working space for the surgeon This action is similar to lifting a computer mouse off the mouse pad and repositioning it A clutch is also used at the Surgical Cart to position the instruments and the camera endoscope B A Patient Side clutch allows the patient side manipulator to float allowing manual adj
130. TELL p TEE on PU DRE eit SR Pe K SB x TH ES Cano md T UH RUNE BUSES SIT ERTL EDU HUGE FE EAR 30 SUREE AE 3 13 EBERT REEHETUH Ee TS 1 KARE DRE THB ETRE AEM 2 REAP ERREA IR AEWA Note AFERE ERAT ERER A BSC
131. Vinci System AFA GES RITAR SEEDS SUL M ME ZU BERT RUE AeA ARTS CEU REED BED RTE P READY PEA EVER LOY eM E BECP ECE TELE APRIL CAUTION AER ditt RETTEN S SRDESEORAC TIEREN Tels gt PRETIRANO BETERE Pt i FEAIRT ERER ee User Switch Panel User Switch Panel da Vinci amp System e START UP SEQUENCE SYSTEM da Vinci System E e SERVICE REQUIRED da Vinci System ntuitive Surgical ze BEES TEAC yu Awe da Vinci amp System e POWER LOSS AC da Vinci System EEI gt PRERANE TLI o CAUTI ON rp ERE gt FA
132. a Fminimally invasive FERAT Pete a ich PES SBI da Vinci System HT flere aR IE SE EI ETT NE ee RI PA XESATTERINE T T Alita Fit SERIE E Intuitive Surgical Inc R PIIRRE Dn EL va N zl cy att H mb EI da Vinci amp System E EHSEXRSVATRUPE T fI 07 JH ES lt AN ES READ AT NPs A 2m
133. age purchase the SOLID CONVERTER PDF panats neui uaa te ARAL Surgeon Console Surgical Cart l User Switch Panel SYSTEM da Vinci System ATS a cee es ESTHER PUB Selftest in progress START UP SEQUENCE POWER HRGA 0 Note da Vinci amp System da Vinci System Note e SYSTEM e EMERGENCY STOP e COAG e Focus
134. com Text Messages RightInstrument Arm Yellow Icon Left Instrument Auxiliary Arm Instrument Arm Green Icon Red Icon Figure 8 1 gt To remove this message purchase the SOLID CONVERTER PDF tertinm Chapter 9 Glossary of Terms 2D 3D 3D Display 3D Viewer ACU Anchor Pads Arms Console Assistant Monitor Auxiliary Instrument Arm Camera Arm Camera Orientation Line SOLID CONVERTER PDF Two dimension Three dimension The three dimensional image created by two cameras The image is viewed by looking into the Stereo Viewer on the Surgeon Console See Stereo Viewer Auxiliary Control Unit Adapter See Sterile Adapter Refers to the brakes on the Surgical Cart The part of the da Vinci System that holds a grip instrument or camera There are up to five arms on the da Vinci System Two Master arms with Master grips are located on the Surgeon The Surgical Cart has up to three arms one for the camera and two for the instruments The monitor on the Vision Cart that displays a 2D image Some systems are available with a third instrument arm also referred to as the fourth arm The auxiliary arm can be assigned to the left or right Master or no Master The arm can be activated with a pedal click on the Clutch foot switch The arm on the center Set up Joint of the
135. cular thoracoscopic surgical procedures such as internal mammary artery mobilization e Thoracoscopically assisted cardiotomy procedures such as mitral valve repair and totally endoscopic atrial septal defect closure WARNING The system should be used only by surgeons who have developed adequate robotic skills to perform the tasks associated with each procedure and who have received specific training provided by Intuitive Surgical Inc in the use of this device WARNING Performance characteristics for conduct of totally endoscopic or minimally invasive coronary artery bypass surgery using the da Vinci System have not been established WARNING The clinical evaluation of the da Vinci System supporting its use for mitral valve To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te repair was not performed totally endoscopically Introduction and manipulation of the endoscopic instruments were controlled by the da Vinci System through port incisions 1 cm while accessory technologies such as atrial retractor and cardioplegia line etc were introduced through a mini thoracotomy Performance characteristics for conduct of totally endoscopic mitral valve repair using the da Vinci System have not been established Therefore the system should be used only by surgeons who have developed adequate robotic skills to perform the tasks associated with each procedure and who have received specific training pro
136. cus Controller Controller serial connector connector from the video cable is connected to the Console Foot Switch Rear panel of Surgeon Indicates connector Console controls for Foot Switch function Wk mg Input and Output Rear panel of Surgeon Console adjacent to Focus Controller connector Denotes where the Input Output Focus Controller serial connector from the video cable is connected to the Console OFF for part of the da Vinci System Rear panel of Surgeon Console adjacent to main circuit breakers Circuit breaker indication ON for part of the da Vinci System Rear panel of Surgeon Console adjacent to main circuit breakers Circuit breaker indication Serial Digital Input Rear panel of Surgeon Console Low level digital video input Serial Digital Output Rear panel of Surgeon Console Low level digital video output for future use ogg eo Signal Input Rear panel of Surgeon Console adjacent to ESU Foot Switch connector Indicates input from Foot Switch of ESU SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com AES see aan S Video Input Rear panel of Surgeon Low level S video input for Console future use oo S Video Output Rear panel of Surgeon Low level S vid
137. da Vinci amp Surgical System User Manual Table of Contents Intuitive Surgical Inc v P N 550120 02 Rev XB How to Use This Maule us edd tad RACE EA ACER RUP EA CORR EM ES EOS m Xt Rat Xi General Information i xii Contact Information s acy vrac iro atus ae ui TC GREC ELE A nw de b ta Re Ra LUE o CU o PETS xii General Information for U S Only llis nn xiii Essential Prescribing Information uu dos ac gc SORORE AE LACA RR CERUGUA EU nn xiii dications Tor Use SEBEBITIBDE iaceo d odor Cee ace e rac Kd Rn CI I dA own xiii Professional Instructions for Use 1 RR RR x t xiii General Precautions Warnings and Contra indications i XV Conversion to Non Minimally Invasive Technique saaana aaa XV Endoscopic Procedure Precautions ss a baw XV High Frequency Electrosurgery Precautions 9 XVi Installation and Service Precautions i xvii Transportation and Storage Precautions 446 css hr deve eevee debe a xvii International Electrotechnical Commission IEC 601 Generallnformation 00 0 RR rs xviii To remove this message purchase the SOLID CONVERTER PDF gt Moore Instrument amd Endoscope Isolation s cxceaca ch qx ox xe dox ox eR RR RR xviii Accessory Equipment Interconnection 0 0 ilem rh xviii General Requirements 2 3 2 dd accio ip dc e CR Dear el dw dar ncn ew a acl CP eee ek a xix Power Requirements i dudas er 9 rA S Sp X oro ped xx RE RE
138. e when the equipment is operated in a commercial environment This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instruction manual may cause harmful interference to radio communications Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense Rime aa The da Vinci System contains a non spillable lead acid battery pack module that is not user serviceable This battery pack must be disposed of in accordance with local regulations Contact your local Intuitive Surgical Representative for disposal information aane 1 xpi da Vinci System da Vinci System thoracoscopic laparoscopic PIAL AST da Vinci System 3D THN ee DCH Be AY il Fy surgen Console 3 Surgical Cart Vision Cart gt t CN Nm AS Hr m E fie at
139. ees ax ee ee we ee ee RA A 1 1 To remove this message purchase the SOLID CONVERTER PDF panne neui uaa te Clinical St dyo saeu eaa a s DTTTTPTIMT A 1 Study ENAPOINTS fp e TITITTSTTT A 1 Study Design Enrollment Assessment and Randomization i A 1 Randomization ReSUItS 0 ak oe od x ab dor s da OE S Porra ar auos dca CE ORO PO Ra ad A 2 Complications Adverse Events cian dac Rei noe doh or dius Cade XE cce eek 3999 OP 1 IER CR 9 A 3 Procedures CONVENED s ease eh cee RICHARD E OR EORR DOR EMER EERE RE ge Ras A 3 Table of Contents Intuitive Surgical Inc ix P N 550120 02 Rev XB Outcomes Analysis i A 4 Device Failures and Replacements 0 0 0 ee m s A 6 RISK Benefit Analysis idet qiiem ox 6 0 MERO HES acie non RUP KR LAGS ECR ura dubi dor EN A 6 A 6 Table of Contents x Intuitive Surgical Inc P N 550120 02 Rev XB Intuitive Surgical Inc xi P N 550120 02 Rev XB How to Use This Manual The da Vinci Surgical System User Manual and the InSite Vision System User Manual are intended to be used together to support the da Vinci System The da Vinci Surgical System User Manual is organized to provide you with the steps you need to get things done first then provide reference information should you decide to learn more about each task or component Chapters 2 5 provide the basic instructions for setting up using and shutting down the system Chapters 6 8 contain detailed reference
140. emove this message purchase the SOLID CONVERTER PDF pae meg pcan te bn 2 j amp P READY gt 3 AIDE SC Ait da Vinci System AR fit Ee pSAGHG RE EP TER A Bru Deer E t Note ZRBC eM FUSIUS gt edel c ARI HS as ra ii EE o iz X READY Note da Vinci System WCET ARRI ARIE EAEE te ek LSPS gt itx Le Saad PAUSUS Start up in progress Please wait Press STAND BY to abort
141. eo signal i Console output C Chrominance Rear panel of Surgeon Low level video signal Console CAMERA Camera Control Surgeon Console Foot If the pedal is depressed Switch Assembly and held down the Masters disconnect from Instrument Arm control and connect to the Camera Arm CLUTCH Clutch I nstrument Arm Surgeon Console Foot If the pedal is depressed Swap pedal Switch Assembly and held down both Masters disconnect from all Instrument Arms COAG Coagulation Function Surgeon Console Foot Operable only if an Switch Assembly appropriate compatible ESU is connected to the Console EPO Emergency Power Off Surgeon Console Power Instantly disables the da Supply Vinci System including the control electronics and Stereo Viewer CAUTION To Power On after an EPO turn off the main circuit breaker for 30 seconds L Left Rear panel of Surgeon Indicates left Stereo Viewer Console signal for 3D video SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com Asi diu IAS WERE R Right Rear panel of 9urgeon Indicates right Stereo Console Viewer signal for 3D video S1 Surgeon Console to Rear panel of Surgeon Indicates connection Surgical Cart Cable 1 Console location for cable S2 Surgeon Console to Rear panel of Surgeon Indicates connec
142. gency Stop states 8 1 EtO Sterilizition reference information 7 2 F FAULT OVERRIDE button 6 5 Faults Loss of Power 8 3 Non recoverable 8 2 Recoverable 8 2 reference information 8 1 Focusing the video image 4 3 Follow mode 3 11 Foot Switches Camera 6 14 Clutch 6 14 Focus 6 15 G Guided Tool Change 4 10 H Head Sensor Reference information 6 10 Homing 2 5 SOLID CONVERTER PDF mete l Icons Reference information 6 12 8 4 8 11 InSite Vision System General overview Vision System General Overview 1 6 Instrument Arms attaching cannulae 3 4 Clutching 4 8 Connecting cannulae 4 7 Draping 3 2 overview 1 4 Reference information 6 16 Removing sterile adapters 3 3 Removing the Cannula Mount 5 1 Intuitive Surgical Inc Index 3 P N 550120 02 Rev XB Removing the Sterile Adapters 5 1 Sterile Adapter compatibility 3 13 Swapping 4 5 Instruments 7 1 Automated insertion 4 10 Cleaning 7 1 Clip Appliers Loading and firing 4 15 Emergency grip release 4 13 Limited Reuse and Expiration indication 6 22 Manual insertion 4 10 Placement and removal 4 9 Reference information 6 19 6 22 Removal 4 11 1 To remove this message purchase the SOLID CONVERTER PDF pee meg priae te Scalpel blade insertion instructions 4 14 Tool Reader button 6 10 Tool Reader mode 4 14 Usage summary display 5 2 Using a blade protector 4 12 L Loss of Power 8 3 M Main circuit breakers 2 2 Masters
143. his message purchase the product at www SolidDocuments com 5 SOLID User Switch Panel User Switch Panel da Vinci System qe 1H E SYSTEM On Off XE US da Vinci System 1 On 2 3 B Off amp amp SYSTEM Site SIRE TREUTISRREZRZ RE SC Pa Am da Vinci amp System aks gt ARB TERR E RRR LBE BUSES SETAE da Vinci System iz F SYSTEM E FER OFF
144. i iced de edo edad oe SO abeo 6 7 Disabling an Auxiliary Instrument Arm ax acera ce IRR eee aE CE RE 6 8 Viewing Auxiliary Arm Information use ord eee m en hg qo cac ec c c e es 6 8 Other Controls on the Surgeon Console iss sezkka e 9px R4 X AERE ACE ROCA DO RO n RR 6 10 Head Sensor tata oe 0 doe ES Oe ee Ae Oe OE e 6 10 Viewer Height qux ERX RERO XR CROACIE REY EER as Rik PE Rw es 6 10 Intra ocular Spacing Adjustment a xp susc ERE X EXTA Le che rhe NEG Y hd eke hae ahs 6 11 gt To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te Audio Intercom System Volume Adjustment i 6 11 Brightness and Contrast Adjustment sssaaa cece nnn 6 11 Foot SW lee See ere ee eee a E NUS OS eT SS Ex PRO Se dares d deu 6 14 Table of Contents viii Intuitive Surgical Inc P N 550120 02 Rev XB Camerata cise eck eine 0 oh kee Pie Se ee ees pee et ae ee ae Oot ae 6 14 UnlaGelede TITSTTITILTCUTTI tto ws we ON a TET BL ea eee he ee 6 15 Surgical Cat ss PTT ITTTTTTTP 6 15 eun c PUMP 6 15 Instrument ATMS 0 0000 0c hihi eens 6 16 Camera Alie o 20 405 c 62nd Sot ed Oe Bee ee hem eer eee hatter eee a 6 16 Auxiliary Arm an ee wae ore ee ae eet a a een Gre ee ee ae eae ee 6 16 Moving the Auxiliary Arm Z axis x iux bake ew ORE ET eK EZ Gee ew LEX 6 17 Collision Detection e iuga 2 ORC DEERE ARK REE ER OEE Os eh P RUE EE 6 18 Excessive Force Detection naaa aa aaa aa
145. ig Oh ARH REREA gt EG E ACNE RAE AE T5 ESRAH fre al HLA FAULT OVERRIDE 3 tea ER n pu REB PENTIR ERLE URS ETAR Se SRS S RISE BEZA gt SE SCPE ARATE A PR Re PITAL RRA ad CT E
146. igure 3 10 3 zi gs RAT EUR 6 WLDEITBEBUURGEXE TERRES HAERERE 7 ep BS Ee EAS Gk Re Dee EAL FS o 8 Figure 3 11 3E PRG E EE Note ZH gt RETUIEIE TRO A ECB ERE ESAE IPA gt HERESY gt Ej or DL EBEE a TUR SOLID CONVERTER PDF Pme tenesa te 9 IERGTHEGOBESHEUHEE ENSURE ATER es Pe Ame 10 ERREEN RR 11 pi 12 3 5 3 8 Aon REET SE 13 JEFES REED SUE SE AT eR PIOS 3 5 HB TEES SERO URSEERNIESGUH c AR PN eee DUREE o REAA l 2 TEBE THE SHEURTUTPAT DR EU CS TE RS VATI
147. information about the components how to clean and maintain them and information on how the system intelligence functions The final sections gt i To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te contain a glossary a clinical appendix describing results from clinical trials and an index A brief description of each chapter is provided below Front Matter the chapter you are reading now This section contains regulatory and safety information that must be read by every user of the da Vinci System Examples include details on general precautions precautions specific to procedures power information and so on Chapter 1 I ntroduction to the da Vinci System Chapter 1 provides a basic overview of the system including high level information on the components and a brief description of how the system is used as well as features and benefits Chapter 2 Setting Up the da Vinci System for Surgery This chapter offers step by step instructions for preparing the da Vinci System for surgery The task oriented steps include instructions for orienting and connecting the components with cabling and how to power up the system Chapter 3 Draping the da Vinci System Chapter 3 explains how to drape the system how to connect the camera endoscope assembly and how to calibrate the camera and endoscope Chapter 4 Using the da Vinci System During a Procedure Chapter 4 describes step by step use of the da
148. ion System User Manual To remove this message purchase the c3 C LI D gt product at www SolidDocuments com Es Doe HEURE TE 3D Ailsa BREE HS Er SERT o ES Y REDRSODRI ARES ERK d FE BERE SER SB Pas OSA SE EIE PTT l SERA ALEC EE IBS o 2 ZEA TIS UEDA EASE BE gt 3 SCOPE ANGLE GE pH gt E STRAIGHT E UP gt F DOWN gt PERH UP SCOPE STRAIGHT DOWN Figure 3 17 SCOPE ANGLE nii LED dT SEAR THERE a EET RUSO DR TEST NC camera calibrate Figure 3 18 TEST IMAGE sieve ayes 5 ERIR gt TEST IMAGE HAJAS a5 ied ER FP EUH PREXESEUEUS Ee TERGDSRGERT HBL OR BOE BEE o Note TEST IMAGE Note TEST IMAGE
149. nel E AH zl Color coded Cable Ends and Connectors Surgical Cart Cable Connections Figure 2 1 Cable Connection Locations Note
150. on the Foot Switch Assembly that has a specific function Located at the base of the Surgeon Console containing all of the foot controls Infrared sensor on either side of the View Port of the Surgeon Console located above the Stereo Viewer See Light Source Any one of several tools used to effect the procedure in the patient once attached to an instrument arm and inserted into the patient Instruments include for example Large Needle Drivers DeBakey Forceps and Round Tip Scissors The arms on the outer Set up Joints of the Surgical Cart that manipulate the instruments according to surgeon s movement of the Masters Light emitting diode Endoscopic illumination system In the da Vinci System there are two light sources Together they provide illumination inside the body for vision The control arms and grips in the Surgeon Console that the surgeon grasps and moves The surgeon s movements are translated to the instruments and camera attached to the Surgical Cart arms Minimally Invasive Surgery To remove this message purchase the product at www SolidDocuments com MTM Master Tool Manipulator Refers the Masters on the Surgeon s Console Notes User information to emphasize an important point Pedal Click The act of quickly tapping a foot switch at the Surgeon s Console to alter configuration The pedal click is used with the Clutch foot switch to swap control between instrument arms and with the Camera f
151. on time 12 minutes Process temperature 50 56 C Total processing time 30 minutes Note Please consult the Steris System 16 Sterile Processing System Operators Manual for detailed instructions for use Note fet aera UG TE Bons RU al s ERR ITER Note CAUTION ILE Intuitive Surgical da Vinci System Intuitive Surgical nul gt i To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te Chapter 8 Aways S pes Ke Ratte eH LE RR 2 AC 7G AURI EASES gt HEC CASS gt REE
152. oot switch to toggle between Narrow 3D and Wide 2D angle views PSM Patient side manipulator instrument arm and respective Set up Joint READY A button on the User Switch Panel of the da Vinci System used to change the da Vinci System state Scope Endoscope Screen The monitor display located on the Stereo Viewer and or the Assistant Monitor Setup Joint The joints on the Surgical Cart that support the instrument arms and the camera arm These joints are used to set up the initial positions of the arms on the Surgical Cart STANDBY A button on the USP to put the da Vinci System into the Stand By mode Stereo Viewer The fixed eyepiece located on the Surgeon Console where the surgeon looks to see the 3D image Sterile Adapter Interface device that allows the sterile barrier to be maintained between the camera arm and the endoscope or the instrument arm and the instrument attached to the arm There are various types of Sterile Adapters a Sterile Camera Adapter Sterile Camera Arm Adapter and an Instrument Sterile Adapter They are not interchangeable Sterile Adapter An adhesive strip on the drape that is adhered to the Sterile Reinforcement Adapter Surgeon Console The part of the da Vinci System consisting of a structure that supports the Masters and the 3D Viewer The Surgeon Console also houses most of the electronics of the complete da Vinci System and the power supply and battery gt i To remove this message
153. own the SVSLtem uaa REOR GRO E eee ee SO eR REG E AURORA RE E RR 5 1 Preparing Tor ShUtdOW N ss saco dur Soins e wea VE rU SERES poaa REE hw a Oed 5 1 Instrument Usage Summary Display ssseeeee mmn 5 2 SMUtdOWMPrOCESS a xo qur xu 3 d alae ee NU c IA KORE E ea Neto e aeo Wet ER Ub Ape RARE ES 5 3 Conversion to Open SUMGCIVs i wick OC Rm Ue REO I S ied eR GOW dR LOOSEN EN LORDS EM 5 4 Chapter 6 Understanding the da Vinci SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com Components esee nnn nnn 6 1 Surgeons CONSUIG esses pesi erreti dei pEi ei penu e EE EATER Iu herders M Red E iru Gn E 6 1 Controls and Indicators uices Ceo Re kt eC rca f n T e n 6 1 User Interface Panel UIP and User Switch Panel USP lssse RI 6 2 User Switch Panel Mode Control uu xu coe baa rad xxu URA REX Eur RE Rad ROGCOR S d 6 3 SYSTEM TORO TD s a auci aeg de Robe dio ede ca cc dedo edo lE o roe db da oen Ro wee Ae a 6 3 6 4 User Interface Panel Controls and Indicators l l 6 5 Systenm StalUS RR E ETE TS TOT TIS TT DIL LATIO DOT TETTE 6 5 SCALING co rares e ea a E E a g E a a a a Ra ER E a 6 5 SCOPE ANGLE 12545 e n OR ek eee oe ee d eee es oec e dcin e dU 6 5 DISPLAY a so ss 6 6 CANNULA Ss sei sre Do 6 6 CAMERA CALIBRATION cs x uto Dee eg S ER BR C eC RR Ce IR ee ES 6 7 SELECT MASTER s 55 ait Scire odo ERNE douce ioca dod
154. purchase the SOLID CONVERTER PDF tants meu uae te Surgical Cart The part of the da Vinci System that is located on the patient side and consists of the column that supports the Set up Joints that in turn support the instrument and camera arms Surgical Cart Arms The arms that are components of the Surgical Cart two or three instrument arms and one camera arm depending on the system UIP User Interface Panel The set of buttons and LEDs located on the left side of the Surgeon s Console as you face it User Interface The controls located on either side of the armrest of the Surgeon Console that are used to command the da Vinci System The User Interface consists of the User Interface Panel and the User Switch Panel USP User Switch Panel The set of buttons located on the right side of the Surgeon s Console as you face it View Port The area on the Surgeon Console that includes the View Port Stereo Viewer and infrared Head Sensors WARNING High level of concern Failure to heed a warning could result in harm to a patient gt To remove this message purchase the SOLID CONVERTER PDF panne meu uae te Chapter 10 Rips gt 1 gt te flit fundoplication 9 i aK TE ESE pl MF DRE di
155. rceps pick ups needle holders endoscopic retractors stabilizers electrocautery and accessories for endoscopic manipulation of tissue including grasping cutting blunt and sharp dissection approximation ligation electrocautery and suturing during general laparoscopic surgical procedures general non cardiovascular thoracoscopic surgical procedures and thoracoscopically assisted cardiotomy procedures It is intended to be used by trained physicians in an operating room environment in accordance with the representative specific procedures set forth in the Professional Instructions for Use Professional Instructions for Use General The da Vinci System is intended to assist in the accurate control Indication for of Intuitive Surgical Endoscopic Instruments including rigid Use endoscopes blunt and sharp endoscopic dissectors scissors scalpels forceps pick ups needle holders endoscopic retractors stabilizers electrocautery and accessoriesfor endoscopic manipulation of tissue including grasping cutting blunt and sharp dissection approximation ligation electrocautery and suturing Representative The da Vinci System has been successfully used in the Uses following procedures among others e General laparoscopic surgical procedures such as cholecystectomy Nissen fundoplication radical prostatectomy Heller myotomy gastric bypass donor nephrectomy adrenalectomy splenectomy and bowel resection e General non cardiovas
156. rs General overview 1 2 Repositioning the Camera Scope image 4 3 Selecting the endoscope angle 4 2 Setup procedures 2 1 2 2 Main breakers 2 2 1 To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te Positioning 2 1 Startup 2 5 2 6 Stereo Viewer General overview 1 2 Switching from 3D to 2D 4 3 User Interface Panel 6 2 User Switch Panel 6 2 Viewer Height adjustment 6 10 Surgical Cart Camera Arm overview 1 5 Reference information 6 16 Cannula Insertion and Connection 4 6 Cleaning 7 1 General overview 1 4 1 5 Instrument Arms overview 1 4 Reference information 6 16 Setup Connecting system cables 2 2 Positioning 2 2 Setup Joint overview 1 4 Reference information 6 15 Startup 2 5 2 6 Symbols Reference information 8 4 8 11 SYSTEM button Reference information 6 3 Using for shutdown 5 3 System Status indicators Alarm 6 5 Critical Error 6 5 r I To remove this message purchase the SOLID CONVERTER PDF pae meg pcan te Fault Override 6 5 Silence Alarm 6 5 Intuitive Surgical Inc Index 5 P N 550120 02 Rev XB T TEST IMAGE button Reference information 6 7 Using for calibration 3 9 TOOL READER button Reference information 6 10 Tool Reader mode 4 14 Twist lock Cannulae Attaching to instrument arms 3 4 U Usage Summary Display 5 2 User Interface Panel Example 6 2 READY button 6 4 STAND BY button 6 4 Status Indicators Camera Signal Loss 6 4 Power
157. signed for delicate cutting of tissue Round Tooth Forceps Designed for atraumatic grasping of tissue Black Diamond Micro Forceps Has a delicate instrument tip and is designed to grasp smaller needles as well as tissue Cadiere Forceps Designed for atraumatic grasping of tissue Cautery with Spatula Designed for blunt dissection and the application of cautery EndoWrist ProGrasprM Tissue grasper with greater grasping force than the Cadiere Forceps Cichon Tissue Forceps Designed for atraumatic grasping of tissue The Cichon Tissue Forceps provide similar capabilities as the DeBakey Forceps but with a much smaller instrument profile that increases the surgeon s exposure to the surgical site SOLID CONVERTER PDF een EndoWrist PreCiserM Bipolar I nstrument This is a fully articulating instrument that provides precise electrocautery and hemostasis Designed for atraumatic grasping of tissue and the application of bipolar cautery Ultrasonic Shears Designed for the rapid ligation and transection of tissue EL IZ FS TE Ras ACHE gt Intuitive Surgical BG
158. sii naaa aa a as RUE RR EA ROS ORO OR RCACR ROROA ee OR RC 4 1 Selecting Port Locations 23 3 px radon age oad dhe E Tor eden 373 ans ap Url Jed dci Rede Jan 4 1 Using The Surgeons Console duoi eau qose RES RICE ne SOR eRe te bete e tab 4 2 Adjusting the Console for Comfort 0 eee ra 4 2 Working with the Video Imate isis sguiisnk ERR AR eed Madea ddeka dees een saws ward 4 2 Selecting the Scope Angle ccc cca cae oad ba kk ak ee eee ee 4 2 Switching Display from 3D to 2D c ua cds one dee shade edd Raid ae Be eae wen 4 3 Focusing the Video Image onua oe aw oe ROC R oh el he a A ae a ee o t 4 3 Repositioning the Camera Scope IMage kk ee eee eee nae 4 3 Camera Orientation Line a curi aca rede cro Bex a Ried ae ae ear aoe ae aban c n RR CR eae 4 4 Using the Auxiliary Instrument Arm asc uu betes yo ERREUR HET ROS RET XRS PreSorT ES dob Eres 4 4 Operating the MasterS nnna uaaa AERE o RR IRURE ULCUS o Udo CR Sap UR he 4 5 Repositioning the Masters cok ev dcc dL Oe XX aC e ROC aee ede he ee RO RC d 4 5 i PP 4 5 Working with the Surgical Cart 23 2 4 3 4 1rd ara Gada Roe E Cero Sor x3 iad x Foe aa 4 6 Cannula Insertion and Connection l iiie ass 4 6 Selecting the Cannula Length 0 0 cc hm rr 4 6 Camera Cannula Connection to Camera Arm 1 4 7 Instrument Arm Cannula Insertion and Connection l ille 4 7 Option 1 Instrument Arm Cannula
159. st 2 5 Start up Sequence indicator 6 4 Stereo View Index 4 Intuitive Surgical Inc P N 550120 02 Rev XB Brightness and Contrast adjustment 6 11 Stereo Viewer DISPLAY button 6 6 Focusing the video image 4 3 General Overview 1 2 Message and Icon locations cons Display locations 8 12 Switching from 3D to 2D 4 3 Sterile Accessories Example 3 1 Preparing 3 1 Sterile Adapter compatibility matrix 3 13 Sterile Adapters Attaching to drapes 3 2 Reference information 6 19 Removing 5 1 Removing from Instrument arm 3 3 Sterile Camera Adapter Attaching to the Camera Head 3 8 Removing from Camera Arm 5 1 Sterile Camera Arm Adapter Attaching to Camera Arm 3 7 Sterilization Autoclave To remove this message purchase the SOLID CONVERTER PDF pae meg priae te Reference information 7 3 Steris Reference information 7 3 Sterrad Reference information 7 3 Sterilizition EtO Reference information 7 2 Steris Sterilization reference information 7 3 Sterrad Sterilization reference information 7 3 Surgeon s Console 7 1 Adjustment for comfort 4 2 Audio Intercom System volume adjustment 6 11 Brightness and Contrast adjustment 6 11 Controls and Indicators General overview 1 2 1 3 Reference information 6 1 6 15 Emergency Power Off button 6 11 Focusing the video image 4 3 Foot Switches 6 14 General Overview 1 2 Head Sensor Reference information 6 10 I ntra ocular Spacing Adjustment 6 11 Maste
160. struments Indicates instrument meets the requirements for a CF applied part i To remove this message purchase the SOLID CONVERTER PDF pae meg pcan te IX JH ER ell LI DACH MIRE V Equipotential Terminal Rear panel of Surgeon Console base of Surgical Cart and base of Vision Cart Terminal for connecting Console or Cart to an equipotential point e Focus Controller Focus Controller Box Indicates where Focus Control Cable is inserted into the Focus Controller Focus Out Surgeon Console Foot Moves focus of endoscope Switch Assembly and on in negative direction Vision Cart Focus Controller Focus In Surgeon Console Foot Moves focus of endoscope Switch Assembly and on in positive direction Vision Cart Focus Controller Flush Port On instruments adjacent Indicates connection point to Flush Port for flushing instrument S N Serial Number gt To remove this message purchase the SOLID CONVERTER PDF panne meu uae te FFI IX JR ell A MIRE ES BIET Composite Output Rear panel of Surgeon Console Low level composite video output for future use Focus Rear panel of Surgeon Denotes where the Console adjacent to Input Output Focus Fo
161. tion Surgical Cart Cable 2 Console location for cable 3 Surgeon Console Rear panel of Surgeon Indicates connection Surgical Cart Cable 3 Console location for cable S4 Surgical Console Rear panel of Surgeon Indicates connection Surgical Cart Cable 4 Console location for cable SYSTEM Instrument control Rear panel of Surgeon Controls main power to the system circuit breaker Console next to the da da Vinci System only not Vinci System circuit the Stereo Viewer breaker VIEWER Stereo Viewer circuit Rear panel of Surgeon Controls main power to the breaker Console next to Stereo Stereo Viewer only Viewer circuit breaker Y Luminance Rear panel of Surgeon Low level video signal Console Aa dix EE SURGICAL CART P1 Surgeon Console to Rear of Surgical Cart Indicates connection Surgical Cart Cable 1 location for cable P2 Surgeon Console to Rear of Surgical Cart Indicates connection Surgical Cart Cable 2 location for cable P3 Surgeon Console to Rear of Surgical Cart Indicates connection Surgical Cart Cable 3 location for cable P4 Surgeon Console to Rear of Surgical Cart Indicates connection Surgical Cart Cable 4 location for cable RIA Connector designation Non user serviceable For Intuitive Surgical for Intuitive Surgical cables on the Surgical Service personnel only Service personnel only Cart SOLID CONVERTER PDF To remove this message purchase the product at www SolidDocuments com IX J E
162. ton 3 9 Camera Adjusting with the Camera Orientation Line 4 4 Attaching to the Camera Arm 4 17 Calibrating 3 9 Repositioning the Camera Scope image 4 3 Camera Arm Attaching the Camera Cannula Mount 3 6 Attaching the Sterile Camera Arm Adapter 3 7 Attaching Removing the Camera Endoscope 4 17 Cannula connection 4 7 Clutching 4 8 Draping 3 5 overview 1 5 Reference information 6 16 Removing the Cannula Mount 5 1 Removing the Sterile Camera Adapter 5 1 Camera Cannula Mount Removing from the Camera Arm 5 1 CAMERA Foot Switch Using to reposition the Camera Scope image 4 3 Camera Head 3 7 Attaching to the endoscope 3 8 Camera Orientation Line Using to adjust the camera 4 4 1 To remove this message purchase the SOLID CONVERTER PDF pants neu uaa te Camera Signal Loss indicator 6 4 Camera Sterile Adapter Attaching to the endoscope 3 7 CANNULA button Reference information 6 6 Selecting the Cannula Length 4 6 Cannula Mount Attaching the Camera Cannula Mount 3 6 Attaching to instrument arms 3 4 Removing from the Instrument Arms 5 1 Cannulae Attaching the Camera Cannula Mount 3 6 Attaching the Cannula Mount 3 4 Attaching to Instrument arms 3 4 Attaching Twist lock Cannulae 3 4 Connecting the Camera Cannula to the Camera Arm 4 7 Connecting to the Instrument Arms 4 7 Inserting and Connecting 4 6 Selecting the Cannula Length 4 6 Cleaning 7 1 Accessories 7 1 Sterilazation and Cleaning matrix 7 2
163. ustment of the instrument or camera arms CLUTCH noun A Foot Switch pedal used to control Master Clutching and as part of the pedal click to swap control of an instrument arm to the auxiliary instrument arm if available B PSM or ECM button that allows clutching of the PSM or ECM COAG Foot Switch pedal to control Coagulation Console See Surgeon Console DANGER The highest level of concern Failure to heed a DANGER warning can result in injury to a patient Drape Clip A reusable accessory that reinforces the interface between the adhesive strip on the instrument arm drape and the instrument arm Sterile Adapter gt i To remove this message purchase the SOLID CONVERTER PDF pants neu uae te ECM ESU Endoscope Endowrist amp Instruments Emergency Stop State Faulting Foot Switch Foot Switch Assembly Head Sensor Illumination System Instrument Instrument Arms LED Light Source Master MIS SOLID CONVERTER PDF Endoscopic Camera Manipulator This acronym refers to the camera arm Electrosurgical Unit or Electrosurgical Generator Unit An instrument used for the examination of the interior of a canal or a hollow space also called a scope Instruments with a wrist located near the tip A state where the motors of are turned off and a screen message is sent to the user The transition from a working state to either a soft locked or dampened state A pedal or switch located
164. vided by Intuitive Surgical Inc in the use of this device WARNI NG The friable nature of pulmonary tissue enhances the risk of vascular bronchiolar or other injury that will be difficult to control when using this device Published clinical experience as well as clinical studies performed to support this marketing clearance have demonstrated that even surgeons considered expert in laparoscopy thoracoscopy have substantial learning curves of 10 to 12 cases Therefore the system should be used only by surgeons who have developed adequate robotic skills to perform the tasks associated with each procedure and who have received specific training provided by Intuitive Surgical Inc in the use of this device HSV hi SEE C Dis xe SCPE Ast da Vinci amp System Ay se H1 E38 iD FAAP RIT OFS NAR tUe US Any and all relative and absolute contra indications to endoscopic surgical technique applicable to the use of conventional endoscopic surgical instruments apply to the use of the da Vinci System General non procedure specific contra indications to endoscopic surgery include bleeding diathesis morbid obesity and pregnancy petra Es Non Minimally Invasive CAUTION SERESA da Vinci System WAV THER So

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