Project Overview
The Next Frontier for Minimally Invasive Surgery.
The da Vinci® Xi™ Surgical System is an advanced tool for minimally invasive surgery. It acts as a natural extension of a surgeon's eyes and hands, through a combination of cutting-edge robotics, 3D stereoscopic vision, and intuitive human-interface controls. Seated at the ergonomic da Vinci console, the surgeon has 3D high-definition vision of the surgical field, with magnification 10x greater than the human eye. Intuitive hand controls allow the surgeon to operate with enhanced precision, dexterity and control, using tiny wristed instruments that bend and rotate far greater than the human hand. The da Vinci Surgical System's unique human to machine synchronization – called 'following' – fosters a state of proprioception, a sense of the system being an extension of the surgeon's body. Via this model, the surgeon operates from a comfortable seated position with steady, natural motion and control.
Project Team
The da Vinci Surgical System should only be used by surgeons and staff who have received specific training in the use of the da Vinci Surgical System. Prior to using any training materials, refer to the da Vinci Online Community to ensure you are using the most up to date revision and that the software version of the training matches the. DA VINCI XI® SYSTEM FIRST ACCESS ACCESSORIES 1 Based on disposable accessory prices 2As compared to a bladeless obturator WARNING: Monopolar energy should not be used when the da Vinci Xi 8 mm endoscope is introduced through the 12 mm & Stapler cannula while using a 12-8 mm reducer (PN 470381-09 or lower version). In the case monopolar energy is used, only use a da Vinci Xi 12-8 mm. Start studying Da Vinci Xi. Learn vocabulary, terms, and more with flashcards, games, and other study tools. System's central connection point where the system and auxiliary equipment connects are routed. Must be plugged in with Da Vinci cable. 2nd or bottom receptacle. Da Vinci Platform Evolution da Vinci Si. Dual Console option da Vinci S. 3D HD Vision 2009 2006 1999 da Vinci.Robot-assisted MIS.Introduction of 4th arm (2003) da Vinci Xi. Multi-quadrant access. “Chip-on-tip” 3D HD vision 2014. SINGLE PORT SURGERY (FUTURE RELEASE). PATIENT-SIDE SKILLS. INTEGRATED ENERGY. TABLE. Session remains active until the da Vinci System is powered off or the network connection is no longer available. If an Intuitive da Vinci Field Service Engineer is required to retrieve data from the da Vinci System, a manual connection is established with the OnSite server. A request is then initiated to communicate with a specific da Vinci. Greater strength, since it was a manual system at the time. Vinci Xi Surgical System, the drape pouch attached to the sterile adapter may Refer to the da Vinci Xi System User Manual for more information on draping.
Mike Hanuschik
The da Vinci Xi Surgical System is not cleared for use in transoral otolaryngology surgical procedures and is not specifically cleared for use in prostatectomy. It is cleared for use in urologic surgical procedures. Serious complications may occur in any surgery, including da Vinci Surgery, up to and including death.
Intuitive Surgical Engineering Team
Scott Waters
Fred Bould
Anson Cheung
Jaime Caso
Da Vinci Xi Instrument Catalog
Project Images
The Next Frontier in Minimally Invasive SurgeryThe da Vinci Xi Patient Cart
Empower the SurgeonThe da Vinci Xi Surgeon's console.
Guided SetupThe new da Vinci Xi architecture features guided setup features and laser targeting to facilitate ease of use.
Beyond the LimitsThe da Vinci Xi System features a breakthrough human to machine interface which serves as an extension of the surgeon's eyes and hands.
Complex Systems Should Not Feel Complex to Use.A re-imagined user interface guides and streamlines the user experience.
Innovation at ScaleThe da Vinci Xi Endowrist Vessel Sealer.
Project Details
The Challenge.
Despite helping the surgeon navigate with dexterity and precision inside the body, computer-assisted surgical systems face unique design challenges outside the body. In developing the da Vinci XiSystem we worked to overcome this and seek solutions for the following challenges:
GIVE SPACE BACK TO THE SURGICAL TEAM: Computer-assisted surgical systems can take up valuable space in the operating room (OR) and decrease bedside access to the patient. We wanted to reduce the footprint of the da Vinci Xisystem without sacrificing functionality.
EASE OF USE FOR THE BEDSIDE STAFF: Complex systems should not feel complex to use, especially in a surgical environment. With da Vinci Xi we wanted to streamline interactions and make setup easier.
EMPOWER THE SURGEON: Surgeons are trained to be the captains of the OR, but working at the console puts them a distance away from their team. The da Vinci Xi System needed to improve surgeons' communication and further extend their vision and reach.
Problems and Solutions.
1.Space is always at a premium in the operating room (OR). Previous versions of the da Vinci System required the robot to be pulled right up to the patient, which rendered a significant portion of the patient-side inaccessible to surgical teams. To improve access, the da Vinci Xi System utilizes a new boom architecture that extends system reach and frees up space near the patient. Because the boom can extend and swivel about its shoulder, it creates more options for cart placement and layout. This solution gives needed space back to the surgical teams
2.Complex systems should not feel complex to use. For the da Vinci Xi System, designers took care not to overly 'digitize' the product but instead to encourage a direct, intuitive, and uniquely 'analog' model across most of the system's core interactions:
•Carbon color-accents identify key touch points on the system.
•A breakaway clutch enables users to grasp the system, then unlock and move the arms, without being aware of the complexity of that sequence.
•A robust cart drive allows users to position an approximately 1,800-pound system without being aware of its weight.
The clean and reduced design language elegantly communicates the use of a highly capable system. The new interface also offers guided setup and surgical site targeting, to optimize configuration for the specific procedure.
3.SURGEONS are trained to be the captains of the OR, but working at the console puts them a distance away from their staff. The da Vinci Xi System brings them closer through a re-engineered audio link with better microphone placement and clearer sound.
Because the system acts as a natural extension of a surgeon’s eyes and hands, designers also worked to improve the vision and reach. A new vision-architecture allows surgeons to see anatomical structures with crystal-clear 3D HD definition. The arms are thinner and the instruments are longer, enabling greater reach for the da Vinci Xi System both inside and outside the body.
Hydraulic vise, downfeed, and bow return make production runs more efficient. Band saw bs-20sa-dm user manual download. Cast iron bow resists vibrations and helps to ensure a high-quality cut.
The User.
The da Vinci Xi System serves to empower surgeons. It extends their eyes and hands and allows them to sit, not stand, during a procedure - helping them avoid the fatigue associated with traditional laparoscopic surgery.
But surgeons are not the only users. The design also addresses the specific needs of the patient-side staff with a greatly improved workflow.
Finally, the greatest benefit goes to patients who experience the reduced pain and quicker recovery times which come with choosing MIS.
Impact.
The da Vinci Surgical System is the only commercially viable product of its kind in the world.
Over the last decade, the da Vinci platform has brought computer-assisted minimally invasive surgery to more than 2.5 million patients worldwide. It is used in major centers in the United States, France, Italy, Germany, Spain, South Korea, Japan and many other countries around the world.
The da Vinci Xi System has opened the doors to procedures previously underserved by computer-assisted surgery. We continually perform human factors assessments to improve processes and solutions in pursuit of providing a minimally invasive option to those patients who can benefit from it.
View More Information
The Indications for Use statements below are for customers within the United States. Customers outside of the US can visit the Intended Use page or contact their local distributor or nearest Intuitive Surgical office for additional information.
da Vinci Xi® Surgical System
Da Vinci Xi System User Manual For Self Testing
The Intuitive Surgical Endoscopic Instrument Control System (da Vinci Surgical System, Model IS4000) is intended to assist in the accurate control of Intuitive Surgical Endoscopic Instruments including rigid endoscopes, blunt and sharp endoscopic dissectors, scissors, scalpels, ultrasonic shears, forceps/pick-ups, needle holders, endoscopic retractors, electrocautery and accessories for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection, approximation, ligation, electrocautery, suturing, and delivery and placement of microwave and cryogenic ablation probes and accessories, during urologic surgical procedures, general laparoscopic surgical procedures, gynecologic laparoscopic surgical procedures, general thoracoscopic surgical procedures and thoracoscopically-assisted cardiotomy procedures. The system can also be employed with adjunctive mediastinotomy to perform coronary anastomosis during cardiac revascularization. The system is indicated for adult and pediatric use. 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.
da Vinci S®, Si-e® and Si® System Models
The Intuitive Surgical Endoscopic Instrument Control Systems (da Vinci, da Vinci S and da Vinci Si Surgical Systems Models IS1200, IS2000, IS3000) are intended to assist in the accurate control of Intuitive Surgical EndoWrist Instruments including rigid endoscopes, blunt and sharp endoscopic dissectors, scissors, scalpels, ultrasonic/harmonic shears, forceps/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, suturing, delivery and placement of microwave and cryogenic ablation probes and accessories, during urologic surgical procedures, general laparoscopic surgical procedures, gynecologic laparoscopic surgical procedures, transoral otolaryngology surgical procedures restricted to benign and malignant tumors classified as T1 and T2 and for benign base of tongue resection procedures, general thoracoscopic surgical procedures, and thoracoscopically assisted cardiotomy procedures. The system can be employed with adjunctive mediastinotomy to perform coronary anastomosis during cardiac revascularization. The system is indicated for adult and pediatric use except for transoral otolaryngology surgical procedures. It is intended for use by trained physicians in an operating room environment in accordance with the representative, specific procedures set forth in the Professional Instructions for Use. The safety and effectiveness of this device for use in the treatment of obstructive sleep apnea have not been established.
da Vinci S®, Si-e® and Si® – TransOral Robotic Surgery (TORS)
The da Vinci S, Si-e, and Si Systems are indicated for transoral otolaryngologic surgical procedures restricted to benign and malignant tumors classified as T1 and T2 and for benign base of tongue resection procedures. The safety and effectiveness of this device for use in the treatment of obstructive sleep apnea have not been established. These da Vinci® Systems are not indicated for pediatric transoral otolaryngology surgical procedures. The performance characteristics of the da Vinci Surgical Systems have not been established in patients with: poor mouth openings (< 1.5 cm), advanced tumors (e.g., invading the mandible, abutting the carotid artery, requiring bone resection, etc.), dental surgery (i.e. tooth extraction).
da Vinci®SP™ Surgical System
da Vinci®SP™ Surgical System, Model SP999
The Intuitive Surgical Endoscopic Instrument Control System (da Vinci®SP™ Surgical System, Model SP999) is intended to assist in the accurate control of Intuitive Surgical EndoWrist®Sp™ Instruments during urologic surgical procedures that are appropriate for a single port approach. The system is indicated for adult use. It is intended for use by trained physicians in an operating room environment in accordance with the representative, specific procedures set forth in the Professional Instructions for Use.
EndoWrist®Sp™ Instruments
Intuitive Surgical EndoWrist®Sp™ Instruments are controlled by the da Vinci®SP™ Surgical System, Model SP999, and include flexible endoscopes, blunt and sharp endoscopic dissectors, scissors, forceps/pick-ups, needle holders, endoscopic retractors, electrocautery and accessories for endoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection, approximation, ligation, electrocautery, and suturing through a single incision laparoscopic approach. The system is indicated for urologic surgical procedures that are appropriate for a single port approach. The system is indicated for adult use. It is intended for use by trained physicians in an operating room environment in accordance with the representative, specific procedures set forth in the Professional Instructions for Use.
The safety and effectiveness of this device for use in the performance of general laparoscopic surgery procedures have not been established. This device is only intended to be used for single port urological procedures with the da Vinci EndoWrist Sp Instruments and the da Vinci Sp Surgical System (SP999).
da Vinci®Single-Site®
The Intuitive Surgical®da Vinci®Single-Site® Instruments and Accessories used with the da Vinci®Si Surgical System (IS3000) are indicated for use by trained physicians in an operating room environment for endoscopic manipulation of tissue, grasping, cutting, blunt and sharp dissection, approximation, clip-ligation, electrocautery and suturing during single incision laparoscopic cholecystectomy, benign hysterectomy and salpingo-oophorectomy with the da Vinci Single-Site Instruments and Accessories, including graspers, dissectors, needle drivers, scissors, suction irrigators, monopolar cautery, bipolar cautery, 5 mm curved cannulae, 5 mm and 10 mm straight cannulae, flexible blunt obturators, and the Single-Site Port.
The safety and effectiveness of this device for use in the performance of general laparoscopic abdominal surgery or general gynecologic surgery procedures have not been established. This device is only intended to be used for single incision laparoscopic cholecystectomy, benign hysterectomy, and salpingo-oophorectomy with the da Vinci Single-Site Instruments and the da Vinci Si Surgical System (IS3000).
Firefly®
The da Vinci® Fluorescence Imaging Vision System (Firefly® Fluorescence Imaging) is intended to provide real-time endoscopic visible and near-infrared fluorescence imaging. The da Vinci Fluorescence Imaging Vision System enables surgeons to perform minimally invasive surgery using standard endoscopic visible light as well as visual assessment of vessels, blood flow, and related tissue perfusion, and at least one of the major extra-hepatic bile ducts (cystic duct, common bile duct and common hepatic duct), using near infrared imaging.
Fluorescence imaging of biliary ducts with the da Vinci Fluorescence Imaging Vision System is intended for adjunctive use only in conjunction with standard of care white light and, when indicated, intraoperative cholangiography. The device is not intended for standalone use for biliary duct visualization
Da Vinci Xi Cleaning
Other Instruments
For specific instrument indications for use, please refer to the instrument user documentation.
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Individual surgical results may vary. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. Please also refer to http://www.daVinciSurgery.com/Safety for Important Safety Information.