Advanced Technology

Each quarter this page will highlight the use of da Vinci advanced technology in different urologic procedures. The highlight will include an opinion from a surgeon currently using the system and technology. If you are looking for additional information on the use of the technology, please visit the da Vinci Online Community.

This Quarter's Feature:
“The vessel sealer has multi functionality in prostatectomies and cystectomies with its ability to seal, cut, dissect and can be used as a grasper during the procedures.”

- Daniel Eun MD, Lewis Katz School of Medicine at Temple University, Philadelphia, PA

The statements reflected here represent a single surgeon experience. The results may or may not be reproducible and are not generalizable.

ADVANCED TECHNOLOGY USAGE

*The EndoWrist® Hot Shears (Monopolar Curved Scissors) Instrument is a multiple-use endoscopic instrument utilizing a single-use Tip Cover Accessory, to be used in conjunction with the Intuitive Surgical Endoscopic Instrument Control System. The Tip Cover Accessory is intended to provide insulation over a section of the EndoWrist Hot Shears (Monopolar Curved Scissors) Instrument so that RF energy is only available at the tip. The EndoWrist Hot Shears Instrument must ALWAYS be used in conjunction with the Tip Cover accessory.

**The PK® Dissecting Forceps and PK instrument cords are intended to be used with the da Vinci and da Vinci S/Si Surgical System for endoscopic manipulation of tissue including: grasping, dissecting, approximation, coagulation, retraction and ligation. The PK Dissecting Forceps may only be used on soft tissue. Do not use it on cartilage, bone or hard objects. Doing so may damage the instrument or make it impossible to remove from the cannula. The PK Dissecting Forceps is not intended for contraceptive coagulation of the fallopian tube, but may be used to achieve hemostasis following transection of the fallopian tube. The PK Dissecting Forceps is classified as a BF applied part. This instrument is hence not suitable for direct cardiac applications.

^The EndoWrist® Hem-o-lok® Clip Applier is intended for use with the Weck® Hem-o-lok ligating clips. Hem-o-lok ligating clips are intended for use in procedures involving ligation of vessels or tissue structures. Surgeons should apply the appropriate size clip for the size of the vessel or tissue structure to be ligated such that the clip completely encompasses the vessel or tissue structure. Hem-o-lok Ligating Clips are not intended for use as a fallopian contraceptive tubal occlusion device. Hem-o-lok Ligating Clips are contraindicated for use in ligating the renal artery during laparoscopic donor nephrectomies.

±The EndoWrist® ProGraspForceps has been tested and found to be safely used to apply general use bulldog clamps and to manipulate specific laparoscopic ultrasound probes. Refer to the approved third-party products list (PN 871770) for more information.

§The Harmonic ACE® Curved Shears Instrument is designed to be used in conjunction with both the da Vinci System (S and Si models) and a compatible Ethicon Endo-Surgery Generator and Hand Piece. It is intended for soft tissue incisions when bleeding control and minimal thermal injury are desired. This instrument may only be used on soft tissue. Do not use it on cartilage, bone or hard objects. Doing so may damage the instrument or make it impossible to remove from the cannula. The instrument is not intended for contraceptive tubal occlusion. This instrument should not be used in cardiac or central nervous system applications. The use of the Harmonic Curved Shears Instrument in conjunction with the da Vinci® S (Models IS1000 and IS1200) is contraindicated for pediatric patients. In case of Emergency Stop or a fault condition, the Instrument Arm may move due to gravity. Should this movement occur when the instrument is in contact with tissue, unintended injury may result.

PN 1027834 Rev B 06/2017

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