Intuitive Surgical CHB01 RFID TRANSCEIVER 3D-HD CAMERA HEAD User Manual da Vinci Si

Intuitive Surgical, Inc. RFID TRANSCEIVER 3D-HD CAMERA HEAD da Vinci Si

User Manual Part 3

da Vinci® Si™Appendix A: Error Handling A-3DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14After Disabling an Instrument Arm After you disable an instrument arm, you still can use the arm clutch and port clutch buttons to move the arm out of the way.Disabling the Instrument Control Box (ICB)In the event of an error specific to the ICB, the system presents the option to disable the ICB on the touchscreen and touchpad. Once the ICB has been disabled, it can not be re-enabled until the next power cycle. Intuitive Surgical designed this feature to allow a user to complete a procedure without use of the EndoWrist instruments that employ the ICB, such as the Vessel Sealer. Non-Recoverable Faults If a fault is non-recoverable, the system must be restarted. The following message is displayed: Non-recoverable fault: XXXX Restart System to continue.Restarting the System During a ProcedureIf a non-recoverable fault occurs during a procedure, you must completely remove all instruments from the system. The endoscope does not need to be removed. Follow these steps to restart the system: 1. Completely remove all instruments from the system. The endoscope does not need to be removed. If an instrument is grasping tissue, follow the grip release instructions in Chapter 9, Grip Release, on page 9-13.WARNING: If it is not clinically possible to remove an instrument, closely monitor the instrument arm during restart to ensure that no motion occurs.2. Power off the system: Press the Power button on any system component. The system takes several seconds to shut down. When complete, all system Power but-tons will be lit amber, indicating standby mode, and readiness for restart.3. Restart the system: Press the Power button on any system component. 4. After the system has restarted successfully, then the instruments can be reinserted.Note: During system restart, video is temporarily unavailable at the Surgeon Console viewer and touchscreen monitor. Note: If the fault cannot be cleared by a system restart, call Intuitive Surgical Technical Support.Emergency Stop Press the red Emergency Stop button should it be necessary to stop system operation at any time. The Emergency Stop button will cease robotic control of the instruments and endoscope. The instruments and endoscope will stay in their last commanded position. If the instrument grips are closed when the Emergency Stop button is pressed, the grips will remain closed. However, the gripping force of the instrument may decrease.Pressing Emergency Stop initiates a recoverable fault, which you can override by pressing Recover on the touchscreen or touchpad. The Emergency Stop button illuminates when pressed and remains illuminated until the fault is recovered.
Appendix A: Error Handlingda Vinci® Si™A-4DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14EPO (Emergency Power Off)Figure A.3 EPO button on rear of Patient CartThe Emergency Power Off (EPO) button is on the back of the Patient Cart. Press this button to completely remove power to the Patient Cart. The system classifies this a non-recoverable fault. The system must be restarted.Battery BackupShould the Patient Cart be unplugged, the system will generate a recoverable fault that must be addressed to continue a procedure. System operation will be allowed to continue on reserve power, but with basic functionality only. Note: Battery backup is only intended for safe removal of the system components from the patient and is not intended for continuing the procedure. Battery Low ConditionIf there is insufficient battery backup power on the Patient Cart, cart drive is disabled and the user will have to wait for the battery backup to charge. • To move the cart manually, move the shift switches on the base of the cart to the neutral position. When finished moving the cart, be sure to move the shift switches back to the drive position. Note: The backup battery is not user-serviceable, and must be replaced by authorized personnel only. Contact Intuitive Surgical Technical Support for details. Note: The Patient Cart battery should be adequately charged. If not, an error message appears on the monitors. You can override the error if the Patient Cart is plugged into AC power.
da Vinci® Si™Appendix A: Error Handling A-5DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14A.3 Conversion to Open SurgeryIf a situation arises where a conversion to open surgery is required, perform the following steps to remove the system from the patient: 1. Remove the instruments and endoscope from the patient. Note the following:Note: Whenever possible, use Surgeon Console control to release the instrument grips.a. In case of system failure while the instrument is grasping tissue, the grips can be manually opened by following the grip release instructions, see Grip Release on page 9-13 (Chapter 9, Patient Cart Use).WARNING: Do not perform grip release on a non-faulted system without first pressing the Emergency Stop button. Failure to observe this warning may result in unintended instrument motion or damage to the grip release mechanism.WARNING: Rotating the grip release tool too far and/or in the incorrect direction can cause unintended instrument motion or damage to the grip release mechanism.2. Disconnect the cannulae from the instrument and camera arms. 3. Move the instrument and camera arms away from the patient. Note: If the system is in a fault state while converting to open surgery, the Patient Cart will still allow use of the port clutch buttons. If the system loses all power, the arms and setup joints may be overpowered to move the arms as necessary. _________________________________End of section______________________________
Appendix B: da Vinci Si-e Surgical Systemda Vinci® Si™B-1DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14BAppendix B: da Vinci Si-e Surgical SystemThis appendix provides detailed information and specifications for the da Vinci Si-e Surgical System, an upgradable configuration of the da Vinci Si System, visibly distinguished by a 3-arm Patient Cart. The da Vinci Si-e System is designed to be upgradable anytime to a full-featured da Vinci Si System (single or dual console) – by Intuitive Surgical technicians. This section describes the characteristics that distinguish it from the da Vinci Si System.B.1 System Component CompatibilityThe da Vinci Si-e System uses the same Surgeon Console, which is interchangeable with any da Vinci Si System. In contrast, the 3-arm Patient Cart and the Vision Cart of the da Vinci Si-e System are not interchangeable with the 4-arm Patient Cart and Vision Cart of a da Vinci SiSystem; the specific da Vinci Si-e System components must be used together for the da Vinci Si-e System to work. The system software recognizes when you connect an incompatible combination of Patient Cart and Vision Cart, notifies you on screen and prevents use of the disallowed combination. Note: The da Vinci Si-e System does not support dual console surgery.
da Vinci® Si™Appendix B: da Vinci Si-e Surgical System B-2DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Use of Third-Party MonitorsThe da Vinci Si-e System supports use of external monitors in high definition or standard definition, by means of the standard video out connectors on the back of the Core, the Surgeon Console, and the Camera Control Unit (CCU). The table below describes the available video output options on the back of the Core. These are not user-configurable: you cannot select the video output format of the Video Out bay Aux connectors (back of the Core). The da Vinci Si-e System selects the appropriate output format based on the device connected to the Aux connector. See section 4.5 Video and Audio Connections and section H.5 Video Patch Panels for more details.Table B-1 Si-e Video ConnectionsThe Video Out bay Aux supports only one video format at a time.Note: Video outputs make available only the surgeon’s view overlays. No external monitor used with the da Vinci Si-e System can support the touchscreen overlays nor functionality of the da Vinci Si System.Note: If the system has OnSite installed, the OnSite status icons will be present on the Vision Cart monitor even though the touchscreen function is not available. All other OnSite features are supported on the Si-e System.Component Connector Output Format Resolution OverlayVideo Out bay Aux, back of CoreDVI (analog and digital) XGA, SXGA, WXGA+ or 720p, automatically configuredSurgeon’s viewComposite (analog) NTSC or PALaSurgeon’s viewS-Video (analog) NTSC or PALaSurgeon’s viewSD-SDI (digital) NTSC or PALaSurgeon’s viewa. NTSC or PAL is standard definition and is determined by country.
Appendix B: da Vinci Si-e Surgical Systemda Vinci® Si™B-3DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14B.2 da Vinci Si-e DifferencesUsers of the da Vinci Si-e System should note the following differences in features and behavior compared to the da Vinci Si System.Two Instrument ArmsThe da Vinci Si-e System has only two instrument arms, as reflected on the touchpad display: Figure B.1 Two instrument arms appear on touchpadAudio SystemSince the monitor includes a microphone and speakers, it provides support for two-way audio communication between the surgeon and patient-side assistant. For the da Vinci Si-e System, the volume control slider for the Vision Cart speakers is found on the Audio tab of the touchpad, to the right of the Surgeon Console speaker control. Note that there is no microphone mute button; to mute the microphone, drag the slider all the way to the left, as shown.
da Vinci® Si™Appendix B: da Vinci Si-e Surgical System B-4DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Figure B.2 Speaker volume control is on touchpad Audio tabTilePro Not AvailableTilePro (multi-image) mode is not available with the da Vinci Si-e System, and thus the option is not present on the Display Preferences screen of the touchpad.Figure B.3 TilePro not presentSurgeon Consolespeaker volumeVision Cartspeaker volume
Appendix B: da Vinci Si-e Surgical Systemda Vinci® Si™B-5DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Furthermore, the QuickClick option for TilePro activation is not offered on the touchpad Control Preferences screen.Figure B.4 TilePro QuickClick option not presentTelestration Not AvailableSince telestration is done on the touchscreen, telestration is not possible with the da Vinci Si-eSystem. However, note that the selected Display Eye option on the Display Preferences screen (Figure B.3) does still determine whether the surgeon’s left (L) or right (R) eye image from the stereo viewer passes out of the video connectors of the Core’s Video Out bay Aux.
da Vinci® Si™Appendix B: da Vinci Si-e Surgical System B-6DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Camera / Scope Setup via Touchpad OnlyOn the Si-e System, no touchscreen dictates that camera / scope setup must be done via the touchpad. This circumstance also requires two people to perform calibration: one sterile person to handle the endoscope and a second non-sterile person to work the touchpad at the Surgeon Console. Figure B.5 Camera / Scope Setup on the touchpadFollow these steps to calibrate the endoscope assembly from the touchpad of a da Vinci Si-eSystem:1. The sterile person should insert the endoscope tip fully inside the endoscope alignment target, using the proper hole, which depends on the tip angle, so that the target crosshairs are visible on the center of the stereo viewer.Note: For 3D calibration to be successful, the crosshairs must be well centered on screen and the target must be kept as still as possible on the endoscope.2. The non-sterile person at the touchpad: From the Video tab, go to Camera / Scope Setup and then touch the 3D Calibration button. The button name changes to Finish Calibration and “Adjust as necessary” appears next to it, and the button and all arrow buttons flash to prompt your input.
Appendix B: da Vinci Si-e Surgical Systemda Vinci® Si™B-7DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14 Figure B.6 3D Calibration in progress3. Touch the arrows on the touchpad to move the green crosshairs until aligned with the magenta crosshairs, as seen in the stereo viewer.4. To save the calibration setting and exit calibration mode, touch Finish Calibration.3D Calibration and Camera Head Button FunctionalityFor the da Vinci Si-e System, the camera head buttons do not support 3D calibration. Without a touchscreen, you must perform 3D calibration from the touchpad, as described above. The Vision Setup button, in particular, supports no functionality at all; when you press it the system gives an error beep, but does not display a message. Nothing happens except the error beep. The Focus In and Out arrow buttons still support focusing of the surgical image from the camera head, and the Lamp On/Off button still functions._________________________________End of section______________________________
da Vinci® Si™Appendix C: Illuminator Information C-1DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14CAppendix C: Illuminator InformationThis appendix provides detailed information and specifications for the integrated Illuminator, also known as the Y1903 Xenon Fiber-Optic Light Source.C.1 General Safety PrecautionsBefore operating, read all safety instructions. See Endoscopic Procedure Precautions on page 10 for additional safety instructions regarding use of the Illuminator. The Illuminator is a source of high electrical voltage, intense light and heat. When used properly and with normal precautions, it is a safe and effective light source.The following label appears on the side of the lamp module above the removal handle.Note: It may be necessary for the reader to be as close as 6 in (15 cm) from the label to read this information.Figure C.1 Lamp module labelObserve the caution statement on the label: “CAUTION: High-pressure lamp may explode if improperly handled. Refer servicing to qualified service personnel.”The label provides space to indicate the “SERIAL NO.” and “MODEL NO.” of the lamp module. “LIGHT OUTPUT ” indicates that the lamp light emits from the side indicated by the arrow.CAUTION:Third party light guides may not withstand light output levels of this light source.Do not operate the light source without lamp module in place.Disconnect power supply cord before servicing to avoid electric shock. To reduce risk of electric shock, do not remove cover. Refer servicing to Intuitive Surgical personnel.CAUTION HOT. Do not remove lamp immediately after operation. Allow lamp to cool 5 minutes with fans running before removing power to the Illuminator.The end of the light guide may be hot.Keep cooling vents free from obstructions.To prevent overheating, replace only with the same type and rating of lamp module. Read instructions before replacing lamp module. (See 12.3 Illuminator Lamp Module Replacement on page 12-2.)Caution: Hot
Appendix C: Illuminator Informationda Vinci® Si™C-2DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Refer to Figure 12.2 on page 12-4 to see an image of the lamp module replacement label affixed to the top of the lamp module.C.2 Illuminator FeaturesFigure C.2 Illuminator front features1. Optic Adapter: Accepts Olympus™ fiber-optic light cables.2. LED Indicator: Shows the lamp status. Amber: Lamp off; Blue: Lamp on; Blue blinking: No scope selected or detected.3. Lamp On/Off Switch: Toggles the lamp on/off once the system has been powered up. This button switch on the front panel is symbolized by an incandescent lamp. When pushed, the blue “OFF” flashes on the display until lamp ignition occurs.4. Display Window: Displays light output level from 0-100 in 10% increments when lamp is on, and will read OFF when lamp is off.5. Lamp Hours: Displays number of usage hours on the lamp module. To read the lamp hours, press the decrease (–) and increase (+) buttons simultaneously, and read the number displayed on the display window. You may also view lamp hours by selecting Utilities > Inventory Management on the touchscreen or touchpad, as described in sections 7.2 and 10.3.6. Intensity Control (– +): Control buttons to increase or decrease light output levels in 10% increments.123456
da Vinci® Si™Appendix C: Illuminator Information C-3DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Figure C.3 Illuminator rear features7. RS232 I/O Serial Port: 9-pin D Sub-Miniature interface for RS232 control features. Labeled “Illuminator Control.”8. Input Power Module: Consists of the Power On/Off switch, fuse drawer, and AC input power receptacle.9. Power On/Off Switch: The Power On/Off Switch is located on the back panel. When switched ON, the system is energized and initiates standby mode, while the LED indicator (on front) illuminates amber. In addition, the cooling fans run, and the display reads OFF. When switched OFF, the system is de-energized, the LED indicator (on front) is not illuminated, and the display is dark. Energizing the system does not automatically turn the lamp on.10. Fuse Drawer: The fuse drawer is located on the back panel beside the AC input power receptacle. The fuse drawer contains two 6.3 amps main fuses.11. AC Input Power Receptacle: The AC input power receptacle, located on the back panel, is a three-prong receptacle that accepts a detachable AC power cord.12. Unit Identifier Label 13. Light Source Label: Shown below.78 910111312
Appendix C: Illuminator Informationda Vinci® Si™C-4DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Note: It may be necessary for the reader to be as close as 6 in (15 cm) from the label to read this information.Figure C.4 Light source label example14. Lamp Module Access Drawer: Allows service technician access to the lamp module for replacement. (See 12.3 Illuminator Lamp Module Replacement on page 12-2.) By pushing in on the drawer, the latch mechanism will release, and the drawer will slide forward. To close the drawer, push it in until the latch catches.Figure C.5 Lamp module access drawer open14. Lamp moduleaccess drawer
da Vinci® Si™Appendix C: Illuminator Information C-5DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14C.3 Basic TroubleshootingC.4 Fuse Replacement1. Switch power off on the back of the Illuminator and remove the power cord from the back of the Illuminator.2. Check for blown fuses by removing the fuse cover, located next to the three-prong power receptacle. Carefully pull out the cover using a flat blade screwdriver (medium size) or equivalent, as shown in Figure C.6.Figure C.6 Remove fuse cover3. Replace blown fuse(s) with the same size and rating: 6.3A time delay: T6.3A fuses, size 5x20mm.Table C-1 Basic TroubleshootingSymptom Possible Problems RemedyNo power to Illuminator• Vision Cart not connected or not powered on.•Fuse is blown.• Internal power supply not operating.• AC input power receptacle unplugged.• Connect and power on system.•Replace fuse.• Contact Intuitive Surgical Technical Support.No light emits from unit• Lamp module access drawer open.•Lamp burned out.• Internal power supply not operating.• Fiber-optic cable not connected.•Close drawer.• Replace lamp module.• Contact Intuitive Surgical Technical Support.• Connect fiber-optic cable correctly.Lamp flickers or dims Lamp is getting old. Replace lamp module.Field of view is dim Incorrect settings. Adjust Brightness controlsIlluminator turns off after a few minutes of operation.• Obstructed air intake leads to overheating, causes thermal switch to trip.• Fan not running; overheating causes thermal switch to trip.• Allow unit to cool 10 minutes. Remove obstructions.• Contact Intuitive Surgical Technical Support.
Appendix C: Illuminator Informationda Vinci® Si™C-6DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/144. Re-install the fuse cover.5. Reconnect the power cord6. On the back of the Illuminator, turn the power switch on. The Illuminator should be operative again.Contact Intuitive Surgical Technical Support if the unit fails to operate properly again.C.5 Specifications of Y1903 Light SourceNote: The specifications in this section apply to the Y1903 Illuminator only and not the da Vinci Si System.Table C-2 Y1903 Light Source SpecificationsCategory Specification CommentsElectrical InputInput Voltage 100 - 240 VAC, 50/60Hz universal, 6.0A inputAC Power Connector Located on rear panel, dual fusesLine Cord IEC320, 6’ (1.83m), configured for localePerformance and Features Light Output• 2450 Lumens nominal initial output using Olympus™ fiber.• Spectral output 386 - 733nm nominal• <10% instability p-p through 6 mm glass rod @ 0-100Hz• Beam profile to have “smooth” distribution with no shadows or sharp peaksAll light output specifications refer to “system only” performance. Light output via optical fibers or other optical components may vary.Over-temperature ProtectionAutomatic shutdown in the event of overheatingOverheat Recovery / Auto CoolUnit to become fully operational <3 minutes (target) after thermal shutdown and all obstructions to air flow removed at environmental temperature of <22 °C (72 °F)Fans will remain on in the event of thermal shutdown when power is on. Lamp must be switched on by using Lamp On/Off switch located on front panel.Fiber-Optic Connection Safety Feature• Lamp will not ignite unless a fiber-optic cable is fully inserted into the active port on the turret• Lamp power is cut or blocked if fiber-optic cable is removed from active port to prevent accidental light leakageFans will remain on in the absence of a fiber-optic cable inserted into active port when power is onLamp Power Supply PS300-12 typeLamp Module Cermax VQ (300 Watt) Intuitive Surgical PN 950093Lamp Module ReplacementBy easy access to lamp module via drawer. No tools required.Lamp replacement drawer “interlocked” for safety. Lamp power will be cut when drawer is openedLamp Life• 1000 hours to 50% of initial output specification measured through 6 mm glass rod• >1000 hours at a minimum output of 1225 Lumens
da Vinci® Si™Appendix C: Illuminator Information C-7DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14User Interface / ControlUser instructions In this system user manualLamp On/Off SwitchLocated on front panel User controlled lamp on/off. Fan operation independent of lamp status.Fiber-Optic Adapter Olympus™ port to fit Olympus fiberLight Attenuation Shutter• Controlled by membrane buttons on front panel•(+) and (–) buttons for relative intensity increments• Relative level of illumination indicated by a digital numeric display (blue numerals)Lamp Hour CounterDisplays number of elapsed hours of lamp operation when you press (+) and (–) buttons at same timeMechanical & EnvironmentalDimensions Height 5.5" (Without Feet) x Width 15.5" x Depth ≤17” (without front bezel) (14 x 39.4 x 43.2cm)Designed for modular expansionWeight ≤28 lbs.Touch Temperature Per UL60601 -1Ground Bound Per UL60601 –1SterilizationThe light source may be wiped-down with hospital approved disinfectants (for example, 10% bleach + 90% water solution) applied with a damp cloth (must not be wet)Operating Temperature 6 °C to 35 °CStorage Temperature –20 °C to 75 °COperating & Storage Humidity10 - 80% relative humidity, non-condensingOperating Pressure 1 AtmosphereAudible Noise ≤ 40dBShipping, Shock & Vibrationper ISTA 3ACooling Vents to direct airflow toward the back of the unitRegulatory ApprovalsCompliance to standards• IEC 60601-1:1988+A1:1991+A2:1995+A1.3:1997• UL 60601-1:2003• EN 60601-1:1990+A1:1993+A2:1995+A1.3:1997• EN 60601-1-2:2001• CAN / CSA C22.2 No. 601.1/M90(R1997),B/98,S1-94• ANSI/AAMI ES60601-1: 2005• CAN/CSA-22.2 No. 60601-1 (2008)• EN 60601-1-2: 2007•CE markTable C-2 Y1903 Light Source SpecificationsCategory Specification Comments
Appendix C: Illuminator Informationda Vinci® Si™C-8DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14C.6 Classification of the Y1903 Light Source• Class I: The light source relies on connection to the protective earth conductor to prevent shock hazards.• Type BF: The Y1903 light source is classified as a BF equipment. The optic adapter is grounded and only BF or CF applied parts should be used with the Y1903.Note: The da Vinci Si camera head provides isolation in accordance with a CF applied part and is acceptable for use with the Y1903 Illuminator.• Provides no protection against ingress of liquids.• Mode of Operation: Suitable for continuous operation.• Not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or with nitrous oxide.C.7 Electromagnetic CompatibilityThe Y1903 has been tested and found to comply with the limits for medical devices to the IEC 60601-1-2:2001(E). These limits are designed to provide reasonable protection against harmful interference in a typical medical installation. The Y1903 generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to other devices in the vicinity. However, there is no guarantee that interference will not occur in a particular installation. It can be determined if this equipment causes interference by turning the power to the light source off and on. The user is encouraged to try to alleviate interference problems by one or more of the following measures:• Re-orient or relocate the receiving device• Increase the separation between the equipment.• Connect the equipment into an outlet on a separate electrical circuit from that of other devices.
da Vinci® Si™Appendix C: Illuminator Information C-9DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Warnings • AC power cords other than those provided with the instrument may result in increased emissions or decreased immunity.• The Y1903 should not be used adjacent to or stacked with other equipment. However, if adjacent or stacked use is necessary, the Y1903 should be observed to verify normal operation in the configuration in which it is used.Manufacturer’s declaration – electromagnetic immunity The Y1903 is intended for use in the electromagnetic environment specified below. The customer or the user of the Y1903 should assure that it is used in such an environment.Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Electrostatic discharge (ESD) IEC 61000-4-2±6 kV contact ±8 kV air Complies Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Electrical fast transient/burst IEC 61000-4-4 ±2 kV for power supply lines ±1 kV for input/ output linesComplies Mains power quality should be that of a typical commercial or hospital environment. SurgeIEC 61000-4-5 ±1 kV line(s) to line(s) ±2 kV line(s) to earthComplies Mains power quality should be that of a typical commercial or hospital environment. Voltage dips, short interruptions and voltage variations on power supply input linesIEC 61000-4-11 <5% UT (>95% dip in UT) for 0.5 cycle 40% UT (60% dip in UT) for 5 cycles 70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT) for 5 sec. Complies Mains power quality should be that of a typical commercial or hospital environment. If the user of the Y1903 requires continued operation during power mains interruptions, it is recommended that the Y1903 be powered from an uninterruptible power supply or battery. Power frequency (50/60 Hz) magnetic field IEC 61000-4-8 3 A/m Complies Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Note: UT is the AC mains voltage before application of the test level.
Appendix C: Illuminator Informationda Vinci® Si™C-10DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14_________________________________End of section______________________________Manufacturer’s Declaration – Electromagnetic Emissions The Y1903 is intended for use in the electromagnetic environment specified below. The customer or the user of the Y1903 should assure that it is used in such an environment.Emissions test Compliance Electromagnetic environment guidance RF emissionsCISPR 11 Group 1 The Y1903 uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissionsCISPR 11 Class B The Y1903 is suitable for use in all establishments, including domestic and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Harmonic emissions IEC 61000-3-2 Class BVoltage fluctuations/ flicker emissions IEC 61000-3-3 Complies
da Vinci® Si™Appendix D: VisionBoom™ Use Instructions D-1DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14DAppendix D: VisionBoom™ Use InstructionsThis appendix provides instructions to use the da Vinci Si Surgical System installed in the VisionBoom configuration. Integrators seeking installation instructions should refer to the VisionBoom™ Installation Guide (PN 550539).Note: This appendix provides only those instructions specific to the VisionBoomconfiguration. Refer to relevant portions of this manual for instructions to use the surgical system. The da Vinci Si VisionBoom configuration eliminates clutter and improves efficiency in operating room (OR) surgical environments by replacing the da Vinci Vision Cart, and its associated cords and cables, with a convenient ceiling-mounted system.Figure D.1 Recommended side by side (left) and stacked (right) VisionBoom configurationsNote: The VisionBoom upgrade supports dual console surgery.The ceiling-mounted equipment boom is the primary platform for OR integration and, depending on the model selected, the typical boom can provide the support and space to position most necessary clinical devices. The equipment boom is not a product sold by ISI but by manufacturers such as Berchtold™, Steris™, Skytron™, etc., to name just a few vendors that sell such equipment.
Appendix D: VisionBoom™ Use Instructionsda Vinci® Si™D-2DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14D.1 General Notes and CautionsNote: • Air flow sufficient to support adequate cooling of da Vinci vision components is critical to their proper function. The entire da Vinci System is designed to undergo an automatic, controlled power-down sequence in case a component or subsystem overheats while in normal operating mode, thereby preventing system damage. (See Chapter 5 Startup for details.) To avoid overheating, do not place anything on or near any da Vinci vision component on the boom, especially if it might impede air flow. Do not route cables behind the Illuminator on the boom shelf, to avoid blocking air flow behind it.• ISI recommends that the boom be oriented during surgery so that air flow from the components is directed away from the sterile field.•ISI recommends that da Vinci vision components be left permanently in the configuration in which they are transferred to the boom by ISI service personnel. Rearrangement of da Vinci vision components could result in a configuration that does not support adequate cooling or otherwise may result in an increased risk of damage to or improper function of the components.•da Vinci vision components are not designed to support external loads, and therefore ISI discourages placement of any equipment on top of da Vinci vision components mounted on the boom shelf.CAUTION: To avoid overloading circuits, do not connect ancillary devices such as insufflators or energy devices in common circuits with any system component, particularly not with the vision components because they have large power requirements. Ancillary devices must be connected to boom outlets on separate circuits from all system components.CAUTION: After a few minutes of use, the rear of da Vinci vision components may become hot, particularly the Illuminator. Avoid touching the rear of these units during use and for 10 minutes after use while components cool with internal fan operation.D.2 da Vinci Si System ConnectionsIn a VisionBoom configuration, Surgeon Consoles and the Patient Cart connect to the Core via fiber interface wall plates. These wall plates connect via cabling inside the wall that terminates in the fiber boom plates, which connect via their blue cables (1 m) directly to the back of the Core. Surgeon Consoles and the Patient Cart can connect to any da Vinci wall plate in the room. The Core recognizes the units connected to its fiber input ports automatically. Figure D.2 illustrates how the system connections are made.
da Vinci® Si™Appendix D: VisionBoom™ Use Instructions D-3DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Figure D.2 Fiber cables and conduits connect Core to Patient Cart and Surgeon ConsolesFigure D.3 shows where to find the fiber optic cable connectors on the rear of the Patient Cart and Surgeon Console.Figure D.3 Fiber connectors on Patient Cart and Surgeon ConsoleConnecting the Fiber CablesNote: The connections on the back of the Core (in Step 4: Connect Core, page 5) generally are made only once and left connected unless the Core is removed from the boom.da Vincida VinciWall plate Fiber cableFiber cableWall plateEquipment boomPatient CartSurgeon ConsoleBoom plateswith CoreFiber cableFiber conduit throughwalls/ceiling
Appendix D: VisionBoom™ Use Instructionsda Vinci® Si™D-4DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Follow these steps to connect the Patient Cart and one or two Surgeon Consoles to the Core in the VisionBoom configuration.Step 1: Remove CapBefore connecting the blue da Vinci Si fiber cables, pull to remove the protective cap at each end of the cable (Figure D.4). Note the position of the red alignment mark on the uncapped cable end, which you must align with a similar mark on the fiber cable port for successful insertion.Figure D.4 Remove the cable end capStep 2: Connect Patient CartConnect a blue fiber cable (20 m) to the back of the Patient Cart (Figure D.5) and to the desired fiber interface wall plate (Figure D.6). When lit solid blue, the LED above the fiber port indicates a good connection to the Core. (It will not light blue until you complete the connection from the boom plate to the Core – see Step 4: Connect Core, page 5.)Figure D.5 Connect fiber cable to Patient CartEnd cap on system cable Uncapped end of cableRed alignment markObserve red mark and align Flip up receptacle cover & insertBlue light showsgood connectionwhen complete toCore
da Vinci® Si™Appendix D: VisionBoom™ Use Instructions D-5DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Figure D.6 Connect other end of fiber cable to fiber wall plateStep 3: Connect Surgeon ConsolesFor each Surgeon Console you will use, connect a fiber cable to the fiber connector on the back of the console (Figure D.7) and to an available fiber wall plate (as in Figure D.6). Again, a blue LED indicates a good connection to the Core when connections in next step are complete.Figure D.7 Connect fiber cables to each Surgeon ConsoleStep 4: Connect CoreConnect each 1 m (3’-3”) cable being used from its boom plate to the back of the Core to complete the connections for each Surgeon Console and the Patient Cart (Figure D.8).Figure D.8 Connect the boom plate fiber cables to the Core on the boomAlign red marks and push in to connectBlue light showsgood connectionwhen complete toCoreBlue LEDsshow goodconnections
Appendix D: VisionBoom™ Use Instructionsda Vinci® Si™D-6DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Note: If, after connecting all cables as shown in steps 1 through 4, you still do not have a good connection (no blue light) connect the long (20 m) blue fiber cables directly to the core. These blue fiber cables are of sufficient length (20 m) to bypass the wall cabling and connect directly to the core from the surgeon console and patient cart, as illustrated in Figure D.9 below.Figure D.9 Bypassing wall cabling
da Vinci® Si™Appendix D: VisionBoom™ Use Instructions D-7DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14D.3 Optional Core ConnectionsThis section describes the additional, optional connections you can make between the Core and third party devices.Core Video ConnectionsPerform this step for each video connection you wish to make between the da Vinci Si System and external monitors, recorders or other third party devices.1. Connect each video output or TilePro input on the back of the Core to the desired interface plate, monitor, or third party device. Figure D.10 shows a typical connection from the DVI output to a DVI boom interface plate that supports connection to an OR video switching system.Figure D.10 Example of DVI connection from Core to boom plateElectrosurgical Unit (ESU) ConnectionsNote: Refer to 4.4 Auxiliary Device Connections, page 4-9, for detailed instructions.To connect one or more electrosurgical units (ESU), perform this step:1. Connect the appropriate energy activation cable between any of the Energy receptacles on the back of the Core and the appropriate connectors on the ESU.Figure D.11 Example of ESU connection to CoreCore DVI output DVI boom plateSample ESU connectionsCore Energy connection
Appendix D: VisionBoom™ Use Instructionsda Vinci® Si™D-8DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14D.4 Camera Head and Cable StorageThe camera holster is installed on the boom to provide a convenient location for storing the camera head (without endoscope attached) when not in use. Figure D.12 illustrates how to coil the cables and store the camera head.Figure D.12 Camera and cable storage using the boom-mounted holsterD.5 Touchscreen PositioningThe da Vinci Si touchscreen mounted on the boom can be positioned to either side of the boom or directly off the front (Figure D.13). Position it according to the needs of the surgical staff. Unless a sterile monitor drape is used, a sterile assistant requires a change of surgical gloves after touching the touchscreen; alternatively, non-sterile surgical staff may operate an undraped touchscreen.Figure D.13 You can position touchscreenNote: Refer to 7.4 Working with the Touchscreen Vision Controls, page 7-15, for instructions to use the touchscreen.Coil camera cables Hang cables over holster As when finished
da Vinci® Si™Appendix D: VisionBoom™ Use Instructions D-9DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14D.6 Boom PositioningSimilar to the positioning of the Vision Cart in relationship to the patient, the vision boomneeds to be positioned to a location that is convenient to the surgical staff to have access to the equipment. The vision boom positioning also must take into consideration the location of the third da Vinci instrument arm during the specific procedure performed. The boom must be placed within reach of the 5.75 m (18’-6”) camera cable attached to the front of the Core.Figure D.14 Typical boom positioning_________________________________End of section______________________________VisionBoomcomponents
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-1DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14EAppendix E: OnSite™ for da Vinci® Surgical SystemE.1 General InformationThe following appendix is applicable only if your da Vinci Si System has da Vinci OnSiteenabled.Contact InformationFor Customer Service and Reporting of Complaints or Adverse EventsUse the following information for customer service, including ordering, reporting complaints or adverse events, and general information regarding Intuitive Surgical or our products and services. For Technical SupportIf the system requires maintenance or service, please call our Technical Support line. In the U.S., call 1-800-876-1310, where phones are staffed 24 hours a day, seven days a week. In Europe, call +41.21.821.2020.ManufacturerGeneral Precautions, Warnings, and ContraindicationsNote: All da Vinci Surgical System users must follow all instructions for use supplied with the system, its components, instruments, and accessories. This includes the following documents: Instruments and Accessories User Manual (PN 550675), Reprocessing Instructions (PN 550875), and any instructions for use (IFUs) provided with instruments or accessories.WARNING: Be sure to read and understand all information, particularly the caution and warning information, found in the applicable user manuals before using these products. Failure to properly follow all instructions, including those in the da Vinci Surgical System user manual, and instructions supplied with accessory devices such as generators, may lead to injury and result in improper functioning of the device.In the U.S.Intuitive Surgical, Inc. 1266 Kifer Road Sunnyvale, CA 94086 USA Toll free: 1.800.876.1310 Direct: 408.523.2100 Fax: 408.523.2377In Europe:Intuitive Surgical Sàrl 1, chemin des Mûriers, 1170 Aubonne, Switzerland Toll free: +800.0821.2020 Direct: +41.21.821.2020 Fax: +41.21.821.2021 Intuitive Surgical, Inc. 1266 Kifer Road Sunnyvale, CA 94086 USA www.intuitivesurgical.comIntuitive Surgical Sàrl 1, chemin des Mûriers, 1170 Aubonne Switzerland
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-2DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14CAUTION: OnSite components may be installed and serviced only by Intuitive Surgicalpersonnel. Do not attempt to install or service equipment without Intuitive Surgicalpersonnel.CAUTION: Leakage current from interconnected electrical equipment may exceed safe levels. To maintain the safety of patients and users, interconnect only with devices in compliance with IEC 60601-1-1. It is the user’s responsibility to ensure that any interconnected equipment not supplied by Intuitive Surgical maintains compliance with IEC 60601-1-1.CAUTION: Ethernet networks (both wired and wireless) are subject to losses of connectivity that could disrupt use of OnSite or make data unreliable when it is received at a remote location. Such disruptions, if they occur, have no effect on the performance or functionality of the da Vinci Surgical System.E.2 Indications for Use – OnSiteOnSite for da Vinci Surgical Systems is an accessory indicated for use by trained Intuitive Surgical Field Service personnel to: (1) obtain system information for the purpose of diagnosing faults, (2) remotely enable/disable features including configuration updates through either a wired or wireless Ethernet connection between the da Vinci Surgical System and the hospital’s Internet Protocol (IP) infrastructure.E.3 Network ConnectionsOnSite requires a wired RJ45 Ethernet 10bT/100bT and/or wireless 802.11 network connection with Internet access where the da Vinci Surgical System will be used.E.4 Transmitter Module LabelWhen the optional wireless bridge is installed, the following Federal Communications Commission (FCC) identification label will be affixed to the Surgeon Console.Figure 1 Transmitter Module LabelContains Transmitter Module FCC ID: SWX-NS2
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-3DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14E.5 IntroductionOnSite provides connectivity that enables Intuitive Surgical service personnel to remotely service the da Vinci Surgical System pre-operatively and intra-operatively. It enables the following capabilities.1. Automated log retrieval, where da Vinci Surgical System uploads logs to an Intuitive Surgical server when idle2. Remote system status monitoring3. Remote diagnostics and servicing4. Remote configuration changes5. Enable/disable device featuresThe monitoring capability enables a faster response time from the da Vinci dVSTAT™ (da VinciSurgery Technical Assistance Team) for problem resolution, real time diagnosis, and increased diagnostic accuracy. To implement remote service capabilities, the da Vinci Surgical System must have access to the Internet. OnSite is designed to accomplish this using existing hospital networks.E.6 OnSite System Requirements and ConnectionsThe remote servicing features of OnSite are designed to be highly secure and to function transparently. The da Vinci Surgical System communicates with an Intuitive Surgical server via outgoing network connections to enable Intuitive Surgical service personnel to remotely monitor and service the system while in use.
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-4DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14In summary, OnSite consists of three major components, namely the da Vinci Surgical System with installed networking components, the Intuitive Surgical server, and the remote user (Intuitive Surgical Field Service personnel). The block diagram below illustrates the OnSitenetworking infrastructure.Figure 2 OnSite Networking InfrastructureNote: To take advantage of the full potential of OnSite, the system must remain connected to the network.
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-5DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Wired Network ConnectionIntuitive Surgical field service personnel install a network security device inside the da Vinci Surgical System, along with necessary cables and panels to enable a wired network connection for OnSite.Figure 3 Network Security DeviceTo establish a wired connection:Connect the da Vinci Ethernet connection to the hospital network (wall plate) using a CAT5e industrial style network cable. Figure 4 Network Cable Connections (da Vinci Si)Ethernet to hospital network (wall)Connects da Vinci System to network
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-6DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Optional Wireless ConnectionThere is an optional wireless connection available using the Network Security device and a Wireless Bridge. See Section E.10 Wireless Connectivity Option and section E.13 OnSite Appendix C: Wireless Bridge Data for details on wireless connectivity. Figure 5 Network Security Device with Wireless BridgeNote: External connections are not required for the da Vinci Si Surgical System.5.7 Disabling All Network ConnectivityIf there is a need to disable all network connectivity for the da Vinci Si System, open the back of the Vision Cart and disconnect the RJ-45 (Ethernet) connector at bottom center of the Core, indicated below.Figure 6 RJ-45 Connector – Core (da Vinci Si)Note: This action disables all network connectivity for the da Vinci Si System, but it does not power off the wired or wireless networking equipment. Note: To re-establish network connectivity, you must re-connect the indicated RJ-45 connector on the back of the Core.Disconnect to disable networking
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-7DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14E.8 Automatic Status and System Log RetrievalOnSite provides real-time system status monitoring and post-procedure upload of system logs, for the support team to service the da Vinci System. When Intuitive Surgical field service personnel enable the OnSite functionality, the da Vinci Surgical System can: 1. Connect to an Intuitive Surgical server for these purposes:A. Provide status updates – typically every 10 seconds but can be configured for different intervalsB. Upload all system logs to the Intuitive Surgical server after each procedure2. Connect to field service diagnostic applications running on a remote laptopE.9 OnSite Servicing and DiagnosticsOnSite enables remote servicing using current diagnostic applications that Intuitive SurgicalField Service personnel normally use when the technician visits on site. When physically present, the technician troubleshoots the system using a local connection between the laptop and the da Vinci System hardware. OnSite enables the technician to troubleshoot remotely, using the same set of diagnostic tools. Through a remote OnSite connection, the technician can interact with the system in either Normal Mode or Maintenance Mode.Normal ModeIn Normal Mode, OnSite can only enable remote monitoring of system status. This allows dVSTAT to passively monitor information transmitted, with no ability to perform any activity that impacts the movement or performance of the surgical system.In Normal Mode, dVSTAT can:• Receive system logs• Check the condition of system switches and buttons• Verify surgical instrument functionality.Normal Mode – OnSite Mode Indications While in Normal Mode, the da Vinci Si System indicates the status of the network connection.Figure 7 OnSite Connection Status IndicatorsNote: Once the Ethernet cable is connected, it can take up to two minutes to detect the da Vinci network and update the status on the touchscreen.Maintenance ModeNote: Intuitive Surgical personnel can use Maintenance Mode only when they request it and are granted verbal permission by OR staff present with the da Vinci Surgical System.Maintenance Mode is a state where Intuitive Surgical technical support personnel can connect remotely to the da Vinci System to perform diagnostic and troubleshooting operations.da Vinci Network Offline da Vinci Network Online OnSite Session In Progress
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-8DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14When in Maintenance Mode, the da Vinci Surgical System is not for human use.Intuitive Surgical technician requests for this service requires facility staff to place the system in Maintenance Mode at an agreed-upon time.Putting the System into Maintenance ModeTo put the system into Standby Mode, make sure the following conditions are met:• All system components are connected to AC power• Surgeon Console and Patient Cart system cables are connected to the CoreWhen the system is in Standby Mode, the power buttons on the Surgeon Console, Vision Cart, and Patient Cart are lit amber. When an Intuitive technician connects to the system, they have the option to power on the system in Maintenance Mode.During an OnSite session in Maintenance Mode, the system displays:Maintenance Mode - Not for Human UseRemote Session in ProgressSystem Servicing/ DiagnosticsAn example of an OnSite servicing capability that requires assistance and feedback from hospital personnel is when remotely testing the control and motion of the manipulators and robotic arms. Refer to the following illustration.Figure 8 Setup Joint and Instrument ArmThe following list shows several diagnostic capabilities that an Intuitive Surgical field service technician can execute remotely when connected in Maintenance Mode via OnSite:1. Test joints, internal sensors, and positioning potentiometers2. Check condition of system switches and buttons3. Check synchronization of system configuration4. Modify system configurations5. Perform arm motion and other diagnostic testsVertical rangeof motionSetup JointTelescoping Axis
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-9DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/146. Verify surgical instrument functionality7. Check usage hour meter dataE.10 Wireless Connectivity OptionWireless OverviewA wireless bridge is installed on the da Vinci Surgical System to enable the Wireless Connectivity Option. A hospital-supplied Wireless Access Point with Internet access is required to establish wireless connectivity.Wireless Network RequirementsIntuitive Surgical field service personnel will install and configure the Wireless Connectivity Option. Below are the details of a suitable wireless network to support da Vinci wireless applications.Specifications• The Wireless Connectivity Option utilizes the IEEE 802.11 wireless standard using either 802.11b or 802.11g at 2.4 GHz Industrial, Scientific, and Medical (ISM) band.• The Wireless Bridge operates as a client to the hospital-supplied Wireless Access Point, transmitting data back and forth between the hospital network and da Vinci applications.• The Wireless Access Point must be located within 75 feet of the da Vinci Surgical System.Security• Wireless Network Infrastructure•Intuitive has tested the Wireless Connectivity Option in WPA2 pre-shared key mode with AES encryption, and recommends that the Wireless Connectivity Option is integrated into the hospital network using this security configuration.•OnSite Software Application•The OnSite Software Application uses a Secure Socket Layer (SSL) session based on unique certificates on the da Vinci System and the OnSite server.• Data being transmitted from the da Vinci Surgical System to the server is 128-bit encrypted.Quality of Service• Wireless Bridge• Maximum latency of 50 ms between the Wireless Bridge and the hospital-supplied Wireless Access Point• Wireless Channel that has 20% or less utilization•Overall Network• Maximum end-to-end packet loss of less than 10% •Network latency should not exceed 300 msOnce successfully installed and configured, Intuitive Surgical field service personnel conduct an end-to-end functional test to ensure that OnSite functions as expected.
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-10DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Note: After installation, Intuitive Surgical recommends that the hospital routinely monitor to ensure that the Wireless Channel does not exceed 20% utilization, and the latency between the Wireless Access Point and the Wireless Bridge does not exceed 50 ms. If either exceeds the specified levels, contact Intuitive Surgical Technical Support.It is possible that the wireless network conditions might degrade over time or experience periods of disturbance; da Vinci applications have been designed to be robust to typical network disturbances, but if an issue persists, contact Technical Support for assistance to resolve the issue.Note: Intuitive Surgical recommends that an active wired port be available when using the Wireless Connectivity Option. The configuration for the Wireless Connectivity Option provides a wired backup that the router will automatically activate when plugged in. Refer to E.11 OnSite Appendix A: IT Requirements for details on how to establish a wired connection. Note: It is important to note that if the wireless network is modified or updated after the Wireless Connectivity Option is installed, its suitability to support the wireless applications should be re-assessed. In particular, contact Technical Support if any of the following changes are planned or have occurred.• If the Wireless Access Point or da Vinci Surgical System is moved from the location where it resided during installation• If the Wireless Access Point is replaced with a new make or modelWireless CoexistenceWireless coexistence with other devices that transmit in the 2.4 GHz range is a concern since it can impact the reliability of the wireless link. This section summarizes testing conducted by Intuitive Surgical in an environment with other wireless devices representative of a typical Operating Room to demonstrate that the Wireless Connectivity Option functioned as expected. The test setup represented the worst case da Vinci Surgical System setup, and the position of the common wireless devices was defined to ensure that they were located near the Wireless Connectivity Option or the Wireless Access Point, and the path between the transmitter and receiver for most paired devices passed through the signal path between the Wireless Connectivity Option and the Wireless Access Point. Testing was conducted with a wireless network that satisfied the characteristics identified in Wireless Overview, page 9.The Wireless Access Point used during the testing was the Cisco Aironet 1240AG Series. The Aironet 1240AG Series was configured to operate as a typical Access Point, and therefore Wireless Access Points from other vendors should result in the same performance. Note that the characteristics for a suitable wireless network are summarized in Wireless Overview, and Intuitive Surgical field service personnel will confirm the wireless network is functioning as expected after installation. A complete list of the common wireless devices used during the testing (along with details on position, orientation, and type of data transmission) is summarized in the table in Common Wireless Devices Tested, page 11.
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-11DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Note: If different types of wireless devices will be used in the Operating Room, or if the wireless devices are used in different locations than what is described below, then Intuitive recommends that performance is tested with the wireless devices active, before use. If you encounter issues using the Wireless Connectivity Option in the presence of other wireless devices in the Operating Room, contact Intuitive Surgical Technical Support. Note: The wireless coexistence testing conducted by Intuitive does not cover use in the presence of MRI or diathermy machines. The Wireless Connectivity Option should not be used in the vicinity of these devices.Common Wireless Devices TestedCommon Wireless Devices Disturbance Details Test S etupWireless MonitorIOGear Model: GUW2015V (receiver)GUWA200 (transmitter)3.1 GHz to 4.8 GHz Certified wireless USBRF Modulation: QPSK/DCM; Data Rate: 480 Mbps Transmitter attached to a desktop PC located 50 inches away from the wireless bridge, and receiver attached to a monitor on the boom. Desktop PC oriented so the transmitter has clear line of sight to the receiver attached to the monitor, and PC streaming 720p video.Smart Phone/Device 2 iPhone4 (3G and 2.4 GHz wireless)Samsung (2.4GHz wireless) One iPhone4 sitting on the arm rest of the Surgeon Console paired with a Bluetooth headset with a phone call in progress. The iPhone is also connected to the WAP. The second iPhone4 is paired with the Bluetooth speaker.Samsung phone in the room 72 inches away from a paired Bluetooth headset worn by someone at the patient side.Laptops with wireless 802.11 b; 2.4 GHzTwo Dell laptops connected to the WAP on the same channel as the Wireless Bridge, with one laptop streaming a video over the network from YouTube.The laptops are approximately 90 inches away from the Wireless Bridge.Wireless keyboard and mouseMicrosoft Wireless Desktop – Keyboard and Mouse 7000: 2.4 GHz range(2,400 – 2,483.5 MHz) FCC IDs C3K1345, C3K1142 and C3K1123 Wireless keyboard and mouse interfaced with one of the desktop computers, and physically sitting on top of the Vision Cart, 55 inches apart.Bluetooth keyboardMicrosoft Bluetooth Mobile Keyboard 6000 2.4 GHz range(2,400 – 2,483.5 MHz) FCC ID C3K1390Keyboard interfaced with one of the desktop computers, and physically sitting on top of the Vision Cart, 55 inches apart.Bluetooth headset #1 2.402-2.480 GHz rangeJawbone headset paired with the iPhone4, worn by the surgeon at the Surgeon Console and used during the phone call.
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-12DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Bluetooth headset #2 2.402-2.480 GHz rangeBluetooth headset paired with a Samsung phone, located on the operating room bed, 72 inches apart, with a call active.Bluetooth Speaker Creative D100 Wireless; FCC ID IBAMF80902.402-2.480 GHz rangeiPhone4 paired with the Bluetooth speaker playing music located on the operating room bed, 72 inches apart.Cordless Telephone Uniden 2.4 GHz Amplified Cordless Phone System (Clarity-4205)Phone base is on the desk, and the phone is on the other side of the room, with the base and phone continuously communicating.Microwave OvenMagicChef Model MCD11E3WOutput Frequency 2450 MHz; FCC ID C5F7NF1AMO100NIn the coexistence test, the microwave oven is placed in the signal path between the Wireless Bridge and the WAP, 20 feet away from the WAP. The Wireless Bridge and WAP are operating at maximum distance in this test.In the isolated test with the microwave oven, it is placed in the signal path between the Wireless Bridge and the WAP at a distance where no impact is observed, and then the Wireless bridge is moved closer until the connection is dropped. Wired connection is then established.In both test cases, the microwave oven is oriented such that the seams in the door are pointing toward the Wireless Bridge and the Wireless Access Point.RFID tagsReader: TagMaster LR-3 Pro (PN 154400) 2.435 to 2.465 GHz rangeID-Tags: TagMaster S1255 MarkTag and S1240 MarkTag MeM2.435 to 2.465 GHz rangeRFID was tested by placing the Reader and the ID-tags on each side of the signal path, between the Wireless Bridge and the Wireless Access Point. In the coexistence test case, the tags and reader were 30 inches apart. During the isolated test with the RFID setup, they were 36 inches apart in the worst case configuration.Electrosurgical UnitCovidien (formerly ValleyLab) Force FX (GSTElectro02)390 kHzLocated in the Vision Cart, which is placed as close to the Surgeon Console as possible.Common Wireless Devices Disturbance Details Test S etup
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-13DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Devices Known to Interfere Microwave OvenTesting conducted by Intuitive Surgical determined that microwave ovens can disrupt wireless communication in certain configurations:•Intuitive Surgical recommends keeping microwave ovens (1000 Watt) at least 25 feet from the Wireless Bridge or Wireless Access Point, especially if it is located in the signal path. Higher wattage microwaves should be placed at larger distances.• If a microwave oven causes interference, use the wired backup to correct the problem.Figure E.1 Placement boundaries for microwave ovensRFID Reader (2.4 GHz)Testing conducted by Intuitive Surgical determined that RFID readers operating in frequency hopping mode, or configured to operate at a frequency that overlaps the channel being used by the wireless bridge and the WAP, will cause minor network disturbances.To eliminate the interference, Intuitive Surgical recommends the following:• The RFID reader not operate in frequency hopping mode if it is being used in the same room as the Wireless Connectivity Option.• A separation of a least 4 MHz exists between the frequency range of the channel being used by the wireless bridge/WAP and the operating frequency of the RFID reader. For example, a wireless bridge/WAP operating on channel 10 spans 2.446 – 2.468 GHz; therefore, to avoid disturbances from the RFID reader, its operating frequency should be less than or equal to 2.442 GHz or greater than or equal to 2.472 GHz.Figure 6 Valid RFID Reader Operating FrequenciesWireless Access PointWireless Bridge7.6 metersor 25 feet7.6 metersor 25 feetSignalPathWireless ConnectivityOption Frequency Range2.442GHz4 MHzValid RFID ReaderOperating FrequenciesValid RFID ReaderOperating Frequencies4 MHz2.472GHz2.446GHz2.468GHz
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-14DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Note that RFID devices can operate outside the frequency range of what was included in the testing summarized above. If RFID devices operating outside the range shown above exist in the operating room, Intuitive Surgical recommends that performance is tested with the RFID device active, before use.Addressing Wireless Connectivity ProblemsIf you encounter connectivity problems while using the Wireless Connectivity Option, Intuitiverecommends you do the following:• Determine if a device transmitting in the 2.4 GHz range is in the room, and if so, disable the device to see if it resolves the connectivity problems. • If you experience several disconnections, and the above step did not resolve the issue, or if the interfering device must be used, then establish a wired network connection with the da Vinci Surgical System (see Wired Network Connection for more information). E.11 OnSite Appendix A: IT RequirementsInternet AccessThe network security device that will be integrated into the da Vinci Surgical System requires Internet access to contact servers at Intuitive Surgical.Intuitive Surgical requires a wired RJ45 Ethernet 10bT/100bT network drop and/or a wireless 802.11 network with Internet access in the OR where the facility’s da Vinci Surgical System is used. If your da Vinci Surgical System is used in multiple locations, then Intuitive Surgicalrequests that be made available in each location.OnSite is compatible with both DHCP and static networking addresses.Proxy ServerOnSite is compatible with most proxy servers. In some instances proxy authentication maybe required to be by-passed.FirewallOnSite requires outbound port 443 open.Network TopologyOnSite requires a minimum amount of bandwidth to post log files (generally less than 1 MB per day).
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-15DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14E.12 OnSite Appendix B: Electromagnetic CompatibilityThe essential performance for da Vinci Wireless Connectivity during EMC testing was defined as follows during any of the required tests:• No component failures• Video quality exceeded pre-defined metric demonstrating that the video quality was not impacted• Audio script test passed demonstrating that the audio link was not impacted• No changes in programmable parameters• No resets to factory defaults• No change in operating mode• No false alarms• No initiation of any unintended operation• No cessation or interruption of any intended operationException: For Voltage Dips and Interrupts, acceptance criteria is no component failures and is restorable to the pre-test state with operator intervention. For Radiated Immunity in the band 2.0 - 2.5GHz, acceptance criteria is no component failures and is restorable to the pre-test state with operator intervention, and restorable during test with a hard-wired connection.The da Vinci Surgical System complies with IEC60601-1-2:2001, General Requirements for safety – Collateral standard: Electromagnetic compatibility. Special precautions and installation information for the da Vinci Surgical System for electromagnetic compatibility (EMC) are provided in the following section.Use only Intuitive Surgical-branded interconnection cables and accessories. Performance of cables or accessories other than those specified by Intuitive Surgical as replacement parts for internal components cannot be guaranteed. Any resulting damage to the system will not be covered under warranty.Equipment in the operating room, including the da Vinci Surgical System and other portable or mobile communications equipment, can produce Electromagnetic Interference (EMI), which may affect the function of these devices. Such effects are prevented by use of equipment with EMI characteristics proven below recognized limits, as identified in the below tables.In the event of suspected interference from other equipment, which prevents the proper functioning of the da Vinci Surgical System, contact Intuitive Surgical and/or discontinue use of the system until the problem can be remedied.The following Tables contain the Manufacturer’s declaration and additional information required by IEC60601-1-2:2001.
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-16DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Note: 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 interference 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.Table 1: Manufacturer’s Declaration – Electromagnetic Emissions The da Vinci Surgical System is intended for use in the electromagnetic environment specified below. The customer or the user of the da Vinci Surgical System should assure that it is used in such an environment.Emissions Test Compliance Electromagnetic Environment – Guidance RF emissions CISPR 11 Group 1 The da Vinci Surgical System uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic environment. RF emissions CISPR 11 Class A The da Vinci Surgical System is suitable for use in all establishments, other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes. Harmonic emissions IEC 61000-3-2 Class A Voltage fluctuations/ flicker emissions IEC 61000-3-3 Complies
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-17DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Table 2: Manufacturer’s Declaration – Electromagnetic Immunity The da Vinci Surgical System is intended for use in the electromagnetic environment specified below. The customer or the user of the da Vinci Surgical System should assure that it is used in such an environment. Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Guidance Electrostatic discharge (ESD) IEC 61000-4-2 ±6 kV contact ±8 kV air ±6 kV contact ±8 kV air Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Electrical fast transient/burst IEC 61000-4-4 ±2 kV for power supply lines ±1 kV for input/ output lines ±2 kV for power supply lines ±1 kV for input/ output lines Mains power quality should be that of a U.S. commercial or hospital environment with highly reliable service. Surge IEC 61000-4-5 ±1 kV differential mode ±2 kV common mode ±1 kV differential mode ±2 kV common mode Mains power quality should be that of a U.S. commercial or hospital environment with highly reliable service. Voltage dips, short interruptions and voltage variations on power supply input lines IEC 61000-4-11 <5% UT (>95% dip in UT) for 0.5 cycle 40% UT (60% dip in UT) for 5 cycles 70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT) for 5 sec. <5% UT (>95% dip in UT) for 0.5 cycle 40% UT (60% dip in UT) for 5 cycles 70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT) for 5 sec. Mains power quality should be that of a U.S. commercial or hospital environment with highly reliable service. If the user of the da Vinci Surgical System requires continued operation during power mains interruptions, it is recommended that the da Vinci Surgical System be powered from an uninterruptedly power supply or a battery. Power frequency (50/60 Hz) magnetic field IEC 61000-4-8 3 A/m 3 A/m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment. Note: UT is the AC mains voltage before application of the test level.
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-18DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Table 3: Manufacturer’s Declaration – Electromagnetic Immunity The da Vinci Surgical System is intended for use in the electromagnetic environment specified below. The customer or the user of the da Vinci Surgical System should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment – guidance Conducted RF IEC 61000-4-6 Radiated RF IEC 61000-4-3 3 Vrms 150 kHz to 80 MHz 3 V/m 80 MHz to 2.5 GHz3 Vrms 3V/m Portable and mobile RF communications equipment should be used no closer to any part of the da Vinci Surgical System, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance 80 MHz to 800 MHz 800 MHz to 2.5 GHz where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters (m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey,a should be less than the compliance level in each frequency range.b Interference may occur in the vicinity of equipment marked with the following symbol: Note 1: At 80 MHz and 800 MHz, the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. a. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the da Vinci Surgical System is used exceeds the applicable RF compliance level above, the da Vinci Surgical System should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orientating or relocating the da Vinci Surgical System. b. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.d1.2P=d1.2P=d2.3P=
Appendix E: OnSite™ for da Vinci® Surgical Systemda Vinci® Si™E-19DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Table 4: Recommended separation distances between portable and mobile RFcommunications equipment and the da Vinci Surgical System The da Vinci Surgical System is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the da Vinci Surgical System can help prevent electromagnetic interferences by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the da Vinci Surgical System as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz 0.01 0.12 0.12 0.23 0.1 0.38 0.38 0.73 1 1.2 1.2 2.3 10 3.8 3.8 7.3 100 12 12 23 For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note 1: At 80 MHz to 800 MHz, the separation distance for the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. d1.2P=d1.2P=d2.3P=Table 5: Compliance InformationNetwork Router: CAN/CSA-C22.2 No 60950-1-03ANSI/UL Std No 60950-1 1st Ed.Wireless Bridge: *Wireless Data Rate802.11b/g: 2.4-2.4835 GHz 802.11b/g: 2.4-2.4835 GHz* See OnSite Appendix C: Wireless Bridge Data on page 20 for more information
da Vinci® Si™Appendix E: OnSite™ for da Vinci® Surgical System E-20DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14E.13 OnSite Appendix C: Wireless Bridge Data __________________________________End of Section_______________________________495-499 Montague Expwy. Milpitas, CA 95035 CA 95035 T(408)-942-3085 F (408)-351-4973 http://www.ubnt.comNS2L DATASHEETDataRate TX Power Tolerance DataRate Sensitivity Tolerance1Mbps 20 dBm +/-1dB 1Mbps -95 dBm +/-1dB2Mbps 20 dBm +/-1dB 2Mbps -94 dBm +/-1dB5.5Mbps 20 dBm +/-1dB 5.5Mbps -93 dBm +/-1dB11Mbps 20 dBm +/-1dB 11Mbps -90 dBm +/-1dB6Mbps 20 dBm +/-1dB 6Mbps -92 dBm +/-1dB9Mbps 20 dBm +/-1dB 9Mbps -91 dBm +/-1dB12Mbps 20 dBm +/-1dB 12Mbps -89 dBm +/-1dB18Mbps 20 dBm +/-1dB 18Mbps -88 dBm +/-1dB24Mbps 20 dBm +/-1dB 24Mbps -84 dBm +/-1dB36Mbps 18 dBm +/-1dB 36Mbps -81 dBm +/-1dB48Mbps 16 dBm +/-1dB 48Mbps -75 dBm +/-1dB54Mbps 15 dBm +/-1dB 54Mbps -72 dBm +/-1dB5MHz 10MHZ 20MHz802.11b802.11g OFDM802.11g OFDMTX SPECIFICATIONS RX SPECIFICATIONS802.11bANTENNAOutdoor (BaseStation Antenna Dependent): Over 5km RANGE PERFORMANCEADJUSTABLE CHANNEL SIZE SUPPORTWireless Approvals FCC Part 15.247, IC RS210, CERADIO OPERATING FREQUENCY 2412-2462 MHzSYSTEM INFORMATIONProcessor Specs Atheros MIPS 4KC, 180MHzMemory Information 16MB SDRAM, 4MB FlashNetworking Interface 1 X 10/100 BASE-TX (Cat. 5, RJ-45) Ethernet InterfaceGain 8dBi (2400-2500MHz)Surival Wind 216 km /hrRoHS Compliance YESREGULATORY / COMPLIANCE INFORMATIONMulti-Polarized 3dB Beamwidth Elevation 60 degreesPolarization Selection Software Controlled 3dB Beamwidth Azimuth 60 degreesPolarizationAzimuth ElevationPHYSICAL / ELECTRICAL / ENVIRONMENTALMounting Kit Pole Mounting Kit includedEnclosure Size 16.3 cm. length x 3.1 cm. height x 8cm. widthWeight 0.18kgEnclosure Characteristics Outdoor UV Stabalized Plastic visit www.ubnt.com/airos Shock and Vibration ETSI300-019-1.4Power Method Passive Power over Ethernet (pairs 4,5+; 7,8 return)Operating Temperature -20C to +70COperating Humidity5 to 95% CondensingSOFTWAREMax Power Consumption 4 WattsPower Supply12V, 1A (12 Watts). Supply and injector included
Appendix F: 8.5 mm Endoscope for the da Vinci Si Systemda Vinci® Si™F-1DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14FAppendix F: 8.5 mm Endoscope for the da Vinci Si SystemThis section provides details specific to the 8.5 mm 3D endoscope system designed to be used with the da Vinci Si Surgical System. It augments the information within this manual regarding endoscopes, especially under Endoscopesin section 7.1 Vision System Overview. Users should consider the following: • Users should have a thorough understanding of the use of the 12 mm endoscope system in conjunction with the da Vinci Si Surgical System before using the 8.5 mm endoscope and components. This section contains important information about the differences between the 8.5 mm and 12 mm endoscopes and components. WARNING: Be sure to read and understand all caution and warning information found in this manual before using this product. Indications for UseThe Intuitive Surgical 8.5 mm Endoscopic System is intended for endoscopic viewing of internal surgery sites during minimally invasive surgery in the peritoneal cavity, thoracic cavity, and peritoneum. It is designed for use with the Intuitive Surgical da Vinci Si Instrument Control System during laparoscopic and thoracoscopic surgical procedures.F.1 OverviewThe 8.5 mm endoscope provides a 3D view of the operative field when used with the da Vinci Si High Definition Vision System. The small diameter of the 8.5 mm endoscope enables the da Vinci Si Surgical System to be used with a smaller endoscope port. While the system is not docked, you can use the 8.5 mm endoscope for laparoscopy through a da Vinci 8 mm instrument cannula.Figure F.1 Using the 8.5 mm endoscope manually
da Vinci® Si™Appendix F: 8.5 mm Endoscope for the da Vinci Si System F-2DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14The 8.5 mm endoscope uses a three-piece system concept (endoscope, adapter and camera). The 8.5 mm endoscope is compatible with the High Definition cameras, illuminators and light guides provided with the da Vinci Si Surgical System. The 8.5 mm endoscope is available in straight (0°) and angled (30°) tip configurations.Special considerations for the 8.5 mm endoscope include: • While the system is docked, the 8.5 mm endoscope requires use of the 8.5 mm Endoscope Cannula or a validated third-party endoscope cannula. Refer to the list of Validated 3rd Party Products for da Vinci® Surgical Systems (PN 871770).•The 8.5 mm endoscope requires use of the 8.5 mm Alignment Target.•The 8.5 mm endoscope is approximately 90 mm shorter than the 12 mm endoscope.•The 8.5 mm endoscope tip is not heated.•The 8.5 mm endoscope is more flexible than the 12 mm endoscope. Therefore, special care in the setup and handling of the 8.5 mm endoscope is required. • To prevent damage during reprocessing, we strongly recommend you place the endoscope in a properly designed sterilization tray or case, like those we identify in the list of Suggested 3rd Party Products for da Vinci® Surgical Systems (PN 871771)•The 8.5 mm endoscope has lower resolution and less brightness than the 12 mm endoscope.CAUTION: The 8.5 mm endoscope should only be used in cases where the image quality of the 12 mm endoscope is not required. A 12 mm endoscope should be available for use if an increase in image quality is preferred. F.2 Working with the 8.5 mm Endoscope The 8.5 mm endoscope uses the same camera arm and camera head drapes as the 12 mm endoscope. However, the 8.5 mm endoscope requires a specific alignment target and endoscope cannula. The 8.5 mm endoscope, alignment target and cannulae are clearly marked “8.5 mm” (see Figure F.2 for examples below).Figure F.2 “8.5 mm” marking on alignment target and endoscopeThe following table provides the compatible combinations of reusable cannula, cannula mount and alignment target for use with the 8.5 mm endoscope on da Vinci Si Surgical Systems. For a list of disposable endoscope cannulae validated by Intuitive Surgical, refer to the list of Validated 3rd Party Products for da Vinci® Surgical Systems (PN 871770).
Appendix F: 8.5 mm Endoscope for the da Vinci Si Systemda Vinci® Si™F-3DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Table F-1 Compatible combinations of reusable cannulaRefer to appropriate sections of this user manual for general instructions regarding endoscope alignment and setup, including connections to the other components of the Vision System and to the camera arm of the Patient Cart. Refer to the Reprocessing Instructions for compatible sterilization methods and parameters for the 8.5 mm endoscopes.________________________________End of section________________________________Alignment Target Endoscope Cannula Mount Reusable Endoscope Cannula371679 371521 (ETH/TAUT) 420260
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-1DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14GAppendix G: Symbols, Icons and Text Messages ReferenceG.1 OverviewThis appendix provides a reference for symbols, LEDs (colored lights), icons and text messages you may see on system components or monitors.SymbolsSymbols appear on system components and serve these purposes: • Identification of important system connections and functions • Provide caution and warning informationLED Status IndicatorsIndications of the status of the instrument and camera arms are provided by LEDs on the top of the insertion axis of each instrument and camera arm. The meanings of the colors are as follows:Figure G.1 LED Quick ReferenceCorresponding LED icons—graphics that reproduce the LED status—appear simultaneously on the touchscreen and stereo viewer. LED Quick ReferenceNot ready for surgeon controlblinkingblinkingblinkingArm or port clutchGuided tool changeReady for surgeon controlWarning: Intervention requiredSee display for detailsError: System restart requiredSee display for detailsSystem working.Please wait.
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-2DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14On-Screen Icons and Text MessagesIcons and text messages are overlaid on the video displays to provide information regarding the status of the system. The following figures illustrate arrangement of overlaid elements in the stereo viewer and touchscreen displays. Note that many overlaid elements appear only when needed, and others are usually or always present.Figure G.2 Stereo viewer display (SmartPedal technology) Critical messagearea/iconArm 1status:on right,active (larger)Right mastermessage area/iconangle, rotation, zoom Modal messageareaOther consoleinstrument status area/iconCamera indicators:Arm 3status:on leftinactive (smaller,below, gray)Arm 2status:on left,active (larger)Left mastermessage area/iconCamera armmessage area/iconname (gray) Inactive instrument Footswitch map Active instrumentnameActive instrument armmessage areas/iconsInactive instrumentarm message area/icon
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-3DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Figure G.3 Touchscreen displayG.2 Symbols and Icons Reference TableArm 2 data: on left, surgeon name or console controlSingle or dual console Modal messageareaCritical messagearea/icon masters & instruments status Menu tabs area Camera angle, zoom, rotation indicatorCamera message area, iconArm 1 data: on right, instrument name, energized (bolt), foot over enabled pedal pair (blue)Instrument arm message areas, iconsMenu pop up areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found Read the operating instructions. System component labels Type CF Applied Part On camera head and instruments Type BF Applied Part On Illuminator. Note: The da Vinci Si camera head provides isolation in accordance with a CF applied part and is acceptable for use with the Y1903 Illuminator. Caution: Hot Illuminator lamp moduleor
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-4DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14 Protective ground Inside (not visible to users) the Camera Control Unit, Core, Vision Cart, Patient Cart and Surgeon ConsoleVision Setup button Camera headFocus In, Focus Out buttons Camera headLamp On/Off button Camera head Flush Port On instruments adjacent to flush port 30º 30 degrees up, indicates which side of scope should be on same side as camera head buttons to achieve this scope orientation.On one side of endoscope base30º 30 degrees down, indicates which side of scope should be on same side as camera head buttons to achieve this scope orientation.On one side of endoscope base Turn as indicated to unlock. Camera head and endoscope Turn as indicated to lock. Camera head and endoscopeTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-5DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Do not autoclave. Endoscope and camera headFragile, handle with care Endoscope Ethernet Connection Inside Surgeon Console service panel and rear of Patient Cart Alternating Current On product labels containing rating information on rear of Patient Cart, Surgeon Console and Vision Cart Equipotential Terminal Rear of Surgeon Console, Patient Cart, Vision Cart, Camera Control Unit, Illuminator and Core. Note: The terminal is not required for operation. It is provided for convenience to allow for other equipment to be at the same equalization potential as the da Vinci Surgical System. Serial Port Connection Inside Surgeon Console service panel and rear of Patient Cart Standby—found on Power buttons of Vision Cart, Patient Cart and Surgeon Console, lit amber when in standby mode (connected to mains but not powered on), blue when powered on.Power buttons on Patient Cart, Vision Cart, Surgeon Console and CoreOff (power: disconnection from mains)Rear of Patient Cart, Vision Cart and Surgeon Console, Illuminator, Camera Control Unit and CoreOn (power: connection to mains) Rear of Patient Cart, Vision Cart and Surgeon Console, Illuminator, Camera Control Unit and CoreDVI DVI video port Back of Core and back of Surgeon ConsoleTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found Autoclave
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-6DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Composite Composite video ports Back of CoreS-Video S-Video port Back of Core and back of Surgeon ConsoleSDI SDI video port Back of Core and back of Surgeon ConsoleAudio Audio bay, green Back of Core and back of Surgeon ConsoleLLeft Back of Core and back of Surgeon ConsoleRRight Back of Core and back of Surgeon ConsoleCore VideoCore Video port Back of Core and back of CCUIlluminatorControlIlluminator control ports Back of CCUCore ControlCore control ports Back of CCUVideo Control Video control ports Back of CoreTouchScreenAudioTouchscreen audio connection port Back of CoreTouch ScreenVideoTouchscreen video connection portsBack of CoreTouch ScreenComTouchscreen communication ports Back of CoreSERVICE Service connection ports Back of CoreHeadset Headset connection port Back of Core and back of Surgeon ConsoleLine In Audio line in port Back of Core and back of Surgeon ConsoleLine Out Audio line out port Back of Core and back of Surgeon ConsoleVideo OutVideo out bay, orange, labeled either “Aux” for auxiliary (on Core); L (left) and R (right) (on Surgeon Console); or 1 and 2 (optional bays on Core)Back of Core and back of Surgeon ConsoleTilePro Input Video in bay, blue Back of Core and back of Surgeon ConsoleTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-7DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14FIBER Fiber cable (system cable) receptacleNext to fiber cable receptacles on back of CoreBRAKE Indicates the brakes on the Surgeon Console, applied by stepping down.Both sides of Surgeon Console, near floorPUSH Indicates where to push the Surgeon Console.Both sides of Surgeon Console, near handlesMaster clutch Clutch pedal on footswitch panelInstrument arm swap Arm swap kick-plate (left side) on footswitch panelDo not step here. On Patient Cart base Tip hazard during transport. Stow touchscreen and close rear door before moving cart.On label on rear door of Vision CartDo not move Surgeon Console from the back.Back of Surgeon ConsoleDispose of in accordance with local regulations—particularly applies to electronic components.System labelsTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-8DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Fiber cable (system cable) receptacleNext to system cable receptacles on back of Core, Surgeon Console and Patient CartCaution: Laser hazard On blue covers of system cable receptacles on Core, Surgeon Console and Patient CartVideo output format of associated output ports is configurable via the touchscreen. On Video Settings tab, select Video Output button.Back of Core, with connection baysEnergy activation cable connection portBack of CoreVideo out bay, left video channel; video has no overlays. This is component video, made up of Y (green port), PR (red port) and PB (blue port). A similar label appears for the right video channel.Back of Camera Control Unit (CCU)Surgeon head-in sensor Surgeon Console viewerIndicates forward and reverse for the Patient Cart motor driveRight tiller handleIndicates range of speed for the Patient Cart motor driveRight tiller handleTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-9DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Shows use of throttle enable switch Between the tiller handlesShows use of throttle Between the tiller handlesExplains N=Neutral and D=Drive positions for the motor drive shift switches. Includes text, “IF NO CART POWER, USE NEUTRAL TO MOVE CART”Top of Patient Cart motor drive tiller.“Sweet Spot” label: Its limits indicate recommended distance range of Camera Arm remote center from Patient Cart towerCamera Arm setup joint“Drive” position: Patient Cart drive motor engagedPatient Cart base near motor shift switches“Neutral” position: Patient Cart drive motor disengagedPatient Cart base near motor shift switchesBrake release Near upper port clutch button on instrument and camera armsTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-10DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Pinch/Crush Hazard On Patient Cart, below upper port clutch button and at junction of setup joint and top of column on instrument and camera arms; on Surgeon ConsoleEmergency Power Off Rear of Patient CartInterference may occur in the vicinity of equipment marked with this symbol.Not used on IS3000 system but may appear on other equipment in the ORSpeaker connection port Back of CoreMicrophone connection port Back of CoreThe system is preparing to shut down. A message indicating the number of seconds until shut down appears in the body text area.Critical message areaGeneral information icon. Appears when the system is providing information that is not fault-related.Critical message areaCamera arm message areaGeneral warning / recoverable fault. Appears when the system detects a recoverable fault somewhere within the system not associated with a particular arm or master.Critical message areaTouchpad popup dialogTouchpad error handling areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-11DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14General critical warning / non-recoverable fault. Appears when the system detects a non-recoverable fault somewhere within the system not associated with a particular arm or master.Critical message areaTouchpad error handling areaCan also appear by itself on the touchscreen and touchpad when a critical startup error has occurredScope not detected. Appears when the system does not detect an endoscope and the user is attempting to go into following.Critical message areaTouchpad popup dialogGuided tool change in progress Instrument arm message areaThe system has detected a problem with the instrument. This can appear when the instrument is expired, when the instrument is incompatible with the system, when the system is not prepared to have an instrument installed on it, or when the system is having difficulty communicating with the instrument.Instrument arm message areaGeneral informational icon related to the instrument. This can appear when the system is downloading new instrument information from a plug-and-play instrument.Instrument arm message areaCamera arm is currently clutched and is free to be moved by OR staff around its remote center.Camera arm message areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-12DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Instrument arm is currently clutched and is free to be moved by OR staff around its remote center.Instrument arm message areaThe system has detected a non-recoverable fault on the left master.Left master message areaThe system has detected a non-recoverable fault on the right master.Right master message areaThe system has detected a non-recoverable fault on an instrument arm.Instrument arm message areaThe system has detected a non-recoverable fault on the camera arm.Camera arm message areaMove the right master grips to match the instrument grips (i.e., “Follow on matching grip”).Right master message areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-13DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Move the left master grips to match the instrument grips (i.e., “Follow on matching grip”).Left master message areaThe system has detected a recoverable fault or other resolvable problem on the left master.Left master message areaThe system has detected a recoverable fault or other resolvable problem on the right master.Right master message areaThe system has detected a recoverable fault or other resolvable problem on an instrument arm.Instrument arm message areaThe system has detected a recoverable fault or other resolvable problem on the camera arm.In dual console mode, appears when camera control pedal is pressed on other console, explaining why instruments stop moving and firing.Camera arm message areaAbove footswitch map when camera control pedal is pressed on other console.The instrument tip is still inside the cannula. To continue, you must clutch the instrument arm and advance the tip into the body.Instrument arm message areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-14DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14The system has detected excessive force on an instrument arm. This normally means that some external object is pushing on an arm.Instrument arm message areaThis instrument arm is locked; unlock it via the touchpad to use.Instrument arm message areaHit the arm swap pedal to use the instrument in question.Instrument arm message areaThe system has detected a problem with a cannula.Instrument arm message areaRelax your grip on the left master so that it can self-align.Left master message areaRelax your grip on the right master so that it can self-alignRight master message areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-15DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Roll the left master grip to proceed. Left master message areaRoll the right master grip to proceed.Right master message areaYour instruments have been reassigned. Tap ‘Arm Swap’ pedal to acknowledge and continue.Critical message areaTouchscreen instrument arm status areaDual console instrument status area (touchpad and touchscreen)The instrument arm is conducting its self test.Instrument arm message areaThe camera arm is conducting its self test.Camera arm message areaThe left master is conducting its self test.Left master message areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-16DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14The right master is conducting its self test.Right master message areaSelect the desired motion scaling level.Touchpad popup menuThe ergonomic settings are being adjusted.Critical message areaSetup arm has been moved unexpectedly; press one of the port clutch buttons to continue.Instrument or camera arm message areaEnergy activation is currently unavailable. Energy may be unavailable because the instrument installed is not an energy instrument or because no compatible ESU for the installed instrument is detected. Touchscreen instrument arm status area3D viewer instrument arm status areaEnergy activation is currently available. Touchscreen instrument arm status area3D viewer instrument arm status areaTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-17DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14No scope is detected. Touchscreen camera status areaTouchpad central column on main page (shown vertically)Scope detected. This icon is accompanied by 30˚ , 30˚ , or 0˚. Touchscreen camera status areaTouchpad central column on main page (shown vertically)Digital Zoom. This icon is accompanied by one of the following zoom levels:•Wide•Full•2x•4xTouchscreen camera status area.Touchpad central column on main pageIndicates which manipulator is currently associated with the surgeon’s right hand. Touchscreen instrument arm status areaTouchpad instrument arm status areaIndicates which manipulator is currently associated with the surgeon’s left hand.Touchscreen instrument arm status areaTouchpad instrument arm status areaIndicates TilePro input 1. Button on touchscreen displayIndicates TilePro input 2. Button on touchscreen displayTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-18DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Camera Button on touchscreen display (for selecting endoscopic camera view)Camera control foot pedalTouchscreen master status area (shown when Surgeon Console is in camera control)Surgeon Console Button on touchscreen display (for selecting “surgeon’s TilePro view”)Electronic brightness control (does not affect Illuminator light output).Touchscreen and touchpad displaysIncrease setting. Touchscreen display buttons; can be used as an alternative to slidersDecrease setting. Touchscreen display buttons; can be used as an alternative to slidersClose tab menu. Touchscreen display; used to close the tab menuMute microphone. Touchscreen and touchpad displays; used to mute the local microphone (touchpad version mutes the Surgeon Console microphone and touchscreen version mutes the Vision Cart microphone)Enable microphone. Touchscreen and touchpad displays; used to enable the local microphone (touchpad version enables the Surgeon Console microphone and touchscreen version enables the Vision Cart microphone)Table G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-19DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Speaker volume Touchscreen and touchpad displays; labels the slider that controls the local speaker volumeErase telestration marks. Touchscreen displayInstrument arm locked (when on screen).Brake applied (when brake pedal is depressed on Surgeon Console). Instrument arm message area on touchscreen.Touchpad instrument arm lock buttonAbove applied brakes on Surgeon ConsoleAdjust right. Touchscreen / touchpad displays for camera calibrationAdjust left. Touchscreen / touchpad displays for camera calibrationAdjust up. Touchscreen / touchpad displays for camera calibrationAdjust down. Touchscreen / touchpad displays for camera calibrationSecondary Energy Pedal 3D viewer footswitch mapTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-20DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Secondary Energy Pedal (when pressed)3D viewer footswitch mapPrimary Energy Pedal 3D viewer footswitch mapPrimary Energy Pedal (when pressed)3D viewer footswitch mapArm Swap Pedal 3D viewer footswitch mapArm Swap Pedal (when pressed) 3D viewer footswitch mapMaster Clutch Pedal 3D viewer footswitch mapTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-21DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Master Clutch Pedal (when pressed) 3D viewer footswitch mapCamera Control Pedal 3D viewer footswitch mapCamera Control Pedal (when pressed)3D viewer footswitch mapMasters status 3D viewer footswitch mapMasters status: left finger clutch activated3D viewer footswitch mapMasters status: right finger clutch activated)3D viewer footswitch mapMasters status during camera control: indicates that roll-to-focus is available3D viewer footswitch mapMasters status during camera control, when master roll is causing camera to focus in the + direction3D viewer footswitch mapMaster controls status during camera control, when master roll is causing camera to focus in the – direction)3D viewer footswitch mapTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-22DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Camera rotation indicator 3D viewer (top center)Touchscreen (lower right)Camera rotation indicator when angle is indeterminate; this can happen when no scope is selected or when scope is looking straight up or straight down.3D viewer (top center)Touchscreen (lower right)Left and right master are not associated with an instrument arm.Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeLeft master is associated with an instrument on arm 2 and right master is associated with an instrument on arm 1.Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeCautery instrument on arm 1 with right master is not energized for some reason.Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeEnergized instrument on arm 1 with right master is locked. Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeThere is a problem with the cannula on arm 1 with the right master. Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeThe instrument on arm 1 with right master is experiencing excessive external force.Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-23DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14System reports “No instrument installed” on instrument arm 1 with right master.Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeRight master is finger clutched. Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeRecoverable problem with right master.Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeInstrument arm 1 clutched. Touchscreen masters & instruments status area (top center)3D viewer (upper left) in dual console modeda Vinci Network Offline.Touchscreen lower rightda Vinci Network Online.Touchscreen lower rightOnSite Session In Progress.Touchscreen lower rightTable G-1 Symbols and IconsSymbol or Icon Meaning Where Found
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-24DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14G.3 Text Messages Reference TableTable G-2 contains a list of text messages that can appear on screen, sorted alphabetically. The text messages can appear in one or several contexts and locations and are written so as to be understood in each context on screen, and therefore not explained further. Variables are shown in italics inside angled brackets, like this: <variable>. This table is provided as a reference and to support translation into languages not supported in the system software.Table G-2 Text MessagesMessage # A B C P1 P2 P3 P4 T<button name> Button Stuck During Self-Test.<ESU name> is currently connected to your system. Would you like to continue or disconnect?<Left master, Right master> switches have been disabled by system. [This is repeated in table for optional “Left” and “Right” starting letters.]<Monopolar, Bipolar, etc.> energy disabled; only one <Monopolar, Bipolar, etc.> device is allowed<Monopolar, Bipolar, etc.> and <Monopolar, Bipolar, etc.> energy disabled during simultaneous control<Surgeon Console, Patient Side> Overlay [This is repeated in table for optional “Surgeon” and “Patient” starting letters.]<User name> has connected.<User name> has disconnected.<User name> has invited you to join a conference. Would you like to accept?02D2x303-arm Patient Cart not supported.Power down, connect 4-arm Patient Cart, and restart.3D3D Calibration3D Viewer Blocked4-arm Patient Cart not supported.Power down, connect 3-arm Patient Cart, and restart.4xA fault has occurred.A remote userAcceptAccount InfoAccount ManagementAdjust as necessaryAdjust the 3D viewer height until it is in a comfortable position.
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-25DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Adjust the 3D Viewer tilt until it is in a comfortable position.Adjust the foot switch panel depth until the controls are easily accessible.Adjust your chair height to a point at which your legs are at a slight downward angle.Adjusting ErgonomicsAdvance instrument to return to previous location.Advanced Video AdjustmentsAligning...Are you sure you want to disable <manipulator name; e.g., Instrument arm 1, camera arm, left master, etc.>?Are you sure you want to disable <manipulator name; e.g., left master, instrument arm 2, camera arm, etc.>?Are you sure you want to disable the master switches for <left master, right master>?Are you sure you want to disable the master switches?Are you sure you want to swap control of all instrument arms?Are you sure you want to unlock instrument arm <1, 2, or 3>?Arm clutched at patient cart.Arm locked.Arm not ready. Remove instrument to continue.Arm StowedAttentionAudioAudio Fault - System May Have Reduced or No Audio FeedbackAutoAuto 3D CalibrationAuto-calibrationAuto-calibration in progress...Auto Fluorescence Calibration (Part 1)Auto Fluorescence Calibration (Part 2)BackBlueBoth master switches have been disabled by system.Both surgeon consoles must have same foot tray type.BrightnessButton Stuck During Self-TestCalibrationCamera / ScopeCamera / Scope Calibration – Press 'Finish Calibration' to ExitCamera / Scope SetupCamera and set-up arm clutched at patient cart.Table G-2 Text MessagesMessage
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-26DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Camera ArmCamera arm clutched at patient cart.Camera arm not free to move.Camera control pedal pressedCancelCanceledCannula is invalid, please remove.Caution: Instrument motion may be non-intuitiveChannel 1 & 2 ConfigurationCheck video connections. Press 'Recover Fault' to continue.Check view port for obstructions.Click 'New User' to create an account.CLOSEClose grip to allow cutting.ClutchingComposite / S-Video / SD-SDIConference in ProgressConfigureConfirmConnectConnected to ConferenceConnection StatusConsoleConsole <1 or 2>Contact customer service.Contact ISI Technical Support for additional information.Contact ISI Technical Support for assistance.Contact ISI Technical Support if you require technical assistance.ContinueContrastControl PreferencesCut complete. Release grip to disable.Cut is enabled. Press again to cut.Release grip to disable.Data Collection in Progress...da Vinci Network Offlineda Vinci Network OnlineDelete UsersDisableTable G-2 Text MessagesMessage
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-27DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Disable <name of manipulator; e.g., instrument arm 1, camera arm, right master, etc.> or restart system to continue.Disable ArmDisable NodeDisable SwitchesDisconnectDisconnect one console and reset system to continue.Disconnect one surgeon console and press 'Recover Fault' to continue.Disconnect or unpower <ESU name> or <ESU name> to resolve.[Note: This message appears when two ESUs have conflicting features. Both are listed by name, so one example would be: “Disconnect or unpower Conmed or ValleyLab to resolve.”]Display EyeDisplay Name is required.Display name must be unique.Display Name: <Name>Display PreferencesDoes this calibration look correct?DoneDon't show this message againDownloading data, please wait: <#>Dr. <Name>Dual Console Mode Not SupportedDual console not supported.Power down, disconnect Surgeon Console, and restart.DVI-D (720p)DVI-IDVI-I (1024x768)DVI-I (1280x1024)DVI-I (1440x900)Edge EnhancementEditEdit <user name> AccountEdit UserEmergency Stop ActivatedEnableEndoscopic ViewEnergy Device ConflictEnsure the network cable is properly connected.<ESU name> is currently connected to your system. Would you like to continue or disconnect?Table G-2 Text MessagesMessage
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-28DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Event LogsExcessive force detected. Examine arm.Experimental instrument – Not for human useExperimental scope – Not for human useExitFailedFailed: Not whiteFailed: Possible dirty scopeFailed: Scope may be damagedFailed self-check. Remove instrument.Failed: Target not foundFailed: Too brightFailed: Too dimFarFault Code: <#####>Fiber cable connectors require cleaning.Fiber optic connectors require cleaning.Fine (3:1)Finger ClutchFinish assigning masters at touchpad and press 'OK' to continue.Finish CalibrationFirst Name is required.First Name: <Name>FluorescenceFluorescenceCalibration (Part 1)FluorescenceCalibration (Part 2)Fluorescence Finger SwitchFocusing...Foot position sensors blocked. Check for obstructions.Foot position sensors have been disabled by the system.FootswitchFormatFullGiveGraphicsHaptic ZoomHD-SDI (1080i)Table G-2 Text MessagesMessage
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-29DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14HD-SDI (720p)IlluminatorIlluminator bulb expired; Power down system and replace when possible.Illuminator door is open. Close door and press 'Recover Fault' to continue.Illuminator lamp module error: Please reseat or replace lamp moduleImage DepthImage EnhancementImage QualityInformation displayed in 3D viewerIn progress.Incoming CallIndependentInsertion axis not free to move. Check for obstructions.Instrument and set-up arm clutched at patient cart.Instrument arm <1,2, or 3> is currently associated with a master on the other console. Are you sure you want to take control of it?Instrument Arm 1Instrument Arm 2Instrument Arm 3Instrument arm not free to move.Instrument is expired. Remove.Instrument not compatible with cannula, please resolve.Instrument not fully connected. Check all cable connections.Instrument not fully connected. Check all cable connections and re-install instrument.Instrument not recognized. Remove and reinstall.Instrument not supported. Remove.Instrument tip in cannula; clutch and advance.Instrument too long for cannula. Remove instrument.Instrument will expire after procedure.Instruments ReassignedInsufficient Battery ChargeInterface OptionsInvalid Instrument InstalledInventory ManagementInvited to ConferenceLLargeLast Name is required.Last Name: <Name>Table G-2 Text MessagesMessage
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-30DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Left Master<Left master, Right master> switches have been disabled by system. [This is repeated in table for optional “Left” and “Right” starting letters.]Left video lost. Check video connections and power.LockLoginLogoutMaintenance Mode – Not for human useMaintenance Mode – Not for human use (Console 1)Maintenance Mode – Not for human use (Console 2)Manage UsersManualMaster AssociationsMaster Associations IncompleteMaster Controller Assignments IncompleteMaster not free to move.Master ScalingMaster Switch ErrorMaximum of two arms per side.Move master grip to match instrument.Networking hardware fault. OnSite and Connect functionality no longer available. Press 'Recover Fault' to continue.Network DetectedNetwork UnavailableNew UserNew User (Step <step number> of <total number of steps>)NextNext LogNoNo battery backup.No battery backup. Contact customer service.No cannula detected. Remove instrument and check cannula.No Instrument InstalledNo Scope DetectedNo user logged in.No video signal. Check video connections and power.Non-recoverable FaultNon-recoverable Fault <fault number> Restart system to continue.Non-recoverable Subsystem FaultTable G-2 Text MessagesMessage
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-31DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Non-recoverable Subsystem Fault <fault number>Non-recoverable Subsystem Fault <fault number>. Disable arm or restart system to continue.NormalNormal (2:1)Not availableNot connected to Vision Cart.OffOKOnOnSite Session in ProgressPage DownPage UpPatient cart and surgeon console either not connected or not powered.Patient cart battery is charging. Please wait.Patient Cart DisconnectedPatient cart either not connected or not powered.Patient cart running on battery. Check AC power.Patient-SidePatient-Side Touchscreen Failed Self-Test<Surgeon Console, Patient Side> Overlay [This is repeated in table for optional “Surgeon” and “Patient” starting letters.]Pedal Conflict.Remove conflicting instrument to enable.PendingPlease wait. Self-test in progressPreparing to Shut DownPress and Hold to Restore SettingsPress 'Arm Swap' pedal to activate arm.Press 'OK' to continuePress 'Recover Fault' or disable <name of manipulator; e.g., instrument arm 1, right master, etc.> to continuePress 'Recover Fault' or 'Disable Switches' to continue.Press 'Recover Fault' to continuePress 'Recover Fault' to continue. Contact customer service.Preventive maintenance recommended. Contact customer service.Previous LogQuick (1.5:1)RRecoverRecover FaultTable G-2 Text MessagesMessage
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-32DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Recoverable FaultRecoverable Fault <fault number> Press 'Recover Fault' to continueRedRejectRelax hold on master so it can self-align.Remote Session in ProgressRemove InstrumentRestart system to continue.Restart system to continue. Contact customer service.Restore Factory SettingsRestore SettingsReverse<Left master, Right master> switches have been disabled by system. [This is repeated in table for optional “Left” and “Right” starting letters.]Right MasterRight video lost. Check video connections and power.Roll master grip.Rotate master to match instrument.ScalingScopeScope AngleSelect a motion scaling level.Select a scopeSelect a zoom levelSelect scope angle to continue.Service recommended. Contact customer service.Session AvailableSession EnabledSession EndedSession in ProgressSession UnavailableSet-up arm clutched at patient cart.Set-up arm moved unexpectedly. Press port clutch button to clear.Shutting down in <#> seconds. Press power button to cancel.SilenceSilence AlarmSizeSkip LoginSlide to unlockTable G-2 Text MessagesMessage
da Vinci® Si™Appendix G: Symbols, Icons and Text Messages Reference G-33DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14SmallSome ergonomic adjustments are unavailable.Start CalibrationStep <step number> of <total number of steps>: Press the center of the cursor.Stereo PairSuccessfulSurgeon ConsoleSurgeon console either not connected or not powered.<Surgeon Console, Patient Side> Overlay [This is repeated in table for optional “Surgeon” and “Patient” starting letters.]Surgeon Console Touchpad Is Not FunctionalSurgeon monitor tilt sensor error.Swap AllSwitch ErrorSystem communication failure. Restart system to continue.System Diagnostic Mode – Not for human use.System is overheating. Ensure adequate ventilation.System overheating. Shutting down in <#> seconds. Restart not possible; contact customer service.System shutting down.TakeTelestration EyeTest was run. Restart system for normal use.TFO Mode – Not for human use.the other console's left masterthe other console's right masterTileProTilePro QuickClickTouchscreen Calibration: <step number>/<total number of steps>Touchscreen is not available, but other system functions are unaffected. Press 'Recover Fault' to continue.Training instrument – Not for human useTraining scope – Not for human useTrial Software – Not for human useTroubleshootingUnknownUnlockUnsupported Parts Installed on SystemUse the da Vinci ergonomic controls on the left side pod to adjust the arm rest until your arms can rest comfortably with your shoulders relaxed.Table G-2 Text MessagesMessage
Appendix G: Symbols, Icons and Text Messages Referenceda Vinci® Si™G-34DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14_________________________________End of section______________________________UtilitiesVerify 3D CalibrationVideoVideo Fault: Ensure auxiliary video device is powered, then clear fault. If necessary, restart da Vinci system.Video OutputVideo SettingsVideo SourceVideo Sync ErrorVideo System Not ReadyViewer ModeVisualizationWarning: Ensure proper scope selection (0 degree scope selected).Warning: Ensure proper scope selection (30 degree down scope selected).Warning: Ensure proper scope selection (30 degree up scope selected).Warning: Ensure proper scope selection (No Scope selected).Warning: No scope detected. Ensure proper scope selection.Warning: Patient cart is able to moveWhite BalanceWhite balance failed.White balance failed: image not close enough to white.White balance failed: image too bright.White balance failed: image too dim.White balance failed: possible dirty scope.White balance in progress.White balance successful.WideWorking DistanceWould you like to connect?Would you like to connect to a conference?Would you like to continue?YellowYesYou are about to reassign instruments in use at the other console. Are you sure?You are the only member of this conference. Would you like to continue waiting?Your instruments have been reassigned. Tap ‘Arm Swap’ pedal to acknowledge and continue.ZoomTable G-2 Text MessagesMessage
da Vinci® Si™Appendix H: System Specifications H-1DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14HAppendix H: System SpecificationsH.1 Power SpecificationsH.2 Physical DimensionsH.3 Environmental SpecificationsSee specifications listed on page 1-7.H.4 Crate Dimensions Surgeon Console Patient Cart Vision Cart Voltage100/120/230 VAC50/60HzAuto Sense100/120/230 VAC50/60HzAuto Sense100/120/230 VAC50/60HzAuto SenseRating and Typical Current1000VA Continuous8.4A at 115V~4.2A at 230V~1000VA Continuous8.4A at 115V~4.2A at 230V~1500VA Continuous12A at 115V~6A at 230V~Backup Power NA 5 min NASurge Protected Yes Yes NoSurgeon Console Patient Cart Vision Cart Height 70 in. (178 cm) 69 in. (175 cm) 76 in. (193cm) with touchscreen stowedWidth 38 in. (97 cm) 36 in. (91 cm) 26.6 in. (67.6cm) Depth 34 in. (86 cm) 50 in. (127 cm) 36.5 in. (92.7cm) Weight ~580 lbs. (264 kg) ~1200 lbs. (544 kg) 446 lbs. (202.3kg) Ground Clearance 1.9 in. (48 mm) 1.9 in. (48 mm) 4 in. (10.2cm) L x W x H Weight Surgeon Console 47.5" x 48" x 65.5”(1.21m x 1.22m x 1.66m)793 lbs (360 kg)Patient Cart 67.3” x 47.3” x 77.3”(1.71m x 1.20m x 1.96m)1540 lbs (698.5 kg) Vision Cart 44" x 43" x 83”(1.12m x 1.09m x 2.11m) 720 lbs (326.6 kg)
Appendix H: System Specificationsda Vinci® Si™H-2DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14H.5 Video Patch PanelsFigure H.1 Video and audio connections (back of Core)Note: One video output is standard. Optional upgrades can provide up to two additional video outputs.Selecting Core Video OutputTo select the video output format used at each output bay, from the touchscreen, touch Video Output on the Video Settings tab, which gives access to the following user interface. Figure H.2 Example of video output option selectionsThe software buttons on this screen correspond to the applicable Video Out connector bay as explained below in Table H-1 Video Output Connections – Core.Core Video ConnectionsTilePro InputVideo Out bay 1 Video Out bay 2 Video Out bay AuxAudio In/OutTilePro InputOptionalTable H-1 Video Output Connections – CoreConnector LabelConnector Type Software Button(s)Output Format ResolutionDVI DVI-I DVI(analog and digital)Automatically configuredaDVI(digital)720p (720 x 1280 x 59.94Hz)
da Vinci® Si™Appendix H: System Specifications H-3DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Note: Each input and output bay supports only one video format at a time.Composite BNCComposite (analog)NTSC (720 x 486 x 29.97Hz)or PAL (720 x 576 x 25Hz)bS-Video 4-pin mini-DINS-Video (analog)NTSC (720 x 486 x 29.97Hz)or PAL (720 x 576 x 25Hz)bSDI BNCSD-SDI (digital)NTSC (720 x 486 x 29.97Hz)or PAL (720 x 576 x 25Hz)bHD-SDI (digital)720p (720 x 1280 x 59.94Hz)HD-SDI (digital) 1080i (1920 x 1080 x 29.97Hz)a. Automatically configured video format supports XGA, SXGA, WXGA-Plus analog and digital; 720p digital only. Not all DVI receiving devices support automatic configuration. To assure format 720p video output, select the DVI-D (720p) button instead.b. NTSC or PAL is determined by country.Table H-1 Video Output Connections – CoreConnector LabelConnector Type Software Button(s)Output Format ResolutionTable H-2 Video Input Connections – CoreConnector Label Connector Type Input Format Resolution DVI DVI-I DVI (analog and digital) Automatically configuredaS-Video 4-pin mini-DIN S-Video (analog) NTSC (720 x 486 x 29.97Hz) and PAL (720 x 576 x 25Hz)SDI BNC SDI (digital) NTSC (720 x 486 x 29.97Hz) and PAL (720 x 576 x 25Hz)HD-SDI (digital) 1080i (1920 x 1080 x 29.97Hz)and 720p (720 x 1280 x 59.94Hz)a. Automatically configured video format supports XGA, SXGA, WXGA-Plus analog and digital; 720p digital only.
Appendix H: System Specificationsda Vinci® Si™H-4DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Surgeon Console Video ConnectionsFigure H.3 Connections on back of Surgeon ConsoleNote: Each input and output bay supports only one video format at a time.TilePro Inputs Video Out L, R AudioTable H-3 Video Output Connections – Surgeon ConsoleConnector Label Connector Type Output Format Resolution DVI (SXGA)DVI-I DVI (analog and digital) SXGATable 9: Video Input Connections – Surgeon ConsoleConnector Label Connector Type Input Format Resolution SDI BNC SDI (digital) NTSC (720 x 486 x 29.97Hz) and PAL (720 x 576 x 25Hz)HD-SDI (digital) 1080i (1920 x 1080 x 29.97Hz)and 720p (720 x 1280 x 59.94Hz)S-Video 4-pin mini-DIN S-Video (analog) NTSC (720 x 486 x 29.97Hz) and PAL (720 x 576 x 25Hz)DVI DVI-I DVI (analog and digital) Automatically configuredaa. Automatically configured video format supports XGA, SXGA, WXGA-Plus analog and digital; 720p digital only.
da Vinci® Si™Appendix H: System Specifications H-5DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14Core Connections Diagram_________________________________End of section______________________________OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTIIIIIIIIIIIIIOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOONNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTIIIIIIIIIIIIIIIIIIIIIOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOONNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAALLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLIlluminator RearCore RearHD Camera Control Unit (CCU)/DoCo RearEnergy Activation Cables 1, 3 Touchscreen Video2. Touchscreen AudioTo Instrument Control Box (ICB), (For Vessel Sealer, Stapler Only)To Surgeon Console 1, 2, and Patient CartComponent 1 Component 2 ConnectorIlluminator CCU/DoCo DB-9 Serial PortComponent 1 Component 2 ConnectorCCU/DoCo Illuminator DB-9 Serial PortCCU/DoCo Core PN 371811CCU/DoCo Core BNC (L/L, R/R)Component 1 Component 2 ConnectorCore CCU/DoCo PN 371811Core CCU/DoCo BNC (L/L, R/R)Core ESUs Energy Activation CableCore ICB PN 372454Core Surgeon Console(s), Patient Cart System CableCore Vision Cart Touchscreen Audio CableCore Vision Cart Touchscreen Video CableCore Vision Cart Touchscreen DB-9 Serial PortLeave PowerOnLeave PowerOnLeave Power On123
Appendix I: Natural Rubber Latexda Vinci® Si™I-1DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14IAppendix I: Natural Rubber LatexThe following Intuitive Surgical products referenced in this manual are not made with natural rubber latex:• Camera Arm Drape, PN 420279• Camera Head Drape, PN 420273• Disposable Accessory Kit, 3-Arm, PN 420290• Disposable Accessory Kit, 4-arm, PN 420291•EndoWrist One Suction/Irrigator, PN 410299•EndoWrist One Vessel Sealer, PN 410322• Instrument Arm Drape, PN 420015• Monitor Drape, PN 420281_________________________________End of section______________________________
da Vinci® Si™Appendix J: Glossary of Terms J-1DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14JAppendix J: Glossary of TermsTable J-1 GlossaryTerm Meaning3D Three-dimensional.3D Display The three dimensional image created by two cameras. You view this image via the stereo viewer on the Surgeon Console. ACAlternating Current, also represented by the AC symbol: ~. “AC” or “AC power” refers to electrical connection via a wall outlet, as opposed to battery power.ArmsThe part of the da Vinci Si system that holds a grip, instrument or camera. There are six arms on the da Vinci Si System. Two master arms with master grips are located on the Surgeon Console. The Patient Cart has four arms, one for the camera and three for the instruments.Camera ArmThe arm on the center setup joint of the Patient Cart that controls the camera/endoscope according to the surgeon’s movements of the masters.Camera Rotation IndicatorShows the orientation of the camera with respect to the floor. It appears in the lower right corner of the touchscreen display, and top center of the stereo viewer display.CF or Type CFAn IEC 60601-1 classification for patient applied parts. Type CF is the most stringent classification, being required for those applications where the applied part is in direct conductive contact with the heart or other applications as considered necessary.Endoscope Cannula Mount The accessory that attaches a camera cannula to the camera arm. CarriageThe portion of the instrument arm to which an instrument sterile adapter attaches. The carriage moves up and down under control of the system, or manually by using the instrument arm clutch. CAUTIONAn important level of concern. Failure to heed a CAUTION may result in unintended motion of the da Vinci Si System that may result in injury to a patient.Circulating nurse vs. scrub nurse A scrub nurse is prepared to work within the sterile surgical field while a circulating nurse is not.
Appendix J: Glossary of Termsda Vinci® Si™J-2DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14Clutch (verb)1. To 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 Patient Cart to position the instruments and the camera/endoscope.2. To finger clutch is to disengage the one master from control of its associated instrument so the master can be repositioned.3. To arm clutch allows the instrument or camera to float, allowing manual adjustment of the instrument or camera arms.4. To port clutch allows repositioning of the remote center of a Patient Cart arm by disengaging the brakes on the setup joint.Clutch (noun)1. As in arm clutch button, which allows clutching of the instrument arm, or port clutch button, which allows clutching an arm setup joint.2. As in master clutch pedal, the footswitch pedal used to control master clutching.3. As in the finger clutch (sliding button on each master), which allows clutching that master separately.Console See Surgeon Console.DANGER The highest level of concern. Failure to heed a DANGER warning can result in injury to a patient.ESU Electrosurgical Unit or Electrosurgical Generator Unit.Endoscope An instrument used for the examination of the interior of a canal or a hollow space; also called a “scope.”EndoWrist® Instruments Instruments with a wrist located near the tip.Emergency Stop State A state where the motors of are turned off and a screen message is sent to the user. Faulting The transition from a working state to either a soft-locked or brake-locked state.Footswitch A pedal or switch located on the footswitch assembly of the Surgeon Console.Footswitch Assembly Located at the base of the Surgeon Console, containing all of the foot controls.Head Sensor Infrared sensor on either side of the view port of the Surgeon Console, located above the stereo viewer.Illumination System or Illuminator See Light Source.Table J-1 GlossaryTerm Meaning
da Vinci® Si™Appendix J: Glossary of Terms J-3DRAFT/PRE-RELEASE/CONFIDENTIAL 10/9/14InstrumentAny 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.Instrument Arms The arms on the outer setup joints of the Patient Cart that manipulate the instruments according to surgeon’s movement of the masters.Left-Side Pod The appendage on the left end of the Surgeon Console armrest that provides ergonomic adjustment controls.LED Light emitting diode.Light SourceEndoscopic illumination system. The da Vinci Si System has a single light source integrated in the Vision Cart and attached to the endoscope assembly by the light guide cable. It provides illumination inside the body for vision.MasterThe 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 Patient Cart arms.MIS Minimally Invasive Surgery.Notes User information to emphasize an important point.Patient CartThe part of the da Vinci Si System that is located on the patient side and consists of the column that supports the setup joints that in turn support the instrument and camera arms.Patient Cart Arms The arms that are components of the Patient Cart: three instrument arms and one camera arm.Remote CenterA fixed point in space around which the Patient Cart arms move, indicated by the thick black band on instrument cannulae. Remote center technology enables the System to maneuver instruments and endoscopes in the surgical site while exerting minimal force on the patient's body wall. Right-Side Pod The appendage on the right end of the Surgeon Console armrest that provides power buttons.Scope Endoscope.Screen The monitor display, located in the stereo viewer and/or the touchscreen display.Setup JointThe joints on the Patient 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 Patient Cart.Table J-1 GlossaryTerm Meaning
Appendix J: Glossary of Termsda Vinci® Si™J-4DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14_________________________________End of section______________________________Stereo Viewer or 3D Viewer The viewing system that comprises the upper portion of the Surgeon Console, where the surgeon looks to see the 3D image.Sterile AdapterInterface 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 endoscope adapter, camera arm sterile adapter and an instrument sterile adapter. They are not interchangeable.Surgeon Console The part of the da Vinci Si System consisting of a structure that supports the masters and the stereo 3D viewer.TilePro® A feature which allows display of the 3D image of the operative field and up to two additional images provided by auxiliary inputs.Touchpad The touchpad in the center of the Surgeon Console armrest.Touchscreen The touchscreen monitor mounted on the Vision Cart.View PortThe recessed area near the top of the Surgeon Console where the surgeon inserts his or her head to view the stereo viewer display. It includes the fixed eyepieces of the stereo viewer, infrared head sensors, speakers and contoured headrest.Vision CartThe da Vinci System component that houses the central processing and vision system, including the Core, Camera Control Unit (CCU) and Illuminator. It includes a touchscreen monitor and provides adjustable shelves for optional ancillary surgical equipment such as ESUs and insufflators.WARNING High level of concern. Failure to heed a WARNING could result in harm to a patient.Table J-1 GlossaryTerm Meaning
DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14da Vinci® Si™Index K-1IndexNumerics3D Calibration 10-143D Calibration button 7-13AAccessing the Event Logs A-1Accessory Equipment Interconnection 1-13Account Management 10-18Additional Considerations for Pediatric Surgical Procedures 1-9Addressing Anomalous Power Behavior 5-2Addressing Image Quality 7-20Adjusting the Touchscreen Monitor 7-20Advanced Video Adjustments 7-18Advanced Video Adjustments--touchpad 10-13Appendix AError Handling A-1Appendix BIlluminator Information B-1, C-1Appendix CSymbols, Icons and Text Messages Reference G-1Appendix DSystem Specifications H-1, I-1Appendix E8.5 mm Endoscope for the da Vinci Si System F-1Appendix HGlossary of Terms J-1Arm Clutch and Port Clutch Buttons 9-3Arm Clutch to Move Arms Manually 9-3arm colors 9-2Arm Positioning Precautions 1-13Arm Swap (left kick-plate) 10-24Audio and video connections H-2Audio Tab 7-19Audio tab on touchpad 10-17Auto-calibration button B-6Auxiliary Device Connections 4-9AV connections H-2BBasic Troubleshooting--illuminator C-5Battery Backup A-4Battery Disposal Information 1-19Battery Low Condition A-4Blue band on the drape 6-6blue energy pedal 10-25, 10-32Brightness 7-18Brightness on touchpad 10-12buttons on the camera head 7-13, 7-21, 7-22Ccalibrate endoscope assembly B-6calibration B-6Camera / Scope Setup 7-19Camera / Scope Setup--touchpad 10-14Camera Arm 2-10Camera Arm Docking 8-6Camera Arm Draping Procedure 6-12Camera Arm Sterile Adapter 9-15Camera Cable Connection 4-6Camera cables, care of 4-7camera calibration B-6Camera Control and Focus pedal 10-24Camera Control Unit 2-15Camera Control Unit Video Outputs 4-13Camera Control--dual console surgery 10-41Camera Head 2-14, 7-3camera head buttons 7-13, 7-21, 7-22Camera Head Cable Connections 4-6Camera Head Draping Procedure 6-15Cannula 9-7Care of Camera Cables 4-7Cautions 1-9CCU 2-15Changing the Endoscope 9-18Circulating Nurse 6-12Classification of the Y1903 Light Source C-8Cleaning and Maintenance 12-1Cleaning the Touchscreen Display 12-2Clip appliers 10-23Clutch (noun) J-2Clutch (verb) J-2clutching master by hand 10-23clutching notes 9-4Comparison Between Consoles 10-39Compliance and Classifications 1-3Component video 4-13Components 2-2Contact Information 1-2Contraindications 1-9Contrast 7-18Control Preferences 10-20Conversion to Non-Minimally Invasive Technique 1-10Conversion to Open Surgery A-5Cool Mode Restart 5-4Core 2-12Core Audio Inputs and Outputs 4-13Core Video Inputs 4-12Core Video Outputs 4-13Correcting an Out of Focus or “Soft” Image 7-21, 9-11
DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14K-2 Indexda Vinci® Si™Crate Dimensions H-1Crosshairs 7-13Dda Vinci Si System Main Components 2-2Degree of Protection 1-3digital zoom 10-15Disabling Instrument Arms and Master Controllers A-2Display Preferences 10-15Disposal Information 1-19Docking 8-4DoCo--see CCU. 2-15drape, blue band 6-6Draping 6-1Draping Guidelines 6-2Dual Console Connection and Startup 10-39Dual Console Surgery 10-39EEdge Enhancement 7-18Electromagnetic Compatibility 1-14Electromagnetic Compatibility--illuminator C-8Electrosurgery 1-10Electrosurgical units 4-9Emergency Power Off 9-5Endoscope 8.5 mmindications for use F-1overview F-1working with F-2Endoscope Assembly 9-14endoscope calibration B-6Endoscope insertion 9-17Endoscope installation 9-16Endoscope Installation, Insertion, Removal and Intraoperative Care 9-16Endoscope Interface 9-15Endoscope removal 9-17Endoscope use with patient 9-14Endoscope, change during procedure 9-18Endoscopes 2-12, 7-28.5 mm F-1Endoscopic Procedure Precautions 1-10EndoWrist Instruments 2-3Energy Indicators 10-33Energy Indicators--stereo viewer 10-33Energy instruments 4-9energy pedal, primary (blue) 10-25, 10-32energy pedal, secondary (yellow) 10-25, 10-32Environmental ConditionsOperating 1-7Storage and Transport 1-7Environmental Specifications 1-7, H-1EPO 9-5EPO (Emergency Power Off ) A-4Erase Button 7-16Ergonomic Setup 10-10ergonomic setup 10-9Error Handling A-1Error handling A-1Essential Prescribing Information 1-7ESU 4-9, J-2ESUs 4-9Event Logs 7-20, 10-19FFinger Clutch 10-23Finger Clutch Enable 10-20Finish Calibration button 7-13, B-7Fluid Leakage Precautions 9-11fogging 7-14Footswitch Map 10-27, 10-34Footswitch Panel 2-8, 10-5footswitch panel indicator 10-27, 10-34Fuse Replacement--illuminator C-5GGeneral Information 1-2General Precautions, Warnings, and Contraindications 1-9General Safety Precautions--illuminator C-1Give/Take button 10-40Grip Release 9-13Guided Tool Change 9-10HHaptic Zoom 10-20Hard-Cycle Power 5-3HD Camera Control Unit (CCU) 2-15HD Stereo Camera Head 2-14High Frequency Electrosurgery Precautions 1-10IIlluminator 2-12, 7-2, 7-18Illuminator appendix B-1, C-1illuminator buttons 7-14Illuminator classification C-8Illuminator Features C-2Illuminator Front C-2illuminator intensity control 7-14Illuminator Lamp Module Replacement 12-2Illuminator Rear C-3
DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14da Vinci® Si™Index K-3Illuminator specifications C-6Image Depth 10-16Image Too Bright or Dark 7-20Indications for Use 1-7Ingress Protection 1-3Insertion Axis 9-6Insertion of endoscope 9-17Insertion of instruments 9-9Inspecting Glass and Endoscope Surfaces 7-5Installation and Service Precautions 1-12Installation of endoscope 9-16Instrument and Endoscope Isolation Precautions 1-13Instrument Arm Docking 8-7Instrument Arm Draping Procedure 6-6Instrument Arm Indicator--stereo viewer 10-27, 10-34Instrument Arms 2-9Instrument Control--dual console surgery 10-40Instrument insertion by guided tool change 9-10Instrument Installation, Insertion, Removal and Intraoperative Care 9-7Instrument Removal 9-12Instrument Sterile Adapter 9-7Instrument Usage 9-14Intensity Control 7-14Intraoperative Instrument Maintenance 9-14Introduction 1-1Inventory Management 7-20, 10-18, 11-2LLamp Module Replacement 12-2Lamp On/Off 7-14Laser Safety 1-12Latex I-1Laying Out the System Cables 4-4LED colors 9-2LED Quick Reference G-1LED Status Indicators 9-2, G-1Left-Side Pod - Ergonomic Controls 10-4Left-Side Pod and Right-Side Pod 2-7Lock 10-41Login 10-5MManage Users 10-10manual 3D calibration 10-14Manufacturer’s Declaration – Electromagnetic Emissions 1-16, E-16Manufacturer’s Declaration – Electromagnetic Immunity 1-17, E-17Master Clutch pedal 10-24Master Controllers 2-5, 10-2masters 10-2Match Grip Angle 10-22Matching Grips 10-22Message Areas--stereo viewer 10-27, 10-34Microphone On and Off 7-19Mode of Operation 1-3Motor Drive 2-11Motor Drive Operation 3-3Motor drive shift switches 3-5Moving the Patient Cart Arms 9-3NNatural Rubber Latex I-1New User 10-8New User Ergonomic Setup 10-9Non-Recoverable Faults A-3Notes on Clutching 9-4OObtaining Technical Support A-1On-Screen Icons and Text Messages G-2OnSite E-1OR Configuration 3-1Other Console Instrument Status Area 10-27, 10-34Overview of touchpad 10-11PPatient Cart 2-3Patient Cart Overview 2-8, 9-1Patient Cart Positioning 3-2, 8-4Patient Cart Use 9-1Patient Preparation Guidelines 8-1Patient Preparation, Port Placement, and Docking 8-1Physical Dimensions H-1, I-1Placing Ports and Inserting Cannulae 8-2Plug and Play 9-9Port Clutch to Move Setup Joints Manually 9-4Port Placement and Cannula Insertion 8-1Port Placement Guidelines 8-1Power Connections 4-2Power Requirements 1-5, 4-2Power Specifications H-1, I-1Powering On the System 5-2Precautions for Use in Smaller Patients 1-9Pre-operative Endoscope Maintenance 7-14, 9-16Preparing the Patient Cart for Draping 5-6Preparing the System for Shutdown 11-1Primary Energy (blue) 10-25, 10-32Professional Instructions for Use 1-7
DRAFT/PRE-RELEASE/CONFIDENTIAL10/9/14K-4 Indexda Vinci® Si™RRecommended separation distances 1-19, E-19Recoverable Faults A-2Red 7-18Remote center 2-3, 8-3Removal of endoscope 9-17Replacing the Lamp Module 7-23Representative Pediatric Uses 1-8Representative Uses 1-8Required Power 1-6, H-1, I-1Restarting the System During a Procedure A-3Right-Side Pod 2-7SSatisfy Intended Motion 10-22Scaling 10-20Scope Angle 10-14scope calibration B-6Scrub Nurse 6-12Secondary Energy (yellow) 10-25, 10-32Setting the White Balance 7-9Setting up the Surgeon Console 10-5Setting Up the Vision System 7-5Setup joint, Unexpected motion 9-4Setup Joints 2-9Shift Switches 3-5S-hook 4-8Shutting Down the da Vinci Si System 11-3Specifications of Y1903 Light Source C-6Stand-Alone Mode 5-1start calibration 10-14Startup 5-1Startup Sequence 5-5Stereo Viewer 2-6, 10-2Stereo Viewer Display 10-38Storing the System 11-4Stow Position 5-7Surgeon Console 2-2Surgeon Console Overview 2-5, 10-1Surgeon Console Positioning 3-1Surgeon Console Use 10-1Surgeon Console Video Connections H-4Surgical Controls 10-22Swap All 10-41swap instrument control 10-24Symbols G-1Symbols and Icons Reference Table G-3symbols, icons and text message reference G-1System Cable Connections 4-3System Cleaning 12-1System component dimensions H-1, I-1System components overview 2-2System Connections 4-1System Faults A-1System integrity test 5-5System Maintenance 12-1System Overview 2-1System Power Cords 2-14, 4-2, 7-3System Shutdown and Storage 11-1System Specifications H-1, I-1TTake button 10-40Tank Holders 2-16Technical support A-1Technical Support phone numbers 12-1, 12-7Telestration 7-16Telestration Eye 10-16Text Messages Reference Table G-24TilePro 10-15TilePro 1 and 2 7-17TilePro QuickClick 10-20Touchpad 2-7, 10-3Touchpad Controls 10-11Touchscreen 2-16Touchscreen Display 7-15Touchscreen Draping Procedure (Optional) 6-16Touchscreen Menu Access 7-16touchscreen menus 7-15Touchscreen Monitor 7-4touchscreen overlays 7-15Training 1-8Transportation and Storage Precautions 1-12Troubleshooting 7-20, 10-19Type CF 1-14Type of Protection 1-3UUnexpected Setup Joint Motion 9-4Usage Summary 11-3User Manual Organization 1-1Utilities Tab 7-20Utilities tab on touchpad 10-18VVideo and Audio Connections 4-11Video Control--dual console surgery 10-41Video Input Connections H-3, H-4Video Output 7-19Video Output Connections H-2, H-4

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