Single-Site® Instrumentation for the da Vinci® Si

™

Surgical System

Solutionsforsingle-accesssurgery

Single-Site® TechnologySingle-Site Port•Thefive-lumenportprovidesaccessfortwoSingle-Site

instruments,the8.5mm3DHDendoscope,a5/10mmaccessoryportandinsufflationadaptor.

•Pliablearchitectureaccommodatesvariablepatientanatomyandenablessimpleandsafeentryintoa2.0-2.5cmincision.

•Markedlumensontheportprovideguidanceforproperset-upandremotecenterplacement.

Curved 5 mm Instrument Cannulae•Specificallydesignedtooptimizetriangulationtoward

thetargetanatomyandprovideanunobstructedviewofthesurgicalfield.

•Curvedarchitectureseparatestheinstrumentarmsoutsidethebodywall,maximizingrangeofmotionandminimizingpotentialinternalandexternalcrowding.

5 mm Semi-Rigid Instruments•Designedwiththeflexibilitytogothroughcurved

cannulaeandtherigiditytoretracttissue.•Afullinstrumentsuiteisavailable.

Single-Site Configuration•Compatiblewiththe da Vinci Si SurgicalSystem•InstrumentsandcameracrosswithintheSingle-Site

portanduseremotecentertechnologytoavoidcannulacollisions,arminterferencesandport-sitemovement.

•da VinciSystemsoftwareautomaticallydetectsandre-associatestheuser’shandswiththeinstrumenttipstocreateIntuitive®movementthroughcrossedcannulae.

Seebrochureinsertorwww.intuitivesurgical.comforcompletelistofSingle-Siteinstruments,accessoriesandorderinginformation.

The Challenge The SolutionSingle-Port Laparoscopy da Vinci

®

Surgery

High-Definition 3D Vision Theda Vinci SiSystemofferssurgeonsautono-mouscameracontrolforastable,immersive,highlymagnified3DHDviewofthesurgicalfield.

Precise, collision-free movementSurgeon’shandmove-mentsarescaled,filteredandseamlesslytranslatedtotheinstrumenttipsforpreciseinstrumentcontrol.Alarge,openworkingspaceprovidesunrestrict-edrangeofmotionwith-outinstrumentcrowding.

Manualcontrolofatwo-dimensionallaparoscopicin-linecameraproducesaninconsistentviewofthesurgicalfieldwithpooranglesandlimiteddepthperception.1,2,3

Unstable 2D In-line Optics

Workingthroughasingleincisionwithmanuallaparoscopicinstrumentsnarrowsexternalworkingspace,restrictsrangeofmotionandlimitsretrac-tioncapabilities.Rangeofmotionisfurtherrestrictedbyarminterferenceresult-ingfromworkinginaconstrainedspace.1,2,4

Instrument Crowding and Poor Ergonomics

Optimalinstrumentandcameraanglesarelostwhenworkingthroughthesameincisionusingrigidlaparoscopicinstruments.Thisresultsinlimitedinter-nalmobility,inadequatedissectionanglesanddiffi-cultyperformingadvancedtasks.1,2,4

Lack of Triangulation3

Patient Value

Intuitive® MotionAdvancedsystemsoft-warecorrelatesthesur-geon’shandmovementstotheinstrumenttips,restoringIntuitivecontroltowhatwouldotherwisebecross-handedsurgery.

Ergonomic ComfortThesurgeonconsolefeaturesmultipleergonomicadjustmentsforincreasedcomfortandreducedfatigueduringsurgicalprocedures.

The Result

Transumbilicalentrywithda Vinci Single-Siteenablesavirtuallyscarlesssurgery,providingpatientsoneofthemostcosmeticallyappealingresultsofanyavailablesurgicalapproach.1,5

Minimal Scarring1,5

Theda VinciSystem’sremotecentertechnologyisdesignedtolimitcannulamovementatthepatient’sabdominalwall,minimizingpotentialport-sitetraumaandpost-operativepain.5,6

Minimal Pain5,6

Risksrelatedtominimallyinvasivesurgery,includingda Vinci Single-SiteSurgery,mayincludemultipleincisions,conversiontoanothersurgicaltechniqueandhernia(bulgingtissue)attheincisionsite.6,7

Single-Site®Instrumentsfortheda Vinci SiSystembeartheCEmark.ThisdeviceisclearedforcommercialdistributionintheUSforlaparoscopiccholecystectomy,hysterectomyandsalpingo-oophorectomyforbenignconditions.

The Result

www.IntuitiveSurgical.com www.daVinciSurgery.com

Tocontactarepresentativeorreceiveadditionalinformation,visitwww.intuitivesurgical.comorcallIntuitiveSurgicalCustomerServiceintheU.S.at1.877.408.3872,inEuropeat+41218212000or+80008212020orintherestoftheworld,1.408.523.2100.

References1Haber GP, White MA, Autorino R, Escobar PF, Kroh MD, Chalikonda S, Khanna R, Forest S, Yang B, Altunrende F, Stein RJ, Kaouk JH. Novel robotic da Vinci instruments for laparoendoscopic single-site surgery.Urology. 2010 Dec;76(6):1279-82. Epub 2010 Oct 27. 2Rawlings A, Hodgett SE, Matthews BD, Strasberg SM, Quasebarth M, Brunt LM. Single-incision laparoscopic cholecystectomy: initial experience with critical view of safety dissection and routine intraoperative cholangiography. J Am Coll Surg. 2010 Jul;211(1):1-7. Epub 2010 Apr 28. 3Badani KK, Bhandari A, Tewari A, Menon M. Comparison of two-dimensional and three-dimensional suturing: is there a difference in a robotic surgery setting? J Endourol. 2005 Dec;19(10):1212-5. 4Allemann P, Leroy J, Asakuma M, Al Abeidi F, Dallemagne B, Marescaux J. Robotics may overcome technical limitations of single-trocar surgery: an experimental prospective study of Nissen fundoplication. Arch Surg. 2010 Mar;145(3):267-71. 5Kroh M, El-Hayek K, Rosenblatt S, Chand B, Escobar P, Kaouk J, Chalikonda S. First human surgery with a novel single-port robotic system: cholecystectomy using the da Vinci Single-Site Platform. Surg Endosc. 2011 Nov;25(11):3566-73. Epub 2011 Jun 3rd. 6 Wren SM, Curet MJ. Single-port robotic cholecystectomy results from a first human use clinical study of the new da Vinci Single-Site surgical platform. Arch Surg, Jun 2011; doi: 10.1001/archsurg.2011.143 7 National Institutes of Health. Gallbladder Removal Surgery. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/002930.htm

Whileclinicalstudiessupporttheuseoftheda VinciSurgicalSystemasaneffectivetoolforminimallyinvasivesurgeryforspecificindications,individualresultsmayvary.Contraindicationsapplicabletotheuseofconventionalendoscopicinstrumentsalso apply to the use of all da Vinci instruments, including Single-Site Instrumentation. General contraindications forendoscopicsurgeryincludebleedingdiathesis,morbidobesityandpregnancy.Besuretoreadandunderstandallinformationintheapplicableusermanuals, includingfullcautionsandwarnings,beforeusing da Vinci products.Failuretoproperlyfollowallinstructionsmayleadtoinjuryandresultinimproperfunctioningofthedevice.Unlessotherwisenoted,productsfeaturedareclearedforcommercialdistributionintheUSandbeartheCEmark.ForavailabilityandclearancesoutsidetheUS,pleasecheckwithyourlocalrepresentativeordistributor.Weencouragepatientsandphysicianstoreviewallavailableinformation. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.Single-SiteInstrumentsfortheda Vinci Si SystembeartheCEmark.ThisdeviceisclearedforcommercialdistributionintheUSforlaparoscopiccholecystectomy,andforhysterectomyandsalpingo-oophorectomyforbenignconditions.

The Intuitive Surgical® da Vinci Single-SiteInstrumentsandAccessoriesusedwiththeda Vinci SiSurgicalSystemareindicatedforusebytrainedphysiciansinanoperatingroomenvironmentforendoscopicmanipulationoftissue,grasping,cutting,blunt and sharp dissection, approximation, clip-ligation, electrocautery and suturing during single-incision laparoscopiccholecystectomy,benignhysterectomyandsalpingo-oophorectomywiththe da Vinci Single-Site InstrumentsandAccessories,includinggraspers,dissectors,needledrivers,scissors,suctionirrigators,monopolarcautery,bipolarcautery,5mmcurvedcannulae,5mmand10mmstraightcannulae,flexiblebluntobturators,andthe Single-Site Port.ThesafetyandeffectivenessofSingle-SiteInstrumentationforuseintheperformanceofgenerallaparoscopicabdominalandpelvicsurgeryprocedureshavenotbeenestablished.Contraindicationsapplicabletotheuseofconventionalendoscopicinstrumentsalsoapplytotheuseofallda Vinci instruments,includingSingle-Site Instrumentation.Researchsuggeststhattheremaybeanincreasedriskof incision-site hernia with single-incision surgery. © 2013 Intuitive Surgical, Inc. All rights reserved. Product names aretrademarksorregisteredtrademarksoftheirrespectiveholders.PN873651RevC9/13

Worldwide Headquarters

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European Headquarters

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Asia Pacific Headquarters

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Room2051,20thFloor

No.989ChangLeRoad

Shanghai200031P.R.China

Tel:+86.21.5116.6881

Fax:+86.21.5116.6899