CHAPTER 20

The da Vinci® Surgical System and EndoWrist® Instruments (Robotic Instruments)

Additional images are available at: evolve.elsevier.com/Tighe/instrumentation/

EndoWrist instruments are manufactured by Intuitive Surgical, Inc., specifically for use with the da Vinci Surgical System. The EndoWrist instruments provide surgeons with natural dexterity and a full range of motion for more precise operation through tiny incisions. Similar to the human wrist, an EndoWrist instrument allows for rapid and precise suturing, dissection, and tissue manipulation.

The EndoWrist instrument line features a variety of specialized tip designs, including forceps, needle drivers, and scissors; monopolar and bipolar electrocautery instruments; scalpels, and more. The EndoWrist instruments are available in 5-mm and 8-mm diameters to meet surgeons’ requirements.

After an EndoWrist instrument is installed on the da Vinci System, the interface is designed to recognize the type and function of the instrument and also to display the number of uses available. This interface allows the da Vinci System to detect when an instrument needs replacement.

Because of the delicate nature of these instruments, all handling, cleaning, and sterilization must be performed in strict accordance with the manufacturer’s guidelines.

20-1 Snap-fit scalpel instruments, shown with Snap-fit: A, 15-degree blue blade; B, paddle blade. (Courtesy Intuitive Surgical Inc., Sunnyvale, California.)

20-2 Scissors: A, Potts scissors; B, round tip scissors; C, curved scissors. (Courtesy Intuitive Surgical Inc., Sunnyvale, California.)

20-3 Graspers: A, DeBakey forceps; B, Cadiere forceps; C, Resano forceps; D, double-fenestrated grasper; E, Cobra grasper; F, long tip forceps; G, ProGrasp forceps; H, tenaculum forceps; I, thoracic grasper; J, fine tissue forceps; K, Graptor (grasping retractor); and L, black diamond microforceps. (Courtesy Intuitive Surgical Inc., Sunnyvale, California.)

Only gold members can continue reading. Log In or Register to continue

Share this:

• Click to share on Twitter (Opens in new window)
• Click to share on Facebook (Opens in new window)

Related

Related posts:

1. Arthroscopic Carpal Tunnel Instruments
2. Medtronic Midas Rex Electric Drill
3. Minor Plastic Set
4. Arthroscopic Anterior Cruciate Ligament Reconstruction with Patellar Tendon Bone Graft Instruments

Stay updated, free articles. Join our Telegram channel

Join

Full access? Get Clinical Tree