Davinci Xi Robot

Davinci instructions

1. Turn on robot

2. Plug camera in early, it auto white balances

3. Port placement

   1. Ports are about 10-20cm from farthest part of target anatomy

   2. Ports placed in a line 6-10cm apart

   3. Ports placed at least 2cm from bony parts

   4. Thick line on port should be at fascia

   5. 12mm trochar should be used for the stapler

4. Bringing in robot

   1. Select target anatomy

   2. Select side of patient 

   3. Hold deploy arms

   4. Align target with optical port 

5. Docking

   1. Put camera in

   2. Target anatomy 

   3. Align with port clutch

   4. Aim with instrument clutch

   5. Burp

6. Add instruments and instrument clutch

7. Watch each instrument insertion 

   1. Push instrument clutch to hand move camera

   2. May want to use 30up to watch

8. Now go to surgeon terminal

9. Emergency

   1. Davinci emergency number: 800-8761310

   2. Manual instrument release

10. Instruments

    1. Hot

       1. Monopolar curved scissors

       2. Maryland bipolar forceps 

       3. Fenestrated bipolar forceps

       4. Force bipolar

    2. Graspers (increasing grasping strength)

       1. Small grasping retractor

       2. Tip up

       3. Cadiere forceps

       4. Fenestrated bipolar

       5. Prograsp forceps

    3. Needle drivers

       1. Large needle driver

       2. Large suture cut needle driver

       3. Mega needle driver

       4. Mega suture cut needle driver

    4. Special devices

       1. Large clip applier

       2. Hook cautery 

       3. 60mm stapler

       4. Versaseal 

       5. Suction irrigator