Medium-Large Clip Applier
da Vinci SP Instruments and Accessories
24
DR
AFT/PRE-RELEASE/C
ONFIDENTIAL
12/5/19
4.3 Intraoperative Use
CAUTION: Do not attempt to close the jaws down on a vessel or anatomic structure
without a clip properly loaded into the jaws. Closure of empty jaws on a vessel or
structure may result in patient injury.
1. Prior to installing the instrument, rotate the Grip Release Dial to close the jaws until the
tips of the clip are touching but the clip is not closed. Refer to the
da Vinci SP System User
Manual
for instructions on installing instruments.
Note: To enter following mode during clip application, first ensure the
corresponding hand control (master) is at least 90 percent open. Then, continue to
open or slightly roll the hand control to enter following mode. This control is used to
prevent closing the hand control and compressing the clip, which could reduce its
effectiveness or cause the clip to fall out of the instrument altogether when the
surgeon opens the hand control after a small closure of the hand control.
2. After the instrument is inserted past the SP Cannula and in the surgeon's control, position
the clip around the tissue to be ligated. During application, orient the single tooth of the
clip as shown (
). This allows the user to visually confirm encapsulation of the
structure being ligated. Position the clip around the tissue to be ligated in a manner that
provides clear visualization of the locking mechanism (
).
Note: Avoid excess tissue in the locking mechanism of the clip. Squeeze the grips
closed until the jaws close and the clip locks shut. Open the grips and withdraw
from the ligation site (
Figure 4.2 Clip locked detail
3. Before instrument removal, make sure that the instrument jaws are free of tissue.
Figure 4.3 Clip applied to vessel
4.4 Postoperative Instructions
For postoperative instructions, refer to
3.4 Postoperative Instructions
on page
.
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