da Vinci SP Instruments and Accessories
Using the Electrosurgical Unit (ESU) with Monopolar and Bipolar Instruments
57
DR
AFT/PRE-RELEASE/C
ONFIDENTIAL
12/5/19
CAUTION: If the MCS Tip becomes loose during use DO NOT use another instrument
to remove the accessory inside the patient. Close the MCS blades, remove the
instrument from the port, and replace the MCS Tip with a new one.
Monopolar instruments are rated for a maximum peak voltage of 3kV (6kV peak-to-peak).
1. Touch the target tissue to be cut or coagulated with the tip of the monopolar instrument.
Make sure that the tip does not come in contact with non-target tissue.
2. Activate the ESU by depressing the associated instrument foot pedal at the Surgeon
Console.
3. After cutting or coagulating is complete, visually inspect the surgical area to ensure
adequate hemostasis.
Intraoperative Cleaning
WARNING: Use care not to twist the MCS Tip when carefully cleaning the Monopolar
Curved Scissors intraoperatively. Twisting may cause the MCS Tip to loosen.
WARNING: Do not use an instrument to clean debris from another instrument inside
the patient. This may result in damage to the instruments or other unintended
consequences, such as disconnection of the instrument tip. To clean an instrument
intraoperatively, remove the instrument from the system and wipe the instrument
tip with moist sterile gauze.
CAUTION: Keep the active electrodes clean. Build-up of eschar may reduce the
instrument's effectiveness. Do not activate the instrument while cleaning. Injury to
operating room personnel may result.
If the tips are contaminated by carbonized tissue, remove the instrument and use a piece of
soft gauze moistened with saline or sterile water to remove the tissue.
8.4 Bipolar Cautery
This section contains instructions for use specific to connecting the EndoWrist SP bipolar
instruments with the VIO dV and bipolar instrument settings.
This section discusses the following topics:
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Connecting Bipolar Instruments to the VIO dV
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Bipolar Cautery Cord
This section provides details specific to the Bipolar Cautery Cord (PN 470384). The reusable
cord is supplied non-sterile and requires cleaning and sterilization before use. For more
information regarding cleaning and sterilization, refer to the Reprocessing Instructions.
General Warnings and Cautions
WARNING: Never use the cords when there is visible evidence of damage to the
exterior, such as a cracked or damaged connector.