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da Vinci SP Instruments and Accessories
Using the Electrosurgical Unit (ESU) with Monopolar and Bipolar Instruments
59
DR
AFT/PRE-RELEASE/C
ONFIDENTIAL
12/5/19
Connecting Bipolar Instruments to the VIO dV
1. Connect the energy cord to the EndoWrist SP instrument: Connect the instrument
connector on the energy cord to the applicable EndoWrist SP instrument. The instrument
connector is properly seated when it cannot be pushed further into the instrument
housing.
2. Correctly orient the wide connector: The wide depression in the connector and the
molded arrow should be facing up when installing the cable into the VIO dV port
( Figure 8.21 ).
Figure 8.21 Correct orientation of the connector with molded arrow facing up
3. Connect the energy cord to the VIO dV port: Push the connector into the bipolar port
until it cannot be pushed further and is fully seated ( Figure 8.21 ).
For more information on EndoWrist SP bipolar instruments, see Chapter 7 Bipolar Instruments
on page 36 .
Intraoperative Use
Bipolar instruments are rated for a maximum peak voltage of 500V.
WARNING: Do not touch the end effectors of the instrument to any staples, clips, or
sutures while energized. Damage to the end effectors may occur.
WARNING: Do not attempt to scrape off carbonized tissue with a sharp object such
as a scalpel.
WARNING: Do not use bipolar instruments with a monopolar source as this may
cause damage to the instrument and harm to the patient or medical personnel.
CAUTION: The EndoWrist SP bipolar electrosurgical instruments are designed for
use with a maximum peak voltage of 500V. Only compatible electrosurgical units
have been tested to ensure that they do not exceed this limit. Do not attempt to use
instruments with electrosurgical units that are not compatible with the da Vinci SP
System.
1. Grasp the tissue to be cut or coagulated using the hand control (master) on the Surgeon
Console. Make sure that the jaws do not come in contact with non-target tissue.
2. Activate the ESU by depressing the associated foot pedal at the Surgeon Console. To
coagulate tissue, the two grips of the bipolar instruments must not come in contact with
each other. If the tissue is thin and no coagulation occurs, open the grips slightly, press
the bipolar foot pedal, and then close the grips to cauterize the tissue. It may also be
possible to coagulate very thin structures by directly applying monopolar energy to the
tissue.
Molded arrow
Wide depression