6
Solutions for minimally invasive gynecologic surgery HYSTERECTOMY FOR BENIGN CONDITIONS
Taking Surgery Beyond the Limits of the Human Hand.™
Worldwide Headquarters1266 Kifer Road, Building 101
Sunnyvale CA 94086-5304 Tel: +1.408.523.2100
Fax: +1.408.523.1390
European Office
Intuitive Surgical Sàrl1, chemin des Mûriers
1170 AubonneSuisse
Tel: +41.21.821.20.00Fax: +41.21.821.20.01
Asia Pacific OfficeIntuitive Surgical Sàrl Shanghai
Room 1601A, 16/F, Feidiao International Building1065 Zhao Jiabang Road, Shanghai 200030, P.R. China
Tel: +8621.5158.1633Fax: +8621.5158.1634
www.IntuitiveSurgical.comwww.daVinciSurgery.com
To contact a representative or receive additional information,please call Intuitive Surgical Customer Service at 1-800-876-1310.
While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, individual results may vary. Before performing any clinical procedure utilizing the System, physicians are responsible for receiving sufficient training and proctoring to ensure that they have the requisite training, skill and experience necessary to protect the health and safety of the patient. For technical information, including full cautions and warnings on using the da Vinci System, please refer to the System User Manual. Read all instructions carefully. Failure to properly follow instructions, notes, cautions, warnings, and danger messages associated with this equipment may lead to serious injury or complications for the patient. © 2010 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders. PN 871554 Rev. E 4/10
Solutions for minimally invasive gynecologic surgery
HYSTERECTOMYF o R B E N I g N C o N d I T I o N S
1Payne, T. N. and F. R. Dauterive (2008). “A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice.” J Minim Invasive Gynecol 15(3): 286-291. 2Piquion-Joseph, J. M., A. Nayar, et al. (2009). “Robot-assisted gynecological surgery in a community setting.” Journal of Robotic Surgery: 1-4. 3Payne, T. N., F. R. Dauterive, et al. (2010). “Robotically assisted hysterectomy in patients with large uteri: outcomes in five community practices.” Obstet Gynecol 115(3): 535-542. 4Rebeles, S. A., H. G. Muntz, et al. (2009). “Robot-assisted total laparoscopic hysterectomy in obese and morbidly obese women.” Journal of Robotic Surgery 3(3): 141-147. 5Visco, A. G. and A. P. Advin-cula (2008). “Robotic Gynecologic Surgery.” Obstet Gynecol 112(6): 1369-1384.
Permanent Cautery Spatula 400184/420184
c dissection & coagulation (monopolar cautery)
Maryland Bipolar Forceps – Fenestrated 400172/420172
c grasping, dissection and coagulation
Fenestrated Bipolar Forceps (Bipolar Cadiere) 400205/420205
c grasping, dissection and coagulation
c Lymphadenectomy
Additional EndoWrist Instrument optionsTargeTed aPPlICaTIonSSTandard/S,Si PnsTargeTed aPPlICaTIonS STandard/S,Si Pns
Cadiere Forceps 400049/420049
c grasping & dissection
Cobra™ grasper400190/420190
c grasping & retraction of dense tissue & pelvic fascial layers during cuff closure
TargeTed aPPlICaTIonS FeaTureS PoTenTIal BeneFITSSTandard/S,Si Pns
Mega™ needle driver 400194/420194
c Secure grasping of CT-1 & CT-2 needles during vaginal cuff closure
c Strong grasping force
c Tapered, smooth outer jaw
c Secure grasping of larger needles (e.g., CT-1, CT-2) to drive through thick vaginal cuff
c Improved visualization at the tip compared to square jaw profile
c Facilitates suture sliding during knot-tying
Tenaculum Forceps 400207/420207
c Intra-operative uterine manipulation
c Wide opening jaw angle (75º)
c Strong, controlled closing force
c Excellent tissue purchasec optimal tissue grasping & retractionc Slip resistant
large needle driver 400006/420006
c Vaginal cuff closure c Carbide-insert style jaws
c diamond pattern jaw profile
c delivers secure needle control c Provides firm grip & secure needle control
Hot Shears™ (Monopolar Curved Scissors) 400179/420179 requires Tip Cover: 400180
c Isolating uretersc Creating vesico-
uterine reflectionc Colpotomy
c Combined scissors and monopolar cautery
c Tapered tip-profile
c Fewer instrument exchangesc Improved procedure efficiency c Precise, clean tissue cuttingc Precise, localized hemostasisc Blunt tissue dissection
EndoWrist ® Instrumentsoptimized for da Vinci® Hysterectomy to Treat Benign Conditions
Technique Video
HYSTERECTOMY FoR BENIgN CoNdITIoNS
HYSTERECTOMY FoR BENIgN CoNdITIoNS
Interactive Procedure Overview
EndoWrist PK™ dissector 400227/420227
c grasping, dissection and coagulation
c PK Technology advantage
c Minimizes thermal spread, tissue sticking, charring and surgical plume compared to conventional bipolar
c Provides quick, consistent vessel coagulation across a variety of tissues
ProGrasp™
400093/420093c grasping & dissection
Mega SutureCut™
needle driver 400309/420309 large SutureCut™
needle driver400296/420296
c Vaginal cuff closurec Interrupted suturing
c Strong grasping force
c Scissor blades at the base
c Tapered, smooth outer jaw
c Suturing & cutting capability in one instrument improves operative efficiency
c Secure grasping of larger needles (e.g., CT-1, CT-2) c Facilitates suture sliding during knot-tying
The da Vinci® Surgical System
High definition 3d vision
EndoWrist® instrumentation
Intuitive® motion
Procedure Highlights
PoTenTIal PaTIenT BeneFITS InClude
c Less need for pain medication 2,5
c Less blood loss and fewer transfusions1,3,5
c Fewer complications and lower conversion rate1
c Shorter hospital stay1,3,5
c Quicker recovery and fast return to normal
daily activities1,5
c Small incisions for improved cosmesis
c Better clinical outcomes and patient satisfaction,
in many cases as compared to open surgery1,2
enables gynecologists to treat complex pathology minimally invasively, minimizing conversions1 and the need for total abdominal hysterectomy (TaH)1
HYSTERECTOMYF o R B E N I g N C o N d I T I o N S
Skeletonizing and Coagulating Vascular Pedicles The PK™ dissector can provide improved coagulation of vascular pedicles, with minimal thermal spread, tissue sticking and surgical plume compared to conventional bipolar instrumentation. In addition, the PK dissector’s tissue impedance feedback can minimize overdessication of vascular pedicles, thereby improving hemostatic control.
Vaginal Cuff ClosureAn EndoWrist Mega™ Needle driver’s high-force grip helps securely hold CT-1 or CT-2 needles as they pass through the thick vaginal cuff. Edges are everted with either the PK dissector or Large Needle driver to ensure inclusion of vaginal mucosa, for an efficient, effective closure.
ColpotomyThe improved articulation of the EndoWrist® Instruments greatly facilitates colpotomy, with division of the cardinal and uterosacral ligaments in a 360º fashion, a step often found to be difficult using conventional laparoscopy.
Vesico-uterine reflectionThe improved visualization of the anterior cul-de-sac combined with fully articulating instruments allow the vesico-uterine reflection to be created easily and efficiently. Proper creation of the bladder flap allows the surgeon to drop the ureters and bladder out of harm’s way, further improving the surgeon’s ability to skeletonize the uterine vasculature bilaterally.
Compared to conventional laparoscopy, the unsurpassed visualization, dexterity and control allow surgeons:c To treat more pathology minimally invasively — safely,
reproducibly and following open surgical technique1 — including patients with:
• Adhesive disease1
• Large pathology1
• obesity2
c greater access, precision and control for improved dissections1
c Quicker, easier suturing during vaginal cuff closure1
c Control of the camera and all three operative arms for the ultimate in surgical autonomy and efficiency1
The da Vinci® Surgical System
High definition 3d vision
EndoWrist® instrumentation
Intuitive® motion
Procedure Highlights
PoTenTIal PaTIenT BeneFITS InClude
c Less need for pain medication 2,5
c Less blood loss and fewer transfusions1,3,5
c Fewer complications and lower conversion rate1
c Shorter hospital stay1,3,5
c Quicker recovery and fast return to normal
daily activities1,5
c Small incisions for improved cosmesis
c Better clinical outcomes and patient satisfaction,
in many cases as compared to open surgery1,2
enables gynecologists to treat complex pathology minimally invasively, minimizing conversions1 and the need for total abdominal hysterectomy (TaH)1
HYSTERECTOMYF o R B E N I g N C o N d I T I o N S
Skeletonizing and Coagulating Vascular Pedicles The PK™ dissector can provide improved coagulation of vascular pedicles, with minimal thermal spread, tissue sticking and surgical plume compared to conventional bipolar instrumentation. In addition, the PK dissector’s tissue impedance feedback can minimize overdessication of vascular pedicles, thereby improving hemostatic control.
Vaginal Cuff ClosureAn EndoWrist Mega™ Needle driver’s high-force grip helps securely hold CT-1 or CT-2 needles as they pass through the thick vaginal cuff. Edges are everted with either the PK dissector or Large Needle driver to ensure inclusion of vaginal mucosa, for an efficient, effective closure.
ColpotomyThe improved articulation of the EndoWrist® Instruments greatly facilitates colpotomy, with division of the cardinal and uterosacral ligaments in a 360º fashion, a step often found to be difficult using conventional laparoscopy.
Vesico-uterine reflectionThe improved visualization of the anterior cul-de-sac combined with fully articulating instruments allow the vesico-uterine reflection to be created easily and efficiently. Proper creation of the bladder flap allows the surgeon to drop the ureters and bladder out of harm’s way, further improving the surgeon’s ability to skeletonize the uterine vasculature bilaterally.
Compared to conventional laparoscopy, the unsurpassed visualization, dexterity and control allow surgeons:c To treat more pathology minimally invasively — safely,
reproducibly and following open surgical technique1 — including patients with:
• Adhesive disease1
• Large pathology1
• obesity2
c greater access, precision and control for improved dissections1
c Quicker, easier suturing during vaginal cuff closure1
c Control of the camera and all three operative arms for the ultimate in surgical autonomy and efficiency1
Taking Surgery Beyond the Limits of the Human Hand.™
Worldwide Headquarters1266 Kifer Road, Building 101
Sunnyvale CA 94086-5304 Tel: +1.408.523.2100
Fax: +1.408.523.1390
European Office
Intuitive Surgical Sàrl1, chemin des Mûriers
1170 AubonneSuisse
Tel: +41.21.821.20.00Fax: +41.21.821.20.01
Asia Pacific OfficeIntuitive Surgical Sàrl Shanghai
Room 1601A, 16/F, Feidiao International Building1065 Zhao Jiabang Road, Shanghai 200030, P.R. China
Tel: +8621.5158.1633Fax: +8621.5158.1634
www.IntuitiveSurgical.comwww.daVinciSurgery.com
To contact a representative or receive additional information,please call Intuitive Surgical Customer Service at 1-800-876-1310.
While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, individual results may vary. Before performing any clinical procedure utilizing the System, physicians are responsible for receiving sufficient training and proctoring to ensure that they have the requisite training, skill and experience necessary to protect the health and safety of the patient. For technical information, including full cautions and warnings on using the da Vinci System, please refer to the System User Manual. Read all instructions carefully. Failure to properly follow instructions, notes, cautions, warnings, and danger messages associated with this equipment may lead to serious injury or complications for the patient. © 2010 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders. PN 871554 Rev. E 4/10
Solutions for minimally invasive gynecologic surgery
HYSTERECTOMYFoR BENIgN CoNdITIoNS
1Payne, T. N. and F. R. Dauterive (2008). “A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice.” J Minim Invasive Gynecol 15(3): 286-291. 2Piquion-Joseph, J. M., A. Nayar, et al. (2009). “Robot-assisted gynecological surgery in a community setting.” Journal of Robotic Surgery: 1-4. 3Payne, T. N., F. R. Dauterive, et al. (2010). “Robotically assisted hysterectomy in patients with large uteri: outcomes in five community practices.” Obstet Gynecol 115(3): 535-542. 4Rebeles, S. A., H. G. Muntz, et al. (2009). “Robot-assisted total laparoscopic hysterectomy in obese and morbidly obese women.” Journal of Robotic Surgery 3(3): 141-147. 5Visco, A. G. and A. P. Advin-cula (2008). “Robotic Gynecologic Surgery.” Obstet Gynecol 112(6): 1369-1384.
Permanent Cautery Spatula 400184/420184
c dissection & coagulation (monopolar cautery)
Maryland Bipolar Forceps – Fenestrated 400172/420172
c grasping, dissection and coagulation
Fenestrated Bipolar Forceps (Bipolar Cadiere) 400205/420205
c grasping, dissection and coagulation
c Lymphadenectomy
Additional EndoWrist Instrument optionsTargeTed aPPlICaTIonS STandard/S,Si Pns TargeTed aPPlICaTIonS STandard/S,Si Pns
Cadiere Forceps 400049/420049
c grasping & dissection
Cobra™ grasper400190/420190
c grasping & retraction of dense tissue & pelvic fascial layers during cuff closure
TargeTed aPPlICaTIonS FeaTureSPoTenTIal BeneFITS STandard/S,Si Pns
Mega™ needle driver 400194/420194
c Secure grasping of CT-1 & CT-2 needles during vaginal cuff closure
c Strong grasping force
c Tapered, smooth outer jaw
c Secure grasping of larger needles (e.g., CT-1, CT-2) to drive through thick vaginal cuff
c Improved visualization at the tip compared to square jaw profile
c Facilitates suture sliding during knot-tying
Tenaculum Forceps 400207/420207
c Intra-operative uterine manipulation
c Wide opening jaw angle (75º)
c Strong, controlled closing force
c Excellent tissue purchasec optimal tissue grasping & retractionc Slip resistant
large needle driver 400006/420006
c Vaginal cuff closurec Carbide-insert style jaws
c diamond pattern jaw profile
c delivers secure needle control c Provides firm grip & secure needle control
Hot Shears™ (Monopolar Curved Scissors) 400179/420179 requires Tip Cover: 400180
c Isolating uretersc Creating vesico-
uterine reflectionc Colpotomy
c Combined scissors and monopolar cautery
c Tapered tip-profile
c Fewer instrument exchangesc Improved procedure efficiency c Precise, clean tissue cuttingc Precise, localized hemostasisc Blunt tissue dissection
EndoWrist® Instruments
optimized for da Vinci® Hysterectomy to Treat Benign Conditions
Technique Video
HYSTERECTOMYF o R B E N I g N C o N d I T I o N S
HYSTERECTOMYF o R B E N I g N C o N d I T I o N S
Interactive Procedure Overview
EndoWrist PK™ dissector 400227/420227
c grasping, dissection and coagulation
c PK Technology advantage
c Minimizes thermal spread, tissue sticking, charring and surgical plume compared to conventional bipolar
c Provides quick, consistent vessel coagulation across a variety of tissues
ProGrasp™
400093/420093c grasping & dissection
Mega SutureCut™
needle driver 400309/420309 large SutureCut™
needle driver400296/420296
c Vaginal cuff closurec Interrupted suturing
c Strong grasping force
c Scissor blades at the base
c Tapered, smooth outer jaw
c Suturing & cutting capability in one instrument improves operative efficiency
c Secure grasping of larger needles (e.g., CT-1, CT-2) c Facilitates suture sliding during knot-tying
Taking Surgery Beyond the Limits of the Human Hand.™
Worldwide Headquarters1266 Kifer Road, Building 101
Sunnyvale CA 94086-5304 Tel: +1.408.523.2100
Fax: +1.408.523.1390
European Office
Intuitive Surgical Sàrl1, chemin des Mûriers
1170 AubonneSuisse
Tel: +41.21.821.20.00Fax: +41.21.821.20.01
Asia Pacific OfficeIntuitive Surgical Sàrl Shanghai
Room 1601A, 16/F, Feidiao International Building1065 Zhao Jiabang Road, Shanghai 200030, P.R. China
Tel: +8621.5158.1633Fax: +8621.5158.1634
www.IntuitiveSurgical.comwww.daVinciSurgery.com
To contact a representative or receive additional information,please call Intuitive Surgical Customer Service at 1-800-876-1310.
While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, individual results may vary. Before performing any clinical procedure utilizing the System, physicians are responsible for receiving sufficient training and proctoring to ensure that they have the requisite training, skill and experience necessary to protect the health and safety of the patient. For technical information, including full cautions and warnings on using the da Vinci System, please refer to the System User Manual. Read all instructions carefully. Failure to properly follow instructions, notes, cautions, warnings, and danger messages associated with this equipment may lead to serious injury or complications for the patient. © 2010 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders. PN 871554 Rev. E 4/10
Solutions for minimally invasive gynecologic surgery
HYSTERECTOMYF o R B E N I g N C o N d I T I o N S
1Payne, T. N. and F. R. Dauterive (2008). “A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice.” J Minim Invasive Gynecol 15(3): 286-291. 2Piquion-Joseph, J. M., A. Nayar, et al. (2009). “Robot-assisted gynecological surgery in a community setting.” Journal of Robotic Surgery: 1-4. 3Payne, T. N., F. R. Dauterive, et al. (2010). “Robotically assisted hysterectomy in patients with large uteri: outcomes in five community practices.” Obstet Gynecol 115(3): 535-542. 4Rebeles, S. A., H. G. Muntz, et al. (2009). “Robot-assisted total laparoscopic hysterectomy in obese and morbidly obese women.” Journal of Robotic Surgery 3(3): 141-147. 5Visco, A. G. and A. P. Advin-cula (2008). “Robotic Gynecologic Surgery.” Obstet Gynecol 112(6): 1369-1384.
Permanent Cautery Spatula 400184/420184
c dissection & coagulation (monopolar cautery)
Maryland Bipolar Forceps – Fenestrated 400172/420172
c grasping, dissection and coagulation
Fenestrated Bipolar Forceps (Bipolar Cadiere) 400205/420205
c grasping, dissection and coagulation
c Lymphadenectomy
Additional EndoWrist Instrument optionsTargeTed aPPlICaTIonSSTandard/S,Si PnsTargeTed aPPlICaTIonS STandard/S,Si Pns
Cadiere Forceps 400049/420049
c grasping & dissection
Cobra™ grasper400190/420190
c grasping & retraction of dense tissue & pelvic fascial layers during cuff closure
TargeTed aPPlICaTIonS FeaTureS PoTenTIal BeneFITSSTandard/S,Si Pns
Mega™ needle driver 400194/420194
c Secure grasping of CT-1 & CT-2 needles during vaginal cuff closure
c Strong grasping force
c Tapered, smooth outer jaw
c Secure grasping of larger needles (e.g., CT-1, CT-2) to drive through thick vaginal cuff
c Improved visualization at the tip compared to square jaw profile
c Facilitates suture sliding during knot-tying
Tenaculum Forceps 400207/420207
c Intra-operative uterine manipulation
c Wide opening jaw angle (75º)
c Strong, controlled closing force
c Excellent tissue purchasec optimal tissue grasping & retractionc Slip resistant
large needle driver 400006/420006
c Vaginal cuff closure c Carbide-insert style jaws
c diamond pattern jaw profile
c delivers secure needle control c Provides firm grip & secure needle control
Hot Shears™ (Monopolar Curved Scissors) 400179/420179 requires Tip Cover: 400180
c Isolating uretersc Creating vesico-
uterine reflectionc Colpotomy
c Combined scissors and monopolar cautery
c Tapered tip-profile
c Fewer instrument exchangesc Improved procedure efficiency c Precise, clean tissue cuttingc Precise, localized hemostasisc Blunt tissue dissection
EndoWrist ® Instrumentsoptimized for da Vinci® Hysterectomy to Treat Benign Conditions
Technique Video
HYSTERECTOMY FoR BENIgN CoNdITIoNS
HYSTERECTOMY FoR BENIgN CoNdITIoNS
Interactive Procedure Overview
EndoWrist PK™ dissector 400227/420227
c grasping, dissection and coagulation
c PK Technology advantage
c Minimizes thermal spread, tissue sticking, charring and surgical plume compared to conventional bipolar
c Provides quick, consistent vessel coagulation across a variety of tissues
ProGrasp™
400093/420093c grasping & dissection
Mega SutureCut™
needle driver 400309/420309 large SutureCut™
needle driver400296/420296
c Vaginal cuff closurec Interrupted suturing
c Strong grasping force
c Scissor blades at the base
c Tapered, smooth outer jaw
c Suturing & cutting capability in one instrument improves operative efficiency
c Secure grasping of larger needles (e.g., CT-1, CT-2) c Facilitates suture sliding during knot-tying
Taking Surgery Beyond the Limits of the Human Hand.™
Worldwide Headquarters1266 Kifer Road, Building 101
Sunnyvale CA 94086-5304 Tel: +1.408.523.2100
Fax: +1.408.523.1390
European Office
Intuitive Surgical Sàrl1, chemin des Mûriers
1170 AubonneSuisse
Tel: +41.21.821.20.00Fax: +41.21.821.20.01
Asia Pacific OfficeIntuitive Surgical Sàrl Shanghai
Room 1601A, 16/F, Feidiao International Building1065 Zhao Jiabang Road, Shanghai 200030, P.R. China
Tel: +8621.5158.1633Fax: +8621.5158.1634
www.IntuitiveSurgical.comwww.daVinciSurgery.com
To contact a representative or receive additional information,please call Intuitive Surgical Customer Service at 1-800-876-1310.
While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, individual results may vary. Before performing any clinical procedure utilizing the System, physicians are responsible for receiving sufficient training and proctoring to ensure that they have the requisite training, skill and experience necessary to protect the health and safety of the patient. For technical information, including full cautions and warnings on using the da Vinci System, please refer to the System User Manual. Read all instructions carefully. Failure to properly follow instructions, notes, cautions, warnings, and danger messages associated with this equipment may lead to serious injury or complications for the patient. © 2010 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, InSite, TilePro and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders. PN 871554 Rev. E 4/10
Solutions for minimally invasive gynecologic surgery
HYSTERECTOMYF o R B E N I g N C o N d I T I o N S
1Payne, T. N. and F. R. Dauterive (2008). “A comparison of total laparoscopic hysterectomy to robotically assisted hysterectomy: surgical outcomes in a community practice.” J Minim Invasive Gynecol 15(3): 286-291. 2Piquion-Joseph, J. M., A. Nayar, et al. (2009). “Robot-assisted gynecological surgery in a community setting.” Journal of Robotic Surgery: 1-4. 3Payne, T. N., F. R. Dauterive, et al. (2010). “Robotically assisted hysterectomy in patients with large uteri: outcomes in five community practices.” Obstet Gynecol 115(3): 535-542. 4Rebeles, S. A., H. G. Muntz, et al. (2009). “Robot-assisted total laparoscopic hysterectomy in obese and morbidly obese women.” Journal of Robotic Surgery 3(3): 141-147. 5Visco, A. G. and A. P. Advin-cula (2008). “Robotic Gynecologic Surgery.” Obstet Gynecol 112(6): 1369-1384.
Permanent Cautery Spatula 400184/420184
c dissection & coagulation (monopolar cautery)
Maryland Bipolar Forceps – Fenestrated 400172/420172
c grasping, dissection and coagulation
Fenestrated Bipolar Forceps (Bipolar Cadiere) 400205/420205
c grasping, dissection and coagulation
c Lymphadenectomy
Additional EndoWrist Instrument optionsTargeTed aPPlICaTIonSSTandard/S,Si PnsTargeTed aPPlICaTIonS STandard/S,Si Pns
Cadiere Forceps 400049/420049
c grasping & dissection
Cobra™ grasper400190/420190
c grasping & retraction of dense tissue & pelvic fascial layers during cuff closure
TargeTed aPPlICaTIonS FeaTureS PoTenTIal BeneFITSSTandard/S,Si Pns
Mega™ needle driver 400194/420194
c Secure grasping of CT-1 & CT-2 needles during vaginal cuff closure
c Strong grasping force
c Tapered, smooth outer jaw
c Secure grasping of larger needles (e.g., CT-1, CT-2) to drive through thick vaginal cuff
c Improved visualization at the tip compared to square jaw profile
c Facilitates suture sliding during knot-tying
Tenaculum Forceps 400207/420207
c Intra-operative uterine manipulation
c Wide opening jaw angle (75º)
c Strong, controlled closing force
c Excellent tissue purchasec optimal tissue grasping & retractionc Slip resistant
large needle driver 400006/420006
c Vaginal cuff closure c Carbide-insert style jaws
c diamond pattern jaw profile
c delivers secure needle control c Provides firm grip & secure needle control
Hot Shears™ (Monopolar Curved Scissors) 400179/420179 requires Tip Cover: 400180
c Isolating uretersc Creating vesico-
uterine reflectionc Colpotomy
c Combined scissors and monopolar cautery
c Tapered tip-profile
c Fewer instrument exchangesc Improved procedure efficiency c Precise, clean tissue cuttingc Precise, localized hemostasisc Blunt tissue dissection
EndoWrist ® Instrumentsoptimized for da Vinci® Hysterectomy to Treat Benign Conditions
Technique Video
HYSTERECTOMY FoR BENIgN CoNdITIoNS
HYSTERECTOMY FoR BENIgN CoNdITIoNS
Interactive Procedure Overview
EndoWrist PK™ dissector 400227/420227
c grasping, dissection and coagulation
c PK Technology advantage
c Minimizes thermal spread, tissue sticking, charring and surgical plume compared to conventional bipolar
c Provides quick, consistent vessel coagulation across a variety of tissues
ProGrasp™
400093/420093c grasping & dissection
Mega SutureCut™
needle driver 400309/420309 large SutureCut™
needle driver400296/420296
c Vaginal cuff closurec Interrupted suturing
c Strong grasping force
c Scissor blades at the base
c Tapered, smooth outer jaw
c Suturing & cutting capability in one instrument improves operative efficiency
c Secure grasping of larger needles (e.g., CT-1, CT-2) c Facilitates suture sliding during knot-tying
