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Anatomy - Docking DaVinci step by step

gynecology
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Anatomy Perioperative management Technique Complications Evidence Total Video

  1. Introduction

    The da Vinci Surgical System is a robotic-assisted surgical system that enables minimally invasive procedures with the highest precision and ergonomics. It consists of several functional units

  2. Surgeon's Console

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    • Ergonomic seated workstation for the surgeon.
    • Two manually controlled hand grips (Master Controls) for precise movement transmission.
    • Multiple foot pedals for:
    • Camera switching,
    • Activation of energy instruments (monopolar/bipolar),
    • Switching between arms,
    • Control of zoom, focus, and coagulation.
    • 3D-HD visualization with up to 10x magnification.

  3. Patient Cart

    Patient Cart
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    • Four robotic arms:
    • 1 camera arm,
    • 3 instrument arms.
    • Freely movable joints with 7 degrees of freedom.
    • Remote center at the level of the abdominal wall for gentle movements in the abdomen.
    • Target anatomy-controlled automatic alignment of the arms after camera docking.

    Each robotic arm features the following controls:

    • Arm Control Button: Unlocks for free movement of the arm.
    • Instrument Release Button: Unlocks for changing the instrument.
    • Port Clutch Button: Allows repositioning of the arm in the trocar without affecting the internal instrument position.
    • Setup Joint Unlock Button: Enables manual adjustment of the arm angle to adapt the working area, e.g., to increase distance in confined spaces or unfavorable trocar angles.

  4. Vision Cart

    Vision Cart

    Central technical and connection hub.

    • Includes:
    • Image processing system,
    • Light source,
    • CO₂ insufflator,
    • Touchscreen for system control,
    • Network interfaces for documentation and video playback.

  5. Instruments

    • Mobility like a human wrist with 7 degrees of freedom.
    • Automatic instrument recognition.
    • Reusable base with attachable working ends.
    • Precise control of all instrument functions via the console.

     

    Monopolar Cauterization Instruments:

    • Curved monopolar scissors
    • Permanent cautery spatula
    • Permanent cautery hook

    Bipolar Cauterization Instruments:

    • Maryland Bipolar Forceps
    • Bipolar dissector, curved
    • Fenestrated bipolar grasping forceps
    • Force Bipolar
    • Micro forceps (bipolar)

    Clip Appliers:

    • Medium-Large Clip Applier (for Weck Hem-o-lok Clips)
    • Large Clip Applier
    • Small Clip Applier

    Needle Holders:

    • Large Needle Holder
    • Mega Needle Holder
    • Mega SutureCut Needle Holder
    • SutureCut Needle Holder, large

    Grasping Forceps:

    • ProGrasp Forceps
    • Cobra Grasping Forceps
    • Cadière Grasping Forceps
    • Fenestrated Grasping Forceps with Curved Tip
    • Tenaculum Grasping Forceps
    • Grasping Retractor (small Graptor)

    Scissors:

    • Potts Scissors
    • Round Scissors

    Special Instruments:

    • Resano Grasping Forceps
    • Double Blade Retractor
    • DeBakey Grasping Forceps
    • Black Diamond Micro Forceps

    Ultrasound and Energy Instruments:

    • Harmonic ACE (Ultrasonic Scissors)
    • Vessel Sealer Extend
    • SynchroSeal

    Irrigation/Suction Instruments:

    • Integrated Irrigation-Suction System

    Stapling Instruments:

    • SureForm 30, 45, and 60 Staplers
    • EndoWrist Stapler 30 (also with curved tip)

  6. OR Table with Table-Motion Technology

    • The OR table is fully compatible with the da Vinci Xi system.
    • Allows intraoperative position changes without disconnecting the robot.
    • Synchronized movement of the table and robotic arms.
    • Controlled via the touch control unit in the Vision Cart.
    • Particularly advantageous for complex pelvic or upper abdominal procedures.