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dV5 > FAQ's > Flashcards

FAQ's Flashcards

1
Q

Differences b/w Xi and Dv5
- How do I know which one to buy

A

Da Vinci 5® is designed for hospitals seeking the most advanced and integrated
experience to take them from procedure to total practice. We designed da Vinci5 to help improve outcomes, increase efficiency, and provide real-time insights,
all with the goal of lowering the total cost of care

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2
Q

Will we continue to sell Xi

A

Yes, Da Vinci X/Xi will continue to be available and made more capable over time.

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3
Q

Will Dv5 include Hub?

A

Yes, Intuitive Hub will be placed on a stand alone rolling cart that can be placed anywhere in the OR

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4
Q

Why is Intuitive Hub a separate cart and not apart of the tower?

A

It is an Interim solution until Intuitive Hub gets integrated on to the Dv5 tower

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5
Q

Why is the new system called da Vinci 5

A

To highlight that this product is new and differentiated. And to state that this is the 5th generation without expressly stating that.

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6
Q

Why didn’t you make the system smaller?

A

It is built on the same foundation as Xi which set the benchmark for multiquadrant access.

Allows for a seamless transition from Xi to Dv5 for care team and instrumentation

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7
Q

What does AI refer to on da Vince 5

A

This is provided through case insights. Video is analyzed to segment the procedure and identify key events

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8
Q

Can the DV5 console, tower, or patient cart be used with other da Vinci systems? Can a dual console be setup b/w Xi and DV5

A

No, the dv5 has unique components. The standardization across the portfolio allows for a seamless transition b/w systems

A majority of X/Xi instruments will be compatible with DV5

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9
Q

Why does Dv5 have a different endoscope?

A

dV 5 uses a newly developed endoscope system controller.

dV5 has a higher data transfer capability as well as observable wavelengths for Firefly.

As well as a tip heater to reduce fogging

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10
Q

Does the dV5 endoscope have a finite number of lives?

A

No, it can be used until it no longer functions properly or becomes damaged

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11
Q

Are there any improvements to the optics of the dV5 endoscope compared to Xi

A

A tip heater to improve fogging

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12
Q

Can dv5 endoscope be reprocessed in the earlier stainless steel endoscope trays

A

No, the 400498 tray is not compatible

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13
Q

Is the washer/ disinfectior connector set (PN 400482) compatible with dv5 endo?

A

Yes - it is not available in all markets

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14
Q

Will the dv5 instruments be smaller?

A

No, continued evaluation of smaller diameter insturments are in our plan, but we have no established launch at this time

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15
Q

Will you have 5mm instruments available on dv5?

A

no, all instruments will be 8mm

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16
Q

Will dv5 use the same instruments as Xi?

A

Most Xi instruments are compatible with dv5. Exceptions include endoscope, endowrist staplers, single-site instruments, cardiac probe grasper, and the atrial retractor short grasper.

Harmonic Ace will be compatible at broad launch in 2025

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17
Q

Do I need new instrument/ accessories for dv5?

A

dv5 will offer exclusive instruments (force feedback) and will require some new accessories - specifically hex cannulas and insufflation tube sets

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18
Q

Why did you introduce Force Feedback after all this time?

A

We have been working on this for 30 years. Today’s sensor tech, has achieved the reliability and performance requirement to meet our high standards. FF will compliment visual cues

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19
Q

How is force feedback unique? How does it work?

A

Sensors near the instrument tips. Other platforms that claim haptics measure forces on the robotic arm, outside the patient, and far from the tissue.

forces at the tip are transmitted to the controllers

3 setting to choose from to have a customized experience.

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20
Q

What forces are being measured?

A

Push, Pull, and manipulation forces in three dimensions

This is achieved through a teleop loop that sends force measurements thousands of times per second

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21
Q

Diff b/w FFB and haptics

A

FFB: refers tot he physical forces that are transmitted back to the user through a device to stimulate the sensation of touch or resistance

Haptics: refers to the use of tactile feedback, such as vibrations or pressure, to stimulate the sensation of touch

*** FFB focuses on the physical forces while haptics focuses on the tactile sensations

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22
Q

What instruments will include FFB? Why did you choose these?

A

3 categories: Needle drivers, bipolar forceps/ graspers, and cold forceps/graspers
(Mega, Large, Maryland, fenestrated, cadiere, and prograsp)

We chose these to activate the highest value in common surgery: dissection, retraction, and suturing

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23
Q

Why no FFB on SureForm, VSE, or Syncroseal?

A

Prioritized on instruments that demonstrated the highest value with the most common surgical tasks.

These instruments already off built in Intelligent algo’s to aid in decision making.

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24
Q

Will you launch additional FFB instruments?

A

We are assessing how users experience FFB prior to expanding.

We will gather info to better understand where to apply the feature to future instruments

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25
Q

Why does FFB not include grip force?

A

We’ve found that the compression of tissue b/w the jaws has less clinical significance as it is not as frequently used in surgical decision-making

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26
Q

Will FFB be available on X/Xi/SP?

A

No, FFB is uniquely enabled by the advanced hardware and software features.

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27
Q

How many lives do the FFB instruments have?

A

at first release b/w 1-3. - This will be temporary as we improve the reliability with materials and design

Higher number of lives is in our plan and will be launched soon

28
Q

Why do FFB instruments only have 1-3 lives?

A

Our sensor tech. is evolving to meet stringent cleaning and sterilization testing.

29
Q

Why are FFB instruments more expensive?

A

The enhanced surgical sense allows for more efficient task completion with reduced force requirements.

There is a high level of software and hardware to ensure a high level of accuracy, reliability, and force fidelity.

30
Q

Why do they require special reprocessing instructions?

A

They require an additional distal flush port to be flushed during manual cleaning prior to sterilization. Outside of this, the process is the same

31
Q

What accessories are compatible with FFB instruments?

A

Scanlan Bulldog clamp
BK medical ultrasound probes
Lightpoint sensei probe

32
Q

How does FFB impact tissue interaction?

A

Can decrease the amount of force applied to tissue and reduce variation when performing skills.

One of halsted’s principle is to handle tissue with the least amount of force necessary - this can result in better patient outcomes.

33
Q

What are the indications for use for FFB instruments? What are the specific considerations for GYN procedures?

A

FFB share the indications with the da Vinci 5 surgical system

GYN - is the same BUT FFB needle driver instruments are contraindicated in hyst and myomectomy

34
Q

Is the FFB Needle driver contraindicated in any procedures?

A

Yes, FFB ND are contraindicated in hyst and myomectomy

Due to the risk of Vag. bleeding requiring hospital readmission and or the need for additional procedures. Non-FFB is required for suturing in these procedures.

35
Q

Any contraindications for Force feedback bipolar or cold graspers?

A

No, all other instruments may be used in the listed procedures

36
Q

Why did FFB ND receive contraindication in GYN?

A

during the Investigative device exemption (IDE) study, the occurrence of an unplanned hospital readmission for heavy vag bleeding after hyst was observed in 2 of 14 cases.

No other procedure resulted in unplanned hospital readmissions

37
Q

Can a surgeon use FFB ND for sacor or other gyn cases not including hyst or myo?

A

That is on label and fine to use as long as the surgeon is following the dv5 surgical system indications for use

38
Q

I am training a gyn can I complete the suturing ex. in the training guide?

A

Yes, FFB ND is on label for other gyn procedures

39
Q

I am supporting a hyst or Myo and the surgeon is using a FFB ND, how should I respond?

A

Remind the surgeon that it is contraindicated for the procedure. IF continued use, respond that you cannot comment as the surgeon is using the device in an off label manner

40
Q

If used in contraindicated cases, Is there someone at intuitive that I should inform?

A

No

41
Q

Is it okay to use the FFB ND with the force feedback OFF?

A

No, they remain contraindicated for the procedures

42
Q

If training on the cuff closure, can I train them using the FFB ND?

A

No, it is contraindicted for those procedures and this skill cannot be completed using FFBND

43
Q

What software system will dv5 use?

A

Operating system 5 (OS5)

44
Q

Will it receive software updates automatically?

A

Yes - they will be automatic

45
Q

Will my login experience be the same? Will my surgeon profile be saved from Xi?

A

No, preferences will need to be saved. Using cloud login helps with the turnaround time

Staff will be prompted to populate certain infor for the surgeon. Can be completed on the helm, console, or tower.

Case insights and video will require a pin to be entered.

Case reports will be available.

46
Q

Why did intuitive include insufflator?

A

for a more connected ecosystem making you les reliant on functional integration of third-party tech

47
Q

What makes dv5 insufflator unique

A
  • Universal access settings available on all 3 system components
  • Automatic smoke evac
  • First entry phase feature
  • desufflation mode
48
Q

How does it compare to Airseal/ what im currently using

A

dv5 monitors the intra-abdominal pressure and adjusts flow accordingly with medical-grade CO2.

Airseal also monitors intra-abdominal pressure but will pull in ambient room air to help maintain pressure in the abd. cavity

The system is also fully integrated.

49
Q

Is the insufflator compatible with the central gas supply in the OR

A

Yes, if available it can be used.

50
Q

Will dv5 have a handheld camera available?

A

Yes, dv5 will include (in select markets) a near-infared handheld camera and supporting components.

51
Q

Can I use the handheld camera from xi on a dv5

A

No, the xi handheld camera is not compatible with dv5

52
Q

Can I use the dv5 handheld on xi

A

Yes, the schoelly handheld camera provided with dv5 can be used on the xi

53
Q

Why isn’t the handheld camera integrated into the tower?

A

Pursuing a nonintegrated architecture allows us to provide the necessary clinical capability at the time of dv5 launch. We are always looking for ways to meaningfully improve

54
Q

Can i take screenshots

A

yes, Intuitive hub can capture still images from the NIR handheld camera system.

55
Q

Can I record video?

A

Yes, video will be recorded with Hub in combination with NIR handheld camera.

as a backup a usb drive is available

56
Q

Is firefly available on handheld camera

A

Yes, however the technology is not proprietary to Intuitive and is therefore no branded as firefly

57
Q

Are the indications for use the same as Xi

A

They have the same indications except Cardiac and Pediatric

Contraindication for FFB ND with hyst and myomectomy

58
Q

First access program

A

the program gives customers early access to dv5 with the goals of clinical learning, data collection, and evidence generation

59
Q

When will the SIM be available

A

expected Q1 of 2025

60
Q

Is the sim interchangable

A

It is integrated into the surgeon console, so no it is not interchangable

61
Q

Do surgeons have to go through the TTP?

A

If surgeons have xi experience, they will have to do the online modules and in-person training but there is not TR100 course.

  • Online modules
  • tech in-service with a Intuitive rep
  • Complete tech online assessment
62
Q

How long will it take to train the surgeon?

A

if they have experience, 2-3 hours for surgeons and 2-3 hours for staff

63
Q

is there documentation that I completed the training?

A

after you have completed the training a certificate is available for download.

64
Q

How many outlets are required?

A

4 separate power outlets - console, tower, cart, and hub

The tower requires a 115 VAC 20-amp outlet

65
Q
A

dV5 (7 decks)

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