EndoWrist One Vessel Sealer Debuts for da Vinci Si Surgical System

EndoWrist One Vessel Sealer Debuts for da Vinci Si Surgical System


Intuitive Surgical’s exclusive EndoWrist Instruments are designed to provide surgeons with natural dexterity and full range of motion for precise operation through tiny incisions. Modeled after the human wrist, EndoWrist Instruments can offer an even greater range of motion than the human hand. They truly allow the da Vinci® System to take surgical precision and technique beyond the limits of the human hand. Similar to human tendons, an EndoWrist Instrument’s internal cables provide maximum responsiveness, allowing rapid and precise suturing, dissection and tissue manipulation.

EndoWrist Instruments provide enhanced dexterity, precision and control:

7 degrees of freedom

90 degrees of articulation

Intuitive motion and finger-tip control

Motion scaling and tremor reduction

The wrist-like movement, responsiveness and robotic control afforded by the da Vinci System and its exclusive EndoWrist Instruments provide surgeons fluid ambidexterity and unparalleled precision.

The EndoWrist Instruments are available in a wide selection of specialized tip designs to enable a broad range of da Vinci procedures. As da Vinci Surgery is adopted in new specialties, our engineers work side-by-side with surgeons to develop new EndoWrist Instruments to address new clinical needs. The following is a list of instrument categories for which Intuitive offers specialized tip designs.

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Advanced Energy Instruments

Energy instruments are used by the da Vinci surgeon to provide coagulation, cutting and dissection of tissues. These include monopolar and bipolar cautery instruments (electrical energy), the Harmonic™ ACE (mechanical energy), the PK™ Dissecting Forceps (advanced bipolar), and laser.


Grasping instruments to allow for manipulation of a wide range of tissues, from fine, thin tissues such as peritoneum to dense, fibrous tissues such as uterus.

Needle drivers

Needle drivers provide the ability to suture with the finest of needles used in cardiovascular surgery as well as the thickest needles used in repair of uterine defects. SutureCut™ Needle Drivers include an integral cutting blade for efficient cutting of suture after knot tying and increased surgeon autonomy and efficiency.


Retracting instruments allow the surgeon to dynamically provide exposure of the surgical field. This minimizes dependency on the patient-side assistant, providing the da Vinci surgeon with full control of the operative field.

Other Specialized Instruments

Clip appliers, probe graspers, and cardiac stabilizers are available to allow the da Vinci surgeon to perform specialized procedures such as vessel clipping, cryoablation, and beating-heart surgery.

5mm Instruments

A selection of 5mm EndoWrist Instruments provides the surgeon with the ability to use smaller access ports. Some surgeons prefer smaller access ports when performing pediatric, thoracic, bariatric, gynecologic, and general surgery.

Ease of Use

The EndoWrist Instruments are designed to be user-friendly in all aspects of surgery. After an instrument is mounted to the da Vinci System, the interface is designed not only to recognize the type and function of the instrument, but to also display the number of uses. With this unique interface, the da Vinci System can easily detect when an instrument needs replacing.

The EndoWrist Instruments, designed exclusively for the da Vinci System, are available directly from Intuitive Surgical and its authorized distributors worldwide. For additional information, contact Intuitive Surgical Customer Service.

Cleaning & Sterilization

The EndoWrist instruments are validated to the Association for the Advancement of Medical Instrumentation Technical Information Report 12 standard (AAMI TIR 12 standard): Designing, testing and labeling reusable medical devices for reprocessing in health care facilities.

Instructional documents describing the cleaning and sterilization processes are available for download to da Vinci practitioners from the da Vinci Surgery Online Community, or from your Intuitive Surgical sales or service support representative.

Cleaning & Sterilization Documentations on the Online Community (Requires Prior Registration)

While clinical studies support the effectiveness of the da Vinci Surgical System when used in minimally invasive surgery, individual results may vary. There are no guarantees of outcome. All surgeries involve the risk of major complications. Before you decide on surgery, discuss treatment options with your doctor. Understanding the risks of each treatment can help you make the best decision for your individual situation. Surgery with the da Vinci Surgical System may not be appropriate for every individual; it may not be applicable to your condition. Always ask your doctor about all treatment options, as well as their risks and benefits. Only your doctor can determine whether da Vinci Surgery is appropriate for your situation. The clinical information and opinions, including any inaccuracies expressed in this material by patients or doctor about da Vinci Surgery are not necessarily those of Intuitive Surgical, Inc. and should not be considered as substitute for medical advice provided by your doctor. All persons depicted are models unless otherwise noted. © 2012 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si, Single-Site, 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.

Whether a technology was originally developed for the space program has been a selling point for many products over the decades. In a sign that modern medicine is the new space program, medical robotics engineers at Johns Hopkins and West Virginia University are now working with NASA to bring their expertise to the development of robots that may be used in the future to work on orbiting satellites.

So far they managed to interface the da Vinci surgical robot’s console with an industrial robot 30 miles away, receiving 3D video and haptic feedback, while controlling its movements from afar.

From the JHU Gazette:

One task the team has worked on is the use of a remote-controlled robot to carefully cut the plastic tape that holds a satellite’s thermal insulation blanket in place. The tape must be cut and the blanket pulled back in order to expose the satellite’s refueling port. A long-distance test of this procedure, in which an operator at Johns Hopkins will guide a robot through a tape-cutting procedure in West Virginia, is slated to take place soon.

The task will be much more challenging when the target satellite is in orbit around the moon, for example. Because of the distance, there will be a significant delay between the time the operator signals the robot to move and the time these instructions are received and carried out. The research team is working on technology to help compensate for this delay.

Robotic surgery developer Intuitive Surgical Inc. (Sunnyvale, CA) has received 510(k) clearance to market its EndoWrist One Vessel Sealer. The bipolar electrosurgical sealing and cutting instrument is designed for use with the firm’s da Vinci Si Surgical and a dedicated version of the ERBE VIO 300D electrosurgical generator, sold and supported by Intuitive Surgical, that will only control the Endowrist One vessel sealer instrument. The wristed, disposable instrument is intended for bipolar coagulation and mechanical transection of vessels up to 7 mm in diameter and tissue bundles that fit in the jaws of the instrument. It is not intended for use for tubal sterilization or tubal coagulation for sterilization procedures.

The EndoWrist One Vessel Sealer enables da Vinci Si surgeons to fully control vessel sealing, according to the manufacturer, while providing high surgical precision, control, stability, and 3-D HD visualization.

Intuitive Surgical CEO Gary Guthart explains in a press release plans “to initiate a controlled rollout of this product in the United States in the first quarter of 2012, while also submitting for CE Mark.”

Source : http://www.intuitivesurgical.com/products/instruments/

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