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Summary of Contents for Intuitive da Vinci Xi
- Page 1 ® Firefly Imaging System User Manual Addendum ® ® for da Vinci Xi and da Vinci X Systems Intuitive Surgical, Inc. Intuitive Surgical, Sàrl 1266 Kifer Road Chemin des Mûriers 1 PN 552467-06 REV. A 2019.03 Sunnyvale, CA 94086 USA...
- Page 2 © 2019 Intuitive Surgical, Inc. All rights reserved. Trademarks Intuitive, Intuitive Surgical, da Vinci, da Vinci Xi, da Vinci X, and Firefly are trademarks or registered trademarks of Intuitive Surgical, Inc. Other parties’ trademarks are the property of their respective owners and should be treated as such.
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Page 3: Table Of Contents
4.4 Sensitive Mode Signal and Working Distance ......31 Firefly Imaging for da Vinci Xi and da Vinci X Systems... - Page 4 B.2 Symbols and Icons ............36 Firefly Imaging for da Vinci Xi and da Vinci X Systems...
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Page 5: Introduction
Note: Aspects of the da Vinci Firefly Imaging System not addressed in this document are the same as for the da Vinci Xi and the da Vinci X vision system. For details, refer to the applicable system user manual, including current addenda, if any. -
Page 6: System Overview
The Firefly Imaging System consists of a near-infrared laser located in the Endoscope Controller and an endoscope (0° or 30°). All da Vinci Xi endoscopes and Endoscope Controllers are capable of visible light and Firefly imaging. The Firefly Imaging System uses near-infrared light in conjunction with an imaging agent to create fluorescent images of tissue. -
Page 7: System Components
The da Vinci Firefly Imaging System is a fully integrated part of the da Vinci Xi Surgical System and the da Vinci X Surgical System, and is for use only with these da Vinci systems. It is not intended for use with any other surgical imaging systems. -
Page 8: Indicators
2.3). Table 2-3 Laser Safety Label Laser Safety Label LED Status Off, Text is not illuminated Firefly imaging is not activated On, Text is illuminated Firefly imaging is activated Firefly Imaging for da Vinci Xi and da Vinci X Systems... - Page 9 Endoscope Cable Connection LED Endoscope Controller LED Label: Laser On indicator Figure 2.2 Endoscope Controller front panel “LASER ON” illuminates when imaging is active Figure 2.3 Laser safety label Firefly Imaging for da Vinci Xi and da Vinci X Systems...
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Page 10: Endoscope Indicators
Endoscope is connected to the Endoscope Controller and Green, Flashing the system is loading calibration data. Endoscope is connected to the Endoscope Controller and Green, Steady calibration data is fully loaded. Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 11: Surgeon Console 3D Viewer And Vision Cart Touchscreen
On the Surgeon Console 3D viewer and the Vision Cart touchscreen, the “LASER ON” indicator is displayed when Firefly imaging is active (Figure 2.7). Figure 2.7 User interface LASER ON indicator _________________________________End of section______________________________ Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 12: Firefly Imaging Operation
It is not possible to verify illumination functionality without an endoscope connected to the Endoscope Controller. Note: Keep the light guide connector clean at all times. Contaminants on the light guide connector may cause overheating. Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 13: Select The Visualization Mode
• Firefly Fingerswitch • Firefly Intensity • Background Brightness • Sensitive Mode Note: Sensitive mode is not available with all endoscopes. Contact your Intuitive Surgical representative for additional information. Note: See Chapter 4 Sensitive Mode Operation for specific instructions on activating and using Firefly imaging in Sensitive mode. -
Page 14: Activate Firefly At Surgeon Console
Between Firefly and Visible Light Imaging on page 16. Surgeon Console Touchpad - Settings Tab 1. Touch the Settings tab (Figure 3.2). Settings Tab Figure 3.2 Touch the Settings tab Firefly Imaging for da Vinci Xi and da Vinci X Systems... - Page 15 To activate or deactivate Firefly on the Instrument tab endoscope arm pod, touch the Firefly button (Figure 3.4). Firefly button Figure 3.4 Surgeon Console Firefly button on endoscope arm pod Firefly Imaging for da Vinci Xi and da Vinci X Systems...
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Page 16: Activate Firefly At Vision Cart
When the Firefly Fingerswitch button is ON, the surgeon can toggle between visible light imaging and Firefly imaging by using the endoscope control pedal and the hand control finger clutches. Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 17: Deactivate Firefly On The Endoscope
Press and Hold Button Visible light is ON Visible light turns OFF Firefly ON Visible light and near-infrared light turn OFF Visible light is OFF Visible light turns ON Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 18: Adjust Image
When Firefly imaging is activated and deactivated, the brightness slider remains in the position that it was in when it was last adjusted. Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 19: Image Adjustment On Surgeon Console
On the Instrument tab, the Background Brightness slider is used to adjust background brightness in Firefly imaging. For information about adjusting image brightness in visible light mode, refer to the applicable system user manual. Firefly Imaging for da Vinci Xi and da Vinci X Systems... - Page 20 1. Touch the Settings tab, then touch the Firefly button or scroll to view the Firefly section. 2. Drag the Background Brightness slider to adjust the brightness of the image (Figure 3.11). Moving it to the right increases brightness. Figure 3.11 Firefly Background Brightness slider Firefly Imaging for da Vinci Xi and da Vinci X Systems...
- Page 21 For information about all of the system settings that can be reset to factory values, refer to the applicable system user manual. Figure 3.12 Restore Firefly to factory defaults button Firefly Imaging for da Vinci Xi and da Vinci X Systems...
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Page 22: Image Adjustment On Vision Cart Touchscreen
Firefly is activated (Figure 3.14). This slider also adjusts image brightness in visible light mode (when Firefly is deactivated). Brightness slider Figure 3.14 Vision Cart Brightness slider _________________________________End of section______________________________ Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 23: Sensitive Mode Operation
The da Vinci Firefly Imaging System is a fully integrated part of the da Vinci Xi Surgical System and the da Vinci X Surgical System, and is for use only with these da Vinci systems. It is not intended for use with any other surgical imaging systems. -
Page 24: Select Sensitive Mode
Firefly Black Point control slider: Adjusts the minimum level of the green fluorescent signal that is displayed to enhance the appearance of weak fluorescent signals. Available only in Sensitive mode. Show Controls button Figure 4.2 Touch the Show Controls button Firefly Imaging for da Vinci Xi and da Vinci X Systems... - Page 25 Scroll down to see the Firefly Black Point control slider and Sensitive Mode Show Controls button Firefly Black Point slider Show Controls button Figure 4.3 Sensitive mode options Note: Touching Hide Controls while in Sensitive mode reverts Firefly imaging to Standard mode. Firefly Imaging for da Vinci Xi and da Vinci X Systems...
- Page 26 In Sensitive mode, the Firefly button icon is completely lit green (Figure 4.5), and the Brightness button is disabled. Firefly button Figure 4.5 Surgeon Console Firefly button on endoscope arm pod, icon is completely lit green in Sensitive mode Firefly Imaging for da Vinci Xi and da Vinci X Systems...
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Page 27: Activate Sensitive Mode At Vision Cart
OFF (turn off Firefly and revert to visible light imaging), Standard mode, and Sensitive mode by using the endoscope control pedal and the hand control finger clutches. Firefly Fingerswitch button Figure 4.7 Firefly Fingerswitch control, in Sensitive mode (example) Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 28: Adjust Image In Sensitive Mode
Figure 4.8 Surgeon Console Firefly Intensity slider, in Sensitive mode (example) See Chapter 3 Firefly Imaging Operation, Image Adjustment on Surgeon Console for general instructions on using the Firefly Intensity slider on the Surgeon Console touchpad. Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 29: Image Adjustment On Vision Cart Touchscreen
• When the Firefly Black Point slider is set to 100%, weak fluorescent signals are filtered out (less green, more black background) to reduce background noise and unwanted reflection of near-infrared illumination. Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 30: Instrument Function During Sensitive Mode
Sensitive mode is active. Disabled functions include: • Firing energy instruments, including monopolar and bipolar cautery, and vessel sealers • Firing or clamping of staplers • Activation of suction irrigators Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 31: Sensitive Mode Signal And Working Distance
The signal intensity appears the same, whether the endoscope is moved closer or farther away from the tissue. _________________________________End of section______________________________ Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 32: A Appendix A: Troubleshooting And Service
Endoscope Controller. position. • If the problem persists, contact Intuitive Surgical Customer Service. Firefly Imaging for da Vinci Xi and da Vinci X Systems... - Page 33 Administration of fluorescent Confirm that administration of the fluorescent agent is inadequate or is not imaging agent is completed correctly. completed correctly. Endoscope limitations. Use a different endoscope for Sensitive mode. Firefly Imaging for da Vinci Xi and da Vinci X Systems...
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Page 34: Firefly Laser Test Procedure
Toll free: 1.800.876.1310 Fax: 1.408.523.2377 or 1.408.523.1390 Website: www.intuitivesurgical.com Intuitive Surgical Sàrl Chemin des Mûriers 1 1170 Aubonne, Switzerland Toll free: +800.0821.2020 Direct: +41.21.821.2020 Fax: +41.21.821.2021 _________________________________End of section______________________________ Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 35: B Appendix B: Safety And Symbols
Maximum Output: 124 mW at Wavelength: 805 nm Device classified per IEC 60825-1:2007 Complies with 21 CFR 1041.10 and 1040.11 except for deviations pursuant to Laser Notice No. 50, dated June 24th, 2007. Firefly Imaging for da Vinci Xi and da Vinci X Systems... -
Page 36: Symbols And Icons
Warning: Alerts the reader about a situation which, if not avoided, could result in death or serious injury. Federal (U.S.) law restricts this device for sale, distribution, and use by or on the order of a physician. _________________________________End______________________________ Firefly Imaging for da Vinci Xi and da Vinci X Systems...
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