da Vinci® Skills Simulator

Skills Practice in an Immersive Virtual Environment

Portable. Practical. Powerful. The da Vinci Skills Simulator contains a variety of exercises and scenarios specifically designed to give users the opportunity to improve their proficiency with the da Vinci surgeon console controls. The sleek case seamlessly integrates with an existing da Vinci® Si or Si-e surgeon console* turning it into a novel practice platform that can be used in or outside the operating room. No additional system components are required.

* The straightforward set-up allows users to practice unassisted or with supervision, according to their preference.
* Built-in metrics enable users to assess skills, receive real-time feedback and track progress.
* Administrative tools let users structure their own curriculum to fit with other learning activities in their institution.
* The open architecture of the system software allows for the future development and incorporation of additional practice modules.

One Solution With Many Benefits

Simulation in all forms is an important part of the learning experience for surgical technology. By providing a controlled re-creation of critical steps in instrument control, simulation allows surgeons to practice their skills in a non-clinical environment. Other major benefits of simulation include the ability to:

* Increase familiarity with the da Vinci System - Any new surgical technology comes with a learning curve. The Skills Simulator allows surgeons to practice on the da Vinci System as much as needed to become comfortable with new techniques.
* Provide more learning opportunities - For residents, simulation helps maximize their practice time and ensures they get as much technical exposure as possible.
* Measure progress - This is a quantitative, measured platform designed to allow surgeons to see how they have done on a given exercise and to track progress over time.
* Warm-up before surgery - The simulator can be used immediately before a case to allow surgeons to re-familiarize themselves with the console.

A Variety of Comprehensive Exercises

Developed in collaboration with Mimic® Technologies, The Skills Simulator exercises range from basic to advanced and are designed to be relevant to surgeons from any specialty.

Each exercise covers at least one of the following skill categories:

* EndoWrist® Manipulation - EndoWrist instruments are designed to provide surgeons with natural dexterity and a range of motion far greater than even the human hand. These exercises are designed to help users gain familiarity with the movement of these instruments.
* Camera and Clutching – The three-dimensional, enhanced high-definition vision of the da Vinci System offers a key clinical advantage in surgery, and these exercises help users improve camera control and learn to use the clutch effectively.
* Fourth Arm Integration – For more advanced instrument control skills, some exercises include a fourth instrument arm that must be used. This is designed to promote instrument skill, and encourages users to think strategically about instrument placement during tasks.
* System Settings – The surgeon console features a comprehensive set of controls for user settings. Quiz exercises on the simulator focus on basic setting topics such as icons, ergonomics and instrument scaling.
* Needle Control and Driving – These scenarios are designed to help users develop skill when manipulating needles, including a focus on how to effectively hand off and position needles while practicing with a range of geometries.
* Energy and Dissection – The footswitch panel enables users to perform a range of tasks such as swapping between different types of energy instruments. These exercises allow users to gain familiarity with the footswitch panel by letting them practice applying monopolar and bipolar energy while working on dissection tasks.

*Not compatible with the da Vinci S or da Vinci surgical systems.

PN 874389 Rev A 12/10

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures.  Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions.  If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary.  Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.

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