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 Xi® 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.

Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.

Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.

Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to http://www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.

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