Robotic surgery Da Vinci Robot Xi

Drive out, undrape and arm stow (circulation-/OR nurse)

Explanation of the shown actions can be found in the subtitles.

Hotspots will give you more information about (parts of) equipment. Place your cursor on top of a hotspot to read the information.

Additional in-depth information can be found in an information layer on the screen.

The operation of the equipment will be explained with the help of a case. In this case, you will answer one or more questions.

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As the operation continues, the operation becomes more and more difficult.

During the clearing of the pancreatic head, bleeding occurs in the venae portae. The surgeon indicates that conversion is required. The surgeon places a robotic instrument on the vessel to clamp shut to later suture the lesion.

The surgeon asks you to call a colleague to come help him. You quickly call the surgeon.

• Disinfect as widely as possible before any conversion (co-responsibility of the surgeon).
• Have instrument sets and other supplies on hand for conversion.
• If necessary, call a colleague OR-nurse for additional supplies.
• Continue to set the right priorities in the actions to be taken.

In case of problems, make sure the "grip-release kit" is sterile and in the OR. If a robotic instrument refuses to open, the scrub nurse can use this to open the instrument manually.

Only the robotic instrument clamping the vessel remains in the abdomen.

Meanwhile, you grab the cart with the supplies for a conversion from outside the OR. You quickly hand the supplies to the scrub nurse. The surgeon comes out from behind the surgeon console. You quickly button the surgeon's sterile coat. He quickly opens the abdomen and slides the intestines aside so that he has the venae portae in view.

A fellow surgeon has arrived. He places a vascular clamp on the venae portae. After controlling the bleeding, the surgeon walks back to the surgeon console to open the robotic instrument. The robotic instrument does not open.

First, make sure the road is clear and that the blue fiber optic cable is not in the way when driving out the robot.

You can safely drive out the robot:

• after the instruments have been removed and disconnected
• after the robot arms have been disconnected from the cannulae
• after the robot arms are placed at a safe height, so they do not collide with the patient

When you have safely driven out the robot, remove the drape from the patient cart arms and column. This is called undraping.

You have removed the drapes from the patient cart arms. You make room between patient cart arms 2 and 3 so you can remove the drape from the column.

You fold in the patient cart arms. You start at the closest arm and work towards the outside. So from arm 1 to arm 4, or from 4 to 1. Then you store the robot.

At the end of the procedure or surgical program, you shut down the system.