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PDA 11 5/27/03 8:53 AM Page 217
Chapter 11 / Infinitely Expandable
system consists of a surgeon console, patient-side cart, instruments
and image processing equipment.
• The Surgeon Console: The surgeon operates at the console using
masters (that replicate surgery motions) and the high-performance
vision system that is controlled using foot pedals and displays in
the same orientation of open surgery. Using the da Vinci Surgical
System, the surgeon operates while seated comfortably at a con-
sole viewing a 3-D image of the surgical field. The surgeon’s fin-
gers grasp the master controls below the display, with wrists nat-
urally positioned relative to his or her eyes. This technology
seamlessly translates the surgeon’s movements into precise, real-
time movements of the surgical instruments inside the patient.

• Patient-Side cart: The patient-side cart provides the two robotic
arms and one endoscope arm that execute the surgeon’s commands.
The laparoscopic arms pivot at the 1 cm operating port, eliminating
the use of the patient’s body wall for leverage, minimizing tissue
and nerve damage. Supporting surgical team members install the
correct instruments, prepare the 1 cm port in the patient, and super-
vise the laparoscopic arms and tools being utilized.
• EndoWrist Instruments: A full range of instruments is provided
to support the surgeon while operating. The instruments are
designed with seven degrees of motion to mimic the dexterity of
the human wrist. Each instrument has a specific surgical mission
such as clamping, suturing, and tissue manipulation. Quick-
release levers speed instrument changes during surgical proce-
dures.

• Insite High Resolution 3-D Endoscope and Image Processing
Equipment: Provides the true to life 3-D images of the operative
field. Operating images are enhanced, refined, and optimized
using image synchronizers, high-intensity illuminators, and cam-
era control units.
The da Vinci Surgical System is the only commercially available tech-
nology that can provide the surgeon with the intuitive control, range
of motion, fine tissue manipulation capability, and 3-D visualization
characteristic of open surgery, while simultaneously allowing the sur-
geon to work through small ports of minimally invasive surgery (see
Figure 11.5).

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