Resident Name:
MODULE 1: Docking and Instrument exchange A
PATIENT CART Xi
Identify Patient Cart
Identify Power Button
Identify patient cart helm
Identify cart drive enable switches
Identify patient cart touch pad
Identify targeting laser
Identify instruments arms
Question: How is the camera arm on the Xi different from the Si?
Answer:
The camera can fit on any Xi instrument arm, Si has dedicated camera arm
Identify boom rotation buttons
Identify instruments carriage
Identify cannula mount
Identify port clutch button
Identify instrument clutch button
Identify patient clearance button
Operate and Drive patient cart
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
/1
/1
/1
/1
/1
/1
/1
YES
NO
/1
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
/1
/1
/1
/1
/1
/1
/1
Patient Cart Xi Score
TOTAL
/15
DOCKING Xi
Question: What trocar size is used for the camera?
Answer: 8mm
Question: What is the difference between the Xi and Si camera
Answer: Xi- auto focus, white balance and calibration, targeting button
Question: What trocar size is used for the instruments?
Answer: 8 mm
Question: What are the steps to docking?
Answer: (incorrect if missed or not correct order)
1) Select anatomy site on touch pad
2) Select docking side on touch pad
3) Press deploy for docking on touch pad
4) Drive patient boom (crosshairs within 5cm of camera port)
5) Connect camera port to cannula mount
6) Turn on and install endoscope, then point to target anatomy
7) Press targeting button on camera
8) Connect rest of instrument arms
9) Insert instruments and place under direct visualization
Question: How do you locate the instruments when they are out of view?
Answer: (Move the camera and follow the rectangles with yellow
and black diagonal lines on side of screen.)
Question: What is the correct placement of the trocar in abdominal wall?
Answer: THICK black lines should be in the center of abdominal wall
Question: What is the importance of the thick black line?
Answer: It is the remote center therefore atraumatic point of rotation of the
instrument arm
YES
NO
/1
YES
NO
/1
YES
NO
/1
(
YES
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
NO
/9)
/1
/1
/1
/1
/1
/1
/1
/1
/1
YES
NO
/1
YES
NO
/1
YES
NO
/1
1
Resident Name:
Docking Xi SCORE
TOTAL
/15
INSTRUMENT INSERTION
Question: How do you insert the robotic instruments in the trocars?
Before placement ensure instrument wrist straight, tips closed
Slide instrument in slowly
Direct visualization of trocar before inserting
Port clutch button one time and see flashing white lights
Lock instrument in place by pushing clutch button (see blue light)
YES
YES
YES
YES
YES
/1
/1
/1
/1
/1
/1
NO
NO
NO
NO
NO
Instrument insertion Score
/5
INSTRUMENT EXCHANGE
Question: What is the correct technique used for instrument exchange?
Communicate with surgeon
Instrument tip should be open
Instrument should be in view away from anatomic structures
Squeeze gray buttons on the side of instrument
and pull out without activating any buttons
Insert new instrument without activating any buttons
Push instrument in slowly without activating any buttons
Question: What do you if you accidently press the clutch button
Answer: Notify the surgeon so that instrument can be seen under
direct visualization
Question: What is the first thing you do, as first assistant, if you feel resistance
when inserting or removing an instrument?
Answer: Ask to the surgeon for a visualization of the port(s)
Question: What does the flashing green light at the end of the instrument arm
indicate?
Answer: The instrument is under first assistant control
Question: What does the solid blue light indicate?
Answer: The arm is correctly connected and under surgeon control
Instrument exchange score
YES
YES
YES
YES
NO
NO
NO
NO
/1
/1
/1
/1
YES
YES
NO
NO
/1
/1
YES
NO
/1
YES
NO
/1
YES
NO
/1
YES
NO
/1
/10
2