Da Vinci, Da Vinci S, Da Vinci Si Quick Reference Guide (Troubleshooting Flow Charts) (550866-03) PDF

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Troubleshooting Flow Chart

for Improving Connection Efficiency during


System Not Powering On
1. System will not power on
-or-
2. Error at start up
-or-
3. Error when homing

Check AC Power Connections for each


Step One Component

Check System Cables for


Step Two Debris or Bent Pins

Step Three Reconnect all System Cables

Ensure all Circuit Breakers


Step Four are in the On Position

da Vinci Standard and da Vinci S:


Step Five Turn on Vision Cart

System Not
da Vinci Standard: Press SYSTEM Button Call 1-800-876-1310
da Vinci S: Press POWER Button
Powering On
(Int: +41.21.821.20.20)
da Vinci Si: Press any System POWER Button
For Assistance

System Powers On

Step Six da Vinci Standard and da Vinci S:


Home System

System Yes
Successfully Completes Continue OR Set-up
Homing

No

Call 1-800-876-1310
(Int: +41.21.821.20.20)
For Assistance

System Not Powering On


Audio Not Functioning
da Vinci Standard and da Vinci S: da Vinci Si:
Audio Not Functioning Audio Not Functioning

Audio Audio
Functioning Functioning
Check Audio
Continue OR Set-up Ensure Microphone is On and Continue OR Set-up
Step One Power On Vision Cart and
and Homing Check Volume on Touchscreen and Homing
Volume on Surgeon Console
and Touchpad
and Vision Cart

Audio Not Functioning Audio Not Functioning

Power Down the Surgeon Console Call 1-800-876-1310


Step Two and Vision Cart (Int: +41.21.821.20.20)
For Assistance

Check Audio Cables for


Step Three
Debris or Bent Pins

Step Four Reconnect all Audio Cables

Step Five Turn On the Vision Cart

Step Six Turn On The Surgeon Console

Audio
Functioning
Check Audio on
Vision Cart and Surgeon Continue OR Set-up
Console. Adjust Volume if and Homing
Needed

Audio Not Functioning

Call 1-800-876-1310
(Int: +41.21.821.20.20)
For Assistance

Audio Not Functioning


Patient Cart Not Powering On (da Vinci S and da Vinci Si)
da Vinci S and da Vinci Si:
1. Patient Cart Will Not Power On
-or-
2. Patient Cart Running on Battery

Patient Cart
Powers On
Check AC Power Connection
Step One Plug into New Outlet
for Patient Cart

Patient Cart Does


Not Power On

Step Two Use Fiber Optic Cleaning Kit


da Vinci S: Check and Clean Red
Fiber Optic Cable for Debris or Bent Pins
da Vinci Si: Check and Clean Blue
Fiber Interconnect Cables

Step Three Re-connect System Cables

Ensure Patient Patient Cart


Cart Circuit Breaker is Powers on
Step Four in the Up Position - Flip Breaker up and Continue OR Set-up,
Ensure the EPO Button is Fully Start-up, and Homing
Extended, Press
EPO if Needed

Patient Cart Does


Not Power On

Patient Cart
Press Patient Cart Powers on Continue OR Set-up,
Step Five Power Button Start-up, and Homing

Patient Cart Does


Not Power On

Call 1-800-876-1310
(Int: +41.21.821.20.20)
For Assistance

Patient Cart Not Powering On (da Vinci S and da Vinci Si)


Sterile Adapter Not Engaging

Instrument Arm Sterile Adapter


Does Not Engage

Remove and Reseat Instrument Arm


Step One Sterile Adapter

Sterile Adapter Engages: Yes


All Discs Spin and are Continue OR Set-up
Spongy When Pressed

No

da Vinci Standard:
Replace Sterile Adapter
Step Two
da Vinci S and da Vinci Si:
Replace Drape with
Integrated Sterile Adapter

Sterile Adapter Engages: Yes


All Discs Spin and are Continue OR Set-up
Spongy When Pressed

No

Call 1-800-876-1310
(Int: +41.21.821.20.20)
For Assistance

Sterile Adapter Not Engaging


EndoWrist Instrument Not Engaging

EndoWrist Instrument
Does Not Engage

Instrument
Engages
Remove and Reseat Instrument Arm
Step One Sterile Adapter and Continue
Endowrist Instrument

Instrument Does
Not Engage

Instrument
Engages
Remove EndoWrist Instrument
Step Two and Reinsert ANOTHER EndoWrist Continue
Instrument on the
Instrument Arm

Instrument Does
Not Engage

da Vinci Standard:
Replace Sterile Adapter Instrument
and Reinsert Instrument Engages

Step Three da Vinci S and da Vinci Si: Continue


Replace Drape with Integrated Sterile
Adapter and Reinsert Instrument

Instrument Does
Not Engage

Call 1-800-876-1310
(Int: +41.21.821.20.20)
For Assistance

EndoWrist Instrument Not Engaging


Guided Tool Change Does Not Initiate

Guided Tool Change


Does Not Initiate

Remove and Reseat Instrument Arm


Step One Sterile Adapter and EndoWrist Instrument

Clutch Instrument Arm and Advance


Step Two Instrument Under Direct Vision

On Next Instrument Guided Tool


Exchange, Pull EndoWrist Instrument Change Initiates
Step Three Straight Out and Reinsert a New Continue
Instrument Without Touching the
Clutch Buttons

Guided Tool Change


Does Not Initiate

Call 1-800-876-1310
(Int: +41.21.821.20.20)
For Assistance

Guided Tool Change Does Not Initiate


EndoWrist Cautery Not Responding to Footswitch

EndoWrist Cautery Instrument Not


Responding to Footswitch

Instrument Responds
Does the Generator to Foot Pedal
Activate When the Foot Continue
Pedal is pressed?

Instrument Does Not


Respond to Foot Pedal

Step One Check Cable Connections Between


Instrument and Generator

Check Grounding Pad


(If Necessary)

Check AC Power Connection


to ESU Generator

Check the Cable Connection Between


the Generator and the da Vinci System to
Ensure Correct Cable Orientation

Instrument Responds
to Foot Pedal
Power On
Step Four Generator
Continue

Instrument Does Not


Respond to Footswitch

Instrument Responds
1. Power Off to External Foot Pedal
Generator

Step Five 2. Attach Generator to Continue


Standard Exterior Foot Pedal
3. Power on Generator

Instrument Does Not


Respond to External Foot Pedal

Call 1-800-876-1310
(Int: +41.21.821.20.20)
For Assistance

EndoWrist Cautery Not Responding to Footswitch


This guide is provided for general information only and is not provided as formal medical training or certification. Intuitive Surgical trains only on the
use of the da Vinci® Surgical System. Intuitive Surgical does not provide clinical training nor does it provide or evaluate surgical credentialing or train
in surgical procedures or techniques. Before performing any clinical procedure utilizing the System, physicians are responsible for receiving sufficient
training and proctoring to ensure that they have the requisite training, skill and experience necessary to protect the health and safety of the patient.

For technical information, including full cautions and warnings on using the da Vinci System, please refer to the System User Manual. Read all instruc-
tions carefully. Failure to properly follow instructions, notes, cautions, warnings and danger messages associated with this equipment may lead to
serious injury or complications for the patient.

While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, outcomes cannot be guaran-
teed, as surgery is patient and procedure specific.

© 2013 Intuitive Surgical. All rights reserved. Intuitive®, Intuitive Surgical®, da Vinci®, da Vinci® S™, InSite®, TilePro™ and EndoWrist® are trademarks or registered
trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders. PN 550866-03 Rev. B 12/2013
Troubleshooting Flow Chart
for Improving Vision during
Missing Image (One or Both Eyes)
Check Default Settings On CCUs Note: Please refer to the “Default Camera Control Unit Settings” tab for
instructions on restoring CCUs to their default settings (da Vinci Standard
and da Vinci S ONLY). Refer to Restore Factory Settings for da Vinci Si
Re-do Black Balance and/or
default video settings.
White Balance
(Refer Flowchart for Black or Note: Black Balance is for da Vinci Standard and da Vinci S only.
White Balance)

All Systems:
Check Image Good
Quality in the Continue
Surgeon Console

Bad
Ensure Camera Cable Connections are Tightly
Step Three connected to CCU and Camera Head

Does wiggling No Call 1.800.876.1310


Cable at CCUs Affect (Intl: +41.21.821.20.20)
Picture? For Assistance

Yes

Replace Cable

Check Image Good


Step Four Quality in the Continue
Surgeon Console

Bad
Change Camera Head

Call 1.800.876.1310
(Intl: +41.21.821.20.20)
For Camera Head Repair
or Replacement

Missing Image (One or Both Eyes) 2


Dark Image or Poor Color
Dark Image or Poor Color

Note: Please refer to the “Default Camera Control Unit Settings” tab for
Check Default Settings on CCUs instructions on restoring CCUs to their default settings (da Vinci Standard
and da Vinci S ONLY). Refer to Restore Factory Settings for da Vinci Si
default video settings.

All Systems: Redo Black and/or


White Balance (Refer to Flowcharts for Note: Black Balance is for da Vinci Standard and da Vinci S only.
Black and White Balance)

Check Image
Good
Quality in the
Continue
Surgeon Console

Dark Image or Poor Color

Step Two Replace Endoscope

Check Image Good


Quality in the Continue
Surgeon Console

Dark Image
or Poor Color Call 1.800.876.1310
For Assistance Changing (Int: +41.21.821.20.20)
da Vinci Standard and da Vinci S:
Replace Light Guide Cable the Camera Head or Cable For Assistance
Step Three da Vinci Si: Replace Camera Head
or Camera Cables Dark Image or Poor Color

Redo Black and/or White Balance Check Image Good


Step Four (Refer to Flowcharts for Quality in the Continue
Black and White Balance) Surgeon Console

Dark Image or Poor Color 3


Flickering Image
da Vinci Standard and
da Vinci S: Both Eyes Flickering Image da Vinci Standard and da Vinci S:
da Vinci Si: One or Both Eyes One Eye

Power Off Surgeon Console and for 1. Turn Off CCU


Step One da Vinci Standard and da Vinci S, the Vision Cart 2. Reset Camera Cable Connection at CCU Step One
3. Turn On CCU

Good
Check Image Quality in the Continue
Surgeon Console

Flickering Image
Check and reseat Vision Cable Connections Including 1. Turn off Surgeon Console 2. Reseat Vision
Step Two Camera Cable at CCU Cables 3. Turn On Surgeon Console
Step Two
Flickering Image
1. Power On Surgeon Console and for da Vinci Standard
Step Three and da Vinci S, the Vision Cart Good
2. da Vinci Standard and da Vinci S: Ensure CCU’s are on Check Image Quality in the Continue
Surgeon Console

Good Flickering Image


Check Image Quality in the 1. Turn Off CCU
Continue
Surgeon Console 2. Swap Camera Cable connections at CCU’s Step Three
3. Turn On CCU’s

No No Call 1.800.876.1310
Does Video Noise Happen only Flickering Moved to other eye?
Step Four When Cautery is Applied?
(Int: +41.21.821.20.20)
For Assistance

Yes Yes

Remove ESU from Vision Cart Replace Camera Cable Step Four

Good Good
Check Image Quality in the Check Image Quality in the Continue
Continue Surgeon Console
Surgeon Console

Flickering Image Flickering Image

Call 1.800.876.1310 Call 1.800.876.1310


(Int: +41.21.821.20.20) (Int: +41.21.821.20.20)
For Assistance For Assistance

Flickering Image 4
Blurry Image
Blurry Image

Step One 1. Remove Endoscope and Clean Both Ends


2. Clean Camera Head Lenses

Good Check Picture Quality in the


Continue
Surgeon Console

Refer to flowchart, Both Eyes One Eye


Unable to Focus Blurry Image

Step Two Change Endoscope

Continue and call


Check Image Good 800-876-1310,
Quality in the (Int: +41.21.821.20.20)
Surgeon Console for endoscope repair/
replacement
Blurry Image

da Vinci Standard and da Vinci S:


1. Power Off CCUs
2. Change Camera Head and Camera Cable
3. Power on CCUs
Step Three da Vinci Si:
1. Power System Off
2. Change Camera Head and Camera Cable
3. Power System On

Focus the Image

1. Perform Black and/or White Balance


Step Four 2. Perform 3D Calibration

Continue and call


Check Image Good 800-876-1310,
Quality in the
(Int: +41.21.821.20.20) for
Surgeon Console
camera repair/replacement

Blurry Image

Call 1.800.876.1310
(Int: +41.21.821.20.20)
For Assistance

Blurry Image 5
Black Balance (Panasonic SD Vision Systems ONLY)

Perform Black Balance

Step One Set CCUs to DEFAULT Settings Note: Please refer to the “Default Camera Control Unit
Settings” tab for instructions on restoring CCUs to their
default settings (da Vinci Standard and da Vinci S ONLY).
Set Illuminator to 0%

Yes
Cover Endoscope Tip Completely

Press ABC Button on Both CCUs


First Time No Call 1.800.876.1310
Wait for LEDs to Through Flowchart? (Intl: +41.21.821.20.20)
Stop Blinking for Assistance
LEDs Stay Lit
Check LED
Step Two Status on CCU

LEDs Turn Off

Check Image
Bad
Step Three Quality on
Surgeon Console

Good

Continue by Performing White Balance

Black Balance (Panasonic SD Vision Systems ONLY) 6


White Balance
White Balance
da Vinci Standard and da Vinci S: da Vinci Si:

Step One
Set CCUs to DEFAULT Setting Note: Please refer to the “Default Set Illuminator to 100%
Camera Control Unit Settings” tab for
instructions on restoring CCUs to their
default settings (da Vinci Standard
Set Illuminator to 100% and da Vinci S ONLY). Refer to Restore Restore Factory Settings
Factory Settings for da Vinci Si default
video settings.
Place Sterile White Paper 4” (10 cm) from Endoscope Tip
Ensure Image on Vision Cart Monitor is Completely White Place Sterile White Paper 4” (10 cm) from Endoscope Tip

Press White Balance Button (AWB or AWC) on CCUs


Initiate White Balance:
Camera Head: Vision Setup Button
First Fail: Touchscreen/Touchpad: White Balance Button
LEDs Blink
and Stay Lit
Check LED Pass
Step Two Continue by Performing
Status on CCU
3D Calibration
Check Image
LEDs Blink Quality in Surgeon
and Turn Off Console

Check Image Fail


Bad
Step Three Quality in Surgeon
Console Clean Both Ends of the Endoscope

Good Second Fail: Place Sterile White Paper 4” (10 cm) from Endoscope Tip
LEDs Blink
Continue by Performing 3D Calibration and Stay Lit
Pass
Redo White Balance

Fail

Replace Camera Head

White Balance 7
Unable to Focus
Unable to Focus

Step One Clean Endoscope

Check Image Able to Focus


Quality in the Continue
Surgeon console

Unable
Able to Focus
to Focus

da Vinci Standard and da Vinci S:


1. Focus from the Focus Controller
Focus in One
2. Focus from Surgeon Console Focus Pedal
Eye Only
Step Two da Vinci Si: Change Endoscope
1. Focus from Camera Head
2. Focus from Surgeon Console by Pressing Camera
Pedal and Rotating One Master Controller
Check Image
da Vinci Standard and da Vinci S Unable to Focus in Either Eye Quality in the
Bad Surgeon console
da Vinci Standard: da Vinci Si:
Check all Vision cable connections, reset if necessary Unable to Focus Good
da Vinci S:
Step Three Check and reset Focus Controller connections, check Continue
blue Vision cable and push in if necessary. Do NOT
unplug and reseat this cable while the system is on

Unable to Focus

da Vinci Standard and da Vinci S:


1. Power Off CCUs
2. Change Camera Head and Camera Cable
3. Power on CCUs
Step Four da Vinci Si:
1. Power System Off
2. Change Camera Head and Camera Cable
3. Power System On

Focus the Image

1. Perform Black and/or White Balance


2. Perform 3D Calibration

Check Image
Call 1.800.876.1310
Step Five Quality in the
(Intl: +41.21.821.20.20)
Surgeon console Unable to Focus for Assistance

Able to Focus
Continue

Unable to Focus 8
Default CCU Settings (da Vinci Standard and da Vinci S ONLY) WHITE
BALANCE GAIN
Panasonic® SD DC POWER GAIN SELECTOR KNOBS SCENE ELC LEVEL
Leave Power On
ON

OFF

GAIN
DC POWER PAGE ITEM
L
GAIN GAIN PANASONIC PANASONIC
DC POWER PAGE ITEM DC POWER PAGE ITEM
HIGH ATW
KSJDBCK KSJDBCK
HIGH
LOW
ATW
AWC L GP-US742
HIGH
LOW
ATW
AWC R GP-US742
OFF MANU OFF MANU

LOW AWC
ON ON

GP-US742
(FREEZE) (AWC) (ABC) (E-ZOOM) (FREEZE) (AWC) (ABC) (E-ZOOM)
CAM R B 1 ON CAM R B 1 ON
OFF OFF

OFF MANU
BAR BAR

ON
2 OFF 2 OFF

NTSC
GAIN SCENE ELC LEVEL CAMERA NTSC
GAIN SCENE ELC LEVEL CAMERA
(FREEZE) (AWC) (ABC) (E-ZOOM)
CAM R B 1 ON
L R
L R
OFF
BAR 2 OFF
GAIN SCENE ELC
FOCUS FOCUS
NTSC LEVEL CAMERA
IN OUT

• GAIN: OFF, CAM


• WHITE BALANCE: AWC
L
• SCENE: 1
• ELC: ON
• GAIN KNOBS: SET TO 12 O’CLOCK
• LEVEL: SET TO 12 O’CLOCK

Panasonic® HD DC POWER SCENE GAIN D RANGE


ON
Leave Power On
OFF

DC POWER 1

SCENE
2 3 LOW

GAIN
HIGH

FREEZE
MENU SEL GP-US942
DC POWER 1

SCENE
2 3 LOW

GAIN
HIGH

FREEZE
MENU SEL GP-US942
DC POWER 1 2 3 LOW HIGH
ON ON

FREEZE
GP-US942
BRIGHTNESS BRIGHTNESS
OFF OFF
SCENE GAIN
SEL
EXPAND EXPAND

BAR
AWC
D RANGE
L BAR
AWC
D RANGE
R MENU
CAMERA CAMERA
ON
BRIGHTNESS
OFF EXPAND

BAR
AWC
D RANGE
L
FOCUS FOCUS
IN OUT

• SCENE: SCENE 1
• D-RANGE: OFF
• GAIN: OFF

Ikegami® HD AUTO
IRIS PAINT SENSITIVITY
SHUTTER
Leave Power On

Ikegami
L IRIS VIDEO LEVELS
WARN SCENE FILE

180º
AUTO
SHUTTER 1 2 3 4
Ikegami
L IRIS
POWER
WARN
MENU R PAINT R SENSITIVITY
POWER

L
MENU

AWB BARS NORM MID HIGH


R
CCU-20D
Ikegami
R IRIS
WARN

POWER
MENU

FOCUS FOCUS
IN OUT

• IRIS: 12 O’CLOCK POSITION


• PAINT: 12 O’CLOCK POSITION
L
• AUTO SHUTTER: ON
• SENSITIVITY: NORMAL

2
2
2
L
L

2
R

L R

R L

L
2
2

Default Camera Control Unit Settings (da Vinci Standard and da Vinci S ONLY) 9
Restore Factory Settings (da Vinci Si only)

To restore factory Settings, press


Step One Video Settings from the touchscreen

From the Video Settings tab, press


Step Two Advanced Video Adjustments

Step Three Press


Restore Factory Settings

Restore Factory Settings (da Vinci Si only) 10


This guide is provided for general information only and is not provided as formal medical training or certification. Intuitive Surgical trains only on the
use of the da Vinci® Surgical System. Intuitive Surgical does not provide clinical training nor does it provide or evaluate surgical credentialing or train
in surgical procedures or techniques. Before performing any clinical procedure utilizing the System, physicians are responsible for receiving sufficient
training and proctoring to ensure that they have the requisite training, skill and experience necessary to protect the health and safety of the patient.

For technical information, including full cautions and warnings on using the da Vinci System, please refer to the System User Manual. Read all instruc-
tions carefully. Failure to properly follow instructions, notes, cautions, warnings and danger messages associated with this equipment may lead to
serious injury or complications for the patient.

While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, outcomes cannot be guaran-
teed, as surgery is patient and procedure specific.

© 2013 Intuitive Surgical. All rights reserved. Intuitive®, Intuitive Surgical®, da Vinci®, da Vinci® S™, da Vinci® Si™, InSite®, TilePro™ and EndoWrist® are trademarks or
registered trademarks of Intuitive Surgical. All other product names are trademarks or registered trademarks of their respective holders.
PN 550866-03 Rev. B 12/2013

11

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