Obstetrics and Gynecology Board Review Pearls of Wisdom

(Elliott) #1

••• Chapter 36^ Robotic Systems and Infertility Surgery^363


❍ How are the images projected through this camera into the surgeon’s console?
The images are projected to the surgeon’s eyes in the binocular viewer; this allows for true three-dimensional
imaging in the console.


❍ What are the other three arms used in the surgical cart?
The other three arms attach to 8-mm metal ports that are supplied with both blunt and sharp trocars.


❍ How many times can the robotic instruments be used before they need to be replaced?
10.


❍ What is the EndoWrist?
The EndoWrist is an instrument that mimics the degrees of freedom of the human wrist.


❍ What are the advantages of the EndoWrist?
Provides precise movement, decreases rotation through the operative ports of the abdominal wall, allows for seven
degrees of freedom, and assistance in knot tying and suturing.


❍ What are the seven degrees of freedom of the EndoWrist?
Four movements found in the traditional laparoscopy (pitch, yaw, roll, and grip) three endocorporeal movements
by the EndoWrist technology (insertion, pitch, and yaw).


❍ What does the surgical console consist of?
Binocular viewer, instrument controllers, system setup, control panels, and 5-foot control pedals.


❍ The console hardware and software are equivalent to what type of processor?
5 Pentium 300 Processor.


❍ How does the surgeon’s console control image magnification?
Adjusting the depth of camera insertion in the operative field.


❍ How is the surgeon positioned in the console?
The surgeon is seated in a comfortable, ergonomic position. The elbows rest on a padded arm bar and the thumb
and index finger of each hand are placed in adjustable loops that are attached to the master controllers. The
surgeon’s forehead is placed against a padded bar and eyes set comfortably in the binocular viewer.


❍ What happens if the surgeon removes their head from the binocular viewer?
An infrabeam detects the surgeon has removed their head from the viewer and locks all the robotic arms.


❍ What is the purpose of the clutch pedal?
The purpose of the clutch pedal is to disengage the instruments from the controllers. This allows for the relocation
of the controllers without changing the position of the instrument.

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