Control Your Energy. with the Right Settings. A guide to monopolar energy with the ERBE VIO dv. PN US Rev A 04/17

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1 Control Your Energy with the Right Settings A guide to monopolar energy with the ERBE VIO dv

2 A Versatile Energy Source at your fingertips The VIO dv generator offers a variety of monopolar settings so you can select a mode that delivers the tissue effect you want. Endowrist monopolar cautery instruments

3 SOLUTION TO Excessive smoke or char in the surgical field

4 Deliver the Right Blend of Energy VIO Monopolar Modes Tissue Effect Activation Pedal AUTO CUT Least Hemostasis, Most Precision CUT DRY CUT Blend CUT SWIFT COAG Blend COAG FORCED COAG Most Hemostasis, Least Precision COAG

5 SOLUTION TO Insufficient dissection performance

6 Selecting the Right Energy Effect VIO dv Monopolar Modes Adjust: dissection performance coagulation zone

7 SOLUTION TO Reliance on surgical assistant to change energy settings

8 Complete Surgeon Control integrated with new P6 Software Surgeons now have the ability to adjust energy settings on the VIO dv directly from the Surgeon Console touchpad. Monopolar Settings Panel Bipolar Settings Panel

9 Important Safety Information Serious complications may occur in any surgery, including da Vinci Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Individual surgical results may vary. Risks specific to minimally invasive surgery, including da Vinci Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; a longer operative time, the need to convert to an open approach, or the need for additional or larger incision sites. Converting the procedure could result in a longer operative time, a longer time under anesthesia, and could lead to increased complications. Contraindications applicable to the use of conventional endoscopic instruments also apply to the use of all da Vinci instruments. You should discuss your surgical experience and review these and all risks with your patients, including the potential for human error and equipment failure. Physicians should review all available information. Clinical studies are available through the National Library of Medicine at Be sure to read and understand all information in the applicable user manuals, including full cautions and warnings, before using da Vinci products. Failure to properly follow all instructions may lead to injury and result in improper functioning of the device. Training provided by Intuitive Surgical is limited to the use of its products and does not replace the necessary medical training and experience required to perform surgery. Procedure descriptions are developed with, reviewed and approved by independent surgeons. Other surgical techniques may be documented in publications available at the National Library of Medicine. For Important Safety Information, indications for use, risks, full cautions and warnings, please also refer to and Unless otherwise noted, products featured are available for commercial distribution in the U.S. For availability outside the U.S., please check with your local representative or distributor.

10 Important Safety Information It is the responsibility of the owner of the da Vinci Surgical System to properly train and supervise its personnel to ensure that the instruments and accessories are properly cleaned, disinfected and sterilized as required by the User s Manual. The da Vinci products should not be used in a clinical setting unless the institution has verified that these products are properly processed in accordance with the da Vinci System User s Manual. The EndoWrist Hot Shears (Monopolar Curved Scissors) Instrument is a multiple-use endoscopic instrument utilizing a single-use Tip Cover Accessory, to be used in conjunction with the Intuitive Surgical Endoscopic Instrument Control System. The Tip Cover Accessory is intended to provide insulation over a section of the EndoWrist Hot Shears (Monopolar Curved Scissors) Instrument so that RF energy is only available at the tip. The EndoWrist Hot Shears Instrument must ALWAYS be used in conjunction with the Tip Cover accessory Intuitive Surgical, Inc. All rights reserved. Product names are trademarks or registered trademarks of their respective holders. PN Rev A 04/2017