Core Videos (2022): Multi-Port Docking: Da Vinci Xi

hit the Subscribe button or visit us at auau.aunet.org [Music] this video summarizes multi-port docking of The DaVinci XI robot we will demonstrate both automatic and manual targeting as well as how to optimize arm position for maximal reach and working space once all trocars have been placed a non-sterile team member first selects the type of procedure and the location of the robot in relationship to the patient then the non-sterile team member presses the deploy for docking button to ready the robot for docking the robot raises the boom and positions itself to be driven into the patient [Music] a non-sterile team member drives the robot to the patient bedside the surgical team directs the driver so that the laser crosshairs are centered on or near the camera port for automatic targeting the laserline Crosshair should be within five centimeters of the camera port for manual targeting the laserline Crosshair should be directly over the camera port foreign the robot can then be targeted in one of two ways to have the robot automatically Target attach the camera port and insert the camera do not attach any other arms aim the camera at the Target Anatomy then hold the camera troll car at the skin level with one hand this is to prevent the robot from accidentally pulling the trocar out of the fascia during targeting the targeting button on the robotic camera is shaped like a circle while securing the TrueCar at the skin press and hold the targeting button the robot will adjust the height and rotate the Boom for optimal working space when targeting is completed the robot will chime twice [Music] alternatively the robot can be targeted manually this is useful in situations where the target Anatomy is not easily visible inside the body due to Patient factors or if the appropriate Target is best seen on the outside of the patient such as an enough ureterectomy when the robot should be targeted between the 11th rib and the Asis after driving the robot to the laserline crosshairs over the camera TrueCar site press and hold the button on the elbow of either the first or fourth robot arms this allows the boom to rotate Target the crosshairs to aim toward your target Anatomy then adjust the height of the Boom the surgical team can do this by pressing the port clutch button and holding either the first or fourth arm as far up or down as it goes this will either raise or lower the Boom the height of the boom should ideally allow the arms to operate in the middle of the gray arm marker when attached to the true cars once the robot is targeted either automatically or manually Ultra cars can then be attached to their respective arms to attach a robotic arm to a TrueCar press the port clutch button on the back of the arm with your index finger and squeeze the lever on the cannula mount with your thumb bring the arm to the port and Slide the port into the cannula mount if successful the robot will chime and the LED lights will be solid blue if the port is not improperly the lights will flash yellow next the spacing of the arms should be adjusted for optimal working space the arms should be parallel to each other and this is usually confirmed by having the arms positioned in the middle of the range of motion or in the middle of the flex bar [Music] thank you to maximize reach push the patient clearance button on the back of each arm to rotate the arm downward until the joint is a hand breath above the patient confirm that alarms are at least a hand breath away from each other and from the patient insert the instruments they can all be seen together then burp all the instruments by pushing the port clutch button and allowing the natural tension of the abdominal wall to release the robot is not docked time to sit at the console and operate