Dual Cleaning Method: Cleans both ends of a da Vinci® Instrument at the same time.
This basic SurgiSonic® 1211X in-service will:
- Identify the machine parts and how to set up the machine,
- How to clean regular tubular surgical instruments,
- How to clean loose instruments,
- How to clean robotic tubular surgical instruments using our patented technology.
PART IV: SurgiSonic® 1211X For Cleaning da Vinci® Robotic Tubular Instruments
Patented Cleaning Process – Independently Tested for Cleaning Effectiveness; exceeded AAMI TIR 30.
Because a tight seal separates the jaw/pulley end from the shaft/control box end, TBJ, Inc. has developed a patented dual hook-up method for independently cleaning both the distal and the proximal segmented areas of a *da Vinci® robotic instrument at the same time. Three *da Vinci® robotic instruments, including the S, Si, or Xi, can be cleaned at the same time using this dual hook-up method.
NOTE: Rinse all robotic instruments under running water before and after cleaning and rinsing them in the SurgiSonic® 1211X. Two different types of suction chambers are used for this dual hook-up method.
1. The multi-holed #3315 SurgiScrub® scrubbing chamber, fitted with the #3212 medium hole latex free rubber nipple, was specifically designed to clean the segmented tool end of a *da Vinci® robotic instrument. The smaller inside diameter and the multiple holes drilled in the SurgiScrub® scrubbing chamber allows fluid to be sucked into the chamber in such a way as to maximize the scrubbing and removal of debris from the intricate jaw and pulley areas of the *da Vinci® robotic instrument.
NOTE: The multi-holed #3315 SurgiScrub® scrubbing chamber can only be used to clean the distal tool-end of a segmented robotic surgical instrument; as it cannot create the kind of unrelenting suction power that is needed to remove debris from the interior shaft of any type of tubular surgical instruments.
The #3200 male to male luer slip connector is used to attach the control box/and shaft of the da Vinci® robotic instrument to the #3312 SurgiSuction™ suction chamber.
2. The #3212 SurgiSuction® suction chamber applies maximum suction to the shaft of tubular instruments.
The #3312 SurgiSuction™ suction chamber was designed to apply a maximum amount of suction to the interior shaft of robotic & non-robotic tubular instruments.
MACHINE SET UP – LEFT SIDE:
- Remove the three SurgiSuction™ suction chambers from the plastic filter tubing on the left hand side.
- Attach a #3212 medium hole rubber nipple onto each of the three #3315 SurgiScrub® scrubbing chambers.
- Attach the three fitted SurgiScrub® scrubbing chambers to the filter tubing on the left hand side.
MACHINE SET UP – RIGHT SIDE:
- Attach a #3212 medium hole rubber nipple onto each of the three #3312 SurgiSuction™ suction chambers that are already attached to the right side filter tubing.
DUAL HOOK UP FOR CLEANING SUBMERSIBLE *da Vinci® ROBOTIC TUBULAR INSTRUMENTS: The same set-up instructions apply for attaching the S, Si and Xi *da Vinci® instruments to the SurgiSonic®
TO CLEAN:
- Close drain valve.
- Fill ultrasonic tank with 5 gallons of warm 115⁰ water.
- Add 5 oz. of SurgiSoak® enzyme cleaner.
- Plug machine into a 110/120 VAC wall outlet. INSTRUMENT INSTALLATION – LEFT SIDE
- Insert the entire jaw/pulley area of the *da Vinci® robotic instrument into the SurgiScrub® scrubbing chamber. INSTRUMENT INSTALLATION – RIGHT SIDE
- Insert one end of the male to male luer slip connector into the #2, output, hole of the *da Vinci® control box. Next, insert the other end of the male to male luer slip connector into the medium hole rubber nipple that has been fitted onto the SurgiSuction® suction chamber. Holding both ends, carefully lower instrument into tank.
- Cover tank with lid.
- Set pump speed to normal.
- Set timer dial for 15 minutes.
NOTE: A fast speed 30 minute cycle is recommended for cleaning clogged instruments for the first time. NOTE: NEVER clean loose instruments at the same time as inserted tubular instruments! Insert luer slip connector into #2 hole of the control box. Insert other end into the fitted SurgiSuction® suction chamber.
TO RINSE:
- With timer off; open drain valve to empty cleaning solution from the ultrasonic tank,
- close drain valve,
- refill tank with 5 gallons of water,
- repeat instrument setup,
- cover tank,
- set pump speed normal,
- set timer for 5 minutes.
*da Vinci® is a trademark of Intuitive Surgical Inc.