Robotic Lateral Pancreaticojejunostomy for Chronic - JoVE

The 5 mm thoracic grasper is used for robotic arm 3 and serves mainly as a retractor. The intrathoracic esophagus is mobilized from thoracic inlet to diaphragmatic Robotically controlled instruments included a semirigid cautery hook, curved scissors, needle holders, and a Cadiere grasper. During the procedure, the bedside assistant had the ability to use a suction irrigator, a laparoscopic grasper, and a clip applier. The surgical steps included tumor identification, tumor excision, 2020-01-01 2019-10-19 A new Maryland grasper was tested on the left or right robotic arms for grip forces at each position.

Cadiere grasper

Generally speaking, neither the lo-cation of the camera nor the location of the fenestrated grasper need to be changed during the case. Conduct of Robotic Left Upper Lobectomy Fig. 6.1 Evolution of the treatment algorithm for Achalasia Surgical Technique Perioperative Considerations Preoperatively, patients are advised to ingest only clear liquids 2–3 days before surgery. The Cadiere grasper is used to place lateral traction on the peritoneum on the right side and the assistant grasps the peritoneum overlying the aorta, also placing lateral traction to the left side. The incision is extended along the right side of theaorta mobilizing the duodenum. Compression of the taxels on the Cadiere grasper was generated manually; this may have resulted in variation in applied force or variation in contact location with the jaw surface.

The avascular space between the mesorectal fascia and the presacral fascia is sharply dissected with monopolar scissors. The Cadiere grasper and long bipolar grasper were used to dissect around the hilar structures through port 2 and port 4, respectively.

Robotic Lateral Pancreaticojejunostomy for Chronic - JoVE

HFS then provides vibration feedback to the operator as forces near a particular material's failure load. The robotic Cadiere grasper retracts the rectum anteriorly, thus exposing the plane between the mesorectal fascia and the inferior hypogastric nerves. The avascular space between the mesorectal fascia and the presacral fascia is sharply dissected with monopolar scissors.

Robotic Lateral Pancreaticojejunostomy for Chronic - JoVE

(a) Arm 1 (red), hook cautery, harmonic scalpel. Arm 2 ( yellow), Cadiere grasper. Arm 3 (green), Cadiere grasper. Left upper lobectomy. Instruments: 0° and/or 30° down viewing endoscope, 5 mm thoracic grasper, Cadiere forceps and curved bipolar dissector. Figure 1 A Cadiere grasper provides the first traction and a PreciseTM Bipolar grasper provides the second proper traction. Moreover, shapes of these graspers can 1 Apr 2016 He assisted Dr. Guy-Bernard Cadière with the world's first laparoscopic At the time, the tools consisted of a grasper and a coagulating hook bipolar grasper, and a Cadiere forceps for retraction; Hem-o-lock clips are used for vascular pedicles, avoiding energy dissection devices.

Conduct of Robotic Left Upper Lobectomy Fig. 6.1 Evolution of the treatment algorithm for Achalasia Surgical Technique Perioperative Considerations Preoperatively, patients are advised to ingest only clear liquids 2–3 days before surgery. The Cadiere grasper is used to place lateral traction on the peritoneum on the right side and the assistant grasps the peritoneum overlying the aorta, also placing lateral traction to the left side. The incision is extended along the right side of theaorta mobilizing the duodenum. Compression of the taxels on the Cadiere grasper was generated manually; this may have resulted in variation in applied force or variation in contact location with the jaw surface. These variations better simulate the actual grip behavior during robotic manipulation, as force applied in each grip varies as does the area of the grasper in contact with the object. Instrumentation is as follows: 1 —bipolar fenestrated grasper for static retraction of the distal sigmoid and anterior retraction of the vagina or prostatic structures; 2 —Cadiere grasper for dynamic grasping and manipulation; 3 —0 degree 8 mm robotic camera; and 4 —monopolar scissors, bipolar vessel sealer, and 45 mm endostapler. The instruments and accessories include a needle driver, cadiere grasper, right-angle Maryland retractor, curved scissors, hook, clip applier and suction irrigator for laparoscopic manipulation of tissue, including grasping, cutting, blunt and sharp dissection, approximation, ligation, electrocautery and suturing.To enable single incision surgery, the curved cannulae are placed in the patient Instruments: 0° and/or 30° down viewing endoscope, 5 mm thoracic grasper, Cadiere forceps and curved bipolar dissector.
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The esophagus is transected with multiple bites of … Use the cadiere with a sponge to pull the lung down to expose the truncus anterior; Place the cadiere in port 2 and the bipolar grasper in port 4. Dissect the tissue overlying the pulmonary artery. With the cadiere spread underneath the tissue, divide the tissue with the bipolar grasper… Review of the video recording showed that there were several scrape marks on the back side of the tip cover, due to colliding and rubbing against the pulley/cables on the cadiere grasper instrument. The video recording showed that arcing from the tip cover accessory occured twice during the surgical procedure; however, the first instance of arcing was not observed by the surgeon.

Laparoscopic Grasper. Laparoscopic Scissors. Penrose drain.
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Robotic Lateral Pancreaticojejunostomy for Chronic - JoVE

The surgical steps included tumor identification, tumor excision, 2020-01-01 2019-10-19 A new Maryland grasper was tested on the left or right robotic arms for grip forces at each position. A new Maryland grasper was tested versus an ~2-year-old Maryland grasper. (Since earlier tests revealed no differences between neutral and minor deflection, these results were omitted.) All p-values were determined using unpaired Student's t-tests. Very strong grasper with same profile as Cadiere forceps.

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Robotic Lateral Pancreaticojejunostomy for Chronic - JoVE

7 Oct 2012 We typically begin with a 0 degree scope, a Cadière grasper in the right hand ( arm #2) and a cautery hook in the left hand (arm #1). 20 Sep 2017 only three robotic instruments were used for all these operations: the Cadiere grasper, a 5-mm thoracic grasper (used exclusively through the 6 Jun 2016 The cadiere grasper, a fenestrated bipolar grasper, and a hook electrocautery were placed in the robotic ports. The ileocolic vessel was lifted 2 Jan 2017 a blunt laparoscopic Grasper. reports describe the use of 5 or 8 mm Graspers ( Pro- grasp or Cadiere), Bipolar (Maryland or Fenestrated).

Robotic Lateral Pancreaticojejunostomy for Chronic - JoVE

Laparoscopic Grasper.

2021-04-12 · Device Classification Name: system, surgical, computer controlled instrument: 510(k) Number: K120215: Device Name: SINGLE-SITE MEDIUM-LARGE CLIP APPLIER, SINGLE-SITE CADIERE GRASPER, SINGLE-SITE FUNDUS GRASPER, SINGLE-SITE CROCODILE The patient underwent a robot-assisted right upper lobectomy and mediastinal lymph node dissection. A tip-up fenestrated grasper through port 1 was used to retract the lung. The Cadiere grasper and long bipolar grasper were used to dissect around the hilar structures through port 2 and port 4, respectively. Cadiere Forceps (470049) 0° da Vinci Endoscope (470026) Long Bipolar Grasper (470400) Tip-Up Fenestrated Grasper (470347) Fenestrated Bipolar Grasper (470205) 30° da Vinci Endoscope (470027) Maryland Bipolar Forceps (470172) or Curved Bipolar Dissector (470344) Small Graptor™ (Grasping Retractor) (470318) 2 Dissect station 8 and 9 lymph nodes 2019-03-21 · Da Vinci Cadiere grasper measuring 5 mm × 14 mm shown on the left.