Da Vinci X/Xi System

Instrument and
Accessory Catalog
January 2023

PN1052082-US RevG 01/2023

Da Vinci Xi X

Table of contents

8 mm EndoWrist instruments Da Vinci Xi upgrade options

03 EndoWrist monopolar cautery instruments
®
12 Skills Simulator™
03 EndoWrist bipolar cautery instruments 12 Integrated table motion
04 EndoWrist clip appliers 13 Training equipment
04 EndoWrist needle drivers 14 Recommended spares and equipment
05 EndoWrist graspers
5 mm Single-Site instruments and accessories
05 EndoWrist scissors
16 Single-Site instruments
®

06 Specialty instruments
17 Single-Site reusable accessories
06 Ultrasonic energy instrument
17 Single-Site disposable accessories
06 Suction irrigation
06 Vessel Sealer Extend 18-19 Common carton dimensions and weights
06 SynchroSeal
20-21 Ordering and terms
Stapling components
07 SureForm™ stapler instruments
07 SureForm stapler reloads
07 EndoWrist stapler instruments
08 EndoWrist stapler reloads
08 EndoWrist stapler accessories
08 12 mm and stapler access sytem

Accessories
09 Da Vinci X drapes
®

09 Da Vinci Xi drapes
®

09 Hasson cone
09 Reusable accessories
10 8 mm cannulas, obturators, and seals
10 8 mm disposable instrument accessories

Vision equipment
11 8 mm endoscopes
11 Sterilization tray
11 Handheld camera and accessories

Energy accessories
12 Energy activation cables
12 Energy instrument cords

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8 mm instruments
EndoWrist monopolar cautery instruments

Monopolar curved scissors Permanent cautery hook

(Hot shears)
Part number 470183
Part number 470179
10 uses
10 uses
Shown with tip cover
400180
accessory

Permanent cautery spatula

Part number 470184
10 uses

EndoWrist bipolar cautery instruments

Maryland bipolar forceps Fenestrated bipolar forceps

Part number 471172 Part number 471205
14 uses 14 lives

Curved bipolar dissector Micro bipolar forceps

Part number 471344 Part number 471171
14 uses 14 uses

Long bipolar grasper Force bipolar

Part number 471400 Part number 471405
14 uses 12 uses

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8 mm instruments
EndoWrist clip appliers

Medium-large clip applier 1

Large clip applier 2

Part number 470327 Part number 470230

100 closures 100 closures
Validated for use only Weck Validated for use Weck
with Weck Hem-o- product only with Weck product
lok medium-large
®
code Hem-o-lok large®
code
polymer clip. #544230 polymer clip. #544240
Shown with Weck Hem-o-lok medium-large Shown with Weck Hem-o-lok large
polymer clip polymer clip

Small clip applier 3

Part number 470401

100 closures
Validated for use only Weck
with Weck Horizon™ product
small-wide code
titanium clip. #001201
or
#001205
Shown with Weck Horizon small-wide
titanium clip

EndoWrist needle drivers

Large needle driver Mega SutureCut ™

needle driver
Part number 471006
Part number 471309
15 uses
15 uses

Mega needle driver

™
Large SutureCut
needle driver
Part number 470194
Part number 471296
10 uses
15 uses

1
Weck Hem-o-lok medium-large polymer clip (Weck product code #544230) is the only compatible clip used with this instrument.
To order, contact Teleflex Medical (www.teleflex.com) or your local distributor.
2
Weck Hem-o-lok large polymer clip (Weck product code #544240) is the only compatible clip used with this instrument.
To order, contact Teleflex Medical www.teleflex.com or your local distributor.
3
Weck Horizon small-wide titanium clip (Weck product code #001201 or #001205) is the only compatible clip used with this instrument.
To order, contact TeleflexMedical www.teleflex.com or your local distributor. 4 of 22
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8 mm instruments
EndoWrist graspers

ProGrasp forceps
™
Tenaculum forceps
Part number 471093 Part number 470207
18 uses 10 uses

Long tip forceps Tip-Up fenestrated grasper

Part number 471048 Part number 470347
18 uses 10 uses

Small Graptor ™
Cadiere forceps
(grasping retractor)
Part number 471049
Part number 470318
18 uses
10 uses

Cobra grasper
Part number 471190
18 uses

EndoWrist scissors

Potts scissors Round tip scissors

Part number 470001 Part number 470007
10 uses 10 uses

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8 mm instruments
Specialty instruments

Resano forceps Atrial retractor short right

Part number 470181 Part number 470246
10 uses 10 uses

Dual blade retractor Black diamond micro forceps

Part number 470249 Part number 470033
10 uses 15 uses

Cardiac probe grasper DeBakey forceps

Part number 470215 Part number 470036
10 uses 10 uses

Ultrasonic energy instruments Suction irrigation

Harmonic ACE® curved shears EndoWrist suction irrigator*

Part number 480275 Part number 480299
Box of 6/single use Box of 6/single use
*This product requires software version
P6_B443 or newer.

Vessel sealer extend SynchroSeal

Vessel sealer extend SynchroSeal

Part number 480422 Part number 480440
Box of 6/single use Box of 6/single use

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Da Vinci stapling components

®

SureForm stapler instruments

Item code Product description Qty/box Uses

480460 SureForm 60 instrument 6 Single use

480445 SureForm 45 instrument 6 Single use

480545 SureForm 45 curved-tip instrument 6 Single use

SureForm stapler reloads

Item code Product description Qty/box Uses

48360W Reload, SureForm 60, 2.5 white 6-row 12 1 firing

48360B Reload, SureForm 60, 3.5 blue 6-row 12 1 firing

48360G Reload, SureForm 60, 4.3 green 6-row 12 1 firing

48360T Reload, SureForm 60, 4.6 black 6-row 12 1 firing

48345M Reload, SureForm 45, 2.0 gray 6-row 12 1 firing

48345W Reload, SureForm 45, 2.5 white 6-row 12 1 firing

48345B Reload, SureForm 45, 3.5 blue 6-row 12 1 firing

48345G Reload, SureForm 45, 4.3 green 6-row 12 1 firing

48345T Reload, SureForm 45, 4.6 black 6-row 12 1 firing

EndoWrist stapler instruments

Item code Product description Qty/box Uses

470430 EndoWrist stapler 30 instrument 1 50 firings

470530 EndoWrist stapler 30 curved-tip instrument 1 50 firings

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Da Vinci stapling components

EndoWrist stapler reloads
Item code Product description Qty/box Uses

48630M Reload, EndoWrist 30, 2.0 gray 6-row 12 1 firing

48630W Reload, EndoWrist 30, 2.5 white 6-row 12 1 firing

48630B Reload, EndoWrist 30, 3.5 blue 6-row 12 1 firing

48630G Reload, EndoWrist 30, 4.3 green 6-row 12 1 firing

EndoWrist stapler accessories

Item code Product description Qty/box Uses

410370 EndoWrist stapler sheath (box of 10) 10 1 procedure

381215 EndoWrist stapler release kit 1 NA

Troubleshooting

1
4

of the instrument.
Insert the tool into the access hole on the top
Do not reuse instrument.
Remove wrench. Remove instrument.

Remove tissue from the jaws.

Rotate about a 1/4 turn. Jaws will open.

Press the Emergency Stop button.

RELEASE KIT INSTRUCTIONS
~¼
800-876-1310
United States

INSTRUMENT
+41 21 821 2020
+800 0821 2020 or
International

12 mm and stapler access system

Item code Product description Qty/box Uses

470375 12 mm and stapler cannula (100 mm) 1 NA

470376 12 mm and stapler blunt obturator 1 NA

470389 12 mm and stapler cannula, long (150 mm) 1 NA

470390 12 mm and stapler blunt obturator, long 1 NA

470380 12 mm and stapler cannula seal (box of 10) 10 1 procedure

470381 12 - 8 mm reducer (box of 6) 6 1 procedure

470395 12 mm and stapler bladeless obturator 1 NA

470396 12 mm and stapler bladeless obturator, long 1 NA

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Accessories
Da Vinci X drapes
Item code Product description Qty/box

470015 Arm drape (box of 20) 20

470473 Arm-4 extension drape (box of 20) 20

Da Vinci Xi drapes
Item code Product description Qty/box

470015 Arm drape (box of 20) 20

470341 Column drape (box of 20) 20

Hasson cone
Item code Product description Qty/box

470398 8 mm hasson cone 1

470399 12 mm hasson cone 1

Reusable accessories
Item code Product description Qty/box

381216* Instrument release kit (IRK) 1

470397 Gage pin (box of 3) 3

380989 Blue fiber cable kit 1

342562 Instrument introducer 1

*Documentation is listed in English only.

Note: For other languages contact customer service. Documentation may not be available in all languages.

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Accessories
8 mm cannulas, obturators, and seals
Item code Product description Qty/box

470361 5 mm - 8 mm cannula seal (box of 10) 10

470002 8 mm cannula 1

470004 8 mm cannula, long 1

470008 8 mm blunt obturator 1

470009 8 mm blunt obturator, long 1

470359 8 mm bladeless obturator (optical) (box of 6) 6

470360 8 mm bladeless obturator, long (optical) (box of 6) 6

8 mm disposable instrument accessories

Item code Product description Qty/box

400180 Tip cover accessory (box of 10) 10

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Vision equipment
8 mm endoscopes
Item code Product description

470056 8 mm endoscope plus, 0˚

470057 8 mm endoscope plus, 30˚

Sterilization tray
Item code Product description

8 mm endoscope sterilization tray (stainless steel)

400498
(640 mm x 390 mm x 80 mm)

Handheld camera and accessories

Item code Product description

470035 Handheld camera

470042 Handheld camera light guide cable (includes adapter)

470051 Handheld camera removable light guide adapter

Handheld camera sterilization tray

400499
(300 mm x 240 mm x 68 mm)

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Energy accessories
Energy activation cables
Item code Product description Qty/box

371716 Energy activation cable, Covidien, Force Triad 1

371870 Energy activation cable, Ethicon, Gen 11 1

Energy instrument cords

Item code Product description Qty/box

Monopolar energy instrument cord

470383 1
(13 ft. / 4 m)

Bipolar energy instrument cord

470384 1
(17 ft. / 5 m)

Da Vinci simulation
Item code Product description Qty/box

373373 Skills Simulator ™

1

381129 Blue fiber cable, simulator 1

372363 Simulator skills drills 1

600092 Da Vinci SimNow service and benefits (annual)

™
1

377773 Da Vinci SimNow simulator 1

Da Vinci Xi integrated table motion

Item code Product description Qty/box

Integrated table motion hardware and

600062 1
software upgrade 1

1
The TS 7000dV table is sold and serviced by Hillrom. To order, contact Hillrom (www.hillrom.com).

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Training equipment
Training instruments
Item code Product description Uses

470006-T Large needle driver 30

470093-T ProGrasp forceps 30

470347-T Tip-Up fenestrated grasper 30

470400-T Long bipolar grasper 30

470172-T Maryland bipolar forceps 30

470179-T Monopolar curved scissors (Hot shears) 1,2

30

470183-T Permanent cautery hook 30

470184-T Permanent cautery spatula 30

470205-T Fenestrated bipolar forceps 30

470405-T Force bipolar 30

470309-T Mega SutureCut needle driver 30
470230-T Large clip applier 3
200 closures

470318-T Small Graptor (grasping retractor) 30

470344-T Curved bipolar dissector 30

470327-T Medium-large clip applier 4

200 closures

470049-T Cadiere forceps 30

470296-T Large SutureCut needle driver 30

470194-T Mega needle driver 30

470401-T Small clip applier 5

200 closures

1
Requires Tip Cover Accessory (PN 400180) for use. 2Requires in-service prior to first use, please contact your local Intuitive representative. 3Compatible with Weck
Hem-o-lok Large Polymer Clips. Weck product code #544240. 4Compatible for use with Weck Hem-o-lok medium-large polymer clip. Weck product code #544230.
5
Compatible for use with Weck Horizon small-wide titanium clip. Weck product code #001201 or #001205.
Notes: (a) Training instruments are not approved for human use. (b) Training instruments can be readily identified by the red instrument housing. (c) Red instrument
icons persist on the monitors when a training instrument is loaded onto the system. (d) The training instrument warranty covers only defects in manufacturing. Upon
first use, the warranty expires.
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Recommended spares and equipment

Item code Page number Product description

Multiple 11 Endoscope with camera

380989 9 Blue fiber cable kit

Multiple 3–7, 16 EndoWrist instruments

Multiple 10 Instrument cannula

381216 9 Instrument release kit (IRK) (item provided free of charge)

470397 9 Gage pin (set of 3) (item provided free of charge)

Universal reprocessing hardware kit includes:

• Luer fitting for flushing

470629 14 • Pipe-to-hose adapter

• Brush with soft, nylon bristles

• Tip cover insertion/removal tool for monopolar curved scissors (Qty. 5)

Documentation is listed in English only.

Note: For other languages contact customer service. Documentation may not be available in all languages.

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5 mm
Single-Site
Instruments and accessories

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Single-Site 5 mm instruments
®

Maryland dissector Crocodile grasper

Part number 478050 Part number 478059
10 uses 10 uses

Medium-large clip applier Maryland bipolar forceps

Part number 478053 Part number 478080
80 closures Box of 6/single use
Validated for use Weck
with Weck Hem-o- product
lok medium-large code
polymer clip. #544230

Suction irrigator Curved needle driver

Part number 478054 Part number 478088
20 uses 10 uses

Cadiere forceps/grasper Permanent cautery hook

Part number 478055 Part number 478090
10 uses 10 uses

Curved scissors Fenestrated bipolar forceps

Part number 478057 Part number 478093
7 uses Box of 6/single use

Fundus grasper Wristed needle driver

Part number 478058 Part number 478115
10 uses 10 uses

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Single-Site reusable accessories

Single-Site cannulae and obturators
Item code Product description Qty/box

478263 8 mm camera cannula 1

478008 8 mm blunt obturator 1

478013 5 mm blunt obturator 1

478060 5 mm accessory cannula 1

478061 5 x 300 mm curved cannula, camera right 1

478062 5 x 300 mm curved cannula, camera left 1

428064 5 x 300 mm flexible blunt obturator 1

478071 5 x 250 mm curved cannula, camera right 1

478072 5 x 250 mm curved cannula, camera left 1

428074 5 x 250 mm flexible blunt obturator 1

428076 10 mm accessory cannula 1

428084 10 mm blunt obturator 1

Single-Site disposable accessories

Single-Site seal and port
Item code Product description Qty/box

Da Vinci Xi Single-Site seal (instruments + camera)

478161 10
(box of 10)

Single-Site port (for 8.5 mm endoscope)

478065 10
(box of 10)

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Common carton dimensions and weights

Item Item code Outside dimensions Average weight

Vessel sealer extend 480422

28.75” x 6” x 2.875” 1.28 lbs
SynchroSeal 480440
73 cm x 15.24 cm x 7.3 cm 0.58 kg
Harmonic ACE curved shears 480275

0.88 lbs
470361
0.4 kg
10.375” x 3.75” x 4.3125”
Seals
26.35 cm x 9.53 cm x 10.95 cm
0.93 lbs
470380
0.42 kg

9.4” x 3.4” x 3” 0.4 lbs

Tip cover 400180
23.876 cm x 8.636 cm x 7.62 cm 0.18 kg

470002 14” x 5.5” x 4” 0.8 lbs

Cannula
470004 35.56 cm x 13.97 cm x 10.16 cm 0.36 kg

470008 14” x 5.5” x 4” 0.7 lbs

Obturators
470009 35.56 cm x 13.97 cm x 10.16 cm 0.31 kg

2.006 lbs
470359
0.91 kg
13” x 4.5” x 11.1875”
Bladeless obturators
33.02 cm x 11.43 cm x 28.416 cm
2.025 lbs
470360
0.92 kg

21” x 19” x 10.5” 21 lbs

470015
53.34 cm x 48.26 cm x 26.67 cm 9.5 kg
Drapes
14” x 6.5” x 5” 3.7 lbs
470341
35.56 cm x 16.51 cm x 12.7 cm 1.7 kg

2.40 lbs
EndoWrist Stapler 30 instrument 470430 31” x 5.75” x 2.75”
1.08 kg

EndoWrist Stapler 30 2.40 lbs

470530 31” x 5.75” x 2.75”
curved-tip instrument 1.08 kg

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Common carton dimensions and weights

Item Item code Outside dimensions Average weight

EndoWrist Stapler 30 mm gray reload 48630M-02

EndoWrist Stapler 30 mm white reload 48630W-02

1.10 lbs
7.25” x 6.00” x 6.50”
0.5 kg
EndoWrist Stapler 30 mm blue reload 48630B-02

EndoWrist Stapler 30 mm green reload 48630G-02

0.5 lbs
470383
0.23 kg
9.625” x 6.3125” x 1.25”
Energy instrument cords
24.45 cm x 16.03 cm x 3.175 cm
0.57 lbs
470384
0.26 kg

1.7 lbs
470398
0.77 kg
14” x 5.5” x 4”
Hasson cones
35.56 cm x 13.97 cm x 10.16 cm
1.8 lbs
470399
0.8 kg

Instruments:
needle drivers, scissors, 27” x 3.5” x 2” 1.08 lbs
Most
forceps, graspers and 68.58 cm x 5.08 cm x 8.9 cm 0.49 kg
clip appliers, etc.

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Ordering and terms *

Ordering methods
Purchase orders accepted:
EDI (preferred) Global Health Exchange (GHX) E-mail [email protected]
Fax 408.523.2377 Customer Support 800-876-1310 (option 3)

Terms
Payment terms Net 30 days
Delivery Estimated two-day standard delivery for instruments and accessories*.
System upgrades delivered upon availability.
Standard shipping terms: FCA Intuitive warehouse (Incoterms 2010).
All orders are subject to inventory availability.
A $9.95 handling charge will be applied for any shipments using a customer designated carrier.
Intuitive does not carry additional insurance for customers using their own carrier accounts. It is recommended that customers carry
their own additional insurance when choosing to use their carrier account.
Tracking information for instruments, accessories, and endoscopes can be found on the My Intuitive customer portal. Additionally,
you may opt in to get automated emails with order confirmation and tracking by calling 800-876-1310 (option 3) and providing your
site name and email recipient.
Price policy Pricing subject to change without notice, applicable taxes, and freight charges may apply.
Return goods All returns are authorized through Intuitive Customer Service. Please visit the My Intuitive customer portal at my.intuitive.com or call
policy toll-free at 800-876-1310 (option 3) to obtain a Return Material Authorization (RMA) number (RMA#). All items must be accompanied
with a valid RMA# and are requested to be received within 14 days of issuance or the RMA could be subject to cancellation. Intuitive
will prepay for the return of the defective instrument(s).

Defective returns
• Upon identification of a defective instrument, please report the issue to Intuitive Customer Service or through the My Intuitive
customer portal within five days.
• Prior to returning to Intuitive, items must be cleaned and decontaminated in accordance with
current local environmental safety laws and standards.
Excess returns
• Items are required to be in the original packaging with no markings, seals intact, and to have been
purchased within the last 12 months.
• Package excess returned inventory in a separate shipping container to prevent damage to original
product packaging.
Credit policy Intuitive will issue credit against original purchase order after full inspection is complete.

Credit for defective returns

• Intuitive will issue credit on products based on failure analysis performed and individual warranty terms.

• For reusable instruments, credit will be issued for the remaining lives, plus one additional life to compensate
for usage at the time the issue was identified. For disposable instruments, credit will be issued for the unit price.
• Evidence of negligence, misuse and mishandling will not qualify for credit.

Credit for excess-inventory returns

• A 15% restocking fee may apply to bulk excess returns based on nonconforming return requests.

• Original instrument packaging must be unmarked, undamaged and seals intact to qualify for credit.

• For disposable items, the original shipping packaging must remain intact as originally shipped:
unmarked, undamaged, and unopened and credit will be issued for the purchase price.
• Products that were shipped less than 12 months prior to return request.

• If the product is within expiration date.

• Intuitive must retain all returned product.

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Ordering and terms (continued) *

Warranty Warranties are applied for manufacturing defects

• Endoscope, camera, simulator, and system upgrades—one-year warranty

• Accessories—90-day warranty
• Instruments—see above for credit terms

Any term or condition contained in your purchase order or similar forms which is different from, inconsistent
with, or in addition to these terms shall be void and of no effect unless agreed to in writing and signed by your
authorized representative and an authorized representative of Intuitive.
*FedEx is the Intuitive-preferred courier.
For questions please contact Intuitive Customer Service at 800-876-1310 (option 3).

Use of simulator Customer will ensure the proper use of the simulator consistent with the documentation, and customer will
ensure the proper management and supervision of the simulator. Customer will not, nor will customer permit
any third party to, modify, disassemble, reverse engineer, alter, or misuse the simulator. Prohibited actions
include, but are not limited to: (1) adding or subtracting any customer or third-party equipment, hardware,
firmware, or software to or from the simulator, or (2) reconfiguring any of the Intuitive equipment, hardware,
firmware, or software as originally provided to customer as part of the simulator without Intuitive’s express
written permission.

Data use Customer agrees that Intuitive and its affiliates within the Intuitive group of companies (collectively,
“Intuitive”) may collect data relating to the use of Intuitive products (“Data”). In some instances Data may
be communicated via data gathering or transmission technology to Intuitive. In other instances, Intuitive may
request customer and customer agrees to provide Data to Intuitive. Such Data may be used for a variety of
purposes, including, but not limited to (1) providing support and preventative maintenance of Intuitive products,
(2) improving Intuitive products or services, (3) ensuring compliance with applicable laws and regulations, and
(4) providing a general resource for Intuitive’s research and business development. Intuitive does not intend to
collect protected health information (PHI) as defined by the Health Insurance Portability and Accountability
Act of 1996 (HIPAA) or analogous foreign patient privacy laws or regulations, as may be amended from time
to time. In the event any Data communicated to Intuitive identifies an entity or individual, Intuitive will not
share such Data with any third parties without the entity’s or individual’s consent, unless required by law or
regulatory authorities.

Software license Software embedded within the simulator is provided under license and is not sold to customer. Subject to
and restrictions the terms and conditions of the SimNow agreement†, Intuitive grants to customer a non-exclusive, non-
transferable, fully paid, restricted use license to use the software solely as incorporated in the simulator in
machine-executable object code form and solely in connection with the operation of the simulator as described
in the documentation. Customer must not use, copy, modify, or transfer the software or any copy thereof,
in whole or in part, except as expressly provided in the SimNow agreement. In addition, customer must not
reverse engineer, decompile, disassemble, attempt to derive the source code for, or otherwise manipulate
the software, except that manipulation of the software is permitted if, and then only to the extent that, the
foregoing prohibition on manipulation is required to be modified by applicable law. In that case, customer must
first request from Intuitive the information to be sought from the software, and Intuitive may, in its discretion,
provide information to customer under good faith restrictions and impose reasonable conditions on use of the
software. The structure and organization of the software are valuable trade secrets of Intuitive and customer
will protect the software as Intuitive’s proprietary information. Intuitive reserves all rights to the software not
expressly granted to customer.

Networking requirements Purchased equipment may require a network connection in order to achieve full functionality. Customer
acknowledges that when simulator is in use, Customer is responsible for maintaining an active network
connection to Intuitive simulator infrastructure as specified in the simulator’s network requirements,
for the purpose of supporting all subscriptions services such as, latest simulation updates, OS patches,
anti-virus updates, data backup and user account management capabilities. Customer is responsible for
the security of the simulator and the security of the internal network to which the simulator is configured.
Intuitive reserves the right to change, add, or remove functionalities or features at any time.

Information security Customer is responsible for maintaining the confidentiality of its username(s), password(s), account(s), as well
as all activities that occur under that account(s) and both the physical and cyber-security of the Simulator.

*Ordering terms and conditions are subject to revision.

Terms are for purchase of the SimNow simulator as described in the SimNow agreement.
†

For questions please contact Intuitive Customer Service at 800-876-1310 (option 3).

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For more information or to order, call Intuitive toll-free.

For the name of your local distributor, call Intuitive or visit intuitive.com.

Call 1-800-876-1310 (toll-free)

Some products in the catalog may not be available in all countries.

Important safety information

For important safety information, please refer to intuitive.com/safety.
For a product’s intended use and/or indications for use, risks, full
cautions, and warnings, please refer to the associated user manual(s).
© 2019 – 2023 Intuitive Surgical Operations, Inc. All rights reserved.
Product and brand names/logos are trademarks or registered
trademarks of Intuitive Surgical or their respective owner.
See intuitive.com/trademarks.

PN1052082-US RevG 01/2023

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