EndoWrist® PK™ Dissecting Forceps & Gyrus ACMI Generator Set-up Instructions Page 1 of 4

For detailed instructions for the PK Dissecting Forceps and PK Instrument Cords, see Instruments and Accessories Manual (PN 550675)

Instrument PK Instrument Cord Gyrus ACMI Generator

(Manufactured and Sold by Intuitive Surgical)

EndoWrist PK Dissecting Forceps

da Vinci PN 400227
da Vinci S/Si PN 420227

PK Generator (Gray) for da Vinci and da Vinci S only

For PK or SP Generator, 10 ft (20 uses) SP Generator (Orange) for all da Vinci systems
PN 400228

PK Instrument Cord Gyrus ACMI Generator

(Manufactured and Sold by Intuitive Surgical)

G400 Generator (Orange) for all da Vinci systems

For G400 Generator, 17 ft (20 uses)

PN 400229

For PK Dissecting Forceps

Customer Service: 1.800.876.1310 / 1.408.523.2100
Sales Support: +1.888.409. 4774 / +1.408.523.2100
www.intuitivesurgical.com
 EndoWrist® PK™ Dissecting Forceps & Gyrus ACMI Generator Set-up Instructions Page 2 of 4
Set-up for EndoWrist® PK™ Dissecting Forceps with Set-up for EndoWrist® PK™ Dissecting Forceps with PK Generator (Gray Generator)
SP and G400 Generators (Orange Generators) ( Not compatible with da Vinci Si )
When the following generator and instrument setup steps Mode Button When the following generator and instrument setup steps PlasmaKinetic™

are followed, the generator will recognize the PK Dis- are followed, the generator will recognize the PK Dis- PK

secting Forceps and automatically set the recommended secting Forceps and automatically set the recommended
Stand-by Button
settings for the instrument. settings for the instrument.
Power Button Mode Button

1. Without a cable or instrument connected,
turn on the main power switch located on the back
of the generator. The generator performs a power
check.
2. For SP GENERATOR only, the power indicator light
on the front panel will flash. Press the stand-by but-
ton on the lower front panel.
3. The generator will perform a self-test
- As the self-test is performed, the software ver-
sion will be displayed (e.g., 2.21)
4. Connect the appropriate PK Instrument Cord to the
front of the generator. *See table on page 3
For SP GENERATOR once cord is attached, the
screen will change to: 3-WAY CABLE ATTACHED
INSERT DEVICE.
5. Connect the instrument cord to the PK Dissecting
Forceps instrument (PN 400227 or PN 420227).
6. The generator recognizes the PK Dissecting Forceps
instrument and automatically sets the Output
Mode and Power of the generator. The SP generator
1. Without a cable or instrument connected,
turn on the generator using the On/Off rocker
switch located on the lower left corner of the
front panel. A green light will illuminate within
the switch to indicate the power is on.
2. When the generator is switched on, an internal
check is completed and “Non-PK Output” is
displayed for two seconds. After this period,
“Non-PK DES 24”PlasmaKinetic
is displayed.
™
4. Connect the PK (PN 400228) cord to the PK Dis-
secting Forceps Instrument (PN 400227 or
PN 420227).
5. The generator recognizes the PK Dissecting
Forceps instrument and automatically sets the
Output Mode and Power of the generator. The
screen will display VP3-40.

3. Connect the PK Instrument Cord (PN 400228)

- When the self-test is complete, the message will display DISSECTOR and VP3-40. The G400 will to the front of the generator. After the cord is
CONNECT PK CABLE or ATTACH INSTRU- display da Vinci PK DISSECTOR and VP3-40. attached, “Insert Device”
PK and “PK Active” are
MENT will be displayed. alternately displayed.
- If an instrument is connected, the generator will
boot-up in the “select mode to use” state. Press
MODE to continue. PlasmaKinetic™
Value Standard
VP3 40 Range Setting
Changing Generator Settings
PK 10-50 40

Changing the generator settings is not

DISSEC TOR
VP3 Value Standard recommended because the generator
Changing Generator Settings 40 Range Setting automatically sets the output mode and
Changing the generator settings is not recom- 10-50 40 power level for the PK Dissecting Forceps
PlasmaKinetic
™

Standard
mended because the generator automatically to produce the desired electrosurgical V P R AT E S TA N D A R D Options Setting
sets the output mode and power level for the effect of the instrument.PKIf desired, users RAPID STANDARD
PK Dissecting Forceps to produce the desired can change generator settings to obtain a STANDARD

electrosurgical effect of the instrument. If wider range of outputs from the instru-
desired, users can change generator settings Select Mode

ment.
Standard
to obtain a wider range of outputs from the VP3 Options Setting To change a generator setting, use the
PlasmaKinetic
™

Standard
instrument. DES VP3 Mode button to move to each setting OUTPUT <BLU> VP3 Options Setting
VP1
To change a generator setting, use the Mode VP2 screen. Use the blue up/down
PK arrows on VP3 VP3

button to move to each setting screen. Use the VP3 right-hand side of display to change values. VP2
VP1
blue up/down arrows on right-hand side of To return to the VP3-40 display, press and
display to change values. hold the Mode button for two seconds.
Select volume PlasmaKinetic™
To return to the DISSECTOR VP3-40 display, Value Standard Value Standard
1 8 Range Setting ALARM VOLUME MAX Range Setting
press and hold the Mode button for two
1-10 8 MIN 8
seconds. PK
2-9
MAX
Note:
On G400, the Select Volume and Impedence
Feedback menu order is switched. Standard
Impedance Feedback
Standard
BARGRAPH D I S P L AY Options Setting
IMPEDANCE bargraph Options Setting BARGRAPH BARGRAPH
none bargraph NUMERIC
bargraph NONE
 EndoWrist® PK™ Dissecting Forceps & Gyrus ACMI Generator Set-up Instructions Page 3 of 4

PK Instrument Cord da Vinci and da Vinci S Energy Activation Cable for Gyrus ACMI Generators
PN 370369 (Length 20 feet)
Gyrus ACMI Generator Type P/N Length Uses
PK or SP Generator 400228 10 feet 20
G400 Generator 400229 17 feet 20

The PK Instrument Cords are reusable for a maximum of twenty (20) reuse cycles. Mark the usage tracker on the cord da Vinci connector Gyrus ACMI connector
label after each use. If you have any instrument recognition or instrument performance problem, we recommend you
replace the instrument cord with a brand new instrument cord.
WARNING: Do not exceed the recommended number of re-use cycles for the PK Instrument Cord. Generator Footswitch Cable Installation Instructions
1. Connect the cable end labeled “da Vinci” to the BI connection on the back of
NOTE: The cord is recommended for 20 uses. the Surgeon Console.
1 2 3 4 5 6 7 8 9 10 2. Connect the cable end labeled “Gyrus” to the Gyrus ACMI generator .

For use with Gyrus ACMI SP & PK Generator 11 12 13 14 15 16 17 18 19 20 Note: Not all da Vinci and da Vinci S Surgical Systems are equipped with a bipolar
P/N 400228-01 510431-01 Rev A 04/07 connection and will not be compatible with the above generator footswitch
cable. Contact your local Intuitive Surgical representative to confirm your
system’s configuration.

Sterilization Instructions
(Prior to first use) da Vinci Si Energy Activation Cable for Gyrus ACMI Generators
1. Carefully remove the PK Instrument Cord from the shipping package. Inspect to ensure no PN 371718 (Length 20 feet)
damage has occurred during transit.
2. Sterilize the cord by one of the following methods:
a. Gravity steam Sterilization - full cycle at 270 - 275 oF (132 - 135 oC) for 15 minutes with slow
cool down cycle. Drying time will vary according to wrapping material.
da Vinci Si connector Gyrus ACMI connector
b. Pre-vacuum Steam Sterilization - full cycle at 270 - 275 oF (132 - 135 oC) for three minutes
c. STERRAD® 100S sterilization system - full cycle To connect a Gyrus G400 ESU to da Vinci Si:
1. Plug the auxiliary device end of the cable into the corresponding channel(s) on the Gyrus G400 ESU.
2. Plug the system end of the cable into any of the three Energy receptacles on the back of the Core,
which is in the back of the da Vinci Si Vision Cart.
Cleaning and Re-Sterilization Instructions
1. Disconnect the cord from the generator and the instrument. Inspect the cord for fraying or Note: If the energy activation cable is unavailable or non-functional, the generator manufacturer’s
degradations. Do not use cord if it shows signs of wear. footswitch may be used. In this case, the system will not provide any feedback to the user in the
2. Wipe down the external surfaces of the cord with a solution of warm, soapy (enzymatic, biocidal, Surgeon Console Viewer.
detergent) water prepared per the manufacturer’s instructions. Energy Receptacles on Auxiliary Connection
3. Using a round, small diameter soft bristle brush moistened with the soapy water, gently scrub back of Core on back of G400
cord crevices to loosen any soil.
4. Flush the exterior of the cord with running water to remove detergent and other soils.
5. Visibly inspect the exterior of the cord for any adherent soil, paying particular attention to the
crevices around the connectors.
6. Repeat if needed.
7. Gently wipe the cord dry.
8. Sterilize the cord by one of the methods above.

Back of da Vinci Si Back of Gyrus

Vision Cart G400 ESU

Basic Troubleshooting
If you have any instrument recognition or instrument performance problem, our first recommendation is to replace the
instrument cord with a brand new cord. If this fails to resolve the problem, refer to the troubleshooting tables below.
PROBLEM
PK Dissecting Forceps is not
activating
Generator flashes “Insert Device”
or “Invalid Accessory” after
instrument attached
Advanced Troubleshooting
PROBLEM
REGRASP displayed
For PK Generator Only:
SAFE MODE: Instrument set to
lowest power setting
Generator resets during
activation
Unable to activate the generator
Alarm tone too loud or too soft
No display on the generator
Generator displays “Connect PK
Cable” or “Attach Instrument”
after cable inserted
Generator flashes “Insert Device”
or “Invalid Accessory” after
instrument attached
Generator overheats
Generator displays “Press mode
to use” when attempting to
activate SP and G400 genera-
tor only
For PK Dissecting Forceps
Customer Service: 1.800.876.1310 / 1.408.523.2100
Sales Support: +1.888.409. 4774 / +1.408.523.2100
www.intuitivesurgical.com
EndoWrist® PK™ Dissecting Forceps & Gyrus ACMI Generator Set-up Instructions Page 4 of 4
Fault / Error
If a fault or error is displayed, check all connections. Check the PK instrument and cable for
damage. Ensure that cable connections are dry.
SUGGESTIONS/SOLUTIONS Refer to Error Code Summary table for possible cause and resolution.
• Replace instrument cord
• To reset generator, disconnect the instrument
• Ensure generator is set to VP3-40 - Turn the power OFF, then turn the power ON
• Replace instrument
- Alternatively, press the MODE BUTTON ONCE to reset the system.
• Replace instrument cord with a brand new cord. • NOTE: After reset, reconnect the instrument. Default settings will display.
• Check instrument integrity
• If FAULT/ERROR repeats, replace connector cable.
• If FAULT/ERROR repeats again, replace instrument.
• If FAULT/ERROR continues, contact Gyrus ACMI at 1-800-621-3739.
SUGGESTIONS/SOLUTIONS
If PK device jaws touch, the generator displays REGRASP and a tone sounds Error Code Summary
• Loosen grip on device
• Alternatively, release the tissue and regrasp Error Code Possible Cause Resolution
If a PK device is connected to the generator before the power is turned on, the gen- Error 100 ref 10 This is a generator system failure that If error is recoverable, no action required. If not,
erator will display the lowest power setting for the device. may be recoverable contact Gyrus ACMI for servicing.
To return to the default setting,
• Unplug the connector cable from the front of the generator, then re-insert the cable Error 200 ref 14 May be interference from another Separation of cords/generators. Isolate generator
• Alternatively, use the arrow keys to set power to 40. or generator. Is a monopolar generator power supply from other equipment in the room.
Error 200 ref 86 on (not necessary in use) and/or Reset the generator’s main power switch.
• Check grounding of generator nearby?
• Check insulation of connector cable
• Check integrity of instrument Error 200 ref 28 Generator is cold (e.g., left outside) Let generator warm up. Upgrade software to 2.16 or
• Ensure no contact was made with other equipment during activation or higher to eliminate error code
Error 200 ref 79
• Check footswitch for damage
• Ensure approved footswitch is attached Error 200 ref 53 This is a generator hardware failure. Contact Gyrus ACMI for servicing
• Adjust volume by means of the mode switch. Generator will save the last volume Check unit for damage (e.g., dropped)
setting employed.
Error 200 ref 68 The generator has measured a main Isolate generator to its own power source (i.e., plug
• Check the inlet fuse, replace with the correct type if necessary; request assistance power input failure. Problem is as- the generator into a wall socket)
from qualified service engineer if fault persists sociated with having the generator
plugged into a power strip or a tower
• Verify that the cable connector is fully inserted
with too many other pieces of equip-
• Check for damage to cable
ment and is not drawing the right
• Remove connector and inspect pins for damage
amount of power
• Ensure only Gyrus ACMI-approved accessories are used
• Ensure that connector cable contacts are clean and dry and have not been damaged Error 200 ref 92 PK cord may be wet Dry or replace PK cord. If problem persists, contact
during reprocessing. or Gyrus ACMI for servicing
• Check instrument integrity Error 400 ref 14
• Ensure only Gyrus ACMI-approved instruments and accessories are being used
Error 400 ref 20 Front panel standby button stuck on Re-apply power to generator and let unit pass power
• Move cables away from any possible source of interference (e.g., other active electro-
power-up. Check for damage. on tests before pressing standby button (do not hold
surgical systems)
button).
• Allow generator to cool down before re-use
• Check to see that sufficient ventilation is provided around generator
• Ensure ambient temperature is within operating limits
• The generator has detected external interference and requires user confirmation of For all other generator errors, or if there is no fix or troubleshooting that can be done in field,
the instrument type. Press mode on either the footswitch or generator to confirm. contact Gyrus ACMI at 1-800-621-3739.
Note: Any confirmation will only be required once per instrument connection.
Products described are intended for professional use only.
©2010 Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S, da Vinci Si and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. PK is a trademark of Gyrus
Group PLC. All other product names are trademarks or registered trademarks of their respective holders. PN 550706-03 Rev. A 7/10