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Intuitive Surgical Receives Expanded Clearance for da Vinci Fluorescence Imaging Vision System in Robotic-Assisted Surgery

Intuitive Surgical, Inc., the global leader in minimally invasive robotic-assisted surgery, today announced it received FDA 510(k) clearance for expanded use of its da Vinci® Fluorescence Imaging Vision System (Firefly™) for the da Vinci® Surgical System. Firefly imaging can now be used during gallbladder surgery.

The Firefly Fluorescence Imaging Vision System enables surgeons to use a special video camera and glowing dye to view blood flowing in vessels and tissue during minimally invasive surgical procedures. When a surgeon uses the Firefly camera, blood appears green and tissue without blood flow appears gray.

In addition to providing the ability to view blood flow through vessels and tissue, the expanded use now includes real-time imaging of bile ducts (cystic duct, common bile duct and common hepatic duct). The Firefly imaging system is intended for use along with normal white light in imaging of the bile ducts and is not intended for standalone use.

Injuries to the common bile duct represent a serious and challenging surgical complication, and most often occur during laparoscopic gallbladder removal.1 This occurs when the common bile duct is mistaken for the cystic duct, resulting in clipping and division of the common duct, which is then resected with the gallbladder.2 It is therefore beneficial in minimally invasive surgery to have the ability to properly identify the biliary duct.

"As a surgeon, real time and precise images during surgery are enormously helpful in achieving good patient outcomes," said Dr. Myriam Curet, Chief Medical Advisor, Intuitive Surgical. "Intuitive Surgical has been committed to surgical innovation for more than a decade, providing surgeons with not only improved surgical dexterity, but enhanced visualization during surgery. We will continue to innovate and enhance the da Vinci Surgical System to provide surgeons with tools that help deliver optimal patient outcomes."

For information on regulatory clearances, visit:

About Intuitive Surgical, Inc.

Intuitive Surgical, Inc. (Nasdaq:ISRG), headquartered in Sunnyvale, Calif., is the global leader in robotic-assisted, minimally invasive surgery. Intuitive Surgical develops, manufactures and markets the da Vinci® Surgical System. Intuitive Surgical's mission is to extend the benefits of minimally invasive surgery to those patients who can and should benefit from it.

About the da Vinci Surgical System

The da Vinci Surgical System is a surgical platform designed to enable complex surgery using a minimally invasive approach. The da Vinci Surgical System consists of an ergonomic surgeon console or consoles, a patient-side cart with three or four interactive arms, a high-performance vision system and proprietary EndoWrist® instruments. Powered by state-of-the-art technology, the da Vinci Surgical System is designed to scale, filter and seamlessly translate the surgeon's hand movements into more precise movements of the EndoWrist instruments. The net result is an intuitive interface with improved surgical capabilities. By providing surgeons with superior visualization, enhanced dexterity, greater precision and ergonomic comfort, the da Vinci Surgical System makes it possible for skilled surgeons to perform more minimally invasive procedures involving complex dissection or reconstruction. For more information about clinical evidence related to da Vinci Surgery, please visit

All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to

1 McPartland KJ, Pomposelli JJ (2008). "Latrogenic biliary injuries: classification, identification, and management." Surgical Clinics of North America Dec 88(6):1329-43.

2 Branum G, Schmitt C, Baillie J, Suhocki P, Baker M, Davidoff A, Branch S, Chari R, Cucchiaro G, Murray E, et al (1993)."Management of major biliary complications after laparoscopic cholecystectomy." Annals of Surgery 217(5):532-40; discussion 540-1



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