559-459-6000
2823 Fresno St. Fresno, CA 93721

How da Vinci Works

Surgeons at Community Regional Medical Center are the first in the area to use the latest version of the da Vinci® Si HD Surgical System with a Firefly imaging unit (utilizing near-infrared fluorescence) to make minimally invasive surgical procedures even less invasive and more precise. 

This advanced surgical robot gives our surgeons high-definition, 3-D images for a magnified view of the surgical site and better observation of tissue with the integration of Firefly fluorescence imaging. Only tiny incisions are created to insert instruments, which transforms traditionally invasive surgeries into minimally invasive ones, increasing precision and speeding recovery.

Though it is often called a "robot,” the da Vinci Surgical System cannot be programmed, nor can it make decisions on its own. The system requires a surgeon to perform every surgical maneuver.

At the da Vinci console, our surgeon operates while seated comfortably, viewing a highly magnified 3-D image of the body’s interior. To operate, the surgeon uses master controls that work like forceps. As he or she manipulates the controls, da Vinci responds in real time, translating the surgeon’s movements into precise movements of miniaturized instruments.

The da Vinci®  Si HD Surgical System consists of:

Dual Surgeon Console

  • The surgeon operates while seated comfortably at a console viewing a 3-D image.
  • The surgeon's fingers grasp the master controls, with hands and wrists naturally positioned relative to his or her eyes.
  • The system translates the surgeon's hand, wrist and finger movements into precise, real-time movements of surgical instruments.
  • During a dual console operation, each surgeon sits at his or her individual console and can see the same high definition images of the anatomy from the 3-D endoscope (flexible tube with a camera and light at the tip).  

Patient-side Cart

  • Three or four robotic arms, two or three instrument arms and one endoscope arm execute the surgeon's commands.
  • The laparoscopic arms pivot at the incision sites, eliminating the use of the patient's body wall for leverage and minimizing tissue damage.
  • Supporting surgical team members assist in installing the proper instruments, preparing the incision sites and supervising the laparoscopic arms and tools being used.

EndoWrist Instruments

  • The instruments are designed with seven degrees of motion that mimic the dexterity of the human hand and wrist.
  • Each instrument has a specific job such as clamping, suturing and tissue manipulation.
  • Quick-release levers speed instrument changes during surgical procedures.

Vision System

  • The vision system, with high-definition 3-D endoscope and image processing equipment, provides the 3-D images of the operative field.
  • Operating images are enhanced, refined and optimized using image synchronizers, high-intensity illuminators and camera control units.