INTUITIVE 490107 Catheter guide

Condition: New
Part #: 490107

$1,300.00

INTUITIVE 490107 Catheter guide

 

SKU: 490107 Categories: ,
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Description

The Intuitive Surgical Instruments suite represents a pinnacle of robotic-assisted surgical technology, specifically engineered for the da Vinci Xi and SP platforms. This precision-tooled collection—headlined by the 490107 Catheter Guide—is designed to provide surgeons with superior dexterity, enhanced visualization, and anatomical access during minimally invasive procedures.

These instruments are fundamental to modern robotic workflows in urology, gynecology, and general surgery. By utilizing these specialized end-effectors, surgical teams can achieve higher levels of navigational accuracy and tissue manipulation that traditional laparoscopic tools cannot replicate.


Core Technology: Robotic End-Effector Precision

At the heart of the 490107 and its sister components is the seamless integration between mechanical hardware and advanced software.

  • da Vinci System Integration: These tools are natively compatible with the Xi and SP consoles, allowing for “intuitive” control where the robot mimics the surgeon’s hand movements with filtered tremor reduction.

  • Integrated Fluorescence (Firefly): The 490206 Enhanced Vision Probe utilizes Near-Infrared (NIR) technology. When a fluorescent dye is injected, the probe works in tandem with the da Vinci endoscope to illuminate vascularity and tissue perfusion that is invisible to the naked eye.

  • Single-Use Sterility: Every model in this suite (490107, 490206, 490305, 490103) is a single-use, disposable device. This eliminates the risk of cross-contamination and ensures the mechanical integrity of the instrument is perfect for every case.

Mechanism of Action: Real-Time Visualization & Access

The instruments function as extensions of the surgeon’s eyes and hands. For instance, the 490206 probe operates via Selective Photothermolysis logic in a diagnostic sense:

  1. Dye Activation: The surgeon activates Firefly mode from the console.

  2. Fluorescent Mapping: The near-infrared light triggers the injected dye, causing blood vessels or specific anatomical structures (like the ureters or biliary ducts) to glow bright green against the standard grayscale or full-color background.

  3. Targeted Guidance: Simultaneously, the 490107 Catheter Guide provides the physical framework to thread catheters into these visualized landmarks with sub-millimeter precision.

Clinical Applications and Uses

The Intuitive suite is highly versatile, supporting complex maneuvers across multiple surgical disciplines:

  • Urology: Accurate placement of ureteral catheters and identification of renal vasculature during partial nephrectomies.

  • Gynecology: Visualization of pelvic anatomy and lymphatic mapping for oncological staging.

  • General Surgery: Identifying biliary anatomy during cholecystectomies or ensuring adequate bowel perfusion during colorectal resections.

  • Biopsy Sampling: The 490103 Biopsy Needle allows for precise, robotically stabilized tissue extraction from suspicious lesions identified during the procedure.


Key Advantages: The Robotic Edge

Feature Intuitive Robotic Suite Standard Laparoscopic Tools
Imaging Firefly NIR Fluorescence (490206) White light only; limited landmark ID
Accuracy Robotic stabilized catheter guidance Manual insertion; higher tremor risk
Infection Control Single-use disposable design Requires complex sterilization/reprocessing
Ergonomics Console-based intuitive control Manual manipulation; high surgeon fatigue

Technical Specifications: Model Breakdown

Model Number Primary Function Imaging Mode Compatibility
490107 Catheter Guidance & Placement Standard / High-Def da Vinci Xi/SP
490206 Enhanced Vision / Tissue ID Firefly NIR da Vinci Xi/SP
490305 Catheter Access Tool Standard / High-Def da Vinci Xi/SP
490103 Specialized Biopsy Needle Standard / High-Def da Vinci Xi/SP

Treatment Process Overview

  1. Docking: The da Vinci robot is docked, and the sterile, single-use instruments are loaded into the robotic arms.

  2. Navigation: The surgeon uses the 490305 Access Tool or 490107 Guide to reach the surgical site through small ports.

  3. Visualization: If required, the 490206 Probe is used in Firefly mode to distinguish between healthy tissue, tumors, and critical blood vessels.

  4. Action: Catheterization or biopsy is performed with the stability of the robotic platform.

  5. Disposal: After the procedure, the instruments are detached and discarded, streamlining the OR turnover.


Frequently Asked Questions

What is the specific role of the 490107 Catheter Guide?

The 490107 is designed to provide a stable, robotically controlled path for catheter insertion. In complex urological or gynecological surgeries, it ensures that the catheter is placed exactly within the target anatomy, minimizing the risk of accidental tissue trauma or misplacement common in manual procedures.

How does Firefly technology work with the 490206 probe?

The 490206 Enhanced Vision Probe works with an injectable fluorescent dye. When the surgeon switches the da Vinci console to Firefly mode, the system emits near-infrared light, causing the dye to fluoresce. This allows for real-time visualization of blood flow and anatomical landmarks.

Are these Intuitive instruments reusable after sterilization?

No. Models 490107, 490206, 490305, and 490103 are sterile, single-use instruments. They are designed to be used for one patient only and then discarded. This “disposable” approach is critical for maintaining peak mechanical performance and eliminating any risk of patient-to-patient infection.

Can these instruments be used on older da Vinci systems like the Si?

These specific model numbers are primarily optimized for the newer generation da Vinci Xi and da Vinci SP (Single Port) platforms. These systems have the advanced processing power and endoscope technology required to fully utilize features like Firefly fluorescence and high-articulation robotic maneuvers.

What are the benefits of the 490103 Biopsy Needle in robotic surgery?

The 490103 Biopsy Needle allows the surgeon to perform tissue sampling directly through the robotic interface. Because the needle is held by the robotic arm, it eliminates human hand tremor, allowing for extremely precise sampling of small or difficult-to-reach lesions.

Why is robotic catheterization preferred over traditional methods?

Robotic-assisted catheterization using the 490107 provides the surgeon with a 3D, high-definition view and greater range of motion. This leads to more accurate placement in sensitive areas, such as the ureters, which can significantly reduce post-operative complications and improve overall patient outcomes.

Listing Terms & Conditions

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