da Vinci 5 Review: Features of Intuitive's Surgical Robot with Force Feedback
Updated: 7 days ago
The da Vinci 5 is the latest surgical robot from Intuitive for minimally invasive surgery, and the first da Vinci to let the surgeon feel forces at the instrument tip. Intuitive does not publish a price. This review covers its features, components and intended use. It is general information and not medical advice.
Quick Verdict
For more than twenty years the main criticism of robotic surgery was that the surgeon could see but not feel. The da Vinci 5 answers it with Force Feedback: sensors in the instruments measure push and pull at the tip and return it to the surgeon's hands. Intuitive reports up to 43% less force on tissue in preclinical data. Around this the company has rebuilt the system, with more than 150 design changes, a new 3D display with four times the pixels and 10,000 times the computing power of the previous Xi model, which supports data analysis and training tools. The page used gives no dimensions or price, and the clinical figures quoted come from the maker.
da Vinci 5 at a Glance
Model: IS5000
Force Feedback: on six instruments
Computing power: 10,000 times the da Vinci Xi
Design changes: more than 150
Vision: four times the pixels of the previous system
Price: not published
da Vinci 5 Features
The table below lists what the manufacturer states about the da Vinci 5.
Feature | da Vinci 5 |
Manufacturer | Intuitive Surgical |
Model | IS5000 |
Force Feedback | Push and pull forces at the instrument tip, on six instruments |
Force on tissue | Up to 43% less in preclinical data |
Computing power | 10,000 times the da Vinci Xi |
Design innovations | More than 150 |
3D vision | Four times the pixels; improved depth and colour |
Endoscope | 785 nm Firefly imaging and a heated tip against fogging |
Console | Greater range of motion and ergonomic settings |
Workflow | Guided tool change, task automation, one user interface on all components |
Indications | Urologic, general laparoscopic, gynecologic laparoscopic and general thoracoscopic procedures in adults |
Design and Components
The system has three components, including the surgeon console and the patient cart with the robotic arms. The console has been re-engineered for comfort over long operations, with a wider range of adjustment and a curved armrest. From the console the surgeon can now control more of the system directly, which the maker says may reduce the workload of the team at the bedside. A common user interface runs on all three components.
Force Feedback
How It Works
Sensors in the instruments measure the force at the tip and reproduce it at the surgeon's hand controls.
Reported Effect
Intuitive cites preclinical data showing up to 43% less force applied to tissue with the feedback set high compared with off.
Limits
Six instruments carry the function. The Force Feedback needle driver is contraindicated in hysterectomy and myomectomy because of a risk of vaginal bleeding.
Digital Tools
Telepresence
Colleagues can observe and mentor a case remotely in real time.
Case Insights
Software analyses system data, instrument movement and video after an operation.
SimNow 2
A simulator offers more than 65 exercises for training.
da Vinci 5 Uses
The system is indicated for use by trained physicians in an operating room, for urologic, general laparoscopic, gynecologic laparoscopic and general thoracoscopic procedures in adult patients. Intuitive reports that procedures were about twice as fast as with the Xi in aggregated data from 53 first cases; this is the maker's figure from a small early series.
da Vinci 5 Price and Value
Intuitive does not publish a price for the da Vinci 5. Surgical robots of this class are sold or leased to hospitals under individual agreements.
For the company behind the product, read the Intuitive Surgical Company Profile: History, Financials, Leadership and Stock.
Pros and Cons
Pros
Force Feedback for the first time on a da Vinci system
Higher-resolution 3D vision
Much greater computing power for data and training tools
Redesigned console and workflow
Built on the most widely used surgical robot platform
Cons
Force Feedback on six instruments only, with a stated contraindication
Clinical figures come from the maker and from early cases
No published price or technical dimensions
Who Is the da Vinci 5 For?
The da Vinci 5 is for hospitals with established robotic surgery programmes that want the newest generation; decisions about its use belong to hospitals and surgeons.
da Vinci 5 FAQ
How much does the da Vinci 5 cost?
Intuitive does not publish a price.
What is new in the da Vinci 5?
Force Feedback, improved 3D vision, 10,000 times the computing power of the Xi and more than 150 design changes.
What is Force Feedback?
A function that lets the surgeon feel push and pull forces at the instrument tip.
Which procedures is the da Vinci 5 indicated for?
Urologic, general laparoscopic, gynecologic laparoscopic and general thoracoscopic procedures in adults.
How many instruments have Force Feedback?
Six.
Is there a contraindication for Force Feedback?
The Force Feedback needle driver is contraindicated in hysterectomy and myomectomy.
What is the model number of the da Vinci 5?
IS5000.
Who makes the da Vinci 5?
Intuitive Surgical.
Information is based on manufacturer statements and may change. This article is general information and not medical advice.
