Da Vinci Firefly Imaging System User Manual Addendum 552064-10 Rev. A
System Overview
The Firefly Imaging System consists of a near-infrared laser located in the Endoscope Controller and
an endoscope (0° or 30°). All da Vinci endoscopes and Endoscope Controllers are capable of visible
light and Firefly imaging. The Firefly Imaging System uses near-infrared light in conjunction with
the imaging agent Indocyanine Green (ICG), to create fluorescent images of tissue. ICG is
administered to the patient and the system is switched to Firefly imaging. Two modes are available
in Firefly imaging: Standard mode and Sensitive mode.
Only use ICG at indicated doses and concentrations as defined in the imaging agent labeling.
Note: Firefly Sensitive mode is not available with all endoscopes. Contact your Intuitive
representative for additional information.
In Standard mode, the system displays the resulting images as a fluorescent (green) overlay on a
black and white background image. In Sensitive mode, the black-and-white background is no
longer illuminated, resulting in increased sensitivity to fluorescent signal.
The surgeon can switch into Firefly imaging using the hand controls at the Surgeon Console, view
fluorescence, and switch back to visible light (white light) mode and manipulate the tissue.
Note: For information on preparation and administration of ICG, refer to the imaging agent
labeling.
Note: Spilled blood or other body fluids containing ICG in the surgical field can maintain
their fluorescence for the duration of the procedure.
WARNING: Factors such as dosing of the imaging agent, timing of the imaging agent
administration, working distance, fluorescence visualization mode, fluorescence
visualization settings, are variables that affect the quality of the image. Adjustments may
be required to obtain a satisfactory image. Information obtained through the use of Firefly
imaging should be used in combination with other clinically relevant information when
planning or providing alternative or additional interventions. Failure to observe this warning
may result in misidentification of critical anatomical structures or misinterpretation of
tissue characteristics.
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System Overview
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