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 da Vinci DV5 OnSite Survey Questionnaire
1
 Survey Overview

This site survey questionnaire is used to request network information to configure your da Vinci® Surgical System. This information will be used by Intuitive Surgical's Field Engineers to configure the network components in your da Vinci Surgical System to enable OnSite (remote service diagnostics) and Intuitive's digital applications.

For any questions regarding this survey please contact the Intuitive Surgical Customer Service at 1(800) 876-1310 opt 2,2 or Email digitalsupport@intusurg.com.

 Hospital / System Information














 IT Contacts

Please fill out IT contact information. The primary IT contact will be considered by Intuitive Surgical to be the customer's network point of contact.

IT Primary Contact




IT Secondary Contact




 da Vinci Network Overview

OnSite remote diagnostics feature for the da Vinci Surgical System is designed to be both highly secure and firewall-friendly.  The da Vinci System negotiates outgoing TLS session based on PKI certificate authentication communication with the remote access servers at Intuitive Surgical to facilitate status updates, log uploads and remote access to the system.  The system does not communicate nor require access to any of the hospital's internal resources.  The critical OnSite networking component that is integrated into the da Vinci Surgical System is a firewall.  The requested network information you provide will be used to configure the firewall and your da Vinci Surgical System to access Intuitive Surgical OnSite servers. 

 


Network/Firewall Requirements:


Refer to the Da Vinci Product Networking Requirements Overview document



  Network Interfaces
**The robot is nat'd behind an integrated firewall on a 10.0.0.0/24 network. It is essential that the IP address provided will not be a 10.0.0.0/24 address.**
Vision Tower







Port Speed Settings
Data Jack Locations

OR: Data Port: Jack No.:
1 Vision Tower

Surgeon Console 1
Wired






Data Jack Locations

OR: Data Port: Jack No.:
Surgeon Console 1
Wireless









Surgeon Console 2
Wired






Data Jack Locations

OR: Data Port: Jack No.:
Surgeon Console 2
Wireless









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Contact Information