This site survey questionnaire is used to request network information to configure your SimNow Skills Simulator^™1for the da Vinci_® Surgical System. The requested network information that you provide will be used by Intuitive Surgical personnel to configure the SimNow Skills Simulator for use on the network.

For any questions regarding this survey please contact the Intuitive Surgical Product Networking and Data Team at 1(800) 876-1310 opt 2,2 or email PND@intusurg.com.

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.

Network/Firewall Requirements:

Networking your Intuitive product is an important step to maximize the value of your purchase. Additional Intuitive products rely on connectivity.

Refer to the Da Vinci SimNow Networking Overview document.

If static IP is preferred, please fill in the following information below:

Has the assigned network data port confirmed to be active and properly configured?

By clicking “submit,” this Hospital/Organization warrants that the information provided above is accurate and grants permission to Intuitive Surgical to attach its Skills Simulator(s) to its network as structured above for its intended purposes.  Given that the Hospital/Organization owns and manages its network infrastructure and configuration, Intuitive Surgical cannot be, and is not responsible for any network changes, disturbances, interruptions of service or suboptimal performance that may result from changes out of Intuitive Surgical’s control.

¹da Vinci_® Skills Simulator^™ shall mean any da Vinci Skills Simulator (past, present, or future models) you have obtained or purchased or will obtain or purchase from Intuitive Surgical, whether via upgrade, purchase, trade-ins, swap-outs, or otherwise.  References in this survey or related document to Skills Simulator or Simulator shall be deemed to refer to the Skills Simulator for the da Vinci Surgical System as defined here.

Intuitive Surgical and its affiliates within the Intuitive Surgical group of companies (collectively, “Intuitive”) may collect data relating to your use of Intuitive products (“Data”).  In some instances Data may be communicated via data gathering or transmission technology to Intuitive.  In other instances, Intuitive may require you to provide Data to Intuitive.  Such Data may be used for a variety of purposes, including, but not limited to (1) providing support and preventative maintenance of Intuitive products, (2) improving Intuitive products or services, (3) ensuring compliance with applicable laws and regulations, and (4) providing a general resource for Intuitive’s research and business development.  Intuitive does not intend to collect protected health information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) or analogous foreign patient privacy laws or regulations, as may be amended from time to time.  In the event any Data communicated to Intuitive identifies an entity or individual, Intuitive will not share such Data with any third parties without the entity’s or individual’s consent, unless required by law or regulatory authorities.