FCC ID: 2AAZF-ACCRX02 RFID Module

TITLE: Installation Instructions for RFID Module ACCRX02 DOCUMENT: 818385-02 REVISION: A PAGE: 1 of 4 The RFID module (Model: ACCRX02) is used with the host devices (model PS4000 and PS4200) and as such, required testing and approval is completed. Use with any other host device may or may not require additional testing and approval. Consult Hardware Compliance Engineering for assistance. The RFID module includes the main block (P/N 318215), the top plate (P/N 318216), the ACCR PCA (P/N 353240-08), ACCRA PCA (P/N 343460-05), the pod support (P/N 318273), and board support (P/N 318230). For instruction on how to install RFID module to the host device (PS4000 and PS4200), refer to Manufacturer Process Instruction, Carriage, Housing Assembly,USM,IS4000

(P/N 1001924) and Manufacturer Process Instruction, Carriage Integration,USM,IS4000

(P/N 844505-01). USM = Universal Surgical Manipulator (aka. Robot Arm). The label (P/N 510196-02) contains FCC ID (2AAZF-ACCRX02), IC ID (11508A-

ACCRX02), and RFID Model name (ACCRX02) for identification. See Figure 1. The label having white background with black text, is affixed to the module in a manner such that it will remain adhered to the module during the expected life of the product. The minimum size of the font is 4 pt. The label is applied on the main carriage block near the ACCR PCA location. See Figure 2. Figure 1: Label of RFID module (P/N 510196-01) Figure 2: Location of Label of RFID module CONFIDENTIAL AND PROPRIETARY Intuitive Surgical Inc. Prior to use, use ACCS to verify that this is the current revision Template File: 853244 Form_Template Rev D.doc TITLE: Installation Instructions for RFID Module ACCRX02 DOCUMENT: 818385-02 REVISION: A PAGE: 2 of 4 The label of RFID module is not visible when RFID module is installed on host device. This is acceptable because FCC ID and IC ID information are also marked on the rear vent panel of the host device. See Figure 4 for example of label of the host device containing FCC ID and IC ID information of RFID module. See Figure 5 for the location. In addition, the intentional radiator symbol (see Figure 3) is also affixed along with FCC ID and IC ID information (refer to Label P/N 880175-06 for PS4000 and P/N 880341-03 for PS4200) on the host device, per EN 60601-1-2 Ed.3. This marking is readily visible to the user of the host device without the use of tools. Figure 3: Intentional radiator symbol Figure 4: Example of label of host device containing FCC ID and IC ID of RF ID module Figure 5: Location of label on rear vent panel of host device CONFIDENTIAL AND PROPRIETARY Intuitive Surgical Inc. Prior to use, use ACCS to verify that this is the current revision Template File: 853244 Form_Template Rev D.doc TITLE: Installation Instructions for RFID Module ACCRX02 DOCUMENT: 818385-02 REVISION: A PAGE: 3 of 4 Note: Statements below that are within quotation marks have fixed wording. FCC The host product must be labeled with the following:

Contains FCC ID: 2AAZF-ACCRX02 The host product manual must include following statements:

This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and

(2) this device must accept any interference received, including interference that may cause undesired operation. Changes or modifications, not expressly approved by Intuitive Surgical, may void the users authority to operate the equipment. (Note: the wording for this statement is not fixed) Industry Canada The host product must be labeled with the following (in English and French):

Contains IC: 11508A-ACCRX02 The host product manual must include following statements (in English and French):

Under Industry Canada regulations, this radio transmitter may only operate using an antenna of a type and maximum (or lesser) gain approved for the transmitter by Industry Canada. To reduce potential radio interference to other users, the antenna type and its gain should be so chosen that the equivalent isotropically radiated power (eirp) is not more than necessary for successful communication. This device complies with Industry Canada license-exempt RSS standard(s). Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation.

"Conformment la rglementation d'Industrie Canada, cet metteur radio peut fonctionner uniquement l'aide d'une antenne de type et de gain maximum (ou moindre) approuvs pour l'metteur par Industrie Canada. Pour rduire le risque d'interfrence aux autres utilisateurs, le type d'antenne et son gain doivent tre choisis afin que la puissance isotrope rayonne quivalente (PIRE) nexcde pas celle ncessaire une communication russie ". CONFIDENTIAL AND PROPRIETARY Intuitive Surgical Inc. Prior to use, use ACCS to verify that this is the current revision Template File: 853244 Form_Template Rev D.doc TITLE: Installation Instructions for RFID Module ACCRX02 DOCUMENT: 818385-02 REVISION: A PAGE: 4 of 4

"Cet appareil est conforme au(x) standard(s) des CNR dIndustrie Canada pour appareils radio exempt(s) de licence . Son fonctionnement est soumis aux deux conditions suivantes: (1) ce dispositif ne doit pas causer d'interfrences nuisibles, et (2) cet appareil doit accepter toute interfrence reue, y compris les interfrences qui peuvent provoquer un fonctionnement indsirable ". CONFIDENTIAL AND PROPRIETARY Intuitive Surgical Inc. Prior to use, use ACCS to verify that this is the current revision Template File: 853244 Form_Template Rev D.doc

MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 1 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY Note: Brake Release Tool (A) may be used to release the Brake and position the Arm throughout this MPI. A 723618 TOOL, ASSY, SPRING BRAKE RELEASE, IS4000 NA 1. Verify Screws holding Carriage Top Plate are tight. Record result in Results Sheet. ESD Precautions Required CAUTION: Once Carriage Cover Aide is removed the fragile ACCP LEDs will be exposed. Handle Carriage with care to avoid damage. 2. Carefully remove Carriage Cover Aide from Carriage. Carriage Cover Aide D Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 2 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. 3. Carefully remove Kapton tape and Protection Clip securing the fiber cables to the FFCs. 4. Verify FFCs are in order 1, 2, 3, 4, and 5. 5. Fold FFC 90 flush with bottom edge of Bracket. Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 3 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. 6. Align Carriage to Insertion Assembly as shown. CAUTION: Be careful working with Fiber Cables. Avoid extreme bends or pinching of cables. ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 4 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 7. Secure Carriage to Bracket with Qty: 2 Screws (A) using Loctite 222. A B C 902947 902460 721916 D 722555 SCREW, SHCS, M2X5, STST SCREW, SHCS, M1.6X12, STST EFT, TORQUE WRENCH, 1.0 IN-LBF, 1/4" FEM HEX ADAPTER EFT, TORQUE WRENCH, 1.6 IN-LBF, 1/4" FEM HEX ADAPTER 2 1 NA NA 222 A B 8. Install Screw (B) with Loctite 222. Torque Screws (A) to 1 in-lbs using (C). Torque Screws (B) to 1.6 in-lbs using (D). ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 222 Torque 1 in-lbs Torque 1.6 in-lbs MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 5 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 9. Route FFCs against Carriage. Secure by installing Clamp (A) using Qty: 2 Screws (B) Loctite 222. Torque to 1.0 in-lbs using (C). 222 Torque 1.0 in-lbs A B C 318276 902463 721916 CLAMP,FFC,IS4000 CARRIAGE SCREW, PHFH, 0-80 X .125, STST EFT, TORQUE WRENCH, 1.0 IN-LBF, 1/4" FEM HEX ADAPTER 1 2 NA A ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 6 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 10. Route Fiber Cables on Carriage and secure with Kapton Tape (A). Fiber Cables A 963004 TAPE,POLYIMIDE

(KAPTON),ROLL,.001 X.50W NA CAUTION: Be careful working with Fiber Cables. Avoid extreme bends or pinching of cables. ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 7 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. 11. Apply a service loop to route and connect the Fiber Cables to ACCL, PCA. Note: Arrow up Cable is Receive and connects to the RX1 connector. CAUTION: Be careful working with Fiber Cables. Avoid extreme bends or pinching of cables. RX1 Connector ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 8 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY A 963004 TAPE,POLYIMIDE

(KAPTON),ROLL,.001 X.50W NA Tuck wires to the left as shown. 12. On both sides of the Carriage Assembly, tuck the Motor Wires in between the ACCP and ACCL, PCAs and secure with a strip of Kapton Tape (A) to avoid being damaged. See photos below:

Note: The service loop of the Fiber Cables are placed under the ACCP, PCA before the Motor Wires. ESD Precautions Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Required CAUTION: Be careful working with Fiber Cables. Avoid extreme bends or pinching of cables. MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 9 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. 13. Bend #1 and #2 FCCs 90 and align to groove closer to the spar. Repeat for #3, #4 and #5 FFCs, but align to groove further from spar. FFC #s 1 and 2 FFC #s 3, 4, 5 ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 10 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 14. Install Clamp (A) to Carriage with Screw (B) to secure FFCs using Loctite 222. Torque to 1.6 in-lbs using (C). A B C 318283 CLAMP,FFC,CENTER, IS4000 CARRIAGE 902974 SCREW,SHCS, M1.6 X3,SST 722555 EFT, TORQUE WRENCH, 1.6 IN-LBF, 1/4" FEM HEX ADAPTER 1 1 NA 222 Torque 1.6 in-lbs A, B ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 11 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 15. Connect FFCs as follows:

A 963004 TAPE,POLYIMIDE

(KAPTON),ROLL,.001 X.50W NA FFC Connections FFC Connector 1 2 3 4 5 J9 J11 J10 J8 J12 1 3 2 5 16. Bend and tape FFCs as shown. Secure with Kapton Tape (A). ESD Precautions Required 4 Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 12 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. 17. Connect Fan Assembly to J18: Fan1 connection of ACCS Assembly. 18. Verify that the Fan and Motor Stator wires are fully seated in the connectors on top of the PCA. Record result in Result Sheet. ESD Precautions Required Fan1 New highlights, picture and text clarifying verification step GOOD BAD Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 13 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY A 318286 LOWER SUPPORT, CARRIAGE,IS4000 1 19. Install Fan Assembly onto Lower Support (A), as shown below. Fan slips into shoulder and secured with PEM Locating Pins on the Lower Support. Install Lower Support into Carriage as shown. Locating Pins Angle up Insert first. Fan Shoulder A Carefully hinge downward ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 CAUTION: Be careful when installing Lower Support. Make sure you do not bump and damage LEDs on ACCP PCA. MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 14 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 20. Secure Lower Support using Qty: 4 Screws (A) with Loctite 222. Torque to 1.6 in-lbs using (B). A B 902974 SCREW,SHCS, M1.6 X3,SST 722555 EFT, TORQUE WRENCH, 1.6 IN-LBF, 1/4" FEM HEX ADAPTER 4 NA Torque 1.6 in-lbs 222 A Top View Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Front View ESD Precautions Required MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 15 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 21. Apply a thin bead of Loctite 3979 (A) to flanged surface on the Right Light Pipe A B 971125 319736 ADHESIVE,UV CURE GEL,LOCTITE 3979 LIGHTPIPE,RIGHT, IS4000,CARRIAGE AR 1

(B). Glue Flanges Light Pipe Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 16 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 22. Place Right Light Pipe (A) into the Cover (B) Housing from the inside and press into the mating feature on the Cover (as shown). A B C D E 319736 319733 723349 710349 LIGHTPIPE,RIGHT, IS4000,CARRIAGE COVER, IS4000 CARRIAGE AIDE,UVCURE, LOCTITE 7700-HD EFT, TIMER, 1 SEC-99 MIN 59SEC, 30 SEC ALARM 319735 LIGHTPIPE,LEFT, IS4000,CARRIAGE 1 1 NA NA 1 23. Using UV Cure Aide (C) and cure adhesive for ~30 seconds. (adhesive turns pink when cured). Note: Make sure to wear safety glasses during this step. Use Timer (D) during curing process. 24. Repeat Steps 21 23 for second Light Pipe (E). Safety Glasses Required C A Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 17 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 25. Remove paper to expose adhesive backing on Foam Pad (A). A 319739 FOAM PAD,FAN SUPPORT,IS4000 CARRIAGE 1 26. Apply the Foam Pad while carefully aligning the edges (see arrows) on the Cover. 27. After placing Foam Pad into the well, press around the perimeter to ensure adhesion. A Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 18 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 28. Secure FFC with Kapton Tape (A). 29. Attach Cover to Carriage using Qty: 4 Screws (B) and Loctite 425. Torque to 1.6 A B C 963004 902974 722555 TAPE,POLYIMIDE

(KAPTON),ROLL,.001 X.50W SCREW,SHCS, M1.6 X3,SST EFT, TORQUE WRENCH, 1.6 IN-LBF, 1/4" FEM HEX ADAPTER NA 4 NA in-lbs using (C). CAUTION: Avoid damaging the cables while installing the Cover. Torque 1.6 in-lbs 425 Apply Kapton Tape over this FFC and pay close attention to avoid damaging when installing the Cover. ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 19 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. 30. Connect Motor Module Cables according to table. PITCH ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 YAW Yaw Motor Yaw Hall Sensor Yaw Brake Pitch Motor Pitch Hall Sensor Pitch Brake MTR1 HALL1 BRK1 MTR2 HALL2 BRK2 MPI, Carriage Integration, USM, IS4000 MPI #: 844505-01 REV. L 20 of 20 INTUITIVE SURGICAL CONFIDENTIAL AND PROPRIETARY. Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. ITEM PART #

DESCRIPTION QTY 31. Install Light Pipe (A) into Link 1 Cover (B) with Screws (C) and Loctite 425. A B C D E 319140 LIGHT PIPE, LINK 1, USM,IS4000 318349 901195 901212 902036 STRUCTURAL COVER,LINK 1, USM,IS4000 SCREW,SHCS, M1.6X4,STST SCREW,SHCS, M4-.7 X 20,STST SCREW,SHCS, M4 X 12 MM,STST 1 1 4 2 2 32. Install Link 1 Cover onto Link 1 with Screws (D) and (E). D 425 E Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103

Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. MPI, Carriage Housing Assembly, USM, IS4000 REV. E 1 of 6 MPI #: 1001924 VERIFY CAUTION ACCI Pod Assembly 1. Fold ACCI PCA (A) Flex Circuit as shown below. Do not crease Flex Circuit. ESD precautions required. ITEM PART #

DESCRIPTION QTY A 353970 PCA,AXESCONTROLLER CARRIAGE INTRUMENT 1

(ACCI) Trim board to be flush here if needed. ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Rev. E Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. VERIFY CAUTION 2. Snap ACCI to Board Support (A). Note that part of the ACCI Flex Circuit goes between the PCA and the Board Support as shown. ESD precautions required. MPI, Carriage Housing Assembly, USM, IS4000 REV. E 2 of 6 MPI #: 1001924 ITEM PART #

DESCRIPTION QTY A 318229 BOARD SUPPORT, ACCI,IS4000 CARRIAGE 1 ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Rev. E FFC goes under here Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. VERIFY CAUTION 3. Cut and place a small piece of Tape (B) onto Board Support to hold both boards down. Fold sub-boards into position and attach Dallas Pod Cover (A) to Board Support as shown. Do not crease Flex Circuit. ESD precautions required. MPI, Carriage Housing Assembly, USM, IS4000 REV. E 3 of 6 MPI #: 1001924 ITEM PART #

DESCRIPTION QTY A 318272 B 963013 POD,DALLAS, IS4000 CARRIAGE DOUBLE SIDED ADHESIVE FOAM 1 AR ESD Precautions Required Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Rev. E B Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. VERIFY CAUTION 4. Install ACCI Pod into Main Block (B) using Screws (A) and Loctite 425. Torque to 1.0 in-lbs using (C). MPI, Carriage Housing Assembly, USM, IS4000 REV. E 4 of 6 MPI #: 1001924 ITEM PART #

DESCRIPTION QTY A B C 902462 SCREW,PHPH, M1.6X3,STST 318215 MAIN BLOCK,IS4000 CARRIAGE 2 1 721916 EFT, TORQUE WRENCH, 1.0 IN-LBF, 1/4" FEM NA HEX ADAPTER 4 2 5 TORQUE 1.0 in-lbs A Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Rev. E Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. MPI, Carriage Housing Assembly, USM, IS4000 REV. E 5 of 6 MPI #: 1001924 VERIFY CAUTION ACCR Pod Assembly ITEM PART #

DESCRIPTION QTY 5. Connect FFC (A) to ACCR (B) with ground bump on the end away from the board. ESD precautions required for the all the following steps. A B C D 181141 353240 318230 319770 CABLE,FFC,11-PIN, 75MM,0.5MM P, SHLD,AU,USM,IS4000 PCA,AXES CONTROLLER CARRIAGE RFID (ACCR) BOARD SUPPORT, ACCR,IS4000 CARRIAGE FOAM DOT,ACCRA RETAIN,IS4000 CARRIAGE 1 1 1 2 6. WARNING!!! ESD precautions required. Snap ACCR into Housing (C). 7. Put Qty: 2 Foam Dots (D) on top of Housing as shown. D Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Rev. E Users of any printed hard copy of this document must verify that it represents the most current revision prior to use. VERIFY CAUTION 8. Put ACCRA PCA (A) into housing. Orientation Shown ITEM PART #

DESCRIPTION QTY 9. Add Kapton Tape here (1x) MPI, Carriage Housing Assembly, USM, IS4000 REV. E 6 of 6 MPI #: 1001924 A B C D PCA,ACCRA,AXES 353460 CONTROLLER CARRIAGE 1 1 2 RFID ANTENNA POD,RFID,IS4000 CARRIAGE SCREW,PHPH, M1.6X3,STST EFT, TORQUE WRENCH, 1.0 IN-LBF, 1/4" FEM HEX ADAPTER 318273 902462 721916 NA 10. Snap RFID Pod (B) on, keeping flat edge on right side. WARNING!!! ESD precautions required. 11. Insert into Carriage Housing and attach with Qty: 2 Screws (C) and Loctite 425. Torque to 1.0 in-lbs using (D). B TORQUE 1.0 in-lbs C 4 2 5 Intuitive Surgical Confidential This document contains confidential and proprietary information, and except with written permission of Intuitive Surgical, such information shall not be published or disclosed to others or used for any purpose other than on behalf of Intuitive Surgical. This document shall not be copied in whole or in part, including electronically. MPI Template: 800103 Rev. E

D C B A 8 7 6 5 4 3 2 1 VER-REV ZONE DESCRIPTION OF CHANGE (SEE ACCS FOR APPROVALS) 01-A ALL INITIAL RELEASE 02-B ALL CHANGE ID NUMBERS FOR NEW RFID READER. CORRECTED RADII FROM .05 TO .10 PREVIOUS SPECIFIED RADII DID NOT MATCH RADII OF ARTWORK. 3M #9672 MP ADHESIVE IS DISCONTINUED. DRAWING CHANGED TO REFLECT EQUIVALENT 3M REPLACEMENT ADHESIVE ON NOTE 2. ADDED PERFORMANCE INSPECTION POINT AND NEW SUPPLIERS UL RECOGNIZED MATERIAL TO NOTE 7. ADDED PERFORMANCE INSPECTION POINT TO NOTE 8. DRFT BJM DATE 11/11/13 LPR 05/01/20 4X R.10 .02 0.25

.88 Artwork is for reference only. NOTES: (UNLESS OTHERWISE SPECIFIED) BACKGROUND: WHITE 1. MATERIAL: .010" FINE TEXTURED LEXAN. 2. ADHESIVE: .005" 3M #9672 (PERM) WITH PAPER LINER 3. 4. TEXT: BLACK 5. SUPPLIER TO PROVIDE CERTIFICATE OF CONFORMANCE 6. USE .AI FILE FOR ARTWORK 7. SUBSURFACE POLYCARBONATE 2 or SS POLYCARB1974 DESIGNATION ON SMALLEST BAG OF LABELS. 8. 9. BAG AND TAG WITH PART NUMBER, REVISION LEVEL AND SHELF LIFE DURATION. SUPPLIER TO PROVIDE UL RECOGNIZED COMPONENT SYMBOL WITH COMPANY NAME AND MATERIAL. THE SUPPLIER IS TO PROVIDE A RoHS COMPLIANCE CERTIFICATE OF CONFORMANCE WITH EVERY SHIPMENT. 8 7 6 5 4 DRAWN BY:

B. MAY DESIGN ENGINEER:

J. LATHROP MFG ENGINEER:

B. BLAIR DRW UNITS:

INCHES UNLESS OTHERWISE SPECIFIED:

0.02 0.01 0.5 LINEAR:

X.XX =

X.XXX =

ANGLES:

INTUITIVE SURGICAL CONFIDENTIAL THIS DOCUMENT CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION. UNLESS GRANTED WRITTEN PERMISSION FROM INTUITIVE SURGICAL, SUCH INFORMATION SHALL NOT BE PUBLISHED OR DISCLOSED TO OTHERS OR USED FOR ANY PURPOSE OTHER THAN ON BEHALF OF INTUITIVE SURGICAL. 3 Intuitive Surgical DRAWING TITLE:

LABEL, IS4000,RFID, ACCRX02 DATE:

DRW SIZE:

DRW SCALE:

DRAWING NUMBER - VERSION:

05/01/20 B 2:1 510196-02 REV:

B SHEET:

1 OF 1 2 1 D C B A

Label Drawing & Location Drawing The module is appropriately labeled (content is shown in Figure 1). Labels are attached in a manner such that they will remain fastened to the device during the expected life of the product. The minimum size is that the text must be legible. Module label is on main carriage block housing (refer to Figure 2) and will not be visible when carriage cover is installed, however the approval ID information will be visible the rear vent panel label (refer to Figure 3). Label with approval ID information is readily visible to the user of the device without the use of tools. Instructions to the end user regarding the labeling requirements for host devices are included in this application. Figure 1. Module label content Figure 2. Image of module label location on main carriage block Intuitive.com Figure 3. RFID Product Label on PSC Vent Panel Intuitive.com

Intuitive Surgical 1266 Kifer Road Sunnyvale, CA 94086 T. 408 523 2100 F.408 523 1390 Intuitive.com National Technical Systems Silicon Valley TCB 41039 Boyce Road Fremont, CA. 94538 June 11, 2020 Dear Sir or Madam:

This is your letter of authorization to accept our appointment of National Technical Systems Silicon Valley as our Agent for INTUITIVE SURGICAL 1266 Kifer Road, Sunnyvale, CA 94086, to sign applications before National Technical Systems Silicon Valley TCB and to make representations to you on our behalf. National Technical Systems Silicon Valley is to receive and exchange data between our company and National Technical Systems Silicon Valley TCB. I certify that submitted documents properly describe the device or system for which equipment certification is sought. I also certify that each unit manufactured, imported or marketed, as defined in FCC and Industry Canadas regulations will have affixed to it a label identical to that submitted for approval with this application. For instances where our authorized agent signs the application for certification on our behalf, I acknowledge that all responsibility for complying with the terms and conditions for Certification, as specified by National Technical Systems Silicon Valley TCB, still resides with INTUITIVE SURGICAL 1266 Kifer Road, Sunnyvale, CA 94086. I hereby certify on behalf of INTUITIVE SURGICAL ("Applicant") that neither Applicant nor any party to the application (officers, directors, and 5% shareholders) is subject to a denial of Federal benefits that includes FCC benefits pursuant to section 5301 of the Anti-Drug Abuse Act of 1988 21 U.S.C. 853a. Sincerely, Tony Permsombut Sr. Hardware Compliance Engineer

Intuitive Surgical 1266 Kifer Road Sunnyvale, CA 94086 T. 408 523 2100 F.408 523 1390 Intuitive.com Request for Confidentiality June 11, 2020 Subject: Confidentiality Request for: FCC ID: 2AAZF-ACCRX02 and IC ID: 11508A-ACCRX02 Pursuant to FCC 47 CRF 0.457(d) and 0.459 and/or RSP-100, the applicant requests that a part of the subject FCC and/or ISED application be held confidential. Type of Confidentiality Requested Short Term Short Term Short Term Short Term Short Term Short Term Short Term Short Term Short Term Permanent Permanent*1 Permanent Permanent Permanent Permanent Permanent*

Exhibit Block Diagrams External Photos Internal Photos Operation Description/Theory of Operation Parts List & Placement/BOM Tune-Up Procedure Schematics Test Setup Photos Users Manual

*Note: N/A ____INTUITIVE SURGICAL_____ has spent substantial effort in developing this product and it is one of the first of its kind in industry. Having the subject information easily available to "competition" would negate the advantage they have achieved by developing this product. Not protecting the details of the design will result in financial hardship. Permanent Confidentiality:

The applicant requests the exhibits listed above as permanently confidential be permanently withheld from public review due to materials that contain trade secrets and proprietary information not customarily released to the public. Short-Term Confidentiality:

The applicant requests the exhibits selected above as short term confidential be withheld from public view for a period of _______N/A_______days from the date of the Grant of Equipment Authorization and prior to marketing. This is to avoid premature release of sensitive information prior to marketing or release of the product to the public. Applicant is also aware that they are responsible to notify FCC in the event information regarding the product or the product is made available to the public. FCC will then release the documents listed above for public disclosure pursuant to FCC KDB 726920 D01. The applicant understands that until such time that Innovation Science and Economic Development Canada distinguishes between Short Term and Permanent Confidentiality, either type of marked exhibit above will simply be marked Confidential when submitted to ISED. Sincerely, By:

(Signature/Title2)

(Printed name)

/Sr. HW Compliance Engiener____ Tony Permsombut________________ 1 - The asterisked items (*) require further justification before permanent confidentiality will be allowed. These also currently require review by the FCC under their Permit-But-Ask policy before the grant is issued and can delay completion of an application. Further justification should be added to the note above. One such example for a potted device would be: The EUT is FULLY potted using a non-removable epoxy based material. Removal of potting material causes irreparable damage to internal circuitry. See photographs exhibits that outline the device before and after potting. 2 - Must be signed by applicant contact given for applicant on the FCC site, or by the authorized agent if an appropriate authorized agent letter has been provided. Letters should be placed on appropriate letterhead.

July 8, 2020 National Technical Systems TCB 41039 Boyce Road Fremont, CA, 94538 FCC ID: 2AAZF-ACCRX02 IC: 11508A-ACCRX02 To whom it may concern:

The enclosed documents constitute a formal submittal and application for FCC Equipment Authorization and ISED Canada Certification for a RFID Module pursuant to the following rules:

Subpart C of Part 15 (15.225) of FCC Rules (CFR 47) RSS-Gen Issue 5, April 2018, General Requirements for Compliance of Radio Apparatus RSS-210, Issue 10, December 2019, Licence-Exempt Radio Apparatus: Category I Equipment National Technical Systems, as duly authorized agent prepared this submittal. A copy of the letter of our appointment as agent is included with the application. If there are any questions or if further information is needed, please contact National Technical Systems for assistance. Sincerely, David W. Bare Chief Engineer Page 1 of 1

June 16, 2020 Date:

Subject: Signing Authority for Agency Approvals Dear Regulatory Authority, Please accept this letter authorizing Tony Permsombut of Intuitive Surgical Inc. to act on my behalf as the point of contact for any FCC or Industry Canada filings and submissions for Grantee Code 2AAZF and Industry Canada Company Number 11508A. Should you have any questions regarding this issue, please feel free to contact me at 408-523-7373 (fax 408-523-1390) or by e-mail at bryan.blair@intusurg.com. Regards, Bryan Blair Intuitive Surgical, Inc. Sr. Manager, Hardware Compliance Taking surgery beyond the limits of the human hand. Intuitive Surgical, Inc. 1266 Kifer Road Sunnyvale, California 94086 Ph:

Fax:

408.523.2100 408.523.1390 www.intuitivesurgical.com

IntuitiveSurgical 1266KiferRoad Sunnyvale,CA94086 T.4085232100 F.4085231390 Intuitive.com July 21, 2020 Modular Approval Request Letter FCC ID: 2AAZF-ACCRX02, IC: 11508A-ACCRX02 Dear Sir or Madam:

Limited Modular Approval is being requested for RFID module (Model: ACCRX02) and the module will be installed only in host systems manufactured by Intuitive Surgical Inc. The following paragraphs detail the requirements for modules and explain how the module meets those requirements. Where requirements are not met a justification for a limited modular approval is presented. FCC 15.212 Requirements for Single Modular Transmitters (includes RSS GEN Section 3.2.2)

(a) Single modular transmitters consist of a completely self-contained radiofrequency transmitter device that is typically incorporated into another product, host or device. Split modular transmitters consist of two components: a radio front end with antenna (or radio devices) and a transmitter control element (or specific hardware on which the software that controls the radio operation resides). All single or split modular transmitters are approved with an antenna. All of the following requirements apply, except as provided in paragraph (b) of this section.

(1) Single modular transmitters must meet the following requirements to obtain a modular transmitter approval.

(i) The radio elements of the modular transmitter must have their own shielding. The physical crystal and tuning capacitors may be located external to the shielded radio elements. Yes. The module has a shield consisting of the carriage frame.

(ii) The modular transmitter must have buffered modulation/data inputs (if such inputs are provided) to ensure that the module will comply with part 15 requirements under conditions of excessive data rates or over-modulation. Yes. Data to the modulation circuit is buffered on the module inside component U1 on the schematic (Mfg: NXP, Model: CLRC66303HNE) IntuitiveSurgical 1266KiferRoad Sunnyvale,CA94086 T.4085232100 F.4085231390 Intuitive.com

(iii) The modular transmitter must have its own power supply regulation. Yes. The module contains its own power supply regulation and RF reference oscillator is contained within the module. Power supply regulation is provided via pin 18 of U1 on the schematic (Mfg: NXP Model: CLRC66303HNE)

(iv) The modular transmitter must comply with the antenna and transmission system requirements of 15.203, 15.204(b) and 15.204(c). The antenna must either be permanently attached or employ a unique antenna coupler (at all connections between the module and the antenna, including the cable). The professional installation provision of 15.203 is not applicable to modules but can apply to limited modular approvals under paragraph (b) of this section. The module connects to its antenna via Connector Header Surface Mount, Right Angle 2 position 0.079" (2.00mm). This connector is a non-standard connector. The antenna is a PCB-trace loop antenna (13.72 mm x 8.64 mm) with Q Factor < 10 at 13.56MH. Installation instructions for the module explain that only these antennas may be used with the device and that the end user shall not be able to access the antenna port or change antennas.

(v) The modular transmitter must be tested in a stand-alone configuration, i.e., the module must not be inside another device during testing for compliance with part 15 requirements. Unless the transmitter module will be battery powered, it must comply with the AC line conducted requirements found in 15.207. AC or DC power lines and data input/output lines connected to the module must not contain ferrites, unless they will be marketed with the module (see 15.27(a)). The length of these lines shall be the length typical of actual use or, if that length is unknown, at least 10 centimeters to insure that there is no coupling between the case of the module and supporting equipment. Any accessories, peripherals, or support equipment connected to the module during testing shall be unmodified and commercially available (see 15.31(i)). Test data contained in this application is for the device tested in a stand-alone configuration. Radiated spurious emissions data and AC conducted emissions data demonstrating compliance with the requirements of Part 15 of the FCC rules for intentional radiators and RSS GEN/RSS 210 has been provided.

(vi) The modular transmitter must be equipped with either a permanently affixed label or must be capable of electronically displaying its FCC identification number.

(A) If using a permanently affixed label, the modular transmitter must be labeled with its own FCC identification number, and, if the FCC identification number is not visible when the module is installed inside another device, then the outside of the device into which the module is installed must also display a label referring to the enclosed module. This exterior label can use wording such as the following: Contains Transmitter Module FCC ID: XYZMODEL1 or Contains FCC ID: XYZMODEL1. Any similar wording IntuitiveSurgical 1266KiferRoad Sunnyvale,CA94086 T.4085232100 F.4085231390 Intuitive.com that expresses the same meaning may be used. The Grantee may either provide such a label, an example of which must be included in the application for equipment authorization, or, must provide adequate instructions along with the module which explain this requirement. In the latter case, a copy of these instructions must be included in the application for equipment authorization.

(B) If the modular transmitter uses an electronic display of the FCC identification number, the information must be readily accessible and visible on the modular transmitter or on the device in which it is installed. If the module is installed inside another device, then the outside of the device into which the module is installed must display a label referring to the enclosed module. This exterior label can use wording such as the following: Contains FCC certified transmitter module(s). Any similar wording that expresses the same meaning may be used. The user manual must include instructions on how to access the electronic display. A copy of these instructions must be included in the application for equipment authorization. The module is appropriately labeled (refer to the label and label location drawings contained within this application). Instructions to the end user regarding the labeling requirements for host devices are included in this application.

(vii) The modular transmitter must comply with any specific rules or operating requirements that ordinarily apply to a complete transmitter and the manufacturer must provide adequate instructions along with the module to explain any such requirements. A copy of these instructions must be included in the application for equipment authorization. The module complies with the specific rules and operating requirements for which certification is sought. Instructions to the OEM installer or end user regarding such requirements for use in host devices are included in this application.

(viii) The modular transmitter must comply with any applicable RF exposure requirements in its final configuration. The module is exempt from RF exposure requirements and can be used at any separation distance from the human body. RSS GEN Checklist Modular approval requirement

(a) The radio elements must have the radio frequency circuitry must be shielded. Physical/discrete and tuning capacitors may be located external to the shield, but must be on the module assembly.

(b) The module shall have buffered modulation/data input(s) (if such Yes No *

IntuitiveSurgical 1266KiferRoad Sunnyvale,CA94086 T.4085232100 F.4085231390 Intuitive.com inputs are provided) to ensure that the module will comply with the requirements set out in the applicable RSS standard under conditions of excessive data rates or over-modulation.

(c) The module shall have its own power supply regulation on the module. This is to ensure that the module will comply with the requirements set out in the applicable standard regardless of the design of the power supplying circuitry in the host device which houses the module.

(d) The module shall comply with the provisions for external power amplifiers and antennas detailed in this standard. The equipment certification submission shall contain a detailed description of the configuration of all antennas that will be used with the module.

(e) The module shall be tested for compliance with the applicable standard in a stand-alone configuration, i.e. the module must not be inside another device during testing.

(f) The module shall comply with the Category I equipment labelling requirements.

(g) The module shall comply with applicable RSS-102 exposure requirements, which are based on the intended use/configurations.

(h) Is the modular device for an Industry Canada licensed exempt service?

* Please refer to the previous sections for a detailed explanation if the answer is No. Best Regards, Tony Permsombut Sr. Hardware Compliance Engineer Email: tony.permsombut@intusurg.com Work: 408-523-4904