  Telesurgical robotic systems provide a well established form of assistance in
the operating theater, with evidence of growing uptake in recent years. Until
now, the da Vinci surgical system (Intuitive Surgical Inc, Sunnyvale,
California) has been the most widely adopted robot of this kind, with more than
6,700 systems in current clinical use worldwide [1]. To accelerate research on
robotic-assisted surgery, the retired first-generation da Vinci robots have
been redeployed for research use as "da Vinci Research Kits" (dVRKs), which
have been distributed to research institutions around the world to support both
training and research in the sector. In the past ten years, a great amount of
research on the dVRK has been carried out across a vast range of research
topics. During this extensive and distributed process, common technical issues
have been identified that are buried deep within the dVRK research and
development architecture, and were found to be common among dVRK user feedback,
regardless of the breadth and disparity of research directions identified. This
paper gathers and analyzes the most significant of these, with a focus on the
technical constraints of the first-generation dVRK, which both existing and
prospective users should be aware of before embarking onto dVRK-related
research. The hope is that this review will aid users in identifying and
addressing common limitations of the systems promptly, thus helping to
accelerate progress in the field.
