Laparoscopic clamp load measuring devices

• US 10,398,433 B2
• Filed: 11/21/2014
• Issued: 09/03/2019
• Est. Priority Date: 03/28/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Timperman, Eugene L., Fugikawa, Leslie M.
• Primary Examiner(s): Hindenburg, Max F
• Application Number:
  US14/549,708
• Publication Number:
  US 20150076207A1
• Time in Patent Office: 1,747 Days
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/072 for applying a row of staples in a single action , e.g. the staples being applied simultaneously
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for

Abstract

A surgical end effector comprising a first jaw, a second jaw, a strain gauge, and a thickness measurement cartridge is disclosed. The first jaw comprises a first jaw undersurface. The first jaw is selectively movable relative to the second jaw. The strain gauge is supported by the second jaw and configured to communicate with a central processing unit configured to calculate thickness of tissue. The thickness measurement cartridge comprising a cartridge body and a pivot formation. The cartridge body is configured to be removably supported in the second jaw such that a tissue contacting surface thereon faces the first jaw undersurface. The pivot formation on the cartridge body facilitated pivotal movement of the cartridge body relative to the second jaw.

Claims

1. An end effector for use with a surgical instrument, said end effector comprising:

a first jaw;

a second jaw, wherein said first jaw and said second jaw are configured to clamp tissue in response to a closing motion applied to said first jaw to move said first jaw between an open position, a partially clamped position, and a fully clamped position;

a strain gauge configured to generate a first strain reading and a final strain reading as the tissue is clamped;

a central processing unit configured to calculate thickness of the tissue by comparing said first strain reading and said final strain reading; and

a cartridge comprising;

a cartridge body configured to be removably supported in said second jaw and defining a cartridge deck surface; and

a protrusion extending from said cartridge deck surface wherein an end of said protrusion comprises a single point on said cartridge body that is closest to said first jaw to focus a load applied to said cartridge toward said strain gauge.

2. The end effector of claim 1, wherein said strain gauge is positioned within a distal portion of said second jaw.

3. The end effector of claim 1, further comprising a second strain gauge supported by said cartridge.

4. The end effector of claim 3, wherein said second strain gauge is positioned within a proximal portion of said cartridge.

5. The end effector of claim 3, wherein said central processing unit is positioned within the surgical instrument, and wherein said end effector comprises:

a conductor in said second jaw; and

a pin and socket connection between said cartridge and said conductor such that said strain gauge can electrically communicate with said central processing unit.

6. The end effector of claim 1, wherein said first strain reading and said final strain reading are configured to be wirelessly transmitted to a remote monitor.

7. The end effector of claim 1, wherein said cartridge further comprises a protrusion on an underside of said cartridge body to facilitate movement of said cartridge body when said load is applied to said cartridge body.

8. A surgical end effector, comprising:

a first jaw comprising a first jaw undersurface;

a second jaw, wherein said first jaw is selectively movable relative to said second jaw;

a strain gauge supported by said second jaw and configured to communicate with a central processing unit configured to calculate thickness of tissue; and

a thickness measurement cartridge, comprising;

a cartridge body configured to be removably supported in said second jaw such that a tissue contacting surface thereon faces said first jaw undersurface; and

a pivot formation on said cartridge body to facilitate pivotal movement of said cartridge body relative to said second jaw.

9. The surgical end effector of claim 8, wherein said pivot formation comprises an arcuate surface.

10. The surgical end effector of claim 8, wherein said central processing unit is positioned within a surgical instrument coupled to said end effector, and wherein said central processing unit is coupled to said strain gauge by a pin and socket connection that couples said strain gauge to a conductor in said second jaw that is coupled to said central processing unit.

11. The surgical end effector of claim 8, further comprising a second strain gauge supported by said thickness measurement cartridge.

12. The surgical end effector of claim 11, wherein said second strain gauge is positioned within a proximal portion of said thickness measurement cartridge.

13. The surgical end effector of claim 8, wherein said second jaw is configured to operably support a surgical staple cartridge therein when said thickness measurement cartridge has been removed therefrom.

14. The surgical end effector of claim 13, further comprising a firing bar configured to sever tissue clamped between said surgical staple cartridge and said first jaw.

15. The surgical end effector of claim 12 further comprising an upstanding flexible probe arm operably coupled to said second strain gauge and extending above said tissue contacting surface.

16. The surgical end effector of claim 15, wherein said flexible probe arm is proximal to a tissue contact area of said undersurface of said first jaw.

17. A surgical end effector, comprising:

a first jaw comprising a first jaw undersurface;

a second jaw, wherein said first jaw is selectively movable relative to said second jaw; and

a thickness measurement cartridge, comprising;

a cartridge body configured to be removably supported in said second jaw, said cartridge body defining a deck surface;

a strain gauge supported by said cartridge body; and

an upstanding flexible probe arm operably coupled to said strain gauge and extending above said deck surface such that said flexible probe arm is proximal to a tissue contact area of said first jaw undersurface.

18. The surgical end effector of claim 17, further comprising another strain gauge in said second jaw.

19. The surgical end effector of claim 18, wherein said strain gauge and said another strain gauge communicates with a central processing unit supported by a surgical instrument coupled to said end effector.