Control system for clip applier

• US 10,485,527 B2
• Filed: 08/29/2017
• Issued: 11/26/2019
• Est. Priority Date: 08/29/2017
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Baxter, III, Chester O., Nesbitt Spatholt, Rebecca Jean, Mumaw, Daniel J., Young, Joshua Dean, Wiley, Jeffrey P.
• Primary Examiner(s): Stransky, Katrina M
• Application Number:
  US15/689,555
• Publication Number:
  US 20190059866A1
• Time in Patent Office: 819 Days
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00584 Clips
• CPC Class Codes: A61B 2090/031 torque limiting
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/0812 indicating loosening or shifting of parts of an instrument, signaling maladjustment of parts
• CPC Class Codes: A61B 34/30 Surgical robots

Abstract

Controls systems and methods are provided for controlling a surgical clip applier for applying surgical clips to a vessel, duct, shunt, etc., during a surgical procedure are provided. In an exemplary embodiment, a control system is provided for controlling at least one motor coupled to a drive system on a surgical clip applier device for driving one or more drive assemblies and thereby actuating one or more actuation assemblies. The control system can be configured to communicate with the drive system of the clip applier tool and to control and modify movement of one or more drive assemblies and actuation assemblies based on certain feedback.

Claims

1. A surgical clip applier system, comprising:

a clip applier shaft assembly having a shaft with a plurality of clips disposed therein and a pair of jaws at a distal end thereof, the clip applier shaft assembly including a clip advancing assembly configured to feed a distal-most clip of the plurality of clips into the pair of jaws, and a clamping assembly configured to move the pair of jaws from an open position to a closed position to form the distal-most clip around tissue;

a drive assembly operably coupled to the clamping assembly and to a motor for driving the clamping assembly through a first stage of clip formation in which a clip in the jaws is moved from an initial open configuration to a partially closed configuration, and to further drive the clamping assembly through a second stage of clip formation in which the clip is moved from the partially closed configuration to a final closed configuration; and

a control system configured to control the motor so as to control a velocity of the clamping assembly during the first stage of clip formation, and to terminate actuation of the motor and thus the drive assembly during the second stage of clip formation if a load on the motor exceeds a first predetermined load threshold.

2. The surgical clip applier system of claim 1, wherein the control system is configured to terminate actuation of the motor and thus the drive assembly during the first stage of clip formation if a load on the motor exceeds a second predetermined load threshold.

3. The surgical clip applier system of claim 1, wherein the first predetermined threshold is greater than the second predetermined threshold.

4. The surgical clip applier system of claim 1, wherein the control system is configured to monitor a displacement of the clamping assembly and, based on a predefined displacement, lower the velocity of the clamping assembly.

5. The surgical clip applier system of claim 4, wherein a distal end of each of the jaws of the pair of jaws come into contact with each other at the predefined displacement.

6. The surgical clip applier system of claim 1, wherein the drive assembly is disposed within a housing coupled to a proximal end of the clip applier shaft assembly.

7. The surgical clip applier system of claim 1, wherein the drive assembly comprises a first housing on a robotic arm having the motor disposed therein, and a second housing on a proximal end of the clip applier shaft assembly and having at least one connector for coupling to the motor in the first housing.

8. A surgical clip applier system, comprising:

an electromechanical tool shaft assembly having

an instrument shaft,

an end effector at a distal end thereof having a pair of jaws movable between open and closed positions,

a clip stack disposed within the instrument shaft and comprising a plurality of clips,

a clip advancing assembly extending through the instrument shaft and configured to feed a distal-most clip of the clip stack into the pair of jaws,

a clamping assembly configured to move the pair of jaws from the open position to the closed position to move the distal-most clip in the pair of jaws from the open configuration to a tissue-engaging configuration;

a drive system operably coupled to the electromechanical tool shaft assembly and having a motor configured to drive the clamping assembly through a first stage in which the jaws are moved from the open configuration to a partially closed configuration to thereby partially close a distal-most clip disposed within the jaws, and a second stage in which the jaws are moved from the partially closed configuration to the closed configuration to thereby move the clip to the tissue-engaging configuration; and

a control system configured to actuate the drive system and thereby control movement of the clamping assembly so as to control a velocity of the clamping assembly during the first stage, and to terminate actuation of the motor and thus the drive assembly during the second stage if a load on the motor exceeds a first predetermined load threshold.

9. The surgical clip applier system of claim 8, wherein the control system is configured to terminate actuation of the motor and thus the drive assembly during the first stage of clip formation if a load on the motor exceeds a second predetermined load threshold.

10. The surgical clip applier system of claim 9, wherein the first predetermined threshold is greater than the second predetermined threshold.

11. The surgical clip applier system of claim 8, wherein the control system is configured to monitor a displacement of the clamping assembly and, based on a predefined displacement, lower the velocity of the clamping assembly.

12. The surgical clip applier system of claim 11, wherein a distal end of each of the jaws of the pair of jaws come into contact with each other at the predefined displacement.

13. The surgical clip applier system of claim 8, wherein drive assembly is disposed within a housing coupled to a proximal end of the instrument shaft.

14. The surgical clip applier system of claim 8, wherein the drive system comprises a first housing on a robotic arm having the motor disposed therein, and a second housing on a proximal end of the instrument shaft and having a connector for coupling to the motor in the first housing.

15. A method for applying a clip to tissue, comprising:

manipulating a clip applier device to position tissue within a clip seated in a pair of jaws on a distal end of a elongate shaft of the clip applier device; and

actuating a drive system to cause a motor to drive a clamping assembly to thereby move the pair of jaws through a first stage of formation in which the clip is moved from an open configuration to partially closed configuration, and to further move the pair of jaws through a second stage of formation in which the clip is moved from the partially closed configuration to a closed configuration to cause the clip to engage the tissue;

wherein a control system operably coupled to the drive system actuates the drive system to control movement of the clamping assembly at a velocity during the first stage of formation, and the control system stops movement of the drive system and thus the clamping assembly during the second stage of formation if a load on the motor exceeds a first predetermined threshold load.

16. The method of claim 15, wherein the control system stops movement of the drive system and thus the clamping assembly during the first stage of formation if a load on the motor exceeds a second predetermined threshold load.

17. The method of claim 16, wherein the first predetermined threshold is greater than the second predetermined threshold.

18. The method of claim 15, wherein the control system wirelessly communicates with the drive system to actuate the drive system.

19. The method of claim 15, wherein manipulating a clip applier device comprises manipulating a user input device wirelessly coupled to a surgical robotic system having the clip applier coupled thereto.

20. The method of claim 15, wherein manipulating a surgical clip applier device comprises manipulating a handle housing of the clip applier device.