Control system for clip applier

• US 10,548,601 B2
• Filed: 08/29/2017
• Issued: 02/04/2020
• 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., Worthington, Sarah Alexandra, Harris, Jason L., Baxter, III, Chester O., Nesbitt Spatholt, Rebecca Jean, Mumaw, Daniel J., Wiley, Jeffrey P.
• Primary Examiner(s): Tanner, Jocelin C
• Application Number:
  US15/689,573
• Publication Number:
  US 20190059898A1
• Time in Patent Office: 889 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 17/0682 for applying U-shaped staples or clamps, e.g. without a forming anvil
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• 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 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2034/302 specifically adapted for manipulations within body cavities, e.g. within abdominal or thoracic cavities
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/066 for measuring torque
• CPC Class Codes: A61B 34/30 Surgical robots
• CPC Class Codes: A61B 34/71 Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: A61B 34/77 Manipulators with motion or force scaling

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 move the distal-most clip around tissue from an open configuration to a closed tissue-engaging configuration;

a drive assembly operably coupled to the clamping assembly and to a motor configured to drive the clamping assembly to move the jaws between an open position and a closed position; and

a control system configured to control the motor, and configured to actuate a clip stability test after the pair of jaws is moved to the closed position, the clip stability test being configured to cause the pair of jaws to move from the closed position to a partially open configuration and back to the closed position.

2. The surgical clip applier system of claim 1, wherein the control system is configured to monitor a force required by the drive assembly to move the clamping assembly during the clip stability test.

3. The surgical clip applier system of claim 2, wherein the control system is configured to indicate whether the distal-most clip in the jaws is engaged with tissue by comparing the force monitored during the clip stability test to a threshold force.

4. The surgical clip applier system of claim 3, wherein the predetermined threshold force comprises a maximum force required to move the clamping assembly to cause the jaws to move to the closed position.

5. The surgical clip applier of claim 4, wherein the control system is configured to determine the maximum force when the clamping assembly is driven to move the jaws from the open position to the closed position, prior to the control system actuating the clip stability test.

6. The surgical clip applier system of claim 2, wherein the control system is configured to determine that the distal-most clip is properly engaged in tissue if the monitored force exceeds the a threshold force prior to completion of the clip stability test.

7. The surgical clip applier system of claim 2, wherein the control system is configured to determine that the distal-most clip is not properly engaged in tissue if the monitored force does not exceed a threshold force prior to completion of the clip stability test.

8. The surgical clip applier system of claim 1, wherein the clip stability test is further configured to cause the pair of jaws to rotate in at least one direction about a longitudinal axis of the clip applier shaft assembly after causing the drive assembly to move the jaws to the partially open configuration and before causing the drive assembly to move the jaws back to closed position.

9. 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, and

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 closed tissue-engaging configuration;

a drive system operably coupled to the electromechanical tool shaft assembly and having a motor configured to drive the clamping assembly to thereby move the jaws from the open configuration to the tissue-engaging configuration; and

a control system operably coupled to the motor, the control system being configured to actuate a clip stability test after the pair of jaws is moved to the closed position, the clip stability test being configured to cause the drive system to move the jaws from the closed position to a partially open configuration and back to the closed position, and the control system being configured to monitor a force required by the drive system to move the jaws during the clip stability test to determine whether a clip in the tissue-engaging configuration is properly engaged in tissue.

10. The surgical clip applier system of claim 9, wherein the control system includes a force threshold having a force value equivalent to a measured closing force, the measured closing force comprising a force required to advance the clamping assembly to move the jaws to the closed position, and the measured closing force being determined by the control system prior to actuation of the clip stability test when the jaws are in the closed position.

11. The surgical clip applier system of claim 10, wherein the control system is configured to determine that the clip in the closed tissue-engaging configuration is properly engaged in tissue if a test force measured by the control system during actuation of the clip stability test exceeds the force threshold before the clamping assembly moves the jaws back to the closed position.

12. The surgical clip applier system of claim 10, wherein the control system is configured to determine that the clip in the closed tissue-engaging configuration is not properly engaged in tissue if a test force measured by the control system during actuation of the clip stability test does not exceed the force threshold before the clamping assembly moves the jaws back to the closed position.

13. The surgical clip applier system of claim 9, wherein the clip stability test is further configured to cause the pair of jaws to rotate in at least one direction about a longitudinal axis of the clip applier shaft assembly after causing the drive assembly to move the jaws to the partially open configuration and before causing the drive assembly to move the jaws back to closed position.

14. The surgical clip applier system of claim 9, wherein the drive system is disposed within a housing coupled to a proximal end of the instrument shaft.

15. The surgical clip applier system of claim 9, 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.

16. 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 an 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 to a closed configuration thereby causing a clip to form a closed tissue-engaging configuration;

wherein a control system coupled to the drive system subsequently actuates a clip stability test that causes the drive system to move the pair of jaws from the closed position to a partially open configuration and back to the closed position, and wherein the control system monitors a force required by the drive system to move the pair of jaws during the clip stability test to determine if a clip in the closed tissue-engaging configuration is properly engaged with tissue.

17. The method of claim 16, wherein the control system includes a force threshold having a force value equivalent to a measured closing force, the measured closing force being determined by the control system prior to actuation of the clip stability test when the jaws are in the closed position.

18. The method of claim 17, wherein the control system determines that the clip in the closed tissue-engaging configuration is properly engaged in tissue if a test force measured by the control system during actuation of the clip stability test exceeds the force threshold before the clamping assembly moves the jaws back to the closed position.

19. The method of claim 17, wherein the control system determines that the clip in the closed tissue-engaging configuration is not properly engaged in tissue if a test force measured by the control system during actuation of the clip stability test does not exceed the force threshold before the clamping assembly moves the jaws back to the closed position.

20. The method of claim 16, wherein the control system wirelessly communicates with the drive system to actuate the drive system.