Adapters with firing stroke sensing arrangements for use in connection with electromechanical surgical instruments

• US 10,687,813 B2
• Filed: 12/15/2017
• Issued: 06/23/2020
• Est. Priority Date: 12/15/2017
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Harris, Jason L., Morgan, Jerome R.
• Primary Examiner(s): Long, Robert F
• Application Number:
  US15/843,514
• Publication Number:
  US 20190183495A1
• Time in Patent Office: 921 Days
• Field of Search: 2271751-1821, 606 75, 606219
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00137 Details of operation mode
• CPC Class Codes: A61B 2017/00393 with means for switching between functions
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0046 with a releasable handle; with handle and operating part separable
• CPC Class Codes: A61B 2017/00464 for use with different instruments
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2948 Sealing means, e.g. for sealing the interior from fluid entry
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2090/0811 for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
• CPC Class Codes: A61B 2090/0813 Accessories designed for easy sterilising, i.e. re-usable
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes

Abstract

An adapter for use with an electromechanical surgical instrument. The adapter includes an end effector with first and second jaws that are movable between open and closed positions relative to each other by a dynamic clamping member that is axially movable through the end effector in a firing stroke. The adapter includes firing stroke sensing arrangements for monitoring an axial position of the dynamic clamping assembly as it moves within the firing stroke.

Claims

1. An adapter for use with an electromechanical surgical instrument, said adapter comprising:

a surgical end effector comprising;

an anvil;

a cartridge assembly operably coupled to said anvil such that said anvil and cartridge assembly are movable relative to each other between open and closed positions, said cartridge assembly operably storing a plurality of fasteners therein; and

a dynamic clamping assembly selectively axially movable within said surgical end effector through a firing stroke wherein, when said dynamic clamping assembly is moved from a starting position in a distal axial direction through a proximal portion of said firing stroke, said dynamic clamping assembly moves said anvil and cartridge assembly from a fully open position to a closed position and when said dynamic clamping assembly is distally advanced through an intermediate portion of said firing stroke, said dynamic clamping assembly causes at least a majority of said fasteners stored in said cartridge assembly to be ejected therefrom and when said dynamic clamping assembly is distally advanced through a distal portion of said firing stroke, said dynamic clamping assembly causes any remaining said fasteners stored in said cartridge assembly to be ejected therefrom and wherein said adapter further comprises;

an axially movable firing member operably interfacing with a rotary drive shaft and configured to axially move said dynamic clamping assembly through said firing stroke;

a sensor positioned adjacent a portion of said axially movable firing member in said adapter; and

an actuator sensor movably interfacing with said portion of said axially movable firing member and configured to only be detected by said sensor when said axially movable firing member is in an intermediate actuation stroke portion, wherein said actuator sensor is biased into sensing alignment with said sensor when said axially movable firing member is located within said intermediate actuation stroke portion to communicate a signal indicative of a location of said dynamic clamping assembly to the electromechanical surgical instrument.

2. The adapter of claim 1, wherein said actuator sensor is configured to determine when said dynamic clamping assembly is axially located at a midpoint of said intermediate portion of said firing stroke and communicate another said signal to the electromechanical surgical instrument indicative of said midpoint location.

3. The adapter of claim 1, wherein said rotary drive shaft is configured to operably interface with a source of rotary drive motions in the electromechanical surgical instrument and said axially movable firing member is configured to operably interface with said rotary drive shaft and configured to axially move said dynamic clamping assembly through said firing stroke in response to rotation of said rotary drive shaft.

4. The adapter of claim 3, wherein said signal communicated to the electromechanical surgical instrument is used to control the source of the rotary drive motions in the electromechanical surgical instrument.

5. The adapter of claim 3, wherein said axially movable firing member is moved through an actuation stroke in response to an application of said rotary drive motions thereto, said actuation stroke comprising:

a proximal actuation stroke portion corresponding to said proximal portion of said firing stroke;

said intermediate actuation stroke portion corresponding to said intermediate portion of said firing stroke; and

a distal actuation stroke portion corresponding to said distal portion of said firing stroke and wherein said sensor and said actuator sensor are configured to determine when said axially movable firing member is axially located in said intermediate actuation stroke portion and communicate a signal indicative of said location of said axially movable firing member to the electromechanical surgical instrument.

6. The adapter of claim 1, wherein said actuator sensor is supported on a sensor coupler arm that is movably supported on said portion of said axially movable firing member such that when said axially movable firing member is in either of a proximal actuation stroke portion and a distal actuation stroke portion, said portion of said axially movable firing member causes said sensor coupler arm to move said actuator sensor out of said sensing alignment with said sensor.

7. The adapter of claim 1, wherein said adapter further comprises:

an adapter housing assembly configured to be operably coupled to the electromechanical surgical instrument; and

an outer tube assembly defining a longitudinal axis between a proximal end and a distal end thereof, said proximal end operably coupled to said adapter housing assembly, said outer tube assembly operably supporting said axially movable firing member therein and wherein said outer tube assembly operably supports said sensor adjacent said portion of said axially movable firing member.

8. The adapter of claim 1 wherein said sensor comprises a Hall effect sensor and wherein said actuator sensor comprises a magnet.

9. The adapter of claim 6, wherein said sensor coupler arm comprises a first engagement portion slidably received within an axial slot in said portion of said axially movable firing member and a second portion operably supporting said actuator sensor thereon.

10. The adapter of claim 9, wherein said axial slot comprises a proximal wall and a distal wall, wherein said distal wall is configured to move said actuator sensor out of said sensing alignment with said sensor when said axially movable firing member is in said proximal actuation stroke portion, and wherein said proximal wall is configured to move said actuator sensor out of said sensing alignment with said sensor when said axially movable firing member is in said distal actuation stroke portion.

11. The adapter of claim 1, further comprising an inner housing assembly, and wherein said sensor is fixable mounted to said inner housing assembly.

12. The adapter of claim 1, further comprising a first spring and a second spring, wherein said first spring and said second spring are configured to cooperatively bias said actuator sensor into said sensing alignment with said sensor when said axially movable firing member is location within said intermediate actuation stroke portion.

13. The adapter of claim 1, wherein said signal is configured to be communicated to a control circuit to control an output of a motor.

14. The adapter of claim 13, wherein said signal is configured to decrease a current supplied to the motor.

15. The adapter of claim 1, wherein said rotary drive shaft comprises a threaded distal end portion, and wherein said axially movable firing member threadably engages said threaded distal end portion.

16. The adapter of claim 1, wherein said surgical end effector further comprises a channel, and wherein said cartridge assembly is removably positioned in said channel.

17. The adapter of claim 16, wherein said cartridge assembly is replaceable.

18. The adapter of claim 16, wherein said dynamic clamping assembly comprises:

an anvil engagement tab configured to slidably engage said anvil during said firing stroke; and

a channel engagement tab configured to slidably engage said channel during said firing stroke.

19. The adapter of claim 18, wherein said anvil engagement tab and said channel engagement tab are configured to cooperatively retain said anvil and said cartridge assembly in said closed position during said firing stroke.

20. The adapter of claim 1, wherein said dynamic clamping assembly comprises a tissue cutting edge.