Electronic lockouts and surgical instrument including same

• US 20070175956A1
• Filed: 01/31/2006
• Published: 08/02/2007
• Est. Priority Date: 01/31/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Swayze, Jeffrey, Timperman, Eugene, Shelton, Frederick, Doll, Kevin
• Granted Patent: US 7,644,848 B2
• Time in Patent Office: Days
• US Class Current: 227/178.100
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2090/08021 of the patient or his organs
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

A surgical cutting and stapling instrument is disclosed. The instrument includes an end effector and a handle. The end effector includes a channel, an anvil pivotally attached to the channel, a moveable cutting instrument for cutting an object positioned between the anvil and the channel, and a staple cartridge configured for removable receipt by the channel. The staple cartridge includes a sled that is engaged by the cutting instrument during a cutting stoke. The handle includes a motor for actuating the cutting instrument via a main drive shaft assembly. The instrument further includes a first interlock circuit for enabling initiation of motor operation based upon a position of the staple cartridge.

Claims

1. A surgical cutting and stapling instrument comprising:

an end effector comprising;

a channel;

an anvil pivotally attached to the channel;

a moveable cutting instrument for cutting an object positioned between the anvil and the channel; and

a staple cartridge configured for removable receipt by the channel, wherein the staple cartridge comprises a sled that is engaged by the cutting instrument during a cutting stroke and;

a handle comprising a motor for actuating the cutting instrument via a main drive shaft assembly; and

a first interlock circuit for enabling initiation of motor operation based upon a position of the staple cartridge.

2. The surgical instrument of claim 1, further comprising a second interlock circuit for preventing pivotal movement of the anvil relative to the channel during movement of the cutting instrument.

3. The surgical instrument of claim 2, wherein the second interlock circuit comprises an electromechanical actuator configured to prevent opening of the anvil relative to the channel during movement of the cutting instrument.

4. The surgical instrument of claim 1, wherein the first interlock circuit is further for enabling initiation of motor operation based upon at least one of a position of the anvil, a position of the sled within the staple cartridge, and an accumulated number of operations performed by the instrument.

5. The surgical instrument of claim 4, wherein the first interlock circuit comprises:

a first switch configured to maintain a first switch state when the staple cartridge is in a position corresponding to the receipt thereof by the channel;

a second switch configured to maintain a second switch state when the anvil is in a closed position with respect to the channel;

a third switch configured to maintain a third switch state when the sled is present in an unfired position within the staple cartridge; and

a fourth switch configured to maintain a fourth switch state when the accumulated number of operations is less than a pre-determined number;

wherein the first, second, third, and fourth switches are connected such that the corresponding first, second, third, and fourth switch states, when collectively maintained, enable initiation of motor operation.

6. The surgical instrument of claim 5, wherein at least one of the first, second, third, and fourth switches is selected from:

a contact-actuated switch and a non-contact actuated switch.

7. The surgical instrument of claim 5, wherein the first switch comprises a first switch contact and a second switch contact disposed within the channel and electrically isolated therefrom, wherein the first and second switch contacts are positioned such that a portion of the staple cartridge, when in the position corresponding to the receipt thereof by the channel, establishes a conductive path between the first and second switch contacts.

8. The surgical instrument of claim 5, wherein the second switch is further configured to maintain the second switch state as a result of a mechanical force applied thereto when the anvil is in the closed position relative to the channel.

9. The surgical instrument of claim 5, wherein the second switch is further configured to maintain the second switch state responsive to an electrical signal, wherein the electrical signal is representative of a force exerted by the anvil when the anvil is in the closed position.

10. The surgical instrument of claim 5, wherein the second switch is further configured to maintain the second switch state after the anvil has been in the closed position with respect to the channel for a pre-determined period of time.

11. The surgical instrument of claim 5, wherein the third switch is further configured to maintain the third switch state as a result of a mechanical force applied thereto by the sled when present in the unfired position.

12. The surgical instrument of claim 5, further comprising a counter in communication with the fourth switch, wherein the counter is configured to maintain a count representative of the accumulated number of operations and to cause the fourth switch to maintain the fourth switch state when the count is less than the pre-determined number.

13. The surgical instrument of claim 12, wherein the counter is further configured to maintain the count based on one of a mechanical input and an electronic input received thereby.

14. The surgical instrument of claim 12, wherein the counter is in communication with a display for indicating one of the maintained count and a difference between the pre-determined number and the maintained count.

15. The surgical instrument of claim 5, further comprising at least one indicator displaying a status of at least one of the first, second, third, and fourth switches.

16. The surgical instrument of claim 5, wherein each of the first, second, and third switches is characterized by a normally-open switch configuration, and wherein the fourth switch is characterized by a normally-closed switch configuration.

17. The surgical instrument of claim 16, wherein the first, second, third, and fourth switches are connected in series with one of the motor and a motor control circuit such that initiation of motor operation is prevented when any of the first, second, third, or fourth switch states is not maintained.