SURGICAL INSTRUMENTS INCLUDING MEMS DEVICES

• US 20110144640A1
• Filed: 02/18/2011
• Published: 06/16/2011
• Est. Priority Date: 04/25/2002
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Tyco Healthcare Group LP (Medtronic Plc)
• Inventors: Heinrich, Russell, Cuny, Douglas J.
• Granted Patent: US 8,808,311 B2
• Time in Patent Office: Days
• US Class Current: 606/41
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/062 Needle manipulators
• CPC Class Codes: A61B 17/0686 having a forming anvil staying below the tissue during stapling
• 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 17/128 for applying or removing clamps or clips
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00066 intensity
• CPC Class Codes: A61B 2017/0023 disposable
• CPC Class Codes: A61B 2017/0609 having sharp tips at both ends, e.g. shuttle needle alternately retained and released by first and second facing jaws of a suturing instrument MIS suturing instruments A61B17/0469; jaws of MIS forceps A61B2017/2926
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07228 Arrangement of the staples
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2018/00648 using more than one sensed parameter
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2034/303 specifically adapted for manipulations within body lumens, e.g. within lumen of gut, spine, or blood vessels
• CPC Class Codes: A61B 2034/305 Details of wrist mechanisms at distal ends of robotic arms
• 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 34/30 : Surgical robots
• CPC Class Codes: A61B 90/06 : Measuring instruments not otherwise provided for

Abstract

Surgical instruments are disclosed that are couplable to or have an end effector or a disposable loading unit with an end effector, and at least one micro-electromechanical system (MEMS) device operatively connected to the surgical instrument for at least one of sensing a condition, measuring a parameter and controlling the condition and/or parameter.

Claims

1-69. -69. (canceled)

70. A surgical instrument, comprising:

an end effector configured and adapted to engage tissue, the end effector including a staple cartridge assembly and an anvil operatively associated with the staple cartridge assembly; and

at least one micro-electromechanical system (MEMS) device operatively connected to the end effector, each of the staple cartridge and the anvil defining tissue contacting surfaces, and the at least one MEMS device being operatively connected to at least one of the tissue contacting surface of the staple cartridge and the tissue contacting surface of the anvil, the MEMS device comprising an integrated electronic system including at least one sensor for sensing the amount of pressure applied to tissue clamped between the staple cartridge assembly and anvil and a distance between the tissue contacting surface of the staple cartridge and the tissue contacting surface of the anvil, the MEMS device further including one or more electronic circuits for determining a thickness of the tissue.

71. The surgical instrument according to claim 70, wherein the at least one MEMS device includes a wireless transmitter.

72. The surgical instrument according to claim 70, wherein the at least one MEMS device further includes a sensor selected from the group consisting of a pressure sensor, a strain sensor, a displacement sensor, an optical sensor, a biosensor, a temperature sensor, a torque sensor, an accelerometer, a flow sensor, an electrical sensor and a magnetic sensor.

73. The surgical instrument according to claim 70, wherein the at least one MEMS device includes one or more transducer delivery and receiving devices.

74. The surgical instrument according to claim 70, wherein the at least one MEMS device includes transducer delivery and receiving components that determine the distance between the tissue contacting surfaces of the anvil and the staple cartridge.

75. The surgical instrument according to claim 70, wherein the at least one MEMS device amplifies a signal and transmits the signal to a processor external to the at least one MEMS device.

76. A method of stapling tissue, comprising the steps of:

providing the surgical instrument according to claim 70, and

comparing the tissue thickness to predetermined values of tissue thickness.

77. The method according to claim 76, further comprising the step of adjusting the surgical instrument in order for the surgical instrument to be fired with sufficient power to affect all of the tissue if the tissue thickness is too large.

78. The method according to claim 76, wherein the surgeon adjusts the surgical instrument.

79. The method according to claim 76, wherein the surgeon determines whether the power applied by the surgical instrument is sufficient.

80. The surgical instrument according to claim 70, wherein the MEMS device includes a biosensor and the MEMS device determines the condition of the tissue.

81. The surgical instrument according to claim 70, wherein the end effector is configured to apply electrosurgical energy.

82. The surgical instrument according to claim 81, wherein the MEMS device includes a sensor for monitoring the amount of electrosurgical energy delivered to the tissue by the end effector.

83. The surgical instrument according to claim 70, wherein the MEMS device includes a temperature sensor.

84. The surgical instrument according to claim 70, wherein the MEMS device includes a thermocouple.

85. The surgical instrument according to claim 70, wherein the MEMS device determines the orientation of the instrument.

86. The surgical instrument according to claim 70, wherein the MEMS device includes an accelerometer.

87. The surgical instrument according to claim 70, wherein the MEMS device includes a plurality of accelerometers.

88. The surgical instrument according to claim 70, wherein the instrument includes tips extendable from the end effector into tissue.