LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION

• US 20160066913A1
• Filed: 09/05/2014
• Published: 03/10/2016
• Est. Priority Date: 09/05/2014
• Status: Abandoned Application

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Swayze, Jeffrey S., Shelton, Frederick E. IV, Baber, Daniel L., Beckman, Andrew T.
• Application Number:
  US14/479,108
• Publication Number:
  US 20160066913A1
• Time in Patent Office: Days
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/0644 penetrating the tissue, deformable to closed position
• 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 17/072 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• 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 2017/00026 Conductivity or impedance, e.g. of tissue
• CPC Class Codes: A61B 2017/00039 Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
• CPC Class Codes: A61B 2017/00061 spectrum
• CPC Class Codes: A61B 2017/00066 intensity
• CPC Class Codes: A61B 2017/00075 Motion
• CPC Class Codes: A61B 2017/00106 ultrasonic
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00199 : with a console, e.g. a control panel with a display
• 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 2017/00477 : Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00725 : Calibration or performance testing
• CPC Class Codes: A61B 2017/00734 : battery operated
• CPC Class Codes: A61B 2017/00876 : magnetic
• CPC Class Codes: A61B 2017/07214 : Stapler heads
• 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 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2018/00648 : using more than one sensed parameter
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter
• 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 2090/065 : for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/0803 : Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0806 : Instrument detectors with a removable part, e.g. working tip
• CPC Class Codes: A61B 2090/0807 : Indication means
• CPC Class Codes: A61B 2090/0808 : for indicating correct assembly of components, e.g. of the surgical apparatus
• CPC Class Codes: A61B 2090/081 : for contamination or dirt
• 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 2090/0814 : Preventing re-use
• CPC Class Codes: A61B 2090/0818 : Redundant systems, e.g. using two independent measuring systems and comparing the signals
• CPC Class Codes: A61B 2090/304 : using chemi-luminescent materials
• CPC Class Codes: A61B 2090/309 : using white LEDs
• CPC Class Codes: A61B 2090/702 : Devices for testing the cleaning process, e.g. test soils
• CPC Class Codes: A61B 2505/05 : Surgical care
• CPC Class Codes: A61B 2562/0223 : Magnetic field sensors
• CPC Class Codes: A61B 2562/0247 : Pressure sensors
• CPC Class Codes: A61B 2562/0257 : Proximity sensors
• CPC Class Codes: A61B 2562/0261 : Strain gauges
• CPC Class Codes: A61B 2562/029 : Humidity sensors
• CPC Class Codes: A61B 2562/043 : in a linear array
• CPC Class Codes: A61B 2562/06 : Arrangements of multiple sensors of different types
• CPC Class Codes: A61B 2562/223 : Optical cables therefor
• CPC Class Codes: A61B 5/067 : using accelerometers or gyroscopes
• CPC Class Codes: A61B 5/1076 : for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 5/6847 : mounted on an invasive device
• CPC Class Codes: A61B 5/6885 : Monitoring or controlling sensor contact pressure
• CPC Class Codes: A61B 8/12 : in body cavities or body tracts, e.g. by using catheters catheters per se A61M25/00
• CPC Class Codes: A61B 8/4483 : characterised by features of the ultrasound transducer
• CPC Class Codes: A61B 90/06 : Measuring instruments not otherwise provided for
• CPC Class Codes: A61B 90/70 : Cleaning devices specially adapted for surgical instruments
• CPC Class Codes: A61B 90/90 : Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61B 90/92 : coded with colour
• CPC Class Codes: A61B 90/94 : coded with symbols, e.g. text
• CPC Class Codes: A61B 90/96 : using barcodes
• CPC Class Codes: A61B 90/98 : using electromagnetic means, e.g. transponders
• CPC Class Codes: G01R 33/072 : Constructional adaptation of the sensor to specific applications
• CPC Class Codes: G06F 1/266 : Arrangements to supply power to external peripherals either directly from the computer or under computer control, e.g. supply of power through the communication port, computer controlled power-strips
• CPC Class Codes: G06F 1/28 : Supervision thereof, e.g. detecting power-supply failure by out of limits supervision
• CPC Class Codes: G06F 1/30 : Means for acting in the event of power-supply failure or interruption, e.g. power-supply fluctuations for resetting only G06F1/24
• CPC Class Codes: G06F 1/305 : in the event of power-supply fluctuations
• CPC Class Codes: G06F 1/3215 : Monitoring of peripheral devices
• CPC Class Codes: G06F 1/3287 : by switching off individual functional units in the computer system
• CPC Class Codes: H02H 1/06 : Arrangements for supplying operative power power supply arrangements in general G05F, H02M
• CPC Class Codes: H02H 11/002 : in case of inverted polarity or connection; with switching for obtaining correct connection
• CPC Class Codes: H02H 3/02 : Details
• CPC Class Codes: H02H 3/04 : with warning or supervision in addition to disconnection, e.g. for indicating that protective apparatus has functioned watching of pilot wires H02H1/0084; protection of protective arrangements H02H7/008; indication of the state of electronic switches H03K17/18
• CPC Class Codes: H02H 3/06 : with automatic reconnection
• CPC Class Codes: H02H 3/087 : for dc applications
• CPC Class Codes: H02H 3/18 : responsive to reversal of direct current
• CPC Class Codes: H02H 3/202 : for dc systems
• CPC Class Codes: H02H 3/207 : also responsive to under-voltage window comparators for indication G01R19/165
• CPC Class Codes: H02H 3/243 : for DC systems
• CPC Class Codes: H02H 7/20 : for electronic equipment for converters H02H7/10; for electric measuring instruments G01R1/36; for dc voltage or current semiconductor regulators G05F1/569; for amplifiers H03F1/52; for electronic switching circuits H03K17/08
• CPC Class Codes: H02J 1/001 : Hot plugging or unplugging of load or power modules to or from power distribution networks
• CPC Class Codes: H02J 1/10 : Parallel operation of dc sources
• CPC Class Codes: H02J 2310/23 : The load being a medical device, a medical implant, or a life supporting device
• CPC Class Codes: H02J 7/0068 : Battery or charger load switching, e.g. concurrent charging and load supply H02J7/0013 takes precedence
• CPC Class Codes: Y02D 10/00 : Energy efficient computing, e.g. low power processors, power management or thermal management

Abstract

A staple cartridge for use with a surgical stapler and surgical stapling systems are disclosed. The staple cartridge comprises a cartridge body having a tissue-contacting surface. One or more light emitting diodes (LEDs) are positioned at the edges of the tissue-contacting surface. A plurality of staple drivers is located within the cartridge body each supporting a staple.

Claims

1. A staple cartridge for use with a surgical stapler, the staple cartridge comprising:

a cartridge body having a tissue-contacting surface;

one or more LEDs positioned at the edges of the tissue-contacting surface; and

a plurality of staple drivers within the cartridge body each supporting a staple.

2. The staple cartridge of claim 1, wherein the one or more LEDs emit ultraviolet light.

3. The staple cartridge of claim 2, wherein the staples are coated in a fluorescing dye.

4. The staple cartridge of claim 1, wherein the one or more LEDs emit infrared light.

5. A surgical stapling system comprising:

an elongated shaft assembly configured to transmit actuation motions from an actuator; and

an end effector for compressing and stapling tissue, the end effector operably coupled to the elongated shaft, the end effector comprising;

an elongated channel;

an anvil having a staple forming surface thereon, the anvil moveable relative to the elongated channel between an open position and a closed position; and

a staple cartridge removably positioned within the elongated channel, the staple cartridge comprising;

a cartridge body having a tissue-contacting surface in a confronting relationship with the anvil'"'"'s staple forming surface when the anvil is in the closed position;

one or more LEDs positioned to be visible when the anvil is in the closed position; and

a plurality of staple drivers within the cartridge body each supporting a staple.

6. The system of claim 5, wherein the one or more LEDs indicate that the compressed tissue is stable.

7. The system of claim 6, wherein at least one LED is visible from either the left or the right side of the end effector, the at least one LED configured to flash at the rate of the tissue'"'"'s stabilization and further configured to maintain a lit condition when the tissue is stable.

8. The system of claim 6, wherein more than one LED is visible from either the left or the right side of the end effector.

9. The system of claim 8, wherein the more than one LEDs light in sequence at the rate of the tissue'"'"'s stabilization, such that when all the LEDs indicates that the tissue is stable.

10. The system of claim 8, wherein the more than one LEDs light in sequence, the speed of the sequence indicating the rate of the tissue'"'"'s stabilization, and wherein all the LEDs flash simultaneously when the tissue is stable.

11. The system of claim 5, wherein the one or more LEDs indicate which portions of the end effector are in sufficient contact with the tissue.

12. The system of claim 5, the system further comprising a processor, the processor configured to compare the tissue'"'"'s parameters against the acceptable parameters for all staple cartridges.

13. The system of claim 12, wherein the processor is further configured to compare the tissue'"'"'s parameters against the acceptable parameters for the staple cartridge currently present in the elongated channel.

14. The system of claim 12, wherein the LEDs indicate that the staple cartridge is appropriate for the tissue.

15. The system of claim 5, wherein the one or more LEDs indicate that the staple cartridge is not compatible with the stapling system.

16. The system of claim 5, wherein the one or more LEDs indicate that the end effector is enclosing more tissue than is suitable for the staple cartridge.

17. A surgical stapling system comprising:

an elongated shaft assembly configured to transmit actuation motions from an actuator; and

an end effector for compressing and stapling tissue, the end effector operably coupled to the elongated shaft, the end effector comprising;

an elongated channel;

an anvil having a staple forming surface thereon, the anvil moveable relative to the elongated channel between an open position and a closed position; and

a staple cartridge removably positioned within the elongated channel, the staple cartridge comprising;

a cartridge body having an upper surface in a confronting relationship with the anvil'"'"'s staple forming surface when the anvil is in a closed position;

one or more LEDs positioned to provide illumination to the area between the anvil and the staple cartridge when the anvil is in a closed position; and

a plurality of staple drivers within the cartridge body each supporting a staple.

18. The system of claim 17, wherein the one or more LEDs emit ultraviolet light.

19. The system of claim 18, wherein the staples are coated in a fluorescing dye.

20. The system of claim 17, wherein the one or more LEDs emit infrared light.