Endoscopic surgical system with sensing means

• US 5,518,164 A
• Filed: 05/26/1995
• Issued: 05/21/1996
• Est. Priority Date: 01/17/1992
• Status: Expired due to Term

• Current Assignee: Ethicon Incorporated (Johnson & Johnson)
• Original Assignee: Ethicon Incorporated (Johnson & Johnson)
• Inventors: Hooven, Michael D.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US08/451,856
• Time in Patent Office: 361 Days
• Field of Search: 227/175, 227/176, 227/180, 227/178, 227/19, 128/4, 606/142
• US Class Current: 227/5
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/1285 for minimally invasive surgery
• CPC Class Codes: A61B 17/320016 Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes A61B10/0233, A61B17/29, A61B17/3207 take precedence
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2905 flexible
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/32113 with extendable or retractable guard or blade
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for
• CPC Class Codes: Y10S 227/901 Surgical clip appliers

Abstract

An endoscopic surgical system which includes an instrument for carrying out a step in the procedure. The instrument is power operated and the system includes sensing elements to control the operation of the instrument.

Claims

1. A stapling instrument for use in an endoscopic procedure comprising:

a head portion, a handle portion and a connecting portion connecting said head portion to said handle portion;

said head portion comprising means for holding a cartridge of staples, firing means for ejecting staples from said cartridge and anvil means to form said staples, said anvil means being disposed in relationship to said cartridge holding means to allow tissue to be disposed between said cartridge and said anvil means;

a rotatable shaft disposed in said connecting portion;

converting means disposed at one end of said rotatable shaft and connecting said firing means to said shaft to convert the motion of the shaft into a force to eject said staples from the cartridge and form said staples in the tissue,

means disposed at the other end of said rotatable shaft for rotating said shaft,

a first sensing means disposed in said head portion for detecting a physical property of the tissue placed between said cartridge and said anvil means,

a second sensing means for detecting the force used to eject and form the staples; and

control means interconnected to both said first and second sensing means to control the ejection and formation of the staples.

2. A stapling instrument according to claim 1 wherein the anvil means is pivotally connected to the means for holding a cartridge of staples at one end thereof.

3. A stapling instrument according to claim 1 wherein the cartridge of staples contains at least 2 parallel rows of staples.

4. A stapling instrument according to claim 3 wherein the head portion includes cutting means reciprocally movable between 2 rows of staples.

5. A stapling instrument according to claim 1 which includes a third sensing means disposed in said instrument for measuring a physical property of the instrument.

6. A stapling instrument according to claim 1 wherein the anvil means is pivotally connected to the means for holding a cartridge of staples at one end thereof, the cartridge of staples contains at lest two parallel rows of staples, the head portion includes cutting means, said cutting means comprising a knife which is movable between adjacent rows of staples and the converting means also converts the motion of the shaft into a force to move said knife.

7. A stapling instrument according to claim 6 which includes a third sensing means disposed in said instrument for determining the position of the knife.

8. A stapling instrument according to claim 1 wherein the firing means is a D.C. motor.

9. A stapling instrument according to claim 8 wherein the D.C. motor is releasably attached to the instrument.