Endoscopic surgical system with sensing means

• US 5,667,517 A
• Filed: 05/26/1995
• Issued: 09/16/1997
• 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 Dawson
• Primary Examiner(s): SCHMIDT, JEFFREY
• Application Number:
  US08/452,206
• Time in Patent Office: 844 Days
• Field of Search: 606/1, 606/139, 606/144, 606/145, 606/148, 606/151, 606/205-207, 227/175.1-182.1, 227/19, 227/901
• US Class Current: 606/151
• 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 by a supply source, and there is contained a mechanism used to conduct the power from the supply source to the instrument. The system includes a sensing mechanism attached to the instrument and used to monitor and to control the operation of the instrument.

Claims

1. A system for use in an endoscopic procedure comprising:

(a) an instrument useful in conducting a step in the procedure;

(b) means for supplying electrical power connected to said instrument to operate the instrument and conduct said step in the procedure; and

,

(c) sensing and control means attached to said instrument to monitor and control the operation of the instrument in conducting said step, and

(c) sensing and control means attached to said instrument to monitor and control the operation of the instrument in conducting said step, and

wherein the instrument contains a mechanism to apply staples to tissue held by the instrument during the step in the procedure, the means for supplying electrical power to the instrument is used to drive the staples into the tissue and the sensing means determines the presence or absence of staples in the instrument.

2. A system according to claim 1 which includes means for identification of said instrument, for detecting said identification and for controlling use of the instrument according to said identification, said means for identification connected to said sensing and control means.

3. A system according to claim 1 which includes sensing means for determining at least one property of the tissue on which the procedure is performed by the instrument.

4. A system according to claim 1 wherein the instrument includes holding means for holding tissue, a knife for severing tissue placed in said holding means during the step in the procedure, the means for supplying electrical power to the instrument operates the knife to sever tissue and the sensing means determines the position of the knife in the instrument.

5. A system according to claim 4 which said sensing means includes means for measuring tissue thickness.

6. A system according to claim 1 wherein the instrument applies a plurality of clips used to ligate vessels during the step in the procedure, the means for supplying power to the instrument closes a clip about a vessel and the sensing means determines the presence or absence of clips in the instrument.

7. A system according to claim 1 wherein the means for supplying electrical power to the instrument in a D.C. motor.

8. A system according to claim 7 wherein the D.C. motor is releasably connected to the instrument.