Pneumatically powered surgical cutting and fastening instrument with audible and visual feedback features

• US 7,441,684 B2
• Filed: 08/02/2006
• Issued: 10/28/2008
• Est. Priority Date: 08/02/2006
• Status: Active Grant

• Current Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Morgan, Jerome R., Shelton, Frederick E. IV, Timperman, Eugene L., Fugikawa, Leslie M.
• Primary Examiner(s): Smith; Scott A.
• Application Number:
  US11/497,937
• Publication Number:
  US 20080029571A1
• Time in Patent Office: 818 Days
• Field of Search: 227/19, 227/175.1, 227/176.1, 227/178.1, 227/180.1
• US Class Current: 227/175.1
• 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 2017/003 Steerable
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00548 Gas cartridges therefor
• CPC Class Codes: A61B 2017/2902 characterized by features of the actuating rod
• CPC Class Codes: A61B 2017/2925 Pistol grips
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2929 with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/037 with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/0803 Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0807 Indication means
• 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: F17C 2270/0545 Tools

Abstract

A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position. A pneumatically powered drive system operably communicates with the pneumatically powered tool and is configured to selectively apply at least a firing force to the firing mechanism of the pneumatically powered tool of sufficient magnitude to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas that is fluidically coupled to the pneumatically powered drive system. At least one feedback device communicates with the pneumatically powered drive system for providing feedback concerning at least one of:

(a) the magnitude of the firing force as the pneumatically powered drive system moves the firing mechanism from the unactuated to actuated position; and

(b) a relative position of the firing mechanism as the firing mechanism is moved between the unactuated and actuated positions.

Claims

1. A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position, said surgical instrument comprising:

a handle assembly operably couplable to the pneumatically powered tool;

a pneumatically powered drive system at least partially supported by said handle assembly and operably communicating with the pneumatically powered tool, said pneumatically powered drive system being configured to selectively apply at least a firing force to the firing mechanism of the pneumatically powered tool of sufficient magnitude to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to said pneumatically powered drive system; and

at least one feedback device operably supported by said handle assembly and communicating with said pneumatically powered drive system for providing feedback concerning;

(a) the magnitude of said firing force as said pneumatically powered drive system moves the firing mechanism from the unactuated to actuated position; and

(b) a relative position of the firing mechanism as the firing mechanism is pneumatically moved between the unactuated and actuated positions.

2. The surgical instrument of claim 1 wherein said magnitude of said firing force is substantially proportional to a pressure of said flow of gas from said source of gas to said pneumatically powered drive system as said pneumatically powered drive system moves the firing mechanism from the unactuated to actuated position.

3. The surgical instrument of claim 1 wherein said at least one feedback device provides a visual indication of the magnitude of said firing force as the pneumatically powered drive system moves the firing mechanism from the unactuated position to the actuated position.

4. The surgical instrument of claim 3 wherein said at least one feedback device comprises a pressure gage in fluid communication with a supply line fluidically coupling said source of gas to said pneumatically powered drive system.

5. The surgical instrument of claim 3 wherein said feedback device at least provides an audible sound that has a pitch that varies in proportion to the magnitude of the firing force being generated as the firing mechanism is moved from the unactuated to actuated position.

6. The surgical instrument of claim 5 wherein said at least one feedback device comprises at least one orifice in a supply line fluidically coupling said source of gas to said pneumatically powered drive system.

7. The surgical instrument of claim 1 wherein said feedback device provides a visual indication of a relative position of the firing mechanism between the unactuated and actuated positions as the firing mechanism is moved therebetween by said pneumatically powered drive system.

8. The surgical instrument of claim 1 wherein said at least one feedback device comprises:

a first visual feedback device for indicating the magnitude of said firing force as said pneumatically powered drive system moves the firing mechanism from the unactuated to actuated position; and

a second visual feedback device for indicating a relative position of the firing mechanism as the firing mechanism is moved between the unactuated and actuated positions.

9. The surgical instrument of claim 1 wherein said at least one feedback device comprises a firing stroke indicator communicating with said pneumatically powered drive system to provide an indication when the firing mechanism has reached the actuated position.

10. The surgical instrument of claim 9 wherein said pneumatically powered drive system is further configured to selectively apply a retraction force to the firing mechanism of the pneumatically powered tool to cause the firing mechanism to move from the actuated position to the unactuated position in response to another flow of said gas from said source of gas and wherein when the firing mechanism reaches said actuated position, said firing stroke indicator communicates with a flow control device in fluid communication with said source of gas and said pneumatically powered drive system to cause said flow of gas to said pneumatically powered drive system to be discontinued and permit said another flow of gas to flow to said pneumatically powered drive system to cause said pneumatically powered drive system to apply said retraction force to the firing mechanism.

11. A surgical instrument for use in connection with a pneumatically powered tool having a firing mechanism operably supported therein that is movable between an unactuated position and an actuated position, said surgical instrument comprising:

drive means for selectively applying at least a firing force to the firing mechanism of the pneumatically powered tool of sufficient magnitude to cause the firing mechanism to move from the unactuated position to the actuated position in response to a flow of gas from a source of gas fluidically coupled to said drive means; and

means for providing feedback communicating with said drive means for providing feedback concerning;

(a) the magnitude of said firing force as said drive means moves the firing mechanism from the unactuated to actuated position; and

(b) a relative position of the firing mechanism as the firing mechanism is pneumatically moved between the unactuated and actuated positions.

12. A surgical instrument comprising:

a handle assembly;

a closure drive operably supported by said handle assembly and configured to generate a closing motion and an opening motion;

an elongate shaft assembly operably coupled to said handle assembly and communicating with said closure drive to transfer said opening and closing motions;

a pneumatically powered drive system supported by at least one of said handle assembly and said elongate shaft assembly and being configured to selectively generate at least one of a firing force and a retraction force;

an end effector coupled to said elongate shaft assembly, said end effector comprising;

an elongate channel sized to receive a staple cartridge therein;

an anvil pivotally coupled to said elongate channel and being pivotally responsive to said open and closing motions from said elongate shaft assembly; and

a firing mechanism operably supported within one of said elongate channel and the staple cartridge and being movable from an unactuated position to an actuated position in response to an application of said firing force from said pneumatically powered drive system and being movable from said actuated position to said unactuated position in response to another application of said retraction force from said

pneumatically powered drive system and wherein said surgical instrument further comprises;

at least one feedback device communicating with said drive system for providing feedback concerning;

(a) a magnitude of said firing force as said drive system moves the firing mechanism from the unactuated to actuated position; and

(b) a relative position of the firing mechanism as the firing mechanism is pneumatically moved between the unactuated and actuated positions.

13. The surgical instrument of claim 12 wherein said pneumatically powered drive system comprises a drive member configured to generate a firing force in response to a flow of gas from a source of pressurized gas fluidically coupled thereto and a retraction force and wherein said drive member is selected from the group of drive members consisting essentially of:

a pneumatically powered cylinder, a pneumatically powered bellows assembly and a pneumatically powered motor.

14. The surgical instrument of claim 12 wherein said pneumatically powered drive system comprises:

a source of pressurized gas;

a pneumatically powered drive member fluidically coupled to said source of pressurized gas;

a flow control switch fluidically coupled to said pneumatically powered drive member and said source of pressurized gas for controlling flow of pressurized gas to said pneumatically powered drive member from said source of pressurized gas.

15. The surgical instrument of claim 14 wherein said at least one feedback device comprises a firing stroke indicator cooperating with said pneumatically powered drive member to provide an indication when the firing mechanism has reached the actuated position, said firing stroke indicator communicating with said flow control switch such that when the firing mechanism reaches the actuated position, said firing stroke indicator causes said flow to switch to discontinue said flow of gas to said pneumatically powered drive member and permit said another flow of said gas to flow to said pneumatically powered drive member to cause said pneumatically powered drive member to apply said retraction force to the firing mechanism.

16. The surgical instrument of claim 15 wherein said at least one feedback device further comprises:

a first visual feedback device for indicating the magnitude of said firing force as said pneumatically powered drive member moves the firing mechanism from the unactuated to actuated position; and

a second visual feedback device for indicating a relative position of the firing mechanism as the firing mechanism is moved between the unactuated and actuated positions.

17. The surgical instrument of claim 15 wherein said at least one feedback device further comprises a pressure gage in fluid communication with a supply line fluidically coupling said source of gas to said pneumatically powered drive member.

18. The surgical instrument of claim 15 wherein said at least one feedback device further comprises another feedback device that provides an audible sound that has a pitch that varies in proportion to the magnitude of the firing force being generated as the firing mechanism is moved from the unactuated to actuated position.

19. The surgical instrument of claim 15 wherein said at least one feedback device further comprises at least one orifice in a supply line fluidically coupling said source of gas to said pneumatically powered drive member.