Surgical stapling instrument with device for indicating when the instrument has cut through tissue

• US 7,837,080 B2
• Filed: 09/18/2008
• Issued: 11/23/2010
• Est. Priority Date: 09/18/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Schwemberger, Richard F.
• Primary Examiner(s): Durand; Paul R
• Application Number:
  US12/212,928
• Publication Number:
  US 20100065609A1
• Time in Patent Office: 796 Days
• Field of Search: 2271751-1821, 606/48, 606/50, 606/51, 606/139, 606/142, 606/143
• US Class Current: 227/176.1
• CPC Class Codes: A61B 17/115 Staplers for performing anastomosis in a single operation
• CPC Class Codes: A61B 17/1155 Circular staplers comprising a plurality of staples
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00876 magnetic
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• 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

Abstract

Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of feedback systems designed to provide at least one mode of feedback to the surgeon when the knife has cut through tissue clamped between a staple cartridge and an anvil portion.

Claims

1. A surgical stapling instrument for applying one or more surgical staples to tissue, comprising:

a handle assembly;

a stapling head assembly operably coupled to said handle assembly by a shaft assembly, said stapling head assembly comprising;

a staple cartridge for supporting one or more surgical staples;

an anvil for clamping the tissue against said staple cartridge;

a staple driver assembly for engaging and driving the staples from said staple cartridge into the tissue and against said anvil; and

a knife movably supported in said stapling head assembly for cutting through the clamped tissue;

a drive system for applying drive motions to said staple driver assembly and said knife; and

a knife board supported in said anvil, said knife board supporting at least one sensor configured to transmit a signal to an indicator when said knife has cut through said clamped tissue and including a wall portion configured to be cut by said knife after cutting through said clamped tissue such that at least an audio signal or tactile signal is generated by said knife cutting through said knife board.

2. The surgical stapling instrument of claim 1 wherein said at least one sensor comprises at least one wire affixed to said knife board.

3. The surgical stapling instrument of claim 2 wherein said at least one wire is embedded in said knife board.

4. The surgical stapling instrument of claim 1 wherein said at least one sensor comprises a magnetic sensor.

5. The surgical stapling instrument of claim 1 wherein said indicator comprises an indicator selected from the group of indicators consisting of:

a light generating device, a vibration generating device, and a sound generating device.

6. A method for processing an instrument for surgery, the method comprising:

obtaining the surgical stapling instrument of claim 1;

sterilizing the surgical stapling instrument; and

storing the surgical stapling instrument in a sterile container.

7. A surgical stapling instrument for applying one or more surgical staples to tissue, comprising:

a handle assembly;

a stapling head assembly operably coupled to said handle assembly by a shaft assembly, said stapling head assembly comprising;

a staple cartridge for supporting one or more surgical staples;

an anvil for clamping the tissue against said staple cartridge;

a staple driver for engaging and driving the staples from said staple cartridge into the tissue and against said anvil; and

a knife movably supported in said stapling head assembly for cutting through the clamped tissue;

a drive system for applying drive motions to said staple driver and said knife; and

a feedback system comprising a knife board mounted in said anvil, said knife board having at least one sensor operably supported therein for detecting the presence of said knife after said knife has cut through said clamped tissue, said sensor operably communicating with an indicator supported by said handle assembly such that when said knife has cut through said clamped tissue, said sensor permits said indicator to be energized.

8. The surgical stapling instrument of claim 7 wherein said sensor comprises at least one wire on said knife board and wherein said at least one indicator comprises at least one light emitting diode mounted on said handle assembly.

9. The surgical stapling instrument of claim 7 wherein said at least one sensor comprises at least one wire affixed to said knife board.

10. The surgical stapling instrument of claim 9 wherein said at least one wire is embedded in said knife board.

11. The surgical stapling instrument of claim 7 wherein said at least one sensor comprises a magnetic sensor.

12. The surgical stapling instrument of claim 7 wherein said indicator comprises an indicator selected from the group of indicators consisting of:

a light generating device, a vibration generating device, and a sound generating device.

13. The surgical stapling instrument of claim 7 wherein said feedback system is configured to provide at least one other form of feedback when said knife has cut through said clamped tissue.

14. The surgical stapling instrument of claim 13 wherein said at least one other form of feedback comprises tactile feedback which can be felt by grasping said handle assembly.

15. The surgical stapling instrument of claim 13 wherein said at least one other form of feedback comprises an audio feedback.

16. A method for processing an instrument for surgery, the method comprising:

obtaining the surgical stapling instrument of claim 7;

sterilizing the surgical stapling instrument; and

storing the surgical stapling instrument in a sterile container.

17. A surgical stapling instrument for applying one or more surgical staples to tissue, comprising:

a handle assembly;

a stapling head assembly comprising;

a staple cartridge for operably supporting a plurality of staples therein;

a staple driver for engaging and driving staples from said staple cartridge;

a knife movably supported in said stapling head assembly;

a drive system for applying drive motions to said staple driver and said knife;

a shaft assembly operably coupled to said handle assembly and said stapling head assembly, said shaft assembly including a selectively movable trocar;

an anvil detachably mounted to said trocar and positioned relative to said stapling head assembly, such that at least some of said tissue may be clamped between said staple cartridge and said anvil, said anvil having a body portion and a stem protruding from said body portion, said stem configured to operably receive a tip portion of said trocar therein; and

a feedback system comprising at least one sensor supported by said anvil, said anvil stem being configured to establish an electrical connection between said at least one sensor and at least one indicator supported by said handle assembly when said tip portion of said trocar is seated within said anvil stem, such that when said knife has cut through said clamped tissue, said at least one sensor permits said indicator to be energized.

18. The surgical instrument of claim 17 further comprising a knife board supported in said body portion of said anvil, said knife board operably supporting said at least one sensor therein.

19. The surgical instrument of claim 18 wherein said knife board is configured to generate an audible sound apart from said signal when said knife is advanced through a portion of said knife board.

20. The surgical stapling instrument of claim 17 wherein said indicator comprises an indicator selected from the group of indicators consisting of:

a light generating device, a vibration generating device, and a sound generating device.

21. The surgical stapling instrument of claim 17 wherein said feedback system is configured to provide at least one other form of feedback when said knife has cut through said clamped tissue.

22. A method for processing an instrument for surgery, the method comprising:

obtaining the surgical stapling instrument of claim 18;

sterilizing the surgical stapling instrument; and

storing the surgical stapling instrument in a sterile container.