Optimal tissue compression electrical surgical instrument

• US 8,573,459 B2
• Filed: 04/14/2008
• Issued: 11/05/2013
• Est. Priority Date: 05/19/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Smith, Kevin W., Bales, Thomas, Deville, Derek Dee, Rivera, Carlos, Palmer, Matthew A.
• Primary Examiner(s): Desai, Hemant M
• Assistant Examiner(s): Weeks, Gloria R
• Application Number:
  US12/102,181
• Publication Number:
  US 20080251569A1
• Time in Patent Office: 2,031 Days
• Field of Search: 227/175.1, 227/180.1, 227/182.1
• 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 17/1114 of the digestive tract, e.g. bowels or oesophagus
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07257 characterised by its anvil
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2090/032 pressure limiting, e.g. hydrostatic
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 90/03 Automatic limiting or abutting means, e.g. for safety

Abstract

An OTC surgical device includes a handle having therein a compression controller and thereat an end effector, which has an electrically controlled tissue-compressor coupled to the controller and powered thereby to selectively control tissue compression. A mechanical binary-output electrical switch is disposed in-line with the compressor to place a compressing force directed upon the compressed tissue proportionally upon the switch. The switch has two switching states initiated and changed only by mechanical movement. The switch includes a biasing device retaining the switch in a first switching state until a force imparted thereupon overcomes the bias force to change to the second switching state. A switching-state-status output provides information identifying a current state and communicates with the compression controller to selectively control compression of tissue based upon the information. With appropriate feedback, the controller can keep the tissue at OTC while the surgical procedure is carried out.

Claims

1. An optimal tissue compression surgical device, comprising:

a handle having therein a compression controller adapted to be electrically coupled to a power supply selectively supplying power therefrom; and

a surgical end effector connected to said handle and having;

an electrically controlled tissue-compressing device operable to compress tissue disposed therein, said tissue-compressing device being electrically coupled with said compression controller and being powered thereby to selectively control compression of the tissue disposed within said tissue-compressing device; and

a mechanical binary-output electrical switch disposed in line with said tissue-compressing device to place a force upon said mechanical binary-output electrical switch proportional to a compressing force directed upon the compressed tissue, said mechanical binary-output electrical switch having;

first and second electrical switching states initiated and changed solely by mechanical movements;

a biasing device retaining said switch in said first switching state with a bias force until a force imparted upon said switch overcomes said bias force to change said switch to said second switching state; and

a switching-state-status output communicatively coupled to said compression controller and operable to provide information identifying a current one of said switching states, said compression controller being operable to selectively control compression of the tissue disposed within said tissue-compressing device based upon said information.

2. The device according to claim 1, further comprising:

an entirely self-contained power supply disposed in said handle;

said compression controller being electrically coupled to said power supply to selectively supply power therefrom;

said tissue-compressing device being electrically coupled with said compression controller and said power supply; and

said biasing device operable to retain said switch in said first switching state until a force at least as great as said bias force is imparted to said switch to change said switch to said second switching state.

3. The device according to claim 1, wherein:

said end effector has a tissue surgery device operable to carry out a surgical procedure on the tissue compressed by said tissue-compressing device;

a procedure control switch is disposed at said handle and is coupled to said tissue surgery device to selectively commence and halt said surgical procedure, said procedure control switch having a commence position; and

said tissue surgery device is communicatively coupled with said compression controller and is operable to carry out said surgical procedure on the compressed tissue;

only when said procedure control switch is in said commence position; and

only after force imparted to said electrical switch is sufficient to switch from said first switching state to said second switching state and, thereby, change said information at said switching-state-status output.

4. The device according to claim 1, wherein:

said end effector has a tissue surgery device operable to carry out a surgical procedure on the tissue compressed by said tissue-compressing device;

a procedure control switch is disposed at said handle and is coupled to said tissue surgery device to selectively commence and halt said surgical procedure, said procedure control switch having a commence position; and

said tissue surgery device is communicatively coupled with said compression controller and is operable to carry out said surgical procedure on the compressed tissue;

only when said procedure control switch in said commence position; and

only while the force imparted to said electrical switch is sufficient to switch from said first switching state to said second switching state and, thereby, change said information at said switching-state-status output.

5. The device according to claim 1, further comprising a compression-start switch at said handle, said compression-start switch being communicatively coupled with said compression controller to selectively commence and halt compression of the tissue by said tissue-compressing device.

6. The device according to claim 1, wherein said biasing device is adjustable and applies said bias force over a range of bias force values.

7. The device according to claim 1, wherein:

said surgical end effector is a surgical stapling and cutting end effector having;

a pair of opposing stapling surfaces, at least one of said stapling surfaces being movable with respect to the other of said stapling surfaces along a compression axis to compress tissue therebetween and to staple the tissue compressed therebetween, said movable surface forming at least a first part of said tissue-compression device; and

a knife assembly disposed to cut the tissue compressed between said stapling surfaces;

said compression controller is a stapler-closing controller to be electrically coupled with the power supply and selectively supply power therefrom; and

an electrically-powered stapler-closing device;

is mechanically coupled to said movable stapling surface to displace said movable surface when powered; and

forms at least a second part of said tissue-compressing device; and

said electrical switch is disposed in line with said stapler-closing device along said compression axis.

8. The device according to claim 7, wherein:

said switch has a switch actuation gap;

said compression axis spans said gap; and

a change of said switching states is dependent upon a force placed along said compression axis.

9. The device according to claim 8, wherein said switch actuation gap is between approximately 25 micrometers and 200 micrometers in width.

10. An optimal tissue compression surgical endocutter, comprising:

a handle having therein a stapler-closing controller adapted to be electrically coupled with a power supply selectively supplying power therefrom; and

a surgical stapling and cutting end effector connected to said handle and having;

a pair of opposing stapling surfaces, at least one of said surfaces being movable with respect to the other of said stapling surfaces along a compression axis to compress tissue therebetween and to staple the tissue compressed therebetween;

an electrically-powered stapler-closing device electrically coupled with said stapler-closing controller and being powered thereby to selectively control compression of the tissue disposed between said stapling surfaces, said stapler-closing device being mechanically coupled to said movable stapling surface to displace said movable surface when powered;

a knife assembly disposed to cut the tissue compressed between said stapling surfaces; and

a mechanical binary-output electrical switch disposed in line with said stapler-closing device along said compression axis to place a force upon said switch proportional to a compressing force directed upon the compressed tissue, said switch having;

first and second electrical switching states initiated and changed solely by mechanical movements;

a biasing device retaining said switch in said first switching state with a bias force until a force imparted upon said switch overcomes said bias force to change said switch to said second switching state; and

a switching-state-status output communicatively coupled to said stapler-closing controller and operable to provide information identifying a current one of said switching states, said stapler-closing controller being operable to selectively control compression of the tissue disposed within said stapler-closing device based upon said information.

11. The endocutter according to claim 10, further comprising:

an entirely self-contained power supply disposed in said handle;

said stapler-closing controller being electrically coupled to said power supply to selectively supply power therefrom;

said stapler-closing device being electrically coupled with said stapler-closing controller and said power supply; and

said biasing device retaining said switch in said first switching state with said bias force until a force at least as great as the force imposed by said biasing device is imparted to said switch to change said switch to said second switching state.

12. The endocutter according to claim 10, wherein:

said end effector has a tissue surgery device operable to surgically staple and cut the tissue compressed by said stapling surfaces;

a procedure control switch is disposed at said handle and is coupled to said tissue surgery device to selectively commence and halt said surgical stapling and cuffing with said tissue surgery device, said procedure control switch having a commence position; and

said tissue surgery device is communicatively coupled with said stapler-closing controller and is operable to carry out said surgical stapling and cutting on the compressed tissue;

only when said procedure control switch in said commence position; and

only after the force imparted to said electrical switch is sufficient to switch from said first switching state to said second switching state and, thereby, change said information at said switching-state-status output.

13. The endocutter according to claim 10, wherein:

said end effector has a tissue-surgery device operable to surgically staple and cut the tissue compressed by said stapling surfaces;

a procedure control switch is disposed at said handle and is coupled to said tissue surgery device to selectively commence and halt said surgical stapling and cutting with said tissue surgery device, said procedure control switch having a commence position; and

said tissue surgery device is communicatively coupled with said stapler-closing controller and is operable to carry out said surgical stapling and cuffing on the compressed tissue;

only when said procedure control switch in said commence position; and

only while the force imparted to said electrical switch is sufficient to switch from said first switching state to said second switching state and, thereby, change said information at said switching-state-status output.

14. The endocutter according to claim 10, further comprising a compression-start switch at said handle, said compression-start switch being communicatively coupled with said stapler-closing controller to selectively commence and halt compression of the tissue by said stapler-closing device.

15. The endocutter according to claim 10, wherein said biasing device is adjustable and applies said bias force over a range of bias force values.

16. The endocutter according to claim 10, further comprising an indicator communicatively coupled to said switching-state-status output and operable to inform a user when said switching state is changed.

17. The endocutter according to claim 10, wherein:

said switch has a switch actuation gap of between approximately 25 micrometers and 200 micrometers in width and said compression axis spans said gap; and

a change of said switching states is dependent upon a force placed along said compression axis.

18. An optimal tissue compression surgical endocutter, comprising:

a handle having therein;

an electrically-powered tissue compression actuator; and

an electrically-powered tissue stapling/cutting actuator; and

a surgical stapling and cutting end effector connected to said handle and having;

a tissue-compression device operatively coupled to said compression actuator and having surfaces between which tissue to be surgically operated upon is compressed;

a stapler/cutter operatively coupled to said stapling/cutting actuator; and

a mechanical binary-output electrical optimal tissue compression switch;

in line with said tissue-compression device;

having first and second electrical switching states initiated and changed solely by mechanical movements;

operatively coupled to said tissue compression actuator and to said stapling/cutting actuator; and

operable;

to control said tissue compression actuator; and

to control said tissue stapling/cutting actuator and, thereby, said stapler/cutter dependent upon a given tissue compression existing at said tissue-compression device.

19. The endocutter according to claim 18, wherein said switch further comprises:

an entirely self-contained power supply disposed in said handle and electrically coupled to said tissue compression actuator and said stapling/cutting actuator to selectively supply power thereto, and a biasing device retaining said switch in said first switching state until a force at least as great as the force imposed by said biasing device is imparted to said switch to change said switch to said second switching state.

20. The endocutter according to claim 18, wherein said optimal tissue compression switch is operable to control said compression actuator to achieve a predetermined optimal tissue compression of tissue within said tissue-compression device.

21. The endocutter according to claim 18, wherein said optimal tissue compression switch is operable to control said compression actuator to maintain a predetermined optimal tissue compression of tissue within said tissue-compression device.

22. The endocutter according to claim 18, wherein said optimal tissue compression switch is operable to indicate to a user that compressed tissue is compressed with a force substantially equal to a pre-set force value.

23. The endocutter according to claim 18, wherein said optimal tissue compression switch is operable to control said stapling/cutting actuator by permitting actuation thereof only after a predetermined optimal tissue compression of tissue exists within said tissue-compression device.

24. The endocutter according to claim 18, wherein said optimal tissue compression switch is operable to control said stapling/cutting actuator by permitting actuation thereof only while a predetermined optimal tissue compression of tissue exists within said tissue-compression device.