Method for operating an electrical surgical instrument with optimal tissue compression

• US 8,827,138 B2
• Filed: 09/12/2012
• Issued: 09/09/2014
• 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 O., Deville, Derek Dee, Rivera, Carlos, Palmer, Matthew A.
• Primary Examiner(s): Tecco, Andrew M
• Assistant Examiner(s): CHUKWURAH, NATHANIEL C
• Application Number:
  US13/611,881
• Publication Number:
  US 20130020373A1
• Time in Patent Office: 727 Days
• Field of Search: 227/19, 227/179.1, 227/180.1, 606/1, 606/33
• US Class Current: 227/179.1
• 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

A method of configuring a surgical instrument having a surgical tissue-compressing device including opposing compression surfaces with a tissue-compression-measuring mechanism, the method comprising providing a switching element having first and second switching states changed solely by mechanical movements, mechanically coupling the switching element with a biasing element retaining the switching element in one of the first and second switching states until a pre-determined force is imparted to the switching element, the pre-determined force being an amount of force proportional to an optimal tissue compression force of compressed tissue disposed between the opposing compression surfaces, and positioning the switching element in line with the surgical tissue-compressing device to cause the pre-determined force, proportional to a force placed upon compressed tissue disposed between the opposing compression surfaces, to be placed upon the switching element.

Claims

1. A method of configuring a surgical instrument having a surgical tissue-compressing device including opposing compression surfaces with a tissue-compression-measuring mechanism, the method comprising:

providing a switching element having first and second switching states changed solely by mechanical movements;

mechanically coupling the switching element with a biasing element retaining the switching element in one of the first and second switching states until a pre-determined force is imparted to the switching element, the pre-determined force being an amount of force proportional to an optimal tissue compression force of compressed tissue disposed between the opposing compression surfaces; and

positioning the switching element in line with the surgical tissue-compressing device to cause the pre-determined force, proportional to a force placed upon compressed tissue disposed between the opposing compression surfaces, to be placed upon the switching element.

2. The method according to claim 1, wherein the switching element is a mechanical binary-output electrical switch.

3. The method according to claim 2, wherein the first switching state is an open electrical state and the second switching state is a closed electrical state.

4. The method according to claim 1, wherein the biasing element is adjustable.

5. The method according to claim 4, further comprising setting the pre-determined force of the biasing element to an amount proportional to the optimal tissue compression force of the compressed tissue.

6. The method according to claim 5, wherein setting of the pre-determined force to an amount proportional to the optimal tissue compression force of the compressed tissue causes a change of the switching state when a compression force placed on tissue by the opposing compression surfaces of the tissue-compressing device is at least as great as the optimal tissue compression force.

7. The method according to claim 1, further comprising positioning the switching element to cause substantially the same force placed upon the compressed tissue disposed between the opposing compression surfaces to be placed upon the switching element.

8. The method according to claim 1, further comprising:

providing the switching element with an actuation gap; and

orienting the actuation gap to span along a compression axis of the tissue-compressing device and cause a change of the switching state dependent upon a force expanding along the compression axis.

9. The method according to claim 1, wherein the surgical tissue-compressing device comprises an end effector with two opposing jaws operable to compress tissue disposed therebetween.

10. A method for configuring a surgical instrument having a surgical tissue-compressing device including opposing compression surfaces with a tissue compression-measuring mechanism, the method comprising:

providing a switching element having first and second switching states changed solely by mechanical movements;

mechanically coupling the switching element with a biasing element imparting a pre-determined force on the switching element to retain the switching element in one of the first and second switching states until a switching force at least as great as a force imposed by the biasing element is imparted to the switching element and causes a change of the switching state to occur, the switching force being an amount of force proportional to an optimal tissue compression force of compressed tissue disposed between the opposing compression surfaces; and

positioning the switching element in line with the surgical tissue-compressing device to cause an amount of force, proportional to the force placed upon compressed tissue disposed between the opposing compression surfaces, to be placed upon the switching element.

11. The method according to claim 10, wherein the switching element is a mechanical binary-output electrical switch.

12. The method according to claim 11, wherein the first switching state is an open electrical state and the second switching state is a closed electrical state.

13. The method according to claim 10, wherein the biasing element is adjustable.

14. The method according to claim 13, further comprising setting the switching force of the biasing element to an amount proportional to the optimal tissue compression force of the compressed tissue.

15. The method according to claim 14, wherein setting of the switching force to an amount proportional to the optimal tissue compression force of the compressed tissue causes a change of the switching state when a compression force placed on tissue by the opposing compression surfaces of the tissue-compressing device is at least as great as the optimal tissue compression force.

16. The method according to claim 10, further comprising positioning the switching element to cause substantially the same force placed upon the compressed tissue disposed between the opposing compression surfaces to be placed upon the switching element.

17. The method according to claim 10, further comprising:

providing the switching element with an actuation gap; and

orienting the actuation gap to span along a compression axis of the tissue-compressing device and cause a change of the switching state dependent upon a force expanding along the compression axis.

18. The method according to claim 10, wherein the surgical tissue-compressing device comprises an end effector with two opposing jaws operable to compress tissue disposed therebetween.