Electrical surgical instrument with optimal tissue compression

• US 8,844,791 B2
• Filed: 01/16/2013
• Issued: 09/30/2014
• 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. Jr., DeVille, Derek Dee, Rivera, Carlos, Palmer, Matthew A.
• Primary Examiner(s): Weeks, Gloria R
• Application Number:
  US13/743,179
• Publication Number:
  US 20130126580A1
• Time in Patent Office: 622 Days
• Field of Search: 227/175.1, 227/176.1, 227/177.1, 227/178.1
• US Class Current: 227/177.1
• 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 surgical device, comprising a tissue compression device having a pair of opposing compression surfaces, a mechanical binary-output electrical switch having open and closed electrical switching states initiated and changed solely by mechanical movements, and an adjustable biasing device mechanically coupled to the switch and retaining the switch in one of the switching states until a force at least as great as a force imposed by the biasing device is imparted to the switch, wherein the switch is disposed in line with the tissue compression device to cause a proportional amount of force that is placed upon compressed tissue disposed between the opposing compression surfaces to be placed upon the switch, and the biasing device is set to an amount of force that is proportional to an optimal tissue compression force of the compressed tissue when disposed between the opposing compression surfaces.

Claims

1. A surgical device, comprising:

a tissue compression device having a pair of opposing compression surfaces;

a mechanical binary-output electrical switch having open and closed electrical switching states initiated and changed solely by mechanical movements; and

an adjustable biasing device mechanically coupled to the switch and retaining the switch in one of the switching states until a force at least as great as a force imposed by the biasing device is imparted to the switch, wherein;

the switch is disposed in line with the tissue compression device to cause a proportional amount of force that is placed upon compressed tissue disposed between the opposing compression surfaces to be placed upon the switch; and

the biasing device is set to an amount of force that is proportional to an optimal tissue compression force of the compressed tissue when disposed between the opposing compression surfaces.

2. The surgical device according to claim 1, wherein the switch is disposed to cause substantially the same force that is placed upon the compressed tissue disposed between the opposing compression surfaces to be placed upon the switch.

3. The surgical device according to claim 2, wherein setting the biasing device to an amount of force that is proportional to the optimal tissue compression force of the compressed tissue when disposed between the opposing compression surfaces causes a change of the switching state when a compression force placed on tissue by the opposing compression surfaces is at least as great as the optimal tissue compression force.

4. The surgical device according to claim 1, further comprising an indicator operable to indicate a change in the switching state.

5. The surgical device according to claim 1, wherein the switch further comprises a switch actuation gap that is between approximately 25 micrometers and 200 micrometers in width.

6. The surgical device according to claim 5, wherein the switch actuation gap is oriented to span along a compression axis of the tissue compression device and cause a change of the switching state dependent upon a force expanding along the compression axis.

7. The surgical device according to claim 1, wherein:

the tissue compression device is an electrically powered surgical endocutter having an end effector with jaws, a knife assembly for cutting tissue compressed between the jaws, and a stapling assembly for stapling the tissue compressed between the jaws; and

the knife assembly and the stapling assembly are electrically powered only after the switching state is changed.

8. A surgical device, comprising:

an adjustable tissue compression device having a pair of opposing compression surfaces;

a mechanical binary-output electrical switch having open and closed electrical switching states initiated and changed solely by mechanical movements; and

an adjustable biasing device retaining the switch in one of the switching states until a force at least as great as a force imposed by the biasing device is imparted to the switch, wherein;

the switch is disposed in line with the tissue compression device to cause a proportional amount of force that is placed upon compressed tissue disposed between the opposing compression surfaces to be placed upon the switch; and

the biasing device is set to an amount of force that is proportional to an optimal tissue compression force of the compressed tissue when disposed between the opposing compression surfaces to cause a change of the switching state to occur when the switch experiences a force at least as great as the force imposed by the biasing device.

9. The surgical device according to claim 8, further comprising an indicator operable to indicate a change in the switching state.

10. The surgical device according to claim 8, wherein the switch further comprises a switch actuation gap that is between approximately 25 micrometers and 200 micrometers in width.

11. The surgical device according to claim 10, wherein the switch actuation gap is oriented to span along a compression axis of the tissue compression device and cause a change of the switching state dependent upon a force expanding along the compression axis.

12. A surgical device operable to carry out a surgical procedure, comprising:

an electrically controlled surgical tissue compression device comprising an electrically operated tissue compression assembly having a pair of opposing compression surfaces;

a feedback controller communicatively coupled to the tissue compression assembly;

a mechanical binary-output electrical switch electrically connected to the feedback controller and having open and closed electrical switching states initiated and changed solely by mechanical movements; and

an adjustable biasing device mechanically coupled to the switch and retaining the switch in one of the switching states until a force at least as great as a force imposed by the biasing device is imparted to the switch, wherein;

the switch is disposed in line with the tissue compression device to cause a proportional amount of force that is placed upon compressed tissue disposed between the opposing compression surfaces to be placed upon the switch;

the biasing device is set to an optimal tissue compression force; and

tissue is compressed between the opposing compression surfaces of the tissue compression device until a force imparted on the switch is at least as great as the optimal tissue compression force and, at such time, a state change occurs and communicates to the feedback controller that tissue is being compressed with the optimal tissue compression force.

13. The surgical device according to claim 12, wherein a surgical procedure is permitted to be carried out on the compressed tissue only after the feedback controller has received a state change signal from the switch.

14. The surgical device according to claim 13, wherein the tissue compression device operates dependent upon a signal from the feedback controller to maintain the optimal tissue compression force on the tissue.

15. The surgical device according to claim 12, wherein a surgical procedure is permitted to be carried out on the compressed tissue only while the feedback controller is receiving a state change signal from the switch.

16. The surgical device according to claim 15, wherein:

the tissue compression device is an electrically powered surgical endocutter having an end effector with jaws, a knife assembly for cutting tissue compressed between the jaws, and a stapling assembly for stapling the tissue compressed between the jaws; and

electrically powered cutting and stapling of the compressed tissue is permitted only while the feedback controller is receiving the state change signal from the switch.

17. The surgical device according to claim 13, wherein:

the tissue compression device is an electrically powered surgical endocutter having an end effector with jaws, a knife assembly for cutting tissue compressed between the jaws, and a stapling assembly for stapling the tissue compressed between the jaws; and

electrically powered cutting and stapling of the compressed tissue is permitted only after the feedback controller has received the state change signal from the switch.

18. The surgical device according to claim 12, further comprising an indicator connected to the feedback controller and operable to indicate when the switching state is changed, the indicator being one of a tactile, an audible, and a visual indicator.

19. The surgical device according to claim 12, wherein the switch further comprises a switch actuation gap that is between approximately 25 micrometers and 200 micrometers in width.

20. The surgical device according to claim 17, wherein the switch actuation gap is oriented to span along a compression axis of the tissue compression device and cause a change of the switching state dependent upon a force expanding along the compression axis.

21. A surgical device, comprising:

an electrically controlled surgical endocutter operable to compress tissue between jaws thereof and to carry out a surgical procedure on the compressed tissue;

a mechanical binary-output OTC electrical switch having OTC-off and OTC-reached electrical states initiated and changed solely by mechanical movements;

an adjustable biasing device mechanically coupled to the switch, wherein;

the switch is disposed in line with the endocutter to cause a force that is proportional to a force that is placed upon tissue compressed between the jaws to be placed upon the switch;

the biasing device is set to an amount of force that is proportional to an optimal tissue compression force of the tissue compressed between the jaws and retains the switch in the OTC-off electrical state until a force at least as great as the optimal tissue compression force is imparted to the switch; and

a surgical procedure is permitted to be carried out on the compressed tissue only after the switch changes to the OTC-reached electrical state.