Surgical instrument

• US 9,326,770 B2
• Filed: 03/06/2013
• Issued: 05/03/2016
• Est. Priority Date: 01/31/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, Frederick E. IV, Ouwerkerk, John N., Morgan, Jerome R.
• Primary Examiner(s): Chukwurah, Nathaniel
• Application Number:
  US13/787,637
• Publication Number:
  US 20130184719A1
• Time in Patent Office: 1,154 Days
• Field of Search: 227/175.1, 227/176.1, 227/178.1, 227/179.1, 227/180.1, 606/153, 606/219
• US Class Current: 1/1
• CPC Class Codes: A61B 17/00 Surgical instruments, devices or methods, e.g. tourniquets A61B18/00 takes precedence; contraceptive devices, pessaries, or applicators therefor A61F6/00; eye surgery A61F9/007; ear surgery A61F11/00
• CPC Class Codes: A61B 17/00234 for minimally invasive surgery A61B17/0218, A61B17/0469, A61B17/12013, A61B17/1285, A61B17/29, A61B17/320016 take precedence
• 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 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• 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 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00353 one mechanical instrument performing multiple functions, e.g. cutting and grasping channel for multiple instruments A61B2017/3445; instrument channel A61B2017/22072; replaceable heads A61B2017/2931; suction A61M1/00
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/0042 with special provisions for gripping
• CPC Class Codes: A61B 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• 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 2017/2943 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2090/033 : Abutting means, stops, e.g. abutting on tissue or skin
• CPC Class Codes: A61B 2090/064 : for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/065 : for measuring contact or contact pressure
• CPC Class Codes: A61B 2090/069 : using a plummet or weight
• CPC Class Codes: A61B 2090/0803 : Counting the number of times an instrument is used
• 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 34/30 : Surgical robots
• CPC Class Codes: A61B 34/71 : Manipulators operated by drive cable mechanisms
• CPC Class Codes: A61B 34/74 : Manipulators with manual electric input means
• CPC Class Codes: A61B 34/76 : Manipulators having means for providing feel, e.g. force or tactile feedback
• CPC Class Codes: A61B 5/4836 : Diagnosis combined with treatment in closed-loop systems or methods A61B5/0036 takes precedence

Abstract

A surgical fastening instrument is disclosed. The instrument comprises an end effector cartridge assembly, a handle, and a firing member, wherein an electric motor is configured to impart a firing motion to the firing member to eject fasteners from a fastener cartridge of the end effector cartridge assembly. The instrument further comprises an electronic lockout system configured to ascertain whether the fastener cartridge is present in the end effector, permit the motor to apply the firing motion to the firing member when the presence of the fastener cartridge has been ascertained, and prevent the motor from applying the firing motion to the firing member when the presence of the fastener cartridge has not been ascertained.

Claims

1. A surgical fastening instrument, comprising:

an end effector cartridge assembly, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position; and

a fastener cartridge comprising a plurality of fasteners removably stored therein;

a handle, comprising;

an electric motor;

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor;

a firing member, wherein said electric motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge; and

an electronic lockout system configured to ascertain whether said fastener cartridge is present in said end effector, wherein said electronic lockout system is further configured to permit said electric motor to apply said firing motion to said firing member when the presence of said fastener cartridge has been ascertained and to prevent said electric motor from applying said firing motion to said firing member when the presence of said fastener cartridge has not been ascertained.

2. The surgical fastening instrument of claim 1, wherein said end effector cartridge assembly further comprises a channel configured to receive said fastener cartridge, wherein said electronic lockout system comprises a sensor configured to detect whether said fastener cartridge body is seated within said channel.

3. The surgical fastening instrument of claim 1, wherein said end effector cartridge assembly further comprises a channel configured to receive said fastener cartridge, wherein said electronic lockout system further comprises a controller and a circuit, wherein said circuit is in an open condition when said fastener cartridge is not seated within said channel, wherein said fastener cartridge is configured to close said circuit when said fastener cartridge is seated in said channel, and wherein said controller is configured to detect when said circuit is open and when said circuit is closed.

4. The surgical fastening instrument of claim 3, wherein said circuit comprises a first contact and a second contact in said channel, and wherein the presence of said fastener cartridge in said channel is configured to electrically connect said first contact and said second contact to close said circuit when said fastener cartridge is seated in said channel.

5. The surgical fastening instrument of claim 4, wherein said fastener cartridge comprises a plurality of fastener cavities defined therein, wherein said end effector cartridge assembly further comprises:

a plurality of fastener drivers configured to support said fasteners in said fastener cavities; and

a retainer connected to said fastener cartridge, wherein said retainer extends around at least a portion of said fastener cartridge, and wherein said retainer is configured to electrically connect said first contact and said second contact.

6. The surgical fastening instrument of claim 1, wherein said end effector cartridge assembly further comprises:

a switch configurable in an open condition and a closed condition; and

a channel configured to receive said fastener cartridge, wherein said switch is configured in said open condition when said fastener cartridge is not seated in said channel, and wherein said switch is configured in said closed condition when said fastener cartridge is seated in said channel.

7. The surgical fastening instrument of claim 1, further comprising a controller configured to determine whether said fastener cartridge has been at least partially expended.

8. The surgical fastening instrument of claim 1, further comprising:

means for determining whether said fastener cartridge is a new cartridge; and

means for preventing the operation of said motor when said cartridge is not a new cartridge.

9. A surgical fastening instrument, comprising:

an end effector cartridge assembly, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position;

a fastener cartridge body; and

a plurality of fasteners removably stored in said fastener cartridge body;

a handle comprising an actuator;

a firing member, wherein said actuator is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge body; and

an electronic lockout system configured to permit said actuator to apply said firing motion to said firing member when said end effector cartridge assembly is in an unlocked firable condition and to prevent said actuator from applying said firing motion to said firing member when said end effector cartridge assembly is not in said unlocked firable condition.

10. The surgical fastening instrument of claim 9, wherein said second jaw is in said closed position when said end effector cartridge assembly is in said unlocked firable condition.

11. The surgical fastening instrument of claim 9, further comprising a shaft, wherein said end effector cartridge assembly extends from said shaft when said end effector cartridge assembly is in said unlocked firable condition.

12. The surgical fastening instrument of claim 9, wherein said end effector cartridge assembly further comprises a channel configured to receive said fastener cartridge body, wherein said electronic lockout system comprises a sensor configured to detect whether said fastener cartridge body is seated within said channel.

13. The surgical fastening instrument of claim 9, wherein said end effector cartridge assembly further comprises a channel configured to receive said fastener cartridge body, wherein said electronic lockout system further comprises a controller and a circuit, wherein said circuit is in an open condition when said fastener cartridge body is not seated within said channel, wherein said fastener cartridge body is configured to close said circuit when said fastener cartridge is seated in said channel, and wherein said controller is configured to detect when said circuit is open and when said circuit is closed.

14. The surgical fastening instrument of claim 13, wherein said circuit comprises a first contact and a second contact in said channel, and wherein the presence of said fastener cartridge body in said channel is configured to electrically connect said first contact and said second contact to close said circuit when said fastener cartridge body is seated in said channel.

15. The surgical fastening instrument of claim 14, wherein said fastener cartridge body comprises a plurality of fastener cavities defined therein, wherein said end effector cartridge assembly further comprises:

a plurality of fastener drivers configured to support said fasteners in said fastener cavities; and

a retainer connected to said fastener cartridge body, wherein said retainer extends around at least a portion of said fastener cartridge body, and wherein said retainer is configured to electrically connect said first contact and said second contact.

16. The surgical fastening instrument of claim 9, wherein said end effector cartridge assembly further comprises:

a switch configurable in an open condition and a closed condition; and

a channel configured to receive said fastener cartridge body, wherein said switch is configured in said open condition when said fastener cartridge is not seated in said channel, and wherein said switch is configured in said closed condition when said fastener cartridge is seated in said channel.

17. A surgical fastening instrument, comprising:

an end effector cartridge assembly, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position;

a fastener cartridge body; and

a plurality of fasteners removably stored in said fastener cartridge body;

a handle comprising an electric motor;

a firing member, wherein said motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge body;

observing means for observing whether said end effector cartridge assembly is in a fire-ready condition;

permitting means for permitting said motor to apply said firing motion to said firing member when said end effector cartridge assembly is in said fire-ready condition; and

preventing means for preventing said motor from applying said firing motion to said firing member when said end effector cartridge assembly is not in said fire-ready condition.

18. The surgical fastening instrument of claim 17, further comprising:

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor.

19. A surgical fastening instrument, comprising:

an end effector cartridge assembly, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position;

a fastener cartridge body; and

a plurality of fasteners removably stored in said fastener cartridge body;

a handle comprising an electric motor;

a firing member, wherein said electric motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge body; and

means for deriving whether said fasteners are present in said fastener cartridge body, for permitting said electric motor to apply said firing motion to said firing member after the presence of said fasteners have been derived, and for preventing said electric motor from applying said firing motion to said firing member if the presence of said fasteners has not been derived.

20. The surgical fastening instrument of claim 19, further comprising:

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor.

21. A surgical fastening instrument, comprising:

an end effector cartridge assembly, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position;

a fastener cartridge body; and

a plurality of fasteners removably stored in said fastener cartridge body;

a handle comprising an electric motor;

a firing member, wherein said electric motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge body; and

controller means for educing whether said fasteners are present in said fastener cartridge body, for operating said electric motor to apply said firing motion to said firing member after the presence of said fasteners has been educed, and for preventing said electric motor from applying said firing motion to said firing member if the presence of said fasteners has not been educed.

22. The surgical fastening instrument of claim 21, further comprising:

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor.

23. A surgical fastening instrument, comprising:

an end effector cartridge assembly, comprising;

a first jaw;

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position; and

a fastener cartridge comprising a plurality of fasteners removably stored therein;

a handle comprising an electric motor;

a firing member, wherein said electric motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge;

means for determining whether said fasteners are present; and

means for permitting said electric motor to apply said firing motion to said firing member after the presence of said fasteners has been determined and for inhibiting said electric motor from applying said firing motion to said firing member if the presence of said fasteners has not been determined.

24. The surgical fastening instrument of claim 23, further comprising:

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor.

25. A surgical fastening instrument system, comprising:

an end effector, comprising;

a first jaw; and

a second jaw, wherein said first jaw is movable relative to said second jaw between an open position and a closed position;

a fastener cartridge comprising a plurality of fasteners removably stored therein;

a handle comprising an electric motor;

a firing member, wherein said electric motor is configured to impart a firing motion to said firing member to eject said fasteners from said fastener cartridge;

means for detecting whether said fastener cartridge is present in said end effector;

means for detecting whether said fastener cartridge is unexpended; and

means for allowing said electric motor to apply said firing motion to said firing member after the presence of an unexpended fastener cartridge within said end effector has been detected and for preventing said electric motor from applying said firing motion to said firing member if the presence of an unexpended fastener cartridge within said end effector has not been detected.

26. The surgical fastening instrument system of claim 25, further comprising:

an actuator configured to operate said electric motor; and

a battery configured to supply power to said electric motor.