Staple cartridge tissue thickness sensor system

• US 9,345,481 B2
• Filed: 03/13/2013
• Issued: 05/24/2016
• Est. Priority Date: 03/13/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Hall, Steven G., Swensgard, Brett E.
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/800,025
• Publication Number:
  US 20140263551A1
• Time in Patent Office: 1,168 Days
• Field of Search: 227/19, 227/175.1, 227/175.2, 227/176.1, 227/180.1, 606/139, 606/151, 606/153, 606/219
• US Class Current: 1/1
• 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 17/0686 having a forming anvil staying below the tissue during stapling
• 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 2017/00039 Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00221 with wireless transmission of data, e.g. by infrared radiation or radiowaves
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00415 having power generation near the working tip of the tool
• CPC Class Codes: A61B 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00482 with a code
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2560/0209 adapted for power saving
• CPC Class Codes: A61B 2562/0223 Magnetic field sensors
• CPC Class Codes: A61B 5/0031 Implanted circuitry
• CPC Class Codes: A61B 5/1076 for measuring dimensions inside body cavities, e.g. using catheters A61B3/1005 takes precedence
• CPC Class Codes: A61B 90/90 Identification means for patients or instruments, e.g. tags

Abstract

In various embodiments, a surgical end effector is disclosed. The surgical end effector comprises a staple cartridge comprising a proximal end and a distal end. The staple cartridge is configured to be used to staple tissue within an optimal tissue thickness range. An anvil is movably coupled relative to the staple cartridge. A tissue thickness sensing module is located adjacent to the distal end of the staple cartridge. The tissue thickness sensing module comprises a sensor and a controller. The sensor is configured to generate a tissue thickness signal indicative of a thickness of the tissue located between the anvil and the staple cartridge. The controller is in signal communication with the sensor. The controller comprises means for identifying a staple cartridge type. The staple cartridge type and the thickness measurement are used to determine if the thickness of the tissue is within the optimal tissue thickness range.

Claims

1. A surgical end effector for treating tissue, said surgical end effector comprising:

a staple cartridge comprising a proximal end and a distal end, wherein said staple cartridge is configured to be used to staple tissue within an optimal tissue thickness range;

an anvil movably coupled relative to said proximal end of said staple cartridge;

a tissue thickness sensing module adjacent to said distal end of said staple cartridge, wherein said tissue thickness sensing module comprises;

a sensor configured to generate a tissue thickness signal indicative of a thickness of tissue located between said anvil and said staple cartridge; and

a controller in signal communication with said sensor, wherein said controller comprises identifying means for identifying a staple cartridge type, and wherein said controller is configured to utilize said staple cartridge type and said tissue thickness signal to determine if said thickness is within said optimal tissue thickness range.

2. The surgical end effector of claim 1, wherein said anvil comprises a magnet and said sensor is configured to detect a magnetic field generated by said magnet.

3. The surgical end effector of claim 2, wherein said sensor comprises a Hall Effect sensor.

4. The surgical end effector of claim 1, wherein said thickness sensing module comprises a transmitter in signal communication with said controller.

5. The surgical end effector of claim 4, wherein said controller is configured to generate a signal indicative of whether said thickness is within said optimal tissue thickness range, and wherein said transmitter is configured to transmit said signal.

6. The surgical end effector of claim 1, wherein said thickness sensing module comprises at least one power source configured to supply power to said controller.

7. The surgical end effector of claim 1, wherein said identifying means comprises a memory unit coupled to said controller, wherein said memory unit is configured to store said staple cartridge type.

8. The surgical end effector of claim 1, wherein said identifier means comprises:

a first plurality of terminals located on said tissue thickness sensing module;

a second plurality of terminals located on said distal end of said staple cartridge, wherein a subset of said first plurality of terminals is in signal communication with said second plurality of terminals, and wherein said staple cartridge type is determined by said subset of said first plurality of terminals in signal communication with said second plurality of terminals.

9. The surgical end effector of claim 1, wherein said tissue thickness sensing module comprises:

a first terminal; and

a second terminal, wherein said first terminal and said second terminal are configured to receive a power key configured to maintain said tissue thickness sensing module in a low-power state.

10. A staple cartridge for use in a surgical stapler for treating tissue, the staple cartridge comprising:

a staple body comprising a proximal end and a distal end;

a plurality of staples removably stored within said staple body, wherein said plurality of staples is configured to be used to staple tissue within an optimal tissue thickness range;

a tissue thickness module adjacent to said distal end of said staple body, said tissue thickness module comprising;

a sensor configured to generate a tissue thickness signal indicative of a thickness of tissue adjacent to said staple body; and

a controller in signal communication with said sensor, wherein said controller comprises identifying means for identifying a staple cartridge type, and wherein said controller is configured to utilize said staple cartridge type and said tissue thickness signal to determine if said thickness is within said optimal tissue thickness range.

11. The staple cartridge of claim 10, wherein said thickness sensing module comprises:

a transmitter in signal communication with said controller; and

at least one power source configured to supply power to said controller and said transmitter.

12. The surgical end effector of claim 11, wherein said controller is configured to generate a signal indicative of whether said thickness is within said optimal tissue thickness range, and wherein said transmitter is configured to transmit said signal.

13. The staple cartridge of claim 10, wherein said identifier means comprises a memory unit in signal communication with said controller, and wherein said memory unit is configured to store said staple cartridge type.

14. The staple cartridge of claim 10, wherein said identifier means comprises:

a first plurality of terminals located on said tissue thickness sensing module;

a second plurality of terminals located on said distal end of said staple body, wherein a subset of said first plurality of terminals is in signal communication with said second plurality of terminals, and wherein said staple cartridge type is determined by said subset of said first plurality of terminals in signal communication with said second plurality of terminals.

15. The staple cartridge of claim 10, wherein said sensor comprises a Hall Effect sensor.

16. The staple cartridge of claim 10, comprising a removable power key configured to maintain said tissue thickness sensing module in a low-power state.

17. The staple cartridge of claim 16, said removable power key configured to maintain said sensor in a first state, and wherein said low-power state is maintained while said sensor is in said first state.

18. A tissue thickness sensing module for attachment to a surgical staple cartridge configured for treatment of tissue, the tissue thickness sensing module comprising:

a sensor configured to detect a magnetic field and generate a tissue thickness signal indicative of a thickness of tissue adjacent to said surgical staple cartridge;

a controller in signal communication with said sensor, wherein said controller comprises an identifier means for identifying a staple cartridge type, and wherein said controller is configured to utilize said staple cartridge type and said tissue thickness signal to determine if said thickness is within an optimal tissue thickness range for said surgical staple cartridge;

a transmitter in signal communication with said controller; and

at least one power source configured to supply power to said controller and said transmitter.

19. A surgical staple cartridge, comprising:

a sensor configured to generate a signal indicative of a thickness of tissue positioned between jaws of an end effector configured to carry the staple cartridge; and

a controller electrically connected to the sensor, wherein the controller is configured to;

determine if the thickness of the tissue is within an optimal tissue thickness range for the staple cartridge; and

generate a status signal indicative of whether the thickness of the tissue is within the optimal tissue thickness range.