Surgical stapler with timer and feedback display

• US 9,370,361 B2
• Filed: 07/11/2013
• Issued: 06/21/2016
• Est. Priority Date: 06/03/2005
• Status: Active Grant

• Current Assignee: Covidien LP (Medtronic Plc)
• Original Assignee: Covidien LP (Medtronic Plc)
• Inventors: Viola, Frank J., Krehel, Gregg, Soltz, Michael A., DeSantis, Robert J., Holsten, Henry E., Heinrich, Russell
• Primary Examiner(s): Smith, Scott A.
• Application Number:
  US13/939,589
• Publication Number:
  US 20130292451A1
• Time in Patent Office: 1,076 Days
• Field of Search: 227/19, 227/175.1, 227/175.2, 227/175.3, 227/176.1, 227/180.1, 606/139, 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 17/072 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 17/12 for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord specially adapted for vas deferens or fallopian tubes A61F6/20; materials for ligaturing blood vessels A61L17/00
• CPC Class Codes: A61B 2017/00115 with audible or visual output
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/2943 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• 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

Abstract

A surgical apparatus has a clamp and a stapling mechanism. The clamp has a first jaw and a second jaw to clamp on a body tissue at a desired location for a stapling operation. The stapling mechanism is controlled by a trigger handle or a switch assembly. The surgical apparatus has a controller for providing a delay between clamping and actuating of the firing mechanism of the stapling mechanism. The delay provides for a desired amount of time for tissue compression producing a more uniform staple formation. The surgical apparatus also has an indicator. The indicator provides feedback about the status of the stapling mechanism and also displays a time of tissue compression by the clamp.

Claims

1. A powered surgical stapler comprising:

a handle;

an endoscopic portion extending distally from the handle and defining a first longitudinal axis;

a drive motor disposed at least partially within the housing;

a firing drive screw disposed in mechanical cooperation with the drive motor, the firing drive screw including a first indicator end and a second indicator end;

a position calculator for determining the linear position of the firing drive screw, the position calculator coupled to at least one linear displacement sensor disposed adjacent to the firing drive screw and configured to detect linear movement of the firing drive screw; and

a speed calculator for determining at least one of a linear speed of the firing drive screw and rotational speed of the drive motor.

2. A powered surgical stapler according to claim 1, wherein the at last one linear displacement sensor comprises:

a shaft start position sensor configured to signal the position calculator when the first indicator end interfaces therewith, wherein position of the first indicator end denotes commencement of the firing drive shaft being moved; and

a clamp position sensor configured to signal the position calculator when the second indicator end interfaces therewith, wherein position of the second indicator end denotes clamping of a fastening assembly.

3. A powered surgical stapler according to claim 1, wherein at least a portion of the firing drive shaft is magnetized or the firing drive shaft includes a magnetic material disposed therein, and the at least one linear displacement sensor is configured to detect variations in the magnetic field corresponding to movement of the firing drive shaft.

4. A powered surgical stapler according to claim 3, wherein the at least one linear displacement sensor is selected from the group consisting of a ferromagnetic sensor and a Hall Effect sensor.

5. A powered surgical stapler according to claim 1, wherein the linear displacement sensor is selected from the group consisting of a potentiometer and a rheostat and the firing rod includes a contact in electromechanical contact with the linear displacement sensors, wherein linear displacement sensor is configured to detect movement of the firing drive shaft based on a change of at least one electrical property thereof.

6. A powered surgical stapler according to claim 1, wherein the speed calculator is coupled to the linear displacement sensor, the speed calculator being configured to determine the linear speed of the firing drive shaft based on rate of change of displacement thereof.

7. A powered surgical stapler according to claim 1, wherein the speed calculator is coupled to a rotation speed detecting apparatus having at least one encoder for transmitting pulses corresponding to speed of rotation of the drive motor.

8. A powered surgical stapler according to claim 1, further comprising a voltage sensor connected to the drive motor which measures back electromotive force thereof, the speed calculator being coupled to the voltage sensor and being configured to determine at least one of a linear speed of the firing drive shaft and rotational speed of the drive motor based on the measured electromotive force.

9. A powered surgical stapler according to claim 1, wherein the speed calculator is configured to compare the linear speed of the firing drive shaft and the rotational speed of the drive motor to determine whether rotation of the drive motor is being sufficiently translated to the firing drive shaft.

10. A powered surgical stapler according to claim 1, wherein the position calculator and the speed calculator are coupled to a control system which includes a microcontroller.