Surgical stapling system comprising a display including a re-orientable display field

• US 10,433,849 B2
• Filed: 04/01/2016
• Issued: 10/08/2019
• Est. Priority Date: 04/01/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Harris, Jason L., Hensel, Adam D.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US15/089,326
• Publication Number:
  US 20170281172A1
• Time in Patent Office: 1,285 Days
• Field of Search: 2271751
• 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 17/0644 penetrating the tissue, deformable to closed position
• 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 17/07292 Reinforcements for staple line, e.g. pledgets
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• 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 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/320092 with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
• CPC Class Codes: A61B 17/3211 Surgical scalpels, knives; Accessories therefor
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00128 related to intensity or progress of surgical action
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00305 Constructional details of the flexible means
• CPC Class Codes: A61B 2017/00367 : Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
• CPC Class Codes: A61B 2017/00398 : using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00407 : Ratchet means
• CPC Class Codes: A61B 2017/00424 : ergonomic, e.g. fitting in fist
• CPC Class Codes: A61B 2017/0046 : with a releasable handle; with handle and operating part separable for prosthetic joint-implanting tools A61F2/4603
• CPC Class Codes: A61B 2017/00464 : for use with different instruments with hole for different instruments A61B2017/22072
• CPC Class Codes: A61B 2017/00473 : Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00477 : Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00734 : battery operated
• CPC Class Codes: A61B 2017/00818 : Treatment of the gastro-intestinal system
• CPC Class Codes: A61B 2017/00946 : malleable
• CPC Class Codes: A61B 2017/00964 : composite
• CPC Class Codes: A61B 2017/07214 : Stapler heads
• CPC Class Codes: A61B 2017/07221 : curved
• CPC Class Codes: A61B 2017/07228 : Arrangement of the staples
• CPC Class Codes: A61B 2017/07235 : containing different staples, e.g. staples of different shapes, sizes or materials
• CPC Class Codes: A61B 2017/07242 : achieving different staple heights during the same shot, e.g. using an anvil anvil having different heights or staples of different sizes
• CPC Class Codes: A61B 2017/07257 : characterised by its anvil
• CPC Class Codes: A61B 2017/07264 : characterised by its staple forming cavities, e.g. geometry or material
• 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 2017/2903 : transferring rotary motion
• CPC Class Codes: A61B 2017/2905 : flexible
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2912 : transmission of forces to actuating rod or piston
• CPC Class Codes: A61B 2017/292 : connection of actuating rod to handle, e.g. ball end in recess
• CPC Class Codes: A61B 2017/2922 : toggle linkages
• CPC Class Codes: A61B 2017/2923 : Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 : the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/2932 : Transmission of forces to jaw members
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 2090/034 : abutting on parts of the device itself
• CPC Class Codes: A61B 2090/08021 : of the patient or his organs
• CPC Class Codes: A61B 2090/0808 : for indicating correct assembly of components, e.g. of the surgical apparatus
• 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 2090/0814 : Preventing re-use
• CPC Class Codes: A61B 90/37 : Surgical systems with images on a monitor during operation

Abstract

A surgical instrument, comprising a handle and an end effector configured to perform a tissue-treating function. The end effector comprises a distal head comprising a rotatable jaw and an end effector frame comprising a longitudinal end effector axis. The surgical instrument further comprises means for rotating the distal head relative to the end effector frame, a display, and means for adjusting the contents of the display in relation to the rotation of the distal head.

Claims

1. A surgical instrument, comprising:

a handle;

a shaft comprising a longitudinal shaft axis;

an end effector configured to perform a tissue-treating function, wherein said end effector comprises;

an end effector frame comprising a longitudinal end effector axis; and

a jaw rotatably coupled to said end effector frame;

an actuator configured to actuate said tissue-treating function;

a rotation joint rotatably connecting said end effector to said shaft;

an electric motor operably coupled to said end effector frame, wherein said electric motor is configured to rotate said end effector about said longitudinal end effector axis between a first end effector orientation and a second end effector orientation;

a processor configured to evaluate the orientation of said end effector; and

a display in communication with said processor, wherein said display is configured to;

display information regarding said tissue-treating function in a first display orientation on said display when said end effector is in said first orientation; and

display information regarding said tissue-treating function in a second display orientation on said display that differs from said first display orientation on said display when said end effector is in said second orientation.

2. The surgical instrument of claim 1, wherein said second end effector orientation is rotated 90 degrees from said first end effector orientation, and wherein said second display orientation is rotated 90 degrees from said first display orientation on said display when said end effector is in said second end effector orientation.

3. The surgical instrument of claim 1, wherein said second display orientation tracks said second end effector orientation.

4. The surgical instrument of claim 1, wherein said end effector is rotatable 360 degrees about said longitudinal end effector axis.

5. The surgical instrument of claim 1, wherein said processor selects said second display orientation from a discrete set of display orientations such that the selected second orientation corresponds to the orientation of said end effector.

6. The surgical instrument of claim 1, wherein said longitudinal end effector axis is collinear with said longitudinal shaft axis.

7. The surgical instrument of claim 1, further comprising an articulation joint configured to permit said end effector to articulate about said articulation joint.

8. The surgical instrument of claim 7, wherein said end effector comprises a distal end, and wherein said rotation joint is positioned closer to said distal end than said articulation joint.

9. The surgical instrument of claim 1, wherein said display is on said shaft.

10. The surgical instrument of claim 1, wherein said display is on said handle.

11. The surgical instrument of claim 1, wherein said end effector comprises a staple cartridge comprising staples removably stored therein.

12. A surgical instrument, comprising:

a handle;

a shaft comprising a longitudinal shaft axis;

an end effector configured to perform a tissue-treating function, wherein said end effector comprises;

a distal head comprising a rotatable jaw; and

an end effector frame comprising a longitudinal end effector axis;

an actuator configured to actuate said tissue-treating function;

a rotation joint rotatably connecting said distal head to said shaft;

an electric motor operably coupled to said distal head, wherein said electric motor is configured to rotate said distal head about said longitudinal end effector axis between a first distal head orientation and a second distal head orientation;

a processor configured to evaluate the orientation of said distal head; and

a display in communication with said processor, wherein said display is configured to;

display information regarding said tissue-treating function in a first display arrangement on said display when said distal head is in said first distal head orientation; and

display information regarding said tissue-treating function in a second display arrangement on said display when said distal head is in said second distal head orientation.

13. The surgical instrument of claim 12, wherein said second distal head orientation is rotated 90 degrees from said first distal head orientation, and wherein said second display arrangement is rotated 90 degrees from said first display arrangement when said distal head is in said second distal head orientation.

14. The surgical instrument of claim 12, wherein said second display arrangement tracks said second distal head orientation.

15. The surgical instrument of claim 12, wherein said distal head is rotatable 360 degrees about said longitudinal end effector axis.

16. The surgical instrument of claim 12, wherein said processor selects said second display arrangement from a discrete set of display arrangements such that the selected second arrangement corresponds to the orientation of said distal head.

17. The surgical instrument of claim 12, wherein said longitudinal end effector axis is collinear with said longitudinal shaft axis.

18. The surgical instrument of claim 12, further comprising an articulation joint configured to permit said end effector to articulate about said articulation joint.

19. The surgical instrument of claim 18, wherein said rotation joint is positioned closer to said distal head than said articulation joint.

20. The surgical instrument of claim 12, wherein said display is on said shaft.

21. The surgical instrument of claim 12, wherein said distal head comprises a staple cartridge comprising staples removably stored therein.

22. A surgical instrument, comprising:

a handle;

an end effector configured to perform a tissue-treating function, wherein said end effector comprises;

a distal head comprising a rotatable jaw; and

an end effector frame comprising a longitudinal end effector axis;

means for rotating said distal head relative to said end effector frame;

a display; and

means for adjusting an orientation of information displayed on said display in relation to the rotation of said distal head.

23. The surgical instrument of claim 22, wherein said distal head comprises a staple cartridge comprising staples removably stored therein.