Surgical instrument

• US 10,524,854 B2
• Filed: 11/20/2015
• Issued: 01/07/2020
• Est. Priority Date: 07/23/2010
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Woodruff, Scott A., Weizman, Patrick A., Payne, Gwendolyn P., Korvick, Donna L., Norvell, David K., Zingman, Aron O.
• Primary Examiner(s): Della, Jaymi E
• Application Number:
  US14/947,449
• Publication Number:
  US 20160074108A1
• Time in Patent Office: 1,509 Days
• CPC Class Codes: A61B 18/1445 at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
• CPC Class Codes: A61B 18/1447 wherein sliding surfaces cause opening/closing of the end effectors
• CPC Class Codes: A61B 2017/320093 additional movable means performing cutting operation
• CPC Class Codes: A61B 2017/320094 additional movable means performing clamping operation
• CPC Class Codes: A61B 2017/320095 with sealing or cauterizing means
• CPC Class Codes: A61B 2018/00196 reciprocating lengthwise
• CPC Class Codes: A61B 2018/00309 passive, e.g. palpable click when activating a button
• CPC Class Codes: A61B 2018/00589 Coagulation
• CPC Class Codes: A61B 2018/00601 Cutting
• CPC Class Codes: A61B 2018/00619 Welding
• CPC Class Codes: A61B 2018/0063 Sealing
• CPC Class Codes: A61B 2018/00702 Power or energy
• CPC Class Codes: A61B 2018/00773 Sensed parameters
• CPC Class Codes: A61B 2018/00791 Temperature
• CPC Class Codes: A61B 2018/00875 Resistance or impedance
• CPC Class Codes: A61B 2018/1455 having a moving blade for cutting tissue grasped by the jaws

Abstract

A surgical instrument can comprise a first jaw and second jaw, wherein the first jaw is movable relative to the second jaw to capture tissue having a tissue thickness. A tissue cutting force monitor is configured to determine the tissue thickness of the captured tissue and communicate the tissue thickness to a controller, wherein the controller is configured to adjust the speed of a tissue-cutting element during a cutting portion of a firing stroke based on the tissue thickness communicated from the tissue cutting force monitor. The controller is configured to reduce the speed of the tissue-cutting element when the tissue cutting force monitor communicates a thicker tissue thickness to the controller. The controller is configured to increase the speed of the tissue-cutting element when the tissue cutting force monitor communicates a thinner tissue thickness to the controller.

Claims

1. A surgical instrument, comprising:

a handle comprising a trigger;

an end effector, comprising;

a first jaw;

a second jaw, wherein said first jaw is moveable relative to said second jaw to capture tissue having a tissue thickness; and

a distal end;

a shaft comprising a tissue-cutting element, wherein said tissue-cutting element is moveable toward said distal end during a firing stroke, wherein the firing stroke comprises a cutting portion during which said tissue-cutting element is configured to incise the captured tissue, and wherein said tissue-cutting element is configured to move at an adjustable speed during the cutting portion of the firing stroke;

an electric motor configured to drive said shaft during the firing stroke;

a controller in communication with said electric motor, wherein said controller is configured to implement the firing stroke upon actuation of said trigger; and

a tissue cutting force monitor positioned intermediate said shaft and said electric motor, wherein said tissue cutting force monitor is configured to determine the tissue thickness of the captured tissue and communicate the tissue thickness to said controller, wherein said controller is configured to adjust the speed of said tissue-cutting element during the cutting portion of the firing stroke based on the tissue thickness communicated from said tissue cutting force monitor, wherein said controller is configured to reduce the speed of said tissue-cutting element when said tissue cutting force monitor communicates a thicker tissue thickness to said controller, and wherein said controller is configured to increase the speed of said tissue-cutting element when said tissue cutting force monitor communicates a thinner tissue thickness to said controller.

2. A surgical instrument, comprising:

a handle comprising a trigger;

an end effector, comprising;

a first jaw;

a second jaw, wherein said first jaw is moveable relative to said second jaw to capture tissue having a tissue thickness; and

a distal end;

a shaft comprising a tissue-cutting element, wherein said tissue-cutting element is moveable toward said distal end during a firing stroke, wherein the firing stroke comprises a cutting portion during which said tissue-cutting element is configured to incise the captured tissue, and wherein said tissue-cutting element is configured to move at an adjustable speed during the cutting portion of the firing stroke;

an electric motor configured to drive said shaft during the firing stroke; and

a feedback system, comprising;

a controller in communication with said electric motor; and

a tissue cutting force monitor configured to determine the tissue thickness of the captured tissue;

wherein said feedback system is configured to adjust the speed of said tissue-cutting element during the cutting portion of the firing stroke based on the tissue thickness determined by said tissue cutting force monitor, wherein said feedback system is configured to reduce the speed of said tissue-cutting element when said tissue cutting force monitor determines a thicker tissue thickness, and wherein said feedback system is configured to increase the speed of said tissue-cutting element when said tissue cutting force monitor determines a thinner tissue thickness.

3. A surgical instrument, comprising:

a handle comprising a trigger;

an end effector, comprising;

a distal end;

a first jaw; and

a second jaw, wherein said first jaw is moveable relative to said second jaw to capture tissue within said end effector;

a tissue cutting edge configured to incise the tissue during a tissue cutting stroke;

an electric motor configured to drive said tissue cutting edge toward said distal end during the tissue cutting stroke; and

a control system in communication with said electric motor, wherein said control system is configured to operate said electric motor in response to an actuation of said trigger, and wherein said control system is configured to drive said tissue cutting edge at a first speed when said tissue cutting edge is cutting tissue having a first thickness and a slower speed when said tissue cutting edge is cutting tissue that is thicker than the first thickness.