Firing trigger lockout arrangements for surgical instruments

• US 10,624,634 B2
• Filed: 08/23/2013
• Issued: 04/21/2020
• Est. Priority Date: 08/23/2013
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Morgan, Jerome R., Hall, Steven G., Leimbach, Richard L., Schellin, Emily A.
• Primary Examiner(s): Chukwurah, Nathaniel C
• Assistant Examiner(s): Ahmed, Mobeen
• Application Number:
  US13/974,182
• Publication Number:
  US 20150053742A1
• Time in Patent Office: 2,433 Days
• Field of Search: None
• 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00084 Temperature
• CPC Class Codes: A61B 2017/00115 with audible or visual output with imaging means A61B90/37, A61B34/20
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00123 and automatic shutdown
• CPC Class Codes: A61B 2017/00137 Details of operation mode
• CPC Class Codes: A61B 2017/00154 pulsed
• CPC Class Codes: A61B 2017/0019 Means for setting or varying the pulse width
• 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 2017/00367 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 2017/00402 Piezo electric actuators
• CPC Class Codes: A61B 2017/00407 Ratchet means
• 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 2017/00482 : with a code
• CPC Class Codes: A61B 2017/00486 : Adaptors for coupling parts with incompatible geometries
• CPC Class Codes: A61B 2017/00734 : battery operated
• CPC Class Codes: A61B 2017/07214 : Stapler heads
• CPC Class Codes: A61B 2017/07228 : Arrangement of the staples
• 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 2017/2901 : Details of shaft
• CPC Class Codes: A61B 2017/291 : the position of the handle being adjustable with respect to the shaft
• 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 2017/2929 : with a head rotatable about the longitudinal axis of the shaft
• CPC Class Codes: A61B 2017/2941 : Toggle linkages
• CPC Class Codes: A61B 2017/2946 : Locking means
• CPC Class Codes: A61B 2034/252 : indicating steps of a surgical procedure
• CPC Class Codes: A61B 2034/254 : being adapted depending on the stage of the surgical procedure
• CPC Class Codes: A61B 2034/256 : having a database of accessory information, e.g. including context sensitive help or scientific articles
• CPC Class Codes: A61B 2090/035 : preventing further rotation
• CPC Class Codes: A61B 2090/037 : with a frangible part, e.g. by reduced diameter
• CPC Class Codes: A61B 2090/0803 : Counting the number of times an instrument is used
• CPC Class Codes: A61B 2090/0804 : Counting number of instruments used; Instrument detectors
• CPC Class Codes: A61B 2090/0807 : Indication means
• 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 2090/372 : Details of monitor hardware
• CPC Class Codes: A61B 2560/0214 : of power generation or supply
• CPC Class Codes: A61B 34/10 : Computer-aided planning, simulation or modelling of surgical operations
• CPC Class Codes: A61B 34/25 : User interfaces for surgical systems
• CPC Class Codes: A61B 34/30 : Surgical robots
• 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 90/03 : Automatic limiting or abutting means, e.g. for safety
• CPC Class Codes: A61B 90/37 : Surgical systems with images on a monitor during operation
• CPC Class Codes: A61B 90/90 : Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61B 90/96 : using barcodes
• CPC Class Codes: A61B 90/98 : using electromagnetic means, e.g. transponders
• CPC Class Codes: G06F 21/60 : Protecting data
• CPC Class Codes: G06F 3/016 : Input arrangements with force or tactile feedback as computer generated output to the user
• CPC Class Codes: G06F 3/0416 : Control or interface arrangements specially adapted for digitisers
• CPC Class Codes: G06F 3/04817 : using icons graphical or visual programming using iconic symbols G06F8/34
• CPC Class Codes: G06F 3/0482 : Interaction with lists of selectable items, e.g. menus
• CPC Class Codes: G06F 3/04845 : for image manipulation, e.g. dragging, rotation, expansion or change of colour
• CPC Class Codes: G06F 3/0488 : using a touch-screen or digitiser, e.g. input of commands through traced gestures
• CPC Class Codes: G06T 11/60 : Editing figures and text; Combining figures or text
• CPC Class Codes: G09G 5/14 : Display of multiple viewports
• CPC Class Codes: G16H 20/40 : relating to mechanical, radiation or invasive therapies, e.g. surgery, laser therapy, dialysis or acupuncture
• CPC Class Codes: G16H 40/63 : for local operation
• CPC Class Codes: G16Z 99/00 : Subject matter not provided for in other main groups of this subclass
• CPC Class Codes: H01M 10/425 : Structural combination with electronic components, e.g. electronic circuits integrated to the outside of the casing printed circuits H05K1/00
• CPC Class Codes: H01M 10/48 : Accumulators combined with arrangements for measuring, testing or indicating the condition of cells, e.g. the level or density of the electrolyte constructional details of current conducting connections for detecting conditions inside cells or batteries, e.g. details of voltage sensing terminals, H01M50/569
• CPC Class Codes: H01M 2220/30 : Batteries in portable systems, e.g. mobile phone, laptop
• CPC Class Codes: H02J 2310/23 : The load being a medical device, a medical implant, or a life supporting device
• CPC Class Codes: H02J 7/00 : Circuit arrangements for charging or depolarising batteries or for supplying loads from batteries
• CPC Class Codes: H02J 7/0068 : Battery or charger load switching, e.g. concurrent charging and load supply H02J7/0013 takes precedence
• CPC Class Codes: H02J 7/342 : The other DC source being a battery actively interacting with the first one, i.e. battery to battery charging with circuits for polarity protection H02J7/0034
• CPC Class Codes: H02J 9/061 : for DC powered loads
• CPC Class Codes: H03K 2217/96062 : with tactile or haptic feedback
• CPC Class Codes: Y02E 60/10 : Energy storage using batteries

Abstract

A surgical instrument system can comprise, one, a surgical instrument including a handle, a shaft comprising a distal end, and a trigger and, two, an end effector attachable to the shaft. The instrument can further include a firing member and a motor configured to move the firing member toward the distal end, wherein the trigger is configured to operate the motor. The surgical instrument system can further include a plurality of sensors configured to detect one or more error conditions, a plurality of indicators, and a controller in communication with the plurality of sensors and the indicators, wherein the controller is configured to selectively activate the indicators to indicate the error conditions detected. A surgical instrument can comprise a plurality of actuators and a plurality of actuator locks, wherein the controller can actuate one or more of the actuator locks to indicate the error condition detected.

Claims

1. A surgical instrument system, comprising:

a first component, comprising;

a first shaft portion;

a first drive portion;

a first connection portion comprising a bayonet connection; and

an indicator adjacent said bayonet connection;

a second component comprising a second shaft portion, a second drive portion, and a second connection portion, wherein said second connection portion is engageable with said first connection portion, wherein relative rotational motion between said bayonet connection and said second connection portion rotatably connects said second component to said first component and rotatably connects said first drive portion and said second drive portion;

a motor configured to apply a drive force to said second drive portion; and

a controller configured to detect whether said second component is properly connected to said first component, wherein said controller is responsive to a first set of operating instructions when said controller detects that said second component is properly connected to said first component and identifies said second component, wherein said controller is configured to activate said indicator when said controller detects that said second component is not identified by said controller, and wherein said controller is responsive to a second set of operating instructions when said controller does not identify said second component in order to limit the drive force that said motor can apply to said second drive portion to perform a firing motion.

2. The surgical instrument system of claim 1, wherein said first component comprises a surgical stapling instrument, and wherein said second component comprises a staple cartridge.

3. The surgical instrument system of claim 2, wherein said surgical stapling instrument comprises:

a firing member;

a firing trigger actuatable to advance said firing member; and

a trigger lock configured to prevent said firing trigger from being actuated when said controller detects that said second component is not properly connected to said first component and to indicate to the user of the surgical instrument system that said staple cartridge is not properly connected to said surgical stapling instrument.

4. The surgical instrument system of claim 1, wherein said indicator comprises a light emitting diode.

5. A surgical instrument system, comprising:

a first component comprising a first connection portion;

a second component comprising a second connection portion, wherein said second connection portion is engageable with said first connection portion to connect said second component to said first component;

a firing member;

a motor configured to apply rotary actuation motions to said firing member;

a firing trigger actuatable to advance said firing member;

a trigger lock; and

a controller configured to detect whether said second component is properly connected to said first component and configured to identify said second component, wherein said controller is responsive to a set of operating instructions after said controller identifies said second component, wherein said controller is configured to actuate said trigger lock to prevent said firing trigger from being actuated when said controller does not identify said second component in order to indicate to the user of the surgical instrument system that said second component is not identified, and wherein said controller is responsive to a different set of operating instructions as a result of the controller not identifying said second component in order to provide additional functions which are configured to limit the maximum force of said motor in order to perform a firing motion.

6. The surgical instrument system of claim 5, wherein said first component comprises a surgical stapling instrument, and wherein said second component comprises a staple cartridge.

7. A surgical instrument system, comprising:

a first component, comprising;

a first shaft portion;

a first drive portion;

a first connection portion comprising a bayonet connection; and

an indicator adjacent said bayonet connection;

a second component comprising a second shaft portion, a second drive portion, and a second connection portion, wherein said second connection portion is engageable with said first connection portion, wherein relative rotational motion between said bayonet connection and said second connection portion rotatably connects said second component to said first component and rotatably connects said first drive portion and said second drive portion;

an electric motor configured to generate an actuation motion; and

a controller configured to detect whether said second component is properly connected to said first component and configured to identify said second component, wherein said controller is configured to activate said indicator when said controller detects that said second component is not identified by said controller, wherein said controller is responsive to a set of operating instructions when said controller detects that said second component is properly connected to said first component, and wherein said controller is responsive to a different set of operating instructions in order to perform additional functions of the surgical instrument system after generating an error response if said controller does not identify said second component in order to limit the maximum force of said electric motor to perform a firing motion.