Surgical cutting and fastening instrument with apparatus for determining cartridge and firing motion status

• US 10,695,063 B2
• Filed: 03/22/2017
• Issued: 06/30/2020
• Est. Priority Date: 02/13/2012
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Morgan, Jerome R., Shelton, IV, Frederick E.
• Primary Examiner(s): Lopez, Michelle
• Application Number:
  US15/465,919
• Publication Number:
  US 20170319209A1
• Time in Patent Office: 1,196 Days
• Field of Search: 2271751, 2271761
• 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 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 2017/00128 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 2017/00685 Archimedes screw
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2903 transferring rotary motion
• 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 34/30 Surgical robots
• CPC Class Codes: A61B 34/76 Manipulators having means for providing feel, e.g. force or tactile feedback

Abstract

A fastener cartridge comprising a cartridge body, a plurality of fasteners, a longitudinal knife slot defined in the cartridge body, and a circuit comprising a plurality of sub-circuits extending across the longitudinal knife slot is disclosed. The longitudinal knife slot is configured to receive a tissue cutting knife. The plurality of sub-circuits comprises a first sub-circuit and a second sub-circuit. The circuit produces a first voltage in response to an applied current when the first sub-circuit and the second sub-circuit are intact. The circuit produces a second voltage in response to the applied current as the tissue cutting knife is advanced distally through the longitudinal knife slot. The first voltage is different than the second voltage.

Claims

1. A fastener cartridge, comprising:

a cartridge body;

a plurality of fasteners;

a longitudinal knife slot defined in said cartridge body, wherein said longitudinal knife slot is configured to receive a tissue cutting knife; and

a circuit comprising a plurality of sub-circuits extending across said longitudinal knife slot, wherein said plurality of sub-circuits comprises;

a first sub-circuit; and

a second sub-circuit, wherein said circuit produces a first voltage in response to an applied current when said first sub-circuit and said second sub-circuit are intact, wherein said circuit produces a second voltage in response to the applied current as the tissue cutting knife is advanced distally through said longitudinal knife slot, and wherein said first voltage is different than said second voltage.

2. The fastener cartridge of claim 1, wherein said first voltage and said second voltage are non-zero voltages.

3. A fastener cartridge, comprising:

a cartridge body;

a plurality of fasteners;

a longitudinal slot defined in said cartridge body, wherein said longitudinal slot is configured to receive a drive member; and

a circuit comprising a plurality of sub-circuits extending across said longitudinal slot, wherein said plurality of sub-circuits comprises;

a first sub-circuit; and

a second sub-circuit, wherein said circuit produces a first electrical response when said first sub-circuit and said second sub-circuit are intact, wherein said circuit produces a second electrical response as the drive member is advanced distally through said longitudinal slot, and wherein said first electrical response is different than said second electrical response.

4. A surgical stapling instrument, comprising:

an end effector comprising a cartridge body;

a plurality of staples removably stored in said cartridge body;

a tissue cutting knife movable distally during a staple firing stroke;

a longitudinal knife slot defined in said cartridge body configured to receive said tissue cutting knife;

a handle;

a screen on said handle viewable by the user of said surgical stapling instrument;

an electric motor configured to drive said tissue cutting knife through said staple firing stroke; and

an adaptive sensing circuit configured to produce an electrical output indicative of a resistive loading response in said end effector that changes during said staple firing stroke of said tissue cutting knife.

5. The surgical stapling instrument of claim 4, wherein said handle comprises a vibrating element, and wherein said vibrating element is configured to vibrate at an end of said staple firing stroke.