Surgical system with an actuation console

• US 10,842,491 B2
• Filed: 06/29/2018
• Issued: 11/24/2020
• Est. Priority Date: 01/31/2006
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Giordano, James R., Swayze, Jeffrey S.
• Primary Examiner(s): Tecco, Andrew M
• Assistant Examiner(s): Igbokwe, Nicholas E
• Application Number:
  US16/023,523
• Publication Number:
  US 20180303482A1
• Time in Patent Office: 879 Days
• Field of Search: 2271751, 2271771, 2271801, 2271791, 606 1, 606167, 606117
• 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 17/072 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 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00022 Sensing or detecting at the treatment site
• CPC Class Codes: A61B 2017/00199 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 2017/00314 Separate linked members
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00424 ergonomic, e.g. fitting in fist
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2946 Locking means
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/065 for measuring contact or contact pressure
• 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
• CPC Class Codes: A61B 90/90 : Identification means for patients or instruments, e.g. tags

Abstract

A surgical cutting and fastening system is disclosed including an end effector and an actuation console. The end effector includes an anvil and a firing member. The anvil moves in response to a closure motion from a first drive member. The firing member moves in response to a firing motion from a second drive member. A gear arrangement is configured to transmit the closure motion to the first drive member and the firing motion to the second drive member. The actuation console includes an input interface including a first input and a second input. The first input is configured to communicate the closure motion to the first drive member. The second input is configured to communicate the firing motion to the second drive member. The motor drive system cannot be operated to perform the firing motion until the closure motion has positioned the anvil in the closed position.

Claims

1. A surgical cutting and fastening system, comprising:

an end effector, comprising;

a jaw;

an anvil comprising staple forming features, wherein said anvil is selectively movable relative to said jaw between an open position and a closed position, wherein said anvil moves toward said closed position in response to a closure motion from a first drive member;

a firing member movable between a proximal position and a distal position, wherein said firing member moves toward said distal position in response to a firing motion from a second drive member; and

a staple cartridge removably positioned in said jaw, wherein said staple cartridge comprises staples configured to be deployed from said staple cartridge in response to said firing motion;

a rigid elongate shaft, comprising;

a longitudinal axis; and

an articulation joint comprising a fixed articulation axis, wherein said end effector is rotatable relative to said longitudinal axis about said fixed articulation axis;

a motor drive system;

an enclosure comprising a gear arrangement operably coupled to said motor drive system, wherein said gear arrangement is configured to transmit said closure motion to said first drive member and said firing motion to said second drive member, and wherein said closure motion and said firing motion are separate and distinct motions; and

an actuation console, comprising;

a viewing screen; and

an input interface comprising a first input and a second input controllable by a clinician, wherein said actuation console is in operable communication with said motor drive system, wherein said first input is configured to communicate said closure motion to said first drive member, wherein said second input is configured to communicate said firing motion to said second drive member, and wherein said motor drive system cannot be operated to perform said firing motion until said closure motion has positioned said anvil in said closed position.

2. The surgical cutting and fastening system of claim 1, wherein said actuation console provides the clinician with real-time feedback on the position of said anvil.

3. The surgical cutting and fastening system of claim 1, wherein said actuation console provides the clinician with real-time feedback on the position of said firing member.

4. The surgical cutting and fastening system of claim 1, wherein said firing member comprises a first cam configured to engage said jaw and a second cam configured to engage said anvil to position said jaw and said anvil relative to one another.

5. A surgical cutting and fastening system, comprising:

an end effector, comprising;

a jaw;

an anvil comprising staple forming features, wherein said anvil is selectively movable relative to said jaw between an open position and a clamped position, wherein said anvil moves toward said clamped position in response to a clamping motion from a first drive member;

a firing member movable between a proximal position and a distal position, wherein said firing member moves toward said distal position in response to a firing stroke from a second drive member; and

a staple cartridge removably positioned in said jaw, wherein said staple cartridge comprises staples configured to be deployed from said staple cartridge in response to said firing stroke;

a rigid shaft assembly, comprising;

a longitudinal axis; and

an articulation joint comprising a fixed articulation axis, wherein said end effector is rotatable relative to said longitudinal axis about said fixed articulation axis;

a motorized system;

a housing comprising a gear arrangement operably coupled to said motorized system, wherein said gear arrangement is configured to transmit said clamping motion to said first drive member and said firing stroke to said second drive member, and wherein said clamping motion and said firing stroke are separate and distinct; and

a control system, comprising;

a viewing screen;

an input interface comprising a first input and a second input controllable by a clinician;

a processor; and

a memory, wherein said control system is in a remote location relative to said motorized system, and wherein said control system is configured such that said firing stroke cannot be initiated until said anvil has been clamped.

6. The surgical cutting and fastening system of claim 5, wherein said control system provides the clinician with real-time feedback on the position of said anvil.

7. The surgical cutting and fastening system of claim 5, wherein said control system provides the clinician with real-time feedback on the position of said firing member.

8. The surgical cutting and fastening system of claim 5, wherein said firing member comprises a first cam configured to engage said jaw and a second cam configured to engage said anvil to position said jaw and said anvil relative to one another.

9. A surgical system, comprising:

an end effector, comprising;

a jaw;

an anvil comprising staple forming features, wherein said anvil is selectively movable relative to said jaw between an open position and a closed position, wherein said anvil moves toward said closed position in response to a closure motion;

a firing member movable between a proximal position and a distal position, wherein said firing member moves toward said distal position in response to a firing motion; and

a staple cartridge removably positioned in said jaw, wherein said staple cartridge comprises staples configured to be deployed from said staple cartridge in response to said firing motion;

a rigid elongate shaft, comprising;

a longitudinal axis; and

an articulation joint comprising a fixed articulation axis, wherein said end effector is rotatable relative to said longitudinal axis about said fixed articulation axis;

a motor drive system configured to transmit said closure motion to said anvil and said firing motion to said firing member, and wherein said closure motion and said firing motion are separate and distinct motions; and

an actuation console, comprising;

a viewing screen; and

an input interface controllable by a clinician, wherein said actuation console is in operable communication with said motor drive system, and wherein said motor drive system cannot be operated to perform said firing motion until said closure motion has positioned said anvil in said closed position.

10. The surgical system of claim 9, wherein said actuation console provides the clinician with real-time feedback on the position of said anvil.

11. The surgical system of claim 9, wherein said actuation console provides the clinician with real-time feedback on the position of said firing member.

12. The surgical system of claim 9, wherein said firing member comprises a first cam configured to engage said jaw and a second cam configured to engage said anvil to position said jaw and said anvil relative to one another.

13. A surgical system, comprising:

an end effector, comprising;

a first jaw;

a second jaw, wherein said first jaw is selectively movable relative to said second jaw between an open position and a closed position in response to a closure motion;

a firing member movable between a proximal position and a distal position, wherein said firing member moves toward said distal position in response to a firing motion; and

a staple cartridge removably positioned in said end effector, wherein said staple cartridge comprises staples configured to be deployed from said staple cartridge in response to said firing motion;

a rigid elongate shaft, comprising;

a longitudinal axis; and

an articulation joint comprising a fixed articulation axis, wherein said end effector is rotatable relative to said longitudinal axis about said fixed articulation axis;

a motor drive system configured to transmit said closure motion to said first jaw and said firing motion to said firing member, and wherein said closure motion and said firing motion are separate and distinct motions; and

an actuation console, comprising;

a viewing screen; and

an input interface controllable by a clinician, wherein said actuation console is in operable communication with said motor drive system, and wherein said motor drive system cannot be operated to perform said firing motion until said closure motion has positioned said first jaw in said closed position.

14. The surgical system of claim 13, wherein said actuation console provides the clinician with real-time feedback on the position of said first jaw.

15. The surgical system of claim 13, wherein said actuation console provides the clinician with real-time feedback on the position of said firing member.

16. The surgical system of claim 13, wherein said firing member comprises a first cam configured to engage said first jaw and a second cam configured to engage said second jaw to position said first jaw and said second jaw relative to one another.