MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS

• US 20170231626A1
• Filed: 02/12/2016
• Published: 08/17/2017
• Est. Priority Date: 02/12/2016
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery LLC (Johnson & Johnson)
• Inventors: Shelton, IV, Frederick E., Overmyer, Mark D., Yates, David C., Harris, Jason L.
• Granted Patent: US 10,448,948 B2
• Time in Patent Office: Days
• 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 2017/00075 Motion
• CPC Class Codes: A61B 2017/00119 alarm; indicating an abnormal situation
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• 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 2017/00473 Distal part, e.g. tip or head A61B2017/00464 takes precedence
• CPC Class Codes: A61B 2017/00725 Calibration or performance testing
• CPC Class Codes: A61B 2017/00734 battery operated
• 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 2090/0809 Indication of cracks or breakages

Abstract

A surgical apparatus includes an end effector configured to interact with a tissue and a surgical instrument. The surgical instrument includes at least one drive mechanism operable to effect at least one motion in the end effector. The surgical instrument further includes one or more vibration sensors configured to record vibrations generated by the at least one drive mechanism, wherein the one or more vibration sensors are configured to generate an output signal based on the sensed vibrations, and wherein the output signal is employed to select between an acceptable status, a marginal status, and a critical status of the surgical instrument.

Claims

1. A surgical apparatus, comprising:

an end effector configured to interact with a tissue; and

a surgical instrument, comprising;

at least one drive mechanism operable to effect at least one motion in the end effector; and

one or more vibration sensors configured to record vibrations generated by the at least one drive mechanism, wherein the one or more vibration sensors are configured to generate an output signal based on the sensed vibrations, and wherein the output signal is employed to select between an acceptable status, a marginal status, and a critical status of the surgical instrument.

2. The surgical apparatus of claim 1, further comprising at least one frequency filter configured to receive the output signal of the one or more vibration sensors, wherein the at least one frequency filter is configured to generate a filtered signal based on the received output signal.

3. The surgical apparatus of claim 2, further comprising:

a memory storing predetermined threshold values associated with the acceptable status, the marginal status, and the critical status; and

a processor in communication with the at least one frequency filter.

4. The surgical apparatus of claim 3, wherein the memory includes program instructions which, when executed by the processor, cause the processor to generate a processed signal based on the filtered signal.

5. The surgical apparatus of claim 4, wherein the memory includes program instructions which, when executed by the processor, cause the processor to employ a fast Fourier transform to develop the processed signal.

6. The surgical apparatus of claim 4, wherein the program instructions, when executed by the processor, cause the processor to compare the predetermined threshold values to corresponding values of the processed signal.

7. The surgical apparatus of claim 6, wherein the program instructions, when executed by the processor, cause the processor to detect a critical malfunction of the surgical instrument when the predetermined threshold values associated with the critical status are equal to or less than the corresponding values of the processed signal.

8. The surgical apparatus of claim 7, wherein the program instructions, when executed by the processor, cause the processor to detect an acute malfunction of the surgical instrument when the predetermined threshold values associated with the critical status are greater than the corresponding values of the processed signal, and the predetermined threshold values associated with the marginal status are equal to or less than the corresponding values of the processed signal.

9. The surgical apparatus of claim 3, wherein the predetermined threshold values are generated from a test output signal of the one or more vibration sensors.

10. The surgical apparatus of claim 9, wherein the test output signal is based on test vibrations recorded by the one or more vibration sensors during a testing procedure of the surgical instrument.

11. The surgical apparatus of claim 3, wherein the predetermined threshold values are generated from a previously processed signal.

12. A method for assessing performance of a surgical instrument including one or more drivetrains, the method comprising:

sensing via one or more vibration sensors vibrations generated during operation of the one or more drivetrains of the surgical instrument;

generating an output signal based on the sensed vibrations;

filtering the output signal to generate a filtered signal of the sensed vibrations from the one or more drivetrains;

processing the filtered signal to generate a processed signal of the sensed vibrations from the one or more drivetrains; and

comparing predetermined threshold values for each of an acceptable status, a marginal status, and a critical status of the surgical instrument to corresponding values of the processed signal.

13. The method of claim 12, further comprising detecting a critical malfunction of the surgical instrument when the predetermined threshold values associated with the critical status are equal to or less than the corresponding values of the processed signal.

14. The method of claim 12, further comprising detect an acute malfunction of the surgical instrument when the predetermined threshold values associated with the critical status are greater than the corresponding values of the processed signal, and the predetermined threshold values associated with the marginal status are equal to or less than the corresponding values of the processed signal.

15. The method of claim 13, wherein the predetermined threshold values are generated from a test output signal.

16. The method of claim 13, wherein the test output signal is based on vibrations sensed by the one or more vibration sensors during a testing procedure of the surgical instrument.

17. The method of claim 12, wherein the predetermined threshold values are generated from a previously processed signal.

18. A surgical stapler, comprising:

a staple cartridge comprising a plurality of staples deployable into tissue;

at least one drive mechanism operable to deploy the plurality of staples into the tissue during a firing sequence of the surgical stapler; and

one or more vibration sensors configured to record vibrations generated by the at least one drive mechanism, wherein the one or more vibration sensors are configured to generate an output signal based on the sensed vibrations, and wherein the output signal is employed to select between an acceptable status, a marginal status, and a critical status of the at least one drive mechanism.

19. The surgical stapler of claim 18, further comprising at least one frequency filter configured to receive the output signal of the one or more vibration sensors, wherein the at least one frequency filter is configured to generate a filtered signal based on the received output signal.

20. The surgical stapler of claim 18, further comprising:

a memory storing predetermined threshold values associated with the acceptable status, the marginal status, and the critical status; and

a processor in communication with the at least one frequency filter.