Motor driven surgical cutting instrument

• US 8,602,287 B2
• Filed: 06/01/2012
• Issued: 12/10/2013
• Est. Priority Date: 09/23/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Yates, David C., Shelton, Frederick E. IV, Smith, Bret W., Swensgard, Brett E., Laurent, Ryan J.
• Primary Examiner(s): Elve, Alexandra
• Assistant Examiner(s): Tecco, Andrew M
• Application Number:
  US13/486,175
• Publication Number:
  US 20120265230A1
• Time in Patent Office: 557 Days
• Field of Search: 227/175.1, 227/176.1, 227/178.1, 227/19, 606/170
• US Class Current: 227/175.1
• 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 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00154 pulsed
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• 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 2017/2923 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 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.

Claims

1. A surgical instrument, comprising:

an end effector that clamps tissue, the end effector comprising a moveable member comprising a cutting element that, when actuated, longitudinally traverses the end effector along a cutting travel path to cut tissue clamped in the end effector, wherein the cutting travel path has an initial position at a beginning of the cutting travel path and an end-of-stroke position at an end of the cutting travel path;

an electric motor that drives the moveable member of the end effector when the electric motor is forward rotated, wherein the electric motor is for actuating the cutting instrument of the end effector;

a motor control circuit connected to the electric motor, wherein the motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of the moveable member of the end effector, and wherein the motor control circuit is for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor; and

a cutting instrument position sensor that senses the parameter of the electric motor that is indicative of movement of the moveable member of the end effector, wherein the movement of the moveable member of the end effector comprises a position of the cutting instrument in the end effector along the cutting travel path;

wherein the motor control circuit comprises;

a power source connected to the electric motor for electrically powering the electric motor; and

a current control circuit, connected to the power source, for varying the current supplied to the electric motor from the power source, wherein the current control circuit controls the electric motor according to a switching architecture and based on the position of the cutting instrument along the cutting travel path relative to the end-of-stroke position and the initial position, as sensed by the cutting instrument position sensor, wherein the switching architecture comprises;

a first, low power operational mode for a first portion of a cutting travel path of the cutting instrument when the cutting instrument is within a first non-zero threshold distance along the cutting travel path from the initial position; and

a second, high power operational mode for a second portion the cutting travel path of the cutting instrument when the cutting instrument is between the first non-zero threshold distance and a second non-zero threshold distance from the initial position of the cutting travel path, wherein the first non-zero threshold distance is less than the second non-zero threshold distance, and where greater current is supplied to the motor during the second, higher power operational mode than during the first, low power operational mode.

2. The surgical instrument of claim 1, wherein the current control circuit comprises:

a switch connected to the power source;

a resistor connected in parallel with the switch; and

a control circuit for controlling the switch.

3. The surgical instrument of claim 1, wherein the current control circuit comprises a variable resistor.

4. The surgical instrument of claim 1, wherein the current control circuit comprises a pulse width modulation control circuit.

5. The surgical instrument of claim 1, wherein the current control circuit comprises a frequency modulation control circuit.

6. The surgical instrument of claim 1, wherein the current control circuit comprises an amplifier circuit.

7. The surgical instrument of claim 1, wherein:

the cutting instrument has a return travel path that follows the cutting travel path, wherein the return travel path begins at the end-of-stroke position and ends at the initial position; and

the switching architecture of the current control circuit reverses a rotational direction of the motor for the return travel path when the cutting instrument reaches the end-of-stroke position.

8. The surgical instrument of claim 7, wherein the switching architecture of the current control circuit removes current from the motor on the cutting travel path when the cutting instrument is within the second non-zero threshold distance from the initial position.

9. The surgical instrument of claim 8, wherein the switching architecture of the current control circuit removes current from the motor along the return travel path of the cutting instrument prior to the cutting instrument reaching the initial position.

10. The surgical instrument of claim 9, wherein the motor control circuit does not include an integrated circuit.

11. The surgical instrument of claim 7, wherein the switching architecture of the current control circuit reverts to the first, low power operational mode when the cutting instrument is within the second non-zero threshold distance from the initial position.

12. The surgical instrument of claim 7, wherein the switching architecture comprises a third operational mode for when the cutting instrument is farther than the second non-zero threshold distance from the initial position, wherein greater current is supplied to the motor during the second, higher power operational mode than during the third operational mode, and the current supplied to the motor during the first, low power operational mode is different from the current supplied to the motor during the third operational mode.

13. A surgical instrument, comprising:

an end effector comprising a firing element, wherein the firing element is configured to move along a firing path, and wherein the firing path comprises;

an initial position; and

an end-of-stroke position;

an electric motor, wherein the electric motor drives the firing element in a first direction along the firing path when the electric motor is rotated in a first rotational direction; and

a control circuit for controlling the electric motor, wherein the control circuit is configured to switch between a plurality of operational modes during rotation of the electric motor in the first rotational direction, and wherein the plurality of operational modes comprises;

a first operational mode, wherein the control circuit operates in the first operational mode when the firing element is positioned within a first range of positions along the firing path, wherein the first range of positions is positioned between the initial position and a second range of positions, and wherein a first amount of current is supplied to the electric motor during the first operational mode; and

a second operational mode, wherein the control circuit operates in the second operational mode when the firing element is positioned within the second range of positions along the firing path, wherein the second range of positions is positioned between the first range of positions and the end-of-stroke position, wherein a second amount of current is supplied to the electric motor during the second operational mode, and wherein the second amount of current is greater than the first amount of current.

14. The surgical instrument of claim 13, further comprising a sensor configured to detect a condition of the firing element indicative of the position of the firing element along the firing path, wherein the sensor is in signal communication with the control circuit.

15. The surgical instrument of claim 13, wherein the control circuit controls the electric motor to rotate in a second rotational direction to move the firing element in a second direction along the firing path, wherein the second direction is different than the first direction, and wherein the second rotational direction is different than the first rotational direction.

16. The surgical instrument of claim 15, wherein the control circuit is configured to switch between the first operational mode and the second operational mode during rotation of the electric motor in the second rotational direction.

17. A surgical instrument, comprising:

an end effector comprising a firing element, wherein the firing element is configured to move along a firing path, and wherein the firing path comprises;

an initial position; and

an end-of-stroke position;

a sensor that detects a condition of the firing element indicative of the position of the firing element along the firing path;

an electric motor, wherein the electric motor drives the firing element in a first direction along the firing path when the electric motor is rotated in a first rotational direction; and

a control circuit for controlling the electric motor, wherein the control circuit is configured to operate in a plurality of operational modes during rotation of the electric motor in the first rotational direction, and wherein the plurality of operational modes comprises;

a first operational mode, wherein the control circuit operates in the first operational mode when the detected condition is indicative of the firing element positioned within a first range of positions along the firing path, wherein the first range of positions is positioned between the initial position and a second range of positions, and wherein a first amount of current is supplied to the electric motor during the first operational mode; and

a second operational mode, wherein the control circuit operates in the second operational mode when the detected condition is indicative of the firing element positioned within the second range of positions along the firing path, wherein the second range of positions is positioned between the first range of positions and the end-of-stroke position, wherein a second amount of current is supplied to the electric motor during the second operational mode, and wherein the second amount of current is greater than the first amount of current.

18. The surgical instrument of claim 17, wherein the control circuit controls the electric motor to rotate in a second rotational direction to move the firing element in a second direction along the firing path, wherein the second direction is different than the first direction, and wherein the second rotational direction is different than the first rotational direction.

19. A surgical instrument, comprising:

an end effector comprising a firing element, wherein the firing element is configured to move along a firing path, and wherein the firing path comprises;

an initial position; and

an end-of-stroke position;

an electric motor, wherein the electric motor drives the firing element in a first direction along the firing path when the electric motor is rotated in a first rotational direction; and

a control circuit for controlling the electric motor, wherein the control circuit is configured to switch between a plurality of operational modes during rotation of the electric motor in the first rotational direction, and wherein the plurality of operational modes comprises;

a first operational mode, wherein the control circuit operates in the first operational mode when the firing element is positioned within a first range of positions along the firing path, wherein the first range of positions is positioned between the initial position and a second range of positions, and wherein a first amount of current is supplied to the electric motor during the first operational mode;

a second operational mode, wherein the control circuit operates in the second operational mode when the firing element is positioned within the second range of positions along the firing path, wherein the second range of positions is positioned between the first range of positions and a third range of positions, wherein a second amount of current is supplied to the electric motor during the second operational mode, and wherein the second amount of current is greater than the first amount of current; and

a third operational mode, wherein the control circuit operates in the third operational mode when the firing element is positioned within the third range of positions along the firing path, wherein the third range of positions is positioned between the second range of positions and the end-of-stroke position, wherein a third amount of current is supplied to the electric motor during the third operational mode, and wherein the third amount of current is less than the second amount of current.