Laparoscopic tissue thickness and clamp load measuring devices

• US 8,893,946 B2
• Filed: 03/28/2007
• Issued: 11/25/2014
• Est. Priority Date: 03/28/2007
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon Endo-Surgery, Inc. (Johnson & Johnson)
• Inventors: Boudreaux, Chad P., Timperman, Eugene L., Fugikawa, Leslie M.
• Primary Examiner(s): Hindenburg, Max
• Assistant Examiner(s): Pani, John
• Application Number:
  US11/729,008
• Publication Number:
  US 20090012556A1
• Time in Patent Office: 2,799 Days
• Field of Search: 600/300, 600/546, 600/547, 600/550, 600/561, 600/562, 600/563, 600/564, 600/565, 600/566, 600/567, 600/568, 600/593, 600/595, 606/1, 606/32, 606/34, 606/39, 606/41, 606/46, 606/48, 606/51, 606/139, 606/142, 606/213, 606/215, 606/219, 606/220, 606/221, 227/175.1, 227/175.2, 227/175.3, 227/175.4, 227/176.1, 227/177.1, 227/178.1, 227/179.1, 227/180.1, 227/181.1, 227/182.1, 337/83, 337/84, 337/87, 337/88, 337/92, 338/07, 901/33, 901/34
• 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 17/072 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 17/29 Forceps for use in minimally invasive surgery
• CPC Class Codes: A61B 2017/07214 Stapler heads
• CPC Class Codes: A61B 2090/061 for measuring dimensions, e.g. length
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 90/06 Measuring instruments not otherwise provided for

Abstract

A surgical instrument having opposed jaws that can be selectively moved between open and closed positions. Various embodiments include components for measuring the thickness of tissue clamped between the opposed jaws. Some embodiments are configured to ascertain the amount of compressive force that is being applied to the tissue while the thickness of the tissue is being determined. The tissue thickness data is displayed on the instrument itself and/or on a display that is remote from the instrument. The various embodiments may comprise different types of surgical instruments such as surgical staplers and graspers. A jaw arrangement with jaws shaped to define a cradle that corresponds to a cross-sectional shape of an object is also disclosed. The components that generate the thickness data may be electrically or mechanically actuated.

Claims

1. A surgical instrument, comprising:

a pair of opposing jaws, wherein at least one jaw is selectively movable relative to the other jaw in response to opening and closing motions applied to at least one of said opposing jaws for selectively clamping tissue therebetween;

an output generator associated with said pair of opposing jaws, said output generator generating tissue thickness data representing thicknesses of the tissue clamped between said pair of opposing jaws when said opposing jaws are in a plurality of positions between opened and closed;

a probe operably interfacing with said output generator, wherein said probe is configured to operably contact both of the jaws when said pair of opposing jaws are in said plurality of positions such that at said plurality of positions said probe causes said output generator to generate said tissue thickness data; and

a display for displaying said tissue thickness data thereon.

2. The surgical instrument of claim 1 wherein said output generator comprises:

at least one strain gauge for generating a strain signal corresponding to the tissue thickness of the tissue clamped between said pair of opposing jaws; and

a processor communicating with said at least one strain gauge for receiving said strain signal therefrom and generating said tissue thickness data corresponding to said strain signal and communicating said tissue thickness data to said display.

3. The surgical instrument of claim 1 wherein said pair of opposing jaws comprises:

a first jaw sized to removably support a cartridge therein; and

a second jaw movably coupled to said first jaw and being selectively movable between open and closed positions relative to said first jaw in response to application of said open and closing motions to at least one of said first and second jaws and wherein said output generator comprises;

a measurement cartridge removably supportable in said first jaw;

at least one strain gauge associated with said measurement cartridge for generating a strain signal corresponding to the tissue thickness of tissue clamped between the measurement cartridge and the second jaw; and

a processor communicating with said at least one strain gauge for receiving said strain signals therefrom and calculating said tissue thickness data corresponding to said tissue thickness and communicating said tissue thickness data to said display.

4. The surgical instrument of claim 3 wherein said strain gauge is supported by said measurement cartridge and said probe has a deflectable portion for contact with said second jaw.

5. A surgical instrument comprising:

a handle assembly;

an end effector for performing a surgical operation, said end effector coupled to said handle assembly and having opposed jaw members for selectively clamping tissue therebetween in response to opening and closing motions applied to at least one of said opposing jaw members;

a first signal generator in said end effector for generating first signals corresponding to a thickness of the tissue clamped between said opposed jaw members;

a nodule oriented on said end effector such that said nodule is aligned with the first signal generator;

a probe configured to operably contact both of the jaw members when said pair of opposed jaw members are in a plurality of positions between opened and closed such that at said plurality of positions said probe causes a second signal generator operably interfacing with said probe to generate second tissue thickness signals;

a signal processor for receiving said first and second signals from said first signal generator and said second signal generator and calculating the thickness of the tissue clamped between said opposed jaw members; and

a display communicating with said signal processor for displaying the tissue thickness thereon.

6. The surgical instrument of claim 5 further comprising a measurement cartridge, comprising a cartridge body sized to be removably supported in said end effector and wherein said first signal generator comprises a first strain gauge supported by said cartridge body and configured to communicate with said signal processor when said cartridge body is removably supported in said end effector, said first strain gauge generating first strain signals corresponding to an amount of compressive load applied to the tissue clamped by said end effector.

7. The surgical instrument of claim 6 wherein said second signal generator comprises a second strain gauge supported within said cartridge body and communicating with said signal processor, said second strain gauge generating at least one second strain signal corresponding to a thickness of tissue clamped by said end effector.

8. The surgical instrument of claim 6 wherein said cartridge body is pivotally supported within the end effector.

9. The surgical instrument of claim 8 wherein said opposing jaw members of said end effector comprise:

an elongate channel configured to removably support the cartridge body therein; and

an anvil movably supported relative to the elongate channel.

10. The surgical instrument of claim 9 wherein said elongate channel is configured to operably support a surgical fastener cartridge therein when said cartridge body of the measurement cartridge has been removed from the elongate channel.

11. The surgical instrument of claim 10 further comprising:

a closure drive supported by said handle assembly and configured to generate said opening and closing motions for selective application to said end effector; and

a firing drive supported by said handle assembly and configured to selectively generate and apply firing motions to said surgical fastener cartridge operably supported by said elongate channel.

12. The surgical instrument of claim 6 wherein said cartridge body includes a tissue clamping surface and wherein said nodule protrudes from said tissue clamping surface.

13. The surgical instrument of claim 6 wherein said first signal generator is located distal to said second signal generator.

14. The surgical instrument of claim 5 wherein said tissue thickness data is wirelessly transmitted to said display.

15. The surgical instrument of claim 5 wherein said display is supported on said handle assembly.

16. The surgical instrument of claim 5 wherein said display is remote from said handle assembly.

17. The surgical instrument of claim 5 further comprising a closure drive supported by said handle assembly and configured to generate said opening and closing motions for selective application to said end effector.