Surgical instruments employing sensors
According to an aspect of the present disclosure, a surgical instrument for operating on tissue is provided. The surgical instrument includes an end effector including a first tissue engaging member and a second tissue engaging member in juxtaposed relation to the first tissue engaging member; a gap determination element operatively associated with each of the first tissue engaging member and the second tissue engaging member for measuring a gap distance between the first tissue engaging member and the second tissue engaging member; and a tissue contact determining element operatively associated with a respective tissue contacting surface of at least one of the first tissue engaging member and the second tissue engaging member. The present disclosure also relates to methods of using the surgical instrument.
1. A method of operating an electromechanical surgical stapler on a target tissue having a thickness, the surgical stapler including an end effector having a first tissue engaging member, a second tissue engaging member, a plurality of surgical staples loaded in the first or the second tissue engaging member, and a knife extendable from or along the first and the second tissue engaging members, the method comprising:
providing at least one tissue contact determining element on each of the first and the second tissue engaging members;
disposing the first and the second tissue engaging members, while in an open condition, on opposed sides of the target tissue;
approximating the first and the second tissue engaging members towards one another;
contacting the tissue contact determining element of each of the first and the second tissue engaging members with the target tissue;
identifying an initial contact of the tissue contact determining element of each of the first and the second tissue engaging members with the target tissue; and
determining an initial thickness of the target tissue based on the initial contact of the tissue contact determining element of each of the first and the second tissue engaging members with the target tissue.
2. The method according to claim 1 , further comprising transmitting a signal provided by each of the tissue contact determining elements to a processor.
3. The method according to claim 2 , wherein the processor includes a sensing circuit, the method further comprising determining when the target tissue is positioned between the first and the second tissue engaging members based on a sensed change in impedance through the sensing circuit.
4. The method according to claim 2 , further comprising providing a data look-up table including predetermined levels of compression for tissue, the method further comprising:
compressing the target tissue between the first and the second tissue engaging members;
monitoring at least one of a compression force or a strain on the target tissue, as the target tissue is being compressed; and
comparing at least one of the compression force or the strain on the target tissue against the predetermined levels of compression for tissue included in the data look-up table.
5. The method according to claim 4 , further comprising activating a signal when at least one of the compression force or the strain on the target tissue reaches at least one of a predetermined level of compression or strain.
6. The method according to claim 4 , further comprising setting a predetermined level of compression or strain prior to compressing the target tissue.
7. The method according to claim 4 , further comprising stopping an approximation of the first and the second tissue engaging members towards one another when the monitored compression force on the target tissue exceeds a predetermined level.
8. The method according to claim 4 , further comprising transmitting a signal provided by each of the tissue contact determining elements to a processor.
9. The method according to claim 8 , wherein the processor includes a sensing circuit, wherein the method further comprising determining when the target tissue is positioned between the first and the second tissue engaging members based on a sensed change in impedance through the sensing circuit.
10. The method according to claim 2 , further comprising activating a signal when at least one tissue contact determining element contacts the target tissue.
11. The method according to claim 1 , further comprising determining an initial gap distance between the first and the second tissue engaging members, wherein the initial gap distance corresponds to the initial thickness of the target tissue.
12. The method according to claim 11 , further comprising approximating the first and the second tissue engaging members towards one another beyond the initial thickness of the target tissue to compress the target tissue to a thickness appropriate for the surgical staples loaded in the first or the second tissue engaging member.
13. The method according to claim 11 , wherein adjustment of the initial gap distance between the first and the second tissue engaging members includes further approximating the first and the second tissue engaging members towards one another to reduce the initial gap distance to a second gap distance, whereby the target tissue disposed between the first and the second tissue engaging members is compressed to a thickness equal to the second gap distance.
14. The method according to claim 1 , further comprising exchanging the surgical staples of the surgical stapler to accommodate the initial thickness of the target tissue.
15. The method according to claim 1 , further comprising selecting a size of the surgical staples of the surgical stapler to accommodate the initial thickness of the target tissue.
16. The method according to claim 1 , further comprising sensing an impedance between the tissue contact determining element of the first tissue engaging member and the tissue contact determining element of the second tissue engaging member.
17. The method according to claim 16 , further comprising sensing the impedance through the target tissue in contact with and between the first tissue engaging member and the tissue contact determining element of the second tissue engaging member.
18. The method according to claim 17 , further comprising transmitting the sensed impedance to a processor.
19. The method according to claim 18 , wherein the processor includes a sensing circuit, the method further comprising determining when the target tissue is positioned between the first and the second tissue engaging members based on a sensed change in the impedance of the target tissue:
through the sensing circuit; and
between the tissue contact determining element of the first tissue engaging member and the tissue contact determining element of the second tissue engaging member.