IP Library Granted Patent US 12,096,933
Granted Patent B2
US 12,096,933 · App. 15/447,678 · Granted Sep 24, 2024

Electrical surgical instrument with differential rate of closing motion speed

Inventors: Kevin W. Smith (Coral Gables, FL); Thomas O. Bales, Jr. (Miami, FL); Derek Dee Deville (Coral Gables, FL); Carlos Rivera (Cooper City, FL); Matthew A. Palmer (Miami, FL)
Assignee: Cllag GmbH International
A61B17/072A61B17/068A61B17/07207A61B17/1114A61B17/115A61B17/1155A61B90/03A61B2017/00017A61B2017/00115A61B2017/00398A61B2017/00477A61B2017/00734A61B2017/07257A61B2017/07271A61B2017/07278A61B2017/07285A61B2090/032A61B2090/064
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Quick Facts
Patent No.
US 12,096,933
App. No.
15/447,678
Granted
Sep 24, 2024
Kind
B2
Abstract

A surgical instrument comprised of an end effector having two opposing tissue-compression surfaces, wherein at least one of the tissue-compressing surfaces is movable with respect to the other of the tissue-compressing surfaces, and a handle connected to the end effector. The handle comprises a power source, an electric motor supplied with power from the power source, and a closure assembly comprising a drive part that is selectively moved by the motor along a drive-part axis and is operatively connected to the end effector such that, when the motor is supplied with power, the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface at a differential rate of speed dependent upon a position of the drive part along the drive-part axis.

Claims (77)

1. A surgical instrument, comprising:

a stapling end effector having two opposing tissue-compressing surfaces defining a closure distance therebetween, wherein at least one of the tissue-compressing surfaces is movable with respect to the other of the tissue-compressing surfaces to apply a compressive force to tissue therebetween; and

a handle connected to the stapling end effector and comprising:

a power source;

a staple-firing assembly operatively connected to the stapling end effector and, when actuated, causing the stapling end effector to staple tissue disposed between the two opposing tissue-compressing surfaces;

a closure assembly comprising:

an electric motor powered by the power source and comprising a drive axle configured to rotate;

a rotating nut mechanically connected to the drive axle to rotate about a drive-part axis and comprising a drive pin;

a drive part:

comprising a body defining a multi-pitch thread mechanically connected to the drive pin of the rotating nut, the body moved by the motor in one of a direction away from the stapling end effector and towards the stapling end effector along the drive-part axis dependent upon a direction of rotation of the rotating nut;

comprising a detection mechanism configured to detect a position of the drive-part along the drive-part axis;

selectively moved by the motor along the drive-part axis; and

operatively connected to the stapling end effector such that, when the motor is being supplied with power, the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface at a differential rate of speed dependent upon a position of the drive pin within the multi-pitch thread;

a force detection component configured to detect the compressive force that is applied to the tissue and exhibit at least one of a mechanical and electrical change associated with the detected compressive force, the at least one change influencing a surgical procedure on the compressed tissue; and

a controller operatively connected to the staple-firing assembly and the detection mechanism, the controller configured to prevent actuation of the staple-firing assembly unless the drive part is at a position corresponding to a closure distance within a pre-defined firing range, wherein the power source, the motor, and the controller are entirely contained within the handle.

2. The surgical instrument according to claim 1 , wherein a position of the drive part along the drive-part axis corresponds to a closure distance between the two opposing tissue-compressing surfaces.

3. The surgical instrument according to claim 1 , wherein the two opposing tissue-compressing surfaces comprise an anvil and a staple cartridge, and the anvil is movable with respect to the staple cartridge.

4. The surgical instrument according to claim 1 , wherein:

the drive part comprises a longitudinal cylindrical body having an exterior surface with the multi-pitch thread; and

the rotating nut comprises a hollow body:

shaped to matingly receive at least a portion of the drive part; and

having an internal surface with the drive pin onto which the multi-pitch thread of the drive part is threaded such that, when the motor is supplied with power, the hollow body rotates to move the drive part along the drive-part axis.

5. The surgical instrument according to claim 4 , wherein:

the longitudinal cylindrical body of the drive part has a proximal end and a distal end; and

the thread pitch of the multi-pitch thread increases from the proximal end to the distal end of the longitudinal cylindrical body.

6. The surgical instrument according to claim 5 , wherein the increase in the thread pitch causes a rate of speed of the movement of the drive part along the drive-part axis to decrease as the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface.

7. The surgical instrument according to claim 1 , wherein the

controller is operatively connected to the motor, the controller configured to cause the motor to change a rate of speed of the movement of the drive part along the drive-part axis dependent upon the detected position of the drive part.

8. The surgical instrument according to claim 7 , wherein the detection mechanism is comprised of at least one limit switch configured to detect when the drive part is at a predetermined position.

9. The surgical instrument according to claim 1 , wherein:

the electric motor of the closure assembly is a first electric motor; and

the handle further comprises a firing assembly that is separate from the closure assembly and comprises a second electric motor.

10. A surgical instrument, comprising:

a stapling end effector having two opposing tissue-compressing surfaces defining a closure distance therebetween, wherein at least one of the tissue-compressing surfaces is movable with respect to the other of the tissue-compressing surfaces to apply a compressive force to tissue therebetween; and

a handle connected to the stapling end effector and comprising:

a power source; and

a staple-firing assembly operatively connected to the stapling end effector and, when actuated, causing the stapling end effector to staple tissue disposed between the two opposing tissue-compressing surfaces;

a closure assembly comprising:

an electric motor powered by the power source and comprising a drive axle configured to rotate;

a hollow rotating body mechanically connected to the drive axle to rotate about a drive-part axis and comprising an internal surface with a protruding drive pin;

a longitudinal cylindrical drive part:

comprising a detection mechanism configured to detect a position of the drive-part along the drive-part axis;

moved by the motor along the drive-part axis;

comprising multi-pitch exterior thread mechanically connected to the drive pin of the rotating body, the hollow rotating body shaped to matingly receive at least a portion of the drive part therein; and

operatively connected to the stapling end effector such that, when the motor is supplied with power, the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface at a differential rate of speed dependent upon a position of the drive pin within the multi-pitch thread; and

a mechanical force detection component configured to receive the compressive force that is applied to the tissue and exhibit at least one of a mechanical and electrical change associated with the received compressive force, the at least one change influencing a surgical procedure on the compressed tissue; and

a controller operatively connected to the staple-firing assembly and the detection mechanism, the controller configured to prevent actuation of the staple-firing assembly unless the drive part is at a position corresponding to a closure distance within a pre-defined firing range, wherein the power source, the motor, and the controller are entirely contained within the handle.

11. The surgical instrument according to claim 10 , wherein a position of the drive part along the drive-part axis corresponds to a closure distance between the two opposing tissue-compressing surfaces.

12. The surgical instrument according to claim 10 , wherein the two opposing tissue-compressing surfaces comprise an anvil and a staple cartridge, and the anvil is movable with respect to the staple cartridge.

13. The surgical instrument according to claim 10 , wherein:

the longitudinal cylindrical drive part has a proximal end and a distal end; and

the thread pitch of the multi-pitch thread increases from the proximal end to the distal end of the longitudinal cylindrical drive part.

14. The surgical instrument according to claim 13 , wherein the increase in the thread pitch causes a rate of speed of the movement of the drive part along the drive-part axis to decrease as the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface.

15. The surgical instrument according to claim 10 , wherein the

controller is operatively connected to the motor, the controller configured to cause the motor to change a rate of speed of the movement of the drive part along the drive-part axis dependent upon the detected position of the drive part.

16. The surgical instrument according to claim 15 , wherein the detection mechanism is comprised of at least one limit switch configured to detect when the drive part is at a predetermined position.

17. The surgical instrument according to claim 10 , wherein:

the electric motor of the closure assembly is a first electric motor; and

the handle further comprises a firing assembly that is separate from the closure assembly and comprises a second electric motor.

18. The surgical instrument according to claim 10 , wherein the force detection component is configured to exhibit at least one of a mechanical and electrical change associated with the detected compressive force, the at least one change influencing a surgical procedure on the compressed tissue.

19. A surgical instrument, comprising:

a stapling end effector having two opposing tissue-compressing surfaces defining a closure distance therebetween, wherein at least one of the tissue-compressing surfaces is movable with respect to the other of the tissue-compressing surfaces to apply a compressive force to tissue therebetween; and

a handle connected to the stapling end effector and comprising:

a power source;

a staple-firing assembly operatively connected to the stapling end effector and, when actuated, causing the stapling end effector to staple tissue disposed between the two opposing tissue-compressing surfaces;

a closure assembly comprising:

an electric motor powered by the power source and comprising a drive axle configured to rotate;

a rotating nut mechanically connected to the drive axle to rotate about a drive-part axis and comprising a drive pin;

a drive part:

comprising a body defining a multi-pitch thread mechanically connected to the drive pin of the rotating nut, the body moved by the motor along the drive-part axis; and

operatively connected to the stapling end effector such that, when the motor is being supplied with power, the drive part advances the movable tissue-compressing surface towards the opposing tissue-compressing surface at a differential rate of speed dependent upon a position of the drive pin within the multi-pitch thread;

a detection mechanism configured to detect a position of the drive part along the drive-part axis;

a force detection component configured to detect the compressive force that is applied to the tissue; and

a controller operatively connected to the staple-firing assembly, the detection mechanism, and to the motor, the controller configured:

to cause the motor to change a rate of speed of the movement of the drive part along the drive-part axis dependent upon the detected position of the drive part; and

to prevent actuation of the staple-firing assembly unless the drive part is at a position corresponding to a closure distance within a pre-defined firing range, wherein the power source, the motor, and the controller are entirely contained within the handle.

20. The surgical instrument according to claim 19 , wherein the detection mechanism is comprised of at least one limit switch configured to detect when the drive part is at a predetermined position.

Assignments (4)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 27, 2021
From: ETHICON LLC
To: CILAG GMBH INTERNATIONAL
Reel/Frame 056601/0339 →
CHANGE OF NAME Recorded Dec 14, 2017
From: ETHICON ENDO-SURGERY, LLC
To: ETHICON LLC
Reel/Frame 045603/0712 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jun 29, 2017
From: SYNTHEON, LLC
To: ETHICON LLC
Reel/Frame 043041/0290 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded May 12, 2017
From: SMITH, KEVIN W.; BALES, THOMAS O., JR.; DEVILLE, DEREK DEE; RIVERA, CARLOS; PALMER, MATTHEW A.
To: SYNTHEON, LLC
Reel/Frame 042359/0034 →
Continuity (162)
Division 14449611 · Aug 1, 2014
Division 13889931 · May 8, 2013
Division 13863978 · Apr 16, 2013
Division 13847971 · Mar 20, 2013
Division 13798369 · Mar 13, 2013
Division 13743179 · Jan 16, 2013
Division 13622819 · Sep 19, 2012
Division 13611881 · Sep 12, 2012
Division 12793962 · Jun 4, 2010
Division 14036630 · Sep 25, 2013
Division 13889931 · May 8, 2013
Division 11705334 · Feb 12, 2007
Division 12102181 · Apr 14, 2008
Division 11705246 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705381 · Feb 12, 2007
Division 13571159 · Aug 9, 2012
Division 12728471 · Mar 22, 2010
Division 12270518 · Nov 13, 2008
Division 11750622 · May 18, 2007
Division 12612525 · Nov 4, 2009
Division 12270518 · Nov 13, 2008
Division 11971998 · Jan 10, 2008
Division 12102464 · Apr 14, 2008
Division 12102181 · Apr 14, 2008
Division 12034320 · Feb 20, 2008
Division 11705381 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705246 · Feb 12, 2007
Division 12793962 · Jun 4, 2010
Division 13611881 · Sep 12, 2012
Division 13229076 · Sep 9, 2011
Division 12793962 · Jun 4, 2010
Division 12102464 · Apr 14, 2008
Division 12728471 · Mar 22, 2010
Division 12102181 · Apr 14, 2008
Division 11705334 · Feb 12, 2007
Division 12612525 · Nov 4, 2009
Division 11971998 · Jan 10, 2008
Division 13622819 · Sep 19, 2012
Division 13743179 · Jan 16, 2013
Division 11705334 · Feb 12, 2007
Division 12102181 · Apr 14, 2008
Division 12612525 · Nov 4, 2009
Division 12793962 · Jun 4, 2010
Division 13611881 · Sep 12, 2012
Division 13622819 · Sep 19, 2012
Division 13571159 · Aug 9, 2012
Division 13798369 · Mar 13, 2013
Division 13863978 · Apr 16, 2013
Continuation 11705334 · Feb 12, 2007
Continuation 12102181 · Apr 14, 2008
Continuation 11705246 · Feb 12, 2007
Continuation 11705334 · Feb 12, 2007
Continuation 11705381 · Feb 12, 2007
Continuation 12612525 · Nov 4, 2009
Continuation 12270518 · Nov 13, 2008
Continuation 11750622 · May 18, 2007
Division 11971998 · Jan 10, 2008
Division 12102464 · Apr 14, 2008
Division 12102181 · Apr 14, 2008
Division 12034320 · Feb 20, 2008
Continuation 11705246 · Feb 12, 2007
Continuation 11705334 · Feb 12, 2007
Continuation 11705381 · Feb 12, 2007
Continuation 12793962 · Jun 4, 2010
Continuation 13611881 · Sep 12, 2012
Continuation 13229076 · Sep 9, 2011
Continuation 12793962 · Jun 4, 2010
Continuation 12102181 · Apr 14, 2008
Continuation 12102464 · Apr 14, 2008
Continuation 11705334 · Feb 12, 2007
Continuation 12612525 · Nov 4, 2009
Continuation In Part 13622819 · Sep 19, 2012
Continuation In Part 12728471 · Mar 22, 2010
Continuation 12270518 · Nov 13, 2008
Continuation 11750622 · May 18, 2007
Continuation 13571159 · Aug 9, 2012
Continuation 12728471 · Mar 22, 2010
Continuation 12270518 · Nov 13, 2008
Continuation 11750622 · May 18, 2007
Division 13847971 · Mar 20, 2013
Division 11705334 · Feb 12, 2007
Division 12102181 · Apr 14, 2008
Division 12612525 · Nov 4, 2009
Division 12793962 · Jun 4, 2010
Division 13611881 · Sep 12, 2012
Division 13622819 · Sep 19, 2012
Division 13571159 · Aug 9, 2012
Division 13798369 · Mar 13, 2013
Division 11705334 · Feb 12, 2007
Division 12102181 · Apr 14, 2008
Division 11705246 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705381 · Feb 12, 2007
Division 13743179 · Jan 16, 2013
Division 12612525 · Nov 4, 2009
Division 12270518 · Nov 13, 2008
Division 11971998 · Jan 10, 2008
Division 12102464 · Apr 14, 2008
Division 12102181 · Apr 14, 2008
Division 11705246 · Feb 12, 2007
Division 12034320 · Feb 20, 2008
Division 11705381 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 12793962 · Jun 4, 2010
Division 13622819 · Sep 19, 2012
Division 13229076 · Sep 9, 2011
Division 11705246 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705381 · Feb 12, 2007
Division 12102181 · Apr 14, 2008
Division 12102464 · Apr 14, 2008
Division 12612525 · Nov 4, 2009
Division 12793962 · Jun 4, 2010
Division 12102181 · Apr 14, 2008
Division 11705246 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11971998 · Jan 10, 2008
Division 11705381 · Feb 12, 2007
Division 12612525 · Nov 4, 2009
Division 12270518 · Nov 13, 2008
Division 12102464 · Apr 14, 2008
Division 12102181 · Apr 14, 2008
Division 12034320 · Feb 20, 2008
Division 11705381 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705246 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11971998 · Jan 10, 2008
Division 11705381 · Feb 12, 2007
Division 12612525 · Nov 4, 2009
Division 12270518 · Nov 13, 2008
Division 12102464 · Apr 14, 2008
Division 12102181 · Apr 14, 2008
Division 12034320 · Feb 20, 2008
Division 11705381 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705246 · Feb 12, 2007
Division 12793962 · Jun 4, 2010
Division 11705246 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705381 · Feb 12, 2007
Division 12102181 · Apr 14, 2008
Division 12102464 · Apr 14, 2008
Division 12612525 · Nov 4, 2009
Division 12270518 · Nov 13, 2008
Division 11750622 · May 18, 2007
Division 11971998 · Jan 10, 2008
Division 12034320 · Feb 20, 2008
Continuation In Part 14495232 · Sep 24, 2014
Division 14036630 · Sep 25, 2013
Division 13571159 · Aug 9, 2012
Division 12728471 · Mar 22, 2010
Division 12270518 · Nov 13, 2008
Division 11750622 · May 18, 2007
Provisional Application 60801989 · May 19, 2006
Provisional Application 60810272 · Jun 2, 2006
Provisional Application 60858112 · Nov 9, 2006
Provisional Application 60977489 · Oct 4, 2007
Provisional Application 60902534 · Feb 21, 2007
Related Publication 20170196567A1 · Jul 13, 2017