IP Library Granted Patent US 10,743,851
Granted Patent B2
US 10,743,851 · App. 15/804,160 · Granted Aug 18, 2020

Interchangeable tools for surgical instruments

Inventors: Jeffrey S. Swayze (West Chester, OH); Thomas W. Huitema (West Chester, OH); Glen A. Armstrong (Liberty Township, OH); Shailendra Kumar Parihar (Mason, OH); Donna L. Korvick (San Antonio, TX); Richard W. Timm (Cincinnati, OH); Frederick E. Shelton, IV (Hillsboro, OH); Kevin R. Doll (Mason, OH); Bret W. Smith (South Lebanon, OH); William D. Kelly (Los Altos, CA); Ronald J. Kolata (Raleigh, NC); Joshua R. Uth (Mason, OH); Charles J. Scheib (Loveland, OH); Eugene L. Timperman (Cincinnati, OH)
Assignee: Ethicon LLC
A61B17/00234A61B10/00A61B17/068A61B17/0682A61B17/07207A61B17/1285A61B17/29A61B17/295A61B17/3205A61B17/320016A61B17/3401A61B18/1206A61B18/1445A61M5/28A61B17/00491A61B2017/003A61B2017/0023A61B2017/00287A61B2017/00464A61B2017/00473A61B2017/00734A61B2017/07214A61B2017/07221A61B2017/1157A61B2017/2905A61B2017/2926A61B2017/2939A61B2018/00595A61B2018/1226A61B2090/061A61B2090/0807A61M5/1782A61M5/3135A61M5/31581
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Quick Facts
Patent No.
US 10,743,851
App. No.
15/804,160
Granted
Aug 18, 2020
Kind
B2
Abstract

A surgical tool for use with a surgical instrument including a handle assembly and an elongated body defining a longitudinal axis and a drive system is disclosed. The surgical tool comprises a carrier removably couplable to the elongated body, an anvil movably supported for selective movement relative to the carrier in response to drive motions from the drive system, a tissue thickness measuring member movably supported in the carrier and configured to move toward and away from an underside of the anvil in a direction that is transverse to the longitudinal axis, and a sensor arrangement supported between the tissue thickness measuring member and the carrier. The sensor arrangement is configured to interface with an indicator member to provide an indication of a thickness of tissue clamped between the anvil and the tissue thickness measuring member at a location that is proximal to the anvil when in use.

Claims (45)

1. A surgical tool for use with a surgical instrument including a handle assembly and an elongated body defining a longitudinal axis and a drive system configured to generate drive motions, said surgical tool comprising:

a carrier removably couplable to the elongated body;

an anvil movably supported for selective movement relative to said carrier in response to drive motions from the drive system of the surgical instrument to selectively move said anvil toward and away from said carrier;

a tissue thickness measuring member movably supported in said carrier and configured to move toward and away from an underside of said anvil in a direction that is transverse to the longitudinal axis; and

a sensor arrangement supported between said tissue thickness measuring member and said carrier and being configured to interface with an indicator member to provide an indication of a thickness of tissue clamped between said anvil and said tissue thickness measuring member at a location on said surgical tool that is proximal to said anvil when in use.

2. The surgical tool of claim 1 , wherein said carrier is coupled to a housing portion that is removably couplable to said elongated body.

3. The surgical tool of claim 2 , wherein said tissue thickness measuring member further comprises:

a cartridge body supported in said carrier; and

a tissue measuring platform movably supported relative to said cartridge body for movable travel relative thereto in said direction that is transverse to the longitudinal axis.

4. The surgical tool of claim 3 , further comprising an indicator base movably supported by said cartridge body for axial travel relative thereto and wherein said sensor arrangement comprises a gear assembly supported by said cartridge body and operably interfacing with said tissue measuring platform and said indicator base, such that movement of said tissue measuring platform causes said indicator base to move axially relative to said cartridge body.

5. The surgical tool of claim 4 , wherein said indicator base has a plurality of thickness identifiers thereon corresponding to particular tissue thicknesses and viewable through a window in said housing portion when tissue having said corresponding amount of tissue thickness is clamped between said anvil and said cartridge body.

6. The surgical tool of claim 5 , wherein said housing portion has a first lateral side and a second lateral side and wherein said indicator base has a plurality of first and second thickness identifiers thereon corresponding to particular tissue thicknesses wherein said first thickness identifiers are viewable through a first window in said first lateral side of said housing portion when tissue having said corresponding amount of tissue thickness is clamped between said anvil and said cartridge body and wherein said second thickness identifiers are viewable through a second window in said second lateral side of said housing portion when tissue having said corresponding amount of tissue thickness is clamped between said anvil and said cartridge body.

7. The surgical tool of claim 2 , wherein said tissue thickness measuring member comprises:

a cartridge body supported in said carrier; and

a tissue measuring platform pivotably coupled to said cartridge body for pivotal travel relative thereto about a pivot axis that is transverse to the longitudinal axis.

8. The surgical tool of claim 2 , wherein said housing portion comprises a bayonet coupling configuration at a proximal end thereof for removable attachment to a distal end of the elongated body.

9. The surgical tool of claim 8 , wherein said indicator member is configured to provide said indication of the thickness of tissue clamped between said anvil and said tissue thickness measuring member at a location on said housing portion between said anvil and said bayonet coupling configuration.

10. A tissue-measuring unit for use with a surgical instrument comprising a drive system configured to be removably coupled to a disposable loading unit configured to cut and staple tissue, said tissue-measuring unit comprising:

a housing comprising a bayonet coupling feature configured to be coupled to the drive system of the surgical instrument and defining a longitudinal axis;

a carrier coupled to said housing;

a first member movably supported distal to said housing for selective movement relative to said carrier in response to closure motions from the surgical instrument; and

a tissue thickness measuring cartridge comprising a tissue measuring platform movably supported in said carrier and configured to move toward and away from an underside of said first member in a direction that is transverse to said longitudinal axis, said tissue thickness measuring cartridge further comprising an indicator member to provide an indication of a thickness range of tissue clamped between said first member and said tissue thickness measuring cartridge such that said indicator member is viewable through a location on said housing that is proximal to said first member.

11. The tissue-measuring unit of claim 10 , further comprising:

a cartridge body supported in said carrier; and

a tissue measuring platform movably supported relative to said cartridge body for movable travel relative thereto in said direction transverse to said longitudinal axis.

12. The tissue-measuring unit of claim 10 , further comprising:

a cartridge body supported in said carrier;

an indicator base movably supported by said cartridge body for axial travel relative thereto; and

a gear assembly supported in said cartridge body and operably interfacing with said tissue measuring platform and said indicator base, such that movement of said tissue measuring platform causes said indicator base to move axially relative to said cartridge body.

13. The tissue-measuring unit of claim 11 , further comprising at least one tissue gripping feature protruding from said cartridge body.

14. The tissue-measuring unit of claim 10 , wherein said tissue thickness measuring cartridge further comprises a cartridge body that is configured to be removably supported in said carrier and wherein said tissue measuring platform is pivotably coupled to said cartridge body for pivotal travel relative thereto about a pivot axis that is transverse to said longitudinal axis.

15. The tissue-measuring unit of claim 12 , wherein said housing has a first lateral side and a second lateral side and wherein said indicator base has a plurality of first and second thickness identifiers thereon corresponding to particular tissue thicknesses wherein said first thickness identifiers are viewable through a first window in said first lateral side of said housing when tissue having said corresponding amount of tissue thickness is clamped between said first member and said cartridge body and wherein said second thickness identifiers are viewable through a second window in said second lateral side of said housing when tissue having said corresponding amount of tissue thickness is clamped between said first member and said cartridge body.

16. The tissue-measuring unit of claim 12 , wherein said indicator base has a plurality of thickness identifiers thereon corresponding to particular tissue thicknesses and viewable through a window in said housing when tissue having said corresponding amount of tissue thickness is clamped between said first member and said cartridge body.

17. A surgical tool for use with a surgical instrument including a handle assembly and an elongated body defining a longitudinal axis, said surgical tool comprising:

a first jaw; and

a second jaw assembly operably interfacing with the elongated body and being operably coupled to said first jaw at an attachment location such that said first jaw is selectively movably relative to said second jaw assembly between open and closed positions in response to control motions applied thereto from the elongated body and wherein said second jaw assembly comprises:

a non-movable portion;

a deflectable portion supported for deflection toward said non-movable portion in a direction that is transverse to the longitudinal axis upon clamping of tissue between the deflectable portion and the first jaw; and

a sensor arrangement supported between said non-movable portion and said deflectable portion to provide an indication of a thickness of the tissue being clamped between said first jaw and said deflectable portion such that said indication is viewable at a location on said surgical tool that is proximal to said attachment location when in use.

18. A surgical system, comprising:

a first jaw comprising a tissue compression surface; and

a second jaw, wherein said first jaw and said second jaw are connected to one another at a rotation joint, and wherein said second jaw comprises:

a frame portion defining a longitudinal axis;

a deflectable portion positioned intermediate said tissue compression surface of said first jaw and said frame portion of said second jaw, wherein said deflectable portion is configured to deflect in a direction that is transverse to said longitudinal axis in response to closure of said first jaw onto tissue situated between said first and second jaws; and

an indicator configured to indicate a thickness of said tissue located between said first jaw and second jaws at a location which is proximal to said rotation joint.

Assignments (2)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 27, 2021
From: ETHICON LLC
To: CILAG GMBH INTERNATIONAL
Reel/Frame 056601/0339 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Aug 30, 2018
From: SWAYZE, JEFFREY S.; HUITEMA, THOMAS W.; ARMSTRONG, GLEN A.; PARIHAR, SHAILENDRA KUMAR; KORVICK, DONNA L.; TIMM, RICHARD W.; SHELTON, FREDERICK E., IV; DOLL, KEVIN R.; SMITH, BRET W.; KELLY, WILLIAM D.; KOLATA, RONALD J.; UTH, JOSHUA R.; SCHEIB, CHARLES J.; TIMPERMAN, EUGENE L.
To: ETHICON LLC
Reel/Frame 046986/0890 →
Continuity (3)
Continuation 14272197 · May 7, 2014
Continuation 12031611 · Feb 14, 2008
Related Publication 20180078248A1 · Mar 22, 2018
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