IP Library Granted Patent US 11,696,760
Granted Patent B2
US 11,696,760 · App. 16/024,083 · Granted Jul 11, 2023

Safety systems for smart powered surgical stapling

Inventors: Frederick E. Shelton, IV (Hillsboro, OH); Jason L. Harris (Lebanon, OH); David C. Yates (Morrow, OH)
Assignee: Cilag GmbH International
A61B17/07207A61B17/29A61B17/320092A61B18/1445A61B18/16A61B34/25A61B34/30A61B90/08A61B90/37A61B90/92G05B9/02G16H40/60G16H40/63G16H40/67A61B5/024A61B5/026A61B34/35A61B90/30A61B90/361A61B2017/00017A61B2017/00022A61B2017/00026A61B2017/00039A61B2017/0046A61B2017/00057A61B2017/00075A61B2017/00115A61B2017/00119A61B2017/00199A61B2017/00212A61B2017/00221A61B2017/00398A61B2017/00477A61B2017/00734A61B2017/00778A61B2017/00809A61B2017/0725A61B2017/07221A61B2017/07257A61B2017/07271A61B2017/07278A61B2017/07285A61B2017/2926A61B2017/2927A61B2017/2933A61B2018/0063A61B2018/00404A61B2018/00541A61B2018/00589A61B2018/00601A61B2018/00994A61B2018/126A61B2018/1253A61B2034/2048A61B2034/2055A61B2034/302A61B2090/065A61B2090/066A61B2090/0811A61B2217/005A61B2217/007A61B2218/002A61B2218/008A61B2560/0475G16H20/40
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Quick Facts
Patent No.
US 11,696,760
App. No.
16/024,083
Granted
Jul 11, 2023
Kind
B2
Abstract

A surgical system includes a control circuit, a surgical instrument, and a user interface is disclosed. The surgical instrument includes a plurality of components and a sensor. Each of the plurality of components of the surgical instrument includes a device parameter and is configured to transmit its respective device parameter to the control circuit. The sensor of the surgical instrument is configured to detect a tissue parameter associated with a proposed function of the surgical instrument, and transmit the detected tissue parameter to the control circuit. The control circuit is configured to analyze the detected tissue parameter in cooperation with each respective device parameter based on a system-defined constraint. The user interface is configured to indicate whether the surgical instrument comprising the plurality of components is appropriate to perform the proposed function.

Claims (72)

1. A surgical system, comprising:

a control circuit;

a surgical instrument comprising:

a plurality of components interchangeably connectable to the surgical instrument, wherein each of the plurality of components of the surgical instrument comprises a device parameter that identifies each respective component of the plurality; and

a sensor configured to:

detect a tissue parameter associated with a proposed function of the surgical instrument; and

transmit the detected tissue parameter to the control circuit;

wherein the control circuit is configured to:

detect the connection of a component of the plurality of components to the surgical instrument;

record a unique identifier associated with an identity of the connected component based on a device parameter associated with the connected component;

determine a system-defined constraint for the connected component based on the unique identifier; and

analyze the detected tissue parameter in cooperation with the system-defined constraint, wherein the system-defined constraint comprises at least one of a predetermined tissue parameter or a predetermined tissue parameter range associated with each transmitted device parameter; and

a user interface configured to indicate whether the surgical instrument comprising the plurality of components is appropriate to perform the proposed function based on a result of the analysis.

2. The surgical system of claim 1 , wherein the detected tissue parameter comprises at least one of a type of a tissue, a thickness of the tissue, a stiffness of the tissue, a location of the tissue, or vascularization of the tissue.

3. The surgical system of claim 1 , wherein the plurality of components of the surgical instrument include a staple cartridge, and wherein the device parameter includes at least one of a type of the staple cartridge, a color of the staple cartridge, adjuncts to the staple cartridge, a clamp load limit of the staple cartridge, a gap range for the staple cartridge, or a firing rate for the staple cartridge.

4. The surgical system of claim 1 , wherein the plurality of components of the surgical instrument include an end effector, and wherein the detected tissue parameter comprises at least one of a closure angle of the end effector on a tissue, a length of the tissue in contact with a tissue-contacting surface of the end effector, or a force to compress the tissue within the end effector.

5. The surgical system of claim 4 , wherein the control circuit is further configured to identify the tissue as parenchyma, vessel or bronchus based on the at least one detected tissue parameter.

6. The surgical system of claim 1 , wherein the control circuit is further configured to recommend at least one alternative component for use with the surgical instrument to perform the proposed function.

7. The surgical system of claim 1 , wherein the control circuit is further configured to prevent the proposed function when the system-defined constraint is exceeded.

8. The surgical system of claim 7 , wherein the user interface comprises a user-interface element selectable to override the control circuit to permit the proposed function of the surgical instrument.

9. The surgical system of claim 1 , wherein the proposed function of the surgical instrument comprises one or more than one of clamping a tissue, coagulating the tissue, cutting the tissue, or stapling the tissue.

10. The surgical system of claim 1 , further comprising a surgical hub communicatively coupled to the surgical instrument, wherein the surgical hub comprises the control circuit.

11. The surgical system of claim 10 , wherein one of the surgical instrument or the surgical hub comprises the user interface.

12. The surgical system of claim 1 , further comprising a second sensor configured to detect each device parameter of each component of the plurality of components, wherein each device parameter corresponds to a property of its respective component.

13. A surgical system, comprising:

a surgical hub in communication with a cloud computing system;

a surgical instrument communicatively coupled to the surgical hub, the surgical instrument comprising:

a plurality of components interchangeably connectable to the surgical instrument, wherein each of the plurality of components of the surgical instrument comprises a device parameter that identifies each respective component of the plurality; and

a sensor configured to:

detect a tissue parameter associated with a proposed function of the surgical instrument; and

transmit the detected tissue parameter to the surgical hub;

wherein the surgical hub comprises:

a processor; and

a memory coupled to the processor, the memory storing instructions executable by the processor to:

detect the connection of a component of the plurality of components to the surgical instrument;

record a unique identifier associated with an identity of the connected component based on a connected device parameter associated with the connected component;

determine a system-defined constraint for the connected component based on the unique identifier; and

analyze the detected tissue parameter in cooperation with the system-defined constraint, wherein the system-defined constraint comprises at least one of a predetermined tissue parameter or a predetermined tissue parameter range associated with each transmitted device parameter; and

a user interface configured to indicate whether the surgical instrument comprising the plurality of components is appropriate to perform the proposed function based on a result of the analysis.

14. The surgical system of claim 13 , wherein the detected tissue parameter comprises at least one of a type of a tissue, a thickness of the tissue, a stiffness of the tissue, a location of the tissue, or vascularization of the tissue.

15. The surgical system of claim 13 , wherein the plurality of components of the surgical instrument include a staple cartridge, and wherein the device parameter includes at least one of a type of the staple cartridge, a color of the staple cartridge, adjuncts to the staple cartridge, a clamp load limit of the staple cartridge, a gap range for the staple cartridge, or a firing rate for the staple cartridge.

16. The surgical system of claim 13 , wherein the plurality of components of the surgical instrument include an end effector, and wherein the detected tissue parameter comprises at least one of a closure angle of the end effector on a tissue, a length of the tissue in contact with a tissue-contacting surface of the end effector, or a force to compress the tissue within the end effector.

17. The surgical system of claim 13 , wherein the instructions are further executable by the processor of the surgical hub to recommend at least one alternative component for use with the surgical instrument to perform the proposed function.

18. The surgical system of claim 13 , wherein the instructions are further executable by the processor of the surgical hub to prevent the proposed function when the system-defined constraint is exceeded.

19. A non-transitory computer readable medium storing computer readable instructions which, when executed, causes a machine to:

detect a connection of a component to a surgical instrument;

record a unique identifier associated with an identity of the connected component based on a device parameter transmitted to the machine by the connected component;

determine a system-defined constraint for the connected component based on the unique identifier; and

analyze a detected tissue parameter in cooperation with the system-defined constraint, wherein the detected tissue parameter is further associated with a proposed function of the surgical instrument, a surgical system including the surgical instrument which includes:

a plurality of components interchangeably connectable to a surgical instrument coupled to the machine, wherein each component is configured to transmit a respective device parameter to the machine, and

a sensor configured to detect the detected tissue parameter and transmit the detected tissue parameter to the machine, wherein the system-defined constraint comprises at least one of a predetermined tissue parameter or a predetermined tissue parameter range associated with each transmitted device parameter; and

a user interface, wherein the user interface provides an indication whether the surgical instrument including the plurality of components is appropriate to perform the proposed function of the surgical instrument based on a result of the analysis.

20. The non-transitory computer readable medium of claim 19 , wherein the instructions, when executed, further cause the machine to:

generate an override element on the user interface, wherein the override element is selectable to permit the proposed function of the surgical instrument.

21. The surgical system of claim 18 , wherein the user interface comprises a user-interface element selectable to override a prevention of the proposed function.

22. A surgical system, comprising:

a control circuit;

a surgical instrument comprising:

a plurality of components interchangeably connectable to the surgical instrument, wherein each of the plurality of components of the surgical instrument comprises a device parameter that identifies each respective component of the plurality; and

a sensor configured to transmit a sensor signal to the control circuit, wherein the sensor signal is indicative of a tissue parameter associated with a proposed function of the surgical instrument;

wherein the control circuit is configured to:

detect the connection of a component of the plurality of components to the surgical instrument;

record a unique identifier associated with an identity of the connected component based on a device parameter associated with the connected component;

determine a system-defined constraint for the connected component based on the unique identifier; and

analyze the tissue parameter in cooperation with the system-defined constraint, wherein the system-defined constraint comprises at least one of a predetermined tissue parameter or a predetermined tissue parameter range associated with each transmitted device parameter; and

a user interface configured to indicate whether the surgical instrument comprising the plurality of components is appropriate to perform the proposed function based on a result of the analysis.

23. The surgical system of claim 22 , wherein the tissue parameter comprises at least one of a type of tissue, a thickness of the tissue, a stiffness of the tissue, a location of the tissue, or vascularization of the tissue.

24. The surgical system of claim 22 , wherein the plurality of components of the surgical instrument include a staple cartridge, and wherein the device parameter includes at least one of a type of the staple cartridge, a color of the staple cartridge, adjuncts to the staple cartridge, a clamp load limit of the staple cartridge, a gap range for the staple cartridge, or a firing rate for the staple cartridge.

25. The surgical system of Claim 22 , wherein the plurality of components of the surgical instrument include an end effector, and wherein the detected tissue parameter comprises at least one of a closure angle of the end effector on a tissue, a length of the tissue in contact with a tissue-contacting surface of the end effector, or a force to compress the tissue within the end effector.

26. The surgical system of claim 22 , wherein the control circuit is further configured to recommend at least one alternative component for use with the surgical instrument to perform the proposed function.

27. The surgical system of claim 22 , wherein the control circuit is further configured to prevent the proposed function when the system-defined constraint is exceeded.

28. The surgical system of claim 27 , wherein the user interface comprises a user-interface element selectable to override the control circuit to permit the proposed function of the surgical instrument.

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 3, 2018
From: SHELTON, FREDERICK E., IV; HARRIS, JASON L.; YATES, DAVID C.
To: ETHICON LLC
Reel/Frame 046551/0343 →
Cited By (18)
US 12,226,070 US 12,285,185 US 12,290,231 US 12,295,639 US 12,295,674 US 12,310,586 US 12,329,467 US 12,358,136 US 12,381,936 US 12,396,806 US 12,478,374 US 12,500,948 US 12,521,191 US 12,549,622 US 12,574,434 US 12,575,831 US 12,648,789 US 12,672,765