IP Library Granted Patent US 11,666,331
Granted Patent B2
US 11,666,331 · App. 16/024,138 · Granted Jun 6, 2023

Systems for detecting proximity of surgical end effector to cancerous tissue

Inventors: Frederick E. Shelton, IV (Hillsboro, OH); Jason L. Harris (Lebanon, OH); Chad E. Eckert (Terrace Park, OH)
Assignee: Cilag GmbH International
A61B17/07207A61B5/14532A61B5/6886A61B18/1445A61B34/20A61B34/37A61B90/361G16H10/60G16H30/20G16H40/63G16H40/67G16H50/20A61B2017/00017A61B2017/00022A61B2017/00035A61B2017/00119A61B2017/00123A61B2017/00221A61B2017/00398A61B2017/00734A61B2017/07214A61B2017/07257A61B2017/07271A61B2017/2926A61B2017/320097A61B2018/00904A61B2018/126A61B2018/1253A61B2090/373A61B2217/005A61B2217/007A61B2218/008
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Quick Facts
Patent No.
US 11,666,331
App. No.
16/024,138
Granted
Jun 6, 2023
Kind
B2
Abstract

A surgical instrument includes an end effector having a first jaw, a second jaw movable relative to the first jaw to grasp tissue therebetween, an anvil, a staple cartridge comprising staples deployable into the tissue, wherein the staples are deformable by the anvil, and a sensor configured to provide a sensor signal according to a physiological parameter of the tissue. The surgical instrument further includes a control circuit coupled to the sensor, wherein the control circuit is configured to receive the sensor signal, and assess proximity of the sensor to cancerous tissue based on the sensor signal.

Claims (32)

1. A surgical stapling instrument, comprising:

an end effector, comprising:

a first jaw;

a second jaw movable relative to the first jaw to grasp tissue therebetween;

an anvil;

a staple cartridge comprising staples deployable into the tissue, wherein the staples are deformable by the anvil; and

a sensor configured to provide a sensor signal according to a physiological parameter indicative of proximity of the sensor to cancerous tissue; and

a control circuit comprising a processor, wherein the control circuit is coupled to the sensor, and wherein the control circuit is configured to:

receive the sensor signal;

determine a value of the physiological parameter based on the sensor signal;

compare the value of the physiological parameter to a predetermined threshold;

detect a cancerous tissue based on the comparison of the value of the physiological parameter to the predetermined threshold; and

determine, by the processor, a direction to move the end effector based on the cancerous tissue detected by way of the value of the physiological parameter being equal to or outside the predetermined threshold, wherein the direction corresponds to moving the end effector away from the cancerous tissue to a position that is a clear margin away from the cancerous tissue.

2. The surgical stapling instrument of claim 1 , wherein the control circuit is further configured to generate an alert based on comparing the value of the physiological parameter to the predetermined threshold.

3. The surgical stapling instrument of claim 1 , wherein the control circuit is further configured to prevent deployment of the staples in the event the value of the physiological parameter reaches or crosses the predetermined threshold.

4. The surgical stapling instrument of claim 1 , further comprising a motor configured to cause deployment of the staples, wherein the control circuit is further configured to prevent activation of the motor in the event the value of the physiological parameter reaches or crosses the predetermined threshold.

5. The surgical stapling instrument of claim 1 , wherein the physiological parameter is tissue glucose level.

6. The surgical stapling instrument of claim 1 , wherein the physiological parameter is tissue pH level.

7. The surgical stapling instrument of claim 1 , wherein the sensor is a Clark-type sensor.

8. A surgical stapling instrument, comprising:

an end effector, comprising:

a first jaw;

a second jaw movable relative to the first jaw to grasp tissue therebetween;

an anvil;

a staple cartridge comprising staples deployable into the tissue, wherein the staples are deformable by the anvil; and

a sensor configured to provide a sensor signal according to a physiological parameter indicative of proximity of the sensor to cancerous tissue; and

a control circuit comprising a processor, wherein the control circuit is coupled to the sensor, and wherein the control circuit is configured to:

receive the sensor signal;

determine a value of the physiological parameter based on the sensor signal;

compare the value of the physiological parameter to a predetermined threshold;

determine, by the processor, a direction to move the end effector based on the value of the physiological parameter being equal to or outside the predetermined threshold, wherein the direction corresponds to the value of the physiological parameter changing to be closer to within the predetermined threshold; and

provide instructions to move the end effector in the direction to a position that is a clear margin away from the cancerous tissue.

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 7, 2018
From: SHELTON, FREDERICK E., IV; HARRIS, JASON L.; ECKERT, CHAD E.
To: ETHICON LLC
Reel/Frame 046567/0038 →
Cited By (17)
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