IP Library Granted Patent US 11,596,291
Granted Patent B2
US 11,596,291 · App. 16/676,652 · Granted Mar 7, 2023

Method of compressing tissue within a stapling device and simultaneously displaying of the location of the tissue within the jaws

Inventors: Jason L. Harris (Lebanon, OH); Frederick E. Shelton, IV (Hillsboro, OH); Chad E. Eckert (Terrace Park, OH); Jordan B. Wong (Cincinnati, OH); David C. Yates (Morrow, OH); Tamara Widenhouse (Clarksville, OH); Chester O. Baxter, III (Loveland, OH)
Assignee: Cilag GmbH International
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Quick Facts
Patent No.
US 11,596,291
App. No.
16/676,652
Filed
Nov 7, 2019
Granted
Mar 7, 2023
Kind
B2
Art Unit
3771
USPC
606/41
Abstract

A surgical system is disclosed including an end effector, a control circuit, a closure member, and a firing member. The end effector includes a first jaw, a second jaw, and an electrode. The first jaw is rotatable relative to the second jaw between an open position and a close position to capture tissue therebetween. The electrode is configured to conduct a sub-therapeutic RF current to the tissue. The control circuit is operably coupled to the electrode. The control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current. The closure member is configured to move the first jaw towards the second jaw at a closure rate based on the impedance of the tissue. The firing member is configured to move within the end effectors towards a fired position at a firing rate based on the impedance of the tissue.

Claims (70)

1. A surgical system, comprising:

an end effector, comprising:

a first jaw;

a second jaw, wherein the first jaw is rotatable relative to the second jaw between an open position and a closed position to capture tissue therebetween; and

an electrode configured to conduct a sub-therapeutic RF current to the tissue;

a control circuit operably coupled to the electrode, wherein the control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current;

a closure member configured to move the first jaw towards the second jaw at a closure rate based on the impedance of the tissue; and

a firing member configured to move within the end effector towards a fired position at a firing rate based on the impedance of the tissue.

2. The surgical system of claim 1 , wherein the control circuit is configured to determine compression of the tissue over time based on the impedance of the tissue over time.

3. The surgical system of claim 2 , wherein the control circuit is configured to determine abnormalities of the tissue based on the compression of the tissue over time.

4. The surgical system of claim 1 , wherein the closure member comprises a closure tube.

5. The surgical system of claim 1 , wherein the electrode comprises a first electrode, wherein the first electrode is positioned on the first jaw, wherein the surgical system further comprises a second electrode positioned on the second jaw, wherein the second electrode is configured to provide a sub-therapeutic RF current to the tissue.

6. The surgical system of claim 1 , wherein the first jaw comprises an anvil, and wherein the second jaw comprises a staple cartridge including staples removably stored therein.

7. The surgical system of claim 6 , wherein the firing member is configured to deploy the staples from the staple cartridge.

8. The surgical system of claim 1 , wherein the first jaw comprises a first sealing electrode, and wherein the second jaw comprises a second sealing electrode, and wherein the first sealing electrode and the second sealing electrode are configured to conduct RF energy to the tissue.

9. The surgical system of claim 8 , wherein the firing member comprises a knife.

10. The surgical system of claim 8 , further comprising an RF energy source configured to provide the RF energy to the first sealing electrode and the second sealing electrode.

11. A surgical system, comprising:

an end effector, comprising:

an anvil;

a staple cartridge comprising staples removably stored therein, wherein the anvil is rotatable relative to the staple cartridge between an open position and a closed position to capture tissue therebetween; and

an electrode configured to conduct a sub-therapeutic RF current to the tissue;

a control circuit operably coupled to the electrode, wherein the control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current;

a closure tube configured to move the anvil towards the staple cartridge at a closure rate based on the impedance of the tissue; and

a firing member configured to move within the end effector towards a fired position to deploy the staples from the staple cartridge at a firing rate based on the impedance of the tissue.

12. The surgical system of claim 11 , wherein the control circuit is configured to determine compression of the tissue over time based on the impedance of the tissue over time.

13. The surgical system of claim 12 , wherein the control circuit is configured to determine abnormalities of the tissue based on the compression of the tissue over time.

14. The surgical system of claim 11 , wherein the electrode is positioned on the anvil.

15. The surgical system of claim 11 , wherein the electrode is positioned on the staple cartridge.

16. A surgical system, comprising:

an end effector, comprising:

a first jaw comprising a first sealing electrode;

a second jaw comprising a second sealing electrode, wherein the first jaw is rotatable relative to the second jaw between an open position and a closed position to capture tissue therebetween, and wherein the first sealing electrode and the second sealing electrode are configured to conduct RF energy to the tissue; and

a sub-therapeutic RF electrode configured to conduct a sub-therapeutic RF current to the tissue;

a control circuit operably coupled to the sub-therapeutic RF electrode, wherein the control circuit is configured to measure impedance of the tissue over time based on the sub-therapeutic RF current;

a closure tube configured to move the first jaw towards the second jaw at a closure rate based on the impedance of the tissue; and

a knife configured to move within the end effector towards a fired position at a firing rate based on the impedance of the tissue.

17. The surgical system of claim 16 , wherein the control circuit is configured to determine compression of the tissue over time based on the impedance of the tissue over time.

18. The surgical system of claim 17 , wherein the control circuit is configured to determine abnormalities of the tissue based on the compression of the tissue over time.

19. The surgical system of claim 16 , further comprising an RF energy source configured to provide the RF energy to the first sealing electrode and the second sealing electrode.

20. The surgical system of claim 16 , wherein the sub-therapeutic RF electrode comprises a first sub-therapeutic RF electrode, wherein the first sub-therapeutic RF electrode is positioned on the first jaw, wherein the surgical system further comprises a second sub-therapeutic RF electrode positioned on the second jaw, wherein the second sub-therapeutic RF electrode is configured to provide a sub-therapeutic RF current to the tissue.

21. A surgical system, comprising:

an end effector, comprising:

a first jaw;

a second jaw, wherein the first jaw and the second jaw are configurable between an open configuration and a closed configuration, and wherein the first jaw and the second jaw are configured to capture tissue therebetween in the closed configuration; and

an electrode configured to conduct a sub-therapeutic RF current to the tissue;

a control circuit operably coupled to the electrode, wherein the control circuit is configured to measure impedance of the tissue based on the sub-therapeutic RF current; and

a closure member configured to transition the first jaw and the second jaw toward the closed configuration at a closure rate based on the impedance of the tissue.

22. The surgical system of claim 21 , wherein the closure member comprises a closure tube.

23. The surgical system of claim 21 , wherein the control circuit is configured to determine compression of the tissue based on the impedance of the tissue.

24. The surgical system of claim 23 , wherein the control circuit is configured to determine abnormalities of the tissue based on the compression of the tissue.

25. The surgical system of claim 21 , wherein the electrode comprises a first electrode, wherein the first electrode is positioned on the first jaw, wherein the surgical system further comprises a second electrode positioned on the second jaw, wherein the second electrode is configured to provide a sub-therapeutic RF current to the tissue.

26. The surgical system of claim 21 , wherein the first jaw comprises an anvil, and wherein the second jaw comprises a staple cartridge including staples removably stored therein.

27. The surgical system of claim 21 , wherein the first jaw comprises a first sealing electrode, and wherein the second jaw comprises a second sealing electrode, and wherein the first sealing electrode and the second sealing electrode are configured to conduct RF energy to the tissue.

28. The surgical system of claim 27 , further comprising an RF energy source configured to provide the RF energy to the first sealing electrode and the second sealing electrode.

29. A surgical system, comprising:

an end effector, comprising:

a first jaw;

a second jaw, wherein the first jaw and the second jaw are configurable between an open configuration and a closed configuration, and wherein the first jaw and the second jaw are configured to capture tissue therebetween in the closed configuration; and

an electrode configured to conduct a sub-therapeutic RF current to the tissue;

a control circuit operably coupled to the electrode, wherein the control circuit is configured to measure impedance of the tissue based on the sub-therapeutic RF current; and

a firing member configured to move within the end effector at a firing rate based on the impedance of the tissue.

30. The surgical system of claim 29 , wherein the firing member comprises a knife.

31. The surgical system of claim 29 , wherein the control circuit is configured to determine compression of the tissue over time based on the impedance of the tissue over time.

32. The surgical system of claim 31 , wherein the control circuit is configured to determine abnormalities of the tissue based on the compression of the tissue over time.

33. The surgical system of claim 29 , wherein the electrode comprises a first electrode, wherein the first electrode is positioned on the first jaw, wherein the surgical system further comprises a second electrode positioned on the second jaw, wherein the second electrode is configured to provide a sub-therapeutic RF current to the tissue.

34. The surgical system of claim 29 , wherein the first jaw comprises an anvil, and wherein the second jaw comprises a staple cartridge including staples removably stored therein.

35. The surgical system of claim 34 , wherein the firing member is configured to deploy the staples from the staple cartridge.

36. The surgical system of claim 29 , wherein the first jaw comprises a first sealing electrode, and wherein the second jaw comprises a second sealing electrode, and wherein the first sealing electrode and the second sealing electrode are configured to conduct RF energy to the tissue.

37. The surgical system of claim 36 , further comprising an RF energy source configured to provide the RF energy to the first sealing electrode and the second sealing electrode.

Assignments (3)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Jul 12, 2022
From: HARRIS, JASON L.; SHELTON, FREDERICK E., IV; ECKERT, CHAD E.; WONG, JORDAN B.; YATES, DAVID C.; BAXTER, CHESTER O., III
To: ETHICON LLC
Reel/Frame 060480/0041 →
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 Jul 10, 2020
From: HARRIS, JASON L.; SHELTON, FREDERICK E., IV; ECKERT, CHAD E.; WONG, JORDAN B.; YATES, DAVID C.; WIDENHOUSE, TAMARA; BAXTER, CHESTER O., III
To: ETHICON LLC
Reel/Frame 053178/0010 →
Cited By (4)
US 12,521,191 US 12,549,622 US 12,574,434 US 12,648,789