Granted Patent B2

US 12,402,906 · App. 17/032,728 · Granted Sep 2, 2025

Inventors: Frederick E. Shelton, IV (Hillsboro, OH); David C. Yates (Morrow, OH); Kevin L. Houser (Springboro, OH); Jeffrey D. Messerly (Cincinnati, OH); Jason L. Harris (Lebanon, OH); Geoffrey S. Strobl (Williamsburg, OH); Adam D. Hensel (Gahanna, OH)

Assignee: Cilag GmbH International

A61B17/320092A61B17/320068A61B18/1206A61B18/1445A61B18/1447H01M6/02H01M6/5044H01M10/425H01M10/46H01M10/48A61B2017/00017A61B2017/00026A61B2017/00039A61B2017/00084A61B2017/00119A61B2017/00123A61B2017/0023A61B2017/003A61B2017/00323A61B2017/00398A61B2017/0046A61B2017/00464A61B2017/00477A61B2017/00734A61B2017/00876A61B2017/320072A61B2017/320073A61B2017/320074A61B2017/320078A61B2017/320094A61B2017/320095A61B2018/00297A61B2018/00601A61B2018/00607A61B2018/0063A61B2018/00684A61B2018/00767A61B2018/00791A61B2018/00827A61B2018/00875A61B2018/00898A61B2018/00904A61B2018/00946A61B2018/00988A61B2018/00994A61B2018/1226A61B2018/1455A61B2034/252A61B2090/061A61B2560/0209A61B2560/0475A61B2562/0219H01M50/209H01M50/213H01M50/247H01M2220/30

Abstract

Claims (44)

1. A surgical instrument comprising:

a handle assembly coupled to a proximal end of a shaft assembly;

the shaft assembly coupled to a distal end of the handle assembly; and

an end effector coupled to a distal end of the shaft assembly, and comprising:

a first jaw and a second jaw configured for pivotal movement between a closed position and an open position; and

a segmented flexible circuit fixedly attached to the first jaw and positioned between the first jaw and the second jaw such that the segmented flexible circuit touches tissue when the first jaw and the second jaw close onto the tissue;

the segmented flexible circuit comprising:

a plurality of segments comprising a distal segment fixedly attached to a distal end of the first jaw, and a plurality of lateral segments fixedly attached to lateral sides of the first jaw;

wherein each segment of the plurality of segments comprises an electrode, an electrical insulation, a compressive layer, a laminate layer, and a plurality of data sensors positioned intermediate the electrode and the first jaw, wherein the plurality of data sensors comprises a temperature sensor and two force sensors, wherein the electrical insulation is positioned between the electrode and the temperature sensor, wherein the temperature sensor is positioned between the electrical insulation and one of the force sensors, wherein the one of the force sensors is positioned between the temperature sensor and the compressive layer, wherein the compressive layer is positioned between the one of the force sensors and the other of the force sensors, wherein the other of the force sensors is positioned between the compressive layer and the laminate layer, wherein the laminate layer is positioned between the other of the force sensors and the first jaw;

a plurality of electrical connectors, wherein the plurality of electrical connectors electrically couples the plurality of segments to an energy source; and

wherein each segment of the plurality of segments is individually addressable to treat the tissue by providing a first power level from the energy source to a first electrode of a first segment of the plurality of segments without providing the first power level to a second electrode of a second segment of the plurality of segments, and wherein an amount of power provided to each of the plurality of segments is determined based on data provided by the plurality of data sensors corresponding to each segment of the plurality of segments.

2. The surgical instrument of claim 1 , wherein the end effector further comprises:

a Hall effect sensor positioned at a distal end of one of the first jaw or the second jaw, and

a magnet in the other of the first jaw and the second jaw;

wherein the combination of the Hall effect sensor and the magnet are configured to measure an aperture between the first jaw and the second jaw.

3. The surgical instrument of claim 1 , wherein the plurality of lateral segments comprises a first lateral segment located adjacent to the distal segment and a second lateral segment located at the proximal end of the end effector and adjacent to the first lateral segment.

4. The surgical instrument of claim 1 , wherein the second jaw comprises an ultrasonic blade.

5. The surgical instrument of claim 1 , wherein the plurality of data sensors of each of the plurality of segments are configured to detect a presence of tissue positioned between the second jaw and itself.

6. The surgical instrument of claim 5 , wherein the energy source is configured to individually provide energy to each of the plurality of segments after it is detected that tissue is positioned between the second jaw and each of the plurality of segments.

7. The surgical instrument of claim 5 , wherein the plurality of data sensors of at least one of the plurality of segments comprises a Hall effect sensor configured to detect a thickness of tissue positioned between the second jaw and itself.

8. The surgical instrument of claim 5 , wherein the force sensor is configured to detect a force applied to the tissue positioned between the second jaw and itself.

9. The surgical instrument of claim 5 , wherein the temperature sensor is configured to detect a temperature of the tissue positioned between the second jaw and itself.

10. The surgical instrument of claim 1 , wherein the first jaw comprises a left side and a right side, and the first segment is positioned on the left side of the first jaw and adjacent to the distal segment, and the second segment is positioned on the right side of the first jaw and adjacent to the distal segment.

11. The surgical instrument of claim 10 , wherein the electrode of the first segment is configured to apply RF energy from the energy source at the first power level, based on a first sensed characteristic about the tissue positioned at the plurality of data sensors of the first segment, and the second segment is configured to simultaneously apply RF energy from the energy source at a second power level that is different than the first power level, based on a second sensed characteristic about the tissue positioned at the plurality of data sensors of the second segment, wherein the second sensed characteristic is different than the first sensed characteristic.

12. An end effector of a surgical instrument comprising:

a first jaw and a second jaw configured for pivotal movement between a closed position and an open position; and

a segmented flexible circuit configured to fixedly attach to the first jaw positioned between the first jaw and the second jaw such that the segmented flexible circuit touches tissue when the first jaw and the second jaw close onto the tissue;

the segmented flexible circuit comprising:

a plurality of segments, wherein the plurality of segments comprises a distal segment configured to fixedly attach to a distal end of the first jaw, a plurality of lateral segments configured to fixedly attach to lateral sides of the first jaw;

wherein each segment of the plurality of segments comprises an electrode, an electrical insulation, a compressive layer, a laminate layer, and a plurality of data sensors positioned intermediate the electrode and the first jaw, wherein the plurality of data sensors comprises a temperature sensor and two force sensors, wherein the electrical insulation is positioned between the electrode and the temperature sensor, wherein the temperature sensor is positioned between the electrical insulation and one of the force sensors, wherein the one of the force sensors is positioned between the temperature sensor and the compressive layer, wherein the compressive layer is positioned between the one of the force sensors and the other of the force sensors, wherein the other of the force sensors is positioned between the compressive layer and the laminate layer, wherein the laminate layer is positioned between the other of the force sensors and the first jaw; and

a plurality of electrical connectors, wherein the plurality of electrical connectors electrically couples the plurality of segments to an energy source on a proximal end;

wherein the plurality of segments are each individually addressable to treat tissue by providing a first power level from the energy source to a first electrode of a first segment of the plurality of segments without providing the first power level to a second electrode of a second segment of the plurality of segments, and wherein an amount of power provided to each of the plurality of segments is determined based on data provided by the plurality of data sensors corresponding to each of the plurality of segments.

13. The end effector of claim 12 , further comprising:

a Hall effect sensor positioned at a distal end of one of the first jaw or the second jaw, and

a magnet in the other of the first jaw and the second jaw;

wherein the combination of the Hall effect sensor and the magnet are configured to measure an aperture between the first jaw and the second jaw.

14. The end effector of claim 12 , wherein the plurality of lateral segments comprises a first lateral segment located adjacent to the distal segment and a second lateral segment located at the proximal end of the end effector and adjacent to the first lateral segment.

15. The end effector of claim 12 , wherein the plurality of data sensors of each of the plurality of segments configured to detect a presence of tissue positioned between the second jaw and itself.

16. The end effector of claim 15 , wherein the energy source is configured to individually provide energy to each of the plurality of segments after it is detected that tissue is positioned between the second jaw and each of the plurality of segments.

17. The end effector of claim 12 , wherein:

the first jaw comprises a left side and a right side;

the first segment is positioned on the left side of the first jaw and adjacent to the distal segment, and the second segment is positioned on the right side of the first jaw and adjacent to the distal segment;

the electrode of the first segment is configured to apply RF energy from the energy source at a first power level, based on a first sensed characteristic about the tissue positioned at the first segment; and

the second segment is configured to simultaneously apply RF energy from the energy source at a second power level that is different than the first power level, based on a second sensed characteristic about the tissue positioned at the plurality of data sensors of the second segment, wherein the second sensed characteristic is different than the first sensed characteristic.

Assignments (3)

Continuity (4)

References Cited (400)