Granted Patent B2

US 12,201,339 · App. 17/131,074 · Granted Jan 21, 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)

Assignee: Cilag GmbH International

A61B18/00A61B18/1445A61B2017/00039A61B2017/00123A61B2017/003A61B2017/00314A61B2017/00398A61B2017/00464A61B2017/00734A61B2017/2927A61B2017/2929A61B2017/320078A61B2017/320094A61B2017/320095A61B2018/00297A61B2018/00607A61B2018/00648A61B2018/00666A61B2018/00684A61B2018/00708A61B2018/00767A61B2018/00875A61B2018/00886A61B2018/00898A61B2018/00904A61B2018/00922A61B2018/00946A61B2018/00958A61B2018/00994A61B2018/1226A61B2018/1273A61B2018/1455A61B2034/252A61B2034/731A61B2090/061A61B2560/0209A61B2560/0475A61B2562/0219

Abstract

Claims (70)

1. A surgical system, comprising:

an end effector, comprising:

a clamp arm;

a tissue contacting surface, wherein the clamp arm is movable relative to the tissue contacting surface to capture tissue therebetween; and

a circuit defining a plurality of segmented sections within the end effector, wherein the plurality of segmented sections comprises a first segmented section comprising a first impedance sensor, configured to:

derive a parameter associated with tissue positioned in the first segmented section; and

deliver electrosurgical energy to the tissue positioned in the first segmented section;

a motor configured to move the clamp arm relative to the tissue contacting surface;

a current sensor configured to sense a current draw of the motor; and

a control system operably coupled to the circuit and the current sensor, wherein the control system is configured to:

interrogate the first impedance sensor to determine a value of the parameter associated with the tissue positioned in the first segmented section;

interrogate the current sensor to determine the current draw;

compare the value of the parameter associated with the tissue positioned in the first segmented section to a threshold value;

compare the current draw to a threshold current draw; and

deactivate the first segmented section based on the comparisons.

2. The surgical system of claim 1 , wherein the parameter associated with the tissue comprises tissue impedance, and wherein the threshold value comprises a tissue impedance threshold.

3. The surgical system of claim 2 , wherein the control system is configured to deactivate the first segmented section based on the value of the tissue impedance being at or below the tissue impedance threshold.

4. The surgical system of claim 3 , wherein the control system is configured to deactivate the first segmented section based on the value of the tissue impedance being at or below the tissue impedance threshold and the current draw meeting or exceeding the threshold current draw.

5. The surgical system of claim 1 , wherein the plurality of segmented sections comprises a second segmented section comprising a second impedance sensor, and wherein the control system is configured to divert the electrosurgical energy away from the first segmented section toward the second segmented section based on the comparisons.

6. The surgical system of claim 1 , wherein the end effector further comprises an ultrasonic blade comprising the tissue contacting surface.

7. The surgical system of claim 1 , wherein the end effector further comprises a staple cartridge comprising the tissue contacting surface.

8. A surgical system, comprising:

an end effector, comprising:

a clamp arm;

a tissue contacting surface, wherein the clamp arm is movable relative to the tissue contacting surface to capture tissue therebetween; and

a circuit defining a plurality of segmented sections within the end effector, wherein the plurality of segmented sections comprises a first segmented section comprising a first impedance sensor, configured to:

derive a parameter associated with tissue positioned in the first segmented section; and

deliver electrosurgical energy to the tissue positioned in the first segmented section;

a motor configured to move the clamp arm relative to the tissue contacting surface;

a sensor configured to sense a parameter associated with the motor;

a control system operably coupled to the circuit and the sensor, wherein the control system is configured to:

interrogate the first impedance sensor to determine a value of the parameter associated with the tissue positioned in the first segmented section;

interrogate the sensor to determine a value of the parameter associated with the motor;

compare the value of the parameter associated with the tissue positioned in the first segmented section to a threshold value;

compare the value of the parameter associated with the motor to a motor threshold value; and

deactivate the first segmented section based on the comparisons.

9. The surgical system of claim 8 , wherein the parameter associated with the tissue comprises tissue impedance, and wherein the threshold value comprises a tissue impedance threshold.

10. The surgical system of claim 9 , wherein the control system is configured to deactivate the first segmented section based on the value of the tissue impedance being at or below the tissue impedance threshold.

11. The surgical system of claim 10 , wherein the parameter associated with the motor comprises a current draw of the motor, wherein the motor threshold value comprises a threshold current draw, and wherein the control system is configured to deactivate the first segmented section based on the value of the tissue impedance being at or below the tissue impedance threshold and the current draw meeting or exceeding the threshold current draw.

12. The surgical system of claim 8 , wherein the plurality of segmented sections comprises a second segmented section comprising a second impedance sensor, and wherein the control system is configured to divert the electrosurgical energy away from the first segmented section toward the second segmented section based on the comparisons.

13. The surgical system of claim 8 , wherein the end effector further comprises an ultrasonic blade comprising the tissue contacting surface.

14. The surgical system of claim 8 , wherein the end effector further comprises a staple cartridge comprising the tissue contacting surface.

15. A surgical system, comprising:

an end effector, comprising:

a clamp arm;

a tissue contacting surface, wherein the clamp arm is movable relative to the tissue contacting surface to capture tissue therebetween; and

a circuit defining a plurality of segmented sections within the end effector, wherein each segmented section comprises an impedance sensor, and wherein each impedance sensor is configured to:

derive a parameter associated with tissue positioned in the respective segmented section; and

deliver electrosurgical energy to the tissue positioned in the respective segmented section;

a motorized system configured to move the clamp arm relative to the tissue contacting surface;

a sensor configured to sense a parameter associated with the motorized system; and

a control system operably coupled to the circuit and the sensor, wherein the control system is configured to:

interrogate each impedance sensor to determine a value of the parameter associated with the tissue positioned in the respective segmented section;

interrogate the sensor to determine a value of the parameter associated with the motorized system;

compare the value of the parameter associated with the tissue positioned in the respective segmented section to a threshold value;

compare the value of the parameter associated with the motorized system to a motorized system threshold value; and

deactivate the respective segmented section based on the comparisons.

16. The surgical system of claim 15 , wherein the parameter associated with the tissue comprises tissue impedance, and wherein the threshold value comprises a tissue impedance threshold.

17. The surgical system of claim 16 , wherein the control system is configured to deactivate the respective segmented section based on the value of the tissue impedance being at or below the tissue impedance threshold.

18. The surgical system of claim 17 , wherein the parameter associated with the motorized system comprises a current draw of the motorized system, wherein the motorized system threshold value comprises a threshold current draw, and wherein the control system is configured to deactivate the respective segmented section based on the value of the tissue impedance being at or below the tissue impedance threshold and the current draw meeting or exceeding the threshold current draw.

19. The surgical system of claim 15 , wherein the end effector further comprises an ultrasonic blade comprising the tissue contacting surface.

20. The surgical system of claim 15 , wherein the end effector further comprises a staple cartridge comprising the tissue contacting surface.

21. A surgical system, comprising:

an end effector configurable between an open configuration and a closed configuration, wherein the end effector comprises a plurality of segmented sections, wherein the plurality of segmented sections comprise a first segmented section comprising a first energy delivery component configured to deliver energy to tissue captured within the first segmented section;

a motor configured to transition the end effector between the open configuration and the closed configuration;

a current sensor configured to sense a current draw of the motor; and

a control system operably coupled to the first energy delivery component and the current sensor, wherein the control system is configured to:

receive the current draw of the motor from the current sensor; and

transition the first segmented section to a deenergization sequence based on the current draw, wherein the deenergization sequence prevents the energy from being diverted through a short circuit;

wherein each of the segmented sections of the plurality of segmented sections is independently operable by the control system.

Assignments (3)

Continuity (4)

References Cited (400)