IP Library › Granted Patent US 9,681,873
Granted Patent B2
US 9,681,873 · App. 12/793,962 · Granted Jun 20, 2017

Electrical surgical stapling instrument with tissue compressive force control

Inventors: Kevin W. Smith (Coral Gables, FL); Matthew A. Palmer (Miami, FL); Thomas O. Bales, Jr. (Coral Gables, FL); Derek Dee Deville (Miami, FL); Carlos Riveria (Cooper City, FL)
Assignee: Ethicon LLC
A61B17/072A61B17/068A61B17/115A61B17/07207A61B17/1114A61B2017/00017A61B2017/00398A61B2017/00734A61B2017/07285A61B2090/032A61B2090/064
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Quick Facts
Patent No.
US 9,681,873
App. No.
12/793,962
Granted
Jun 20, 2017
Kind
B2
Abstract

A surgical stapling instrument includes a handle having a stapler-closing device. A surgical stapling end effector is connected to the handle and has a pair of opposing stapling surfaces. At least one of the stapling surfaces is operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing device to apply a compressive force to tissue therebetween. At least one variable member is operable to receive the compressive force applied to the tissue and to exhibit at least one of mechanical and electrical change associated with the received compressive force. The change influences a surgical procedure on the compressed tissue.

Claims (35)

1. A surgical stapling instrument, comprising:

a handle having a stapler-closing device;

a surgical stapling end effector connected to the handle and having a pair of opposing stapling surfaces, at least one of the stapling surfaces operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing device to apply a compressive force to tissue therebetween;

a mechanical force switch operable to receive the compressive force applied to the tissue and to switch from a the first electrical switching state to a second electrical switching state, the first and second electrical switching states being initiated and changed solely by mechanical movements associated with the received compressive force, the change in electrical switching states influencing a surgical procedure on the compressed tissue; and

the change in electrical switching states being dependent upon the received compressive force being at least equal to a pre-determined compressive force, wherein the pre-determined compressive force is a biasing force that retains the mechanical force switch in the first electrical switching state until the opposing compressive force received upon the mechanical force switch overcomes the biasing force to change the mechanical force switch to the second electrical switching state.

2. The surgical stapling instrument according to claim 1 , further comprising an electric indication circuit electrically connected to the mechanical force switch and operable to produce a signal indicating at least one of:

occurrence of the change in electrical switching states; and

an amount of compressive force applied to the tissue.

3. A surgical stapling instrument, comprising:

a handle having a stapler-closing device;

a surgical stapling end effector connected to the handle and having a pair of opposing stapling surfaces, at least one of the stapling surfaces operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing device to apply a compressive force to tissue therebetween; and

a mechanical force switch operable to receive the compressive force applied to the tissue and to exhibit at least one of mechanical and electrical change associated with the received compressive force, the at least one change influencing a surgical procedure on the compressed tissue.

4. The surgical stapling instrument according to claim 3 , wherein the surgical stapling end effector further comprises a knife assembly disposed to cut the compressed tissue between the stapling surfaces.

5. The surgical stapling instrument according to claim 3 , wherein the at least one mechanical and electrical change exhibited by the mechanical force switch is dependent upon the compressive force received being at least equal to a pre-determined compressive force.

6. The surgical stapling instrument according to claim 5 , wherein the pre-determined compressive force is a biasing force that opposes the compressive force received.

7. The surgical stapling instrument according to claim 6 , wherein the pre-determined compressive force is applied by a pre-loaded spring.

8. The surgical stapling instrument according to claim 5 , wherein the pre-determined compressive force is dependent upon at least one of a kind and an amount of tissue to be compressed prior to stapling the compressed tissue.

9. The surgical stapling instrument according to claim 5 , wherein the pre-determined compressive force is dependent upon an acceptable staple-forming range.

10. The surgical stapling instrument according to claim 5 , wherein the pre-determined compressive force is adjustable to accommodate differences in tissue thicknesses.

11. The surgical stapling instrument according to claim 3 , wherein:

the handle has a longitudinal axis; and

the mechanical force switch is disposed along the longitudinal axis.

12. The surgical stapling instrument according to claim 11 , wherein the mechanical force switch is operable to switch from a first electrical switching state to a second electrical switching state.

13. The surgical stapling instrument according to claim 12 , wherein the surgical stapling end effector carries out the surgical procedure on the compressed tissue only after the compressive force received by the mechanical force switch is sufficient to change the mechanical force switch from the first electrical switching state to the second electrical switching state.

14. The surgical stapling instrument according to claim 3 , wherein the surgical stapling end effector comprises one of a circular surgical staple head and a linear surgical staple head.

15. The surgical stapling instrument according to claim 3 , further comprising an electric indication circuit electrically connected to the mechanical force switch and operable to produce a signal indicating occurrence of the at least one mechanical and electrical change.

16. The surgical stapling instrument according to claim 3 , further comprising an electric indication circuit electrically connected to the mechanical force switch and operable to produce a signal indicating an amount of compressive force applied to the tissue.

17. A surgical stapling instrument, comprising:

a handle having a stapler-closing device and a longitudinal axis;

a surgical stapling end effector connected to the handle and having a pair of opposing stapling surfaces, at least one of the stapling surfaces operable to move with respect to the other of the stapling surfaces upon actuation of the stapler-closing device to apply a compressive force to tissue therebetween;

a mechanical force switch disposed along the longitudinal axis of the handle, the mechanical force switch being operable to receive the compressive force applied to the tissue and to exhibit at least one of mechanical and electrical change associated with the received compressive force, the at least one change influencing a surgical procedure on the compressed tissue; and

an electric indication circuit electrically connected to the mechanical force switch and operable to produce a signal indicating occurrence of the at least one of mechanical and electrical change.

18. The surgical stapling instrument according to claim 17 , wherein the mechanical force switch is operable to switch from a first electrical switching state to a second electrical switching state, the first and second electrical switching states being initiated and changed solely by mechanical movements associated with the received compressive force.

19. The surgical stapling instrument according to claim 18 , wherein the surgical stapling end effector carries out the surgical procedure on the compressed tissue only after the compressive force received by the mechanical force switch is sufficient to change the mechanical force switch from the first electrical switching state to the second electrical switching state.

20. The surgical stapling instrument according to claim 18 , wherein the change in electrical switching states of the mechanical force switch is dependent upon the compressive force received being at least equal to a pre-determined compressive force, wherein the pre-determined compressive force is a biasing force that opposes the compressive force received.

Assignments (5)
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Apr 27, 2021
From: ETHICON LLC
To: CILAG GMBH INTERNATIONAL
Reel/Frame 056601/0339 →
CHANGE OF NAME Recorded Feb 28, 2017
From: ETHICON ENDO-SURGERY, LLC
To: ETHICON LLC
Reel/Frame 041825/0651 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Nov 28, 2015
From: ETHICON ENDO-SURGERY, INC.
To: ETHICON ENDO-SURGERY, LLC
Reel/Frame 037161/0710 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 7, 2010
From: SYNTHEON, LLC
To: ETHICON ENDO-SURGERY, INC.
Reel/Frame 025104/0985 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Oct 6, 2010
From: SMITH, KEVIN W.; PALMER, MATTHEW A.; BALES, THOMAS O., JR.; DEVILLE, DEREK DEE; RIVERA, CARLOS
To: SYNTHEON, LLC
Reel/Frame 025101/0665 →
Continuity (17)
Division 11705246 · Feb 12, 2007
Division 11705334 · Feb 12, 2007
Division 11705381 · Feb 12, 2007
Division 12102181 · Apr 14, 2008
Division 12102464 · Apr 14, 2008
Division 12612525 · Nov 4, 2009
Division 12270518 · Nov 13, 2008
Division 11750622 · May 18, 2007
Division 11971998 · Jan 10, 2008
Division 12034320 · Feb 20, 2008
Provisional Application 60977489 · Oct 4, 2007
Provisional Application 60801989 · May 19, 2006
Provisional Application 60810272 · Jun 2, 2006
Provisional Application 60858112 · Nov 9, 2006
Provisional Application 60902534 · Feb 21, 2007
Related Publication 20100258611A1 · Oct 14, 2010
Related Publication 20160374664A9 · Dec 29, 2016