IP Library › Granted Patent US 12,144,500
Granted Patent B2
US 12,144,500 · App. 16/919,319 · Granted Nov 19, 2024

Surgical instrument with multiple program responses during a firing motion

Inventors: Jason L. Harris (Lebanon, OH); Frederick E. Shelton, IV (Hillsboro, OH); Mark D. Overmyer (Cincinnati, OH)
Assignee: Cilag GmbH International
A61B17/0686A61B17/07207A61B17/320068G16H20/40G16H40/63A61B2017/00017A61B2017/00022A61B2017/00026A61B2017/00039A61B2017/00075A61B2017/00115A61B2017/00119A61B2017/00123A61B2017/00132A61B2017/00199A61B2017/00398A61B2017/0046A61B2017/00725A61B2017/00734A61B2017/07257A61B2017/07271A61B2017/07285A61B2017/2927A61B2090/061A61B2090/064A61B2090/065A61B2090/0803A61B2090/0807A61B2090/0808A61B2090/0811A61B2090/304A61B2090/309
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Quick Facts
Patent No.
US 12,144,500
App. No.
16/919,319
Filed
Jul 2, 2020
Granted
Nov 19, 2024
Kind
B2
Art Unit
3731
USPC
227/180.1
Abstract

A surgical instrument. The surgical instrument includes an elongated channel configured to support a staple cartridge, an anvil pivotably connected to the elongated channel, a knife mechanically coupled to the staple cartridge, an electric motor and a control circuit electrically connected to the electric motor. The control circuit is configured to change a firing motion a first way based on a first value of a projected peak firing force and a second way based on a second value of the projected peak firing force value.

Claims (55)

1. A method of assessing an operational status of a surgical instrument for stapling tissue via a staple cartridge, the method comprising:

operating, under the control of a control circuit, an actuation mechanism drivingly coupled with a drive member to attempt to move the drive member from a first position toward a second position;

determining, by the control circuit, a location parameter corresponding to a present location of the drive member during the attempt to move the drive member from the first position to the second position;

determining, by the control circuit, a firing force associated with the drive member during the attempt to move the drive member from the first position to the second position;

determining, by the control circuit, whether the firing force is greater than an output threshold, wherein a magnitude of the output threshold is dependent on the location parameter; and

discontinuing, by the control circuit, movement of the drive member in response to a determination that the firing force is greater than the output threshold.

2. The method of claim 1 , wherein determining the firing force associated with the drive member comprises determining a slope indicative of a change of the firing force over a period of time, and wherein the output threshold is a slope threshold having a magnitude that is dependent on the location parameter.

3. The method of claim 1 , wherein determining the firing force associated with the drive member comprises determining a slope of a line connecting two successive peak values of the firing force over a period of time, and wherein the output threshold is a slope threshold having a magnitude that is dependent on the location parameter.

4. The method of claim 1 , further comprising:

determining, by the control circuit and subsequent to discontinuing movement of the drive member, whether the firing force is less than the output threshold; and

continuing, by the control circuit, movement of the drive member in response to a determination that the firing force is less than the output threshold.

5. The method of claim 1 , wherein discontinuing movement of the drive member comprises discontinuing, by the control circuit, movement of the drive member in response to a determination that the firing force is greater than the output threshold and prior to a firing of a staple form the staple cartridge.

6. The method of claim 1 , further comprising determining, by the control circuit, a spent status of the staple cartridge.

7. A surgical instrument, comprising:

an end effector, comprising:

a staple cartridge

an anvil;

a first jaw; and

a second jaw movable relative to the first jaw to grasp tissue between the anvil and the staple cartridge;

a drive member;

an actuation mechanism operably coupled to a drive member, wherein the actuation mechanism is configured to cause the drive member to effect a motion in the end effector; and

a control circuit configured to:

cause the actuation mechanism to attempt to move the drive member from a first position toward a second position;

determine a location parameter corresponding to a present location of the drive member during the attempt to move the drive member from the first position to the second position;

determine a firing force associated with the drive member during the attempt to move the drive member from the first position to the second position;

determine whether the firing force is greater than an output threshold, wherein a magnitude of the output threshold is dependent on the location parameter; and

discontinue movement of the drive member if in response to a determination that the firing force is greater than the output threshold.

8. The surgical instrument of claim 7 , wherein to determine the firing force associated with the drive member comprises to determine a slope indicative of a change of the firing force over a period of time, and wherein the output threshold is a slope threshold having a magnitude that is dependent on the location parameter.

9. The surgical instrument of claim 7 , wherein to determine the firing force associated with the drive member comprises to determine a slope of a line connecting two successive peak values of the firing force over a period of time, and wherein the output threshold is a slope threshold having a magnitude that is dependent on the location parameter.

10. The surgical instrument of claim 7 , wherein the control circuit is further configured to:

determine, subsequent to discontinuing movement of the drive member, whether the firing force is less than the output threshold; and

continue movement of the drive member in response to a determination that the firing force is less than the output threshold.

11. The surgical instrument of claim 7 , wherein to discontinue movement of the drive member comprises to discontinue movement of the drive member in response to a determination that the firing force is greater than the output threshold and prior to a firing of a staple form the staple cartridge.

12. A surgical instrument, comprising:

an end effector, comprising:

a staple cartridge

an anvil;

a first jaw; and

a second jaw movable relative to the first jaw to grasp tissue between the anvil and the staple cartridge;

a drive member;

an actuation mechanism operably coupled to a drive member, wherein the actuation mechanism is configured to cause the drive member to effect a motion in the end effector;

a first sensor configured to monitor an output indicative of a firing force of the actuation mechanism;

a second sensor configured to monitor a parameter associated with the staple cartridge; and

a control circuit communicably coupled to the first sensor and the second sensor, wherein the control circuit is configured to:

cause the actuation mechanism to move the drive member;

determine a location parameter corresponding to a present location of the drive member while the drive member is being moved;

determine whether the firing force is greater than an output threshold, wherein a magnitude of the output threshold is dependent on the location parameter; and

discontinue movement of the drive member in response to a determination that firing force is greater than the output threshold; and

detect a spent status of the staple cartridge based on the second sensor, wherein the spent status is detected prior to firing a staple from the staple cartridge.

13. The surgical instrument of claim 12 , wherein the firing force comprises a slope indicative of a change of the firing force over a period of time, and wherein the output threshold is a slope threshold having a magnitude that is dependent on the location parameter.

14. The surgical instrument of claim 12 , wherein the firing force comprises a slope of a line connecting two successive peak values of the firing force over a period of time, and wherein the output threshold is a slope threshold having a magnitude that is dependent on the location parameter.

15. The surgical instrument of claim 12 , wherein the control circuit is further configured to:

determine, subsequent to discontinuing movement of the drive member, whether the firing force is less than the output threshold; and

continue movement of the drive member in response to a determination that the firing force is less than the output threshold.

16. The surgical instrument of claim 12 , wherein to discontinue movement of the drive member comprises to discontinue movement of the drive member in response to a determination that the firing force is greater than the output threshold and prior to a firing of a staple form the staple cartridge.

Assignments (3)
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 Jan 4, 2021
From: HARRIS, JASON L.; SHELTON, FREDERICK E., IV; OVERMYER, MARK D.
To: ETHICON ENDO-SURGERY, LLC
Reel/Frame 054799/0884 →
CHANGE OF NAME Recorded Jan 4, 2021
From: ETHICON ENDO-SURGERY, LLC
To: ETHICON LLC
Reel/Frame 054799/0990 →
Continuity (2)
Continuation 15130566 · Apr 15, 2016
Related Publication 20210085316A1 · Mar 25, 2021