Devices, systems, and methods for grasping, treating, and dividing tissue

Patent metadata

Field	Value
Publication number	US-10610289-B2
Application number	US-201414260905-A
Country	US
Kind code	B2
Filing date	Apr 24, 2014
Priority date	Sep 25, 2013
Publication date	Apr 7, 2020
Grant date	Apr 7, 2020

Abstract

A surgical system includes an end effector assembly, a motor assembly, an energy source, and a controller. The controller activates the motor assembly, once it is determined that tissue is present between jaw members of the end effector assembly, to move the jaw members from a spaced-apart position to an approximated position to grasp tissue. The controller further activates the energy source, once tissue is grasped between the jaw members, to supply energy to the jaw members to seal tissue grasped between the jaw members. The controller further activates the motor assembly, once it is determined that tissue sealing is complete, to move the jaw members from the approximated position to the spaced-apart position to release sealed tissue. The system may further be configured to cut tissue once it is determined that tissue sealing is complete but before moving the jaw members to the spaced-apart position.

First claim

What is claimed is:

1. A surgical system, comprising:
an end effector assembly including first and second jaw members;
at least one tissue presence sensor disposed at the end effector assembly;
a motor assembly coupled to the end effector assembly and operable to move the jaw members between a spaced-apart position and an approximated position for grasping tissue therebetween;
an energy source coupled to the end effector assembly and operable to supply energy to the jaw members to seal tissue; and
a controller including a processor and a non-transitory computer-readable storage medium storing a control program that, when executed, causes the processor to:
activate the motor assembly, once the controller determines that tissue is present between the jaw members based on information received from the at least one tissue presence sensor, to move the jaw members from the spaced-apart position to the approximated position to grasp tissue;
activate the energy source, once tissue is grasped between the jaw members, to supply energy to the jaw members to seal tissue grasped between the jaw members; and
activate the motor assembly, once the controller determines that tissue sealing is complete, to move the jaw members from the approximated position to the spaced-apart position to release sealed tissue.

2. The system according to claim 1 , further comprising:
a forceps having the end effector assembly disposed at a distal end thereof; and
a generator containing the energy source and the controller, the generator operably coupled to the forceps.

3. The system according to claim 2 , wherein the generator is incorporated into a housing of the forceps.

4. The system according to claim 1 , further comprising at least one tissue property sensor coupled between the end effector assembly and the energy source and configured for sensing at least one tissue property indicative of completion of tissue sealing, the at least one tissue property sensor coupled to the controller for enabling the controller to determine whether tissue sealing is complete.

5. The system according to claim 4 , wherein the at least one tissue property is tissue impedance.

6. The system according to claim 1 ,
wherein the end effector assembly further includes a cutting member,
wherein the energy source is coupled to the cutting member and operable to supply energy to the cutting member for conduction between the cutting member and at least one of the jaw members and through tissue grasped between the jaw members to cut tissue,
wherein the control program further causes the processor to activate the energy source, once it is determined that tissue sealing is complete, to supply energy to the cutting member to cut sealed tissue, and
wherein activating the motor assembly to move the jaw members from the approximated position to the spaced-apart position to release tissue is effected once it is determined that both tissue sealing and tissue cutting are complete.

7. The system according to claim 1 ,
wherein the end effector assembly further includes a knife movable between a retracted position, wherein the knife is disposed proximally of the jaw members, and an extended position, wherein the knife extends between the jaw members to cut tissue disposed therebetween,
wherein the motor assembly is coupled to the knife and operable to move the knife between the retracted position and the extended position,
wherein the control program further causes the processor to activate the motor assembly, once tissue sealing is complete, to move the knife from the retracted position to the extended position to cut sealed tissue, and
wherein activating the motor assembly to move the jaw members from the approximated position to the spaced-apart position to release tissue is effected once it is determined that tissue sealing is complete and once tissue cutting is complete.

8. A surgical system, comprising:
an end effector assembly including first and second jaw members;
at least one tissue presence sensor disposed at the end effector assembly;
a knife assembly including a knife movable relative to the end effector assembly;
a motor assembly coupled to the end effector assembly and the knife assembly, the motor assembly operable to move the jaw members between a spaced-apart position and an approximated position for grasping tissue therebetween, and operable to move the knife relative to the end effector assembly between a retracted position, wherein the knife is disposed proximally of the jaw members, and an extended position, wherein the knife extends between the jaw members to cut tissue disposed therebetween;
an energy source coupled to the end effector assembly and operable to supply energy to the jaw members to seal tissue; and
a controller configured to:
determine whether tissue is present between the jaw members based on information received from the at least one tissue presence sensor and activate the motor assembly when the controller determines that tissue is present between the jaw members to move the jaw members from the spaced-apart position to the approximated position to grasp tissue between the jaw members;
activate the energy source to supply energy to the jaw members to seal tissue grasped between the jaw members;
determine whether tissue sealing is complete and activate the motor assembly when the controller determines that tissue sealing is complete, to move the knife from the retracted position to the extended position to cut tissue sealed tissue grasped between the jaw members; and
activate the motor assembly to move the jaw members from the approximated position to the spaced-apart position to release sealed and cut tissue.

9. The system according to claim 8 , further comprising:
a forceps having the end effector assembly disposed at a distal end thereof; and
a generator containing the energy source and the controller, the generator operably coupled to the forceps.

10. The system according to claim 9 , wherein the generator is incorporated into a housing of the forceps.

11. The system according to claim 8 , further comprising at least one tissue property sensor coupled between the end effector assembly and the energy source and configured for sensing at least one tissue property indicative of completion of tissue sealing, the at least one tissue property sensor coupled to the controller for enabling the controller to determine whether tissue sealing is complete.

12. The system according to claim 11 , wherein the at least one tissue property is tissue impedance.

Assignees

• Covidien Lp

Inventors

• Jensen Jeffrey L

Classifications

• A61B2018/0063

  Sealing · CPC title

• A61B2018/1455

  having a moving blade for cutting tissue grasped by the jaws · CPC title

• A61B2018/00875

  Resistance or impedance · CPC title

• A61B34/30

  Surgical robots · CPC title

• A61B2018/00607

  Coagulation and cutting with the same instrument · CPC title