Surgical stapling system including control circuit to monitor clamping pressure

Patent metadata

Field	Value
Publication number	US-12178434-B2
Application number	US-202217720823-A
Country	US
Kind code	B2
Filing date	Apr 14, 2022
Priority date	Oct 3, 2006
Publication date	Dec 31, 2024
Grant date	Dec 31, 2024

Abstract

A surgical stapling system comprising an actuator system operable to generate independent motions and a stapling end effector responsive to the independent motions generated by the actuator system is disclosed. The stapling end effector comprises a staple cartridge jaw comprising a plurality of staples removably stored therein, an anvil jaw, and a firing member. The firing member comprises an anvil-engaging portion and a cartridge jaw-engaging portion configured to engage the staple cartridge jaw.

First claim

What is claimed:

1. A surgical stapling system, comprising:
a plurality of actuators operable to generate independent motions including an end effector closing motion and a staple firing motion;
a stapling end effector responsive to the independent motions generated by the plurality of actuators, wherein the stapling end effector comprises:
a staple cartridge jaw;
an anvil jaw, comprising:
a longitudinal anvil slot; and
a longitudinal recess extending from the longitudinal anvil slot, wherein one of the anvil jaw and the staple cartridge jaw are movable relative to the other of the anvil jaw and the staple cartridge jaw to clamp tissue therebetween;

a firing beam, comprising:
an anvil-engaging cam; and
a cartridge jaw-engaging cam configured to engage the staple cartridge jaw, wherein the firing beam is configured to control a relative spacing between the staple cartridge jaw and the anvil jaw during the staple firing motion;

a pressure sensor; and
a control circuit operably coupled to the plurality of actuators and configured to:
receive an end effector closing input;
generate the end effector closing motion;
monitor tissue clamping pressure by way of the pressure sensor as the one of the anvil jaw and the staple cartridge jaw is moved relative to the other of the anvil jaw and the staple cartridge jaw;
adjust a pressure applied by the one of the anvil jaw and the staple cartridge jaw based on the monitored tissue clamping pressure;
receive a staple firing input; and
generate the end effector firing motion to advance a cutting edge of the stapling end effector through a staple firing stroke independent of the generation of the end effector closing motion.

2. The surgical stapling system of claim 1 , further comprising a firing motor rotatable in a first direction to advance the cutting edge of the stapling end effector through the staple firing stroke, and rotatable in a second direction, opposite the first direction, to retract the cutting edge, wherein the control circuit is further configured to control a rotational direction of the firing motor.

3. The surgical stapling system of claim 2 , wherein the control circuit is configured to detect reaching an end of the staple firing stroke.

4. The surgical stapling system of claim 3 , further comprising a user interface coupled to the control circuit, wherein the control circuit is configured to cause the user interface to alert based on detecting the end of the staple firing stroke.

5. The surgical stapling system of claim 4 , wherein the control circuit is configured to cause the firing motor to retract the firing beam after detecting reaching the end of the staple firing stroke.

6. The surgical stapling system of claim 4 , wherein the control circuit is configured to cause the user interface to provide an alert indicative of the stapling end effector reaching a closed configuration based on the end effector closing motion.

7. A surgical stapling system, comprising:
a plurality of actuators operable to generate independent motions including an end effector closing motion and a staple firing motion;
a stapling end effector responsive to the independent motions generated by the plurality of actuators, wherein the stapling end effector comprises:
a staple cartridge jaw;
an anvil jaw, comprising:
a longitudinal anvil slot; and
a longitudinal recess extending from the longitudinal anvil slot, wherein one of the staple cartridge jaw and the anvil jaw is movable relative to the other of the anvil jaw and the staple cartridge jaw to clamp tissue therebetween;

a firing beam, comprising:
an anvil-engaging cam; and
a cartridge jaw-engaging cam configured to engage the staple cartridge jaw, wherein the firing beam is configured to control a relative spacing between the staple cartridge jaw and the anvil jaw during the staple firing motion;

a pressure sensor; and
a control circuit operably coupled to the plurality of actuators and configured to:
receive an end effector closing input;
apply a closure control signal that causes the end effector closing motion, wherein the closure control signal is based on receiving the end effector closing input;
monitor clamping pressure by way of the pressure sensor during the end effector closing motion;
adjust a pressure applied by the one of the anvil jaw and the staple cartridge jaw based on the monitored clamping pressure;
receive a staple firing input; and
apply a firing control signal that causes the staple firing motion that advances the firing beam through a staple firing stroke, wherein the firing control signal is based on the staple firing input, and wherein the closure control signal is independent of the firing control signal.

8. The surgical stapling system of claim 7 , further comprising a firing motor rotatable in a first direction to advance the firing beam of the stapling end effector through the staple firing stroke, and rotatable in a second direction, opposite the first direction, to retract the firing beam, wherein the control circuit is further configured to control a rotational direction of the firing motor.

9. The surgical stapling system of claim 8 , wherein the control circuit is configured to detect reaching an end of the staple firing stroke.

10. The surgical stapling system of claim 9 , further comprising a user interface communicably coupled to the control circuit, wherein the control circuit is configured to cause the user interface to alert based on detecting the end of the staple firing stroke.

11. The surgical stapling system of claim 10 , wherein the control circuit is configured to cause the firing motor to retract the firing beam after detecting reaching the end of the staple firing stroke.

12. The surgical stapling system of claim 10 , wherein the control circuit is configured to cause the user interface to provide an alert indicative of the stapling end effector reaching a closed configuration based on the end effector closing motion.

13. A surgical stapling system, comprising:
a stapling end effector, comprising:
a first jaw;
a second jaw, wherein the first jaw and the second jaw are configured to grasp tissue in a closed configuration achievable by an end effector closing motion;

a firing beam, comprising:
a knife;
a first cam configured to engage the first jaw; and
a second cam configured to engage the second jaw, wherein the firing beam is configured to control a relative spacing between the first jaw and the second jaw during a staple firing motion that advances the knife through a staple firing stroke, and wherein the end effector closing motion is independent from the staple firing motion;

a control circuit configured to:
receive an end effector closing input;
apply a closure control signal that causes the end effector closing motion, wherein the closure control signal is based on receiving the end effector closing input;
monitor clamping pressure by a sensor during the end effector closing motion;
adjust a pressure applied by the second jaw during the end effector closing motion based on the monitored clamping pressure;
receive a staple firing input; and
apply a firing control signal that causes the staple firing motion that advances the knife through the staple firing stroke, wherein the firing control signal is based on the staple firing input, and wherein the closure control signal is independent of the firing control signal.

14. The surgical stapling system of claim 13 , further comprising a firing motor rotatable in a first direction to advance the firing beam of the stapling end effector through the staple firing stroke, and rotatable

Assignees

• Cilag Gmbh Int

Inventors

• Shelton Iv Frederick E
• Setser Michael E
• Doll Kevin R
• Morgan Jerome R

Classifications

• A61B2017/07285

  characterised by its cutter · CPC title

• A61B2017/07257

  characterised by its anvil · CPC title

• A61B17/064

  Surgical staples, {i.e. penetrating the tissue} · CPC title

• A61B17/068

  Surgical staplers {, e.g. containing multiple staples or clamps}({staplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105;} for performing anastomosis A61B17/115; {staplers in general B25C5/00}) · CPC title

• A61B17/0682

  for applying U-shaped staples or clamps, e.g. without a forming anvil · CPC title