Method for tissue treatment by surgical instrument

Patent metadata

Field	Value
Publication number	US-12471982-B2
Application number	US-202017109589-A
Country	US
Kind code	B2
Filing date	Dec 2, 2020
Priority date	Dec 2, 2020
Publication date	Nov 18, 2025
Grant date	Nov 18, 2025

Abstract

A method for treating tissue using a surgical instrument including at least one electrode and a staple cartridge is disclosed. The method includes causing the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment by the surgical instrument, deploying staples from the staple cartridge into the tissue in a second phase of the surgical treatment, monitoring a first tissue property in the first phase of the surgical treatment, switching from the first phase to the second phase if at least one of two conditions is met, setting a parameter of the second phase of the surgical treatment based on at least one measurement of the first tissue property determined in the first phase of the surgical treatment, and monitoring a second tissue property, different from the first tissue property, in the second phase of the surgical treatment.

First claim

What is claimed is:

1 . A method for treating tissue using a surgical instrument including at least one electrode, a staple cartridge, and a control circuit including a processor, the method comprising:
causing, by the processor, the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment by the surgical instrument; causing, by the processor, staples to be deployed from the staple cartridge into the tissue in a second phase of the surgical treatment; monitoring, by the processor, a first tissue property in the first phase of the surgical treatment, wherein the first tissue property is a tissue impedance; switching, by the processor, from delivering the therapeutic energy in the first phase of the surgical treatment to deploying the staples in the second phase of the surgical treatment when a predetermined threshold of the tissue impedance is met, wherein the predetermined threshold of the tissue impedance is configured to be met before completion of the first phase, such that the second phase is operable to begin before completion of the first phase; setting, by the processor, a parameter of the second phase of the surgical treatment based on at least one measurement of the first tissue property determined in the first phase of the surgical treatment; and monitoring, by the processor, a second tissue property, different from the first tissue property, in the second phase of the surgical treatment.

2 . The method of claim 1 , wherein the parameter of the second phase is a drive velocity of a motor assembly of the surgical instrument, the motor assembly operable to deploy the staples.

3 . The method of claim 2 , further comprising switching from delivering the therapeutic energy in the first phase to deploying the staples in the second phase when a predetermined threshold time of the first phase is met before the predetermined threshold of the tissue impedance is met.

4 . The method of claim 3 , wherein the at least one measurement is taken at a beginning of the first phase of the surgical treatment or an end of the first phase of the surgical treatment.

5 . The method of claim 3 , wherein the at least one measurement comprises multiple measurements of the first tissue property taken during the first phase of the surgical treatment.

6 . The method of claim 1 , further comprising adjusting, by the processor, a level of the therapeutic energy delivered through the at least one electrode based on the first tissue property.

7 . A method for treating tissue using a surgical instrument including at least one electrode and a staple cartridge, the method comprising:
causing the at least one electrode to deliver a therapeutic energy to the tissue in a first phase of a surgical treatment; deploying staples from the staple cartridge into the tissue in a second phase of the surgical treatment; monitoring a tissue property in the first phase of the surgical treatment, wherein the tissue property is a tissue impedance; automatically switching from delivering the therapeutic energy in the first phase of the surgical treatment to deploying the staples in the second phase of the surgical treatment when a predetermined threshold of the tissue impedance is met, wherein the predetermined threshold of the tissue impedance is configured to be met before completion of the first phase, such that the second phase is operable to begin before completion of the first phase; and setting a parameter of the second phase of the surgical treatment based on at least one measurement of the tissue property determined in the first phase of the surgical treatment.

8 . The method of claim 7 , wherein the parameter of the second phase is a drive velocity of a motor assembly of the surgical instrument, the motor assembly operable to deploy the staples.

9 . The method of claim 8 , further comprising automatically switching from delivering the therapeutic energy in the first phase of the surgical treatment to deploying the staples in the second phase of the surgical treatment when a predetermined threshold time of the first phase is met before the predetermined threshold of the tissue impedance is met.

10 . The method of claim 9 , wherein the at least one measurement is taken at a beginning of the first phase of the surgical treatment or an end of the first phase of the surgical treatment.

11 . The method of claim 9 , wherein the at least one measurement comprises multiple measurements of the tissue property taken during the first phase of the surgical treatment.

12 . The method of claim 11 , further comprising adjusting a level of the therapeutic energy delivered through the at least one electrode based on the tissue property.

Assignees

• Cilag Gmbh Int

Inventors

• Shelton Iv Frederick E
• Fiebig Kevin M
• Worthington Sarah A
• Mastroianni Nina
• Brady John E
• Harris Demetrius N
• Patel Ravi C
• Liebowitz Joshua L

Classifications

• A61B17/0682

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

• A61B2018/00101

  low, i.e. thermally insulating · CPC title

• A61B2018/00791

  Temperature · CPC title

• A61B2018/00875

  Resistance or impedance · CPC title

• A61B2018/0063

  Sealing · CPC title