Methods and systems for indicating a clamping prediction

Patent metadata

Field	Value
Publication number	US-9814530-B2
Application number	US-201514635908-A
Country	US
Kind code	B2
Filing date	May 12, 2015
Priority date	Feb 15, 2011
Publication date	Nov 14, 2017
Grant date	Nov 14, 2017

Abstract

End effectors with closing mechanisms, and related tools and methods are disclosed. The disclosed end effectors may be particularly beneficial when used for minimally invasive surgery. An example surgical tool comprises a first and second jaw movable between a closed grasped or clamped configuration and an open configuration. The tool further comprises a soft grip mode for grasping the tissue at a first force during which a separation parameter between the jaws is measured, and a therapeutic clamping mode in which the jaws clamp on the body tissue at a force greater than the grasping force. The methods comprise grasping the body tissue between jaw members, measuring the separation parameter between jaws, indicating on a user interface the separation parameter for comparison to a desired separation parameter, and then releasing the body tissue for repositioning or therapeutically clamping the body tissue in response to the separation parameter indication.

First claim

The invention claimed is:

1. An apparatus comprising:
a first jaw and a second jaw;
a drive system coupled to the first and second jaws;
a user interface; and
an electronic data processor coupled to the drive system and the user interface;
wherein the drive system is configured to close the jaws on a material at a grasping force;
wherein the electronic data processor is configured to measure a grasping parameter between the jaws when the jaws are closed on the material at the grasping force; and
wherein based on the measured grasping parameter, the electronic data processor outputs an indicator that is predictive of success or failure in clamping the material between the jaws at a desired clamping force, the desired clamping force being within a predetermined range or forces greater than the grasping force.

2. The apparatus of claim 1 , wherein the indicator comprises a sensory indicator.

3. The apparatus of claim 2 , wherein the sensory indicator includes any of an audio sound, a visual indicator, a haptic response, or any combination thereof.

4. The apparatus of claim 3 , wherein the visual indicator includes a graphical representation on a display of the user interface.

5. The apparatus of claim 1 , wherein the electronic data processor determines the grasping parameter between the jaws from positional data transmitted from the drive system.

6. The apparatus of claim 1 , further comprising:
a sensor for measuring the grasping parameter between the first and second jaw.

7. The apparatus of claim 1 , wherein the grasping parameter comprises an angle between the jaws or a distance between the jaws.

8. The apparatus of claim 1 ,
wherein the electronic data processor outputs the indicator to a display of the user interface; and
wherein the indicator comprises a graphical indicator predictive of success or failure in clamping the material grasped between the jaws at the desired clamping force to a desired clamped jaw separation, the desired clamped jaw separation being within a predetermined range of separations.

9. The apparatus of claim 8 , wherein the desired clamped jaw separation comprises a suitable separation for applying a staple to the material between the jaws.

10. The apparatus of claim 1 , wherein the apparatus is configured for grasping and clamping the material comprising a living tissue;
the electronic data processor having a soft grip mode in which the jaws are positionable so as to receive the tissue between the jaws and movable relative to each other so as to grasp the tissue between the jaws at the grasping force;
the electronic data processor also having a therapeutic clamping mode in which the jaws are movable relative to each other so as to clamp the tissue at the clamping force; and
a user interface display that displays the indicator of predicted clamping success or failure while the electronic data processor is in the soft grip mode.

11. The apparatus of claim 10 , wherein the electronic data processor is further configured for switching between the soft grip and therapeutic clamping modes.

12. The apparatus of claim 10 ,
wherein the drive system further comprises an actuator system that can apply a first and second torque;
the actuator system being coupled to the jaws such that, in the soft grip mode, applying the first torque effects grasping with the jaws at the grasping force, and in the therapeutic clamping mode, applying the second torque effects clamping with the jaws at the clamping force.

13. The apparatus of claim 1 , wherein the drive system comprises a first actuation mechanism and a second actuation mechanism different from the first actuation mechanism, each being operatively coupled with the first and second jaw so as to move the jaws closer to one another to grasp or clamp the material;
the first actuation mechanism being configured for providing the grasping force with the jaws; and
the second actuation mechanism being configured for providing the clamping force with the jaws.

14. The apparatus of claim 13 , wherein the first actuation mechanism is configured to close the first and second jaws using a linear force, and the second actuation mechanism is configured to close the first and second jaws using a torque.

15. The apparatus of claim 13 , wherein the first actuation mechanism is a cable-driven mechanism.

16. The apparatus of claim 13 , wherein the second actuation mechanism is a leadscrew-driven mechanism.

17. The apparatus of claim 1 , wherein the drive system comprises one or more actuators, the one or each actuators comprising any of: an electric motor, a hydraulic actuator, a pneumatic actuator, a variable torque output actuator or any combination thereof.

18. The apparatus of claim 1 , wherein the drive system is coupled to the jaws through one or more actuator mechanisms of the drive system, the one or more actuator mechanisms comprising any of: a cable, a hypotube, a leadscrew, or any combination thereof.

19. The apparatus of claim 1 , wherein the indicator is indicative of a relationship between the grasping parameter and a reference parameter, from which relationship the prediction of failure or success can be determined by a user.

20. The apparatus of claim 1 , wherein the electronic data processor is further configured to provide an indicator of an elapsed time after a determination of successful clamping of the material.

21. The apparatus of claim 1 , wherein the electronic data processor is further configured to output an indication that the grasped material is safe to staple after a predetermined time has elapsed after a determination of successful clamping of the material.

22. The apparatus of claim 1 , wherein the first jaw is articulable against a portion of an end effector comprising the second jaw.

23. The apparatus of claim 1 , wherein the electronic data processor is further configured to measure multiple grasping parameters at sequentially increasing grasping forces and output multiple indications of predictive success or failure in clamping the material between the first and second jaws at the desired clamping force in response to the corresponding multiple measured grasping parameters.

Assignees

• Intuitive Surgical Operations

Inventors

• Weir David
• Duque Grant
• Durant Kevin
• Flanagan Patrick
• Nixon Margaret M
• Robinson David
• Zabinski John

Classifications

• A61B2017/00115

  with audible or visual output · CPC title

• A61B17/00

  Surgical instruments, devices or methods (A61B18/00 takes precedence; dental tools A61C3/00; eye surgery A61F9/007; ear surgery A61F11/20) · CPC title

• A61B17/28

  Surgical forceps (biopsy forceps A61B10/06; {for holding suture needles or materials A61B17/0483; for removing or smashing calculi A61B17/221; surgical scissors A61B17/3201;} obstetrical forceps A61B17/44) · CPC title

• A61B2019/464

  Human Necessities · mapped topic

• A61B17/07207 Primary

  the staples being applied sequentially · CPC title