surgical cutting and clamping instruments with dual energy sources

专利摘要:
The present invention relates to a control circuit for a surgical instrument that includes a drive shaft control segment, a first electrical conductor configured to conduct a first electrical signal between the drive shaft control segment and a drive cartridge. removable surgical instrument, an electrosurgical energy control segment, a second electrical conductor configured to conduct a second electrical signal between the removable electrosurgical energy control segment and the surgical instrument cartridge, and a connector electrically coupled to the energy control segment electrosurgical and configured to receive electrosurgical generator power from an electrosurgical generator. The electrosurgical power control segment is configured to detect a connection from the electrosurgical generator to the connector and to electrically isolate the electrosurgical generator power drive shaft control segment when the electrosurgical power control segment detects the connection of the electrosurgical generator to the connector.
公开号:BR112019027525A2
申请号:R112019027525-8
申请日:2018-06-12
公开日:2020-07-07
发明作者:Jeffrey D. Messerly；David C. Yates；Jason L. Harris；Frederick E. Shelton Iv；Mark A. Davison
申请人:Ethicon Llc；
IPC主号:

专利说明:

[0001] [0001] The present invention relates to electrosurgical devices and, in several aspects, to modular circuits for conducting electrical signals in them. BACKGROUND OF THE INVENTION
[0002] [0002] In a surgical sealing and stapling system, it may be useful to employ a modular design that allows a single handle set to be attached to multiple nozzle sets, and that a nozzle set to be attached to multiple handle sets . Since the nozzle set could include the various surgical instruments on the end actuator, a special loop on the nozzle may be required to allow instrumentation in a handle set to control the various functions on the end actuator the modular nozzle assembly. In some instances, each of the various surgical instruments can be designed to perform a specific surgical function, for example one or more types of tissue sealing functions. In addition, it may be necessary to apply energy to the end actuator, which may or may not have come from the handle assembly. For example, the handle assembly can be battery powered to control the functions of the handle assembly, but it may not have enough power to control the end actuator. In addition, a system that includes a surgical sealing function may have specific energy requirements, for example a requirement for RF energy supply for applying a hemostatic seal to a tissue, which is not associated with another with a handle set . SUMMARY OF THE INVENTION
[0003] [0003] In one aspect, a control circuit for a surgical instrument, the control circuit may include a drive shaft control segment, a first electrical conductor configured to conduct a first electrical signal between the drive shaft control and a removable surgical instrument cartridge, an electrosurgical energy control segment, a second electrical conductor configured to conduct a second electrical signal between the removable electrosurgical energy control segment and the surgical instrument cartridge, and a connector electrically coupled to the electrosurgical energy control segment and configured to receive electrosurgical generator energy from an electrosurgical generator. Additionally, the electrosurgical power control segment can be configured to detect a connection from the electrosurgical generator to the connector, and electrically isolate the drive axis control segment from the electrosurgical generator energy when the electrosurgical energy control segment detect the connection of the electrosurgical generator to the connector.
[0004] [0004] In one aspect, a nozzle assembly of a surgical system can include an integrated circuit that has a drive shaft control segment and an electrosurgical energy control segment, a first electrical conductor configured to conduct - make a first electrical signal between the drive shaft control segment and a removable surgical instrument cartridge on an end actuator, a second electrical conductor configured to conduct a second electrical signal between the electrosurgical energy control segment and the cartridge of a removable surgical instrument on the end actuator, and an integrated connector coupled to the integrated circuit board and proximally located in the nozzle assembly, where the integrated connector is configured to interface with a compartment connector of a set of handle when the mouthpiece assembly is attached to the handle assembly. The nozzle connector can additionally include a connector electrically coupled to the electrosurgical energy control segment and be configured to receive the electrosurgical generator energy from an electrosurgical generator, and a pin for fixing the drive shaft proximally located in the assembly nozzle and configured to be coupled to a handle assembly attachment base to secure the nozzle assembly to the handle assembly. In addition, the electrosurgical energy control segment can be configured to detect a connection from the electrosurgical generator to the connector, and electrically isolate the drive axis control segment from the electrosurgical generator energy when the electrosurgical energy control segment detects the connection of the electrosurgical generator to the connector. FIGURES
[0005] [0005] The innovative features of the aspects described here are presented with particularity in the attached claims. However, these aspects, both in relation to the organization and the methods of operation, can be better understood by reference to the description below, taken in conjunction with the attached drawings.
[0006] [0006] Figure 1 is a perspective view of a surgical system that includes a handle set attached to an interchangeable surgical tool set that is configured to be used in conjunction with conventional clamp / clamp cartridges and surgical cartridges. radio frequency (RF) according to one aspect of this description.
[0007] [0007] Figure 2 is an exploded perspective view of the surgical system in Figure 1, according to one aspect of this description.
[0008] [0008] Figure 3 is another perspective view explored of portions of the handle set and the interchangeable surgical tool set of Figures 1 and 2, according to one aspect of this description.
[0009] [0009] Figure 4 is an exploded view of a proximal portion of the interchangeable surgical tool set of Figures 1 to 3, according to an aspect of this description.
[0010] [0010] Figure 5 is another exploded view of a distal portion of the interchangeable surgical tool set of Figures 1 to 5, according to one aspect of this description.
[0011] [0011] Figure 6 is a partial cross-sectional view of the end actuator represented in Figures 1 to 5 that supports an RF cartridge in it and with the tissue stuck between the cartridge and the anvil, according to an aspect of this description.
[0012] [0012] Figure 7 is a partial cross-sectional view of the bib of Figure 6, according to an aspect of this description.
[0013] [0013] Figure 8 is another exploded view of a portion of the interchangeable surgical tool set of Figures 1 to 5, according to an aspect of this description.
[0014] [0014] Figure 9 is another exploded view of the interchangeable surgical tool set and the handle set of Figures 1 and 2, in accordance with an aspect of the present invention.
[0015] [0015] Figure 10 is a perspective view of an RF cartridge and an elongated channel of the interchangeable surgical tool set of Figures 1 to 5, according to an aspect of that description.
[0016] [0016] Figure 11 is a partial perspective view of portions of the RF cartridge and elongated channel of Figure 10 with a knife member, in accordance with an aspect of this description.
[0017] [0017] Figure 12 is another perspective view of the RF cartridge installed in the elongated channel of Figure 10 and illustrating a portion of a flexible drive shaft circuit arrangement, in accordance with an aspect of this description.
[0018] [0018] Figure 13 is an end view in cross section of the RF cartridge and elongated channel of Figure 12, taken along lines 13-13 in Figure 12, according to an aspect of this description.
[0019] [0019] Figure 14 is an upper cross-sectional view of a portion of the interchangeable surgical tool set of Figures 1 and 5 with its end actuator in an articulated position, according to one aspect of this description.
[0020] [0020] Figure 15 is a perspective view of an integrated circuit board layout and configuration plus RF generator, according to an aspect of this description.
[0021] [0021] Figures 16A and 16B are a block diagram of a control circuit for the surgical instrument of Figure 1 comprising two drawing sheets, according to one aspect of this description.
[0022] [0022] Figure 17 is a block diagram of the control circuit of the surgical instrument of Figure 1 that illustrates interfaces between the handle assembly, the supply assembly and the handle assembly and the drive shaft assembly interchangeable, in accordance with an aspect of the present invention.
[0023] [0023] Figure 18 is a schematic diagram of a surgical instrument configured to control various functions, according to an aspect of this description.
[0024] [0024] Figure 19 is a perspective view of the appearance of the integrated circuit board layout shown in Figure 15 arranged inside a portion of an electrosurgical system.
[0025] [0025] Figure 20 illustrates a block diagram of a surgical system programmed to communicate control and energy signals with an end actuator, according to an aspect of this description. DESCRIPTION
[0026] [0026] The applicant for the present application holds the following patent applications filed simultaneously with the same and which are each incorporated in this document as a reference in their respective totalities: document number of the attorney END8184USNP / 170063, entitled SURGICAL SYSTEM COUPLABLE WITH STAPLE CAR- TRIDGE AND RADIO FREQUENCY CARTRIDGE, AND METHOD OF USING SAME, by inventors Jeffrey D. Messerly et al., Filed on June 28, 2017.
[0027] [0027] Electrosurgical devices can be used in many
[0028] [0028] The end actuator can include two or more claw members. At least one of the claw members can have at least one electrode. At least one claw can be movable from a spaced position of the opposite claw to receive tissue in a position in which the space between the claw members is less than that of the first position. This movement of the movable claw can compress the tissue retained between it. The heat generated by the current flow through the fabric in combination with the compression obtained by the movement of the claw can form hemostatic seals within the fabric and / or between fabrics and, therefore, can be particularly useful for sealing vessels blood, for example. The end actuator can comprise a cutting member. The cutting element can be movable in relation to the tissue and the electrodes to transpose the tissue.
[0029] [0029] Electrosurgical devices may also include mechanisms for securing tissue together, such as a stapling device, and / or mechanisms for cutting tissue, such as a tissue knife. An electrosurgical device may include a drive shaft to place the end actuator in a position adjacent to the tissue being treated. The drive shaft can be straight or curved, foldable or non-foldable. In an electrosurgical device that includes a straight and foldable drive shaft, the drive shaft can have one or more articulated joints to allow controlled flexing of the drive shaft. Such joints may allow a user of the electrosurgical device to place the end actuator in contact with the tissue at an angle to the drive axis when the tissue being treated is not readily accessible using an electrosurgical device that has an axis non-folding straight drive.
[0030] [0030] The electrical energy applied by the electrosurgical devices can be transmitted to the instrument by a generator in communication with the handpiece. The electrical energy may be in the form of radio frequency energy ("RF"). RF energy is a form of electrical energy that can be in the frequency range of 200 kilohertz (kHz) to 1 megahertz (MHz). In application, an electrosurgical instrument can transmit RF energy at low frequency through the tissue, which causes friction, or ionic agitation, that is, resistive heating, which, therefore, increases the tissue temperature. Due to the fact that a precise boundary is created between the affected tissue and the surrounding tissue, surgeons can operate with a high level of precision and control, without sacrificing adjacent non-target tissue. The low operating temperatures of the RF energy are useful for removing, shrinking or sculpting soft tissues while simultaneously cauterizing blood vessels. RF energy works particularly well in connective tissue, which mainly comprises collagen and shrinks when it comes into contact with heat.
[0031] [0031] RF energy can be in a frequency range described in document EN 60601-2-2: 2009 + A11: 2011, Definition
[0032] [0032] Figures 1 and 2 depict a motor-driven surgical system 10 that can be used to perform a variety of different surgical procedures. In the illustrated arrangement, surgical system 10 comprises an exchangeable surgical tool set 1000 that is operatively coupled to a handle set 500. In another aspect of the surgical system, the interchangeable surgical tool set can be effectively employed with a tool drive assembly of a robotically controlled or automated surgical system. For example, the surgical tool set 1000 disclosed here can be used with various robotic systems, instruments, components and methods such as, but not limited to, those disclosed in US patent no.
[0033] [0033] In the illustrated aspect, the handle assembly 500 may comprise a handle compartment 502 that includes a pistol handle portion 504 that can be handled and handled by the physician. As will be briefly discussed below, the handle set 500 operationally supports a plurality of drive systems, which are configured to generate and apply various control movements to the corresponding portions of the interchangeable surgical tool set 1000. As shown in Figure 2, the handle assembly 500 may also include a handle structure 506 that operationally supports the plurality of drive systems. For example, the 506 handle structure can operationally support a "first" closing drive system or system, generally referred to as 510, which can be used to apply closing and opening movements to the assembly of interchangeable surgical tool 1000. In at least one form, the closing drive system 510 may include an actuator in the form of a closing trigger 512, articulated supported by the grip structure 506. This arrangement allows the closing trigger 512 is handled by a physician, so that when the physician grips the pistol grip assembly portion 504 of the grip assembly 500, the closing trigger 512 can be easily rotated from an initial position or " not actuated "to an" acted "position and, more particularly, to a completely compressed or fully actuated position. In use, to actuate the closing drive system 510, the physician presses the closing trigger 512 towards the pistol handle portion 504. As described in more detail in US patent application serial number 14 / 226.142, entitled "SURGICAL INS-
[0034] [0034] In at least one form, the handle assembly 500 and the handle structure 506 can operationally support another drive system called in the present invention a trigger drive system 530, which is configured to apply firing movements to the corresponding portions of the interchangeable surgical tool set that is attached to it. As described in detail in US patent application publication No. 0272575, the trigger drive system 530 may employ an electric motor 505 which is located in the pistol grip portion 504 of the handle assembly 500. In several The 505 motor can be a brushless DC drive motor with a maximum speed of approximately
[0035] [0035] The electric motor 505 is configured to drive axially a longitudinally movable driving member 540 (Figure 3) in the distal and proximal directions depending on the polarity of the motor. For example, when the 505 electric motor is driven in a direction of rotation, the longitudinally movable drive member will be axially driven in a distal "DD" direction. When the engine 505 is driven in the opposite rotating direction, the longitudinally movable drive member 540 will be driven axially in the proximal direction "PD". The grip set 500 may include a switch 513 that can be configured to reverse the polarity applied to the electric motor 505 by power source 522 or otherwise control the engine 505. The grip set 500 may also include a sensor or sensors ( not shown) that are configured to detect the position of the drive member and / or the direction in which the drive member is being moved. The actuation of the 505 motor can be controlled by a trigger trigger (not shown) that is in a position adjacent to the closing trigger 512 and pivotally supported in the handle assembly 500. The trigger trigger can be pivoted between a position not acted and an acted position. The trigger can be moved to the unacted position by means of a spring or other propensity arrangement so that when the doctor releases the trigger, it can be rotated or otherwise returned to the untreated position. actuated by means of the spring or the propensity arrangement. In at least one shape, the trigger trigger can be positioned "away from the center" of the closing trigger 512. As discussed in US Patent Application Publication No. 2015/0272575, the handle set 500 can be equipped with a trigger trigger safety button (not shown) to prevent the trigger trigger from inadvertently activating. When the closing trigger 512 is in the non-actuated position, the safety button is contained in the handle set 500, where the doctor cannot readily access it and move it between a safety position, which prevents the actuation trigger, and a trigger position from which the trigger can be fired. As the doctor presses the closing trigger, the safety button and the trigger trigger pivot down to a position where they can then be manipulated by the doctor.
[0036] [0036] In at least one form, the longitudinally movable drive member 540 may have a tooth rack 542 formed thereon for engagement with a corresponding drive gear arrangement (not shown) that interfaces with the engine. See Figure 3. Additional details regarding those features can be found in US patent application publication 2015/0272575. In at least one arrangement, however, the longitudinally movable drive element is insulated to protect it from inadvertent RF energy. At least one shape also includes a manually actuated "retraction" set, which is configured to allow the physician to manually retract the longitudinally movable drive member,
[0037] [0037] In the illustrated aspect, the interchangeable surgical tool set 1000 includes a surgical end actuator 1500 comprising a first jaw 1600 and a second jaw 1800. In one arrangement, the first jaw comprises an elongated channel 1602 that is configured to support operationally a cartridge of staples / conventional surgical clamps (mechanical) 1400 (Figure 4) or a cartridge of radio frequency (RF) 1700 (Figures 1 and 2) in it. The second claw 1800 comprises an anvil 1810 which is pivotally supported in relation to the elongated channel
[0038] [0038] Returning to Figure 4, the hinge connector 1920 includes upper and lower protrusions 1922, 1924 that protrude distally from a distal end of the hinge connector 1920 to be movably coupled to a closing sleeve. end actuator or distal closing tube segment 1930. See Figure 3. The distal closing tube segment 1930 includes an upper protrusion 1932 and a lower protrusion (not shown) that project proximally from a proximal end of it. An upper double pivot link 1940 includes proximal and distal pins 1941, 1942 that engage the corresponding holes in the upper protrusions 1922, 1932 of the articulation connector 1920 and the distal closing tube segment 1930, respectively. Similarly, a top double pivot link 1944 includes proximal and distal pins 1945, 1946 that engage the corresponding holes in the lower protrusions 1924 of the articulation connector tube segment 1920 and the distal closing tube segment 1930, respectively .
[0039] [0039] Still with reference to Figure 4, in the illustrated example, the distal closing tube segment 1930 includes positive claw opening features or flaps 1936, 1938 that correspond to the corresponding portions of the anvil 1810 to apply opening movements to the anvil 1810, as the distal closing tube segment 1930 is retracted in the proximal direction PD to an initial position. Additional details related to the opening and closing of the 1810 anvil can be found in the US patent application, entitled SURGICAL INSTRUMENT WITH POSITIVE JAW OPENING FEATURES, attorney's document number END8208USNP / 170096, filed on the same date as this document, whose The description is hereby incorporated by reference in the present invention.
[0040] [0040] As shown in Figure 5, in at least one arrangement, the interchangeable surgical tool set 1000 includes a tool frame set 1200 comprising a tool frame 1210 that operationally supports a nozzle assembly 1240 on the same. As further discussed in detail in the US patent application, entitled SURGICAL INSTRUMENT WITH AXIALLY MOVABLE CLOSURE MEMBER, Attorney Document No. END8209USNP / 170097, filed on the same date as this document, which is incorporated herein by reference In its entirety in the present invention, the tool chassis 1210 and the nozzle arrangement 1240 facilitate the rotation of the surgical end actuator 1500 about a geometric axis of the drive shaft SA in relation to the tool chassis 1210. Such rotational displacement is represented by the arrow R in Figure 1. As also shown in Figures 4 and 5, the interchangeable surgical tool set 1000 includes a central column set 1250 that operationally supports the proximal closing tube 1910 and is coupled to the surgical end actuator 1500. In various circumstances, to facilitate assembly, the central column assembly 1250 can be manufactured from and an upper central column segment 1251 and a lower central column segment 1252 which are interconnected together by snap-fit, adhesive, welding, etc. features. In assembled form, the central column assembly 1250 includes a proximal end 1253 that is swiveled on the tool chassis 1210. In a
[0041] [0041] As shown in Figure 4, the upper center column segment 1251 ends in an upper tab assembly feature 1260 and the lower center column segment 1252 ends in a lower tab assembly feature 1270. The mounting feature upper tab portion 1260 is formed with a tab slot 1262 in it which is adapted to support a mountable upper link 1264 thereon. Similarly, the lower tab assembly feature 1270 is formed with a tab slot 1272 in it which is adapted to mount a lower assembly link 1274 thereon. The upper mounting link 1264 includes a pivot socket 1266 in which it is displaced from the SA drive shaft geometry. The pivot socket 1266 is adapted to pivot a 1634 pivot pin that is formed on a 1630 channel cover or anvil retainer that is fixed to a proximal end portion 1610 of the elongated channel 1602. O lower mounting link 1274 includes a lower pivot pin 1276 which is adapted to be received within a pivot hole 1611 formed in the proximal end portion 1610 of the elongated channel 1602. The lower pivot pin 1276, as well as the pivot orifice 1611 is offset in relation to the axis of the drive shaft SA. The lower pivot pin 1276 is vertically aligned with the pivot socket 1266
[0042] [0042] Returning to Figure 5, a proximal end 1912 of the proximal closing tube 1910 is rotationally coupled to a closing hook 1914 by a connector 1916 which is seated in an annular groove 1915 in the proximal closing tube segment 1910. The 1914 locking hook is supported for axial displacement inside the 1210 tool frame and has a pair of 1917 hooks configured to engage the 510 closing drive system when the 1210 tool frame is attached to the frame handle 506. The tool chassis 1210 additionally supports a locking set 1280 to release the tool chassis 1210 reliably to the handle structure 506. Additional details related to tool chassis 1210 and locking set 1280 can be found in the US patent application entitled SURGICAL INSTRUMENT WITH AXI-ALLY MOVABLE CLOSURE MEMBER, attorney's document number END8209USNP / 170097, d on the same date as this document and the full description of which is incorporated herein by reference.
[0043] [0043] The trigger drive system 530 in the handle set 500 is configured to be operationally coupled to a trigger system 1300 that is operationally supported in the interchangeable surgical tool set 1000. The trigger system 1300 can include an intermediate portion of drive shaft
[0044] [0044] In the illustrated example, the surgical end actuator 1500 is selectively pivotable around the geometric axis of AA articulation by a 1360 articulation system. In one form, the 1360 articulation system includes proximal articulation actuator 1370 which is pivotally coupled to a 1380 link.
[0045] [0045] In addition to the above, the interchangeable surgical tool set 1000 can include a set of displacer 1100 that can be configured to selectively and releasably couple the proximal articulation driver 1310 to the firing system 1300. According to illustrated in Figure 5, in one form, the displacer assembly
[0046] [0046] In the illustrated arrangement, the intermediate portion of the firing drive shaft 1310 of the firing member assembly 1300 is formed with two opposing flat sides with a driving notch 1316 formed there. See Figure 5. As can also be seen in Figure 5, locking sleeve 1110 comprises a cylindrical, or at least substantially cylindrical body, which includes a longitudinal opening that is configured to receive the drive shaft intermediate portion. trigger 1310 through it. The locking sleeve 1110 can comprise locking protrusions diametrically opposite and facing inwards, which, when the locking sleeve 1110 is in a position, are engagably received within the corresponding portions of the drive notch 1316 on the intermediate shaft portion trigger drive 1310 and, when in another position, are not received inside drive slot 1316 to allow, thus, relative axial movement between locking sleeve 1110 and intermediate trigger drive shaft 1310. As can also be seen in Figure 5, the locking sleeve 1110 additionally includes a locking member 1112 which is dimensioned to be movably received within a notch 1375 at a proximal end of the proximal articulation driver 1370. Such This arrangement allows locking sleeve 1110 to rotate slightly in and out of the engagement with the drive shaft intermediate portion d and firing 1310, while remaining in position to engage or engage with notch 1375 on the 1370 proximal pivoting actuator. More particularly, when locking sleeve 1110 is in its engaged position, the locking projections are positioned in the drive notch 1316 defined in the middle portion of the trigger drive axis 1310, so that a distal pushing force and / or a proximal pulling force can be transmitted from the trigger member assembly 1300 to the locking sleeve 1110. Such a thrusting or axial pull movement is then transmitted from the locking sleeve 1110 to the proximal articulation actuator 1370, to thus articulate the surgical end actuator 1500. In effect, the firing member 1300, locking sleeve 1110 and proximal pivoting actuator 1370 will move together when locking sleeve 1110 is in its engaged (pivot) position.
[0047] [0047] In the illustrated example, the relative movement of the locking sleeve 1110 between its engaged and disengaged positions can be controlled by the displacer assembly 1100 that interfaces with the 1910 proximal closing tube. Still referring to Figure 5, the Shifter kit 1100 additionally includes a shifter key 1120 which is configured to be slidably received within a key groove formed on the outer perimeter of the locking sleeve 1110. This arrangement allows the shifter key 1120 to be move axially with respect to locking sleeve 1110. As discussed in more detail in the US patent application, entitled
[0048] [0048] In an arrangement, for example, when the proximal closing tube 1910 is in a non-actuated configuration (anvil 1810 is in an open position spaced in the opposite direction to the cartridge mounted in the elongated channel 1602) of the intermediate portion of the firing drive shaft 1310 will result in axial movement of the proximal articulation actuator 1370 to facilitate the articulation of the end actuator 1500. Once the user has articulated the surgical end actuator 1500 for a desired orientation, the user can then act on the proximal closing tube portion 1910. Actuation of the proximal closing tube portion 1910 will result in the distal displacement of the distal closing tube segment 1930 to finally apply a movement of closure to the anvil 1810. This distal displacement of the proximal closing tube portion 1910 will result in the cam opening in which it interacts in cam mode with a cam portion of the key shifter 1120 to thereby make the shifter 1120 turn the locking sleeve 1110 in an actuating direction. Such rotation of the locking sleeve 1110 will result in the disengagement of the locking protrusions of the drive notch 1316 in the intermediate portion of the trigger drive axis 1310. When in such a configuration, the trigger drive system 530 can be actuated to actuate the intermediate portion of the 1310 trigger drive shaft without activating the 1370 proximal articulation trigger. Additional details related to the operation of the 1130 key drum and locking sleeve 1110, as well as alternative articulation trigger and trigger arrangements that can be employed with the various interchangeable surgical tool sets described here, can be found in US patent application serial number 13 / 803,086, now US patent application publication 2014/0263541 and US patent application publication serial number 15 / 019,196, whose disclosures integrals are hereby incorporated by reference in the present invention.
[0049] [0049] As also illustrated in Figures 5 and 15, the interchangeable surgical tool set 1000 can comprise a slip ring set 1150 that can be configured to conduct electrical energy to and / or from the surgical end actuator 1500 and / or communicate signals to and / or from the surgical end actuator 1500 back to an integrated circuit board 1152 while facilitating the rotational displacement of the drive shaft and end actuator 1500 around the axis geometry of the SA drive shaft in relation to the tool chassis 1210 by rotating the nozzle assembly 1240. As shown in Figure 15, in at least one arrangement, the integrated circuit board 1152 includes an integrated connector 1154 that is configured to interface with a slot connector 562 (Figure 9) that communicates with a microprocessor 560 that is supported on the handle set 500 or robotic system controller, for r example. The 1150 slip ring assembly is configured to interface with a 1153 proximal connector that interfaces with the 1152 integrated circuit board. More details on the 1150 slip ring assembly and associated connectors can be found in the order. US patent Serial No. 13 / 803,086, currently publication of US Patent Application No. 2014/0263541 and US Patent Application Serial No. 15 / 019,196, each of which has been incorporated by reference in its respective totalities. as well as in US patent application serial number 13 / 800.067 entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, currently publication of US patent application serial number 2014/0263552, which is hereby incorporated by reference in its entirety.
[0050] [0050] An exemplary version of the interchangeable surgical tool set 1000 disclosed in the present invention can be used in connection with a standard (mechanical) surgical clamp cartridge 1400 or a 1700 cartridge that is configured to facilitate cutting the tissue with the knife member and seal the cut tissue with the use of radio frequency (RF) energy. Again with reference to Figure 4, a conventional mechanical or standard 1400 type cartridge is shown. Such cartridge arrangements are known and may comprise a cartridge body 1402 that is dimensioned and shaped to be removably received and supported on the elongated channel 1602. For example, the cartridge body 1402 can be configured to be removably retained in pressure engagement with the elongated channel 1602. The cartridge body 1402 includes an elongated slot 1404 to accommodate the displacement axis of knife member 1330 therethrough. The cartridge body 1402 operationally supports a plurality of clip drivers (not shown) which are aligned in rows on each side of a centrally arranged elongated slot 1404. The drivers are associated with pockets of clip clips / fasteners
[0051] [0051] Still with reference to Figure 4, the anvil 1810, in at least one form, includes an anvil mounting portion 1820 that has a pair of anvil sleeves 1822 that project laterally from it to be received articulated in corresponding trunnion bases 1614 formed on the vertical walls 1622 of the proximal end portion 1610 of the elongated channel
[0052] [0052] In the illustrated arrangement, the interchangeable surgical tool set 1000 is configured with a trigger member locking system, generally designated as 1640. See Figure 8. As shown in Figure 8, the elongated channel 1602 includes a lower surface or lower portion 1620 having two vertical side walls 1622 projecting from it. A centrally arranged longitudinal channel slot 1624 is formed through the lower portion 1620 to facilitate axial displacement of the knife member 1330 therethrough. The channel slot 1624 opens in a longitudinal passage 1626 that accommodates the channel or foot engagement feature 1338 in the knife member 1330. The passage 1626 serves to define two protruding inwardly extending portions 1628 that serve to engage the corresponding portions of the 1338 channel or foot engagement feature. The triggering member locking system 1640 includes proximal openings 1642 located on each side of the channel slot 1624 which are configured to receive corresponding portions of the engagement feature. channel or foot 1338 when knife member 1330 is in an initial position. A knife lock spring 1650 is supported at the proximal end 1610 of the elongated channel 1602 and serves to force the knife member 1330 down. As shown in Figure 8, knife lock spring 1650 includes two distally terminating spring arms 1652 which are configured to engage corresponding center channel engaging features 1337 with knife body 1332. Spring arms 1652 are configured to tilt the 1337 center channel hitch features down. In this way, when in the starting position (not fired), knife member 1330 is tilted down so that the channel or foot engagement features 1338 are received within the corresponding proximal openings 1642 in the elongated channel.
[0053] [0053] Still with reference to Figure 8, the trigger member locking system 1640 also includes an unlocking set 1660 formed or supported at a distal end of the trigger member body 1332. The unlocking set 1660 includes a distally extending protrusion 1662 which is configured to engage an unlocking feature 1426 formed in the slide assembly 1420 when the slide assembly 1420 is in its initial position in an undisclosed surgical staple cartridge 1400 Thus, when an untapped surgical staple cartridge 1400 is properly installed in the grooved channel 1602, the projection 1662 on the unlock set 1660 comes into contact with the unlock feature 1426 on the slide set 1420 that serves to tilt knife member 1330 up so that central channel engaging features 1137 and / or foot 1338 clean the vertical projections 1654 at the bottom of channel 1620 to facilitate axial passage of knife member 1330 through elongated channel 1602. If a partially fired cartridge 1400 is inadvertently installed in the elongated channel, slide assembly 1420 will not be in the home position and knife member 1330 will remain in the locked position.
[0054] [0054] The attachment of the interchangeable surgical tool set 1000 to the handle set 500 will now be described with reference to Figures 3 and 9. To start the coupling process, the doctor can position the tool frame 1210 of the tool set interchangeable surgical band 1000 above or adjacent to the distal end of the grip structure 506 so that the tapered clamping portions 1212 formed in the tool chassis 1210 are aligned with the slot 507 in the grip structure 506. The physician can , then, move the interchangeable surgical tool set 1000 along a geometric axis of installation IA that is perpendicular to the geometric axis of drive.
[0055] [0055] During a typical surgical procedure, the doctor can introduce the surgical end actuator 1500 into the surgical site through a trocar or other opening in the patient to access the target tissue. In doing so, the physician typically axially aligns the surgical end actuator 1500 along the geometric axis of the drive shaft SA (non-articulated state). Once the surgical end actuator 1500 passes through the trocar port, for example, the physician may need to articulate the 1500 end actuator to advantageously position it adjacent to the target tissue. That is, before closing the anvil 1810 on the target tissue, so that the closing drive system 510 remains unactivated. When in this position, the actuation of the triggering system 530 will result in the application of articulation movements to the proximal articulation trigger 1370. Once the end actuator 1500 has reached the desired articulated position, the triggering system 530 is deactivated and the hinge lock 1390 can hold the surgical end actuator 1500 in the hinged position. The doctor can then actuate the closing drive system 510 to close the anvil 1810 on the target tissue. Such actuation of the closing drive system 510 can also result in the displacement assembly 1100 which detaches the proximal articulation driver 1370 from the middle portion of the trigger drive shaft 1310. Thus, once the target was captured on the surgical end actuator 1500, the doctor can again trigger the trigger drive system 530 to axially advance the trigger member 1330 through the surgical clamp / clamp cartridge 1400 or RF cartridge 1700 to cut the clamped tissue and trigger the clips / fasteners on the cutting fabric T. Other closing and trigger actuating arrangements, actuator arrangements (portable, manual and automated or robotic) can also be used to control the axial movement of the components of closing system, hinge system components and / or trigger system components of surgical tool set 1000 without moving away the scope of the present invention.
[0056] [0056] As indicated above, the surgical tool set 1000 is configured to be used in conjunction with conventional mechanical surgical clamp / clamp cartridges 1400, as well as with RF 1700 cartridges. cho 1700 can facilitate the mechanical cutting of the fabric that is stuck between the anvil 1810 and the RF cartridge 1700 with the knife member 1330, while the coagulation electrical current is applied to the fabric in the current path. Alternative arrangements for mechanically cutting and coagulating tissue using electrical current are disclosed, for example, in US patent applications No. 5,403,312; No. 7,780,663 and patent application No. US 15 / 142,609, entitled ELECTROSURGICAL
[0057] [0057] As shown in Figures 10 to 12, in at least one arrangement, the RF surgical cartridge 1700 includes a cartridge body 1710 that is sized and shaped to be received and removably supported in the elongated channel 1602. For example, the cartridge body 1710 can be configured to be removably retained by pressure engagement with the elongated channel 1602. In various arrangements, the cartridge body 1710 can be manufactured from a polymeric material, such as, for example, an engineering thermoplastic like liquid crystal polymer (LCP - liquid crystal polymer) Vectra '"and the elongated channel 1602 can be made from metal. In at least one aspect, the 1710 cartridge body includes an elongated slot centrally arranged 1712 which extends longitudinally through the cartridge body to accommodate the longitudinal displacement of knife 1330 through it, as shown in Figures 10 and 11, a pair of locking tails nto 1714 extends proximally from the cartridge body 1710. Each locking coupling tail 1714 has a locking block 1716 formed on the underside of it which is sized to be received within a corresponding proximal opening portion 1642 at the bottom of channel 1620. Thus, when the
[0058] [0058] Now with reference to Figures 10 to 13, in the illustrated example, the cartridge body 1710 is formed with a central electrode block arranged centrally 1720. As can be seen more particularly in Figure 6, the elongated slot 1712 extends through the center of the electrode block 1720 and serves to divide the block 1720 into a left block segment 1720L and a right block segment 1720R. A flexible circuit assembly 1730R is attached to the right block segment 1720R and a left flexible circuit assembly 1730L is attached to the left block segment 1720L. In at least one arrangement, for example, the straight flexible circuit 1730R comprises a plurality of 1732R electrical conductors which may include, for example, wider electrical conductors / conductors for RF purposes and thinner electrical conductors for conventional stapling purposes that are supported or fixed or embedded in a 1734R right sheath / insulating member that is fixed to the 1720R right block. In addition, the 1730R flexible circuit pack includes a 1736R "single-phase" proximal electrode and a 1738R "two-phase" distal right electrode. Likewise, the left flexible circuit assembly 1730L comprises a plurality of 1732L electrical conductors which may include, for example, wider electrical conductors / conductors for RF purposes and thinner electrical conductors for conventional stapling purposes which are su - ported or fixed or embedded in a 1734L left insulating sheath / member that is attached to the left 1720L block. In addition, the 1730L left flexible circuit pack includes a 1736L left "single-phase" electrode and a two-phase distal left electrode.
[0059] [0059] In at least one arrangement, the RF energy is supplied to the surgical tool set 1000 by a conventional RF generator 400 via a supply conductor 402. In at least one arrangement, the supply conductor 402 includes a set of male plug 406 that is configured to be plugged into corresponding female connectors 410 that are attached to a segmented RF circuit 1160 on an integrated circuit board 1152. See Figure 15. This arrangement facilitates the rotational displacement of that of the drive shaft end actuator 1500 around the drive shaft geometric axis SA in relation to the tool chassis 1210 by rotating the nozzle assembly 1240 without winding the supply conductor 402 of the generator 400. A wrench Integrated on / off 420 is supported on locking set 1280 and tool chassis 1210 to turn the RF generator on and off. When tool set 1000 is operationally coupled to handle set 500 or robotic system, the integrated segmented RF circuit 1160 communicates with microprocessor 560 through connectors 1154 and 562. As shown in Figure 1, the set handle 500 can also include a display screen 430 for viewing
[0060] [0060] Again with reference to Figure 10, in at least one illustrated arrangement, the elongated channel 1602 includes a channel circuit 1670 supported in a recess 1621 that extends from the proximal end 1610 of the elongated channel 1602 to a location distal 1623 in the lower portion of the elongated channel 1620. The channel circuit 1670 includes a proximal contact portion 1672 that contacts a distal contact portion 1169 of the flexible drive shaft circuit range 1164 for electrical contact with the mes - ma. A distal end 1674 of the channel circuit 1670 is received within a corresponding wall recess 1625 formed in one of the channel walls 1622 and is folded over and attached to an upper edge 1627 of the channel wall 1622. A series of corresponding exposed contacts 1676 are provided at the distal end 1674 of channel circuit 1670, as shown in Figure. 10. As can also be seen in Figure 10, one end 1752 of a flexible cartridge circuit 1750 is attached to the distal integrated chip 1740 and is attached to the distal end portion of the cartridge body 1710. Another end 1754 is folded over the edge of the 1711 cartridge platform surface and includes exposed contacts 1756 configured to make electrical contact with the exposed contacts 1676 of the 1670 channel circuit. Thus, when the RF cartridge 1700 is installed in the channel elongated 1602, the electrodes, as well as the distal integrated microcircuit 1740 are powered and communicate with the integrated circuit board 1152 through the contact between the flexible cartridge circuit 1750, the flexible channel circuit 1670, the flexible drive shaft circuit 1164 and 1150 slip ring assembly.
[0061] [0061] Figures 16A and 16B are a block diagram of a control circuit 700 of surgical instrument 10 of Figure 1 that comprises two drawing sheets according to one aspect of this description. Referring mainly to Figures 16A and 16B, a handle assembly 702 can include an engine 714, which can be controlled by an engine driver 715 and can be employed by the trigger system of the surgical instrument 10. In several ways, the engine 714 it can be a direct current (DC) motor with brushes with a maximum rotation speed of approximately 25,000 RPM. In other arrangements, the 714 motor may include a brushless motor, a wireless motor, a synchronous motor, a stepper motor or any other suitable type of electric motor. Motor starter 715 may comprise an H bridge starter comprising field effect transistors (FETs) 719, for example. The motor 714 can be powered by the power supply 706 removably mounted on the handle assembly 500 to supply control energy to the surgical instrument 10. The power supply 706 may comprise a battery that may include several battery cells connected in series, which can be used as the power source to power the surgical instrument 10. In certain circumstances, the battery cells in the 706 power pack can be replaceable and / or rechargeable. In at least one example, the battery cells can be lithium ion batteries that can be separably coupled to the 706 power supply.
[0062] [0062] The drive shaft assembly 704 can include a controller of the drive shaft assembly 722 that can communicate with a safety controller and a power management controller 716 through an interface, while the - the drive shaft 704 and the supply set 706 are coupled to the handle set 702. For example, the interface may comprise a first portion of interface 725 which may include one or more electrical connectors for coupling coupling with electrical connectors of corresponding drive shaft assembly and a second portion of interface 727 which may include one or more connectors for coupling coupling with the corresponding electrical connectors of the power supply to enable electrical communication between the controller of the power supply drive shaft 722 and power management controller 716 while drive shaft assembly 704 and power supply 706 are coupled to the handle assembly 702. One or more communication signals can be transmitted via the interface to communicate one or more of the power requirements of the interchangeable drive shaft assembly 704 to the energy management controller 716. In response, the power management controller can modulate the battery power output of the power supply 706, as described in more detail below, according to the power requirements of the fixed drive shaft assembly 704. The connectors may comprise switches that can be activated after mechanically coupling the handle assembly 702 to the drive shaft assembly 704 and / or the power supply 706 to allow electrical communication between the drive shaft assembly controller 722 and the power management controller 716.
[0063] [0063] The interface can facilitate the transmission of one or more communication signals between the energy management controller 716 and the controller of the drive shaft assembly 722 by routing these communication signals through a main controller 717 located on the handle assembly 702, for example. In other circumstances, the interface can facilitate a direct line of communication between the power management controller 716 and the drive shaft assembly controller 722 through the handle assembly 702, while the drive shaft assembly 704 and the feeding set 706 are coupled to the handle set 702.
[0064] [0064] The main controller 717 can be any single-core or multi-core processor, such as those known under the trade name ARM Cortex by Texas Instruments. In one respect, the main controller 717 may be a Core Cortex-M4F LM4F230H5QR ARM processor, available from Texas Instruments, for example, which comprises a 256 KB single cycle flash memory integrated memory or other memory non-volatile, up to 40 MHz, a seek-ahead buffer to optimize performance above 40 MHz, a 32 KB single cycle serial random access memory (SRAM), an internal read-only memory (ROM) loaded with the program StellarisWareO, 2 KB programmable, electrically erasable, read-only memory (EEPROM), one or more pulse width modulation (PWM) modules, one or more
[0065] [0065] The safety controller can be a safety controller platform that comprises two families based on controllers, such as TMS570 and RM4x, known under the trade name of Hercules ARM Cortex R4, also by Texas Instruments. The safety controller can be configured specifically for IEC 61508 and ISO 26262 safety critical applications, among others, to provide advanced integrated safety features while providing scalable performance, connectivity and memory options.
[0066] [0066] The power supply 706 may include a power management circuit which may comprise the power management controller 716, a power modulator 738 and a current sensor circuit 736. The power management circuit may be configured to modulate the battery output energy based on the power needs of the drive shaft assembly 704, while the drive shaft assembly 704 and the power assembly 706 are coupled to the handle assembly 702. The power management controller 716 can be programmed to control power modulator 738 from the power output of the power supply 706 and current sensor circuit 736 can be employed to monitor the power output of the power supply 706 to provide feedback to the power management controller 716 about the battery power output so that the power management controller 716 can adjust the power output from the power supply 706 to maintain a desired output. The power management controller 716 and / or the drive shaft assembly controller 722 can each comprise one or more processors and / or memory units that can store multiple software modules.
[0067] [0067] The surgical instrument 10 (Figures 1 to 5) can comprise an output device 742 that can include devices to provide sensory feedback to a user. Such devices may comprise, for example, visual feedback devices (for example, an LCD monitor, LED indicators), hearing feedback devices (for example, a speaker, a bell) or feedback devices. tactile (for example, haptic actuators). In certain circumstances, the output device 742 may comprise a screen 743 which may be included in the handle assembly 702. The drive shaft assembly controller 722 and / or the power management controller 716 may provide feedback to a user of the surgical instrument via output device 742. The interface can be configured to connect the drive shaft assembly controller 722 and / or the power management controller 716 to output device 742. Output device 742 can, instead, be integrated with the supply set 706. In these circumstances, communication between the output device 742 and the drive shaft assembly controller 722 can be done via the interface, while the shaft assembly drive 704 is coupled to the handle assembly 702.
[0068] [0068] The control circuit 700 comprises circuit segments configured to control the operations of the energized surgical instrument 10. A safety controller segment (segment 1) comprises a safety controller and the main controller segment 717 (segment 2). The safety controller and / or the main controller 717 are configured to interact with one or more additional circuit segments such as an acceleration segment, a display segment, a drive axis segment, an encoder segment, a segment motor, and a power segment. Each circuit segment can be coupled to the safety controller and / or main controller 717. The main controller 717 is also coupled to a flash memory. The main controller 717 also comprises a serial communication interface. Main controller 717 comprises a plurality of inputs coupled, for example, to one or more circuit segments, a battery, and / or a plurality of switches. The segmented circuit can be implemented by any suitable circuit, such as, for example, a printed circuit board (PCBA) set within the energized surgical instrument 10. It should be understood that the term processor, as used here, includes any microprocessor, processor, controller, controllers or other basic computing device that incorporates the functions of a central computer processing unit (CPU) in an integrated circuit or at most some integrated circuits. The main controller 717 is a programmable multipurpose device that accepts digital data as input, processes it according to the instructions stored in its memory, and provides results as output. This is an example of sequential digital logic, as it has internal memory. The control circuit 700 can be configured to implement one or more of the processes described here.
[0069] [0069] The acceleration segment (segment 3) comprises an accelerometer. The accelerometer is configured to detect the movement or acceleration of the energized surgical instrument 10. The input from the accelerometer can be used to transition to and from a suspension mode, identify the orientation of the surgical instrument energized, and / or identify when the instrument
[0070] [0070] The screen or display segment (segment 4) comprises a screen connector coupled to the main controller 717. The screen connector couples the primary controller 717 to a screen through one or more drivers of the integrated circuits of the screen. The drivers of the integrated circuits of the display may be integrated with the display and / or may be located separately from the display. The screen can comprise any suitable screen, such as an organic light-emitting diode (OLED) screen, a liquid crystal display (LCD), and / or any other suitable screen. In some examples, the screen segment is coupled to the safety controller.
[0071] [0071] The drive shaft segment (segment 5) comprises controls for an interchangeable drive shaft set 500 coupled to surgical instrument 10 (Figures 1 to 5) and / or one or more controls for a drive actuator end 1500 coupled to the interchangeable drive shaft assembly 500. The drive shaft segment comprises a drive shaft connector configured to couple main controller 717 to a drive shaft PCBA. The drive shaft PCBA comprises a low power microprocessor with a ferroelectric random access memory (FRAM), a toggle switch, a drive shaft release Hall effect switch, and a drive shaft PCBA EEPROM memory. . The drive shaft PCBA EEPROM comprises one or more parameters, routines, and / or programs specific to the interchangeable drive shaft assembly 500 and / or the drive shaft PCBA. The drive shaft PCBA can be coupled to the interchangeable drive shaft assembly 500 and / or can be integral with the surgical instrument 10. In some instances, the drive shaft segment comprises a second drive shaft EEPROM. The second drive shaft EEPROM comprises a plurality of algorithms, routines, parameters, and / or other data that correspond to one or more sets of drive axes 500 and / or end actuators 1500 that can interface with the energized surgical instrument 10.
[0072] [0072] The position encoder segment (segment 6) comprises one or more magnetic encoders of the rotation angle position. One or more magnetic encoders of the rotation angle position are configured to identify the rotational position of the motor 714, an interchangeable drive shaft assembly 500 and / or an end actuator 1500 of the surgical instrument 10 (Figures 1 to 5). In some instances, the magnetic encoders of the rotation angle position can be coupled to the safety controller and / or the main controller 717.
[0073] [0073] The motor circuit segment (segment 7) comprises a motor 714 configured to control the movements of the energized surgical instrument 10 (Figures 1 to 5). Motor 714 is coupled to the main microcontroller processor 717 by an H bridge driver comprising one or more H bridge field effect transistors (FETs) and a motor controller. The H bridge actuator is also coupled to the safety controller. A motor current sensor is coupled in series with the motor to measure the current drain from the motor. The motor current sensor is in signal communication with the main controller 717 and / or with the safety processor. In some instances, the 714 motor is coupled to an electromagnetic interference (EMI) filter on the motor.
[0074] [0074] The motor controller controls a first motor signal and a second motor signal to indicate the status and position of the motor 714 to the main controller 717. The main controller 717 provides a high pulse width modulation signal (PWM), a low PWM signal, a direction signal, a synchronization signal, and a motor restart signal to the motor controller via a buffer. The supply segment is configured to supply a segment voltage to each of the circuit segments.
[0075] [0075] The energy segment (segment 8) comprises a battery coupled to the safety controller, the main controller 717, and additional circuit segments. The battery is coupled to the circuit segmented by a battery connector and a current sensor. The current sensor is configured to measure the total current drain from the segmented circuit. In some examples, one or more voltage converters are configured to provide predetermined voltage values to one or more circuit segments. For example, in some instances, the segmented circuit may comprise 3.3 V voltage converters and / or 5 V voltage converters. A voltage amplification converter is configured to provide a voltage rise to a predetermined amount , for example, up to 13 V. The voltage amplifier converter is configured to supply additional voltage and / or current during operations that require a lot of energy and to avoid blackouts or low power conditions.
[0076] [0076] A plurality of keys are coupled to the safety controller and / or to the main controller 717. The keys can be configured to control the operations of the surgical instrument 10 (Figures 1 to 5), of the segmented circuit, and / or indicate a state of the surgical instrument 10. An ejection port switch and an ejection Hall switch are configured to indicate the status of an ejection port. A plurality of hinge keys, such as a left hinge key for the left side, a right hinge key for the left side, a central hinge key for the left side, a key on the left pivot side for the right side, one on the right pivot side for the right side, and a central pivot key for the right side are configured to control the articulation of an interchangeable drive shaft assembly 500 (Figures 1 and 3) and / or the end actuator 300 (Figures 1 and 4). A reverse key on the left side and a reverse key on the right side are coupled to the main controller 717. The keys on the left side comprise the key on the left pivot side on the left, the key on the right pivot side for the left side, the central articulation key for the left side and the reverse key for the left side are coupled to the primary controller 717 by a left flex connector. The keys on the right side which comprise the key on the left pivot side for the right side, the key on the right pivot side for the right side, the central pivot key for the right side, and the reverse key on the right side they are coupled to the main controller 717 by a bending connector on the right. A trip key, a tightening release key, and a key attached to the drive shaft are coupled to the main controller 717.
[0077] [0077] Any suitable mechanical, electromechanical, or solid state keys can be used to implement the plurality of keys, in any combination. For example, the keys can limit the keys operated by the movement of components associated with the surgical instrument 10 (Figures 1 to 5) or the presence of an object. These switches can be used to control various functions associated with the surgical instrument 10. A limit switch is an electromechanical device that consists of an actuator mechanically connected to a set of contacts. When an object comes into contact with the actuator, the device operates the contacts to make or break an electrical connection. Limit switches are used in a variety of applications and environments because of their robustness, ease of installation and reliable operation. They can determine the presence or absence, passage, positioning and end of an object's displacement. In other implementations, the switches can be solid state switches that work under the influence of a magnetic field such as Hall effect devices, magnetoresistive devices (MR), giant magnetoresistive devices (GMR), magnetometers, among others. In other implementations, the switches can be solid state switches that operate under the influence of light, such as optical sensors, infrared sensors, ultraviolet sensors, among others. In addition, the switches can be solid-state devices such as transistors (for example, FET, junction FET, metal oxide semiconductor FET (MOSFET), bipolar, and the like). Other switches may include switches without an electrical conductor, ultrasonic switches, accelerometers, inertia sensors, among others.
[0078] [0078] Figure 17 is another block diagram of the control circuit 700 of the surgical instrument of Figure 1 that illustrates the interfaces between the handle assembly 702 and the feeding assembly 706 and between the handle assembly 702 and the assembly interchangeable drive shaft 704, in accordance with an aspect of the present invention. The handle assembly 702 can comprise a main controller 717, a drive shaft assembly connector 726 and a power assembly connector 730. The power assembly 706 may include a power assembly connector 732 , a power management circuit 734 that can comprise the power management controller 716, a
[0079] [0079] The surgical instrument 10 (Figures 1 to 5) can comprise an output device 742 for sensory feedback to a user. These devices may comprise visual feedback devices (for example, an LCD monitor, LED indicators), auditory feedback devices (for example, a speaker, a bell) or tactile feedback devices ( eg haptic actuators). In certain circumstances, the output device 742 may comprise a screen 743 that may be included in the handle assembly 702. The drive shaft assembly controller 722 and / or the power management controller 716 can provide feedback to a surgical instrument user 10 via the output device
[0080] [0080] Figure 18 is a schematic diagram of a surgical instrument 600 configured to control various functions in accordance with an aspect of the present invention. In one aspect, the surgical instrument 600 is programmed to control the distal translation of a displacement member, such as the beam with a | 614. Surgical instrument 600 comprises an end actuator 602 which may comprise an anvil 616, a beam with a profile | 614 and a removable staple cartridge 618 that can be interchanged with an RF cartridge 609 (shown in dashed line). The end actuator 602, the anvil 616, the beam with profile | 618 and RF cartridge 609 can be configured as described here, for example, in relation to Figures 1 to 15. For brevity and clarity of description, various aspects of the present invention can be described with reference to Figure 18. It will be understood that the components shown schematically in Figure 18 such as control circuit 610, sensors 638, position sensor 634, end actuator 602, beam with profile in | 614, staple cartridge 618, RF cartridge 609, anvil 616, are described in connection with Figures 1 to 17 of the present invention.
[0081] [0081] Consequently, the components represented schematically in Figure 18 can be readily replaced by the equivalent physical and functional components described in connection with Figures 1 to 17. For example, in one aspect, the control circuit 610 can be implemented as the control circuit 700 shown and described in connection with Figures 16 to 17. In one aspect, sensors 638 can be implemented as a limit switch, electromechanical device, solid state switches, Hall effect devices , magneto-resistive devices (MR) giant magneto-resistive devices (GMR), magnetometers, among others. In other implementations, 638 sensors can be solid state switches that operate under the influence of light, such as optical sensors, infrared sensors, ultraviolet sensors, among others. In addition, the switches can be solid state devices such as transistors (for example, FET, junction FET, metal oxide semiconductor FET (MOSFET), bipolar, and the like). In other implementations, 638 sensors can include driverless electrical switches, ultrasonic switches, accelerometers, inertia sensors, among others. In one aspect, the 634 position sensor can be implemented as an absolute positioning system, which comprises an absolute, rotary and magnetic positioning system implemented as a rotary, magnetic, single chip position sensor, ASSOSSEQFT, available from Austria Microsystems, AG. The position sensor 634 can interface with the control circuit 700 to provide an absolute positioning system. The position can include multiple Hall effect elements located above a magnet and coupled to a CORDIC processor (for Digital Computer for Coordinate Rotation), also known as the digit by digit method and Volder algorithm, which is provided to implement a simple and efficient algorithm for calculating hyperbolic and trigonometric functions that require only addition, subtraction, bit shift and lookup table operations. In one aspect, the end actuator 602 can be implemented as a surgical end actuator 1500 shown and described in connection with Figures 1, 2 and 4. In one aspect, the beam with | 614 can be implemented as knife member 1330 comprising a knife body 1332 that operationally supports a tissue cutting blade 1334 therein and may additionally include flaps or anvil engaging features 1336 and engaging features of channel or a foot 1338 as shown and described in connection with Figures 2 to 4, 8, 11 and 14. In one aspect, the staple cartridge 618 can be implemented as the standard surgical clamp cartridge (mechanical ) 1400 shown and described in connection with Figure 4. In one aspect, the RF 609 cartridge can be implemented as the 1700 radio frequency (RF) cartridge shown and described in connection with Figures 1, 2, 6 and 10 to 13. In one aspect, anvil 616 can be implemented with anvil 1810 shown and described in connection with Figures 1,2, 4 and 6. These and other sensor arrangements are described in the US patent application. Common Property No. 15 / 628,175, entitled TECHNIQUES FOR
[0082] [0082] The position, movement, displacement and / or translation of a member of linear displacement, such as the beam with profile in | 614, can be measured by an absolute positioning system, sensor layout and position sensor represented as the 634 position sensor. Due to the beam with | 614 be coupled to a longitudinally movable drive member 540, the position of the beam with profile in | 614 can be determined by measuring the position of the longitudinally movable driving member 540 using the position sensor 634. Consequently, in the following description, the position, displacement and / or translation of the closing member 614 can be obtained by the 634 position sensor, as described in the present invention. A control circuit 610, such as the control circuit 700 described in Figures 16A and 16B, can be programmed to control the translation of the displacement member, such as the beam with | 614, as described in the present invention. The control circuit 610, in some examples, may comprise one or more microcontrollers, microprocessors, or other suitable processors to execute the instructions that cause the processor or processors to control the displacement member, for example, the beam with profile in | 614, in the manner described. In one aspect, a timer / counter circuit 631 provides an output signal, such as elapsed time or a digital count, to control circuit 610 to correlate the beam position with | 614, as determined by position sensor 634, with timer / counter output 631 so that control circuit 610 can determine the position of the beam with profile in | 614 at a specific time (t) in relation to an initial position. The timer / counter circuit 631 can be configured to measure elapsed time, count external events, or measure external events.
[0083] [0083] Control circuit 610 can generate a 622 motor setpoint signal. The 622 motor setpoint signal can be supplied to a 608 motor controller. The 608 motor controller can comprise one or more circuits configured to provide a motor 624 drive signal to motor 604 to drive motor 604, as described in the present invention. In some examples, motor 604 can be a direct current (DC) electric motor with brushes, like motor 505 shown in Figure 1. For example, the speed of motor 604 can be proportional to the drive signal of motor 624 In some instances, motor 604 may be a brushless electric (DC) motor and the motor 624 drive signal may comprise a pulse width modulated (PWM) signal supplied to one or more motor stator windings 604. In addition, in some instances, the motor controller 608 can be omitted, and the control circuit 610 can generate the drive signal of motor 624 directly.
[0084] [0084] The 604 motor can receive energy from an energy source
[0085] [0085] The control circuit 610 can be in communication with one or more sensors 638. The sensors 638 can be positioned on the end actuator 602 and adapted to work with the surgical instrument 600 to measure the various derived parameters as the distance of the gap in relation to time, the compression of the tissue in relation to time, and the deformation of the anvil in relation to time. The 638 sensors may comprise, for example, a magnetic sensor, a magnetic field sensor, a strain gauge, a pressure sensor, a force sensor, an inductive sensor such as a eddy current sensor, a resistive sensor, a capacitive sensor, an optical sensor, and / or any other sensors suitable for measuring one or more parameters of the 602 end actuator. The 638 sensors may include one or more sensors.
[0086] [0086] The one or more 638 sensors may comprise a strain gauge such as, for example, a microdeformation gauge, configured to measure the magnitude of strain on anvil 616 during a stuck condition. The voltage meter provides an electrical signal whose amplitude varies with the magnitude of the voltage. The senses
[0087] [0087] The sensors 638 can be configured to measure the forces exerted on the anvil 616 by the closing drive system. For example, one or more sensors 638 may be at a point of interaction between the closing tube 1910 (Figures 1 to 4) and the anvil 616 to detect the closing forces applied by the closing tube 1910 to the anvil 616. The forces exerted on the anvil 616 can be representative of the tissue compression experienced by the tissue section captured between the anvil 616 and the staple cartridge 618. One or more sensors 638 can be positioned at various points of interaction throughout the system closing actuation to detect the closing forces applied to the 616 anvil by the closing actuation system. The one or more 638 sensors can be sampled in real time during a gripping operation by a processor as described in Figures 16A to 16B. The control circuit 610 receives sample measurements in real time to provide and analyze information based on time and evaluate, in real time, the closing forces applied to the anvil 616.
[0088] [0088] A current sensor 636 can be used to measure the current drained by the 604 motor. The force required to advance the beam with profile in | 614 corresponds to the current drained by the motor
[0089] [0089] The RF 400 power source is coupled to end actuator 602 and is applied to RF 609 cartridge when RF 609 cartridge is loaded on end actuator 602 in place of staple cartridge 618. The circuit Control Panel 610 controls the delivery of RF energy to the RF cartridge 609.
[0090] [0090] A modular design of a surgical system that has multiple nozzle assemblies can include several surgical instruments, each configured for a different surgical function. In one example, a nozzle assembly may include an additionally modularized end actuator to accept removable end actuator cartridges, where the surgical function is determined by the end actuator cartridge. In such an example, the circuit within the nozzle assembly should be able to conduct electrical signals to the end actuator cartridge as needed to allow the end actuator cartridge to operate properly. For some surgical procedures, a hemostatic seal can be induced in the target tissue. Such a hemostatic seal may require the application of RF energy to the tissue. In this way, the circuit can be designed to have some electrical conductors configured to apply RF energy to the end actuator cartridge. However, the circuit may have only a limited number of electrical conductors. Therefore, it is desirable for the circuit to supply RF energy to the end actuator when necessary through dedicated RF electrical conductors, but reconfigure the RF electrical conductors and / or other components of the circuit to conduct non-RF energy when the RF is not necessary.
[0091] [0091] In some respects, a circuit system is included in the mouthpiece assembly that allows a user of the modular surgical instruments described here to manipulate the end actuator directly from the instrumentation contained in the pusher assembly
[0092] [0092] It can be recognized that care must be taken to ensure that the RF energy conducted by some electrical conductors of the integrated circuit board is adequately isolated from any of the other components of the circuit board on board. Failure to provide this insulation can result in RF energy or noise being introduced into other electronic components (such as digital electronics) or signal conductors on the integrated circuit board. In some respects, RF energy isolation can be accomplished by isolating RF energy conductors to a segmented circuit component of the integrated circuit board. The segmented circuit component can be configured to incorporate suitable electrical conductor geometry, and suitable location of ground planes around the RF conductors, thereby isolating the RF energy from the other components of the integrated circuit board. Such a segmented circuit component may be located on a portion of the integrated circuit board physically separate from the other electrical components. In one aspect, the connection of the surgical instrument to an RF generator enables certain drive shaft functions. For example, fixing RF conductors to the RF generator allows the surgical instrument circuit board to isolate part of the elongated drive shaft integral circuit wiring for applying RF to an RF cartridge that can be used in any way. interchangeable stapling cartridges.
[0093] [0093] Referring to Figure 19, in some respects, the nozzle assembly 1240 that constitutes a modular portion of the surgical tool assembly 1000 may include drive shaft module circuit configured to control various functions in the drive shaft assembly, while also communicating with the handle set 500 and allows the RF generator 400 to be controlled from the powered staple handle. In Figure 19, the circuit of Figure 15 is shown in the context of an exemplary 1240 connector set. The circuit, according to some aspects of the present invention, includes integrated circuit board 1152 with several connectors. Female connectors 410 are electrically coupled to the 1152 circuit board, which allows connection to the male plug set 406 that mates with generator 400, not shown.
[0094] [0094] In addition, the integrated on / off power switch 420 is electrically coupled to the circuit board 1152 and positioned so that it is pressed when the nozzle assembly 1240 is attached to the handle assembly 500, according to some aspects. For example, when the nozzle assembly locks in place (see, for example, Figure 9), the on / off power switch 420 can be positioned so that it faces proximally towards the handle assembly and can be pressed as the nozzle assembly slides into the handle assembly slot through closing link 514 (see Figure 9). In other cases, the on / off power switch 420 is exposed so that it can be pressed manually by an operator of the surgical tool set 1000.
[0095] [0095] Circuit board 1152 includes integrated connector 1154 configured to interface with slot connector 562 (see Figure 9) that communicates with microprocessor 560 contained in the grip set 500. Thus, the grip set 500 is able to communicate with the circuit board 1152 which controls various functions in the nozzle assembly 1240. The electrical energy, for example, from the power supply 706, can also be conducted through the integrated connector 1154 to the circuit board. integrated cuff 1152. The circuit design on the 1240 nozzle assembly allows an operator to perform a variety of functions from various controls on the 500 handle set, such as through the various controls and display consoles available on the 500 handle set.
[0096] [0096] The 1152 circuit board also includes the 1153 proximal connector which is configured to interface with the 1150 slip ring assembly. Power can be supplied to the end actuator even while the drive shaft rotates due to the energy that is provided throughout the slip ring assembly 1150 and the distal connector 1162 is in constant contact with the slip ring assembly as the flexible drive shaft circuit strip 1164 rotates within the proximal closing tube 1910 The drive circuit range 1164 can include several electrical conductors, such as the narrow electrical conductors 1166 for stapling-related activities and the wider electrical conductors 1168 for RF purposes (see Figure 15).
[0097] [0097] Based on the various components described in the nozzle set 1240, circuit 1152 can be configured to control the RF generator 400 from the powered handle set 500, allowing communication with the various functions and interfaces of the handle set 500, and to allow the operation of the RF functions and stapling of the end actuator of the handle set 500. Other functions may include controlling a type of algorithm to perform various surgical procedures and energy applications on the end actuator, allowing for the functionality of visible warning on the handle assembly 500 of any part of the nozzle assembly 1240, and variable energy modulation of the RF generator 400. In some respects, circuit board 1152 can be programmed to facilitate these functions, while in other cases sos the 1154 integrated connector can allow the handle assembly circuit to be programmed to facilitate these functions eap circuit loop 1152 is configured to communicate with the end actuator accordingly.
[0098] [0098] In some respects, integrated circuit 1152 includes segmented RF circuit 1160, which can allow RF energy from generator 400 to be supplied to the flexible drive circuit range through the slip ring assembly (see , for example, Figure 15). The 1160 segmented RF circuit can incorporate electrical conductors to supply RF energy and provide electrical isolation from other components of the 1152 RF and / or noise integrated circuit board. The RF generator can be coupled to the 1152 integrated circuit board via the segmented RF circuit
[0099] [0099] Figure 20 illustrates a block diagram of a 3200 surgical system programmed to conduct energy and control signals to or from a 3250 end actuator, in accordance with an aspect of the present invention. In an exemplary aspect, the 3200 surgical system may include a 3210 control circuit (for example, microprocessor 560, segmented RF circuit 1160, or distal integrated microcircuit 1740) that has an electrosurgical energy control segment (or a control segment of energy from
[0100] [0100] The 3220 electrosurgical energy control segment can be programmed to supply electrosurgical energy to the electrodes via one or more 3260 electrical conductors. In an exemplary aspect, the 3230 drive shaft control segment can be programmed to provide and / or receive a control signal to / from the 3250 end actuator (and / or the surgical tool set 1000, the drive shaft set 704) through one or more 3260 electrical conductors. That is, the one or more 3260 electrical conductors can be used not only to supply electrosurgical energy to the 3250 end actuator, but also to communicate control signals with the 3250 end actuator. In an exemplary aspect, at least some portions of the electrosurgical energy control segment 3220 and the drive shaft control segment 3230 can be electrically isolated from each other.
[0101] [0101] In an exemplary aspect, the 3220 electrosurgical energy control segment can electrically isolate one or more 3260 electrical conductors from the 3230 drive shaft control segment, for example, when supplying electrosurgical energy to the electrodes in the 3250 end actuator via one or more 3260 electrical conductors. In an exemplary aspect, the 3220 electrosurgical energy control segment can control a 3270 switch located between the one or more 3260 electrical conductors and the 3230 drive shaft control segment by providing a signal via a 3280 control line to electrically isolate one or more 3260 electrical conductors from the 3230 drive shaft control segment. The 3270 switch can be configured to switch between an open state and a state closed. The drive shaft control segment 3230 and the one or more electrical conductors 3260 can be electrically isolated when the switch 3270 is in the open state, and can be in electrical communication when the switch 3270 is in the closed state. In another exemplary aspect, the 3220 electrosurgical energy control segment can electrically isolate one or more 3260 electrical conductors from the drive shaft control segment
[0102] [0102] In an exemplary aspect, the 3220 electrosurgical energy control segment can electrically isolate one or more 3260 electrical conductors from the 3230 drive shaft control segment when the 3210 control circuit detects that the generator 3240 electrosurgical energy is connected to the 3265 connector (for example, female connectors 410), for example, by continuously checking the 3265 connector or detecting the application of electrosurgical energy. For example, when the male plug set 406 is plugged into the female connectors 410, the electrosurgical energy control segment 3220 can isolate the electrical conductors 3260 from the drive shaft control segment 3230. In another exemplary aspect, the electrosurgical power control 3220 can electrically isolate one or more 3260 electrical conductors from the 3230 drive shaft control segment when electrosurgical energy is supplied to the 3250 end actuator or under any other suitable condition.
[0103] [0103] In an exemplary aspect, the surgical system may include one or more 3290 electrical conductors (for example, 1166 electrical conductors) used to operate the 3250 end actuator (and / or the surgical tool set 1000, the shaft assembly actuator 704). In an exemplary aspect, the one or more 3290 electrical conductors cannot be used to release electrosurgical energy to the 3250 end actuator. The 3230 drive shaft control segment can be programmed to deliver and / or receive a control signal and / or a sensor signal from the 3250 end actuator via one or more 3290 electrical conductors. In an exemplary aspect, the 3230 drive shaft control segment can use the one or more conductors 3290 electrical devices to supply and / or receive the control signal to / from the 3250 end actuator while the 3270 switch is in an open state (for example, while the 3220 electrosurgical power control segment is supplying the electrosurgical power to the 3250 end actuator via one or more 3260 electrical conductors). In an exemplary aspect, the 3230 drive shaft control segment can also use one or more 3290 electrical conductors to supply and / or receive the control signal to / from the 3250 end actuator while the switch 3270 is in a closed state. In some respects, the one or more 3290 electrical conductors can be dedicated signal conductors (for control signals or sensor signals or both control signals and sensor signals) between the 3250 end actuator and the control segment of drive shaft 3230 regardless of the status of key 3270.
[0104] [0104] The 3270 switch can be a transistor switch, a mechanical switch or any other suitable switch. In an exemplifying aspect, the control signals communicated between the control circuit 3210 and the end actuator 3250 (and / or the surgical tool set 1000, the drive shaft set 704) through the conductors electrical 3260, 3290 include, but are not limited to, signals to drive the 3250 end actuator (and / or the surgical tool set 1000, the drive shaft set 704) in cutting and / or coagulation operating modes, measure the electrical characteristics of the 3200 surgical system and / or the tissue clamped on the 3250 end actuator, provide feedback to a user of the surgical system, communicate sensor signals and identify certain characteristics of the 3250 end actuator (for example, used / not used state).
[0105] [0105] Consequently, aspects of the present invention can advantageously reduce the number of electrical conductors required to communicate control signals between the 3210 control circuit and the 3250 end actuator (and / or the 1000 surgical tool set , the drive shaft assembly 704) with the use of some of the electrical conductors (for example, electrical conductors 3260) used for the application of electrosurgical energy to communicate control signals when these electrical conductors are not used for energy electrosurgical. In addition, by insulating the electrical conductors from other circuit segments (for example, drive shaft control segment 3230) by supplying electrosurgical energy through these electrical conductors, aspects of the present invention can prevent energy electrosurgical or electrosurgical energy noise flows into the other circuit segments and / or electrical conductors (eg 3290 electrical conductors) connected to the circuit segments, preventing damage to the circuit segments and / or electrical conductors.
[0106] [0106] As depicted, for example in Figures 196 20 and as revealed above, a modular nozzle assembly may include an integrated circuit board configured to allow a user to communicate with and control an end actuator in a surgical system . Control of and / or communication with the end actuator may include control and / or communication with the end actuator as a whole or with any one or more components of the end actuator. For example, the end actuator can be configured to removably incorporate one or more modules and / or cartridges as disclosed above, each of which can be designed for a specific surgical function. In one example, the end actuator may incorporate a removable staple cartridge. In another example, the end actuator can incorporate a removable RF cartridge. Each of the removable cartridges can have any number or type of electrical conductors configured to electrically couple to one or more electrical conductors on the integrated circuit board. The electrical conductors of each removable cartridge can be configured to conduct any type of electrical signal, including, but not limited to, an analog signal, a digital signal, a DC signal, an AC signal and an energy signal electrical. Such electrical signals may come from the integrated circuit board or electrical components from a removable cartridge.
[0107] [0107] Although the electrical circuits, as presented above, are called an integrated "circuit board", in which the circuit itself can be manufactured according to any suitable means using any suitable material. Thus, for example, the circuit board can be a single-layer board, a multilayer board, a flexible circuit, or any other suitable device on which electrical components can be properly assembled. Similarly, electrical conductors may include, without limitation, wires and traces from the circuit board.
[0108] [0108] The aspects of the surgical instrument can be practiced without the specific details revealed in the present invention. Some aspects were shown as block diagrams instead of details. Parts of this description can be presented in terms of instructions that operate on data stored in a computer's memory. In general, the aspects described here, which can be implemented, individually and / or collectively, by a wide range of hardware, software, firmware, or any combination of them, can be seen as being composed of several types of "electric circuits". Consequently, "electrical circuit" includes, but is not limited to, electrical circuits that have at least one separate electrical circuit, electrical circuits that have at least one integrated circuit, electrical circuits that have at least one integrated circuit for a specific application, electrical circuits that form a general purpose computing device configured by a computer program (for example, a general purpose computer or processor configured by a computer program that at least partially performs the processes and / or device described here), electrical circuits that form a memory device (for example, forms of random access memory), and / or electrical circuits that form a communications device (for example, a modem, routers or optical-electrical equipment) . These aspects can be implemented in analog or digital form, or combinations of them.
[0109] [0109] The previously mentioned description presented aspects of the devices and / or processes through the use of block diagrams, flowcharts, and / or examples, which may contain one or more functions and / or operation. Each function and / or operation within such block diagrams, flowcharts or examples can be implemented, individually and / or collectively, by a wide range of hardware, software, firmware or virtually any combination of them. In one aspect, several portions of the subject described here can be implemented by means of specific application integrated circuits (ASICs), field programmable port arrangements (FPGAs), digital signal processors (DSPs), programmable logic devices (PLDs), circuits, registers and / or software components, for example, programs, subroutines, logic and / or combinations of hardware and software components, logic gates, or other integrated formats. Some aspects revealed here, in whole or in part, can be implemented in an equivalent way in integrated circuits.
[0110] [0110] The mechanisms of the disclosed subject can be distributed as a program product in a variety of ways, and an illustrative aspect of the subject described here is applicable regardless of the specific type of signal transmission media used for effectively perform the distribution. Examples of a signal transmission medium include, but are not limited to, the following: recordable type media such as a floppy disk, a hard disk drive, a compact disc (CD), a digital video disc (DVD), a tape digital, computer memory, etc .; and a transmission type media, such as digital and / or analog communication media (for example, a fiber optic cable, a waveguide, a communications link with an electrical conductor, a communication link without an electrical conductor (for example, example, transmitter, receiver, transmission logic, reception logic), etc.).
[0111] [0111] The previously mentioned description of one or more aspects has been presented for purposes of illustration and description. This description is not intended to be exhaustive or to limit the invention to the precise form disclosed. Modifications or variations are possible in light of the above teachings. These aspects were chosen and described for the purpose of illustrating the principles and practical application, thus allowing the person skilled in the art to use the various aspects.
[0112] [0112] Various aspects of the subject described in this document are defined in the following numbered examples:
[0113] [0113] Example 1. Control circuit for a surgical instrument, where the control circuit comprises: a drive shaft control segment; a first electrical conductor configured to conduct a first electrical signal between the drive shaft control segment and a removable surgical instrument cartridge; an electrosurgical energy control segment; a second electrical conductor configured to conduct a second electrical signal between the electrosurgical energy control segment and the removable surgical instrument cartridge; and a connector electrically coupled to the electrosurgical energy control segment and configured to receive energy from the electrosurgical generator from an electrosurgical generator, in which the electrosurgical energy control segment is configured to: detect a connection from the electrosurgical generator to the connector; and electrically isolate the electrosurgical generator energy control segment when the electrosurgical energy control segment detects the connection of the electrosurgical generator to the connector.
[0114] [0114] Example 2. Control circuit, according to example 1, in which the first electrical signal comprises a control signal transmitted to the removable surgical instrument cartridge.
[0115] [0115] Example 3. Control circuit, according to any one or more of examples 1 to 2, in which the first electrical signal comprises a sensor signal received from the removable surgical instrument cartridge.
[0116] [0116] Example 4. Control circuit, according to any
[0117] [0117] Example 5. Control circuit, according to any one or more of examples 1 to 4, in which the second electrical conductor is configured to conduct a third electrical signal between the drive shaft control segment and the removable surgical instrument when the electrosurgical energy control segment does not detect any connection from the electrosurgical generator to the connector.
[0118] [0118] Example 6. Control circuit, according to example 5, in which the third electrical signal comprises a second control signal transmitted to the removable surgical instrument cartridge. Example 7. Control circuit, according to example 5, where the third electrical signal comprises a second sensor signal received from the removable surgical instrument cartridge
[0119] [0119] Example 8. Control circuit, according to any one or more of examples 1 to 7, which additionally comprises a switch electrically coupled between the electrosurgical energy control segment and the drive shaft control segment, where the electrosurgical energy control segment is configured to electrically isolate the drive shaft control segment by controlling the switch.
[0120] [0120] Example 9. Control circuit, according to example 8, in which the electrosurgical energy control segment is configured to electrically isolate the drive shaft control segment by opening the switch.
[0121] [0121] Example 10. Control circuit, according to any one or more of examples 1 to 9, in which the electrosurgical generator comprises an RF generator and the electrosurgical generator energy comprises RF energy.
[0122] [0122] Example 11. Control circuit, according to any one or more of examples 1 to 10, which additionally comprises a slip ring assembly electrically coupled to the drive shaft control segment and electrically coupled to the control segment electrosurgical energy.
[0123] [0123] Example 12. A nozzle assembly for a surgical system comprising: an integrated circuit comprising a drive shaft control segment and an electrosurgical energy control segment; a first electrical conductor configured to conduct a first electrical signal between the drive shaft control segment and a removable surgical instrument cartridge on an end actuator; a second electrical conductor configured to conduct a second electrical signal between the electrosurgical energy control segment and the removable surgical instrument cartridge on the end actuator; an integrated connector coupled to the integrated circuit board and proximally located in the nozzle assembly, where the integrated connector is configured to interface with a compartment connector of a handle assembly when the nozzle assembly it is attached to the handle set; a connector electrically coupled to the electrosurgical energy control segment and configured to receive energy from the electrosurgical generator from an electrosurgical generator; and a drive shaft fixing latch proximally located in the nozzle assembly and configured to be coupled to a handle assembly fixing base to fix the nozzle assembly to the handle assembly, in which the segment electrosurgical energy control system is configured to: detect a connection of the electrosurgical generator
[0124] [0124] Example 13. Nozzle assembly according to example 12, where the integrated circuit board comprises an RF circuit segmented on the integrated circuit board and the segmented RF circuit comprises the energy control segment electrosurgical.
[0125] [0125] Example 14. Nozzle assembly, according to any one or more of examples 12 to 13, in which the integrated circuit board is configured to receive electrical energy from a power assembly removably mounted to the handle set.
[0126] [0126] Example 15. Nozzle assembly, according to example 14, in which the integrated circuit board is configured to receive electrical energy through the integrated connector.
[0127] [0127] Example 16. Nozzle assembly, according to any one or more of examples 12 to 15, in which the nozzle assembly additionally comprises an electric switch electrically coupled to the integrated circuit board and is configured to activate and deactivate transmission of electrosurgical energy.
[0128] [0128] Example 17. Nozzle assembly, according to any one or more of Examples 12 to 16, which additionally comprises a slide ring assembly located distally from the integrated circuit and configured to interface with the circuit board - integrated care.
[0129] [0129] Example 18. Nozzle assembly, according to example 17, which further comprises: a proximal connector coupled to a distal end of the integrated circuit board and an end
[0130] [0130] Example 19. Nozzle assembly, according to any one or more of Examples 12 to 19, which additionally comprises a flexible drive shaft circuit strip electrically coupled to the first electrical conductor and the second electrical conductor.

权利要求:
Claims (19)
[1]
1. Control circuit for a surgical instrument, characterized by the control circuit comprising: a drive shaft control segment; a first electrical conductor configured to conduct a first electrical signal between the drive shaft control segment and a removable surgical instrument cartridge; an electrosurgical energy control segment; a second electrical conductor configured to conduct a second electrical signal between the electrosurgical energy control segment and the removable surgical instrument cartridge; and a connector electrically coupled to the electrosurgical energy control segment and configured to receive energy from the electrosurgical generator from an electrosurgical generator, where the electrosurgical energy control segment is configured to: detect a connection from the electrosurgical generator to the conec - tor; and electrically isolate the drive shaft control segment from the electrosurgical generator energy when the electrosurgical energy control segment detects the connection of the electrosurgical generator to the connector.
[2]
2. Control circuit according to claim 1, characterized in that the first electrical signal comprises a control signal transmitted to the removable surgical instrument cartridge.
[3]
Control circuit according to claim 1, characterized in that the first electrical signal comprises a sensor signal received from the removable surgical instrument cartridge.
[4]
4. Control circuit according to claim 1, characterized in that the second electrical signal comprises the generation energy
electrosurgical operator when the electrosurgical energy control segment detects the connection of the electrosurgical generator to the connector.
[5]
5. Control circuit according to claim 1, characterized in that the second electrical conductor is configured to conduct a third electrical signal between the drive shaft control segment and the removable surgical instrument cartridge when the segment electrosurgical power control does not detect any connection from the electrosurgical generator to the connector.
[6]
Control circuit according to claim 5, characterized in that the third electrical signal comprises a second control signal transmitted to the removable surgical instrument cartridge.
[7]
7. Control circuit according to claim 5, characterized in that the third electrical signal comprises a second sensor signal received from the removable surgical instrument cartridge
[8]
8. Control circuit, according to claim 1, characterized by additionally comprising a switch electrically coupled between the electrosurgical energy control segment and the drive shaft control segment, in which the control circuit Electrosurgical energy is configured to electrically isolate the drive shaft control segment by controlling the switch.
[9]
9. Control circuit, according to claim 8, characterized in that the electrosurgical energy control segment is configured to electrically isolate the drive shaft control segment by opening the switch.
[10]
Control circuit according to claim 1, characterized in that the electrosurgical generator comprises an RF generator and the electrosurgical generator energy comprises
RF.
[11]
Control circuit, according to claim 1, characterized in that it additionally comprises a set of sliding ring electrically coupled to the drive shaft control segment and electrically coupled to the electrosurgical energy control segment.
[12]
12. Nozzle set of a surgical system characterized by comprising: an integrated circuit board comprising a drive shaft control segment and an electrosurgical energy control segment; a first electrical conductor configured to conduct a first electrical signal between the drive shaft control segment and a removable surgical instrument cartridge on an end actuator; a second electrical conductor configured to conduct a second electrical signal between the electrosurgical energy control segment and the removable surgical instrument cartridge on the end actuator; an integrated connector coupled to the integrated circuit board and proximally located in the nozzle assembly, where the integrated connector is configured to interface with a handle connector housing connector when the nozzle assembly is attached the handle set; a connector electrically coupled to the electrosurgical energy control segment and configured to receive energy from the electrosurgical generator from an electrosurgical generator; and a drive shaft fixation pin proximally located in the nozzle assembly and configured to be coupled to a handle assembly fixing base to secure the nozzle assembly to the handle assembly, in which the electrosurgical energy control segment is configured to: detect a connection from the electrosurgical generator to the connector; and electrically isolate the drive shaft control segment from the electrosurgical generator energy when the electrosurgical energy control segment detects the connection of the electrosurgical generator to the connector.
[13]
Nozzle assembly according to claim 12, characterized in that the integrated circuit board comprises a segmented RF circuit on the integrated circuit board and the segmented RF circuit comprises the electrosurgical energy control segment.
[14]
14. Nozzle assembly according to claim 12, characterized in that the integrated circuit board is configured to receive electrical energy from a removably mounted power supply in the handle assembly.
[15]
15. Nozzle assembly according to claim 14, characterized in that the integrated circuit board is configured to receive electrical energy through the integrated connector.
[16]
16. Nozzle assembly according to claim 12, characterized in that the nozzle assembly additionally comprises an electric switch electrically coupled to the integrated circuit board and is configured to activate and deactivate the transmission of electrosurgical energy.
[17]
Nozzle assembly according to claim 12, characterized in that it further comprises a slide ring assembly distally located on the integrated circuit board and configured to interface with the integrated circuit board.
[18]
A nozzle assembly according to claim 17, characterized in that it further comprises: a proximal connector coupled to a distal end of the integrated circuit board and a proximal end of the slip ring assembly; and a distal connector configured to interface with a distal end of the slip ring assembly and electrically coupled to the first electrical conductor and the second electrical conductor.
[19]
19. Nozzle assembly according to claim 12, characterized in that it additionally comprises a flexible strip of drive shaft circuit electrically coupled to the first electrical conductor and the second electrical conductor.

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同族专利:

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公开号 | 公开日

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WO2019003003A1|2019-01-03|

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EP3420997A1|2019-01-02|

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JP2020525178A|2020-08-27|

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CN110809449A|2020-02-18|

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US11058477B2|2021-07-13|

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US20190000539A1|2019-01-03|

引用文献:

---

公开号 | 申请日 | 公开日 | 申请人 | 专利标题

---

---

US2961385A|1958-06-30|1960-11-22|Breeze Corp|Method of forming slip-rings in annular grooves|

---

DE1239392B|1965-02-11|1967-04-27|Teldix Luftfahrt Ausruestung|Slip ring body, consisting of an insulating body, power supply lines and galvanically generated slip rings as well as a process for its production|

---

GB1526401A|1975-10-28|1978-09-27|Mcgeoch & Co Ltd W|Slip-ring assembly|

---

USD278081S|1982-04-02|1985-03-19|United States Surgical Corporation|Linear anastomosis surgical staple cartridge|

---

USD297764S|1985-12-18|1988-09-20|Ethicon, Inc.|Surgical staple cartridge|

---

US5007907A|1987-10-07|1991-04-16|Olympus Optical Co., Ltd.|Resectoscope apparatus|

---

US6730081B1|1991-10-18|2004-05-04|Ashvin H. Desai|Endoscopic surgical instrument|

---

US5485947A|1992-07-20|1996-01-23|Ethicon, Inc.|Linear stapling mechanism with cutting means|

---

USD360688S|1993-02-16|1995-07-25|American Cyanamid Company|Combined proximal end and shaft of a low profile surgical suture knot pusher|

---

US5364395A|1993-05-14|1994-11-15|West Jr Hugh S|Arthroscopic surgical instrument with cauterizing capability|

---

US5403312A|1993-07-22|1995-04-04|Ethicon, Inc.|Electrosurgical hemostatic device|

---

GR940100335A|1993-07-22|1996-05-22|Ethicon Inc.|Electrosurgical device for placing staples.|

---

US5817093A|1993-07-22|1998-10-06|Ethicon Endo-Surgery, Inc.|Impedance feedback monitor with query electrode for electrosurgical instrument|

---

US5658281A|1995-12-04|1997-08-19|Valleylab Inc|Bipolar electrosurgical scissors and method of manufacture|

---

US5673842A|1996-03-05|1997-10-07|Ethicon Endo-Surgery|Surgical stapler with locking mechanism|

---

US5835829A|1997-05-12|1998-11-10|Xerox Corporation|Single-ended symmetric resistive ring design for sed rolls|

---

US6004320A|1997-09-19|1999-12-21|Oratec Interventions, Inc.|Clip on electrocauterizing sheath for orthopedic shave devices|

---

WO1999037225A1|1998-01-26|1999-07-29|Surgical Laser Technologies, Inc.|Attachable electrosurgical device|

---

US7901400B2|1998-10-23|2011-03-08|Covidien Ag|Method and system for controlling output of RF medical generator|

---

US6905497B2|2001-10-22|2005-06-14|Surgrx, Inc.|Jaw structure for electrosurgical instrument|

---

US6918906B2|2001-03-30|2005-07-19|Gary L. Long|Endoscopic ablation system with improved electrode geometry|

---

ES2262639T3|2001-04-06|2006-12-01|Sherwood Services Ag|SHUTTER AND DIVIDER OF GLASSES WITH BUMPER MEMBERS N OCONDUCTIVES.|

---

USD480808S1|2001-10-12|2003-10-14|Tyco Healthcare Group Lp|Surgical fastener applying apparatus|

---

US7354440B2|2001-10-22|2008-04-08|Surgrx, Inc.|Electrosurgical instrument and method of use|

---

EP2404555B1|2002-04-16|2017-03-15|Covidien LP|Surgical stapler and method|

---

JP4431404B2|2002-04-25|2010-03-17|タイコヘルスケアグループエルピー|Surgical instruments including microelectromechanical systems |

---

CA2494740A1|2002-08-28|2004-03-11|Castor Technology Ltd|Improvements in or relating to castors|

---

JP4390511B2|2002-09-20|2009-12-24|Ｈｏｙａ株式会社|Electronic endoscope device|

---

US7617961B2|2002-10-04|2009-11-17|Tyco Healthcare Group Lp|Tool assembly for surgical stapling device|

---

US20060064086A1|2003-03-13|2006-03-23|Darren Odom|Bipolar forceps with multiple electrode array end effector assembly|

---

US7044352B2|2003-05-20|2006-05-16|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a single lockout mechanism for prevention of firing|

---

US6988649B2|2003-05-20|2006-01-24|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument having a spent cartridge lockout|

---

US7476222B2|2003-06-30|2009-01-13|Johnson & Johnson Consumer Companies, Inc.|Methods of reducing the appearance of pigmentation with galvanic generated electricity|

---

USD509297S1|2003-10-17|2005-09-06|Tyco Healthcare Group, Lp|Surgical instrument|

---

US7431720B2|2003-11-25|2008-10-07|Ethicon, Inc.|Multi-function clamping device with stapler and ablation heads|

---

US7223267B2|2004-02-06|2007-05-29|Misonix, Incorporated|Ultrasonic probe with detachable slidable cauterization forceps|

---

US8100822B2|2004-03-16|2012-01-24|Macroplata Systems, Llc|Anoscope for treating hemorrhoids without the trauma of cutting or the use of an endoscope|

---

GB2414185A|2004-05-20|2005-11-23|Gyrus Medical Ltd|Morcellating device using cutting electrodes on end-face of tube|

---

US8579176B2|2005-07-26|2013-11-12|Ethicon Endo-Surgery, Inc.|Surgical stapling and cutting device and method for using the device|

---

US20070194082A1|2005-08-31|2007-08-23|Morgan Jerome R|Surgical stapling device with anvil having staple forming pockets of varying depths|

---

US8820603B2|2006-01-31|2014-09-02|Ethicon Endo-Surgery, Inc.|Accessing data stored in a memory of a surgical instrument|

---

US7845537B2|2006-01-31|2010-12-07|Ethicon Endo-Surgery, Inc.|Surgical instrument having recording capabilities|

---

US7575144B2|2006-01-31|2009-08-18|Ethicon Endo-Surgery, Inc.|Surgical fastener and cutter with single cable actuator|

---

US20120292367A1|2006-01-31|2012-11-22|Ethicon Endo-Surgery, Inc.|Robotically-controlled end effector|

---

US8708213B2|2006-01-31|2014-04-29|Ethicon Endo-Surgery, Inc.|Surgical instrument having a feedback system|

---

US9757142B2|2006-08-09|2017-09-12|Olympus Corporation|Relay device and ultrasonic-surgical and electrosurgical system|

---

US7780663B2|2006-09-22|2010-08-24|Ethicon Endo-Surgery, Inc.|End effector coatings for electrosurgical instruments|

---

US8652120B2|2007-01-10|2014-02-18|Ethicon Endo-Surgery, Inc.|Surgical instrument with wireless communication between control unit and sensor transponders|

---

US9924998B2|2007-01-12|2018-03-27|Atricure, Inc.|Ablation system, clamp and method of use|

---

US8465534B2|2008-05-20|2013-06-18|David A. Schechter|Radio-frequency tissue welder with polymer reinforcement|

---

US8931682B2|2007-06-04|2015-01-13|Ethicon Endo-Surgery, Inc.|Robotically-controlled shaft based rotary drive systems for surgical instruments|

---

USD576278S1|2007-07-16|2008-09-02|Ethicon Endo-Surgery, Inc.|Surgical stapler|

---

USD605762S1|2007-07-16|2009-12-08|Ethicon Endo-Surgery, Inc.|Surgical stapler cartridge|

---

US8636736B2|2008-02-14|2014-01-28|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument|

---

US7861906B2|2008-02-14|2011-01-04|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with articulatable components|

---

US8622274B2|2008-02-14|2014-01-07|Ethicon Endo-Surgery, Inc.|Motorized cutting and fastening instrument having control circuit for optimizing battery usage|

---

US7819296B2|2008-02-14|2010-10-26|Ethicon Endo-Surgery, Inc.|Surgical stapling apparatus with retractable firing systems|

---

JP5410110B2|2008-02-14|2014-02-05|エシコン・エンド−サージェリィ・インコーポレイテッド|Surgical cutting / fixing instrument with RF electrode|

---

US20090206133A1|2008-02-14|2009-08-20|Ethicon Endo-Surgery, Inc.|Articulatable loading units for surgical stapling and cutting instruments|

---

US8657174B2|2008-02-14|2014-02-25|Ethicon Endo-Surgery, Inc.|Motorized surgical cutting and fastening instrument having handle based power source|

---

US9585657B2|2008-02-15|2017-03-07|Ethicon Endo-Surgery, Llc|Actuator for releasing a layer of material from a surgical end effector|

---

EP2502595B1|2008-05-05|2014-10-01|Stryker Corporation|Control console for a surgical tool, the console capable of reading data from a memory integral with the tool from the console terminals over which power is sourced to the tool|

---

US8608045B2|2008-10-10|2013-12-17|Ethicon Endo-Sugery, Inc.|Powered surgical cutting and stapling apparatus with manually retractable firing system|

---

US8485413B2|2009-02-05|2013-07-16|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising an articulation joint|

---

US8517239B2|2009-02-05|2013-08-27|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument comprising a magnetic element driver|

---

US20100193566A1|2009-02-05|2010-08-05|Ethicon Endo-Surgery, Inc.|Surgical stapling instrument|

---

US8858547B2|2009-03-05|2014-10-14|Intuitive Surgical Operations, Inc.|Cut and seal instrument|

---

US8277446B2|2009-04-24|2012-10-02|Tyco Healthcare Group Lp|Electrosurgical tissue sealer and cutter|

---

GB2472216A|2009-07-28|2011-02-02|Gyrus Medical Ltd|Bipolar electrosurgical instrument with four electrodes|

---

US8986302B2|2009-10-09|2015-03-24|Ethicon Endo-Surgery, Inc.|Surgical generator for ultrasonic and electrosurgical devices|

---

US20110106076A1|2009-11-04|2011-05-05|Gregorio Hernandez Zendejas|Myoablation system|

---

USD769445S1|2011-03-10|2016-10-18|Conmed Corporation|Surgical clip|

---

US8888776B2|2010-06-09|2014-11-18|Ethicon Endo-Surgery, Inc.|Electrosurgical instrument employing an electrode|

---

US8926607B2|2010-06-09|2015-01-06|Ethicon Endo-Surgery, Inc.|Electrosurgical instrument employing multiple positive temperature coefficient electrodes|

---

US9005199B2|2010-06-10|2015-04-14|Ethicon Endo-Surgery, Inc.|Heat management configurations for controlling heat dissipation from electrosurgical instruments|

---

US8764747B2|2010-06-10|2014-07-01|Ethicon Endo-Surgery, Inc.|Electrosurgical instrument comprising sequentially activated electrodes|

---

US8453906B2|2010-07-14|2013-06-04|Ethicon Endo-Surgery, Inc.|Surgical instruments with electrodes|

---

US8613383B2|2010-07-14|2013-12-24|Ethicon Endo-Surgery, Inc.|Surgical instruments with electrodes|

---

US8439246B1|2010-07-20|2013-05-14|Cardica, Inc.|Surgical stapler with cartridge-adjustable clamp gap|

---

US8663222B2|2010-09-07|2014-03-04|Covidien Lp|Dynamic and static bipolar electrical sealing and cutting device|

---

US9861361B2|2010-09-30|2018-01-09|Ethicon Llc|Releasable tissue thickness compensator and fastener cartridge having the same|

---

USD650074S1|2010-10-01|2011-12-06|Ethicon Endo-Surgery, Inc.|Surgical instrument|

---

US8979890B2|2010-10-01|2015-03-17|Ethicon Endo-Surgery, Inc.|Surgical instrument with jaw member|

---

US8523043B2|2010-12-07|2013-09-03|Immersion Corporation|Surgical stapler having haptic feedback|

---

MX338966B|2011-01-14|2016-05-06|New Hope Ventures|Surgical stapling device and method.|

---

US10874453B2|2011-03-23|2020-12-29|Acessa Health Inc.|Merged image user interface and navigational tool for remote control of surgical devices|

---

US9072535B2|2011-05-27|2015-07-07|Ethicon Endo-Surgery, Inc.|Surgical stapling instruments with rotatable staple deployment arrangements|

---

US8888771B2|2011-07-15|2014-11-18|Covidien Lp|Clip-over disposable assembly for use with hemostat-style surgical instrument and methods of manufacturing same|

---

US9724095B2|2011-08-08|2017-08-08|Covidien Lp|Surgical fastener applying apparatus|

---

US8968317B2|2011-08-18|2015-03-03|Covidien Lp|Surgical forceps|

---

US8998060B2|2011-09-13|2015-04-07|Ethicon Endo-Surgery, Inc.|Resistive heated surgical staple cartridge with phase change sealant|

---

GB2496624A|2011-11-16|2013-05-22|Gyrus Medical Ltd|Surgical instrument with a plurality of handswitches|

---

EP2856962A4|2012-06-01|2016-01-20|Olympus Corp|Energy-using treatment tool|

---

US9326788B2|2012-06-29|2016-05-03|Ethicon Endo-Surgery, Llc|Lockout mechanism for use with robotic electrosurgical device|

---

US9526564B2|2012-10-08|2016-12-27|Covidien Lp|Electric stapler device|

---

US9572622B2|2012-12-10|2017-02-21|Ethicon Endo-Surgery, Llc|Bipolar electrosurgical features for targeted hemostasis|

---

US9402627B2|2012-12-13|2016-08-02|Covidien Lp|Folded buttress for use with a surgical apparatus|

---

US9161802B2|2013-01-03|2015-10-20|Solta Medical, Inc.|Patterned electrodes for tissue treatment systems|

---

US9149325B2|2013-01-25|2015-10-06|Ethicon Endo-Surgery, Inc.|End effector with compliant clamping jaw|

---

US9839421B2|2013-02-28|2017-12-12|Ethicon Llc|Jaw closure feature for end effector of surgical instrument|

---

US9795379B2|2013-02-28|2017-10-24|Ethicon Llc|Surgical instrument with multi-diameter shaft|

---

US9700309B2|2013-03-01|2017-07-11|Ethicon Llc|Articulatable surgical instruments with conductive pathways for signal communication|

---

US9706993B2|2013-03-08|2017-07-18|Covidien Lp|Staple cartridge with shipping wedge|

---

US9629628B2|2013-03-13|2017-04-25|Covidien Lp|Surgical stapling apparatus|

---

US20140263552A1|2013-03-13|2014-09-18|Ethicon Endo-Surgery, Inc.|Staple cartridge tissue thickness sensor system|

---

US9687230B2|2013-03-14|2017-06-27|Ethicon Llc|Articulatable surgical instrument comprising a firing drive|

---

US9510906B2|2013-03-15|2016-12-06|Ethicon Endo-Surgery, Llc|Tissue clamping features of surgical instrument end effector|

---

US20150053746A1|2013-08-23|2015-02-26|Ethicon Endo-Surgery, Inc.|Torque optimization for surgical instruments|

---

US9814514B2|2013-09-13|2017-11-14|Ethicon Llc|Electrosurgical medical instruments for cutting and coagulating tissue|

---

US20150080876A1|2013-09-16|2015-03-19|Ethoicon Endo-Surgery, Inc|Integrated systems for electrosurgical steam or smoke control|

---

US10610289B2|2013-09-25|2020-04-07|Covidien Lp|Devices, systems, and methods for grasping, treating, and dividing tissue|

---

US9629627B2|2014-01-28|2017-04-25|Coviden Lp|Surgical apparatus|

---

US10231776B2|2014-01-29|2019-03-19|Covidien Lp|Tissue sealing instrument with tissue-dissecting electrode|

---

US9913642B2|2014-03-26|2018-03-13|Ethicon Llc|Surgical instrument comprising a sensor system|

---

US20150272580A1|2014-03-26|2015-10-01|Ethicon Endo-Surgery, Inc.|Verification of number of battery exchanges/procedure count|

---

EP3875139A1|2014-03-26|2021-09-08|Venclose, Inc.|Venous disease treatment|

---

US9980769B2|2014-04-08|2018-05-29|Ethicon Llc|Methods and devices for controlling motorized surgical devices|

---

US10561422B2|2014-04-16|2020-02-18|Ethicon Llc|Fastener cartridge comprising deployable tissue engaging members|

---

CN106456165A|2014-05-15|2017-02-22|柯惠Lp公司|Surgical fastener applying apparatus|

---

US10335147B2|2014-06-25|2019-07-02|Ethicon Llc|Method of using lockout features for surgical stapler cartridge|

---

US10182861B2|2014-08-20|2019-01-22|Gyrus Acmi, Inc.|Reconfigurable electrosurgical device|

---

US9877722B2|2014-09-02|2018-01-30|Ethicon Llc|Devices and methods for guiding surgical fasteners|

---

US9757128B2|2014-09-05|2017-09-12|Ethicon Llc|Multiple sensors with one sensor affecting a second sensor's output or interpretation|

---

US9801627B2|2014-09-26|2017-10-31|Ethicon Llc|Fastener cartridge for creating a flexible staple line|

---

US9924944B2|2014-10-16|2018-03-27|Ethicon Llc|Staple cartridge comprising an adjunct material|

---

US11141153B2|2014-10-29|2021-10-12|Cilag Gmbh International|Staple cartridges comprising driver arrangements|

---

US10010366B2|2014-12-17|2018-07-03|Ethicon Llc|Surgical devices and methods for tissue cutting and sealing|

---

US9844375B2|2014-12-18|2017-12-19|Ethicon Llc|Drive arrangements for articulatable surgical instruments|

---

US9968355B2|2014-12-18|2018-05-15|Ethicon Llc|Surgical instruments with articulatable end effectors and improved firing beam support arrangements|

---

US10548504B2|2015-03-06|2020-02-04|Ethicon Llc|Overlaid multi sensor radio frequency electrode system to measure tissue compression|

---

US9808246B2|2015-03-06|2017-11-07|Ethicon Endo-Surgery, Llc|Method of operating a powered surgical instrument|

---

US10617412B2|2015-03-06|2020-04-14|Ethicon Llc|System for detecting the mis-insertion of a staple cartridge into a surgical stapler|

---

US20160270842A1|2015-03-20|2016-09-22|Ethicon Endo-Surgery, Llc|Electrosurgical device having controllable current paths|

---

US10178992B2|2015-06-18|2019-01-15|Ethicon Llc|Push/pull articulation drive systems for articulatable surgical instruments|

---

US10201348B2|2015-07-28|2019-02-12|Ethicon Llc|Surgical stapler cartridge with compression features at staple driver edges|

---

US10194912B2|2015-07-28|2019-02-05|Ethicon Llc|Surgical staple cartridge with outer edge compression features|

---

US10595930B2|2015-10-16|2020-03-24|Ethicon Llc|Electrode wiping surgical device|

---

US10548655B2|2015-10-16|2020-02-04|Ethicon Llc|Control and electrical connections for electrode endocutter device|

---

US10772632B2|2015-10-28|2020-09-15|Covidien Lp|Surgical stapling device with triple leg staples|

---

US10413291B2|2016-02-09|2019-09-17|Ethicon Llc|Surgical instrument articulation mechanism with slotted secondary constraint|

---

USD800904S1|2016-03-09|2017-10-24|Ethicon Endo-Surgery, Llc|Surgical stapling instrument|

---

US20170296213A1|2016-04-15|2017-10-19|Ethicon Endo-Surgery, Llc|Systems and methods for controlling a surgical stapling and cutting instrument|

---

US10856934B2|2016-04-29|2020-12-08|Ethicon Llc|Electrosurgical instrument with electrically conductive gap setting and tissue engaging members|

---

USD847989S1|2016-06-24|2019-05-07|Ethicon Llc|Surgical fastener cartridge|

---

USD850617S1|2016-06-24|2019-06-04|Ethicon Llc|Surgical fastener cartridge|

---

US20180168647A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling instruments having end effectors with positive opening features|

---

US20180168618A1|2016-12-21|2018-06-21|Ethicon Endo-Surgery, Llc|Surgical stapling systems|

---

USD836198S1|2017-02-17|2018-12-18|Ethicon Llc|Staple cartridge for a surgical stapler|

---

US10881399B2|2017-06-20|2021-01-05|Ethicon Llc|Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument|

---

US11013552B2|2017-06-28|2021-05-25|Cilag Gmbh International|Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument|

---

US11129666B2|2017-06-28|2021-09-28|Cilag Gmbh International|Shaft module circuitry arrangements|

---

US11160604B2|2017-06-28|2021-11-02|Cilag Gmbh International|Surgical end effector to adjust jaw compression|

---

US11065048B2|2017-06-28|2021-07-20|Cilag Gmbh International|Flexible circuit arrangement for surgical fastening instruments|

---

US10265120B2|2017-06-28|2019-04-23|Ethicon Llc|Systems and methods for controlling control circuits for an independent energy delivery over segmented sections|

---

US11246592B2|2017-06-28|2022-02-15|Cilag Gmbh International|Surgical instrument comprising an articulation system lockable to a frame|

---

US10639037B2|2017-06-28|2020-05-05|Ethicon Llc|Surgical instrument with axially movable closure member|

---

US10888369B2|2017-06-28|2021-01-12|Ethicon Llc|Systems and methods for controlling control circuits for independent energy delivery over segmented sections|

---

US20190000470A1|2017-06-28|2019-01-03|Ethicon Llc|Surgical shaft assemblies with flexible interfaces|

---

US10888325B2|2017-06-28|2021-01-12|Ethicon Llc|Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features|

---

US20190000478A1|2017-06-28|2019-01-03|Ethicon Llc|Surgical system couplable with staple cartridge and radio frequency cartridge, and method of using same|

---

US11103301B2|2017-06-28|2021-08-31|Cilag Gmbh International|Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths|

---

US10903685B2|2017-06-28|2021-01-26|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies forming capacitive channels|

---

USD908216S1|2017-06-28|2021-01-19|Ethicon Llc|Surgical instrument|

---

US10211586B2|2017-06-28|2019-02-19|Ethicon Llc|Surgical shaft assemblies with watertight housings|

---

US10716614B2|2017-06-28|2020-07-21|Ethicon Llc|Surgical shaft assemblies with slip ring assemblies with increased contact pressure|

---

USD865175S1|2017-06-28|2019-10-29|Ethicon Llc|Staple cartridge for surgical instrument|

---

US10813640B2|2017-06-28|2020-10-27|Ethicon Llc|Method of coating slip rings|

---

USD893717S1|2017-06-28|2020-08-18|Ethicon Llc|Staple cartridge for surgical instrument|

---

US10603117B2|2017-06-28|2020-03-31|Ethicon Llc|Articulation state detection mechanisms|

---

USD831209S1|2017-09-14|2018-10-16|Ethicon Llc|Surgical stapler cartridge|US10548655B2|2015-10-16|2020-02-04|Ethicon Llc|Control and electrical connections for electrode endocutter device|

---

USD908216S1|2017-06-28|2021-01-19|Ethicon Llc|Surgical instrument|

---

US11013552B2|2017-06-28|2021-05-25|Cilag Gmbh International|Electrosurgical cartridge for use in thin profile surgical cutting and stapling instrument|

---

US11160604B2|2017-06-28|2021-11-02|Cilag Gmbh International|Surgical end effector to adjust jaw compression|

---

US10888369B2|2017-06-28|2021-01-12|Ethicon Llc|Systems and methods for controlling control circuits for independent energy delivery over segmented sections|

---

US10888325B2|2017-06-28|2021-01-12|Ethicon Llc|Cartridge arrangements for surgical cutting and fastening instruments with lockout disablement features|

---

US11065048B2|2017-06-28|2021-07-20|Cilag Gmbh International|Flexible circuit arrangement for surgical fastening instruments|

---

USD893717S1|2017-06-28|2020-08-18|Ethicon Llc|Staple cartridge for surgical instrument|

---

US11103301B2|2017-06-28|2021-08-31|Cilag Gmbh International|Surgical system coupleable with staple cartridge and radio frequency cartridge, and having a plurality of radio-frequency energy return paths|

---

US10813640B2|2017-06-28|2020-10-27|Ethicon Llc|Method of coating slip rings|

---

USD865175S1|2017-06-28|2019-10-29|Ethicon Llc|Staple cartridge for surgical instrument|

---

US11129666B2|2017-06-28|2021-09-28|Cilag Gmbh International|Shaft module circuitry arrangements|

---

US10688290B1|2019-05-30|2020-06-23|Dead Sea Premier Cosmetics Laboratories Ltd.|Personal anti-wrinkle device|

---

US20210196356A1|2019-12-30|2021-07-01|Ethicon Llc|Surgical instrument with rotatable and articulatable surgical end effector|

法律状态:
2021-11-03| B350| Update of information on the portal [chapter 15.35 patent gazette]|

优先权:

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申请号 | 申请日 | 专利标题

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US15/636,180|US11058477B2|2017-06-28|2017-06-28|Surgical cutting and fastening instruments with dual power sources|

---

US15/636,180|2017-06-28|

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PCT/IB2018/054251|WO2019003003A1|2017-06-28|2018-06-12|Surgical cutting and fastening instruments with dual power sources|

---